NCC202858_NOT Signed Certification_20211214

NCG01 Notice of Termination (NOT) Certification Form
Directions:
Print this form, complete, scan and upload to the electronic NOT (Rescission) form.
Then, mail the original signed form to the NC DEMLR Stormwater Program at:
Division of Energy, Mineral & Land Resources Stormwater Program
512 N. Salisbury Street, 6'h Floor
1612 Mail Service Center
Raleigh, NC 27699-1612
DO NOT MAIL THIS FORM UNTIL YOUR NOT REQUEST HAS BEEN REVIEWED AND APPROVED.
THE FORM YOU MAIL MUST BE COMPLETED WITH AN ORIGINAL. SIGNATURE (NOT DIGITAL) 140 CFR 122.22]
General Permit Certificate of Coverage (COC) No.: NCC202858
Name of Project: EPES Transport System, LLC
Per NC General Statute 143-215.6E (i), any person who knowingly makes any false statement, representation, or
certification in any application, record, report, plan, or other document filed or required to be maintained under this
Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
1, 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.
Legally Responsible Organizational Entity: EPES Transport System, LLC
*Legally. Responsible Person: P14 V/P A, LG / it --
Title of Legally_ Responsible Person:
*Signature:
Z. % 14-� Zl
Print Name and Title of Signed (only if authorized individual signing differs from Legally Responsible Person):
* IMPORTANT NOTE: 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 permit.
For more information on signatory requirements, see Part IV, Section B, Item (6) of the NCGO10000 permit.

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PLANNING AND DEVELOPMENT
Project Closure Notice
1217/21
EPES Transport System, LLC
Attn: David Leik
3400 Edgefield Ct.
Greensboro, NC 27408
Re: EPES Trucking
Dear David Leik
Due to significant site stabilization, Guilford County can release the erosion control surety for the above referenced
project. Enclosed you will find the Land improvement Bond for $5,700.00.
Permanent ground cover sufficient to restrain erosion has been established. No additional self -monitoring or self -
inspections are required. Project is released. Termination of coverage under the NPDES General Stormwater Permit for
Construction Activities should be requested by the permittee via a Notice of Termination.
Sincerely,
James Tardiff
Erosion Control Specialist
Guilford County Planning and Development
Don't forget to seed and fertilize once a year to maintain healthy groundcover!
GaH Dm,is, Suit litosion Conlebl Serlian chief, f.136J 6r1-1-350.1
.James 7ardiff, Enniun Cnrirrol st—ialist,
Carli.� Alomv. Erosion control Syerfalist, [phone]
)IDA Off -ice Rae 3427 •Greoisbow, ilurlli Carallma 27402