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NCGNE1328_COMPLETE FILE - HISTORICAL_20190328
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NCGNE 13 a d DOC TYPE C�HISTORICAL FILE DOC DATE ❑ YYYYMMDD STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v DOC TYPE ❑ HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ YYYYMMDD Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY March 28, 2019 Poteet Printing Systems, LLC_ Attention: Roger Poteet 9103 Forsyth Park Drive Charlotte, North Carolina 28273 Subject: No Exposure Certification NCGNE1328 Poteet Printing Systems, LLC 9103 Forsyth Paris Drive Mecklenburg County Dear Mr. Poteet: ROY COOPER Governor MICHAEL S. REGAN Secrewry S. DANIEL SMITH Interim Director The Division of Energy, Mineral and Land Resources (DEMLR) has reviewed your submittal of the No Exposure Certification for Exclusion from NPDES Stormwater Permitting form. Based on your submittal and signed certification of no exposure at the above referenced facility as well as observations made during site visits conducted by Mooresville Regional Office staff on February 26, 2019-and March 27, 2019, the Division is granting your conditional exclusion from permitting as provided for under 40 CFR 122,26(g), which is incorporated by reference in North Carolina regulations. Please note that by our acceptance of your No Exposure Certification, you are obligated to maintain no exposure conditions at your facility. If conditions change such that your. facility can no longer qualify for the No Exposure Certification, you are obligated to immediately obtain NPDES permit coverage for your stormwater discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. You must self re -certify annually using the enclosed form, or obtain NPDES permit coverage for any stormwater discharges from your facility. The annual self re- certification does not need to be submitted to DEMLR unless requested. Your conditional exclusion from permitting does not affect your facility's legal requirements to obtain environmental permits that may be required under other federal, state, or local regulations or ordinances. If you have any questions or need further information, please contact Mr. James Moore at (704) 235-2138, Sincerely, Zahid Khan, CPM, CPESC, CPSWQ Regional Engineer Enclosure cc: [MROfDEMLR, Stormwater Files (w/o enclosure) Raleigh Stormwater Permitting Program, No Exposure Files (w/o enclosure) State of North Carolina I Environmental Quality j Energy, Mineral and Land Resources Mooresville Regional Office 1 610 Fast Center Avenue I Mooresville, NC 28115 704-663-1699 Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY February 27, 2019 Poteet Printing Systems, LLC Attention: Roger Poteet 9103 Forsyth Park Drive Charlotte, North Carolina 28273 Subject: No -Exposure Certification NCGNE1328 Poteet Printing Systems, LLC 9103 Forsyth Park Drive Mecklenburg County Dear Mr. Poteet: ROY COOPER Governor MICHAEL S. REGAN Secretary S. DANIEL SMITH Interim Director The Division has reviewed your submittal of the No Exposure Certification for Exclusion from NPDES Stormwater Permitting form, which we received on February 11, 2019. The Division is unable to concur with your certification of No -Exposure. Based on an inspection of your facility on February. 26, 2019 Mooresville Regional Office staff found that industrial activities or materials on your site either are exposed, or have the potential to be exposed. DEMLR cannot grant your requested exemption from permit coverage when industrial activities or materials are exposed or have the potential to be exposed. Please see attached inspection - report. If you have any questions or need further information, please contact lames Moore at (704) 235-2138. Sincerely, Zahid S. Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section Enclosure: Inspection Report cc:,Stormwater Permitting Program, Raleigh Central Office- NCGNE1328 State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources Mooresville Regional Office � 610 East Center Ave Ste 301 1 Mooresvdle, NC 28115 704 663 1699 T Compliance Inspection Report Permit: NCGNE1328 Effective. Expiration: Owner: Pateet Print€ng Systems LLC SOC: Effective: Expiration: Facility: Potent Printing Systems - Charlotte County: Mecklenburg 94D3 Forysth Park Dr Region: Moare$ville Charlotte NC 28273 Contact Person: Roger Poteet Tide: Phone, 704-56"005 Directions to Facility: From IA85 take Exit 1 for NC-49/South Tryon S1. travel 1.1 miles to Westinghouse Blvd take a right continue 0.8 mite take right onto Forsyth Park Dr. take first left. building on left. System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representallve(s): Related Permits: Inspection Date: 0212W019 - Entry Time: 10:30AM Exit Time: 11:15AM Primary inspector: James D Moore Phone: Secondary Inspector(s): Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: ❑ Compliant Not Compliant Question Areas: ® Miscellaneous Cueslions Misc (See attachment summary) Page: 1 pannK; NCONE1328 Owner- FacUily: Poteet Printing System% LLC Inspection Dote: 02/2e12019 Inspection Type : Compliance Evaluation Reason fbr Visit Routine Inspection Summary: Based on the site inspection no exposure is not recommended for the facility