Loading...
HomeMy WebLinkAboutNCC201383_NOI Application_20200408Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 4/2/2020 7:27:28 AM (NCG01 NOI Submission) Approve by Garcia, Lauren V 4/6/2020 11:33:51 AM (Review- Construction NOI 23890) • The task was assigned to Garcia, Lauren V by round robin distribution 4/2/2020 7:28 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: April 6, 2020 5:00 PM 4/2/2020 7:28 AM Submit by McCoy, Suzanne 4/8/2020 7:34:57 AM (Payment Verification for NCC201383) * Christopher Hopkins • McCoy, Suzanne assigned the task to McCoy, Suzanne 4/8/2020 7:34 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: May 18, 2020 5:00 PM 4/6/2020 11:34 AM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information la. Project Name* Larkhaven Electrical Substation 1 b. Specific Lot This field rray be used to list specffc lot numbers. Numbers PINI#:11121101 2. County* Mecklenburg 3. Highway or Street 12101 Rocky River Church Rd Address* Street name only is acceptable if no address number assigned yet 4. CityorTownship* Charlotte 5. State * NC 6. Zip Code* 28215 7. Latitude* Enter the latitude in decimal degrees 35.2352 8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative) -80.6341 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* 04/15/2020 Estirrated Construction Project Start Date 10. Date to End* 12/31/2020 Estirrated Construction Project End Date 11. SIC (Primary) * Other (0000) Standard Industrial Classification for Development 12. Acres to be 9.40 disturbed* (including off -site borrow and waste areas) 13. Total site area 16.84 (acres)* 14. Post- 0.50 construction (Estirrated) impervious area (acres) * NCC Project NCC-MECKL-2020-Larkhaven Electrical Substation 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 McKee Creek Wate rbody* Narre of waterbody into which storrrwater runoff will discharge 15b. Waterbody 13-17-8-4 Index No. * NCWaterbody Index N nber 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 Legally Pesponsible Entity Name * Union Power Cooperative It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * David If Corporation, enter Faegistered Agent First %rre 3. Last Name* Gross It Corporation, enter F;bgistered Agent Last %rre 3b. Title Vice President - Engineering Operations 4. Permitee E-mail david.gross@union-power.com Address* 5. Permittee 704-296-0408 Telephone No.* 6. Permittee Mailing Street Address Address* 1528 N Rocky River Rd Address Line 2 city State / Rovince / F;bgion Monroe NC Fbstal / Zip Code Country 28110-7959 US Check box if the V Yes street address the same as mailing address 7. Permittee Street Street Address Address* 1528 N Rocky River Rd Address Line 2 city State / Frovince / Faegion Monroe NC Fbstal / Zip Code Country 28110-7959 US 8. Type of Non -Government Ownership* C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Matt Contact - First Name * 2. Primary Site Baucom Contact - Last Name * 3. Title Plan Development Engineer 4. Site Contact E- Matt.Baucom@union-power.com mail Address* 5. Site Contact 704-289-3145 ext. 3141 Telephone No. 6. Organization Union Power Cooperative Name 7. Site Contact Street Address Mailing Address* 1528 North Rocky River Road Address Line 2 City Monroe Postal / Zip Code 28110-7959 8. Consultant Name (Optional) Chris Hopkins First and Last nacre 9. Consultant E-mail chopkins@pike.com This person will be copied on all correspondence. 10. Consultant 803-835-7924 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 03/30/2020 Approved * 2. E&SC Plan Project LDGP-2020-00052 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. For linear projects, please also upload a site map showing the overall extent of the project or include the beginning point and end point coordinates in the "Notes" box below. 5. E&SC Plan Grading Permit_ 20200330_073742.pdf 62.74KB Approval letter or Mast beRDFformat Grading Permit 6. Site Location Map Helpful for linear project review (Optional) Larkhaven Site Plan.pdf 3.67MB Mast be RDF format. Rease do not upload entire set of E&SCplans. 7. Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded docurrents support the application. Include additional waterbodies for linear projects if necessary. 8. NOI Certification eNO1 Certification Form-signed.pdf 610.94KB Form Wst be RDFfornat This is an Express r 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 Atide; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Atcle; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Amide or rules of the Commission implementing this Atcle 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 f�Gl.FiC �tr�cic� Type Name* David Gross Title Vice President - Engineering Operations Organization Legally Ibsponsible Entity Union Power Cooperative Date * 04/02/2020 F. Tracking and COC Info NOI Tracking No. 23890 NC Reference No. NCG01-2020-1383 Uses 'count number' variable (incremrented by SP) Certificate of NCC201383 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 1383 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.)