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HomeMy WebLinkAboutNCC203791_NOT Signed Certification_20250113 NCGO1 Notice of Termination (NOT) Certification Form Directions: Print this form,complete,scan and upload to the electronic NOT(Rescission)form. Then,mail the original signed form to the NC DEMLR Stormwater Program at: Division of Energy, Mineral&Land Resources Stormwater Program 512 N.Salisbury Street,6`h Floor 1612 Mail Service Center Raleigh,NC 27699-1612 DO NOT MAIL THIS FORM UNTIL YOUR NOT REQUEST HAS BEEN REVIEWED AND APPROVED. THE FORM YOU MAIL MUST BE COMPLETED WITH AN ORIGINAL SIGNATURE(NOT DIGITAL) [40 CFR 122.22] General Permit Certificate of Coverage (COC) No.: NCC203791 Name of Project: Cresswind Phase I Per NC General Statute 143-215.68(i), 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.. .shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000). Under penalty of law,I certify that: 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. 1 / Legally Responsible Organizational Entity(must match eNOT): Xa r rem, ��y�"us"'o'f •f�,�G *Legally Responsible Person(must match eNOT): t.C at L �'Z.CG 4 eat�o �/ *Title of Legally Responsible Person: H it imsI Ze S•Q � "p!p_ Print Name&Title of Signed if Authorized Individual Differs from Legally Responsible Person: *Signature: t •elm • /2-A—C) Date: S.• 2 * IMPORTANT NOTE: 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 permit. For more information on signatory requirements,see Part IV,Section B, Item(6)of the NCG010000 permit. kt ROY COOPER ! 7" G°emoc Mil °. DIONNE DEL -GAT-ill secretary �;,y.Nit ammo.* BRIAN WRENN Director NORTH CAROUNA Erwgrecimmeal Quality March 25,2021 LETTER OF APPROVAL Kolter Acquisitions, LLC Attention: Mike McLendon 8913 Silver Springs Court Charlotte, North Carolina 28215 RE: Project Name: Cresswind-Phase 1 Acres Approved: 65.5 Project ID: UNION-2020-046 County: Union City: Monroe Address: Potter Road River Basin: Catawba Stream Classification: Other Submitted By: Kolter Acquisitions, LLC Date Received by LQS: March 11,2021 Plan Type: Revised Dear Mr. McLendon, This office has reviewed the subject erosion and sedimentation control plan. We find the plan to be acceptable and hereby issue this Letter of Approval. The enclosed Certificate of Approval must be posted at the job site. This plan shall expire three (3) years following the date of approval, if no land disturbing activity has been undertaken, as is required by Title 15A NCAC 4B .0129. As of April 1, 2019, all new construction activities are required to complete and submit an electronic Notice of Intent (eNOI) form requesting a Certificate of Coverage (COC) under the NCG010000 Construction General Permit. After the form is reviewed and found to be complete, you will receive a link with payment instructions for the $100 annual permit fee. After the fee is received, you will receive the COC via email. You MUST obtain the COC prior to commencement of any land disturbing activity. The eNOI form may be accessed at deq.nc.gov/NCG01. Please direct questions about the eNOI form to Annette Lucas at Annette.lucas(@ncdenr.aov or Paul Clark at Paul.clark<cincdenr,eov. If the owner/operator of this project changes in the future, the new responsible party is required to apply for his/her own COC. Title 15A NCAC 4B .0118(a) and the NCGOI permit require that the following documentation be kept on file at the job site: North Carohna Drputmcnt of Enviroamcntal Quality I Diutsion YEnergy,Mineral and Land Rcsaucu 111C954 Mootrnrlle Regional Once 161O Eau Center Avenuc,Suite 301 Noorpnllc,North Caroline 23113 704.60-1699 Letter of Approval Kolter Acquisitions,LLC March 25,2021 Page 2 of 2 I. The approved E&SC plan as well as any approved deviation. 2. The NCOOI permit and the COC, once it is received. 3. Records of inspections made during the previous 12 months. Also, this letter gives the notice required by G.S. 113A-61.1(a) of our right of periodic inspection to insure compliance with the approved plan. North Carolina's Sedimentation Pollution Control Act is performance-oriented, requiring protection of existing natural resources and adjoining properties. If, following the commencement of this project, it is determined that the erosion and sedimentation control plan is inadequate to meet the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina General Statute 113A-51 through 66), this office may require revisions to the plan and implementation of the revisions to ensure compliance with the Act. Acceptance and approval of this plan is conditioned upon your compliance with Federal and State water quality laws, regulations, and rules. In addition, local city or county ordinances or rules may also apply to this land- disturbing activity. This approval does not supersede any other permit or approval. Please note that this approval is based in part on the accuracy of the information provided in the Financial Responsibility Form, which you provided. You are requested to file an amended form if there is any change in the information included on the form. In addition, it would be helpful if you notify this office of the proposed starting date for this project. Please notify us if you plan to have a preconstruction conference. Your cooperation is appreciated. Sincerely, eWtieteepalteit gzaeted Christopher Graybeal Assistant Regional Engineer Land Quality Section Enclosures: Certificate of Approval NPDES NCGO l Fact Sheet cc:Thomas& Hutton Attention: Matthew S. Kiker,PE 1020 Euclid Avenue Charlotte,North Carolina 28202 Inspection Department