NCG080891_COMPLETE FILE - HISTORICAL_20130611

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /V C& (03 Ue)�L
DOC TYPE 1 n HISTORICAL FILE
MONITORING REPORTS
DOC DATE ❑ ao►3 0�
YYYYM M D D

F WA rF
`O=Q Beverly Eaves Perdue, Governor
Uj 11 Dee Freeman. Secretary
North Carolina Department of Environment and Natural Resources
0 'C
Coleen H. Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
INICIS101 I I
INICIG101810EF[M]
II. Permit status rp for to requested change.
a. Permit issued to (company name):
Rolling Frito-Lay Sales, LP
b. Person legally responsible for permit:
_ Jim Schmitt
First MI Last
Fleet Manager
Title
2700 Nevada Blvd
Permit Holder Mailing Address
Charlotte NC 28273
City State Zip
[phone] [phone]
Phone Fax
c. Facility name (discharge):
Shallotte Bin
d. Facility address:
119 Forest Dr
Address
Shallotte Bin NC 28470
City State Zip
e. Facility contact person:
Jim Schmitt [phone]
First / MI / 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 of person legally responsible for permit/ Contact Person
b. Permit issued to (company name):
Rolling Frito-Lay Sales, LP
c. Person legally responsible for permit:
Rob Sapienza
First M I Last
Fleet Manager
Title
2700 Nevada Blvd
Permit Holder Mailing Address
Charlotte NC "28273
d. Facility name (discharge):
e. Facility address:
City State Zip
[phone] Rob. Sapienza@pepsicoxom
Phone E-mail Address
Shallotte Bin
119 Forest Dr
Address
Shallotte NC 28470
City State Zip
f. Facility contact person: Rob Sapienza
First MI Last
[phone] [e-mail]
Phone E-mail Address
Revised 812008

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 I t..ast
Title
Mailing Address
City State Zip
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® 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, Rob Sapienza, 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
1�&L
-" )3
Signature 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 7/2008

Ak7vi��_KLAWA
MCDENK
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Jim Schmitt, Fleet Manager
Rolling Frito-Lay Sales LP
2700 Nevada Blvd
Charlotte, North Carolina 28273
Dear Mr. Schmitt:
Division of Water Quality
Charles Wakild, P. E.
Director
September 7, 2012
Dee Freeman
Secretary
SEP 14 2012
BY: -
Subject: General Permit No. NG080000
Shallotte Bin
COC No. NCG080891
Brunswick County
In accordance with your application for a stormwater discharge permit received on May 25, 2012,
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. I 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 Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain
other permits which may be required by the Division of Water Quality or permits required by the Division
of Land Resources, Coastal Area Management Act or any other federal or local governmental permit that
may be required.
Please note that the attached permit expires on October 31, 2012, Your COC will be
automatically renewed to cover the full S year term of the soon to be reissued permit. In the interim you
must abide by the terms of the expiring permit. You can review the proposed general permit changes
once they are posted at: http://portal.nedenr.org/web/wq/ws/su/curreni-notices
If you have any questions concerning this permit, please contact Bill Diuguid, Staff Planner,
Stormwater Permitting, at telephone number [phone].
Sincerely,
for Charles Wakild, P.E.
1617 Mail Service Center, Raleigh, North Carolina 27699.1617
Location; 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.newalergualituor�
NorthCarolina
;Vaturallrf
An Ill opporlunEty l Affirmative Action Ill

COC No. NCG080891
Mr. Jim Schmitt, Fleet Manager
Rolling Frito-Lay Sales LP
Shallotte Bin
September 7, 2012
cc: Wilmington Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
Page 2 of 2

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCI" S
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCGO80891
STORM WATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Contra[ Act, as amended,
Rolling Frito-Lay Sales LP
is hereby authorized to discharge stormwater from a facility located at
Shallotte Bin
3824 NC Highway I
Shallotte
Brunswick County
to receiving waters designated as unnamed tributary to Sharron Creek to Shallotte River, a Class C; Sw; HQW water
body, Lumber River Basin; in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, H, [II, IV, V and VI of General Permit No. NCG080000, as attached.
This Certificate of Coverage shall become effective September 7, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 7, 2012.
, � A l: ,i� ., da
Charles Wakilii,-P:E.TDirector— --
Division of Water Quality
By Authority of the Environmental Management Commission

Ito.
30
L 7n
Oak af
MA "484
ern
V1. A
4j
Shallotte Bin
119 Forest Drive, Shallotte, NC
T
A
Swa110 tt Jp;�
,, j,� `J ♦Mtil �- -s r{%J_ # \-= r":�}'- S*+ ':.f.:. �i,r- � r,� d f r! a rf _ i•t--
1e. L r
L
IQI
L
V.
!Nkil
S,
Outfall 1: 331591.32N, 78022'15:64'W
Rec- Watir..*.Unamed tributary t6 Sharron
Creek to 6hafi6fte River (not impaired)
Outla 12- 33*59'9 17"N 78022'16.13"W
Rec - -.,Water: Unamed6ibutar"to-Sharron
Shallotte River knot i mpaire
V Cre6k to Sh d),
�fn,.WaterPollution Prevention Plan rood/x,dlo'�hr lug
Site"Map. Holdeh.Bdach:Quad NPDES Stor

r
..
Outfall 2: 33"59'9,17" N, 78°22' 16.13"W
Rec. Water: Unamed tributary to Sharron -
Creek to Shallotte River
Trash
4 7.598 32-N .
78r22'15,64"W
Rtlnaed tributary to Sharron
Creek to Shallotte River
C7tairt2lge'� 1 ,
PPP:j LEGEND
Property Boundary
Fencing
0
Outfall
Maintenance Area
Stormwater Flow
Direction
Site Map Shallotte Bin— 119 Forest DriveURS
, Shallotte, NC, 28470
N
aa+e/ooe br e Ion
NPDES Storm Water Pollution Prevention Plan
I

NCGO80000 N.O.I.
NCDiENR
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee coverage under the NPDES General Permit.
For questions, please contact the DWQ Regional Office for your area.
DWQ Regional Office Contact information:
Asheville Office _ _ ...
_ [phone]
Fayetteville Office .._
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 4 of 4
5WU-223-071408 Last revised 7114/08