NCG050412_COMPLETE FILE - HISTORICAL_20131011

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV L&
DOC TYPE
C;` HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ a�13 1 i
YYYYM M D D

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director John E. Skvarla, III, Secretary
October 1.1, 201.3
Mr. S. Fred Richey. III. VP of Operations
Wellmark LLC
PO Box 4445
Asheboro, North Carolina 27204
Subject: General Permit No. NCG050000
Wellmark LLC
COC No. NCG050412
Randolph County
Dear Mr. Richey:
In accordance with your application for a discharge permit received on July 15, 2013, we
are forwarding herewith the subject certificate of coverage (COC) to discharge under the subject
state -- NPDES general permit. This permit is issued 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 October 15, 2007 (or as subsequently amended).
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 Division of Energy, Mineral and Land Resources (Division). 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 Division or
permits required by the Division of Water Resources, Coastal Area Management Act or any other
federal, state or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone].
Sincerely,
ORIGINAL SIGNED M
KEN PICKLE
for Tracy E. Davis
cc: Winston-Salem Regional office
Central Files
Stormwater Permitting Unit Files
Attachments
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 - Telephone [phone] FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http:llportal.ncdenr,org/web/Irtland-quality
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCGO50000
CERTIFICATE OF COVERAGE No. NCGO50412
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,
Wellmark, LLC
is hereby authorized to discharge stormwater from a facility located at
Wellmark, LLC
355 Waketa Drive
Asheboro
Randolph County
to receiving waters designated as an unnamed tributary to Haskett Creek, a Class C waterbody, Cape Fear River
Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
I1, II1, IV, V and V1 of General Permit No. NCG050000, as attached.
This Certificate of Coverage shall become effective October 11, 2013.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 1 1, 2013.
ORIGINAL SIGNED B)
KEN PICKLE
for Tracy E. Davis, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

WJM Wellmark
June 24, 2013
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Alan W. Klimek, I1.17].
Director
Subject: Wellmark, LLC
355 Waketa Drive
Asheboro, NC 27203
Dear Mr. Klimek:
Enclosed you will find a completed Notice of Intent (NOI) for coverage under General
Stormwater Permit NCG050000, supporting documents, and the fee.
If any additional information or action is needed, please advise.
Sincerely,
WELLMARK, LLC
S. Fred ficheY I I i
Corporate Vice President
of Operations
355 Wakita Drive, Asheboro, NC 27202 - Wellmark - (330) 4984171 Pas: [phone]

REMOVE DOCUMENT ALONG THIS PERFORATION
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Taylor -Smith, Aana
From: Diuguid, Bill
Sent: Wednesday, August 28, 2013 1:24 PM
To: Taylor -Smith, Aana
Subject: RE: NCG050412 Wellmark, LLC NOI Asheboro
Thank you. Will issue.
Bill D.
From: Taylor -Smith, Aana
Sent: Wednesday, August 28, 2013 1:23 PM
To: Diuguid, Bill
Cc: White, Sue, Gantt, Matt
Subject: RE: NCGO50412 Wellmark, LLC NOI Asheboro
Hi Bill,
Sue and I visited the Wellmark LLC site today in Asheboro and it is as described. We have not received any complaints
about the facility. Our recommendation is to issue the permit. Please feel free to contact me at any time if you have any
questions or need more information.
Thanks!
Aana Taylor -Smith
Land Quality Section
Division of Energy, Mineral, and Land Resources
NC DENR Winston-Salem Regional Office
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Low and may be disclosed to
third parties.
From: White, Sue
Sent: Friday, August 23, 2013 7:38 AM
To: Taylor -Smith, Aana
Subject: FW: NCG050412 Wellmark, LLC NOI Asheboro
FYI
Sue White
Land Quality Section
Winston-Salem Regional Office
Division of Energy, Mineral, and Land Resources
Phone: [phone]
Fax [phone]

