NCG140028_Rescission Request_20180912

FOR AGENCY USE ONLY
Division of Energy, Mineral & Land Resources Date Received
Land Quality Section/Stormwater Permitting Program Year Month Day
National Pollutant Discharge Elimination System
Environmental
Quality RESCISSION REQUEST FORM
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N c s ry c G 1 4 0 0 2 8
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name S&W Ready Mix - Newton Grove Plant
Facility Contact Hank Gay
Street Address 404 Fayetteville Street
City Newton Grove State NC ZIP Code 28328
County Sampson E-mail Address [e-mail]
Telephone No. 910 284-2664 Fax:
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
0 Facility closed or is closing on 8/1/18 . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
F-1 Facility sold to on . 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.
F1 Other:
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 Date
9/12//18
Hank Gay
Print or type name of person signing above
Please return this completed rescission request form to:
Revised 2018Jan 10
Environmental Manager
Title
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
SEP 1 9 2019
DENR-LAND Q'JALl'r1Y
STORMWATER PERIAT"T'ING