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HomeMy WebLinkAboutNCC191035_NOI Application_20190723Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 7/23/2019 2:49:33 PM (NCG01 NOI Submission) Approve by McCoy, Suzanne 7/23/2019 4:17:45 PM (Review- Construction NOI 13829) • The task was assigned to McCoy, Suzanne by round robin distribution 7/23/2019 2:49 PM The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: July 25, 2019 5:00 PM 7/23/2019 2:49 PM Submit by McCoy, Suzanne 7/23/2019 4:18:40 PM (Payment Verification - NCG01-2019-1035) • The task was assigned to McCoy, Suzanne. The due date is: July 24, 2019 5:00 PM 7/23/2019 4:18 PM STME NORTH CAROLINA Ernvlronmentol qualily A. Project Information Part A. Project Location and Waterbody Information 1. Project Name * Briar Chapel - Firmage Subdivision 2. County* Chatham 3. Highway or Street 1780 ANDREWS STORE RD Address * Street name only is acceptable if no address number assigned yet 4. City or Township* Pittsboro 5. State * NC !17-8)aIsT2,G)M111if_TiIa10141 6. Zip Code* 27312 7. Latitude * Enter the latitude in decimal degrees 35.8183 8. Longitude * Enter the longitude in decimal degrees (MIST be negative) -79.1231 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 * 08/01 /2019 Estimated Construction Project Start Date 10. Date to End* 04/30/2020 Estimated Construction Project End Date 11. SIC (Primary)* Residential, Single Family Houses (SFE) (1521) Standard Industrial aassification for Development 12. Acres to be 7.57 disturbed* (including off -site borrow and waste areas) 13. Total site area 20.00 (acres)* 14. Post- 3.53 construction (Estimated) impervious area (acres) * NCC Project NCC-CHATH-2019-Briar Chapel - Firmage Subdivision Tracking ID Assigned automatically 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 Pokeberry Creek Wate rbody* Nbrre of waterbody into which stornvwater runoff will discharge 15b. Waterbody 16-37 Index No. * NCWaterbody Index Nimber Stormwater fJ No discharges will flow r Yes to additional wate rs * 16a. Is this project F Yes subject to the NC r No, not subject to NC SPCA Sediment Pollution Control Act? * B. Permittee Information Part B. Perrrittee 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 NNP Briar Chapel, LLC Name * 2. First Name* Garretson ff Corporation, enter Registered Agent First Nacre 3. Last Name * Browne ff Corporation, enter Registered Agent Last Nbrre 3b. Title Project Manager 4. Permitee E-mail gbrowne@newlandco.com Address* 5. Permittee 919-819-9427 Telephone No.* 6. Permittee Mailing Street Address Address* 4020 Westchase Boulevard Address Line 2 Suite 150 City State / Province / Region Raleigh NC Rxstal / Zip Code Country 27607 us Check box if the r% Yes street address the same as mailing address 7. Permittee Street Street Address Address* 4020 Westchase Boulevard Address Line 2 Suite 150 City State / Province / Region Raleigh NC Rbstal / Zip Code Country 27607 us C. Site Contact Information Part C. Roiect Site Contact Information 1. Type of Non -Government Ownership* 2. Primary Site Garretson Contact - First Name * 3. Primary Site Browne Contact - Last Name * 4. Title Construction Manager 5. Site Contact E- gbrowne@newlandco.com mail Address* 6. Site Contact 919-819-9427 Telephone No.* 7. Organization NNP Briar Chapel, LLC Name 8. Site Contact Street Address Mailing Address* 4020 Westchase Boulevard Address Line 2 Suite 150 city Raleigh Rbstal / Zip Code 27607 State / Province / Plegion NC Country us D. E&SC Plan Part D. Erosion & Sediment Control (E&SC) Ran Approval Information ....................................................................................................................................................................................................................................... 1. Date E&SC Plan 05/06/2019 Approved * 2. E&SC Plan Project 2019-03214 Number/ID* Assigned by agency or local program 3. E&SC Plan f State DEQ Office Approved by r Local Program 4. Local Program* Chatham County 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 Letter of Approval.pdf Approval Mist be PCFfornat letter/documentation 6. NOI Certification NOI Certification Form-SIGNED.PDF Form Mist be RDFfornat This is an Express r No Review Project* r Yes 83.24KB 688.41 KB 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. * V 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. * V If the Erosion and Sediment Control Plan approved by the delegated program is not compliant with Part II (Stormwater Pollution Prevention Plan) of the NCG010000 General Permit, I will nonetheless ensure that all conditions of Part II of the permit are met on the project at all times. * I7 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 * Garretson Browne Title Project Manager Organization NNP Briar Chapel, LLC Date * 07/23/2019 F. Tracking and COC Info NOI Tracking No. 13829 NC Reference No. NCG01-2019-1035 Uses 'count number variable (incremrented by SP) Certificate of NCC191035 Coverage (COC) Uses 'count _nunber'variable (increrrented bySP) No. * Count Number 1035 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.)