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HomeMy WebLinkAboutNCGs_Expired Last Chance to Renew Letters FILED_20120402NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Gregory McDonough Resco Products Inc Penn Center W Bldg 2 Pittsburgh, PA 15276-5276 Subject: NPDES Stormwater Permit Coverage Renewal Resco Products Incorporated Permit Number NCG020157 Orange County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020157, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020157 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Resco Products Inc Owner Contact: Gregory McDonough Mailing Address: Penn Center W Bldg 2 Pittsburgh, PA 15276-5276 Phone Number: (412)294-1023 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Eugene Rose Rose Brothers Paving Co Inc PO Box 806 Ahoskie, NC 27910-7910 Subject: NPDES Stormwater Permit Coverage Renewal Rose Brothers Paving -Pit #1 Permit Number NCG020237 Hertford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020237, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020237 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Rose Brothers Paving Co Inc Owner Contact: Eugene Rose Mailing Address: PO Box 806 Ahoskie, NC 27910-7910 Phone Number: (252)209-8144 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Clarence Brickey APAC Atlantic Inc - Thompson -Arthur Div 300 Benbow Rd Greensboro, NC 27420-7420 Dee Freeman Secretary Subject: NPDES Stormwater Permit Coverage Renewal Apac Atlantic Inc - Candor Sand Plant (42101) Permit Number NCG020261 Montgomery County Dear Permittee: Your facility was covered for stormwater discharge under NPDES Permit NCG020261, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020261 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Mailing Address: Phone Number: Fax Number: E-mail address: APAC Atlantic Inc - Thompson -Arthur Div Clarence Brickey 300 Benbow Rd Greensboro, NC 27420-7420 (336)412-6865 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 W McCrary Yancey Stone Inc Rt 6 Box 739 Burnsville, NC 28714-8714 Subject: NPDES Stormwater Permit Coverage Renewal Yancey Stone Incorporated Permit Number NCG020264 Yancey County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020264, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020264 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Yancey Stone Inc Owner Contact: W McCrary Mailing Address: Rt 6 Box 739 Burnsville, NC 28714-8714 Phone Number: (704)682-7422 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Scott Mollenkopf Triangle Brick Company 6523 NC Hwy 55 Durham, NC 27713-7713 Subject: NPDES Stormwater Permit Coverage Renewal Triangle Brick Co -Durham Permit Number NCG020283 Durham County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020283, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020283 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Triangle Brick Company Owner Contact: Scott Mollenkopf Mailing Address: 6523 NC Hwy 55 Durham, NC 27713-7713 Phone Number: (919)544-1796 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Fred Sawyer Fred Sawyer Mine 104 Russell Ln Elizabeth City, NC 27909-7909 Subject: NPDES Stormwater Permit Coverage Renewal Fred Sawyer Mine Permit Number NCG020311 Pasquotank County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020311, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020311 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Fred Sawyer Mine Owner Contact: Fred Sawyer Mailing Address: 104 Russell Ln Elizabeth City, NC 27909-7909 Phone Number: (919)338-8051 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 James Edwards James Paul Edwards Inc PO Box 2307 Smithfield, NC 27577-7577 Subject: NPDES Stormwater Permit Coverage Renewal James Paul Edwards Incorporated Permit Number NCG020319 Johnston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020319, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020319 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: James Paul Edwards Inc Owner Contact: James Edwards Mailing Address: PO Box 2307 Smithfield, NC 27577-7577 Phone Number: (919)934-0518 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Jeffrey Goodman B V Hedrick Gravel & Sand Company 15 Yorkshire St Asheville, NC 28803-8803 Subject: NPDES Stormwater Permit Coverage Renewal B V Hedrick -Gravel & Sand Permit Number NCG020333 McDowell County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020333, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020333 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: B V Hedrick Gravel & Sand Company Owner Contact: Jeffrey Goodman Mailing Address: 15 Yorkshire St Asheville, NC 28803-8803 Phone Number: (828)277-7030 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Paul Waff Waff Mine No 2 PO Box 237 Edenton, NC 27932-7932 Subject: NPDES Stormwater Permit Coverage Renewal Waff Mine No 2 Permit Number NCG020442 Chowan County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020442, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020442 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Waff Mine No 2 Owner Contact: Paul Waff Mailing Address: PO Box 237 Edenton, NC 27932-7932 Phone Number: (252)482-7071 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Charles Britt PO Box 373 Supply, NC 28462-0373 Subject: NPDES Stormwater Permit Coverage Renewal Britts Landscaping Mine - Bolivia Permit Number NCG020473 Brunswick County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020473, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020473 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Charles Britt Mailing Address: PO Box 373 Supply, NC 28462-0373 Phone Number: (910)754-4626 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Robert Hunt Rich Pit 41101 US 264 E Belhaven, NC 27810-7810 Subject: NPDES Stormwater Permit Coverage Renewal Rich Pit Permit Number NCG020495 Hyde County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020495, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020495 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Rich Pit Owner Contact: Robert Hunt Mailing Address: 41101 US 264 E Belhaven, NC 27810-7810 Phone Number: Fax Number: E-mail address: (252)943-2154 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 William Spruill Spruill Mine PO Box 517 Moyock, NC 27958-7958 Subject: NPDES Stormwater Permit Coverage Renewal Spruill Mine Permit Number NCG020508 Currituck County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020508, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020508 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Spruill Mine Owner Contact: William Spruill Mailing Address: PO Box 517 Moyock, NC 27958-7958 Phone Number: (252)435-6117 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Gary Watkins 3200 Wilmington Hwy Jacksonville, NC 28540-8540 Subject: NPDES Stormwater Permit Coverage Renewal Oyster Landing, LLC Permit Number NCG020517 Onslow County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020517, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020517 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Gary Watkins Mailing Address: 3200 Wilmington Hwy Jacksonville, NC 28540-8540 Phone Number: (910)346-4808 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Larry Carlisle Cow Pasture Mine 1555 Holland Rd Autryville, NC 28318-8318 Subject: NPDES Stormwater Permit Coverage Renewal Cow Pasture Mine Permit Number NCG020519 Sampson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020519, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020519 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Cow Pasture Mine Owner Contact: Larry Carlisle Mailing Address: 1555 Holland Rd Autryville, NC 28318-8318 Phone Number: (910)567-6138 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Kimberly Holmes PO Box 1216 Shallotte, NC 28459-1216 Subject: NPDES Stormwater Permit Coverage Renewal Holmes Borrow Pit - Shallotte Permit Number NCG020541 Brunswick County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020541, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020541 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Kimberly Holmes Mailing Address: PO Box 1216 Shallotte, NC 28459-1216 Phone Number: (910)754-3400 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Danny Tew Tew Grading Company Inc Mine 321 Nash Rd Saint Pauls, NC 28384-8384 Subject: NPDES Stormwater Permit Coverage Renewal Tew Grading Company Inc Mine Permit Number NCG020553 Robeson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020553, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020553 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Tew Grading Company Inc Mine Owner Contact: Danny Tew Mailing Address: 321 Nash Rd Saint Pauls, NC 28384-8384 Phone Number: (910)865-7690 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Hazel Stotesberry Stotesberry Mine PO Box 3 Swanquarter, NC 27885-7885 Subject: NPDES Stormwater Permit Coverage Renewal Stotesberry Mine Permit Number NCG020560 Hyde County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020560, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020560 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Stotesberry Mine Owner Contact: Hazel Stotesberry Mailing Address: PO Box 3 Swanquarter, NC 27885-7885 Phone Number: (252)926-1234 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ira Griffin 6632 Fire Department Rd Williamston, NC 27892-7892 Subject: NPDES Stormwater Permit Coverage Renewal G & S Land Co. Pit #2 Permit Number NCG020594 Martin County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020594, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020594 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Ira Griffin Mailing Address: 6632 Fire Department Rd Williamston, NC 27892-7892 Phone Number: (252)792-7511 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Stevenson Weeks PO Box 360 Beaufort, NC 28516-0360 Subject: NPDES Stormwater Permit Coverage Renewal Old Wineberry Road Mine - Beaufort Permit Number NCG020607 Carteret County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020607, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020607 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Stevenson Weeks Mailing Address: PO Box 360 Beaufort, NC 28516-0360 Phone Number: (252)728-3158 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Mitchell St Clair St Clair Trucking Inc 1085 E 4th St Washington, NC 27889-7889 Subject: NPDES Stormwater Permit Coverage Renewal Poore Farm Pit Permit Number NCG020629 Beaufort County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020629, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020629 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: St Clair Trucking Inc Owner Contact: Mitchell St Clair Mailing Address: 1085 E 4th St Washington, NC 27889-7889 Phone Number: (919)946-7959 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ronald Petty A-1 Sandrock Inc 2091 Bishop Rd Greensboro, NC 27406-7406 Subject: NPDES Stormwater Permit Coverage Renewal A-1 Sandrock Incorporated Permit Number NCG020633 Guilford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020633, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020633 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: A-1 Sandrock Inc Owner Contact: Ronald Petty Mailing Address: 2091 Bishop Rd Greensboro, NC 27406-7406 Phone Number: (336)855-8195 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Harvey Lewis ER Lewis Construction Company Inc PO Box 565 Greenville, NC 27835-7835 Subject: NPDES Stormwater Permit Coverage Renewal Rosewood Mine Permit Number NCG020646 Greene County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020646, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020646 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: ER Lewis Construction Company Inc Owner Contact: Harvey Lewis Mailing Address: PO Box 565 Greenville, NC 27835-7835 Phone Number: (252)321-1101 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 James Walker Elite Construction and Grading Inc PO Box 99 Rocky Point, NC 28457-0099 Subject: NPDES Stormwater Permit Coverage Renewal Ogden Sand Mine Permit Number NCG020648 New Hanover County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020648, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020648 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Elite Construction and Grading Inc Owner Contact: James Walker Mailing Address: PO Box 99 Rocky Point, NC 28457-0099 Phone Number: (910)675-8001 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Frank Horne Frank Horne Construction Inc PO Box 338 Fair Bluff, NC 28439-0338 Subject: NPDES Stormwater Permit Coverage Renewal Meares Pit - Fair Bluff Permit Number NCG020655 Columbus County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020655, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020655 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Frank Horne Construction Inc Owner Contact: Frank Horne Mailing Address: PO Box 338 Fair Bluff, NC 28439-0338 Phone Number: (910)642-7803 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Matt Glover Glover Materials, Inc. PO Box 40 Pleasant Hill, NC 27866-7866 Subject: NPDES Stormwater Permit Coverage Renewal Meherrin Mine Permit Number NCG020660 Hertford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020660, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020660 