NCG170234_COMPLETE FILE - HISTORICAL_20130725

STORMWATER DIVISION CODING SHEET
NCG PERMITS
I
PERMIT NO.
I�
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ 1-7
YYYYMMDD

eA7
A&V
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor , Acting Director Secretary
July 25, 2013
Mr. Laval Choiniere
Kayser -Roth Corporation
102 Corporate Center Blvd
Greensboro, NC 27408
Subject: Compliance Evaluation Inspection
NPDES General Permit No. NCG170234
Kayser -Roth Corporation
Randolph County
Dear Mr. Choiniere:
1//�gtwer-RoM
\`orporat%n
an affiliate of THE GOLDEN LADYcRoup
Phillip Williams
515 w. Balfour Ave. dead of Maintenance
Asheboro. NC 27203
Phone: [phone]W Ea_ 6245 www kayser-roth.corn
Fax: [phone]
Emil: [e-mail]
On July 24, 2013, Jenny Graznak of this office performed a Compliance Evaluation Inspection
at Kayser -Roth Corporation located at 515 W. Balfour Avenue in Asheboro, North Carolina. This
facility holds General Stormwater Permit No. NCG170234 under the National Pollutant Discharge
Elimination System (NPDES) to discharge stormwater associated with textiles manufacturing. Phillip
Williams, Head of Maintenance, was present for the inspection. This type of inspection consists of
two basic parts: a review of facility files and self -monitoring data and an inspection of the facility's
storage areas and discharge points. This particular inspection evaluated five (5) areas, and
observations from each area are addressed below:
1. Permit
The permit became effective August 1, 2009 and expires July 31, 2014- A complete and current
copy of the Permit was available during the inspection.
2. Records/Reports
As required by the Permit, the facility has a Stormwater Pollution Prevention Plan (SPPP) that was
available for review during the inspection. All required components of the SPPP were present, but it
has not been updated since 1999. The permit requires that "all aspects of the SPPP shall be
reviewed and updated on an annual basis." Please see Part II, Section A, #7 for further information
regarding annual updates. HAZMAT training occurs on an annual basis at this facility, and employee
training on stormwater is included during that event. Please make sure that the employee training is
documented in the SPPP.
3. Facility Site Review
This Kayser -Roth facility manufactures socks. The 28-acre site appeared clean and well managed
with excellent housekeeping. Bleach and hydrogen peroxide tanks are stored outside under a cover
and with secondary containment that drains to sanitary sewer via a sump pump when needed. A
25,000-gallon #2 fuel oil tank is stored outside and surrounded by an earthen containment dike that
can be pumped out when necessary. Some empty totes and pallets are also stored outside, awaiting
pick-up from different vendors. There are also truck loading and unloading areas on the site.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St, Winston-Salem, !North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service: 1-877.623-6748 Norti Carolina
Internet: www.ncwat8rquality.org
An Equal OpportunityIAffirmative Action Employer Lsl ( y

4. Effluent/Receiving Waters
The site has four outfalls. Stormwater from the property discharges to Hasketts Creek (Class C) in
the Cape Fear River Basin. No issues were noted with, respect to the outfalls during the inspection.
5. Self -Monitoring Program
The stormwater permit requires semi-annual qualitative monitoring at stormwater outfalls. This
facility does perform visual observations at� the plant's four outfalls on a semi-annual basis. An on -
site review of the monitoring data during the inspection showed that all parameters are evaluated per
the specifications of the permit. The last monitoring event occurred on April 18, 2013. On -site
vehicle maintenance monitoring requirements at the site are waived, since these activities are not
performed at the site.
This office appreciates your efforts to comply with the stormwater permit requirements.
Should you have any questions concerning this letter or the inspection, please do not hesitate to
contact Ms. Graznak or me at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Surface Water Protection Section
cc: WSRO — SWP
Central Files — SWP

