HomeMy WebLinkAboutNCC190904_Notice of Termination_20210111Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/11/2021 11:12:16 AM (NOT Submittal)
Approve by Morman, Alaina 1/12/2021 2:49:29 PM (NOT Request Review- NCC190904)
• The task was assigned to Morman, Alaina. The due date is: January 14, 2021 5:00 PM
1/11/2021 11:12 AM
1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC190904
Coverage (COC) Enter the Certificate of Coverage Nmber
No.*
2020 Annual Fee Status PAID
2021 Annual Fee Status Nbybeblank (if not yet billed)
Information associated with this permit:
Project Name
4121 The Knolls Close
Address
4121 The Knolls Close, Pittsboro, NC
County
Chatham
Latitude
35.7920
Longitude
-79.0780
Permittee Listed
Fitch Creations, Inc.
Legally Responsible
Laura Morgan
Individual
NC Reference No.
NCG01-2019-0904
E&SC Plan ID
2019-05735
Original NOI
13304
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Cate populates only if COCwas already rescinded at tirre of subrrittal.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
r Sale (Another Owner/Operator will apply for a new COC)
Coverage *
U Mistake or Invalid Coverage
r Other
Ad d i o n a I Nbre information about the basis of this request, if needed.
Explanation
Supporting Upload Supporting Dxurrentation if applicable.
Documentation Mist beFDFformat
Project Close-out Information:
Final Close-out 1/7/2021
Inspection Approval
Project Close-out CERTIFICATE OF COMPLETION_Fearrington 4121
Approval 188.81 KB
The Knolls Close.pdf
Documentation
Mast be FDFforrrat
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 exceed 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* Laura Morgan
Title * General Manager, Real Estate and Construction
Organization* Fitch Creations, Inc.
Date * 01 /11 /2021
Email for brian@fearrington.com
Confirmation *
Contact Telephone* 9195424000
NOT Certification 4121 - NCG01 NOT (NC190904).pdf
Form Mast be PDF Forrrat
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Additional Email CCd on Notification BTails
(Optional) brenda@fearrington.com
Original Permittee CCdonWificationErrails
Email laura@fearrington.com
Original Site Contact CCd on Notificaiton BTails
Email brandon@fearrington.com
1.39MB