NCGNE0428_Rescission Request_20210322

Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
Environmental
Quality RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
MAR 2 2 202 1
Please fill out and return this form if you no longer need to maintain your NPDES stormwater "WATER PERIVII17ING
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N I c I s I I I I N c I G IN E 0 4 12 8
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Na
Facility Contact
Street Address
City
County
Telephone No.
BorgWarner
Jack Martindale
1849 Brevard Road
Arden
Buncombe
828 654-2579
State NC ZIP Code 28704
E-mail Address [e-mail]
Fax:
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
❑r Facility closed or is closing on 3-6-2M. 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 3 12 Z )
Brian LE sing V—
Print or type name of person signing above Title
Please return this completed rescission request form to
Revised 2018)an10
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612

Emission, Thermal, 1849 Brevard Road Tel: [phone]
and Turbo Systems Arden
North Carolina 28704, USA
W BorgWarner
March 12, 2021
DEMLR Stormwater Program
Attn: Suzanne McCoy
1612 MSC
Raleigh, NC 27699-1612
RE: Rescission Request for NCGNE0428 at 280 Cane Creek Road, Fletcher, NC 28732
Dear Suzanne:
Enclosed is our Rescission Request for NCGNE0428 at 280 Cane Creek Road in Fletcher, NC.
The form is self-explanatory.
Should you have questions please do not hesitate to contact my office.
Regards,
`W w�&
�Ja k Martindale, CSP CHMM
S Manager
BorgWarner
18 Brevard Road
Arden, North Carolina 28704
828-654-2579
Enclosure:
Rescission Request 280 Cane Creek NCGNE0428