NCC210050_NOT Signed Certification_20240322

NCGO1 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, 6th 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) [40 CFR 122.22]
General Permit Certificate of Coverage (COC) No.: NCC210050
Name of Project: Sampson Community College Transportation Annex
Per NC General Statute 143-215.6B(1), 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:
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.
Legally Responsible Organizational Entity: William Starling1
*Legally Responsible Person: \A1‘. Gam 5'r ll w
Title of Legally Responsible Pe on: P re-6
*Signature: W Date:"c de-*--s4 ? 2422.17
Print Name and Title of Signed (only if aut rized ' dividual 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 8, Item (6)of the NCG010000 permit.