NCC205345_Notice of Termination_20201203

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 12/3/2020 4:09:17 PM (NOT Submittal)
Approve by Georgoulias, Bethany 12/4/2020 10:41:04 AM (NOT Request Review- NCC205345)
• The task was assigned to Georgoulias, Bethany. The due date is: December 8, 2020 5:00 PM
12/3/2020 4:09 PM

1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of
NCC205345
Coverage (COC)
Enter the Certificate of Coverage Nmber
No.*
Information associated
with this permit:
Project Name
Village Shoppes of Biltmore
Address
190 Hendersonville Road, Asheville, NC
County
Buncombe
Latitude
35.5630
Longitude
-82.5460
Permittee Listed
Allen -White Company LLC
Legally Responsible
John R
Individual
NC Reference No.
NCG01-2020-5345
E&SC Plan ID
19-03571
Original NOI
36663
Tracking No.
Date COC Issued
11/19/2020
Prior Rescission
Date populates only if OOCwas already rescinded at tirre of subaittal.
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
Nbre inforrration about the basis of this request, if needed.
Explanation
inadvertently created; see email attached
Supporting
upload Supporting Docurrentation if applicable.
Documentation
NCC205345_email re termination.pdf 31.38KB
Mast be FOFfornrat
Project Close-out Information:

Final Close-out
Inspection Approval
Project Close-out Mast bePDFfornat
Approval
Documentation
North Carolina General Statute 143-215.613 (i) 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 Artide; 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 device or method required to be operated or maintained under this Article or rules of the
Commission implementing this Article shall be guiltyofa Class 2 misdemeanor which mayinclude a fine not to 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
ri'a�aw,v �nC3ryfrr fa�5a ri�� reF1
Type Name * Suzanne McCoy
Title * DEQ Stormwater Admin
Organization* NCDEMLRStormwater
Date * 12/03/2020
Email for [e-mail]
Confirmation *
Contact Telephone* 9197073540
NOT Certification NCC205345_Certification. pdf 512.83KB
Form Mast be RY Forrrat
Is this COCAlready Ensure this OOChas not been rescinded since subrrittal!
Rescinded?
Original Permittee CCd on Wification Bmils
Email parksky1 @aol.com
Original Site Contact CCd on Notificaiton BTails
Email parksky1 @aol.com