NCC192632_Notice of Termination_20210104

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 1/4/2021 4:55:05 PM (NOT Submittal)
Approve by Georgoulias, Bethany 1/4/2021 4:56:44 PM (NOT Request Review- NCC192632)
• The task was assigned to Georgoulias, Bethany. The due date is: January 7, 2021 5:00 PM
1/4/2021 4:55 PM

1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of
NCC192632
Coverage (COC)
Enter the Certificate of Coverage Nmber
No.*
2020 Annual Fee Status OPEN
2021 Annual Fee Status
May be blank (if not yet billed).
Information associated
with this permit:
Project Name
Wendell Falls Ph 5F, SF Lot Erosion Control Plans Lots 855-864, 882-891, 930-
934
Address
Wendell Falls Parkway, Wendell, NC
County
Wake
Latitude
35.7609
Longitude
-78.4257
Permittee Listed
Weekly Homes, LLC
Legally Responsible
Eric Hamalainen
Individual
NC Reference No.
NCG01-2019-2632
E&SC Plan ID
SEC-026764-2019
Original NOI
17953
Tracking No.
Date COC Issued
11/8/2019
Prior Rescission
Date populates only if COCwas already rescinded at tirre of submttal.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
Add Tonal IVbre information about the basis of this request, if needed.
Explanation
Supporting upload supporting Gbcurnentation if applicable.
Documentation NLstbeFOFforrrat

Project Close-out Information:
Final Close-out 11/30/2020
Inspection Approval
Project Close-out SEC-026764-2019_Certificate of Completion_11-24-
Approval 20.pdf 164.09KB
Documentation
Wst be FDFforrrat
North Carolina General Statute 143-215.613 (i) 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 Artide 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 device or method required to be operated or maintained under this Artide 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
r ACC' �F�f�r�Ilil�!f'/a'
Type Name* Eric Hamalainen
Title * Project Manager
Organization* David Weekley Homes
Date * 01 /04/2021
Email for [e-mail]
Confirmation *
Contact Telephone* 9196591504
NOT Certification NCG01-eNOT-Certification-Form-20201215-
Form DEMLR-SW encrypted_.pdf
Mast be FDF Format
Is this COCAlready Ensure this OOChas not been rescinded since subrrittal!
Rescinded?
Additional Email CCd on Notification BTails
(Optional)
Original Permittee CCd on Wification BTails
Email [e-mail]
Original Site Contact CCd on Notificaiton Errails
Email [e-mail]
1.01 MB