NCG020056_COMPLETE FILE - HISTORICAL_20140721 (3)

STORMWATER- DIVISION CODING SHEET
RESCISSIONS .
PERMIT NO.
N G o a-D D 5 C�
DOC TYPE
EY COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ a O j L,) 7 a
YYYYMMDD

7j?2
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Ken Elliott
Bear Garden, Inc.
P.O. Box 2232
Elizabeth City, NC 27909
Dear Mr. Elliott:
John E. Skvarla, III
Secretary
July 21, 2014
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG020056
Bear Garden, Inc
Pasquotank County
On June 9, 2014, the Division of Energy, Mineral and Land Resources received your request to rescind your
coverage under Certificate of Coverage Number NCG020056. In accordance with your request, Certificate
of Coverage Number NCG020056 is rescinded effective immediately.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 Julie Ventaloro at 919-807-6370, or the Stormwater
staff in our Washington Office at 252-946-6481
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, PE, CAM, Director
Division of Energy, Mineral and Land Resources
cc: Washington Regional Office — T. Edgerton
Central Files - w/attachments
Stormwater Permitting Program
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 I FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: hfp //porlal.ncdenr.org/web/lr/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110%o Post Consumer Paper

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Compliance Inspection Report
Permit: -NCG020056 Effective: 01/01/10 Expiration: 12131/14 Owner: Bear Garden Inc
SOC: Effective: Expiration: Facility: Bear Garden, Inc.
County: Pasquotank Ludford Rd
Region: Washington
Elizabeth City NG 27909
Contact Person: Phillip Harrington TItW Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 07/16/2014
Primary inspector: Thom Edgerton
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 02:00PM Exit Time: 02:30PM
Phone: [phone]
Reason for Inspection: Other inspection Type: Compliance Evaluation
Permit inspection Type: Mining Activities Stormwater Discharge COC
Facility Status: Compliant [] Not Compliant
Question Areas:
N Storm Water
(See attachment summary)
Page: 1

Alf
perMit; NCG020056 owner - Facility: Bear Garden Inc
Inspection Data: 0711612014 Inspection Type : Compliance Evaluation Reason for Visit: Other
Inspection Summary:
I recommend that NCG020056 be rescinded.
This was a file search and discussion with the consultant inspection (Ken Elliott [phone]), which confirms that the
operation has been reclaimed and that the NPDES SW permit is no needed at the site.
Please feel free to contact me for additional information [phone].
Page: 2

ti
Permit: NCG020056 Owner - Facility: Bear Garden Inc
Inspection Data: 07/16/2014 Inspection Type : Compliance Evaluation
Permit and OutfaUs
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outfalls observed during the inspection?
# If the facility has representative outfall status, is it property documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment:
Reason for Visit: Other
Yes No NA NE
❑ ❑ ❑
Page: 3

Edgerton, Thom
From:
Edgerton, Thom
Sent:
Wednesday, July 16, 2014 4:44 PM
To:
Ventaloro, Julie
Subject:
RE: Rescission Request NCG020056
Attachments:
Rescission Request NCG020056
Hello,
I recommend rescinding NCG020056. The consultant confirms that this operation has been reclaimed and the NPDES
SW permit is no longer needed.
Thanks,
Thom
Thom Edgerton, Environmental Engineer
North Carolina Department of Environment and Natural Resources (NCDENRj
Division of Energy, Mineral, and land Resources (DEMLR)
Land Quality Section (LQ)
Washington Regional Office (WaRO(
943 Washington Square Mali
Washington, NC 27889
[phone] Phone
E-mail correspondence may be subject to the North Carolina Public Records Law and may be disclosed to third parties. .&

n, Thom
From: Ventaloro, Julie
Sent: Wednesday, June 11, 2014 9:53 AM
To: Edgerton, Thom
Cc: Mcclain, Pat
Subject: Rescission Request NCG020056
Attachments: NCG020056_Rescission.pdf
Thom,
We've received a rescission request for one facility in your region:
&LOMW%4rid -o-
NCG020056 - Bear Garden Inc in Pasquotank County. Facility is located on I-udford Rd in Elizabeth City. Permittee
states that the sand mine ceased operation and that the mining permit has been released. Facility contact is Phillip
Harrington at 252-335-4520; permit contact is Ken Elliott at 252-339-9021.
Please let me know if the Washington Regional Office recommends rescission of this permit.
Thanks!
Julie Ventaloro
5tormwater Permitting Program
NC Division of Energy, Mineral, and Land Resources
1612 Mail Service Center, Raleigh, NC 27699-1612
Phone: (gig) 807-637o Fax: (gig) 807-6494
Website: http;//wateksupplywatershed.nc.gov
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third
parties.
1

Ae
NCDENR
Division of Energy, Mineral & Land Resources
land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
Fr:►tnr.:xa�ry �,sr o4iv
(Y,ft R4cWed
MOM na$
Please fill out and return this form if you no logger need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit _jj (or) Certificate of Coverage
N C S N I C G l0 5 b
2) Owner/Facility Information: • Final correspondence will be mailed to the address noted below
Owner/Facility Name Phillip Harrington L Sear Garden, Inc.
Facility Contact „Phillip Harrington (Permit Contact: Ken Elliott, 252-339-9021, [e-mail]_
Street Address PO Box 2232
City Elizabeth City State NC ZIP Code 27909
County Pasauotank E-mail Address [e-mail]
Telephone No. 252-335-4520 Fax:
3) Reason for rescission request (This is �jlred nformation. Attach separate sheet if necessary):
[jf Facility closed 9F is4ecicw�on iT1 All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to
on . 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.
L+J Dther: Sand mine has ceased operation, land reclaimed by Jan 2014 and mining permit released. _
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: June.2W
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage ResoissitJUN
-
Stormwater Permitting Program1612 Mail Service Center Raleigh, North Carolina 27699•t o 9 10114 •
1612 Mail SerwiceCenter, Raleigh, North Carolina 27699.1612 +
Phone: [phone] FAX: [phone]
An Equal Opportunity 1 Affirmative Action Employer

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Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
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NPENR
National Pollutant Discharge Elimination System
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PERMIT NAME/OWNERSHIP CHANGE FORM
1. Please enter the permit number for which the change is requested.
_ NPDES Permit (or) Certificate of Coverage _
I c o �� I'[ U i► 2 tl 161
IL Permit status prior to requested change.
a. Permit issued to (company name): Bear Garden, Inc.
b. Person legally responsible for permit: Phillip _ Harrington
First MI Last
President
Title
PO Box 2232
Permit Holder Mailing Address
Elizabeth City NC 27909
City State "Lip
252 3354520
Phone Fa.
c. Facility name (discharge); Bear Garden Inc.
d. Facility address: Ludford Road
Address
_ Elizabeth City NC 27909 _
City state Zip
e. Facility contact person: Phillip Harrington __ [phone]
First / MI / Last Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Pcrmit issued to (company name):
c. Person legally responsible for permit:
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
First N•11 Uhl
Title
Permit Holder Mailing Address
City slate Zip
Phone E-mail Address
Address
City State Zip
First N1I List
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: Ken Elliott
First Nil last
Consultant
Title
PO Box 112
Mailing Address
Aydlett NC 27916
City State Zip
[phone] [e-mail]
Phone E-mail Address
V Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
❑ Yes
® No (please explain) Mine is closed, DWQ permit rescission form attached.
V I Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Ken Elliott, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
June 4, 2014
Signature Date
APPLICANT CERTIFICATION
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the hest of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature
Daic
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014