NCG060378_COMPLETE FILE - HISTORICAL_20180710

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ or ON O -% / l�
YYYYMMDD

Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
National Pollutant Discharge Elimination System (NPDES)
Energy, Min eral& PERMIT OWNER AFFILIATION DESIGNATION FORM
.Land Resources
ENVIPONMENTAL OUAL,TY- I (Individual Legally Responsible for Permit)
Use this form if there has been:
l�
FOR AGENCY USE ONLY
Date Received
Year Month Day
KCLEIVED
JUL 0 5 2018
ER PERMITTING
NO
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must rill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual' mean?
The er n is either
ECEIVED
p SO JUL T p
• the responsible corporate officer (for a corporation); Z018
• the principle executive officer or ranking elected official (for a municipality, state, fedei E w+bES
agency); DWR 5ECT10?
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit (or) Certificate of Coverage
N C>' S N C- 0 6 0 3 7 8
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
Revlon Consumer Products
'1501 Williamsboro Street
Address
Oxford NC 27565
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
hgp:Hdeq. nc.gov/about/divi sions/energy-tnineral-land-resources/energy-mineral-land-permits/storTnwater-program
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual:
John
First
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit:
David
First
Page i of 2
Swedberg
MI Last
Hamilton
MI Last
S WU-OWNERAFFIL-23March2017

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change) .
5) Reason for this change:
A result of:
If other please explain:
VP Manufacturing and Plant Manager
Title
1501 Williamsboro Street
Mailing Address
Oxford NC 27565
City State Zip
(919 ) 603221E David. Hamiltonla Revlon.com
Telephone E-mail Address
(919 ) 603-2270
Fax Number
El Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
I, David J. Hamilton , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this form are not completed, this change may not be
proce � ;
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the website
at: http://de .nc.Pov/about/divisions/energy-mineral-land-resources/stormwater
Page 2 of 2
5 WU-OWNERAFFIL-23Mar2017

REV O N° CERTIFIED MAIL
RETURN RECEIPT REQUESTED
November 15, 2016
a
6 FEB , 6 20"
Stormwater Permitting Unit Program Roglonal Of"Division of Energy, Mineral, and Land Resources 1j46 DgNR R3
1612 Mail Service Center
Raleigh, NC 27699-1612
RE: Notice of Intent to be Covered Under General Stormwater Permit NCG060000
Revlon -- Oxford, NC — Gxanville County
Dear Sirs:
Enclosed, please find the originals and one copy of the Notice of Intent to be covered under NPDES
General Stormwater Permit NCG060000 for the Revlon facility located in Oxford, NC. Included with the
submittal is a check made payable to NCDENR for $100, a complete application, a site diagram, and a
copy of USGS quad sheet with the location of the facility clearly identified.
If you have any questions concerning these reports, please contact Mayumi Lawson at 919-603-2305.
Sincerely,
An Swedberg
Vice President of Manufacturing and Facility Management
Enclosures
F1 ease, nL')Ve + V1 e
L-40I WUS <,4,,i,12"-4e . On
Nove►�nher- t5. 204(Q .
We hav e Auk- Yee eei vecd
Ct pey'm' + i-- H oweve
vie Wou 18 (i k2 +-0 Su 2M-; �-
441e, (It backed VM V'.
1V1a,-A, yOu,
1501 Wiliiamsboro Street
Oxford, NC 27565
te1919.603.2000
www.revlon.com

Central Files: APS _ SWP
1/3112017
Permit Number NCG060378 Permit Tracking Slip
Program Category
Status Project Type
NPDES SW
In review New Project
Penult Type
version Permit Classification
Foodrrobacco/SoapslCosmetics/Public Warehousing Stormwater Discharge COG
COG
Primary Reviewer
w � I �� � ermil Contact AffiliationRECEIVED
� (`,/'
julie.ventaloro
Coastal SWRule
FEB 0 3 2017
Permitted Flow
CENTRAL FILES
DWR SECTION
Facility
Facility Name
MajoriMinor Region
Revlon
Minor Raleigh
Location Address,
County
1501 WiNamsboro St
Granville
Facility Contact Affiliation
Oxford NC 27565
Mayumi Lawson
PO Box 311
Owner
Stem NC 27561
Owner Name
Owner Type
Revlon
Non -Government
Owner Affiliation
John Swedberg
1501 Williamsboro St
DateslEvents Oxford NC 27565
Scheduled
Orig issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12f712016 211 1101-1 -J.1 1 � 7-b1 � O 1 im f 2-0 t'T
Regulated Activities Requested /Received Events
Toiletries manufacture RO staff report requested 12129/16
RO staff report received �r CudL.JD V Z r4'Mo%4%t- 7 3 D d .
Outfall UUl
Waterbody Name
Streamindex Number
Current Class
Subbasin
Coon Creek
26-11-5
C;NSW
03-03-01
Outfall O04
Waterbody Name
Streamindex Number
Current Class
Subbasin
Coon Crook
26-11-5
C;NSW
03-03-01

