NCC191145_Modification Review_20200415

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/14/2020 4:38:10 PM (ADD TO FILE Submittal)
Approve by Georgoulias, Bethany 4/15/2020 7:32:27 AM (Construction COC ADD TO FILE Review- NCC191145)
• The task was assigned to Georgoulias, Bethany. The due date is: April 17, 2020 5:00 PM
4/14/2020 4:38 PM

Y. ,
NORTH CAPCLINA
Emlremmentel Quality
Certificate of NCC191145
Coverage (COC) Enter the Certificate of Coverage N nber (Use capital letters)
No.*
Information associated with this permit
Project Name
Duke Patton Avenue 115kV Substation
Address
252 Patton Avenue, Asheville, NC
County
Buncombe
Latitude
35.5920
Longitude
-82.5632
Permittee Listed
Duke Energy Progress, LLC
Legally Responsible
Timothy Same
Individual
NC Reference No.
NCG01-2019-1145
E&SC Plan ID
BUNCO 2019-001
Original NOI
14135
Tracking No.*
Date COC Issued*
07/30/2019
Prior Rescission
This field will populate only ff OOChas already been rescinded.
Date
Modification Information:
Reason for f Closed -Out Lots/Outparcels in E&SC Plan
Modification* r Additional Lots/Outparcels Approved - E&SC Revised
r Other Revision(s) to E&SC Plan
r Multiple Reasons (List)
Addional ivbre inforrration if necessary
Explanation Adding less than 1 acre of disturbed area to plans for underground utility
installation.
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 Documentation (%vised ESCApproval, (lose -Out Doc, etc.)
Documentation LOAwM revision 4-13-2020.pdf 988.57KB
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, 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 * Timothy J. Same
Title * Transmission Line Engineering Manager
Organization* Duke Energy Progress, LLC
Date * 04/14/2020
Email Address* [e-mail]
Email for Confirmation
Telephone Number* 919-546-7468
Contact Nbrrber if we need to reach you
Review Date 04/15/2020
Request Date 20200414
Formatted
Review Date 20200415
Formatted