NCG170364_COMPLETE FILE - HISTORICAL_20140311

............
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. Iv -1 t 3 �y
DOC TYPE '�l HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ 3
YYYYM M DD

Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
NCDENRNational Pollutant Discharge Elimination System
.E a. PERMIT NAME/OWNERSHIP CHANGE FORM
GngOvv¢vi ono Nuunu R[samC[n
FOR AGENCY USE ONLY
Date Received
Year
Month
DD
I. Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
N I -,G 1 S 10 1
1 N I G 10 1 1 17 0 3 6 4
11. Permit status prior to requested change.
a. Permit issued to (company name):
Valdese Weavers, Inc.
b. esponsible for permit:
Carson Copeland
First MI Last
�sson,le
�%
Chief Operations Officer
\`mil1 LZ\k
title
P.O. Box 70
DN
Permit Bolder Mailing Address
DENR'WPS� p1EROP
DSpttDs
Valdese NC 28690
city State rip
[phone] [phone]
Phone Fax
c. Facility name (discharge):
Valdese Weavers, Inc.
d. Facility address:
280 Crescent Street
Address
Valdese NC 28690
City State "Lip
e. Facility contact person:
Joe Mcgee [phone]
First / MI / Last Phone
III. 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 exp/ain: Facility contact
change.
b. Permit issued to (company name):
Valdese Weavers, Inc.
c. Person legally responsible for permit:
Carson Copeland
_
First MI Last
Chief Operations Officer
'title
P.O. Box 70
Permit I lolder Mailing Address
Valdese NC 28690
ON, State Zip
_(828) 874-2181 Copeland a,valdeseweavers.com
Phone Gmail Address
d. Facility name (discharge):
Valdese Weavers, Inc.
e. Facility address:
280 Crescent Street
Address
Valdese NC 28690
City State Zip
f. Facility contact person:
Eddie Atkinson
First MI Last
[phone] eatkinson a,valdeseweavers.com
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: Eddie Atkinson
First MI Last
Facilitv Manaeer
Title
P.O. Box
Mailing Address
Valdese NC 28690
City State Zip
[phone] etkinson a,valdeseweavers.com
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. Fora 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, Eddie Atkinson, 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 be returned as incomplete.
C February 19, 2014
Signature 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

& 6-
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
Carson Copeland
Valdese Weavers Inc
1000 Perkins Rd Se
Valdese, NC 28690
Subject: NPDES Stormwater Permit Coverage Renewal
Valdese Weavers Inc-F&D Plant
COC Number NCG 170364
Burke 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 a 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. .
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater Permitting Unit
Asheville Regional Office
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,html
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NorthCarolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OI' ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170364
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,
Valdese Weavers Inc
is hereby authorized to discharge stormwater from a facility located at
Valdese Weavers Inc-F&D Plant
280 Crescent St NE
Valdese
Burke County
to receiving waters designated as Hoyle Creek, a class WS IV CA stream, in the Catawba River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts
I, 11, 111, IV, V, and V I 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 I, 2004.
Ley
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
CARSON COPELAND
VALDESE WEAVER INC.-BURKE
1000 PERKINS RD. SE
VALDESE, NC 28690
Dear Permittee:
1L
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 28, 1999
Subject: Reissue - NPDES Stormwater Permit
Valdese Weaver Inc. -Burke
CDC Number NCG170364
Burke 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
Asheville 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. NCG170364
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,
VALDESE WEAVER INC.-BURKE
is hereby authorized to discharge stormwater from a facility located at
VALDESE WEAVER INC.-BURKE
280 CRESCENT STREET NE
VALDESE
BURKE COUNTY
to receiving waters designated as Hoyle Creek in the Catawba 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. NCG170000 as attached.
This certificate of coverage shall become effective August 1, 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

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
June 28, 1996
Carson Copeland
Valdese Weavers Fin & Dist Ph
1000 Perkins Rd. Se
Valdese, NC 28690
Subject: General Permit No. NCG170000
Valdese Weavers Fin & Dist Plt
COC NCG 170364
Burke County
Dear Carson Copeland :
In accordance with your application for discharge permit received on May 23, 1996, 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 919/733-5083.
Sincerely, ORIGINAL SIGNED BY
BRADLEY BENNEIT
A. Preston Howard, Jr. P.E.
cc: Asheville Regional Office
EPA
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. NCG170364
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,
Valdese Weavers
is hereby authorized to discharge stormwater from a facility located at
Valdese Weavers
280 Crescent Street
Valdese, NC
Burke County
to receiving waters designated as Hoyle Creek, Class WS IV CA in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, 111
and IV of General Permit No. NCG170000 as attached.
This certificate of coverage shall become effective June 28, 1996 .
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 28, 1996 .
oRic�rw.� • _a BY
BRADBo JET,,
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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DOTTED LINES REPRESENT 20 FOOT CONTOURS
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THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS
FOR SALE BY U.S. GEOLOGICAL SURVEY
DENVER, COLORADO 810225,013 RESTON, VIRGINIA 22092
A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON REQUEST
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FACILITY: Valdese, We-rAvecs
COUNTY: ,JufV-e,
NPDES: t� C G I r1 0 3 (o y
MAP#: D I a S E
DSN FLOW: N/A
SUB BASIN: 0 3- U 8- 3 I
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LATITUDE: 3S �-(n �6l
LONGITUDE: ` 81 33 ' OS �,
RECEIVING STREAM: Hoyle Gee'k
STREAM CLASS: !�s uL CA
DISCHARGE CLASS: STORMWATER
EXPIRATION DATE: g131 199