NCC217040_Modification Review_20230605

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 5/31/2023 11:48:07 AM (ADD TO FILE Submittal)
Approve by bethany.georgoulias 6/5/2023 7:41:00 AM(Construction COC ADD TO FILE Review-NCC217040)
•Legally responsible person updated on 6/5/2023.Contact noted county is incorrectly identified (should
be Wake)-see email correspondence.
• The task was assigned to bethany.georgoulias.The due date is:June 5,2023 5:00 PM
5/31/2023 11:48:08 AM

Georgoulias, Bethany
From: Tracey Davis <TMDavisl @drhorton.com>
Sent: Wednesday, May 31, 2023 11:50 AM
To: Georgoulias, Bethany
Subject: [External] FW: 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.
I also just realized that this is marked as Guilford County and it is actually Wake County.
Thanks,
Tracey
TRACEY DAVIS CESSWI, CISEC
Division NPDES Technical Compliance Administrator
D-R-HO l■' D.R.HORTON
f�Gl'fGA's ec#� 7208 Falls of Neuse Rd. I Suite 2011 Raleigh,NC 27615
m:919.497.2163 1 drhorton.com
America's#1 Home Builder Since 2002 1 D.R.Horton•Express•Emerald•Freedom•Terramor Homes
From: [e-mail]<[e-mail]>
Sent:Wednesday, May 31, 2023 11:48 AM
To:Tracey Davis<[e-mail]>
Cc:Jess Meyer<[e-mail]>; Christopher Michael Ahlers<[e-mail]>
Subject: Construction SW Modification Request Received
[External]
Thank you for submitting a Modification request for Anderson Farm Subdivision in Guilford County, Certificate of
Coverage (COC) no. NCC217040.
Modification Reason:Adding lot erosion permit acreage and changing responsible party
Additional Details(if provided):Adding revision to include lot controls for Phase 1-3 - lots 1-110 and change of
responsible party
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].
1

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
This email was automatically generated by Laserfiche. Please do not respond to this email address, as responses are not
monitored.
CAUTION:This email originated from outside of the organization. Do not click links or open attachments
unless you recognize the sender and know the content is safe.
2

Ago Permit for Construction Activities DEQMODIFICATION
0itltl
0000
Certificate of NCC217040
Coverage(COC)No.* Enter the Certificate of Coverage Number(Use capital letters)
Information associated with this permit:
Project Name Anderson Farm Subdivision
Address Old Battle Bridge Road,Wendell, NC
County Guilford
Latitude 35.7963
Longitude -78.4056
Permittee Listed DR Horton, Inc
Legally Responsible Jess Meyer
Individual At the time of Modification Request(not looked up again at review)
NC Reference No. NCG01-2021-7040
E&SC Plan ID SEC-027290-2019
Original NOI Tracking 75989
No.*
Date COC Issued* 12/20/2021
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) Adding lot erosion permit acreage and changing responsible party
Addional Explanation
More information(e.g.,new Site Contact details).If lots are being added,please include specific lot numbers.
Adding revision to include lot controls for Phase 1-3-lots 1-110 and change of responsible party
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.)
New not forms.pdf 115.29KB
SEC-090 89 3-2023_Approval- 281.13KB
pprovaI-
281.13K6
S&EConstruction Plan ReviewChecklist_05-16-2023.pdf
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 �
F/l;"i9l oFIG I
Type Name* Tracey Davis
Title* Division NPDES Administrator
Organization* D.R. Horton Inc
Date* 05/31/2023
Email Address* [e-mail]
Email for confirmation
Telephone Number* 919-497-2163
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 06/05/2023
Rescinded Since
Submitted?