HomeMy WebLinkAboutNCG080728_COMPLETE FILE - HISTORICAL_20130426STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ DN3)
YYYYM M D D
CF WarFRpG / f� Beverly Eaves Perdue, Governor
f
Dee Freeman. Secretary
North Carolina Department of Environment and Natural Resources
O <
Coleen H. Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAMEIOWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C I S 10 1 1 1 1 1 1 1 N I C I G 10 1 8 1 0 17 LY8
II. Permit status rp for to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
Facility name (discharge):
d. Facility address:
e. Facility contact person:
Rolling Frito-Lay Sales, LP
Jim Schmitt
First M 1 Last
Fleet Manager
Title
2700 Nevada Blvd
Permit Holder Mailing Address
Charlotte NC 28273
City State Zip
(704) 927-7377 (704) 588-9320
Phone Fax
FRANKLIN BIN
250 OLD MURPHY ROAD
Address
FRANKLIN NC 28734
City State Zip
Jim Schmitt (704) 927-7377
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a.
Request for change is a result of:
❑ Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain: Change of person Iegally responsible for permit/ Contact Person
b.
Permit issued to (company name):
Rollin Frito-Lay Sales, LP
c.
Person legally responsible for permit:
Rob Sapienza
Fi rst M I Last
Fleet Manager
Title
2700 Nevada Blvd
Permit Holder Mailing Address
Charlotte NC 28273
City State Zip
(704) 927-7377 Rob.Sa2ien-za@pcpsico.com
Phone E-mail Address
d.
Facility name (discharge):
FRANKLIN BIN
e.
Facility address:
250 OLD MURPHY ROAD
Address
FRANKLIN NC 28734
City State Zip
f.
Facility contact person:
Rob Sapienza
First MI Last
(704) 927-7377 Rob.Sapienza@pepsicoxom
Phone E-mail Address
Revised 812008
PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2of2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First MI Last
Title
Mailing Address
City State Zip
(
Phone E-mail Address
Will the permitted facility continue to conduct the same industrial activities conducted prior
V. to this ownership or name change?
® Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
® This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
1, Rob Sapienza, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplet .
q\kwy\Z4 �3
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008
I.
H.
WATER
CURRENT PERMIT INFORMATION:
Michael F. Easley
Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Kiimck, P.E., Director
Division of Water Quality
ALITY SECTION
Permit Number: NIC/ 1_1 1 1_1_1_1 or
Certificate of Coverage Number{N/C/G/ 0/6 /0
1. Permit holder's name: WUU nq ` 1i1 t1- W- A -So-tin
I. f „ AY 2 2u0
i
V£i.R - WATI.3i QUALITY
POINT SOURCE BRA'JCH
2. Permits signing official's name and title:
(Person legally responsible for permit)
M�a,�
(Title)
3. Mailing address. k!U r r �AA City;yll yo, &U,-,
State: CAA Zip Code:
NEW OWNER/NAME INFORMATION:
1. This request for change is a result of.
❑ Change in ownership of company
❑ Change in ownership of property/
�( Other (please explain): C%,�
2. Owner/Operator Information
Phone: (4V) 445'U • y+BS!'&
❑ Name change for com any MAY 2 3 20C,
❑ Name change for prop rty/facility
Company or Owner or Operator Name: YoWvi A F - LQ.AA SaLtii_
(name to be put on permi / certificate
of coverate)
Owners/operator's or signing official's name: Title: Q.r
Owner Contact: i 1M & jnrn t A+ Title:
Mailing address: 2ql V 1A_ City: Llnai( Lot -
State: (1 Zip Code: 221— Phone: (11<�J) 5 - 115:0
E-mail address: 111M . Sr-V%Mikk 0 �riko\JIL , . Lary%
3. Facility Information
FacilityName: _MI(ZK.MA 1016
Facility Contact: .'M, SC1'1Mt t' Title: I,�C �►p,�C
Facility Mailing address: 50 k . City-' fir"KAiy)
State: �t Zip Code: Phone: (S�� i 3�ii •Oi �. 7� ��y
E-mail address: � y\ - S(, f1niits
S W U-239-080102
� 4,
PERMIT NAME / 4WNERSHHP CHANGE FORM
4. Permit Contact Information (if different from facility contact)
Permit Contact: cJ lm oom lGt Title: Rzk' , gmmk r/ _
Mailing address: q 11 Now"P, Skvd . City: C1lax iott _,
State: N C. Zip Code: lr 1. Phone: (ramL{ 15 'D
E-mail address: SGY1Ml ►f1-+
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER QUALITY UNLESS
ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application
2. Legal documentation of the transfer of ownership (such as a contract, deed, articles of incorporation)
Certification must 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:
I, ,nlN �ohns'�r� _ , attest that this application for 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 and attachments are not included, this application package will be
returned as incom te.
Signature: Date:
I, J im o 1mi VC , 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 and attachments are not included, this application
package will b re ed as incomplet .
Signature: Date: S �.
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION & MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
Point Source Branch
Attn: Valery Stephens
Division of Water Quality
16I7 Mail Service Center
Raleigh, North Carolina 27699-1617
SWU-239-080102
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
October 8, 2004
Mr. Jim Johnston
Rolling Frito-Lay Sales, LP
157 Fleet Drive
Villa Rica, GA 30180
Subject: General Permit No. NCG080000
Franklin Bin
COC NCGO80728
Macon County
Dear Mr. Johnston:
In accordance with your application for a discharge permit received on September 7,
2004 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 May 9, 1994 (or as subsequently
amended).
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 Jonathan Diggs at
telephone number (919) 733-5083 ext. 537.
Sincerely,
ORIGINAL SIGNED BY
I=\/ '"
AM W= Kli�nel'ct .1.
cc: Asheville Regional Office
Central Files
Stormwater and General Permits Unit Files
Dne
NorthCarolina
AafzrrallY
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 —50% Recycled/100% Post Consumer Paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE NO. NCG080728
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Rolling Frito-Lay Sales, LP
is hereby authorized to discharge stormwater from a facility located at
Franklin Bin
250 Old Murphy Road
Franklin
Macon County
to receiving waters designated as Crawford Branch, a class C water in the Little Tennessee 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. NCG080000 as attached.
This certificate of coverage shall become effective October 8, 2004.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 8, 2004. OR!GINAL SSIGNED BY
BRADLEY BENNETT
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission
2. v If ZN
tvi; Gap C
MS
778
2211, jj 1 1200
0 1
th
A 7—j-,
1. V, V:
W* iRd lGapk
C �-y
x,
'j
I All 4
K, =�, • i
jM40.... J".—
v2y
5 7:A! TE:; PRI
6
MP'
F
(SM F 4
ZN t7,
C2
t-A
FranKlin 2
If YJ
rN,
If
s
c-
t
vt "Q,
qd
S.—
4
WLa
0 f
A
nkli -97
W pse
21
y
CL
CL
I'(
BIIA K
\-20' 16
- -------- 47
IR_
N�_ St.cy
CE Al 11
Z
j 1-14
v
J J
J
q2,
Gay_ ails Mill. s�
fit
X.
9�—N 1414 e. li J
rc k
" 7-A_
A
o __Aj\
J; 1
•
k ni I
K
w'.
f
Copyright (C) 1998, Maptech, Inc.
Markers
Name: Rolling Frito-Lay NCGO80728
Short Name: RIIngF
Coordinates: 0350 10' 31.23" N, 0830 23' 53.38" W
Comment: Rolling Frito-Lay NCGO80728 subbasin (04-04-01), Little Tennessee River Basin,
Macon County, Crawford Branch, Class C, USGS quad G05NW