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HomeMy WebLinkAboutNCC202927_Modification Review_20210209Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 2/8/2021 4:00:06 PM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany 2/9/2021 9:04:32 AM (Construction COC ADD TO FILE Review- NCC202927) • The task was assigned to Georgoulias, Bethany. The due date is: February 11, 2021 5:00 PM 2/8/2021 4:00 PM Y . Ta4M1 NORTH CAPOLINA EnYlrenmemf& Qnalay Certificate of NCC202927 Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters) No.* Information associated with this permit: Project Name Conrad Farms PH 2 - DR Horton Lots Address Conrad Farms Rd., Pfafftown, NC County Forsyth Latitude 36.1299 Longitude -80.4287 Permittee Listed DR Horton, Inc. Legally Responsible Jessica Meyer Individual NC Reference No. NCG01-2020-2927 E&SC Plan ID EN2000103 Original NOI 28092 Tracking No.* Date COC Issued* 07/13/2020 Prior Rescission This field will populate only if CCChas already been rescinded.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 * F Additional Lots/Outparcels Approved - E&SC Revised r Other Revision(s) to E&SC Plan r Legally Responsible Individual and/or Site Contact Has Changed f Multiple Reasons (List) Addional IVbre information if needed (e.g., new Site Contact details can be included here) Explanation 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 IRSCApproval, (lose -Out Doc, etc.) Documentation Conrad Farm PH 2 - 3rd Take - Letter of 1.07MB Apprroval.pdf Wst be FDFfornat North Carolina General Statute 143-215.6113 (i) provides that: Anyperson who knowinglymakes anyfalse statement, representation, or certification in anyapplication, record, report, plan, or other documentfiled or required to be maintained under this Article or a rule implementing this Article; or who knowinglymakes a false statement of a material fact in a rulemaking proceeding or contested case underthis Article; orwho 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 mayinclude a fine notto 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:* r The Legally Responsible Individual f 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 Type Name* Jessica Meyer Title * NPDES Technical Compliance Administrator Organization* DR Horton, Inc. Date * 02/08/2021 Email Address* jameyer@drhorton.com En -ail for confin-ration Telephone Number* 919-215-6561 Contact nunber if we need to reach you Note: Original permittee and site contact are copied on modification correspondence. Additional Email kanspach@ecoturf.net (Optional) Additional en -ail for confin-ation Original Permittee jameyer@drhorton.com Email Original Site Contact jameyer@drhorton.com Email Review Date 02/09/2021 Rescinded Since Submitted? Request Date 20210208 Formatted Review Date 20210209 Formatted