NCC193112_Modification Review CONTACT CHANGES_20201109

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/9/2020 10:07:14 AM (ADD TO FILE Submittal)
Approve by Georgoulias, Bethany 11/9/2020 11:47:03 AM (Construction COC ADD TO FILE Review- NCC193112)
• The task was assigned to Georgoulias, Bethany. The due date is: November 12, 2020 5:00 PM
11/9/2020 10:07 AM

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NORTH CAPOLINA
EnYlrenmemf& Qualay
Certificate of NCC193112
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
Information associated with this permit:
Project Name Ardrey Kell Townhomes Lots 1-35
Address Ardrey Park Drive, Charlotte, NC
County Mecklenburg
Latitude 35.0360
Longitude-80.8350
Permittee Listed Lennar Carolinas, LLC
Legally Responsible Jon Hardy
Individual
NC Reference No. NCG01-2019-3112
E&SC Plan ID LDGPL-2019-00253
Original NOI 19234
Tracking No.*
Date COC Issued* 12/10/2019
Prior Rescission This field will populate only if COChas already been rescinded.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 * a Additional Lots/Outparcels Approved - E&SC Revised
Q Other Revision(s) to E&SC Plan
r Legally Responsible Individual Has Changed
r Multiple Reasons (List)
Changing legally responsible individual, updating primary
contact, and consultant name
Addional Nbre information if necessary
Explanation Changing legally responsible individual from Jon Hardy to Mark Henninger (see
attached modification form), primary contact from Allen Terwilliger to Locke
Landino (Director of Construction, [e-mail] 704-400-2442);
and consultant's name from Johnny Evans to Emily Gibson (Division Environmental
Manager, Emily. [e-mail] 704-798-8244)
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 Ibcurrentation (Pevised E&SCApproval, Close -Out Doc, etc.)
Documentation Revised Responsible Person Form.pdf 622.01KB
Mist be FDFfornat
North Carolina General Statute 143-215.613 (i) provides that:
Anyperson who knowinglymakes any false 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 knowingly makes a false statement
of a material fact in a rulemaking proceeding or contested case underthis 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).
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 NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B,
Item (6) of that permit.
Signature
lwwv5 c�
Type Name* Mark Henninger
Title * Division President
Organization* Lennar Carolinas, LLC
Date * 11/09/2020
Email Address* [e-mail]
En -ail for confirnation
Telephone Number* 704-759-6000
Contact nunber if we need to reach you
Note: Original permittee and site contact are copied on modification correspondence.
Additional Email [e-mail]
(Optional) Additional en -ail for confin-ation
Original Permittee [e-mail]
Email
Original Site Contact [e-mail]
Email
Review Date 11/09/2020

Rescinded Since
Submitted?
Request Date 20201109
Formatted
Review Date 20201109
Formatted