NCG050143_COMPLETE FILE - HISTORICAL_20030428

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
NC, L/3
DOC TYPE
J7 COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ a boa �y
YYYYMMDD

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
O
April 28, 2003
Mark Black
Creative Plastic Molders Inc
2018 E. US Hwy 64
Lexington, NC 27292
Subject: NPDES Stormwater Permit Renewal
Creative Plastic Molders Inc
COC Number NCG050143
Davidson County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG050000, 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 NCG050000
• A copy of the Analytical Monitoring Form (DMR)
• A copy of the Qualitativel Monitoring Form
• 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 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 Aisha Lau of the Central Office
Stormwater and General Permits Unit at [phone], ext. 578.
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
dENR
Customer Service
1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050143
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,
Creative Plastic Molders Inc
is hereby authorized to discharge stormwater from a facility located at
Creative Plastic Molders Inc
New Hwy 64 East
Lexington
Davidson County
to receiving waters designated as a UT to Abbotts Creek, a class C stream, in the Yadkin - Pee
Dee 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. NCG050000 as
attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

OF W A7-f Michael F. Easley, Governor
�0 G William G. Ross Jr, Secretary
09
r North Carolina Department of Environment and Natural Resources
7 �
Alan W. Klimek, P.E. Director
Division of Water Quality
November 18, 2004
John Collins
Moll Industries Inc.
PO Box 438
Lexington, NC 27293
Subject: Permit name or ownership change request
Permit NCGO50143
Your request for a permit name change or ownership change received on Z 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.
LN" Missing legal document of the transfer of ownership (such as a contract, deed, articles of
incorporation).
❑ Other
Please return the information so we can continue processing your request. If you have any
additional questions, please contact Ken Pickle at [phone] extension 584, or Sarah
Young at [phone] extension 502.
DWQ Stormwater Permitting Unit
Cc:
DWQ Central Files
SPU
No.rthCarolina
�l7ntirrn/l�
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.ennstale.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal OpportunitylARrmative Action Employer— 50 % Recycledll 0% Post Consumer Paper -

..y
WA
gplRu PHRM]T MORMATION:
Permit Number. &C/1/0 /5/_QJ —D1/1 ; Or
Certificate of Cover
1. Permit holder's
2. Permirc sipping official's name and title:
Mlchaal F. Eacley
Governor
William G, Ros5 Jf„ Secretary
North Caroline Department of Environment and Natural Resoyrcas
Alan W. Klimek, P.A.
Director, Division of Water Ouality
(Person legally responsible for permit)
r itle
C / W(-{?
3. Mailing�neddress: ;(
City:
r1 /�
State: I� Zip Code:
'J
H. IYFw nwi RiNAME WPORMAPON:
1, This requestfor ebange is a result of
Change in ownership of coarpaoy
Name change for company
_
Change in ownership of property/fan ty
N o Change fo prop° /facility (y 1 p
_
Other (please explain): %A r�� ?fY�U4 %As oarcFauQf•�QS
Vl V PA�1�F YI�11% 1C�
2. Owner Information
Company oa Owner Namo:
(game to be put on perms / CcirEMCAtt of coverage)
Owner's/operatcee or signing official's name:
Tale:
dI i
I r
Title: l U
Company Contact.
Owner g address: .Q
2,�
Ciry:
Phone: (�ip )
State: Zip Code:
1
E-mail address:
3. facilityIaformation
Facwry Name: l
Facility Contact•.
Title:
Facility Mailing address; p
��
Cam'
Phone: (33�) 1
State: C Zw oil
E-mail address.
SWU-239-102501
c00/Zoo 12 Wd3 691ZCOZ9CC XVd 09 PI OOOZ/ZO/10

pERNRT NAME ! OWNERSffiP CHANGE FORM
IVISION OF WATER
ALL OF PT M APPLICABLE ITEMS LISTED BELOW CARE INCLUDED EPTED By Tax DWM Till SUBMITT QUALITY UNLESS
,.
REQUIRED ITEMS:
1. This completed application
2..Itgal documentation of the tranafer'of ownership (such as a contract, deed, artScles of incorporation)
Certification mad be oomplcted and signed by both the current Permit belda and the new applicant in the cast of change of
oanaship. For name change only, complete and sign the application certification.
Current Permitme's Certification:
I arrest tbat his application for name/ownership ebange has
bcm reviewed and is ecturnm and eoa�lere to the best of my lmowledge. I understand that if all required parts of this application
are.not completed and that if all required supporting information and attacbments are not included, this application package will be
returned as incomplooc.
Date:
Applicant's Certification:
(t _v, attest that this application for a unmc/ownambSp change
b� Lem reviewed rind is «ccuretn 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 suppottiag information and attachments are not included, rbis applicanon
package will be returned as incomplete.
Dam:
THE COMP APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION & MATERIALS.
SHOULD BE SENT TO TIM FOLLOWING ADDDRESS: .
NC DENR / DWQ I Point Source Branch
Attu: gY.st�
1617 Mail Servtoe Center
Balogh, North Carolina 276"-k617
SWU-239-102501
coo/coo ® WdJ 68ldCDZ9CC XYd 09 of 9oozlzol o

