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HomeMy WebLinkAboutNCC202648_Notice of Termination_20210723 Action History (UTC-05:00)Eastern Time(US&Canada) Subrrit by Anonymous User 7/23/2021 9:11:19 AM(NOT Submittal) Approve by Morman,Alaina 7/23/2021 4:05:09 PM(NOT Request Review-NCC202648) • The task was assigned to Morman,Alaina.The due date is:July 28,2021 5:00 PM 7/23/2021 9:11 AM " RequestNOT • Construction Stormwater 1 i �a•aThis formto request Notice of • • for •co\erage under • MORTH CAROLINA General - for • i i• Activities Qr�arrry Certificate of NCC202648 Coverage (COC) Enter the Certificate of Coverage Nmber No.* 2020 Annual Fee Status 2021 Annual Fee Status PAST DUE fvby 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 Lot 15 Westgate Business Park Address 8870 Westgate Park Drive, Raleigh, NC County Wake Latitude 36.0000 Longitude -79.0000 Permittee Listed Sycamore Creek, LLC Legally Responsible W Trent Ragland, III Individual NC Reference No. NCG01-2020-2648 E&SC Plan ID LDG-015515-2020 Original NOI 27325 Tracking No. Date COC Issued 6/24/2020 Prior Rescission Cate populates only if CDC was already rescinded at tine of subaittal. 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 information about the basis of this request,if needed. Explanation Supporting Upload Supporting Ibcurrentation if applicable. Documentation Mist beFDFforrrat Project Close-out Information: Final Close-out 6/10/2021 Inspection Approval Project Close-out 2021-06-10 CERTIFICATE OF COMPLETION.pdf 35.48KB Approval Mist be FDFforrrat 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 Artide 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 device or method required to be operated or maintained under this Artide 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). 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 U/ T� C1fl Type Name* W.Trent Ragland III Title* Manager Organization* Sycamore Creek LLC Date* 07/23/2021 Email for trent@raglandpropertiesinc.com Confirmation Contact Telephone* 919-815-9694 NOT Certification NOT Certification Form-Lot 15 Westgate.pdf 603.9KB Form Mist be FDF Forrrat Is this COC Already Ensure this CCChas not been rescinded since subrrittal! Rescinded? Additional Email 0Cd on Notification Errails (Optional) iris@raglandpropertiesinc.com Original Permittee CCd on Notification Errails Email trent@raglandpropertiesinc.com Original Site Contact 0Cd on Notificaiton Errails Email trent@raglandpropertiesinc.com