NCC192485_Notice of Termination_20210723

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/23/2021 2:19:55 PM (NOT Submittal)
Approve by Morman, Alaina 7/25/2021 2:34:40 PM (NOT Request Review- NCC192485)
• The task was assigned to Morman, Alaina. The due date is: July 28, 2021 5:00 PM 7/23/2021 2:20 PM

1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC192485
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
Duke Energy-Grant's Creek Transmission Line Switch and Access Roads
Address
Piney Green Road (SR 1406), Piney Green Twp, NC
County
Onslow
Latitude
34.7424
Longitude
-77.3280
Permittee Listed
Duke Energy Progress, LLC
Legally Responsible
Thomas Williams
Individual
NC Reference No.
NCG01-2019-2485
E&SC Plan ID
ONSLO-2020-013
Original NOI
17460
Tracking No.
Date COC Issued
10/25/2019
Prior Rescission
Date populates only if OOC was already rescinded at tirre of submittal.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 obtained a new COC)
Coverage *
O 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 Docurrentation if applicable.
Documentation Mist beFDFformat

Project Close-out Information:
Final Close-out 7/19/2021
Inspection Approval
Project Close-out Grant's Creek Trans Line Switch Access - 7.12.21 -
Approval 254.62KB
close (002).pdf
Documentation
Mast be Ft7Fforrrat
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
(� e"
Type Name* Randy Veltri
Title * Director, Transmission Permitting
Organization* Duke Energy Progress, LLC
Date * 07/23/2021
Email for [e-mail]
Confirmation *
Contact Telephone* 17045775807
NOT Certification NCG01 Notice of Termination (NOT) Certification
Form Form.pdf
Mast be RY Format
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Additional Email 0Cd on Notification Errails
(Optional) [e-mail]
Original Permittee 0Cd onWificationErrails
Email [e-mail]
Original Site Contact 0Cd on Notificaiton Errnils
Email [e-mail]
406.18KB