HomeMy WebLinkAboutNCG050327_COMPLETE FILE - HISTORICAL_20181017STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
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DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCGO50327
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Pregis PolyMask
is hereby authorized to discharge stormwater from a facility located at
Pregis PolyMask
500 Thornburg Drive Southeast
Conover
Catawba County
to receiving waters designated as McLin Creek, class C waters in the Catawba River Basin,
in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts 1, I1, II1, and IV of General Permit No. NCG050000 as attached.
This certificate of coverage shall become effective October 17, 2018.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 171h day of October 2018.
A 1 _
for William E' (Toby) Vinso?I; Jr., P.E., CPM
Interim Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission
Georgoulias. Bethany
From: Georgoulias, Bethany
Sent: Wednesday, October 17, 2018 12:31 PM
To: 'Ray, Roeshod'
Cc: Khan, Zahid
Subject: Modified Certificate of Coverage for NCG050327 - Name/Owner Change
Attachments: NCG050327-Permit Contacts Summary Report_20181017.pdf, NCG050327-COC
Modification_20181017.pdf
Roeshod,
Please see the attached COC that reflects the Ownership/Name Change for this facility. I have also attached a current
Permit Contacts Summary Report to verify that the change had been made in our database after you submitted the
request to us back on 6/4/2018. Please let me know if you have any questions.
These records are also accessible in our Laserfiche Repository, in the NCG050327 folder.
Best regards,
Bethany Georgoulias
Environmental Engineer
Stormwater Program, Division of Energy, Mineral, and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office `F C E IV ED
bethany_geor oug lias(ancdenr.gov OCT 2 8 2018
512 N. Salisbury Street, Raleigh, NC 27604 (location) -INN VRAL ALES
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing) )WR SECTION
Website: http://deg_nc.gov/about/divisions/energy-mineral-land-resources/storrnwater
Email correspondence to and from this address is subject to the North Carolina Public Records
Law and may be disclosed to third parties.
From: Ray, Roeshod <rray@pregis.com>
Sent: Tuesday, October 16, 2018 2:25 PM
To: Georgoulias, Bethany<bethany.georgoulias@ncdenr.gov>
Subject: [External] RE: Renewal COC
Hi Bethany,
I did print out the permit, but then noticed our old company name is still of on the document. I think it was back in May
when I received the letter and website to update our information, and follow the directions to ensure the name was
changed. Not sure what happen, but is there any way to change the company name from Surface Guard Films LLC to
Pregis Polymask?
Thanks,
1
Roeshod Ray I Facilities Supervisor (Maintenance/EHS)
Pregis LLC J www.pregis.com 1 500 Thornburg Drive, SE Conover, NC 28613
0: 828-465-90211 Fax:828-465-2404 I ice: rray@pregis.com
regis
At Pregis, we're not just in the packaging business — we're in the "WOW" business. Products worth protecting deserve Pregis.
Learn how we solve today's toughest business challenges by visiting the new www pre iq s.com web site.
From: Georgoulias, Bethany [mailto_bethany eorgoulias@ncdenr.gov]
Sent: Tuesday, October 16, 2018 11:55 AM
To: Ray, Roeshod
Cc: Lucas, Annette
Subject: Renewal COC
Mr. Ray,
Please go to this website: https://edocs.deg.nc.pov/Forms 5W-COC-Renewal
And enter your COC Number into the first box. Fill out the other required fields for the submittor, sign the form at the
bottom, and submit. You will receive an email with your COC.
If you have any problems, please let me know.
Best regards,
Bethany Georgoulias
Environmental Engineer
Stonnwater Program, Division of Energy, Mineral, and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
bethan eor oulias ncdenr. ov
512 N. Salisbury Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)
Website: htip://deg.nc.gov/about/divisions/enerjzy-mineral-land-resources/stormwater
Email correspondence to and from this address is subject to the North Carolina Public Records
Law and may be disclosed to third parties.
From: Lucas, Annette
Sent: Tuesday, October 16, 2018 11:41 AM +
To: Georgoulias, Bethany<bethany.georgoulias@?ncdenr.Rov>
Subject: FW: [External] COG
Bethany,
Can you please let Mr. Ray know how to print his COC?
2
' Thanks,
Annette
From: Ray, Roeshod [mailto:rra re is.com]
Sent: Tuesday, October 16, 201811:36 AM
To: Lucas, Annette <annette.lucas@ncdenr.gov>
Subject: [External] COG
Good Morning,
I just spoke with you a few minutes ago about obtaining a copy of the COG for my facility. I gave you the general permit
we are under, but did not give you the COG number. That number is NCGO50327.
Thanks,
Roeshod Ray I Facilities Supervisor (Maintenance/EHS)
Pregis LLC I www.grepis.com 1 500 Thornburg Drive, SE Conover, NC 28613
E O: 828-465-9021 1 Fax:828-465-2404 1 ®: rrayPpregis.com
regis
At Pregis, we're not just in the packaging business — we're in the "WOW" business. Products worth protecting deserve Pregis.
Learn how we solve today's toughest business challenges by visiting the new www.,oregis.com web site.
