NCC205819_NOI Application_20201217

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/14/2020 4:30:20 PM (NCG01 NOI Submission)
Approve by Morman, Alaina 12/16/2020 11:55:32 AM (Review- Construction NOI 39085)
• Gamble, Aana C reassigned the task to Morman, Alaina 12/14/2020 4:35 PM
• The task was assigned to Gamble, Aana C by round robin distribution 12/14/2020 4:30 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 16, 2020 5:00
PM. The priority is: High 12/14/2020 4:30 PM
Submit by Selkane, Aziza 12/17/2020 8:13:36 AM (Payment Verification for NCC205819)
* Austin SmithWck
• Selkane, Aziza assigned the task to Selkane, Aziza 12/17/2020 8:13 AM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 27, 2021 5:00 PM.
The priority is: High 12/16/2020 11:55 AM

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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 38831
NOI No.
Prior Reviewer Alaina Morman
Name
1a. Project Name * Park Boat Company Dry Stack - IBX Marina
1 b. Specific Lot This field may be used to list specffc lot numbers.
Numbers
1 c. Parcel ID List all R% associated w ith this project.
Number(s) (PIN) 5675-56-0123
5675-56-1399
2. County* Beaufort
3. Highway or Street 980 US 17 HWY S
Address* Street name only is acceptable if no address number assigned yet
4. Cityor Township* Washington
5. State * NC
6. Zip Code * 27889
7. Latitude* Enter the latitude in decimal degrees
35.5374
8. Longitude * Enter the longitude in decimal degrees (M-STbe negative)
-77.0668
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* 12/21/2020
Estimated Construction Project Start Date
10. Date to End* 12/20/2021
Estimated Construction Project End Cate

11. SIC (Primary)* Commercial (1542)
Standard Industrial Classification for Development
12. Acres to be 1.50
disturbed* (including off -site borrow and waste areas)
13. Total site area 4.67
(acres) *
14. Post- 2.30
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-BEAUF-2020-Park Boat Company Dry Stack - IBX Marina
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 Tar River
Waterbody* Name of waterbody into which stormwater runoff will discharge
15b. Waterbody 28-(102.5)
Index No. * NCWaterbody Index Number
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. ^
Fternittee 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 * Smith%tick Enterprises, 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 * Austin
IF Corporation, enter Faegistered Agent First %rre
3. Last Name* Smithuvick
IF Corporation, enter F;bgistered Agent Last %rre
3b. Title Managing Member
4. Permitee E-mail [e-mail]
Address*
5. Permittee 252-946-3248
Telephone No.*
6. Permittee Mailing Street Address
Address* 1589 West 5th Street
Address Line 2
Washington
Fbstal / Zip Code
27889-4107
Check box if the V Yes
street address the
same as mailing
address
State / Frovince / Fbgion
NC
Country
us
7. Permittee Street
Street Address
Address*
1589 West 5th Street
Address Line 2
city
State / Frovince / Faegion
Washington
NC
Fbstal / Zip Code
Country
27889-4107
us
8. Type of
Ojvnership is only individual if an individual
is naned in B.1. above.
Ownership*
Non -Government

C. Site Contact Information
Part C.
Project Site Contact Inforrration
_..............................................................................................................................................................
1. Primary Site
Austin
Contact - First
Name *
2. Primary Site
Smithwick
Contact - Last
Name *
3. Title
Managing Member
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
252-946-3248
Telephone No.
6. Organization
Smithwick Enterprises, LLC
Name
7. Site Contact
Street Address
Mailing Address*
1589 West 5th Street
Address Line 2
City
State / Province / Region
Washington
NC
Postal / Zip Code
Country
27889-4107
us
8. Consultant Name
(Optional)
Dylan L. Tillett, P.E.
First and Last narre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
252-491-8147
Telephone No.
11. Billing E-mail (For Annual Fee correspondence)
Default is legally responsible person e-n-ail (older NOIs may not populate)
12. Billing (For Annual Fee correspondence)
Telephone Default is legally responsible person telephone (older NOls rray not populate)

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 12/09/2020
Approved *
2. E&SC Plan Project Beauf-2021-006
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 * Washington (WaRO)
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 P07038 - SESCP Permit dated 12-9-20.pdf 911.89KB
Approval letter or Mast beRFformat
Grading Permit
6. Site Location Map Mist be RDFforrret (lint 201VB)
P07038 - USGS TOPO MAP.pdf 755.87KB
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 NOI Certification Form - IBX Marina.pdf 93.98KB
Form Wst be RDF formal
This is an Express f 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 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:* IT 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
Type Name* Austin Smithwick
Title Managing Member
Organization Legally Plesponsible Entity
Smithwick Enterprises, LLC
Date * 12/14/2020

F. Tracking and COC Info
NOI Tracking No. 39085
NC Reference No.
NCG01-2020-5819
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC205819
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5819
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. NCC205819-2020
Invoice Due Date 1/15/2021
Initial Fee $ 100.00
Invoice Status OPEN