NCG030666_COMPLETE FILE - HISTORICAL_20171001

MA ►
j DOC TYPE
DOC DATI
STORMWATER DIVISION C,
NCG PERMITS
HISTORICAL FILE
MONITORING REI
J019 to DI
YYYYMMDD

Diuguid, Bill
To The file
Cc Druguid, Bill, Pickle, Ken
Subject US Chemical Storage NCG030665 and NCG030666
To the future Reviewer
There has been some discussion with the WSRO and the industrial company listed above as to whether
these two adjacent sites in Wilkesboro should be combined under one permit or separate permits
+ + sit +ka+ ni + n at the evnir n of Chic nar i in OCtnher 7
YOU �i�ay rrana �0 reVl��� ..�,,..es�10 r, atlO r4 m t O1
Bill Diuguid
Stormwater Permitting Program
Land Quality Section
Division of Energy, Mineral and Land Resources I NCDEQ
1612 Mail Service Center (Mail)
512 N Salisbury St, Raleigh, NC 27604 1 91h Floor (Location 8s Parcels)
Raleigh North Carolina 27699-1612
Phone [phone] j Fax [phone]
Website hap //portal ncdenrorPzIweb/wq/ws/su
;I
Nothing Compares,..
N
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties

RECEIVED I
NO oeot of ENR 1 �� Lk
North Carolina Department of Environments CQuX3yg 12015
S�lri$tJI� JOl@rFI
Pat McCrory
Govemor Secretary
November 24, 2015
Mr John F Peters, Operations Manager
US Chemical Storage
1806 River Street
Wilkesboro, North Carolina 28697
Subject General Permit No NCG030000
US Chemical Storage - River Street
COC No NCG030666
Wilkes County
Dear Mr Peters
In accordance with your revised application for a discharge permit received on September 1,
2015, we are forwarding herewith the subject certificate of coverage (COC) 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)
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 Energy, Mineral and Land Resources (Division) 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 Division or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that may be required
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone]
Sincerely,
ORIGIINFAL SIGNED l3`
for Tracy E' UavP1s"W FCPM, Director
Division of Energy, Mineral and
Land Resources
cc Winston-Salem Regional Office-LA.n�tj �zy
Central Files
Stormwater Permitting Unit Files
Attachments
1601 Mad Service Center, Raleigh North Carolina 27699 1601
Phone [phone] Internet www ncdenr gov
An Equal Opportunity 1 Atfimrahe Action Employer — Made rn part by recycled paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO NCG030000
CERTIFICATE OF COVERAGE No NCG030666
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,
US Chemical Storage
is hereby authorized to discharge stormwater from a facility located at
US Chemical Storage
1806 River Street
Wilkesboro
Wilkes County
to receiving waters designated as the Yadkin River, a Class WS-IV waterbody Yadkin 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 NCG030000, as attached
This Certificate of Coverage shall become effective November 24, 2015
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day November 24, 2015
ORIGINAL SIGNED B`
KEN PICKLE
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

