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HomeMy WebLinkAboutNCC224017_NOI Application_20221208Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 12/2/2022 10:09:43 AM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 12/2/2022 10:16:37 AM (Review - NOI 116110 Adam's Landing) • The task was assigned to Broussard, Brooklyn C by round robin distribution 12/2/2022 10:12 AM • The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: December 7, 2022 5:00 PM. The priority is: High 12/2/2022 10:12 AM by Workflow 12/2/2022 10:16:46 AM (Workflow Start Event) Submit by Holloman, Tevye L 12/8/2022 10:27:35 AM (Payment Verification for NCC224017) F Jodie Hocutt • Holloman, Tevye L assigned the task to Holloman, Tevye L 12/8/2022 10:26 AM • The task was assigned to DEMLR NCG01 Payment Team. The due date is: January 13, 2023 5:00 PM. The priority is: High 12/2/2022 10:16 AM �a NORTH CAROLINA, Enri--tn! C2-1;ly A. Project Information Part A. Project Location and Waterbody Information Are you submitting No an NOI that was • Yes rejected before? Previous Rejected 115762 NOI No. Prior Reviewer Name Brooklyn Broussard la. Project Name* Adam's Landing 1 b. Specific Lot This field may be used to list specifc lot numbers. Numbers 13-23 1 c. Parcel ID List all PINs associated with this project. Number(s) (PIN) 890302673544 2. County* Pasquotank 3. Highway or Street 4501 Lambsberry Circle Address* Street name only is acceptable if no address number assigned yet 4. City or Township* Elizabeth City 5. State* NC 6. Zip Code* 27909 7. Latitude* Enter the latitude in decimal degrees 36.2943 8. Longitude* Enter the longitude in decimal degrees (MUST be negative) -76.2633 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* 01/13/2023 Estimated Construction Project Start Date 10. Date to End* 02/28/2025 Estimated Construction Project End Date 11. SIC (Primary) * Residential, Other than SFE (1522) Standard Industrial Classification for Development 12. Acres to be 5.53 disturbed* (including off -site borrow and waste areas) 13. Total site area 54.20 (acres) * 14. Post -construction 15.77 impervious area (Estimated) (acres)* Project Tracking ID NCC-PASQU-2023-Adam's Landing 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 unnamed tributary at mcmorin street Waterbody * Name of waterbody into which stormwater runoff will discharge 15b. Waterbody Index 30-3-10 No. * NC Waterbody Index Number Stormwater No discharges will flow Yes to additional waters* 16a. Is this project Yes subject to the NC No, not subject to NC SPCA Sediment Pollution Control Act?* B. Permittee Information Part B. Permittee Information - Legally Responsible 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 NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. 1. Permittee* Legally Responsible Entity NVR Inc dba Ryan Homes If permittee is an individual, enter first and last name in this field. Otherwise, enter organization/business name. Note: If the permittee is a business, the business must be registered with the NC Secretary of State. You can verify the registration here. Permittee must be the same entity that is responsible for the land -disturbing activity as listed on the NC SPCA Financial Responsibility/Ownership (FRO) Form. 2. First Name* Greg If Corporation, enter Registered Agent First Name 3. Last Name* Knapp If Corporation, enter Registered Agent Last Name 3b. Title VP of Ryan Homes 4. Permitee E-mail GKnapp@nvrinc.com Address* 5. Permittee 757-905-5280 Telephone No.* 6. Permittee Mailing Street Address Address* 4525 South Blvd Address Line 2 Ste 100 City State / Province / Region Virginia Beach VA Postal / Zip Code Country 23452 us Check box if the Yes street address the same as mailing address 7. Permittee Street Street Address Address* 4525 South Blvd Address Line 2 Ste 100 City State / Province / Region Virginia Beach VA Postal / Zip Code Country 23452 us 8. Type of Ownership is only individual if an individual is named in B.A. above. Ownership* Non -Government C. Site Contact Information Part C. Project Site Contact Information 1. Primary Site Adam Contact - First Name* 2. Primary Site Beck Contact - Last Name* 3. Title Production Manager 4. Site Contact E-mail ABeck@nvrinc.com Address* 5. Site Contact 804-304-5938 Telephone No.* 6. Organization Name NVR Inc dba Ryan Homes 7. Site Contact Street Address Mailing Address* 4525 South Blvd Address Line 2 Ste 100 City Virginia Beach Postal / Zip Code 23452 8. Consultant Name (optional) First and Last name 9. Consultant E-mail This person will be copied on all correspondence. 10. Consultant Telephone No. 11. Billing E-mail (For Annual Fee correspondence) GKnapp@nvrinc.com Default is legally responsible person e-mail 12. Billing Telephone (For Annual Fee correspondence) 757-905-5280 Default is legally responsible person telephone State / Province / Region VA Country us D. E&SC Plan Part D. Erosion & Sediment Control (E&SC) Plan Approval Information 1. Date E&SC Plan 11/22/2022 Approved * 2. E&SC Plan Project Pasqu-2023-006 Number/ID* Assigned by agency or local program 3. E&SC Plan State DEQ Office Approved by* Local Program 4. State DEQ Office* Washington (WaRO) 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 Pasqu-2023-006 Adam's Landing - 11222022.pdf 1.38MB Approval letter or Must be PDF format Grading Permit 6. Signed FRO Financial Responsibility/Ownership Form FRO Signed AL-56P8MN3-2.pdf 378.21 KB Must be PDF format 7. Site Location Map Must be PDF format (limit 20 MB) FRO Site Plan.pdf 11.07MB Please do not upload entire set of E&SC plans. 8. Notes (Optional) Provide any additional information that might help the reviewer better understand how uploaded documents support the application. Include additional waterbodies if necessary. 9. NOI Certification AL ENOI.pdf 510.09KB Form Must be PDF format This is an Express No Review Project* Yes E. Certification North Carolina General Statute 143-215.613 (i) provides that: Any person who knowingly makes any false 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 Article; 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 Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: * 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. * 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. * I will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. * 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:* The Legally Responsible Person named on this Notice of Intent 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* Greg Knapp Title VP of Ryan Homes Organization Legally Responsible Entity NVR inc dba Ryan Homes Date * 12/02/2022 F. Tracking and COC Info NOI Tracking No. 116110 NC Reference No. NCG01-2022-4017 Indicates NCG01 or NCG25. Uses NOI number until approved, then uses NUMBER incremented by SP (passed from workflow if eNOI approved) Certificate of NCC224017 Coverage (COC) No.* Uses NOI number until approved, then uses NUMBER incremented by SIP (formatted and passed from workflow if eNOI approved) Initial Invoice No. NCC224017-2022 Invoice Due Date 1/1/2023 Initial Fee $ 100.00 Invoice Status OPEN