at this time. Used equipment and used pallets are stored outside and a tank farm is under construction outside without secondary containnent Also, calcium resin 202 was found on the pavement outside of the storage container (from a broken bag) which cold impact stormwater runoff. Page: 2 Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY February 27, 2019 Poteet Printing Systems, LLC Attention: Roger Poteet 9103 Forsyth Park Drive Charlotte, North Carolina 28273 Subject: No -Exposure Certification NCGNE1328 Poteet Printing Systems, LLC 9103 Forsyth Park Drive Mecklenburg County Dear Mr. Potect: ROY COOPER Governor MICHAEL S. REGAN Secretary S. DANIEL SMITH Interim Director MAR 04 2013 DENR-LAND QUALITY STORMWATER PERMI i i ING The Division has reviewed your submittal of the No Exposure Certification for Exclusion from NPDES Stormwater. Permitting form, which we received on February 11, 2019- The Division is unable to concur with your certification of No -Exposure. Based on an inspection of your facility on February 26, 2019 Mooresville Regional Office staff found that industrial activities or materials on your site either are exposed, or have the potential to be exposed. DEMLR cannot grant your requested exemption from permit coverage when industrial activities or materials are exposed or have the potential to be exposed. Please see attached inspection report. If you have any questions or need further information, please contact lames Moore at (704) 235-2138. Sincerely, Zahid S. Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section Enclosure: Inspection Report cc:_Stormwater Permitting Program, Raleigh Central Office= NCGNEI-328 - State of North Carolina I Environmental Quality � Energy, Mineral and band Resources Mooresville Regional Office j 610 East Center Ave Ste 301 1 Mooresville, NC 26115 704 663 1699 T Compliance Inspection Report Permit: NCGNE1328 Effective: Expiration: Omer: Poteel Printing Systems LLC SOc: Effective: Expiration: Facility: Poteel Printing Systems -Charlotte County: Mecklenburg 9103 Forysth Park Or Region: Mooresville Charlotte NC 28273 Contact Parson: Roger Poteet Title: Phone: 704-568-0005 Directions to Fee 111ty: From "85 take Exit 1 for NC-49fSouth Tryon St travel 1.1 miles to Westinghouse Blvd take a rigN continue 0.8 mile take right onto Forsyth Park Dr. lake firs) loft. building on left. System classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Represontative(e): Related Permits: Inspection Date: 02/26/2019 Entry Time: 10:30AM Exit Time: 11:15AM Primary Inspector: James D Moore Phone: Secondary Inspectof(a): Ronson for Inspection: Routine Inspection Type: Cwpliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: ❑ Compliant Not Compliant Question Areas: Miscellaneous Questions ® Misc 1 (See attachment summary) Page: 1 permit NCONE13215 Owner. FacUliy: Potaet Printing Systems LLC , faspsctlon Rats: 02W2019 Inspsouon type: Compliance Eveluadon Reason for Visit Routine Inspection Summary: Based on the site inspection no exposure is not recommended for the facility at this time. Used equipment and used pallets are stored outside and a tank farm is under construction outside without secondary containnent Also, calcium resin 202 was found on the pavement outside of the storage container (from a broken bag) which could impact stormwater runoff. Page: 2 NCB s --b28 2' N Environmental Quality Division of Energy, Mineral and Land Resources Land Quality Section National Pollutant Discharge Elimination System NO EXPOSURE CERTIFICATION for Exclusion NCGNE0000 FOR AGENCY USE ONLY Date Received Year IMonth I Day r Ot 1 0%, 1 t s Certifcaic of Coverage I I IN 2 RECEIVED FEB 112013 M National Pollutant Discharge Elimination System application for exclusion from a +E(based on NO EXPOSURE: STORMWATER PERMiTI'IiVG Submission of this No Exposure Certification constitutes notification that your facility does not require a permit for stormwater discharges associated with industrial activity in the State of North Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility m eans all industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff. For permitted facilities in North Carolina, DEMLR must approve your application for No Exposure Certification before this exclusion is effective. Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must continue to abide by the terms and conditions of the current permit. Industrial materials or activities include, but are not limited to: material handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage, loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is not required for the following industrial materials and activities: drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed" means banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained vehicles used in material handling; and final products, other than products that would be mobilized in stormwater discharges (e.g., rock salt). A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual outfalls. if any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you certify that a condition of no exposure exists at this facility or site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g). If approved, your conditional No Exposure