NCC192219_Modification Review_20200422

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 4/21/2020 10:55:20 AM (ADD TO FILE Submittal)
Approve by Georgoulias, Bethany 4/22/2020 2:39:29 PM (Construction COC ADD TO FILE Review- NCC192219)
• The task was assigned to Georgoulias, Bethany. The due date is: April 24, 2020 5:00 PM
4/21 /2020 10:55 AM

Y. ,
NORTH CAPCLINA
Emlremmentel Quality
Certificate of NCC192219
Coverage (COC) Enter the Certificate of Coverage N nber (Use capital letters)
No.*
Information associated with this permit
Project Name
Mecklenburg County - McDowell Creek Greenway - Phase 1
Address
8200 Gilead Road, Huntersville, NC
County
Mecklenburg
Latitude
35.0000
Longitude
-81.0000
Permittee Listed
Mecklenburg County Asset and Facility Management
Legally Responsible
Robert Billings, PE
Individual
NC Reference No.
NCG01-2019-2219
E&SC Plan ID
MECKL-2020-021
Original NOI
16775
Tracking No.*
Date COC Issued*
10/18/2019
Prior Rescission
This field will populate only ff OOChas already been rescinded.
Date
Modification Information:
Reason for f Closed -Out Lots/Outparcels in E&SC Plan
Modification* r Additional Lots/Outparcels Approved - E&SC Revised
r Other Revision(s) to E&SC Plan
r Multiple Reasons (List)
Addional ivbre infornation if necessary
Explanation Mecklenburg County purchased a specific property after the original E&SC Plan
was approved. The additional property allowed the design to be changed to less
invasive, simpler design.
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 Upload Supporting Documentation (%vised ERSC Approval, (lose -Out Doc, etc.)
Documentation MECKL-2020-021 GW-04142020.pdf 1.64MB
NUst be FDFfon-rat
North Carolina General Statute 143-215.66 (1) provides that:
Any person who knowingly makes anyfalse 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 ofa Class 2 misdemeanor which may include a fine not to exceed ten thousand
dollars ($10,000).
17 I, as an authorized representative, 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.
*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
rre'lliryrl, ccj
Type Name* Robert Billings, PE
Title * Project Manager
Organization* Mecklenburg County
Date * 04/21 /2020
Email Address* [e-mail]
Email for Confirrration
Telephone Number* 980-314-2503
Contact Nbrrber if we need to reach you
Review Date 04/22/2020
Request Date 20200421
Formatted
Review Date 20200422
Formatted