NCG080892_COMPLETE FILE - HISTORICAL_20130611

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. 0 d ?�i
DOC TYPE E?F HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ o`)Cj(J
YYYYMMDD

Beverly Eaves Perdue, Governor
Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
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
N I C I S 10 1 1 1 I= I N I C I G 1 0 1 8 1 0 8 9 2
H. Permit status prior 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): Wallace Bin
d. Facility address: 3824 NC Hwy 11
Address
Wallace NC 28466
City State Zip
e. Facility contact person: Jim Schmitt [phone]
First 1 MI I 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 MI Last
Fleet Manager
Title
2700 Nevada Blvd
Permit Holder Mailing Address
Charlotte NC 28273
City State Zip
[phone] [e-mail]
Phone E-mail Address
d.
Facility name (discharge):
Wallace Bin
e.
Facility address:
3824 NC Hyvy 11
Address
Wallace NC 28466
City State Zip
f.
Facility contact person:
Rob Sapienza
First MI Last
[phone] [e-mail]
Phone E-mail Address
Revised &QM

PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2of2
W. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First Ml Last
Title
Mailing Address
City State Zip
Phone E-mail Address
Will the permitted facility continue to conduct the same industrial activities conducted prior
V. to this ownership or name change?
® Yes
❑ No (please explain)
Vf 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):
I, , 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'
` �z
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 7l2008

A,
NCDENR
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
Division of Water Quality
Charles Wakild, P. E.
Dee Freeman
Director EC E 9V0
September 7, 2012 SEP 14 2012
7
BY: _
Subject: General Permit No. NG080000
Wallace Bin
COC No. NCGO80892
Duplin County
Dear Mr. Schmitt:
In accordance with your application for a sormwater 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 143-215.1 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 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 5 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/current-notices
If you have any questions concerning this permit, please contact Bill Diuguid, Staff Planner,
Stormwater Permitting, at telephone number [phone],
Sincerely,
(A"p `s(ImE m'.
for Cha'rlees� WA�ki cfT 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: 1-877-623-6749
Internet: www.ncwaterouality.orq
Nor thCarolina
Naturally
nn Equal Oppoduniiy', Af lrmaGuB Action )"PI,

COC No. NCG080892
Mr. Jim Schmitt, Fleet Manager
Rolling Frito-Lay Sales LP
Wallace Bin
September 7, 2012
cc: Wilmington Regional Office
Central Files
Stormwater Permitting Unit Fifes
Attachments
Page 2 of 2

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCGO80892
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,
Rolling Frito-Lay Sales LP
is hereby authorized to discharge stormwater from a facility located at
Wallace Bin
3824 NC Highway I 1
Wallace
Duplin County
to receiving waters designated as Paget Branch to Little Rockfish Creek, a Class C; Sw water body, Cape Fear River
Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,
11, II1, 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.
OwAkm.
KEN PICKLE
Charles WaRild,'P,E.—Directot - �— ----- -
Division of Water Quality
By Authority of the Environmental Management Commission

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Wallace Bin
3824 NC Highway 11, Wallace, NC
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0 utfall 1: 34'45'31,96"N. 77*58'31,25"W
Flee. Water: Paget Branch to Little
RockFiSh Creek (not impaired)
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Site Map Kenansville Quad
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NPD ES Storm Water Pollution Prevention Plan

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1 M Frfto Lay Stora Noun
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nit Others Storage
Outfall 1: 34°45'31.96"N, 17 58'31.25'lN
Rec. Water: Paget Branch to Little �s
RockFish Creek
Others Storage
11
LEGEND
Property Boundary
- - - - -
Fencing
OOutfall
F—M]
Maintenance Area
Stormwater Flow
Direction
Site Map Wallace Bin— 3824 NC Highway 11, Wallace, NC, 28466
N
mep,> NPDES Storm Water Pollution Prevention Plan URS
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NCG080000 N.O.I.
NCDENR
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.
0 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 ... [phone]
Wilmington Office
... [phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 4 of 4
SWU-223-071408 Last revised 7114/08