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HomeMy WebLinkAboutNCC202119_NOI Application_20200608Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 5/20/2020 7:14:13 AM (NCG01 NOI Submission) Approve by Clark, Paul 5/20/2020 11:01:51 AM (Review- Construction NOI 25873) • The task was assigned to Clark, Paul by round robin distribution 5/20/2020 7:14 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 22, 2020 5:00 PM 5/20/2020 7:14 AM Submit by McCoy, Suzanne 6/8/2020 3:11:01 PM (Payment Verification for NCC202119) * David DeYoung • McCoy, Suzanne assigned the task to McCoy, Suzanne 6/8/2020 3:10 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 1, 2020 5:00 PM 5/20/2020 11:02 AM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information Are you submitting IT No an NOI that was r Yes rejected before? 1a. Project Name * Ashcroft Phase 7 1 b. Specific Lot This field rray be used to list specifc lot nunbers. Numbers 2. County* Johnston 3. Highway or Street GreenviewSt Address* Street narre only is acceptable if no address number assigned yet 4.CityorTownship* Clayton 5. State * NC 6. Zip Code * 27520 7. Latitude* Enter the latitude in decimal degrees 35.6619 8. Longitude* Enter the longitude in decir al degrees (MUST be negative) -78.4368 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* 06/01/2020 Estimated Construction Project Start Date 10. Date to End* 11/30/2020 Estimated Construction Project End [date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial Classification for Developrrent 12. Acres to be 16.69 disturbed* (including off -site borrow and waste areas) 13. Total site area 18.16 (acres) * 14. Post- 3.41 construction (Estirrated) impervious area (acres) * NCC Project NCC-JOHNS-2020-Ashcroft Phase 7 Tracking ID Assignedautorraticaly 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 Neuse River Waterbody* %rm of waterbody into which stornwater runoff will discharge 15b. Waterbody 27-(38.5) Index No.* NCWaterbody Index Number Stormwater V 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. ^ 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 * Ashcroft Partners, LLC IF pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Reid If Corporation, enter Faegistered Agent First %rre 3. Last Name* Smith IF Corporation, enter F;bgistered Agent Last %ne 3b. Title Managing Member 4. Permitee E-mail reid@theriverwildteam.com Address* 5. Permittee 919-813-0123 Telephone No.* 6. Permittee Mailing Street Address Address* 114 West Main Street Address Line 2 aty Clayton Fbstal / Zip Code 27520-2321 Check box if the street address the same as mailing address 7. Permittee Street Address * V Yes Street Address 114 West Main Street Address Line 2 city Clayton Fbstal / Zip Code 27520-2321 8. Type of Non -Government Ownership* State / Rovince / F;bgion NC Country us State / Frovince / Region NC Country us C. Site Contact Information Part C. Roject Site Contact Information .............................................................................................................................................................................................................................................................................................................................................................................................. 1. Primary Site David Contact - First Name * 2. Primary Site DeYoung Contact - Last Name * 3. Title Director of Development 4. Site Contact E- david@theriverwildteam.com mail Address* 5. Site Contact 919-901-3178 Telephone No.* 6. Organization Name 7. Site Contact Street Address Mailing Address* 114 West Main Street Address Line 2 city Clayton Fbstal / Zip Code 27520-2321 8. Consultant Name (Optional) First and Last narre 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant Telephone No. State / Frovince / Fegion NC Country us D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 05/13/2020 Approved * 2. E&SC Plan Project JC# 14-014-C 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. 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 14-014 Ashcroft Phase 7 ESC appr 5.13.2020.pdf 94.89KB Approval letter or 14-014 Ashcroft Phase 7 SW appr 5.13.2020.pdf 92.15KB Grading Permit Mast be RDFfon-rat 6. Site Location Map Helpful for linear project review (Optional) VICINITY MAP ASHCROFT 7.pdf 848.93KB Mast be RDFfornat. Rease do not upload entire set of E&SCplans. 7. Notes (Optional) Provide any additional information that night help the reviewer better understand how uploaded documents support the application. Include additional waterbodies for linear projects if necessary. 8. NOI Certification ASHCROFT 7 NOI-1.pdf 40.5KB Form Mast 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 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 Type Name* Reid Smith Title Managing Member Organization Legally Ibsponsible Entity Ashcroft Partners, LLC Date * 05/20/2020 F. Tracking and COC Info NOI Tracking No. 25873 NC Reference No. NCG01-2020-2119 Uses 'count number' variable (incremrented by SP) Certificate of NCC202119 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 2119 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.)