HomeMy WebLinkAboutNCG080608_COMPLETE FILE - HISTORICAL_20170228STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/VD6�ID��j
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ an i -7
YYYYMMDD
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NCDENR
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Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
FD R .AGeNCY USr ONLY
Date Rnei.rd
Year
Month
Day
if NO CHANGE in company or facility ownership or name has occurred.
If a Name Change and/or Ownership Transfer at the facility has prompted this change, do
NOT use this form. You must fill out the Name -Ownership Change Form and provide all
necessary supporting documentation instead.
1) Enter the permit number far which this change in Legally Responsible Individual ("Owner
Affiliation") applies:
Individual Permit
N I C1 S
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address-
(w) Certificate of Coverage
N I C I G 0 O 1p 0%
Fe_�A- ax i -re- t4 k t, j Inc .1 9-)DU
F Gt' o6 svt
4Kot rnlEi Kc2,2
Address
Creeclm g_>(- NC _a-3 r
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://portal.nedenr.org/web/Ir/sw-permit-contacts and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: P�� �ex C1/1I tOr !
J'First MI Last
4) NEW OWNER AFFILIATION (Legally responsible for the permit):
Person legally responsible for this permit:
omooteto 9Ose-
First MI Last
F_tnvi rovly kcm tct I 1✓ tAa i A e9.v`
F.e d Ex r-rrex!!� vtt y .r o C,
aoo FpwaV_04 DV-'G p: a219
�tr
Mailing Address
46LY-rr s o w - Pr� 72,6 0
City State Zip
(770) 36,5-` O07 _bw-ev.cleln.Vos�� �ede><,caw�
Telephone E-mail Address
('701 ) q?2.-�3
Fax Number
Page l of 2
S W U-O W NE RAF FI L-22May2014
NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
5) Reason for this change:
A result of: 9 Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
If other- please explain:
What does "legally responsible person" mean?
That person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality,
State, Federal, or other public agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or the duly authorized representative of that person above.
The certification below must be completed and signed by the permit
holder.
PERMITTEE CERTIFICATION:
I,(3Ce•yWLe*N K05e— , 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
ce proU//—,—
a/z 817-ei
Signature - Date
PLEASE SEND THE COi4IPLETED FORM TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please visit our website:
htti):Hoortal. nedenr. orJweb/Ir/stonnwater
Page 2 of 2
SWU-0WNERAFFfL-22May2014
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DJ:AdLB has the raft -wing contact information in our_;P_ermit Database for Your Permit as of R174f2017.
Permit Number: NCG080608
PermitType: Transportation w/Yehlde MalntmanceJPehnleum BulklOil Warms SemnA r SwwrdWLDlsdtanoe Ctx
Faepity Name: Fedex Rd= - RDII
FacUlty Addressl: 646 Roycn3ftRd
FacUlty Address2:
c3tYr State at Zip: Cmedmoor_ NC 27522
MUST submit a Mwge ofNeme/ownenth/pform to V MLR to make any domes to this Owner, lttforntatlon. j
See "f0welfarteous Fwme-,at httn://oortal.nodenr.om/web/lr/nodes-swmwater ti
Owner Name: Fedex Frefaht Ise
Owner Type: t
Owner Type Group: Omanlaatfon
rarlfy Responsible for Permit wkss
(Responsible mrPaate omaer/prindpin e:oea+ttre orf}cer or ratsldao dectee oRkJailoa+�� gmtnerar,proPrletars
- ar,en� athd'. parson .Ath delepatsd slynatiorY.aadrority,trom the feti�li. � Persoa.)
Owner Affiliation: ft&&WRW. Brer)dcn F-a c; Title: fiVaNntV�(l'�ia l �Ylg ts+aA,r
Address2:
City, Sb to & zip:
Work Phone: MMW= Ir,?L0-3ias- 408,�- Farr- Cg0j)q4a-23F�
Email Address: been den . rose 9(-ectef, •eorvi
sontam Nam =0
e9r+en^ea�ger►{gilt
Or. O,rticA
PA Add VDC 2Zi `[.
t yte *, 2200 Forward Dr, Hatrlson, AR 72601
ice. �,�c �
870-7q"9W�kIol I.1"q brecAert.,Mr e
FerdGl�-
511i ze C 04t, �orbf* road qIq Sfi5-lot l don ,rase
tv- Creedmoor NC, 2'7S22. }`35-5U8 a 4ede,tc, cotes.
