HomeMy WebLinkAboutNCGNE0203_COMPLETE FILE - HISTORICAL_20050420STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE ba V 3
DOC TYPE
❑ HISTORICAL FILE
DOC DATE
❑
YYYYMMDD
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGUL
DOC TYPE
❑ HISTORICAL FILE
DOC DATE
❑
YYYYMMDD
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Frivironment and Natural Resources
Alan W. Klimek, P. F. Director
Division of Water Quality
Coleen 11. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Timothy Houston, Env Specialist
United States Postal Service
317 Union St
Fayetteville, NC 28302-9998
Subject: No Exposure Certification NCGNE0203
APR Z 7 I005
USPS Vehicle Maintenance Facility - 3916 Oleander Dr
New Hanover County
Dear Permittee:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on February 21, 2003. We apologize for the extended period
it has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification as provided for under 40 CFR 126.22(g) which is incorporated by
reference in North Carolina regulations. In addition, your coverage under general permit NCGO80389 is also
hereby rescinded. This rescission is based upon your certification of no exposure conditions at this facility.
Please note that by our acceptance of your no exposure certification, you are obligated to maintain no
exposure conditions at your facility. If conditions change such that your facility can no longer qualify for a no -
exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for your stormwater
discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. Your
conditional no -exposure exclusion expires in five years (April 30, 2010). At that time you must re -certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Jonathan Diggs at (919) 733-5083 ext.
537, or at jonathan.diggs@ncmail.net.
cc: Wilmington Regional Office
Stormwater Permitting Unit Files
Sincerely,
for Alan W. Klimek. P.E.
Central Files — w/attachments
Fran McPherson - DWO Budget
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 (919) 733-7015
NCDENR
Customer Service
1-877-623-6748
NcUNEo zD3 -
United States Environmental Protection Agency - Form Approved
NPDES a� Washington, DC 20460 OMB No.2040-0211
FORM
3510-11 f ilSO NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage,
loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product orwaste product. A storm resistant shelter is
not required for the following industrial materials and activities:
— drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed"
means banded or otherwise secured and without operational taps or valves; ,
— adequately maintained vehicles used in material handling; and
i
— final products, other than products that would be mobilized in storm water discharges (e.g., rock salt).
A No Ezpasure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is
available on a facility -wide basis only, not for individual outfalls. If any industrial activities or materials are or will be exposed to precipitation, the facility is
not eligible for the no exposure exclusion.
By signing and submitting this No Exposure Certification form, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information
1. Name: IUINI I
I T I I D I
I S
I TIA
IT I I S I
IPIOISITIAILI
I S I EI RIVII
ICIEI
I 2. Phone:I9 1 11 0 I4181612 I31319I
3. Mailing Address:
a. Street:
13
1 1 17
1 1 U I N I
110 1 N I I S
I T I RI E I E I T I I I
I I I
I I I I I I I I I I
b. City: I F I A IY
I E I T I T I
E[ V I
I IL
IL IEI I
I I I I
I I I I I o. State:
IN I C I
d. Zip Code: I2181310121-19191918
B. FacilitylSite Location Information
I
1. Facility Name: I IS IP IS IVIEIHII IC IL IEI IMI Al I I N I T I E IN I A I N I Cl E I IF I A I C I I IL
2. a. Street Address: I319]1161 IO I L I E IA I N I D I E I R I IDIRII IVIEI I I I I I I I I I I I I
b. City: IWII I LIM I I I N IG IT IO I N I I I I I I I I I I I I I I a. County: IN I E I WI I H I Al N 101V IEI
d. State: IN I C I e. Zip Code: 121 8 14 10 13 1— 1 9 19 19 1 8I
3. Is the facility located an Indian Lands? Yes No x❑
4. Is this a Federal facility? Yes �x No
5. a. Latitude: JI q 1 o 11 1 3 J b. Longitude: I0.171 Z , 15101 U-LY1
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes ❑X No
b. If yes, enter NPDES p omit numb a-: NCG080389
7, SIC/Activity Codes: Primary: 14 3 1 11,1 Secondary (if applicable): I
8. Total size of site associated with industrial activity: _ 25 acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in orderto quality for the no exposure exclusion? Yes No XQ
b. If yes, please indicate approximately how much area was paved or roofed over. Completing ;his question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to five acres ❑ More than five acres
EPA Form 3510-11 (10-99) rage 1 oT4
NPOES n NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM �'e�� OMB No. 2040-0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either "Yes" or"No" in the appropriate box.) If you answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1.
Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
7
X�
or cleaning industrial machinery or equipment remain and are exposed to storm water
2.
Materials or residuals an the ground or in storm water inlets from spillslleaks
F1
�X
3.
Materials or products from past industrial activity
�X
.4.
Material handling equipment (except adequately maintained vehicles)
F1I
�X
' 5.
Materials or products during. loadinglunloading,or transporting activities
(
❑X
6.
Materials or products stared outdoors (except final products intended for outside use [e.g., new cars] where
❑
QX
exposure to storm watecdoes not result in the discharge of pollutants)
7.
Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
�X
8.
Materials or products handled/stored on roads or railways owned or maintained by the discharger
X�
9.
Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
10.
Application or disposal of process wastewater (unless otherwise permitted)
�X
11.
Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
�X
(i.e., under an air quality control permit) and evident in the storm water outflow
D. Certification Statement
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES storm water permitting.
I certify under penalty of law that there are no discharges of storm water contaminated by exposure to industrial activities or materials fromthe industrial
facility or site identified in this document (except as allowed under 40 CFR 12226(g)(2)).
I understand that I am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority and, if requested, to
the operator of the local municipal separate storm sewer system (MS4). into which the facility discharges (where applicable). I understand that I must
allow the NPDES permitting authority, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water from the facility.
Additionally, I certify under penalty of law that this document and all attachments were prepared under; my direction or supervision in accordance with a
system designed to assure that qualified personnel property gathered and evaluated the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my
knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility
of fine and imprisonment for knowing violations.
Print Name: I T I I I M IO IT I H I Y I HIOIUISITIOINI I I I I I I I I I I I I I I I I I
Print Title:
Signature:
Date: e (21211 Ih 1 Z
EPA Form 3510-11 (10-99) Page 2 of 4
United States Environmental Protection Agency Form Approved
OMB No. 2040-0211
NPDES Washington, DC 20460
3510-11 FORM ISYEPA NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Submission of this No Exposure Cerlmcation constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section 8 under EPA's Storm Water Multi-Seciar General Permit due to the existence
of a condition of no exposure,
A condition of no exposure exists at an industrial facility when aft industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or nmof. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage,
loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product orwaste product. A storm resistant shelter is
not required for the following industrial materials and activities:
— drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed"
means banded or otherwise secured and without operational taps or valves;
— adequately maintained vehicles used in material handling; and
— final products, other than products that would be mobilized in storm water discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is
available on a facility -wide basis only, not for individual outfells. If any industrial activities or materials are or will be exposed to precipitation, the facility is
not eligible for the no exposure exclusion. _
By signing and submitting this No Exposure Certification form, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A, Facility Operator Information
1. Name: IUINI I
I T I I D I
I
I TIA
IT I ISI
IPIOISITIAILI I S I EI RI II ICIEI
2. Phone:19 11101418162131319�
3, Mailing Address:
a. Street:
13
1 1 17
1 1 U I N I
1 10 1 N I I S I T I RI E I E I T I I I I I I
II'
b. City I F I A IY
I E I T I TI
El V
I I I L
I L I E I I
I I I I I I l l l c. State: IN I C I
it. Zip Code: 12 18 13 10121-19191918I
B. FaciiitylSite Location Information
'I. Facility Name: I IS IP I S I I V I E IN I I IC IL IE I IMI Al I IN I T I BIN JAI NI CIE I IF Al Cl I ILA'
2. a. Street Address: 1 31 1 1 7 1 I U IN I I IO I N I I S I T I RI E I E IT I I I I I I I I I I I I I I I I
b. City: IF IA IY I El TI TI EIV I I IL IL IEl I I I I I I I I I I c. County: C I UI MI BI El RI L JAI N.IDI
it. State: IN I C_ e. Zip Code: 1 21 8 13 1 0 12 1-1 919 1 91 81
3. Is the facility located on Indian Lands? Yes ❑ No �X
4. Is this a Federal facility? Yes ❑X No El
5, a. Latitude: l) IJ �� '�J Jb. Longitude: 10 -7 113 1
S. a. Was the facility or site previously covered under an NPDES storm water permit? Yes ❑X No ❑
b. If yes, enter NPDES p omit numb a: NCGO80366
7. SIC/Activity Codes: Primary: 14 13 1 1 1 1 Secondary (if applicable): I I I
8. Total size of site associated with industrial activity:
acres
9. a. Have you paved or roofed over a to exposed, pervious area in order to quality for the no exposure exclusion? Yes ❑ No Qx
'o. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permifdng authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre L One to five acres F More than five acres ❑
EPA Form 3510-11 (10-99)
rage lor4
NPOES n NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM _ �r.�r� ` OMB No. 2040-0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to orecipitation, now or in the foreseeable future?