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Glover Materials, Inc. Owner Contact: Matt Glover Mailing Address: PO Box 40 Pleasant Hill, NC 27866-7866 Phone Number: (252)536-2660 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Gus Schad 44925 NC 24-27-73 Hwy Albemarle, NC 28001-8001 Subject: NPDES Stormwater Permit Coverage Renewal Parker Mine Permit Number NCG020684 Stanly County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020684, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020684 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Gus Schad Owner Contact: Gus Schad Mailing Address: 44925 NC 24-27-73 Hwy Albemarle, NC 28001-8001 Phone Number: (704)982-8313 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Jimmy McLamb L M McLamb & Son Construction Company Inc 800 McLamb Rd NW Calabash, NC 28467-8467 Subject: NPDES Stormwater Permit Coverage Renewal Hughes -Smith Road Mine - Ash Permit Number NCG020690 Brunswick County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020690, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020690 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: L M McLamb & Son Construction Company Inc Owner Contact: Jimmy McLamb Mailing Address: 800 McLamb Rd NW Calabash, NC 28467-8467 Phone Number: (910)287-6688 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Patricia Jordan Jordan Land Development 120 Rocky Ridge Rd W Jefferson, NC 28694-8694 Subject: NPDES Stormwater Permit Coverage Renewal Jordan Land Development, Inc. Permit Number NCG020702 Ashe County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020702, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020702 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Jordan Land Development Owner Contact: Patricia Jordan Mailing Address: 120 Rocky Ridge Rd W Jefferson, NC 28694-8694 Phone Number: (336)246-7244 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Randy Hardee Hardee Enterprises of NC LLC 131 Houghton PI S W Sunset Beach, NC 28468-5607 Subject: NPDES Stormwater Permit Coverage Renewal Hardee Sand Mine - Supply Permit Number NCG020709 Brunswick County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020709, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020709 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Hardee Enterprises of NC LLC Owner Contact: Randy Hardee Mailing Address: 131 Houghton PI S W Sunset Beach, NC 28468-5607 Phone Number: (910)287-6999 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Tildon Whitehurst Whitehurst Sand Company 233 Woodville Rd Hertford, NC 27944-7944 Subject: NPDES Stormwater Permit Coverage Renewal Haskett Mine Permit Number NCG020748 Perquimans County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020748, however, this permit expired on 12/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020748 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Whitehurst Sand Company Owner Contact: Tildon Whitehurst Mailing Address: 233 Woodville Rd Hertford, NC 27944-7944 Phone Number: Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Scott McLaughlin Gsm Properties LLC 2316 Avinshire PI Wake Forest, NC 27587-7587 Subject: NPDES Stormwater Permit Coverage Renewal Cypress Cove Marina Permit Number NCG190005 Tyrrell County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG190005, however, this permit expired on 8/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG190005 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Gsm Properties LLC Owner Contact: Scott McLaughlin Mailing Address: 2316 Avinshire PI Wake Forest, NC 27587-7587 Phone Number: (252)796-0435 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 John Dudley Dudleys Marina Inc PO Box 1148 Swansboro, NC 28584-1148 Subject: NPDES Stormwater Permit Coverage Renewal Dudleys Marina - Cedar Point/Swansboro Permit Number NCG190032 Carteret County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG190032, however, this permit expired on 8/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG190032 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Dudleys Marina Inc Owner Contact: John Dudley Mailing Address: PO Box 1148 Swansboro, NC 28584-1148 Phone Number: (252)393-2204 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Edwin Bailey Coral Bay Marina Yacht Sales and Service Inc PO Box 1287 Morehead City, NC 28557-1287 Subject: NPDES Stormwater Permit Coverage Renewal Coral Bay Marina - Morehead City Permit Number NCG190034 Carteret County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG190034, however, this permit expired on 8/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG190034 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Coral Bay Marina Yacht Sales and Service Inc Owner Contact: Edwin Bailey Mailing Address: PO Box 1287 Morehead City, NC 28557-1287 Phone Number: (252)247-4231 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 D Hardison Fountain Powerboats Inc PO Box 457 Washington, NC 27889-7889 Subject: NPDES Stormwater Permit Coverage Renewal Fountain Powerboats Incorporated Permit Number NCG190048 Beaufort County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG190048, however, this permit expired on 8/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG190048 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Fountain Powerboats Inc Owner Contact: D Hardison Mailing Address: PO Box 457 Washington, NC 27889-7889 Phone Number: (252)975-7009 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Samuel Long Cape Fear Boat Works Inc PO Box 1601 Carolina Beach, NC 28428-1601 Subject: NPDES Stormwater Permit Coverage Renewal Cape Fear Boat Works - Navasa Permit Number NCG190085 Brunswick County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG190085, however, this permit expired on 8/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG190085 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Cape Fear Boat Works Inc Owner Contact: Samuel Long Mailing Address: PO Box 1601 Carolina Beach, NC 28428-1601 Phone Number: Fax Number: E-mail address: (910)371-3460 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ronald Gobble Gobble & Callahan Inc 4061 Giles Rd Lexington, NC 27295-7295 Subject: NPDES Stormwater Permit Coverage Renewal Gobble & Callahan Incorporated Permit Number NCG140229 Davidson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG140229, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG140229 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Gobble & Callahan Inc Owner Contact: Ronald Gobble Mailing Address: 4061 Giles Rd Lexington, NC 27295-7295 Phone Number: (336)787-5294 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 J Goldston Goldston's Building Supply 4900 Hwy 98 W Wake Forest, NC 27587-7587 Subject: NPDES Stormwater Permit Coverage Renewal Goldston's Building Supply Permit Number NCG140248 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG140248, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG140248 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Goldston's Building Supply Owner Contact: J Goldston Mailing Address: 4900 Hwy 98 W Wake Forest, NC 27587-7587 Phone Number: (919)848-9047 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Jamie Sullivan Harper Construction Inc PO Box 708 Shelbyville, TN 37160-7160 Subject: NPDES Stormwater Permit Coverage Renewal Harper Construction Inc Permit Number NCG140316 Guilford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG140316, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG140316 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Harper Construction Inc Owner Contact: Jamie Sullivan Mailing Address: PO Box 708 Shelbyville, TN 37160-7160 Phone Number: (931)684-4563 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 William Simmons Action Demolition & Recycling LLC PO Box 98 Clover, SC 29710-9710 Subject: NPDES Stormwater Permit Coverage Renewal Action Demolition & Recycling, LLC Permit Number NCG160086 Gaston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG160086, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG160086 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Action Demolition & Recycling LLC Owner Contact: William Simmons Mailing Address: PO Box 98 Clover, SC 29710-9710 Phone Number: (704)922-3427 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Robert Parker Carolina Asphalt LLC PO Box 333 Kitty Hawk, NC 27949-7949 Subject: NPDES Stormwater Permit Coverage Renewal Carolina Asphalt LLC Permit Number NCG160143 Dare County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG160143, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG160143 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Carolina Asphalt LLC Owner Contact: Robert Parker Mailing Address: PO Box 333 Kitty Hawk, NC 27949-7949 Phone Number: (252)261-3711 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 John Riley Sharpe Bros A Division of Vecellio & Grogan 7809 Lebanon Rd Greensboro, NC 27425-7425 Dee Freeman Secretary Subject: NPDES Stormwater Permit Coverage Renewal Sharpe Bros., A Division of Vecellio & Grogan Permit Number NCG160174 Guilford County Dear Permittee: Your facility was covered for stormwater discharge under NPDES Permit NCG160174, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG160174 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Sharpe Bros A Division of Vecellio & Grogan Owner Contact: John Riley Mailing Address: 7809 Lebanon Rd Greensboro, NC 27425-7425 Phone Number: (336)235-2756 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Curtis Colwell Colwell Construction Company Inc 1208 Rock Rd Blairsville, GA 30512-0512 Subject: NPDES Stormwater Permit Coverage Renewal Colwell Mission Dam Plant Permit Number NCG160190 Cherokee County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG160190, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG160190 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Colwell Construction Company Inc Owner Contact: Curtis Colwell Mailing Address: 1208 Rock Rd Blairsville, GA 30512-0512 Phone Number: (706)745-6239 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 William Hoyle Pisgah Yarn And Dyeing Corp PO Box 606 Old Fort, NC 28762-8762 Subject: NPDES Stormwater Permit Coverage Renewal Pisgah Yarn And Dyeing Corporation Permit Number NCG170056 McDowell County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170056, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170056 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Pisgah Yarn And Dyeing Corp Owner Contact: William Hoyle Mailing Address: PO Box 606 Old Fort, NC 28762-8762 Phone Number: (828)668-7667 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 James Ward Martin County Economic Development Corporation 415 East Blvd Beargrass, NC 27892-7892 Subject: NPDES Stormwater Permit Coverage Renewal McMurray Building Permit Number NCG170058 Martin County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170058, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170058 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Martin County Economic Development Corporation Owner Contact: James Ward Mailing Address: 415 East Blvd Beargrass, NC 27892-7892 Phone Number: (252)792-2044 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Bruce Stacy Valdese Warehouse LLC 3262 Greentree Acres Valdese, NC 28690-8690 Subject: NPDES Stormwater Permit Coverage Renewal Valdese Warehouse, LLC Permit Number NCG170098 Burke County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170098, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170098 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Valdese Warehouse LLC Owner Contact: Bruce Stacy Mailing Address: 3262 Greentree Acres Valdese, NC 28690-8690 Phone Number: (828)439-5624 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Phil Absher Tuscarora Yarns Inc PO Box 218 Mount Pleasant, NC 28124-8124 Subject: NPDES Stormwater Permit Coverage Renewal Tuscarora Yarns Inc -Mt Pleasan Permit Number NCG170185 Cabarrus County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170185, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170185 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Tuscarora Yams Inc Owner Contact: Phil Absher Mailing Address: PO Box 218 Mount Pleasant, NC 28124-8124 Phone Number: Fax Number: E-mail address: (704)436-6527 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Phil Absher Tuscarora Yarns Inc PO Box 218 Mount Pleasant, NC 28124-8124 Subject: NPDES Stormwater Permit Coverage Renewal Tuscarora Yarns Incorporated-Oakboro Permit Number NCG170186 Stanly County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170186, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170186 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Tuscarora Yams Inc Owner Contact: Phil Absher Mailing Address: PO Box 218 Mount Pleasant, NC 28124-8124 Phone Number: Fax Number: E-mail address: (704)436-6527 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Phil Absher Tuscarora Yarns Inc PO Box 218 Mount Pleasant, NC 28124-8124 Subject: NPDES Stormwater Permit Coverage Renewal Tuscarora Yarns Inc -China Grov Permit Number NCG170187 Rowan County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170187, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170187 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Tuscarora Yams Inc Owner Contact: Phil Absher Mailing Address: PO Box 