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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 In addition, your coverage under general permit NCGO80389 is also hereby rescinded.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❑