NCC190567_NOT Signed Certification_20201215

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NORTH CAROLINA
Ehvi o mrmaf Qualfiy
Certificate of NCC190567
Coverage (COC) Enter the certificate of coverage %nter {Use capital letters)
No.
Information associated with this permit:
Project Name
North Brunswick High School Field Upgrade - EXPRESS
Address
114 Scorpion Drive NE, Leland, NC
County
Brunswick
Latitude
34.2406
Longitude
-78.0244
Permittee Listed
Brunswick County School Board
Legally Responsible
Susan Rutledge
Individual
NC Reference No.
NCG01-2019-0567
E&5C Plan ID
BRUNS-2019-088
Original NOI
12023
Tracking li
Date COC Issued *
06111 /2019
Prior Rescission
This field will populate only if MC has already been rescinded.
Date
Reason for Rescission/Termination
Request:
Reason for f• Project Closed -Out
Termination of C Sale (Another Owner/Operator will apply for anew COC)
Coverage * ' Mistake or Invalid Coverage
r Other
Add ional We inforrration about the basis of this request, if needed.
Explanation
For Project Close-out, you must provide documentation below. Please note, a Certificate of Occupancy is
not sufficient close-out documentation. You must provide a fi nal inspection report or correspondence from
the authority that approved the E&SC Plan.

Final Close-out 10/29/2020
Inspection
Approval*
Project Close-out Inspection - 10.29.20 - Closed (1).pdf 36.19KB
Approval Mast be PCFfornat
Uocurne ntatlon *
North Carolina General Statute 143-215.613 (i) provides that:
Any person who knowingly makes any false statement, representation, orcertification in any application, record, report, plan, Mother
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 knowinglyrenders
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 misdemeanorwhich may include a fine not to exceed ten thousand
dollars ($10,000).
* 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 * CRAIG ECKERT
Title * DIRECTOR OF CAPITAL PROJECTS
Organization * BRUNSWICK COUNTY SCHOOLS
Date * 12/15/2020
Email for [e-mail]
Confirmation*
Contact Telephone* 910-253-1078
NOT Certification NOT NBHS.pdf
Form* Mast be FLF Format
99.6 KB
YOU MUST MAIL THE ORIGINAL SIGNED NOT CERTIFICATION FORM to The Stormwater Program at the address on
the form for the application to fulfill federal requirements.
Additional Email
(Optional)

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BRUNSWICK COUNTY SCHOOLS
35 Referendum Drive Union, North Carolina 28422 Phone: [phone] Fax: [phone]
Date: March 4, 2020
To: NCDEQ Regulatory Personnel
From: Dr Jerry Oates
Subject: Signatory Authority - NCDEQ Stormwater and Erosion Control Permit
Applications — New and Modifications
Please be advised that Mr. Craig Eckert, Director of Capital Projects and Planning, is
authorized to sign NCDEQ Stormwater and Erosion Control Permit applications for
Brunswick County Board of Education owned school property.
I may be contacted at 910-253-2900.
Sincerely
Brunswick County Schools
Dr Jerry Oates
Superintendent, Brunswick County Schools
I, TA VLc Sy 4 b,yl +�t �S , a Notary Public for the State of
4a G ,{{County of Y1.tVt) �� cr ✓1- -,do hereby certify
that D%t_ � e_P k4 CLkxt� _- personally appeared before me this
the -� day of W\c'.'C. , 20Za, and acknowledge the due
execution of the forgoing instrument- Witness my hand and official seal,
Tanisha D. Saunders
(Notary Seal) Notary Public
New Hanover County, NC
j � My Commission 1_xpires 6/9/2024
Notary Signature 3C' ✓ '_
My commission expires Cp ! I j 2b2'(f
h iYy
Board Members: Ellen G. Milligan, Chairperson - Harry E, Lemon, Jr, Vice -Chairperson • Catherine D. Cooke - Charles W. Miller • Gerald Benton, Jr
1 Dr. Jerry Oates, Superintendent 4

North Carolina Department of Environmental Quality
Division of Energy, Mineral and Land Resources
127 Cardinal Drive Extension, Wilmington, NC 28405 [phone]
County: Brunswick Project: North Brunswick High School Athletic River basin: Cape Fear
Person financially responsible: Brunswick County Board of Education - Susan Project th BRUNS-2018-050
Rutledge, Executive Director of Operations
Address: 35 Refernedum Drive, Bolivia, NC 28422
1. Project Location: Scorpion Drive, Leland
Pictures: No
2. Weather and soil conditions: sunny and workable
3. Is site currently under notice of violation? No
4. Is the site in compliance with S.P.C.A. and rules? Yes
5. Violations:
G. Is the site in compliance with the NPDES Permit? Yes
Describe:
Initial inspection: No
If no, check violations below:
7. Has sedimentation damage occurred since last inspection? No If Yes, where? (check all that apply)
Degree of damage:
8. Contact made with (name):
Inspection report: Sent Report
9. Corrective action needed:
Title:
Date given/sent: October 30, 2020
10. Comments: Permanent ground cover sufficient to restrain erosion has been established. No additional
self -monitoring or self -inspections are required. Project is released and coverage under
NPDES General Permit for Construction Activities is terminated.
Reported by: Creighton Brown Others present:
Date of inspection. October 29, 2020 Time arriving on site: 1:20 PM Time leaving site: 1:25 PM
cc: