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Home My WebLink AboutNCG180122_COMPLETE FILE - HISTORICAL_20140529STORMWATER DIVISION CODING SHEET RESCISSIONS PERMIT NO. DOC TYPE ❑COMPLETE FILE -HISTORICAL DATE OF RESCISSION YYYYMMDD �-J NCDENR NOAn L-/. NA 0EP MENT OF tMViNCNMENT — SST RA F?E9oL RCLS Division of Energy, Mineral and Land Resources FOR AGENCY USE ONLY Land Quality Section / Stormwater Permitting Program National Pollutant Discharge Elimination System (NPDES) PERMIT OWNER AFFILIATION DESIGNATION FOR QENRATER-LAND PERMIQUALITTTING �TQRMWATER PERMITTING (Individual Legally Responsible for Permit) if NO CHANGE in company or facility ownership or name has occurred. !f a Name Change and/or Ownership Transfer at the facility has prompted this change, do NOT use this form. You must till 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 N C S 2) Facility Information: Facility name: Company/Owner Organization: Facility address: (or) Certificate of Coverage N I C G I E 9' 1 0 1 ! 2 Z HIcKORY 006iOE-S5 K07ZN17V_R-C fIN1 d-ORPa2A770111 Po 3C K S Address C%tcKoR`L^ �% zg,a03 City State Zip To find the current legally responsible person associated with your permit, go to this website: htt a/ ortal.ncdenr,or /web/lr/sw- ermit-contacts and run the Permit Contact Summary Reportj 1_"/ 3) OLD OWNER AFFILIATION that should be removed: Previous legally responsible individual: R,0&e R : !!5�W A I<S First Ml Last 4) NEW OWNER AFFILIATION (Legally responsible for the permit): Person legally responsible for this permit First Ml Last DjRCc7-6R of 17?AN FAC-7_vlRl h & Title PO BOX g Mailing Address Ric rcoxy KC- ZE&o 3 Ci y State 'Lip (97-'8 ) 49,S-ggla 1 T0gn2GKIN1VCY6P W-6F. do Al Telephone E-mail Address (Spav) .3 ?_ 3 soq Fax Number Page] of 2 SM-OW N ERAF F I L-22 May2D14 J 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. PERMITTEE CERTIFICATION: 1, , 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. Signatur Date .................................... PLEASE SEND THE COMPLETED 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.or /g_web/ir/stormwater Page 2 of 2 SM-OWNERAFFIL-22May2014 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 August 27, 1999 MARK HUDDLESTON WOODARD, INC. 1538 JAKE ALEXANDER BIND SALISBURY, NC 28145 r•• NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Subject: Reissue - NPDES Stormwater Permit Woodard, Inc. COC Number NCG180122 Rowan County Dear Permittee: In response to your renewal application for continued coverage under general permit NCG180000, 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 b, 1983. The following information is included with your permit package: * A copy of general stormwater permit NCG180000 * 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 on the Stormwater program which outlines program components and addresses frequently asked questions * A corrected Certificate of Coverage if you indicated a name change on the Renewal Application 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 permitted 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 Darren England of the Central Office Stormwater and General Permits Unit at (919) 733-5083, ext. 545 Sincerely, for Kerr T. Stevens Director, Division of Water Quality cc: Central Files Mooresville 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 a r . k STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCGI80000 CERTIFICATE OF COVERAGE No. NCG180122 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, WOODARD, INC. is hereby authorized to discharge stormwater from a facility located at WOODARD, INC. 1538 JAKE ALEXANDER BLVD SALISBURY ROWAN COUNTY to receiving waters designated as Grants Creek in the Yadkin - Pee Dee River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,11, III, IV, V, and VI of General Permit No. NCG180000 as attached. This certificate of coverage shall become effective August 27, 1999. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day August 27, 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 Environmental Management James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary A. Preston Howard, Jr., P.E., Director May 12, 1995 Harold Fisher Lyon Shaw, Inc. 1538 Jake Alexander Blvd Salisbury, NC 28145 AM [DEHNFi Subject: General Permit No. NCG 180000 Lyon Shaw, Inc. COC NCG 180122 Rowan County Dear Harold Fisher: In accordance with your application for discharge permit received on April 5, 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 b, 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. cc: Mooresville Regional Office P.O. Box 29535, Raleigh, North Carolina 27626-0535 An Equal Opportunity Affirmative Action Employer Sincerely, Original Signed By Colleen H. Sullins A. Preston Howard, Jr. P.E. Telephone 919-733-7015 FAX 919-733-2496 50% recycled/ 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT GENERAL PERMIT NO. NCG180000 CERTIFICATE OF COVERAGE NO. NCG180122 STORMWATER DISCHARGES NATIONAL PLL TANT DISCHARGE ELIMINATI N 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, Lyon Shaw, Inc. is hereby authorized to discharge stormwater from a facility located at 1538 Jake Alexander Boulevard Salisbury Rowan County to receiving waters designated as Grants Creek in the Yadkin River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 1I, III and IV of General Permit No. NCG180000 as attached. This Certificate of Coverage shall become effective May 12, t995. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day May 12, 1995. .-r Original Signed By Coleen H. Sullins A. 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