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HomeMy WebLinkAboutNCC214839_NOI Application_20210830Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 8/24/2021 10:35:50 AM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 8/24/2021 11:00:49 AM (Review- Construction NOI 62812) • The task was assigned to Broussard, Brooklyn C by round robin distribution 8/24/2021 10:36 AM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 26, 2021 5:00 PM 8/24/2021 10:36 AM Submit by Miller, Ariyelle L 8/30/2021 10:32:03 AM (Payment Verification for NCC214839) * Trask Land Company • Miller, Ariyelle L assigned the task to Miller, Ariyelle L 8/30/2021 10:31 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 5, 2021 5:00 PM 8/24/2021 11:01 AM .• 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 * Blake Farm 1 b. Specific Lot This field nay be used to list specifc lot nunbers. Numbers 1 c. Parcel ID List all Rus associated w ith this project. Number(s) (PIN) 3271-31-5757-0000 2. County* Pender 3. Highway or Street Blake Farm Blvd Address* Street name only is acceptable if no address nunber assigned yet 4. Cityor Township* Wilmington 5. State * NC 6. Zip Code* 28411 7. Latitude* Enter the latitude in decinal degrees 34.3240 8. Longitude * Enter the longitude in decinal degrees (MJSTbe negative) -77.7610 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* 09/01/2020 Estir ated Construction Project Start Rate 10. Date to End * 12/30/2022 Estinated Construction Project End Cate 11. SIC (Primary)* Residential, Other than SFE (1522) Standard Industrial aassification for Development 12. Acres to be 22.80 disturbed* (including off -site borrow and waste areas) 13. Total site area 59.17 (acres) * 14. Post- 13.68 construction (Estimated) impervious area (acres) * Project Tracking ID NCC-PENDE-2020-Blake Farm 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 UT Futch Creek Waterbody* Narreof waterbody into which stormwater runoff will discharge 15b. Waterbody 18-87-19 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 * Trask Land Company 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 * Raiford G. IF Corporation, enter Faegistered Agent First %rre 3. Last Name* Trask, III It Corporation, enter Pbegistered Agent Last %rre 3b. Title President 4. Permitee E-mail raiford@trasklandco.com Address* 5. Permittee 910-799-8755 Telephone No.* 6. Permittee Mailing Street Address Address* 1051 Military Cutoff Rd Suite 210 Address Line 2 City State / Frovince / Fbgion Wilmington NC 28405 NEW HANOVER Fbstal / Zip Code Country 28405 United States Check box if the V Yes street address the same as mailing address 7. Permittee Street Street Address Address* 1051 Military Cutoff Rd Suite 210 Address Line 2 City State / Frovince / Faegion Wilmington NC 28405 NEW HANOVER Fbstal / Zip Code Country 28405 United States 8. Type of Ojvnership is only individual if an individual is naned in B.1. above. Ownership* Non -Government C. Site Contact Information Part C. Roject Site Contact Inforrration .................................................................................................................................................................................................... 1. Primary Site Raiford G. Contact - First Name * 2. Primary Site Trask, III Contact - Last Name * 3. Title President 4. Site Contact E- raiford@trasklandco.com mail Address* 5. Site Contact 910-799-8755 Telephone No. 6. Organization Trask Land Company Name 7. Site Contact Street Address Mailing Address* 1051 Military Cutoff Rd Suite 210 Address Line 2 city Wilmington NC 28405 Postal / Zip Code 28405 8. Consultant Name (Optional) Mark Hargrove First and Last nacre 9. Consultant E-mail mark@portcityeng.com This person will be copied on all correspondence. 10. Consultant 910-599-1744 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) marcela@trasklandco.com Default is legally responsible person e-rrail 12. Billing (For Annual Fee correspondence) Telephone 910-799-8755 Default is legally responsible person telephone State / Province / Region NEW HANOVER Country United States D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 09/28/2020 Approved * 2. E&SC Plan Project PENDE-2020-010 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 * Wilmington (WiRO) 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 BFTH-BFB DEQ Erosion Control APPROVAL Approval letter or 290.44KB 9.28.2020.pdf Grading Permit Mast be FCFforrrat 6. Site Location Map Mist be RDFforrrat (lint 20 NB) BFTH-BFB vicinity map.pdf 623.72KB 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 BFTH-BFB DEQ NCG01 Notice of Intent Certification Form 377.16KB Form.pdf Mast be FCFfon-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 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 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:* IT 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 W �• T �' p/ Type Name * Raiford G. Trask, III Title President Organization Legally Responsible Entity Trask Land Company Date * 08/24/2021 F. Tracking and COC Info NOI Tracking No. 62812 NC Reference No. NCG01-2021-4839 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC214839 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 4839 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. NCC214839-2021 Invoice Due Date 9/23/2021 Initial Fee $ 100.00 Invoice Status OPEN