218 Mount Pleasant, NC 28124-8124 Phone Number: Fax Number: E-mail address: (704)436-6527 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Kent Ward Harriet & Henderson Yarn PO Box 789 Henderson, NC 27536-7536 Subject: NPDES Stormwater Permit Coverage Renewal South Henderson Plant Permit Number NCG170189 Vance County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170189, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stonnwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170189 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Harriet & Henderson Yarn Owner Contact: Kent Ward Mailing Address: PO Box 789 Henderson, NC 27536-7536 Phone Number: (252)430-5332 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Kent Ward Harriet & Henderson Yarn PO Box 789 Henderson, NC 27536-7536 Subject: NPDES Stormwater Permit Coverage Renewal Harriet & Henderson Yarn - Main St Permit Number NCG170190 Vance County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170190, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170190 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Harriet & Henderson Yarn Owner Contact: Kent Ward Mailing Address: PO Box 789 Henderson, NC 27536-7536 Phone Number: (252)430-5332 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 John Amirtharaj Premiere Fibers Inc PO Box 436 Ansonville, NC 28007-0436 Subject: NPDES Stormwater Permit Coverage Renewal Premiere Fibers Inc - Asheboro Permit Number NCG170261 Randolph County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170261, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170261 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Premiere Fibers Inc Owner Contact: John Amirtharaj Mailing Address: PO Box 436 Ansonville, NC 28007-0436 Phone Number: (704)826-8321 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Alphonse Kelada Spartan Dyers Inc PO Box 790 Belmont, NC 28012-8012 Subject: NPDES Stormwater Permit Coverage Renewal Spartan Dyers Incorporated Permit Number NCG170361 Gaston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170361, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170361 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Spartan Dyers Inc Owner Contact: Alphonse Kelada Mailing Address: PO Box 790 Belmont, NC 28012-8012 Phone Number: (704)829-0467 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Mickey Smith Acme -McCrary Corp PO Box 686 Siler City, NC 27344-7344 Subject: NPDES Stormwater Permit Coverage Renewal Acme-mcCrary Corporation - Siler City Permit Number NCG170383 Chatham County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170383, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170383 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Acme -McCrary Corp Owner Contact: Mickey Smith Mailing Address: PO Box 686 Siler City, NC 27344-7344 Phone Number: (919)663-2200 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Elias Gomez Janesville-Sackner Group PO Box 349 Norwalk, OH 44857-4857 Subject: NPDES Stormwater Permit Coverage Renewal Janesville-Sackner Group Permit Number NCG170392 McDowell County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170392, however, this permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170392 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Janesville-Sackner Group Owner Contact: Elias Gomez Mailing Address: PO Box 349 Norwalk, OH 44857-4857 Phone Number: (419)668-4474 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Richard Kelly City of Salisbury 217 S Main St Salisbury, NC 28144-8144 Subject: NPDES Stormwater Permit Coverage Renewal Public Services Facility Permit Number NCGO80816 Rowan County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080816, however, this permit expired on 10/31/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080816 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: City of Salisbury Owner Contact: Richard Kelly Mailing Address: 217 S Main St Salisbury, NC 28144-8144 Phone Number: (704)638-5218 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Christopher Porras Kerr Group Inc 228 Johny Mitchell Rd Ahoskie, NC 27910-7910 Subject: NPDES Stormwater Permit Coverage Renewal Kerr Group Incorporated Permit Number NCG050017 Hertford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG050017, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG050017 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Kerr Group Inc Owner Contact: Christopher Porras Mailing Address: 228 Johny Mitchell Rd Ahoskie, NC 27910-7910 Phone Number: (252)332-7266 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Johann Hofschust Atlas Precision Plastics Inc Fair Oaks Rd Arden, NC 28704-8704 Subject: NPDES Stormwater Permit Coverage Renewal Atlas Precision Plastics Inc Permit Number NCG050032 Buncombe County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG050032, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG050032 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Atlas Precision Plastics Inc Owner Contact: Johann Hofschust Mailing Address: Fair Oaks Rd Arden, NC 28704-8704 Phone Number: (828)687-9900 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ralph Brafford ABT Inc 259 Murdock Rd Troutman, NC 28166-8166 Subject: NPDES Stormwater Permit Coverage Renewal ABT Incorporated Permit Number NCG050075 Iredell County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG050075, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG050075 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: ABT Inc Owner Contact: Ralph Brafford Mailing Address: 259 Murdock Rd Troutman, NC 28166-8166 Phone Number: (704)528-9806 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 John Ryan Sunterrace Casual Furniture 2369 Charles Raper Jonas Stanley, NC 28164-8164 Subject: NPDES Stormwater Permit Coverage Renewal Sunterrace Casual Furniture Permit Number NCG050136 Gaston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG050136, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG050136 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Sunterrace Casual Furniture Owner Contact: John Ryan Mailing Address: 2369 Charles Raper Jonas Stanley, NC 28164-8164 Phone Number: (704)833-0539 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Renata Thornton J -M Manufacturing Co Inc 2602 W Lyon Sta Rd Creedmoor, NC 27522-7522 Subject: NPDES Stormwater Permit Coverage Renewal J -M Manufacturing Co Incorporated Permit Number NCG050137 Granville County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG050137, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG050137 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: J -M Manufacturing Co Inc Owner Contact: Renata Thornton Mailing Address: 2602 W Lyon Sta Rd Creedmoor, NC 27522-7522 Phone Number: (919)575-6515 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 R Chambers Chambers Container Co 145 Blue Devil Dr Gastonia, NC 28056-8056 Subject: NPDES Stormwater Permit Coverage Renewal Chambers Container Co -Gaston Permit Number NCG050251 Gaston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG050251, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG050251 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Chambers Container Co Owner Contact: R Chambers Mailing Address: 145 Blue Devil Dr Gastonia, NC 28056-8056 Phone Number: (704)861-9155 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 James Horne Cascades Moulded Pulp Inc PO Box 609 Rockingham, NC 28380-8380 Subject: NPDES Stormwater Permit Coverage Renewal Cascades Moulded Pulp Incorporated Permit Number NCG050286 Richmond County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG050286, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG050286 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Cascades Moulded Pulp Inc Owner Contact: James Horne Mailing Address: PO Box 609 Rockingham, NC 28380-8380 Phone Number: (910)997-2775 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Southern Graphic Systems Inc 2823 S Floyd St Louisville, KY 40209-1821 Subject: NPDES Stormwater Permit Coverage Renewal Southern Graphic Systems Inc - Greensboro Permit Number NCG050316 Guilford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG050316, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG050316 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Southern Graphic Systems Inc Owner Contact: Mailing Address: 2823 S Floyd St Louisville, KY 40209-1821 Phone Number: (502)637-5443 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Robert Lanoue L S Starrett Company PO Box 1268 Mount Airy, NC 27030-7030 Subject: NPDES Stormwater Permit Coverage Renewal The L S Starrett Company - Surry Permit Number NCG070040 Surry County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG070040, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG070040 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: L S Starrett Company Owner Contact: Robert Lanoue Mailing Address: PO Box 1268 Mount Airy, NC 27030-7030 Phone Number: (336)789-5141 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Hank Gay S & W Ready Mix Concrete Company LLC PO Box 872 Clinton, NC 28329-0872 Dee Freeman Secretary Subject: NPDES Stormwater Permit Coverage Renewal Castle Hayne - 5225 Holly Shelter Road Facility Permit Number NCG070083 New Hanover County Dear Permittee: Your facility was covered for stormwater discharge under NPDES Permit NCG070083, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG070083 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: S & W Ready Mix Concrete Company LLC Owner Contact: Hank Gay Mailing Address: PO Box 872 Clinton, NC 28329-0872 Phone Number: (910)592-0180 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Larry Benson Southern Block Company PO Box 426 Warsaw, NC 28398-0426 Subject: NPDES Stormwater Permit Coverage Renewal Southern Block Company - Warsaw Permit Number NCG070143 Duplin County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG070143, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG070143 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Southern Block Company Owner Contact: Larry Benson Mailing Address: PO Box 426 Warsaw, NC 28398-0426 Phone Number: (910)293-7844 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Al B Morvan Precast Construction Products PO Box 431 Paw Creek, NC 28130-8130 Subject: NPDES Stormwater Permit Coverage Renewal Precast Construction Products Permit Number NCG070158 Mecklenburg County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG070158, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG070158 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Precast Construction Products Owner Contact: Al B Morvan Mailing Address: PO Box 431 Paw Creek, NC 28130-8130 Phone Number: (704)392-8813 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Karl Hildreth Hildreth Septic Tanks PO Box 579 Wadesboro, NC 28170-8170 Subject: NPDES Stormwater Permit Coverage Renewal Hildreth Septic Tanks Permit Number NCG070159 Anson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG070159, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG070159 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Hildreth Septic Tanks Owner Contact: Karl Hildreth Mailing Address: PO Box 579 Wadesboro, NC 28170-8170 Phone Number: (704)694-2034 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 John Bell Kinder Morgan Materials Services LLC 333 Rouser Rd Building 4 Ste 601 Moon Twp, PA 15108-5108 Subject: NPDES Stormwater Permit Coverage Renewal KMMS Transload Pittsboro Permit Number NCG070172 Lee County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG070172, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG070172 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Kinder Morgan Materials Services LLC Owner Contact: John Bell Mailing Address: 333 Rouser Rd Building 4 Ste 601 Moon Twp, PA 15108-5108 Phone Number: (412)264-6068 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Stephen Brown Town of Cary PO Box 8005 Cary, NC 27512-8005 Subject: NPDES Stormwater Permit Coverage Renewal South Cary WRF Permit Number NCG110026 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG110026, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG110026 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information * Reissued Permit will be mailed to the owner address Owner / Organization Name: Town of Cary Owner Contact: Stephen Brown Mailing Address: PO Box 8005 Cary, NC 27512-8005 Phone Number: Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Stephen Brown Town of Cary PO Box 8005 Cary, NC 27512-8005 Subject: NPDES Stormwater Permit Coverage Renewal North Cary WRF Permit Number NCG110027 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG110027, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG110027 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information * Reissued Permit will be mailed to the owner address Owner / Organization Name: Town of Cary Owner Contact: Stephen Brown Mailing Address: PO Box 8005 Cary, NC 27512-8005 Phone Number: Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Kenneth Noland Town of Wilkesboro PO Box 1056 Wilkesboro, NC 28697-1056 Subject: NPDES Stormwater Permit Coverage Renewal wilkesboro - Cub Creek WWTP Permit Number NCG110031 Wilkes County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG110031, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG110031 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Town of Wilkesboro Owner Contact: Kenneth Noland Mailing Address: PO Box 1056 Wilkesboro, NC 28697-1056 Phone Number: (336)838-3951 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Radford Thomas City of Lenoir PO Box 958 Lenoir, NC 28645-0958 Subject: NPDES Stormwater Permit Coverage Renewal Lower Creek WWTP Permit Number NCG110098 Caldwell County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG110098, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG110098 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: City of Lenoir Owner Contact: Radford Thomas Mailing Address: PO Box 958 Lenoir, NC 28645-0958 Phone Number: (828)757-2219 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Radford Thomas City of Lenoir PO Box 958 Lenoir, NC 28645-0958 Subject: NPDES Stormwater Permit Coverage Renewal Gunpowder Creek WWTP Permit Number NCG110099 Caldwell County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG110099, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG110099 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: City of Lenoir Owner Contact: Radford Thomas Mailing Address: PO Box 958 Lenoir, NC 28645-0958 Phone Number: (828)757-2219 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Garland Norton Town of Old Fort PO Box 520 Old Fort, NC 28762-0520 Subject: NPDES Stormwater Permit Coverage Renewal Town of Old Fort WWTP Permit Number NCGI 10100 McDowell County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG110100, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG110100 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Town of Old Fort Owner Contact: Garland Norton Mailing Address: PO Box 520 Old Fort, NC 28762-0520 Phone Number: (828)668-4244 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Stribling Boynton City of High Point PO Box 230 High Point, NC 27261-7261 Subject: NPDES Stormwater Permit Coverage Renewal High Point Material Recovery Facility Permit Number NCG130038 Guilford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG130038, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG130038 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: City of High Point Owner Contact: Stribling Boynton Mailing Address: PO Box 230 High Point, NC 27261-7261 Phone Number: (336)883-3166 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Carlton Burrell Franklin Kiln & Lumber Company Inc PO Box 1411 Franklin, NC 28744-8744 Subject: NPDES Stormwater Permit Coverage Renewal Franklin Kiln & Lumber Co Inc Permit Number NCG210008 Macon County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210008, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210008 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Franklin Kiln & Lumber Company Inc Owner Contact: Carlton Burrell Mailing Address: PO Box 1411 Franklin, NC 28744-8744 Phone Number: (828)369-7412 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Robert Barker Baillie Lumber Company Inc 12045 Old US Hwy 70 E Cove City, NC 28523-8523 Subject: NPDES Stormwater Permit Coverage Renewal World Wood Company Permit Number NCG210127 Craven County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210127, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210127 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Baillie Lumber Company Inc Owner Contact: Robert Barker Mailing Address: 12045 Old US Hwy 70 E Cove City, NC 28523-8523 Phone Number: (252)523-0021 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Stock Building Supply Inc 3110 E Mason St Monroe, NC 28110-8110 Subject: NPDES Stormwater Permit Coverage Renewal Stock Building Supply Inc - Monroe Permit Number NCG210128 Union County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210128, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210128 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Stock Building Supply Inc Owner Contact: Mailing Address: 3110 E Mason St Monroe, NC 28110-8110 Phone Number: (704)283-8179 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Larry Walters Neuse Lumber Company Inc 594 Casey Mill Rd Dudley, NC 28333-8333 Subject: NPDES Stormwater Permit Coverage Renewal Neuse Lumber Company Incorporated Permit Number NCG210195 Wayne County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210195, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210195 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Neuse Lumber Company Inc Owner Contact: Larry Walters Mailing Address: 594 Casey Mill Rd Dudley, NC 28333-8333 Phone Number: (919)735-2472 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 John Soupup Champion Home Builders Co PO Box 1148 Lillington, NC 27546-7546 Dee Freeman Secretary Subject: NPDES Stormwater Permit Coverage Renewal Champion Home Builders Co - Hwy 401 South Permit Number NCG210202 Harnett County Dear Permittee: Your facility was covered for stormwater discharge under NPDES Permit NCG210202, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210202 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Champion Home Builders Co Owner Contact: John Soupup Mailing Address: PO Box 1148 Lillington, NC 27546-7546 Phone Number: (810)340-0880 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Mondee Monteith Monteith Lumber Co Inc PO Box 179 Bryson City, NC 28713-8713 Subject: NPDES Stormwater Permit Coverage Renewal Monteith Lumber Co Incorporated Permit Number NCG210221 Swain County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210221, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210221 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Monteith Lumber Co Inc Owner Contact: Mondee Monteith Mailing Address: PO Box 179 Bryson City, NC 28713-8713 Phone Number: (704)488-3336 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Timothy Phelps PO Box 64 Windsor, NC 27983-7983 Subject: NPDES Stormwater Permit Coverage Renewal Phelps Wet Yard & Storage Permit Number NCG210264 Bertie County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210264, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210264 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Timothy Phelps Mailing Address: PO Box 64 Windsor, NC 27983-7983 Phone Number: (252)794-3496 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ronald Harrison Plymouth Pallett Co Inc PO Box 712 Plymouth, NC 27962-7962 Subject: NPDES Stormwater Permit Coverage Renewal Plymouth Pallett Co -Washington Permit Number NCG210312 Washington County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210312, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210312 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Plymouth Pallett Co Inc Owner Contact: Ronald Harrison Mailing Address: PO Box 712 Plymouth, NC 27962-7962 Phone Number: (252)793-1111 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Randolph Caruthers The Mulch Masters of NC Inc 3308 Quail Bluff Rd Wake Forest, NC 27587-4952 Subject: NPDES Stormwater Permit Coverage Renewal The Mulch Masters of NC Inc Permit Number NCG210317 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210317, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210317 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: The Mulch Masters of NC Inc Owner Contact: Randolph Caruthers Mailing Address: 3308 Quail Bluff Rd Wake Forest, NC 27587-4952 Phone Number: (919)870-8026 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Idaho Timber Corp Of NC Inc 5401 Kendall St Boise, ID 83706-3706 Subject: NPDES Stormwater Permit Coverage Renewal Idaho Timber Corporation Of NC Inc Permit Number NCG210331 Vance County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210331, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210331 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Idaho Timber Corp Of NC Inc Owner Contact: Mailing Address: 5401 Kendall St Boise, ID 83706-3706 Phone Number: (252)430-0030 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/T'MDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Richard Shaver Shaver Wood Products Inc 14440 Statesville Bouleva Winston Salem, NC 27103-7103 Subject: NPDES Stormwater Permit Coverage Renewal Shaver Wood Products Permit Number NCG210352 Rowan County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210352, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210352 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Shaver Wood Products Inc Owner Contact: Richard Shaver Mailing Address: 14440 Statesville Bouleva Winston Salem, NC 27103-7103 Phone Number: Fax Number: E-mail address: (704)278-9291 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Steve Sutton Comark Building Systems, Inc. 518 Peterson Dr Lumberton, NC 28358-8358 Subject: NPDES Stormwater Permit Coverage Renewal Comark Building Systems, Inc. Permit Number NCG210369 Robeson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210369, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210369 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Comark Building Systems, Inc. Owner Contact: Steve Sutton Mailing Address: 518 Peterson Dr Lumberton, NC 28358-8358 Phone Number: (910)739-0900 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Randolph Caruthers The Mulch Masters of NC Inc 3308 Quail Bluff Rd Wake Forest, NC 27587-4952 Subject: NPDES Stormwater Permit Coverage Renewal The Mulch Masters of NC, Inc. Permit Number NCG210370 Warren County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210370, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210370 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: The Mulch Masters of NC Inc Owner Contact: Randolph Caruthers Mailing Address: 3308 Quail Bluff Rd Wake Forest, NC 27587-4952 Phone Number: (919)870-8026 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 James Scott 413 Dutchman Rd Harmony, NC 28634-9425 Subject: NPDES Stormwater Permit Coverage Renewal Scott Lumber Permit Number NCG210374 Yadkin County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210374, however, this permit expired on 4/30/2008. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210374 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: James Scott Mailing Address: 413 Dutchman Rd Harmony, NC 28634-9425 Phone Number: (336)468-8302 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Gene Hall Proctor & Schwartz 121 Protor Ln Lexington, NC 27292-7292 Subject: NPDES Stormwater Permit Coverage Renewal Proctor & Schwartz Permit Number NCG030190 Davidson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030190, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030190 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Proctor & Schwartz Owner Contact: Gene Hall Mailing Address: 121 Protor Ln Lexington, NC 27292-7292 Phone Number: (910)248-5181 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Dwayne Hunt Austin Co PO Box 2320 Yadkinville, NC 27055-7055 Subject: NPDES Stormwater Permit Coverage Renewal Austin Co -Greensboro Incorporated Permit Number NCG030204 Yadkin County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030204, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030204 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Austin Co Owner Contact: Dwayne Hunt Mailing Address: PO Box 2320 Yadkinville, NC 27055-7055 Phone Number: (336)468-2851 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Daniel Claussen Cincinnati Thermal Spray Inc 5901 Creek Rd Cincinnati, OH 45242-5242 Subject: NPDES Stormwater Permit Coverage Renewal CTS Rocky Point Facility Permit Number NCG030223 Pender County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030223, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030223 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Cincinnati Thermal Spray Inc Owner Contact: Daniel Claussen Mailing Address: 5901 Creek Rd Cincinnati, OH 45242-5242 Phone Number: (513)793-0670 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Siemens Power Transmission Dc PO Box 29503 Raleigh, NC 27626-7626 Subject: NPDES Stormwater Permit Coverage Renewal Siemens Power Transmission Dc Permit Number NCG030260 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030260, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030260 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information * Reissued Permit will be mailed to the owner address Owner / Organization Name: Siemens Power Transmission Dc Owner Contact: Mailing Address: PO Box 29503 Raleigh, NC 27626-7626 Phone Number: (919)365-2571 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 High Tech Fabrications PO Box 30663 Raleigh, NC 27622-7622 Subject: NPDES Stormwater Permit Coverage Renewal High Tech Fabrications Permit Number NCG030273 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030273, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030273 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: High Tech Fabrications Owner Contact: Mailing Address: PO Box 30663 Raleigh, NC 27622-7622 Phone Number: (919)781-2552 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Alton Cobb Long Agribusiness LLC PO Box 1139 Tarboro, NC 27886-7886 Subject: NPDES Stormwater Permit Coverage Renewal Long Agribusiness LLC Permit Number NCG030292 Edgecombe County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030292, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030292 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Long Agribusiness LLC Owner Contact: Alton Cobb Mailing Address: PO Box 1139 Tarboro, NC 27886-7886 Phone Number: (252)823-4151 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Metso Minerals Inc 3200 Bessemer City Rd Gastonia, NC 28053-8053 Subject: NPDES Stormwater Permit Coverage Renewal Metso Minerals Inc Permit Number NCG030345 Gaston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030345, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030345 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Metso Minerals Inc Owner Contact: Mailing Address: 3200 Bessemer City Rd Gastonia, NC 28053-8053 Phone Number: (704)629-2214 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Larry Hudson Acme Metal Slide Inc PO Box 1263 Statesville, NC 28687-8687 Subject: NPDES Stormwater Permit Coverage Renewal Acme Metal Products Permit Number NCG030411 Iredell County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030411, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030411 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Acme Metal Slide Inc Owner Contact: Larry Hudson Mailing Address: PO Box 1263 Statesville, NC 28687-8687 Phone Number: (704)873-3731 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 M Gira Quality Truck Bodies & Repair 917 Raleigh Rd Wilson, NC 27896-7896 Subject: NPDES Stormwater Permit Coverage Renewal Quality Truck Bodies & Repair Permit Number NCG030457 Wilson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030457, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030457 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Quality Truck Bodies & Repair Owner Contact: M Gira Mailing Address: 917 Raleigh Rd Wilson, NC 27896-7896 Phone Number: (252)245-5100 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Getrag Corporation 1848 Getrag Pkwy Newton, NC 28658-8658 Subject: NPDES Stormwater Permit Coverage Renewal Getrag Corp Permit Number NCG030475 Catawba County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030475, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030475 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Getrag Corporation Owner Contact: Mailing Address: 1848 Getrag Pkwy Newton, NC 28658-8658 Phone Number: (828)428-1170 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Donald Barry 3713 N Davidson St Charlotte, NC 28205-8205 Subject: NPDES Stormwater Permit Coverage Renewal Airborn Industries Permit Number NCG030515 Gaston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030515, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030515 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Donald Bary 3713 N Davidson St Charlotte, NC 28205-8205 (704)335-9155 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Winston Steel & Stair 219 Junia Ave Winston Salem, NC 27106-7106 Subject: NPDES Stormwater Permit Coverage Renewal Winston Steel & Stair Permit Number NCG030528 Forsyth County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030528, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030528 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Winston Steel & Stair Owner Contact: Mailing Address: 219 Junia Ave Winston Salem, NC 27106-7106 Phone Number: Fax Number: E-mail address: (336)788-8835 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Andy Jones Pepsi Bottling Ventures PO Box 1308 Lumberton, NC 28359-8359 Subject: NPDES Stormwater Permit Coverage Renewal Pepsi Bottling Ventures -Raleigh Permit Number NCG060004 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG060004, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG060004 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Pepsi Bottling Ventures Owner Contact: Andy Jones Mailing Address: PO Box 1308 Lumberton, NC 28359-8359 Phone Number: (919)861-8058 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Townsend Inc PO Box 709 Siler City, NC 27344-7344 Subject: NPDES Stormwater Permit Coverage Renewal Townsend Incorporated -Siler City Permit Number NCG060010 Chatham County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG060010, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG060010 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Townsend Inc Owner Contact: Mailing Address: PO Box 709 Siler City, NC 27344-7344 Phone Number: (919)663-2050 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Michael Popowycz Case Farms LLC PO Box 729 Troutman, NC 28166-8166 Subject: NPDES Stormwater Permit Coverage Renewal Case Farms -B & L Permit Number NCG060115 Burke County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG060115, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG060115 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Case Farms LLC Owner Contact: Michael Popowycz Mailing Address: PO Box 729 Troutman, NC 28166-8166 Phone Number: (704)528-4501 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Jerry Hartman H & H Products Inc 3418 US 301 N Dunn, NC 28334-8334 Subject: NPDES Stormwater Permit Coverage Renewal H & H Products Incorporated Permit Number NCG060212 Harnett County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG060212, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG060212 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: H & H Products Inc Owner Contact: Jerry Hartman Mailing Address: 3418 US 301 N Dunn, NC 28334-8334 Phone Number: (910)891-1766 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Michael Popowycz Case Farms LLC PO Box 729 Troutman, NC 28166-8166 Subject: NPDES Stormwater Permit Coverage Renewal Case Farms-Feedmill Permit Number NCG060233 Wayne County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG060233, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG060233 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Case Farms LLC Owner Contact: Michael Popowycz Mailing Address: PO Box 729 Troutman, NC 28166-8166 Phone Number: (704)528-4501 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Cott Beverages USA Inc 4843 Novopharm Blvd Wilson, NC 27893-7893 Subject: NPDES Stormwater Permit Coverage Renewal Cott Beverages USA Incorporated Permit Number NCG060237 Wilson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG060237, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG060237 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Cott Beverages USA Inc 4843 Novopharm Blvd Wilson, NC 27893-7893 (252)234-0493 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 John Barker Triangle Ice 903 Elizabethtown Rd Lumberton, NC 28358-8358 Subject: NPDES Stormwater Permit Coverage Renewal Triangle Ice - Raleigh Permit Number NCG060269 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG060269, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG060269 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Triangle Ice Owner Contact: John Barker Mailing Address: 903 Elizabethtown Rd Lumberton, NC 28358-8358 Phone Number: (910)739-6550 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Douglas Leveston Truck & Auto Repair PO Box 370 Farmville, NC 27828-7828 Subject: NPDES Stormwater Permit Coverage Renewal Truck & Auto Repair Permit Number NCGO80011 Pitt County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080011, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080011 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Truck & Auto Repair Owner Contact: Douglas Leveston Mailing Address: PO Box 370 Farmville, NC 27828-7828 Phone Number: (252)753-3109 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 James Stark Cape Fear Paving Company PO Box 2101 Wilmington, NC 28401-2101 Subject: NPDES Stormwater Permit Coverage Renewal Bolton Equipment Depot - Bolton Permit Number NCGO80028 Columbus County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080028, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080028 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Cape Fear Paving Company Owner Contact: James Stark Mailing Address: PO Box 2101 Wilmington, NC 28401-2101 Phone Number: (910)794-1341 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 James Burns Family Dollar Stores Inc PO Box 1017 Charlotte, NC 28201-1017 Subject: NPDES Stormwater Permit Coverage Renewal Family Dollar Stores Inc Permit Number NCGO80035 Mecklenburg County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080035, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080035 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Family Dollar Stores Inc Owner Contact: James Burns Mailing Address: PO Box 1017 Charlotte, NC 28201-1017 Phone Number: Fax Number: E-mail address: (704)814-3517 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Isaiah Reeves City of Charlotte PO Box 19066 Charlotte, NC 28202-5004 Subject: NPDES Stormwater Permit Coverage Renewal City of Charlotte-Seige Ave Equipment Permit Number NCGO80048 Mecklenburg County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080048, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080048 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: City of Charlotte Owner Contact: Isaiah Reeves Mailing Address: PO Box 19066 Charlotte, NC 28202-5004 Phone Number: Fax Number: E-mail address: (704)359-4840 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ernie Brome Corbitt Partners LLC 923 Johnston Pkwy Kenly, NC 27542-7542 Subject: NPDES Stormwater Permit Coverage Renewal Kenly 95 TA Truckshop Permit Number NCGO80065 Johnston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080065, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080065 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Corbitt Partners LLC Owner Contact: Ernie Brome Mailing Address: 923 Johnston Pkwy Kenly, NC 27542-7542 Phone Number: (919)284-5121 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Charles Henson Smathers Oil Company Inc 131 Park Ave Canton, NC 28716-8716 Subject: NPDES Stormwater Permit Coverage Renewal Smathers Oil Company Incorporated Permit Number NCGO80075 Haywood County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080075, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080075 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Smathers Oil Company Inc Owner Contact: Charles Henson Mailing Address: 131 Park Ave Canton, NC 28716-8716 Phone Number: (828)648-3981 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Wrangler Inc PO Box 21488 Greensboro, NC 27420-7420 Subject: NPDES Stormwater Permit Coverage Renewal Wrangler Incorporated - 150 Blue Bell Permit Number NCGO80149 Guilford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080149, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080149 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Wrangler Inc Owner Contact: Mailing Address: PO Box 21488 Greensboro, NC 27420-7420 Phone Number: (336)373-4005 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 John Hendley Brewer Hendley Oil Co PO Box 227 Monroe, NC 28110-8110 Subject: NPDES Stormwater Permit Coverage Renewal Brewer Hendley Oil Co -Monroe Permit Number NCGO80150 Union County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080150, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080150 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Brewer Hendley Oil Co Owner Contact: John Hendley Mailing Address: PO Box 227 Monroe, NC 28110-8110 Phone Number: (704)289-5823 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Jeff Richards Colonial Pipeline Company 5251 Hwy 153 Ste C #365 Hixson, TN 37343-7343 Subject: NPDES Stormwater Permit Coverage Renewal Colonial Pipeline- Apex Permit Number NCGO80166 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080166, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080166 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Colonial Pipeline Company Owner Contact: Jeff Richards Mailing Address: 5251 Hwy 153 Ste C #365 Hixson, TN 37343-7343 Phone Number: (423)305-1187 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 ATW Inc PO Box 16707 Greensboro, NC 27406-7406 Subject: NPDES Stormwater Permit Coverage Renewal ATW Inc - Greensboro Permit Number NCGO80217 Guilford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080217, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080217 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: ATW Inc Owner Contact: Mailing Address: PO Box 16707 Greensboro, NC 27406-7406 Phone Number: (800)745-6002 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Richard Overman Eagle Transport 300 S Wesleyan Blvd Rocky Mount, NC 27803-7803 Subject: NPDES Stormwater Permit Coverage Renewal Eagle Transport Corp- Greensboro Permit Number NCGO80247 Guilford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080247, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080247 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Eagle Transport Owner Contact: Richard Overman Mailing Address: 300 S Wesleyan Blvd Rocky Mount, NC 27803-7803 Phone Number: (919)937-2464 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Lee Shaffer Kenan Transport LLC 100 Europa Ctr Chapel Hill, NC 27517-7517 Subject: NPDES Stormwater Permit Coverage Renewal Kenan Transport Company -Selma Permit Number NCGO80249 Johnston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080249, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080249 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Kenan Transport LLC Owner Contact: Lee Shaffer Mailing Address: 100 Europa Ctr Chapel Hill, NC 27517-7517 Phone Number: (919)967-8221 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Lee Shaffer