HomeMy WebLinkAboutNCG050371_COMPLETE FILE - HISTORICAL_20161007STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V U&Q S U 3
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ c2oi lo 1-o o
YYYYMMDD
Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Bart Stofforis
VP of Laminate Operations
Unilin Flooring
550 Cloniger Drive
Thomasville, NC 27360
PAT McCRORY
Governor
DONALD R. VAN.,DER VAART
secretary
October 07 2016 TRACY DAVIS
alrertor
Subject: Compliance Evaluation Inspection
Permit No. NCG 050371
Unilin Flooring — Cloniger Drive facility
Davidson" County
Dear Mr. Stofforis:
On October 4, 2016 Glen White of the North Carolina Department of Environmental Quality;
Department of Energy, Minerals, and Land Resources met with Jennifer Teague, EHS Manger,
at the facility located at 550 Cloniger Drive in Thomasville, to conduct a compliance inspection
per the Industrial Stormwater Permit requirements. Inspection consists of review of the
Stormwater Pollution Prevention Plan, training, monitoring and spills records as well as
observation of the general condition of the site, the outfalls and any possible exposures to
downstream stormwater. Her assistance with the inspection was greatly appreciated.
Permit:
This facility holds General Stormwater Permit NCG050371.to discharge stormwater from
industrial activity associated with Apparel, Printing, Leather, Rubber, & Miscellaneous
Manufacturing under the National Pollutant Discharge Elimination System (NPDES). The
permit became effective June 1, 2013 and expires on May 31, 2018. A copy of the current
permit is required to be maintained with the Stormwater Pollution Prevention Plan (SPPP)
documents. A current copy of the permit was available for review at the time of inspection.
Records/Reports:
This facility was required to develop and maintain a (Stormwater Pollution Prevention Plan)
SPPP in accordance with Part 11, Section A of the permit. The facility has developed a SPPP.
All required documentation is maintained in the EHS Managers office. No deficiency.
Facility Site Review:
Ms. Teague gave the inspector a full tour of the facility inside and out and gave him the
opportunity to see the entire process of producing laminate flooring from rolls of printed paper,
through each change of production throughout the plant to packaging and preparation for
shipping. This is a high production, almost completely automated plant. The majority of work is
done by precision machinery with skilled workers overseeing and reviewing at each stage.
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
Winston-Salem Regional Office 1 450 Hanes Mill Road, Suite 300 1 Winston-Salem, NC 27103
336 776 9800
This plants parent company is Mohawk and it produces laminate flooring under several names,
some being very popular brands and some being exclusives..sold only by one franchise.
Production appears to go on non-stop. The production areas of the plant are very clean with high
air quality except for the noise of mechanical operations. Ear Plugs, safety glasses, steel toed
.shoes and safety vest are worn where required.
Ms. Teague walked the perimeter of the campus with the inspector and all outfalls were
observed. The areas under construction were also observed. Erosion control measures appear to
be adequate and functioning well. The grounds were well maintained. No deficiencies were
found.
Effluent Receiving Waters:
Effluent from this facility drains to North Hamby Creek, class "C" waters of the Yadkin Pee Dee
River Basin.
Self-Monito_rinp_ Program:
Part II, Section C of the permit requires semi-annual qualitative monitoring. No analytical
monitoring is required under current operating procedures and permit requirements. Monitoring
has been performed as required. All industrial processes occur inside and under roof and very
few possible stormwater exposures exist.
Ms. Teague's assistance with this inspection and with her knowledge of the production process
was very much appreciated. The facility was found to be compliant with requirements of its
industrial stormwater permit. If you have questions or need additional information, please
contact Glen White at (336) 776-9660,
Sincerely,
Matthew E. Gantt, P.E.
Regional Engineer
Land Quality Section
Winston-Salem Regional Office
Enclosures: Inspection Report
cc; File Copy Division of Energy, Mineral and Land Resources (WSRO)
State of North Cardlina I Environmental Quality I Energy. Mineral and Land Resources
Whzston-Salem Regloriat Office I .450 Hanes Mill Road, Suite 300. J Winston-Salem. NC 27t03
336 776 9800
Compliance Inspection Report
Permit: NCG050371 Effective: 06101/13 Expiration: 05/31/18 Owner : Unilin Flooring
SOC: Effective: Expiration: Facility: Unilin Flooring -Thomasville Plant
County: Davidson 550 Cloniger Dr
Region: Winston-Uem
Thomasville NC 27360
Contact Person: Jennifer Teague Title: Phone: 336-313-4231
Directions to Facility:
Take 1-85 towards Thomasville. take exit #114. Fallow the signs to Thomasville at stoplight for Highway 62 take a left. Plant is 114
mile on the left.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s).
On -Site Representative(s):
Related Permits:
Inspection Date: 10/04/2016 EntryTime: 11:15AM Exit Time: 12:30PM
Primary Inspector: Glen White Phone: 336-776-9800
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Apparel/Printing/Paper/Leather/Rubber Stormwater Discharge COC
Facility Status: Compliant Not Compliant
Question Areas:
M Storm Water
(See attachment summary)
Page: 1
Permit: NCG050371 Owner - Facility: Unilin Flooring
Inspection Date: 10104/2016 Inspection Type : Compliance Evaluation . . Reason for Visit: Routine
Inspection Summary:
See Compliance Letter.
