NCGNE1243_Permit Rescission Request for NCG210027_20180201

Alexander, Laura
From:Khan, Zahid
Sent:Thursday, February 01, 2018 4:50 PM
To:Alexander, Laura
Cc:Georgoulias, Bethany; Lucas, Annette; Moore, James; Lee, Angela Y
Subject:Rescission Request Permit COC # NCG210027
Attachments:Rescission Request NCG210027 (1).pdf; Rescission Request NCG210027 (2).pdf
Follow Up Flag:Follow up
Flag Status:Flagged
Laura,
Please see attached for Rescission Request by Dimension Wood Products Inc.. They also requested at the same time No
exposure for this facility. We received this request in Raleigh on Dec. 6, 2017 and received in MRO Dec. 20, 2017. The
request for no exposure was denied and No exposure letter and inspection was mailed and a copy is attached. Thanks

Zahid Khan, CPM, CPESC, CPSWQ
[e-mail]
Regional Engineer
North Carolina Dept. of Environmental Quality Div. of Energy, Mineral, and Land Resources -
Land Quality Section 610 E. Center Ave., Suite 301 Mooresville, NC 28115
Ph: [phone] Fax: [phone]

Email correspondence to and from this address is subject to the North Carolina Public Records Law
and may be disclosed to third parties unless the content is exempt by statute or other regulation.

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Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Dara Reeervetl
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Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit. 6 c
1) Enter the permit number to which this request applies: � 0
Individual Permit (or) Certificate of Coverage m
C= N I C I G<1 2 1 1 1 0 0 2 17
2) Owner/Facility Information: " Final correspondence will be mailed to the address noted below
Owner/Facility Name Dimension Wood Products, Inc.
Facility Contact David Reinhardt
Street Address 2884 Kelly Blvd , pa Box ICi
City Claremont State NC ZIP Code 28610
County Catawba E-mail Address [e-mail]
Telephone No. 828 459-9891 Fax: [phone]
3) Reason for rescission request (This is reguired information. Attach separate sheet if necessary):
❑ Facility closed or is closing on IM . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to MINJIM on MW . 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: All industrial oils, chemicals, & materials are stored indoors or under a storm resistant
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shelter (with secondary containment & tops on containers).
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 �Q Li Afi!6D Date 11/29/2017
David Reinhardt President
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612 c
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 RECEIVE[)
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Phone: [phone] FAX: [phone] DEC 62017
An Equal Opportunity l Affirmative Action Employer DENR-LAND 1I
STORMWATER PERM(rnNQ
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