NCC191999_NOI Application_20190927

Action History (UTC-05:00) Eastern Time(US&Canada)
Submit by Anonymous User 9/19/2019 11:27:27 AM(NCG01 NOI Submission)
Approve by McCoy,Suzanne 9/20/2019 2:54:06 PM(Review-Construction NOI 16089)
• The task was assigned to McCoy, Suzanne by round robin distribution 9/19/2019 11:27 AM
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: September 23,2019 5:00
PM 9/19/2019 11:27 AM
Submit by McCoy,Suzanne 9/27/2019 7:27:11 AM(Payment Verification for NCC191999)
* Whitney Hughston.
• McCoy, Suzanne assigned the task to McCoy,Suzanne 9/27/2019 7:26 AM
• The task was assigned to DEMLR NCG01 Payment Team.The due date is: November 1, 2019 5:00
PM 9/20/2019 2:54 PM

1 sees �' � ••. -• i •• i i• i
IY sell
NORTH CAROLINA
Environmental QUII
A. Project Information
Part A.
Project Location and Waterbody Information
1. Project Name* Duke University Legacy Utility Enabling
2. County* Durham
3. Highway or Street 306 Towerview Road
Address* Street narra only is acceptable if no address nurrber assigned yet
4. City or Township* Durham
5. State* NC
6.Zip Code* 27708
7. Latitude* Enter the latitude in decirral degrees
35.9984
8. Longitude* Enter the longitude in decirral degrees(WISTbe negative)
-78.9426
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* 10/01/2019
Estimated Construction Project Start Date
10. Date to End* 03/31/2020
Estimated Construction Project End Date
11. SIC(Primary)* Commercial(1542)
Standard Industrial gassification for Developrrant
12.Acres to be 2.55
disturbed* (including off-site borrow and waste areas)
13.Total site area 675.21
(acres)*
14. Post- 1.02
construction (Estimated)
impervious area
(acres)*
NCC Project NCC-DURHA-2019-Duke University Legacy Utility Enabling
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 Sandy Creek
Waterbody* fbrre of waterbody into which storrrwater runoff will discharge
15b.Waterbody 16-41-1-11
Index No.* NCWaterbody Index Narrber
Stormwater rJ No
discharges will flow r Yes
to additional
wate rs*
16a.Is this project r 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
.....................................................................................................................................................................
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 Duke University
Name*
2. First Name* Paul
ff Corporation,enter Registered Agent First l\brre
3. Last Name* Manning
ff Corporation,enter Registered Agent Last Barre
3b.Title Director of Project Management
4. Permitee E-mail [e-mail]
Address*
5. Permittee 919-660-1471
Telephone No.*
6. Permittee Mailing Street Address
Address* 114 South Buchanan Boulevard
Address Line 2
Box 90144
City State/Province/Region
Durham NC
Postal/Zip Code Country
27701 US
Check box if the rJ Yes
street address the
same as mailing
address
7. Permittee Street Street Address
Address* 114 South Buchanan Boulevard
Address Line 2
Box 90144
City State/Province/Region
Durham NC
Pastal/Zip Code Country
27701 US

C. Site Contact Information
Part C.
Project Site Contact Information
....................................................................................................................
1.Type of Non-Government
Ownership*
2. Primary Site Floyd
Contact-First
Name*
3.Primary Site Williams
Contact-Last
Name*
4.Title Project Manager
5.Site Contact E- [e-mail]
mail Address*
6.Site Contact 919-660-4219
Telephone No.*
7.Organization Duke University
Name
8.Site Contact Street Address
Mailing Address* 114 South Buchanan Boulevard
Address Line 2
City State/Province/Region
Durham NC
Fbstal/Zip Code Country
27701-2804 US
9.Consultant Name (optional)
McAdams Company
First and Last narre
10.Consultant E- [e-mail]
mail This person will be copied on all correspondence.
11. Consultant 919-361-5000
Telephone No.

D. E&SC Plan
Part D.
Erosion&Sediment Control(E&SC)Ran Approval Information
....................................................................................................................................................................................................................................... .............................................................................................
1. Date E&SC Plan 08/30/2019
Approved*
2. E&SC Plan Project 6044-01
Number/ID* Assigned by agency or local program
3. E&SC Plan f State DEQ Office
Approved by r Local Program
4. Local Program* Durham City/County
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 2019-09-10-Enabling LID Approval.pdf 150.84KB
Approval Mist be RDFfornat
letter/documentation
6. NOI Certification Scan_20190917_144333.pdf 439.75KB
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.
* rJ 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.
* rJ 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* Paul Manning
Title Director of Project Management
Organization Duke University
Date* 09/19/2019

F. Tracking and COC Info
NOI Tracking No. 16089
NC Reference No. NCG01-2019-1999
Uses'count number variable(incremented by SP)
Certificate of NCC191999
Coverage (COC) Uses'count_nunber'variable(increrrented bySP)
No.*
Count Number 1999
Sequential nunber for subrrittal that is incremented by Stored Procedure
COC Year 2019
Year of date reviewed(used to assign YY digits after"NGC'in OOCno.)