E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Diuguid, Bill
Sent: Thursday, August 22, 2013 3:45 PM
To: Gantt, Matt; White, Sue
Subject: NCG050412 Wellmark, LLC NOI Asheboro
Matt Gantt, Sue White, Winston-Salem Regional Office:
Please review the attached N01 application with the objective of responding to me with a recommendation to issue the
permit. I recognize that you may not visit each new permittee during this NOI review, but it affords you the opportunity
to log the permit into your regional database and add the facility to a future monitoring and compliance visit
schedule. Therefore, your recommendation now to issue the permit serves as your acknowledgement that (1) the
facility is located in your region, (2) that there are no current complaints outstanding about the facility that have not
been dealt with, and (3) that the facility may ultimately be inspected by the regional staff. I've also attached a scanned
copy of the NO1 and a location map for your review.
1 COC # ! Facility I Location I City/County
INCG050412 lWellmark, LLC 1355 Waketa Drive Asheboro/Randolph j
If you need any more info, give me a call. If you could send me a recommendation to issue the permit by 09/22/2013,
I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and
comments back to me with a recommendation to issue the permit.
Thanks.
Bill
Bill Diuguid, AICP, Planner
Stormwater Permitting
Land Quality Section
Division of Energy, Mineral and Land Resources I NCDENR
1617 Mail Service Center (Mail)
512 N. Salisbury St, Raleigh, NC 27604 ) 9th Floor (Location & Parcels)
Raleigh North Carolina 27699-1617
Phone: [phone] Fax: [phone]
Website: http.//portal.ncdenr.org/web/wq/ws/su
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.

_J
14
Diuguid, Bill
From: Taylor -Smith, Aana
Sent: Wednesday, August 28, 2013 1:23 PM
To: Diuguid, Bill
Cc: White, Sue; Gantt, Matt
Subject: RE: NCGO50412 Wellmark, LLC NOI Asheboro
Hi Bill,
Sue and I visited the Wellmark LLC site today in Asheboro and it is as described. We have not received any complaints
about the facility. Our recommendation is to issue the permit. Please feel free to contact me at any time if you have any
questions or need more information.
Thanks!
Aana Taylor -Smith
Land Quality Section
Division of Energy, Mineral, and Land Resources
NC DENR Winston-Salem Regional Office
Phone: [phone]
Fax [phone]
E-mail correspondence to. and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: White, Sue
Sent: Friday, August 23, 2013 7:38 AM
To: Taylor -Smith, Aana
Subject: FW: NCG050412 Wellmark, LLC NOI Asheboro
FYI
Sue White
Land Quality Section
Winston-Salem Regional Office
Division of Energy, Mineral, and Land Resources
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Diuguid, Bill
Sent: Thursday, August 22, 2013 3:45 PM

To: Gantt, Matt; White, Sue
Subject: NCG050412 Wellmark, LLC NOI Asheboro
Matt Gantt, Sue White, Winston-Salem Regional Office:
Please review the attached NOI application with the objective of responding to me with a recommendation to issue the
permit. I recognize that you may not visit each new permittee during this NOI review, but it affords you the opportunity
to log the permit into your regional database and add the facility to a future monitoring and compliance visit schedule.
Therefore, your recommendation now to issue the permit serves as your acknowledgement that (1) the facility is located
in your region, (2) that there are no current complaints outstanding about the facility that have not been dealt with, and
(3) that the facility may ultimately be inspected by the regional staff. I've also attached a scanned copy of the N01 and a
location map for your review.
COC # Facility Location City/County
NCG050412 Wellmark, LLC 355 Waketa Drive Asheboro/Randolph
If you need any more info, give me a call. If you could send me a recommendation to issue the permit by 09/22/2013,
1'd appreciate it, so 1 can issue their COC. I cannot issue the permit until the respective regional office reviews and
comments back to me with a recommendation to issue the permit.
Thanks.
Bill
Bill Diuguid, AICP, Planner
Stormwater Permitting
Land Quality Section
Division of Energy, Mineral and Land Resources I NCDENR
1617 Mail Service Center (Mail)
512 N. Salisbury St, Raleigh, NC 27604 1 91h Floor (Location & Parcels)
Raleigh North Carolina 27699-1617
Phone: [phone] Fax: [phone]
Website: http:llportal.ncdenr.org/webLwq/ws/su
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.

