NCC205601_NOI Application_20201207

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/4/2020 2:05:48 PM (NCG01 NOI Submission)
Approve by Clark, Paul 12/4/2020 2:44:54 PM (Review- Construction NOI 38144)
• The task was assigned to Clark, Paul by round robin distribution 12/4/2020 2:06 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 8, 2020 5:00
PM 12/4/2020 2:06 PM
Submit by Selkane, Aziza 12/7/2020 8:43:37 AM (Payment Verification for NCC205601)
* Zachary Calilung
• Selkane, Aziza assigned the task to Selkane, Aziza 12/7/2020 8:42 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 15, 2021 5:00 PM
12/4/2020 2:45 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 * Sycamore at Christenbury
1 b. Specific Lot This field rray be used to list specifc lot nunbers.
Numbers
2. County* Cabarrus
3. Highway or Street 9101 Edenbury Drive
Address* Street narre only is acceptable if no address number assigned yet
4.CityorTownship* Concord
5. State * NC
6. Zip Code * 28027
7. Latitude* Enter the latitude in decinal degrees
35.3796
8. Longitude* Enter the longitude in decir al degrees (M.JST be negative)
-80.7326
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*
12/15/2020
Estimated Construction Project Start Date
10. Date to End *
08/15/2022
Estinated Construction Project End Date
11. SIC (Primary)*
Residential, Other than SFE (1522)
Standard Industrial aassification for Development
12. Acres to be
29.23
disturbed*
(including off -site borrow and waste areas)
13. Total site area 42.94
(acres) *

14. Post- 26.66
construction (Estirrated)
impervious area
(acres) *
NCC Project NCC-CABAR-2020-Sycamore at Christenbury
Tracking ID Assigned automatically
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 Rocky River
Waterbody* Ibrre of waterbody into which stormroater runoff will discharge
15b. Waterbody 13-17b1
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.
Rarmttee Inforrration - Legally Fbsponsible Entity and Individual
...........................................................................................................................................................
Important: The person vvho 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 ovvns 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 PesponsibleEntity
Name * Sycamore at Christenbury, LLC
If perrrittee is an individual (i.e., organization does not apply), enter first and last nave 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 * Christopher
If Corporation, enter Faegistered Agent First Nerre
3. Last Name* McGrath
If Corporation, enter Registered Agent Last I\brre
3b. Title Executive Vice President
4. Permitee E-mail [e-mail]
Address*
5. Permittee 2157721100
Telephone No.*
6. Permittee Mailing Street Address
Address* 255 South 17th Street
Address Line 2
Floor 20
City State / Province / Region
Philadelphia PA
Postal / Zip Code Country
19103 us
Check box if the V Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
255 South 17th Street
Address Line 2
Floor 20
City
State / Province / Region
Philadelphia
PA
Postal / Zip Code
Country
19103
us
8. Type of
Non -Government
Ownership*

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Christopher
Contact - First
Name *
2. Primary Site
McGrath
Contact - Last
Name *
3. Title
Executive Vice President
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
2157721100
Telephone No.
6. Organization
Sycamore at Christenbury, LLC
Name
7. Site Contact
Street Address
Mailing Address*
255 South 17th Street
Address Line 2
Floor 20
City
Philadelphia
Postal / Zip Code
19103
8. Consultant Name
(Optional)
Eric Hampton
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
9802202322
Telephone No.
State / Rovince / Region
PA
Country
us

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 08/26/2020
Approved *
2. E&SC Plan Project CABAR-2021-014
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 doc20200831123932.pdf 2.18MB
Approval letter or Mist beRDFforml
Grading Permit
6. Site Location Map Mast be RDFfornat (lint 20 NB)
2020-1111 - SYCAMORE AT CHRISTENBURY-
3.08MB
Overall.pdf
Rease do not upload entire set of E&SC plans.
7. Notes (Optional) Frovide 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 2020-12-04_134557.pdf 668.66KB
Form Mast be FDFformat
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
[1✓rPciltirPta� �rrlr
Type Name * Christopher McGrath
Title Executive Vice President
Organization Legally Responsible Entity
Sycamore at Christenbury, LLC
Date * 12/04/2020

F. Tracking and COC Info
NOI Tracking No. 38144
NC Reference No. NCG01-2020-5601
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of NCC205601
Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5601
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. NCC205601-2020
Invoice Due Date 1/3/2021
Initial Fee $ 100.00
Invoice Status OPEN