NCC192727_Notice of Termination_20210129

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 1/29/2021 4:33:36 PM (NOT Submittal)
Approve by Morman, Alaina 2/2/2021 8:34:50 AM (NOT Request Review- NCC192727)
• The task was assigned to Morman, Alaina. The due date is: February 3, 2021 5:00 PM
1 /29/2021 4:33 PM

1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC192727
Coverage (COC) Enter the Certificate of Coverage Ninber
No.*
2020 Annual Fee Status PAST DUE
2021 Annual Fee Status Nbybeblank (if not yet billed).
This permittee owes a fee that is PAST DUE and has a pending NOD or NOV. Do not approve this NOT request
until payment is resolved. If this NOT request is acceptable, payment may be waived if applicable, but that action must
be completed first (at the NOD or NOV Reviewstep) to ensure records are routed to the correct folder in the
repository.
However, you can reject the NOT now if it is not acceptable.
Information associated with this permit:
Project Name
Edgecombe Solar Project
Address
Alt 64 US Hwy and Penelo Farm Lane, Rocky Mount, NC
County
Edgecombe
Latitude
36.0000
Longitude
-78.0000
Permittee Listed
Wanzek Construction, Inc.
Legally Responsible
Troy Ochoa
Individual
NC Reference No.
NCG01-2019-2727
E&SC Plan ID
EDGEC-2018-007
Original NOI
18249
Tracking No.
Date COC Issued
11/12/2019
Prior Rescission
Cate populates only if CDC was already rescinded at tirre of submittal.
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 Phase 1 pile installation work complete; rest of work will be under
separate permit
Add ional We information about the basis of this request, if needed.
Explanation Wanzek filed the NOI to perform phase 1
inverter pile installation to lock in funding for
the solar project that will be built in the future
under a separate NOI. The phase 1 portion
of the project did not include grading or civil
disturbance.
Supporting Upload Supporting Dxurrentation if applicable.
Documentation DEMLR Correspondence. pdf
Mast be FDFfornat
Project Close-out Information:
Final Close-out
Inspection Approval
Project Close-out Mist beFDFfornat
Approval
Documentation
North Carolina General Statute 143-215.66 (1) provides that:
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Any person who knowinglymakes anyfalse statement, representation, or certification in anyapplication, record, report, plan, or other
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 misdemeanor which may include 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
v� 010"
Type Name* Troy Ochoa
Title * Vice President -Solar & Construction
Organization* Wanzek Construction, Inc.
Date * 01 /29/2021
Email for [e-mail]
Confirmation *

Contact Telephone* 661-809-6456
NOT Certification 2020-02-21_Edgecombe_NOT certification form
Form (signed).pdf
Mast be PDF Forrrat
Is this COCAlready Ensure this OOChas not been rescinded since subrrittal!
Rescinded?
Additional Email CCd on Notification Bmils
(Optional) [e-mail]
Original Permittee 0Cd on Notification BTails
Email [e-mail]
Original Site Contact CCd on Notificaiton Bmils
Email [e-mail]
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