NCC203423_NOI Application_20200810

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 8/6/2020 4:24:04 PM (NCG01 NOI Submission)
Approve by Garcia, Lauren V 8/10/2020 10:52:27 AM (Review- Construction NOI 29591)
• Morman, Alaina reassigned the task to Garcia, Lauren V 8/6/2020 4:28 PM
• The task was assigned to Morman, Alaina by round robin distribution 8/6/2020 4:24 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 10, 2020 5:00
PM 8/6/2020 4:24 PM
Submit by Selkane, Aziza 8/10/2020 3:50:53 PM (Payment Verification for NCC203423)
* Live Well Homes LLC
• Selkane, Aziza assigned the task to Selkane, Aziza 8/10/2020 3:50 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 21, 2020 5:00
PM 8/10/2020 10:53 AM

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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 29409
NOI No.
Prior Reviewer Lauren Garcia
Name
1a. Project Name * Blu South Multifamily - Initial Clearing & Grading
1 b. Specific Lot This field may be used to list specffc lot numbers.
Numbers
2. County* Mecklenburg
3. Highway or Street 901 Sterling Lane
Address * Street narre only is acceptable if no address number assigned yet
4. City or Township* Pineville
5. State * NC
6. Zip Code * 28134
7. Latitude * Enter the latitude in decimal degrees
35.1122
8. Longitude* Enter the longitude in decimal degrees (M. ST be negative)
-80.8891
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* 08/10/2020
Estimated Construction Project Start Cate
10. Date to End* 02/10/2022
Estimated Construction Project End Cute
11. SIC (Primary)* Residential, Other than SFE (1522)
Standard Industrial Classification for Developrrent

12. Acres to be 14.32
disturbed* (including off -site borrow and waste areas)
13. Total site area 16.02
(acres) *
14. Post- 7.65
construction (Estirrated)
impervious area
(acres) *
NCC Project NCC-MECKL-2020-Blu South Multifamily - Initial Clearing & Grading
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 Kings Branch
Wate rbody* %rre of waterbody into which stornwater runoff will discharge
15b. Waterbody 11-137-6
Index No.* NCWaterbody Index Nirrber
Stormwater rJ No
discharges will flow r- 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. ^
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 *
Chandler Commons, LLC
It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field.
2. First Name *
Ryan
IF Corporation, enter Faegistered Agent First %rre
3. Last Name*
Walton
It Corporation, enter F;bgistered Agent Last %ne
3b. Title
Controller
4. Permitee E-mail [e-mail]
Address*
5. Permittee 7049415326
Telephone No.*
6. Permittee Mailing Street Address
Address* 21908 Torrence Chapel Road
Address Line 2
City State / Rovince / Pbegion
Cornelius NC
Fbstal / Zip Code Country
28031-6783 us
Check box if the V Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
21908 Torrence Chapel Road
Address Line 2
City
State / Frovince / Faegion
Cornelius
NC
Fbstal / Zip Code
Country
28031-6783
us
8. Type of
Non -Government
Ownership*

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Ryan
Contact - First
Name *
2. Primary Site
Walton
Contact - Last
Name *
3. Title
Controller
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
7049415326
Telephone No.
6. Organization
Chandler Commons, LLC
Name
7. Site Contact
Street Address
Mailing Address*
21908 Torrence Chapel Road
Address Line 2
City
Cornelius
Fbstal / Zip Code
28031-6783
8. Consultant Name
(Optional)
Daniel Jones
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
7048751615
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 08/03/2020
Approved *
2. E&SC Plan Project LDGP-2020-00152
Number/ID * Assigned by agency or local program
3. E&SC Plan
Approved by*
4. Local Program*
f State DEQ Office
r Local Program
City of Charlotte
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 modified April 2019 - Blu South
Approval letter or 27.16KB
Multifamily —Initial Clearing & Grading.pdf
Grading Permit
Mast be FDFforrrat
6. Site Location Map Helpful for linear project review
(Optional) Mast be PDFforrrat. 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.
The Letter of Approval attached as part of this resubmittal is a
revised Letter of Approval from the City of Charlotte that we
received 8/6/2020. The approved plans specified 14.321 acres of
disturbed area while the FRO Form and the approval letter
specified 14.256 acres, which was an outdated number. The FRO
Form and approval letter have been corrected on the morning of
8/6/2020 to address this discrepancy.
8. NOI Certification Signed Certification Form.pdf 126.81KB
Form Mist be RFformat
This is an Express r No
Review Project* r Yes

E. Certification
North Carolina General Statute 143-215.66 (1) 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 Amide 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 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
IT 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* Greg whitehead
Title Memeber
Organization Legally Pesponsible Entity
Chandler commons Ilc
08/06/2020

F. Tracking and COC Info
NOI Tracking No. 29591
NC Reference No.
NCG01-2020-3423
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC203423
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 3423
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. NCC203423-2020
Invoice Due Date 9/9/2020
Initial Fee $ 100.00
Invoice Status OPEN