Kenan Transport LLC 100 Europa Ctr Chapel Hill, NC 27517-7517 Subject: NPDES Stormwater Permit Coverage Renewal Kenan Transport Company -Greensboro Permit Number NCGO80250 Guilford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080250, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080250 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Kenan Transport LLC Owner Contact: Lee Shaffer Mailing Address: 100 Europa Ctr Chapel Hill, NC 27517-7517 Phone Number: (919)967-8221 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Institution Food House Inc PO Drawer 2947 Hickory, NC 28603-8603 Subject: NPDES Stormwater Permit Coverage Renewal Institution Food House Incorporated Permit Number NCGO80354 Catawba County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080354, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080354 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Institution Food House Inc Owner Contact: Mailing Address: PO Drawer 2947 Hickory, NC 28603-8603 Phone Number: (828)323-4549 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Scott Stevens City of Kinston PO Drawer 339 Kinston, NC 28501-8501 Subject: NPDES Stormwater Permit Coverage Renewal Kinston Public Service Complex Permit Number NCGO80694 Lenoir County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080694, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080694 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: City of Kinston Owner Contact: Scott Stevens Mailing Address: PO Drawer 339 Kinston, NC 28501-8501 Phone Number: (252)939-3303 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 James Palenick City of Gastonia PO Box 1748 Gastonia, NC 28053-1748 Subject: NPDES Stormwater Permit Coverage Renewal Gastonia Vehicle Maintenance Facility Permit Number NCGO80701 Gaston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080701, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080701 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: City of Gastonia Owner Contact: James Palenick Mailing Address: PO Box 1748 Gastonia, NC 28053-1748 Phone Number: (704)866-6896 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Heath McCaskill M & M Motor Co Inc 9316 US Hwy Bus 220 N Randleman, NC 27317-7317 Subject: NPDES Stormwater Permit Coverage Renewal M & M Motor Co Incorporated Permit Number NCG100023 Randolph County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100023, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100023 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: M & M Motor Co Inc Owner Contact: Heath McCaskill Mailing Address: 9316 US Hwy Bus 220 N Randleman, NC 27317-7317 Phone Number: (336)498-4782 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Charles Dixon Strawberry Motor Co Inc PO Box 834 Dallas, NC 28034-8034 Subject: NPDES Stormwater Permit Coverage Renewal Strawberry Motor Co Incorporated Permit Number NCG100025 Gaston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100025, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100025 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Strawberry Motor Co Inc Owner Contact: Charles Dixon Mailing Address: PO Box 834 Dallas, NC 28034-8034 Phone Number: (704)922-5791 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Donald Wagner Wagner Auto Salvage Inc 4115 S Alston Ave Durham, NC 27713-7713 Subject: NPDES Stormwater Permit Coverage Renewal Wagner Auto Salvage Incorporated Permit Number NCG100026 Durham County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100026, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100026 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Wagner Auto Salvage Inc Owner Contact: Donald Wagner Mailing Address: 4115 S Alston Ave Durham, NC 27713-7713 Phone Number: (919)544-1729 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Carl Hollifield Stagecoach Ltd PO Box 1358 Marion, NC 28752-8752 Subject: NPDES Stormwater Permit Coverage Renewal Stagecoach Ltd - Import Auto Sales Permit Number NCG100042 McDowell County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100042, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100042 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Stagecoach Ltd Owner Contact: Carl Hollifield Mailing Address: PO Box 1358 Marion, NC 28752-8752 Phone Number: (828)724-1616 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 John Ray John Ray Inc 109 Lake Lathan Rd Mebane, NC 27302-7302 Subject: NPDES Stormwater Permit Coverage Renewal DBA Riverside Auto Parts Inc Permit Number NCG100055 Alamance County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100055, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100055 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: John Ray Inc Owner Contact: John Ray Mailing Address: 109 Lake Lathan Rd Mebane, NC 27302-7302 Phone Number: (919)563-1062 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Michael Flynn Mike's Auto Salvage 3400 Donner Tr Wake Forest, NC 27587-7587 Subject: NPDES Stormwater Permit Coverage Renewal Mike's Auto Salvage Permit Number NCG100067 Vance County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100067, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100067 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Mike's Auto Salvage Owner Contact: Michael Flynn Mailing Address: 3400 Donner Tr Wake Forest, NC 27587-7587 Phone Number: (919)556-7415 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/T'MDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Highway 10 Auto Parts Inc 2144 E NC Hwy 10 Conover, NC 28613-8613 Subject: NPDES Stormwater Permit Coverage Renewal Highway 10 Auto Parts Inc Permit Number NCG100069 Catawba County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100069, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100069 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Highway 10 Auto Parts Inc Owner Contact: Mailing Address: 2144 E NC Hwy 10 Conover, NC 28613-8613 Phone Number: (828)464-1730 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 John Bowers 232 McCaskill Rd Biscoe, NC 27209-7209 Subject: NPDES Stormwater Permit Coverage Renewal Eastern Auto Salvage Permit Number NCG100078 Montgomery County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100078, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100078 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: John Bowers Mailing Address: 232 McCaskill Rd Biscoe, NC 27209-7209 Phone Number: (910)428-9691 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Norman Davenport Wilmington Auto Salvage and Sales Inc 4614 N College Rd Castle Hayne, NC 28429-8429 Subject: NPDES Stormwater Permit Coverage Renewal Wilmington Auto Salvage - North College Rd Permit Number NCGI00089 New Hanover County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100089, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100089 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Wilmington Auto Salvage and Sales Inc Owner Contact: Norman Davenport Mailing Address: 4614 N College Rd Castle Hayne, NC 28429-8429 Phone Number: (910)675-9400 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Eastern Auto Parts 1222 Suggs St Fayetteville, NC 28306-8306 Subject: NPDES Stormwater Permit Coverage Renewal Eastern Auto Parts Permit Number NCG100094 Cumberland County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100094, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100094 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Eastern Auto Parts Owner Contact: Mailing Address: 1222 Suggs St Fayetteville, NC 28306-8306 Phone Number: (910)484-8091 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Norman Arrowood Mount Vernon Motors 3080 Hudlow Rd Forest City, NC 28043-8043 Subject: NPDES Stormwater Permit Coverage Renewal Mount Vernon Motors Permit Number NCG100107 Rutherford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100107, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100107 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Mount Vernon Motors Owner Contact: Norman Arrowood Mailing Address: 3080 Hudlow Rd Forest City, NC 28043-8043 Phone Number: (704)287-0977 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Kristene Salisbury Greenleaf Auto Recyclers LLC 2328 Womble Brooks Rd Wilson, NC 27893-7893 Subject: NPDES Stormwater Permit Coverage Renewal Greenleaf Mid -Atlantic South Permit Number NCG100114 Wilson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100114, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100114 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Greenleaf Auto Recyclers LLC Owner Contact: Kristene Salisbury Mailing Address: 2328 Womble Brooks Rd Wilson, NC 27893-7893 Phone Number: (252)243-6155 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Danny Webb Webb's Automotive 900 Pinkhill Rd Kinston, NC 28504-8504 Subject: NPDES Stormwater Permit Coverage Renewal Webb's Automotive Permit Number NCG100116 Lenoir County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100116, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100116 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Webb's Automotive Owner Contact: Danny Webb Mailing Address: 900 Pinkhill Rd Kinston, NC 28504-8504 Phone Number: (252)523-5227 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Johnny Cooke 6830 N US Hwy 421 Clinton, NC 28328-8328 Subject: NPDES Stormwater Permit Coverage Renewal Cooke Auto Salvage Permit Number NCG100125 Sampson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100125, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100125 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Johnny Cooke Mailing Address: 6830 N US Hwy 421 Clinton, NC 28328-8328 Phone Number: (910)564-4161 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Johnny Porter 1858 Hop Tyson Rd Greenville, NC 27834-7834 Subject: NPDES Stormwater Permit Coverage Renewal Porters Auto Parts Permit Number NCG100139 Pitt County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100139, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100139 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Johnny Porter 1858 Hop Tyson Rd Greenville, NC 27834-7834 (252)752-1510 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Robert York Randolph Auto Parts Inc PO Box 1531 Asheboro, NC 27204-7204 Subject: NPDES Stormwater Permit Coverage Renewal Randolph Auto Parts Incorporated Permit Number NCG100141 Randolph County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100141, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100141 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Randolph Auto Parts Inc Owner Contact: Robert York Mailing Address: PO Box 1531 Asheboro, NC 27204-7204 Phone Number: (336)672-1488 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Chaudhary Warraich 7224 Old Lexington St Winston Salem, NC 27107-7107 Subject: NPDES Stormwater Permit Coverage Renewal Triad Auto Salvage Permit Number NCG100146 Davidson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100146, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by Mav 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100146 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Chaudhary Warraich Mailing Address: 7224 Old Lexington St Winston Salem, NC 27107-7107 Phone Number: Fax Number: E-mail address: (336)785-1730 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ben Fuller Fuller's Auto Parts 1036 Harvest Dr Durham, NC 27704-7704 Subject: NPDES Stormwater Permit Coverage Renewal Fuller's Auto Parts Permit Number NCG100155 Durham County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100155, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100155 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Fuller's Auto Parts Owner Contact: Ben Fuller Mailing Address: 1036 Harvest Dr Durham, NC 27704-7704 Phone Number: (919)682-8507 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ricky Young 2500 NC 242 S Benson, NC 27504-7504 Subject: NPDES Stormwater Permit Coverage Renewal Young's Auto Center & Salvage Permit Number NCG100172 Johnston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100172, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100172 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Ricky Young 2500 NC 242 S Benson, NC 27504-7504 (919)894-4525 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Deane A. Demick 25 Alley Cat Dr Waynesville, NC 28786-8786 Subject: NPDES Stormwater Permit Coverage Renewal Town & Country Auto Removal Permit Number NCG100174 Haywood County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100174, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100174 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Deane A. Demick Owner Contact: Deane Demick Mailing Address: 25 Alley Cat Dr Waynesville, NC 28786-8786 Phone Number: (828)648-9004 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ricky Young Spring Lake Auto Center 2500 NC 242 S Benson, NC 27504-7504 Subject: NPDES Stormwater Permit Coverage Renewal Spring Lake Auto Center Permit Number NCGI 00180 Cumberland County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100180, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100180 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Spring Lake Auto Center Owner Contact: Ricky Young Mailing Address: 2500 NC 242 S Benson, NC 27504-7504 Phone Number: (919)894-4525 