` •n y�. r •t , �T�� r• � 4 �� -fir: ;' r t�+ � 1 f� ; ,- I .,Y J. �
r i � I � �•'�,�'I *' %'^.�' � } � r �� 1 r '"� i '.° ° a • �, I r- +r � , t � �. : �` Mt V
1 � � '•� -.f �� ', 1.�� r , `� `�'".r • \j{(� - � s � : •!, '' r � � t.,J.�I�.F �?" �, i. _ Sk � - /,#4�^i� ,'�,,.-y�' ,�, , G t a,{. 5�• i. k
'� L , ✓, ` 'l \ .�' � ry �. ' p •'A:' j � ! q T "}�` �� =�ic1 ' l � ! q' r -'n y `+ '�j •
�ji' i r �' l .!. � `� - ...? k a . F• R ar �'' z' r � � • I � '!:ti ,�,:, � � a �,�, �.
I� �{ J`I ! � r � :�f i ,. } :'j" y,71q `. r., r ;��,,..I � :� •.w �;'�. -�3 r�lt i'. ,�` .✓J'j+'�
�'+ � �� � ' n 4f;a � � � t% � Y. � jrl 1 • r ��"``•' m a 1 � lb{�j� , r "f.F� r � si a'; ° ,�rt ���7 .�'..'"1• +t
• �'� ' ; r - .� F 1 + 1 �,�'---., �/' .f �, d qk:• � :7 �,S r%� ' - � r �� -` 1.,. • ,(: Y`fr YT, ~:t �s; '1 �'5 - .!! K " r/
0 V. a , �, u � � i� � � }. M.yr 'Y "�!� ae<�e! a �}�• `� -i �. ,� {. A' � y ..1, y •r•�`� ^ :�., r:� i•,. .P:�;`% �_• ��i. -
� •r t• 'Iw: �L. c. - t. •Sw~ J� ie - - 1 �qr - .r,„'•.. �.Y; ,� - �. ! --
i� { h �y� � .. 'V r �, '' _ •� . -� r� < 'rr.• �- �' a � # _ r �� .r r e/ �-rs'•.kal; �:•¢=ram
'o.l j�- - ` •�s•.i-:-r 1' �• ��' "r'� w W 1: 4. - +�b •'�'. a'7 �.•i', _ � r rl:���N ! _1 F'. I �� �s.'.r `���'xw �r �,�,.•
i • �, - 1 1 �, t - r t S7 ' �i r f•, r•" ,r • ? 1 _ F ��++• 4.4 h,w 1 f ^ ' �y-
;��gNw.�,��+ 4- F.� ^!7y!3':-.��,' ? '4�—►Sr y, rt,:J =�-..
p I 1�.,. !"..i i' a .;}.:.^e ; .nt '�-•,-'.^. ~4 J.j.•r"a='"" I.' .•.,•�j, li, _ J ~y �rf ?•
k,1�1 { a `� } R _ t o� S��=�y' . �G1e�+'• y! r l 1 i S'`1
a� !�,1�%M•• i 4 / .i ray '�-4:,� [.�4.,.=��r � r—• ��r 'ewe i r y! � ,;,; l �+ Y z�
x••.�n1t�rfv !• t,,•r
§"� 1 _ -'4 1 ��rr { ; t4 w y, i `r'. ��: r. '• \ .I 'l .�c S ,fMa �t
• n ! �. A - . + � J" '• � � ` fir", - r` y l ' ', ,.s •
r\r i �v �� � 1. Cy • •. �f� •i•yy,. E� Te• 'X`Y~.�n^� �-•I 1' f[*J!• Or
'J,\ n" I i�"•t. to fi [tau 1. i }p`
4 I, ''g' •• 1�l � ��� may,. ,r.. .�.'' '.�f '� �. � 'l r'' ! .1, �' '�"
- _ yam, - lrtl i• 5 �• Y 1 •t = - . .f _ ?� ^` II•
n .•',e �+F� ��� C � S �, �' tl �3 �, ��` !- ," � ` - � ` � r ! ' � ` - � r � �",`r-•�fQf,�i�t'ttS',<:'•
��.4 ! ii..{;{{! ��N7'. rY 2 I`� ue� ! , !'. U ,t,.=, 'f '- ••"'• i 1 's -,�r 1 'i: k f• f .Y1�C I
.:4t�t�_!."1 + • rt a� .. ^� n^. „ -. _�� r.t, �, '4. '{ r. 1 +i I �,'.t. .� �+s._a� •i'r' 'U•�'r ! �_ ��_ 'h.
of
-� I�r,�l. �•'-"�., �`, ; „ 1 � T � ,y'`J'r f �f •yy.r—.�"•• .k,..,,,..:w""r-'•� _,,,=y,,,w�ti7�-.•+�-�.� h. .l�y, ,.

