NCC205929_NOI Application_20210107

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/22/2020 1:41:43 PM (NCG01 NOI Submission)
Approve by Gamble, Aana C 12/22/2020 7:35:28 PM (Review- Construction NOI 39668)
• Georgoulias, Bethany reassigned the task to Gamble, Aana C 12/22/2020 3:20 PM
* Hi, Aana! This one came in for Paul and is express - could you take it? / think we've redistributed
his other ones for the most part. Thanks! -Bg
• The task was assigned to Clark, Paul by round robin distribution 12/22/2020 1:42 PM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 24, 2020 5:00
PM. The priority is: High 12/22/2020 1:42 PM
Submit by Selkane, Aziza 1/7/2021 12:42:15 PM (Payment Verification for NCC205929)
* Jessica Meyer
• Selkane, Aziza assigned the task to Selkane, Aziza 1/7/2021 12:41 PM
• The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 2, 2021 5:00 PM.
The priority is: High 12/22/2020 7:35 PM

•• SThF� ';
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
Are you submitting F No
an NOI that was r Yes
rejected before?
1a. Project Name * Tuscan Village
1 b. Specific Lot This field may be used to list specifc lot numbers.
Numbers Lots 1-23
1 c. Parcel ID
List all Rim associated w ith this project.
Number(s) (PIN)
6716-02-88-9081
6716-02-88-9191
6716-02-98-0109
6716-02-96-0228
6716-02-98-0337
6716-02-98-4359
6716-02-98-3347
6716-02-98-2339
6716-02-98-2203
6716-02-98-2292
6716-02-98-4213
6716-0298-4154
6716-02-97-4949
6716-02-97-3974
6716-02-97-2958
6716-02-98-1061
6716-02-98-0448
6716-02-98-1525
6716-02-98-0643
6716-02-98-2612
6716-02-98-3633
6716-02-98-4651
6716-02-98-4582
2. County*
Davidson
3. Highway or Street Rockway Drive
Address* Street name only is acceptable if no address number assigned yet
4. City or Township* Lexington
5. State * NC
6. Zip Code* 27295

7. Latitude * Enter the latitude in decinal degrees
35.8532
8. Longitude* Enter the longitude in decinal degrees (MJSTbe negative)
-80.2855
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*
12/13/2020
Estinated Construction Project Start Date
10. Date to End*
12/05/2021
Estinated Construction Project End Date
11. SIC (Primary)*
Residential, Single Family Houses (SFE) (1521)
Standard Industrial aassification for Ceveloprrent
12. Acres to be
6.11
disturbed*
(including off -site borrow and waste areas)
13. Total site area 10.54
(acres) *
14. Post- 2.10
construction (Estinated)
impervious area
(acres) *
NCC Project NCC-DAVID-2020-Tuscan Village
Tracking ID Assignedautonatically
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 Swearing Creek
Waterbody* %neof waterbody into which stornwater runoff will discharge
15b. Waterbody 12-113
Index No. * NCWaterbody Index Nunber
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. ^
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 * DR Horton, Inc.
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 * Jessica
If Corporation, enter Faegistered Agent First Wre
3. Last Name* Meyer
It Corporation, enter F;bgistered Agent Last %rre
3b. Title NPDES Technical Compliance Administrator
4. Permitee E-mail [e-mail]
Address*
5. Permittee 919-215-6561
Telephone No.*
6. Permittee Mailing Street Address
Address* 2000 Aerial Center Parkway
Address Line 2
Suite 110A
Cty
Morrisville
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
Fbstal / Zip Code
27560-9294
V Yes
Street Address
2000 Aerial Center Parkway
Address Line 2
Suite 110A
city
Morrisville
Fbstal / Zip Code
27560-9294
State / Ffovince / Fbgion
NC
Country
us
State / Frovince / Region
NC
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
Jessica
Contact - First
Name *
2. Primary Site
Meyer
Contact - Last
Name *
3. Title
NPDES Technical Compliance Administrator
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
919-215-6561
Telephone No.*
6. Organization
DR Horton, Inc.
Name
7. Site Contact
Street Address
Mailing Address*
2000 Aerial Center Parkway
Address Line 2
Suite 110A
City
State / Province / Region
Morrisville
NC
Postal / Zip Code
Country
27560-9294
us
8. Consultant Name
(Optional)
Kristi Anspach, Eco Turf, Inc.
First and Last narre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
919-883-8211
Telephone No.
11. Billing E-mail
(For Annual Fee correspondence)
[e-mail]
Default is legally responsible person e-rrail (older NC Is rray not populate)
12. Billing
(For Annual Fee correspondence)
Telephone
919-215-6561
Default is legally responsible person telephone (older NOls ray not populate)

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 11/23/2020
Approved *
2. E&SC Plan Project DAVID-2021-018
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 * Winston-Salem (WSRO)
Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a
complete application. Please also upload a site map showing the overall extent of the project (for linear projects, can
include the beginning point and end point coordinates in the "Notes" box below).
5. E&SC Plan DAVID-2021-018_20201123_Approval_Express.pdf 8.19MB
Approval letter or Mist beRDFformat
Grading Permit
6. Site Location Map NUst be RDFforrret (lint 201VB)
Tuscan Village Map.pdf 409.09KB
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 if necessary.
8. NOI Certification Tuscan Village NOI Certifcation Form.pdf 447.41 KB
Form Wst be RDFforrret
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 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 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 * Jessica Meyer
Title NPDES Technical Compliance Administrator
Organization Legally Plesponsible Entity
DR Horton, Inc.
Date * 12/22/2020

F. Tracking and COC Info
NOI Tracking No. 39668
NC Reference No.
NCG01-2020-5929
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC205929
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5929
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. NCC205929-2020
Invoice Due Date 1/21/2021
Initial Fee $ 100.00
Invoice Status OPEN