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HomeMy WebLinkAboutNCC213858_NOI Application_20210721 Action History (UTC-05:00)Eastern Time(US&Canada) Subrrit by Anonymous User 6/28/2021 11:32:39 AM(NCG01 NOI Submission) Approve by Broussard, Brooklyn C 6/28/2021 11:46:28 AM(Review-Construction NOI 57362) • The task was assigned to Broussard, Brooklyn C by round robin distribution 6/28/2021 11:33 AM • The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 30,2021 5:00 PM. The priority is: High 6/28/2021 11:33 AM Submit by McCoy, Suzanne 7/21/2021 8:09:21 AM(Payment Verification for NCC213858) * Dianne L Lawson Smith • McCoy,Suzanne assigned the task to McCoy, Suzanne 7/21/2021 8:08 AM • The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 9, 2021 5:00 PM. The priority is: High 6/28/2021 11:47 AM �ThF1 1Construction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Eliminatio em 'D application for•• - .•-under NorthCarolina's General Permit 1 1111:STORIVWATER DISCHARGES associated with construction activities(or NORTH CAROLINA Enrlrnnmenfu�Qr�arlry 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* UNC Park&Ride Pond Repair and Retrofit 1 b.Specific Lot This field may be used to list specifc lot numbers. Numbers 1 c. Parcel ID List all Ris associated w ith this project. Number(s)(PIN) 9798518134 2. County* Orange 3. Highway or Street 100 Friday Center Drive Address* Street name only is acceptable if no address number assigned yet 4.City or Township* Chapel Hill 5. State* NC 6.Zip Code* 27599 7. Latitude* Enter the latitude in decimal degrees 35.8963 8. Longitude* Enter the longitude in decimal degrees(MJSTbe negative) -79.0132 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* 07/01/2021 Estimated Construction Project Start Late 10. Date to End* 12/01/2021 Estimated Construction Project End Date 11.SIC(Primary)* Other(9999) Standard Industrial aassification for Development 12.Acres to be 1.10 disturbed* (including off-site borrow and waste areas) 13.Total site area 570.00 (acres)* 14. Post- 250.00 construction (Estimated) impervious area (acres)* Project Tracking ID NCC-ORANG-2021-UNC Park&Ride Pond Repair and Retrofit Assigned automatically(not used) 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 Morgan Creek Waterbody* Name of waterbody into which stormwater runoff will discharge 15b.Waterbody 16-41-2-5.5 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. ^ 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 Responsible Entity Name* The University of North Carolina at Chapel Hill 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* George If Corporation,enter Faegistered Agent First Wre 3. Last Name* Battle III It Corporation,enter F;bgistered Agent Last%rre 3b.Title Vice Chancellor of Institutional Integrity and Risk Management 4. Permitee E-mail gbattle@ad.unc.edu Address* 5. Permittee (919)962-3795 Telephone No.* 6. Permittee Mailing Street Address Address* Campus Box 1005 Address Line 2 City State/Frovince/Fbgion Chapel Hill NC Fbstal/Zip Code Country 27599-1005 USA Check box if the F Yes street address the same as mailing address 7. Permittee Street Street Address Address* 123 West Franklin St Address Line 2 City State/Frovince/Faegion Chapel Hill NC Fbstal/Zip Code Country 27516 USA 8.Type of ONnership is only individual if an individual is naned in B.1.above. Ownership* Government-State C. Site Contact Information Part C. ^ Roject Site Contact Inforrration ....................................................................................................................................................................................................................................................................................................................................................................................... 1. Primary Site Janet Contact-First Name* 2. Primary Site Clarke Contact-Last Name* 3.Title Stormwater Specialist 4.Site Contact E- jlclarke@ehs.unc.edu mail Address* 5.Site Contact (919)843-0475 Telephone No.* 6.Organization The University of North Carolina Name 7.Site Contact Street Address Mailing Address* Campus Box 1650 Address Line 2 Oty State/Rovince/Region Chapel Hill NORTH CAROLINA Fbstal/Zip Code Country 275991650 United States 8. Consultant Name (Optional) Janet Clarke First and Last nacre 9. Consultant E-mail ABlack@LJBinc.com This person will be copied on all correspondence. 10. Consultant 336-996-9974 x107 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) gbattle@ad.unc.edu Default is legally responsible person e-rrail 12. Billing (For Annual Fee correspondence) Telephone (919)962-3795 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 06/17/2021 Approved* 2. E&SC Plan Project ORANG-2021-013 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* Raleigh(RRO) 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 ORANG-2021-013_20210617_LOA.pdf 227.3KB Approval letter or Mast beRDFformat Grading Permit 6.Site Location Map Wst be RDFfornat(linit 20 NB) LocationMap.pdf 298.66KB 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 NCGO1 eNO1 Certification Form, UNC Park&Ride, Form 78.55KB Signed.pdf Mast be FDFforrrat This is an Express r No Review Project* F Yes E. Certification North Carolina General Statute 143-215.66(1) provides that: Anyperson who knowinglymakes any false statement,representation,or certification in anyapplication,record,report,plan,or other documentfiled 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 underthis 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 guiltyofa Class 2 misdemeanor which mayinclude 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:* 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 Type Name* George Battle III Title Vice Chancellor of Institutional Integrity and Risk Management Organization Legally Responsible Entity The University of North Carolina at Chapel Hill Date* 06/28/2021 F. Tracking and COC Info NOI Tracking No. 57362 NC Reference No. NCG01-2021-3858 Uses'count_nurrber'variable(increrrented by SP) Certificate of NCC213858 Coverage (COC) Uses'count_nurrber'variable(increrrented by SP) No.* Count Number 3858 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. NCC213858-2021 Invoice Due Date 7/28/2021 Initial Fee $ 100.00 Invoice Status OPEN