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NCG170366_COMPLETE FILE - HISTORICAL_20181113
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V J"(a DOC TYPE tyYHISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ dol7( YYYYMMDD Division of Energy, Mineral, and Land Resources Land Quality Section / Stormwater Program - National Pollutant Discharge Elimination System (NPDES) Energy. Mineral & PERMIT OWNER AFFILIATION DESIGNATION FORM Land Resources ENVIRONMENTAL GUALITY (Individual Legally Responsible for Permit) Use this form if there has been: FOR AGENCY USE ONLY Dale Received Year Month Day 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: NOV 13 2018 • the responsible corporate officer (for a corporation); OENR-LAND QUALI • the principle executive officer or ranking elected official (For a municipalitpT9,R�Z.4,gublic agency); • the general partner or proprietor (for a partnership or sole proprietorship); • or, the duly authorized representative of one of the above. 1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation") applies: Individual Permit (or) Certificate of Coverage N I C I S N I C I G 1117 0 13 6 6 2) Facility Information: Facility name: Abercrombie Textiles LLC Company/Owner Organization: Abercrombie Textiles LLC Facility address: 3400 US Highway 221A (PO Box 427) Address Cliffside NC _ 28024 City State Zip To find the current legally responsible person associated with your permit, go to this website: http://deq,nc.go\,/about/divisions/energy-mineral-land-resources/energy-mineral-land-hermits/stormwater-program and run the Permit Contact Summary Report. , 3) OLD OWNER AFFILIATION that should be removed: Previous legally responsible individual: Earl Holland First MI Last 4) NEW OWNER AFFILIATION (legally responsible for the permit): Person legally responsible for this permit: Phillip D Freeman First M1 Last Page 1 of 2 SWU-OWNERAF FIL-23March 2017 n NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form (if no Facility Name/Ownership Change) 5) Reason for. this, change: A result of: f' "YZ If other please explain: Manufacturing Manager Title PO Box 427 Mailing Address Cliffside NC 28024 City State Zip (828 ) 202-5813 phillip.freeman@abercrombietextiles.com Telephone E-mail Address (828 )657-1639 Fax Number Employee or management change Inappropriate or incorrect designation before ❑ Other The certification below must be completed and signed by the permit holder. PERMITTEE CERTIFICATION: 1 John G. Regan , 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. SiRnat/ Date PLEASE SEND THE COMPLETED FORM TO: DEMLR - Stormwater Program Dept. of Environmental Quality 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://deg.nc..ov/about/divisions/energy-mineral-land-resources/stormwater ' I Page 2 of 2 5 WO-OWNERAFFIL-23Mar2017 ROY COOPER NORTH CAROLINA Governor Environmental Quality MICHAEL S. REGAN Secretary WILLIAM E. (TOBY) VINSON, JR. Interim Director September 24, 2018 Abercrombie Textiles LLC Attention: Greg Blake, HR Manager Post Office Box 427 Cliffside, North Carolina 28024 Subject: Compliance Evaluation Inspection Permit: NCG170366 Rutherford County, North Carolina Dear Mr. Blake: Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection I conducted at the subject facility on September 11, 2018. The report should be self-explanatory; however, should you have any questions concerning this report, please do not hesitate to contact me at (828) 296-4500 or by email at Isaiah.reed@ncdenr.gov. Sincere' , Isaiah Reed, SCI, M CECI Environmental Specialist Land Quality Section Enclosure: Inspection Report North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources Asheville Regional Office 1 2090 US. Highway 70 1 Swannanoa, North Carolina 28778 828.296.4500 Compliance Inspection Report Permit: NCG170366 Effective: 10/02/14 Expiration: 07/31/19 Owner. Abercrombie Textiles LLC SOC: Effective: Expiration: Facility: Abercrombie Textiles LLC County: Rutherford 3400 US Hwy 221a PO Box 427 Region: Asheville Cliffside NC 28024 Contact Person: Gary Stacy Title: Phone: 828-202-5868 Directions to Facility: System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 09/11/2018 Entry Time: 01:OOPM Exit Time: 02:00PM Primary