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HomeMy WebLinkAboutNCC224076_NOI Signed Certification_20221212NCG01 Notice of Intent IN0I) Certification form Direclfoni; Print ihK farm campllNe. scars and upload to the ek(!Uonic NOI Men, marl the oftgirwW lotrn Lo the NC DEMIR'Aorm,rraIer Program Ivalh S1Wchetr,f payrrq by Check) at. DWMAM of Ertiefgyr &%ner*I lL L nd ResOurLit l3termwater Prrrgrim sl2 4 Salli%buly Streel, 6- FIDW IOffiCe 640KI 1612 Mail Serwltf% Ceriter rfslergh, MC 27699-1612 DO NOT MAIL T►It3 FORRA OR PAYMFNT LIRML YO UIM APFUCATK)h HAS SEEN ACUrro AS C01rt tME THI FORM YOU IrAA1L MII DUST W COlh i TED W[TH AN 040111MAL SIGNATUIME INOT 04CWTAL) 140 C F R 122-22) ltr NC General Sralofr 7a1-215 as N Orly prr3on wfFo l<nomnek males ony false sIarer"nf- re1Fe0enrofmU . ar fErnfiC01'011 rtr a►fy u,pplrraf10nr rfrorOr lrePOCl, plOn. Or0"T-F doctlMent fr1edOr requirrd IabrrrrouafarnedU rCW5 Arfirle or O rIng rhr'5 AniOr shol+ be gtnlrp of o noss 2 mosderrreongr whKh AVY rrk11.4111- a [Ime A01r fa excee+dZen ItFousonddedlorS (S]QWV0. Under penalty of law, I tr~rtify that {checit all bones to IndPeAteymm agveerrrent) Pel I am the periorr rfsper+sible for Ine tCnStruCl6on &(Ityttre; or Ihi5 prayed, for iitisfving the requrfernt-nts -of this permit, and foF any rfvil ar irrminal pCnm[irrs rr(ufre0 Out I viplatii�ryS of thrx per rrrrt, ❑we Thin inlorimilion ski 6 Pitted m IhrS HOi is t01he bef.1 01 rttyr 4nowledt(I ,krill brkirl. IrU , acrurbl.e. and romplele based 041 My Inquiry of the person or Derson; wha manage One fysti!rn. or those persons drre{tN responsible for gaEher ing thr Informat i-on El I will . ddf by all conditions or the Nc5oL DCM Ger+eril Prrmrt and the appraV@4 EFq%han and sediment Control Rlion Q II 1hr aPpraved Eration arwj Se6ment Contral Plan rS not Compuarr# wrt'h girl II IStOrrrlwater Podution Plurventran P1an}of the KCGO j OpDU General PCrmrt, 1 Wrll no net heleis enilufe thatao condniofu of part Il of [he Perm II ire freer on the project al all ernes. Q I hereby requesl Coverage wardef the NCG01d00D GtnPfall Peninii And Untlerixand Ihal cover -age un-der th4s permrl wdl ton5t-lrrle tt* per rml mquirernents for the d,scharge1sl an-d rs enforceaole in the 4amit manner a4 an 10dIVICILMl perr,d Prolecl Name Imusr rrrOlch A101 Aivers Edge Fafms, PhaSO 2 5pecIIrc I.DI NUmbers f must morfh AIb) 32- 55 P�rmrlfee ferrule rrroft�i l�lM RakeSlraw Investment Company, Inc, Lep My FIewws4ble PeFlaa Imulf rrr01ih 82 ,31 Charles Rakuslraw Title oll' L #Il "5ponuble Person Irnusf mate 03b - Managing Member Flame & Tit It of Signed if Author-ted individual 011leri rrom Lawny Reswri-,,bic 1>erso1 phone hlumhef -3•552-6d02 UL:L,4* j< (ZC_A-eA��� '2f7r22 Signalure nl! Legak r eSPOMA* Demon fm AUlharrtrd Ilydividuall Dile Ar~+ PMrAArrNorE- rhr {mere muff Or sWe4 &k a response" rae.[ Wale a firer fhof owns of op+e'fafel rrwr ca mtructron "Erw[v. wh as a pp-esia�rrr, severaryr, trrasr,rrr, or vice Ori sldenE or mpn;ryfr #hpI lS PafiFprirrd u+ occrafda+(-r wrIpp P-r aV section 8. eaten f6l Of rhr NlrWtO=pr"vi+r