Taylor -Smith, Aana
From: White, Sue
Sent: Friday, August 23, 2013 7:38 AM
To: Taylor -Smith, Aana
Subject: FW: NCG050412 Wellmark, LLC NOI Asheboro
Attachments: NCG050412 Wellmark, LLC NOI Asheboro Aug 22 2013.pdf
FYI
Sue White
Land Quality Section
Winston-Salem Regional Office
Division of Energy, Mineral, and Land Resources
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Diuguid, Bill
Sent: Thursday, August 22, 2013 3:45 PM
To: Gantt, Matt; White, Sue
Subject: NCG050412 Wellmark, LLC NOI Asheboro
Matt Gantt, Sue White, Winston-Salem Regional Office:
Please review the attached NOI application with the objective of responding to me with a recommendation to issue the
permit. I recognize that you may not visit each new permittee during this NOI review, but it affords you the opportunity
to log the permit into your regional database and add the facility to a future monitoring and compliance visit
schedule. Therefore, your recommendation now to issue the permit serves as your acknowledgement that (1) the
facility is located in your region, (2) that there are no current complaints outstanding about the facility that have not
been dealt with, and (3) that the facility may ultimately be inspected by the regional staff. I've also attached a scanned
copy of the NOI and a location map for your review.
COC #
Facility
Location
City/County
INCGO50412 JWellmark, LLC 13SS Waketa Drive JAsheboro/Randolph
If you need any more info, give me a call. If you could send me a recommendation to issue the permit by 09/22/2013,
I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and
comments back to me with a recommendation to issue the permit.
Thanks.
Bill
Bill Diuguid, AICP, Planner
Stormwater Permitting

iA
Division of Water Quality /Water Quality Section
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National Pollutant Discharge Elimination System application for coverage under General Permit
NCG050000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 23 Apparel and Other Finished Products Made from Fabrics and Similar
SIC 265 Paperboard Containers and Boxes
SIC 267 Converted Paper and Paperboard Products
SIC" 27 Printing, Publishing and Allied Industries JUL .� ;5 2013
SIC" 30 Rubber and Miscellaneous Products (except as specified below)
SIC 31 Leather and Leather Products (except as specified below) ti..'�11 WA AL T�
SIC* 39 Miscellaneous Manufacturing Industries
SIC* NIA Like activities deemed by DWQ to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this Giini tal,ll?tarmft:
SIC 301 Tires and Inner Tubes iw
SIC" 311 Leather Tanning and Finishing
"Standard Industrial Classification Code g f�':'t:e V1'.#'CItGUAtfiY
OrEach
(Please print or type)
1) Mailing address of ownerloperator jaddress to which all permit correspondence will be mailed):
Name Wellmark, LLC
Street Address P.O. Box 4445.
City Asheboro StateNC ZIP Code 27204
Telephone No. 336-498-1881 Fax: [phone]
E-mail Address www.we€lmark2lastics.co_m
2) Location of facility producing discharge:
Facility Name
Wellmark LLC
Facility Contact
Shawn Cline
Contact E-mail
Corporate Safety Manager
Street Address
355 Waketa Drive
City
Asheboro StateNC ZIP Code 27203
County
Randolph
Telephone No.
336-498-1881 Fax: [phone]
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). Route 40 west to Route 85 south to Route 220 east to
to Pineview Drive L to North Fayetteville Street L to Wetka Drive L
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application)
Page 1 of 4
SWU-220.071408 Last Revised 7114/2008

L�
r
NCG050000 N.O.I.
4) Latitude 35.780833_ _ Longitude 79.814722 (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following;
— New or Proposed Facility Date operation is to begin
X Existing
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3089
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Manufacturinq_of_plastic pellets used in the Injection molding of Plastics
8) Discharge points:
How many discharge points (ditches, pipes, channe)s, etc.) convey stormwater from the property? 1
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Haskettes Creek
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). NIA
10) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes
If yes, please briefly describe; Retention basins, drainage system, erosion control _
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented?June 1, 2013
14) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
Page 2 of 4
SWU-220-071408 Last Revised 7/14/2008

NCGO50000 N.O.I.
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor. -
Vendor address:
16) Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any appiication, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
LEnvironmentat Managementj Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
i certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: S. Fred Richey III
Title: COr orate Vice President of Opgrations
2p1,3
'(Signatu of Applic 7t`) (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Page 3 of 4
swu-220-071408 Last Revised 7/14/2008

35.780833-79.814722 FIGURE 1 — Wellmark, LLC
AWMWellmark 7.4 Acres Lot, Randolph County Site Location Map
8 Acres Impervious, (81 %)11.4 Acres Pervious, (19%)
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lull�a Wellmark
35.780833-79.814722
7.4 Acres Lot, Randolph County
6 Acres Impervious, (81 %)11.4 Acres Pervious, (19%)
FIGURE 4 — Wellmark, LLC
Airial Photo