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HomeMy WebLinkAboutNCC203621_Notice of Termination_20211005Action History (UTC-05:00) Eastern Time (US & Canada) Subrrit by Anonymous User 10/5/2021 3:56:45 PM (NOT Submittal) Approve by Morman, Alaina 10/11/2021 4:10:26 PM (NOT Request Review- NCC203621) • The task was assigned to Morman, Alaina. The due date is: October 8, 2021 5:00 PM 10/5/2021 3:56 PM 1 � NORTH CAROLINA Enrlronmenral Quallly Certificate of NCC203621 Coverage (COC) Enter the Certificate of Coverage Nmber No.* 2020 Annual Fee Status 2021 Annual Fee Status PAST DUE Nby be blank (iF not yet billed). This permittee owes a fee that is PAST DUE and has a pending NOD or NOV. Do not approve this NOT request until payment is resolved. If this NOT request is acceptable, payment may be waived if applicable, but that action must be completed first (at the NOD or NOV Review step) to ensure records are routed to the correct folder in the repository. However, you can reject the NOT now if it is not acceptable. Information associated with this permit: Project Name Siler City Self Storage Address 1112 South Chatham Ave., Siler City, NC County Chatham Latitude 35.7100 Longitude -79.4548 Permittee Listed Hobbs Family Investments, LLC Legally Responsible Diana Hobbs Individual NC Reference No. NCG01-2020-3621 E&SC Plan ID CHATH-2020-009 Original NOI 30139 Tracking No. Date COC Issued 8/26/2020 Prior Rescission Cate populates only if COCwas already rescinded at tirre of submittal. Date Reason for Rescission/Termination Request: Reason for r Project Closed -Out Termination of r Sale (Another Owner/Operator obtained a newCOC) Coverage * r Mistake or Invalid Coverage f Other Additional We information about the basis of this request, if needed. Explanation Supporting Upload Supporting Ibcurrentation if applicable. Documentation Mist bePDFforrrat Project Close-out Information: Final Close-out 10/4/2021 Inspection Approval Project Close-out CHATH-2020-009_20210929_INSP RPT_Siler City Approval 36.76KB Self Storage.pdf Documentation 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 device 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). I7 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* Diana K. Hobbs Title * Owner Organization* Hobbs Family Investments, LLC. Date * 10/05/2021 Email for dianakhobbs@gmail.com Confirmation * Contact Telephone* 9195485122 NOT Certification 2021-10-05_155359.pdf 1.03MB Form Mast be PDF Forrrat Is this COC Already Ensure this CCChas not been rescinded since subrrittal! Rescinded? Additional Email CCd on Notification Errails (Optional) Original Permittee CCdonNotificationErrails Email dianakhobbs@gmail.com Original Site Contact CCd on Notificaiton Errails Email spgrays@hotmail.com