HomeMy WebLinkAboutNCC214427_Notice of Termination_20240108 Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/8/2024 10:44:18 AM (NOT Submittal)
Approve by Kieu Tran 1/10/2024 11:23:10 AM (NOT Request Review-NCC214427)
• The task was assigned to DEMLR NCG01 NOT Review Team.The due date is:January 11,2024 5:00
PM 1/8/2024 10:44:18 AM
• The task was assigned to Kieu Tran by round robin distribution 1/8/2024 10:44:18 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 NCGO10000(or NCG250000). If approved,the Certificate of Coverage
(COC)will be rescinded.
Certificate of NCC214427
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 2024 Annual Fee Status
PAID May be blank if N/A
May be blank if N/A
Information associated with this permit:
Project Name BP Mills Project-Rocky River Road
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 1002 Holden Avenue SW, Concord, NC
County Cabarrus
Latitude 35.3117
Longitude -80.5927
Permittee Listed Mark Oil Co. Inc.
Legally Responsible William Tome
Individual
NC Reference No. NCGO1-2021-4427
E&SC Plan ID CABAR-2022-001
Original NOI Tracking 61192
No.
Date COC Issued 8/4/2021
Prior Rescission Date Date populates only if COC was already rescinded at time of submittal.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
Supporting Upload Supporting Documentation if applicable.
Documentation Must be PDF format
Project Close-out Information:
Erosion Control Plan 8/21/2023
Close-out Date
Erosion Control Plan CABAR-2022-001_20230817.pdf 30.09KB
Close-out Must be PDF format
Documentation
North Carolina General Statute 143-215.6B(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
Ylaar Amore
Type Name* William O.Tome
Title* President
Organization* Mark Oil Company, Inc.
Date* 01/08/2024
Email for BillTome@markoilcompany.com
Confirmation*
Contact Telephone* 704-3754249
NOT Certification Mark Oil Company_20240108_103617.pdf 286.25KB
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)
Original Permittee CC'd on Notification Emails
Email BillTome@markoilcompany.com
Original Site Contact cc'd on Notificaiton Emails
Email kurtcraig@markoilcompany.com