NCG050424_COMPLETE FILE - HISTORICAL_20151005

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/vCC� �6D oa7
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
J 5 1 /0,0
YYYYMMDD

North Carolina Department of Environmental Quality
Pat McCrory
Governor
Mr. Taizo Uchiyama
Uchiyama MFG America, LLC
494 Arrington Bridge Road
Goldsboro, NC 27530
Dear Mr. Uchiyama:
Donald R. van der Vaart
Secretary
October 5, 2015
Subject: NPDES General Permit NCG050424
Uchiyama MFG America, LLC
Formerly Uchiyama America, Inc.
Certificate of Coverage NCG050424
Wayne 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 [phone].
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Washington Regional Office
Stormwater Permitting Program Files
Central Files
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: hftp://portal.nedenr.org/web/Irl
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCGO50000
CERTIFICATE OF COVERAGE No. NCGO50424
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,
Uchiyama MFG America, LLC
is hereby authorized to discharge stormwater from a facility located at:
Uchiyama MFG America, LLC
494 Arrington Bridge Road
Goldsboro
Wayne County
to receiving waters designated as the Neuse River, a class C; waterbody to Neuse River Basin;
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I,1I, 111, and IV of General Permit No. NCG050000 as attached.
This certificate of coverage shall become effective October 5, 2015.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 5, 2015. ORIGINAL 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

Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
�+ National Pollutant Discharge Elimination System
NCDENR
e..C�­ ' so ,
IWO N4l/UL RCSGJIKCS PERMIT NAMEIOWNERSHIP CHANGE FORM
u.1110NMCNT
1. Please enter the permit number for which the change is requested.
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
r,.e- (2,v-
{ V.J 0--
NPDES Permit
(or) Certificate of Coverage
N I C I S 10 1 1 1 J=
N I C I G 1 0 1 5 10 4 2 4
I1. Permit status prior to requested change.
a. Permit issued to (company name):
Uchiyama America Inc.
b. Person legally responsible for permit:
_
Taizo Uchiyama
First MI Last
Ceo
Title
494 Arrington Bridge Road
Permit [folder Mailing Address
Goldsboro NC 27530
City State Zip
[phone] [phone]
Phone Fax
c. Facility name (discharge):
Uchiyama America Inc.
d. Facility address:
^ 494 Arrington Bridge Road
Address
Goldsboro NC 27530
City _ State Zip
e. Facility contact person:
Teddy J. Chrisman [phone]
First / MI / Last Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of:
❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
Uchiyama MFG America LLC
c. Person legally responsible for permit:
_ _
Uchiyama
- - _Taizo
First MI Last
DECEIVED
SEP 16 2015
DENR-LAND QUALITY
STORMWArER PERMITTING
d. Facility name (discharge):
e. Facility address:
Ceo
Title
494 Arrin on Bride Road
Permit Holder Mailing Address
Goldsboro NC 27530
City State Zip
[phone]
Phone E-mail Address
Uchiyama MFG America LLC
494 Arrington Bridge Road
Address
Goldsboro NC 27530
City State "Zip
f. Facility contact person: Teddy J Chrisman
First MI. Last
[phone] [e-mail]
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: Teddy J Chrisman
First M 1 Last
Projects , Environment & Safety Manager
Title
494 ArrinEton BridEe Road
Mailing Address
Goldsboro NC 27530
City State Zip
[phone] [e-mail]
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Taizo Uchiy ama, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
September t 1, 2015
ignature Date
APPLICANT CERTIFICATION
1, Taizo Uchiyama, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. 1 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 he returned as incomplete.
September 11, 2015
nature Date
....................................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan, 27. 2014

