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HomeMy WebLinkAboutNCC203507_NOI Application_20200813Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 8/11/2020 10:46:35 AM (NCG01 NOI Submission) Approve by Garcia, Lauren V 8/13/2020 1:37:32 PM (Review- Construction NOI 29754) • The task was assigned to Garcia, Lauren V by round robin distribution 8/11/2020 10:48 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 13, 2020 5:00 PM 8/11/2020 10:48 AM Submit by Selkane, Aziza 8/13/2020 2:18:01 PM (Payment Verification for NCC203507) * Sara S kent • Selkane, Aziza assigned the task to Selkane, Aziza 8/13/2020 2:13 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 24, 2020 5:00 PM 8/13/2020 1:39 PM .• SThF� '; 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 * PNG Pender Onslow Pipeline — Sections Pender-1 and Onslow-4 1 b. Specific Lot This field rray be used to list specifc lot numbers. Numbers 2. County* Onslow 3. Highway or Street Highway 17 Address* Street narre only is acceptable if no address number assigned yet 4. Cityor Township* Holly Ridge, Hampstead 5. State * NC 6. Zip Code * 28445 7. Latitude* Enter the latitude in decimal degrees 34.4766 8. Longitude* Enter the longitude in decimal degrees (M.JST be negative) -77.5759 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* 08/17/2020 Estimated Construction Project Start Date 10. Date to End* 10/31/2021 Estimated Construction Project End Date 11. SIC (Primary)* Industrial (1541) Standard Industrial Classification for Developrrent 12. Acres to be 41.37 disturbed* (including off -site borrow and waste areas) 13. Total site area 41.37 (acres) * 14. Post- 0.00 construction (Estirrated) impervious area (acres) * NCC Project NCC-ONSLO-2020-PNG Fender Onslow Pipeline — Sections Tracking ID Pender-1 and Onslow-4 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 Big Shakey Swamp Waterbody* %rre of waterbody into which storrrwater runoff will discharge 15b. Waterbody 18-74-33-4-1-1 Index No.* NCWaterbody Index Number Stormwater r No discharges will flow Pf Yes to additional wate rs * 15c. Additional Flat Swamp Receiving Waterbody narre Waterbody 15d. Waterbody 18-74-33-4-1-2 Index No. NCWaterbody Index Nurrber 15e. Additional Juniper Swamp Receiving Waterbody narre Waterbody 15f. Waterbody 18-74-33-4-1 Index No. NCWaterbody Index Nurrber 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. ^ Fbrnittee 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 Responsible Entity Name * Piedmont Natural Gas Co. Inc. It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Jeremy If Corporation, enter Registered Agent First %rre 3. Last Name* Meads It Corporation, enter F;bgistered Agent Last %ne 3b. Title Project Manager 4. Permitee E-mail Jeremy.Meads@duke-energy.com Address* 5. Permittee 252-264-7005 Telephone No.* 6. Permittee Mailing Street Address Address* PO Box33068 Address Line 2 City State / Rovince / Pbegion Charlotte NC Fbstal / Zip Code Country 28210 United States Check box if the F Yes street address the same as mailing address 7. Permittee Street Street Address Address* 4720 Piedmont Row Drive Address Line 2 City State / Frovince / Region Charlotte NC Fbstal / Zip Code Country 28210 United States 8. Type of Non -Government Ownership* C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Jeremy Contact - First Name * 2. Primary Site Meads Contact - Last Name * 3. Title Project Manager 4. Site Contact E- Jeremy.Meads@duke-energy.com mail Address* 5. Site Contact 252-264-7005 Telephone No. 6. Organization Piedmont Natural Gas Co. Inc. Name 7. Site Contact Street Address Mailing Address* PO Box33068 Address Line 2 city Charlotte Fbstal / Zip Code 28201 8. Consultant Name (Optional) Anthony McMullan First and Last narre 9. Consultant E-mail camcmullan@burnsmcd.com This person will be copied on all correspondence. 10. Consultant 770.365.3996 Telephone No. State / Rovince / Region NC Country United States D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 08/07/2020 Approved * 2. E&SC Plan Project ONSLO-2021-009 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 ONSLO-2021-009 Approval 8-7-2020.pdf 292.92KB Approval letter or Mast beRDFformat Grading Permit 6. Site Location Map Helpful for linear project review (Optional) NOI—Vicinity Map combined.pdf 55.29MB Mast be RDFfon- at. 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. Additional waterbodies for Pender County: Mill Creek (Betts Creek), 18-87-14, Futch Creek, 18-87-19 8. NOI Certification NCG01-eNO1-Certification-Form-20190919-DEMLR- Form 753.29KB SW.pdf Mast be R7Ffon-rat 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 * Jeremy Meads Title Project Manager Organization Legally Flesponsible Entity Piedmont Natural Gas Co. Inc. Date * 08/11 /2020 F. Tracking and COC Info NOI Tracking No. 29754 NC Reference No. NCG01-2020-3507 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC203507 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 3507 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. NCC203507-2020 Invoice Due Date 9/12/2020 Initial Fee $ 100.00 Invoice Status OPEN