NCS000538_Renewal Application_20151116

Permit Coverage
NNA Renewal Application Form
NC�ENRr National Pollutant Discharge Elimination System
Stormwater Individual Permit
NPDES Permit Number
NCS 4®0
Please provide your permit number in box in the upper right hand corner, complete the information in the space provided
below and return the completed renewal form along with the required supplemental information to the address indicated.
Owner Information
Owner / Organization Name: _
Owner Contact: _
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
to whic�permit correspondence will be mailed
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Facility Information
Facility Name: yr, c
Facility Physical Address:
Facility Contact:
Mailing Address: *Ze—
Phone Number:
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Fax Number:
E-mail address:
PermilInforinalian
Permit Contact:
Mailing Address:
Phone Number:
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Fax Number:
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E-mail address:
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Discharae Information
Receiving Stream:
Stream Class:
Basin:
Sub -Basin:
Number of Outfalls:
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Facility/Activity Changes Please describe below any changes to your facility or activities since issuance of your permit. Attached a
separate sheet ' necessary. �
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CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief
such information ism, complete and accurate.
Signature
Print or type name of person signing above
Please return this completed application form
and requested supplemental information to:
Date Il la 2 G '"
Title
SW Individual Permit Coverage Renewal
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612

roll -tech molding products, Ilc
Hickory, October 29, 2015
NCDENR
Division of energy, Mineral and land Resources
1612 Mail Service Center,
Raleigh, NC 27699-1612
Attentlon Zahld S. Kahn,
Dear Sir,
Following your letter dated of July 15th 2015, we are pleased to notify you that we have
followed your instructions and enlarged, controlled the flow and lined with clay the ponds that
collect all storm waters from the property. Three ponds are now connected and catching all
water rdirrfalls. The purids are large and deep enough Lo prevernL discharges. They were Lested
during the heavy rain of October 20th this year.
We took some photographs in attachment, showing the completed job site and the storage
capability during the storm.
If you need additional actions from us, please let me know and we will do everything you need
to comply.
Sincerely,
(� P_/ �"
Pa e Bertrand
President/CEO
RMP, LLC
Mr. Samar Bou-Ghazale
Roll -Tech Molding Products, LLC
243 Performance Drive SE, Hickory, NC 28602
Tel. [phone] Fax. [phone] Email: ro{[e-mail]

NORTH-EAST Retention Basin
Roll -Tech Molding Products, LLC
243 Performance Drive SE, Hickory, NC 28602
Tel. [phone] Fax. [phone] Email: [e-mail]

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First SouthEast Cathc Basin
Roll -Tech Molding Products, LLC
243 Performance Drive SE, Hickory, NC 28602
Tel. [phone] Fax. [phone] Email: roiltech(@rolltech.net

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