Inspector: Isaiah L Reed Phone: 828-296-4614 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: NCG170366 Owner - Facility: Abercrombie Textiles LLC Inspection Date: 09111/2018 Inspection Type : Compbance Evaluation Reason for Visit: Routine Inspection Summary: On September 11, 2018 this facility was inspected for compliance. I met with Greg Blake and Philip Freeman in site. During the inspection, the following items were noted: 1) Outfall locations at the front of the site can be combined into 1 outfall at the location discussed on site. 2) Several yard inlet stormwater drain were covered over with vegetation and debris. The permitee is directed to clean out and maintain these drains on a regular basis to prevent any drainage issues. 3) A chemical storage area was observed in the rear of the facility. Due to the overall capacity, this area shall be put inside secondary containment. The permitee is directed to immediately design and implement secondary containment for this area and any other area where such may be required by the permit. If you have any questions, please contact this office at (828) 296-4614. Please contact this office once the above issues are addressed. Page: 2 w Permit: NCG170366 Owner - Facility:Abercrombio Textiles LLC Inspection Date: 09111/2018 Inspection Type : Compliance Evaluation Stormwater Pollution Prevention Plan Does the site have a Stormwater Pollution Prevention Plan? # Does the Plan include a General Location (USGS) map? # Does the Plan include a "Narrative Description of Practices"? # 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? # Does the facility provide all necessary secondary containment? # Does the Man 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? # 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? Has the Stormwater Pollution Prevention Plan been implemented? Comment: • See summary for more information. Qualitative Monitoring Has the facility conducted its Qualitative Monitoring semi-annually? Comment: Permit and Outfalls # Is a copy of the Permit and the Certificate of Coverage available at the site? # 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: Reason for Visit: Routine Yes No NA NE ® ❑ ❑ ❑ ®❑ ❑ ❑ ®❑❑❑ ❑ ❑ ❑ 0 000 ® ❑ ❑ ❑ ❑ ®❑ ❑ ® ❑ ❑ ❑ 09 ❑ ❑ ❑ im ❑ ❑ ❑ ® ❑ ❑ ❑ M ❑ ❑ ❑ IN ❑ ❑ ❑ ® ❑ ❑ ❑ ❑ ® ❑ ❑ Yes No NA NE ® ❑ ❑ ❑ Yes No NA NE M ❑ ❑ ❑ M ❑ ❑ ❑ ❑ ❑ ® ❑ ® ❑ ❑ ❑ Page: 3 Compliance Inspection Report Permit: NCG170366 Effective: 10/02/14 Expiration: 07/31/19 Owner: Abercrombie Textiles LLC SOC: Effective: Expiration: Facility: Abercrombie Textiles LLC County: Rutherford 3400 US Hwy 221a PO Box 427 Region: Asheville Cliffside NC 28024 Contact Person: Gary Stacy Title: Phone: 828-2D2-5868 Directions to Facility: System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 09/11/2018 Entry Time: 01:OOPM Exit Time: 02:OOPM Primary Inspector: Isaiah L Reed Phone: 828-296-4614 Secondary tnspector(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) pul no3&(0 Page: 1 Permit: NCC3170366 Owner - Facility:Abercrombie Textiles LLC Inspection Date: 09/1112018 Inspection Type : Compliance Evaluation Reason for Visit: Routine Inspection Summary: On September 11, 2018 this facility was inspected for compliance. I met with Greg Blake and Philip Freeman in site. During the inspection, the following items were noted: 1) Outfall locations at the front of the site can be combined into 1 outfall at the location discussed on site. 2) Several yard inlet stormwater drain were covered over with vegetation and debris. The permitee is directed to clean out and maintain these drains on a regular basis to prevent any drainage issues. 