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HomeMy WebLinkAboutNCC190731_NOI Application_20190625Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 6/25/2019 2:35:12 PM (NCG01 NOI Submission) Approve by Georgoulias, Bethany 6/25/2019 3:17:20 PM (Review- Construction NOI 12787) • The task was assigned to Georgoulias, Bethany by round robin distribution 6/25/2019 2:35 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: June 27, 2019 5:00 PM 6/25/2019 2:35 PM Submit by Georgoulias, Bethany 6/25/2019 3:17:34 PM (Payment Verification - NCG01-2019-0731) • The task was assigned to Georgoulias, Bethany. The due date is: June 26, 2019 5:00 PM 6/25/2019 3:17 PM STME NORTH CAROLINA Ernvlronmentol qualily A. Project Information Part A. Project Location and Waterbody Inforrration 1. Project Name * Novozymes Sprayer Dryer 2. County* Franklin 3. Highway or Street 77 Perry Chapel Church Road Address * Street name only is acceptable if no address nurrtrer assigned yet 4. City or Township* Franklinton 5. State * NC 1r-G)a�T7i)Mfi1if_TiIa10141 6. Zip Code* 27525 7. Latitude * Enter the latitude in decirral degrees 36.0986 8. Longitude * Enter the longitude in decirral degrees (MIST be negative) -78.4105 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* 06/24/2019 Estimated Construction Project Start Date 10. Date to End* 03/31 /2021 Estimated Construction Project End Date 11. SIC (Primary)* Commercial (1542) Standard Industrial aassification for Development 12. Acres to be 11.29 disturbed* (including off -site borrow and waste areas) 13. Total site area 11.29 (acres)* 14. Post- 1.00 construction (Estimated) impervious area (acres) * NCC Project NCC-FRANK-2019-Novozymes Sprayer Dryer Tracking ID Assigned autorratically 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. You may enter up to 3 waterbodies. 15a. Receiving Buffalo Creek (South Side Tar River) Wate rbody* Nacre of waterbody into which stormuater runoff will discharge 15b. Waterbody 28-22 Index No. * NCWaterbody Index Number Stormwater V No discharges will flow r Yes to additional wate rs * 16a. Is this project r Yes subject to the NC r No, not subject to NC SPCA Sediment Pollution Control Act?* B. Permittee Information Part B. Rerrrittee Information - Legally Responsible Entity and Individual ..................................................................................................................................................................... h Important: The person who signs the NOI Certification Form and signs the Certification in Section E of this application form should 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. Organization Novozymes North America, Inc. Name * 2. First Name* Richard ff Corporation, enter Registered Agent First NBrre 3. Last Name * Olofson ff Corporation, enter Registered Agent Last Barre 3b. Title Treasurer 4. Permitee E-mail RHO@novozymes.com Address* 5. Permittee 919-494-3000 Telephone No.* 6. Permittee Mailing Street Address Address* PO Box576 Address Line 2 City Franklinton Rastal / Zip Code 27525 Check box if the r Yes street address the same as mailing address State / Province / Region NC Country United States 7. Permittee Street Street Address Address* 77 Perry Chapel Church Road Address Line 2 City State / Province / Region Franklinton NC Rastal / Zip Code Country 27525 United States C. Site Contact Information Part C. Roiect Site Contact Information 1. Type of Non -Government Ownership* 2. Primary Site Randy Contact - First Name * 3. Primary Site Green Contact - Last Name * 4. Title Environmental Services Manager 5. Site Contact E- rwgr@novozymes.com mail Address* 6. Site Contact 9194943001 Telephone No.* 7. Organization Novozymes North America, Inc. Name 8. Site Contact Street Address Mailing Address* PO Box 576 Address Line 2 city Franklinton Rbstal / Zip Code 27525 State / Province / Region NC Country United States D. E&SC Plan Part D. Erosion & Sediment Control (E&SC) Ran Approval Information ....................................................................................................................................................................................................................................... 1. Date E&SC Plan 06/21/2019 Approved * 2. E&SC Plan Project FRANK-2019-034 Number/ID* Assigned by agency or local program 3. E&SC Plan f• State DEQ Office Approved by r 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. 5. E&SC Plan FRANK-2019-034 LOA MOD 20190621.pdf 73.7KB Approval Mist be RDFforrrat letter/documentation 6. NOI Certification NCG01 NOI Certification Form Novozymes.pdf 230.48KB Form Mist be RDFforrrat This is an Express f• No Review Project* r Yes E. Certification North Carolina General Statute 143-215.613 (1) provides that: Anyperson who knowinglymakes any false statement, representation, or certification in anyapplication, record, report, plan, or other documentfiled or required to be maintained under this Article or a rule implementing this Article; or who knowinglymakes 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 deice or method required to be operated or maintained under this Article or rules of the Commission implementing this Article shall be guiltyofa Class 2 misdemeanor which mayinclude a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: rJ 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. * rJ 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. * I7 I will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. * rJ 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:* r The Responsible Person named on this Notice of Intent r Authorized Responsible Person* Important: The person who signs this Certification above and signs the NOI Certification Form should be the same person (or authorized responsible person within the same organization) as listed in Section B (Permittee Information) of this form. *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 * Richard Olofson Title Treasurer Organization Novozymes Date * 06/25/2019 F. Tracking and COC Info NOI Tracking No. 12787 NC Reference No. NCG01-2019-0731 Uses 'count number variable (incremrented by SP) Certificate of NCC190731 Coverage (COC) Uses'count_nunber'variable (incremrented by SF) No. * Count Number 731 Sequential nunber for subrrittal that is incremented by Stored Procedure COC Year 2019 Year of date reviewed (used to assign YY digits after "NGC' in OOCno.)