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCGO50000
CERTIFICATE OF COVERAGE No. NCG050327
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Pregis PolyMask
is hereby authorized to discharge stormwater from a facility located at
Pregis PolyMask
500 Thornburg Drive Southeast
Conover
Catawba County
to receiving waters designated as McLin Creek, class C waters in the Catawba River Basin,
in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts [, 11, [I[, and IV of General Permit No. NCGO50000 as attached.
This certificate of coverage shall become effective October 17, 2018.
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this 17th day of October 2018.
N
for William E. (,Ioby) Vidson,fit., P.E., CPM
Interim Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission
PAT MCCRORY
DONALD R. VAN DER VAART
Energy, Mineral
and Lund Resources
ENVIRONMENTAL QUALITY
November 21, 2016
Mr. Matt Boomgarden
Surface Guard Films, LLC
500 Thornburg Drive SE
Conover, NC 28613-9096
le('lY'Iflli'
TRACY DAVIS
Direcror
DEC 0 12016
CENTRAL FILES
DWR SECTION
Subject: NPDES Stormwater Permit NCG050327
Surface Guard Films, LLC
Formerly 3M Company - Conover
Catawba County
Dear Mr. Boomgarden:
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerely,
4u-4-r"
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Mooresville Regional Office
Stormwater Permitting Program Files
Central Files
State of Nonh Carolina I Environmental Quality j Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, North Carolina 27699-1612
919 707 9220 T
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050327
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Surface Guard Films, LLC
is hereby authorized to discharge stormwater from a facility located at:
Surface Guard Films, LLC
500 Thornburg Drive SE
Conover
Catawba County
to receiving waters designated as unnamed tributary to McLin Creek, a class C water, in the
Catawba River Basin; in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts 1, I1, III, and IV of General Permit No. NCG050000 as
attached.
This certificate of coverage shall become effective November 21, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November Wnl
for
I racy E. Uavis, Y.h., Virector
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
lr -
Pat McCrory
Governor
I.
II.
RIMA me-0
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
WATER QUALITY PERMITTING SECTION
John E. Skvada, III
Secretary
PERMIT NAME/OWNERSHIP CHANGE REQUEST
This form is for ownership changes or name changes of NPDES wastewater permits.
• "Permittee" references the existing permit holder
• "Applicant" references the entity applying for the ownership/name change.
NPDES Permit No. (for which the change is requested):
or
Certificate of Coverage #:
Existing Permittee Information:
a. Permit issued to (company name):
b. Person legally responsible for permit:
c. Facility name:
NC0050000
--N-E-see-s-2-7
K-CP01So3 114
3M COmDanv - Conover
Anthony Aulisa
F irst Ml Last
Manufacturing Operations Manager
Title
- 500 Thornburg Drive SE
Permit Holder Mailing Address
Conover NC 28613-9096
City State Zip
(828) 465-9197 (828) 4652404
Phone Fax
3M Company - Conover
d. Facility's physical address: 500 Thornburg Drive SE
Address
Conover NC 28613-9096
city State Zip
e. Facility contact person: Steven Rolfe (828) 465-9020
First / MI / Last Phone
III. Applicant Information:
a. Request for change is a result of:
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
® Change in ownership of the facility
® Name change of the facility or owner
Surface Guard Films LLC
Matt Boom arden
First MI Last
Plant Manager
Title
500 Thomburg Drive SE
Permit Holder Mailing Address
Conover NC 28613-9096
city state zip
(828) 465-9001 _ _ Mboomgarden@pregis.com
Phone E-mail Address
Page t of 2
Revised 710112014
rJr •
d. Facility name: Surface Guard Films LLC
e. Facility's physical address: 500 Thomburg Drive SE
Address
Conover NC 28613-9096
City State Zip
f. Facility contact person: Steven Rolfe
First MI Last
Environmental, Health, and Safety Engineer
Title
(828) 465-9020 Srolfe®is.com
Phone E-mail Address
IV. Will the permitted facility continue to conduct the same commercial/industrial activities conducted prior to
this ownership or name change?
® Yes
❑ No (please explain)
If applicable, the applicant shall submit a major permit modification request to DWR. A major modification shall be
defined as one that increases the volume, increases the pollutant load, results in a significant relocation of the
discharge point, or results in a change in the characteristics of the waste generated.
V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE
INCOMPLETE OR MISSING:
I . This completed application is required for both name change and/or ownership change requests.
2. Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or a bill of sale) is
required for an ownership change request. Articles of incorporation are not sufficient for an ownership change.
Applicable regulations: 40 CFR 122.41, 40 CFR 122.61 and 15A NCAC 02H .0114
......................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change (Permittee), and the
new applicant in the case of an ownership change request. For a name change request, the signed Applicant's Certification
is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a namelownership change has been reviewed and is accurate and complete to the
best of my knowledge. I understand that if all required parts of this application are not completed and that if all required
supporting information is not included, this application package will be returned as incomplete.
A&� A144._
V, 3 p old
Signature ate
APPLICANT CERTIFICATION
1, _ attest that this application for a name/ownership change has been reviewed and is accurate and complete to the
best of my knowledge. I understand that if all required parts of this application are not completed and that if all required
supporting information is iAincluded, this application package will be returned as incomp te.
