HomeMy WebLinkAboutNCC215228_NOI Application_20210920Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/16/2021 7:47:43 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/16/2021 7:54:08 AM (Review- Construction NOI 64951)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/16/2021 7:48 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 20, 2021 5:00
PM 9/16/2021 7:48 AM
Submit by McCoy, Suzanne 9/20/2021 2:28:46 PM (Payment Verification for NCC215228)
* Caidness and Cates
• McCoy, Suzanne assigned the task to McCoy, Suzanne 9/20/2021 2:28 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 28, 2021 5:00 PM
9/16/2021 7:54 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 64778
NOI No.
Prior Reviewer Brooklyn Broussard
Name
1a. Project Name * Laurel Ridge Subdivision Lots 29,39,40 & 41
1 b. Specific Lot This field may be used to list specifc lot nunbers.
Numbers 29,39,40,41
1 c. Parcel ID List all RW associated w ith this project.
Number(s) (PIN) 856400960528, 856400961871, 856400961941, 856400971011
2. County* Moore
3. Highway or Street Country Ridge Lane
Address* Street name only is acceptable if no address number assigned yet
4. City or Township* Mineral Springs Township
5. State * NC
6. Zip Code* 28327
7. Latitude* Enter the latitude in decimal degrees
35.2509
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-79.4411
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* 04/07/2021
Estimated Construction Project Start Date
10. Date to End * 04/07/2022
Estimated Construction Project End Date
11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521)
Standard Industrial aassification for Development
12. Acres to be 1.91
disturbed* (including off -site borrow and waste areas)
13. Total site area 1.91
(acres) *
14. Post- 0.36
construction (Estimated)
impervious area
(acres) *
Project Tracking ID NCC-MOORE-2021-Laurel Ridge Subdivision Lots 29,39,40 & 41
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 Unnamed tributary to Nicks Creek
Waterbody* %rreof waterbody into which stormwater runoff will discharge
15b. Waterbody 18-23-3-(0.5)
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.
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 must 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. Permittee * Legally Pesponsible Entity
Caviness & Cates Building and Development Company
IF pernittee is an individual, enter first and last narre in this field. otherwise, enter organization/business narre.
Note: If the permittee is a business, the business must be registered with the NC Secretary of State. You can verify the
registration here.
2. First Name * Christopher
If Corporation, enter Faegistered Agent First Wre
3. Last Name* Cates
IF Corporation, enter F;bgistered Agent Last %rre
3b. Title Vice President / Caviness & Cates
4. Permitee E-mail pam@cavinessandcates.com
Address*
5. Permittee 910 - 778-7902
Telephone No.*
6. Permittee Mailing Street Address
Address* 639 Executive Place Suite 400
Address Line 2
City
Fayetteville
Fbstal / Zip Code
28305
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
V Yes
Street Address
639 Executive Place Suite 400
Address Line 2
city
Fayetteville
Fbstal / Zip Code
28305
State / Frovince / Fbgion
North Carolina
Country
United States
State / Ftovince / Faegion
North Carolina
Country
United States
8. Type of Ojvnership 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
Pamela
Contact - First
Name *
2. Primary Site
Geddie
Contact - Last
Name *
3. Title
Starts Coordinator
4. Site Contact E-
pam@cavinessandcates.com
mail Address*
5. Site Contact
910-709-9801
Telephone No.*
6. Organization
Caviness & Cates Building and Development
Name
Company
7. Site Contact
Street Address
Mailing Address*
639 Executive Place Suite 400
Address Line 2
City
State / Province / Region
Fayetteville
North Carolina
Postal / Zip Code
Country
28305
United States
8. Consultant Name
(Optional)
Glenn Tew
First and Last name
9. Consultant E-mail
JohnnyT@eclsglobalinc.com
This person will be copied on all correspondence.
10. Consultant
9108973257
Telephone No.
11. Billing E-mail
(For Annual Fee correspondence)
pam@cavinessandcates.com
Default is legally responsible person e-nail
12. Billing
(For Annual Fee correspondence)
Telephone
910 - 778-7902
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 04/07/2021
Approved *
2. E&SC Plan Project MOORE-2021-078
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 * Fayetteville (FRO)
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 Laurel Ridge ( 29,39,40,41) Erosion Approval
Approval letter or 258.88KB
Letter.pdf
Grading Permit
Mast be FDFforrrat
6. Signed FRO Financial Pesponsibility/Ownership Form
Laurel Ridge ( Lots # 29,39,40,41) (Signed
232.29KB
FRO).pdf
Mast be FDFforrrat
7. Site Location Map Wst be RDFforrret (lint 201VB)
Laurel Ridge ( 29,39,40,41) vicinity Map.pdf 61.42KB
Rease do not upload entire set of E&SC plans.
8. Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies if necessary.
9. NOI Certification LR29,39,40 & 41 NOI.pdf 516.54KB
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
Type Name * Christopher E. Cates
Title Vice President/ Caviness & Cates
Organization Legally Responsible Entity
Caviness & Cates Building and Development Company
Date * 09/16/2021
F. Tracking and COC Info
NOI Tracking No. 64951
NC Reference No.
NCG01-2021-5228
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC215228
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5228
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. NCC215228-2021
Invoice Due Date 10/16/2021
Initial Fee $ 100.00
Invoice Status OPEN