HomeMy WebLinkAboutNCG050110_COMPLETE FILE - HISTORICAL_20171211STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
P"H ISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ 3019 I R I I
YYYYMMDD
, Mineral, and Land Resources
!ction I Stormwater Program
harge Elimination System (NPDES)
Energy Mineral & PERMIT OWNER AFFILIATION DESIGNATION FORM
Land Resources
ENVIAONMENrAL 6UALAY (Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Received
Year Monlh
Da
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 fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual" mean'!
The person is either:
the responsible corporate officer (for a corporation); DEC h44%
the principle executive officer or ranking elected official (for a municipality, state, �federa2lo other public
agency);
NR-L40 QUALliy
�T
the general partner or proprietor (for a partnership or sole proprietorship ;4RMWqTE R Pan MjyTji a
or, the duly authorized representative of one of the above.
R ec v8b
1) Enter the permit number for which this.change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit
N I C S
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) Certificate of Coverage
. N I C I G 0 1510101101
if Ir MMMMIMI ' h ' r i
MA . 1WA f-1
FORINAMMIrd
Address
I "Alem 1
city State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://dgg.nc.gpv/about/divisions/etiert,yy-mineraI-land-resources/energy-mineral-land-permiIs/stormwater-pro r� am
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: _ K%V I r1 I/L rLLs
First MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit: a n 10 U,�Gh UtlS
'First MI Last
Page t of 2
5 W U-OW NERAF FItr23 Nb re h 2017
• ! .i, r�r� i �y i
41
NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
P� RNT M4nrA GeR
'Fit]
�
Mailing Address
V ►wti- an�- �zg') eM AlC :2 71 D5
City State `Lip
(3A). III- 927q
Telephone E-mail Address cofr
(331,) "-777—,5 97z
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, E Qom/ t ul.-LCA&n1 _-', , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge_ I understand that if all required parts of this form are not completed, this change may not be
processed.
01J V"_��5Z�2 d17_
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral, and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call (919) 707-9220 or visit the website at:
http://deq.nc.2ov/about/d ivisions/energy-mineral-land-resources/stormwater
Page 2 of 2
S W U-O WNERAML-23 M&r2017
gy
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
November 28, 2012
Kevin Hughes
Oracle Flexible Packaging Inc
220 Polo Rd
Winston-Salem, NC 27105
Subject: NPDIS General Permit NCG050000
Certificate of Coverage NCGO501 10
Oracle Flexible Packaging -Polo Rd
Complex
Forsyth County
Dear Mr. 1-lughes:
On September 30, 2012, Division personnel received your request to revise your stornnvater permit
Certificate of Coverage to accurately reflect your new company and,facility name.
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 919-807-6300.
Sincerely,
ORIGINAL. SIGNED B)
KEN PICKLE
for Charles Wakild, P.E.
cc: Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Saiishury St. Raleigh, North Carolina 27604
Phone: 91 M07-6300 4 FAX: 919-807-64941 Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opponunq 1 Affirmalive Action Employer
One
NorthCarolina
Naturally
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050110
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision ofNorlh 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,
Oracle Flexible Packaging, Inc
is hereby authorized to discharge stormwater from a facility located at
Oracle Flexible Packaging, Inc -Polo Rd Complex
220 Polo R.d
Winston-Salem
Forsyth County
to receiving waters designated as Silas Creek, a class C, waterbody in the Yadkin -Pee Dec River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set Forth in Parts
I, 11, 1I1, 1 V, V and V I of General Permit No. NCG050000 as attached.
