NCC190892_Notice of Termination_20201117

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/17/2020 2:01:50 PM (NOT Submittal)
Approve by Georgoulias, Bethany 11/18/2020 4:26:51 PM (NOT Request Review- NCC190892)
p See permit file for e-mail correspondence clarifying circumstances of site and sale history. To// Brothers
never began planned construction. Rescission is appropriate.
• The task was assigned to Georgoulias, Bethany. The due date is: November 20, 2020 5:00 PM
11/17/2020 2:01 PM

1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC190892
Coverage (COC) Enter the Certificate of Coverage Nmber
No.*
Information associated with this permit
Project Name
Regency at Flowers Plantation
Address
E. Neuse River Parkway, Clayton, NC
County
Johnston
Latitude
35.6638
Longitude
-78.3687
Permittee Listed
Toll Brothers
Legally Responsible
David Kelly
Individual
NC Reference No.
NCG01-2019-0892
E&SC Plan ID
JC# 19-024-P
Original NOI
13190
Tracking No.
Date COC Issued
7/10/2019
Prior Rescission
Cate populates only if COCwas already rescinded at tirre of subrrittal.
Date
Reason for Rescission/Termination Request:
Reason for r Project Closed -Out
Termination of F Sale (Another Owner/Operator will apply for a new COC)
Coverage * r Mistake or Invalid Coverage
r Other
Add ional We information about the basis of this request, if needed.
Explanation Toll Brothers never actually owned this
property and should not have entered any
permitting for the property. The current
developer is a different company that
already has a COC for the site
(NCC201232).

Supporting upload Supporting Documentation if applicable.
Documentation Deed Book.pdf
Mast be FDFformat
Project Close-out Information:
Final Close-out
Inspection Approval
Project Close-out Mast beFDFforrrat
Approval
Documentation
North Carolina General Statute 143-215.613 (i) provides that:
141.72KB
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 Artide; 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).
fJ 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
e!2 w' C �•
Type Name* David Kelly
Title * Division President
Organization* Toll Brothers
Date * 11 /17/2020
Email for [e-mail]
Confirmation *
Contact Telephone* 919-321-4800
NOT Certification NCG01-eNOT-Certification-Form-20190508-
Form 319.08KB
DEMLR-SW.pdf
Mast be FDF Format
Is this COCAlready Ensure this OOChas not been rescinded since subnittal!
Rescinded?
Original Permittee CCdonWificationEmails
Email [e-mail]

Original Site Contact CCd on Notificaiton Bmils
Email [e-mail]