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HomeMy WebLinkAboutNCC215114_NOI Application_20210927Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 9/9/2021 12:16:50 PM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 9/9/2021 10:17:52 PM (Review- Construction NOI 64498) • The task was assigned to Broussard, Brooklyn C by round robin distribution 9/9/2021 12:17 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 13, 2021 5:00 PM 9/9/2021 12:17 PM Submit by Selkane, Aziza 9/27/2021 11:08:22 AM (Payment Verification for NCC215114) * CP Brunswick LLC • Selkane, Aziza assigned the task to Selkane, Aziza 9/27/2021 11:07 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 21, 2021 5:00 PM 9/9/2021 10:19 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 * Compass Pointe Phase 16 and Phase 17 Sections 2-5 1 b. Specific Lot This field may be used to list specifc lot numbers. Numbers 1-51, 43-158 1 c. Parcel ID List all R% associated w ith this project. Number(s) (PIN) 0220000505 2. County* Brunswick 3. Highway or Street Oak Abbey Trail NE Address* Street name only is acceptable if no address number assigned yet 4. City or Township* Leland 5. State * NC 6. Zip Code* 28451 7. Latitude* Enter the latitude in decimal degrees 34.2740 8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative) -78.1030 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* 08/05/2021 Estimated Construction Project Start Rate 10. Date to End* 08/31/2021 Estinated Construction Project End Cate 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial Oassification for Development 12. Acres to be 56.59 disturbed* (including off -site borrow and waste areas) 13. Total site area 56.59 (acres) * 14. Post- 33.07 construction (Estimated) impervious area (acres) * Project Tracking ID NCC-BRUNS-2021-Compass Pointe Phase 16 and Phase 17 Sections 2-5 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 Alligator Branch Waterbody* Name of waterbody into which stormwater runoff will discharge 15b. Waterbody 18-66-4 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 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 CP Brunswick, LLC It 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 * Greta If Corporation, enter Faegistered Agent First %rre 3. Last Name* Harrelson It Corporation, enter F;bgistered Agent Last %rre 3b. Title President 4. Permitee E-mail gharrelson@cpbrunsWck.com Address* 5. Permittee 910-392-9325 Telephone No.* 6. Permittee Mailing Street Address Address* 115 North 3rd Street Address Line 2 Suite 300 Cty Wilmington Fbstal / Zip Code 28401-4076 Check box if the street address the same as mailing address 7. Permittee Street Address* V Yes Street Address 115 North 3rd Street Address Line 2 Suite 300 city Wilmington Fbstal / Zip Code 28401-4076 State / Ffovince / Fbgion NC Country us State / Frovince / Region NC 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. Roject Site Contact Inforrration ........................................................................................................................................................................................................................................................................... 1. Primary Site Greta Contact - First Name * 2. Primary Site Harrelson Contact - Last Name * 3. Title President 4. Site Contact E- gharrelson@cpbrunsWck.com mail Address* 5. Site Contact 910-392-9325 Telephone No.* 6. Organization CP Brunswick, LLC Name 7. Site Contact Street Address Mailing Address* 115 North 3rd Street Address Line 2 Suite 300 City State / Rovince / Region Wilmington NC Fbstal / Zip Code Country 28401-4076 us 8. Consultant Name (Optional) Michael House First and Last nacre 9. Consultant E-mail michael.house@capefearengineering.com This person will be copied on all correspondence. 10. Consultant 910-383-1044 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) gharrelson@cpbrunsuvick.com Default is legally responsible person e-rrail 12. Billing (For Annual Fee correspondence) Telephone 910-392-9325 Default is legally responsible person telephone D. E&SC Plan Part D. ^ Erosion & Sediment Control (E&SC) Ran Approval Information ...................................................................................................................................................................................................................................................................................................................................... 1. Date E&SC Plan 08/05/2021 Approved * 2. E&SC Plan Project BRUNS-2016-029 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 BRUNS-2016-029 Approval Revised 8-5-2021.pdf 308.62KB Approval letter or Mast beRDFformat Grading Permit 6. Signed FRO Financial Pesponsibility/Ownership Form Mast be RDFfornat 7. Site Location Map Wst be RDFforrret (lint 201VB) SiteLocationMap.pdf 11.42MB Rease do not upload entire set of E&SC plans. 8. Notes (Optional) Provide 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 phases 16 17.pdf 727.67KB 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 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 Type Name * Greta Harrelson Title President Organization Legally Responsible Entity CP Brunswick Date * 09/09/2021 F. Tracking and COC Info NOI Tracking No. 64498 NC Reference No. NCG01-2021-5114 Uses 'count_nurrber' variable (increrrented by SP) Certificate of NCC215114 Coverage (COC) Uses 'count_nurrber' variable (increrrented by SP) No.* Count Number 5114 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. NCC215114-2021 Invoice Due Date 10/9/2021 Initial Fee $ 100.00 Invoice Status OPEN