NCC203226_NOI Application_20200731

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/27/2020 4:43:41 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 7/28/2020 12:28:54 PM (Review- Construction NOI 28908)
• The task was assigned to Garcia, Lauren V by round robin distribution 7/27/2020 4:44 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 29, 2020 5:00 PM
7/27/2020 4:44 PM
Submit by Selkane, Aziza 7/31/2020 4:18:27 PM (Payment Verification for NCC203226)
* Wildlands Engineering, Inc
• Selkane, Aziza assigned the task to Selkane, Aziza 7/31/2020 4:17 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 8, 2020 5:00
PM 7/28/2020 12:29 PM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
Are you submitting IT No
an NOI that was r Yes
rejected before?
1a. Project Name * Wyant Lands Mitigation Site
1 b. Specific Lot
This field any be used to list specifc lot numbers.
Numbers
3605-95-9968
3605-95-9148
3615-07-4254
3605-96-4840
2. County*
Lincoln
3. Highway or Street 2847 Wyant Road, Vale, NC 28168
Address* Street narre only is acceptable if no address number assigned yet
4.CityorTownship* Vale
5. State * NC
6. Zip Code * 28168
7. Latitude * Enter the latitude in decimal degrees
35.5310
8. Longitude* Enter the longitude in decimal degrees (M.JSTbe negative)
-81.3189
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*
07/01/2020
Estimated Construction Project Start Date
10. Date to End*
03/15/2021
Estimated Construction Project End Date
11. SIC (Primary) *
Other (9999)
Standard Industrial aassification for tkveloprrent
12. Acres to be
55.70
disturbed*
(including off -site borrow and waste areas)

13. Total site area 60.00
(acres) *
14. Post- 0.00
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-LINCO-2020-Wyant Lands Mitigation Site
Tracking ID Assigned autorratically
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 Pott Creek
Waterbody* %neof waterbody into which storrrwater runoff will discharge
15b. Waterbody 11-129-3-(0.7)
Index No. * NCWaterbody Index Nurrber
Stormwater V No
discharges will flow 17 Yes
to additional
wate rs *
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. ^
Fternittee 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 *
Wildlands Engineering, Inc.
It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field.
2. First Name *
Shawn
IF Corporation, enter Faegistered Agent First %rre
3. Last Name*
Wilkerson
It Corporation, enter F;bgistered Agent Last %ne
3b. Title
CEO
4. Permitee E-mail [e-mail]
Address*
5. Permittee 704-332-7754
Telephone No.*
6. Permittee Mailing Street Address
Address* 1430 South Mint Street
Address Line 2
City State / Rovince / F;bgion
Charlotte NC
Fbstal / Zip Code Country
28203 us
Check box if the V Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
1430 South Mint Street
Address Line 2
City
State / Frovince / Region
Charlotte
NC
Fbstal / Zip Code
Country
28203
us
8. Type of
Non -Government
Ownership*

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
1. Primary Site Eric
Contact - First
Name *
2. Primary Site Neuhaus
Contact - Last
Name *
3. Title Water Resources Engineer and Project
Manger
4. Site Contact E- [e-mail]
mail Address*
5. Site Contact 865-207-8835
Telephone No.*
6. Organization
Wildlands Engineering, Inc.
Name
7. Site Contact
Street Address
Mailing Address*
167-B Haywood Rd.
Address Line 2
aty
Asheville
Fbstal / Zip Code
28806
8. Consultant Name (Optional)
Wildlands Engineering, Inc.
First and Last narre
9. Consultant E-mail [e-mail]
This person will be copied on all correspondence.
10. Consultant 865-207-8835
Telephone No.
State / Rovince / Fbgion
North Carolina
Country
United States

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 06/19/2020
Approved *
2. E&SC Plan Project LINCO-2020-012
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 * Mooresville (MRO)
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 Wyant Lands Mitigation Site (LINCO-2020-012)
Approval letter or 356.49KB
approval w mods.pdf
Grading Permit
Mast be FDFfon-rat
6. Site Location Map Helpful for linear project review
(Optional) Wyant_Location Map.pdf 1.94MB
Mast be RDFfornat. 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.
Modifications required in the Letter of Approval have been made in
the plan and updated plan sheets have been provided to the
Assistant Regional Engineer at the Mooresville Regional Office.
8. NOI Certification Wyant_Signed NOI.pdf 642.57KB
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 Article; or who knowingly makes a false statement
of a material fact in a rulemaking proceeding or contested case under this 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 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 * Shawn Wilkerson
Title CEO
Organization Legally Plesponsible Entity
Wildlands Engineering, Inc.
Date * 07/27/2020

F. Tracking and COC Info
NOI Tracking No. 28908
NC Reference No.
NCG01-2020-3226
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC203226
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 3226
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. NCC203226-2020
Invoice Due Date 8/27/2020
Initial Fee $ 100.00
Invoice Status OPEN