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HomeMy WebLinkAboutNCC211820_Modification Review_20210628Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 6/24/2021 11:11:43 AM (ADD TO FILE Submittal) Approve by Georgoulias, Bethany A 6/28/2021 11:30:40 AM (Construction COC ADD TO FILE Review - NCC211820) * Permittee confirmed County only sent email with approved plan sheets that were uploaded. Correspondence will be added to the Modification records. • The task was assigned to Georgoulias, Bethany A. The due date is: June 29, 2021 5:00 PM 6/24/2021 11:11 AM Y . Ta4M1 w, NORTH CAPOLINA EnYlrenmemf& Qualay Certificate of NCC211820 Coverage (COC) Enter the Certificate of Coverage Ninber (use capital letters) No.* Information associated with this permit: Project Name Windy Gap Dining Hall & Infrastructure Expansion Address 120 Coles Cove Road, Weaverville, NC County Buncombe Latitude 35.7438 Longitude-82.5106 Permittee Listed Young Life Legally Responsible Paul Sherrill Individual NC Reference No. NCG01-2021-1820 E&SC Plan ID Original NOI Tracking No. ER02021-000023 48457 Date COC Issued* 03/26/2021 Prior Rescission This field will populate only if COChas already been rescinded. Date Modification Information: Reason for r Closed -Out Lots/Outparcels in E&SC Plan Modification * r Additional Lots/Outparcels Approved - E&SC Revised F Other Revision(s) to E&SC Plan r Legally Responsible Individual and/or Site Contact Has Changed r Multiple Reasons (List) Addional Nbre information (e.g., new Site Contact details). If lots are being added, please include specific lot nunbers. Explanation Added additional areas of disturbance to facilitate additional landscaping, material storage space, and rework of project areas. 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&SCApproval, nose -Out Doc, etc.) Documentation APPROVED —Windy Gap_2021-06-16_Revision_B-3 5.21 MB (1)_06242021. pdf Mast be FDFfornat North Carolina General Statute 143-215.66 (1) provides that: Anyperson who knowinglymakes any false 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 knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case underthis 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 guiltyofa Class 2 misdemeanor which mayinclude a fine not to 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 NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. Signature �rx�, �. t u �� • �r'll Type Name* Paul Sherrill Title * Vice President of Administrative Services Organization* Young Life Date * 06/24/2021 Email Address* psherrill@sc.younglife.org Errail for confirnation Telephone Number* 719-391-1960 Contact number if we need to reach you Note: Original permittee and site contact are copied on modification correspondence. Additional Email mgoforth@hcepc.net (Optional) Additional errail for confirrration Original Permittee psherrill@sc.younglife.org Email Original Site Contact tkicklighter@cpt.younglife.org Email Review Date 06/28/2021 Rescinded Since Submitted? Request Date 20210624 Formatted Review Date 20210628 Formatted