NCC231878_NOI Application_20230623

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/15/2023 12:28:12 PM (NCG01 NOI Submission)
Approve by Brooklyn.Broussard 6/16/2023 6:40:18 AM (Review-NOI 145830 Triangle Innovation Point Water and
Sewer Improvements)
• The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:June 20,2023 5:00 PM.
The priority is: High 6/15/2023 12:28:27 PM
• The task was assigned to Brooklyn.Broussard by round robin distribution 6/15/2023 12:28:27 PM
Submit by Tev.Holloman 6/23/2023 10:59:36 AM (Payment Verification for NCC231878)
•Gerald Cox
• The task was assigned to DEMLR NCG01 Payment Team.The due date is:July 28,2023 5:00 PM.The
priority is: High 6/16/2023 6:40:33 AM
• Tev.Holloman assigned the task to Tev.Holloman 6/23/2023 10:58:19 AM

applicationConstruction Stormwater: Notice of Intent (NOI)
National Pollutant Discharge Elimination System(NPDES)
General Permit 1 OOOO:STORMWATER DISCHARGES associated with construction activities
N O RTH CAROUNA
Environmental Quality
A. Project Information
Part A.
Project Location and Waterbody Information
...................................................................................................................................................................................................................................................................................................................................................................................................
Are you submitting an NOI that was rejected before?
No
Yes
Previous Rejected NOI No.
145690
Prior Reviewer Name
Brooklyn Broussard
1a. Project Name*
Triangle Innovation Point Water and Sewer Improvements
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.
11322
70465
9645-96-8271-00
9645-96-2489-00
9655-17-5271-00
11325
78041
68839
11417
11503
5753
9655-48-4471-00
9645-06-6455-00
11569
11380
11237
11319
9655-48-7394-00
63233
68605
87884
80538
11441
11575
11576
11179

VVYVJ
63929
78285
9685-82-8319-00
5329
5175
5176
5177
5636
5763
72106
5750
64665
5749
94689
9684-79-0112-00
9685-76-8443-00
62396
62402
62400
62351
11572
11573
11515
11429
78290
9656-40-4064-00
11482
62869
5156
5174
68062
68502
11326
11516
11379
5314
9677-29-3728-00
5449
94242
11460
9655-58-7870-00
11558
9695-23-4557-00
11442
11555
11323
11448
11340
11324
5758
69351
69354
5767
9645-23-6112-00
11346
5182
60217
9635-94-9766-00
9645-42-9257-00
9645-02-8268-00
9645-33-9397-00

9645-76-8196-00
9655-38-2580-00
62655
73269
11554
11312
62643
76959
11533
11301
11479
5169
65761
11556
81196
9685-82-0142-00
11524
11468
62651
5752
63723
9677-38-6413-00
5155
62657
11447
11559
11529
62647
11321
62873
9635-55-6564-00
9635-52-0909-00
9645-15-5975-00
74187
74188
11519
11521
11327
11328
65759
68065
11523
9645-25-5337-00
5152
60449
9685-70-0074-00
11416
5140
70607
11570
11419
61961
5138
5156
5169
5174
5179
5636
5751
5761
5767

624UU
63233
63723
63820
64665
65761
68062
68502
70608
72607
72608
78682
84509
94689
11179
11237
11258
11294
11318
11319
11340
11350
11373
11374
11375
11377
11379
11416
11429
11460
11468
11479
11515
11516
11519
11521
11523
11524
11529
11530
11533
11554
11555
11556
11558
11559
11569
11571
11572
11573
60217
61961
61969
62647
62651
62655
62657
64809
73269
76481
77635
7R?R..5

78290
81196
87884
94242
64809
61969
62650
11375
9684-69-2235-00
9635-44-7290-00
80542
85396
80541
11258
87879
5183
5153
9655-27-6510-00
11373
11350
77635
11446
9635-72-7663-00
11294
11374
5310
67668
5194
5179
67641
5761
5180
5138
11318
9685-92-4686-00
2.County*
Lee
3. Highway or Street Address*
Old US 1 /Corinth Road
Street name only is acceptable if no address number assigned yet
4.City or Township*
Sanford
5.State* NC
6.Zip Code* 27330
7. Latitude* Enter the latitude in decimal degrees
35.6152
8. Longitude* Enter the longitude in decimal degrees(MUST be negative)
-79.0479
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* 06/19/2023
Estimated Construction Project Start Date

