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HomeMy WebLinkAboutNCC205329_Modification Review_20210825Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 8/24/2021 11:43:53 AM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany A 8/25/2021 7:31:34 AM (Construction COC ADD TO FILE Review - NCC205329) • The task was assigned to Georgoulias, Bethany A. The due date is: August 27, 2021 5:00 PM 8/24/2021 11:44 AM Y . Ta4M1 w, NORTH CAPOLINA EnYlrenmemf& Qualay Certificate of NCC205329 Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters) No.* Information associated with this permit Project Name Bloomfield Subdivision, Phase 6, Lot 1 Address 7061 Leando Drive, Willow Springs, NC County Wake Latitude 35.5867 Longitude -78.7102 Permittee Listed The Drees Homes Company Legally Responsible Jerry Dean Individual NC Reference No. NCG01-2020-5329 E&SC Plan ID SEC-048332-2020 Original NOI 36555 Tracking No.* Date COC Issued* 11/20/2020 Prior Rescission This field will populate only if CCChas already been rescinded.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 MDre inforrration (e.g., new Site Contact details). If lots are being added, please include specific lot nunbers. Explanation this is for lot 22 Bloomfield 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 BFE 22 SEC-064765-2021_Approval-.pdf 220.93KB Mast be FDFfon-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 � t"�•�� ��Eirl�r.` Type Name* Jerry Dean Title * Division President Organization* The Drees Homes Company Date * 08/24/2021 Email Address* Imartin@dreeshomes.com Errail for confirrration Telephone Number* 919.256.5432 Contact nurrber 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 Imartin@dreeshomes.com Email Original Site Contact dscott@dreeshomes.com Email Review Date 08/25/2021 Rescinded Since Submitted? Request Date 20210824 Formatted Review Date 20210825 Formatted