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HomeMy WebLinkAboutNCC202918_NOI Application_20200713 Action History (UTC-05:00)Eastern Time(US&Canada) Subrrit by Anonymous User 7/8/2020 7:07:10 PM(NCG01 NOI Submission) Approve by Garcia, Lauren V 7/10/2020 10:24:54 AM(Review-Construction NOI 27988) • The task was assigned to Garcia, Lauren V by round robin distribution 7/8/2020 7:07 PM • The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 10,2020 5:00 PM 7/8/2020 7:07 PM Submit by Selkane,Aziza 7/13/2020 8:44:42 AM(Payment Verification for NCC202918) * James V. King • Selkane,Aziza assigned the task to Selkane,Aziza 7/13/2020 8:43 AM • The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 21, 2020 5:00 PM 7/10/2020 10:25 AM �ThF1 1Construction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Elimination System 'D application for•• - .•-under NorthCarolina's General Permit 1 1111:STORIMATER DISCHARGES associated with construction activities(or NORTH CAROLINA Enrlrnnmenfu�Qrlarlry A. Project Information Part A. Project Location and Waterbody Information Are you submitting r No an NOI that was r Yes rejected before? Previous Rejected 27957 NOI No. Prior Reviewer Paul Clark Name 1a. Project Name* Family of Faith Fellowship Church 1 b.Specific Lot This field Tray be used to list specifc lot numbers. Numbers 2.County* Buncombe 3. Highway or Street 1159 Glen Bridge SE Address* Street narre only is acceptable if no address number assigned yet 4. City or Township* Arden 5.State* NC 6.Zip Code* 28704 7. Latitude* Enter the latitude in decimal degrees 35.4590 8. Longitude* Enter the longitude in decimal degrees(M.ST be negative) -82.5590 If you do not know the latitude and longitude coordinates for this project,you can search the location on this map of North Carolina. Look for the coordinates in the bottom left corner. 9. Date to Begin* 07/13/2020 Estimated Construction Project Start Date 10. Date to End* 07/13/2021 Estimated Construction Project End Cute 11.SIC(Primary)* Commercial(1542) Standard Industrial aassification for Development 12.Acres to be 1.50 disturbed* (including off-site borrow and waste areas) 13.Total site area 15.00 (acres)* 14. Post- 1.50 construction (Estimated) impervious area (acres)* NCC Project NCC-BUNCO-2020-Family of Faith Fellowship Church Tracking ID Assigned automatically Below you must enter waterbody information for surface waters affected by this project. Please consult DWR's Surface Water Classifications Map Viewer to find waterbody name and corresponding index number. Please enter only immediate receiving waterbodies-not waters downstream of those unless the project extends there. You may enter up to 3 waterbodies if needed. 15a. Receiving French Broad River Waterbody* Klarre of waterbody into which stormwater runoff will discharge 15b.Waterbody 6-(54.75) Index No.* NCWaterbody Index Number Stormwater V No discharges will flow r Yes to additional wate rs* 16a. Is this project F Yes subject to the NC r No, not subject to NC SPCA Sediment Pollution Control Act?* B. Permittee Information Part B. ^ Fbrnittee Inforrration-Legally Fa sponsible Entity and Individual Important:The person who signs the NOI Certification Form and signs the Certification in Section E of this application form should be the same person as listed in THIS SECTION, or an authorized responsible individual within the same organization. That person must be a responsible corporate officer who owns or operates the construction activity, such as a president, secretary,treasurer, or vice president, or a manager that is authorized in accordance with Part IV, Section B, Item(6)of the NCG010000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item(6) of that permit. 1.Organization Legally Responsible Entity Name* Family of Faith Fellowship It pernittee is an individual(i.e.,organization does not apply),enter first and last narre in this field. 2. First Name* James If Corporation,enter Registered Agent First%rre 3. Last Name* King It Corporation,enter F;bgistered Agent Last Iona 3b.Title Senior Pastor 4. Permitee E-mail jpastorking@gmail.com Address* 5. Permittee 828-778-4727 Telephone No.* 6. Permittee Mailing Street Address Address* 47 Catatoga Lane Address Line 2 47 Catatoga Ln. City State/Frovince/Fbgion Mills River North Carolina Fbstal/Zip Code Country 28759 United States Check box if the F Yes street address the same as mailing address 7. Permittee Street Street Address Address* 47 Catatoga Lane Address Line 2 City State/Frovince/Region Mills River NC Fbstal/Zip Code Country 28759-0013 US 8.Type of Non-Government Ownership* C. Site Contact Information Part C. ^ Project Site Contact Inforrration ....................................................................................................................................................................................................................................................................................................................................................................................... 