NCG210418_COMPLETE FILE - HISTORICAL_20130812

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV UCo 2 I U
DOC TYPE
lifl' HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
a0 13 /a
YYYYMMDD

A�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM
Director
Shaver Wood Products
Attn: Richard Shaver
14440 Statesville Blvd.
Cleveland, NC 27013
Pat McCrory, Governor
John E. Skvarla, Ili, Secretary
Aug. 12, 2013
Subject: NPDES Stormwater Permit Coverage Renewal
COC #NCG210418
Dear Permittee:
In response to your renewal application for continued coverage under Stormwater General Permit
NCG210000, the Division of Energy, Mineral and Land Resources (DEMLR) is forwarding herewith the
reissued Certificate of Coverage and 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 October 15, 2007 (or as
subsequently amended.) The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of the stormwater General Permit
• A copy of a Technical Bulletin for the General Permit
• Copies of the Discharge Monitoring Report (DMR) Form
• Copies of the Annual Discharge Monitoring Report Form (if applicable)
• Copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater only, and it specifies your obligations with
respect to stormwater discharge controls, management, monitoring and record keeping. Please review the
new permit to familiarize yourself with all changes in the reissued permit. Significant changes to the
General Permit are outlined in the attached Technical Bulletin.
Your coverage under the General Permit is transferable only through the specific action of DEMLR.
This permit does not affect the legal requirements to obtain other permits which may be required by the
N.C. Department of Environment and Natural Resources, nor does it 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 the DEMLR Stormwater
Permitting Program at 919-807-6300.
Sincerely,
for Tracy E. Davis, P.E., C.P.M.
cc: Stormwater Permitting Files
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 - Telephone [phone]I FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://pofal.nrdenr.orglweb/lr/Iand-quality
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Certifica of Coverage http://portal.ncdenr.orgt%veb/Ir/ncg2I-erenewal
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT No. NCG210000
CERTIFICATE OF COVERAGE No. NCG210418
STORM WATER
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,
Shaver Wood Products Inc
is hereby authorized to discharge stormwater from a facility located at
Shaver Wood Products
14440 Statesville Blvd
Cleveland
Rowan County
to receiving waters designated as Fourth Creek. class C water(s) in the Yadkin River Basin(s) in
accordance with the stormwater pollution management requirements, monitoring and reporting
requirements. and other conditions set forth in Parts I, II. Ill and IV of General Permit No. NCG210000 as
attached.
This certificate of coverage shall become effective August I, 2013.
This Certificate of Coverage shall remain effective for the duration of the General Permit.
Signed this day August 1, 2013.
for Thomas A.Reeder, Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission
I of 1 8/19/2013 10:50 AM

Geor oulias, Bethany
From: [e-mail]
Sent: Friday, August 09. 2013 3:16 PM
To: Munger, Bridget
Subject: Confirmation for Renewal of DWQ Stormwater NPDES General Permit
** Do not reply to this e-mail as it is from an unmonitored mailbox. **
Thanks for renewing your permit using our on-line option. No further action is necessary. The new General
Permit is available for printing from our website at http://portai.nedenr.orp/web/Ir/stormwater.
If you have questions, please contact Bethany Georgoulias at bethan eor,,oulias nedenr. ov, phone (919)
807-6372,or Bradley Bennett at brad ley. ben nett a nederingov, phone [phone]. If you forgot to print your
Certificate of Coverage, you can resubmit the data and print another copy.
This COC is issued pursuant to the requirements of North Carolina General Statute 143-2 15.1 and the
memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection
Agency, dated October 15, 2007 (or as subsequently amended.)
The General Permit authorizes discharges of stormwater and specifies your obligations for discharge controls,
management, monitoring, reporting, and record keeping. Please review the new permit to familiarize yourself
with all of the changes. Parts III and IV contain the Standard Conditions, including Compliance and Liability,
Reporting, Monitoring and Records requirements; Operation and Maintenance obligations; and Definitions.
Your facility has six months from receipt of the COC to update its Stormwater Pollution Prevention Plan
(SPPP) to comply with changes in SPPP requirements. Other changes are effective immediately. Please note
that Tier 3 Actions (if applicable) are triggered by four benchmark exceedances beginning on the effective
date of the renewal permit and do not count prior exceedances. Please visit our website above to review the
new General Permit carefully.
Please note that the Stormwater Permitting Unit is in the process of moving to the Division of Energy, Mineral,
and Land Resources (DEMLR). Your coverage under the General Permit is transferable only through the
specific action of DWQ and/or DEMLR. This permit does not affect the legal requirements to obtain other
permits which may be required by DENR, nor does it relieve the permittee from responsibility for compliance
with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
CONFIRMATION DETAILS
Permit Number: INCG210418
Expiration Date: 7/31/2018
,Organization Name: Shaver Wood Products Inc
Facility Name: Shaver Wood Products
Admin Region: Mooresville
County Name: Rowan
Regulated Activity: Til mber products manufacture / Wood Chip Mills
Receiving Stream Name: Fourth Creek
Receiving Stream Class:
,C
Basin: Yadkin
Facility Address:
44440 Statesville Blvd

