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HomeMy WebLinkAboutNCC203704_NOI Application_20200909Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 8/24/2020 3:42:44 PM (NCG01 NOI Submission) Approve by Morman, Alaina 8/25/2020 6:31:34 PM (Review- Construction NOI 30338) • The task was assigned to Morman, Alaina by round robin distribution 8/24/2020 3:43 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 26, 2020 5:00 PM 8/24/2020 3:43 PM Submit by McCoy, Suzanne 9/9/2020 1:49:36 PM (Payment Verification for NCC203704) * Keith Sears • McCoy, Suzanne assigned the task to McCoy, Suzanne 9/9/2020 1:49 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 6, 2020 5:00 PM 8/25/2020 6:32 PM .• SThF� '; 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 30274 NOI No. Prior Reviewer Alaina Morman Name 1a. Project Name * Lot Clearing Plan for Lots 129-131 at Avery Pond SD, PH IIID 1 b. Specific Lot This field any be used to list specifc lot numbers. Numbers Lots 129 - 131 2. County* Harnett 3. Highway or Street 765, 779, and 793 Avery Pond Drive Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Hectors Creek 5. State * NC 6. Zip Code * 27526 7. Latitude * Enter the latitude in decimal degrees 35.4941 8. Longitude* Enter the longitude in decimal degrees (M. ST be negative) -78.8209 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* 08/24/2020 Estimated Construction Project Start Date 10. Date to End* 11/23/2020 Estimated Construction Project End Cute 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Developrrent 12. Acres to be 1.11 disturbed* (including off -site borrow and waste areas) 13. Total site area 1.62 (acres) * 14. Post- 0.20 construction (Estirrated) impervious area (acres) * NCC Project NCC-HARNE-2020-Lot Clearing Plan for Lots 129-131 at Avery Tracking ID Pond SD, PH IIID 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 Coopers Branch Wate rbody* N larre of waterbody into which storrrwater runoff will discharge 15b. Waterbody 18-15-1 Index No.* NCWaterbody Index Number 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. ^ 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 Pesponsible Entity Name * LGI Homes - NC, LLC It 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 * Keith If Corporation, enter Faegistered Agent First %rre 3. Last Name* Sears It Corporation, enter Pbegistered Agent Last %rre 3b. Title Regional Construction Manager 4. Permitee E-mail keith.sears@lgihomes.com Address* 5. Permittee 919 795 3922 Telephone No.* 6. Permittee Mailing Street Address Address* 6500 Creedmoor Drive, Suite 212 Address Line 2 City Raleigh Fbstal / Zip Code 27613 Check box if the F Yes street address the same as mailing address 7. Permittee Street Street Address Address* 6500 Creedmoor Drive, Suite 212 Address Line 2 State / Frovince / Fbgion NC Country USA City State / Frovince / Region Raleigh NC Fbstal / Zip Code Country 27613 USA 8. Type of Non -Government Ownership * C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Keith Contact - First Name * 2. Primary Site Sears Contact - Last Name * 3. Title Regional Construction Manager 4. Site Contact E- keith.sears@lgihomes.com mail Address* 5. Site Contact 919 795 3922 Telephone No. 6. Organization LGI Homes - NC, LLC Name 7. Site Contact Street Address Mailing Address* 6500 Creedmoor Drive, Suite 212 Address Line 2 city Raleigh Fbstal / Zip Code 27613 8. Consultant Name (Optional) Lee R Hines, Jr, PE (Richie) First and Last nacre 9. Consultant E-mail richiehinespe@nc.rr.com This person will be copied on all correspondence. 10. Consultant 919 422 8011 Telephone No. State / Rovince / Region NC Country USA D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 07/08/2020 Approved * 2. E&SC Plan Project HARNE-2020-141, 142, and 143 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 * Fayetteville (FRO) 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 AVP Lot 129.pdf 83.24KB Approval letter or AVP Lot 130.pdf 94.11KB Grading Permit AVP Lot 131.pdf 83.8KB Mast be RFfornat 6. Site Location Map Helpful for linear project review (Optional) Wst be FDFfornat. Rease do not upload entire set of E&SCplans. 7. Notes (Optional) Ffovide any additional information that night help the reviewer better understand how uploaded documents support the application. Include additional w aterbodies for linear projects if necessary. 8. NOI Certification Signed NOI Avery 129 - 131.pdf 1.58MB Form Mast be R7Ffon-rat This is an Express F 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 Kci# ha+e Type Name * Keith Sears Title Regional Construction Manager Organization Legally Responsible Entity LGI Homes - NC, LLC Date * 08/24/2020 F. Tracking and COC Info NOI Tracking No. 30338 NC Reference No. NCG01-2020-3704 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC203704 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 3704 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. NCC203704-2020 Invoice Due Date 9/24/2020 Initial Fee $ 100.00 Invoice Status OPEN