Loading...
HomeMy WebLinkAboutNCC223504_Modification Review_20230105Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 12/21/2022 3:01:40 PM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany A 1/5/2023 4:03:06 PM (Construction COC ADD TO FILE Review - NCC223504) • The task was assigned to Georgoulias, Bethany A. The due date is: December 26, 2022 5:00 PM 12/21/2022 3:01 PM Certificate of NCC223504 Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters) Information associated with this permit: Project Name Parcel 18200060 & Parcel 1820006006 Earthwork Address Frontage Road NW, Shallotte, NC County Brunswick Latitude 33.9886 Longitude-78.3661 Permittee Listed Holmes Construction & Excavation, LLC Legally Responsible Hubert Holmes Individual NC Reference No. NCG01-2022-3504 E&SC Plan ID BRUNS-2023-020 Original NOI Tracking 108816 No. * Date COC Issued* 10/11/2022 Prior Rescission Date This field will populate only if COC has already been rescinded. Modification Information: Reason for Closed -Out Lots/Outparcels in E&SC Plan Modification* • Additional Lots/Outparcels Approved - E&SC Revised Other Revision(s) to E&SC Plan Legally Responsible Individual and/or Site Contact Has Changed Multiple Reasons (List) Addional Explanation More information (e.g., new Site Contact details). If lots are being added, please include specific lot numbers 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 (Revised E&SC Approval, Close -Out Doc, etc.) Documentation 22-1214 Letter of Approval-.74 acres BRUNS-2023- 1.44M6 020.pdf Must be PDF format North Carolina General Statute 143-215.613 (i) 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). * 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:* • The Legally Responsible Individual 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* Hubert Holmes Title * Manager Organization * Holmes Construction & Excavation, LLC Date * 12/21 /2022 Email Address* hce@atmc.net Email for confirmation Telephone Number* 910-754-3400 Contact number if we need to reach you Note: Original permittee and site contact are copied on modification correspondence. Additional Email wendy.pittman@mcgillassociates.com (Optional) Additional email for confirmation Original Permittee hce@atmc.net Email Original Site Contact hce@atmc.net Email Review Date 01/05/2023 Rescinded Since Submitted?