NCGNE0039_COMPLETE FILE - HISTORICAL_20190225

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE D�3
DOC TYPE
X HISTORICAL FILE
DOC DATE
❑ a►o 1 6) Q a 19G
YYYYM M D D

11
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Interim Director
d �c S7A7F Q„ •
�7
NORTH CAROLINA
Environmental Quality
February 25, 2019
Hickory Spring Manufacturing Company
Attention: Wilbur E. Mann
Post Office Box 128
Hickory, North Carolina 28603
Subject: Compliance Evaluation Inspection
Permit: NCGNE0039
Caldwell County, North Carolina
Dear Mr. Mann:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the
inspection I conducted at the subject facility on February 14, 2019.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact me at [phone] or by email
at [e-mail].
Sincerel
Isaiah Reed, SCI, MS4CECI
Environmental Specialist
Land Quality Section
Enclosure: Inspection Report
�� North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
D Asheville Regional Office 1 2090 U.S. Highway 70 1 Swannanoa, North Carolina 28778
�"+� 828.296.4500

® O
Compliance Inspection Report
Permit: NCGNE0039 Effective: 05/01/05 Expiration
SOC: Effective: Expiration
County: Caldwell
Region: Asheville
Contact Person: Wilbur E Mann Title:
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 02/14/2019
Primary Inspector: Isaiah L Reed
Secondary Inspector(s):
Certification:
Owner : Hickory Springs Manufacturing Company
Facility: Allen -Beck Division -Hickory Springs Mfg. Co
3305 Kellina Ln
Granite Falls NC 28630
Phone: [phone]
Phone:
Entry Time: 01:30PM Exit Time: 02:OOPM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: Compliant Not Compliant
Question Areas:
Miscellaneous Questions Misc
(See attachment summary)
Page: 1

0 0
Permit: NCGNED039 Owner - Facility: Hickory Springs Manufacturing Company
Inspection Date: 02114/2019 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On February 14, 2019 this facility was visited for a site inspection. The facility is currently not in operation. I spoke with Jeff
Bechtel on site who informed me that the facility has been sold. The permittee is directed to immediately submit a
rescission request for the NEC associated with the facility.
If you have any questions, please contact this office at [phone]
Page: 2

Permit: NCGNE0039 Owner - Facility: Hickory Springs Manufacturing Company
Inspection Data: 02/1412019 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Misc
Is the facility compliant?
Comment:
Yes No NA NE
Page: 3

OCR \NA�FR ® Michael F. Easley, Governor
William G. Ross Jr., Secretary
N ✓ orth Carolina Department of Environment and Natural Resources
r
Alan W. Klimek, P. E. Director
Division of Water Quality
Q ^� Coleen H. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Wilbur E Mann, III
Hickory Springs Manufacturing Co
PO Box 128
Hickory, NC 28603
Subject: No Exposure Certification NCGNE0039
Allen -Beck Division -Hickory Springs - 3305 Kellina L,n
Caldwell County
Dear Permittee:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on August 16, 2004. We apologize for the extended period it
has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification as provided for under 40 CFR 126.22(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 a no -
exposure exclusion, 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. Your
conditional no -exposure exclusion expires in five years (April 30, 2010). At that time you must re -certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure 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 Jonathan Diggs at [phone] ext.
537, or at [e-mail].
cc: Asheville Regional Office
Stormwater Permitting Unit Files
Sincerely,
for Alan W. Klimek, P.E.
Central Files — wlattachme
APR 2 7 2005
W;;TER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone]
A
NCOENR
Customer Service
1-877-623-6748