Facility City:
IFacility State:
Cleveland
NC
Facility Zip:
27013
Aff7liatidn Type:
First Name:
Qwner.
Richard
Middle Name:`
.s
Last Name:
Shaver
Fax Number:
(7.04j89304 N
Work Phone Number:
[phone]
Email: a
brid�et.mgh 'erniicdenr. ov

Lowther, Brian
From: Bou-ghazale, Samar
Sent: Tuesday, October 02, 2012 11:34 AM
To: [e-mail]
Cc: Lowther, Brian
Subject: NCG210352 & NCG210418
Follow Up Flag: Follow up
Flag Status: Completed
Hi Steve,
Mr. Shaver applied to rescind permit NCG210352 since you have a duplicate permit NCG210418 for the same facility. It
is easier to rescind NCG210418 since you have already paid the fee for the NCG210352 and did not for the other permit.
If you rescind permit NCG210352, than we have to reimburse the money for that permit and you have to send us a new
check for the other permit. It is easier for everybody to rescind permit NCG210418. Please let me know if that is ok with
Mr. Shaver.
Thank You,
Samar
Samar Bou-Ghazale - [e-mail]
Environmental Engineer II
North Carolina Dept. of Environment & Natural Resources
Div. of Water Quality
610 E. Center Ave., Suite 301
Mooresville, NC 28115
Ph: [phone] Fax: [phone]
Switchboard: [phone] Direct line: [phone] Fax: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless this content is exempt by statute or other regulation.

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. W. Chard Shaver
Shaver Wood Products, Inc.
14440 Statesville Blvd
Cleveland, NC 27013
Dear Mr. Shaver:
Division of Water Quality
Coleen H. Sullins
Director
August 26, 2011
Subject: General Permit No. NCG210000
Shaver Wood Products, Inc.
COC NCG210418
Rowan County
Dee Freeman
Secretary
In accordance with your application for a discharge permit received on August 1, 2011, 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 October 15, 2007 (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 Brian Lowther at
telephone number (9I9) 807-6368.
Sincerely,
for Coleen H. Sullins
cc: Mooresville Regional Office
Central Files
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury Sl Ratef h, North Carolina 27604
Phone: [phone] FAX: 9IM07-6494 4 Customer Service: 1-877-623-6746
Internet: www.ncwaterquality.org
Nne
orthCarolina
Xturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210418
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,
Shaver Wood Products, Inc.
is hereby authorized to discharge stormwater from a facility located at
Shaver Wood Products, Inc.
14440 Statesville Blvd
Cleveland, NC
Rowan County
to receiving waters designated as an unnamed tributary to Fourth Creek, a class C water in the
Yadkin Pee -Dee River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit
No. NCG210000 as attached.
This certificate of coverage shall become effective August 26, 2011.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 26, 2011.
for Coleen H. Sullins., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