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
February 1, 2017
Mr. John Swedberg
Revlon
1501 Williamsboro St
Oxford, NC 27565
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCG060000
Revlon
COC No. NCG060378
Granville County
Dear Mr. Swedberg:
In accordance with your application for a discharge permit received on December 7, 2016, 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).
Please take notice that this certificate of coverage is not transferable except upon approval of the
Division of Energy, Mineral and Land Resources. The Division of Energy, Mineral and.Land
Resources 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 Energy, Mineral and Land Resources, the Coastal Area Management Act, or any other
federal or local government permit that may be required.
Per the requirements of the Tar -Pamlico Riparian Buffer Rule, all stormwater drainage to stream
buffers, from portions of this site that have been constructed after January 1, 2000, must meet diffuse
flow requirements per 15A NCAC 2B .0259. Diffuse flow requirements are described in Chapter 8 of
the North Carolina Stormwater BMP Manual, available at: http://deq.nc.aov/about/divisions/energy-
mineral-land-resourcestenet -mineral-land- ermit- uidance/stormwater-bm -manual.
State of North Carolina I Environmental Quality I Energy, Mineral and land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number
[phone] or by email julie.ventaloro(&ncdenr.gov.
Sincerely,
for Tracy E. s, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Raleigh Regional Office, John Holley
Central Files
Stormwater Permitting Program Files
S ate of Xrth Carobm 1 En%ironuenal Quality! Energy, \ineral and Lad Ryas
1612 \fail Senice Carter 1 512 North Salisbury Street 1 Rale4k ',C -17M164
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060378
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,
Revlon
is hereby authorized to discharge stormwater from a facility located at
Revlon
1501 Williamsboro Street
Oxford
Granville County
to receiving waters designated as UT to Coon Creek, a class C;NSW water in the Tar -Pamlico
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. NCG060000 as attached.
This certificate of coverage shall become effective February 1, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 1, 2017.
I!q
for Tracy E. JauiA, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

VA
WA Division of Energy, Mineral and Land Resources
' 91MA Land Quality Section
ANational Pollutant Discharge Elimination System
NCDENR
N� CARou� D�e- o NCG060000
£—a .v.r mo N,mr,1L Fb=uRcCe
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
Certificate of Covera
r
NICIGI O 6
Check #unt
P -t Ass) ed to
010
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000:
STORMWATER DISCHARGES associated with activities classified as:
RECEIVED
SIC (Standard Industrial Classification) 20 Food and Kindred Products DEC U 7 2016
SIC 21 Tobacco Products
SIC 283 Drugs DENR-LAM] UAl i
SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, �QtNrATpiIet I,r ,a ��Gs
SIC 422 Public Warehousing and Storage (except 4226)
For questions, please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this NOI for renewals.
(Please print or type)
1) Mailing address of ownerloperator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
John Swedberg
1501 Williamsboro Street
Oxford
919-603-2740
2) Location of facility producing discharge:
State NC _ ZIP Code 27565 _
Fax: [phone]
Facility Name Revlon
Facility Contact Ma umi Lawson
Facility Address 1501 Williamsboro Street
Facility City Oxford State NC ZIP Code 27695
Facility County Granville
Telephone No. 919-603-2305 Fax: [phone]
Email [e-mail]
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). The facility is located on the corner of NC highway
1195 and highway 158
(A copy of a county map or USGS quad sheet with the facility clearly located must be u ratted 'ththis applica ion.)
3/63Z - F3-
4) Latitude 36° 18' 48.456"N Longitude 78° 33' 16.592"W (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X Existing .
SWU-221
Page 1 of 4
Last revised 6124114

