NCGNE1023_COMPLETE FILE - HISTORICAL_20180827

-- - STORMWATER DIVISION CODING SHEET-
RESCISSIONS .
PERMIT NO. .
DOC TYPE ❑ COMPLETE FILE - HISTORICAL
DATE OF 030) g m �
RESCISSION YYYYMMDD

ROY COOPER
Governor
MICHAEL S. REGAN
Secrelary
WILLIAM E. (TOBY) VINSON, JR.
Inrerim Druclor
Energy,Mineral
and Land Resources
ENVIRONMENTAL QUALITY
August 27, 2018
All-State Belting, LLC
Attention: Alex Ward
520 South 18`h Street
West Des Moines, IA 50265
Subject: Compliance Evaluation Inspection
NPDES Stormwater Certificate of Coverage- Rescission Request—NCGNE 1023
Mecklenburg County, North Carolina
Dear Mr. Ward:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection conducted at the
subject facility in Charlotte, on August 21, 201S. The report should be self-explanatory; however, should you have
any questions concerning this report, please do not hesitate to contact Angela Lee at [phone] or by email at
angela.lee&cderingov.
Sincerely,
Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section
Enclosed: Inspection report
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State of North Carolina 1 Gnvironmenlal Quality;Energy,Nlineml and Land Resources
Mooresville Regional Office 1 010 F.asl Center Ave Sic 301 : MOOIC%t1IVe•NC 281 15
7011 683 1699 'F

Compliance Inspection Report
Permit: NCGNE1023 Effective: 01/25/17 Expiration: Owner: All-State Belting LLC
SOC: Effective:' Expiration: Facility: All-State Belting,LLC
County: Mecklenburg 1400 Westinghouse Blvd
Region: Mooresville Ste 100
Charlotte NC 28273
Contact Person: Chris Jenkins Title: Phone: [phone]
Directions to Facility:
From 1-77 take exit 1 to exit 1A(Westinghouse Blvd)turn left and follow Westinghouse north,destination is on right.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 08121/2018 Entry Time: 12:40PM Exit Time: 01:OOPM
Primary Inspector: Angela Y Lee Phone: [phone]
Secondary Inspectoris):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: ® Compliant F1 Not Compliant
Question Areas:
® Miscellaneous Questions
(See attachment summary)
Page: 1

a
7
Permit: NCGNE1023 Owner-Facility:All-State Belting LLC
Inspection Date: 08121/2018 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This inspection was conducted in response to a Rescission Request submitted for NCGNE1023. Upon inspection,we
recommend that the rescission request be granted. All-State Belting has vacated the facility.
Page: 2

All-State Belting,
We South 18°Street' Ph e;'-5 5-645-6964 8 a
* : West Dea Molnea,U1 ( Phorse;�515.845-69$9
50265M2 Fax: 51r224-1169
• 'pry i. ,, _` � - _. + ' �`+s_ -.. .,��-,�.
` NPCES Permit Coverage Rescission`'
' Stormw iter Permitting Prograrrf R Lr�.GY� G Vr E 4
' A
61,2mall Sen+ice'Center.
e E Raleigh; NC:27B89=i612 .. -� �-
20 ..r• .1 - •.� } > ,{ •
iT u ,
DENR-IANb dUALFrY '
--S70RMWATER PER ! y
— y ,
kE:.Rescission Request"Ail.State Belting;LLC.
S Enclosed please flnd'a Rescission Regii rrim for No=Exposure certificate NCGNE0123 lssuetl to All-'
State Belting, LM.Cerilficate,NCGNE 23 is currently,in effect for All-State-,Belling s operatlons,loceted'. :.
at
•AIFState Belting;LLC..
1400 Westinghouse Bivd.
Suite 100
Charlotte,,NC 28273
All-State 8eiting's operation at the Charlotte address will cease on orAbout II_Aarch 31 2017 and the rt
assets at this location will be.relocated outside'o the state of North Carolina: Please acaept'the enGo§ed
rescission farm as notice for cancellation of Ali-State Belting's No-Expos6re Ce@kfl tion`at thd�abave-
listed address;as of resciss on should be sen March 3AII-State sitting uco5rporateadldress in Iowa. as listed ornotice of lssi -
• on the rescission•.` ,.•+ 1, '.
form. r
4 Regards;
r~ . SAlez Ward: •F ' s _ Y•• _ ,�
a� Am.-State-Belting,"LLCJk
w—.....- - _ -.. •�+..+__.�._ ... -�—�tee-.—..M�-t .. f -r _. ..._r. .Y_F._ -.._., ,rv.,.«i.�Y..u -.,.,-As..,..,-m-.'.-....r+..-•,,.. ..�.•... .,...

-.FOR AGENCY USE ONLY
:..
• 't "' Divi3ion of Energy',Mineral&,Land Resources.. Date aead.ed
Qu Year Manth Qa
ruiwater Permitting Program Land aIi SectianlSto-, -
` . IVED
NCDENR National Pollutant Disclinrge.Elimination System„
.ma x,.,,,_ r
.
~ RESCISSION REQUEST FORM �'4 2017
Please fill out and return the form if you no longer need to maintain your.NPDES stormwater permit�',"r -CAiII�Qi ffY
STORW,;A'1•ER PERmiTf m
',t); t ntcr the permit number to which.thls request applies:
Individual Permit (or) Certificate of Coverage
N E 0 1 J 3
2),'.Owner/Facility Information: •Final correspondence will be mailed to the address noted below ! 1
Owner/Facility Name ALL-STATE BELTING;LLC.
Facility Contact ALEX WA.RA
Street Address 520 SOUTH 18TH STREET'
city WEST DES NIOINES State IA ZIP Code SM5
County POLK E-mail Address AWARDOALL•STATEBELTING.COM
Telephone No. 515 e45-6955 Fax; 515... 224-1169
3) Reason for rescission request(This is'1ie uq_i_o information.Attach separate sheet if necessary):.
Facility closed or is closing on r3V!i't017 . All industrial activities have ceased such that no discharges.of
Stormwater are contaminated by exposure to'industrial activities or materials.
❑ Facility sold.to `1 on FE Ml If the facility.*11 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: .S
i
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit br ttfe
subject facility. I am famillarwith the information contained in this request and to the best of my knowledge.and belief, t
such information is true, complete and accurate.'
Signature e -,�—�—�tg' Date
DAVID CLARK TREASURER/CONTROLLER
Print-or type name of person signing above Title
Please return this completed rescission request.form to: NPDES Permit Coverage Rescission
Stormwater"Permitting Program
1612'Mall Service Center
Raleigh,,North Carolina 27M-1612
1612 Mail Service Center,Raleigh,North Carolina 27699-1612
Phane:919-807=6300 1 FAX:919U74492
An Equal Opportunity 1 Affirmative Action Employer,.
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