This certificate of coverage shall become effective November 28, 2012,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 28, 2012. -
ORIGINAL SIGNED M
KEN PICKLE
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
1
r 4; ^ Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NCDENR
0N,L. Rss . PERMIT NAME/OWNERSHIP CHANGE FORM
E"viFep"rEM �n0 NiQURw RESOyRGE9
FOR AGENCY USE ONLY
Date Received
Year I
Month I Day
I. Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
10101.0 5 0 1 I 1 1 0
II. Permit status prior to requested change.
a. Permit issued to (company name):
Oracle Flexible Packa in , Inc.
b. Person legally responsible for permit:
Ernest S Holley
First MI Last
Chief Operations Officer
Tide
220 Polo Road
Permit }Molder Mailing Address
Winston Salem NC 27105
City State Zip
(336) 777-5439 (336) 777-5440
Phone Fax
c. Facility name (discharge):
Oracle Flexible Packaging-- Palo Rd. Complex
d. Facility address:
220 Polo Road
Address
Winston Salem NC 27105
City State Zip
e. Facility contact person:
David E Yount (336) 777-4464
First I MI 1 Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of:
❑ Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain: Change in Responsible Individual and Facility Contact Person
b. Permit issued to (company name):
c. Person legally responsible for permit:
Kevin Hughes
y First MI Last
Chief Operations Officer
Title
220 Polo Road
Permit Holder Mailing Address
Winston Salem NC 27105
City State Zip
(336) 777-5644
Phone E-mail Address
d. Facility name (discharge):
Oracle Flexible Packa in r — Polo Road Complex
e. Facility address:
220 Polo Road
Address
Winston Salem NC 27105
City State Zip
f. Facility contact person:
W. Scott Snow
First Ml Last
(336) 777-5878
Phone E-mail Address
Revised 2012Ap23
' NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First M 1 Last
Title
Mailing Address
City State Zip
( )
Phone F-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
X Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete 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 is not included, this application package will be
returned as incomplete.
Signature
APPLICANT CERTIFICATION
Date
1, Kevin Hughes, attest that this application for a responsible individual change has been reviewed and is
accurate and complete 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 is not included, this application
package will be eturned as incomplete.
M���
i lure Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008
,;;A -
ar
0
ORACLE
FLEXIBLE PACKAGING
220 East Polo Road, Winston-Salem, NC 27105
March 21, 2006
Mr. Alan Klimek
Environmental Management Director
NC DENR- Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Oracle Flexible Packaging Inc., Forsyth County, NC
Dear Sir:
This letter is to advise of an address change for the permits listed below. A new mailing address has been
established for:
Oracle Flexible Packaging, Inc.
220 East Polo Road
Winston-Salem, NC 27105.
The five (5) water quality nermits affected by this chance are:
Location
Permit Number
Issuing Authority
Purpose of
Permit
Expiration Date
Plant 200
NCG500095
NCDENR
Cooling Tower
07/31/2007
Plant 200
W 0000965
NCDENR
Groundwater
03/31/2007
Plant,200
NCG030239
NCDENR
Stormwater
08/31/2007
Plant 604
W 0006992
NCDENR
Groundwater
08/31/2007
Plant 604
NCGO50110
NCDENR
Stormwater,
04/30/2008
Please forward any general correspondence, fee notices, etc. to:
Mr, David E. Yount, P.E.
Sr. Staff Engineer
Oracle Flexible Packaging Inc
220 East Polo Road
Winston-Salem, North Carolina 27105
Thank you for your attention to this matter.
Sincerely, .
Joy Ritenour
Director of Quality, Safety, Environmental, Human Resources and Training
C: Mr. David Yount
May 20, 2005
Mr. David E. Yount, P. E.
Oracle Flexible Packaging, Inc.
PO Box 625
Winston-Salem, NC 27102
Dear Mr. Yount:
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 No. NCG050110
Oracle Flexible Packaging -Plant 604
Formerly RJR Packaging, LLC
Forsyth County
Division personnel have reviewed and approved your request to transfer coverage under the General Permit,
received on May 18, 2005.
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) 733-5083, extension 502.
