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HomeMy WebLinkAboutNCC202746_Modification Review_20210215Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 2/13/2021 11:20:12 AM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany 2/15/2021 7:35:23 AM (Construction COC ADD TO FILE Review- NCC202746) • The task was assigned to Georgoulias, Bethany. The due date is: February 18, 2021 5:00 PM 2/13/2021 11:20 AM Y . Ta4M1 NORTH CAPOLINA EnYlrenmemf& Qualay Certificate of NCC202746 Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters) No.* Information associated with this permit Project Name Campbell Farms (Ryan Homes) Address Jeffrey Court, Concord, NC County Cabarrus Latitude 35.3364 Longitude -80.5596 Permittee Listed Ryan Homes Legally Responsible Kevin Connery Individual NC Reference No. NCG01-2020-2746 E&SC Plan ID CABAR-2020-084 Original NOI 27583 Tracking No.* Date COC Issued* 06/30/2020 Prior Rescission This field will populate only if CCChas already been rescinded.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 r Multiple Reasons (List) Addional Nbre information if needed (e.g., new Site Contact details can be included here) Explanation Addition of Lots 115-124 & 128-141 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 ESCApproval, (lose -Out Doc, etc.) Documentation Campbell Farms Rev3-LOA.pdf 713.2KB Mast be PDFfon-rat North Carolina General Statute 143-215.66 (1) provides that: Anyperson who knowinglymakes any false 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 knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case underthis 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 mayinclude a fine not to e)ceed ten thousand dollars ($10,000). rJ 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 Y1r 1 CLIAI I Y Type Name* Kevin Connery Title * Division Manager Organization* NVR, Inc. (dba Ryan Homes) Date * 02/13/2021 Email Address* kconnery@nvrinc.com Errail for confirmation Telephone Number* (704) 875-9887 Contact nun ber if we need to reach you Note: Original permittee and site contact are copied on modification correspondence. Additional Email wharris@he-nc.com (Optional) Additional errail for confirmation Original Permittee kconnery@nvrinc.com Email Original Site Contact epayne@nvrinc.com Email Review Date 02/15/2021 Rescinded Since Submitted? Request Date 20210213 Formatted Review Date 20210215 Formatted