3) A chemical storage area was observed in the rear of the facility. Due to the overall capacity, this area shall be put inside secondary containment. The permitee is directed to immediately design and implement secondary containment for this area and any other area where such may be required by the permit. If you have any questions, please contact this office at (828) 296-4614. Please contact this office once the above issues are addressed. Page: 2 Permit: NCG170366 Owner - Facility: Abercrombie Textiles LLC Inspection Date: 09111/2018 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? © ❑ ❑ ❑ # Does the Plan include a General Location (USGS) map? ® ❑ ❑ ❑ # Does the Plan include a "Narrative Description of Practices"? ® ❑ ❑ ❑ # 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? E ❑ ❑ ❑ # Has the facility evaluated feasible alternatives to current practices? ® ❑ ❑ ❑ # Does the facility provide all necessary secondary containment? ❑ ®❑ ❑ # Does the Plan include a BMP summary? ® ❑ ❑ ❑ # Does the Plan include a Spill Prevention and Response Plan (SPRP)? i ❑ ❑ ❑ # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ® ❑ ❑ ❑ # Does the facility provide and document Employee Training? ® ❑ ❑ ❑ # Does the Plan include a list of Responsible Party(s)? ® ❑ ❑ ❑ # Is the Plan reviewed and updated annually? v ❑ ❑ ❑ # Does the Plan include a Stormwater Facility Inspection Program? ® ❑ ❑ ❑ Has the Stormwater Pollution Prevention Plan been implemented? ❑ ®❑ ❑ Comment: See summa for more information Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ® ❑ ❑ ❑ Comment: Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? ® ❑ ❑ ❑ # Were all outfalls observed during the inspection? ® ❑ ❑ ❑ # If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ 0 ❑ # Has the facility evaluated all illicit (non stormwater) discharges? ® ❑ ❑ ❑ Comment: Page: 3 AI-NAA Division of Energy, Mineral & Land Resources !' Land Quality Section/Stormwater Permitting NCDENRNational Pollutant Discharge Elimination System r+aa*.+ e.M- or.,�+r..eMr or E.+.a°...r...°N�w R«a PERMIT NAME/OWNERSHIP CHANGE FORM FOR AGENCY USE ONLY Date Received Year Month1 ay 1. Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage N C S O N C G 1 1 7 1 0 13 1 6 16 II. Permit status prior to requested change. a. Permit issued to (company name): Abercrombie 11 LLC b.dersnn-legally_resp-misible_for_permit. Chris Richard First it'll Last COO Title PO Box 427 Permit Holder Mailing Address Cliffside NC 28024 City State Zip (828) 202-5812 _ (828) 657. 1639 Phone Fax c. Facility name (discharge): Abercrombie II LLC d. Facility address: 3400 US Hwv 221A Address Mooresboro NC 28114 City State Zip e. Facility contact person: Earl Holland (828) 202-5813 First I MI / Last Phone 11I. 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: b. Permit issued to (company name): c. Person legally responsible for permit: d. Facility name (discharge): e. Facility address: f. Facility contact person: Abercrombie Textiles LLC Earl Holland First NIi Last Plant Manager Title PO Box 427 Permit Holder Mailing Address Cliffside NC 28024 City State Zip (828) 202-5813 earl.holiand a,abercrombietextiles.c Phone _ E-mail Address Abercrombie Textiles LLC 3400 US H 221 A Address Mooresboro NC 28114 City State Zip Gary Stacy - First N-I[ Last (828)202-5868 wry.stacyaabererombietextiles.com Phone E-mail Address IV. Permit contact information (if different from the person legally responsible for the permit) Revised Jan. 27, 2014 NPDES PERMIT NAME/OWNERSHIP CHANGE FORM Page 2 of 2 Permit contact: Gary _ Stacy First MI Last Shop/Maintenance Supervisor Title PO Box 427 Mailing Address Cliffside NC 28024 City State Zip (828) 202-5868 gary.stacypabercrombietextiles.com 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) V1 Required Items: THIS APPLICATION WILL BE RETUIUNED UNPROCESSED IF ITEMS ARE hiCOMPLETE 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 Date APPLICANT CERTIFICATION I, Earl Holland, 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 ttiis.application are not .; completed and that if all required supporting information is not included, this application package will be returned as incomplete. T Signature- . .................................... PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Revised Jan. 27, 2014 File Edit View Favorites Tools Help 7rf Main Report_ CRYSTAL REPORTS' V )t .1hi NC Division of Energy, Mineral and Land Resource NPDES Stormwater Permit Contacts Summary has the fol I Diiing coning information inour Permi nhnse for your permit as Df$0112014. It r flub tail n Q Permit Number: NCG170366 Pemut Type: Texiie mill Product s Szgmyalef Qgharge COC Facility Name:b A8EP_C_Q-0n0iC TEXTILO_ LL(:, Facility Addressi: 3400 US "ay 221a Facility Address?