NCC190526_NOI Signed Certification_20190606

E . Certification
North Carolina General Statute 1-1 .,B (i) provides that:
Any pers on wfio knCW'ng1 y makes a ray fall s e statement, representat on, or oerti fi cab on i n a ray apph cab on, record f report, pi an, of other
document filed or required to be m a I ntai ne'd under #his Arid e or a rule impl ementn this Amide; or who knoWng I y ma kes a false s tattate mint
of a material fad in a ru I ema i ng proceed in or cont ted case under thl s Amide; or who falsifies, tampers th, or knowin g I renders
i n aerate any recorrfi rig or mon iton ng deg ce or method r q ui red to be operated of m i ntai ned u nder tip i s An d P. or rul es of the
Cammission implementing this Amide shall be guiltyaf a Class 2 misdemeanor whidh may1nclude a fine not to e>ceect ten thousand
daiars ($10,000),
Under penalty of law, I certify that:
PF I am the person responsible for the construction activities of this project, for
satisfying the requirements of this permit, and for any civil or criminal penalties
incurred due to violations of this permit.
The information submitted in this NOI isT to the best of my knoWedge and belief,
true, accurate, and complete based on my inquiry of the person or persons mho
manage the system. or those persons directly responsible for gathering the
information.
l will abide by all conditions of the NCGOIOOOO General Permit and the
approved Erosion and Sediment Control Plan.
I hereby request
coverage
under
the
NCGO10000 General Permit and
understand that
coverage
under
this
permit Wil constitute the permit
requirements for the discharge(s) and is enforceable in the saw n-Onner as are
individual permit.
Specify if you are:* The Responsible Person named on this Notice of intent
Authorized Responsible Person*
Important: The person who signs this Certification above and sign-s the NOI Certification Forma -should be the sarne
person or authorized responsible person vAthin the same organization) as listed in Section B (Permittee Information)
of this form. *An authorized individual is a responsible corporate officer who owns or operates the construction activity,
such as a president, secretary, treasurer, or vice president, or a manager that is authorized in accordance th Part ,
Section Ba item (6) of the NCO 100 0 General Permit.
IV, Section B, Item (6) of that permit.
Signature
Type Name
Title
Organization'`
Date
Z0010P
�,e
Z
Prolact Manager
Duke Energy Prom LL
0//0 1
For rnore information on signatory requirements, see Part