Permit. Contact. Pemon (s) _
Contad Name Add7�G c9! Phone Faa i bref-A&I - rt)S e-
1 PIBW -2sRiltlr 6%VW tl 6%oxj'noejr pp.824 Hants«, AR Q682 8040- sea ems-- qCl -4q2' Z 3 $�j Q F edex -C-"d
br2 Fvnja rd dr Ce, :1119 (8 ab>!- q
Permit iBllli gn C ntact—
Contack Name Add 7a o fPhom fax l hail
�indtilio Gr j%k r -PG4w ie, Harrison, AR e�ee�le 4eeO7y-+; (gbI)4ga-M4 bremAetn . r e
PirOr ri fuse 2-2X Forte Or De.UA9 (per VS 408} a FedOK,t~oM
8/24/2017 Page 1
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
o-c
August 23. 2002
RANDALL SMITH
AMERICAN FREIGHTWAYS-RDU
POST OFFICE BOX 840
HARRISON, AR 72601
Alan W. Klimek, P.E., Director
Division of Water Quality
Subject: NPDES Stormwater Permit Renewal
American Freightways-RDU
COC Number NCG080608
Granville County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG080000, 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 NCGO80000
A copy of a Technical Bulletin for the general permit
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 Delonda Alexander of the Central Office
Stormwater and General Permits Unit at (919) 733-5083. ext. 584
cc: Central Files
Stormwater & General Permits Unit Files
Raleigh Regional Off -ice
N. C. Division of Water Quality 1617 Mail Service Center
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
Raleigh, NC 27699.1617 (919) 733-7015
ern
NCDENR
Customer Service
1-800-623-7748
STATE OF NORTH CAROLINA
DEPARTMENT OF -ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCG080608
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,
AMERICAN FREIGHTWAYS
is hereby authorized to discharge stormwater from a facility located at
AMERICAN FREIGHTWAYS-RDU
646 ROYCROFT RD
CREEDMOOR
GRANVILLE COUNTY
to receiving waters designated as a UT to the Neuse River, a class WS-IV NSW CA stream, in the Neuse River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,
II, 111, 1V, V, and VI of General Permit No. NCGO80000 as attached.
This certificate of coverage shall become effective September 1, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 23, 2002.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
w A
—4
RANDALL RSNIITH
AMERICAN FREIGI-ITWAYS-RDU
POST OFFICE BOX M0
HARRISON, AR 72601
Dear Perniittec:
Michael F. Easley, Governor
William G. Ross Jr„ Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
December 27. 2001
Subject: NI'DES Stormwatcr Permit Renewal
ANIF_RICAN FREIGHTWAYS-RDU
COC Number NCG080608
Granville County
Your Facility is currently covered for storniwater discharge under General Permit NCG080000. This Pcrinit expires
on August 31. 2002. The Division staff is Currently in (lie Process of rewritin- this permit and is scheduled to have
the permit reissued by late sumiiier of 2002. Once the permit is reissued, your facility would he eligible I'm -
continued covcragc under the reissued permit.
In order to assure your continued coveraiTe under the yencral permit, you must apply 10 the Division of- Water
Quality (DWQ) for renewal of your permil coverag*e. To make this renewal process easier, we are informing you in
advance that your permit will he expiring. Enclosed you will find a General Permit Coverage Renewal
Application Form. The application must be completed and returnCcl by March 4, 2002 in order- to ❑sure continued
coveral=e under the general permit.
Failure to request renewal within this time period play result in a civil assessment of at least $250.00. Larger
penalties may be assessed depending on the delinquency ol' the request. Discharge ol" 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 $10,000 per day.
Please now that recent federal Icgislation has extended the "no exposure exclusion" to all 011crat0rs of industrial
facilities in any of the 1 I Categories of "storm water discharges associated with industrial activity," (except
construction activities). If'yOu Icel your facility can certify a condition 01' "no exposure", i.e. the facilly industrial
materials and operations .ire not exposed to storniwater, you can apply forr the tic) exposure exclusion, For additional
information contact the Central Officc Stormwater Staff nicniher listed hclow or check the Siormwater & General
Permits Unit Web Site at hitp:llh2o.enr.state.nc.us/su/storniwater.htniI
II' the suhject storniwater discharge to waters of the state has been terminated, please coniplete the enclosed
Rescission Request Norm. Mailing instructions are listed on the boltom of -the form. You will he notified when the
rescission process has been completed.
II' you have arty questions regarding the permit renewal procedures Please contact Joe Albiston of the Raleigh
Regional Ol'lice at 919-571-4700 or Delonda Alexander of the Central Office Slorniwater Unit at (919) 733-5{}83,
ext. 584
Sincerely, I�
Bradley Bennett. Supervisor
Stormwater and General Permits Unit
cc: Central Files
Rtilcigh Regional Office
ern
NCDEN�i
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015 Customer Service
1- 800-623-7748
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 17, 1998
Mr. Randall R. Smith
American Freightways-RDU
Post Office Box 840
Harrison, Arizona 72601
Q��
C)EHNR
Subject: General Permit No. NCG080000
American Freightways-RDU
COC NCGO80608
Granville County
Dear Mr. Smith:
In accordance with your application for discharge permit received on March 23, 1998, 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 questions concerning this permit, please contact Tony Evans at telephone number 919C733-5083
ext. 584.
Sincerely,
ORIGINAL SIGNED BY
BRADLEY SENNEl-r
A. Preston Howard, Jr., P. E.
cc: Raleigh Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 FAX 919-733-0719
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. NCGO80000
CERTIFICATE OF COVERAGE No. NCG080608
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
.-In compliance with the provisi-e. of North Carolina General Statute 143-215.1, other lawf;il ^1.au dzrds and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
American Freightways
is hereby authorized to discharge stormwater from a facility located at
American Freightways
646 Roycroft Road
C.eedmoor, NC
Granville County
to receiving waters designated as unnamed tributary to Neuse River, Class WS IV NSW CA in the Neuse River
Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, III
and 1V of General Permit No. NCGO80000 as attached.
This certificate of coverage shall become effective April 17, 1998.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 17, 1998.
ORIGINAL SIGNED BY
WRADLEY BENNETT
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
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