State of 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
10/24/2002
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CREATIVE PLASTIC MOLDERS INC
P O BOX 1328
LEXINGTON, NC 27292
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: NOTICE OF VIOLATION
FAILURE TO SUBMIT RENEWAL APPLICATION
CREATIVE PLASTIC MOLDERS INC
NCG050000
COC NUMBER NCG050143
DAVIDSON COUNTY
Dear Permittee:
This letter is to inform you that, as of the date of this letter, the Division of Water Quality has not received a
renewal request for the subject permit certificate of coverage. This is a violation of NCGS § 143.215.1 (c)(1) which
states "All applications shall be filed with the commission at least 180 days in advance of the date on which it is
desired to commence the discharge of wastes or the date on which an existing permit expires, as the case may be".
Any permittee that has not requested renewal at least 180 days prior to expiration or permittee that does not have a
permit after the expiration and has not requested renewal at least 180 days prior to expiration, will be subjected to
enforcement procedures as provided in NCGS § 143-215.6 and 33 USC 1251 et. seq.
In order to prevent continued, escalated action, including the assessment of civil penalties you must submit a
completed permit coverage renewal application to the attention of the "Stormwater and General Permits Unit" at
the letterhead address within ten (10) days of your receipt of this letter (renewal application enclosed). If the
subject discharge has been terminated, please complete the enclosed rescission request form. A valid reason for
requesting rescission is required, incomplete forms will be returned and you will still be subject to possible
escalated action. Mailing instructions for submitting rescission request are listed on the bottom of the form. You
will be notified when the rescission process has been completed.
Thank you for your prompt attention to this situation. If you have any questions regarding this matter, please
contact Aisha Lau of the central office Stormwater and General Permits Unit at 919-733-5083, ext. 578.
Sincerely,
for Alan W. Klimek, P.E.
Director, Division of Water Quality
cc: Stormwater and General Permits Unit Files
Central Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 30, 1998
R. G. HARRIS
CREATIVE PLASTIC MOLDERS, INC.
P 0 BOX 1328
LEXINGTON, NC 27292
A1.9*A
1:3 E N R
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCGO50143
Davidson County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, 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 North Carolina and the US Environmental Protection agency
dated December 6, 1983.
The following information is included with your permit package:
■ A copy of the stormwater general permit.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
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 Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
■ 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 or address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. 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
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number [phone]
Sincerely,
b��y
foA. Preston Howard, Jr., P. E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

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
Mr. A.B. Nelson
Creative Plastic Molders, Inc.
New Hwy 64 E.
Lexington, NC 27292
Dear Mr. Nelson:
October 1, 1993
Subject: General Permit No. NCG050000
Creative Plastic Molders, Inc.
COC NCG050143
Davidson County
In accordance with your application for discharge permit received on April 28, 1992, 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 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 questions concerning this permit, please contact Mr. Bill Mills at telephone number 919/733-
5083.
Sincerely, Original Sig,1.0 r,,,
Coleen H. Suiitr:
A. Preston Howard, Jr., P. E.
cc: Winston-Salem Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
►_' ►I ► I IIII
:LW41 #W111 KaXtl malmaefeludd
STORMWATER DISCHARGES
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,
Creative Plastic Molders, Inc.
is hereby authorized to discharge stormwater from a facility located at
Creative Plastic Molders, Inc.
New US Hwy 64 East
Lexington
Davidson County
to receiving waters designated as an unnamed tributary to Abbotts Creek in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG050000 as attached
This Certificate of Coverage shall become effective October 8, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this date October 8, 1993.
Original Signed ty
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

FAi lLiTY
COUNTY VAVIDsr>kt �"tqq
NPDES C cl 0150 l 4-3
MAP #
DSN FLOW
_y
SUB BASIN 4
LATTITUDE
LONGITUDE
RECE6" NG STREAM'
STREAM CLASS
8 Svc/
/A
03- bq- b'�
-35 6 4cli ppu
130 ° IZ 26
LAA M �'A N N � J-P BUrz-j ?� A P Bf�-Tl�S CRZ Eke
L'.
DISCHARGE CLASS' s-roRHWAll"
EXPIRAPON DATE OS - 31- 91-