NCG140191_COMPLETE FILE - HISTORICAL_20160815

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

Energy, Mineral
and land Resources
ENVIRONMENTAL_ QUALITY
August 10, 2016
Ms. Denise Corrales
Cemex Construction Materials Atlantic, LLC
3920 Northdale Blvd, Suite 10013
Tampa, Florida 33624
Dear Ms. Corrales:
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
.Sec•relar),
TRACY DAVIS
Director
AUG 15 2pt6
CEN-TAL FILES
DV'JR SECT ON
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG140191
Scotland County
On June 13, 2016, the Division of Energy, Mineral and Land Resources received your request to
rescind your coverage under Certificate of Coverage Number NCG 140191. In accordance with
your request, Certificate of Coverage Number NCG140191 is rescinded effective immediately.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 Fayetteville Regional Office [phone].
Sincerely,
for Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
cc: Fayetteville Regional Office
Stormwater Permitting Program
Central Files - w/attachments
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center l 512 North Salisbury Street � Raleigh, North Carolina 27699-1612
919 707 9220 T

Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination Systein
NCDENR
NORTH DARp4 Dcra T'Er or
ENVIRONMENT AND NA URA RES "CES
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year Month
Day
RECEIVED
f�4UM
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit. LAAlD
STORMINgTFR LIAr_tTY
1) Enter the permit number to which this request applies: PERMITTING
Individual Permit (or) Certificate of Coverage
N 1. C I 5 I I I I I I I N C I G 11 141011
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name CEMEX Construction Materials Atlantic LLC
Facility Contact Denise Corrales, Director Environmental — Materials Division
Street Address 3820 Northdale Blvd., Suite 100E
City Tampa State FL ZIP Code 33624
County Hillsborough E-mail Address [e-mail]
Telephone No. 813 269-1035 Fax: [phone]
3) Reason for rescission request (This is reauired information. Attach separate sheet if necessary):
❑ Facility closed or is closing on r-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 r___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
Denise Corrales
Please return this completed rescission request form to
Date 6/7/2016
Director Environmental
NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
1512 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] FAX: [phone]
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