NCC210135_NOI Application_20210111

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/6/2021 9:44:15 AM (NCG01 NOI Submission)
Approve by Meloy, Michael 1/8/2021 8:08:10 AM (Review- Construction NO140524)
• Garcia, Lauren V reassigned the task to Meloy, Michael 1/7/2021 3:12 PM
• The task was assigned to Garcia, Lauren V by round robin distribution 1/6/2021 9:44 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 8, 2021 5:00
PM 1/6/2021 9:44 AM
Submit by Selkane, Aziza 1/11/2021 8:18:06 AM (Payment Verification for NCC210135)
* 552734455
• Selkane, Aziza assigned the task to Selkane, Aziza 1/11/2021 8:16 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 19, 2021 5:00
PM 1 /8/2021 8:08 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 40508
NOI No.
Prior Reviewer Michael Meloy
Name
1a. Project Name * DGT Ventures, LLC
1 b. Specific Lot This field rray be used to list specifc lot numbers.
Numbers
1 c. Parcel ID
List all R% associated w ith this project.
Number(s) (PIN)
7-048-9000
7-048-012
7-048-15
2. County*
Craven
3. Highway or Street 5000 US HWY 70E
Address* Street name only is acceptable if no address number assigned yet
4. City or Township* New Bern
5. State * NC
6. Zip Code* 28560
7. Latitude* Enter the latitude in decimal degrees
35.0057
8. Longitude * Enter the longitude in decimal degrees (UBTbe negative)
-76.9892
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* 10/01/2020
Estimated Construction Project Start Date
10. Date to End* 11/01/2021
Estimated Construction Project End Cate

11. SIC (Primary)* Commercial (1542)
Standard Industrial Classification for Development
12. Acres to be 13.14
disturbed* (including off -site borrow and waste areas)
13. Total site area 13.14
(acres) *
14. Post- 7.87
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-CRAVE-2020-DGT Ventures, LLC
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 Neuse River
Waterbody* Narreof waterbody into which stormwater runoff will discharge
15b. Waterbody 27-(104)
Index No. * NC Waterbody Index N nber
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 Pesponsible Entity
Name * DGT Ventures, 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 * Dustin
If Corporation, enter Faegistered Agent First Wre
3. Last Name* Tyson
It Corporation, enter Pbegistered Agent Last %rre
3b. Title Member Manager
4. Permitee E-mail [e-mail]
Address*
5. Permittee 252-633-4411
Telephone No.*
6. Permittee Mailing Street Address
Address* 1601 HWY70 E
Address Line 2
City
New Bern
Fbstal / Zip Code
28560
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
F Yes
Street Address
1601 HWY 70 E
Address Line 2
city
New Bern
Fbstal / Zip Code
28560
State / Frovince / Fbgion
NC
Country
us
State / Frovince / Faegion
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
Dustin
Contact - First
Name *
2. Primary Site
Tyson
Contact - Last
Name *
3. Title
Owner
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
252-633-4411
Telephone No.
6. Organization
Name
7. Site Contact
Street Address
Mailing Address*
1601 HWY70E
Address Line 2
Oty
State / Rovince / Region
New Bern
NC
Postal / Zip Code
Country
28560
us
8. Consultant Name
(Optional)
Robert Chiles PE
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
2526374702
Telephone No.
11. Billing E-mail
(For Annual Fee correspondence)
[e-mail]
Default is legally responsible person e-n-ail (older NOIs rray not populate)
12. Billing
(For Annual Fee correspondence)
Telephone
252-633-4411
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 09/24/2020
Approved *
2. E&SC Plan Project Crave-2021-011
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. 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 Crave-2021-011 DGT Ventures, LLC -
Approval letter or 859.49KB
09242020. pdf
Grading Permit
Mast be RDFforrrat
6. Site Location Map Mist be RDFforrret (lint 201VB)
Location Map - DGT VENTURES, LLC.pdf 193.43KB
Rease do not upload entire set of E&SC plans.
7. Notes (Optional) Provide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies if necessary.
8. NOI Certification e-NOI Signed Form .pdf 434.17KB
Form Mist 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 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
a���r�rlat-l��odt
Type Name * Dustin Tyson
Title Member Manager
Organization Legally Plesponsible Entity
DGT Ventures, LLC
Date * 01 /06/2021

F. Tracking and COC Info
NOI Tracking No. 40524
NC Reference No.
NCG01-2021-0135
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC210135
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 135
Sequential nurrber for subrrittal that is incremented by Stored Frocedure
COC Year 2021
Year of date reviewed (used to assign YY digits after "NOC' in COCno.)
Initial Invoice No. NCC210135-2021
Invoice Due Date 2/7/2021
Initial Fee $ 100.00
Invoice Status OPEN