NCC214810_NOI Application_20210824

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/22/2021 7:40:57 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/23/2021 9:01:31 AM (Review- Construction NOI 62675)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/22/2021 7:41 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 25, 2021 5:00
PM. The priority is: High 8/22/2021 7:41 AM
Submit by Miller, Ariyelle L 8/24/2021 10:04:10 AM (Payment Verification for NCC214810)
* nvr Charlotte East
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 8/24/2021 10:03 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 4, 2021 5:00 PM.
The priority is: High 8/23/2021 9:02 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 * Oaklawn Townhomes
1 b. Specific Lot This field nay be used to list specifc lot numbers.
Numbers 57-61 (Bldg. 1012)
1 c. Parcel ID List all RW associated w ith this project.
Number(s) (PIN) 46810239310000 (individual parcel #'s not assigned)
2. County* Cabarrus
3. Highway or Street 9880 Harris Road
Address* Street name only is acceptable if no address number assigned yet
4. City or Township* Huntersville
5. State * NC
6. Zip Code* 28078
7. Latitude* Enter the latitude in decimal degrees
35.4218
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-80.7436
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*
08/30/2021
Estirrated Construction Project Start Rate
10. Date to End*
09/01/2023
Estinated Construction Project End Cate
11. SIC (Primary)*
Residential, Other than SFE (1522)
Standard Industrial aassification for Development
12. Acres to be
0.29
disturbed*
(including off -site borrow and waste areas)

13. Total site area 24.18
(acres) *
14. Post- 10.20
construction (Estimated)
impervious area
(acres) *
Project Tracking ID NCC-CABAR-2021 -Oa klawn Town homes
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 Rocky River
Waterbody* N3meof waterbody into which stormwater runoff will discharge
15b. Waterbody 13-17
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 Pesponsible Entity
Name * NVR, Inc. (dba Ryan Homes)
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 * Kevin
If Corporation, enter Faegistered Agent First %rre
3. Last Name* Connery
It Corporation, enter Pbegistered Agent Last %rre
3b. Title Division Manager
4. Permitee E-mail [e-mail]
Address*
5. Permittee [phone]
Telephone No.*
6. Permittee Mailing Street Address
Address* 13924 Professional Center Drive
Address Line 2
Suite 100
City
Huntersville
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
Fbstal / Zip Code
28078
V Yes
Street Address
13924 Professional Center Drive
Address Line 2
Suite 100
city
Huntersville
Fbstal / Zip Code
28078
State / Ffovince / i egion
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
Luke
Contact - First
Name *
2. Primary Site
Huther
Contact - Last
Name *
3. Title
Project Manager
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
[phone]
Telephone No.*
6. Organization
Ryan Homes
Name
7. Site Contact
Street Address
Mailing Address*
13924 Professional Center Drive
Address Line 2
Suite 100
City
State / Rovince / Region
Huntersville
NC
Fbstal / Zip Code
Country
28078
us
8. Consultant Name
(Optional)
Harris Engineering / Wayne M. Harris, P.E.
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
[phone]
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
[phone]
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 08/18/2021
Approved *
2. E&SC Plan Project CABAR-2022-013
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 * 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 Oaklawn LOA.pdf 602.02KB
Approval letter or Mist beRDFformat
Grading Permit
6. Site Location Map Mist be RDFforrret (lint 20 NB)
V-Map.pdf 79.67KB
Rease do not upload entire set of E&SC plans.
7. Notes (Optional) Rovide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies if necessary.
Initial submittal for Model Home Bldg. Additional lots will be added
via the Mod Form as purchased by Ryan Homes.
8. NOI Certification eNO1 Cert Form _Signed.pdf 55.39KB
Form Mist be RFformat
This is an Express f No
Review Project* F 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
/ 1i1CIIAIW Y
Type Name* Kevin Connery
Title Division Manager
Organization Legally Plesponsible Entity
NVR, Inc. (dba Ryan Homes)
Date * 08/22/2021

F. Tracking and COC Info
NOI Tracking No. 62675
NC Reference No.
NCG01-2021-4810
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC214810
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 4810
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. NCC214810-2021
Invoice Due Date 9/22/2021
Initial Fee $ 100.00
Invoice Status OPEN