NCC221800_Modification Review_20250307

Action History(UTC-05:00)
Submit by Anonymous User 3/5/2025 12:55:05 PM (ADD TO FILE Submittal)
Approve by bethany.georgoulias 3/7/2025 4:14:41 PM(Construction COC ADD TO FILE Review-NCC221800)
• The task was assigned to bethany.georgoulias.The due date is: March 10,2025 5:00 PM
3/5/2025 12:55:06 PM

Ago Permit for DEQMODIFICATION
Construction0i00
0000
Certificate of NCC221800
Coverage(COC)No.* Enter the Certificate of Coverage Number(Use capital letters)
Initial Permit Fee Status Initial Payment Received
PAID 5/11/2022
(N/A prior to Oct 2020) (N/A prior to Oct 2020)
2020 Annual Fee Status 2021 Annual Fee Status 2022 Annual Fee Status
May be blank if N/A May be blank if N/A May be blank if N/A
2023 Annual Fee Status 2024 Annual Fee Status 2025 Annual Fee Status
PAID PAID May be blank if N/A
May be blank if N/A May be blank if N/A
Information associated with this permit:
Project Name Big Hills at Horseshoe
Address Brannon Road, Horseshoe, NC
County Henderson
Latitude 35.3455
Longitude -82.6016
Permittee Listed Big Hills Construction, LLC
Legally Responsible Peter Radchishin
Individual At the time of Modification Request(not looked up again at review)
NC Reference No. NCG01-2022-1800
E&SC Plan ID SESC 2021-09-02
Original NOI Tracking 90717
No.*
Date COC Issued* Effective Date at Submittal
04/01/2024
Prior Rescission Date This field will populate only if COC has already been rescinded.
Modification Information:
Reason for Closed-Out Lots/Outparcels in E&SC Plan
Modification* ) Additional Lots/Outparcels Approved-E&SC Revised
J Other Revision(s)to E&SC Plan
0 Legally Responsible Individual and/or Site Contact Has Changed
0 Multiple Reasons(List Below)
0 Other(Describe Below)

Reason for Modification Supporting Doc Name
(OTHER ESC REVIS)
Reviewer Reference Only(Not Visible on Starting Form)
Additional Description/Explanation
More information(e.g.,if lots are being added,please include specific lot numbers.)
Increase in total limits of disturbance.
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).
Supporting Documentation
Upload Supporting Documentation(Revised E&SC Approval,Close-Out Doc,etc.)
1-HC-SESC-2021-09-02R BIG HILLS AT HORSE SHOE LOA.pdf 208.67KB
2-Horseshoe Signed FRO Form001.pdf 746.27KB
Big Hills C6a.pdf 1.24MB
Must be PDF format
Is this project funded with ARPA(American Rescue Plan Act)grant funds?
This pertains to funding distributed by the N.C.Division of Water Infrastructure(DWI)only.
No
Yes
Is this project funded with N.C.Session Law 2023-134 Section 12.2 Earmark funds?
No
Yes
North Carolina General Statute 143-215.613(1)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
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Type Name* Petr Radchishin
Title* Member
Organization* Big Hills Construction, LLC
Date* 03/05/2025

Email Address* [e-mail]
Email for confirmation
Telephone Number* 828.242.1879
Contact number if we need to reach you
Note:Original permittee and site contact are copied on modification correspondence.
Additional Email [e-mail]
(Optional) Additional email for confirmation
Original Permittee [e-mail]
Email
Original Site Contact [e-mail]
Email
Review Date 03/07/2025
Rescinded Since
Submitted?
Current Effective Date Current Expiration Date Permit Version
4/1/2024 3/31/2029 2.00