NCG170054_COMPLETE FILE - HISTORICAL_20140911

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /v
DOC TYPE FFIISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ o?�o I 0 �1 I I
YYYYM M D D

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NCDENR
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Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE: ONLY
a
Year h
SEP 112014
D
MR -LAND QUALITY
STQRMWATER PERMITTING
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownershia of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual' mean?
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• 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
N I C I S
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) Certificate of Coverage
N I C I G I 1 -� 10 0 t5r
W MV14 l 80L At to i'Sh tal t p/a a-i
I A�ue i- aiS4ai 4L?) aIrN
Address
'RIn� wer we, ahso9
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://portal.nedenr.oraweb/Ir/sw-permit-contacts and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: /i 1 GLta �FO✓hOrl.
First MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit:
&i avL
First MI Last
Page I of 2
SW UAW NERAFFIL-25MY2014

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
V P lR out eS ammw l e"s
Title
1J0 Bc( 2da
Mailing Address
l�tyfs-Salcw+ NC allot
City State Zip
(33( ) :;,f5--/39/ ht+tin .6tnalt0 106ic,54vp)fui, sj p,H
Telephone E-mail Address
(336 ) -}y}- 14,3/
Fax Number
5) Reason for this change:
A result of: IJ Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
1, Arian AKa_i o , 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
processed.
�mAQ LY�t�
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call 919-707-9220 or visit the website at:
http://portal.ncdenr.oruweb/Ir/storinwater
Page 2 of 2
SW U-OW NERAFFIL-25JUIy2014

f

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
August 4, 2004
Richard Horton
Hanes Dye & Finishing Company
PO Box 209
Butner, NC 27509
Subject: NPDES Stormwater Permit Coverage Renewal
Mount Hope Finishing Plant
COC Number NCG 170054
Granville County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG 170000 the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of General Stormwater Permit NCG 170000
• A copy of discharge monitoring report form
• 5 copies of the qualitative monitoring report form
Your coverage under this general permit is not transferable except after notice to DWQ. 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 Department of Environment and Natural
Resources, or relieve the permittee from responsibility for compliance with any other applicable federal, state, or
local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact of the Central Office Stormwater Permitting
Unit at [phone], ext. .
cc: Central Files
Stormwater Permitting Unit
Raleigh Regional Office
Sincerely,
6y
for Alan W. Klimek, P.E.
Surface Water Protection Section
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 N Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.nc.us/su/stormwater.htmi
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
NorthCarolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170054
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,
Hanes Dye & Finishing Company
is hereby authorized to discharge stormwater from a facility located at
Mount Hope Finishing Plant
405 West B Street
Butner
Granville County
to receiving waters designated as a UT ofthe Neuse River, a class WS IV NSW CA stream, in the Neuse
River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, 11, 111, IV, V, and VI of General Permit No. NCG 170000 as attached.
This Certificate of Coverage shall become effective August 1, 2004.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 1, 2004.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management
Commission

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
JOHN MILLIKEN
MT. HOPE FINISHING CO-JOHN MILLIKEN
P.O. BOX 147
BUPNER, NC 27509
Dear Permittee:
1�
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 28, 1999
Subject: Reissue - NPDES Stormwater Permit
Mt. I -lope Finishing Co -John Milliken
COC Number NCG170054
Granville County
In response to your renewal application for continued coverage under general permit NCG 170000, the Division of'
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
* A copy of general stormwater permit NCG170000
* A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to
certify that you have developed and implemented the SPPP as per the conditions of the permit. This form
must be completed and returned to the Division within 30 days of receipt of this letter.
DO NOT SEND the SPPP with the signed form.
* Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* A copy of a Technical Bulletin for the general permit which outlines changes in the permit, key requirements,
and addresses frequently asked questions
* A Certificate of Coverage
Your coverage under this general permit is not transferable except after notice to DWQ. 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 DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Tony Evans of the Central Office Stormwater
and General Permits Unit at [phone], ext. 584
Sincerely,
for Kerr T. Stevens
cc: Central Files
Stormwater and General permits Unit Files
Raleigh Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170054
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,
MT. HOPE FINISHING CO-JOHN MILLIKEN
is hereby authorized to discharge stormwater from a facility located at
MT. HOPE FINISHING CO-JOHN MILLIKEN
WEST B STREET
BUTNER
GRANVILLE COUNTY
to receiving waters designated as a UT of the Neuse River in the Neuse River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1. II. III.
IV. V, and A'I of General Permit No. NCG170000 as attached.
This certificate of coverage shall become effective August I, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 28, 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

.i
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
March 24, 1995
John Milliken
Mt. Hope Finishing Co.
P.O. Box 147
Butner, NC 27509
Q��
[DEHNR
Subject: General Permit No. NCG170000
Mt. Hope Finishing Co.
COC NCG 170054
Granville County
Dear John Milliken :
In accordance with your application for discharge permit received on January 30, 1995, 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
December 6, 1983.
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 Environmental Management. The Division of Environmental Management 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 Environmental Management 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 question concerning this permit, please contact MR. ANTONIO EVANS at telephone
number 9l9/733-5083.
Sincerely,
Originsl Signed BY
Coleen H. Sullins
A. Preston Howard, Jr. P.E.
cc: Raleigh Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170054
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,
Mt. Hope Finishing Co.
is hereby authorized to discharge stormwater from a facility located at
Mt. Hope Finishing Co.
West B Street
Butner, NC
Granville County
to receiving waters designated as an unnamed tributary to the Neuse River in the Neuse 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. NCG 170000 as attached.
This certificate of coverage shall become effective March 24, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 24, 1995.
0"iF olal Signed Cy
C010" K Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Mo N.
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ROAD CLASSIFICATION c,R
1 MILE
Primary highway, Light -duty road, hard or a�a0'�o3
hard surface-___.._. improved surface_.. s,0
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Secondary highway.
harhard surface .:............__.... Unimproved road......._______-
Interstate Route Q U. S. Route O State Route
N.C� 1
LAKE MICHIE, N. C.
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QUADRANGLE LOCATION
NE/4 DURHAM NORTH 15' OUADRANOLE
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N3607.5—W7845/7.5
1977
AMS 5256 111 NE -SERIES V842
MODELING FILE
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C2�NE

\ FACILITY: M; , RoP> ,
COUNTY: (!; ran uvil P-,
NPDEs: N C6 t Q (-)Cd S L/
MAP#: ca3 Ni�-
DSN FLOW:
Ft'nish1n5 Co
SUB BASIN: 3— O C4 '-' 0 1
`,LATITUDE: 3Coo 0 q 3 B
LONGITUDE: 78
RECEIVING STREAM: UT T N C.US,-Q, R l U-er
1
STREAM CLASS: ,S N S. L J C'A
DISCHARGE CLASS: �Z-; f acm W a -Pf
EXPIRATION DATE: q 13 1 cj I