HomeMy WebLinkAboutNCC230066_Notice of Termination_20240619 Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 6/19/2024 7:55:40 PM (NOT Submittal)
Approve by Kieu Tran 6/24/2024 1:51:46 PM (NOT Request Review-NCC230066)
• The task was assigned to DEMLR NCG01 NOT Review Team.The due date is:June 24,2024 5:00 PM
6/19/2024 7:55:42 PM
• The task was assigned to Kieu Tran by round robin distribution 6/19/2024 7:55:42 PM
Q� Notice of Termination (NOT) Request - NPDE,�tz_
Stormwater Permit for . •
Use this form to submit a Notice of Termination(NOT)request for a project covered under the N.C.NPDES
General Permit for Construction Activities NCG010000(or NCG250000). If approved,the Certificate of Coverage
(COC)will be rescinded.
Certificate of NCC230066
Coverage(COC)No.* Enter the Certificate of Coverage Number
2020 Annual Fee Status 2021 Annual Fee Status 2022 Annual Fee Status
May be blank if N/A May be blank if N/A May be blank if N/A
2023 Annual Fee Status 2024 Annual Fee Status COC Expiration Date
May be blank if N/A PAID 3/31/2029
May be blank if N/A
Information associated with this permit:
Project Name Lockwood Landing
Lots Covered by this This information is especially helpful when more lots were added with Modifications since the original permit
Permit COC(if issuance.
applicable) No longer visible on the initial form(data not captured from initial application)
Address NC Highway 211, Lockwood Folly, NC
County Brunswick
Latitude 34.0240
Longitude -78.2791
Permittee Listed Norris NC, LLC
Legally Responsible Raymond Gottlieb
Individual
NC Reference No. NCG01-2023-0066
E&SC Plan ID BRUNS-2023-037
Original NOI Tracking 121991
No.
Date COC Originally Most Recent Prior Rescission Date?(If
Issued Issuance/Renewal Date Applicable)
01/11/2023 04/01/2024 Checked again at Review Step
Reason for Rescission/Termination Request:
Reason for Project Closed-Out
Termination of Sale(Another Owner/Operator obtained new COC)
Coverage* Mistake or Invalid Coverage
Other
New owner/operator NCC241322
COC No. Enter the COC number obtained by the new owner
New Owner Name First and last name
Elizabeth Shelton-Vice President, DR Horton, Inc.
New Owner Phone 910-515-9561
Number
New Owner Email eshelton@drhorton.com
Additional More information about the basis of this request,if needed.
Explanation
Supporting Upload Supporting Documentation if applicable.
Documentation Lockwood Landing Certificate of Coverage(002).pdf 99.64KB
Must be PDF format
Project Close-out Information:
Erosion Control Plan
Close-out Date
Erosion Control Plan Must be PDF format
Close-out
Documentation
North Carolina General Statute 143-215.6113(1)provides that:
Any person who knowingly makes any false statement,representation,or certification in any application,record,report,plan,or other document
filed 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 under this Article;or who 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 guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000).
* 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* Raymond L.Gottlieb
Title* Manager,TMPR, LLC; Mgr.of Norris NC, LLC
Organization* Norris NC, LLC
Date* 06/19/2024
Email for rob@lmssi.com
Confirmation*
Contact Telephone* (843)241-0327
NOT Certification SIGNED NCG01 Notice of Termination Form(NC
Form 548.24KB
DEMLR)06-18-2024.pdf
Must be PDF Format
Is this COC Already Ensure this COC has not been rescinded since submittal!
Rescinded?
Additional Email CC'd on Notification Emails
(Optional) russ@Imssi.com
Original Permittee CC'd on Notification Emails
Email brittney@Imssi.com
Original Site Contact CC'd on Notificaiton Emails
Email rob@lmssi.com