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HomeMy WebLinkAboutNCC222721_Notice of Termination_20241022 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 10/22/2024 2:07:24 PM (NOT Submittal) Approve by Kieu Tran 10/24/2024 1:42:23 PM(NOT Request Review-NCC222721) • The task was assigned to DEMLR NCG01 NOT Review Team.The due date is: October 25,2024 5:00 PM 10/22/2024 2:07:25 PM • The task was assigned to Kieu Tran by round robin distribution 10/22/2024 2:07:25 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 If approved,the Certificate of Coverage (COC)will be rescinded.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 NCC222721 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 WAIVED WAIVED 3/31/2024 May be blank if N/A May be blank if N/A Information associated with this permit: Project Name 6441 Prescott Chase 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 6441 prescott chase,wake forest, NC County Wake Latitude 35.9573 Longitude -78.4412 Permittee Listed Allen Clark Legally Responsible Allen Clark Individual NC Reference No. NCG01-2022-2721 E&SC Plan ID sec-075297-2022 Original NOI Tracking 99761 No. Date COC Originally Most Recent Prior Rescission Date?(If Issued Issuance/Renewal Date Applicable) 08/05/2022 08/05/2022 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 Additional More information about the basis of this request,if needed. Explanation Supporting Upload Supporting Documentation if applicable. Documentation Must be PDF format Project Close-out Information: Erosion Control Plan 10/22/2024 Close-out Date Erosion Control Plan 6441 Prescott Chase LOT 20 Certificate of Close-out 133.76KB Completion.pdf Documentation Must be PDF format North Carolina General Statute 143-215.6B(i)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* Allen Clark Title* Vlce President WWH Organization* White Water Homes Date* 10/22/2024 Email for Allen@whitewaterhomes.biz Confirmation* Contact Telephone* 9198681576 NOT Certification Notice of Termination.pdf 671.13KB Form 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) Original Permittee cc'd on Notification Emails Email Allen@whitewaterhomes.biz Original Site Contact cc'd on Notificaiton Emails Email Allen@whitewaterhomes.biz