FKOI 3. work k IU
NCG210418
Shaver Wood Products, Inc.
Latitude: 350 44` 55" N
Longitude: 800 43' 48" W
County: Rowan
Receiving Stream: UT ID Fourth Creek
Stream Class: C
Sub -basin: 03-07-06 (Yadkin Pee -Dee River Basin)
r
AW Sc-a1e 1:24,000
Facility Location

Lowther, Brian
From:
Parker, Michael
Sent:
Thursday, August 25, 2011 7:56 AM
To:
Lowther, Brian
Subject:
RE: SW General Permit NCG210418
I have been there before. See no reason not to issue the COC. '
From: Lowther, Brian
Sent: Wednesday, August 24, 2011 2:52 PM
To: Parker, Michael
Subject: SW General Permit NCG210418
Mike,
We've received an NOI from Shaver Wood Products, Inc. for their site in Cleveland (Rowan
County) for coverage of their timber products facility. The site discharges stormwater to an
unnamed tributary to Fourth Creek (C). The NOI is attached.
Please let me know if the Mooresville Regional Office has any concerns about
facility a COC for this general permit, and are there any potential impacts
we don't receive any objections, we'll issue the COC in 30 days.
Thanks,
Brian
Brian C. Lowther
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Email: briai�.]«��t.herr�nccicar. jc}v
Website: httj2://12ortal.nedenr.org/web/wq/ws/su
issuing this
to wetlands? If
!If., NG i
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties. R.: }'
1

��
. W_
NCDENR
FNYJIGNMF.NT IJI,1 M41M1. Ib!16-M�'A
Division of Water Quality 1 Water Quality Section
National Pollutant Discharge Elimination System
NCG210000
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate of covers
Check x I Amvurst
peff AsAgwdio
r
NOTICE Qf INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG210000:
STORMWATER DISCHARGES associated with activities classified as:
SIC* 24 Timber Products (except as specified below), including Wood Chip Mills (as of April 2011)
SIC" NIA Like activities deemed by DWO to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:v
• Wood Kitchen Cabinets (SIC 2434)
• Wood Preserving (SIC 2491)
- Logging (SIC 241)
as �?C%
• Standard Industrial gasslficatlon Code
(Please print or type)
o
1) Mailing address of owner/operator (address to which_all hermit correspondence will bemeiled3:
-'
f'/ /
��e�vc�
QED�i5�11V�_
Hams fy©o.� lilC _ _ _
-
Owner Contact jl/ �,4L►HAr
Street Address Via.
City StateAlglGZIP Code �7�at3
Telephone No. Ze4 z Fax:¢-
E-mail Address
2) Location of facility producing discharge:
Facility Name `'`��✓s� rlo&P RoPaG'�
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
3) Physical Location Information:
ZiP Code G,l01[ ' T
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).�oM �662�C.o rya. /(/C a6t.✓C
11161 70 C�w/Ti.✓��r .�IilQisv/ic, �rf,�sf c�iLi� -- s 7u� berm J rc. ,._ . rY� c
(A copy of a county reap or USGS quad sheet with facility clearly located on the map Is required to be submitted with this application)
4) Latitude Sp' SCE LongitudeSd .4-? r4f (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
X Existing
Page 1 of 4
SW UU-236-03l at t

NCG210000 N.O.I.
6) Standard Industrial Classification (SIC):
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: Z ¢Z 1
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: k/zkws 'e LoGs .4.¢r C-6d& ez= Zo
8) Discharge points 1 Receiving waters:
Flow many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? S
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? OS
�'
If the site stormwater discharges to a separate storm sewer system, ;�ame the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). A&:/ -
0_.
10) Does this facility have any other NPDES permits?
5�No .
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility: Al A
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
)R(No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: NZ
12) Does this facility employ any best management practices for stormwater control?
0 No
Yes
If yes, please briefly describe:
Wig
j1E' _ _ _ ��� L _TTII /.PL3' X CiP14CJi G�ls/.'S NKb K/-<—/�1.�7rNY.dre.Q✓�.
13) Does this facility have a Stormwater Pollution Prevention Plan?
��QC��'�rY/svrvU /.t/.S�TTo.�SA�Y
❑ No i"14AS .
Yes
If yes, when was it implemented? 7
14) Does this facility store exposed piles of sawdust, bark, mulch, wood chips, or similar material on -site
for longer than seven (7) days? (Exposed directly to rainfall or to run-on from other areas of the
facility.)
❑ No X Yes
15) Are vehicle maintenance activities occurring at this facility?
❑ No XX Yes
Page 2 of 4
SWU-236-031811

