NCGNE0787_COMPLETE FILE - HISTORICAL_20140416

STORMWATER DIVISION COOING SHEET
NCG PERMITS
PERMIT NO.
NCGNE
DOC TYPE
� HISTORICAL FILE
DOC DATE
❑ 2 � � � D v1 I
YYYYMMDD

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AM"I"
TWA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. George Lorenz
Bimbo Bakers USA Inc
320 East Main St
Valdese, NC 28690
Dear Mr. Lorenz:
John E. Skvarla, III
Secretary
April 16, 2014
Subject: Name/Ownership Change Request
No Exposure Certification NCGNE0787
Bimbo Bakeries USA Inc -Valdese
Formerly Earthgrains Baking Companies
Burke County
The Division has reviewed your submittal of the permit name/ownership change form
for the subject No -Exposure Certification, which we received on January 23, 2014. Division
personnel have reviewed and approved your request to transfer the exclusion from NPDES
stormwater permitting requirements.
Please note that by our original acceptance of the No -Exposure Certification and by our
approval of your request to transfer it, you are obligated to maintain no -exposure conditions at
your facility. If conditions change such that your facility can no longer qualify for the no -
exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for your
stormwater discharge. Otherwise, the discharge becomes subject to enforcement as an un-
permitted discharge.
Annual re -certification is required, and we have enclosed one blank Annual No
Exposure Exclusion Self Re -Certification form for your use. Your certification of no exposure
does not affect your facility's legal requirements to obtain environmental permits that may be
required under other federal, state, or local regulations or ordinances.
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX; 919-715-8801
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: httpalportal.ncdenr.org/web/Irl
An Equal opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

If you have any questions or need further information, please contact the Stormwater
Permitting Program at [phone].
Sincerely,
ORIGINAL SIGNED B)
for Tracy E. DKENJP-01-CPM, Director
Division of Energy, Mineral and Land Resources
cc: Asheville Regional Office, L. Herbert
Stormwater Permitting Program Files
Central Files

r 00 Division of Water Quality / Surface Water Protection
r
National Pollutant Discharge Elimination System
NCDENR
-OK" 3R U".HRMY' PERMIT NAME/OWNERSHIP CHANGE FORM
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FOR AGENCY USE ONLY
Date Received
Year
Month
Da
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C I 5 0 N I C I G Q ri TM]
T.I. Permit statusL,or to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
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c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
!� first Mt Last
1��[,►onu� ��Ci-�'��" '�1{�3a�'tf.�l1.�r',._;r
Title
Permit Holder Mailing Address
f\V-,
__— City State Zip
Phone Fax
Address
NL, C�nL-Au
j City state Zip
13
First / MI / Last Phone
Ill. 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:
b. Permit issued to (company name): V, j�r ,
c. Person legally responsible for permit: (✓P_r��p f� ��ly?^
rst Ml Last
Title
Permit Holder Mailing Address. r}/U
City State Zip
Phone E-mail Address
d. Facility name (discharge): �j, ;�-��jL ~ k� �,;e-., Usk i ( }\I CQ Clot' S C.
e. Facility address: 31 L Q1tS _ 1'�i�Gt i 5t
\ l Address
City State Zip
f. Facility contact person: ��to( G)C- � _D( t;1') T,
st y M1 Last
(bs ) L )-13U L-ot fly b6w tl • t�'S°v\
Phone E-mail Address
Revised 2012Apr23

NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2 of 2
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
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
tothisownership or name change?
Yes
❑ No (please explain)
Vl. 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 andthat if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPL) CANT CERTIFICATION
1, 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.
dr\ - i`7 i LA
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 712008

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
July 26, 2011
Earthgrains Baking Companies, Inc.
Lyndi Boone
320 East Main Street
Valdese, NC 28690
Division of Water Quality
Coleen H, Sullins
Director
Subject: No Exposure Certification — Approval
NCGNE0787
Earthgrains (NCG060232)
Burke County
Dear Ms. Boone:
Dee Freeman
Secretary
The Division has reviewed your application for a No Exposure Certification for Exclusion (NE) for the subject
facility. Based on the information provided and a site visit conducted on May 18, 2010, the NE has been approved
We are also hereby rescinding your current stormwater permit Certificate of Coverage, NCG060232.
Please note that you are obligated to maintain no -exposure conditions at your facility. If conditions change such
that your facility can no longer qualify for a NE, you are obligated to immediately obtain NPDES permit
coverage for your stormwater discharge. Otherwise, the discharge becomes subject to enforcement as an un-
permitted discharge. Your NE does not expire. In order to help assure that your facility stays in compliance
with all of the conditions in the Certification, you must self -recertify your facility at least annually. Please
see the attachment for information on self -recertification.
Your conditional exclusion from permitting does not affect your facility's legal requirements to obtain
environmental permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Kevin Barnett at 828-296-4500.
l�
Sincerely;
F..or,Colcen H. Sullins
v
cc:` Stormwater Permitting Unit/Ken Pickle, No -Exposure Files
DWQ-Central Office -Fran McPherson
Central Files
ARO Files
SASWP\Hurkv\StormwaterlNCG06 food and Kindred\EarthGrains\NOE.Aprvl.doc
Locaticn 2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6746
Intemet: www.ncwaterqualit .org
An Equal Opportunity 4 Affirmative Action Employer
NorthCarolina
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