Loading...
HomeMy WebLinkAboutNCC201161_Notice of Termination_20200324Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 3/24/2020 9:28:18 AM (NOT Submittal) Approve by Georgoulias, Bethany 3/24/2020 9:50:17 AM (NOT Request Review- NCC201161) * New COC No. NCC201191 has been issued with correct address. • The task was assigned to Georgoulias, Bethany. The due date is: March 27, 2020 5:00 PM 3/24/2020 9:28 AM 1 � NORTH CAROLINA Enrlronmenral Quallly Certificate of NCC201161 Coverage (COC) Enter the Certificate of Coverage Nmber No.* Information associated with this permit Project Name Graham Scott Oldham Property Address 2151 US 15/501 N, Pittsboro, NC County Chatham Latitude 35.7625 Longitude -79.1626 Permittee Listed Self Legally Responsible Scott Oldham Individual NC Reference No. NCG01-2020-1161 E&SC Plan ID 2019-08107 Original NOI 23310 Tracking No. Date COC Issued 3/23/2020 Prior Rescission Cate populates only if COCwas already rescinded at tirre of subrrittal. Date Reason for Rescission/Termination Request: Reason for r Project Closed -Out Termination of r Sale (Another Owner/Operator will apply for a new COC) Coverage * F Mistake or Invalid Coverage r Other Add ional We information about the basis of this request, if needed. Explanation I had the wrong address on the form, new eNOI was fill and submitted NCC-CHATH- 2020-Oldham Supporting Upload Supporting Cbcurrentation if applicable. Documentation Construction Stormwater_ Notice of Intent (NOI) 73.16KB (2).pdf Mist be FDFfornat Project Close-out Information: Final Close-out Inspection Approval Project Close-out Mist beFDFforrrat 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 ofthe Commission implementing this Article shall be guiltyofa Class 2 misdemeanor which mayinclude a fine not to exceed ten thousand dollars ($10,000). rJ 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* Scott Oldham Title * Owner Organization* Self Date * 03/24/2020 Email for Scott@poultryvilla.com Confirmation * Contact Telephone* 919-422-9626 NOT Certification NCG01-eNOT-Certification-Form-20190508- Form 465.04KB DEMLR-SW.pdf Mist be FDF Forrrat Is this COC Already Ensure this CCChas not been rescinded since subrrittal! Rescinded? Original Permittee CCdonWificationErrails Email scott@poultryvilla.com Original Site Contact CCd on Kbtificaiton Bmils Email scott@poultryvilla.com