NCG100166_COMPLETE FILE - HISTORICAL_20150803

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STORMWATER-0IVISION CODING SHEET- -
RESCISSIONS .
PERMIT NO.
DOC TYPE
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❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ �DISVY>U��
YYYYMMDD

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor R EC E IVeDetary
July 29, 2015 AUG 0 3 20115
Ms. Pam Stricklin CENTRAL FILES
Stricklin Auto & Truck Parts, Inc. DWR SECTION
530 Kesler Road
Cleveland, NC 27013
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG 100166
Rowan County
Dear Ms. Stricklin:
On June 22, 2015, the Division of Energy, Mineral and Land Resources received your request to rescind your
coverage under Certificate of Coverage Number NCG 100166. In accordance with your request, Certificate
of Coverage Number NCG 100166 is rescinded effective immediately.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 Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office
Stormwater Permitting Program
✓Central Files - w/attachments
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: htt :1! ortal.ncdenr.or /webllrl
An Equal Opportunity 1 Affirmative Action Employer -- 50% Recycled 110% Post Consumer Paper

�`� • Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
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NCDENRNational Pollutant Discharge Elimination System
NO G4N i- D I mM O
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RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
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 J C I S. N I C G I I 10 10 1 / (j
2) Owner/Facility Information: ' Final correspondence will be mailed to the address noted below
Owner/Facility Name fir,c,{e� in Aub__ 4-- vac%_ fa✓tS _Ehe L -3 6 keslcrl��iaL1eV'_G'J, JC ;'70k3�
Facility Contact
Street Address U_�z{
City l L u d a _ State i�J L ZI P Code .2, $1 S
County L ��c7L n E-mail Address An-m LAStr;4i_(r',n,Lym
Telephone No. DO ` (o31-1 -61 � g � Fax:
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
[Facility closed or is closing on I{ i '1 l . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to [r"1 on F_7-1 . 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 (g L.1 / f
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescissi n
Stormwater Permitting Program D
1612 Mail Service Center
Raleigh, North Carolina 27699
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 SUN 2 2 2015
Phone: [phone] FAX: [phone] q�NR . an,d,--
An Equal Opportunity 1 Affirmative Action Employer

.;
Alexander, Laura
From:
Khan, Zahid
Sent:
Wednesday, July 29, 2015 11:11 AM
To:
Alexander, Laura
Cc:
Bou-ghazale, Samar
Subject:
FW: Rescission Request -Stricklin Auto & Truck Parts. Inc. NCG100166
Follow Up Flag:
Follow up
Flag Status:
Flagged
La ura,
Please see E-mail from Samar. Inspection report is in BiMS. Thanks
Zahid
From: Bou-ghazale, Samar
Sent: Wednesday, July 29, 2015 11:02 AM
To: Khan, Zahid
Subject: RE: Rescission Request -Stricklin Auto & Truck Parts. Inc. NCG100166
Rescission of the subject facility is to be granted based on my inspection dated 7-28-2015.
Thanks,
Samar
From: Khan, Zahid
Sent: Tuesday, June 30, 2015 11:01 AM
To: Bou-ghazale, Samar
Subject: FW: Rescission Request - NCG100166
Samar,
Please Login and Deadline is July 27, 2015
From: Alexander, Laura
Sent: Tuesday, June 30, 2015 10:46 AM
To: Khan, Zahid
Subject: Rescission Request - NCG100166
Zahid,
This is a rescission request for a facility in Rowan County.
Thank you,
Laura Alexander
Stormwater Permitting Program
NC Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612