HomeMy WebLinkAboutNCC223894_Notice of Termination_20240126 Action History (UTC-05:00)Eastern Time(US&Canada)
Submit by Anonymous User 1/26/2024 8:42:18 AM (NOT Submittal)
Approve by Kieu Tran 4/2/2024 1:23:20 PM(NOT Request Review-NCC223894)
• The task was assigned to DEMLR NCG01 NOT Review Team.The due date is:January 31,2024 5:00
PM 1/26/2024 8:42:19 AM
• The task was assigned to Kieu Tran by round robin distribution 1/26/2024 8:42:19 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(COC)will be rescinded.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 NCC223894
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 May be blank if N/A
2023 Annual Fee Status 2024 Annual Fee Status COC Expiration Date
WAIVED May be blank if N/A 3/31/2024
May be blank if N/A
Information associated with this permit:
Project Name Shorewood
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 N Race St,Statesville, NC
County Iredell
Latitude 35.7871
Longitude -80.8979
Permittee Listed Helmsman Homes, LLC
Legally Responsible Eric Wood
Individual
NC Reference No. NCG01-2022-3894
E&SC Plan ID STVLE-2023-002
Original NOI Tracking 113522
No.
Date COC Issued 12/8/2022
Prior Rescission Date Date populates only if COC was already rescinded at time of submittal.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 Project On Hold-Not sure when project will be active again.
Additional More information about the basis of this request,if needed.
Explanation Will re-open permit once we decide to move forward with project
Supporting Upload Supporting Documentation if applicable.
Documentation Must be PDF format
Project Close-out Information:
Erosion Control Plan
Close-out Date
Erosion Control Plan Must be PDF format
Close-out
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
Type Name* Michael Wetter
Title* Project Manager
Organization* Helmsman Homes
Date* 01/26/2024
Email for mwetter@nesthomes.com
Confirmation*
Contact Telephone* 17044339947
NOT Certification Shorewood_NCG01Term.pdf 878.85KB
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 Emails
(Optional)
Original Permittee CC'd on Notification Emails
Email tfarlow@nesthomes.com
Original Site Contact cc'd on Notificaiton Emails
Email ppenninger@nesthomes.com