NCC212523_NOI Application_20210503

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 4/23/2021 1:47:04 PM (NCG01 NOI Submission)
Approve by Meloy, Michael K 4/26/2021 9:38:32 AM (Review- Construction NOI 50920)
• The task was assigned to Meloy, Michael by round robin distribution 4/23/2021 1:47 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 27, 2021 5:00 PM
4/23/2021 1:47 PM
Submit by McCoy, Suzanne 5/3/2021 1:40:56 PM (Payment Verification for NCC212523)
* Merifage Homes Corp
• McCoy, Suzanne assigned the task to McCoy, Suzanne 5/3/2021 1:40 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 7, 2021 5:00 PM
4/26/2021 9:38 AM

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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 *
Georgetown Kellswater Commons Townhome
1 b. Specific Lot
This field any be used to list specifc lot numbers.
Numbers
142
1 c. Parcel ID
List all RED associated w ith this project.
Number(s) (PIN)
56023865510000 56023885560000 56024930710000 56024913940000
56023982060000 56023935940000
2. County* Cabarrus
3. Highway or Street 2400 South BLVD
Address* Street name only is acceptable if no address number assigned yet
4. City or Township* Kannapolis
5. State * NC
6. Zip Code* 28203
7. Latitude* Enter the latitude in decimal degrees
35.4671
8. Longitude * Enter the longitude in decimal degrees (MJST be negative)
-80.6645
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*
05/19/2021
Estimated Construction Project Start Date
10. Date to End*
06/01/2024
Estimated Construction Project End Date
11. SIC (Primary)*
Residential, Other than SFE (1522)
Standard Industrial Oassification for Development
12. Acres to be
19.10
d istu rbe d *
(including off -site borrow and waste areas)

13. Total site area 19.06
(acres) *
14. Post- 8.02
construction (Estimated)
impervious area
(acres) *
NCC Project NCC-CABAR-2021-Georgetown Kellswater Commons Townhome
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 Irish Buffalo Creek
Waterbody* Name of waterbody into which stormwater runoff will discharge
15b. Waterbody 13-17-9-(2)
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 * Meritage Homes of the Carolinas, 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 * Tim
If Corporation, enter Faegistered Agent First %rre
3. Last Name* Sheehy
It Corporation, enter Registered Agent Last %rre
3b. Title Vice President of Land Development
4. Permitee E-mail [e-mail]
Address*
5. Permittee 7045876959
Telephone No.*
6. Permittee Mailing Street Address
Address* 13925 Ballantyne Corporate Place Ste. 300
Address Line 2
City
Charlotte
Fbstal / Zip Code
28277-2704
Check box if the V Yes
street address the
same as mailing
address
State / Frovince / Fegion
NC
Country
us
7. Permittee Street Street Address
Address* 13925 Ballantyne Corporate Place Ste. 300
Address Line 2
city State / Frovince / Fegion
Charlotte NC
Fbstal / Zip Code Country
28277-2704 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
CJ
Contact - First
Name *
2. Primary Site
Dellinger
Contact - Last
Name *
3. Title
Land Development Manager
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
7044212536
Telephone No.*
6. Organization
Meritage Homes of the Carolinas, LLC.
Name
7. Site Contact
Street Address
Mailing Address*
13925 Ballantyne Corporate Place Ste.300
Address Line 2
City
State / Rovince / Region
Charlotte
NC
Postal / Zip Code
Country
28277-2704
US
8. Consultant Name
(Optional)
First and Last nacre
9. Consultant E-mail
This person will be copied on all correspondence.
10. Consultant
Telephone No.
11. Billing E-mail
(For Annual Fee correspondence)
[e-mail]
Default is legally responsible person a-rrail
12. Billing
(For Annual Fee correspondence)
Telephone
7045876959
Default is legally responsible person telephone

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
.......................................................................................................................................................................................................................................................................................................................__
1. Date E&SC Plan 04/09/2021
Approved *
2. E&SC Plan Project CABAR-2021-051
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. 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 2021.04.09 NC DEQ Erosion Control Plan
Approval letter or 415.14KB
Approval.pdf
Grading Permit
Mast be FDFfon-rat
6. Site Location Map Mist be RDFforrret (lint 201VB)
Georgetown Crossing Site Location Map.pdf 324.56KB
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 Notice of Intent - NCG01 - Signed.pdf 80.82KB
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
T -%ehl
Type Name* Tim Sheehy
Title Vice President of Land Development
Organization Legally Plesponsible Entity
Meritage Homes of the Carolinas, Inc.
Date * 04/23/2021

F. Tracking and COC Info
NOI Tracking No. 50920
NC Reference No.
NCG01-2021-2523
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC212523
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 2523
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. NCC212523-2021
Invoice Due Date 5/26/2021
Initial Fee $ 100.00
Invoice Status OPEN