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HomeMy WebLinkAboutNCC220172_Modification Review_20230608 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 6/7/2023 2:43:24 PM(ADD TO FILE Submittal) Approve by bethany.georgoulias 6/8/2023 1:38:37 PM(Construction COC ADD TO FILE Review-NCC220172) •Contacts updated 6/8/2023. • The task was assigned to bethany.georgoulias.The due date is:June 12,2023 5:00 PM 6/7/2023 2:43:25 PM Ago Permit for Construction Activities DEQMODIFICATION 0itltl 0000 Certificate of NCC220172 Coverage(COC)No.* Enter the Certificate of Coverage Number(Use capital letters) Information associated with this permit: Project Name Hilltop Needmore Road Elementary School Address 4575 Hilltop Needmore Road, Fuquay-Varina, NC County Wake Latitude 35.6301 Longitude -78.7369 Permittee Listed Wake County Board of Education Legally Responsible Mark Strickland Individual At the time of Modification Request(not looked up again at review) NC Reference No. NCG01-2022-0172 E&SC Plan ID WAKE-2022-023 Original NOI Tracking 77798 No.* Date COC Issued* 01/26/2022 Prior Rescission Date This field will populate only if COC has already been rescinded.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. Acreage increased from 11.0 acres issued issued in the Wake-2022-023_20211207_LOA letter to 23.24ac issued in the Wake-2022-023 20230413 LOA letter. Correcting Mark Strickland's email address per the updated FRO Signed by WCPSS-mrstricland@wcpss.net Adding additional contact-Brandon Williams per the updated FRO Sign by WCPSS-bwilliams10@wcpss.net 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.) WAKE-2022-023 20211207 LOA.PDF 135.31KB WAKE-2022-023_20230413_LOA.pdf 161.89KB Updated FRO Signed by WCPSS.pdf 246.58KB 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(1)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* Mark Strickland Title* Chief Facilities and Operations Officer Organization* Wake County Board of Education Date* 06/07/2023 Email Address* mrstrickland@wcpss.net Email for confirmation Telephone Number* 919.694.7542 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 mstrickland@wcpss.net Email Original Site Contact whartley@wcpss.net Email Review Date 06/08/2023 Rescinded Since Submitted?