NCG060000 N.O.I.
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this facility.
SIC code: 2 8 4 4
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: The Revlon facility manufactures cosmetic products and is comprised of the following
areas: Indoor warehousing, indoor production area, outdoor tank farms, wastewater treatment,
materials loading and unloading areas, flammables and hazardous waste storage building, and office
areas.
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Un-named tributary to Coon Creek in the Tar River Basin
Receiving water classification: _ C: NSW
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented? September 2016
13) Are vehicle -maintenance activities occurring at this facility?
X No ❑ Yes
Page 2 of 4 �
SWU-221 Last revised 6124/14

NCGO60000 N.O.I.
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
❑ No X Yes
d) Is hazardous waste stored in the 100-year flood plain?
X No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: flammable, corrosive, oxidizer
How is material stored: 55 gallon drums
Where is material stored: material is staged in covered storage area prior to disposal
How many disposal shipments per year: 35-38
Name of transport 1 disposal vendor: Giant Resource Recovery — Attalla
Vendor address: 1229 Valley_Drive,_Attalla AL 35954
15) Certification:
North Carolina General Statute 143-215.6113 (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report,
plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who
knowingly makes a false statement of a material fad in a rulemaking proceeding or contested case under this Article: or
who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: John Swedberg
Title: Vice President of Manufacturing and Facility Management
yw..,O� /z/r f20I�
(Signatur of Applicant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR. Do not send the check or money order separately.
Page 3 of 4
5WU-221 Last revised 6/24/14

�II4 YI 1`YIII r
�11 Yei
am Noun
a.
-------------
r 1 2, 7 1 1 H 0 11 Y l
uosp aN
uaalOH
YS'DA
I
•" 4.in �"•ir
y
Tv —

x
_ c
zv
y
Ari
168
41
52
-21
�� � � ;� a` •�� fix: C! �r�- j°:s G - _ � r!!� - • f'^ G �,
' ` < ' +— `�;R•k -/ i Approximate
;4F .�'�- r Property 1
Boundarf'
16. 4.
,n �� �/ f =_� ♦ . ,(ram � 4 � �s -L•
'outfa11004 �s , outfall 001
�+ , LAT., 36' 18' 48.456"N
LAT.- 36' 18' 48.518"N �+
E G LONG: 78' 33' 16.592"W
t LONG: 78' 33' 24-627'W . =j Discharge to UT to Coon Creek e
} - c Discharge to UT to Coon Creek 4 _
. � r Tar River Basin
j r s f Tar River Basin'` �, _
' ,xx Stream Bass: C; NSW '
- Stream Class: C: NSW% r4 Y
e,�'s. i . T.Z. i'• C �- '<i� � r., P � �, • _' -=�,' t -; it �` ' i '�'� ..
\�A �,31� r. '"h k''R, �' .y • , {fir. r.,_-.'", „yS�}. • a `.._�`��
�:_ 1'e� '_ _. �-li. t. ..r.r I --�. �•� - • LamS'-' �.,- -� r— --
] Gam- •: 1.--'_ + t�}�'' - �.x � 3,� s-- -'.' C'� �.. �• rT .�.
y,.96
f- �'r... (7 s .W. =.Y .�6�r,{,�=?".r.' tip•
- _ rr.1 e=�+ �.-•..sty r Ft. - ...�- -! - -'.-I _ "z
ctd-
0 &1750 35' 0.7r,�- Y'1'.05 1.41 j t
MilesJ.
Appendix 1 WGS_1984_Web Mercator Auxiliary_Sphere
&ID: 3857 Authority: EPSG
Stormwater Pollution Prevention Plan (SWPPP) Projection: Mercator Auxiliary_Sphere
General Location Map
Revlon Consumer Product Corporation
Manufacturing Facility
Oxford, Granville County, North Carolina

NCG060000 N.O.I.
Final Checklist
Thi application will be returned as incomplete unless all of the following items have been included:
Check for $100 made payable to NCDENR. Must be included with this application (not sent separately).
13 This completed application and all supporting documents.
A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, and unloaded, (f) impervious areas, (g) site property lines.
12"" Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR 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-221 Last revised 6/24/14