NCG210000 N.O.I.
16) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
J( No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑ No jx Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) oUwaste: C'cz-,o.�r � s
How is material stored: Sa_gG 4cto.✓ 221g4A&E
Where is material stored:
How many disposal shipments per year: i'A-xr. IZ a,- As A,�C_I8L_p
Name of transport 1 disposal vendor: S LEE
Vendor -address: 232a `/4h C1r1 48_zeqr 'F� %a4-
17) Certification:
North Carolina General Statute 143-215.6 b (1) 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
[Environmerrial Management) Commission Implementing this Article shall be guilty of a Glass 2 misdemeanor which may Include a fine not to
exceed ten thousand dollars ($10,000).
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 accurate.
Printed Name of Person Signing:
Title: V/CZ- r;
�%L&JW, 44L1 -
(Signature of Applicant) (Date Sfgnedf)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Page 3 of 4
SWU-236-031811

n(r, T, V"*.
tip -'a C: Ai': 1,61 1. v
JI.Cp-- 1 5. ',1t0 I "U T_
k . P '4;, t. 44. L j;, r - I'm
01

NCG210000 N.O.f.
Final Checklist
This application will be returned as Incomplete unless all of the following Items have been included:
P� Check for $100 made payable to NC DENR
I►�/ This completed application and all supporting documents
Gd Copy of county map or USGS quad sheet with location of facility clearly marked on reap
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
To visit our webslte, go to http✓/portal.ncdenr.ora/web/wa/ws✓su
DWg-Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office .-.
[phone]
Mooresville Office -..
[phone]
Raleigh Office ........
[phone]
Washington Office...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 4 of 4
SW U-236-031811

A
7
LOCA-nDN
A
V%
SOURCE. SWESMLLE EAST (1969). COOL. SPRNGS (1997).
CLEVELAND (1988) AIDED SREPHERDS (1969) QUADRANGLES
NORTH CAROUNA-ROW."I COUNTY
7.5 MINUM SEMES fTOPOGRAPHIC)
SHAVER WOOD PRODUCTS I FIGURE I -
14440 STATEMLLN ROAD SITE LOCAT10N MAPCLEMAND. NORTHCARGLTNA
2000
scALe iN FFr--r
a r

,J C y a- t o %k i g
SHAVER WOOD PRODUCTS, INC.
14440 STATESVILLE BLVD'.
CLEVELAND NC 27013
PIEDMONT BANK
a division of
Yadkin Valley Bank and Trust Company
Statesville, NC 28677
66-1211-531
35068
PH: [phone] - m
FAX: [phone] o
9
PAY TO THE
ORDER OF - $ »»100.00
rina H,inrlrarl nnri nni'Inn»»'•`•»•*"•»•""`• DOLLARS f
MEMO
N
NCDENR-Division of Water. Quality 8
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Annual Fee
1/11 to 07/31/2012

SHAVER WOOD PRODUCTS, INC.
NCDENR-Division of Water Quality
5900 Other taxes and licenses
Annual Fee Period-08/01/11 to 07/31/2012
N9tMNSN31LMIMSO1S INSOWUN
U1VnD N31VM • 8N30
OZ 11 9nb
a�a0Pag 6a
AU OARED VGNATURE
8/8/2011
35068
100.00
Piedmont Bank Annual Fee Period-08/01/11 to 07/31/2012 100.00