NCGNE0129_Rescission Request_20210125

Environmental
Quality
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month Day
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit (or)
N I C I S
Certificate of Coverage
mummoomma
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name Honeywell / Elster Solutions, LLC
Facility Contact
Street Address
City
County
Telephone No.
Mike Hamman
201 South Rogers Lane
Raleigh
Wake
919 745-3558
State NC
E-mail Address
Fax:
ZIP Code 27610
[e-mail]
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
El Facility closed or is closing on 3/1 /21 . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to
on . if the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
1, 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.
Signature
Mike Harriman
Print or type name of person signing above
Please return this completed rescission request form to:
Date
Test Engineering Manager
Title
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised 20183an10

Honeywell
Smart Energy
208 S. Rogers Ln.
Raleigh, NC 27610
www honeywel 1. com
January 19, 2021
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Re: NPDES Stormwater Permit Recession Request Form
Easter Solutions, LLC Certification of Coverage NCGNE0129
Dear Ms. McCoy:
Please see attached Rescission Request Form for stormwater discharges associated with our site at 201 S. Rogers Lane, Raleigh.
NC 27610.
The facility will be closing on March 1.2021.
Sincerely
1
� n
Mike Harriman
Attachment
Honeywell lnternah