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HomeMy WebLinkAboutNCC210922_Modification Review LOT 82_20210219Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 2/19/2021 8:25:12 AM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany 2/19/2021 10:12:51 AM (Construction COC ADD TO FILE Review- NCC210922) • The task was assigned to Georgoulias, Bethany. The due date is: February 24, 2021 5:00 PM 2/19/2021 8:25 AM Y . Ta4M1 NORTH CAPOLINA EnYlrenmemf& Qnalay Certificate of NCC210922 Coverage (COC) Enter the Certificate of Coverage Ninber (use capital letters) No.* Information associated with this permit: Project Name Willoughby lot 33 Address 3021 Freeman Farm Way, Rolesville, NC County Wake Latitude 36.0000 Longitude -78.0000 Permittee Listed The Drees Homes Company Legally Responsible Jerry Dean Individual NC Reference No. NCG01-2021-0922 E&SC Plan ID SEC-051967-2021 Original NOI 43433 Tracking No.* Date COC Issued* 02/16/2021 Prior Rescission This field will populate only if CCChas already been rescinded.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 r Legally Responsible Individual and/or Site Contact Has Changed f Multiple Reasons (List) Addional IVbre information if needed (e.g., new Site Contact details can be included here) 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). For changes to the legally responsible individual, you must upload this form. Supporting Upload Supporting Documentation (%vised E&SCApproval, (lose -Out Doc, etc.) Documentation WBY82 SEC-053168-2021_Approval- S&EConstruction Plan ReviewChecklist-V.2 2-18- 272.61KB 21.pdf Mast be FDFformat North Carolina General Statute 143-215.66 (1) 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 Artide 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 Artide 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). 17 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 NCG010000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. Signature -,9 Type Name* Jerry Dean Title * Division President Organization* The Drees Homes Company Date * 02/19/2021 Email Address* Imartin@dreeshomes.com Errail for confirmation Telephone Number* 919.844.9288 Contact number if we need to reach you Note: Original permittee and site contact are copied on modification correspondence. Additional Email Additional email for confirmation (Optional) Original Permittee Imartin@dreeshomes.com Email Original Site Contact zluzniak@dreeshomes.com Email Review Date 02/19/2021 Rescinded Since Submitted? Request Date 20210219 Formatted Review Date 20210219 Formatted