HomeMy WebLinkAboutNCC192248_Notice of Termination_20201124Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 11/24/2020 12:27:16 PM (NOT Submittal)
Approve by Georgoulias, Bethany 11/30/2020 8:04:05 AM (NOT Request Review- NCC192248)
• The task was assigned to Georgoulias, Bethany. The due date is: November 27, 2020 5:00 PM
11 /24/2020 12:27 PM
1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of
NCC192248
Coverage (COC)
Enter the Certificate of Coverage Nmber
No.*
Information associated
with this permit:
Project Name
Fourth Creek 100kV DOT Relocation Project
Address
Davie Avenue, Statesville, NC
County
Iredell
Latitude
35.8052
Longitude
-80.8624
Permittee Listed
Duke Energy Carolinas
Legally Responsible
Randy Veltri
Individual
NC Reference No.
NCG01-2019-2248
E&SC Plan ID
IREDE-2020-006
Original NOI
16882
Tracking No.
Date COC Issued
10/10/2019
Prior Rescission
Cate populates only if COCwas already rescinded at tirre of subrrittal.
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 9/2/2020
Inspection Approval
Project Close-out DEQ Closeout Inspection.pdf 50.27KB
Approval Mast be FDFfornil
Documentation
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 e)ceed ten thousand
dollars ($10,000).
rJ 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* Randy Veltri
Title * Manager, Permitting
Organization* Duke Energy Carolinas, LLC
Date * 11 /24/2020
Email for randy.veltri@duke-energy.com
Confirmation *
Contact Telephone* 704-382-2741
NOT Certification NCG01-eNOT-Certification-Form-20190508-
Form DEMLR-SW Fourth Creek-SIGNED.pdf
Mast be PM Forrrat
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Original Permittee CCd on Wification Errails
Email randy.veltri@duke-energy.com
Original Site Contact CCd on Kbtificaiton Bmils
Email eric.shook@duke-energy.com
394.88KB