HomeMy WebLinkAboutNCC193135_Notice of Termination_20210903Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/3/2021 3:58:35 PM (NOT Submittal)
Approve by Morman, Alaina 9/8/2021 12:53:47 PM (NOT Request Review- NCC193135)
• The task was assigned to Morman, Alaina. The due date is: September 8, 2021 5:00 PM
9/3/2021 3:58 PM
1 �
NORTH CAROLINA
Enrlronmenral Quallly
Certificate of NCC193135
Coverage (COC) Enter the Certificate of Coverage Nmber
No.*
2020 Annual Fee Status PAID
2021 Annual Fee Status Nbybeblank (if not yet billed)
Information associated with this permit:
Project Name
Twiman Mitigation Site Project
Address
Chico Lane, Booneville, NC
County
Yadkin
Latitude
36.2143
Longitude
-80.6905
Permittee Listed
Resource Environmental Solutions LLC
Legally Responsible
Daniel Ramsey
Individual
NC Reference No.
NCG01-2019-3135
E&SC Plan ID
YADKI-2020-03
Original NOI
19220
Tracking No.
Date COC Issued
12/13/2019
Prior Rescission
Cate populates only if COCwas already rescinded at tirre of subrrittal.
Date
Reason for Rescission/Termination Request:
Reason for
F Project Closed -Out
Termination of
r Sale (Another Owner/Operator obtained a new COC)
Coverage *
O Mistake or Invalid Coverage
r Other
Additional Nbre information about the basis of this request, if needed.
Explanation
Supporting Upload Supporting Dxurrentation if applicable.
Documentation Mist beFDFformat
Project Close-out Information:
Final Close-out 8/17/2021
Inspection Approval
Project Close-out YADKI-2020-001 Twiman Dam Breach Project, 8-10-
Approval 37.14KB
2021 closure report.pdf
Documentation
YADKI-2020-003 Twiman Mitigation Site Project, 8-
37.13KB
10-2021 closure report.pdf
Mast 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 a)Ceed 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* Daniel Ramsay
Title * General Manager
Organization* Resource Environmental Solutions, LLC
Date * 09/03/2021
Email for dramsay@res.us
Confirmation *
Contact Telephone* 9198177378
NOT Certification NCG01-eNOT-Certification-Form-20210514-
Form 73.04KB
DEMLR-SW Twiman_NCC193135_signed.pdf
Mast be FDF Fornat
Is this COC Already Ensure this CCChas not been rescinded since subrrittal!
Rescinded?
Additional Email
(Optional)
Original Permittee
Email
CCd on Notification Errails
jmceachran@res.us
CCd on Notification Errails
dramsay@res.us
Original Site Contact CCd on Notificaiton Bmils
Email bhockett@res.us