Exclusion has no expiration date BUT MUST BE self re -certified at least annually. Please look for information about re -certification under the No Exposure section on this page: httr)s://dea.nc.eov/about/divisions/enerav-mineral-land-resources/enerav-mineral-land-permits/stormwater- permitslnpdes-industrial-sw For questions, please contact the DEMLR Regional Office for your area. (Seepage 6) (Please print or type) 1) Mailing address of owner/operator (address to which all certification correspondence will be mailed): Name Poteet Printing Systems, LLC Contact Street Address City Telephone No. Roger Poteet 9103 Forsyth Park Drive Charlotte 704 588-0005 State NC Fax: 704 ZIP Code 28273 588-9005, Page 1 of 7 SWU-NCGNE Last revised 9/28/2016 NCGNE0000 No Exposure Certification 2) Location of facility producing discharge: Facility Name Poteet Printing Systems, LLC Facility Contact Street Address City County Telephone No. Roger Poteet 9103 Forsyth Park Drive Charlotte State NC ZIP Code 28273 Mecklenburg 704 588-0005 Fax: 704 588-9005 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 I-485 take Exit 1 for NC-49/South Tryon Street travel 1.1 miles to Westinghouse Boulevard lake a right and continue on Westinghouse :or .8 mile take a right onto Forsyth Park Drive. Take your first left and building is on your left. (A copy of a map with the facility clearly located on it should be included with the certification application.) 4) Is the facility located on Native American Lands? ©Yes III No 5) Is this a Federal facility? © Yes ■ No 6) Latitude 35.133693 Longitude -80.956118 (deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following: © New or Proposed Facility El Existing Date operation is to begin Date operation began March 2005 © Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? 0 Yes ® No If yes, what is the NPDES Permit Number? 9) 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 9 3 10) Provide a brief description of the types of industrial activities and products produced at this facility: Manufacturinq of printing inks for flexoaraphic and gravure customers and manufacturers of inks and overprint varnishes for direct food contact. 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? ® No © Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 SWU-NCGNE Last revised 912812016 NCGNE0000 No Exposure Certification Exposure Checklists (12. - 14.) 12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes M No El NIA residuals from using, storing or cleaning industrial machinery or equipment remain and are exposed to stormwater b. Materials or residuals on the ground or in stormwater inlets from spills/leaks ID Yes 0 No El NIA c. Materials or products from past industrial activity © Yes M No ❑ NIA d. Material handling equipment (except adequately maintained vehicles) © Yes E No © NIA e. Materials or products during loading/unloading or transporting activities ❑ Yes 0 No ❑ NIA f. Materials or products stored outdoors (except final products intended for outside © Yes & No ❑ NIA use [e.g„ new cars] where exposure to stormwater does not result in the discharge of pollutants) g. Materials contained in open, deteriorated or leaking storage drums, barrels, 13 Yes M No 0 NIA tanks, and similar containers h. Materials or products handled/stored on roads or railways owned or maintained © Yes ® No © NIA by the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., ❑ Yes ■ No © NIA dumpsters)) j. Application or disposal of process wastewater (unless otherwise permitted) 0 Yes ■ No © NIA k. Particulate matter or visible deposits of residuals from roof stacks and/or vents © Yes ■ No © NIA not otherwise regulated (i.e., under an air quality control permit) and evident in the stormwater outflow I. Empty containers that previously contained materials that are not properly stored © Yes ■ No p N/A (i.e., not closed and stored upside down to prevent precipitation accumulation) m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ■ No I❑ NIA stored outside, has the facility had any releases in the past three (3) years? 13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or 0 Yes © No in N/A deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes 0 No 16 NIA cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? 14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. Page 3of7 SWU-NCGNE Last revised 9/28/2016 NCGNE0000 No Exposure Certification a. Is secondary containment provided for single above ground storage containers © Yes ❑ No X NIA (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored ❑ Yes © No ® NIA in close proximity to each other with a combined capacity of more than 1,320- gallons? c. Is secondary containment provided for Title III Section 313 Superfund 0 Yes o No ■ NIA Amendments and Reauthorization Act (SARA) water priority chemicals'? d. Is secondary containment provided for hazardous substances" designated in © Yes p No ® NIA 40 CFR §116? e. Are release valves on all secondary containment structures locked? ❑ Yes 0 No S NIA 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? []Yes M No ❑ NIA b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous © Yes ■ No © NIA waste generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste © Yes 4W No ❑ NIA generated per month) of hazardous waste? If you answered yes to questions b. or c., please provide the following information: Type(s) of waste How is material stored: Where is material stored: How many disposal shipments per year: Name of transport / disposal vendor: Vendor address! Footnotes to Questions 14) c. & d. "Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment. However, some exceptions may be made for de minimis amounts of certain substances, and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR §372.38. ""Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities of the hazardous substances listed in 40 CFR §117.3. 