-: Poqj-,2 City, State& Zip: r 4 Fr.T 1 0 114 Owner Infonnat0on Details, A "t A this CKWrw&. [nfo 'K)n: h47 rniat �m T/0i �T!� - !9'r tq`DEMLR. (6 niilkie'�h -_5ee;Mis ellaneous FbrnV',at111ttP'1j�j h/. 1rj njxjgs-'i c;r;' Owner Name: -AE— NNAC'11110 mo tic, TE X T'LZ 5 LL-C- Owner Type: WP-Govemmeslt Owner type Group: Omangat ion 1 Ti 35 :}� ti iri t} 51 hidM 3.. '9r. �}�. 4L?gauy Respons Ile f!d rk!"'I Fle 6111tiallu neral partner or proprietor A-3 0 fier PC!Fjitin a0hority,froi .11 Owner Affiliation: L-AVL H0LL_AWb I-Itle: PLAMT PfiAllJAGLP, Addrvssi: PC Box 427 Address2; City, State & Zip: L&cidii, `4(: M024 F 1 9 Work Phone: Fa.: Email Address: et:, 0 i� I if 6 1 i tgi;� t 00�k iiO Vr' collta(j Name Etk: Address Phone Fax - alidg ju V�l U1t�r 160 U Fic i I Contact Name Title Address Phone ('PH) Eiff nsail (r), iJ PML il'L70L4 -I fnkCbiiAACO-ur"1 i'i,_ kete &Ct;Piri6i(;) Contact Ndnig "dl Address Phone rax Email ME. 'ry , U. 0 KIN G.AR,/ SrArzy P0 Box 14 0 Cfif.) rHaisIm A i til L-M AtiCE� (-L, I FFF tD6 11LI + -(-y VC"r 0 PA cof'N 4 ' F L WA ard, N DENR North Carolina Department of Environment and Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director May 6, 2011 Mr. Chris Richard Vice President Abercrombie 1I, LLC 3400 US Highway 221 A Mooresboro, NC 28114 Natural Resources Dee Freeman Secretary Subject: NPDES General Permit NCG 170000 Certificate of Coverage NCG 170366 Abercrombie 11, LLC Formerly Cone Mills Jacquard Plant Rutherford County Dear Mr. Richard: On April 11, 2011, Division personnel received your request to revise your stormwater 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 Coleen H. Sullins cc: DWQ Central Files Washington Regional Office Stormwater Permitting Unit Wetlands and Stormwater Branch 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-63001 FAX: 919-807-64941 Customer service: 1-877-623-6748 Internet: www,ncwaterquality.org o c NhCarolina ;VatmallJ An Equal opportunity 1 Affirmative Action Employer •r STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG170000 CERTIFICATE OF COVERAGE No. NCG170366 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, Abercrombie 11, LLC is hereby authorized to discharge stormwater from a facility located at Abercrombie II, LLC 3400 US Highway 221 A Mooresboro Rutherford County to receiving waters designated as a Second Broad River, a class WS IV stream, in the Broad 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. NCG170000 as attached. This certificate of coverage shall become effective May 6, 2011. 4 This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day May 6, 2011. ORIGINAL SIGNED B1 KEN PICKLE for Coleen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission of W A rFR Michael F. Easley, Governor Mr. Arthur Toompas Cone Textile Group 2420 Fairview Street Greensboro, NC 27405 William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality May 4, 2005 Subject: Permit name or ownership change request Permit NCG170321, NCG170036, NCG170366, NCG170307 Your request for a permit name change or ownership change received on } G5 , is being returned due to: ❑ Permit Name/Ownership Change Form is missing. ❑ Permit Name/Ownership Change Form is incomplete. ❑ Permit Name/Ownership Change Form signatures missing. Ix�Missing legal document of the transfer of ownership (such as a contract or a deed). 9 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 JaA lyl - 4A"�� DWQ Stormwater Permitting Cc: DWQ Central Files NorthCarolina SPu _ _ Naturally 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 512 N. Salisbury St. Raleigh, NC 27604 FAX (919) 733-2496 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer - 501% Recycled1l00% Post Consumer Paper s international 9 textile group - January 20, 2005 To Whom It May Concern: 804 Green Valle -Road Greensboro, NC 27408 886.875.6220 Cone Mills Corporation filed for protection under Chapter i 1 of the U.S. Bankruptcy Code on September 24, 2003. On March 12, 2004, the operating assets were sold pursuant to a Section 363 sale and transferred to WLR Cone Mills LLC, including the former Cone Mills Corporation denim operations at White Oak plant in Greensboro, North Carolina and the Cliffside and Haynes plants in Rutherford County, North Carolina, Cone Jacquards in Rutherford