(Please check either "Yes" or "No" in the appropriate box.) If you answer"Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, staring
7
X�
or cleaning industrial machinery or equipment remain and are exposed to storm water
2.. Materials or residuals on the ground or in storm water inlets from spillsileaks
�X
3. Materials or products from past industrial activity
❑
.4. Material handling equipment (except adequately maintained veiicles) r
❑
❑X
1 ( r
5. Materials or products during loading/unloading or transporting. activities r -
❑'
❑x
6. Materials or products stared outdoors (except final products intended for outside use (e.g., new cars] where
❑X
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similarcomainersF
f�X
8. Materials or products handled/stored on roads or railways owned or maintained by the discharger
X�
I 9. Waste material (except waste in covered, non -leaking containers [e.g., durnmhers])
F
XQ
i
10. Application or disposal of process wastewater (unless otherwise permitted)
Q
� QX
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
❑
�X
(i.e., under an air quality control permit) and evident in the storm water outflow
D. Certification Statement
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES storm water permitting.
I certify under penalty of law that there are no discharges of storm water contaminated by exposure to industrial activities or materials from the industrial
facility or site identified in this document (except as alicwed+under 40 CFR 122.26(g)(2)).
I understand that I am obligated to submit a no exposure certification form once every five years to the NPOES permitting authority and, if requested, to
the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that I must
allow the NPDES permitting authority, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of stone water from the facility.
Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my
knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility
of fine and imprisonment for knowing violations.
Print Name: IT II IM IO IT IHIYI IHIOIUISITIOINI I I I I I I I I I I I I I I I I I
Print Title:
Signature:
Date: 4j,.LI�L1 I j0l ,;U
EPA Form 3510-11(10-99)
Page 2 of 4
Timothy D. Houston
Environmental Compliance Specialist — Eastern Area
PO Box 929110
Columbia, SC 29292-9110
1� UNITEDSTATES
P POSTi LSERVICE
February 19, 2003 I FEB 2 1 2003
To: Mr. Alan K. Kiimek, P.E.
NCDENR, Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Klimek,
I have received two invoices for Stormwater General Permit coverage, one in
Fayetteville, NC (NCG080366) and one in Wilmington, NC (NCG080389).
A No Fxpaau[a Certification for Exclusion from NPDES Storm Water Permitting was
prepared for both location and submitted to NCDENR, Division of Water Quality on
02121 /2002.
A Permit Coverage Rescission Request Form was prepared for both locations and
submitted to NCDENR, Division of Water Quality on 06/11/2002.
Please notify the appropriate organization, function, or persons that we do not
require coverage and as such, will not be submitting payment for same.
Please send all correspondence concerning these sites to my office or you may call
at803-926-6467.
Sincerely,
W",at�—
Tim Houston
Environmental Compliance Specialist — Area
Attachments: EPA NOCs, Permit Rescission Forms, Invoices
Cc: Steve Pritchard, Mgr. VMF
Fran McPherson, NCDENR
Mack Wiggins, NCDENR
b.. ,tt:t•
I
I
4G
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Steve Pritchard
US Postal Service
317 Union St
Fayetteville NC 28304
SUBJECT: NOTICE OF VIOLATION AND REVOCATION FOR NON PAYMENT
PERMIT NUMBER NCG080366
US Postal Service-Fayettevi
Cumberland COUNTY
Dear Permittee:
Payment of the required annual administering and compliance monitoring fee of $80.00 for this year has not
been received for the subject permit. This fee is required by Title 15 North Carolina Administrative Code 2H.0105, under
the authority of North Carolina General Statutes 143-215.3(a)(1), (1 a) and (1 b). Because this fee was not fully paid within
30 days after being billed, this letter initiates action to revoke the subject permit, pursuant to 15 ncac 2H.0105(b) (2) (k)
(4), and G.S. 143-215.1 (b) (3).