SAND FINISHED
BLASTING BUILDING STORAGE
AREA
GRA DEL
_ PARKING
r q 4
.. A!aft 1304
I
aP
ASSEMBL }
BUILDING
r
r �
z �
#268

PLC
North Carolina Department of Environmental Quality
Pat McCrory Donald R van der Vaart
Governor Secretary
November 24, 2015
Mr John F Peters, Operations Manager
US Chemical Storage
1806 River Street
Wilkesboro, North Carolina 28697
Subject General Permit No NCG030000
US Chemical Storage - River Street
COC No NCG030666
Wilkes County
Dear Mr Peters
In accordance with your revised application for a discharge permit received on September 1,
2015, we are forwarding herewith the subject certificate of coverage (COC) to discharge under the
subject state - NPDES general permit This permit is issued pursuant to the requirements of North
Carolina General Statute 143-2151 and the Memorandum of Agreement between North Carolina and
the US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended)
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 Energy, Mineral and Land Resources (Division) 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 Division or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that may be required
If you have any questions concerning this permit please contact Bill Diuguid Stormwater
Program Planner at telephone number [phone]
Sincerely,
for Tracy E Davis P E , CPM Director
Division of Energy, Mineral and
Land Resources
cc Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
1601 mail Service Center, Raleigh North Carolina 27699 1601
Phone [phone] l Internet www ncdenr goy
An Equal Opporluray t Af owhae Aaron Employer - Made in par' by mcyde3 raper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO NCG030000
CERTIFICATE OF COVERAGE No NCG030666
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
US Chenucal Storage
is hereby authon7ed to discharge stormwater from a facility located at
US Chemical Storage
1806 River Street
Wilkesboro
Wilkes County
to receiving waters designated as the Yadkin Rner a Class WS IV waterbody Yadkin River Basin in accordance
with the effluent limitations, monitoring requirements and other conditions set forth in Parts 1, II,11I, IV, V and VI
of General Permit No NCG030000 as attached
This Certificate of Coverage shall become effective November 24, 2015
This Certificate of Coverage Shall remain in effect for the duration of the General Permit
Sighed this day November 24, 2015
4-j /,- 9c:�
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and Land Resources
By Authonty of the Environmental Management Commission

.�it"^—+*�"kr.y-� j � a• �,'r~ �_Z"...�. �: i. �rr=-. ,$ ` r i �^ � ��5�'T11
v
r ' y 1 Y' � �i�•�` . _ r#7}�[44 • ,'• 1 � ^t�t f � ,� • rh �. � 1, v h
yo
� '' k +�� r�.." } ����� ���r 1 p,..���, ✓alii ��. 1� p����w��`+�'� •e,� �^ - ' ri'�,• -i 1� } + '� �� _:h�+�'{r�.7'��r
�``�• ,,.-_J4y �1�,% ,S e:s' a, 'l. .v,+•�;t°�. ..,+` %rsz yd `�- s-
„'- .� • �^S'� } - ' .r �t - • � �e "�'� :.� e .CAS' -- ��� f. � _ "y . 1-�y w'
{� f `• '• i�{� �+'y,
•� � '...-..:•� _ 'y ff � - i .. `i'�` .try �� �e�� e ' f m R� � 2' �'
,
� -{ ., • � fir, f -,�?:,�T' ems, rt( J .l' �r+.•'��,rrt...�'�-�..�',�.6�-�r.�.'"��"�'�a'���,,. ^.+�"•`'. �,T�..r�._,.�c••a�c'" �r,r `} �d4 fir^
�f�+, � "�. -�, � ��/++*fi,'�:';, i"rr flj `�rf/r.lfrri'����-: ^:"�� '� �#`ti,..'l�;j,.�r'�`w �-M.t -fii� � •`": +�-�._•�=� ,� !�".�'4'.�'�*��
�� :. � i )��!�_ll� 7 =. I : a .�,i ,'��1 icr� r-�!w.���a......�3..�f_i'M�„�. ~�••+.�•� �^-,','�-�".".�,�.•:.m .�. �.•..,..,����'r`..-�••-y �.��:�=

