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HomeMy WebLinkAboutNCC202522_NOI Application_20200617Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 6/11/2020 2:36:33 PM (NCG01 NOI Submission) Approve by Farkas, Jim J 6/16/2020 8:08:12 AM (Review- Construction NOI 26904) • The task was assigned to Farkas, Jim J by round robin distribution 6/11/2020 2:37 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 15, 2020 5:00 PM 6/11/2020 2:37 PM Submit by McCoy, Suzanne 6/17/2020 7:59:39 AM (Payment Verification for NCC202522) * Chandra Farmer • McCoy, Suzanne assigned the task to McCoy, Suzanne 6/17/2020 7:59 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 28, 2020 5:00 PM 6/16/2020 8:08 AM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information Are you submitting f• No an NOI that was r Yes rejected before? 1a. Project Name * Johnston County Buffalo WWPS and FM Upgrade 1 b. Specific Lot This field nay be used to list specifc lot nunbers. Numbers 2. County* Johnston 3. Highway or Street 207 E Johnston Street Courthouse - B - 206 Address* Street narre only is acceptable if no address nun ber assigned yet 4.CityorTownship* Smithfield 5. State * NC 6. Zip Code * 27577 7. Latitude* Enter the latitude in decirral degrees 35.5108 8. Longitude* Enter the longitude in decir al degrees (NALIST be negative) -78.3476 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* 03/01/2021 Estimated Construction Project End Date 11. SIC (Primary) * Other (9999) Standard Industrial Cassification for Leveloprrent 12. Acres to be 7.83 disturbed* (including off -site borrow and waste areas) 13. Total site area 8.22 (acres) * 14. Post- 0.01 construction (Estirrated) impervious area (acres) * NCC Project NCC-JOHNS-2020-Johnston County Buffalo WWPS and FM Tracking ID Upgrade 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 Buffalo Creek Waterbody* Ibrre of w aterbody into w hich storrrw ater runoff w ill discharge 15b. Waterbody 27-42 Index No.* NCWaterbody Index Number Stormwater r No discharges will flow Pf Yes to additional wate rs * 15c. Additional Neuse River Receiving Waterbody narre Waterbody 15d. Waterbody 27-(41.7) Index No. NCWaterbody Index Nurrber 15e. Additional Reedy Branch Receiving Waterbody narre Waterbody 15f. Waterbody 27-43-14 Index No. NCWaterbody Index Nurrber 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. ^ Fternittee 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 * Johnston County It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Chandra IF Corporation, enter Faegistered Agent First %rre 3. Last Name* Farmer It Corporation, enter F;bgistered Agent Last %ne 3b. Title Director of Utilities 4. Permitee E-mail chandra.farmer@johnstonnc.com Address* 5. Permittee (919) 209-8333 Telephone No.* 6. Permittee Mailing Street Address Address* P.O. Box2263 Address Line 2 City State / Rovince / F;bgion Smithfield NC Fbstal / Zip Code Country 27577-3919 us Check box if the F Yes street address the same as mailing address 7. Permittee Street Street Address Address* 309 East Market Street Address Line 2 City State / Ftovince / Faegion Smithfield NC Fbstal / Zip Code Country 27577-3919 us 8. Type of Government - County Ownership* C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Chandra Contact - First Name * 2. Primary Site Farmer Contact - Last Name * 3. Title Public Utilities Director 4. Site Contact E- chandra.farmer@johnstonnc.com mail Address* 5. Site Contact (919) 989-5057 Telephone No. 6. Organization Johnston County Name 7. Site Contact Street Address Mailing Address* P.O. Box2263 Address Line 2 city Smithfield Fbstal / Zip Code 27577-3919 8. Consultant Name (Optional) M. Blaine Humphrey First and Last nacre 9. Consultant E-mail bhumphrey@riversandassociates.com This person will be copied on all correspondence. 10. Consultant (252)752-4135 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 04/14/2020 Approved * 2. E&SC Plan Project JOHNS-2020-021 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 * Raleigh (RRO) 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 JOHNS-2020-021_ LOA_20200414.pdf 66.1 KB Approval letter or Mast beRDFformat Grading Permit 6. Site Location Map Helpful for linear project review (Optional) Aerial Fast Track Phase I.pdf 916.48KB Aerial Fast Track Phase II.pdf 784.81 KB Mast be R7F format. Rease do not upload entire set of E&SC plans. 7. Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded documents support the application. Include additional w aterbodies for linear projects if necessary. 8. NOI Certification NCG01NOI.Buffalo WWPS andFM.06.11.20.pdf 837.1KB 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 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 Atide 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 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 �`/rrtrrrr'frr (`� ��rrfffrrf Type Name * Chandra C. Farmer Title Director of Utilities Organization Legally Responsible Entity Johnston County Date * 06/11 /2020 F. Tracking and COC Info NOI Tracking No. 26904 NC Reference No. NCG01-2020-2522 Uses 'count number' variable (incremrented by SP) Certificate of NCC202522 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 2522 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.)