HomeMy WebLinkAboutNCC190599_Modification Review (LEG RESP CHANGE)_20230217Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 2/9/2023 2:16:25 PM (ADD TO FILE Submittal)
Approve by bethany.georgoulias 2/17/2023 4:15:57 PM (Construction COC ADD TO FILE Review - NCC190599)
* Legally responsible person updated 2/17/2023.
• The task was assigned to bethany.georgoulias. The due date is: February 14, 2023 5:00 PM
2/9/2023 2:16 PM
Certificate of NCC190599
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
Information associated with this permit:
Project Name Conrad Farm -Phase 2
Address Yadkinville Road, Lewisville, NC
County Forsyth
Latitude 36.1320
Longitude-80.4230
Permittee Listed Conrad Farm LLC
Legally Responsible Christopher Lyons
Individual
NC Reference No. NCG01-2019-0599
E&SC Plan ID EN1800145
Original NOI Tracking 12116
No. *
Date COC Issued* 06/13/2019
Prior Rescission Date This field will populate only if COC has already been rescinded.
Modification Information:
Reason for Modification*
Closed -Out Lots/Outparcels in E&SC Plan
Additional Lots/Outparcels Approved - E&SC Revised
Other Revision(s) to E&SC Plan
Legally Responsible Individual and/or Site Contact Has Changed
Multiple Reasons (List)
Addional Explanation
More information (e.g., new Site Contact details). If lots are being added, please include specific lot numbers.
Please change the current contact to Christopher Dunbar as Mr.Lyons no longer works with us. See the attached
plat.
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 Documentation
Upload Supporting Documentation (Revised E&SC Approval, Close -Out Doc, etc.)
Sitecontact change.pdf 459.92KB
Plat Book 72 pg 185.pdf 764.99KB
Must be PDF format
Is this project funded with ARPA (American Rescue Plan Act) grant funds?
• No
Yes
This question was added to the eNOl on 2/3/2023 and will not be answered in applications submitted prior to that date.
North Carolina General Statute 143-215.613 (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document
filed 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 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 guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
* 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:* • The Legally Responsible Individual
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
f —A
Type Name* Christopher Dunbar
Title* President & COO
Organization * Conrad Farm LLC
Date * 02/09/2023
Email Address* mdunbar@blueridgecompanies.com
Email for confirmation
Telephone Number* 336-889-1590
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 kye@leoterradevelopment.com
Email
Original Site Contact kye@leoterradevelopment.com
Email
Review Date 02/17/2023
Rescinded Since
Submitted?