County, North Carolina and Carlisle Finishing in Carlisle, South Carolina. On March 15, 2004, the name of WLR Cone Mills LLC was changed to Cone Mills LLC. Upon the merger of the holding companies of Cone Mills LLC and Burlington Industries LLC to form International Textile Group, Inc. on August 2, 2004, the name of Cone Mills LLC was changed to Cone Denim LLC. Since August 2, 2004, Cone Denim LLC, Cone Jacquards LLC, and Carlisle Finishing LLC have been operating subsidiaries of International Textile Group, Inc. Very truly yours, INTERNATIONAL TEXITLE GROUP, INC. Neil W. Koonce Vice President /j ln:F:1LAVAEnvironmental10305ToompasLtrs.doc n o q ca rn yt Michael F. Easley Governor J �7 ` ~C William G. Ross Jr., Secretary ? North Carolina Department of Environment and Natural Resources -Uan W. Klirnek P.E. _ Director. Division of Water Quality WATER QUALITY SECTION PERIMIT NAtNIE/OWNERSHIP CHANGE FORM €. CURRENT PERMIT €NFORtiLATION: Permit Number- NICI_1 I_I I 1 1_I or d M Certificate of Coverage Number: N/C/GIl1'71013 --- LPermit holder's name: C:> Nt! M . , I /S (0 s - r' �m w -' Zzl 2. Permit's signing official's name and title: 4 a- 'T ,4A T©v��+G� h -'' Ff (Person legally responsible for permit) - _ C�NJ f r1CL�•..1.'�'l �n.'iAZ �"�yL� rvL`'L�` (Title) I Mailing address: A(�*�!L•✓C'7►.�`� City: �T C-'L�(�/3yiLo State: lfC-- Zip Code: Phone: (33c-) H. NEW OWNEWvAti€E LriE0RALAT10N: L This request for change is a result of: i,,�Change in ownership of company _wane change for company Change in ownership of property/facility Name change for propertylfacility Other (please explain): 2. Owner Information Company or Owner Name: C--0-tyL L (name to be put on permit / certificate of coverage) 0,vner's/operator's or signing official's name: Title: Company Contact! XJL� l u�.�p+�i Title: L-Emw 1 "P�-u-: <f-'j4 +Nt-L-_ Owner Mailing address:.2 `t i F� �� �� S `TnC=~? City: State: Arm Zip Code: Phone: (33t4 E-mail address: cam•.. 1. - . t ��, . p �,� �t i _ n, c �ti, 3. Facility Information Facility Name: C an, (f -3 A L.a(-A n P-n i L i- C_ Facility Contact: Title: Facility Mailing address: -l-`{ 3 o FA t--L j ((,1&V T I"C t- Cite: 6-— Q t-j be_-o State. Zip Code: �2- o s Phone: ( :r 3C.,) i3 E-mail address: c, . k , _ -t u, . dC s P__ r,cA tl1. c a,- _ �_Q rti SWU-239-10Z501 PERMIT NAME / OWNERSHIP CHANGE FORM THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER QUALITY UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE 11i iCLUDED WITH THE SUBMITTAL REQUIRED ITEMS: 1. This completed application 2. Legal documentation of the transfer of ownership (such as a contract, deed. %� o lot, b /Gr Certification trust be completed and signed by both the current permit holder and the new applicant in the case of change of ownership. For name change only, complete and sign the application certification. Current Permittee's Certification: 1, /-fi1p attest that this application for namelownership 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 and attachments are not included, this application package will be returned as incomplete. / Signature__ �Ci�--- Date: Applicant's Certification: 1, X Nt H,Ati 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 ail required supporting information and attachments are not included, this application package will be returned as incomplete - Date: 4 THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTFNG rNTORNIATiON & MATERIALS. SHOULD BE SENT TO THE FOLLOEVTNG ADDDRESS_ NC DENR / DWQ / Point Source Branch Attn: Valero Stephens 1617 Mail Ser«ce Center Raleigh, North Carolina 27699-1617 SWU-239-102501 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 August 4, 2004 Michael Gilbert Cone Mills Corporation 3478 US Highway 221 A Cliffside, NC 28024 Subject: NPDES Stormwater Permit Coverage Renewal Cliffside Plant COC Number NCG 170366 Rutherford County Dear Permittee: In 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 NCG170000 • 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 (919) 733-5083, ext. . Sincerely, for Alan W. Klimek, P.E. cc: Central Files Stormwater Permitting Unit Asheville Regional Office Surface Water Protection Section 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 N. Salisbury