HomeMy WebLinkAboutNCC191540_Notice of Termination_20201210Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/10/2020 2:09:38 PM (NOT Submittal)
Approve by Georgoulias, Bethany 12/11/2020 3:16:48 PM (NOT Request Review- NCC191540)
• The task was assigned to Georgoulias, Bethany. The due date is: December 15, 2020 5:00 PM
12/10/2020 2:09 PM
1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC191540
Coverage (COC) Enter the Certificate of Coverage Nmber
No.*
2020 Annual Fee OPEN
Status
Information associated with this permit:
Project Name
Avalaire Lot 41
Address
1424 Lily Estates Sr., Bartons Creek Township, NC
County
Wake
Latitude
35.9170
Longitude
-78.6290
Permittee Listed
Homestead Building Company
Legally Responsible
John Heidel
Individual
NC Reference No.
NCG01-2019-1540
E&SC Plan ID
SEC-18908-2019
Original NOI
15171
Tracking No.
Date COC Issued
8/28/2019
Prior Rescission
Cute populates only if CCCwas already rescinded at tirre of submttal.
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 *
r Mistake or Invalid Coverage
r Other
Addional IVbre information about the basis of this request, if needed.
Explanation
Supporting upload Supporting DDcurrentation if applicable.
Documentation NLstbeFOFformat
Project Close-out Information:
Final Close-out 12/2/2020
Inspection Approval
Project Close-out SEC-018908-2019 Certificate of Completion.pdf 136.85KB
Approval Wst be FDFfornat
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 of the
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
0,,&W WSW
Type Name* John Heidel
Title * President
Organization* Homestead Building Company
Date * 12/10/2020
Email for bob@homesteadbuilt.com
Confirmation *
Contact Telephone* 919-556-8472
NOT Certification NOT41Avalaire.pdf 414.56KB
Form Mist be PDF Forrrat
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Original Permittee 0Cd on Notification Erreils
Email john@homesteadbuilt.com
Original Site Contact CCd on Notificaiton Bmils
Email jeff@homesteadbuilt.com