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HomeMy WebLinkAboutNCC201624_Modification Review LOT 86_20210223Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 2/23/2021 7:19:38 AM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany 2/23/2021 10:08:30 AM (Construction COC ADD TO FILE Review- NCC201624) • The task was assigned to Georgoulias, Bethany. The due date is: February 26, 2021 5:00 PM 2/23/2021 7:19 AM Y . Ta4M1 NORTH CAPOLINA EnYlrenmemf& Qnalay Certificate of NCC201624 Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters) No.* Information associated with this permit: Project Name Willoughby lot 41 Address 524 Adkins Ridge Road, Rolesville, NC County Wake Latitude 35.9290 Longitude -78.4720 Permittee Listed The Drees Company Legally Responsible Jerry Dean Individual NC Reference No. NCG01-2020-1624 E&SC Plan ID SEC-035645-2020 Original NOI 24654 Tracking No.* Date COC Issued* 04/23/2020 Prior Rescission This field will populate only if CCChas already been rescinded.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 (e.g., new Site Contact details). If lots are being added, please include specific lot nurTbers. 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 WBY86 SEC-052883-2021_Approval- S&EConstruction Plan ReviewChecklist-V.2 WM 2- 276.43KB 16-2021.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 e)ceed 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 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 * 02/23/2021 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 dscott@dreeshomes.com Email Review Date 02/23/2021 Rescinded Since Submitted? Request Date 20210223 Formatted Review Date 20210223 Formatted