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HomeMy WebLinkAboutNCGNE1057_Rescission Request_20220913RECEiVFO FOR AGENCY U[.JE ONLY a, I ' Assig o V . CAIM0 SEP 13 20" ARO FR MRO RRO WARO WIRO WSRO DENR-LAND QUALITY 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