Central Files APS _ SWP
11 /25/2015
Permit Number NCG030666'
Permit Tracking Slip
Program Category
Status Project Type
NPDES SW
In review New Project
Permit Type
Version Permit Classification
Metal Fabrication Stormwater Discharge COG
COG
Primary Reviewer
RECEIVED
Permit Contact Affiliation
bill dwguid '
DEL 01 1015
Coastal SWRule
CENTRAL FILES
Permitted Flow
DWR SECTION
Facility
Facilrty Name
Major/Minor Region
US Chemical Storage (Wilkesboro)
Manor Winston-Salem
Location Address
County
1806 Rover St
Wilkes
Facility Contact Affiliation
Wilkesboro NC 28697
Nada Wellman
1605 Industrial Dr
Owner
Wilkesboro NC 28697
Owner Name
Owner Type
John Peters
Non Government
Owner Affiliation
John Peters
1614 Industrial Dr
DateslEvents
Wilkesboro NC 28697
Scheduled
Orig Issue App Received Draft Initiated
Issuance Public Notice
Issue Effective Expiration
9/1/2015
01y /S / /ZY/� / O� r/t
/
Regulated Activities
Requested /Received Events
RO staff report
received 11/20/15
RO staff report
requested 11/19/15
Outfall 1
Waterbody Name
Streamindex Number
Current Class Subbasin
YADKIN RIVER
12 (34)
WS-IV 03-07-01

North Carolina Department of Environmental Quality
Pat McCrory Donald R van der Vaart
Govemor Secretary
November 24, 2015
Mr John F Peters, Operations Manager
US Chemical Storage
1806 River Street
Wilkesboro, North Carolina 28697
Subject General Permit No NCG030000
US Chemical Storage - River Street
CUC No NCG030666
Wilkes County
Dear Mr Peters
In accordance with your revised application for a discharge permit received on September 1,
2015, we are forwarding herewith the subject certificate of coverage (COC) 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)
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 Energy, Mineral and Land Resources (Division) The Division may require modification or
revocation and rerssuance of the Certificate of Coverage This permit does not affect the legal
requirements to obtain other permits which may be required by the Division or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that may be required
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone]
Sincerely,
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and
Land Resources
cc Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
1601 Mad Service Center Raleigh North Carolina 27699 1601
Phone [phone] Internet www ncdenr gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO NCG030000
CERTIFICATE OF COVERAGE No NCG030666
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,
US Chemucal Storage
is hereby authorized to discharge stormwater from a facility located at
US Chemical Storage
1806 River Street
Wilkesboro
Wilkes County
to receiving waters designated as the Yadkin River, a Class WS-IV waterbody Yadkin 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 NCG030000, as attached
This Certificate of Coverage shall become effective November 24, 2015
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day November 24, 2015
— /'uJ kz�
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

