NCG080656_COMPLETE FILE - HISTORICAL_20170828

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/v Q �( 0 bS�a
DOC TYPE
Gy HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ a�1�)% �� a
YYYYM M D D

NCn�®ENR
llrntn ✓r.yuM� rxrnT.£M OF
ENNRONNCM M6 N��L R£SCl1ACCS
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)
FOR AGENCY USE ONLY
Dale Received
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 for which this change in Legally Responsible Individual ("Owner
Affiliation") applies:
Individual Permit (or) Certificate of Coverage
N I C I S I I I I I I N 1. C G r] 1 �( 101 U1 5
2) Facility Information:
Facility name: FezA- gE� FYe-tq kC, 1In6, V —
Company/Owner Organization: Frr_ 6 '-1:: VIG .
Facility address:
AA ress
Nulls„ Zk, cr NC s 1
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://portal.ncdenr.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: Pv- y r.X C � 11`� O I/` l
first Ntl Last
4) NEW OWNER AFFILIATION (Legally responsible for the permit):
Person legally responsible for this permit:
C3V-e_odetn Rose
First Ml Last
F_tnyi r0VkV'te>1+_0 1 F—Oq i A ee-v— V
FcG( Ex r—v-e<X jeVtt ) z�"A e- ,
a200 FotrLvai'cA Dr DG: �219
Mailing Address
i4aL rrr 5 o v,- A ie 7 2 (, 0/
City State Zip
(470) 3Gs-Yo07 bretnt(EY1 .y'QS- e kde)e,e_DM
Telephone E-mail Address
(90r) 2-;Z,3Sq
Fax Number
Pagel of 2
SW L I-OWNERAFFIL-22May2Q14

NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
5) Reason for this change:
A result of: 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.
PEIUMITTEE CERTIFICATION:
I, 13 V-r- e*N 905e— , 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
proc d.
7
Signature Date
PLEASE SEND THE CObIPLETED 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:
http://portal.ncdenr.orowebllr/storm water
Page 2 of 2
SW U-OW NERAFFIL-22May2oi4

�poA-j—
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR ha+ the followine contld information in our Permit Database for vour permit as Lf 8/23/2017.
PerrtdtNumbar: NCGW0656
Permit Type: Transoortatian wNehlde-MaintenanoelPaW&um i;uik/011 Water Separator Ymffnwater Discharae ODC
Fa,Ciiity Name: Eedex Fretoht. Inc - AVL
FadiRy Addreasi: 249-Fannino Fields Rd Nobc : FiGtc i 1, � � GI t� VNQ VIA 4P— 0.� 'Lip Code_
U.,avj*d jju t--Ke- crbj� ctoA LA.5.P.S. Fru-e I/
Fadlft r AddressM Mrii b Ri Uar- 116 z8 7S'q diA ►net wwv e .
CRY, stag a 4: r
MUST submit a [flame ofNarrre/owner&h/p form to DEMLR' bo make any changes to.Ws Owner Information..
See; Iwlb ellafmus Forms' athttn://oortal.ncdenr.om/web/ir/nmiesnstwmwater
Owner Name: Eedex-Freight Inc
Owner Type: Wkaammen Owner Type Group: Oroantmtlon
- **• legally Responsible for Permit �a*s -
(_ Revonsibie oaPondo oMa w/pdnctple 4 uosc re offloeror renldnp etected a(tlelai/0ateral partner or proP►k�r;
or WW ottre_r pa� T�
agan Frith ddaiea�at�ed shmatoly audu rrof & a em lepsl(tr respaat6m pers� L). -
OwnerAtiiilatlon: $l 1 &-e n[ 1CGP, fie° , Vldbfi
Addressl: 22�R01r7W Dr Q(zzn
Addy. F�Ei� �i''etgl�t•1 #n c.
CRY, state a zip:
Work Phone: 40T-+ Fa)C
Frrrai! address: �dc n - SOS � �j fr�r�)C • C �►
owner Contact,Person(s)
Ix aAI,q Phone EU .. Euusil
rpr,vl tom. l t 2200 Forward Dr, Harrison, AR 72601 8p@44f me- 401,-V-23$k ben &nxt, Q
Bretndcn 070- ads=
lity Cyv$ ex .gym
Facicintad:Peii nfs] _ _ _ r
_9 �.rylfGT C�v ►Y _ Add Pbong tv
A09 r-ay.tnitingTj,c'ik-rtd �2�-Aso-oy�l '8`i-usy�-o98y
PetrittContact 'Persian(s) Mils �r'ye � _pPrC: 7,S9;_-
=2 phone ll RMIA b runalc.r, , r05C
oYeraP.v` ROSCi eL300 F�rwavid p� DG 2�19 -fM -3G5- y087 '70- Y9,z - t° fredet. cocci
cYIViI'ON_fYtCeY �-�Uv ri'Spl/� A9 �•Z�t �r °t�s!
Permit Billing C_ant8ct
Cofft= ea Add-I� (, O1 Phone l:ax 9��-w92- Emali
r.den .rc>S e
, Hardson, 8p FM2 6e4 23Sq .tom+
(, 2a6eFaAwrd Dr DC: 2719 Sao 3&5-- 40 8+
8/23/2027 Pape 1

