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HomeMy WebLinkAboutNCC203776_Modification Review_20210405Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 4/1/2021 12:23:53 PM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany 4/5/2021 7:22:59 AM (Construction COC ADD TO FILE Review- NCC203776) • The task was assigned to Georgoulias, Bethany. The due date is: April 6, 2021 5:00 PM 4/1/2021 12:23 PM Y. , NORTH CAPOLINA EnYlrenmemf& Qualay Certificate of NCC203776 Coverage (COC) Enter the Certificate of Coverage N nber (Use capital letters) No.* Information associated with this permit: Project Name BRUNSWICK PLANTATION LOTS Address SOUTH MIDDLETON DRIVE, NW, CALABASH, NC County Brunswick Latitude 33.9454 Longitude -78.5740 Permittee Listed LENNAR CAROLINAS, LLC Legally Responsible JASON BYHAM Individual NC Reference No. NCG01-2020-3776 E&SC Plan ID BRUNS-2021-011 Original NOI 30528 Tracking No.* Date COC Issued* 09/01/2020 Prior Rescission This field will populate only if CCChas already been rescinded.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 and/or Site Contact Has Changed r Multiple Reasons (List) Addional We inforrration (e.g., new Site Contact details). If lots are being added, please include specific lot nunbers. Explanation LOTS 925, 932-934, 942, 971, 972, 988, 989, & 1171 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 ERSC Approval, (lose -Cut Doc, etc.) Documentation BRUNS-2021-011 Approval Revised 3-29-2021.pdf 232.02KB Mast be FDFfon-rat North Carolina General Statute 143-215.66 (1) provides that: Any person who knowingly makes anyfalse 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 guiltyofa Class 2 misdemeanor which may include a fine not to e)ceed ten thousand dollars ($10,000). rJ 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* JASON BYHAM Title * VICE PRESIDENT Organization* LENNARCAROLINAS, LLC Date * 04/01 /2021 Email Address* chris.king@lennar.com Errail for confirmation Telephone Number* 843-327-7971 Contact nun ber if we need to reach you Note: Original permittee and site contact are copied on modification correspondence. Additional Email Additional email for confirmation (Optional) Original Permittee JASON.BYHAM@LENNAR.COM Email Original Site Contact CHRIS.KING@LENNAR.COM Email Review Date 04/05/2021 Rescinded Since Submitted? Request Date 20210401 Formatted Review Date 20210405 Formatted