NCC222956_Modification Review_20230525

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/21/2023 1:52:33 PM (ADD TO FILE Submittal)
Approve by bethany.georgoulias 5/25/2023 8:21:47 AM (Construction COC ADD TO FILE Review - NCC222956)
0 Additional site contact details obtained via email; updated 5/25/2023.
The task was assigned to bethany.georgoulias. The due date is: May 25, 2023 5:00 PM
5/22/2023 9:03:12 AM

Georgoulias, Bethany
From: Naldo Echevarria <[e-mail]>
Sent: Wednesday, May 24, 2023 8:24 AM
To: Georgoulias, Bethany
Cc: Chris Simmering
Subject: Re: [External]RE: [External] Construction SW Modification Request - More info
required
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Good morning.
The address should remain the same on file. Let me know if you need anything else.
Arnaldo Echevarria, P.E.
Land Entitlements and Engineering Manager
2521 Schieffelin Rd. Suite 116
Apex, NC 27502
Thank you!
Arnaldo (Naldo) Echevarria, P.E.
Mungo Homes
[e-mail]
919-302-1024
On May 24, 2023, at 8:10 AM, Georgoulias, Bethany <[e-mail]> wrote:
Good morning,
We are reviewing this Modification request and need more information. Please provide the new Site
Contact's name, mailing address, and title. Email back to me is fine.
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Thank you!
Bethany Georgoulias (she/her)
1

Environmental Engineer, Stormwater Program
DEMLR Laserfiche Administrator
Division of Energy, Mineral, and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
[e-mail]
DEQ is updating its email addresses to @deq.nc.gov in phases from May 1st to June 9th. Employee
email addresses may look different, but email performance will not be impacted.
512 N. Salisbury Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: http://deq.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
From: [e-mail] <[e-mail]>
Sent: Monday, May 22, 2023 9:04 AM
To: [e-mail]
Cc: [e-mail]; [e-mail]
Subject: [External] Construction SW Modification Request Received
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the
Report Message button located on your Outlook menu bar on the Home tab.
Thank you for submitting a Modification request for Fowler Tract - Phase 1 in Durham County,
Certificate of Coverage (COC) no. NCC222956.
Modification Reason: E&SC Revision + Site Contact + Increased Acreage
Additional Details (if provided): New Site Contact Info:
[e-mail]
919-302-1024
If your submittal is accepted, you will receive e-mail confirmation. You will also be notified if additional
information is needed or if the modification request or documents cannot be accepted.
If you have any questions, please contact [e-mail].
Be sure to add [e-mail] to your contacts to avoid future a -mails about this
application from going into Spam filters.
The NC DEMLR Stormwater Program
512 N. Salisbury Street, Archdale Building 6th Floor, 1612 Mail Service Center, Raleigh, NC 27699-1612
<image002.jpg>
This email was automatically generated by Laserfiche. Please do not respond to this email address, as
responses are not monitored.

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parties by an authorized state official.
To view our privacy policies, please click here:
https://www.claytonhomes.com/privacy/

E
Certificate of NCC222956
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
Information associated with this permit:
Project Name Fowler Tract - Phase 1
Address 705 Doc Nichols Road, Durham, NC
County Durham
Latitude 35.9620
Longitude-78.7844
Permittee Listed Clayton Properties Group Inc
Legally Responsible Chris Simmering
Individual At the time of Modification Request (not looked up again at review)
NC Reference No. NCG01-2022-2956
E&SC Plan ID 6385-08
Original NOI Tracking 102256
No.*
Date COC Issued* 08/18/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.
Modification Information:
Reason for Modification*
Closed -Out Lots/Outparcels in E&SC Plan
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) E&SC Revision + Site Contact + Increased Acreage
Addional Explanation
More information (e.g., new Site Contact details). If lots are being added, please include specific lot numbers.
New Site Contact Info:
[e-mail]
919-302-1024
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 Documentation
Upload Supporting Documentation (Revised E&SC Approval, Close -Out Doc, etc.)
6578-08 Fowler Tract Ph I EC Approval.pdf 118.34KB
Must be PDF format
Is this project funded with ARPA (American Rescue Plan Act) grant funds?
No
Yes
This question was added to the eNOl on 2/3/2023 and will not be answered in applications submitted prior to that date.
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 NCG010000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item
(6) of that permit.
Signature
Type Name* Chris Simmering
Title* Vice President of Land Acquisitions and Development
Organization* Clayton Properties Group, Inc
Date * 05/21 /2023
Email Address* [e-mail]
Email for confirmation
Telephone Number* 19193021024
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 [e-mail]
Email
Original Site Contact [e-mail]
Email
Review Date 05/25/2023

Rescinded Since
Submitted?