R E V LO N" CERTIFIED MAIL
RETURN RECEIPT REQUESTED
November 15, 2016
RECEIVED
Stormwater Permitting Unit Program
Division of Energy, Mineral, and Land Resources DEC 07 ����
1612 Mail Service Center DENR_LAND QUALITY
Raleigh, NC 27699-1612 STORMWATER PERMITTING
RE: Notice of Intent to be Covered Under General Stormwater Permit NCG060000
Revlon — Oxford, NC — Granville County
Dear Sirs:
Enclosed, please find the originals and one copy of the Notice of Intent to be covered under NPDES
General Stormwater Permit NCG060000 for the Revlon facility located in Oxford, NC. Included with the
submittal is a check made payable to NCDENR for $100, a complete application, a site diagram, and a
copy of USGS quad sheet with the location of the facility clearly identified.
If you have any questions concerning these reports, please contact Mayumi Lawson at 919-603-2305.
Sincerely,
4u—
An Swedberg
Vice President of Manufacturing and Facility Management
Enclosures
1501 Williamsboro Street
Oxford, NC 27565
to 1919.603.2000
www.revion.com

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
February 1, 2017
Mr. John Swedberg
Revlon
1501 Williamsboro St
Oxford, NC 27565
ROY COOPER
Govemor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCG060000
Revlon
COC No. NCG060378
Granville County
Dear Mr. Swedberg:
In accordance with your application for a discharge permit received on December 7, 2016, 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).
Please take notice that this certificate of coverage is not transferable except upon approval of the
Division of Energy, Mineral and Land Resources. The Division of Energy, Mineral and Land
Resources 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 Energy, Mineral and Land Resources, the Coastal Area Management Act, or any other
federal or local government permit that may be required.
Per the requirements of the Tar -Pamlico Riparian Buffer Rule, all stormwater drainage to stream
buffers, from portions of this site that have been constructed after January 1, 2000, must meet diffuse
flow requirements per 15A NCAC 2B .0259. Diffuse flow requirements are described in Chapter 8 of
the North Carolina Stormwater BMP Manual, available at: http:Hdeg,nc.gov/about/divisions/energy-
mineral-land-resources/ener -mineral-land- ermit-guidance/stormwater-bmp-manual.
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center � 512 North Salisbury Street I Raleigb, NC 27699-1612
919 707 9200 T

If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number
[phone] or by email [e-mail].
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Raleigh Regional Office, John Holley
Central Files
Stormwater Permitting Program Files
Staleof�w&Carolim 1 En%*m= ntdQoalityIEnergy,-MaeralandLandRea =es
162 Nil Senior Cenw 1512 %4r&Saii*WStott l Rakish,'MM99616V
919 707 9.100 T

Division of Energy, Mineral and Land Resources
• Land Quality Section
National Pollutant Discharge Elimination System
NCDENR NCG060000
C'ft—prf 4 C, NAnMQ. RFSll OR=
NOTICE OF INTENT
_..
_
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000:
STORMWATER DISCHARGES associated with activities classified as:
RECEIVED
SIC (Standard Industrial Classification) 20 Food and Kindred Products DEC 0 7 2016
SIC 21 Tobacco Products
SIC 283 Drugs DE1R-I.Af4 ()I IA i
SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, w0tl�;of,�i�t-Pgo,g14%Gs
SIC 422 Public Warehousing and Storage (except 4226) r r I
For questions, please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this NOI for renewals.
(Please print or type)
1) Mailing address of ownerloperator (address to which all permit correspondence will be mailed):
Name John Swedberg
Street Address 1501 Williamsboro Street
City Oxford State NC _ ZIP Code 27565
Telephone No. 919-603-2740 Fax: [phone]
2) Location of facility producing discharge:
Facility Name
Revlon
Facility Contact
Mayumi Lawson
Facility Address
1501 Williamsboro Street
Facility City
Oxford State NC ZIP Code 27695
Facility County
Granville
Telephone No.
919-603-2305 Fax: [phone]
Email
Mayumi.Lawsona-revlon.com
3) Physical Location Information:
Please provide a narrative -description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). The facility is located on the corner of NC highway
1195 and highway 158
(A copy of a county map or USGS quad sheet with the facility clearly located must be ed iyv th thisappli a ion_)
4) Latitude 369 18'48.456"N Longitude 78° 33' 16.592"W (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X Existing
Page 1 of 4
SWU-221
Last revised W4114

