NCC200708_NOI Application_20200224

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 2/20/2020 12:22:48 PM (NCG01 NOI Submission)
Approve by Morman, Alaina 2/21/2020 9:35:41 AM (Review- Construction NOI 22204)
• The task was assigned to Morman, Alaina by round robin distribution 2/20/2020 12:23 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: February 24, 2020 5:00
PM. The priority is: High 2/20/2020 12:23 PM
Submit by McCoy, Suzanne 2/24/2020 11:31:22 AM (Payment Verification for NCC200708)
* United Developers Inc.
• McCoy, Suzanne assigned the task to McCoy, Suzanne 2/24/2020 11:30 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: April 3, 2020 5:00 PM. The
priority is: High 2/21/2020 9:35 AM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
la. Project Name * Hoke Loop Commons
1 b. Specific Lot This field may be used to list specifc lot numbers.
Numbers
2. County* Cumberland
3. Highway or Street Hoke Loop Road
Address* Street name only is acceptable if no address nunber assigned yet
4. CityorTownship* Fayetteville
5. State * NC
6. Zip Code* 28303
7. Latitude* Enter the latitude in decinal degrees
35.0562
8. Longitude * Enter the longitude in decinal degrees (MJSTbe negative)
-79.0629
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*
02/26/2020
Estimated Construction Project Start Date
10. Date to End*
12/31/2020
Estinated Construction Project End Date
11. SIC (Primary) *
Residential, Other
than SFE (1522)
Standard Industrial C]assification for Development
12. Acres to be
5.47
disturbed*
(including off -site borrow and waste areas)
13. Total site area 6.56
(acres) *
14. Post- 2.80
construction (Estirated)
impervious area
(acres) *

NCC Project NCC-CUMBE-2020-Hoke Loop Commons
Tracking ID Assignedautorratically
Belowyou 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 Little Rockfish Creek
Wate rbody* Nacre of waterbody into which storrrwater runoff will discharge
15b. Waterbody 18-31-24-(1)
Index No. * NCWaterbody Index Nurrber
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. ^
Flarnittee 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 Hoke Loop Commons Associates, LP
Name *
2. First Name* James
If Corporation, enter Pegistered Agent First Barre
3. Last Name* Smith
If Corporation, enter Faegistered Agent Last %rre
3b. Title Owner
4. Permitee E-mail [e-mail]
Address *
5. Permittee 910-485-6600
Telephone No.*
6. Permittee Mailing Street Address
Address* 2929 Breezewood Avenue
Address Line 2
Suite 102
City
State / Ftovince / Faegion
Fayetteville
NC
Fbstal / Zip Code
Country
28303-5357
us
Check box if the rJ Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
2929 Breezewood Avenue
Address Line 2
Suite 102
City
State / Frovince / Fbgion
Fayetteville
NC
Fbstal / Zip Code
Country
28303-5357
US
8. Type of
Non -Government
Ownership*

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Wade
Contact - First
Name *
2. Primary Site
Duggins
Contact - Last
Name *
3. Title
Vice President
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
910-485-6600
Telephone No.
6. Organization
United Developers
Name
7. Site Contact
Street Address
Mailing Address*
2929 Breezewood Avenue
Address Line 2
Suite 102
city
Fayetteville
Postal / Zip Code
28303-5357
8. Consultant Name
(Optional)
James M Mercer, PE
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
828-645-7088
Telephone No.
State / Rovince / Region
NC
Country
US

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 11/08/2019
Approved *
2. E&SC Plan Project CUMBE-2020-058
Number/ID * Assigned by agency or local program
3. E&SC Plan r State DEQ Office
Approved by* r Local Program
4. State DEQ Office * Fayetteville (FRO)
Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a
complete application. For linear projects, please also upload a site map showing the overall extent of the project.
5. E&SC Plan 15-013 Hoke EC permit.pdf
Approval Wst be FDFfornat
letter/documentation
70.15KB
Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded documents support
the application.
6. NOI Certification 15-013 Hoke Loop NOI Form.pdf 426.99KB
Form Mast be FDFfon-rat
This is an Express f No
Review Project* r Yes

E. Certification
North Carolina General Statute 143-215.6E (i) 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 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 * James B Smith
Title Owner
Organization Hoke Loop Commons Associates, LP
Date * 02/20/2020

F. Tracking and COC Info
NOI Tracking No. 22204
NC Reference No. NCG01-2020-0708
Uses 'count number' variable (incremrented by SP)
Certificate of NCC200708
Coverage (COC) Uses 'count number' variable (incremented by SP)
No.*
Count Number 708
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.)