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HomeMy WebLinkAboutNCC205164_NOI Application_20201112Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 11/10/2020 3:23:22 PM (NCG01 NOI Submission) Approve by Gamble, Aana C 11/10/2020 7:00:34 PM (Review- Construction NOI 35721) • The task was assigned to Gamble, Aana C by round robin distribution 11/10/2020 3:23 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 12, 2020 5:00 PM 11/10/2020 3:23 PM Submit by Selkane, Aziza 11/12/2020 11:39:04 AM (Payment Verification for NCC205164) * Wilson Todd Chambers • Selkane, Aziza assigned the task to Selkane, Aziza 11/12/2020 11:38 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 22, 2020 5:00 PM 11/10/2020 7:02 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 * Mountain Vista Recombination Plan 1 b. Specific Lot This field rray be used to list specifc lot nunbers. Numbers 2. County* Buncombe 3. Highway or Street 15 Luther Woods Drive Address* Street narre only is acceptable if no address number assigned yet 4.CityorTownship* Candler 5. State * NC 6. Zip Code * 28715 7. Latitude* Enter the latitude in decinal degrees 35.5810 8. Longitude* Enter the longitude in decir al degrees (M.JST be negative) -82.6840 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* 01/01/2021 Estinated Construction Project Start Date 10. Date to End* 01/01/2022 Estirrated Construction Project End Date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial Classification for Developrrent 12. Acres to be 1.82 disturbed* (including off -site borrow and waste areas) 13. Total site area 3.83 (acres) * 14. Post- 0.34 construction (Estimated) impervious area (acres) * NCC Project NCC-BUNCO-2021-Mountain Vista Recombination Plan Tracking ID 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 Little Pole Creek Waterbody* Nsrre of waterbody into which storrrwater runoff will discharge 15b. Waterbody 6-76-6-2 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. ^ 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 * Candler Investment Partners, LLC It pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field. Note: The organization name must match the business entity name registered with the NC Secretary of State. You can verify the registration here. 2. First Name * Todd If Corporation, enter Faegistered Agent First %rre 3. Last Name* Chambers It Corporation, enter Pbegistered Agent Last %rre 3b. Title Member Manager 4. Permitee E-mail w4chambers23@gmail.com Address* 5. Permittee 8286748816 Telephone No.* 6. Permittee Mailing Street Address Address* PO Box 148 Address Line 2 City Enka Fbstal / Zip Code 28728 Check box if the F Yes street address the same as mailing address State / Frovince / i egion NC Country United States 7. Permittee Street Street Address Address* 15 Luther Woods Drive Address Line 2 city State / Frovince / Region Candler NC Fbstal / Zip Code Country 28715 US 8. Type of Individual Ownership C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Todd Contact - First Name * 2. Primary Site Chambers Contact - Last Name * 3. Title Manager 4. Site Contact E- wtchambers23@gmail.com mail Address* 5. Site Contact 8286748816 Telephone No. 6. Organization Candler Investment Partners, LLC Name 7. Site Contact Street Address Mailing Address* PO Box 148 Address Line 2 city Enka Fbstal / Zip Code 28728 8. Consultant Name (Optional) Austin Greenhalge First and Last nacre 9. Consultant E-mail austin@pcels.com This person will be copied on all correspondence. 10. Consultant 8282528423 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 11/03/2020 Approved * 2. E&SC Plan Project ERO2020-00043 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Buncombe 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 ERO202000043PERMIT.pdf 222.46KB Approval letter or ERO202000043LOA.pdf 231.32KB Grading Permit Mast be RDFfon-rat 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. Thank you for your assistance with this project. 8. NOI Certification Signed Form Mountain Vista.pdf 852.73KB 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 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 Type Name* Todd Chambers Title Member/Manager Organization Legally Ibsponsible Entity Candler Investment Partners, LLC Date * 11 /10/2020 F. Tracking and COC Info NOI Tracking No. 35721 NC Reference No. NCG01-2020-5164 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC205164 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 5164 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. NCC205164-2020 Invoice Due Date 12/10/2020 Initial Fee $ 100.00 Invoice Status OPEN