Sincerely,
OR1 GINAL SIGNED BY
BRADLEY BENNETT
,- - Alan W. Kiimck P. E.
cc: DWQ Central Files
Winston-Salem Regional Office, Water Quality Section
Stormwater Permitting Unit
o NtttCarolina
AWirrn!!y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service
Inlemet: h2o.enr.stafe.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX (919) 733-2496 1-877-623-6748
An Equal OpporlunitylAffirmative Action Employer — 60% Recycled11036 Post Consumer Paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCGO50110
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,
ORACLE FLEXIBLE PACKAGING, INC.
is hereby authorized to discharge stormwater from a facility located at
ORACLE FLEXIBLE PACKAGING, INC.-PLANT 604
220 EAST POLO ROAD
W INSTON-SALEM
FORSYTH COUNTY
to receiving waters designated as Silas Creek, a class C stream, in the Yadkin -Pee Dee River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,1I,11I, IV, V, and VI
of General Permit No. NCGO50000 as attached.
This certificate of coverage shall become effective May 20, 2005.
'.:Lam. ,.« u_,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 20, 2005. ORIGINAL SIGNED BY
13RADLEY BENNETf
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission
I MILE
QUADRANGLE LOCATION
Revisions shown in purple and woodland compiled from
aerial photographs taken 1982 and other sources. This
information not field checked: Map edited 1987.
lQtilTc�asc-�rL �ts.a-
�GoObbZ03
�Ki= Fas<csT
30'
ROAD CLASSIFICATION
'Go,
.4 LANE 6 LANE`
Heavy-duty_ �< Light -duty.
4 LANE 16 LANE
Medium -duty �:�..t �..._� Unimproved dirt a=_a,„tt
��
'�, F
0 U.S.. Route O State Route
J
RURAL HALL, N. C.
VASTER FILE
36080-B3-TF-024
1951 .
�
PF1070REVIEVlSEb 1987
DMA 4956 111 NE —SERIES V842� ��
April 29, 2005
Mr. Ric W. Engels
RJR Packaging, LLC
PO Box 625
Winston-Salem, NC 27102
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 NCGO50110 and NCG030239
Your request for a permit name change or ownership change received on , is being
returned due to: VP
❑ 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).
W
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
DWQ Stormwater Permitting Unit
Cc:
DWQ Central Files
SPU
North Carolina
,Vatu4171111
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 5t2 N. Salisbury St. Raleigh, NC 27604 FAX (919) 733-2496 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper
April 27, 2005
Ms. Sarah Young
NC DFNR/DWQIWetlands and Stormwater Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Change of Ownership Notification /
RJR Packaging, LLC
Forsyth County
Dear Ms, Young:
This letter is to advise you of the change in ownership of RJR Packaging, LLC. Oracle Flexible Packaging,
Inc., a North Carolina corporation, will assume the operations of RJR Packaging, L.L.C. No physical
modifications are being made to the facilities as part of this name change; however, alterations to the
property boundaries of the Plant 604 facility will occur and be reflected in the facilities SWPPP plan. The
effective date of this change is May 2, 2005. The water quality permits affected are as follows:
Location
Permit Number
Issuing Authority
Purpose of
Permit
Expiration Date
Plant 200
NCG030239
NCDENR
Stormwater
08/31/2007
Plant 604
NCGO50110
NCDENR
Stormwater
04/30/2008
Form SWU-239-080102 Water Quality Section Permit Name/Ownership Form with appropriate legal
documentation is attached.
We herein request that you re -issue the water quality permits to Oracle Flexible Packaging, Inc. Oracle has
designated Mr. David E. Yount as the authorized representative. Please forward any correspondence with
reference to these permits to:
Mr. David E. Yount, P. E.
Oracle Flexible Packaging, Inc
P. O. Box 625
Winston-Salem, North Carolina 27102-0625
If you have any questions, Mr. David Yount at (336) 741-6309 until May 1, 2005 and (336) 777-5000 after
May 1, 2005. Thank you for your attention to this matter.
