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HomeMy WebLinkAboutNCC231377_NOI Application_20230510 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 5/8/2023 10:41:47 AM (NCG01 NOI Submission) Approve by Brooklyn.Broussard 5/10/2023 6:43:10 AM (Review-NOI 140361 Offsite Stormwater and Highway Drainage Canal) • The task was assigned to DEMLR NCG01 NOI Review Team.The due date is: May 11,2023 5:00 PM 5/8/2023 10:41:58 AM • The task was assigned to Brooklyn.Broussard by round robin distribution 5/8/2023 10:41:58 AM Submit by Tev.Holloman 5/10/2023 10:50:35 AM (Payment Verification for NCC231377) 0 Jeffrey C Furness • The task was assigned to DEMLR NCG01 Payment Team.The due date is:June 21,2023 5:00 PM 5/10/2023 6:43:27 AM • Tev.Holloman assigned the task to Tev.Holloman 5/10/2023 10:49:51 AM applicationConstruction Stormwater: Notice of Intent (NOI) National Pollutant Discharge Elimination System(NPDES) General Permit 1 OOOO:STORMWATER DISCHARGES associated with construction activities NORTH CAROUNA Environmental Quality A. Project Information Part A. Project Location and Waterbody Information ................................................................................................................................................................................................................................................................................................................................................................................................... Are you submitting an NOI that was rejected before? No Yes 1a. Project Name* Offsite Stormwater and Highway Drainage Canal 1b.Specific Lot Numbers This field may be used to list specifc lot numbers. 1c.Parcel ID Number(s)(PIN) List all PINs associated with this project. 14010553; 15000556; 14021035; 14011429; 14001382; 14023989; 14023992; 14014550; 14017797; 14032905; 14011535; 14002173; 14001143; 14009738; 14021097; 14006358; 14018361; 14017814 2.County* Beaufort 3.Highway or Street Address* Along Highway NC 33 Street name only is acceptable if no address number assigned yet 4.City or Township* Aurora(Richlands Township) 5.State* NC 6.Zip Code* 27806 7. Latitude* Enter the latitude in decimal degrees 35.2990 8. Longitude* Enter the longitude in decimal degrees(MUST be negative) -76.8360 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* 05/15/2023 Estimated Construction Project Start Date 10. Date to End* 10/02/2023 Estimated Construction Project End Date 11.SIC(Primary)* Industrial(1541) Standard Industrial Classification for Development 12.Acres to be 16.10 disturbed* (including off-site borrow and waste areas) 13.Total site area 20.00 (acres)* 14. Post-construction 0.00 impervious area (Estimated) (acres)* Project Tracking ID NCC-B EAU F-2023-Offsite Stormwater and Highway Drainage Canal 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 Waterbody* Bailey Creek Name of waterbody into which stormwater runoff will discharge 15b.Waterbody Index No.* 29-28-6-(1) NC Waterbody Index Number Stormwater discharges will flow to additional waters* No Yes 16a.Is this project subject to the NC Sediment Pollution Control Act?* Yes No, not subject to NC SPCA 17. Is this project funded with ARPA(American Rescue Plan Act)grant funds? No Yes This question was added to the eNOI on 1/26/2023 and will not be answered in applications submitted prior to that date.Reviewer may update if status is known. 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 NCG010000 General Permit. For more information on signatory requirements,see Part IV,Section B, Item(6)of that permit. 1. Permittee* Legally Responsible Entity PCS Phosphate Company, Inc. 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* William If Corporation,enter Registered Agent First Name 3. Last Name* Ponton If Corporation,enter Registered Agent Last Name 3b.Title General Manager 4. Permitee E-mail william.ponton@nutrien.com Address* 5. Permittee 252-322-4111 Telephone No.* 6. Permittee Mailing Street Address Address* 1530 NC Hwy 306 S Address Line 2 City State/Province/Region Aurora NC Postal/Zip Code Country 27806-9245 us Check box if the Yes street address the same as mailing address 7. Permittee Street Street Address Address* 1530 NC Hwy 306 S Address Line 2 City State/Province/Region Aurora NC Postal/Zip Code Country 27806-9245 us 8.Type of Ownership is only individual if an individual is named in B.1.above. Ownership* Non-Government C. Site Contact Information Part C. Project Site Contact Information ......................................................................................... 1. Primary Site Jeff Contact-First Name* 2. Primary Site Furness Contact-Last Name* 3.Title Sr. Environmental Scientist 4.Site Contact E-mail jeff.furness@nutrien.com Address* 5.Site Contact 252-714-6934 Telephone No.* 6.Organization Name PCS Phosphate Company, Inc. 7.Site Contact Street Address Mailing Address* 1530 NC Hwy 306 S Address Line 2 City State/Province/Region Aurora NC Postal/Zip Code Country 27806-9245 us 8.Consultant Name (Optional) Robert"Pete"Chiles, P.E. First and Last name 9.Consultant E-mail pete@chilesengineering.com This person will be copied on all correspondence. 10.Consultant 252-637-4702 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) jeff.furness@nutrien.com Default is legally responsible person e-mail 12. Billing Telephone (For Annual Fee correspondence) 252-322-4111 Default is legally responsible person telephone D. E&SC Plan Part D. Erosion&Sediment Control(E&SC)Plan Approval Information ...................................................................................................................................................................... 1. Date E&SC Plan 04/28/2023 Approved* 2. E&SC Plan Project BEAUF-2023-016 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 Beauf-2023-016 Offsite Stormwater&Highway Approval letter or 1.47MB Drainage Canal-04282023.pdf Grading Permit Must be PDF format 6.Signed FRO Financial Responsibility/Ownership Form FRO Offsite Stormwater&Highway Drainage Canal 1.84M6 PCS Phosphate.pdf Must be PDF format 7.Site Location Map Must be PDF format(limit 20 MB) Vicinity Map Offsite Stormwater&Highway Drainage 1.92MB Canal PCS Phosphate.pdf 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 NCG01 NOI Cert Form_Signed.pdf 76.12KB Form Must be PDF format This is an Express No Review Project* Yes E. Certification North Carolina General Statute 143-215.613(1)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 wYl?lor ` artar Type Name* William Ponton Title General Manager Organization Legally Responsible Entity PCS Phosphate Co. Inc. Date* 05/08/2023 F. Tracking and COC Info NOI Tracking No. 140361 NC Reference No. NCG01-2023-1377 Indicates NCG01 or NCG25.Uses NOI number until approved,then uses NUMBER incremented by SP(passed from workflow if eNOI approved) Certificate of NCC231377 Coverage(COC)No.* Uses NOI number until approved,then uses NUMBER incremented by SP(formatted and passed from workflow if eNOI approved) Initial Invoice No. NCC231377-2023 Invoice Due Date 6/9/2023 Initial Fee $ 100.00 Invoice Status OPEN