NCG170428_Application_20191007

NC6ri1042V
Division of Energy, Mineral, and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
Environmental
Quality NCG 170000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
0
el
Certificate of Cove- e
NCG 2
Check #
Amount
1
OD
Pemtit Assigned to
National Pollutant Discharge Elimination System application for coverage under GeneR Fern)F I ar E D
NCG 170000:
STORMWATER DISCHARGES associated with activities classified as:
OCT 07 2019
SIC* 22 Textile Mill Products DENR-LAND QUALITY
STCRMWATER PERMITTING
And, Like activities deemed by DEMLR to be similar in the process, or the exposure of raw
materials, products, by-products, or waste materials.
* Standard Industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which official permit correspondence will be mailed):
Name Fibertex Personal Care
Street Address
City
Telephone No.
E-mail address
733 Commerce Place
Asheboro State NC ZIP Code 27203
336 964-4217 Fax:
[e-mail]
2) Location of facility producing discharge:
Facility Name Fibertex Personal Care
Facility Contact i JU L,X e N tw Sots
Street Address 733 Commerce Place
City
County
Telephone No.
Asheboro
State NC ZIP Code 27203
Randolph
336 " 1 `i 9 — IS 21 Fax:
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). From 1-74, exit east on 1712 / Pineview Road, then turn left /
north onto Fayetteville St, then left/west onto Commerce Place
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) Latitude 35' 46' 28.6068" N Longitude 79* 49' 18.894" W (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
© Existing
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 2 9 7
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: This facility produces non -woven personal care products
Ifs
Page 1 of 5
SWU-232-110210 Last revised 7/2/14

NCG170000 N.O.I.
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
List discharge points (outfalls) that convey discharge from the site (both on -site and off -site) and location
coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Stormwater Outfall No. 1
Latitude (degrees/minutes/seconds): 350 46' 28.7508" N
Longitude (degrees/minutes/seconds): 79° 49' 21.7308" W
Stormwater Outfall No. 2
Latitude (degrees/minutes/seconds): 35° 46' 30.828" N
Longitude (degrees/minutes/seconds): 79- 49' 21.7308" W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Unnamed tributary to Back Creek
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). City of Asheboro municipal storm sewer system
Page 2 of 5
SWU-232-110210 Last revised 8/11/14

NCG170000 N.O.I.
10) Does this facility have any other water quality permits?
4 No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
IN No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑ No
iM Yes
If yes, please briefly describe: Onsite detention pond, good housekeeping, regular site inspections
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
11 Yes
If yes, when was it implemented? June 2019
14) Are vehicle maintenance activities occurring at this facility?
M No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
M No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
4 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
❑ No e Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: Waste flammable liquid, nos (ethyl acetate)
How is material stored: Drums and spill protection
Where is material stored: inside production area, east side of building
How many disposal shipments per year: approximately 12
Name of transport / disposal vendor: Giant Resource Recovery
Vendor address: 1229 Valley Drive, Attalla AL 35954
Page 3 of 5
SWU-232-110210 Last revised 8/11/14

NCG170000 N.O.I.
16) Certification:
North Carolina General Statute 143-215.6 b (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 Article 21 or regulations of the Environmental
Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate
any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of
the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar
offense.)
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 aAcurate.
Printed Name of Person Si
Title: 11�
of Applicant)
/0/ ,Za/ i
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00 made payable
to NCDEQ.
Page 4 of 5
SWU-232-110210 Last revised 8/11/14

NCG170000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included.
Please do not ask us to hold an incomplete application in anticipation of a check under separate cover.
❑ &Check for $100 made payable to NCDEQ
❑ This completed application, signed by the owner/operator, and all supporting documents
❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map
Mail the entire package to:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Please note: The submission of this document does not quarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or Regional Office for your area.
To visit our website, go to http://portaLncdenr.org/weblirlstormwater
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 5 of 5
SWU-232-110210 Last revised 8/11/14

10/7/2019
North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List
• View Filings • Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form
Business Corporation
Legal Name
Fibertex Personal Care Corporation
Information
Sosld: 1608889
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 7/11/2017
Fiscal Month: December
Registered Agent: COGENCY GLOBAL INC.
Addresses
Reg Office Reg Mailing Mailing
212 South Tryon Street Suite 1000 212 South Tryon Street Suite 1000 733 Commerce Place
Charlotte, NC 28281 Charlotte, NC 28281 Asheboro, NC 27203
Officers
President
Mikael Staal Axelsen
Svendbogvej 2
Aalborg XX 9220
Stock
Class: Common
Shares: 10000
No Par Value: Yes
Secretary
Mads Claus Svanberg
Svenbogvej 2
Aalborg XX 9220
Treasurer
Mads Claus Svanberg
Svenbogvej 2
Aalborg XX 9220
Principal Office
733 Commerce Place
Asheboro, NC 27203
Chief Financial Officer
Mads Claus Svanberg
Svendbogvej 2
Aalborg XX 9220
0
https://www.sosnc.gov/onIine_services/search/Business_Registration_ResuIts 1/1