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HomeMy WebLinkAboutNCC201635_Notice of Termination_20230818 Action History (UTC-05:00)Eastern Time(US&Canada) Submit by Anonymous User 8/18/2023 11:53:29 AM (NOT Submittal) Approve by Kieu Tran 8/22/2023 9:49:27 AM (NOT Request Review-NCC201635) • The task was assigned to DEMLR NCG01 NOT Review Team.The due date is:August 23,2023 5:00 PM 8/18/2023 11:53:30 AM • The task was assigned to Kieu Tran by round robin distribution 8/18/2023 11:53:30 AM Q� Notice of Termination (NOT) Request - NPDE,�tz_ Stormwater Permit for . • 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 NCG010000(or NCG250000). If approved,the Certificate of Coverage (COC)will be rescinded. Certificate of NCC201635 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 2023 Annual Fee Status PAID May be blank if N/A Information associated with this permit: Project Name Concord Streams Restoration Stricker Branch 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 940 Concord Pkwy N,Concord, NC County Cabarrus Latitude 35.4286 Longitude -80.6108 Permittee Listed North American Pipeline Management Legally Responsible Allen Robinson Individual NC Reference No. NCG01-2020-1635 E&SC Plan ID CABAR-2017-097 Original NOI Tracking 24651 No. Date COC Issued 4/23/2020 Prior Rescission Date Date populates only if COC was already rescinded at time of submittal.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 The US Army Corps of Engineers is listed as the financially responsible party on the attached Inspection Report.As such we request the close-out of this project. Supporting Upload Supporting Documentation if applicable. Documentation Must be PDF format Project Close-out Information: Erosion Control Plan 5/10/2023 Close-out Date Erosion Control Plan Final_lnspection_Report.pdf 55.29KB Close-out Must be PDF format Documentation North Carolina General Statute 143-215.613(i)provides that: 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 NCG010000 General Permit. For more information on signatory requirements,see Part IV,Section B, Item (6)of that permit. Signature Type Name* Jeremy Smith Title* Chief of Construction Section Organization* United States Army Corps of Engineers Date* 08/18/2023 Email for Jeremiah.L.Smith@usace.army.mil Confirmation* Contact Telephone* 910-251-4642 NOT Certification NOT Certification Form(signed).pdf 1.21 MB 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) Tamara.C.Murphy@usace.army.mil Original Permittee cc'd on Notification Emails Email al.robinson@napminc.com Original Site Contact cc'd on Notificaiton Emails Email al.robinson@napminc.com