NCG080749_COMPLETE FILE - HISTORICAL_20130612

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE I % HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE I ❑ a+01 3 U0 1 �
YYYYMM DD

oF `NArF9pG Beverly Eaves Perdue, Governor
Uj 1 1 Dee Freeman, Secretary
>_ ,1 North Carolina Department of Environment and Natural Resources
Coleen H. Sullins. Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
} PERMIT NAMEIOWNERSHIP CHANGE FORM _
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I C. I S 10 1 1 1 1 N I C I G 10 1 8 10 7 4 9
11. Permit status prior to requested change.
a. Permit issued to (company name): Rolling Frito-Lay Sales, LP
b. Person legally responsible for permit: Jim Schmitt
First MI Last
Fleet Manager
Title - -
2700 Nevada Blvd
Permit Holder Mailing Address
Charlotte NC 28273
City State Zip
[phone] [phone]
Phone Fax
c. Facility name (discharge): HENDERSON BINS
d. Facility address: HIGHWAY 39
Address
HENDERSON NC 27536
City State Zip
e. Facility contact person: Jim Schmitt [phone]
First / MI / Last Phone
11I. 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: Change of person legally responsible for permit/ Contact Person
b. Permit issued to (company name): Rolling Frito-Lay Sales, LP
c. Person legally responsible for permit: Rob _ Sapienza
First M l Last
Fleet Manager
Title
2700 Nevada Blvd
Permit Holder Mailing Address
Charlotte NC 28273
City State Zip
[phone] Rob.Sa [e-mail]
Phone E-mail Address
d. Facility name (discharge): HENDERSON BINS
e. Facility address: HIGHWAY 39
Address
HENDERSON NC 27536
City State Zip
f. Facility contact person: Rob Sapienza
First MI Last
[phone] Rob.Sa ienza@ e sico.com
Phone E-mail Address
Revised 8008

PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First MI Last
Title
Mailing Address
City State Zip
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, , 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.
Signature Date
APPLICANT CERTIFICATION
I, Rob Sapienza, 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.
Signature
Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008

Michael F. Easley, Governor
�� �.✓,�� William G. Ross Jr., Secretary
1North Carolina Deparimgnt of Environment and Natural Resources
(52 Alan W. Klimek, P.S. Director
Division of Water Quality
October 8, 2004 �.
Mr. Jim Schmitt
Rolling Frito-Lay Sales, LP
2911 Nevada Blvd.
Charlotte, NC 28278
Subject: General Permit No. NCG080000
Henderson Bins
COC NCG080749
Franklin County
Dear Mr. Schmitt:
In accordance with your application for a discharge permit received on September 7,
2004 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).
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 Jonathan Diggs at
telephone number [phone] ext. 537.
Sincerely,
ORIGINAL SIGNED BY
BRADLEY BENNETT
Alan W. Klimek, P.E.
cc: Raleigh Regional Office
Central Files
Stormwater and General Permits Unit Files
NorthCarolina
,lVatima!!if
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr,slale.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]a96 I-877-623-6748
An Equa) Opportunity/Attirmative 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. NCGO80000
CERTIFICATE OF COVERAGE NO. NCG080749
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,
Rolling Frito-Lay Sales, LP
is hereby authorized to discharge stormwater from a facility located at
Henderson Bins
Highway 39
Henderson
Franklin County
to receiving waters designated as Devil's Cradle Creek, a class B 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, II1,
IV, V, and VI of General Permit No. NCGO80000 as attached.
This certificate of coverage shall become effective October 8, 2004.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 8, 2004. ORIGINAL SIGNED BY
BRADLEY BENNETT
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Markers
Name: Rolling Frito-Lay NCGO80749
Short Name: RIIngF
Coordinates: 036° 12' 28.83" N, 0780 17' 53.99" W
Comment: Rolling Frito-Lay NCG080749 subbasin (03-03-02), Tar -Pamlico River Basin,
Franklin County, UT to Devil's Cradle Creek, Class B NSW, USGS quad C25NE