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HomeMy WebLinkAboutNCC203863_NOI Application_20200904Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 9/1/2020 10:53:05 AM (NCG01 NOI Submission) Approve by Morman, Alaina 9/2/2020 3:25:02 PM (Review- Construction NOI 30779) . The task was assigned to Morman, Alaina by round robin distribution 9/1/2020 10:53 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 3, 2020 5:00 PM 9/1/2020 10:53 AM Submit by Selkane, Aziza 9/4/2020 12:46:57 PM (Payment Verification for NCC203863) * Leland Adams • Selkane, Aziza assigned the task to Selkane, Aziza 9/4/2020 12:46 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 14, 2020 5:00 PM 9/2/2020 3:25 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 * Knier Flex Building 1 b. Specific Lot This field rray be used to list specifc lot nunbers. Numbers 2. County* Durham 3. Highway or Street 2175 Presidential Dr. Address* Street narre only is acceptable if no address number assigned yet 4. City or Township* Durham 5. State * NC 6. Zip Code * 27703 7. Latitude* Enter the latitude in decinal degrees 35.9300 8. Longitude* Enter the longitude in decir al degrees (M.JST be negative) -78.8430 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* 09/08/2020 Estinated Construction Project Start Date 10. Date to End* 04/01/2021 Estinated Construction Project End Date 11. SIC (Primary)* Commercial (1542) Standard Industrial Classification for Developrrent 12. Acres to be 4.06 disturbed* (including off -site borrow and waste areas) 13. Total site area 5.31 (acres) * 14. Post- 2.85 construction (Estirrated) impervious area (acres) * NCC Project NCC-DURHA-2020-Knier Flex Building Tracking ID Assignedautorraticaly 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 Stirrup Iron Creek Waterbody* Nsrre of waterbody into which storrrwater runoff will discharge 15b. Waterbody 27-33-4-2 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. ^ 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 * Bobbitt Design Build, Inc. IF pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. Note: The organization name must match the business entity name registered with the NC Secretary of State. You can verify the registration here. 2. First Name * James If Corporation, enter Faegistered Agent First Wre 3. Last Name* Bell IF Corporation, enter F;bgistered Agent Last %rre 3b. Title President 4. Permitee E-mail ladams@bobbitt.com Address* 5. Permittee 9198511980 Telephone No.* 6. Permittee Mailing Street Address Address* 600 Germantown Rd Address Line 2 City Raleigh Fbstal / Zip Code 27607-5144 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 600 Germantown Rd Address Line 2 city Raleigh Fbstal / Zip Code 27607-5144 8. Type of Non -Government Ownership * State / Frovince / Fbgion NC Country us State / Frovince / Region NC Country us C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Tim Contact - First Name * 2. Primary Site Murphy Contact - Last Name * 3. Title Vice-President/Project Manager 4. Site Contact E- tmurphy@bobbitt.com mail Address* 5. Site Contact 9198004653 Telephone No. 6. Organization Bobbitt Design Build, Inc. Name 7. Site Contact Street Address Mailing Address* 600 Germantown Rd. Address Line 2 city Raleigh Fbstal / Zip Code 27607 8. Consultant Name (Optional) Blair Pittman First and Last nacre 9. Consultant E-mail bpittman@bobbitt.com This person will be copied on all correspondence. 10. Consultant 9198004596 Telephone No. State / Rovince / Region North Carolina Country United States D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 07/13/2020 Approved * 2. E&SC Plan Project 6150-09 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Durham City/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 EC Letter of Plan Approval.pdf 872.86KB Approval letter or Mast beRDFformat Grading Permit 6. Site Location Map Helpful for linear project review (Optional) C0.0-Cover.pdf 2.13MB Mast be RDF format. 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. 8. NOI Certification NOI Cert NCC-DURHA-2020-Knier Flex Building.pdf 456.53KB Form Wst be RDF format 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 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 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 Type Name* James Bell Title President Organization Legally Ibsponsible Entity Bobbitt Design Build, Inc. Date * 09/01 /2020 F. Tracking and COC Info NOI Tracking No. 30779 NC Reference No. NCG01-2020-3863 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC203863 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 3863 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. NCC203863-2020 Invoice Due Date 10/2/2020 Initial Fee $ 100.00 Invoice Status OPEN