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Home My WebLink AboutNCG160132_COMPLETE FILE - HISTORICAL_20190301STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. I IV DOC TYPE O'HISTORICALFILE ❑ MONITORING REPORTS DOC DATE ❑ � �I �J Lj O YYYYMMDD GREENSBORO "ORIN CAROl1NA WATER RESOURCES March 1, 2019 Mr Shawn Byratn, Tennnnal Manages Hammaker East Emulsions 1124 S Holden Rd Greensboro, NC: 27407 RR lndusnial Compliance Inspection Inspection Iocatlon Hammaker Cast Emulsions 1 124 S Holden Rd SW Permit NCG160132 Dear Mr Byram: On I'cbruauy 26, 2019 the City of Oreensboro Stormwater Management Division completed an industrial compliance inspection of Hannnnakei Fast Emulsions 1 ocal regulations permit an inspection of industrial faciIt►cs under authority granted by City of Greensboro Code of Ordinance Chapter 30 Article 12, Section 7 1 (C-5) I his inspection consisted of two parts a review of the facility files/records and an on - site fatality inspection The inspection was performed by Sherri Scaleione, and the following delicnencies/observations were noted during the inspection Slor►nwater Pollution Prevention PlanlSpill Plan Review 1 Part 11, Section A Paragraph I (d ) A list of significant spills or leaks of pollutants during the previous three (3) years and any c.orrcctnvc actions taken to mitigate spill impacts Evcn though no spills have occurred it is ret omnniended to have a place in the SWPPP plan that is updated annually stating no significant spills have occurred during each of the past 3 years 2. Part 11, Section A Paragraph 1 (e) Certification that the stoim%Aatcr outfalls have; been evaluated for the presence of non-stormwater discharges I'he permittee shall re -certify annually that the Stormwater outfalk have been evaluated for the presence of non-stormwaten discharges The certification statement shall be retained with the SWPPP, and shall be signed in aa,oidanec with the nequirennents found in Part 111, Section B. and Paragraph 5 Spill Prevention and Response Plan 9 No deficiencies observed PO BOX 1170 - GREENSBORO NC 27402-1170 • WWW GREENSBORO-NC GOV • 336-373-CITY (2489) Mr Shawn Byram, 1 cmreual M&ragu Harnniaket I-a%t Emulsions NPi)1 S Complinn" 111,,p t wrt I efter I)atetr blared 1, 2019 Page 2 of 2 Monitoring There has been a lapse in analytical monitoring Stopping in 2016 and starting back in 2019 Please continue to complete the monitoring as dictated b} the permit This link will allow you to print out the Stormwater Discharged Outtall (SDO) Data Monitoring Reports (DMR) These forms should be submitted to the state following; each sampling event in addition to completing the SDO DMR annual summary I have enclosed a copy of each docutnelnt hops f/dey tic gov/about/divisit)ji.s/ene-ta-iiiincial-faiid-reiotirfes/a Aes-stormwater-s Frnployee Training 9 No deficiencies observed Site Inspection Preventative Maintenance/Good Housekeeping It is rer.ommended that I lammaker add checking, each ou€fall for non-stormwatcr discharges to the monthly inspection reports ['his maybe sit ffictent to meet the deficiency listed as #2 in the Stormwater Pollution [prevention Ilan/Spill flan Review section above, however the State would be the ultimate authority to determine if it is stiffictent Nun-Stormwater discharges • No deficiencies observed It is recommended that I lannmaker East Emulsions take appropriate actions to correct the noted defictencies If you have any question-, conceini ng this ittspection, please contact nne at 336-412-6202 or Sherri Scale ionc@greensboro- nc gov Sincerely, c Shcrri Scalcione, water Quality Specialist City of Greensboro, Water Resources Department ce Peter Sidineider Water Quality supervisor Brandon Wise, N C Dept of Environment Quality Industrial Inspection File PO R n Y 1170 , r;PFFNcA0Rf) Nr 774n )-117n . WINW r.,PFKNGR011(-1-Nr (-,0V . 'Al A-171-rITv 114A01 Are _: RCDENR ENVSROwrrtur AMo NRLIau. 9C30�RCE9 Division of Energy, Mineral and Land Resources Land Quality Section 1 Stormwater Permitting Program National Pollutant Discharge Elimination System (NPDES) PERMIT OWNER AFFILIATION DESIGNATION FORM (Individual Legally Responsible for Permit) Use this form if there has been FOR AGENCY USE ONLY Date Received Year Month Day NO CHANGE in facility ownership or facility name, but the individual who is legally responsible for the permit has changed. If the name of the facility has changed, or if the ownership of the facility has changed, do NOT use this form. Instead, you must till out a Name -Ownership Change Form and submit the completed form with all required documentation. What does "legaily responsible individual" mean`! The person is either RECEIVED • the responsible corporate officer (for a corporation), • the principle executive officer or ranking elected official (for a municipality, state, fedeiN& atfii-AWic agency), • the general partner or proprietor (for a partnership or sole proprietorship), DENR-LAND OUALITY • or, the duly authorized representative of one of the above STORMWATER PERMITTING 1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation") applies: Individual 2) Facility Information: Facility name Company/Owner Organization Faeiltty address (or) Certificate of Coverage N-Wc=Wc r 1 t ZLI S. wor-7EL( Y.P Address 6¢anos-&Q() IBC 271107 City State Zip T To find the current legally responsible person associated with your permit, go to this website htty //portal ncdenr or6/web/lr/sw-permit-contacts and run the Permit Contact Summary Report 3) OLD OWNER AFFILIATION that should be removed: Previous legally responsible individual 2wul-7 E - ��LAZ First M1 Last a) NEW OWNER AFFILIATION (legally responsible for the permit): Person legally responsible for this permit _J,6�44 S ' 'RvCA" First Ml Last Page i of 2 SW U-QW NERAFFIL-25July2014 NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form (if no Facility Name/Ownership Change) PL41S NIAh(A&eZ Title tt !! Mailing Address �S-&Cko e kc. 2.7go'7 City State Zip o2w, } 2a2 - &167 !�- Telephone E-mail Address b } 2 Fax Number 5) Reason for this change: A result of Employee or management change ❑ Inappropriate or incorrect designation before ❑ Other If other please explain The certification below must be completed and signed by the permit holder. PERMITTEE CERTIFICATION I, u ,attest that this application for this change in Owner Affiliation ( rson le lly responsible f r the permit) has been reviewed and is accurate and complete to the best of my 7lcno edge understandAhat if all required parts of this form are not completed, this change may not be Signature PLEASE SEND THE COMPLETED FORM TO: Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 ko / 2) � u( Date For more information or staff contacts, please call 919-707-9220 or visit the website at http I/portal ncdenr or0web/lr/stormwater Page 2 of 2 SW U-OW N ERAFFI L-25J uly2o14 Taylor -Smith, Aana From: Scalcione, Sherri <shern scalcione@greensboro-nc gov> Sent: Wednesday, April 30, 2014 4 04 PM To Taylor -Smith, Aana Subject: Hammaker East Attachments: NCG160132, Hammaker East Emulsions, LLC, 2014 Greensboro Inspection docx Aana, I inspected Hammaker East located at 1124 South Holden Road SW Permit # NCG160132. They had a few areas of concern Sounds like/looks like these things will be addressed during the upgrades to the site They are moving tanks, the pond, etc to make room for a rail line to come onto the property I saw a preliminary site plan while I was there I believe it's in the early planning stages Areas of concern, the secondary containment has leaks, it's cinder block The other is all these totes of an additive they have They plan on building a warehouse on site to house these totes as well as other stuff This one is one of my "high" risk facilities I will inspect them again in 2 '/7 years Let me know if you have any Questions Thanks, Sherri Scalcione, Water Quality Specialist Department of Water Resources City of Greensboro Phone 336-412-6202 Fax 336-373-3119 PO Box 3136, Greensboro, NC 27402-3136 www greensboro-nc.gov Please note that email sent to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties r City of Greensboro J North Carolina April 15, 2014 Shawn Byram, Plant Manager Hammaker East Emulsions, LLC 1124 South Holden Road Greensboro, NC 27407 RE industrial Compliance Inspection Inspection location Hammaker East Emulsions, LLC 1124 South Holden Road SW Permit # NCG160132 Dear Mr Byram: On April 3, 2014 the City of Greensboro Stormwater Management Division completed an industrial compliance inspection of Hammaker East Emulsions, LLC Local regulations permit an inspection of industrial facilities under authority granted by City of Greensboro Code of Ordinance Chapter 30, Article 12, Section 7 1 (C-5) This inspection consisted of two parts a review of the facility files/records and an on -site facility inspection The inspection was performed by Sherri Scalcione and Alex Tobergte, and the following deficiencies/observations were noted during the inspection