NCG060000 N.O.I.
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this facility.
SIC code: 2 8 4 4
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: The Revlon facility manufactures cosmetic products and is comprised of the following
areas: Indoor warehousing, indoor production area, outdoor tank farms, wastewater treatment,
materials loading and unloading areas, flammables and hazardous waste storage building, and office
areas.
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Un-named tributary to Coon Creek in the Tar River Basin
Receiving water classification: C; NSW
Is this a 303(d) listed stream? No Has a TMDL. been approved for this watershed? No
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented? September 2016
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
Page 2 of 4 ,
SWU-221 1 act ravicarl An4114

NCG060000 N.O.I.
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
❑ No X Yes
d) Is hazardous waste stored in the 100-year flood plain?
X No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: flammable, corrosive, oxidizer
How is material stored: 55 gallon drums
Where is material stored: material is staged in covered storage area prior to disposal
How many disposal shipments per year: 35-38
Name of transport / disposal vendor: Giant Resource Recovery — Attalla
Vendor address: 1229 Valley Drive, Attalla, AL 35954
15) Certification:
North Carolina General Statute 143-215.6B (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report,
plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who
knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or
who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: John Swedber
Title: Vice President of Manufacturinc and Facility Management
of Applicant)
/ 2-4rL.0014
- T
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR. Do not send the check or money order separately.
Page 3 of 4
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NCG060000 N.O.I.
Final Checklist
Thi application will be returned as incomplete unless all of the following items have been included:
Check for $100 made payable to NCDENR. Must be included with this application (not sent separately).
This completed application and all supporting documents.
A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfaiis
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, and unloaded, (f) impervious areas, (g) site property lines.
GK Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 4 of 4
SWU-221 Laet rpvilP& RI7d11 d

R E V LO N * CERTIFIED MAIL
RETURN RECEIPT REQUESTED
November 15, 2016
RECEIVED
Stormwater Permitting Unit Program DEC 07 2016
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center DE\JR-LAND QUALITY
Raleigh, NC 27699-1612 STOR ANAVATER RERi&JIiTING
RE: Notice of Intent to be Covered Under General Stormwater Permit NCG060000
Revlon — Oxford, NC — Granville County
Dear Sirs:
Enclosed, please find the originals and one copy of the Notice of Intent to be covered under NPDES
General Stormwater Permit NCG060000 for the Revlon facility located in Oxford, NC. Included with the
submittal is a check made payable to NCDENR for $100, a complete application, a site diagram, and a
copy of USGS quad sheet with the location of the facility clearly identified.
If you have any questions concerning these reports, please contact Mayumi Lawson at 919-603-2305.
Sincerely,
I*-
hn Swedberg
Vice President of Manufacturing and Facility Management
Enclosures
1501 Williamsboro Street
Oxford, NC 27565
to 1919.603.2000
www.revlon.com

K4*A,V
NCDENR
NOTICE OF INTENT
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG060000
yew
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG06t)tlt1Q:
STORMWATER DISCHARGES associated with activities classified as: RECEIVED
SIC (Standard Industrial Classification) 20 Food and I(Indred Products DEC 7
SIC 21 Tobacco Products 2016
SIC 283 Drugs
,rtr
SIC 284 Soaps, Detergents, 8 Cleaning Preparations; Perfumes, Cosmetics, �€e;TaeE Preparafions
SIC 422 Public Warehousing and Storage (except 4226) t t,.NG
For questions, please contact the DEhlLR Regional Office for your area. See page 4.
Do Not use this NOI for renewals.
{Please print or type)
1) Mauing address of ownerloperator (address to which all permit correspondence will be mailed):
Name John Swedberg
Street Address 1501 Williamsbaro Street
City Oxford Spate NC _ ZIP Code 27565
Telephone No. -603-2740 Fax: [phone] -
2) Location of faculty producing discharge:
Facility Name Revlon
Facility Contact Mavumi Lawson
Facility Address 1501 Williamsboro Street
Facility City Oxford State NC ZIP Code 27695
Facility County Granville
Telephone No. 21 03-2305 Fax: 91S-S03-24 Q9
Email Mpyumi.Lawsonta'" xrevlan.cpm
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). The facility is located on the comer of NC highway
1195 and hichwav 168
(A copy of a county map or USGS quad sheet with the UcWdy dearty located must be sutr7 ed this lkmlion.) /•
Latitude 36 18 d8.45 Longitude 780 33' 16.592'V. w
5) This NPDES Permit Appllcatlon applies to which of the following:/I /j r
'"Z �,��•Q�-l'Y
❑ New or Proposed Facility Date operation is to begin gl`ll
X Existing ` Ot
svvu-nt Page 1 of 4

