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HomeMy WebLinkAboutNCC201148_Notice of Termination_20220823Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 8/23/2022 3:22:24 PM (NOT Submittal) Approve by Clark, Paul B 8/25/2022 4:27:35 PM (NOT Request Review - NCC201148) • The task was assigned to Clark, Paul B by round robin distribution 8/23/2022 3:22 PM The task was assigned to DEMLR NCG01 NOT Review Team. The due date is: August 26, 2022 5:00 PM 8/23/2022 3:22 PM Use this form to submit a Notice of Termination (NOT) request for a project covered under the N.C. NPDES General Permit for Construction Activities NCGO10000 (or NCG250000). If approved, the Certificate of Coverage (COC) will be rescinded. Certificate of NCC201148 Coverage (COC) No.* Enter the Certificate of Coverage Number 2020 Annual Fee Status 2021 Annual Fee Status 2022 Annual Fee Status May be blank if N/A PAID PAID May be blank if N/A May be blank if N/A Information associated with this permit: Project Name Briarwood Elementary School Lots Covered by this This information is especially helpful when more lots were added with Modifications since the original permit Permit COC (if issuance. applicable) No longer visible on the initial form (data not captured from initial application) Address 1001 Wilann Drive, Charlotte, NC County Mecklenburg Latitude 35.2510 Longitude -80.7660 Permittee Listed Charlotte Mecklenburg Board of Education Legally Responsible Gary Adams Individual NC Reference No. NCG01-2020-1148 E&SC Plan ID MECKL-2020-055 Original NOI Tracking 23319 No. Date COC Issued 3/30/2020 Prior Rescission Date Date populates only if COC was already rescinded at time of submittal. Reason for Rescission/Termination Request: Reason for Project Closed -Out Termination of Sale (Another Owner/Operator obtained new COC) Coverage* Mistake or Invalid Coverage Other Additional More information about the basis of this request, if needed. Explanation Supporting Upload Supporting Documentation if applicable. Documentation Must be PDF format Project Close-out Information: Erosion Control Plan 8/2/2022 Close-out Date Erosion Control Plan 08.02.22 NCDEQ Inspection Report.pdf Close-out Must be PDF format Documentation North Carolina General Statute 143-215.613 (i) provides that: 32.09KB 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; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this 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 guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). * 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 NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. Signature Type Name* Gary S. Adams Title * Director of Architecture Organization* Charlotte Mecklenburg Schools Date * 08/23/2022 Email for barbaral.lytle@cros.k12.nc.us Confirmation* Contact Telephone* 704.201.9938 NOT Certification Notice of Termination.pdf Form Must be PDF Format Is this COC Already Ensure this COC has not been rescinded since submittal! Rescinded? Additional Email CC'd on Notification Emails (Optional) barbaral.lytle@cros.k12.nc.us Original Permittee CC'd on Notification Emails Email garys.adams@cros.k12.nc.us 440.69KB Original Site Contact CC'd on Notificaiton Emails Email kenneth.brown@cros.k12.nc.us