Stormwater Pollution Prevention Plan/Spill Plan Review Site Maps and SWP3 ♦ No deficiencies observed Spill Prevention and Response Plan ♦ No deficiencies observed Monitoring ♦ No deficiencies observed Employee Training ♦ No deficiencies observed P 0 Box 3136 , Greensboro NC 27402-3136 , www ereensboro-nc Qov • (336) 3 73-CITY (2489) • TTY # 333-6930 Site Inspection Preventative Maintenance/Good Housekeeping ♦ Totes stored on the yard without cover or secondary containment. ♦ Cracks in the secondary containment for the tanks Nan-Stormwater Discharges ♦ No deficiencies observed As discussed, this particular site will be altered significantly in the near future The deficiencies will be addressed during this process per the preliminary site plan that was viewed during the inspection It is recommended that Hammaker East Emulsions, LLC take appropriate actions to correct the noted deficiencies If you have any questions concerning this inspection, please contact me at 336-412-6202 or Sherri Scalclone@greensboro-ne gov. Sincerely, Sherri Scalcione, Water Quality Specialist City of Greensboro, Water Resources Department cc Peter Schneider, Water Quality Supervisor Aana Taylor -Smith, N C Dept of Environment and Natural Resources Industrial Inspection File P 0 Box 3136 - Greensboro NC 27402-3136 - www ereensboro-nc gov - (336) 3 73-CITY (2489) . TTY # 333-6930 i Permit NCG160132 SOC County Guilford Region Winston-Salem Compliance Inspection Report Effective 10/01/09 Expiration 09/30/14 Owner. Hammaker East LTD Effective Expiration Facility Hammaker East Emulsions LLC 1124 S Holden Rd Contact Person Bryan Miller Directions to Facility System Classifications Pnmary ORC Secondary ORC(s) On -Site Representative(s) Related Permits_ Title Inspection Date 04/0312014 Entry Time 09 00 AM Primary Inspector Aana Taylor -Smith Secondary Inspector(s) Greensboro NC 27407 Phone 339-292-6875 Certification Exit Time 10 30 AM Phone Phone 336-771-5000 Reason for Inspection Routine Inspection Type Compliance Evaluation Permit Inspection Type Asphalt Paving Mixture Stormwater Discharge COC Facility Status ■ Compliant ❑ Not Compliant Question Areas 0 Storm Water (See attachment summary) Page 1 Permit NCG160132 Owner - Facility Hammaker East LTD Inspection Date 04/03/2014 Inspection Type Compliance Evaluation Reason for Visit Routine Inspection Summary. Inspection conducted by Shern Scalcione, City of Greensboro local program Please refer to inspection letter sent 4/15/13 (file) Page 2 N Permit NCG160132 Owner -Facility Hammaker East LTD Inspection Date 04/03/2014 Inspection Type compliance Evaluation Stormwater Pollution Prevention Plan Does the site have a Stormwater Pollution Prevention Plan? # Does the Plan include a General Location (USGS) map? # Does the Plan include a "Narrative Description of Practices»? # Does the Plan include a detailed site map including outfall locations and drainage areas? # Does the Plan include a list of significant spills occurring during the past 3 years? # Has the facility evaluated feasible alternatives to current practices? # Does the facility provide all necessary secondary containment? # Does the Plan include a BMP summary? # Does the Plan include a Spill Prevention and Response Plan (SPRP)? # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? # Does the facility provide and document Employee Training? # Does the Plan include a list of Responsible Party(s)? # Is the Plan reviewed and updated annually? # Does the Plan include a Stormwater Facility Inspection Program? Has the Stormwater Pollution Prevention Plan been implemented? Reason for Vistt Routine Comment Secondary containment is in place, but containment has cracks Facility has plans to address this Qualitative Monitoring Has the facility conducted its Qualitative Monitoring semi-annually? Comment Analytical Monitoring Has the facility conducted its Analytical monitoring? # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? Comment Permit and Outfalls # Is a copy of the Permit and the Certificate of Coverage available at the site? # Were all outfalls observed during the inspection? # If the facility has representative outfall status, is it properly documented by the Division? # Has the facility evaluated all illicit (non stormwater) discharges? Comment Yes No NA NE Yes No NA NE ■nnn Yes No NA NE ■nnn nn■n Yes No NA NE Page 3 North Carolina Beverly Eaves Perdue Governor Brook Ellis Statler Hammaker East Emulsions, LLC 118 Siloam Road Chambersburg, PA 17201 