NCC191344_Modification Review_20191017

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 10/17/2019 9:12:57 AM (ADD TO FILE Submittal)
Approve by Georgoulias, Bethany 10/17/2019 11:44:43 AM (Construction COC ADD TO FILE Review -
NCC191344)
• The task was assigned to Georgoulias, Bethany. The due date is: October 22, 2019 5:00 PM
10/17/2019 9:13 AM

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NORTH CAROUNA
e'vorwMienfal Quanty
Certificate of NCC191344
Coverage (COC) Enter the Certificate of Coverage Minter (Use capital letters)
No. *
Information associated with this permit
Project Name
Wallace 230kV Substation - Permanent Flood Mitigation
Address
280 Mail Route Road, Wallace, NC
County
Duplin
Latitude
34.7243
Longitude
-77.9633
Permittee Listed
Duke Energy Progress
Legally Responsible
Cooper Dwiggins
Individual
NC Reference No.
NCG01-2019-1344
E&SC Plan ID
DUPLI-2020-004
Original NOI
14753
Tracking No.*
Date COC Issued*
08/14/2019
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This field will populate only if COChas already been rescinded.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 Ivbre information if necessary
Explanation Increased LOD for construction of sheet pile wall. Additional measures added and
approved.
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 Wcurantation (Revised E&SCApproval, dose -Out Doc, etc.)
Documentation DUPLI-2020-004 Approval Revised 10-10-19.pdf 286.38KB
Mist be FCF format
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*
Tim Same
Title *
Manager
Organization*
Duke Energy
Date *
10/17/2019
Email Address*
[e-mail]
Email for Confirmation
Telephone Number*
919 546 7468
Contact Narber if we need to reach you
Date Formatted
20191017