Form Approved
United States Environmental Protection Agency OMB No.2040-0211
NPDES 0' Washington, DC 20460
FORM `01
35S Q-41 ' EPA NO EXPOSURE CERTIFICATION for Exclusion from
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity Identified In Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an Industrial facility when all Industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. 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 without operational taps or valves;
— adequately maintained vehicles used In material handling; and
— final products, other than products that would be mobilized In storm water 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, the entity In Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g),
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information n (('�� o p
1. Name: �11c1"i0IrYIT 1ISIL•'Irinnl yy�151 I :EIS} - I 1 "IQ1 - 1 I I ! I 1 2. Phone: 18121813121812121011I
3. Mailing A[dddress: a. Street: 1PQ IE `Iq 'i 11,218, I ill I I I 1 I I I I I I 1 1 1 I I I 1 1
b.City: µ,i,c,kpIry I I I I I I I 13 I I I I 11 estate: NQ d,zipCode: j218i6iOi3i—IQ11121&
B. FaclitylSite Location Information
1. Facility Name: Alle,r
2, a. Street Address: 31 ,3101�-
b. C ity: r a 1 I t E
d. State: nLl e. zip Code: 12181613101— 1 1 1 1_ _
3. Is the facility located on Indian Lands? Yes No
4. Is this a Federal facility? YeSEINo 10
5, a. Latitude: 13151 U 14,9 21 I " b. Longitude: 1 o I`_ 161 - 1f ~ 1 -
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes 0 No
b. If yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary: L'_L`_-I_8_16 7Seconda�ry (ita(p�plicable): I 1 1
8. Total size of site associated with Industrial activity: / . 7 acres
9. a. Have you paved or roofed over a formerly exposed, pervious area In order to qualify for the no exposure exclusion?
51o* f� 1
Yes R No Q
b. If yes, please Indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse Impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre n One to five acres El More than five acres
EPA Form 3510-11 (10-99)
Page 1 of 4

NPDES �+ NO EXPOSURE CERTIFICATION for Exclusion from Farm Approved
FORM �-EPA OMBNo, 2040-0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check etther'Yes" or'No' in the appropriate box.) If you answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spillstleaks
3. Materials or products from past Industrial activity
4. Material handling equipment (except adequately maintained vehicles)
0
5. Materials or products during load inglunloadIng or transporting activities
El
121
6. Materials or products stored outdoors (except final products Intended for outside use [e.g., new cars] where
exposure to storm water does not result in the discharge of pollutants)
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
8. Materials or products handledlstored on roads or railways owned or maintained by the discharger
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters])
10, Application or disposal of process wastewater (unless otherwise permitted)
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
(i.e., under an air quality control permit) and evident in the storm water outflow
D. Certification Statement
I 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 storm water permitting,
I certify under penalty of law that there are no discharges of storm water contaminated by exposure to Industrial acttvltles 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 submit a no exposure certification form once every five years to the NPDES permitting authority and, If requested, 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 NPDES permitting authority, 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 that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water 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 Informatbn, Including the possibility
of fine and imprisonment for knowing violations.
�� 1 h �/[ T T T
Print Name: I! `I 1111�I r1 _1 . I I• iaiijil 1 yl 1-I it 1 I I I I I I I I I I I I I
Print Title: i V11(("PP rPP S,;� qqT; ��SXgrll Pliy, -1 1 1 1 1 1
Signature: /nLUL",
Date: 10 e101 h10 1 +
EPA Form 3510-11 (10-99) Page 2 of 4

HicKoRYSPRiNGs
MANUFACTURING COMPANY
0'
August 11, 2004
Ms. Aisha Lau
NC Division of Water Quality
Water Quality Section
Storm Water & General Permit Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Ms. Lau:
AUG 1 6 2003
j4,
PU1�7 ' U?
Enclosed are USEPA NPDES Forms 3510-11, "No Exposure Certification" for Thirteen
Hickory Springs Manufacturing Company's facilities located in the State of North
Carolina.
If you require any further information, please contact me at [phone], ext. 4669 or
email dfmcneilahickorysprings.com
Sincerely,
David F. McNeil
Corporate Manager — Foam Research
Hickory Springs Manufacturing Company
235 2nd Avenue, N.W. 9 P.O. Box 128 • Hickory, North Carolina 28603-0128 • Telephone: [phone]