NCC201103_Notice of Termination_20210805

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/5/2021 9:35:32 AM (NOT Submittal)
Approve by Morman, Alaina 8/9/2021 10:05:45 AM (NOT Request Review- NCC201103)
• The task was assigned to Morman, Alaina. The due date is: August 10, 2021 5:00 PM
8/5/2021 9:35 AM

1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of
NCC201103
Coverage (COC)
Enter the Certificate of Coverage Nmber
No.*
2020 Annual Fee Status
2021 Annual Fee Status
PAID
Nt3y be blank (if not yet billed).
Information associated
with this permit:
Project Name
Wendell Falls Phase 8
Address
1817 Stagecoach Trail, Wendell, NC
County
Wake
Latitude
35.7745
Longitude
-78.4309
Permittee Listed
Weekley Homes, LLC
Legally Responsible
Eric Hamalainen
Individual
NC Reference No.
NCG01-2020-1103
E&SC Plan ID
SEC-031993-2020
Original NOI
23220
Tracking No.
Date COC Issued
3/19/2020
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Cate populates only if COCwas already rescinded at time of submittal.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 Mist beRYforrrat

Project Close-out Information:
Final Close-out 4/30/2021
Inspection Approval
Project Close-out SEC-031993-2020_Certificate of Completion_LOTS
Approval 143.48KB
1123-1125and 1128-1134_9-30-20. pdf
Documentation
SEC-031993-2020_Certificate of Completion_LOTS
143.73KB
1126,1127,1135,1137-1150_2-24-21.pdf
SEC-031993-2020_Certificate of Completion_LOTS
143.78KB
1136,1340,1342,1344_4-30-21. pdf
Mist be FDFforrrat
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 of the
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
Type Name* Robin Caparell
Title * Project Coordinator
Organization* David Weekley Homes
Date * 08/05/2021
Email for [e-mail]
Confirmation *
Contact Telephone* 9196591505
NOT Certification NCG01 eNOT Form - Wendell Phase 8 - multiple
Form 4.04MB
lots.pdf
Mist be FDF Format
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Additional Email CCd on Notification Errails
(Optional)

Original Permittee CCdonNotificationBmils
Email [e-mail]
Original Site Contact GCd on Notificaiton BTails
Email [e-mail]