NCC193214_Notice of Termination_20210721

Action History (UTC-05:00)Eastern Time(US&Canada)
Subrrit by Anonymous User 7/21/2021 3:40:33 PM(NOT Submittal)
Approve by Morman,Alaina 7/23/2021 3:45:11 PM(NOT Request Review-NCC193214)
• The task was assigned to Morman,Alaina.The due date is:July 26,2021 5:00 PM 7/21/2021 3:40 PM

" RequestNOT • Construction Stormwater
1 i
�a•aThis formto request Notice of • • for •co\erage under •
NORTH CAROLINA General - for • i i• Activities Qr�arrry
Certificate of NCC193214
Coverage (COC) Enter the Certificate of Coverage Nmber
No.*
2020 Annual Fee Status PAID
2021 Annual Fee Status Nbybe blank(if not yet billed).
Information associated with this permit:
Project Name Bryton Single Family Ph2 Individual Lot Erosion
Address 11720 Bryton Parkway, Huntersville, NC
County Mecklenburg
Latitude 35.3840
Longitude -80.8250
Permittee Listed Lennar Carolinas, LLC
Legally Responsible Jon Hardy
Individual
NC Reference No. NCG01-2019-3214
E&SC Plan ID 403858
Original NOI 19555
Tracking No.
Date COC Issued 12/17/2019
Prior Rescission Cate populates only if COC was already rescinded at tine of subrrittal.
Date
Reason for Rescission/Termination Request:
Reason for F Project Closed-Out
Termination of r Sale(Another Owner/Operator obtained a new COC)
Coverage* O Mistake or Invalid Coverage
r Other
Ad d i o n a I Nbre inforrration about the basis of this request,if needed.
Explanation
Supporting Upload Supporting Dxurrentation if applicable.
Documentation Mist beFDFforrrat

Project Close-out Information:
Final Close-out 7/9/2021
Inspection Approval
Project Close-out Lennar Lot Erosion Final.pdf 208.01KB
Approval Mast be FDFfornat
Documentation
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* Jon Hardy
Title* Vice President
Organization* Lennar Carolinas, LLC
Date* 07/21/2021
Email for [e-mail]
Confirmation
Contact Telephone* 704-759-6000
NOT Certification NOT Bryton Trace.pdf 382.05KB
Form Mast be FDF Format
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Additional Email CCd on Notification Errails
(Optional) [e-mail]
Original Permittee CCdonWificationErrails
Email [e-mail]
Original Site Contact CCd on Notificaiton Emils
Email [e-mail]

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