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
NPDES PERMIT NAMEIOWNERSHIP CHANGE REQUEST
Page 2 of 2
Revised 710112014
PAT MCCRORY
Gm,emor
DONALD R. VAN DER VAART
Energy, Mineral
and Land Resources
ENVIRONMENTAL OUAUTY
November 21, 2016
Mr. Matt Boomgarden
Surface Guard Films, LLC
500 Thornburg Drive SE
Conover, NC 28613-9096
tiec'rr�un•
TRACY DAVIS
Direc'!nr
Subject: NPDES Stormwater Permit NCG050327
Surface Guard Films, LLC
Formerly 3M Company - Conover
Catawba County
Dear Mr. Boomgarden:
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerely,
yr iv1! N A L S ui`dE:D BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Mooresville Regional Office
Stormwater Permitting Program Files
Central Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, North Carolina 27699-1612
919 707 9220 T
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCGO50000
CERTIFICATE OF COVERAGE No. NCG050327
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Surface Guard Films, LLC
is hereby authorized to discharge stormwater from a facility located at:
Surface Guard Films, LLC
500 Thornburg Drive SE
Conover
Catawba County
to receiving waters designated as unnamed tributary to McLin Creek, a class C water, in the
Catawba River Basin; in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, 11, III, and IV of General Permit No. NCG050000 as
attached.
This certificate of coverage shall become effective November 21, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 21, 2016.
ORIGINAL S1GNIED BY
BETHANY GEORGOUL(AS
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
Energy, Mineral
and Land Resources
ENVIRONMENTAL Oi1ALITY
Mr. Matt Boomgarden
Surface Guard Films, LLC
500 Thornburg Drive SE
Conover, NC 28613-9096
Dear Mr. Boomgarden:
PAT MCCRORY
Orwernor
DONALD R. VAN DER VAART
November 21, 2016
Secirrar,•
TRACY DAVIS
L)irecfnr
of ��
40 <��
�F�ysgc �
0%
Subject: NPDES Stormwater PermliNCG050327
Surface Guard Films, LLC
Formerly 3M Company -Conover
Catawba County
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerely,
ONIGINALSIGHED BY
Bgv,p,NY GEORGOULIAS
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Mooresville Regional Office
Stormwater Permitting Program Files
Central Files
State of North Carolina I Environmental Quality I Energy, Mineral and band Resources
1612 Mail Service Center I 512 North Salisbury Street I Raleigh, North Carolina 27699-1612
919 707 9220 T
i
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES "
GENERAL PERMIT NO. NCG050000 0 9
�' �F
� rr
CERTIFICATE OF COVERAGE No. NCG050327'k. ,::�
STORMWATER DISCHARGES
0
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTZr
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Surface Guard Films, LLC
is hereby authorized to discharge stormwater from a facility located at:
Surface Guard Films, LLC
500 Thornburg Drive SE
Conover
Catawba County
to receiving waters designated as unnamed tributary to McLin Creek, a class C water, in the
Catawba River Basin: in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III, and IV of General Permit No. NCG050000 as
attached.
This certificate of coverage shall become effective November 21, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 21, 2016.
ORIG"NAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
A. FILE
i
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Paves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
June 10, 2011
Mr. Frank Piras
3M Company - Conover
500 Thornburg Drive
Conover, North Carolina_28613
Subject: Compliance Evaluation Inspection
3M Company - Conover
Stormwater Permit No. NCG050000
Certificate of Coverage NCG050327
Catawba County, N.C.
Dear Mr. Piras:
Enclosed is a copy of the Compliance Evaluation Inspection Report for the stormwater
inspection conducted at the subject facility on May 26, 2011 by Mr. Lon Snider of this Office.
The report should be self-explanatory; however, should you have questions concerning
this report, please do not hesitate to contact Mr. Snider or me at (704) 663-1699.
Sincerely,
Robert B. Krebs
'Surface Water Protection Regional Supervisor
Enclosure
- - -- - cc. -Central Files - -- - -- -
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115 One
Phone; (704) 663-16991 Fax: (704) 663-60401 Customer Service: 1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org Naturally
An Equal opportunity lAff rnative Action Employer— 50°/ Recycledlt0% Post Consumer paper
Compliance Inspection Report
Permit: NCGO50327 Effective: 06/01/08 Expiration: 05/31/13 Owner: 3m Company
SOC: Effective: Expiration: Facility: 3M Company -Conover
County: Catawba 500 Thornburg Dr
Region: Mooresville
Conover NC 28613
Contact Person: Mike icemen Title: Phone: 651-778-4133
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Certification: Phone:
Inspection Date: 05/26/2011 Entry Time: 09:00 AM Exit Time:.10:30 AM
Primary Inspector: Lon Snider5 Phone: 704-663-1699
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Apparel/Printing/Paper/Leather/Rubber Stormwater
Discharge COC
Facility Status: ■ Compliant I] Not Compliant
Question Areas:
0 Storm Water
(See attachment summary)
Page: 1
i
Permit: ✓`iCGO50327 owner - Facility: 3m Company
Inspection Date: 05126/2011 Inspection Type: Compliance Evaluation Reason for Visit: ,Routine
inspection Summary:
Stormwater Pollution Prevention Plan -
Yes
No
NA
Nt
Does the site have a Stcrmwater Pollution Prevention Plan?
