NCC203207_Modification Review_20200817

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/17/2020 11:55:06 AM (ADD TO FILE Submittal)
Approve by Georgoulias, Bethany 8/17/2020 11:57:23 AM (Construction COC ADD TO FILE Review- NCC203207)
• The task was assigned to Georgoulias, Bethany. The due date is: August 20, 2020 5:00 PM
8/17/2020 11:55 AM

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NORTH CAPOLINA
EnYlrenmemf& Qualay
Certificate of NCC203207
Coverage (COC) Enter the Certificate of Coverage N nber (use capital letters)
No.*
Information associated with this permit:
Project Name UNCW Parking Deck II and Surface Parking
Address Price Drive, Wilmington, NC
County New Hanover
Latitude 34.2239
Longitude-77.8694
Permittee Listed The University of North Carolina at Wilmington
Legally Responsible Mark Morgan
Individual
NC Reference No. NCG01-2020-3207
E&SC Plan ID
Original NOI
Tracking No.
NEW HA-2021-001
28825
Date COC Issued* 07/28/2020
Prior Rescission This field will populate only if CCChas already been rescinded.
Date
Modification Information:
Reason for r Closed -Out Lots/Outparcels in E&SC Plan
Modification * r Additional Lots/Outparcels Approved - E&SC Revised
F Other Revision(s) to E&SC Plan
r Legally Responsible Individual Has Changed
r Multiple Reasons (List)
Addional Wre inforrration if necessary
Explanation Additional area added to the previously approved plan for additional site grading.
New approval letter issued 8-12-2020 with project name "UNCW Southeast Dining
Facility (Formerly UNCW Parking Deck II and Surface Parking)"
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 Upload Supporting Documentation (%vised E&SCApproval, (lose -Out Doc, etc.)
Documentation NEWHA-2021-001 Approval Revised 8-12-2020.pdf 313.76KB
Mast be FDFformat
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 guiltyofa Class 2 misdemeanor which may include a fine not to exceed ten thousand
dollars ($10,000).
17 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:* r The Legally Responsible Individual
r 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
I aYk PorY'JR
Type Name* Mark Morgan
Title * Associate Vice Chancellor for Business Affairs, Office of Facilities
Organization * University of North Carolina at Wilmington (UNCW)
Date * 08/17/2020
Email Address* [e-mail]
Errail for confirmation
Telephone Number* 9109623719
Contact nun ber 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 [e-mail]
Email
Original Site Contact [e-mail]
Email
Review Date 08/17/2020
Rescinded Since
Submitted?

Request Date 20200817
Formatted
Review Date 20200817
Formatted