Compliance Inspection Report
Permit: NCG170234 Effective. 04/23/10 Expiration: 07/31/14 Owner: Kayser -Roth Corporation
SOC: Effective: Expiration: Facility: Kayser Roth Corp- Asheboro Plant
County: Randolph 515 W Balfour Ave
Region: Winston-Salem
Asheboro NC 27203
Contact Person. Laval Choiniere Title: Phone: [phone]
Ext.252
Directions to Facility:
From WSRO take 1-40E to 1-73S to exit 96, stay on 1-73S-17.6mi take Spero Rd. exit turn L, take Spero Rd--0.4mi turn R, take W
Balfour Ave -0.4mi the facility is on the Lt
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name Laval Choiniere Phone: [phone]
On -site representative Phillip Williams Phone: [phone] ext 6245
Related Permits:
Inspection Date: 07124120f3 Entry Time: 09:00 AM Exit Time: 10:00 AM
Primary Inspector: Jennifer F Graznak Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Textile Mill Products Stormwater Discharge COC
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

Permit: NGG170234 Owner • Facility: Kayser -Roth Corporation
Inspection Pate. 07/24/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
1. Permit
The permit became effective August 1, 2009 and expires July 31, 2014. A complete and current copy of the Permit was
available during the inspection.
2. Records/Reports
As required by the Permit, the facility has a Stormwater Pollution Prevention Plan (SPPP) that was available for review
during the inspection. All required components of the SPPP were present, but it has not been updated since 1999. The
permit requires that "all aspects of the SPPP shall be reviewed and updated on an annual basis." Please see Part II,
Section A, #7 for further information regarding annual updates. HAZMAT training occurs on an annual basis at this facility,
and employee training on Stormwater is included during that event. Please make sure.that the employee training is
documented in the SPPP.
3. Facility Site Review
This Kayser -Roth facility manufactures socks. The 28-acre site appeared clean and well managed with excellent
housekeeping. Bleach and hydrogen peroxide tanks are stored outside under a cover and with secondary containment
that drains to sanitary sewer via a sump pump when needed. A 25,000-gallon #2 fuel oil tank is stored outside and
surrounded by an earthen containment dike that can be pumped out when necessary. Some empty totes and pallets are
also stored outside, awaiting pick-up from different vendors. There are also truck loading and unloading areas on the site.
4. Effluent/Receiving Waters
The site has four outfalls. Stormwater from the property discharges to Hasketts Creek (Class C) in the Cape Fear River
Basin. No issues were noted with respect to the outfalls during the inspection.
5. Self -Monitoring Program
The stormwater permit requires semi-annual qualitative monitoring at stormwater outfalls. This facility does perform visual
observations at the plant's four outfalls on a semi-annual basis. An on -site review of the monitoring data during the
inspection showed that all parameters are evaluated per the specifications of the permit. The last monitoring event
occurred on April 18, 2013. On -site vehicle maintenance monitoring requirements at the site are waived, since these
activities are not performed at the site.
Page: 2

a '
Permit: NCG170234 Owner - Facility: Kayser -Roth Corporation
Inspection Date: 07/24/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
■
❑
❑
0
# Does the Plan include a General Location (USGS) map?
■
❑
❑
❑
# Does the Plan include a "Narrative Description of Practices"?
■
Cl
❑
❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
❑
❑
❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
■
❑
❑
❑
# Has the facility evaluated feasible alternatives to current practices?
■
❑
Cl
❑
# Does the facility provide all necessary secondary containment?
■
❑
0
❑
# Does the Plan include a BMP summary?
■
❑
❑
❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
❑
❑
❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
®❑
❑
❑
# Does the facility provide and document Employee Training?
❑
■
0
❑
# Does the Plan include a list of Responsible Party(s)?
■
❑
❑
❑
# Is the Plan reviewed and updated annually?
❑
■
❑
❑
# Does the Plan include a Stormwater Facility Inspection Program?
■
❑
❑
fl
Has the Stormwater Pollution Prevention Plan been implemented?
■
❑
❑
❑
Comment: All required components of the SPPP were present, but it has not been
updated since 1999. Please make sure that the employee training is documented in the
SPPP.
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
■
Q
❑
0
Comment: The last monitoring event occurred on April 18, 2013.
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■
Cl
Cl
❑
# Were all outfalls observed during the inspection?
®
❑
❑
❑
# If the facility has representative outfall status, is it properly documented by the Division?
❑
❑
■
❑
# Has the facility evaluated all illicit (non stormwater) discharges?
®
❑
❑
❑
Comment: No issues were noted with respect to the four outfalls during the inspection.
Page: 3

