NCG020532_Rescission Request_20200826

FOR AGENCY USE ONLY
Division of Energy,Mineral&Land Resources Date Received
Land Quality Section/Stormwater Permitting Program Year Month Day
National Pollutant Discharge Elimination System
Environmental c
Quality RESCISSION REQUEST FORM RECEIVED
61111 2 G 2020
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
)ENR-LAND QUALITY
1) Enter the permit number to which this request applies: r r 'RMVUA?ER PERMITTING
Individual Permit (or) Certificate of Coverage
N C S N C G0 20 53 2
2) Owner/Facility Information: *Final correspondence will be mailed to the address noted below
Owner/Facility Name Bryant LCID Landfill
Facility Contact Chester Bryant
Street Address 305 Spence MITI Rd
City Fuquay Varina State NC ZIP Code 27526
County Hamett E-mail Address [e-mail]
Telephone No. 919 552-3420 Fax:
3) Reason for rescission request(This is required information. Attach separate sheet if necessary):
❑ Facility closed or is closing on . 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.
✓❑ Other: Over years ago,it was determined in order for the LCID landfill to generate and sale mulch,a mining permit was needed. This
NCG 02 permit is a remnant of the mining permit that was acquired. Since that time the mine permit has been rescinded(2016). The mulching operation
is now considered part of the LCID Landfill Solid Waste Permit. (additional info can be obtained from our engineer Tyrus Clayton,PE at 919-827-0909)
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 ii 4 , — Date alp— a0
5 � rvah� b Wre-Nr
Print or type name of person signing above Title
Please return this completed rescission request form to: DEMLR-Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised 20183an10