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HomeMy WebLinkAboutNCC232591_Modification Review_20231121 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 11/17/2023 1:23:17 PM (ADD TO FILE Submittal) Approve by bethany.georgoulias 11/21/2023 7:06:33 AM (Construction COC ADD TO FILE Review-NCC232591) • The task was assigned to bethany.georgoulias.The due date is: November 22,2023 5:00 PM 11/17/2023 1:23:18 PM Ago DEQMODIFICATION Permit for Construction Activities 0itltl 0000 Certificate of NCC232591 Coverage(COC)No.* Enter the Certificate of Coverage Number(Use capital letters) Information associated with this permit: Project Name Novo Nordisk Early Grading Package Address Powhatan Rd,Clayton, NC County Johnston Latitude 35.6165 Longitude -78.3958 Permittee Listed BE&K Building Group Legally Responsible Chris LaBonte Individual At the time of Modification Request(not looked up again at review) NC Reference No. NCG01-2023-2591 E&SC Plan ID JC#23-051-P Original NOI Tracking 156422 No.* Date COC Issued* 09/27/2023 Prior Rescission Date This field will populate only if COC has already been rescinded.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. Grading areas expanded per amended approval. 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.) 23-051 Novo Nordisk IFP Early Grading Package REVISED ESC Appr 197.15K6 11.17.23.pdf 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 143-215.6113(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* Lisa Florack Title* Senior Project Manager Organization* BEW Building Group Date* 11/17/2023 Email Address* lisa.florack@bekbg.com Email for confirmation Telephone Number* 919.422.7455 Contact number if we need to reach you Note:Original permittee and site contact are copied on modification correspondence. Additional Email chris.labonte@bekbg.com (Optional) Additional email for confirmation Original Permittee chris.labonte@bekbg.com Email Original Site Contact chris.labonte@bekbg.com Email Review Date 11/21/2023 Rescinded Since Submitted?