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HomeMy WebLinkAboutNCC203568_Notice of Termination_20210802Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 8/2/2021 12:49:58 PM (NOT Submittal) Approve by Morman, Alaina 8/4/2021 2:17:39 PM (NOT Request Review- NCC203568) • The task was assigned to Morman, Alaina. The due date is: August 5, 2021 5:00 PM 8/2/2021 12:50 PM 1 � NORTH CAROLINA Enrlronmenral Quallly Certificate of NCC203568 Coverage (COC) Enter the Certificate of Coverage Nmber No.* 2020 Annual Fee Status 2021 Annual Fee Status OPEN K/hy be blank (if not yet billed). Information associated with this permit: Project Name The Manors at Lexington Plantation, Part 2C - Lot 746 Address Artillery Lane, Anderson Creek Township, NC County Harnett Latitude 35.2668 Longitude -79.0195 Permittee Listed H&H Constructors, Inc. Legally Responsible Brian Walker Individual NC Reference No. NCG01-2020-3568 E&SC Plan ID HARNE-2021-007 Original NOI 29977 Tracking No. Date COC Issued 8/18/2020 Prior Rescission Cate populates only if COCwas already rescinded at time of submittal. Date Reason for Rescission/Termination Request: Reason for r Project Closed -Out Termination of r Sale (Another Owner/Operator obtained a new COC) Coverage * r Mistake or Invalid Coverage r Other Addional IVbre information about the basis of this request, if needed. Explanation Supporting Upload Supporting Documentation if applicable. Documentation MstbeRYforrrat Project Close-out Information: Final Close-out 3/2/2021 Inspection Approval Project Close-out HARNE-2021-007-CO.pdf 37.54KB Approval Mast 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 Article or a rule implementing this Amide; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this 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 of the Commission implementing this Artcle 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 Type Name* Brian Walker Title * Agent Organization * H& H Constructors, Inc. Date * 08/02/2021 Email for Brianwalker@hhhomes.com Confirmation * Contact Telephone* 19107782876 NOT Certification NOT.pdf Form Mast be FDF Forrrat Is this COC Already Ensure this CCChas not been rescinded since subrrittal! Rescinded? Additional Email OCd on Notification Errails (Optional) jennifergardner@hhhomes.com Original Permittee CCdonNotificationErrails Email brianwalker@hhhomes.com Original Site Contact CCd on Notificaiton Errails Email brianwalker@hhhomes.com 359.28KB