1. Primary Site James Contact-First Name* 2. Primary Site King Contact-Last Name* 3.Title Pastor 4.Site Contact E- jpastorking@gmail.com mail Address* 5.Site Contact 828-778-4727 Telephone No.* 6.Organization Family Of Faith Fellowship Name 7.Site Contact Street Address Mailing Address* 47 Catatoga Ln. Address Line 2 City State/Province/Region Mills River North Carolina Postal/Zip Code Country 28759 United States 8. Consultant Name (Optional) First and Last narre 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant Telephone No. D. E&SC Plan Part D. ^ Erosion&Sedirrent Control(E&SC)Ran Approval Inforrration ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 07/07/2020 Approved* 2. E&SC Plan Project ERO2020-00026 Number/ID* Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Buncombe County Documentation of E&SC Plan approval and the signed Notice of Intent(NOI)Certification Form is required for a complete application. For linear projects, please also upload a site map showing the overall extent of the project or include the beginning point and end point coordinates in the"Notes"box below. 5. E&SC Plan Letter of Approval.pdf 478.24KB Approval letter or Mist beRDFformat Grading Permit 6.Site Location Map Helpful for linear project review (Optional) Mast be FCFfornat.Rease do not upload entire set of E&SCplans. 7. Notes(Optional) Frovide any additional information that night help the reviewer better understand how uploaded docurrents support the application.Include additional waterbodies for linear projects if necessary. 8. NOI Certification Scan_0002 (1).pdf 559.66KB Form Mist be RDFforrret This is an Express r No Review Project* r Yes E. Certification North Carolina General Statute 143-215.66(1) provides that: Anyperson who knowinglymakes any false statement,representation,or certification in anyapplication,record,report,plan,or other documentfiled or required to be maintained under this Article or a rule implementing this Article;or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case underthis Artcle;or who falsifies,tampers with,or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Artcle shall be guiltyofa Class 2 misdemeanor which mayinclude a fine not to exceed ten thousand dollars($10,000). Under penalty of law, I certify that: 17 I am the person responsible for the construction activities of this project,for satisfying the requirements of this permit,and for any civil or criminal penalties incurred due to violations of this permit. rJ The information submitted in this NOI is,to the best of my knowledge and belief, true,accurate, and complete based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information. * 17 I will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. * rJ If the Erosion and Sediment Control Plan approved by the delegated program is not compliant with Part II(Stormwater Pollution Prevention Plan)of the NCG010000 General Permit, I will nonetheless ensure that all conditions of Part II of the permit are met on the project at all times. * 17 I hereby request coverage under the NCG010000 General Permit and understand that coverage under this permit will constitute the permit requirements for the discharge(s)and is enforceable in the same manner as an individual permit. Specify if you are:* r The Responsible Person named on this Notice of Intent f Authorized Responsible Person* Important:The person who electronically signs this Certification above must be the same person who signs the NOI Certification Form. If that person is signing on behalf of the Permittee,that individual must be an authorized responsible person within the same organization as the Permittee. *An authorized individual is a responsible corporate officer who owns or operates the construction activity, such as a president, secretary,treasurer,or vice president, or a manager that is authorized in accordance with Part IV, Section B, Item(6)of the NCG010000 General Permit. For more information on signatory requirements,see Part IV,Section B, Item(6)of that permit. Signature 'T'Swes zoo Type Name* James King Title Pastor Organization Legally Ibsponsible Entity Family of Faith Fellowship Date* 07/08/2020 F. Tracking and COC Info NOI Tracking No. 27988 NC Reference No. NCG01-2020-2918 Uses'count_nurrber'variable(increrrented by SP) Certificate of NCC202918 Coverage (COC) Uses'count_nurrber'variable(increrrented by SP) No.* Count Number 2918 Sequential nurrber for subrrittal that is incremented by Stored Frocedure COC Year 2020 Year of date reviewed(used to assign YY digits after"NOC'in COCno.) Initial Invoice No. NCC202918-2020 Invoice Due Date 8/9/2020 Initial Fee $ 100.00 Invoice Status OPEN