NCGNE0958_COMPLETE FILE - HISTORICAL_20170830

--° STORMWATER DIVISION CODING SHEET
RESCISSIONS. -
PERMIT NO.
LG
DOC TYPE
C�COMPLETE FILE HISTORICAL
DATE OF
RESCISSION
i
❑ � 01 � D ��
YYYYMMDD

. _ N
m
Universal Forest Products, Inc.
August 30„ z017
North Carolina Department -of Environment.and Natural Resources
NPDES Perm&Coverage Rescission
5tormwater Permitting Program
1612 Mail.Service Center
Raleigh, North Carolina 27699-1612
RE: UFP New London, LLC -Stanfield, NC Facility
Certificate of Coverage Number: NCGNE0958
Dear Sir or Madam:
Ci ose a , S) AA, I s c,-,r.� 41
Enclosed is the coriipleted.Rescission Request Form for the No Exposure Certification for the UFP New
London, LLC.facility in Stanfield, NC. This facility is no longer• in operation.
Please contact me at.[phone] or lmark2Rufpi.com if you have -any questions or require
additionaI.information on this matter.
Sincerely,
Joseph Mark,-CPG, RG
Regulatory Compliance Administrator
(RECEIVED
UP .0'6'2017
DENR LAND oUALIO'
#STGRMWATER PERMITTING
Crarprirrrfe 1-Ir;ucfqurtr[rrs
2801 East Boltline NE Grind Rapids, MI 4)625 To]': 616.364,6161 Fax: 61G:361.7534 www.ufp Leoln

Ai;Av-
Division (if EnergX, Mineral .tic Land Resources
�
Land Quality Sect iunlSturmwwater Permitting Prugrarn
RbENiNotional
Pollutant Discharge - Elimination System
C�vwon+Shr u.� Ngy�w� ArgJ4Cl•
RESCISSION REQUEST FORM
FOR AGENCY USE: ONLY .
Date Received
Year
Moniir Dav
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
2) Owner/Facility Information: Finalcorrespondence willbemafled to theoddressnoted be
Owner/Facility Name UFP,New London LLC - Stanfield NC
'Facility Contact Joe Mark
Street Address 2801 East Beltllne Ave.;NE _
City Grand Rapids state MI
County Kent E-mail Address
Telephone No. 616 Fax:
_I u I y l* I0J
r--
(zd.v4-tiva�
'V13
ZIP Code .49526
jmarkl�ufni_com
3) Reason for rescission request (This is required information. Attach'separate sheet if necessary):
® Facility closed or is closing on ?h:=•:.: All, industrial activities have ceased such that no discharges of
stormwater are contaminated.by exposure to industrial activities of materials.
❑ Facility sold to '; "ONT on^<°s If the -facility will continue operations under the new owner it
may be more appropriate to 'regLiest an ownership.change to reissue to permit to the' new owner.
❑ Other: Facility is alread .closed.
4) Certification:
I; as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for -the
subject facility. 1 am familiar with tale ihformatiorrcontained in this request and to the best of inkraowiedge-and belief
such information is.'true, complete and accurate,
Signature Date 02,o 1
John DeVftto General Mana erdf Q rations
Print or type name -of person signing above Title
Please return this completed rescission request form to: NPDES Permit'Coverage RescissionELC�14, /n
Stormwater Permitting Program 1 V Ll
1612' Mail Service Center, T.n �,
Raleigh, North Carolina 27699-1612 SEPV) 20111
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