HomeMy WebLinkAboutNCC190071_Modification Review_20191015Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/15/2019 10:15:02 AM (ADD TO FILE Submittal)
Approve by Georgoulias, Bethany 10/15/2019 11:45:51 AM (Construction COC ADD TO FILE Review -
NCC190071)
• The task was assigned to Georgoulias, Bethany. The due date is: October 18, 2019 5:00 PM
10/15/2019 10:15 AM
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NORTH CAROUNA
e'vorwMienfal Quanty
Certificate of NCC190071
Coverage (COC) Enter the Certificate of Coverage IVarrber (Use capital letters)
No. *
Information associated with this permit
Project Name
Villages at Skybrook North
Address
River Oaks Dr. NW, Concord, NC
County
Cabarrus
Latitude
35.4326
Longitude
-80.7598
Permittee Listed
D.R. Horton, Inc
Legally Responsible
Bart Carroll
Individual
NC Reference No.
NCG01-2019-0071
E&SC Plan ID
CABAR-2019-78; CABAR-2019-077
Original NOI
10249
Tracking No.*
Date COC Issued*
04/18/2019
Prior Rescission
This field will populate only if COChas already been rescinded.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
f Multiple Reasons (List)
Ad d io n al Nbre inforrTation if necessary
Explanation
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).
Supporting Upload Supporting Docurrentation (Revised E&SCApproval, dose -Out Doc, etc.)
Documentation Skybrook North CABAR-2020-023-10142019.pdf 2.24MB
Mist be FCF forrrat
North Carolina General Statute 143-215.6113 (1) provides that:
Any person who knowingly makes any false statement, representation, or certification in anyapplication, record, report, plan, or other
documentfiled or required to be maintained underthis 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 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 not to exceed ten thousand
dollars ($10,000).
I7 I, as an authorized representative, 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.
"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*
Bart Carroll
Title *
NPDES Manager
Organization*
D.R. Horton, Inc
Date *
10/15/2019
Email Address*
BCarroll@drhorton.com
Email for Confirmation
Telephone Number*
704-620-7373
Contact Narrber if we need to reach you
Date Formatted
20191015