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HomeMy WebLinkAboutNCC202532_NOI Application_20200619Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 6/11/2020 10:36:59 AM (NCG01 NOI Submission) Approve by Morman, Alaina 6/16/2020 1:23:47 PM (Review- Construction NOI 26874) • The task was assigned to Morman, Alaina by round robin distribution 6/11/2020 10:37 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 15, 2020 5:00 PM 6/11/2020 10:37 AM Submit by Selkane, Aziza 6/19/2020 3:02:46 PM (Payment Verification for NCC202532) * Eastwood Construction • Selkane, Aziza assigned the task to Selkane, Aziza 6/19/2020 3:01 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: July 28, 2020 5:00 PM 6/16/2020 1:24 PM .• SThF� '; 1 NORTH CAROLINA EnrlronmertW quallly A. Project Information Part A. Project Location and Waterbody Information Are you submitting r No an NOI that was r Yes rejected before? Previous Rejected 26633 NOI No. Prior Reviewer Alaina Morman Name 1a. Project Name * Verona Subdivision (Lots only) 1 b. Specific Lot This field may be used to list specffc lot numbers. Numbers 2. County* Guilford 3. Highway or Street 1258 Burlington Road Address * Street narre only is acceptable if no address number assigned yet 4. City or Township* Burlington 5. State * NC 6. Zip Code * 27377 7. Latitude * Enter the latitude in decirral degrees 36.0790 8. Longitude* Enter the longitude in decir al degrees (M. ST be negative) -79.5510 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* 07/31/2020 Estimated Construction Project Start Date 10. Date to End* 06/01 /2025 Estimated Construction Project End Date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Developrrent 12. Acres to be 32.18 disturbed* (including off -site borrow and waste areas) 13. Total site area 46.55 (acres) * 14. Post- 8.70 construction (Estimated) impervious area (acres) * NCC Project NCC-GUILF-2020-Verona Subdivision (Lots only) Tracking ID Assigned automatically 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 Back Creek Wate rbody* %rre of waterbody into which stormwater runoff will discharge 15b. Waterbody 16-19-5 Index No.* NCWaterbody Index Number Stormwater rJ 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. ^ Fbrnittee Inforrration - Legally Fa sponsible 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 * Eastwood Construction Partners, LLC IF pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * jeff IF Corporation, enter Faegistered Agent First %rre 3. Last Name* creighton IF Corporation, enter F;bgistered Agent Last %ne 3b. Title VP of Homebuilding 4. Permitee E-mail jcreighton@eastwoodhomes.com Address* 5. Permittee 3365879490 Telephone No.* 6. Permittee Mailing Street Address Address* 3980 Premier Drive Address Line 2 Suite 120 City State / Frovince / Fbgion High Point NC Fbstal / Zip Code Country 27265 us Check box if the V Yes street address the same as mailing address 7. Permittee Street Street Address Address* 3980 Premier Drive Address Line 2 Suite 120 City State / Frovince / Region High Point NC Fbstal / Zip Code Country 27265 us 8. Type of Non -Government Ownership C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site jeff Contact - First Name * 2. Primary Site creighton Contact - Last Name * 3. Title VP of Homebuilding 4. Site Contact E- jcreighton@eastwoodhomes.com mail Address* 5. Site Contact 3365879490 Telephone No. 6. Organization Eastwood Construction Partners, LLC Name 7. Site Contact Street Address Mailing Address* 3980 Premier Drive Address Line 2 suite 120 city high point Postal / Zip Code 27265 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 / Rovince / Region North Carolina Country United States 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 658 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 Burlington 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 Burlington Official Land Disturbing Permit (1).pdf 140.16KB Approval letter or Mist beRDFformat Grading Permit 6. Site Location Map Helpful for linear project review (Optional) Mast be RDFform3t. 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 scaneastwoodhomes@gmail.com_20200611_1016... 443.52KB Form Mist 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 Type Name* Jeffrey Creighton Title VP of Homebuilding Organization Legally Ibsponsible Entity Eastwood Construction Partners, LLC Date * 06/11 /2020 F. Tracking and COC Info NOI Tracking No. 26874 NC Reference No. NCG01-2020-2532 Uses 'count number' variable (incremrented by SP) Certificate of NCC202532 Coverage (COC) Uses 'count number' variable (incremented by SP) No.* Count Number 2532 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.)