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Teddy J. Chrisman
Uchiyama America Inc.
494 Arrington Bridge Road
Goldsboro, North Carolina 27530
Dear Mr. Chrisman:
October 10, 2014
R EEC H' & etary' III
0 C T 14 2014
Subject: General Permit No. NCG050000
Uchiyama America Inc.
COC No. NCG050424
Wayne County
In accordance with your application for a discharge permit received on July 2, 2014, we are
forwarding herewith the subject certificate of coverage (COC) 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 October 15, 2007 (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 Energy, Mineral and Land Resources (Division). The Division 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 or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that may be required.
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone].
Sincerely,
ORIGINAL SIGNED Bl
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and
Land Resources
cc: Washington Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] Internet: www ncdenr.gov
An Equal Opporluky 1 Affirmative Action Employer - Made in part by recycled paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCGO50000
CERTIFICATE OF COVERAGE No. NCGO50424
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,
Uchiyama America Inc.
is hereby authorized to discharge stormwater from a facility located at
Uchiyama America Inc.
494 Arrington Bridge Road
Goldsboro
Wayne County
to receiving waters designated as the Neuse River, a Class C; NSW waterbody to Neuse River Basin; in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III, IV, V and VI
of General Permit No. NCG050000, as attached.
This Certificate of Coverage shall become effective October 10, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 10, 2014.
ORIGINAL SIGNED Sl
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
October 10, 2014
Mr. Teddy J. Chrisman
Uchiyama America Inc.
494 Arrington Bridge Road
Goldsboro, North Carolina 27530
Subject: General Permit No. NCG050000
Uchiyama America Inc.
CDC No. NCG050424
Wayne County
Dear Mr. Chrisman:
John E. Skvarla, III
Secretary
In accordance with your application for a discharge permit received on July 2, 2014, we are
forwarding herewith the subject certificate of coverage (COC) 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 October 15, 2007 (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 Energy, Mineral and Land Resources (Division). The Division 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 or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that maybe required.
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone].
Sincerely,
ORIGINAL. SIGNED M
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and
Land Resources
cc: Washington Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
1612 Mail Service Center, Raleigh, North Carolina 27699-1512
Phone: [phone] Internet: www.r)cdenr.gov
An Equal opporlunlly 1 AKrmalive Aclion Employer — Made in part by recycled paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCGO50000
CERTIFICATE OF COVERAGE No. NCGO50424
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,
Uchiyama America Inc.
is hereby authorized to discharge stormwater from a facility located at
Uchiyama America Inc.
494 Arrington Bridge Road
Goldsboro
Wayne County
to receiving waters designated as the Neuse River, a Class C; NSW waterbody to Neuse River Basin; in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III, IV, V and VI
of General Permit No. NCG050000, as attached.
This Certificate of Coverage shall become effective October 10, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 10, 2014.
ORIGINAL SIGNED M
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

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BRANCH aANK[NG AND TRUST•CQMPANY 3774�
ZICItI1f(iH A1i2C1YCQ, B!C
,.a GoidsboroNC 27530
494 Arrington Bridge Road.. ti :: 6s-1321531
G_ oidsboro, Nb27530
s. [phone]
100.00
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Storm% 'ater -General Permits`Unit
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and
Division of Water Q'Oality'r
1617 Maik: eniice Center
Raleigh NC 27699-16i7" .
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NCG0500000 _
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Diuguid, Bill
From: Edgerton, Thom
Sent: Tuesday, August 12, 2014 4:40 PM
To: Diuguid, Bill
Cc: Mcclain, Pat; Bennett, Bradley
Subject: RE: NCGO50424 Uchiyama America Inc Goldsboro Wayne County NOI Jul 14 2014
Attachments: NCG050424 Uchiyama America Inc Goldsboro Wayne County NOI Jul 14 2014;
NCGO50424 - Uchiyama America Inc. - Goldsboro - 08062014.pdf
Hello,
I have attached the inspection report.
This is my recommendation to issue the permit.
Please feel free to contact me if additional information is needed.
Thanks,
Thom
Thom Edgerton, Environmental Engineer
North Carolina Department of Environment and Natural Resources (NCDENR)
Division of Energy, Mineral, and Land Resources JOEMLR)
Land Quality Section (LQ
Washington Regional Office (WaRO)
943 Washington Square Mall
Washington, NC 27889
(252(948-3963 Phone
E-mail correspondence may be subject to the North Carolina Public Records Law and may be disclosed to third parties. saa

NCG050000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearby waters
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 4 of 4
SWU-220-071408 Last Revised 7/14/2008