HomeMy WebLinkAboutNCC190474_Notice of Termination_20210607Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/7/2021 9:59:42 AM (NOT Submittal)
Approve by Morman, Alaina 6/9/2021 4:07:01 PM (NOT Request Review- NCC190474)
• The task was assigned to Morman, Alaina. The due date is: June 10, 2021 5:00 PM
6/7/2021 10:00 AM
1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC190474
Coverage (COC) Enter the Certificate of Coverage Nmber
No.*
2020 Annual Fee Status PAID
2021 Annual Fee Status OPEN
Nby be blank (if not yet billed).
Information associated with this permit:
Project Name
Piney Top Drive - Airport Property
Address
Piney Top Drive, Charlotte, NC
County
Mecklenburg
Latitude
35.1950
Longitude
-80.9470
Permittee Listed
Ciity of Charlotte
Legally Responsible
Jeff McSwain
Individual
NC Reference No.
NCG01-2019-0474
E&SC Plan ID
MECKL-2018-051
Original NOI
11714
Tracking No.
Date COC Issued
6/4/2019
Prior Rescission
Cate populates only if COCwas already rescinded at time of submittal.
Date
Reason for Rescission/Termination Request:
Reason for
r Project Closed -Out
Termination of
r Sale (Another Owner/Operator obtained 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 Documentation if applicable.
Documentation Mist beRYforrrat
Project Close-out Information:
Final Close-out 7/1/2020
Inspection Approval
Project Close-out CRDC & Piney Top Dr. Permits.pdf 670.55KB
Approval Piney Top Termination.pdf 132.15KB
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* Jeff McSwain
Title * Development Director
Organization * City of Charlotte - Aviation Department
Date * 06/07/2021
Email for lesliejo.hurwitz@cltairport.com
Confirmation *
Contact Telephone* 7045647919
NOT Certification Piney Top NOT 060721.pdf
Form Mast be PDF Fornat
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Additional Email CCd on Notification Erails
(Optional)
Original Permittee CCd on Wification Bmils
Email jmcswain@cltairport.com
Original Site Contact CCd on Notificaiton Errails
Email kcaldwell@geosciencegroup.com
738.48KB