NCC200486_Modification Review LOT 8 Added_20210322

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 3/22/2021 6:41:50 AM (ADD TO FILE Submittal)
Approve by Georgoulias, Bethany 3/22/2021 4:53:06 PM (Construction COC ADD TO FILE Review- NCC200486)
p Approval for Lot 8 was included, but close-out for Lot 3 was not. Permittee was advised to forward that
when available so it can be added with this modification record. Close-out is still pending from Chatham
County.
• The task was assigned to Georgoulias, Bethany. The due date is: March 25, 2021 5:00 PM
3/22/2021 6:41 AM

Y . Ta4M1
NORTH CAPOLINA
EnYlrenmemf& Qualay
Certificate of NCC200486
Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters)
No.*
Information associated with this permit:
Project Name whispering pines
Address 55 whispering meadows lane, pittsboro, NC
County Chatham
Latitude 35.7068
Longitude-79.1822
Permittee Listed D walsh construction Co LLC
Legally Responsible Daniel Walsh
Individual
NC Reference No. NCG01-2020-0486
E&SC Plan ID 2020-00837
Original NOI 21609
Tracking No.*
Date COC Issued* 02/10/2020
Prior Rescission This field will populate only if CCChas already been rescinded.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 Ivbre information (e.g., new site Contact details). If lots are being added, please include specific lot nunbers.
Explanation adding lot 8 114 whispering meadows lane.
Lot 3 46 whispering meadows lane has been completed and sold.
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 (Fevised E&SCApproval, Close -Out Doc, etc.)
Documentation Letter of Approval —Whispering Meadows Lot 8
286.81 KB
(1).pdf
Mast be FDFfornat
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 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 NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B,
Item (6) of that permit.
Signature
aWeW 6F1 11111a ,
Type Name* Daniel G Walsh
Title * managing member
Organization * D. WALSH CONSTRUCTION Co LLC
Date * 03/22/2021
Email Address* [e-mail]
Errail for confirrration
Telephone Number* 19192912087
Contact number if we need to reach you
Note: Original permittee and site contact are copied on modification correspondence.
Additional Email Additional en -ail for confirnation
(Optional)
Original Permittee [e-mail]
Email
Original Site Contact [e-mail]
Email
Review Date 03/22/2021
Rescinded Since
Submitted?

Request Date 20210322
Formatted
Review Date 20210322
Formatted