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HomeMy WebLinkAboutNCC203817_Modification Review LOT 100_20230424 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 4/24/2023 4:11:07 PM(ADD TO FILE Submittal) Approve by bethany.georgoulias 4/24/2023 4:31:53 PM (Construction COC ADD TO FILE Review-NCC203817) • The task was assigned to bethany.georgoulias.The due date is:April 27,2023 5:00 PM 4/24/2023 4:11:08 PM Ago DEQMODIFICATION Permit for Construction Activities 0itltl 0000 Certificate of NCC203817 Coverage(COC)No.* Enter the Certificate of Coverage Number(Use capital letters) Information associated with this permit: Project Name Westfall 34 Address 153 West Beech Slope St,Chapel Hill, NC County Chatham Latitude 35.8260 Longitude -79.0560 Permittee Listed Triple A Homes Legally Responsible Dan Morse Individual At the time of Modification Request(not looked up again at review) NC Reference No. NCG01-2020-3817 E&SC Plan ID 2020-05580 Original NOI Tracking 30667 No.* Date COC Issued* 09/09/2020 Prior Rescission Date This field will populate only if COC has already been rescinded.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. Adding lot 100 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.) WFL 100 Soil and Erosion Letter of Approval.pdf 126.91 KB 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 143-215.6B(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($10,000). * I hereby request modification to coverage under the NPDES Stormwater Permit for the subject project site. I am familiar with the information contained in this request and to the best of my knowledge and belief such information is true,complete and accurate. Specify if you are:* The Legally Responsible Individual Authorized Responsible Person' "This form must be signed by a responsible corporate officer that owns or operates the construction activity,such as a president,secretary,treasurer,or vice president,or a manager that is authorized in accordance with Part IV, Section B, Item(6)of the NCG010000 General Permit. For more information on signatory requirements,see Part IV,Section B, Item (6)of that permit. Signature DNS#$Adis Type Name* Dan Morse Title* President Organization* Triple A Homes Date* 04/24/2023 Email Address* laura@tripleahomes.org Email for confirmation Telephone Number* 910-748-6105 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 (aura@tripleahomes.org Email Original Site Contact david@tripleahomes.org Email Review Date 04/24/2023 Rescinded Since Submitted?