NCG210013_Rescission Request_20200916

JELDWEN
OS & DOORS
September 14,2020 RE C E J VE
Ms. Suzanne McCoy
ggp 16 'too
DEMLR—Stormwater Program DENR4LANO QUALITY
Dept. of Environment Quality STORMWATER PERMITTING
1612 Mail Service Center
Raleigh,NC 27699-1612
RE: Rescission
JELD-WEN,Inc.d.b.a.,JELD-WEN
Lexington,NC—NCGNE 1086
Dear Ms.McCoy:
JELD-WEN respectfully submits the enclosed rescission request for NCG210013 for JELD-WEN Doors at 647
Hargrave Rd,Lexington,NC. The facility ceased production December 31°,2019 and the production equipment
removed by September 28,2020. JELD-WEN will vacate the property October 2,2020.
The property has been sold to LDJ Global Strategies at 628 Green Valley Rd,Suite 203,Greensboro,NC 27408.
If you have questions or require additional information regarding this rescission,please contact me 336-479-1925.
Sincerely,
JELD-WEN,Inc.
.ATA -"A41:19'
Aaron Brite
Regional Environmental Manager
Enclosure: Rescission request form
JELD-WEN, Inc. 3250 Lakeport Boulevard, Klamath Falls,OR 97601 USA www.jeld-wen.com

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
Quality RESCISSION REQUEST FORM
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
N C S NC G 2 1 0 0 1 3
2) Owner/Facility Information: *Final correspondence will be mailed to the address noted below
Owner/Facility Name JELD-WEN Inc
Facility Contact Aaron Brite, Regional Environmental Manager
Street Address 647 Hargrave Rd
City Lexington State NC ZIP Code 27292
County Davidson E-mail Address [e-mail]
Telephone No. 336 479-1925 Fax:
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
ElFacility closed or is closing on IO/1/Ja 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:
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 ¶//`l
Aaron Brite Regional Environental Manager
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 2018Jan10