NCC214416_NOI Application_20210804

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/2/2021 3:37:15 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/3/2021 7:42:20 AM (Review- Construction NOI 61153)
. The task was assigned to Broussard, Brooklyn C by round robin distribution 8/2/2021 3:38 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 4, 2021 5:00
PM 8/2/2021 3:38 PM
Submit by Selkane, Aziza 8/4/2021 9:29:22 AM (Payment Verification for NCC214416)
* Landon Walls
• Selkane, Aziza assigned the task to Selkane, Aziza 8/4/2021 9:28 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 14, 2021 5:00
PM 8/3/2021 7:42 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 * 5401 North Lennar Lots (1223-1243, 2076-2146, 2278-2289)
1 b. Specific Lot This field may be used to list specifc lot numbers.
Numbers 1223-1243, 2076, 2076-2146, 2278-2289
1 c. Parcel ID List all Rios associated w ith this project.
Number(s) (PIN) 1736791083
1736791091
1736792000
1736782918
1736782927
1736782945
1736782953
1736782971
1736782899
1736783808
1736783816
1736783825
1736783843
1736783852
1736783870
1736783788
1736784707
1736784716
1736784724
1736784733
1736784762
1736671947
1736671952
1736671868
1736671864
1736671789
1736672705
1736672711
1736672638
1736672654
1736670671
1736670656
1736670730
1736670706

-I/3bb/Uyll
1736579961
1736579920
1736578889
1736578848
1736578808
1736577867
1736577826
1736576885
1736576844
1736576803
1736575861
1736575820
1736574788
1736574746
1736574704
1736573771
1736573647
1736573612
1736577679
1736578619
1736578750
1736578791
1736579732
1736579680
1736579539
1736578597
1736578554
1736578506
1736577568
1736577539
1736576691
1736576663
1736576625
1736574575
1736575510
1736575468
1736576406
1736576444
1736576482
1736577420
1736577367
1736578325
1736578375
1736579337
1736579379
1736670411
1736670442
1736670484
1736671416
1736671469
1736672258
1736672285
1736673202
1736673138
1736673184
1736674122
1736674171
1736675029
1736675068
1736676007
171RR7RnAR

1736676096
1736676228
1736675288
1736675340
1736674289
1736674374
1736674347
1736674400
2. County* Wake
3. Highway or Street Beckom St
Address*
Street name only is acceptable if no address nunber assigned yet
4. City or Township*
Raleigh
5. State *
NC
6. Zip Code*
27616
7. Latitude*
Enter the latitude in decinal degrees
35.8590
8. Longitude *
Enter the longitude in decirral degrees (MJST be negative)
-78.5400
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*
08/09/2021
Estirreted Construction Project Start Date
10. Date to End*
12/26/2022
Estinated Construction Project End Cate
11. SIC (Primary)*
Residential, Single Family Houses (SFE) (1521)
Standard Industrial aassification for Development
12. Acres to be
14.00
disturbed*
(including off -site borrow and waste areas)
13. Total site area 14.00
(acres) *
14. Post- 4.20
construction (Estirrated)
impervious area
(acres) *
Project Tracking ID NCC-WAKE-2021-5401 North Lennar Lots (1223-1243, 2076-2146,
2278-2289)
Assigned autorratically (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 Neuse River
Wate rbody* %rre of waterbody into which storrrwater runoff will discharge

15b. Waterbody 27-(22.5)
Index No. * NCWaterbody Index Mbrrber
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 * Lennar Carolinas, 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 * Troy
If Corporation, enter Faegistered Agent First %rre
3. Last Name* George
It Corporation, enter F;bgistered Agent Last %rre
3b. Title Division President
4. Permitee E-mail [e-mail]
Address*
5. Permittee 919-465-5935
Telephone No.*
6. Permittee Mailing Street Address
Address* 1100 Perimeter Park Drive
Address Line 2
Suite 112
aty
Morrisville
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
Fbstal / Zip Code
27560-0180
V Yes
Street Address
1100 Perimeter Park Drive
Address Line 2
Suite 112
city
Morrisville
Fbstal / Zip Code
27560-0180
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
Troy
Contact - First
Name *
2. Primary Site
George
Contact - Last
Name *
3. Title
Division President
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
919-465-5935
Telephone No.
6. Organization
Lennar Carolinas, LLC
Name
7. Site Contact
Street Address
Mailing Address*
1100 Perimeter Park Drive
Address Line 2
Suite 112
city
Morrisville
Fbstal / Zip Code
27560-0180
8. Consultant Name
(Optional)
Wesley Smith
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
919-608-7567
Telephone No.
11. Billing E-mail
(For Annual Fee correspondence)
[e-mail]
Default is legally responsible person e-rrail
12. Billing
(For Annual Fee correspondence)
Telephone
919-608-7567
Default is legally responsible person telephone
State / Rovince / Region
NC
Country
us

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 07/26/2021
Approved *
2. E&SC Plan Project LDG-015292-2021
Number/ID * Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by* r Local Program
4. Local Program* City of Raleigh
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 5401 Grading Permit (July 2021).pdf 112.66KB
Approval letter or Mast beRDFformat
Grading Permit
6. Site Location Map Mist be RDFfornat (limit 20 NB)
5401 Map (July 2021).pdf 222.14KB
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 5401 NOI (July 2021).pdf 371.17KB
Form Wst be RDFfornat
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 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 Amide 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 If the Erosion and Sediment Control Plan approved by the delegated program is
not compliant with Part II (Stormwater Pollution Prevention Plan) of the
NCG010000 General Permit. I will nonetheless ensure that all conditions of Part
II of the permit are met on the project at all times.
* 17 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
Y
Type Name* Troy George
Title Division President
Organization Legally Pesponsible Entity
Lennar Carolinas. LLC
Date * 08/02/2021

F. Tracking and COC Info
NOI Tracking No. 61153
NC Reference No.
NCG01-2021-4416
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC214416
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 4416
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. NCC214416-2021
Invoice Due Date 9/2/2021
Initial Fee $ 100.00
Invoice Status OPEN