NCC191644_Modification Review ADD LOT 414_20231002

Georgoulias, Bethany
From: Georgoulias, Bethany
Sent: Monday, October 2, 2023 4:22 PM
To: Martin Beam
Subject: RE: [External] Re: Modification Confirmation
Hi, Martin,
I can add this correspondence to the review records.Thank you for letting us know.
Regards,
Bethany Georgoulias (she/her)
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]
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: Martin Beam <[e-mail]>
Sent: Monday, October 2, 2023 1:38 PM
To: [e-mail]
Cc: Georgoulias, Bethany<[e-mail]>
Subject: [External] Re: Modification Confirmation
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
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Good Afternoon,
It looks like I added the wrong address to this lot number.
It should be:
Lot 414 Chapel Ridge-73 Duck Bill
Can we change that address please?
Sorry for the confusion!
Thanks
Martin Beam
MJ Rose Homes
On Mon, Oct 2, 2023 at 8:37 AM <[e-mail]>wrote:
This e-mail is to notify you that the modification information for COC No. NCC191644 for the project Chapel Ridge Lot
391 and 450 that you submitted on 9/29/2023 has been added to the permit file records as of 10/2/2023.
1

Modification Reason:Additional Lots/Outparcels Approved - E&SC Revised
Additional Details(if provided):Add Lot 414 Chapel Ridge-77 Cabin Creek
You can find all Construction COC Permit files in our Document Repository here.
Questions? Please contact The NC Stormwater Program at(919) 707-3640.
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.
Martin Beam
MJ Rose Homes
919-369-3714
www.morosehomes.com
2

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 9/29/2023 3:16:16 PM (ADD TO FILE Submittal)
Approve by bethany.georgoulias 10/2/2023 8:36:43 AM (Construction COC ADD TO FILE Review-NCC191644)
• The task was assigned to bethany.georgoulias.The due date is: October 4,2023 5:00 PM
9/29/2023 3:16:17 PM

Ago Permit for Construction Activities DEQMODIFICATION
0itltl
0000
Certificate of NCC191644
Coverage(COC)No.* Enter the Certificate of Coverage Number(Use capital letters)
Information associated with this permit:
Project Name Chapel Ridge Lot 391 and 450
Address 201 Cabin Creek and 192 Deep Creek, Pittsboro, NC
County Chatham
Latitude 35.7800
Longitude -79.2000
Permittee Listed MJ Rose Homes
Legally Responsible Martin Beam
Individual At the time of Modification Request(not looked up again at review)
NC Reference No. NCG01-2019-1644
E&SC Plan ID 2019-06985
Original NOI Tracking 15388
No.*
Date COC Issued* 08/30/2019
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)
Addional Explanation
More information(e.g.,new Site Contact details).If lots are being added,please include specific lot numbers.
Add Lot 414 Chapel Ridge-77 Cabin Creek
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.)
Letter of Approval(12).pdf 291.21 KB
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 /yy /,�
r l'wa mew Zl_ln w
Type Name* Martin Beam
Title* Owner/Manager
Organization* MJ Rose Homes
Date* 09/29/2023
Email Address* [e-mail]
Email for confirmation
Telephone Number* 9193693714
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 10/02/2023

Rescinded Since
Submitted?