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HomeMy WebLinkAboutNCC203462_Notice of Termination_20210824Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 8/24/2021 7:08:45 AM (NOT Submittal) Approve by Morman, Alaina 8/24/2021 4:24:07 PM (NOT Request Review- NCC203462) • The task was assigned to Morman, Alaina. The due date is: August 27, 2021 5:00 PM 8/24/2021 7:08 AM 1 � NORTH CAROLINA Enrlronmenral Quallly Certificate of NCC203462 Coverage (COC) Enter the Certificate of Coverage Nmber No.* 2020 Annual Fee Status 2021 Annual Fee Status OPEN May be blank (if not yet billed). Information associated with this permit: Project Name Averette Ridge Phase 2B, lot 141 Address 837 Flash Drive, Rolesville, NC County Wake Latitude 35.9455 Longitude -78.4662 Permittee Listed The Drees Company Legally Responsible Jerry Dean Individual NC Reference No. NCG01-2020-3462 E&SC Plan ID SEC-042159-2020 Original NOI 29678 Tracking No. Date COC Issued 8/12/2020 Prior Rescission Date populates only if COCwas already rescinded at time of submittal.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 Nbre information about the basis of this request, if needed. Explanation Supporting upload Supporting Documentation if applicable. Documentation NlastbeRYforrrat Project Close-out Information: Final Close-out 8/10/2021 Inspection Approval Project Close-out AVRD 141_Certificate of Completion_8-10-21.pdf 164.43KB Approval Mast be FDFforrrat Documentation North Carolina General Statute 143-215.66 (1) provides that: Anyperson who knowinglymakes anyfalse 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 knowinglymakes a false statement of a material fact in a rulemaking proceeding or contested case underthis Article; orwho 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 notto 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* Jerry Dean Title * Division President Organization* The Drees Homes Company Date * 08/24/2021 Email for Imartin@dreeshomes.com Confirmation * Contact Telephone* 919.256.5432 NOT Certification AVRD 141 NOT Certification form.pdf Form Mast be FDF Forrrat Is this COC Already Ensure this CCChas not been rescinded since subrrittal! Rescinded? Additional Email CCd on Notification Errails (Optional) Original Permittee CCd on Notification Bmils Email Imartin@dreeshomes.com Original Site Contact CCd on Notificaiton Errails Email tcwilliamson@dreeshomes.com 355.89KB