NCG030385_COMPLETE FILE - HISTORICAL_20180110

STORMWATER DIVISION CODING SHEET
RESCISSIONS .
PERMIT NO.
NC�o wms
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ 50) U V
YYYYMMDD

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Energy, Mineral
and Land Resources
ENVIRONMENTAL OLIALITV
Mr. Joseph Thompson
Refabco, Inc.
200 E. 27'h Street
" Charlotte, N.C. 28206
Dear Mr. Thompson:
ROY COOPER
f ;n rrrnor
MICHAEL S. REGAN
Secrcaiy
WILLIAM E. (TOBY) VINSON, JR,
i'll v n
January 9, 2�Q, vl:rPWED
JAIL 1, 0 2018
DWR SECTION
INFORMION PROCESSING KNIT
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG030385
Mecklenburg County
The Division of Energy, Mineral and Land Resources received your request to rescind your
coverage under Certificate of Coverage Number NCG030385. In accordance with your request,
Certificate of Coverage Number NCG030385 is rescinded effective immediately.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 Mooresville Regional Office at [phone].
Sincerely,
for William E. (Toby) Vinson, Jr., PE, CPESC,
CPM
Interim Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office
Stormwater Permitting Program
Central Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

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Division of Energy, Mineral & Land Resources
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Land Quality Section/Stormwater Permitting Pro ram
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NCDENRNational
Pollutant Discharge Elimination System
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FI1Nl1 Hw M� NRl1R'L RESoUMCU
FOR AGENCY USE ONL
Date Received
Year
Month
Da
RACE'INIT_:D
RESCISSION REQUEST FORM NOV 2 Q 2017
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.[//DENR-1{LAND 011,10 ITY
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 LN:-c p 13 1C, 13 1 8�
2) Owner/Facility Information: * Final correspondence will be moiled to the address noted below
Owner/Facility Name 4-1a-0aC.0Lr:5
Facility Contact _ 76SEya L
Street Address Zoo E Z ' ' Sraoa
City _ r-14Agf .a_ra 77e State N C ZIP Code Z8Z©Co
County i c�r3,:,zC. _ E-mail Address
Telephone No. 764� .3 7 Z- Z i oo Fax: 70 4._ 37 2 - ccdcx
3) Reason for rescission request (This is required information, Attach separate sheet if necessary).
❑ Facility closed or is closing on,Z9.-i 7, All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to on R°' 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 NPRES Stormwater Permit for the 1Q
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief !'� e
such information is true, complete and accurate, `, `
Signature j s'`-, Date /I ! s-- I Z_q
J o s e-pl� L T r-1 o, soli �4 QJ
Print or type name of person signing above Title �►,
Please return this completed rescission request form to: NPDES PermitCoverage Rescission Stormwater Permitting Program
1612 Mail Service Center l.Y
Raleigh, North Carolina 27699-1612
1612 Mail Service Center, Raleigh; North Carolina 27699-1612
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Phone: [phone] t. FAX_ 919-607-6492
An Equal Opportunity 1 Affirmative Action Employer