NCC222501_NOI Application_20220726

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/11/2022 8:58:49 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 7/11/2022 9:02:31 AM (Review - NOI 96891 EDEN ROCK VILLAGE
SUBDIVISION)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 7/11/2022 8:59 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 14, 2022 5:00 PM
7/11/2022 8:59 AM
by Workflow 7/11/2022 9:02:40 AM (Workflow Start Event)
Submit by Tran, Kieu M 7/26/2022 10:21:31 AM (Payment Verification for NCC222501)
F Eden Rock Enterprises LLC
• Tran, Kieu M assigned the task to Tran, Kieu M 7/26/2022 10:19 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 22, 2022 5:00 PM
7/11/2022 9:02 AM

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NORTH CAROLINA,
Enri--tn! C2-1;ly
A. Project Information
Part A.
Project Location and Waterbody Information
................................................................................................................... .
Are you submitting No
an NOI that was • Yes
rejected before?
Previous Rejected 96859
NOI No.
Prior Reviewer Name Brooklyn Broussard
la. Project Name* EDEN ROCK VILLAGE SUBDIVISION
1 b. Specific Lot This field may be used to list specifc lot numbers.
Numbers
1 c. Parcel ID List all PINs associated with this project.
Number(s) (PIN) 9757-17-9435
9757-17-9523
9757-27-0580
9757-27-0619
9757-27-0681
9757-27-1217
9757-27-1347
9757-27-1414
9757-27-1487
9757-27-1670
9757-27-2305
9757-27-2363
9757-27-2455
9757-27-2537
9757-27-3154
9757-27-3268
9757-27-3310
9757-27-3389
9757-27-3422
9757-27-3504
9757-27-3572
9757-27-4121
9757-27-4170
9757-27-4215
9757-27-4253
9757-27-4347
9757-27-4439
9757-27-5029
9757-27-5078
9757-27-5213

vibe-21-52i1
9757-27-5306
9757-27-5365
9757-27-5418
9757-27-5478
9757-27-6028
9757-27-6077
9757-27-6232
9757-27-6292
9757-27-6316
9757-27-6366
9757-27-6449
9757-27-6698
9757-27-7026
9757-27-7086
9757-27-7252
9757-27-7316
9757-27-7376
9757-27-7500
9757-27-7580
9757-27-8045
9757-27-8078
9757-27-8223
9757-27-8284
9757-27-8338
9757-27-8480
9757-27-8543
9757-27-9022
9757-27-9168
9757-27-9248
9757-27-9372
9757-27-9425
9757-27-9492
9757-27-9509
9757-27-9571
9757-37-0021
9757-37-0052
9757-37-0084
9757-37-0668
9757-37-0671
9757-37-1102
9757-37-1207
9757-37-1211
9757-37-1321
9757-37-1349
9757-37-1448
9757-37-1514
2. County* Madison
3. Highway or Street 30 Parkway View Road
Address* Street name only is acceptable if no address number assigned yet
4. City or Township* Mars Hill
5. State* NC
6. Zip Code* 28754
7. Latitude* Enter the latitude in decimal degrees
35.8347

8. Longitude* Enter the longitude in decimal degrees (MUST be negative)
-82.5347
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*
05/30/2019
Estimated Construction Project Start Date
10. Date to End*
05/31/2024
Estimated Construction Project End Date
11. SIC (Primary)*
Residential, Single Family Houses (SFE) (1521)
Standard Industrial Classification for Development
12. Acres to be
23.00
disturbed*
(including off -site borrow and waste areas)
13. Total site area 27.68
(acres) *
14. Post -construction 5.75
impervious area (Estimated)
(acres)*
Project Tracking ID NCC-MADIS-2019-EDEN ROCK VILLAGE SUBDIVISION
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 Big Branch
Waterbody * Name of waterbody into which stormwater runoff will discharge
15b. Waterbody Index 6-96-10-5
No. * NC Waterbody Index Number
Stormwater No
discharges will flow Yes
to additional waters*
16a. Is this project Yes
subject to the NC No, not subject to NC SPCA
Sediment Pollution
Control Act?*