ALTE,X-my
� AWIFA
RCDENR
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
Au-ust 4, 2004
Laval Choiniere
Kayser -Roth Corporation
515 W Balfour Ave
Asheboro, NC 272033111
Subject: NPDES Stormwater Permit Coverage Renewal
Kayser Roth Corp- Ash Plt
COC Number NCG 170234
Randolph County
Dear Permittee:
to response to your renewal application for continued coverage under general permit NCG 170000 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 NCG 170000
• A copy of a discharge monitoring report form
• 5 copies of the qualitative monitoring report form
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 of the Central Office Stormwater Permitting
Unit at [phone], ext. .
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater Permittin; Unit
Winston-Salem Regional Office
Surface Water Protection Section
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] FAX [phone] Internet: http:l/h2o.enr.state.nc,ustsu/stormwater.html
ont
NhCarotina
Naturally
An Equal Opportunity/Affirmative Adcn Employer - 50% Recycledl10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170234
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,
Kayser -Roth Corporation
is hereby authorized to discharge stormwater from a facility located at
Kayser Roth Corp- Ash Pit
515 W Balfour
Asheboro
Randolph County
to receiving waters designated as Hasketts Creek, a class C 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. NCG 170000 as attached.
This Certificate of Coverage shall become effective August I, 2004.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 1, 2004.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management
Commission

YJ
AtA
�
NDEWR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Kevin Toomey
Kayser -Roth Corporation
515 W. Balfour
Asheboro, NC 27203
Dear Permittee:
Division of Water Quality
Coleen H. Sullins
Cirector
April 21, 2010
Dee Freeman
Secretary
Subject: NPDES Storrnwater Permit Coverage Renewal
Kayser -Roth Corp. -Asheboro Plant
COC Number NCG170234
Randolph County
In response to your renewal application for continued coverage under the Storrnwater General Permit the Division of
Water Quality (DWQ) is forwarding herewith the reissued Certificate of Coverage and 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 October 15, 2007 (or as subsequently amended.)
The following information is included with your pennit package:
A new Certificate of Coverage
A copy of the stormwater General Permit
• A copy of a Technical Bulletin for the General Pen -nit
Five copies of the Discharge Monitoring Report (DMR) Form
• Five copies of the Annual Discharge Monitoring Report Form (if applicable)
Five copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stortnNvater only, and it specifies your obligations with respect to
stormwater discharge controls, managehlent, monitoring, and record keeping- Please review the new permit to
familiarize yourself with all the changes in the reissued permit. The significant changes made are outlined: in the
Technical Bulletin, which is attached.
Your coverage under the General Permit is -transferable only through the specific action of DWQ.
Wetlands and Storrnwater Branch
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: mn w rimaterquality.org
No�rthCarol.ina
An Eqval opportunity i Affirmative Ac6an Em&yer

This permit does not affect the legal requirements to obtain other permits which may be required by DENR, nor does ti
it 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 the DWQ Stormwater Permitting Unit at 919-
807-6300.
Sincerely,
for Coleen H. Sullins
cc: DWQ Central Files
Stormwater Permitting Unit Files
Winston-Salem Regional Office

STATE OF NORTH CAROLINA .
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170234
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,
Kayser -Roth Corporation
is hereby authorized to discharge stormwater from a facility located at
Kayser -Roth Corp.-Aslicboro Plant
515 West Baltbur
Asheboro
Randolph County
to receiving waters designated as Hasketts Creek in the Cape Fear River Basin in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, 11I, IV, V, and VI
of the General Permit as attached.
This certificate of'coverage shall become effective April 21, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 21, 2010.
for~ Coleen I -I. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

