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HomeMy WebLinkAboutNCC192407_NOI Application_20191018Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 10/17/2019 9:11:37 AM (NCG01 NOI Submission) Approve by Morman, Alaina 10/17/2019 10:05:26 AM (Review- Construction NOI 17290) • The task was assigned to Morman, Alaina by round robin distribution 10/17/2019 9:11 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: October 21, 2019 5:00 PM 10/17/2019 9:11 AM Submit by Lucas, Annette 10/18/2019 8:50:18 AM (Payment Verification for NCC192407) • Lucas, Annette assigned the task to Lucas, Annette 10/18/2019 8:49 AM • The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 28, 2019 5:00 PM 10/17/2019 10:05 AM 1r-i)iTII1T7i1)MFalf_T1IIa10141 NORTH CAROLINA Ernvlronmentol qualily A. Project Information Part A. Project Location and Waterbody Inforrration 1. Project Name * Maple Grove 2. County* Mecklenburg 3. Highway or Street maple way drive Address * Street name only is acceptable if no address nurrtrer assigned yet 4. City or Township* davidson 5. State * NC 6. Zip Code* 28036 7. Latitude * Enter the latitude in decirral degrees 35.4840 8. Longitude * Enter the longitude in decirral degrees (MJSTbe negative) -80.7958 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* 10/22/2019 Estimated Construction Project Start Date 10. Date to End* 10/19/2021 Estimated Construction Project End Date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Development 12. Acres to be 5.33 disturbed* (including off -site borrow and waste areas) 13. Total site area 20.89 (acres)* 14. Post- 2.15 construction (Estimated) impervious area (acres) * NCC Project NCC-MECKL-2019-Maple Grove 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 vest branch rocky river Waterbody* %ne of waterbody into which stornwater runoff will discharge 15b. Waterbody 13-17-3 Index No. * NCWaterbody Index N.arrber Stormwater fJ No discharges will flow r 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 DDC Construction Company, LLC Name * 2. First Name* John ff Corporation, enter Registered Agent First l\brre 3. Last Name * Littlefield ff Corporation, enter Registered Agent Last Barre 3b. Title Executive Manager 4. Permitee E-mail elittlefield@ddcllc.com Address* 5. Permittee 7047866181 Telephone No.* 6. Permittee Mailing Street Address Address* 175 Davidson Highway Address Line 2 City Concord Postal / Zip Code 28027-4205 Check box if the street address the same as mailing address 7. Permittee Street Address* fJ Yes Street Address 175 Davidson Highway Address Line 2 City Concord Fbstal / Zip Code 28027-4205 State / Province / Region NC Country us State / Province / Region NC Country us C. Site Contact Information Part C. Roiect Site Contact Information 1. Type of Non -Government Ownership* 2. Primary Site Joe Contact - First Name * 3. Primary Site Mullins Contact - Last Name * 4. Title Construction Manager 5. Site Contact E- jmullins@ddcllc.com mail Address* 6. Site Contact 704-622-4476 Telephone No.* 7. Organization Name 8. Site Contact Street Address Mailing Address* 3004 Maple Way Drive Address Line 2 city Davidson R>stal / Zip Code 28036 9. Consultant Name (optional) First and Last nacre 10. Consultant E- This person will be copied on all correspondence. mail 11. Consultant Telephone No. State / Province / Region INC Country United States D. E&SC Plan Part D. Erosion & Sediment Control (E&SC) Ran Approval Information ....................................................................................................................................................................................................................................... 1. Date E&SC Plan 10/11/2019 Approved * 2. E&SC Plan Project 400043 Number/ID* Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by r Local Program 4. Local Program* Mecklenburg 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 E&SC Plan Approval.pdf Approval Mist be RDFforrrat letter/documentation 6. NOI Certification NOI Form.pdf Form Mist be R7Fforrrat This is an Express r No Review Project* r Yes 327.98KB 468.9KB 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* John E. Littlefield Title Executive Manager Organization DDC Construction Company, LLC Date * 10/17/2019 F. Tracking and COC Info NOI Tracking No. 17290 NC Reference No. NCG01-2019-2407 Uses 'count number variable (incremrented by SP) Certificate of NCC192407 Coverage (COC) Uses'count_nunber'variable (incremrented by SF) No. * Count Number 2407 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.)