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HomeMy WebLinkAboutNCC191765_NOI Application_20190925Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 9/7/2019 8:06:33 AM (NCG01 NOI Submission) Approve by Garcia, Lauren V 9/9/2019 10:15:32 AM (Review- Construction NOI 15680) • The task was assigned to Garcia, Lauren V by round robin distribution 9/7/2019 8:07 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 11, 2019 5:00 PM 9/7/2019 8:07 AM Submit by McCoy, Suzanne 9/25/2019 11:58:33 AM (Payment Verification for NCC191765) * SCBP Developer LLC • McCoy, Suzanne assigned the task to McCoy, Suzanne 9/25/2019 11:57 AM • The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 9, 2019 5:00 PM 9/9/2019 10:15 AM 1r-G)a�T7i)MfiIif_TiIa10141 NORTH CAROLINA Ernvlronmentol qualily A. Project Information Part A. Project Location and Waterbody Inforrration 1. Project Name * McAlister Court -Phase II 2. County* Mecklenburg 3. Highway or Street 13735 Steele Creek Rd Address * Street name only is acceptable if no address nurrtrer assigned yet 4. City or Township* Charlotte 5. State * NC 6. Zip Code* 28273 7. Latitude * Enter the latitude in decirral degrees 35.1073 8. Longitude * Enter the longitude in decirral degrees (WISTbe negative) -80.9874 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 * 02/01 /2019 Estimated Construction Project Start Date 10. Date to End* 02/01 /2021 Estimated Construction Project End Date 11. SIC (Primary)* Commercial (1542) Standard Industrial aassification for Development 12. Acres to be 2.23 disturbed* (including off -site borrow and waste areas) 13. Total site area 8.65 (acres)* 14. Post- 2.11 construction (Estimated) impervious area (acres) * NCC Project NCC-MECKL-2019-McAlister Court -Phase II Tracking ID Assigned autorratically 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 Walker Branch Wate rbody* Barre of waterbody into which stormuater runoff will discharge 15b. Waterbody 11-137-10-1 Index No.* NC Waterbody Index Narrber Stormwater W No discharges will flow F Yes to additional wate rs * 16a. Is this project F Yes subject to the NC r No, not subject to NC SPCA Sediment Pollution Control Act?* B. Permittee Information Part B. Perrrittee Information - Legally Responsible Entity and Individual ..................................................................................................................................................................... h Important: The person who signs the NOI Certification Form and signs the Certification in Section E of this application form should 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. Organization SCBP Developer, LLC Name * 2. First Name* Jon ff Corporation, enter Registered Agent First l\b e 3. Last Name * Dixon Y Corporation, enter Registered Agent Last Barre 3b. Title Principal 4. Permitee E-mail jon@ascent.re Address* 5. Permittee 704.900.7307 Telephone No.* 6. Permittee Mailing Street Address Address* 2100 Crescent Avenue Address Line 2 Suite 200 City Charlotte Pastal / Zip Code 28207 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 2100 Crescent Avenue Address Line 2 Suite 200 City Charlotte Fbstal / Zip Code 28207 State / Province / Region NC Country USA State / Province / Region NC Country USA C. Site Contact Information Part C. Roiect Site Contact Information 1. Type of Non -Government Ownership* 2. Primary Site Mark Contact - First Name * 3. Primary Site Ethridge Contact - Last Name * 4. Title Partner 5. Site Contact E- mark@ascent.re mail Address* 6. Site Contact 704.651.2742 Telephone No.* 7. Organization Ascent Real Estate Capital Name 8. Site Contact Street Address Mailing Address* 2100 Crescent Ave Address Line 2 Suite 200 city Charlotte Fbstal / Zip Code 28207 9. Consultant Name (optional) Andrew Mueller First and Last narre 10. Consultant E- andy.mueller@landworkspa.com mail This person will be copied on all correspondence. 11. Consultant 704-841-1604 Telephone No. State / Province / Fbgion NC Country USA D. E&SC Plan Part D. Erosion & Sediment Control (E&SC) Ran Approval Information ....................................................................................................................................................................................................................................... 1. Date E&SC Plan 08/22/2018 Approved * 2. E&SC Plan Project LDGP-2018-00191 Number/ID* Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by r Local Program 4. Local Program* City of Charlotte Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a complete application. 5. E&SC Plan Phase 2 Grading Letter of Approval.pdf 259.12KB Approval Mist be RDFfornat letter/documentation 6. NOI Certification NOI Certification Form.pdf 235.19KB Form Mist be RDFfornat This is an Express r No Review Project* r Yes E. Certification North Carolina General Statute 143-215.6B (1) provides that: Anyperson who knowinglymakes any false statement, representation, or certification in anyapplication, record, report, plan, or other documentfiled or required to be maintained under this Article or a rule implementing this Article; or who knowinglymakes 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 deice or method required to be operated or maintained under this Article or rules of the Commission implementing this Article shall be guiltyofa Class 2 misdemeanor which mayinclude a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: rJ 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. * V 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. * I7 I will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. * V 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. * I7 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:* r The Responsible Person named on this Notice of Intent r Authorized Responsible Person' 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* Jon Dixon Title Managing Principal - Ascent Real Estate Capital Organization SCBP Developer, LLC Date * 09/07/2019 F. Tracking and COC Info NOI Tracking No. 15680 NC Reference No. NCG01-2019-1765 Uses 'count _nunber'variable (increrrented by SP) Certificate of NCC191765 Coverage (COC) Uses'count_nunber'variable (incremented by SF) No. * Count Number 1765 Sequential nunber for subrrittal that is increrrented by Stored Procedure COC Year 2019 Year of date reviewed (used to assign YY digits after "NGC' in OOCno.)