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Home My WebLink AboutNCC242331_NOI Application_20240731 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 7/30/2024 3:41:19 PM (NCG01 NOI Submission) Approve by Brooklyn.Broussard 7/31/2024 7:31:39 AM (Review-NOI 210522 Liberty Creek-Phase 1 Lots 1-27,30- 34, 36-51,54-59,62-69, 74,77, 139-164) • The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 2,2024 5:00 PM 7/30/2024 3:41:30 PM • The task was assigned to Brooklyn.Broussard by round robin distribution 7/30/2024 3:41:30 PM Submit by Tev.Holloman 7/31/2024 11:59:54 AM (Payment Verification for NCC242331) •Agnieszka Nau • The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 11,2024 5:00 PM 7/31/2024 7:31:53 AM • Tev.Holloman assigned the task to Tev.Holloman 7/31/2024 11:59:26 AM applicationConstruction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Elimination System(NPDES) General Permit 1 OOOO:STORMWATER DISCHARGES associated with construction activities NORTH CAROUNA Environmental Quality A. Project Information Part A. Project Location and Waterbody Information ................................................................................................................................................................................................................................................................................................................................................................................................... Are you submitting an NOI that was rejected before? No Yes 1a. Project Name* Liberty Creek-Phase 1 Lots 1-27,30-34,36-51,54-59,62-69,74,77, 139-164 1b.Specific Lot Numbers This field may be used to list specifc lot numbers. 1-27,30-34,36-51,54-59,62-69,74,77, 139-164 1c.Parcel ID Number(s)(PIN) List all PINS associated with this project. 165400-95-6535 165400-95-5527 165400-95-4525 165400-95-3504 165400-95-1447 165400-95-1232 165400-95-2028 165400-95-3195 165400-95-4197 165400-95-5198 165400-95-7215 165400-94-6897 165400-94-5889 165400-94-4869 165400-94-3846 165400-94-2832 165400-94-1736 165400-94-0742 165400-84-8666 165400-84-6496 165400-83-7939 165400-93-1918 165400-94-2350 165400-94-3410 165400-94-3497 165400-94-4575 165400-94-6506 165400-94-8489 165400-94-8693 165400-94-9714 165400-94-9844 I U J'i V V-5'+-y y0'i 166400-05-0109 166400-05-1118 166400-04-3910 166400-04-2870 166400-04-2750 166400-04-2631 166400-04-2511 166400-04-1481 166400-04-1361 166400-04-3039 166400-04-2130 166400-04-1132 166400-04-0133 165400-94-9134 165400-94-8117 165400-94-6107 165400-93-7437 165400-93-8585 165400-93-9599 166400-03-0694 166400-03-2607 166400-03-4606 166400-03-7603 166400-03-8600 166400-03-8596 166400-03-9592 166400-13-0489 166400-13-1481 166400-13-2269 166400-13-3267 166400-23-0724 166400-24-1173 166400-14-8161 166400-14-7146 166400-14-6222 166400-14-5214 166400-14-4216 166400-14-3217 166400-14-2218 166400-14-1310 166400-14-0311 166400-04-9312 166400-04-8313 166400-04-7314 166400-04-6316 166400-04-5317 166400-04-4087 166400-04-5076 166400-04-6075 166400-04-7073 166400-04-9071 166400-14-0070 166400-13-1979 166400-13-2977 166400-13-3976 166400-13-4975 166400-13-6903 166400-13-7814 2.County* Johnston 3. Highway or Street Address* Crantock Road Street name only is acceptable if no address number assigned yet 4.City or Township* Smithfield 5.State* NC 6.Zip Code* 27577 7. Latitude* Enter the latitude in decimal degrees 35.5236 8. Longitude* Enter the longitude in decimal degrees(MUST be negative) -78.4542 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* 08/05/2024 Estimated Construction Project Start Date 10. Date to End* 08/04/2025 Estimated Construction Project End Date 11.SIC(Primary)* Residential,Single Family Houses(SFE)(1521) Standard Industrial Classification for Development 12.Acres to be 67.34 disturbed* (including off-site borrow and waste areas) 13.Total site area 192.00 (acres)* 14. Post-construction 13.40 impervious area (Estimated) (acres)* Project Tracking ID NCC-JOHNS-2024-Liberty Creek-Phase 1 Lots 1-27,30-34,36- 51,54-59,62-69,74,77, 139-164 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 Waterbody* Middle Creek Name of waterbody into which stormwater runoff will discharge 15b.Waterbody Index No.* 27-43-15-(4) NC Waterbody Index Number Stormwater discharges will flow to additional waters* No Yes 16a. Is this project subject to the NC Sediment Pollution Control Act? Yes No, not subject to NC SPCA 17. Is this project funded with ARPA(American Rescue Plan Act)grant funds? No Yes This question was added to the eNOl on 1/26/2023 and will not be answered in applications submitted prior to that date. 