Dear Brook Statler 4 j�r� � P CDENR Department of Environment and Natural Division of Water Quality Coleen H Sullins Director March 20, 2009 RECEIVED I N rG Dept ofENP K20 Winston-Salem Regional Office Resources Dee Freeman Secretary Subject NPDES General Permit NCG160000 Certificate of Coverage NCG160132 Hammaker East Emulsions, LLC Formerly Blaeklidge Emulsions Guilford County On November 24, 2008, Division personnel received your request to transfer your coverage under the General Permit Please find enclosed the revised Certificate of Coverage The terns and conditions contained in the General Permit remain unchanged and in full effect This revised Certificate of Coverage is issued under the requirements of North Carolina General Statutes 143-215 l and the Memorandum of Agreement between North Carolina and the U S Environmental Protection Agency If you have any questions, please contact the`Stonnwater Permitting Unit at (919) 807-6303 Sincerely, Coleen H SuIlins cc DWQ Central Files Winston-Salem Regional Office Stormwater Permitting Unit Wetlands and Stormwater Branch 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location 512 N Salisbury St Raleigh, North Carolina 27604 Phone 919 807-63901 FAX 919.807 64941 Customer Service 1-877 623.6748 Internet www ncwaterquaHy org An Equal Opportunity 1 Affirmative Atlion Employer NorthCarohna ;Vaturally IL STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG160000 CERTIFICATE OF COVERAGE No. NCG160132 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215 1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Hammaker East Emulsions, LLC is hereby authorized to discharge stormwater from a facility located. at Hammaker East Emulsions, LLC 1124 S Holden Road Greensboro Guilford County to receiving waters designated as a UT of South Buffalo Creek, a class C NSW stream, in the Cape Fear River Bann in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, I1, HI, IV, V, and VI of General Permit No NCG 160000 as attached This certificate of coverage shall become effective March 20, 2009 This Certificate of Coverage shall remain in effect for the duration of the General Permit Signed this day March 20, 2009 for Coleen H Sullins, Director ~~ Division of Water Quality By Authority of the Environmental Management Commission mALIT X_;gA NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Colleen H Sullins Governor Director March 20, 2009 Brook Ellis Statler Hammaker East Emulsions, LLC 1 18 Siloam Road Chambersburg, PA 17201 Dear Brook Statler Dee Freeman Secretary Subject NPDES General Permit NCG160000 Certificate of Coverage NCG160132 Hammaker East Emulsions, LLC Formerly Blaeklidge Emulsions Guilford County On November 24, 2008, Division personnel received your request to transfer your coverage under the General Permit Please find enclosed the revised Certificate of Coverage The terms and conditions contained in the General Permit remain unchanged and in full effect This revised Certificate of Coverage is issued under the requirements of North Carolina General Statutes 143-215 1 and the Memorandum of Agreement between North Carolina and the U S Environmental Protection Agency If you have any questions, please contact the Stormwater Permitting Unit at (919) 807-6303 Sincerely, Colleen H Sullins cc DWQ Central Files Winston-Salem Regional Office Stormwater Permitting Unit Wetlands and StomNater Branch 1617 Mad Service Center Raleigh, North Carolina 27699 1617 Location 512 N Salisbury St Raleigh, North Carolina 27604 Phone 919 807-63001 FAX 919-807-6494 i Customer Serwce 1-877 623-6748 Internet www ncwaterquahty org An Equal opportunity %Afrumatrve Act m Employer NorthCarolina Alltllfl' lly A,LT74 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F Easley, Governor November 13, 2006 Bryan Miller Blacklidge Emulsions 1124 S Holden Road Greensboro, NC 27407 William G Ross, Jr , Secretary Alan W Klimek, P E , Director Subject NPDES Stormwater Permit Coverage Renewal Blacklidge Emulsions -Greensboro Plant COC Number NCG 160132 Guilford County Dear Permittee In response to your renewal application for continued coverage under general permit NCG 160000 the Division of Water Quality (OWQ) is forwarding herewith the reissued sormwater general permit This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215 1 and the Memorandum of Agreement between the state of North Carolina and the U S Environmental Protection Agency, dated December 6, 1983 The following information is included with