■
n
n
n
# Does the Plan include a General Location (USGS) map?
■
n
n
n
# Does the Plan include a "Narrative Description of Practices"?
■
n
n
n
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
n
n
n
# Does the Plan include a list of significant spills occurring during the past 3 years?
■
0
Cl
n
# Has the facility evaluated feasible alternatives to current practices?
■
n
n
n
# Does the facility provide all necessary secondary containment?
■
n
n
n
# Does the Plan include a BMP summary?
■
n
n
n
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
®n
n
n
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
n
n
n
# Does the facility provide and document Employee Training?
n
■
n
n
# Does the Plan include a list of Responsible Party(s)?
■
n
n
n
# Is the Plan reviewed and updated annually?
■
n
n
# Does the Plan include a Stormwater Facility Inspection Program?
■
n
n
n
Has the Stormwater Pollution Prevention Plan been implemented?
■
n
n
n
Comment: Training should be provided and documented on a yearly basis. Facility
has had no significant spills in the last 3 years,
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
■
n
n
n
Comment: Only documented one sampling date for 2010.
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■
n
n
n
# Were all outfalls observed during the inspection?
■
n
00
# If the facility has representative outfall status, is it properly documented by the Division?
n
n
■
n
# Has the facility evaluated all illicit (non stormwater) discharges?
■
n
00
Page: 2
NC DEPT. OF.
t AND NATURAL RESOURCES `-
State of North CarffiAySVlLLE^7�Gl01+lAL0FRCF
Department of EnVironrl?en# 9 aD Y
and Natural Resources -4
Division of Water Quality DEC 3 0 2003
Michael F. Easley, Governor
William G. Ross Jr., ��ui���r� ��CT#a�
Alan W. Klimek, Dire C
December 19. 2003
Mr. Jerry W. Akins
Polymask Corporation
500 Thornburg Drive
Conover, North Carolina 28613
IL". 7
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATUFiAL RESOURCES
Subject: General Permit No. NCG050000
Polymask Corporation
COC NCG050327
Catawba County
Dear Mr. Akins:
In accordance with your application for discharge permit received on November 17, 2003, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute
143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental .
Protection agency dated May 9, 1994 (or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act, or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Ken Pickle_ at telephone number
(919) 733-5083 ext. 584.
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Alan W. Klimek, P. E.
cc: Mooresville Regional Office
Central Files
Stormwater and General Permits Unit Files
S W U-zse-011001
1617 Mail Service Center, Raleigh, North Carolina 276913-1617 Telephone 919-733-5083 FAX 919-733-9919
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050327
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Polyrnask Corporation
is hereby authorized to discharge stormwater from a facility located at
Polymask Corporation
500 Thornburg Drive
Conover, North Carolina
Catawba County
to receiving waters designated as unnamed tributary to McLin Creek, a class C water in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, III,
IV, V, and VI of General Permit No. NCGO50000 as attached.
This certificate of coverage shall become effective December 19, 2003.
This Certificate of Coverage sball remain in effect fo0"jqLo6jfl3NE[!PWral Permit.
Signed this day December 19, 2003. WILLIAM C. MILLS
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission
'f
A*
v G
���;Ak
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory ,John E. Skvada, III
Governor WATER QUALITY PERMITTING SECTION Secretary
1.
I I.
PERMIT NAMEIOWNERSHIP CHANGE REQUEST
This form is for ownership changes or name changes of NPIDES wastewater permits.
• "Permiltee" references the existing permit holder
• "Applicant" references the entice applying for the ownership/name change.
NPDES Permit No. (for which the change is requested):
or
Certificate of Coverage #:
Existing Permittee Information:
a. Permit issued to (company name):
b. Person legally responsible for permit:
c. Facility name:
NC0050000
---N--C--G-5-0 3 2-7
N-eoSZ3 al
3M Company - Conover
Anthony Aul isa
First _ Ml _ Last
Manufacturing Operations Manager
Title
500 Thornburg Drive SE
Permit Holder Mailing Address
Conover NC 28613-9096
City State Zip
(828) 465-9197 (828) 4652404
Phone Fax -
3M Company - Conover
d. Facility's physical address: 500 Thornburg Drive SE
- Address ^
Conover NC 28613-9096
City state Zip
e. Facility contact person: Steven Rolfe (828) 465-9020
First I MI / Last Phone
Ill. Applicant Information:
a. Request for change is a result of:
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
® Change in ownership of the facility
® Name change of the facility or owner
Surface Guard Films LLC
Matt Boomgarden
First Ml Last
_ Plant Manager
Title T
500 Thornburg Drive SE
Permit Holder Mailing Address
Conover NC 28613-9096
City State Zip
(828)4 5-9001 Mboo_T.garden@Pregis.com
Phone E-mail Address
Page I of 2
Revised 710112014
d. Facility name: Surface Guard Films LLC
e. Facility's physical address: 500 Thornburg Drive SE
Address T
Conover NC 28613-9096
City State Zip
f. Facility contact person: Steven Rolfe
First MI Last
T Environmental, Health, and Safes Engineer_
Title
(828) 46_5-9020 Srolfe@pregis.com
Phone E-mail Address
IV. Will the permitted facility continue to conduct the same commercial/Industrial activities conducted prior to
this ownership or name change?
® Yes
❑ No (please explain)
If applicable, the applicant shall submit a major permit modification request to DWR. A major modification shall be
defined as one that increases the volume, increases the pollutant load, results in a significant relocation of the
discharge point, or results in a change in the characteristics of the waste generated.
V. . Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE
INCOMPLETE OR MISSING:
This completed application is required for both name change and/or ownership change requests.
Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or a bill of sale) is
required for an ownership change request_ Articles of incorporation are not sufficient for an ownership change.
Applicable regulations: 40 CFR 122.41, 40 CFR 122.61 and 15A NCAC 02H .0114
......................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change (Permittec), and the
new applicant in the case of an ownership change request. For a name change request, the signed Applicant's Certification
is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, , attest that this application for a namelownership change has been reviewed and is accurate and complete to the
best of my knowledge. I understand that if all required parts of this application are not completed and that if all required
supporting information is not included, this application package will be returned as incomplete.
Am&nv ,3 0 Ol
Signature 916te
APPLICANT CERTIFICATION
1, attest that this application for a namelownership change has been reviewed and is accurate and complete to the
best of my knowledge. i understand that if all required parts of this application are not completed and that if all required
supporting information is tAincluded, this application package will be returned as incomp te.
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
NPDES PERMIT NAMEIOWNERSHIP CHANGE REQUEST
Page 2 of 2
Revised 7MI12014
DATE: 10/7/2016
First Class Mail
North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, NC 27699-1617
To Whom It May Concern,
AI(6-05-OV7
RECEIVEDINCDEUMIR
OCT 11 2016
Water Quality
Permitting Section
Please find enclosed the NPDES Permit Tame/Ownership Change Request Form and required supporting
documentation for the Name Change and Ownership Change of the 3M Conover facility located at 500
Thornburg Drive SE, Conover, NC.
If you have any questions, please contact me at 828-465-9001 or by email at
Mboomgardenl@mmm.com
Sincerely,
Matt Boomgarden
Plant Manager
Enclosures
EXECUTION VERSION
BILL OF SALE
This BILL OF SALE (this "Bill of Sale"), dated as of October 3, 2016 (the "Effective
Date" ), is delivered by 3M Company, a Delaware corporation ("3M") and 3M Innovative
Properties Company, a Delaware corporation ("3M IPC" and together with 3M, each a "Seller"
and collectively, the "Sellers"), in connection with that certain Asset Purchase Agreement, dated
as of September 7, 2016 (as amended, modified or supplemented from time to time on or prior to
the Effective Date, the "Purchase Agreement"), by and between 3M, Surface Guard Films, LLC,
a Delaware limited liability company ("Buyer" and, together with Sellers, the "Parties"), and,
solely for purposes of Section 5.12(a) of the Purchase Agreement, 3M IPC. The execution and
delivery of this Bill of Sale is contemplated by Section 2.8(b)(i)(C) and Section 2.8(b)(ii)(B) of
the Purchase Agreement.
Capitalized terms, unless otherwise defined in this Bill of Sale, have the respective
meanings set forth in the Purchase Agreement. This Bill of Sale is in all respects subject to the
terms and conditions of the Purchase Agreement, which shall govern the respective rights of
Sellers, on the one hand, and Buyer, on the other hand, with respect to the Transferred Assets,
and nothing contained in this Bill of Sale shall in any way supersede, modify, replace, amend,
change, rescind, waive, defeat, Iimit, impair, expand, exceed, enlarge or affect the provisions set
forth in, or any Person's rights, remedies or obligations under the Purchase Agreement, this Bill
of Sale being intended solely to effect the transfer of the Transferred Assets pursuant to the
Purchase Agreement. To the extent that any provision of this Bill of Sale is inconsistent or
conflicts with the Purchase Agreement, the Purchase Agreement shall control.
FOR GOOD AND VALUABLE CONSIDERATION, the receipt and sufficiency of
which are hereby acknowledged, each Seller does hereby sell, transfer, assign, convey and
deliver to Buyer and its successors and assigns to have and to hold forever, free and clear of all
Encumbrances other than Permitted Encumbrances, all of such Seller's right, title and interest in,
to and under the Transferred Assets.
Buyer acknowledges that Sellers make no representations or warranties with respect to
the Transferred Assets conveyed hereby except as specifically set forth in the Purchase
Agreement.
The terms and conditions of Section 5.22(a) of the Purchase Agreement (Further
Assurances) are hereby incorporated into this Bill of Sale by reference, applied mutatis mutandis
to the matters contemplated by this Bill of Sale.
Any term or provision of this Bill of Sale that is invalid or unenforceable in any situation
in any jurisdiction shall not affect the validity or enforceability of the remaining terms and
provisions hereof or the validity or enforceability of the offending term or provision in any other
situation or in any other jurisdiction. Any invalid or unenforceable provision shall be modified to
the extent necessary to allow for enforceability and to give effect to the original intent of the
Parties to the extent possible.
No amendment of any provision of this Bill of Sale shall be valid unless the same shall be
in writing and signed by Sellers and Buyer.
This Bill of Sale and all matters arising out of or relating to it shall be interpreted,
construed and governed by and in accordance with the internal Laws of the State of Delaware
without giving effect to any choice or conflict of law provision or rule (whether of the State of
Delaware or any other jurisdiction) that would cause the application of the Laws of any
jurisdiction other than those of the State of Delaware.
This Bill of Sale may be executed in one or more counterparts, each of which shall be
deemed to be an original and all of which, when taken together, shall be deemed to be one and
the same agreement. A signed copy of this Bill of Sale transmitted by facsimile, email or other
means of electronic transmission shall be deemed to have the same legal effect as delivery of an
original executed copy of this Bill of Sale for all purposes.
This Bill of Sale will not confer any rights or remedies upon any Person other than the
Parties hereto and their respective successors and permitted assigns.
[SIGNATURE PAGES FOLLOW]
0)
IN WITNESS WHEREOF, Sellers have caused this Bill of Sale to be executed and
delivered as of the date first written above by their respective duly authorized signatories.
SELLERS
3M COMPANY
By: -
bflp Ty Silberhorn
Title: Vice President and General Manager,
3M Industrial Adhesives.& Tapes
Division
3M INNOVATIVE PROPERTIES
COMPANY
By: � e _�
Name: Kevin.H. Rhodes
Title: President
[Signature Page to Bill of Sale]
BUYER
SURFACE GUARD FILMS, LLC
By:
Name: Keith LaVanway
Title: Vice President and Secretary
[Signature Page to Sill of Sale]
I A Merl,. First American Tide Insurance Company
National Commercial .Se.rwces
�861 NiOD'I'let M-all',-Su-ite 1-1�&-'FA`nneapolis; MN 55402-250L.4
Office. Phone:(612)305-2000 Office Fax.ffi 12)305-2000
Final, Se tdcm en t Statement
Property- 500 Thbrnburg Drive.SE, Conover, NG, File:No. NCS-783269WOLS
Officer Jennifer Williams/M
Settlement M4: 1010312016
Dis6ursement Date:. 10/03/2Q16
PrIiA Mite, 09/28/2016, 7:19 PIVI
Buyer. Surface Guardflims, LLC
Address-, 500 Thombuirg'D,nve SE,.C6n6viar. NC
,-
Seller 3M.. Corn
Add '"!vss�! 3M Center, building 224-5N-40 St. Paul; MN 55144!
. . 7
e b7ujWC�ariq '--
[BuyieCredit`
biler Chate
J§iflir. Credit
Consideration
.2,143.501.00
Total Consideration
2,143;501.M
Prorations
.12,232.32
2016 Taxes (276 da)01101IM6 to10103116 @$15,178.65/
12.232.321
Title/Escrow Cha!qeis to.
375,
Closing -Escrow Fee to First Ame.ricah Title Insurarice
Company National .Com tr'eneial Services
375,001,
2,045-00
Search and Exam to First American TNe Insuranoe Company
National ComrnercialSwvlces.
Search and Exam -Interim Update 9-8-16 to First American'
Title InsuranceC-ompny National Commercial Services
.350.00-
25.0
Recording:Service Fee - Tide to First American Title
Instirance Company National Commercial Services
25,001
3,037.24'
Policy -Extended ALTA 20M Owner's to First Arnerican.Tifle
Insurance C6mr)a.ny National Commercial Services
600.00
Endorsement, (0) 16 First Amerkan Title Insurance Company
National Commercial Services;
Record Spe<Nal Warr6qN Deed.
26.00[_
26.DO
R6=difn Miscellaneous 1. - Name Change Document
4,287:
Documents Transfe.t Ta*State
1 2 141663.92
Cash (X From To B!yer
Cash (X To From Sefled
2,130,492.6
_ 2,153,896.241
_ 2,1535896.24
Totals
_2,143 501,00L
�2143 501.6
PLEASt"NOTE: A modification.of ifioney-transfer or disburserhent instructiciiis can be 'a red flag
for Online Banldng Fraud and could be a -trap for.the -unwary. Should we knowingly receive such
:a rh6dificat ion, in the interest of prudence, we may.cnnsider it suspect:and.call a known"and
trusted phone . number to verify its authenticity, and accuracy. Your awareness and cooperation
Page I of 2
Contimj4d From Page 1
Final Settlement Statement
Seftl6r"'Ohf Date: 10103t2.016
Print Date:.. 0912812016'
File No:, NCS-1a3289-WL . S'
Office' r - Jennif6r W111wftwjw
inlalcing -appropriate st6pr.,§- to pi -event fraud is ge&atly appreciated.
PLEASE: NOTE: ALL BUYER: COSTS A.NR9,T0 BE' PAID �r SEPARATELY; AND AT THE -.CLOSING FOR
TRE..SEPARATE BUSINES5 TRANSACTION, AS DEFINED IN THE ASSETTURCHASE
AGREEMENT DATED SEPT-EMBER . 7 ,.201 . 6.SELLER IS TO WIRE THE,NET CLOSING COSTS TO
FIRST AMERICAN TITLE-ANDCLOSETHIS PART OF THE'TRANSACTION-
See Attached S.ignajures.
Page 2 of 2
Contjnu F316in Page 2
Final Settlement Statement
Settliem'ent'Date: 10103/2016
Pfint Pate; 09/28/2016:
BUYER(S):
Surface Guard uard Films,. LLC, a Delaware,
limited liability company
By.
Title:
File W NCS-783289-MPLS
Officer: ;Jennifer V041'amsim
SEL.LENS):
3M Company, a . ny, a Delaware'corpoiralion
Name:. —
Title:
Slg6ature Page 1
Continued From Page 2
Estimated Settlement Statement
Settlement Date: 10/03/2016
Print Date: 09/28/2016
BUYER(S):
Surface Guard Films, LLC, a Delaware
limited liability company
By:cb
Name: Keith LaVanway
Title: Vice President and Secretary
File No:
Officer:
SELLER(S):
NCS-783289-MPLS
Jennifer Williams/M
3M Company, a Delaware corporation
By:
Name,
Title:
Signature Page 1
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax:
Parcel Identifier No. 0033789
Mail/Box to: 3M Company, 3M Center, Building 224-5N40, St. Paul, Minnesota 55144 Attn: Real Estate
This instrument was prepared by: 3M Company, 3M Center, Building 224-5N-40, St. Paul, MN 55144
Brief description for the Index: Refer to North Carolina Quitclaim Deed, recorded September 22, 2016 in Book
3363, Page 290.
THIS DEED made effective as of this 3rd day of October, 2016, by and between
GRANTOR
3M Company, a Delaware corporation
3M Center, Building 224-5N-40
St. Paul, Minnesota 55144
GRANTEE
Surface Guard Films, LLC, a
Delaware limited
liability company
c/o Pregis LLC
1650 Lake Cook Road, Suite 400
Deerfield IL 60015
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in the County of Catawba, State of North Carolina, in Newton Township and more
particularly described as follows (the "Property"):
4833-8368-389-Al
Beginning at an iron pin, said iron pin marking the Southeast corner at the Lee Fox
heirs in the line of John P. Mehaffey and runs thence with the line of the Fox heirs
N. 4-28-50 E. 1012.32 feet to an iron pin, the Southwest corner of Doris B. Houser;
thence running with the lines of Houser and L & H Enterprises S. 85-54-10 E.
1038.46 feet to an iron pin in a branch in the line of Dolan McCombs; thence
running with the center of the branch and the line of Dolan McCombs the following
courses and distances:
S. 23-04-10 W. 17.32 feet; thence S. 52A3-00 W. 50.0 feet; thence S. 3243-00 W.
65.0 feet; thence S. 13-09AO W. 100.0 feet; thence S. 43-30-00 W. 28.0 feet;
thence S. 7-3140 W. 40.50 feet; thence S. 42-44-00 W. 44.81 feet; thence S. 16-
32-00 E. 25.0 feet; thence S. 33-39-00 W. 38.66 feet; thence S. 17-54-50 W. 110.0
feet; thence S. 45-54-40 W. 37.45 feet; thence S. 12-47-00 E. 30.0 feet; thence S.
2943-00 W. 55.0 feet; thence S. 20-35-00 E. 25.71 feet; thence S. 32-13-00 W.
60.0 feet; thence S. 21-00
W. 115,15 feet; thence S. 34-55 W. 50.0 feet; thence S. 341-50 E. 60.38 feet;
thence S. 26-5340 W. 83.81 feet; thence S. 9-02-20 E. 25.78 feet; thence N. 89-59-
40 E. 12.0 feet; thence S. 16-06-10 W. 31,71 feet; thence S. 75-31-50 W. 26.37
feet; thence S. 21-43 W. 22.0 feet to Mehaffey's Northeast comer, said point being
located S. 85 degrees East 4.5 feet from an axle on the creek bank, thence with the
line of Mehaffey N. 85 degrees W. 709.20 feet to the point of beginning and
containing 19.98 acres according to a map or plat entitled "Boundary and
Topographic Survey for Cellu-Products, Newton Township, Catawba County, North
Carolina" surveyed by Miller Surveying, Inc. and bearing the date June 8, 1981.
Together with all of Grantor's right, title and interest in and to a 60-foot road
leading from the northerly boundary of the tract hereinabove described to State
Road No. 1739 as shown on that plat recorded in Plat Book 17, Page 140 in the
Catawba County Public Registry for general roadway purposes, along and with a
general public utilities easement thereover.
Save And Except portion thereof described as "New Right of Way" in Consent
Judgment recorded in Book 2646, Page 648.
Grantor acquired the Property by instrument recorded in Book 3363, Page 290.
A map showing the Property is recorded in Map/Cabinet: NIA at Page: N/A.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey
the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and
defend the title against the lawful claims of all persons whomsoever, other than the following exceptions:
SEE ATTACHED EXHIBIT A.
[Remainder of Page Intentionally Lett Blank]
4833-8368-3897\1
EXIMIT A
1. Taxes for the year 2016 and subsequent years, not yet due and payable.
2. Easement for public street to City of Newton, a municipal corporation of Catawba County, North
Carolina recorded in Book 1279, Page 659, Catawba County Registry.
3. Easement for electric and telephone transmission line to Duke Power Company, its successors and
assigns recorded in Book 450, Page 199, Catawba County Registry.4.
4. Easement for general roadway and public utilities to L. & H. Enterprises, a general partnership
recorded in Book 1228, Page 169, Catawba County Registry.5.
5. Easement for general roadway and public utilities to Town of Conover, Conover, North Carolina
recorded in Book 1228,
Page 523, Catawba County Registry,
6. Easement for slope and drainage to State of North Carolina, Department of Transportation,
recorded in Book 2646, Page 648, Catawba County Registry.
7. Easements and any other facts as shown on plat recorded in Plat Book 17, Page 140, Catawba
County Registry.
