NCG020827_COMPLETE FILE - HISTORICAL_20180130

STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO.
DOC TYPE
0 COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ 5�0& (3U
YYYYMMDD

Please return this completed rescission request form to
ti .1F
RCDENR w
e'—ONMENT µp NtlL RE' URCE
Division of Energy, Mineral &Land Resources
Land Quality SectionlStormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
RECEIVED
JAN 30 2818
utNR-LAND QUALITY
Please fill out and return this form if you no longer need to maintain your NPDES stormwatetS�WAT�RPERMITTING
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 I N I C I G I O z 1 0 1 8 2 7
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name Marine Corps Installations East -Marine Corps Base Camp Lcjcune MCIEAST-MCB CAMLEJ
Facility Contact Commanding General, MCIEAST-MCB CAMLEJ — Attention Mr. John R Townson
Street Address PSC 20005
City Camp Lejeune State NC ZIP Code 28542-0005
County Onslow E-mail Address [e-mail]1
Telephone No. • 1910)_451-5003 Fax: [phone]
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
® Facility closed or is closing on 19 December 20177 1 All industrial activities have ceased such that no
discharges of stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to on (___71 . 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:
5EF 17 LU18
4) Certification:
CENTRAL FILES
/l7rn -
I, as an authorized representative, hereby request rescission of coverage under th KPb n !9§tTr@Water 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 __ _ 4_-2r-C Date 0,T1WE­w8
JrJubnDirector, EMD, G-F _
Print or type name of person signing above Title
NPDES Permit Coverage Rescission l�
Stormwater Permitting Program
1612 Mail Service Center b 0\
Raleigh, North Carolina 27699-161
1612 Mail Service, Raleigh, North Carolina 27699-1612
Phone: [phone] FAX: [phone] e) �aol
An Equal Opportunity 1Affirmative Action Employer
Enclosure (2)

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UNITED STATES MARINE CORPS
MARINE CORPS INSTALLATIONS EAST -MARINE CORPS BASE
PSC SOX 20005
CAMP LEJEUNE NC 20542-0005
Mrs. Bethany Georgoulias
North Carolina Department of Environment
And Natural Resources
Division of Energy, Mineral and Land Resources
Stormwater Permitting Section
Non -Discharge Permitting Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Dear Mrs. Georgoulias:
5090.20
G-F/BEMD
.BAN 2 3 iR1fl
RECEIVED
JAN 30 2018
MR -LAND QUALITY
STORMWATER PERMITTING
Marine Corps Installations East -Marine Corps Base Camp
Lejeune (MCIEAST-MCB CAMLEJ) was issued a certificate of
coverage (COC), number NCG020827, on 17 December 2017. This COC
authorized MCIEAST-MCB CAMLEJ to discharge stormwater and mine
dewatering wastewater from borrow pit 4 under North Carolina's
National Pollutant Discharge Elimination System (NPDES) general
permit NCG020000.
All work at this location is complete and there is no
further need to maintain this COC, NCG020827. MCIEAST-MCB
CAMLEJ requests a permit rescission for this facility. A
completed rescission request form is enclosed.
If you have any questions or need any clarification on the
information provided, contact Mr. Michael Taylor, Environmental
Compliance Branch, Environmental Management Division, G-F, at"
[phone].
Sincerely,
JOHN R. TOWNSON
Director, Environmental Management
By direction of
the Commanding General
Enclosure: Rescission Request Form

UNITED STATES MARINE CORPS
MARINE CORPS INSTALLATIONS EAST -MARINE CORPS BASE
PSC BOX 2000S
CAMP LEJEUNE NC 28542-0005
5090.20
BEMD
MAY 042016
North Carolina Department of
Environmental Quality
Division of Energy, Mineral
and Land Resources
Attn: Land Quality Section
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
Marine Corps Base Camp Lejeune (MCB CAMLEJ) forwards Annual
Summary Discharge Monitoring Reports (DMRs) for calendar year
2015 in accordance with state'National Pollutant Discharge
Elimination System (NPDES) general permit number NCG020000.
Enclosures (1) and (2) include monitoring results for MCB
CAMLEJ's Base Entry Road borrow pits 4 and 7, certificates of
coverage (CoC) NCG020827 and NCG020828 respectively.
If you have any questions or need any clarification on the
information provided, contact Lauren Acosta, Environmental
Quality Branch, 8%Environmental Management Division, G-F, at
[phone].
Sincerely,
OHN R. TOWNSON
Director, Environmental Management
By direction of
the Commanding General
Enclosures: 1. CY2015 Annual Summary DMR for NCG020827 (2 copies)
2. CY2015 Annual Summary DMR for NCG020828 (2 copies)
ECEIVED
MAY 13 2016
BY: