NCG020340_COMPLETE FILE - HISTORICAL_20150313

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

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
March 10, 2015 RECEIVED
Mr. Lindsey Tuttle MAR, 1 3 Z015
City of Reidsville CENTRAL PILES
Three Bears Mine DWR SECTION
230 W. Morehead
Reidsville, NC 27320
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG020340
Rockingham County
Dear Mr. Tuttle:
On January 28, 2015, the Division of Energy, Mineral and Land Resources received your request to rescind
your coverage under Certificate of Coverage Number NCG020340. In accordance with your request,
Certificate of Coverage Number NCG020340 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to waters
of the State without valid coverage under an NPDES permit is against federal and state laws and could result
in fines. If something changes and your facility would again require stormwater or wastewater discharge
permit coverage, you should notify this office immediately. We will be happy to assist you in assuring the
proper permit coverage.
If the facility is in the process of being sold, you will be performing a public service if you would inform the
new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact us at 919-707-9200, or the Stormwater staff in our
Winston-Salem Regional Office [phone].
Sincerely,
for Trac E. Davis, PE, CP , Director
Division of Energy, Mineral and Land Resources
cc: Winston-Salem Regional Office
Stormwater Permitting Program
Central Files - wlattachments '
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http:llportal.ncdenr.org/web/Ir/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

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Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
REc1=1 ED
FOR AGENCY USE ONLY
Date Received
Year
Month Da
2015
�r LITY
Please fill out and return this form if you no longer need to maintain your Nt'D9Y&WVAMRft
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N C S N I C I G Q a 10 13 1 y 10
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Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name- GtoLr S-_ 0- e.+O�Vfiek
Facility Contact � ind Sey 7v►WC.
Street Address
City
County
Telephone No.
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
is
® Facility closed or is closing on 5/27/14 . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to F-----� on �1 . 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:
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
Date — I of -) J
Linrlseti "TAkk1f- 6uper'ti��eh��r1'�_ _
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 Mail Service Center
Raleigh, North Carolina 27699-1612
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] FAX: [phone]
An Equal Opportunity 1 Affirmative Action Employer
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