B. Permittee Information
Part B.
Permittee Information - Legally Responsible 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 NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B,
Item (6) of that permit.
1. Permittee* Legally Responsible Entity
Eden Rock Enterprises, LLC
If permittee is an individual, enter first and last name in this field. Otherwise, enter organization/business name.
Note: If the permittee is a business, the business must be registered with the NC Secretary of State. You can verify the
registration here. Permittee must be the same entity that is responsible for the land -disturbing activity as listed on the NC
SPCA Financial Responsibility/Ownership (FRO) Form.
2. First Name* Brandon
If Corporation, enter Registered Agent First Name
3. Last Name* Quinn
If Corporation, enter Registered Agent Last Name
3b. Title Manager
4. Permitee E-mail [e-mail]
Address*
5. Permittee 828.778.9457
Telephone No.*
6. Permittee Mailing Street Address
Address* 94 Anderson Street
Address Line 2
po box 326
City State / Province / Region
Mars Hill NC
Postal / Zip Code Country
28754 United States
Check box if the Yes
street address the
same as mailing
address
7. Permittee Street Street Address
Address* 94 Anderson Street
Address Line 2
po box 326
City State / Province / Region
Mars Hill NC
Postal / Zip Code Country
28754 United States

8. Type of Ownership is only individual if an individual is named in B.A. above.
Ownership* Non -Government

C. Site Contact Information
Part C.
Project Site Contact Information
1. Primary Site Brandon
Contact - First
Name*
2. Primary Site Quinn
Contact - Last Name*
3. Title Manager
4. Site Contact E-mail [e-mail]
Address*
5. Site Contact 828.778.9457
Telephone No.*
6. Organization Name Eden Rock Enterprises, LLC
7. Site Contact Street Address
Mailing Address* po box 326
Address Line 2
City
Mars Hill
Postal / Zip Code
28754
8. Consultant Name (optional)
Bradley Johnson, PE
First and Last name
9. Consultant E-mail [e-mail]
This person will be copied on all correspondence.
10. Consultant 704.916.9732
Telephone No.
11. Billing E-mail (For Annual Fee correspondence)
[e-mail]
Default is legally responsible person e-mail
12. Billing Telephone (For Annual Fee correspondence)
828.778.9457
Default is legally responsible person telephone
State / Province / Region
NC
Country
United States

D. E&SC Plan
Part D.
Erosion & Sediment Control (E&SC) Plan Approval Information
1. Date E&SC Plan 11/03/2020
Approved *
2. E&SC Plan Project MADIS 2019-004
Number/ID* Assigned by agency or local program
3. E&SC Plan State DEQ Office
Approved by* Local Program
4. State DEQ Office* Asheville (ARO)
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 LOA 11-3-2020.docx.pdf 883.61KB
Approval letter or Must be PDF format
Grading Permit
6. Signed FRO Financial Responsibility/Ownership Form
20190426-FRO-SIGNED.pdf 581.29KB
Must be PDF format
7. Site Location Map Must be PDF format (limit 20 MB)
Location-Map.pdf 243.69KB
Please do not upload entire set of E&SC plans.
8. Notes (Optional) Provide any additional information that might help the reviewer better understand how uploaded documents
support the application. Include additional waterbodies if necessary.
9. NOI Certification NCG01-NOI-signed.pdf 812.37KB
Form Must be PDF format
This is an Express • No
Review Project* Yes

E. Certification
North Carolina General Statute 143-215.6113 (i) provides that:
Any person who knowingly makes any false 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 Article; 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 Article shall
be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
* 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.
* 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.
* I will abide by all conditions of the NCG010000 General Permit and the approved
Erosion and Sediment Control Plan.
* 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:* The Legally Responsible Person named on this Notice of Intent
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
��ff•6�C+C N/f llG6!i�
Type Name* Brandon L Quinn
Title Managing Memeber
Organization Legally Responsible Entity
Eden Rock Enterprises LLC
Date * 07/11 /2022

F. Tracking and COC Info
NOI Tracking No. 96891
NC Reference No. NCG01-2022-2501
Indicates NCG01 or NCG25. Uses NOI number until approved, then uses NUMBER incremented by SP (passed
from workflow if eNOI approved)
Certificate of NCC222501
Coverage (COC) No.* Uses NOI number until approved, then uses NUMBER incremented by SIP (formatted and passed from workflow if
eNOI approved)
Initial Invoice No. NCC222501-2022
Invoice Due Date 8/10/2022
Initial Fee $ 100.00
Invoice Status OPEN