Effective 60 days from receipt of this notice, subject permit is hereby revoked unless the required Annual
Administering and Compliance Monitoring Fee is received within that time. Discharges without a permit are subject to the
enforcement authority of the Division of Water Quality. Your payment should be sent to:
N.C. Department of Environment and Natural Resources
Division of Water Quality
Budget Office
1617 Mail Service Center
Raleigh, NC 27699-1617
If you are dissatisfied with this decision, you have the right to request an administrative hearing within Thirty (30)
days following recipt of this notice, identifying the specific issues to be contended. This request must be in the form of a
written petition conforming to Chapter 150E of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, Post Office Drawer 27447, Raleigh, North Carolina, 27611-7447. Unless such request for hearing is made or
payments received, revocation shall be final and binding. If you have any questions, please contact:
Mr. Paul Rawls, Fayetteville Water Quality Regional Supervisor, (910) 486-1541.
cc: Supevisor, Water Quality Permits and Engineering Unit
Fayetteville Regional Office
County Health Department
ncerely, y t
/ A
Alan W. Klimek, P.E.
1617 Mail Service Center, Raleigh, NC 27699-1617
An Equal Opportunity Affirmative Action Employer
Telephone 919-733-5083 FAX 919-733-9919
50% recycled / 10% post -consumer paper
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
INVOICE
Annual Permit Fee
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs
associated with your permit. It is required of any person holding a permit for any time during the annual fee
period, regardless of the facility's operating status. Failure to pay the fee by the due date will subject the
permit to revocation. Operating without a valid permit is a violation and is subject to a S 10,000 per day fine.
If the permit is revoked and you later decide a permit is needed, you must reapply, with the understanding
the permit request may be denied due to changes in environmental, regulatory, or modeling conditions.
Permit Number: NCGO80366 -
US Postal Service- Fayettevi
STEVE PRITCHARD
US POSTAL SERVICE
317 UNION ST
FAYETTEVILLE NC 28304
r
Notes
Annual Fee Period:
Invoice Date: ,
9/1/2002 to 8/31/2003
October 24, 2002
Due Date: ' November 23, 2002
Annual Fee: $80.00
h
1. A $25.00 processing fee will be charged for returned checks in accordance with the North Carolina
General Statute 25-3-512.
2. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
3. Remit payment to:
NCDENR -Division of Water Quality
161,7 Mail Service Center
Raleigh, North Carolina 27699-1617
4. Should you have any questions regarding this invoice, please contact the Ainual Administering and
Compliance Fee Coordinator at 919-733-5083 extension 210.
ANNUAL PERMIT INVOICE
(Return This Portion With Check)
Permit Number: NCGO80366 Annual Fee Period: 9/1/2002 to 8/31/2003
US Postal Service- Fayettevi Invoice Date: October 24, 2002
Due Date: November 23 2002,t.
STEVE PRITCHARD
US POSTAL SERVICE
Annual Fee:
317 UNION ST
FAYETTEVILLE NC 28304
Check Number:
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
INVOICE
Annual Permit Fee
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs
associated with your permit. It is required of any person holding a permit for any time during the annual fee
period, regardless of the facility's operating status. Failure to pay the fee by the due date will subject the
permit to revocation. Operating without a valid permit is a violation and is subject to a $10,000 per day fine.
If the permit is revoked and you later decide a permit is needed, you must reapply, with the understanding
the permit request may be denied due to changes in environmental, regulatory, or modeling conditions.
