NCG070056 Rescission Request

FOR AGENCY USE ONLY
Division of Energy, Mineral & Land Resources Date Received
i
Land Quality Section/Stormwater Permitting Program Year Month Day
National Pollutant Discharge Elimination System
Environmental
Quality RESCISSION REQUEST FORM
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 N I C G O 7 0 0 5 6
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name Ostwalt Vault Company; 344 Field Drive; Troutman, INC 28166' 1-800-222-8631 [d/b/a]
Facility Contact
Street Address
City
County
Telephone No.
Ebbie Whitley Hendren, Carolina Cemetery Park Corporation [parent corporation]
PO Box 3257
Concord
Cabarrus
704 786-2161
State NC
E-mail Address
Fax: 704
ZIP Code 28025
[e-mail]
786-2163
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.
n Other: Stormwater leaves site as sheet flow; it is diffused flow and does not concentrate.
See supporting 2009 inspection by Ms. Sifford noting that no ouffall indicates permit coverage rescission appropriate.
Additionally, see attached Mooresville and Winston-Salem regions Environmental Assistance supporting email.
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
Ebbie Whitley Hendren
Print or type name of person signing above
Please return this completed rescission request form to:
Date April 23, 2018
CCPC Vice President d/b/a Ostwalt
Title
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
5 t6(Ig
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RECEIVED
APR 2 6 2018
Revised 20183an10
DENR-LAND QUALITY
STORMWATER PERMITTING

7j
3;A'2
WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. W.H. Whitley, Jr.
Ostwalt Vault Company
P.O. Box 3257
Concord, North Carolina 28025
Dear Mr. Whitley:
Coleen H. Sullins
Director
February 10, 2009
Subject: Compliance Evaluation Inspection
Ostwalt Vault Company
COC Number NCG070056
Iredell County, NC
- t L'
Dee Freeman
Secretary
Enclosed is a copy of the Compliance Evaluation Inspection (CEI) report for the inspection conducted at the
subject facility on February 5, 2009, by Ms. Barbara Sifford of this Office. Thank you for the assistance and cooperation
provided during the inspection by Ms. Robin Lancaster.
After discussion with other regional staff and storm water permitting staff of the Central Office in Raleigh it has
been determined that your facility does not need to have a storm water permit. If the facility can provide shelter for the
chemicals stored outside to prevent any runoff contamination the permit may be rescinded. You need to submit a written
letter to the permitting office asking for rescission.
If you have any questions, comments, or need assistance with understanding any aspect of this letter, please do
not hesitate to contact Ms. Allocco at [phone].
Sincerely,
for Robert B. Krebs
Regional Supervisor
Surface Water Protection Section
Mooresville Regional Office
Enclosure
cc: Shelton Sullivan, NPS -ACO Unit
Bradley Bennett, NPS -ACO Unit
MRO -SW NCG070056
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal opportunity 1 Affirmative Action Employer— 50% Recycledl10% Post Consumer paper
NorthCa -olina
Al'tllrl 4

Permit: NCG070056
SOC:
County: Iredell
Region: Mooresville
Compliance Inspection Report
Effective: 06/01/08 Expiration: 05/31/13 Owner: Ostwalt Vault Co
Effective: Expiration: Facility: Ostwalt Vault Co
344 Field Dr
Contact Person: Robin W Lancaster Title:
birections to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name Robin W Lancaster
Related Permits:
Inspection Date: 02/05/2009 Entry Time: 01:00 PM
Primary Inspector: Barbara Sifford
Secondary Inspector(s):
Troutman NC 28166
Phone: [phone]
Certification
Exit Time: 02:30 PM
Phone:
Phone: [phone]
Phone: [phone]
Ext.2196
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stone, Clay, Glass, and Concrete Products Stormwater
Discharge COC
Facility Status: Q Compliant ■ Not Compliant
Question Areas:
0 Storm Water
(See attachment summary)
Page: 1

Permit: NCG070056 Owner - Facility: Ostwalt Vault Co
Inspection Date: 02/05/2009 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
All rainwater existing the property is discharged by sheet flow, therefore you do not have an outfall pipe to make
observation of during rainfall events. If the chemicals stored outside can be covered to prevent exposure to rainfall and
prevent stormwater contamination you can request that the permit for the facility be rescinded.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? n ■ n n
Comment: This facility has no direct pipe outfall to inspect.
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ■ n n n
# Were all outfalls observed during the inspection? n ■ n n
# If the facility has representative outfall status, is it properly documented by the Division? Cl n ■ n
# Has the facility evaluated all illicit (non stormwater) discharges? ■ n n n
Comment: No outfall pipe exists from the property all rainwater is discharged by sheet
flow to the property boundary.. The City of Troutman has graded a right of way along
the property line for a sewer line.
Page: 2

7k WPPFI=
RE: [External] NCG070066 Compliance
1 message
Allocco, Marcia <[e-mail]>
To: Ebbie Hendren <[e-mail]>
Cc: "Moore, James" <[e-mail]>
Good afternoon Ms. Hendren,
Ebbie Hendren <[e-mail]>
Mon, Apr 23, 2018 at 3:38 PM
Thank you for attaching the letter you received from our DEMLR Stormwater Permitting group. Mr. Moore
and I reviewed it to understand what requirements you had if you are renewing your permit. The letter asks
for Stormwater Outfall location information so I accessed the compliance database to determine what
information DEMLR already possessed for your permit. It noted that your outfall location was unknown but
had a latitude/longitude entered that was close to your facility. There was an inspection noted in 2009 so I
reviewed it with Mr. Moore to determine if it contained any information on the outfall at your facility. I have
attached a copy for your review.
One of the three requirements that trigger the need for an industrial stormwater permit is having an outfall
(pipe, swale, etc.) that concentrates stormwater and discharges from the property. If you review the
inspection report it notes that stormwater leaves your site as sheet flow; it is diffuse flow and does not
concentrate. The cover letter for the inspection by Ms. Sifford also notes that since you do not have an
outfall you can rescind your permit coverage.
If you have not changed how stormwater flows at the site since the 2009 inspection, you can ask for permit
rescission. If at some time in the future you rework the site and create an outfall then permit coverage will
be needed based on your industrial activity and the exposure of materials to stormwater at your facility.
Therefore, if you review the DEMLR letter you can follow the link in the first paragraph that states "If you no
longer need this permit..." to complete the permit rescission form. You can note the reason for rescission
as no stormwater outfall and provide the attached inspection report as proof. You are also welcome to
include a copy of this email correspondence. Once your permit coverage is rescinded you will no longer
have to pay the $100 annual permit fee.
If you have any questions on the content of this email please contact me or Mr. James Moore for
assistance.
Very best,
Marcia
Marcia Allocco, MS
Environmental Assistance Coordinator (Mooresville and Winston-Salem regions)
Division of Environmental Assistance and Customer Service