�•`.` •t, "�: F . , Y, ..r i; �r�.�'yr 1. � �F+ _ � �' } �' -?-.. "a t `.�• I: � � 4V � a �-r" ei,,.��'+'" r4F.ti � r
✓r !1 1 ��' � f •,�r•,/r�/y'�.�c� J �g � � ,�' a � `� f � � �" 3 i., r f y � 1 _� " �. � /� / � e!�:,• � ✓ Y � �'
i= � � ? 1"��- • HIV . • Y; ,r:i e y . � o . + {^+' r �' ;�; 1 •_• L_i"�; •.. It t;5^ ! F { ' ` � y - " f �1y
` i 3 �• -sr�' ,7• � -e- �' .-•C� .I'Yl,Y. -", � •W � 4� .�` 4 !- I r f r �-. .•= � y
'V - - ••� - tc � �. _� ktk -'� �iy r~' a �! i - •���, �• ~, .r �., .sr:�.� a F /, .ts,'R. S�
M` � r j ., TT � u - - ..s s � T ,t 1 I ;}• � r.J t" ,w yf►� { .f .��.•.T �'�`",r •t7`'. '','.
I } [ti r _ i�'a a " _ • s.r ' y �i Y f'.. � a •� a Y FF ,� . } rlf ,�•,� ., [t ��'�.V �•
� Rs �' • '�i F' ' ° mj c + . �. _y '.elL �. • ri 4 dr �, � � $ ro,'.- '�i ' t. I � ":,' i �' '•'1 � f.F; � 'w rS? .,,t+ +�.�'
I." t. ! A nP+ `�' " Y✓' �';10011d,I w 1 r Sp% ,L 3 y�f• ' y �j \4 x,.
}• � t. f �,r II `y ` i ., ��t, :', t'• • _ ,,,yr• . �.�/�• "• !;"` y � '''ti<'• ����`r ,j' .t'
fiJ r�--�-�' ` 5 f `t f ,. � . �, � • � f}4 .` �,�j a .I� 1 ,! • • _ c
5. �-_7` ; _ s k v -i.- r , jf .� ti '� �. '3 �r•T �, �s ' Tr '�..•y. _ '"""'"•-.r<'nw
'.�F. r� c �, . t, ; A, �, f .r. •n i'' } • �� {_�,r ,_ �i�. -,1• 1 r�• .y•"1.,r' ���'rt .:. '�•�+�,"�
��1 � •� I � •'�� i. � r' FJg� fL r. Ir Crw jfr,��� �t�•FY r" i'.',�il "'f - �� ! I-. r•'.., 'IJ n, � s� r r 1� .'F-.' R+ A-���C_•f�'
��lµ � , � t !• � - � :r:- .., /` '. f � I + - � � •�r � r.�fi!-� . � � f F.t {u �� �� _ 1 '" `� �� s � � A+2�r"'zA.�r
.1. ` �,. - 'c,.; - 4. _i \ •#•� • `1r Y -i - +- s�, �.5 4..r �� "^ �A 45.=!`}�"' ! 'r•'r''a".�' ' 'zt`j;,�- r ?r`
i t �i } .."' f `�' � n � � ' d� ,.� t[{[yi4 'r ,.•' �` ��a �r �q��' t r V• 3'�_ �� :�f,.��_ y� �r'� .�,,
_ F ,•q/1
e=::rc } .I .{. i � �^ `,, •- r' �a s`•rf � rn :.-t • fit I�� } �,r,� rb �- - �'•; �{ ��.r�� '� ��* 1 ";�(• Y��w1 .:: , _
Er +� + j5k '� -�1a IrTy `~"Rtit "-i' •7,'�' 1���' a � tti�-f.•: .�
r��� �-•r"r+' . ,1 % II , 1:� r � •� � �,. 'T' ' ''r # k' ? ` ,�'. 'r � 4 � C�'�', ir' ' �
�,. � - _• 'fir. -• I ti -s' �q `• ,T` ��' r r. - f �'� `� �'�•i�►
{'L ♦ I'}i a r�l � _ n r � 1 � ! 1�. "�•!' ` ` \ }}� ,.+Y.1 r` ..ram-r �•'
'''� ' 1 •`�!�} N�-¢ ., e . n �'..ti. � -y � 1"!r ' ' ti 7' t^ }' �: ' . r�' '-"�'' ��'�aty`L �'-'b, .�fC' 1
'�r� }' I' , L- „yy � �•5'„ I _ � :,� . t j' � . ^�` 7+"";' {�'�'N,' 'r1 Y'M� �_ +r ' kn .,7
� 'f'af�,l... •,C '�` r �, _,..' .r? � : .� � .. ��' P1 /fir-.,r-+-..~a'!-\.�'�;� ��y � .r��._

�� Division of Energy, Mineral and Land Resources
Land Quality Section
�...� Nattonal Pollutant Discharge Elimination System
NCDENR
Cqm EnraH�Cr — N--u RCSIX. '
NCG030000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Dale Received
Year
M; b
Dati
CerttfcateofC0 e
NICIGI 0 13
k #11
V-5�'
1 IOU
Perms Assn ed to
�NV4 Q
National Pollutant Discharge Elimination System application for coverage under General Permit
hCG030000
STORMWATER DISCHARGES associated with activities classified as
SIC (Standard Industrial Classification) 335 Rolling, Drawing and Extruding of Nonferrous Metals
SIC 3398 Metal Heat Treating
SIC 34 Fabricated Metal Products 4�C, i7
SIC 35 Industrial and Commercial Machinery E�
SIC 36 Electronic and Other Electrical Equipment SCCCP
SIC 37 Transportation Equipment p Z�jjr
SIC 38 Measuring Analyzing and Controlling Instruments �rC MWq 4NpC?iJA��n,
KFor questions, please contact the DEMLR Regional Office for your area See page 4
(Please print or type)
1) Mailing address of ownerloperator (address to which all permit correspondence will be mailed)
Name
Street Address
City
Telephone No
John Peters _
1806 River St
Wilkesboro,
336 990 0796
2) Location of facility producing discharge
Facility Name
Facility Contact
Street Address
City
County
Telephone No
Email
US Chemical Storage
Nada Wellman
1806 River St
Wilkesboro
Wilkes
336 990 0912
nwellman@uschemicalstorage com
State NC _ ZIP Code 28697_
Fax [phone]
State NC ZIP Code 28697
Fax [phone]
3) Physical Location Information 3� ' / 3 4 � 66) — d /, / 13
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 421 take exit 86B go West on 268 1-2 miles we
are located on the right hand side Turn into Ithaca we will be the parking lot to your left
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application )
4) Latitude_36 8 ft 13 08in north
meter (deg, min, sec)
Longitude_ 81 11ft 35 50west Eval 31 02
Page 1 of 4
SWU 218 071408 Last revised 712114

NCG030000 N O 1
5) This NPDES Permit Application applies to which of the following
❑ New or Proposed Facility Date operation is to begin
X Existing
6) Standard Industrial Classification
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code _3_ _4_ _4A _1_
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility We fabricate buildings to be used for chemical storage, we also manufacturer Rigid
containment system The processes that we use are, weld, paint, sand blasting
8) Discharge points / Receiving waters
How many discharge points (ditches, pipes channels, etc ) convey stormwater from the property? 2
What is the name of the body or bodies of water (creek, stream river lake etc ) that the facility stormwater
discharges end up in? Yakin River ct 5 5 iLzL
— D _ O If
Receiving water classification 5�. F-A-ivi r z— ( 3
Is this a 303(d) listed stream? Has a TMDL been approved for this watershed?
If the site stormwater discharges to a separate storm sewer system name the operator of the separate storm
sewer system (e g City of Raleigh municipal storm sewer)
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility
10) Does this facility have any Non -Discharge permits (ex recycle permit)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility
11) Does this facility employ any best management practices for stormwater control?
X No
Cl Yes (Show any structural BMPs on the site diagram )
If yes, please briefly describe
We are developing that now
12) Does this facility have a Stormwater Pollution Prevention Plan?
X No
❑ Yes
If yes, when was it implemented? We are in the process of developing
13) Are vehicle maintenance activities occurring at this facility?
❑ No X Yes
Page 2 of 4
SWU 218 071408 Last revised 712114

NCG030000 N O 1
14) Hazardous Waste
a) Is this facility a Hazardous Waste Treatment, Storage or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg of hazardous waste generated per month) of
hazardous waste?
❑ No X Yes
c) Is this facility a Large Quantity Generator (1000 kg or more of hazardous waste generated per month) of
nazaraous waste?
X No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
❑ No X Yes If yes, include Information to demonstrate protection from flooding
e) If you answered yes to questions b or c please provide the following Information
Type(s) of waste Paint Solvents
How is material stored Paints and Solvents are stored in buildings that are equipped with containments
propane in store in a tank out back
Where is material stored Behind main building
How many disposal shipments per year Six Times a year
Name of transport 1 disposal vendor Safety-Kleen
Vendor address 2600 North Central Express Way Richardson TX 75080
15) Certification
North Carolina General Statute 143-215 6B (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 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 ; t7 ]': ! c- I-v-- ✓' 5
Title 4e�—f -t L v !3 y �`�e) "t !-t--x
of Applicant)
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100 00, made payable to
NCDENR
Page 3 of 4
SWU-218 071408 Last revised 712114

