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HomeMy WebLinkAboutNCC200337_NOI Application_20200128Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 1/27/2020 8:33:42 AM (NCG01 NOI Submission) Approve by Clark, Paul 1/27/2020 9:42:48 AM (Review- Construction NOI 21137) • The task was assigned to Clark, Paul by round robin distribution 1/27/2020 8:33 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 29, 2020 5:00 PM. The priority is: High 1/27/2020 8:33 AM Submit by McCoy, Suzanne 1/28/2020 7:28:51 AM (Payment Verification for NCC200337) * Riley and Walker Development LLC • McCoy, Suzanne assigned the task to McCoy, Suzanne 1/28/2020 7:27 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: March 9, 2020 5:00 PM. The priority is: High 1/27/2020 9:43 AM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information 1. Project Name * Meyer Farm Subdivision 2. County* Johnston 3. Highway or Street SR2360 Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Boon Hill 5. State * NC 6. Zip Code * 27542 7. Latitude * Enter the latitude in decimal degrees 35.5086 8. Longitude* Enter the longitude in decimal degrees (MJSTbe negative) -78.1373 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* 01/28/2020 Estimated Construction Project Start Cate 10. Date to End* 01/27/2021 Estimated Construction Project End Cute 11. SIC (Primary) * Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Developrrent 12. Acres to be 37.01 disturbed* (including off -site borrow and waste areas) 13. Total site area 44.07 (acres) * 14. Post- 6.61 construction (Estimated) impervious area (acres)* NCC Project NCC-JOHNS-2020-Meyer Farm Subdivision Tracking ID Assignedautonatically 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 Spring Branch Wate rbody* fbrre cf waterbody into which storrrwater runoff w ill discharge 15b. Waterbody 27-57-20 Index No. * NCWaterbody Index Minter Stormwater V 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. ^ F2rnittee Inforrration - Legally Fbsponsible 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 Riley & Walker Development, LLC Name * 2. First Name* Braden IF Corporation, enter Fbgistered Agent First Barre 3. Last Name* Riley If Corporation, enter Faegistered Agent Last %rre 3b. Title Manager 4. Permitee E-mail randwdevelopment@gmail.com Address * 5. Permittee 919-601-1217 Telephone No.* 6. Permittee Mailing Street Address Address* PO Box 3248 Address Line 2 city Pinehurst Postal / Zip Code 28374-3248 Check box if the rJ Yes street address the same as mailing address State / Ftovince / Faegion NC Country United States 7. Permittee Street Street Address Address* PO Box3248 Address Line 2 City State / Frovince / Plegion Pinehurst NC Fbstal / Zip Code Country 28374-3248 United States C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Type of Individual Ownership * 2. Primary Site Braden Contact - First Name * 3. Primary Site Riley Contact - Last Name * 4. Title Manager 5. Site Contact E- randuvdevelopment@gmail.com mail Address* 6. Site Contact 919-601-1217 Telephone No.* 7. Organization Riley and Walker Development, LLC Name 8. Site Contact Street Address Mailing Address* PO Box3248 Address Line 2 City Pinehurst Fbstal / Zip Code 28374-3248 9. Consultant Name (Optional) Adams and Hodge Engineering, PC First and Last narre 10. Consultant E- rudy@adamsandhodge.com mail This person will be copied on all correspondence. 11.Consultant 919-879-0319 Telephone No. State / Rovince / Fbgion NC Country United States D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 01/03/2020 Approved * 2. E&SC Plan Project 19-145-P Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Johnston 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 19-145 Meyer Farm ESC Appr 01.03.2020.pdf 404.01 KB Approval Wst be FDFfornat letter/documentation Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded documents support the application. 6. NOI Certification —EMAIL-CLIENT SIGNED NCG01.pdf 124.81KB Form Mast be FDFformat This is an Express f No Review Project* r Yes E. Certification North Carolina General Statute 143-215.66 (1) provides that: Any person who knowingly makes anyfalse 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 Artcle; 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 Artcle shall be guilty ofa Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: 17 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. * 17 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. * 17 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 f 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 Trr !':11?P1 Type Name* Braden Riley Title Manager Organization Riley and Walker Development, LLC Date * 01 /27/2020 F. Tracking and COC Info NOI Tracking No. 21137 NC Reference No. NCG01-2020-0337 Uses 'count number' variable (incremrented by SP) Certificate of NCC200337 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 337 Sequential number for submittal that is incremented by Stored Frocedure COC Year 2020 Year of date reviewed (used to assign YY digits after "NOC' in COCno.)