Loading...
HomeMy WebLinkAboutNCC203817_Modification Review ADD LOT 36_20210603Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 6/2/2021 11:22:49 AM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany A 6/3/2021 6:49:18 AM (Construction COC ADD TO FILE Review- NCC203817) The task was assigned to Georgoulias, Bethany A. The due date is: June 7, 2021 5:00 PM 6/2/2021 11:22 AM Y . Ta4M1 w, NORTH CAPOLINA EnYlrenmemf& Qualay Certificate of NCC203817 Coverage (COC) Enter the Certificate of Coverage Ninber (Use capital letters) No.* Information associated with this permit: Project Name Westfall 34 Address 153 West Beech Slope St, Chapel Hill, NC County Chatham Latitude 35.8260 Longitude -79.0560 Permittee Listed Triple A Homes Legally Responsible Dan Morse Individual NC Reference No. NCG01-2020-3817 E&SC Plan ID 2020-05580 Original NOI 30667 Tracking No.* Date COC Issued* 09/09/2020 Prior Rescission This field will populate only if CCChas already been rescinded.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 IVbre infornetion (e.g., new Site Contact details). If lots are being added, please include specific lot numbers. Explanation lot 36 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 WFL 36 Soil Erosion Letter of Approval.pdf 138.58KB Mast be FDFfon-rat North Carolina General Statute 143-215.66 (1) provides that: Anyperson who knowinglymakes anyfalse 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 knowinglymakes a false statement of a material fact in a rulemaking proceeding or contested case underthis Article; orwho 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 notto exceed ten thousand dollars ($10,000). 17 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 " fm�k Type Name* Gerry Felton Title * VP Organization * Triple A Homes Date * 06/02/2021 Email Address* laura@tripleahomes.org Errail for confirmation Telephone Number* 9498120991 Contact nun ber 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 laura@tripleahomes.org Email Original Site Contact david@tripleahomes.org Email Review Date 06/03/2021 Rescinded Since Submitted? Request Date 20210602 Formatted Review Date 20210603 Formatted