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HomeMy WebLinkAboutNCC202718_NOI Application_20200630Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 6/24/2020 1:33:43 PM (NCG01 NOI Submission) Approve by Garcia, Lauren V 6/26/2020 9:42:34 AM (Review- Construction NOI 27427) • The task was assigned to Garcia, Lauren V by round robin distribution 6/24/2020 1:34 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 26, 2020 5:00 PM 6/24/2020 1:34 PM Submit by Selkane, Aziza 6/30/2020 8:35:50 AM (Payment Verification for NCC202718) * Shawntrelle D Kast • Selkane, Aziza assigned the task to Selkane, Aziza 6/30/2020 8:33 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 7, 2020 5:00 PM 6/26/2020 9:42 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 * Repair Bulkheads and Shoreline Stabilization 1 b. Specific Lot This field rray be used to list specifc lot numbers. Numbers 2. County* Craven 3. Highway or Street Roosevelt Blvd. Address* Street narre only is acceptable if no address number assigned yet 4. City or Township* Cherry Point 5. State * NC 6. Zip Code * 28533-0006 7. Latitude* Enter the latitude in decimal degrees 34.9449 8. Longitude* Enter the longitude in decimal degrees (M.JST be negative) -76.9007 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* 07/01/2020 Estimated Construction Project Start Date 10. Date to End* 07/01/2021 Estinated Construction Project End Date 11. SIC (Primary)* Industrial (1541) Standard Industrial Classification for Developrrent 12. Acres to be 2.78 disturbed* (including off -site borrow and waste areas) 13. Total site area 2.78 (acres) * 14. Post- 0.00 construction (Estirrated) impervious area (acres) * NCC Project NCC-CRAVE-2020-Repair Bulkheads and Shoreline Stabilization 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 Slocum Creek Waterbody * %rre of waterbody into which stornwater runoff will discharge 15b. Waterbody 27-112 Index No.* NCWaterbody Index Nunber Stormwater r No discharges will flow pr Yes to additional wate rs * 15c. Additional Neuse River Receiving Waterbody narre Waterbody 15d. Waterbody 27-(104) Index No. NCWaterbody Index Narrber 15e. Additional Waterbody narre Receiving Waterbody 15f. Waterbody NCWaterbody Index N nber Index No. 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. ^ Fl rnittee 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 * WAS Cherry Point It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Charles IF Corporation, enter Faegistered Agent First %rre 3. Last Name* Schulz It Corporation, enter F;bgistered Agent Last %ne 3b. Title Deputy Facilities Director, By Direction of the Commanding Officer 4. Permitee E-mail charles.e.schulz@usmc.mil Address* 5. Permittee 2524663148 Telephone No.* 6. Permittee Mailing Street Address Address* P.O box8006 Address Line 2 City State / Rovince / Pbegion Cherry Point NC Fbstal / Zip Code Country 25833-0006 United States Check box if the F Yes street address the same as mailing address 7. Permittee Street Street Address Address* Building 1 C Street Address Line 2 City State / Frovince / Faegion Cherry Point NC Fbstal / Zip Code Country 28533-0006 United States 8. Type of Government - Federal Ownership* C. Site Contact Information Part C. Roject Site Contact Inforrration ........................................................................................................................................................................................................... 1. Primary Site Nathan Contact - First Name * 2. Primary Site Arnett Contact - Last Name * 3. Title Environmental Engineer 4. Site Contact E- nathan.arnett@usmc.mil mail Address* 5. Site Contact 2524665271 Telephone No. 6. Organization WAS Cherry Point Environmental Affairs Name Department 7. Site Contact Street Address Mailing Address* Building 4223 Address Line 2 city Cherry Point Fbstal / Zip Code 28533-0006 8. Consultant Name (Optional) First and Last nacre 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant Telephone No. State / Rovince / Region NC Country United States D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 05/12/2020 Approved * 2. E&SC Plan Project Crave-2020-032 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 * Washington (WaRO) 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 ES Permit Bulkheads & Shoreline.pdf 136.62KB Approval letter or Mist beRDFformat Grading Permit 6. Site Location Map Helpful for linear project review (Optional) Mast be FCFfornat. 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 NCG01-repair bulkheads and shoreline stabilization Form 69.53KB signed.pdf Mast be FCFfon-rat This is an Express r 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 Type Name * Charles E. Schulz Title Deputy Facilities Director, By Direction of the Commanding Officer Organization Legally Plesponsible Entity MCAS Cherry Point Date * 06/24/2020 F. Tracking and COC Info NOI Tracking No. 27427 NC Reference No. NCG01-2020-2718 Uses 'count number' variable (incremrented by SP) Certificate of NCC202718 Coverage (COC) Uses 'count number' variable (incremented by SF) No.* Count Number 2718 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.) Initial Invoice No. Invoice Due Date Initial Fee $ Invoice Status