F lfliA]LC
Michael F. Easley, Governor
9QG
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
�fl�O
co q
r
Alan W. Klimek, P.E., Director
Division of Water Quality
O
3/ t 8/2004
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
WAYNE BRANCH
KAYSER ROTH CORP- ASH PLT
515 W BALFOUR AVENUE
ASHEBORO, NC 272033111
Subject: FINAL NOTICE - NPDES Stormwater Permit Renewal
Kayser Roth Corp- Ash Plt
COC Number NCG 170234
Randolph County
Dear Permittee:
Your facility is currently covered for stormwater discharge under General Permit NCG 170000. This permit will
expire on July 31, 2004. North Carolina General Statute 143.215.1(c) requires that an application for permit
coverage renewal be filed in a timely manner. A prior notice of renewal was sent for this site on December 1,
2003. To date, no response has been received by the Division of Water Quality (DWQ). In order to assure your
continued coverage under the general permit, you must apply to DWQ for renewal of your permit coverage.
Enclosed you will find a general permit renewal application form. The application must be completed and returned
by April 19, 2004 in order to assure continued coverage under the general permit.
Failure to request renewal by April 9, 2004 can result in a civil assessment of at least $250.00. Larger penalties
may be assessed depending on the delinquency of the request. Discharge of stormwater from your facility without
coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1 and could
result in assessments of civil penalties of up to S 10,000 per day.
If you have any questions regarding the permit renewal procedures please contact Bill Mills of the Central Office
Stormwater Unit at [phone], ext. 548
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
SWGPU Files
Winston-Salem Regional Office
®fin
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
Customer Service
1.800-623-7748

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
05RVAiaaWV.11V►14an
KAYSER-ROTH CORP.-ASHE. PLANT
POST OFFICE BOX 610
ASHEBORO. NC 27203
Dear Permittee:
Z"?FA
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANO NATURAL RESOURCES
July 28, 1999
Subject: Reissue - NPDES Stormwater Permit
Kayser -Roth Corp. -Ache. Plant
COC Number NCG 170234
Randolph County
In response to your renewal application for continued coverage under general permit NCG170000, 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 copy of general stormwater permit NCG170000
* A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to
certify that you have developed and implemented the SPPP as per the conditions of the 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 the Analytical Monitoring form and five copies of the Qualitative. Monitoring form
* A copy of a Technical Bulletin for the general permit which outlines changes in the permit, key requirements,
and -addresses frequently asked questions
* A Certificate of Coverage
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 DENR 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 Tony Evans of the Central Office Stormwater
and General Permits Unit at [phone]. ext. 584
Sincerely,
for Kerr T. Stevens
cc: Central Files
Stormwater and General permits Unit Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
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
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170234
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,
KAYSER-ROTH CORD_-ASHE_ PLANT
is hereby authorized to discharge stormwater from a facility located at
KAYSER-ROTH CORP.-ASHE. PLANT
515 W BALFOUR
ASHEBORO
RANDOLPH COUNTY
to receiving waters designated as Hasketts Creek in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, ll. Ill,
W. V. and VI of General Permit No. NCG170000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 28. 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

f r
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
July 14, 1995
Kenneth Waegerle
Kayser -Roth Corp Ash. Plt
515 W Balfour
Asheboro, NC 27203
MOM
[DEHNR
Subject: General Permit No. NCG 170000
Kayser -Roth Corp Ash. Plt
COC NCG170234
Randolph County
Dear Kenneth Waegerle:
In accordance with your application for discharge permit received on March 27, 1995, we are
forwarding herewith the subject certificate of Coverage 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
December 6, 1983.
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 Environmental Management. The Division of Environmental Management 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 Environmental Management 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..
If you have any question concerning this permit, please contact MR. STEVE ULMER at telephone
number 919/733-5083.
Sincerely, Original Signed By
coleen H. Skillins
A. Preston Howard, Jr. P.E.
cc: Winston-Salem Regional Office
P.O. Box 29535. Raleigh, North Carolina 276264)535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 500/6 recycled& 100/6 post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO, NCG170004
CERTIFICATE OF COVERAGE NO. NCG170234
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,
Kayser -Roth Corporation
is hereby authorized to discharge stormwater from a facility located at
Asheboro Plant
515 W. Balfour Ave.
Asheboro
Randolph County
to receiving waters designated as Hasketts Creek in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III
and IV of General Permit No. NCG170000 as attached.
This Certificate of Coverage shall become effective July 14, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 14, 1995.
original Signed F�11
Co1e6n H. SE311ifis
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON REQUEST

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