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