your permit package A new Certificate of Coverage 0 A copy of General Stormwater Permit NCG 160000 5 copies of the discharge monitoring report form • 5 copies of the qualitative monitoring report form Your coverage under this general permit is not transferable except after notice to DWQ The Division may require modification or revocation and reissuance of the Certificate of Coverage This permit does not affect the legal requirements to obtain other permits which may be required by the Department of Environment and Natural Resources, or relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree If you have any questions regarding this permit package please contact of the Central Office Stormwater Permitting Unit at (919) 733-5083, ext 502 Sincerely, -B,4 � Bradley Bennett, Supervisor for Alan W Klimek, P E cc Central Piles Stormwater Permitting Unit Winston-Salem Regional Office Surface Water Protection Section 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One 512 N Salisbury St , Raleigh, North Carolina 27604 NorfhCaraiina Phone 919-733-7015 / FAX 919-733-2496 / Intemet http ImZo enr state nc us/su/stormwater himl NatuAdY An Equal Opportunity/Afrmative Action Employer -50% Recycled110% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG160000 CERTIFICATE OF COVERAGE No. NCG160132 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215 1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Blacklidge Emulsions, Inc is hereby authorized to discharge stormwater from a facility located at Blacklidge Emulsions, Inc -Greensboro Plant 1124 South Holden Road Greensboro Guilford County to receiving waters designated as a UT of South Buffalo Creek, a class C NSW stream, in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG 160000 as attached This certificate of coverage shall become effective November 13, 2006 This Certificate of Coverage shall remain in effect for the duration of the General Permit Signed this day November 13, 2006 for Alan W Klimek, P E , Director Division of Water Quality By Authority of the Environmental Management Commission Mr. Ronnie Blacklidge Blacklidge Emulsions, Inc. 828 B Pass Road Gulfport, MS 39501 Michael F Easley, Governor William G Ross Jr, Secretary North Carolina Department of Environment and Natural Resources Alan W Klimek, P E Director Division of Water Quality Subject: Permit name or ownership change request Permit NCG160132, Your request for a permit name change or ownership change received on P-a-146, is being returned due to: Cl Permit Name/Ownership Change Form is missing. ❑ Permit Name/Ownership Change Form is incomplete. ❑ Permit Name/Ownership Change Form signatures missing. ❑ Missing legal document � of the transfer of ownership (such as a contract or a deed). &r Other o�Lt V��u a-4/k- a-y14121 14 JVl -1 4-,4 ALJ c .ca 67e &3fin. Pf-ea'Le �.a-r�fi Please return the information so we can continue processing your request. If you have any additional questions, please contact Sarah Young at (919) 733-5083 extension 502. Our mailing address is as follows: Wetlands and Stormwater Branch 1617 Mail Service Raleigh, NC 27699-1617 1,4(1", k DWQ Stormwater Permitting Unit Cc: DWQ Central Files SPU One NCarolina Natura!!y North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service Internet h2o enr state nc us 512 N Sahsbury St Raleigh, NC 27604 FAX (919) 733-2496 1-877-623-6748 An Equal OpportunitylAffinnative Acton Employer— 50% Recycled110% Posl Consumer Paper o�wArF9 Michael F Easley, Governor November 24, 2004 Ronald W. Blacklidge Jr. Blacklidge Emulsion, Inc. 828-B Pass Road Gulfport, MS 39501 William G Ross Jr , Secretary North Carolina Otpartnwmt of Environment and Natural Resources Alan W Klimek, P E Director Ehvislon of Water Quality Subject: Permit name or ownership change request Permit NCG160132 Your request for a permit name change or ownership change received on , is being returned due to: ❑ Permit Name/Ownership Change Form is missing. ❑Permit Name/Ownership Change Form is incomplete. QJPermit Name/Ownership Change Form signatures missing. Missing legal document of the transfer of ownership (such as a contract, deed, articles of incorporation). ❑ Other Please return the information so we can continue processing your request. If you have any additional questions, please contact Ken Pickle at (919) 733-5083 extension 584, or Sarah Young at (919) 733-5083 extension 502. DWQ Stormwater Permitting Unit Cc. DWQ Central Files SPU NamN` Carolina aturally North Carolina Division of Water Quality 1617 Mad Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service Internet h2o enr state nc us 512 N Salisbury St Raleigh, NC 27604 FAX (919) 733-2496 1-977-623-6749 An Equal OpportunitylAtfirmatr a Alton Employer - 50°% Racyded110% Post Consumer Paper i Michael F Easley Governor Wrgtaril G Ross Jr. Secrgtag.. North Carolina Department of E vrn�ronmeni a WATER OUALITY SECTION 2 0 2004 I. CURRENT PERMIT INFORMATION: j DEt�R - V.'ATER QUALITY 11610101016 POINT SOURCE BRANCH ° Permit Number N/CI { I 10101 //16 or / Certificate of Coverage Number N/013/jl_�,_ / 3b3( ✓ I Permit holders name J � 4rYl,4 Soil fir -tA ig f _ _ ,Z1 2 Permits signing officials name and title (Person legally responsible for permit) 3 Maihng address State Zip Code If. NEW OWNER/NAME INFORMATION: 1 This request for change is a result of City - (Title) Phone ( ) ❑ Change in ownership of company ❑ Name change for company E pchange in ownership of property/facility ❑ Name change for property/facility ❑ Other (please explain) 2 Owner/Operator Information Company or Owner or Operator Name r9 J CI C K1 d 9 e (name to be put on permit /cAficate of coverage) Gewf Owner's/operator's or signing official's name /�.(,cj .��QC�r� ciftG Titles 1,1 is , Owner Contact RDA a (d w 9I0 cOf, d e t!r Title t o t e Y12`S% diCrl Mailing address City State /h 5 Zip Code 395•d I Phone (ZZ $) ?43 -.3 ?7( E-mail address ro.nm % b%Q'CIt /0 - C e iN Gj1 si O .S • o 3 Facility Information Facility Name Geeerlshoo'o_Plalf Facility Contact I°ct u / M Veex _ Title /R a ACr er- FacilityMailing address- y S16 iGiPi1 If a G� City _ Leo �r State. V C Zip Code .97y O7 Phone (33(. Q 9.2' (0 87S E-mailaddress 61aCKh014eA(C_Q0 Qo/. Com SWU-239-080102 PERMIT NAME 1 OWNERSHIP CHANGE FORM Permit Contact Information (if different from facility contact) Afliq i Permit Contact Mailing address State E-mail address - Zip Code Title City -- Phone ( THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER QUALITY UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL. REQUIRED ITEMS: 1. This completed application 2. Legal documentation of the transfer of ownership (such as a contract, deed, articles of incorporation) Certification must be completed and signed by both the current permit holder and the new applicant in the case of change of ownership For name change only, complete and sign the application certification Current Permittee's Certification: I,_ , attest that this application for name/ownership change has been reviewed and is accurate and cominete to the best of my knowledge I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned as mcomplete Signature Applicant's Certification: Date 7/' S-10 Y I, ge I a l cc C t./ &a C; !i d y e -, j,#-- . , attest that this application for a namelownership change has been reviewed and is accurate and co`lnplete to the best of my knowledge I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be retui- , as incomplete Signature t, X A Date Q y THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS Point Source Branch Attn: Valery Stephens Division of Water Quality 1617 Matt Service Center Raleigh, North Carolina 27699-1617 SWU-239-080102 1J�(A Michael F Easley, Governor William G Ross Jr, Secretary North Carolina Department of Environment and Natural Resources r Alan W Klimek, P E , Director `q Division of Water Quality Q 'C 3/18/2004 CERTIFIED MAIL RETURN RECEIPT REQUESTED STEVE WOMACK APAC ATLANTIC INC- EMULSION PLANT (42301) 300 S BENBOW ROAD GREENSBORO, NC 27401 Subject FINAL NOTICE - NPDES Stormwater Permit Renewal APAC Atlantic Inc- Emulsion Plant (42301) COC Number NCG160132 Guilford County Dear Permittee Your facility is currently covered for stormwater discharge under General Permit NCG 160000 This permit will expire on July 31, 2004 North Carolina General Statute 143 215 1(c) requires that an application for permit coverage renewal be filed in a timely manner A prior notice of renewal was sent for this site on December 1, 2003 To date, no response has been received by the Division of Water Quality (DWQ) In order to assure your continued coverage under the general permit, you must apply to DWQ for renewal of your permit coverage Enclosed you will find a general permit renewal application form The application must be completed and returned by April 19, 2004 in order to assure continued coverage under the general permit Failure to request renewal by April 9, 2004 can result in a civil assessment of at least $250 00 Larger