NCC192751_Notice of Termination_20200921

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 9/21/2020 4:19:40 PM (NOT Submittal)
Approve by Georgoulias, Bethany 9/22/2020 8:58:16 AM (NOT Request Review- NCC192751)
• Georgoulias, Bethany reassigned the task to Georgoulias, Bethany 9/21/2020 4:59 PM
An error occurred when trying to assign the task. The due date is: September 24, 2020 5:00 PM
9/21/2020 4:19 PM

1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC192751
Coverage (COC) Enter the Certificate of Coverage Nmber
No.*
Information associated with this permit
Project Name
Perimeter Park Tracts 4 & 6
Address
4000 Paramount Parkway, Morrisville, NC
County
Wake
Latitude
35.8593
Longitude
-78.8309
Permittee Listed
SVT Paramount Parkway, L.P.
Legally Responsible
Andres Panza
Individual
NC Reference No.
NCG01-2019-2751
E&SC Plan ID
SEC-023523-2019
Original NOI
18341
Tracking No.
Date COC Issued
11/13/2019
Prior Rescission
Cate populates only if OOCwas already rescinded at tirre of subaittal.
Date
Reason for Rescission/Termination Request:
Reason for F Project Closed -Out
Termination of r Sale (Another Owner/Operator will apply for a new COC)
Coverage * O Mistake or Invalid Coverage
r Other
Addional We inforrration about the basis of this request, if needed.
Explanation
Supporting upload Supporting Docurrentation if applicable.
Documentation Mist beFDFforrrat
Project Close-out Information:
Final Close-out 9/21/2020
Inspection Approval

Project Close-out Certificate of Completion —Perimeter Park Tracts 4
Approval 158.67KB
and 6.pdf
Documentation
Mast be FL7Fforrrat
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 deice or method required to be operated or maintained under this Article or rules ofthe
Commission implementing this Article shall be guiltyofa Class 2 misdemeanor which mayinclude a fine not to exceed ten thousand
dollars ($10,000).
17 I, as an authorized representative, hereby request rescission of coverage under
the NPDES Stormwater Permit for the subject facility. 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.
*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* Andres Panza
Title * Vice President
Organization* SVT Paramount Parkway, LP
Date * 09/21 /2020
Email for [e-mail]
Confirmation *
Contact Telephone* 202-470-1548
NOT Certification 2020-09-21 NCG01-eN0T-Cert (signed).pdf 476.46KB
Form Mast be PDF Fornat
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Original Permittee 0Cd on Wification BTails
Email [e-mail]
Original Site Contact CCd on Kotificaiton Bmils
Email [e-mail]