NCG210255_Letter RE Rescission_20240611

STATj
ROY COOPER
Governor -
ELIZABETH S.BISER .
Secretary
WILLIAM E.TOBY VINSON,jR NORTH CAROLINA
Interim Director Environmental Quality
June 11, 2024
Crestline Homes, Inc.
Attn: Joe Manis
5880 Crestline Road
Laurinburg, NC 28353
Subject: INDUSTRIAL STORMWATER PERMIT-RESCISION
Crestline Homes Inc.
Certificate of Coverage NCG210265
Scotland County
Dear Mr. Manis:
I inspected the property at 5880 Crestline Road, Laurinburg, Scotland County, North Carolina on June 7,
2024, and confirmed operations under Crestline Homes have ceased. I would recommend that you request
a rescission of your industrial stormwater permit.
I have attached to this letter the form that needs to be completed to apply for the rescission. Once completed,
return it to:
NCDEMLR Stormwater Program
1612 Mail Service Center
Raleigh, NC 27699-1612
It may take 1-2 months to process this request. If you have any questions specific to this matter, please
contact Joyce Sanford at [e-mail]. If you have any other questions, comments, or need
assistance with understanding any aspect of your permit, please contact me at [phone] or via e-
mail at [e-mail].
Sincerely,
Kell J nas
Environmental Engineer
DEMLR
Enclosure: DEMLR National Pollutant Discharge Elimination System (NPDES) Rescission Request Form
ec: Joyce Sanford, NC DEQ, DEMLR
DEMLR NPDES Stormwater Permit Laserfiche File
cc: FRO—DEMLR, Stormwater Files
North Carolina Department of Environmental Quality I Division of Energy,Mineral and Land Resources
./ Fayetteville Regional Office 1 225 Green Street,Suite 7141 Fayetteville,North Carolina 28301
D / 910.433.3300

FOR AGENCY USE ONLY
Assigned to:
ARO FRO MRO RRO WARO 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:
Street address: City: State and zip code:
Telephone number: Email address:
2. Industrial Facility(facility requesting rescission):
Facility name:
Street address:
City: State: Zip Code: County:
Permit Number to which this request applies:
3. Reason for rescission Request
This is required information.Attach separate sheets if necessary.
❑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:
❑Facility sold.
Sold to:
On date:
❑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($10,000).1 hereby request exclusion from NPDES stormwater permitting.
Under penalty of law,I certify that:
❑ 1,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:
Title:
(Signature of Applicant) (Date Signed)
Mail the entire package to: DE MLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
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