Loading...
HomeMy WebLinkAboutNCC203718_Notice of Termination_20210902Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 9/2/2021 10:43:44 AM (NOT Submittal) Approve by Morman, Alaina 9/8/2021 12:06:23 PM (NOT Request Review- NCC203718) New owner's COC number: NCC214432. • The task was assigned to Morman, Alaina. The due date is: September 7, 2021 5:00 PM 9/2/2021 10:43 AM 1 � NORTH CAROLINA Enrlronmenral Quallly Certificate of NCC203718 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 Holding Village South Lake Subdivision - Phase 4 Address 0 Friendship Chapel Road (PIN 1840643841), Wake Forest, NC County Wake Latitude 35.9596 Longitude -78.5059 Permittee Listed HR North Lake, LLC Legally Responsible Dean Barberree Individual NC Reference No. NCG01-2020-3718 E&SC Plan ID 2020-00000127 Original NOI 30411 Tracking No. Date COC Issued 8/27/2020 Prior Rescission Cate populates only if COCwas already rescinded at time of submittal. Date Reason for Rescission/Termination Request: Reason for f Project Closed -Out Termination of r Sale (Another Owner/Operator obtained a new COC) Coverage * r Mistake or Invalid Coverage r Other Sale (Another Owner/Operator obtained new COC) Additional IVbre information about the basis of this request, if needed. Explanation Supporting Upload Supporting Documentation if applicable. Documentation Holding Village Ph. 4 LOR.pdf 42.12KB Recorded NWD.pdf 128.44KB Recorded SWD.pdf 168.09KB STATE - Stormwater NOT - Phase 4 - 9-2-21.pdf 67.72KB NUst be FDFformat Project Close-out Information: Final Close-out Inspection Approval Project Close-out Mist beFDFformat Approval 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 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* Dean Barberree Title * Registered Agent Organization* HR Northlake, LLC Date * 09/02/2021 Email for dean@readerpartners.com Confirmation * Contact Telephone* 4078564899 NOT Certification STATE - Stormwater NOT - Phase 4 - 9-2-21.pdf 67.72KB Form Mast be FDF Format Is this COC Already Ensure this CCChas not been rescinded since subrrittal! Rescinded? Additional Email CCd on Notification Errails (Optional) kanspach@ecoturf.net Original Permittee GCdonNotification BTails Email dean@readercommunities.com Original Site Contact CCd on Notificaiton Bmils Email scott@readercommunities.com