10. Date to End* 06/30/2026
Estimated Construction Project End Date
11.SIC(Primary)*
Other(9999)
Standard Industrial Classification for Development
12.Acres to be 144.00
disturbed* (including off-site borrow and waste areas)
13.Total site area 144.00
(acres)*
14. Post-construction 0.36
impervious area (Estimated)
(acres)*
Project Tracking ID NCC-LEE-2023-Triangle Innovation Point Water and Sewer
Improvements
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*
Cape Fear River
Name of waterbody into which stormwater runoff will discharge
15b.Waterbody Index No.
18-(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.
18.ARPA Project Number
Project number assigned by Division of Water Infrastructure(e.g.,SRP-D-ARP-0090)
SRP-D-ARP-0286
CONFIRMED ARPA Project Number
REVIEWER:Confirm DWI Assigned ARPA Project No.(Revise if necessary)
SRP-D-ARP-0286

19.Letter of Intent to Fund(LOIF)ARPA Project
Please upload the Letter of Intent to Fund provided by the N.C.Division of Water Infrastructure(DWI)for this project that references the assigned ARPA
Project number.
2023-02-15_L_NCDEQ to Sanford_D-ARP-0286_LOIF_230214.pdf 824.41 KB
Must be PDF format

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
City of Sanford
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* Hal
If Corporation,enter Registered Agent First Name
3. Last Name* Hegwer
If Corporation,enter Registered Agent Last Name
3b.Title City Manager
4. Permitee E-mail Address*
[e-mail]
5. Permittee Telephone No.*
919-777-1112
6. Permittee Mailing Address*
Street Address
225 East Weatherspoon Street
Address Line 2
City State/Province/Region
Sanford NC
Postal/Zip Code Country
27330-3643 us
Check box if the street address the same as mailing address
Yes
7. Permittee Street Address*
Street Address
225 East Weatherspoon Street
Address Line 2
City State/Province/Region
Sanford NC
Postal/Zip Code Country
27330-3643 us

B.Type of Ownership*
Ownership is only individual if an individual is named in B.1.above.
Government-Municipal

C. Site Contact Information
Part C.
Project Site Contact Information
................................................................................................................................................................................................................................................................................................................................................................................................
1. Primary Site Contact-First Name*
Bryon
2. Primary Site Contact-Last Name*
Brown
3.Title
Project Manager
4.Site Contact E-mail Address*
[e-mail]
5.Site Contact Telephone No.*
919-427-7925
6.Organization Name
Garvey Construction
7.Site Contact Mailing Address*
Street Address
7312 Vanclaybon Road
Address Line 2
City State/Province/Region
Apex NC
Postal/Zip Code Country
27523-4161 US
8.Consultant Name
(Optional)
Emily Brown
First and Last name
9.Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10.Consultant Telephone No.
919-582-5852
11. Billing E-mail
(For Annual Fee correspondence)
[e-mail]
Default is legally responsible person e-mail
12. Billing Telephone
(For Annual Fee correspondence)
919-777-1112
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 03/31/2023
Approved*
2. E&SC Plan Project LEE-2023-601
Number/ID* Assigned by agency or local program
3. E&SC Plan State DEQ Office
Approved by* Local Program
4.State DEQ Office* Raleigh (RRO)
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 LEE-2023-601_20230331_LOA.pdf 772.55KB
Approval letter or Must be PDF format
Grading Permit
6.Signed FRO Financial Responsibility/Ownership Form
4. Updated and Signed FRO.pdf 1.33MB
Must be PDF format
7.Site Location Map Must be PDF format(limit 20 MB)
Combined Covers and Key Maps.pdf 2.19MB
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 Intent Certification Form-TIP.pdf 435.73KB
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
Type Name* Hal Hegwer
Title City Manager
Organization Legally Responsible Entity
City of Sanford
Date* 06/15/2023

F. Tracking and COC Info
NOI Tracking No. 145830
NC Reference No. NCG01-2023-1878
Indicates NCG01 or NCG25.Uses NOI number until approved,then uses NUMBER incremented by SIP(passed
from workflow if eNOI approved)
Certificate of NCC231878
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. NCC231878-2023
Invoice Due Date 7/16/2023
Initial Fee $ 100.00
Invoice Status OPEN