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HomeMy WebLinkAboutNCC203094_NOI Application_20200728Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 7/20/2020 8:38:19 AM (NCG01 NOI Submission) Approve by Garcia, Lauren V 7/20/2020 2:43:18 PM (Review- Construction NOI 28481) . The task was assigned to Garcia, Lauren V by round robin distribution 7/20/2020 8:38 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 22, 2020 5:00 PM 7/20/2020 8:38 AM Submit by Selkane, Aziza 7/28/2020 3:22:08 PM (Payment Verification for NCC203094) * BSC HOLDINGS, INC • Selkane, Aziza assigned the task to Selkane, Aziza 7/28/2020 3:21 PM The task was assigned to DEMLR NCG01 Payment Team. The due date is: August 31, 2020 5:00 PM 7/20/2020 2:43 PM .• 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 * Oak Ridge Landing 1 b. Specific Lot This field rray be used to list specifc lot nunbers. Numbers 2. County* Guilford 3. Highway or Street 2408-A Oak Ridge Rd Address* Street narre only is acceptable if no address number assigned yet 4. City or Township* Oak Ridge 5. State * NC 6. Zip Code * 27310 7. Latitude* Enter the latitude in decinal degrees 36.1760 8. Longitude* Enter the longitude in decir al degrees (M.JST be negative) -79.9800 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* 07/24/2020 Estimated Construction Project Start Date 10. Date to End * 07/24/2021 Estinated Construction Project End Date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial Classification for Developrrent 12. Acres to be 14.90 disturbed* (including off -site borrow and waste areas) 13. Total site area 80.01 (acres) * 14. Post- 9.74 construction (Estirrated) impervious area (acres) * NCC Project NCC-GUILF-2020-Oak Ridge Landing 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 Beaver Creek Waterbody* %rm of waterbody into which stornwater runoff will discharge 15b. Waterbody 16-11-2 Index No.* NCWaterbody Index Nunber 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 * Oak Ridge Landing Partners, LLC IF pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. 2. First Name * Barry IF Corporation, enter Faegistered Agent First %rre 3. Last Name* Siegal IF Corporation, enter F;bgistered Agent Last %ne 3b. Title President 4. Permitee E-mail bscholding@aol.com Address* 5. Permittee (336) 587-3633 Telephone No.* 6. Permittee Mailing Street Address Address* PO Box 1618 Address Line 2 Cty High Point Fbstal / Zip Code 27261 Check box if the F Yes street address the same as mailing address State / Rovince / Pbegion NC Country USA 7. Permittee Street Street Address Address* 4425 Monument Trace Address Line 2 Suite 107 City State / Frovince / Region Greensboro NC Fbstal / Zip Code Country 27409 USA 8. Type of Non -Government Ownership C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Gene Contact - First Name * 2. Primary Site McVay Contact - Last Name * 3. Title Director of Grading 4. Site Contact E- GMcVay@kourycorp.com mail Address* 5. Site Contact (336) 215-7986 Telephone No. 6. Organization Koury Corporation Name 7. Site Contact Street Address Mailing Address* 2275 Vanstory St Address Line 2 Suite 200 city Greensboro Postal / Zip Code 27403 8. Consultant Name (Optional) Hugh Creed Associates, Inc, PA First and Last nacre 9. Consultant E-mail hca@hughcreedassociates.com This person will be copied on all correspondence. 10. Consultant (336) 275-9826 Telephone No. State / Province / Region NC Country USA D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 07/08/2020 Approved * 2. E&SC Plan Project 19-11-ORRP-08873 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Guilford 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 20200708 - GC EC Plan Approval Letter (Oak Ridge Approval letter or 117.54KB Landing).pdf Grading Permit Mast be FDFfon-rat 6. Site Location Map Helpful for linear project review (Optional) Mast be FDFfornat. 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 20200717 - NCG01-eNO1-Certification-Form- Form 500.84KB 20190919-DEMLR-SW (Signed).pdf Mast be FDFfon-rat 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 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 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 ,q&`ry .,.YregC1 Type Name* Barry Siegal Title President Organization Legally Ibsponsible Entity Oak Ridge Landing Partners, LLC Date * 07/20/2020 F. Tracking and COC Info NOI Tracking No. 28481 NC Reference No. NCG01-2020-3094 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC203094 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 3094 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. NCC203094-2020 Invoice Due Date 8/19/2020 Initial Fee $ 100.00 Invoice Status OPEN