HomeMy WebLinkAboutNCC191945_Notice of Termination_20210908Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/8/2021 12:08:57 PM (NOT Submittal)
Approve by Morman, Alaina 9/14/2021 10:55:12 AM (NOT Request Review- NCC191945)
• The task was assigned to Morman, Alaina. The due date is: September 13, 2021 5:00 PM
9/8/2021 12:09 PM
1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC191945
Coverage (COC) Enter the Certificate of Coverage Nmber
No.*
2020 Annual Fee Status PAID
2021 Annual Fee Status OPEN
fvhy be blank (if not yet billed).
Information associated with this permit:
Project Name
Sanctuary at Yates Mill Subdivision Lots 5 & 10
Address
2124 & 2144 Gardenbrook Drive, Raleigh, NC
County
Wake
Latitude
35.7145
Longitude
-78.7345
Permittee Listed
Snyder -Hankins Custom Homes, Inc.
Legally Responsible
Daniel L Snyder
Individual
NC Reference No.
NCG01-2019-1945
E&SC Plan ID
SEC-023388-2019
Original NOI
15952
Tracking No.
Date COC Issued
9/24/2019
Prior Rescission
Cate populates only if COCwas already rescinded at time of submittal.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 *
r Mistake or Invalid Coverage
F Other Sale (Another Owner/Operator obtained new COC)
Additional IVbre information about the basis of this request, if needed.
Explanation
Supporting Upload Supporting Documentation if applicable.
Documentation 5 Sanctuary Deed.pdf 165.1KB
Certificate of Completion (1).pdf 115.32KB
Wst be FDFformat
Project Close-out Information:
Final Close-out
Inspection Approval
Project Close-out Mist beFDFformat
Approval
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 of the
Commission implementing this Article shall be guiltyofa Class 2 misdemeanor which mayinclude a fine not to exceed ten thousand
dollars ($10,000).
I7 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* Daniel L. Snyder
Title * Vice President
Organization* Snyder -Hankins Custom Homes, Inc.
Date * 09/08/2021
Email for johanna@snyderhankins.com
Confirmation *
Contact Telephone* 9192150712
NOT Certification NCG01-eNOT-Certification-Form-20201215-
Form 1.71 MB
DEMLR-SW (1).pdf
Mast be FDF Format
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Additional Email CCd on Notification Errails
(Optional)
Original Permittee CCdonKlotificationBmils
Email dan@snyderhankins.com
Original Site Contact GCd on Wificaiton BTails
Email dan@snyderhankins.com