NCG080943 Rescission Request

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NO- CAROLINA DEPARTMENT OF
ENVIRONMENT AND NIuU RESOURCES
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
FOR AGENCY USE ONLY
Date Received
Year Month Day
RESCISSION REQUEST FORM ,yM
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) Certificate of Coverage
N I C I S I I I I I I N I C I G 1 0 1 8 1 0 9 4 3
2) Owner/Facility Information: "Final correspondence will be mailed to the address noted below
Owner/Facility Name CSX Transportation, Inc.
Facility Contact Meaghan Atkinson
Street Address 500 Water Street, J275
City Jacksonville State FL ZIP Code 32202
County Duval County E-mail Address [e-mail]
Telephone No. 904 359-4833 Fax: [phone]
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
❑ Facility closed or is closing on . 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: Permit originally obtained due to mobile fueling activities associated with locomotives.
Activity can occur anywhere along tracked areas and a point source discharge is not available. Fueling
did not occur at the facility in 2017.
4) Certification:
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.
Signature 14" 4(& j' \ Date � � b 9 // :7
Print or pe name of person signing above itle
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
RECEIVED Raleigh, North Carolina 27699-1612
NOV 3 0 2017 1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] FAX: [phone]
DENNR,- ER QUALITY
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LEGEND:
- — - — - — APPROXIMATE RAIL YARD BOUNDARY
4w- — a-- — UNDERGROUND STORMWATER CONVEYANCE
STORMWATER CONVEYANCE y
STORMWATER INLET
_ MOBILE DIRECT -TO -LOCOMOTIVE FUELING AREA O
No. SURFACE WATER FLOW Li
RE', 2011 AERIAL PHOTOGRAPH. y •�' /��
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Figure 2
SITE PLAN
CSX MONROE YARD
MONROE, NORTH CAROLINA
CSX Transportation, Inc.
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Now tomorrow moves
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Meaghan Atkinson
Manager Environmental Programs
NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Re: Request for Permit Rescission
CSX Transportation, Inc. Monroe Rail Yard
Permit NCG080943
Dear Sir/Madam,
500 Water Street J-275
Jacksonville, FL 32202
[phone]
Fax [phone]
[e-mail]
Wednesday, November 29, 2017
Attached is a completed rescission form to request termination of permit coverage for the above referenced facility.
The facility was originally permitted due to locomotive fueling activities. These activities can occur anywhere along
tracked portions of the facility. A point source discharge for this activity is not available. In addition, this activity
has not occurred at this facility so far this year.
If you have any questions or comments, please do not hesitate to contact me at (904) 3594833.
Sincerely,
Meaghan Atkinson
Manager Environmental Programs
RECEIVED
NOV 3 0 2017
DENR-LAND QUALITY
STORMWATER PERMITTING