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HomeMy WebLinkAboutNCC201513_Notice of Termination_20210201Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 2/1/2021 3:03:27 PM (NOT Submittal) Approve by Morman, Alaina 2/2/2021 9:13:31 AM (NOT Request Review- NCC201513) • The task was assigned to Morman, Alaina. The due date is: February 4, 2021 5:00 PM 2/1/2021 3:03 PM 1 � NORTH CAROLINA Enrlronmenral Quallly Certificate of NCC201513 Coverage (COC) Enter the Certificate of Coverage Nmber No.* 2020 Annual Fee Status 2021 Annual Fee Status May be blank (if not yet billed). Information associated with this permit: Project Name Enloe High School Track Repair Address Clarendon Crescent, Raleigh, NC County Wake Latitude 35.7827 Longitude -78.6014 Permittee Listed Wake County Board of Education Legally Responsible David Neter Individual NC Reference No. NCG01-2020-1513 E&SC Plan ID WAKE-2019-084 Original NOI 24258 Tracking No. Date COC Issued 4/17/2020 Prior Rescission Date populates only if COCwas already rescinded at tirre of submittal. 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 * O Mistake or Invalid Coverage r Other Ad d i o n a I Nbre information about the basis of this request, if needed. Explanation Supporting Upload Supporting Dxurrentation if applicable. Documentation Mist beFDFformat Project Close-out Information: Final Close-out 11/2/2020 Inspection Approval Project Close-out WAKE-2019-084_20201102_InspRpt.pdf 112.71KB Approval Mist be FDFfornat 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 o"(41A0k Type Name* David Neter Title * Chief Business Officer Organization * Wake County Board of Education Date * 02/01 /2021 Email for dneter@wcpss.net Confirmation * Contact Telephone* (919) 694-0232 NOT Certification NCG01-eNOT-Certification Form_EHS Track Form 332.94KB signed.pdf Mist be FDF Fornat Is this COC Already Ensure this CCChas not been rescinded since subrrittal! Rescinded? Additional Email (Optional) Original Permittee Email CCd on Notification Errails tchampion2@wcpss.net CCd on Notification Erails dneter@wcpss.net Original Site Contact CCd on Notificaiton 57ails Email tchampion2@wcpss.net