HomeMy WebLinkAboutNCC190530_Notice of Termination_20210921Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/21/2021 7:51:19 AM (NOT Submittal)
Approve by Morman, Alaina 9/27/2021 4:44:49 PM (NOT Request Review- NCC190530)
• The task was assigned to Morman, Alaina. The due date is: September 24, 2021 5:00 PM
9/21 /2021 7:51 AM
1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC190530
Coverage (COC) Enter the Certificate of Coverage Ninber
No.*
2020 Annual Fee Status PAID
2021 Annual Fee Status PAST DUE
fvby be blank (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 Review step) 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
Cleveland Bluffs Phase 3-A Lots # 127,128,129,137,138,150,151,152,159,and
160
Address
Royal Oak Lane and Scarlet Maple Court, Cleveland Township, NC
County
Johnston
Latitude
35.5704
Longitude
-78.5396
Permittee Listed
Caviness & Cates Building and Development Company
Legally Responsible
Christopher Cates
Individual
NC Reference No.
NCG01-2019-0530
E&SC Plan ID
JC# 17-096-P
Original NOI
11866
Tracking No.
Date COC Issued
6/7/2019
Prior Rescission
Cute populates only if COCwas already rescinded at time of submittal.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 newCOC)
Coverage * r Mistake or Invalid Coverage
f Other
Additional We information about the basis of this request, if needed.
Explanation
Supporting Upload Supporting Ibcurrentation if applicable.
Documentation Mist bePDFformat
Project Close-out Information:
Final Close-out 8/6/2021
Inspection Approval
Project Close-out CV127,128,129,137,138,150,151,152,159,160
Approval 90.79KB
Closeout Letter.pdf
Documentation
Mist be Ft7Fforrrat
North Carolina General Statute 143-215.66 (1) provides that:
Anyperson who knowinglymakes anyfalse 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 knowinglymakes a false statement
of a material fact in a rulemaking proceeding or contested case underthis Article; orwho falsifies, tampers with, or knowingly renders
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 mayinclude a fine notto 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* CHRISTOPHER E. CATES
Title * VICE PRESIDENT
Organization * Caviness & Cates Building and Development Company
Date * 09/21 /2021
Email for pam@cavinessandcates.com
Confirmation *
Contact Telephone* 9107787902
NOT Certification CV127,128,129,137,138,150,151,152,159,160
Form NOT.pdf 372.81 KB
Mist be RY Format
Is this COCAlready Ensure this OOChas not been rescinded since subrrittal!
Rescinded?
Additional Email 0Cd on Notification Errails
(Optional)
Original Permittee 0Cd on Notification Errails
Email chris@cavinessandcates.com
Original Site Contact 0Cd on Notificaiton Emils
Email stan@cavinessandcates.com