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. [phone] 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.
[phone] 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)
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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.
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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
[phone]
HOW & ORW Projects in Counties Above
RALEIGH REGIONAL OFFICE
3800 Barrett Drive
Raleigh, NC 27609
[phone]
HOW & ORW Projects in Counties Above
WINSTON-SALEM REGIONAL
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
HOW & ORW Projects in Counties Above
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
HOW & ORW Projects in Counties Above
WASHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
Coastal Stormwater, HOW & ORW Projects in Counties
Above
CENTRAL OFFICE
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
Phase 2 Post -Construction Projects not covered
by local government
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
HOW & ORW Projects in Counties Above
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Coastal Storm water, HOW & ORW Projects in
Counties Above
TO preserve_ prWecl
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