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HomeMy WebLinkAboutNCC200349_Modification Review_20200604Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 6/3/2020 12:48:56 PM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany 6/4/2020 7:34:31 AM (Construction COC ADD TO FILE Review- NCC200349) • The task was assigned to Georgoulias, Bethany. The due date is: June 8, 2020 5:00 PM 6/3/2020 12:48 PM Y . Ta4M1 NORTH CAPOLINA EnYlrenmemf& Qualay Certificate of NCC200349 Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters) No.* Information associated with this permit Project Name 4609 Montgomery Address 4609 Montgomery, Pittsboro, NC County Chatham Latitude 35.7930 Longitude -79.0850 Permittee Listed Fitch Creations, Inc. Legally Responsible Laura Morgan Individual NC Reference No. NCG01-2020-0349 E&SC Plan ID 2020-00727 Original NOI 21184 Tracking No.* Date COC Issued* 01/30/2020 Prior Rescission This field will populate only if CCChas already been rescinded. Date Modification Information: Reason for r Closed -Out Lots/Outparcels in E&SC Plan Modification * F Additional Lots/Outparcels Approved - E&SC Revised r Other Revision(s) to E&SC Plan r Legally Responsible Individual Has Changed r Multiple Reasons (List) Addional Nbre information if necessary Explanation Addition of Lot 4606 Montgomery You must upload supporting documentation below. Do not upload E&SC Plans unless specific plan sheets are the only documentation with approval for revised acres of disturbance, etc. (only upload applicable sheets). For changes to the legally responsible individual, you must upload this form. Supporting Upload Supporting Documentation (%vised ESCApproval, (lose -Out Doc, etc.) Documentation 4606 - Letter of Approval.pdf 288.33KB Mast be FDFfon-rat North Carolina General Statute 143-215.66 (1) provides that: Anyperson who knowinglymakes anyfalse 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 underthis Article; orwho 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 guiltyofa Class 2 misdemeanor which mayinclude a fine notto exceed ten thousand dollars ($10,000). 17 I hereby request modification to coverage under the NPDES Stormwater Permit for the subject project site. I am familiar with the information contained in this request and to the best of my knowledge and belief such information is true, complete and accurate. Specify if you are:* r The Legally Responsible Individual f Authorized Responsible Person* *This form must be signed by a responsible corporate officer that 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* Laura Morgan Title * General Manager, Real Estate and Construction Organization* Fitch Creations, Inc. Date * 06/03/2020 Email Address* laura@fearrington.com Errail for confirmation Telephone Number* (919)542-4000 Contact nun ber if we need to reach you Note: Original permittee and site contact are copied on modification correspondence. Additional Email brian@fearrington.com (Optional) Additional email for confirmation Original Permittee laura@fearrington.com Email Original Site Contact brandon@fearrington.com Email Review Date 06/04/2020 Rescinded Since Submitted? Request Date 20200603 Formatted Review Date 20200604 Formatted