16) Other information: if you answer "Yes" to any of the following items, you might not be eligible for the no exposure exclusion. A more in-depth evaluation of the site circumstances may be required. Page 4 of 7 SWU-NCGNE Last revised 912812016 NCGNE0000 No Exposure Certification a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? b. Does your facility have coal piles on site? c. Does your facility store other fuel sources outside in piles, such as wood chips, sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: small batch printing ink manufacturing e. If you answered yes to d., are those emissions permitted by an Air Quality Permit? Please specify: Emissions are insignificant source f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Perm it: Program: ❑ Yes ■ No © NIA p Yes 0 No 0 N/A ❑ Yes 0 No © N/A ■ Yes © No © N/A 0 Yes O No 8 N/A Page 5 of 7 SWU-NCGNE Last revised 9/2&2016 NCGNE0000 No Exposure Certification 17) Certification: certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure' and obtaining an exclusion from NPDES stormwater permitting. I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)). I understand that I am obligated to maintain no exposure conditions and complete a Self -Recertification form at least once each year, and if requested, provide this certification to the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that i must allow the North Carolina Division of Energy, Mineral, and land Resources, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such inspection reports publicly available upon request. I understand I must keep a copy of annual re -certifications on file at the facility. In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. 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: Roger Poteet Title: O-Y-uer i (Signature of Applicant) 2-7-261 (Date Signed) FEB 11 201 DENR-LAND QUALIP( STORMWATER PERM171NG Please note: This application for the No Exposure Exclusion is subject to approval by the NCDEQ Regional Office prior to issuance. The Regional Office may inspect your facility for compliance with no exposure conditions prior to that approval. The Regional Office may also inspect your facility at any time in the future for compliance with the No Exposure Exclusion. 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 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 (Environmental Management] 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). There is currently no fee for a No Exposure Exclusion. Page 6 of 7 SWU-NCGNE Last revised 9/28/2016 NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: © This completed application and all supporting documentation, ❑ A map with the location of the facility clearly marked. ❑ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8. Mail the entire package to: DEMLR - Stormwater Program Dept. of Environmental Quality 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions, please contact the DEMLR Regional Office for your area. DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ... (252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 776-9800 Central Office ......... (919) 707-9220 Page 7 of 7 SWU-NCGNE Last revised 9/28/2016 v i to r orsytn t+arK ur - t,00gte iviaps rage or L Google Maps 9103 Forsyth Park Dr � •r�V:tl At Gl��yx g otn[ wHsTCHAi,t v041K MOt1NT w - � vial.—.. MON . —� • GRIFR5 FORK S a�V Av"I q G.a u1 COr Q cr \ � + Thomna l4ku.51K �'°w 91ulTa,cvr+Palk on.n + STEELE CRCEI, PY• � +_ - WI NOS 0H f. S - '•; TRAILS `J u •IUn Mr(na `lit# r LEI -•� 1 GROWN ROAn 'i C-,ns�w-a1 'h + ..rr IAfuvs�rmnfenv..i ,_ t ,�%'„ • take wylir '.l •tulerm:nd $9eQ r Google ri m ED � Y /• _ 1 J Ili..•r�1.�o �J.4w.n:140 � „V17 : , _ • �—t •_..a. -.ram .� -, Map data 02018 Google 2000 ft k F T_�._...11...............III,,"I-.----l--I---rn111�lIr.------�I-rn---F-,ram.. .f+1.--I -wen-"Non-7�I/---\ �r in"I -FnA-T nnn-F�e,rrl% 1 F is ._—Ie 1-%rniPNA10 February 7, 2019 DEMLR — Stormwater Program Dept. of Environmental Quality 1612 Mail Service Center Raleigh, North Carolina 27699-1612 To Who1n it May Concern: RFOEI ED FEB 11 2013 DENR-LAND QUALITY STORMWATER PERMITTING Please find enclosed No Exposure Certification for Exclusion documentation for two sites: 2630 Odell School Road, Concord, NC and 9103 Forsyth Park Drive, Charlotte, NC. Required documentation is enclosed. Please contact me if any further information is needed. Thank you. Respectfully, Roger L Poteet Poteet Printing Systems, LLC rpoteet@poteetsystems.com POTEET PRINTING SYSTEMS, LLC PHONE: 704-588-0005 FAX: 704-588-9005 9103 FORSYTH PARK OR. CHARLOTTE, NC 28273