HomeMy WebLinkAboutNCC205139_NOI Application_20201125Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/6/2020 2:10:36 PM (NCG01 NOI Submission)
Approve by Clark, Paul 11/9/2020 7:22:34 PM (Review- Construction NOI 35298)
• Garcia, Lauren V reassigned the task to Clark, Paul 11/9/2020 9:00 AM
• The task was assigned to Garcia, Lauren V by round robin distribution 11/6/2020 2:10 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: November 10, 2020 5:00
PM 11 /6/2020 2:10 PM
Submit by Selkane, Aziza 11/25/2020 10:12:38 AM (Payment Verification for NCC205139)
* AndrewJ McDonald
• Selkane, Aziza assigned the task to Selkane, Aziza 11/25/2020 10:12 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: December 21, 2020 5:00
PM 11/9/2020 7:22 PM
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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 35225
NOI No.
Prior Reviewer Paul Clark
Name
1a. Project Name * Hidden Lakes Phase 6,7,8
1 b. Specific Lot This field rray be used to list specifc lot numbers.
Numbers
2. County* Iredell
3. Highway or Street Arey Rd
Address * Street narre only is acceptable if no address number assigned yet
4. City or Township* Statesville
5. State * NC
6. Zip Code * 28677
7. Latitude * Enter the latitude in decimal degrees
35.7478
8. Longitude* Enter the longitude in decimal degrees (M. ST be negative)
-80.9119
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* 11/16/2020
Estimated Construction Project Start Date
10. Date to End* 10/15/2021
Estimated Construction Project End Date
11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521)
Standard Industrial aassification for Developrrent
12. Acres to be 72.00
disturbed* (including off -site borrow and waste areas)
13. Total site area 99.66
(acres) *
14. Post- 25.90
construction (Estirrated)
impervious area
(acres) *
NCC Project NCC-IREDE-2020-Hidden Lakes Phase 6,7,8
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 Back Creek
Wate rbody* %rre of waterbody into which stornwater runoff will discharge
15b. Waterbody 12-108-20-4-2
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 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 * True Homes, 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 * Andrew
If Corporation, enter Faegistered Agent First %rre
3. Last Name* McDonald
It Corporation, enter Pbegistered Agent Last %rre
3b. Title Manager
4. Permitee E-mail amcdonald@truehomesusa.com
Address*
5. Permittee 704-288-7256
Telephone No.*
6. Permittee Mailing Street Address
Address* 2627 Brekonridge Centre Drive
Address Line 2
City State / Frovince / Fbgion
Monroe NC
Fbstal / Zip Code Country
28110-5629 us
Check box if the F Yes
street address the
same as mailing
address
7. Permittee Street
Street Address
Address*
2627 Brekonridge Centre Drive
Address Line 2
City
State / Ftovince / Region
Charlotte
North Carolina
Fbstal / Zip Code
Country
28203
us
8. Type of
Individual
Ownership
C. Site Contact Information
Part C.
Roject Site Contact Information
..............................................................................................................................................................................................................................................................................................................................................................................................
1. Primary Site Andrew
Contact - First
Name *
2. Primary Site McDonald
Contact - Last
Name *
3. Title Manager
4. Site Contact E- amcdonald@truehomesusa.com
mail Address*
5. Site Contact 704-288-7256
Telephone No.*
6. Organization True Homes, LLC
Name
7. Site Contact Street Address
Mailing Address* 2627 Brekonridge Centre Drive
Address Line 2
City
Monroe
Fbstal / Zip Code
28110
8. Consultant Name (Optional)
First and Last nave
9. Consultant E-mail This person will be copied on all correspondence.
10. Consultant
Telephone No.
State / Frovince / Pegion
NC
Country
USA
D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 10/09/2020
Approved *
2. E&SC Plan Project STVLE-2020-029
Number/ID * Assigned by agency or local program
3. E&SC Plan
Approved by*
4. Local Program*
f State DEQ Office
r Local Program
Iredell 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 LOAM Hidden Lakes Ph 6-8 10-9-20 scan.pdf 178.88KB
Approval letter or Mast beRDFformat
Grading Permit
6. Site Location Map Mast be RDFfornat (lint 20 NB)
Rease do not upload entire set of E&SC plans.
7. Notes (Optional) Ffovide any additional information that night help the reviewer better understand how uploaded documents support
the application. Include additional w aterbodies for linear projects if necessary.
8. NOI Certification 00775 - eNO1_signed.pdf 698.12KB
Form Mast be RDFfon-rat
This is an Express F 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 Article; or who knowingly makes a false statement
of a material fact in a rulemaking proceeding or contested case under this 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 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
AAIP�Ovl444t AIA-L-P
Type Name* Andrew McDonald
Title Manager
Organization Legally Ibsponsible Entity
True Homes, LLC
Date * 11 /06/2020
F. Tracking and COC Info
NOI Tracking No. 35298
NC Reference No.
NCG01-2020-5139
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC205139
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5139
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. NCC205139-2020
Invoice Due Date 12/9/2020
Initial Fee $ 100.00
Invoice Status OPEN