NCG060049_COMPLETE FILE - HISTORICAL_19930910

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
�J `' a-1
DOC TYPE
COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ C) 3 O fi i o
YYYYMMDD

NPDES FACILITY AND PERMIT DATA
UPDRTE OPTION TRXID 5NU KEY NCG050049
PERSONAL DATA FACILITY APPLYING FOR PERMIT REGION
FACILITY NAME> KRISPY KRF..ME I10UG11NUT CORP COUNTY> FORSYTH 09
ADDRESS: MAILING (REQUIRED) LOCATION (REQUIRED)
STREET: 1819 IVY AVEH!-JE STREET: 1814 TVY AV,Pil-F
CITY: IJINSTON-SRLEM ST NO ZIP 27106 CITY: IJI'1STON-SALEM ST NO ZIP 27105
TELEPHONE [phone] DATE FEE PAID: 10/01/92 AMOUNT: 100.00
STATE CONTACT> ULMER PERSON IN CHARGE LAURENCE ROSCANR
1=PROPOSED,2=EXIST,3=CLOSED 1 1=MAJOR,2=MIf'i0R 2 1=MUN,2=NON-MUN 2
LAT: LONG: N=NEW,M=MODIFICRT ION, R=REISSUE> N
DATE RPP RCVD 10101!92 WASTELORD REDS
DATE STAFF REP REDS / WASTELORD RCVD ! /
DATE STAFF REP RCVD / SCH TO ISSUE /
DATE TO P NOTICE / ! DATE DRAFT PREPARED
DATE OT AG CON REDS / DATE DENIED
DATE OT AG CON RCVD i DATE RETURNED /
DATE TO EPA / DATE ISSUED / ASSIGN/CHANGE PERMIT
DATE FROM EPA / ! EXPIRATION DATE 09/31/97
FEE CODE ( 0 ) 1=(>10MGD),2=(>IIIGD),3=(>O.1MGD),9=(<O.1MGD),5=SF,6=(GP25,64,79),
7=(GP99,73)8=(GP76)9=(GP13,31,30,52)0=(NOFEE) DIS/C 73 CONBILL C )
COMMENTS:
MESSAGE: LATITUDE/LONTITUDE MUST BE ALL NUMERIC

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
September 10, 1993
Mr. Lawrence Roscana
Krispy Kreme Doughnut Corp.
1814 Ivy Ave.
Winston-Salem, NC 27105
Subject: General Permit No. NCG060000
Krispy Kreme Doughnut Corp.
COC NCG060049
Forsyth County
Dear Mr. Roscana
In accordance with your application for discharge permit received on October 1, 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 Signed By
Coleen H. Sullins
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
GENERAL PERMIT NO, NCG060000
CERTIFICATE OF COVERAGE NO, NCGO60049
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,
Krispy Kreme Doughnut Corporation
is hereby authorized to discharge stormwater from a facility located at
Krispy Kreme Doughnut Corporation
18141vy Avenue
Winston-Salem
Forsyth County
to receiving waters designated as an unnamed tributary to Brushy Fork 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. NCG060000 as attached.
This certificate of coverage shall become effective September 10, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 10, 1993.
Original Signed BY
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

9
UNITED STATES
DEPARTMENT OF THE INTERIOR
9; GEOLOGICAL SURVEY
3o C
391
• STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL AND ECONOMIC RESOURCES

FACILITY
Krisp�
COUNTY
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NPDES
N«()6y
MAP #
GI 9 5W
DSN FLOW
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SUB BASIN
()3-0ff-ol VjJlm-PPPiee
LATTITUDE
36°07
LONGITUDE
RECEIVING STREAM
(40n4Aew �i,' ,fUy fa �/N9�iy Frk
STREAM CLASS
G
DISCHARGE CLASS
EXPIRATION DATE
0y-�/-12