NCC200498_Notice of Termination_20201124

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 11/24/2020 10:10:44 AM (NOT Submittal)
Approve by Georgoulias, Bethany 11/24/2020 10:38:40 AM (NOT Request Review- NCC200498)
• The task was assigned to Georgoulias, Bethany. The due date is: November 27, 2020 5:00 PM
11 /24/2020 10:10 AM

1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC200498
Coverage (COC) Enter the Certificate of Coverage Ninber
No.*
Information associated with this permit
Project Name
New Bern - New Bern City 115kV Feeder: Terminate for City of New Bern
Address
Trent Road, New Bern, NC
County
Craven
Latitude
35.0981
Longitude
-77.0845
Permittee Listed
Duke Energy Progress
Legally Responsible
Thomas Williams Jr.
Individual
NC Reference No.
NCG01-2020-0498
E&SC Plan ID
Crave-2020-020
Original NOI
21655
Tracking No.
Date COC Issued
2/10/2020
Prior Rescission
Cate populates only if COCwas already rescinded at tirre of subrrittal.
Date
Reason for Rescission/Termination Request:
Reason for F Project Closed -Out
Termination of r Sale (Another Owner/Operator will apply for a new COC)
Coverage * O Mistake or Invalid Coverage
r Other
Addional Mxe inforrration about the basis of this request, if needed.
Explanation
Supporting upload Supporting Docurrentation if applicable.
Documentation Mist beFDFforrrat
Project Close-out Information:
Final Close-out 8/6/2020
Inspection Approval

Project Close-out 200806 NEW BERN FEEDER CRAVE-2020-
Approval 36.18KB
020_NCDEQ.pdf
Documentation
Mist be FL7Fforrrat
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 anyrecording 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 notto exceed ten thousand
dollars ($10,000).
17 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* Thomas C. Williams, Jr.
Title * Manager Transmission Engineering
Organization* Duke Energy Progress LLC
Date * 11 /24/2020
Email for [e-mail]
Confirmation *
Contact Telephone* 919-546-2354
NOT Certification New Bern City Feeder NCG01 NOT
Form 34KB
Form _Signed.pdf
Mist be RY Forrrat
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Original Permittee CCdonNbtificationErrails
Email [e-mail]
Original Site Contact CCd on %tificaiton lrrails
Email [e-mail]