NCG080974_Rescission Request_20230710

G@05
ENVIRONMENTAL V
� � potipl� 'oo
,U4 �tQ
June 30, 2023
NCDEMLR
Stormwater Program
1612 Mail Service Center
Raleigh, NC 27699-2612
RE: RECISSION REQUEST FORM
Old Dominion Freight Line,Inc.
213 International Drive
Morrisville,NC 27560
Permit No. NCGO80974
On behalf of Old Dominion Freight Line, Inc.,the attached Recission Request Form is submitted by GEOS
Environmental, Inc. (GEOS)for the above-referenced facility. Correspondence concerning this submittal
should be directed to:
Mr.Joseph Fuhr
Manager, Real Estate Environmental Services
Old Dominion Freight Line, Inc.
500 Old Dominion Way
Thomasville,NC 27360
[phone]
Joseph. [e-mail]
If you have any questions,please contact me at tcookgDgeosenvironmental.com or at(813)601-4205.
Sincerely,
GEOS
SEEnvironmental, Inc.
T aMxFi s ok, P.
anager
cc: Joseph Fuhr,Old Dominion Freight Line, Inc.
Attachments
GEOS Environmental,Inc.
13014 N.Dale Mabry Hwy,No.117
Tampa,FL 33618
yw.geosenvironmental.com

FOR AGENCY USE ONLY JUL 0 5 2023
Assigned to: A. �EMLR-St0rmw&r program
ARO FRO MRO(�ARO WIRO WSRO
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 responsible person as signed in Item(4)below:
Old Dominion Freight Line, Inc. C.E. Oberbey,Jr.
Street address: City: State and zip code:
500 Old Dominion Way Thomasville NC 27360
Telephone number: Email address:
336-822-1745 [e-mail]
2. Industrial Facility(facility requesting rescission):
Facility name:
Old Dominion Freight Line, Inc. - DRM
Street address:
213 International Drive
City: State: Zip Code: County:
Morrisville I NC 27560 Wake
Permit Number to which this request applies:
NCG080974
3. Reason for rescission Request
This is required information.Attach separate sheets if necessary.
0 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:04/28/2023
Facility sold.
Sold to:
On date:
13 Other(please explain):

4. Applicant Certification:
North Carolina General Statute 143-215.68(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(S10,000). I hereby request exclusion from NPDES stormwater permitting.
Under penalty of law, I certify that:
0 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: C.E. Oberbey,Jr.
Title: Sr.VP,Strategic Development
�-5 ''73
(Signature of fkant) (Date Signed)
Mail the entire package t . DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 2 of 2