Sincerely,
L U. E -
Ric W. Engels
President & General Manager
RJR Packaging, LLC
/,IVY,
Ernest S. Holley
General Manager
Oracle Flexible Packaging, Inc.
cc: Mr. Steve Tedder (Winston-Salem Regional Office)
Mr. Andy Allen (City of Winston-Salem, Storm Water Department)
Ms. Fran McPherson (DWQ Budget Office)
Mr. David Yount
P 0 BOX 625 WINSTON-SAI_EM, NC 27102-0625
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
SURFACE WATER PROTECTION SECTION
PERMIT NAME CHANGE AND PERMIT OWNERSHIP CHANGE FORM
I. You are requesting a change to which permit?
Permit Number: N/C/ G /0/510/0/ 0/ 01 or Certificate of Coverage Number: N/C/G/ 0 / 5 / 0 / 1 / 1 /0 I
11. Please provide the following information describing the permit status before this requested change:
1. The permit was issued to (company name):
2. The person legally responsible for the permit is
RJR Packaging, LLC
Mr. Ric W. Engels
President and General Manager
(Title)
3. The permit holder's mailing address: P.O. Box 625 City: Winston-Salem
State: NC Zip code: 27102 Phone: ( 336 ) 741-2718
4, The permit is for a discharge from (facility name): RJR Packaging, LLC — Plant 604
Facility location address: _220 East Polo Road _
State: NC Zip code: 27105
Facility contact person: _Mr. Hugh Abrams_
City: _ _Winston- Salem
Phone: ( 336 )741-2705
III. Please provide the following information describing your requested change to the permit.
1. This request for a change in the permit is a result of:
X A change in the ownership of the facility
X A name change for the facility or owner
Other (please explain):
2. The revised permit will be issued to (company name): _Oracle Flexible Packaging, Inc_
The person legally responsible for the revised permit -is: _ Mr. Ernest S. Holley
Title: General Manager
The permit holder's mailing address: P. O. Box 625 City: Winston -Salem —
State: NC Zip code: 27102 Phone: ( 336 ) 777-5000
E-mail address: None Established
3. The revised permit is for a discharge from (facility name): _Oracle Flexible Packaging, Inc - Plant 604
Facility contact: _ David E. Yount _ Title: _ Senior Staff Engineer
Facility location address: _ 220 East Polo Road City: _ Winston-Salem
State: N C Zip code: 27102 Phone: (336 ) 777-5000
E-mail address:
SWU-239-090102
None Established
PERMIT NAME CHANGE AND PERMIT OWNERSHIP CHANGE FORM
4. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: _ David E. Yount Title: Senior Staff Engineer
Mailing address: _P.O. Box 625 City: Winston-Salem
State: _NC Zip code: 27102 Phone: (336) 777-5000
E-mail address: None Established
5. Will the permitted facility continue to conduct the same industrial activities conducted before the ownership or
name change?
Yes
No - please Explain:
YOUR APPLICATION WILL BE RETURNED UNPROCESSED IF ANY OF THE REQUIRED
ITEMS ARE INCOMPLETE OR MISSING. THE REQUIRED ITEMS ARE:
1. This completed application is required for both a name change request and an ownership change request.
2. Legal documentation of the transfer of ownership (such as relevant pages of contract, a deed, or a bill
of sale) is required for an ownership change request. Articles of incorporation are not sufficient for an
ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change and the new
applicant in the case of an ownership change request. For a name change request, the signed Applicant's
Certification is sufficient.
Permittee's Certification prior to the requested change:
1, Ric W, Engels_ _ -- , attest that this application for a name/ownership
change has been reviewed and is accurate and complete 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 is not included,
this application, package will be returned as incomplete.
Signature: U I Date: h f)a % L 27 , 2005
Applicant's Certification:
1, Ernest S. Holley _ , attest that this application for a
name/ownership change has been reviewed and is accurate and complete 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 is not inc,�Oded, this application package will be returned as incomplete, ,
PLEASE SEND THE COMPLETED APPLICATION PACKAGE TO:
Wetlands and Stormwater Branch
Attn: Sarah Young
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-239-090102
r=EB-25- 17:15 CT COW SYSTEM RFI-E I GN
i
NO',Dr-,vH CAROLE
f
De artment 'Of The Secretary
To all whom these presents shall come, Greetings:
1, ELAINE F. NUMHALL, Secretwy of State of the State of North
hereby certify the following and hereto attached to be a true copy of
ARTICLES OF INCORPORATION
4
OF
ORACLE FLEXIBLE PACKAGING, INC.