North Carolina Department of Environmental Quality
Pat McCrory Donald R van der Vaart
Governor Secretary
November 24, 2015
Mr John F Peters, Operations Manager
US Chemical Storage
1806 River Street
Wilkesboro, North Carolina 28697
Subject General Permit No NCG030000
US Chemical Storage - River Street
COC No NCG030666
Wilkes County
Dear Mr Peters
In accordance with your revised application for a discharge permit received on September 1,
2015, we are forwarding herewith the subject certificate of coverage (COC) 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)
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 Energy, Mineral and land Resources (Division) 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 Division or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that may be required
If you have any questions concerning this permit, please contact Bill Dtuguid, Stormwater
Program Planner at telephone number [phone]
Sincerely,
ORIGINAL SIGNED W,
KEN PICKLE
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and
Land Resources
cc Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
1601 Mall Service Center Raleigh North Carolina 27699 1601
Phone 919 707-�1600 l Internet www ncdenr gov
An Equal Opportunely 1 Affirmative Action Employer — Made in part by recycled paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO NCG030000
CERTIFICATE OF COVERAGE No NCG030666
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,
US Chemical Storage
is hereby authorized to discharge stormwater from a facility located at
US Chemical Storage
1806 River Street
Wilkesboro
Wilkes County
to receiving waters designated as the Yadkin River, a Class WS-IV waterbody Yadkin River Basin, in accordance
with the effluent lunitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V and VI
of General Permit No NCG030000, as attached
Tlus Certificate of Coverage shall become effective November 24, 2015
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day November 24, 2015
ORIGINAL SIGNED Bl
KEN PICKLE
for Tracy E Davis, P E , GPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