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO.
CERTIFICATE OF COVERAGE No. NCG080656
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,
FEDEX FREIGHT EAST MC
is hereby authorized to discharge stormwater from"a Facility located at
FEDEX FREIGHT EAST INC - AVL
209 FANNING FIELDS ROAD
FLETCHER
HENDERSON COUNTY
to receiving waters designated as McDowell Creek, a class C stream, in the French Broad 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. 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

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
August 23, 2002
CRAIG PARRISH
FEDEX FREIGHT EAST INC - AVL
PO BOX 840
HAIWSON, AR 72602
Subject: NPDES Stormwater Permit Renewal
Fedex Freight East Inc - AVL
COC Number NCGO80656
Henderson County
Dear Permittee:
Your facility was recently granted coverage under stormwater general permit . This letter serves as your notification
that the Division of Water Quality (DWQ) has reissued the general permit and that your facility's coverage will
continue under the conditions of the reissued general permit. Please review the new permit to familiarize yourself
with the changes in the reissued permit. The 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, t983.
The following information is included with your permit package:
* A new Certificate of Coverage
* A copy of General Stormwater Permit
* A copy of the Analytical Monitoring Form (DMR)
* 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 Mack Wiggins of the Central Office
Stormwater and General Permits Unit at [phone], ext. 542
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Asheville Regional Office
TA
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1.800-623-7748

�oF W A rF9Q Michael F. Easley
\� G Governor
William G. Ross Jr., Secretary
!�_ y Department of Environment and Natural Resources
r Alan W. Klimek, P.E., Director
Division of Water Quality
July 19, 2002
Mr: Randall R. Smith
Vice President --Properties
Fedex Freight East, Inc.
PO Box 840
Harrisons, AR 72602
Subject: General Permit No. NCG080000
Fedex Freight East, Inc-AVL
COC NCGO80656
Henderson County
Dear Mr. Smith:
.In accordance with your application for discharge permit received on May 29, 2002, 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 1, 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 Mack Wiggins at telephone number 919/733-
5083 ext. 542.
Sincerely,
Alan W. klimek, P.E.
cc: Asheville Regional Office
Central Files
Stormwater and General Permits Unit Files
aEPi3t
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
1 800 623-7748

n
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCG080656
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,
Fedex Freight East, Inc.
is hereby authorized to discharge stormwater from a facility located at
Fedex Freight East, Inc.-AVL
209 Fanning Fields Road
west of Brickton
Henderson County
to receiving waters designated as an unnamed tributary to McDowell Creek in the French 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. NCG080000 as attached.
This certificate of coverage shall become effective July 19, 2002
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 19, 2002
jlF�
tid.l ` JAY,
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

IRPORT� - ;u :�j
ti.1JJ r�Fat rstng.
7#
I
:�vPt t.5ell l.l:. fi:
��i
6' W
4050
I . �'•�`� A�' �.f � � � ��1 . u�'�1„\. ��tiLj i�!]jj/'~' i • S 1/�� �N
scharge� �- tI.G680 ,t_�_-� j 0
s ,!� •, ',� _ ijj! "�vt.'�s1, 1P.�' !ate � � ����� /C� ��� ��1 � 0
lti t II�'� I3t Bones
?�l� U 23
to 1 Suffer Bridge `st�0 a/ 1315��ri
Al'
,L,. ; 'f'�i 1:\Na! mun\ ak� . � �! �•� } � � J"
�fJj 141J' .TT L.y .) ' __ { x t o! 1 n �- / ��•��'�
�� .-ly�� �^� :� �� ! ; t `�� > � �� • �� t i�.�� �_' �`� .r!! 1 � it (� � j � (�,•/'� ��/H
wate
u �-.r�g./,l[�f it .�� .r- (; F;�a% �,1. � �,_� ���a � '�� ,l yr5i� �' �•} i ' � c
!ones CIj
e^r,tt
Mile,
41
Is River Oilw~'� i -- ' # i' •'�\ '_
ills River t�� (yam i Mile
l"Traiic. parF
fr Oak Hill Court �;�� —�1 z� y� r••1 1 i lsl = -
,� 34ylVation btant
lI� ��)/ 1�' Inn`tFwsj��
{{ Trail
Copvrght (C) 1997, Maplech, Inc'
a r�

Markers
Name: Discharge Site-NCG080656
Short Name: Dschrg
Coordinates: 0350 24' 36.3" N, 082' 33' 01.0" W
Comment: Fedex Freight East, Inc., Subbasin 040302, French Broad River Basin, Henderson
County, unnamed tributary to McDowell Creek, Class C, Quad F8NE