penalties may be assessed depending on the delinquency of the request Discharge of stormwater from your facility without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215 1 and could result in assessments of civil penalties of up to $10,000 per day If you have any questions regarding the permit renewal procedures please contact Bill Mills of the Central Office Stormwater Unit at (919) 733-5083, ext 548 Sincerely, Bradley Bennett, Supervisor Stormwater and General Permits Unit cc Central Files SWGPU Files Winston-Salem Regional Office e A NCDENR N C Division of Water Quality 1617 Mad Service Center Raleigh, NC 27699-1617 (919) 733-5083 Customer Service 1-800-623-7748 State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F Easley, Governor - William G Ross Jr., Secretary Alan W Klimek, P.E. Director May 23, 2003 STEVE WOMACK APAC ATLANTIC INC - THOMPSON-ARTHUR DIV 300 S BENBOW ROAD GREENSBORO, NC 27401 Dear Permittee NCDENR WATH CAROLINA DEPARTMENT OF ENVIRONMENT AND NauRAL REsouRCEs Subject NPDES Permit Modification -Name and/or Ownership Change Permit Number NCG 160132 APAC Atlantic Inc- Emulsion Plant (42301) Thompson -Arthur Paving Gutlford County In accordance with your request received April 6, 2003, the Division is forwarding the subject permit modification This modification documents the change in the name of the subject facility All other terms and conditions in the original permit remain unchanged and in full effect This permit modification is issued under the requirements of North Carolina General Statute 143-215 1 and the Memorandum of Agreement f,em een North Carolina and the U S Environmental Protection Agency dated December 6, 1983 This permit modification does not affect the legal requirement to obtain other permits tixhich may be required by the Division of Water Quality, the Division of Land Resources, Coastal Area Management Act, or any other Federal or Local government permit that maybe required If you have any questions concerning this permit, please contact Valery Stephens at the telephone number or address listed below Sincerely, for Alan W Klimek, P E cc Central Files Winston-Salem Regional Office, Water Quality Section Stormwater and General Permits Unit Files 1617 Mall Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG160000 CERTIFICATE OF COVERAGE No. NCG160132 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215 1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, APAC ATLANTIC INC - THOMPSON-ARTHUR DIV is hereby authorized to discharge stormwater from a facility located at APAC ATLANTIC INC- EMULSION PLANT (42301) 1124 SOUTH HOLDEN ROAD GREENSBORO GUILFORD COUNTY to receiving waters designated as Greensboro MSSS to a UT of South Buffalo Creek, a class C NSW stream, in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No NCG 160000 as attached This certificate of coverage shall become effective May 23, 2003 This Certificate of Coverage shall remain in effect for the duration of the General Permit Signed this day May 23, 2003 \ k �) �% k��6 for Alan W Klimek, P E Director Division of Water Quality By Authonty of the Environmental Management Commission State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B Hunt, Jr, Governor Wayne McDevitt, Secretary Kerr T Stevens, Director MATT DAVIS THOMPSON ARTHUR PAVING COMPANY P O BOX 21088 GREENSBORO, NC 27420 Dear Permittee FlahlWA IL NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL REsouRGES July 27, 1999 Subject Reissue - NPDES Stormwater Permit Thompson Arthur Paving Company COC Number NCG160132 Guilford County in response to your renewal application for continued coverage under general permit NCG160000, the Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215 1 and the Memorandum of Agreement between the state of North Carolina and the U S Environmental Protection Agency, dated December 6, 1983 The following information is included with your permit package * A copy of general stormwater permit NCG160000 * A Stormwater Pollution Prevention Plan (SPPP) Certification Form Completion of this form is required to certify that you have developed and implemented the SPPP as per the conditions of the permit This form must be completed and returned to the Division within 30 days of receipt of this letter DO NOT SEND the SPPP with the signed form * Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form * A copy of a Technical Bulletin for the general permit which outlines changes in the permit, key requirements, and addresses