NCG170371_COMPLETE FILE - HISTORICAL_20140902

- STORMWATER-DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO..
1 v O (
DOC TYPE
COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ J o l y 0 D a
YYYYMMDD

Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
NC®ENR National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Dam Received
Year I Month I Day
SEP 02 2014
DENR•LAND QUALITY
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual" mean?
The 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 one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit
N I C 'S
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) j Certificate of Coverage
l N I j :C 1' G I 11 ri o 3 r7
I AP-Titi MiLL5 37;,c, I.JiLbn-psrov
MffKT/N mll-L5 i,+/ynTON
43�t 13 NC- �S o
Adder
t0iI//f}fn5TmN NC jr89j
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://portal.iicdenr.orWweb/Ir/sw-permit-contacts and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Koow McAleeL
First MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit: l 1} 4 VFN 6 Uk 1 f}Aj (! S
First MI Yast
Page 1 of 2
SW U-OWNERAFFIL-25Ju1y2014

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
7 L/gA)7 &j 'A3eC'�
Title
/VC /as H �u
Mailing Address
Wi)))JimSTvry /VC d'7V
City State Zip
G25�) r)qa-7�33
Telephone E-mail Address
45a) 7960019 CARyens,GisPG,/61JV CG raT-L/NC, CDrvt
Fas Number
5) Reason for this change:
A result of: Employee or management change
Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
13ERMITTEE CERTIFICATION:
I, (' )91rens & F-��, 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 illy
knowledge. I understand that if all required parts of this form are not completed, this change may not be
processed.
Signa� o Uate 1
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 call 919-707-9220 or visit the website at:
http://portal.11cdenr.oroweb/I r/stormwater
Page 2 of 2
SW U-OW N ERAFF I L-25J UIy2014

AL
, UIA
w
NC®ENR
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
August 4, 2004
Kevin McKee]
Martin Mills Inc. Williamston
23213 NC Hwy 125
Williamston, NC 27892
Subject: NPDES Stormwater Permit Coverage Renewal
Martin Mills Inc Williamston
COC Number NCG 170371
Martin County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG 170000 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 NCG 170000
• A copy of a discharge monitoring report form
• 5 copies of the qualitative monitoring report form
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 of the Central Office Stormwater Permitting
Unit at [phone], ext. .
Sincerely,
1.
for Alan W. Klimek, P.E.
cc: Central Piles
Stormwater Permitting Unit
Washington Regional Office
Surface Water Protection Section
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http:/lh2o.enr.state.nc.us/su/stormwater.htmi
NorthCarolina
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
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170371
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,
Martin Mills Inc Williamston
is hereby authorized to discharge stormwater from a facility located at
Martin Mills Inc Williamston
23213 NC 125 Hwy
Williamston
Martin County
to receiving waters designated as Mill Branch, a class C stream, in the Roanoke River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts
I, 11, III, IV, V, and VI of General Permit No. NCGI70000 as attached.
This Certificate of Coverage shall become effective August I, 2004.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August I, 2004.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management
Commission

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
KE-VIN MCKEEL
WILLIAMSTON YARN MILL
23213 NC HIGHWAY 125
WILLIAMSTON. NC 27892
Dear Permittee:
1�
r
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 28, 1999
Subject: Reissue - NPDES Stormwater Permit
Williamston Yarn Mill
COC Number NCG170371
Martin County
In response to your renewal application for continued coverage under general permit NCG170000, 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. t 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 copy of general stormwater permit NCG170000
* 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 for the general permit which outlines changes in the permit, key requirements,
and addresses frequently asked questions
* A Certificate of Coverage
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 Tony Evans of the Central Office Stormwater
and General Permits Unit at [phone], ext. 584
Sincerely,
for Kerr 1'. Stevens
cc: Central Files
Stormwater and General permits Unit Files
Washington Regional Office
YOU-yvHc'
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
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170371
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,
WILLIAMSTON YARN MILL
is hereby authorized to discharge stormwater from a facility located at
WILLIAMSTON YARN MILL
23213 NC 125 HIGHWAY
WILLIAMSTON
MARTIN COUNTY
to receiving waters designated as Mill Branch in the Roanoke River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, It, III,
IV, V, and VI of General Permit No. NCG170000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 28. 1999.
54,ti.li./-4 l��.q,VriLr
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

, 1
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
W.R. Bridgman, Jr.
Williamston Yarn Mill
Post Office Box 90015
Bowling Green, Kentucky 42102
Dear Mr. Bridgman:
ALT:.W;TA
IT
Go
4y
[DEHNR
September 19, 1997
Subject: General Permit No. NCG170000
Williamston Yam Mill
COC NCG 17037 l
Martin County
In accordance with your application for discharge permit received on May 19, 1997, 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 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 Tony Evans at telephone number 919/733-5083
ext. 584.
Sincerely,
ORIGINAL SIGNED BY
BRADLEY SENNETT
A. Preston Howard, Jr., P. E.
cc: Washington 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 WATER QUALITY
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170371
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,
Martin Mills, Inc.
is hereby authorized to discharge stormwater from a facility located at
Williamston Yam Mill
23213 NC 125 Hwy.
Williamston, NC
Martin County
to receiving waters designated as Mill Branch, Class C in the Roanoke River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, Ill
and IV of General Permit No. NCG 170000 as attached.
This certificate of coverage shall become effective September 19, 1997.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 19, 1997.
ORIGINAL SIGNED BY
13RADLEY BENNETT
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

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FACILITY:
COUNTY: Mq,AI f�
NPDES: KCC� [V103r1 l
MAP#:
DSN FLOW:
]LATITUDE:
N/A
LONGITUDE: 9 QO 05 (o9 rl
RECEIVING STREAM:
STREAM CLASS:
DISCHARGE CLASS:
C
"I' tit �3mnejk
STORMWATER
EXPIRATION DATE: 3 l