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HomeMy WebLinkAboutNCC211366_Modification Review (LEG RESP CHANGE)_20220920Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 9/16/2022 2:41:50 PM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany A 9/20/2022 9:45:04 AM (Construction COC ADD TO FILE Review - NCC211366) * Uploaded an incorrect document for legally responsible change but provided replacement via e-mail on 9/20/2022 (original upload removed from record). Legally responsible individual and site contact updated on 9/20/2022. • The task was assigned to Georgoulias, Bethany A. The due date is: September 21, 2022 5:00 PM 9/16/2022 2:41 PM Certificate of NCC211366 Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters) Information associated with this permit: Project Name Cambridge Park PH 2 - DR Horton Lots Address 1106 Hardwick Drive, Mebane, NC County Alamance Latitude 36.0499 Longitude-79.2947 Permittee Listed DR Horton. Inc. Legally Responsible Jessica Meyer Individual NC Reference No. NCG01-2021-1366 E&SC Plan ID ALAMA-2021-040 Original NOI Tracking 46225 No. * Date COC Issued* 03/29/2021 Prior Rescission Date This field will populate only if COC has already been rescinded. Modification Information: Reason for Closed -Out Lots/Outparcels in E&SC Plan Modification* Additional Lots/Outparcels Approved - E&SC Revised Other Revision(s) to E&SC Plan Legally Responsible Individual and/or Site Contact Has Changed • Multiple Reasons (List) change of legally responsible and additional lots added Addional Explanation More information (e.g., new Site Contact details). If lots are being added, please include specific lot numbers. new lots are 44-62, 65-76, 109-116, 219-223 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 (Revised E&SC Approval, Close -Out Doc, etc.) Documentation LoA ALAMA-2022-042_20220325_Express.pdf 253.76KB CoA ALAMA-2022-042.pdf 233.03KB SKM_C750i22091613110.pdf 241.17KB Must be PDF format North Carolina General Statute 143-215.613 (i) provides that: Any person who knowingly makes any false 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 guilty of a Class 2 misdemeanor which may include a fine not to 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:* The Legally Responsible Individual • 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 R" -,ate Type Name* Tracey Davis Title* Division NPDES Administrator Organization* D.R. Horton, INC Date * 09/16/2022 Email Address* tmdavis1@drhorton.com Email for confirmation Telephone Number* 9194972163 Contact number 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 jameyer@drhorton.com Email Original Site Contact jameyer@drhorton.com Email Review Date 09/20/2022 Rescinded Since Submitted?