HomeMy WebLinkAboutNCC215275_NOI Application_20210927Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/17/2021 12:34:07 PM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/20/2021 7:34:48 AM (Review- Construction NOI 65105)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/17/2021 12:34 PM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 21, 2021 5:00
PM 9/17/2021 12:34 PM
Submit by Selkane, Aziza 9/27/2021 10:08:50 AM (Payment Verification for NCC215275)
* Andrea Cline
• Selkane, Aziza assigned the task to Selkane, Aziza 9/27/2021 10:07 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 1, 2021 5:00
PM 9/20/2021 7:35 AM
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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 64980
NOI No.
Prior Reviewer Brooklyn Broussard
Name
1a. Project Name * Concord Electrical Operations Center
1 b. Specific Lot This field rray be used to list specifc lot numbers.
Numbers
1 c. Parcel ID List all R% associated w ith this project.
Number(s) (PIN) Cabarrus County Tax PID 55392679940000
2. County* Cabarrus
3. Highway or Street 505 Alfred Brown Jr. Ct, SW
Address* Street name only is acceptable if no address nunber assigned yet
4. CityorTownship* Concord
5. State * NC
6. Zip Code* 28025
7. Latitude* Enter the latitude in decinal degrees
35.3803
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-80.5674
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* 09/20/2021
Estirrated Construction Project Start Date
10. Date to End * 12/30/2022
Estinated Construction Project End Date
11. SIC (Primary)* Industrial (1541)
Standard Industrial aassification for Development
12. Acres to be 13.84
disturbed* (including off -site borrow and waste areas)
13. Total site area 16.59
(acres) *
14. Post- 8.41
construction (Estimated)
impervious area
(acres) *
Project Tracking ID NCC-CABAR-2021-Concord Electrical Operations Center
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 Irish Buffalo Creek
Waterbody* %rreof waterbody into which stormwater runoff will discharge
15b. Waterbody 13-17-9-(2)
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.
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 must 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. Permittee * Legally Pesponsible Entity
City of Concord
IF pernittee is an individual, enter first and last narre in this field. Otherwise, enter organization/business narre.
Note: If the permittee is a business, the business must be 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* Chunn
IF Corporation, enter F;bgistered Agent Last %rre
3b. Title Deputy Director of Electric Systems
4. Permitee E-mail chunns@concordnc.gov
Address*
5. Permittee 704-920-5304
Telephone No.*
6. Permittee Mailing Street Address
Address* PO Box308
Address Line 2
City
Concord
Fbstal / Zip Code
28026-0308
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
F Yes
Street Address
635 Alfred Brown Jr Ct SW
Address Line 2
City
Concord
Fbstal / Zip Code
28025
State / Ffovince / i egion
North Carolina
Country
United States
State / Frovince / Region
North Carolina
Country
United States
8. Type of Ojvnership is only individual if an individual is naned in B.1. above.
Ownership* Government- Municipal
C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Russ
Contact - First
Name *
2. Primary Site
Partin
Contact - Last
Name *
3. Title
Sr. Vice President
4. Site Contact E-
rpartin@metconus.com
mail Address*
5. Site Contact
704-564-8116
Telephone No.
6. Organization
Metcon Inc
Name
7. Site Contact
Street Address
Mailing Address*
2401 Whitehall Park Dr
Address Line 2
Suite 650
city
Charlotte
Postal / Zip Code
28273-3413
8. Consultant Name
(Optional)
First and Last narre
9. Consultant E-mail
This person will be copied on all correspondence.
10. Consultant
Telephone No.
11. Billing E-mail
(For Annual Fee correspondence)
chunns@concordnc.gov
Default is legally responsible person a-rrail
12. Billing
(For Annual Fee correspondence)
Telephone
704-920-5304
Default is legally responsible person telephone
State / Province / Region
NC
Country
us
D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 09/10/2021
Approved *
2. E&SC Plan Project CABAR-2022-012
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 * Mooresville (MRO)
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
COC Ops Center NCDEQ Plan Approval Letter 9-
Approval letter or
10-2021.pdf
2.46MB
Grading Permit
Mist be FDFforrrat
6. Signed FRO
Financial Pesponsibility/Ownership Form
NCDEQ Financial Resposibility-Concord Operations
826.1 KB
Center.pdf
NUst be RDFforrrat
7. Site Location Map
Wst be RDFforrret (lint 201VB)
ESOC Location Map.pdf
791.44KB
Rease do not upload entire set of E&SC plans.
8. Notes (Optional)
Frovide any additional information that night help the reviewer better understand how uploaded docurrents support
the application. Include additional waterbodies if necessary.
9. NOI Certification
NOI ESOC.pdf
15.75MB
Form
Mist be RDFforrret
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 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
Type Name * Scott Chunn
Title Deputy Director of Electric Systems
Organization Legally Plesponsible Entity
City of Concord
Date * 09/17/2021
F. Tracking and COC Info
NOI Tracking No. 65105
NC Reference No.
NCG01-2021-5275
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC215275
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 5275
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. NCC215275-2021
Invoice Due Date 10/20/2021
Initial Fee $ 100.00
Invoice Status OPEN