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HomeMy WebLinkAboutNCC201502_Notice of Termination_20210305Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 3/5/2021 10:06:54 AM (NOT Submittal) Approve by Morman, Alaina 3/9/2021 2:24:55 PM (NOT Request Review- NCC201502) • The task was assigned to Morman, Alaina. The due date is: March 10, 2021 5:00 PM 3/5/2021 10:07 AM 1 � NORTH CAROLINA Enrlronmenral Quallly Certificate of NCC201502 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 Willow Spring Elementary School Drive Aisle Expansion Address 6800 Dwight Rowland Road, Willow Spring, NC County Wake Latitude 35.5944 Longitude -78.7289 Permittee Listed Wake County Public Schools Legally Responsible Brandon Williams Individual NC Reference No. NCG01-2020-1502 E&SC Plan ID WAKE-2019-091 Original NOI 24290 Tracking No. Date COC Issued 6/16/2020 Prior Rescission Cate populates only if COCwas already rescinded at tirre of subrrittal.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 obtained 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 1/7/2021 Inspection Approval Project Close-out WAKE-2019-091_20210108_InspRpt.pdf 112.75KB Approval Mast 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 Gir ew;?' 60�C, Type Name* David Neter Title * Chief Business Officer Organization * Wake County Public Schools Date * 03/05/2021 Email for dneter@wcpss.net Confirmation * Contact Telephone* 919-694-0232 NOT Certification SIGNED-NCG01 NOT Certification Form.pdf Form Mast be FDF Fornat Is this COC Already Ensure this CCChas not been rescinded since subrrittal! Rescinded? Additional Email CCd on Notification Errails (Optional) smacdonald@amtengineering.com Original Permittee CCdonNotificationErrails Email bwilliams10@wcpss.net Original Site Contact CCd on Notificaiton Errails Email bwilliams10@wcpss.net 59KB