the original of which was filed in this office on the 25th day of February, �
000uMont Id' CZ00M50060
0
P.03
State
na, do
IN WITNESS WHEREOF, I have hereon
set my hand and affixed my official scat a the
City of Raleigh, this 25th day of Febnwy 2005
Secretary of State
February 28, 2005
Ms. Valery Stephens
NC DENR/DWQ/Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Ms. Stephens:
P&ROW25
MAR 1 0 ?nnq
wDADTMARBBRWErs AND RANCH
V@120WR, [�
MAR i n
This letter is to advise you that we anticipate a change in ownership for RJR Packaging, LLC's
facilities as the result of a sale, currently in the negotiations phase. We anticipate the sale to close
during the second quarter of this year.
The permits affected by this change in ownership are as follows:
RJR Packaging Plant 604, 220 E. Polo Road, Winston-Salem, NC
■ Permit NCG050000; NC G0501.10�,NPDES General Storm Water Discharge
■ Permit WQ0006992 Groundwater Remediation Permit
RJR Packaging P� lant.200, Cunningham Ave., Winston-Salem, NC
■ Permit NCG050000; NCG030239 NPDES General Storm Water Discharge
■ Permit NC50001; NCG500095 NPDES Non -Contact Cooling Water
■ Permit WQ0000965 Groundwater Remediation Permit.
Form SWU-239-102501 Water Quality Section Permit Name/Ownership Form with appropriate
legal transfer of ownership will he forwarded as soon as possible upon closing. On that date, we
ask that you reissue the water quality permits for all of our facilites changing the ownership of the
facilities to the new owner.
The exact timing of this change is unknown at this time. Please advise if you foresee any
concerns regarding continuation of our existing permits and/or transitioning to the new
ownership.
If you have any questions, please contact me at 336-741-2718 or e-mail me at engelsr(u),rirt.com.
Sincerely,
Ulrich W. Engels
President & General Manager RJR Packaging, LLC
xc: Mr. Steve Tedder
Winston-Salem DENR Regional Office
585 Waughtown Street
Winston-Salem, NC 27107-2241
David Yount
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
September 10, 2003
Mr. David Yount
RJR Packaging
PO Box 625
Winston-Salem, North Carolina 27102-0625
Dear Mr. Yount:
`ems
N C E N R
NORTH CAROLINA DEPARTMENT OP
ENVIRONMENT AND NATURAL RESOURCES
Subject: NPDES Permit Modification — Name Change
Permit NCGO50110
RJR Packaging Plant 604
(Formerly RJR Reynolds Tobacco Co)
Forsyth County
In accordance with your request received August 14, 2003, the Division is forwarding the
subject permit modification. This modification documents the change in name at 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 between North Carolina and the U. S. Environmental Protection Agency
dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit
modification are unacceptable to you, you have the right to an adjudicatory hearing upon written
request within thirty (30) days following receipt of this letter. This request must be a written petition
conforming to Chapter 150B of the North Carolina General Statutes, filed with the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such
demand is made, this decision shall be final and binding.
This permit does not affect the legal requirement to obtain other permits which 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 may be required. If you have any questions
concerning this permit, please contact Valery Stephens at the telephone number or address listed
below.
Sincerely,
Alan W. Klimek, P.E.
cc: Central Files
Winston-Salem Regional Office, Water Quality Section
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699.1617
919 733-5083, extension 520 (fax) 919 733-0719
VISIT U5 ON THE NTERNET @ httpJlh2o.eustate.nc.ust Vale ry.Siephens@ncmail.not
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO50000
CERTIFICATE OF COVERAGE No. NCGO50110
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,
RJR Packaging
is hereby authorized to discharge stormwater from a facility located at
Plant 604
220 East Polo Road
Winston-Salem
Forsyth County
to receiving waters designated as Silas Creek, a class C water in the Yadkin -Pee Dee 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. NCG050000 as attached.
