HomeMy WebLinkAboutNCGNE1057_Rescission Request_20220913RECEiVFO
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STORMWATER PEWI-T TING
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
Rescission Request Form
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
Directions: Print or type all entries on this application form. Send the original, signed application to: NCDEMLR
Stormwater Program, 1612 Mail Service Center, Raleigh, NC 27699-1612. The submission of this form does not
guarantee recission of your NPDES stormwater permit. Prior to the recission of your NPDES stormwater permit, a
site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responstile person as signed in Item
ABF Freight System, Inc.
below: Matthew Godfrey
Street address:
City:
State and zip code:
3801 Old Greenwood Road
Fort Smith
AR 72903
Telephone number:
Email address:
479-785-6000
mgodfrey@abf.com
2. Industrial Facility (facility requesting rescission):
Facility name:
ABF Freight System, Inc.
Street address:
226 Sanders Street
City:
State:
Zip Code:
County:
Hope Mills
NC
28348-8619
Cumberland
Permit Number to which this request applies:
NCGNE1057
3. Reason for rescission Request
I his is required Intormation. Attach separate sheets it necessary
M Facility is closed or closing. All industrial activities have ceased such that no discharges of stormwater are contaminated
by exposure to industrial activities or materials.
Date closed/closing: 8/31/2022
Facility sold.
Sold to:
On date:
E3 Other (please explain):
4. Applicant Certification:
North Carolina General Statute 143-215.6E (i) provides that: Any person who knowingly makes any false statement,
representation, or certification in any application, record, report, plan, or other document filed or required to be maintained
under this Article or a rule implementing this Article ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000). 1 hereby request exclusion from NPDES stormwater permitting.
Under penalty of law, I certify that:
O I, as an authorized representative, hereby request recission 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.
Printed Name of Person Signing: Matthew Godfrey
Title: Vice President
(Date Signed)
Mail the entire package to: DEMLR —Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 2 of 2
Tisha Cochran
From: Tisha Cochran
Sent: Wednesday, August 31, 2022 1:22 PM
To: 'brittany.carson@ncdenr.gov'
Subject: ABF Freight System, Inc. Hope Mills, INC
Attachments: Hope Mills Rescission Request.PDF, Hope Mills NEC Application.PDF
Good afternoon Ms. Carson,
ABF Freight System, Inc. has moved facilities. Please find for processing the Rescission Request form for the old location
in Hope Mills (Permit #NCGNE1057) and the No Exposure Certification Application for the new location in Hope
Mills. Hardcopies with original signatures have been sent via FedEx. Please let me know if you need any additional
information.
Thanks,
Tisha Cochran
Sr. Manager, Real Estate Compliance
ArcBest®
tcochran@arcb.com
p: 479.785.6026
c: 479.650.9865
arcb.com
August 31, 2022
VIA FEDEX
VIA EMAIL: brittany.carson@ncdenr.gov
NCDEMLR Stormwater Program
1612 Mail Service Center
Raleigh, NC 27699-1612
RECEIMED
SEP_ S 2t►??
DENR-LAND QUALITY
STORMWRTER PERMT i iNG
Re: ABF Freight System, Inc. ("ABF")
226 Sanders Street
Hope Mills, NC 28348
Permit # NCGNE1057
Stormwater Discharges Associated with Industrial Activity
Rescission Request Form
Dear Sir or Madam:
ABF
Freight
An ArcBest"Company
P.O. Box 10048 (72917-0048)
3801 Old Greenwood Road
Fort Smith, AR 72903
479.785.6000
arcb.com
Tisha Cochran
Senior Manager
Real Estate Compliance
tcochran@arcb.com
p: 479.785.6026
(: 479.785.6015
Enclosed for processing please find ABF's completed Rescission Request Form for Permit #
NCGNE1057. ABF has ceased operations at the above mentioned location.
Please do not hesitate to contact me if there are any questions.
Sincerely,
Tisha Cochran
Enclosures
cc: ABF Service Center