frequently asked questions * A Certificate of Coverage Your coverage under this general permit is not transferable except after notice to DWQ The Division may require modification or revocation and reissuance of the Certificate of Coverage This permit does not affect the legal requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, brdinance, order, judgment or decree If you have any questions regarding thts permit package please contact Tony Evans of the Central Office Stormwater and General Permits Unit at (919) 733-5083, ext 584 Sincerely. for Kerr T Stevens cc Central Files Stormwater and General permits Unit Files Winston-Salem Regional Office 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 Fax 919-733-9919 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG160000 CERTIFICATE OF COVERAGE No. NCG160132 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215 1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, THOMPSON ARTHUR PAVING COMPANY is hereby authorized to discharge stormwater from a facility located at THOMPSON ARTHUR PAVING COMPANY 1124 SOUTH HOLDEN ROAD GREENSBORO GUILFORD COUNTY to receiving waters designated as Greensboro MSSS to a UT of South Buffalo Creek in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, Il, III, IV V and VI of General Permit No NCG160000 as attached This certificate of coverage shall become effective August 1, 1999 This Certificate of Coverage shall remain in effect for the duration of the General Permit Signed this day July 27, 1999 for Kerr T Stevens, Director Division of Water Quality By Authority of the Environmental Management Commission State of North Carolina Department of Environment, Health and Natural Resources Division of Water Quality James B Hunt, Jr, Governor Jonathan B Howes, Secretary A Preston Howard, Jr, P E , Director April 11, 1997 Thompson Arthur Paving Company Attn Jack H Cole Post Office Box 21088 Greensboro, North Carolina 27420 I LTI.K;VA T41 IDEHNFi Subject General Permit No NCG160000 Thompson Arthur Paving Company COC NCG 160132 Guilford County Dear Mr Cole In accordance with your application for discharge permit received on February 27, 1996, we are forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit This permit is issued pursuant to the requirements of North Carolina General Statute I43-215 1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated December 6, 1983 If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application Unless such demand is made, this certificate of coverage shall be final and binding Please take notice that this certificate of coverage is not transferable except after notice to the Di%ision of Water Quality The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required If you have any questions concerning this permit, please contact Tony Evans at telephone number 919/733-5083 ext 584 Sincerely, ORIGINAL siGNED By Mwuyamm A Preston Howard, Jr P E cc Winston-Salem Regional Office P O Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 FAX 919-733-0719 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG160000 CERTIFICATE OF COVERAGE No. NCG160I32 STORM -WATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215 1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission and the Federal Water Pollution Control Act, as amended, Thompson Arthur Paving Company is hereby authorized to discharge stormwater from a facility located at Thompson Arthur Paving Company 1124 South Holden Road Greensboro NC Guilford County to receiving waters designated as City of Greensboro Separate Storm Sewer to unnamed tributary to Buftalo Creek Class C NSW in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, I1I and IV of General Permit No NCG 160000 as attached This certificate of coverage shall become effective April 11, 1997 This Certificate of Co%erage shall remain in effect for the duration of the General Permit Signed this day April 11, 1997 A Preston Howard, Jr, P E Director Division of Water Quality By Authority of the Environmental Management Commission n Y rw�iario.0 �u.. rnHn �irnn� -� M-1101-al �® I •' r'��' �' s• � osp ` `�� yes r-�� a1_�.?' •�•'i.•C� .,• ��—%} Psi `g (�-q -_ �}� \"� • � -\• �o�. __ �.�' / \\0 1/J1 I$ mac-. •1 $ FACILITY: I-)o m f>a u i { COUNTY: NPDES:`�- ALkP#: G 1 Q SE DSN FLOW: N/A SUB BASIN: 0 3 `d cc., " 4 D, LATITUDE: S(l6 0 , r a E3 r/ LONGITUDE: r?q 0 J0 / a RECEIVING STREAM C- C S-k,o (fin S et�LXr tQ to-1 SOLkt�) �u STREAM CLASS: C,N s� DISCHARGE CLASS: EXPIRATION DATE: STORMWATER