Permit Number: NGG080389 Annual Fee Period: 9/112002 to 8/31/2003
US Postal Service -Wilmington Invoice Date: October 24, 2002
MARTY PELLAND Due Date: November 23, 2002
US POSTAL SERVICE
3916 OLEANDER DR Annual Fee: $80.00
WILMINGTON NC 28403
Notes:
1. A $25.00 processing fee will be charged for returned checks in accordance with the North Carolina
General Statute 25-3-512.
2. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
3. Remit payment to:
NCDENR -Division of Water Quality
1617 Mail Service Center'
Raleigh, North Carolina 27699-1617
4. Should you have any questions regarding this invoice, please contact the Annual Administering and
Compliance Fee Coordinator at 919-733-5083 extension 210.
ANNUAL PERMIT INVOICE
(Return This Portion With Check)
Permit Number: NCG080389 Annual Fee Period: 9/1/2002 to 8/31/2003
US Postal Service -Wilmington Invoice Date: October 24, 2002
Due Date: November 23 N2002
MARTY PELLAND
US POSTAL SERVICE Annual Fee: i,�+,ry-$80.00i,), "
,.. ...ter
3916 OLEANDER DR
WILMINGTON NC 28403 Check Number:
:k
O��f VJATF94G PERMIT COVERAGE
RESCISSION REQUEST FORM
y
O Y National Pollutaut Discharge Elimination System
Stormwater General Perini[ NCG080000
US POSTAL SERVICE-FAYETTEVI
COC Number NCG080366
Cumberland County
FACILITY INFORMATION
The following is the information currently in our database for your facility. Please review this information
carefully and make all corrections as necessary in the space provided to the right of the current
information.
Facility Name:
US POSTAL SERVICE-FAYETTEVI
Mailing Address':
317 UNION ST
FAYE7TEVILLE, NC 28304
Location Address:
317 UNION ST
FAYETTEVILLE, NC 28304
Facility Contact:
STEVE PRPLCHARD
Phone Number:
91W62339
Fax Number:
No number on file
E-mail address:
No address on file
* This is the address
to which all permit correspondence will be mailed
Rcason for rescission request:
REQUEST.4\iD CERTIFICATION
Buts
I
I, as an authorized ropresentative, hercby request rescission of coverage under NPDES Stermweter General
Permit NCGOE0000 for the subject facility. I am familiar with the information contained in this request and that
to the best of my knowledge and belief such information is true, complete and aceuratc:
Signature Date
Print or type name of person signing above
Title
Please return this completed rescission request and any rcicvant documentation to:
General Permit Coverage Rescission
Attn: Valery Stcphem
Stormwater and General Permits Unit
I617 Mail Service Center
Raleigh, North Carolina 27699-1617
i ,0%"Use 01,
Re;cmianW 03
Renaest Late
te Q
'I
PERMIT COVERAGE
CISSION REOUEST F
National Pollutant Discharge Elimination System
Stormwater General Permit NCGO80000
US POSTAL SERVICE-WILMWGTON
COC Number NCG030389
New Hanover County
FACILITY INFORMATION
IW
The following is the information currently in our database for your facility. Please review this information
carefully and make all corrections as necessary in the space provided to the right of the current
information.
Facility Name: US POSTAL SERVICE-WILMINGTON
Mailing Address*: 3916 OLEANDER DR
WILMINGTON, NC29403
Location Address: 3916 OLEANDER DR
WILMINGTON, NC 28403
Facility Contact:
MARTY PELLAND
Phone Number:
9107918482
Fax Number:
No number on file
E-mail address:
No address on file
x This is the address to which all permit correspondcnce will be mailed
REQUEST AND CERTIFICATION
1, as an authorized representative, hereby request rescission of coverage under NPDES Stormwater General
Permit NCG080000 for the subject facility. I am familiar with the information contained in this request and that
to the best of my knoo-wll-eddge andd b�e of such informal —ion is true, complete and accurate.
Signature .� a �'L�/I-s.///GN d,
OGr ,�//t/'/L �yGliLt f'!r. 1� ��AJI'tl'/liG1f�
Print or type name of person signing above Title
Please return this completed rescission request and any relevant documentation to:
General Permit Coverage Rescission
Alm: Valery Stephens .
Stormwater and General Permits Unit For pals Qft
t617 Mail Service Center Ra ssion
Raleigh, NonhCarolina 27699-i617 Requ tDale❑