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ann King King Auto Salvage LLC PO Box 42 Haw River, NC 27258-7258 Subject: NPDES Stormwater Permit Coverage Renewal King Auto Salvage LLC Permit Number NCGIO0181 Alamance County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100181, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100181 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: King Auto Salvage LLC Owner Contact: Ann King Mailing Address: PO Box 42 Haw River, NC 27258-7258 Phone Number: (919)563-6881 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ricky Young Youngs Auto Center & Salvage 2500 NC 242 S Benson, NC 27504-7504 Subject: NPDES Stormwater Permit Coverage Renewal Young's Auto Center & Salvage -Dudley Permit Number NCGIO0182 Wayne County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100182, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100182 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Youngs Auto Center & Salvage Owner Contact: Ricky Young Mailing Address: 2500 NC 242 S Benson, NC 27504-7504 Phone Number: (919)894-3500 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 David Dear Cleveland Co PO Box 1210 Shelby, NC 28151-8151 Dee Freeman Secretary Subject: NPDES Stormwater Permit Coverage Renewal Cleveland County Municipal Solid Waste Landfill Permit Number NCG120072 Cleveland County Dear Permittee: Your facility was covered for stormwater discharge under NPDES Permit NCG120072, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG120072 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Cleveland Co Owner Contact: David Dear Mailing Address: PO Box 1210 Shelby, NC 28151-8151 Phone Number: (704)484-4800 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Stribling Boynton City of High Point PO Box 230 High Point, NC 27261-7261 Subject: NPDES Stormwater Permit Coverage Renewal Kersey Valley Landfill Permit Number NCG120075 Guilford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG120075, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG120075 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: City of High Point Owner Contact: Stribling Boynton Mailing Address: PO Box 230 High Point, NC 27261-7261 Phone Number: (336)883-3166 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Scott Fowler US Tire Recycling Partnership, L.P. 6322 Poplar Tent Rd Concord, NC 28027-7730 Subject: NPDES Stormwater Permit Coverage Renewal U S Tire Recycling LP Permit Number NCG130040 Cabarrus County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG130040, however, this permit expired on 8/31/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG130040 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: US Tire Recycling Partnership, L.P. Owner Contact: Scott Fowler Mailing Address: 6322 Poplar Tent Rd Concord, NC 28027-7730 Phone Number: (704)784-1210 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Jeff Rose Britton Pit Mine Permit #08 PO Box 806 Ahoskie, NC 27910-7910 Subject: NPDES Stormwater Permit Coverage Renewal Britton Pit Mine Permit #08-03 Permit Number NCG020444 Bertie County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020444, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020444 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Britton Pit Mine Permit #08 Owner Contact: Jeff Rose Mailing Address: PO Box 806 Ahoskie, NC 27910-7910 Phone Number: (919)398-4126 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Gerald Anderson Broad Creek Road Mine PO Box 568 Bridgeton, NC 28519-8519 Subject: NPDES Stormwater Permit Coverage Renewal Broad Creek Road Mine Permit Number NCG020445 Craven County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020445, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020445 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Broad Creek Road Mine Owner Contact: Gerald Anderson Mailing Address: PO Box 568 Bridgeton, NC 28519-8519 Phone Number: (919)633-2830 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 James Stark Riverfront Company LLC DBA Navassa Sand Co PO Box 2101 Wilmington, NC 28401-2101 Subject: NPDES Stormwater Permit Coverage Renewal Navassa Sand Company Permit Number NCG020454 Brunswick County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020454, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020454 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Riverfront Company LLC DBA Navassa Sand Cc Owner Contact: James Stark Mailing Address: PO Box 2101 Wilmington, NC 28401-2101 Phone Number: (910)794-1341 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Renice J Locklear 9247 Red Springs Rd Red Springs, NC 28377-8377 Subject: NPDES Stormwater Permit Coverage Renewal Renice J Locklear -Two Eleven Permit Number NCG020491 Hoke County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020491, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020491 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Renice J Locklear Owner Contact: Renice Locklear Mailing Address: 9247 Red Springs Rd Red Springs, NC 28377-8377 Phone Number: (910)843-2884 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 James Williams Williams Mine 990 Mt Elam Church Rd Roseboro, NC 28382-8382 Subject: NPDES Stormwater Permit Coverage Renewal Williams Mine Permit Number NCG020499 Harnett County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020499, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020499 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Williams Mine Owner Contact: James Williams Mailing Address: 990 Mt Elam Church Rd Roseboro, NC 28382-8382 Phone Number: (910)891-7122 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Henry Long Henry B Long Inc Drawer A Garysburg, NC 27831-7831 Subject: NPDES Stormwater Permit Coverage Renewal Henry B Long Incorporated Permit Number NCG020516 Northampton County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020516, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020516 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Henry B Long Inc Owner Contact: Henry Long Mailing Address: Drawer A Garysburg, NC 27831-7831 Phone Number: (252)536-0127 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Ralph Thomas 1515 Front St Beaufort, NC 28516-8516 Subject: NPDES Stormwater Permit Coverage Renewal Thomas Farm Road Mine - Beaufort Permit Number NCG020521 Carteret County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020521, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020521 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Ralph Thomas 1515 Front St Beaufort, NC 28516-8516 (252)504-4800 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Charles Lewis ER Lewis Construction Company Inc 100 E Arlington Blvd Greenville, NC 27858-7858 Subject: NPDES Stormwater Permit Coverage Renewal E R Lewis Construction Co Inc Permit Number NCG020529 Pitt County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020529, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020529 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: ER Lewis Construction Company Inc Owner Contact: Charles Lewis Mailing Address: 100 E Arlington Blvd Greenville, NC 27858-7858 Phone Number: (252)321-1101 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Percy Burns Route 168 Inc Mine 530 Woodlake Cir Chesapeake, VA 23320-3320 Subject: NPDES Stormwater Permit Coverage Renewal Route 168 Incorporated Mine Permit Number NCG020542 Currituck County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020542, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020542 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Route 168 Inc Mine Owner Contact: Percy Burns Mailing Address: 530 Woodlake Cir Chesapeake, VA 23320-3320 Phone Number: (757)361-9340 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Larry Styron PO Box 1599 Newport, NC 28570-1599 Subject: NPDES Stormwater Permit Coverage Renewal Smith Herring Mine - Newport Permit Number NCG020564 Carteret County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020564, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020564 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Larry Styron Mailing Address: PO Box 1599 Newport, NC 28570-1599 Phone Number: (252)223-3260 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 R. J. Bushhogging, Inc. 175 High School Rd Vanceboro, NC 28586-8627 Subject: NPDES Stormwater Permit Coverage Renewal R J Bushhogging Inc Permit Number NCG020601 Craven County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020601, however, this permit expired on 11/30/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Auplication Form o�oFwArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020601 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: R. J. Bushhogging, Inc. Owner Contact: Mailing Address: 175 High School Rd Vanceboro, NC 28586-8627 Phone Number: (252)244-2805 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Sal Pennisi Carson's Inc PO Box 150 High Point, NC 27261-7261 Subject: NPDES Stormwater Permit Coverage Renewal Carson's Incorporated -Butch Wilson Permit Number NCG180142 Guilford County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG180142, however, this permit expired on 8/31/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG180142 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Carson's Inc Owner Contact: Sal Pennisi Mailing Address: PO Box 150 High Point, NC 27261-7261 Phone Number: (336)887-3544 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 F Forester Key City Furniture Co PO Box 680 Wilkesboro, NC 28697-8697 Subject: NPDES Stormwater Permit Coverage Renewal Key City Furniture Co -Wilkes Permit Number NCGI80208 Wilkes County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG180208, however, this permit expired on 8/31/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG180208 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Key City Furniture Co Owner Contact: F Forester Mailing Address: PO Box 680 Wilkesboro, NC 28697-8697 Phone Number: (336)838-4191 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 C Stimpson 70 West Marina LLC PO Box 826 Morehead City, NC 28557-0826 Subject: NPDES Stormwater Permit Coverage Renewal 70 West Marina - Morehead City Permit Number NCG190021 Carteret County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG190021, however, this permit expired on 8/31/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG190021 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: 70 West Marina LLC Owner Contact: C Stimpson Mailing Address: PO Box 826 Morehead City, NC 28557-0826 Phone Number: (252)726-5171 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Jerry Black Black Concrete Inc 705 Cotton Grove Rd Lexington, NC 27292-7292 Subject: NPDES Stormwater Permit Coverage Renewal Black Concrete Incorporated Permit Number NCG140057 Davidson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG140057, however, this permit expired on 7/31/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG140057 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Black Concrete Inc Owner Contact: Jerry Black Mailing Address: 705 Cotton Grove Rd Lexington, NC 27292-7292 Phone Number: (336)243-1388 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Century Textile Manufacturing Inc 80 N Oakland St Gastonia, NC 28052-8052 Subject: NPDES Stormwater Permit Coverage Renewal Century Textile Manufacturing Inc Permit Number NCG170397 Gaston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170397, however, this permit expired on 7/31/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170397 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Century Textile Manufacturing Inc Owner Contact: Mailing Address: 80 N Oakland St Gastonia, NC 28052-8052 Phone Number: (704)869-6660 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Tony Wooddisse 168 Hwy 158 W Camden, NC 27921-7921 Subject: NPDES Stormwater Permit Coverage Renewal Shore Flyte Marina Permit Number NCG190056 Perquimans County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG190056, however, this permit expired on 7/31/2004. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG190056 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Mailing Address: Phone Number: Fax Number: E-mail address: 168 Hwy 158 W Camden, NC 27921-7921 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.nc.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Joe Stirewalt Piedmont Hardwood Lumber Co PO Box 535 Mount Pleasant, NC 28124-8124 Subject: NPDES Stormwater Permit Coverage Renewal Piedmont Hardwood Lumber Co Permit Number NCG210084 Cabarrus County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG210084, however, this permit expired on 3/31/2003. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG210084 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Piedmont Hardwood Lumber Co Owner Contact: Joe Stirewalt Mailing Address: PO Box 535 Mount Pleasant, NC 28124-8124 Phone Number: Fax Number: E-mail address: (704)436-9311 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Craig Morgan Data General Corp PO Box 786 Apex, NC 27502-7502 Subject: NPDES Stormwater Permit Coverage Renewal Data General Corporation Permit Number NCG030132 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030132, however, this permit expired on 8/31/2002. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030132 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Data General Corp Owner Contact: Craig Morgan Mailing Address: PO Box 786 Apex, NC 27502-7502 Phone Number: (919)362-4800 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Southbend Div Of Middleby Corp 1100 Old Honeycutt Rd Fuquay Varina, NC 27526-7526 Subject: NPDES Stormwater Permit Coverage Renewal Southbend Div Of Middleby Corp Permit Number NCG030182 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030182, however, this permit expired on 8/31/2002. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030182 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Southbend Div Of Middleby Corp Owner Contact: Mailing Address: 1100 Old Honeycutt Rd Fuquay Varina, NC 27526-7526 Phone Number: (919)762-1000 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Gail Honeycutt Hollmet Recycling Corp 700 Freedom Dr Raleigh, NC 27610-7610 Subject: NPDES Stormwater Permit Coverage Renewal Hollmet Recycling Corporation Permit Number NCG030193 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030193, however, this permit expired on 8/31/2002. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030193 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Hollmet Recycling Corp Owner Contact: Gail Honeycutt Mailing Address: 700 Freedom Dr Raleigh, NC 27610-7610 Phone Number: (919)231-1300 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 George Edmundson Kleer Vue Custom Fibers Inc 1812 Lynn Dr Wilson, NC 27893-7893 Subject: NPDES Stormwater Permit Coverage Renewal Kleer Vue Custom Fibers Incorporated Permit Number NCG030202 Wilson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030202, however, this permit expired on 8/31/2002. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030202 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Kleer Vue Custom Fibers Inc Owner Contact: George Edmundson Mailing Address: 1812 Lynn Dr Wilson, NC 27893-7893 Phone Number: (919)291-1547 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Thomas Hite Contract Steel Sales PO Box 3305 Greensboro, NC 27402-7402 Subject: NPDES Stormwater Permit Coverage Renewal Contract Steel Sales -Randolph Permit Number NCG030403 Randolph County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG030403, however, this permit expired on 8/31/2002. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG030403 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Contract Steel Sales Owner Contact: Thomas Hite Mailing Address: PO Box 3305 Greensboro, NC 27402-7402 Phone Number: (910)273-9704 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 A Hellens Coastal Yellow Cab Inc 1610N6th St Wilmington, NC 28401-8401 Subject: NPDES Stormwater Permit Coverage Renewal Coastal Yellow Cab - N 6th St Permit Number NCGO80197 New Hanover County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080197, however, this permit expired on 8/31/2002. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080197 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Coastal Yellow Cab Inc Owner Contact: A Hellens Mailing Address: 1610 N 6th St Wilmington, NC 28401-8401 Phone Number: (910)762-4404 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Larry Crowder CRTSInc 3116 Capital Blvd Raleigh, NC 27604-7604 Subject: NPDES Stormwater Permit Coverage Renewal C R T S Incorporated Permit Number NCGO80289 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG080289, however, this permit expired on 8/31/2002. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG080289 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: C R T S Inc Owner Contact: Larry Crowder Mailing Address: 3116 Capital Blvd Raleigh, NC 27604-7604 Phone Number: (919)876-7280 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Robert Yopp Bobs Auto Salvage Inc 2780 Richland's Hwy Jacksonville, NC 28540-3611 Subject: NPDES Stormwater Permit Coverage Renewal Bobs Auto Salvage - West Jacksonville Permit Number NCG100120 Onslow County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG100120, however, this permit expired on 8/31/2002. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG100120 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Bobs Auto Salvage Inc Owner Contact: Robert Yopp Mailing Address: 2780 Richland's Hwy Jacksonville, NC 28540-3611 Phone Number: (910)346-2463 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Jimmy Sprouse TCB Materials PO Box 3095 Hendersonville, NC 28792-8792 Subject: NPDES Stormwater Permit Coverage Renewal TCB Clear Creek Mine Permit Number NCG020567 Henderson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020567, however, this permit expired on 7/31/2002. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020567 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: TCB Materials Owner Contact: Jimmy Sprouse Mailing Address: PO Box 3095 Hendersonville, NC 28792-8792 Phone Number: Fax Number: E-mail address: (828)693-5587 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Randall Ferguson Parkdale America 100 Mill St Lexington, NC 27295-7295 Subject: NPDES Stormwater Permit Coverage Renewal Parkdale Mills Inc- Plant 60 Permit Number NCG170343 Gaston County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG170343, however, this permit expired on 8/31/1999. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Jennifer Jones of the Stormwater Permitting Unit at Jennifer.Jones@ncdenr.gov or (919) 807-6379. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG170343 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Parkdale America Owner Contact: Randall Ferguson Mailing Address: 100 Mill St Lexington, NC 27295-7295 Phone Number: (336)243-2141 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Jennifer Jones 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Victor Byrd Carolina Yacht Harbor Inc PO Box 1304 Wrightsville Beach, NC 28480-1304 Subject: NPDES Stormwater Permit Coverage Renewal Carolina Yacht Harbor - Airlie Rd Permit Number NCG190043 New Hanover County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG190043, however, this permit expired on 8/31/1999. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Brian Lowther of the Stormwater Permitting Unit at Brian.Lowther@ncdenr.gov or (919) 807-6368. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG190043 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Carolina Yacht Harbor Inc Owner Contact: Victor Byrd Mailing Address: PO Box 1304 Wrightsville Beach, NC 28480-1304 Phone Number: (910)256-5573 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Brian Lowther 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Jerry Bulluck PO Box 273 Battleboro, NC 27809-7809 Subject: NPDES Stormwater Permit Coverage Renewal Jerry Bulluck Permit Number NCG020334 Edgecombe County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCG020334, however, this permit expired on 8/31/1997. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bridget Munger of the Stormwater Permitting Unit at Bridget.Munger@ncdenr.gov or (919) 807-6363. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCG020334 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Owner Contact: Jerry Bulluck Mailing Address: PO Box 273 Battleboro, NC 27809-7809 Phone Number: (252)442-6102 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bridget Munger 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Jerry Hall Duracell USA 305 New Hwy 64 E Lexington, NC 27292-7292 Subject: NPDES Stormwater Permit Coverage Renewal Duracell USA Permit Number NCS000310 Davidson County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCS000310, however, this permit expired on 4/30/2007. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Robert Patterson of the Stormwater Permitting Unit at Robert.Patterson@ncdenr.gov or (919) 807-6375. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCS000310 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Duracell USA Owner Contact: Jerry Hall Mailing Address: 305 New Hwy 64 E Lexington, NC 27292-7292 Phone Number: (910)249-9101 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Robert Patterson 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Keith Russell NC State University 804 Cedar Ln Reidsville, NC 27320-7320 Subject: NPDES Stormwater Permit Coverage Renewal North Carolina State University Permit Number NCS000376 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCS000376, however, this permit expired on 4/30/2010. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Ken Pickle of the Stormwater Permitting Unit at Ken.Pickle@ncdenr.gov or (919) 807-6376. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCS000376 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: NC State University Owner Contact: Keith Russell Mailing Address: 804 Cedar Ln Reidsville, NC 27320-7320 Phone Number: (336)349-9445 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Ken Pickle 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Joseph Hack Compost Central 700 N Tryon St Charlotte, NC 28202-8202 Subject: NPDES Stormwater Permit Coverage Renewal Compost Central Permit Number NCS000382 Mecklenburg County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCS000382, however, this permit expired on 10/31/2005. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Julie Ventaloro of the Stormwater Permitting Unit at Julie.Ventaloro@ncdenr.gov or (919) 807-6370. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCS000382 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Compost Central Owner Contact: Joseph Hack Mailing Address: 700 N Tryon St Charlotte, NC 28202-8202 Phone Number: Fax Number: E-mail address: (704)588-9070 Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/T'MDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Julie Ventaloro 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 Damian Vickerman Air Liquide Industrial U S LP 2700 Post Oak Blvd Houston, TX 77056-7056 Subject: NPDES Stormwater Permit Coverage Renewal Wake Forest ASU Permit Number NCS000462 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCS000462, however, this permit expired on 6/30/2011. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bill Duiguid of the Stormwater Permitting Unit at Bill.Duiguid@ncdenr.gov or (919) 807-6369. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wArE9oG National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCS000462 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: Air Liquide Industrial U S LP Owner Contact: Damian Vickerman Mailing Address: 2700 Post Oak Blvd Houston, TX 77056-7056 Phone Number: (713)402-2393 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/T'MDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bill Duiguid 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Governor Director April 2, 2012 David Joyner North Carolina Turnpike Authority 5400 Glenwood Ave Ste 300 Raleigh, NC 27612-7612 Subject: NPDES Stormwater Permit Coverage Renewal North Carolina Turnpike Authority Permit Number NCS000523 Wake County Dear Permittee: Dee Freeman Secretary Your facility was covered for stormwater discharge under NPDES Permit NCS000523, however, this permit expired on 3/31/2010. To assure consideration for continuing coverage under your permit, you must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution Prevention Plan Certification for your facility. Filing the application form along with the requested supplemental information will constitute your application for renewal of this permit. . The application and supplemental information must be completed and returned to DWQ by May 15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to $25,000 per day. If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the Stormwater Permitting Unit at Bethany.Georgoulias@ncdenr.gov or (919) 807-6372. Sincerely, Bradley Bennett, Supervisor Stormwater Permitting Unit Cc: Central Files SPU Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 one Phone: 919-807-63001 FAX: 919-807-64921 Customer Service: 1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org Natura!!rf An Equal Opportunity 1 Affirmative Action Employer Permit Coverage Renewal Application Form o�oF wnrE9oc National Pollutant Discharge Elimination System Permit Number Stormwater Discharge Permit NCS000523 O Y The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all corrections/additions as necessary in the space provided to the right of the current information. Owner Affiliation Information *Reissued Permit will be mailed to the owner address Owner / Organization Name: North Carolina Turnpike Authority Owner Contact: David Joyner Mailing Address: 5400 Glenwood Ave Ste 300 Raleigh, NC 27612-7612 Phone Number: (919)571-3000 Fax Number: E-mail address: Facility/Permit Contact Information If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below. Facility Name: Facility Physical Address: Facility Contact: Mailing Address: Phone Number: Fax Number: E-mail address: Impaired Waters/TMDL Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? ❑ Yes ❑ No ❑ Don't Know (For information on these waters refer to http://h2o.enr.state.ne.uslsu/Impaired Waters TMDL/ ) 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 is true, complete and accurate. Signature Print or type name of person signing above Date Title Please return this completed renewal application form to: Stormwater Permitting Unit Attn: Bethany Georgoulias 1617 Mail Service Center Raleigh, North Carolina 27699-1617