'y` �y,.� ' �,- • r r r ,y �'- R 2 a` i}}".4r� •Y} '�A , f �� rid .i irT•' �� -� �r
S '� •n •r a 't3 ,K.'•i r. .` ,_i k -Y _ }.t t. t -.�{ i if } t/ £" N�'+�
H�;�' -'e .. ''.^ �'( •-i` r� zf .a iY� �`.a din+ �. ;i � ia+�.o r� .�•# �,°�;`•-i �,t •� �J '�.� Y. - #'r rlf � ••��� �' � ? .,'�• `
•�' ^4 l ry'�.�'., ,� --�N .r; �y Y ,,P�t�. y "' .,d;. �'i }w•'t~. L ! I !, i'� �y�,.�.,..•
� . ' f i} �����iIII .r. �, 'C y -f •�, - d'• ���, ^ � �'r LL ,� •sn• ,..� - � r ,, F J ; r � A: , �'• `r , r /�_{,' > � i -4 i s�:'�C�i � r.11\F" M' :` R .. t�5':�
1 S... •.''� ,, :•' f aF•' •Y ;;� a x{`r '! S, rL'',k. .'� .� ,r _, 1 q,'f �_ ',•
<<I - ,1j� ! J n 4 ,r �'� 1 �., .... J F{ w`r• r 1 ,tr Y`•t••�1 �:i,��i2 �' ^' +•� • Yy� � i•� 17y -
jor
S l ;, i '� r , <,' : ti3' • .�� • •,'1 � n - } �. y •' ,�' �jl�t- 1'ks `�'.at - � ,Jµ try., 4'�r 7 .- ...
kl . Zi'" r . I Y�^ •�, i - „N '�'� �.d� �r " �r' A -t a '• ', 'P ?'�' -� : •i 1 �c,��.�'
:k } .,� � f
''i.��+•--'".1�r.: % etu ,r i;.- >�,� � 1 a• F�� .(k� F.•I.� {�,i} � r % �1 ��,v.- `i: .1;a'' �. 5-'I -j � - *+
�_� .. y` •�y -- { r • , � - • e.i - }• � '.,l.v .' � h: - �:fir. �.�` t s,} �FL '-{-aF�f
IL
!!�� f , �!, r r.` '�jj� ±;t' ' � s' '�y°i �i+• ....GG,w M Qja�' �.r" ',„,Fp� .-1„ast: ti�l��,. I � �,::� � � - , F a. �. r j ' .� r A .,� �,, a ,.,t '�..
' • � � , � 1�, . ,',-' 1 , , ' * �" z � fi` .,. IF•,-,.�', m ��',.'r/ Y.• 1 1 ': � t ' � •�'Y�,'' ..� r `'C�T,�, � c''i� �;.� V� �r -, i�
4`� j 14'(s;K ri t' • a �' t. :. - `: ' ' '4s,-r .,.r !'1 ,� �' '
S ` "�i i firs�� v t F ' ,rs; • t �r f -- T. , �f "� f '_s,#,'-w,,.'��"� .
.I...�1t ; • ..:i_� 'y,Al
•yi + :_` - � F} a . . - � .�' ' ,. s' ,5,` � `t �.,iL ,. jra�; 3•ina'#A�F^�rtr
e� f - - , r-:! f ¢ r4„�' 1y �.rr is - It �i+ � #.' ;iS'ro• - - '+ F� "
e k. '� • % >+!i a yam_ �' t` f f Ir,, '��f /k•.r� �r s ati ` .k�, -•�' >j7,
�! t+' i'k „r S 4 p{.�} f"Y : ��� y{Tta S} r yr- •�!
•P }` ,t, � �n�s��� . `� - � ° � - .}FF, ` 'E'„� � s :}- '"i � ��,;, J Y � .. I, ir' �' • rY, � ' ,�a�- - �''� { ..� �• {�` •;�„ = y.. �,:�.�..
t t • F '� _ � ••�, ; T�' Tt ►:f_+Y1r• ��.i YMi
4`'��Y=. .°�. �. •i�"'��• - A'•(}j��. i4.'..
i , ,'1 4� �:_.� } i L` > I . � r � � t f ' �..y _ �'1e"Tr � TYi�i�r,','^ . � Y ..•j'/
el
i::. Fr
s"��5."Sj.. ! r Y. r,f� I'.� n .13+y .'� ,�� �:� i 1,� ,. •! }t'lV -�i ;, IMF _.....
v�' ii � �,,.w�••ya,;•
.`:;'''F}+""-l'�'�-r:�,i �,r %5 '�..,r.- « ; - �. iY �- -•s��e
,.y, n bra ! r � L'� �:� � � ,....•-' H. r k } .
if
61•'Li� � i F � iF � "r f!� � �_%V � at„y,..,.-�—~f^�� �`�"� i:`'--��.� :�^� ,,,"'�. � �+i:. : nll :� �u .c�'.,'

(9JUSTRITE
i
3921 DEMTT AVENUE
MATTOON IL 61938
j 600 798 9250
��P.y One Hundred And Xx / 100
TO NCDENER
ODDEO 1612 MAIL SERVICE CENTER
OF RALEIGH NC 27699 1612 )� ! ���� 3
J ,
USBANK VENDOR NO i)ATF CHECK NUMBER
70-275-812 424438 8/26/2015 002324
AMOUNT -�
10000
F V
AUTHORIZED WNATURE

f

NCG030000 N O 1
Final Checklist
This application will be returned as incomplete unless all of the following items have been included
0 Check for $100 made payable to NCDENR
rci This comple+ed application and all supporting documents
A site diagram showing, at a minimum (existing or proposes)
(a) outline of drainage areas, (b) stormwater management structures (c) location of stormwater outfalls
corresponding to the drainage areas (d) runoff conveyance features (e) areas where materials are stored
_/ (f) impervious areas (g) site property lines
0 Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map
Marl the entire package to
Stormwater Permitting Unit Program
Division of Energy Mineral and Land Resources
1612 Mail Service Center
Raleigh North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit
For questions, please contact the DEMLR Regional Office for your area
DEMLR 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
[phone]
Page 4 of 4
SWU 218 071408 Last revised 712114