NCC202230_Notice of Termination_20210715

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 7/15/2021 1:37:55 PM (NOT Submittal)
Approve by Morman, Alaina 7/16/2021 3:06:06 PM (NOT Request Review- NCC202230)
* Final grading permit/E&SC plan inspection was conducted by the City of Charlotte back in April.
• The task was assigned to Morman, Alaina. The due date is: July 20, 2021 5:00 PM 7/15/2021 1:37 PM

1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC202230
Coverage (COC) Enter the Certificate of Coverage Nmber
No.*
2020 Annual Fee Status
2021 Annual Fee Status PAST DUE
Nby be blank (iF not yet billed).
This permittee owes a fee that is PAST DUE and has a pending NOD or NOV. Do not approve this NOT request
until payment is resolved. If this NOT request is acceptable, payment may be waived if applicable, but that action must
be completed first (at the NOD or NOV Review step) to ensure records are routed to the correct folder in the
repository.
However, you can reject the NOT now if it is not acceptable.
Information associated with this permit:
Project Name
Movement/Rally Charlotte
Address
2647 Freedom Drive, Charlotte, NC
County
Mecklenburg
Latitude
35.0000
Longitude
-81.0000
Permittee Listed
Movement Foundation
Legally Responsible
Garrett McNeill
Individual
NC Reference No.
NCG01-2020-2230
E&SC Plan ID
LDGP-2020-00054
Original NOI
26129
Tracking No.
Date COC Issued
5/29/2020
Prior Rescission
Cate populates only if COCwas already rescinded at tirre of submittal.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 obtained a newCOC)
Coverage * r Mistake or Invalid Coverage
f Other
Add ional We infornation about the basis of this request, if needed.
Explanation
Supporting Upload Supporting Ibcurrentation if applicable.
Documentation Mist beFDFfomn3t
Project Close-out Information:
Final Close-out 7/13/2021
Inspection Approval
Project Close-out N.O.T. Movement Rally.pdf 83.42KB
Approval NCG01-eNOT-Certification-Form-20210514-
Docume ntation 158.56KB
DEMLR-SW[18] copy.pdf
Mist be FDFfornat
North Carolina General Statute 143-215.6113 (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 Artide or a rule implementing this Prtide; 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 Artide 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
Type Name* J. Garrett McNeill
Title * Director
Organization* Movement Resources
Date * 07/15/2021
Email for [e-mail]
Confirmation *
Contact Telephone* 7045269080
NOT Certification N.O.T. Movement Rally.pdf 83.42KB
Form Mist be RY Fornat

Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Additional Email CCd on Notification Errails
(Optional)
Original Permittee CCdonNotificationErrails
Email [e-mail]
Original Site Contact OCd on Notificaiton Errails
Email [e-mail]