Loading...
HomeMy WebLinkAboutNCC214297_NOI Application_20210727Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 7/26/2021 10:54:28 AM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 7/26/2021 11:11:30 AM (Review- Construction NOI 59885) • The task was assigned to Broussard, Brooklyn C by round robin distribution 7/26/2021 10:55 AM • The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 28, 2021 5:00 PM. The priority is: High 7/26/2021 10:55 AM Submit by Selkane, Aziza 7/27/2021 8:30:36 AM (Payment Verification for NCC214297) * Panayioti Tsipianitis • Selkane, Aziza assigned the task to Selkane, Aziza 7/27/2021 8:29 AM • The task was assigned to DEMLR NCG01 Payment Team. The due date is: September 6, 2021 5:00 PM. The priority is: High 7/26/2021 11:12 AM .• SThF� '; 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 59766 NOI No. Prior Reviewer Brooklyn Broussard Name 1a. Project Name * 401 Assemlage - Section 1 1 b. Specific Lot This field may be used to list specffc lot numbers. Numbers 1 c. Parcel ID List all R% associated w ith this project. Number(s) (PIN) 0699283995, 0790301714, 0790403331, 0790417331, 0790301714, 079040331, 0790417331, 0790417331, 0790403331, 0699283995, 0790301714 2. County* Wake 3. Highway or Street Fayetteville Rd Address* Street name only is acceptable if no address number assigned yet 4.CityorTownship* Garner 5. State * NC 6. Zip Code * 27603 7. Latitude* Enter the latitude in decimal degrees 35.6711 8. Longitude * Enter the longitude in decimal degrees (M-STbe negative) -78.6914 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* 07/26/2021 Estimated Construction Project Start Rate 10. Date to End* 07/26/2023 Estimated Construction Project End Cate 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Development 12. Acres to be 156.00 disturbed* (including off -site borrow and waste areas) 13. Total site area 156.00 (acres) * 14. Post- 42.95 construction (Estimated) impervious area (acres) * Project Tracking ID NCC-WAKE-2021-401 Assemlage - Section 1 Assigned automatically (not used) 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 Swift Creek Waterbody* Narreof waterbody into which stormwater runoff will discharge 15b. Waterbody 27-43-(1) Index No. * NCWaterbody Index Number Stormwater V 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 * RST Development, LLC IF 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 * Scott If Corporation, enter Faegistered Agent First Wre 3. Last Name* Copeland IF Corporation, enter F;bgistered Agent Last %rre 3b. Title Principal 4. Permitee E-mail scott@rstdevelopment.com Address* 5. Permittee 3018164243 Telephone No.* 6. Permittee Mailing Street Address Address* 168 Business Park Drive Address Line 2 Suite 200 Cty Virginia Beach Fbstal / Zip Code 23462-6532 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 168 Business Park Drive Address Line 2 Suite 200 city Virginia Beach Fbstal / Zip Code 23462-6532 State / Ffovince / Fbgion VA Country us State / Ftovince / Region VA Country us 8. Type of Ownership is only individual if an individual is naned in B.1. above. Ownership* Non -Government C. Site Contact Information Part C. Project Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site John Contact - First Name * 2. Primary Site Thompson Contact - Last Name * 3. Title Head Superintendent 4. Site Contact E- jhompson@rstdevelopment.com mail Address* 5. Site Contact 9196224163 Telephone No. 6. Organization RST Development Name 7. Site Contact Street Address Mailing Address* 168 Business Park Drive Address Line 2 Suite 200 city Virginia Beach Postal / Zip Code 23462-6532 8. Consultant Name (Optional) Panayioti Tsipianitis First and Last narre 9. Consultant E-mail pt@rstdevelopment.com This person will be copied on all correspondence. 10. Consultant 3015693572 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) invoices@rstdevelopment.com Default is legally responsible person e-rrail 12. Billing (For Annual Fee correspondence) Telephone 2024980317 Default is legally responsible person telephone State / Province / Region VA Country us D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 07/16/2021 Approved * 2. E&SC Plan Project SEC-060306-2021 Number/ID * Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by* r Local Program 4. Local Program* Wake County Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a complete application. Please also upload a site map showing the overall extent of the project (for linear projects, can include the beginning point and end point coordinates in the "Notes" box below). 5. E&SC Plan SEC-060306-2021_Approval- Approval letter or 287.88KB S&EConstruction Plan ReviewChecklist_7-16-21. pdf Grading Permit Mast be FDFfon-rat 6. Site Location Map Mist be RDFforrral (lint 20 [vB) Vicinity Map.pdf 249.71 KB Rease do not upload entire set of E&SC plans. 7. Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded docurrents support the application. Include additional waterbodies if necessary. 8. NOI Certification 401 - NOI Certification Form 401 Assemlage - Form 474.48KB Section 1.pdf Mast be FCFfon-rat This is an Express f No Review Project* F 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 Legally Responsible Person named on this Notice of Intent f Authorized Responsible Person' (signing on behalf of Legally Responsible Person named in Part B) 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 '��LL Type Name* Scott Copeland ale Principal Organization Legally Ibsponsible Entity RST Development, LLC 07/26/2021 F. Tracking and COC Info NOI Tracking No. 59885 NC Reference No. NCG01-2021-4297 Uses 'count_nurber' variable (increrrented by SP) Certificate of NCC214297 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 4297 Sequential nurrber for subrrittal that is incremented by Stored Frocedure COC Year 2021 Year of date reviewed (used to assign YY digits after "NOC' in COCno.) Initial Invoice No. NCC214297-2021 Invoice Due Date 8/25/2021 Initial Fee $ 100.00 Invoice Status OPEN