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SWG040119_Application_20200520
N.C. DIVISION OF WATER QUALITY SURFACE WATER PROTECTION SECTION STATE STORMWATER NOTICE OF INTENT (NOI) SWG040000 - GENERAL PERMIT TO CONSTRUCT A LINEAR UTILITY LINE AND ASSOCIATED INCIDENTAL BUILT -UPON AREA FOR AGENCY USE ONLY Date Received Year Month Da Certificate of Covera e SJWJGb Check # Amount Permit Assigned to State Stormwater Management Application Notice of Intent for coverage under the General Stormwater Management Permit to construct a utility line and incidental built -upon area associated with a linear utility project including water, sewer, gas, telephone, and electric. For the construction, operation and maintenance of incidental impervious areas associated with the construction of a linear utility line. Incidental built -upon area associated with the utility project includes small, single pump stations, access roads which minimize their built -upon area, concrete pads, manhole covers, etc. (Please print or type) 1. Mailing address of owner/developer: (The address to which all permit correspondence will be mailed.) Owner/Developer Name Mountain Valley Pipeline, LLC Street Address 2200 Energy Drive City Canonsburg State PA ZIP Code 15317 Telephone No. (304) 627-8173 Fax ( ) 2. Proposed Project Information: Project Name Mountain Valley Pipeline Southgate Project Street Address of the Project Linear project: see location description below City N/A State NC ZIP Code 27249, 27244, 27217 County Alamance Contact Person Cory Chalmers Mailing Address 2200 Energy Drive City Canonsburg State PA ZIP Code 15317 Telephone No. (304) 627-8173 Fax ( ) 3. Physical Location Information: Please provide the street address of the project and describe how to get to the project, using street names, state road numbers, and the distance and direction from the nearest major intersection: Linear project traversing approximately 11.5 miles in NCDEQ jurisdiction in a NW/SE orientation. Begins in the NW corner of Alamance County at approx. MP 52.5, crosses 1-87, continues southeast must outside of the municipal border of Altamahaw, turns eastward, exits NCDEQ jurisdiction at approx. MP 63, re-enters for approximately one mile at MP 65.5 - 66.5. 4. What is the name of the receiving stream? Haw River 5. River Basin Cape Fear Receiving Stream Classification WS-V, NSW 6. This Certificate of Coverage is being submitted as a result of: ❑x New or proposed project ❑ Modification to an existing project Existing COC or Permit Number: Date project is scheduled to begin construction Fall 2020 7. What is the total project area above mean high water? 8. What is the total amount of built -upon area proposed at this site? (Please include all manhole covers, pump stations, concrete pads, and gravel access roads) SWU-1 16-17FEB201 0 Page 1 of 3 7,683,396 ft2 NOTE: Total project area provided includes total area of limits of disturbance within NCDEQ jurisdiction. 285,406 ft2 NOTE: Total built -upon area provided includes temporary access roads, permanent access roads, and main line valve pads. Permanent built -upon area is 19,117 ft2 and includes PA-AL-155A, PA-AL-15513, PA-AL-166, TA-AL-161 and a main line valve pad. Refer to Erosion & Sediment Control Plans for temporary access road design and details. 9. What type of utility project will be constructed? ❑ Water ❑ Sewer x❑ Gas ❑ Telephone ❑ Electric ❑ Other 10. Has the built -upon area been minimized to the extent practicable? x❑ YES ❑ NO 11. Is the runoff from the built -upon area outside the vegetative buffer directed away from surface waters, to the extent practicable? 0 YES ❑ NO 12. Is the project within 575' of the Mean High Water line of class ORW waters? ❑ YES (Please show the 575' AEC line on plans) x❑ NO (if yes, total built -upon area must be less than or equal to 25% of the total project area within the AEC above mean high water.) 13. Are there any wetlands on the site? © YES (please delineate on the plans) ❑ NO Name and affiliation of person making this determination: TRC Companies, Inc. 14. Please list all Best Management Practices employed at this site: Vegetated swales adjacent to temporary and permanent access roads (PA-AL-155A, PA-AL-155B, PA-AL-166 and TA-AL-161) and permanent waterbars along pipeline right-of-way 15. Certification: North Carolina General Statute 143-215.613 (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 $10,000. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment of not more than 5 years, or both, for a similar offense.) I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirement for the project and is enforceable in the same manner as an individual permit. I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed name of person signing: Robert J. Cooper Title: Senior Vice President, Construction Services (Signature of Applicant) May 13, 2020 (date of signature) A check or money order must accompany this Notice of Intent for $505.00, made payable to: NCDENR. Your application will be returned unprocessed unless all of the following items are submitted: 0 This completed form Note: Check not included because this is a submission of a 0 Two sets of site and grading plans revised application to reflect the change in total project area ❑ A check for $505.00 (see Note at right) (not a new application) 0 A USGS map with the project clearly located on it. Mail the entire package to: NCDENR Division of Water Quality Surface Water Protection Section — Stormwater at the Appropriate Contact Address (see the following page) Note: The submission of this document does not guarantee the issuance of a Certificate of Coverage under the General Permit. SWU-1 16-17FEB201 0 Page 2 of 3 For questions, please contact the DWQ Central Office or Regional Office for your area. DWQ Regional Office Contact Information: ASHEVILLE REGIONAL OFFICE 2090 US Highway 70 Swannanoa, NC 28778 (828) 296-4500 HOW & ORW Projects in Counties Above RALEIGH REGIONAL OFFICE 3800 Barrett Drive Raleigh, NC 27609 (919) 791-4200 HOW & ORW Projects in Counties Above WINSTON-SALEM REGIONAL OFFICE 585 Waughtown Street Winston-Salem, NC 27107 (336) 771-5000 HOW & ORW Projects in Counties Above FAYETTEVILLE REGIONAL OFFICE 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910) 433-3300 HOW & ORW Projects in Counties Above WASHINGTON REGIONAL OFFICE 943 Washington Square Mall Washington, NC 27889 (252) 946-6481 Coastal Stormwater, HOW & ORW Projects in Counties Above CENTRAL OFFICE 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 807-6300 Phase 2 Post -Construction Projects not covered by local government MOORESVILLE REGIONAL OFFICE 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704) 663-1699 HOW & ORW Projects in Counties Above WILMINGTON REGIONAL OFFICE 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910) 796-7215 Coastal Storm water, HOW & ORW Projects in Counties Above TO preserve_ prWecl IiLg and enhance 1+1O& carniina s wafer. _. SWU-1 16-17FEB201 0 Page 3 of 3