NCC205789_NOI Application_20201216

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/11/2020 4:35:46 PM (NCG01 NOI Submission)
Approve by Meloy, Michael 12/14/2020 2:03:48 PM (Review- Construction NOI 38978)
•
• The task was assigned to Meloy, Michael by round robin distribution 12/11/2020 4:36 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 15, 2020 5:00
PM 12/11/2020 4:36 PM
Submit by Selkane, Aziza 12/16/2020 8:37:49 AM (Payment Verification for NCC205789)
* Melisa Smetana
• Selkane, Aziza assigned the task to Selkane, Aziza 12/16/2020 8:36 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 25, 2021 5:00 PM
12/14/2020 2:04 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 *
RiverLights AQ Phases 2 & 3 Rev #32
1 b. Specific Lot
This field any be used to list specifc lot numbers.
Numbers
158, 260, 264, 304, 306, 320, 321, & 322
1 c. Parcel ID
List all R h associated w ith this project.
Number(s) (PIN)
2. County*
New Hanover
3. Highway or Street 4410 River Road
Address* Street name only is acceptable if no address number assigned yet
4. Cityor Township* Wilmington
5. State * NC
6. Zip Code* 28412
7. Latitude* Enter the latitude in decimal degrees
34.1489
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-77.9319
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*
11/15/2020
Estimated Construction Project Start Rate
10. Date to End*
11/15/2021
Estinated Construction Project End Cate
11. SIC (Primary)*
Residential, Single Family Houses (SFE) (1521)
Standard Industrial aassification for Development
12. Acres to be
1.75
disturbed*
(including off -site borrow and waste areas)

13. Total site area 127.16
(acres) *
14. Post- 0.50
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-NEW F1-2020-Riverl-ights AQ Phases 2 & 3 Rev #32
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 Cape Fear River
Waterbody* %neof waterbody into which storrrwater runoff will discharge
15b. Waterbody 18-(71)
Index No. * NCWaterbody Index Narrber
Stormwater V 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 %sponsible Entity
Name * Pulte Home Company, LLC
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 * Chris
IF Corporation, enter Faegistered Agent First Wre
3. Last Name* Raughley
IF Corporation, enter F;bgistered Agent Last %rre
3b. Title VP of Land Development
4. Permitee E-mail Chris. [e-mail]
Address*
5. Permittee [phone]
Telephone No.*
6. Permittee Mailing Street Address
Address* 4000 Faber Place Drive, Suite 110
Address Line 2
City
North Charleston
Fbstal / Zip Code
29405-8585
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
4000 Faber Place Drive, Suite 110
Address Line 2
City
North Charleston
Fbstal / Zip Code
29405-8585
State / Frovince / Fbgion
SC
Country
us
State / Frovince / Faegion
SC
Country
us
8. Type of Ownership is only individual if an individual is naned in B.1. above.
Ownership* Non -Government

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Jamison
Contact - First
Name *
2. Primary Site
Fair
Contact - Last
Name *
3. Title
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
[phone]
Telephone No.
6. Organization
Name
7. Site Contact
Street Address
Mailing Address*
4136 Passerine Avenue
Address Line 2
City
Wilmington
Fbstal / Zip Code
28412
8. Consultant Name
(Optional)
Mckim & Creed
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
[phone]
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 10/24/2020
Approved *
2. E&SC Plan Project GP 38-16
Number/ID * Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by* r Local Program
4. Local Program* New Hanover 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 Permit (rev 32)_AQ2-3_Take 42_Executed.pdf 515.28KB
Approval letter or Mist beRDFformat
Grading Permit
6. Site Location Map Mist be RDFforrret (lint 20 NB)
VICINITY AQ 2-3.pdf 4.09MB
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 docurrents support
the application. Include additional waterbodies for linear projects if necessary.
8. NOI Certification NCG01_AQ2-3_Take 42_Executed.pdf 390.2KB
Form Wst be RDFforrret
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 Legally Responsible Person named on this Notice of Intent
f Authorized Responsible Person' (signing on behalf of Legally Responsible
Person named in Part B)
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
Gi�LJ.s 64/t-0Y
Type Name* Chris Raughley
ale VP of Land Development
Organization Legally Ibsponsible Entity
Pulte Home Company, LLC
12/11 /2020

F. Tracking and COC Info
NOI Tracking No. 38978
NC Reference No.
NCG01-2020-5789
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC205789
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5789
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. NCC205789-2020
Invoice Due Date 1/13/2021
Initial Fee $ 100.00
Invoice Status OPEN