Loading...
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