NCC216559_Notice of Termination_20231115

Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 11/15/2023 9:03:05 AM (NOT Submittal)
Approve by Kieu Tran 11/20/2023 1:33:38 PM (NOT Request Review-NCC216559)
• The task was assigned to DEMLR NCG01 NOT Review Team.The due date is: November 20,2023 5:00
PM 11/15/2023 9:03:06 AM
• The task was assigned to Kieu Tran by round robin distribution 11/15/2023 9:03:06 AM

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(COC)will be rescinded.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 NCC216559
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 May be blank if N/A PAID
May be blank if N/A
2023 Annual Fee Status
OPEN
May be blank if N/A
This permittee has an OPEN fee. If this NOT request is acceptable,you will have the option to waive that fee, but that is
only available AFTER the Notice of Termination(NOT)has been approved(when the permit status becomes INACTIVE).
If it is appropriate to waive the OPEN fee,it may help to assign that annual fee task to yourself immediately following this
approval so you remember to resolve the outstanding fee.
Information associated with this permit:
Project Name Minkles Broadpointe II Industrial Facility
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 684 Broadpointe Drive, Mills River, NC
County Henderson
Latitude 35.4256
Longitude -82.5549
Permittee Listed Minkles Broadpointe II LLC.
Legally Responsible David Gibbons
Individual
NC Reference No. NCG01-2021-6559
E&SC Plan ID HENDE-2022-006
Original NOI Tracking 73650
No.
Date COC Issued 11/23/2021
Prior Rescission Date Date populates only if COC was already rescinded at time of submittal.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 I have reached out multiple time via multiple modes of correspondence to try to get
the Final Inspection Report,and have yet to hear back from. I received confirmation
back in June that this was scheduled,as shown in my attached emails with James
Rogers and Fred Walker. I have reached back out to Fred Walker multiple times,
and have even contacted the new employee who occupies James Rogers position,
but have not received any responses to my inquires. I am submitting this in hopes
that it will trigger someone to find the final inspection report and pass it along.Thank
you!
Supporting Upload Supporting Documentation if applicable.
Documentation Must be PDF format
Project Close-out Information:
Erosion Control Plan 11/15/2023
Close-out Date
Erosion Control Plan Email_Fred Walker_Inquire-20231103.pdf 154.23KB
Close-out Email_James Rogers_Field Inspection Set-
Documentation 142.63KB
20230628.pdf
Must be PDF format
North Carolina General Statute 143-215.613(1)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
�rr���i �ifi�orJ
Type Name* David Gibbons
Title* Manager
Organization* Minkles Broadpointe II LLC
Date* 11/15/2023

Email for [e-mail]
Confirmation*
Contact Telephone* 214-616-0652
NOT Certification MB II_NC DEP_Notice of Term ination_2023-11-3.pdf 295.85KB
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 Emai!s
(Optional) [e-mail]
Original Permittee CC'd on Notification Emai!s
Email [e-mail]
Original Site Contact CC'd on Notificaiton Emai!s
Email [e-mail]