This certificate of coverage shall become effective September 10, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 10, 2003.
0 ,
Ian W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
NJ A 7 � Michael F. Easley, Governor
`O�� 19 William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
G] 7 Alan W. Klimek, P.E. Director
Division of Water Quality
April 28, 2003
William C Howard Jr
R J Reynolds Tobacco Co -Polo
PO Box 1487
Winston Salem, NC 27102
Subject: NPDES Stormwater Permit Renewal
R J Reynolds Tobacco Co -Polo
COC Number NCGO50110
Forsyth County
Dear Permittee:
1n response to your renewal application for continued coverage under general permit NCG050000, 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 new Certificate of Coverage
• A copy of General Stormwater Permit NCG050000
• A copy of the Analytical Monitoring Form (DMR)
• A copy of the Qualitativel Monitoring Form
• A copy of a Technical Bulletin for the general permit
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 Aisha Lau of the Central Office
Stormwater and General Permits Unit at (919) 733-5083, ext. 578.
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
ARA
NCDER-R
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-8053 Customer Service
1 800 623-7748
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO50000
CERTIFICATE OF COVERAGE No. NCGO50110
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,
R. J. Reynolds Tobacco Company
is hereby authorized to discharge stormwater from a facility located at
R J Reynolds Tobacco Co -Polo
220 East Polo Rd
Winston Salem
Forsyth County
to receiving waters designated as Silas Creek, a class C stream, in the Yadkin - Pee Dee River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, 11, III, IV, V, and VI of General Permit No. NCG050000 as attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
W A T Michael F. Easley, Governor
� C. William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
7 Division of Water Quality
4 Y
April 28, 2003
W. Brent MacKay
Western Roto Engravers Incorporated
533 Banner Ave
Greensboro, NC 27401
Subject: NPDES Stormwater Permit Renewal
Western Roto Engravers Incorporated
COC Number NCG050121
Guilford County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG050000, 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 new Certificate of Coverage
• A copy of General Stormwater Permit NCG050000
• A copy of the Analytical Monitoring Form (DMR)
• A copy of the Qualitativel Monitoring Form
• A copy of a Technical Bulletin for the general permit
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 Aisha Lau of the Central Office
Stormwater and General Permits Unit at (919) 733-5083, ext. 578.
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-8053
RC�]�®R
Customer Service
1 800 623-7748
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050121
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,
Western Roto Engravers
is hereby authorized to discharge stormwater from a facility located at
Western Roto Engravers Incorporated
533 Banner Ave
Greensboro
Guilford County
to receiving waters designated as a UT to 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 1, II, III, IV, V, and VI of General Permit No. NCG050000 as
attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority 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
A. Preston Howard, Jr., P.E., Director
April 30, 1998
WILLIAM C HOWARD JR
R.J. REYNOLDS TOBACCO CO-E POL
PO BOX 1487
WINSTON-SALEM, NC 27102
C) E N R
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCG050110
Forsyth County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, 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 North Carolina and the US Environmental Protection agency
dated December 6, 1983.
The following information is included with your permit package:
■ A copy of the stormwater general permit.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
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 Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
■ A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
■ A corrected Certificate of Coverage if you indicated a name or address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. 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
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number (919) 733-5083
Sincerely, JI
foA. Preston Howard, Jr., P. E.
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
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 30, 1998
THOMAS L SMITH JR
WESTERN ROTO ENGRAVERS, INC
533 BANNER AVENUE
GREENSBORO, NC 27401
9 Z"', WA
4 410
J0,ft%'M"0ft"'00&
� E N R
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NC6050121
Guilford County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, 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 North Carolina and the US Environmental Protection agency
dated December 6, 1983.
The following information is included with your permit package:
■ A copy of the stormwater general permit.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
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.
N Five copies of Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
■ A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
■ A corrected Certificate of Coverage if you indicated a name or address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. 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
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number (919) 733-5083
Sincerely,
foA. Preston Howard, Jr., P. E.
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