8. Riparian rights of others in and to the branch affecting the Property.
9. Any inaccuracy in the area, square footage or acreage of the Property.
10. Encroachments, overlaps, boundary line disputes, deficiency in amount of area, rights, easements,
ditches, cartways, setbacks, rights of parties in possession, interests or claims which would be
revealed by a current and accurate survey and inspection of the Property.
4833-8368-3897U
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above
written.
GRANTOR:
3M rANY, a Delaware corporation
Name: Zr- Z>0YGE�
Title: S42. RPAL EsrATE A1q�us4Gr,E1�
STATE OF / t6y� tEso rs+
COUNTY OF kAA4SE5�
1, a Notary Public, in and for the State and County aforesaid, do hereby certify that r YLE SNE'
personally appeared before me and being duly sworn says that he or she is a duly authorized agent of said above
named corporation and as such has the authority to act in and for said corporation. 1, (i) have personal knowledge of
the identity of the above named authorized agent, or (ii) I have seen satisfactory evidence of the authorized agent's
identity, by current state or federal identification with the authorized agent's photograph in the form of a Or (iii)
a credible witness has sworn to before me the identity of the authorized agent, and that he or she signed the foregoing
or annexed instrument on behalf of said corporation in the capacity so herein stated and acknowledge the said writing
to be the act and deed of said corporation herein stated.
Witness my hand and official sea] or stamp, this a `j day of , in the year 2016.
.1pCYNE E SEELEY
Notary Pubk
Mtnnesota
Isaloo Er 31 2020
(seal or stamp)
My commission
expires:
4833-8368-3 8971 E
.jL ,, /
��r ��
Notary Printed or Typed Name
—
f
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
FAX (919) 733-9612
To: Frank Piras, Polymask Corporation Fax: (828) 465-2404
From: Ken Pickle, Stormwater Permitting Unit, Date: May 10, 2006
Division of Water Quality
Phone: (919) 733-5083 ext. 584 Pages: 3
E-mail: Ken.pickle@ncmall.net
Urgent For review Please comment Per your request FYI, no action Please recycle
Subject: Duplicate Certificate of Coverage, NCGOS0327
Frank,
See attached copies of the original transmittal letter and Certificate of
Coverage for your facility. Please call me with any questions or comments.
Ken
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, Director
December 19.2003
Mr. Jerry W_ Akins
Polymask Corporation
500 Thornburg Drive
Conover, North Carolina 28613
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANP NAr-URAL RESOURCES
Subject: General Permit No. NCG_ 050000
Polymask Corporation
COC NCG050327-
Catawba County
Dear Mr. Akins:
In accordance with your application for discharge permit received on November 17, 2003, we are
forwarding herewith the subject certificate of coverage to discharge under. the subject state - NPDES
general permit. This permit is issued pursuant, to the requirements of North- Carolina General Statute
143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental .
Protection agency dated May 9, 1994 (or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit _ are
unacceptable -to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, this certificate of coverage shall be final and binding_
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act, or any other Federal or Local governmental permit that may be required.
If'you have any questions concerning this permit, please contact Ken Pickle at telephone number
(919) 733-5083 ext. 584.
Sincere! ,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Alan W: Klimek, P. E.
cc: Mooresville Regional Office
Central Files
Stormwater and General Permits Unit Files
SWU-259-011001
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
STATE OF NORTH CAROLINA -
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050327
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE_ ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Polymask Corporation
is hereby authorized to discharge stormwater from a facility located at
Polymask Corporation
500 Thornburg Drive
Conover, North Carolina
Catawba County
to receiving waters designated as unnamed tributary to McLin Creek, a class C water in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III,
IV, V, and VI of General Permit No. NCGO50000 as attached.
This certificate of coverage shall become effective December 19, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 19, 2003.
ORIGINAL C M1� SY
WILL A
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission
tState of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, Director
December 19. 2003
Mr. Jerry W. Akins
Polymask Corporation
500 Thornburg Drive
Conover, North Carolina '28613
61'F!W'A
IT 0 0
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: General Permit No. NCG050000
Polymask Corporation
COC NCG050327
Catawba County
Dear Mr. Akins:
In accordance with your application for discharge permit received on November 17, 2003, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute
143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated May 9, 1994 (or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act, or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Ken Pickle at telephone number
(919) 733-5083 ext. 584-
Sincerel ,
ORDINAL SIGNED BY
WILLIAM G. MILLS
Alan W. Klimek, P. E.
cc: Mooresville Regional Office
Central Files
Stormwater and General Permits Unit Files
SWV-259-611001
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050327
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Polymask Corporation
is hereby authorized to discharge stormwater from a facility located at
Polymask Corporation
500 Thornburg Drive
Conover, North Carolina
Catawba County
to receiving waters designated as unnamed tributary to McLin Creek, a class C water in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, I1, III,
IV, V, and VI of General Permit No. NCGO50000 as attached.
This certificate of coverage shall become effective December 19, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 19, 2003_
ORIGINAL C MILG SY
VA.L
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission
M, I
cq
Markers
Name: Discharge Site - NCG050327
Short Name: Dschrg
Coordinates: 03Y 41' 28.8" N, 0810 12' 05.0" W
Comment: Polymask Corporation, subbasin 03-08-32, Catawba River Basin, Catawba County,
unnamed tributary to McLin Creek, class C, USGS quad E14NW