NCC203244_NOI Application_20200731

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/29/2020 10:01:59 AM (NCG01 NOI Submission)
Approve by Clark, Paul 7/29/2020 2:36:27 PM (Review- Construction NOI 29040)
• The task was assigned to Clark, Paul by round robin distribution 7/29/2020 10:02 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 31, 2020 5:00 PM
7/29/2020 10:02 AM
Submit by Selkane, Aziza 7/31/2020 8:27:31 AM (Payment Verification for NCC203244)
* Nu"n Wijesuriya
• Selkane, Aziza assigned the task to Selkane, Aziza 7/31/2020 8:26 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 9, 2020 5:00
PM 7/29/2020 2:36 PM

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1
NORTH CAROLINA
EnrlronmertW quallly
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 28922
NOI No.
Prior Reviewer Paul Clark
Name
1a. Project Name * Duke Energy - Grants Creek - Jacksonville 230kV Transmission
Line
1 b. Specific Lot This field may be used to list specifc lot numbers.
Numbers
2. County* Onslow
3. Highway or Street Gum Branch Road
Address* Street narre only is acceptable if no address number assigned yet
4.CityorTownship* Jacksonville
5. State * NC
6. Zip Code* 28546
7. Latitude* Enter the latitude in decimal degrees
34.8152
8. Longitude * Enter the longitude in decimal degrees (MJST be negative)
-77.4238
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* 08/01/2020
Estimated Construction Project Start Date
10. Date to End * 12/30/2020
Estimated Construction Project End Cate
11. SIC (Primary)* Commercial (1542)
Standard Industrial Classification for Leveloprnent

12. Acres to be 297.30
disturbed* (including off -site borrow and waste areas)
13. Total site area 297.30
(acres) *
14. Post- 0.00
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-ONSLO-2020-Duke Energy - Grants Creek - Jacksonville
Tracking ID 230kV Transmission Line
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 Half Moon Creek
Waterbody* N larre of waterbody into which stormwater runoff will discharge
15b. Waterbody 19-6
Index No.* NCWaterbody Index Number
Stormwater r No
discharges will flow pr Yes
to additional
wate rs *
15c. Additional Horse Swamp
Receiving Waterbody name
Waterbody
15d. Waterbody 19-16-2-1
Index No. NCWaterbody Index Mirrber
15e. Additional Little Northeast Creek
Receiving Waterbody name
Waterbody
15f. Waterbody 19-16-2
Index No. NCWaterbody Index Number
16a. Is this project r Yes
subject to the NC r No, not subject to NC SPCA
Sediment Pollution
Control Act?*

B. Permittee Information
Part B. ^
F2rnittee Inforrration - Legally Fbsponsible 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 Pesponsible Entity
Name *
Duke Energy Progress, LLC
It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field.
2. First Name *
Randy
IF Corporation, enter Faegistered Agent First %rre
3. Last Name*
Veltri
It Corporation, enter F;bgistered Agent Last %ne
3b. Title
Manager - Transmission Engineering
4. Permitee E-mail [e-mail]
Address*
5. Permittee 704-382-6542
Telephone No.*
6. Permittee Mailing Street Address
Address* 410 South Wilmington Street NCO2
Address Line 2
City State / Rovince / F;bgion
Raleigh NC
Fbstal / Zip Code Country
27601 USA
Check box if the V Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
410 South Wilmington Street NCO2
Address Line 2
city
State / Frovince / Region
Raleigh
NC
Fbstal / Zip Code
Country
27601
USA
8. Type of
Non -Government
Ownership*

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Nuwan
Contact - First
Name *
2. Primary Site
Wijesuriya
Contact - Last
Name *
3. Title
Sr. Transmission Permitting Specialist
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
919-546-2090
Telephone No.
6. Organization
Duke Energy Progress, LLC
Name
7. Site Contact
Street Address
Mailing Address*
410 South Wilmington Street NCO2
Address Line 2
city
Raleigh
Fbstal / Zip Code
27601
8. Consultant Name
(Optional)
Beth Steffens
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
984-232-6795
Telephone No.
State / Rovince / Region
NC
Country
us

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 07/24/2020
Approved *
2. E&SC Plan Project ONSLO-2018-012
Number/ID * Assigned by agency or local program
3. E&SC Plan r State DEQ Office
Approved by* r Local Program
4. State DEQ Office * Wilmington (WiRO)
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 ONSIO-2018-012 Approval Revised 7-24-2020.pdf 294.28KB
Approval letter or Mast beRDFformat
Grading Permit
6. Site Location Map Helpful for linear project review
(Optional) CT-69181-S1rev2.pdf 495.98KB
Mast be RDFformat. Rease do not upload entire set of E&SCplans.
7. Notes (Optional) Rovide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies for linear projects if necessary.
This is a linear transmission line project. The coordinates provided
are at the location of the westernmost stream crossing.
8. NOI Certification NCG01 NOI GC Jax 230kV - signed.pdf 414.61 KB
Form Mast be RFformat
This is an Express r No
Review Project* r Yes

E. Certification
North Carolina General Statute 143-215.6E (i) provides that:
Any person who knowingly makes anyfalse statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Atide; or who knowingly makes a false statement
of a material fact in a rulemaking proceeding or contested case under this Atcle; or who falsifies, tampers with, or knowingly renders
inaccurate any recording or monitoring device or method required to be operated or maintained under this Atide or rules of the
Commission implementing this Atcle shall be guilty ofa Class 2 misdemeanor which may include 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 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
Type Name * Randy Veltri
Title Manager, Permitting
Organization Legally Responsible Entity
Duke Energy
Date * 07/29/2020

F. Tracking and COC Info
NOI Tracking No. 29040
NC Reference No.
NCG01-2020-3244
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC203244
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 3244
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. NCC203244-2020
Invoice Due Date 8/28/2020
Initial Fee $ 100.00
Invoice Status OPEN