NCC223575_Modification Review_20230523

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/19/2023 12:09:26 PM (ADD TO FILE Submittal)
Approve by bethany.georgoulias 5/23/2023 7:03:36 AM (Construction COC ADD TO FILE Review - NCC223575)
0 Robin Rose listed Chatham Park Investors LLC as the Organization, but he is also a Registered
Agent of 15-501 East LLC (confirmed via email - see records).
The task was assigned to bethany.georgoulias. The due date is: May 24, 2023 5:00 PM
5/19/2023 12:09:27 PM

E
Certificate of NCC223575
Coverage (COC) No.* Enter the Certificate of Coverage Number (Use capital letters)
Information associated with this permit:
Project Name Chatham Park - Grant Drive Phase 3
Address Grant Drive East of Freedom Parkway, West of Chatham Park Way, Pittsboro, NC
County Chatham
Latitude 35.7510
Longitude-79.1600
Permittee Listed 15-501 East LLC
Legally Responsible Tim Smith
Individual At the time of Modification Request (not looked up again at review)
NC Reference No. NCG01-2022-3575
E&SC Plan ID WP-22-377
Original NOI Tracking 109334
No.*
Date COC Issued* 10/18/2022
Prior Rescission Date This field will populate only if COC has already been rescinded.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)
Addional Explanation
More information (e.g., new Site Contact details). If lots are being added, please include specific lot numbers
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 Revised Plans 5-12-23.pdf 122.14KB
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 143-215.6B (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* Robin R. Rose
Title* Registered Agent
Organization* Chatham Park Investors LLC
Date * 05/19/2023
Email Address* [e-mail]
Email for confirmation
Telephone Number* 919-481-3000 Ext. 5
Contact number if we need to reach you
Note: Original permittee and site contact are copied on modification correspondence.
Additional Email [e-mail]
(Optional) Additional email for confirmation
Original Permittee [e-mail]
Email
Original Site Contact [e-mail]
Email
Review Date 05/23/2023

Rescinded Since
Submitted?

Georgoulias, Bethany
From:
Morris, Sue <smorris@withers rave nel.com>
Sent:
Monday, May 22, 2023 4:35 PM
To:
Georgoulias, Bethany
Cc:
Albini, Alicia; Avant, Gareth; Freshour, Chris
Subject:
[External] NCC223575 Modification
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 Afternoon, Bethany!
I am writing in response to the below email that you sent to Mr. Robin Rose regarding a Modification to COC #NCC223575 for
Chatham Park — Grant Drive Phase 3. As you mentioned in your email, the Organization name in the signature block did not match
the entity listed as the Permittee. Please accept my sincere apologies for this error.
Both the Permittee and Organization should have been listed as 15-501 East LLC, with Mr. Robin R. Rose signing as Registered Agent.
Can you please advise as to how I can correct this error for you, or let me know if I need to submit a new Modification?
Again, I am so sorry for the trouble. I will look forward to hearing from you and will resolve this issue as quickly as possible.
Thank you, Bethany!
MGM Sue Morris
NoSENIOR PROJECT COORDINATOR ) ' 910 a'
t:919.469.3340 919.417.7889 Cary, NC WITH ERSRAVENEL.COM
From: Georgoulias, Bethany<[e-mail]>
Sent: Monday, May 22, 2023 9:50 AM
To: [e-mail] <[e-mail]>
Cc: Robin Rose <[e-mail]>; Robin Rose <[e-mail]>
Subject: RE: Construction SW Modification Request for NCC223575 - Question
Good morning,
We received this request for a mod to a permit held by 15-501 East LLC, but the request was submitted by Robin with
Chatham Park Investors LLC, a different organization. Are these organizations related? We do not accept Modification
requests from individuals who are not affiliated with the Permittee organization. Please advise.
Thank you,
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]

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
D_E
NORTH CAROLINA
Department of Environmental quality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.