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 NCG010000 General Permit. For more information on signatory requirements,see Part IV,Section B, Item(6)of that permit. 1. Permittee* Legally Responsible Entity SDH Raleigh, 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 INC 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* Mike If Corporation,enter Registered Agent First Name 3. Last Name* Kahm If Corporation,enter Registered Agent Last Name 3b.Title Vice President 4. Permitee E-mail Address* mkahm@smithdouglas.com 5. Permittee Telephone No.* 919-948-8390 6. Permittee Mailing Address* Street Address 2520 Reliance Avenue Address Line 2 City State/Province/Region Apex INC Postal/Zip Code Country 27539-6346 us Check box if the street address the same as mailing address Yes 7. Permittee Street Address* Street Address 2520 Reliance Avenue Address Line 2 City State/Province/Region Apex NC Postal/Zip Code Country 27539-6346 us B.Type of Ownership* Ownership is only individual if an individual is named in B.1.above. Non-Government C. Site Contact Information Part C. Project Site Contact Information ................................................................................................................................................................................................................................................................................................................................................................................................ 1. Primary Site Contact-First Name* Ashley 2. Primary Site Contact-Last Name* Turner 3.Title 4.Site Contact E-mail Address* aturner@smithdouglas.com 5.Site Contact Telephone No.* 919-917-3742 6.Organization Name 7.Site Contact Mailing Address* Street Address 2520 Reliance Avenue Address Line 2 City State/Province/Region Apex NC Postal/Zip Code Country 27539-6346 us 8.Consultant Name (Optional) First and Last name 9.Consultant E-mail anau@thenauco.com This person will be copied on all correspondence. 10.Consultant Telephone No. 9196244875 11.Billing E-mail (For Annual Fee correspondence) mkahm@smithdouglas.com Default is legally responsible person e-mail 12. Billing Telephone (For Annual Fee correspondence) 919-948-8390 Default is legally responsible person telephone D. E&SC Plan Part D. Erosion&Sediment Control(E&SC)Plan Approval Information ...................................................................................................................................................................... 1. Date E&SC Plan 07/30/2024 Approved* 2. E&SC Plan Project JC#22-114 Number/ID* Assigned by agency or local program 3. E&SC Plan State DEQ Office Approved by* Local Program 4. Local Program* Jackson County 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 22-114 Liberty Creek Ph1 lots 1-27 30-34 36-53 54- Approval letter or 152.23KB 59 62-69 74 77 139-164 ESC appr 7.30.24.pdf Grading Permit Must be PDF format 6.Signed FRO Financial Responsibility/Ownership Form signed FRO-Liberty Creek Phase 1.pdf 1.74MB Must be PDF format 7.Site Location Map Must be PDF format(limit 20 MB) C1 -PERMITTED AREA PLAN C-1.pdf 1.96MB 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 signed_NCG01 NOI-Liberty Creek Phase 1.pdf 1.83MB Form Must be PDF format This is an Express No Review Project* Yes E. Certification North Carolina General Statute 143-215.613(1)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. * If the Erosion and Sediment Control Plan approved by the delegated program is not compliant with Part II(Stormwater Pollution Prevention Plan)of the NCG010000 General Permit, I will nonetheless ensure that all conditions of Part II of the permit are met on the project at all times. * 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 Type Name* G. Michael Kahm Title Vice President Organization Legally Responsible Entity SDH Raleigh, LLC Date* 07/30/2024 F. Tracking and COC Info NOI Tracking No. 210522 NC Reference No. NCG01-2024-2331 Indicates NCG01 or NCG25.Uses NOI number until approved,then uses NUMBER incremented by SP(passed from workflow if eNOI approved) Certificate of NCC242331 Coverage(COC)No.* Uses NOI number until approved,then uses NUMBER incremented by SP(formatted and passed from workflow if eNOI approved) Initial Invoice No. NCC242331-2024 Invoice Due Date 8/30/2024 Initial Fee $ 120.00 Fee increased to$120,effective October 3,2023 Invoice Status OPEN