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HomeMy WebLinkAboutNCC232393_NOI Application_20230809 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 8/8/2023 2:50:28 PM(NCG01 NOI Submission) Approve by Brooklyn.Broussard 8/9/2023 7:04:11 AM (Review-NOI 154293 Meares Bluff Plantation-Phase 4(Lot Dev.)) • The task was assigned to DEMLR NCG01 NOI Review Team.The due date is:August 11,2023 5:00 PM 8/8/2023 2:50:37 PM • The task was assigned to Brooklyn.Broussard by round robin distribution 8/8/2023 2:50:37 PM Submit by Tev.Holloman 8/9/2023 2:39:01 PM(Payment Verification for NCC232393) 0 CE2 LLC • The task was assigned to DEMLR NCG01 Payment Team.The due date is:September 20,2023 5:00 PM 8/9/2023 7:04:27 AM • Tev.Holloman assigned the task to Tev.Holloman 8/9/2023 2:37:46 PM 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* Meares Bluff Plantation-Phase 4(Lot Dev.) 1b.Specific Lot Numbers This field may be used to list specifc lot numbers. 42-73,195-217,219,220 1c. Parcel ID Number(s)(PIN) List all PINs associated with this project. 3611240710 3611241626 3611243832 3611245741 3611243427 3611245454 3611246317 3611246267 3611247272 3611248195 3611340007 3611330997 3611331866 3611333628 3611334557 3611335349 3611335148 3611324989 3611323866 3611322780 3611321554 3611229380 3611226474 3611227775 3611224862 3611223983 3611233013 3611232143 3611231274 3611235524 3611236622 3611236795 3611237685 3611238584 3611237448 3611236385 3611238211 3611239248 3611330347 3611330280 3611330009 3611239010 3611227999 3611236096 3611236116 3611235246 3611234397 3611240481 3611241259 3611241154 3611242077 3611233977 3611235920 3611234739 2.County* Wayne 3. Highway or Street Address* Brighton Drive, Ingleside Place, Pickens Drive, Belmont Trail, Burnside Lane Street name only is acceptable if no address number assigned yet 4.City or Township* Goldsboro 5.State* NC 6.Zip Code* 27530 7. Latitude* Enter the latitude in decimal degrees 35.4319 8. Longitude* Enter the longitude in decimal degrees(MUST be negative) -77.9511 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* 06/01/2023 Estimated Construction Project Start Date 10. Date to End* 05/31/2024 Estimated Construction Project End Date 11.SIC(Primary)* Residential,Single Family Houses(SFE)(1521) Standard Industrial Classification for Development 12.Acres to be 31.50 disturbed* (including off-site borrow and waste areas) 13.Total site area 41.90 (acres)* 14. Post-construction 4.40 impervious area (Estimated) (acres)* Project Tracking ID NCC-WAYNE-2023-Meares Bluff Plantation-Phase 4(Lot Dev.) 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* Stoney Creek Name of waterbody into which stormwater runoff will discharge 15b.Waterbody Index No.* 27-62 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 eNOl on 1/26/2023 and will not be answered in applications submitted prior to that date. 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 CE2, LLC 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 INC 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* C. Munroe If Corporation,enter Registered Agent First Name 3. Last Name* Best If Corporation,enter Registered Agent Last Name 3b.Title Member 4. Permitee E-mail Address* jack@mbest.org 5. Permittee Telephone No.* 919-920-9988 6. Permittee Mailing Address* Street Address 809 Mill Road Address Line 2 City State/Province/Region Goldsboro INC Postal/Zip Code Country 27534-8947 us Check box if the street address the same as mailing address Yes 7. Permittee Street Address* Street Address 809 Mill Road Address Line 2 City State/Province/Region Goldsboro NC Postal/Zip Code Country 27534-8947 us B.Type of Ownership* Ownership is only individual if an individual is named in B.1.above. Non-Government C. Site Contact Information Part C. Project Site Contact Information ................................................................................................................................................................................................................................................................................................................................................................................................ 1. Primary Site Contact-First Name* Blain 2. Primary Site Contact-Last Name* Crocker 3.Title 4.Site Contact E-mail Address* blaincrocker@gmail.com 5.Site Contact Telephone No.* 919-920-0025 6.Organization Name 7.Site Contact Mailing Address* Street Address 809 Mill Road Address Line 2 City State/Province/Region Goldsboro NC Postal/Zip Code Country 27534-8947 us 8.Consultant Name (Optional) Jeffrey L. Kornegay, PE, PLS First and Last name 9.Consultant E-mail jeffrey@kornegaysep.com This person will be copied on all correspondence. 10.Consultant Telephone No. 919-735-5886 11. Billing E-mail (For Annual Fee correspondence) jack@mbest.org Default is legally responsible person e-mail 12. Billing Telephone (For Annual Fee correspondence) 919-920-9988 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 05/24/2023 Approved* 2. E&SC Plan Project Wayne-2023-037 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 Wayne-2023-037 Meares Bluff Plantation-Phase 4 Approval letter or 1.52MB Lot Dev-05242023.pdf Grading Permit Must be PDF format 6.Signed FRO Financial Responsibility/Ownership Form FRO signed.pdf 577.7KB Must be PDF format 7.Site Location Map Must be PDF format(limit 20 MB) location map-Meares Bluff.pdf 69.54KB 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 Scan2023-05-25_135727.pdf 116.01 KB 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 C'. llllirt�r,�.tr. , Type Name* C. Munroe Best,Jr. Title Member Organization Legally Responsible Entity CE2, LLC Date* 08/08/2023 F. Tracking and COC Info NOI Tracking No. 154293 NC Reference No. NCG01-2023-2393 Indicates NCG01 or NCG25.Uses NOI number until approved,then uses NUMBER incremented by SIP(passed from workflow if eNOI approved) Certificate of NCC232393 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. NCC232393-2023 Invoice Due Date 9/8/2023 Initial Fee $ 100.00 Invoice Status OPEN