St., Raleigh, North Carolina 27604 Phone: 919-733-70151 FAX 919-733-24961 Internet: hitp:llh2o.enr.state.nc.us/su/stormwater.html An Equal Opportunity/Affirmative Action Employer — 50% Recycledl10% Post Consumer Paper NorthCarolina naturally STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG170000 CERTIFICATE OF COVERAGE No. NCG170366 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, Cone Mills Corporation is hereby authorized to discharge stormwater from a facility located at Cliffside Plant 272 Old Main Street Cliffside Rutherford County to receiving waters designated as the Second Broad River, a class WS IV stream, in the Broad 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. NCG170000 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 ' State of North Carolina Department of Environment and Natural Resources Division of Water Quality James S. Hunt, Jr., Governor Wayne McDevitt, Secretary Kerr T. Stevens, Director MIKE GIBERT CONE MILLS CORP-JACQUARD PLANT 3101 NORTH ELM STREET GREENSBORO. NC 27415 Dear Permittee: 1�• Apft%NCDENR NORTH CAROL{NA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCE5 July 28, 1999 Subject: Reissue - NPDES Stormwater Permit Cone Mills Corp -Jacquard Plant COC Number NCG170366 Rutherford County In response to your renewal application for continued coverage under general permit NCGI70000, 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 Aisha Lau of the Central Office Stormwater and General Permits Unit at (919) 733-5083, ext. 578 Sincerely, for Kerr T. Stevens cc: Central Files Stormwater and General permits Unit Files Asheville Regional Office 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 Fax 919-733-9919 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper d STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG170000 CERTIFICATE OF COVERAGE No. NCG170366 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. CONE MILLS CORP-JACQUARD PLANT is hereby authorized to discharge stormwater from a facility located at CONE MILLS CORP-JACQUARD PLANT HWY 221 A CLIFFSIDE RUTHERFORD COUNTY to receiving waters designated as the Second Broad River in the Broad River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, III, IV. 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 State of North Carolina Department of Environment, Health and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary A. Preston Howard, Jr., P.E., Director September 6, 1996 Jeffery Wells Cone Mills Corp -Jacquard Plt 3101 North Elm Street Greensboro, NC 27415 <.W;V'J 14 I DEHNR Subject: General Permit No. NCG 170000 Cone Mills Corp -Jacquard Pit COC NCG 170366 Rutherford County Dear Jeffery Wells : In accordance with your application for discharge permit received on July 16, 1996, 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 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. If you have any question concerning this permit, please contact MS. AISHA LAU at telephone number 919/733-5083. cc: Asheville Regional Office EPA P.O. Box 29535, Raleigh, North Carolina 27626-0535 An Equal Opportunity Affirmative Action Employer Sincerely, �; n r�'�%t�'n ayvkL;�E--vB A. Preston Howard, Jr. P.E. Telephone 919-733-5083 FAX 919-733-0719 50% recycled/ 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG170000 CERTIFICATE OF COVERAGE No. NCG170366 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, Arthur J. Toompas is hereby authorized to discharge stormwater from a facility located at Cone Mills Corporation - Jacquard Plant Highway 221 A Cliffside Rutherford County to receiving waters designated as Second Broad River, a class WSIV stream in the Broad River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1. 11, 111 and IV of General Permit No. NCG 170000 as attached. This Certificate of Coverage shall become effective September 6, 1996. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day September 6, 1996. 0F.� � G,r'J' s_ Sir., BY ER-1LEY K zWEIT A. Preston Howard, Jr., P.E., Director Division of Water Quality By Authority of the Environmental Management Commission .��:• _� �}jjII '1Y <{�'" fib'/ .,\�✓'S,i , � 1\\ \ 1 j� i \ �,_ 900 ��%'/ j �, ' - C\` Y,; �'� 41�. 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