v�
NCG060000 N.O.I.
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this facility.
SIC code: 2 8 4 4
7) Activities
a) Provide a brief narrative description of the types of Industrial activities and products manufactured
at this facility: The Revlon facility manufactures cosmetic products and Is comprised of the following
areas: Indoor warehousing, Indoor production area, outdoor tank farms, wastewater treatment,
materials loading and unloading areas, flammables and hazardous waste storage building, and office
areas.
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fatslbyproducts
8) Discharge points I Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Un-named tributary to Coon Creek in the Tar River Basin
Receiving water classification: C, NSW
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X No
❑ Yes
If yes, fist the permit numbers for all currant Nan -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented? September 2016
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
Page 2 of 4
SWU-221 Last Mvise 6/24/14

NCG060000 N.O.I.
14) Hazardous waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
❑ No X Yes
d) is hazardous waste stored in the 100-year flood plain?
X No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: flammable corrosive oxidizer
How is material stored: §5 gallon drums
Where Is material stored: material is sIgged in covered storage area prior Ig disposal
How many disposal shipments per year 35-38
Name of transport 1 disposal vendor. GiarrtResource Recovery - Attalla
Vendor address: 1229 Valley Drive, Attalla. AL 35954
15) Certification:
North Carolina General Statute 143-215.613 (0 provides that:
Any person who knowingly makes any false statement, repmentation, or aartificatlon In any application. record, report,
plan, or other document Mod or required to be maintained under this Article or a rule implementing th s Article; or who
knowingly makes a false statement of a material fact In a rulemalcing proceeding or contested case under this Article; or
who falsities, tampers with, or knowingly renders Inaccurate any retarding or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit
certify that I am familiar wlth.tha information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of person Signing: John Swedbe
Title: Vice President of Man ufa-cturin_q end Facility
l 2- 9ol4
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDIi_NR. Do not send the ch ck or money order separately.
Page 3 of 4
swu-221 last revised 6124114

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a

NCG060000 NAL
Final Checklist
Thnilip application will be returned as Incomplete unless all of the following items have been included:
f Check for $100 made payable to NCDENR. Must be included with this application (not sent separately).
CAI This completed application and all supporting documents.
it A site diagram showing, at a minimum, (eAsting.or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, and unloaded, (f) impervious areas, (g) site property fines.
Q/ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
St mwmter Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Nate
The submission of this document does not guarantee coverage under the General Permit
For questions; please corrtact the DEMLR Regional Oie for your area.
QEMLR Realonal_Offire 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 .........(919)
807-6300
Page 4 of 4
SWLL=l Last revised 6124114

r
R EV LON CERTIFIED MAIL
RETURN RECEIPT REQUESTED
November 15, 201.6
ECLWED
Stormwater Permitting Unit Program
Division of Energy, .Mineral, and Land Resources DEC O ZQ1�
1612 Mail Service Center Ca l ��� 0uALjT ,
Raleigh, NC 27699-1612 STG RUOWATER PERivii i1 N, G
RE: Notice of Intent to be Covered Under General Stormwater Permit NCGO60000
Revlon — Oxford, NC — Granville County
Dear Sus:
Enclosed, please find the originals and one copy of the Notice of Intent to be covered under NPDES
General Stormwater Permit NCG060000 for the Revlon facility located in Oxford, NC. Included with the
submittal is a check made payable to NCDENR for $100, a complete application, a site diagram, and a
copy of USGS quad sheet with the location of the facility clearly identified.
If you have any questions concerning these reports, please contact Mayumi Lawson at 919-03-2305.
Sincerely,
4;d—
Ahn Swedberg
Vice President of Manufacturing and Facility Management
Enclosures
1501 WiBiamsboro Street
Oxford, NC 27565
tel [phone]
www.revlon.com

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060378
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,
Revlon
is hereby authorized to discharge stormwater from a facility located at
Revlon
1501 WilIiamsboro Street
Oxford
Granville County
to receiving waters designated as UT to Coon Creek, a class C;NSW water in the Tar -Pamlico
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1, 11, 11I, and IV of General Permit No. NCG060000 as attached.
This certificate of coverage shall become effective February 1, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 1, 2017.
ORIGINAL SIGNED BY
BETHANY GEORGOULM
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission