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HomeMy WebLinkAboutNCC202941_NOI Application_20200717 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 7/8/2020 2:00:20 PM(NCG01 NOI Submission) Approve by Farkas,Jim J 7/10/2020 3:56:47 PM(Review-Construction NOI 27966) • The task was assigned to Farkas,Jim J by round robin distribution 7/8/2020 2:00 PM • The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:July 10,2020 5:00 PM 7/8/2020 2:00 PM Submit by Selkane,Aziza 7/17/2020 3:55:46 PM(Payment Verification for NCC202941) * Jim Harding • Selkane,Aziza assigned the task to Selkane,Aziza 7/17/2020 3:55 PM • The task was assigned to DEMLR NCG01 Payment Team.The due date is:August 21, 2020 5:00 PM 7/10/2020 3:57 PM �ThF1 1Construction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Elimination System 'D application for•• - .•-under NorthCarolina's General Permit 1 1111:STORIVWATER DISCHARGES associated with construction activities(or NORTH CAROLINA Enrlrnnmenfu�Qr�arlry 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* Eno River Force Main Relocation 1 b.Specific Lot This field rray be used to list specifc lot numbers. Numbers 2.County* Durham 3. Highway or Street Old Oxford Road Address* Street nacre only is acceptable if no address number assigned yet 4.City or Townsh i p* Durham 5.State* NC 6.Zip Code* 27701 7. Latitude* Enter the latitude in decimal degrees 36.0510 8. Longitude* Enter the longitude in decimal degrees(M.JST be negative) -78.8720 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* 10/05/2020 Estimated Construction Project Start Date 10. Date to End* 07/02/2021 Estimated Construction Project End Date 11.SIC(Primary)* Commercial(1542) Standard Industrial Classification for Development 12.Acres to be 4.93 disturbed* (including off-site borrow and waste areas) 13.Total site area 5.50 (acres)* 14. Post- 0.50 construction (Estirrated) impervious area (acres)* NCC Project NCC-DURHA-2020-Eno River Force Main Relocation 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 Ellerbe Creek Waterbody* %rm of waterbody into which stornwater runoff will discharge 15b.Waterbody 27-5-(0.7) 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. ^ 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* City of Durham Department of Water Management It pernittee is an individual(i.e.,organization does not apply),enter first and last narre in this field. 2. First Name* Donald If Corporation,enter Faegistered Agent First%rre 3. Last Name* Greeley It Corporation,enter F;bgistered Agent Last Iona 3b.Title Department Director 4. Permitee E-mail Don.greeley@durhamnc.gov Address* 5. Permittee 919-560-4381 Telephone No.* 6. Permittee Mailing Street Address Address* 101 City Hall Plaza Address Line 2 City State/Rovince/F;bgion Durham NC Fbstal/Zip Code Country 27701-3329 us Check box if the V Yes street address the same as mailing address 7. Permittee Street Street Address Address* 101 City Hall Plaza Address Line 2 City State/Frovince/Faegion Durham NC Fbstal/Zip Code Country 27701-3329 us 8.Type of Government-Municipal Ownership* C. Site Contact Information Part C. ^ Roject Site Contact Inforrration ....................................................................................................................................................................................................................................................................................................................................................................................... 1. Primary Site Jim Contact-First Name* 2. Primary Site Harding Contact-Last Name* 3.Title Project Manager 4.Site Contact E- jim.harding@durhamnc.gov mail Address* 5.Site Contact 919-599-7120 Telephone No.* 6.Organization City of Durham Dept. of Water Management Name 7.Site Contact Street Address Mailing Address* 101 City Hall Plaza Address Line 2 City State/Rovince/Region Durham NC Postal/Zip Code Country 27701-3329 us 8. Consultant Name (Optional) Kevin Carter, Carter Engineering Comp. First and Last nacre 9. Consultant E-mail Kevin.carter@carterengineeringcompany.co m This person will be copied on all correspondence. 10. Consultant 919-971-0635 Telephone No. D. E&SC Plan Part D. ^ Erosion&Sediment Control(E&SC)Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 06/12/2020 Approved* 2. E&SC Plan Project DURHA-2020-016 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 ScannerNoReply@durhamnc.gov_20200708_1355... 546.07KB Approval letter or Mast 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. Start 36.054,-78.875 End 36.048,-78.868 8. NOI Certification ScannerNoReply@durhamnc.gov_20200708_1356... 365.53KB Form Mast be RDFformat This is an Express r No Review Project* r Yes E. Certification North Carolina General Statute 143-215.6E(i) provides that: Anyperson who knowinglymakes any false statement,representation,or certification in anyapplication,record,report,plan,or other documentfiled 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 underthis 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 guiltyofa Class 2 misdemeanor which mayinclude 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* Donald F. Greeley Title Department Director Organization Legally Pesponsible Entity City of Durham Department of Water Management Date* 07/08/2020 F. Tracking and COC Info NOI Tracking No. 27966 NC Reference No. NCG01-2020-2941 Uses'count_nurrber'variable(increrrented by SP) Certificate of NCC202941 Coverage (COC) Uses'count_nurrber'variable(increrrented by SP) No.* Count Number 2941 Sequential nurrber for subrrittal 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. NCC202941-2020 Invoice Due Date 8/9/2020 Initial Fee $ 100.00 Invoice Status OPEN