Page: 2
Permit: NCG050371 Owner - Facility;UnilinFlooring
Inspection Date: 1010412018 Inspection Type : Compliance Evaluation - Reason for Visit: Routine
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Yes No NA NE
❑❑■❑
❑ ❑ ® ❑
Comment: No analvtical monitorino is reouired under current ooeratina procedures and under the current
NCG05 permit requirements.
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? E ❑ ❑ ❑
# Were all outfalls observed during the inspection? ® ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ 110 ❑
# Has the facility evaluated all illicit (non stormwater) discharges? 001111
Comment: This is a newer facility with construction for expansion and improvements active. Construction
areas, as well as the remainder of the campus, are very well maintained._ Ms. Teague walked
the entire perimeter of the facility with the inspector and all outfalls and BMP's were observed.
Very clean site and facility. No deficiencies found.
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Yes No NA NE
■❑❑❑
Comment: Ms. Teague conducts monitoring bi-annually as required. Records are kept with the SPPP. No
deficiencies found.
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
■ ❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
M ❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
® ❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
0 ❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
■ ❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
0 ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
M ❑ ❑ ❑
# Does the Plan include a BMP summary?
0 ❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
0 ❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑ ❑ ❑
# Does the facility provide and document Employee Training?
❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
■ ❑ ❑ ❑
# Is the Plan reviewed and updated annually?
■ ❑ ❑ ❑
Page: 3
Permit: NCG050371 Owner - Facility: Unilin Flooring
Inspection Date: 1010412016 Inspection Type: Compliance Evaluation., . Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
# Does the Plan include a Stormwater Facility Inspection Program? M ❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented? ® ❑ ❑ ❑
Comment: SPPP complete, maintained and updated in-house by Ms. Teague annually with training records
complete. Documents for the Denton Rd facility are maintained along with this facility's_ permit_
documents in Ms. Teague's office. No deficiencies found
Page: 4
ms®
PA
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Ouality
Pat McCrory Charles Wakild, P.E. John E. Skvarla, III
Governor Director Secretary
March 27, 2013
Unilin Flooring NC, LLC
Attn: Ms. Jennifer Teague
550 Cloniger Drive
Thomasville, NC 27360
Subject: Compliance Evaluation Inspection
Certificates of Coverage #s NCG050371, NCG050372 & NCG500643
Unilin Flooring NC LLC
Davidson County
Dear Ms.Teague:
Jenifer Carter of the Winston-Salem Regional Office performed compliance Evaluation Inspections at Unilin Flooring
facilities located on Cloniger Drive and Denton Road in Thomasville, North Carolina on February 27, 2013. You were
present for the inspections. The purpose of the inspections was to review compliance with the National Pollutant
Discharge Elimination. System (NPDES) General stormwater. and wastewater permits. The following are the findings
from the subject inspections:
NCG050371 (Cloniger Rd) & NCG050372 (Denton Rd)
0 A Stormwater Pollution Prevention Plan (SPPP) has been developed and implemented. Make sure annual staff
training is properly documented.
0 Qualitative monitoring has been conducted and recorded in accordance with permit requirements.
0 Analytical monitoring is not required since no vehicle maintenance is performed on either site.
0 There were no residuals from spills or leaks observed on the ground, nor in or near surface waters.
0 There was no evidence of use of, or cleaning of industrial machinery or equipment outdoors.
0 6 true stormwater outfalls are monitored as required (4 and 2 respectively), It was noted that the Denton Road facility
has been shut down, though monitoring has continued.
NCG500643 (Denton Rd)
0 This facility has the potential to discharge cooling tower blow down and A/C condensate, though the facility is
currently shut down.
Monitoring reports have been completed as required, with forms indicating `no discharge'
The Division greatly appreciates your efforts to maintain compliance. Should you have any questions, please contact
Jenifer Carter at (336) 771-4957.
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: - MSRO,Files
S WP — Central Files
NPS ACO Unit
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown Street, Winston-Salem, NC 27107
Phone: (336) 771-5000 V Fax: (336) 77146301 Customer Service: 1-877-623-6748
intemet: htip:/lport8l.ncdenr.org1webtwq
o e NCarolina
haallry
An Equal Opportunity 1 Affirmative Action Employer
a�A= a
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 9, 2009
Mr. Jennifer Teague,
Environmental Health & Safety Coordinator
Unilin FIooring NC LLC
3286 Denton Road
Thomasville, NC 27360
Subject: Compliance Evaluation Inspection
Certificates of Coverage #s NCG050371, NCGO50372 & NCG500643
Unilin Flooring NC LLC
Davidson County
Dear Ms.Teague:
Jenifer Carter of the Winston-Salem Regional Office performed compliance Evaluation
Inspections at Unilin Flooring facilities located on Denton Road and Cloniger Drive in Thomasville,
North Carolina on January 22, 2009. You and Mr. Marty Zahn were present for present for the
inspections. The purpose of the inspections was to, review compliance with the National Pollutant
Discharge Elimination System (NPDES) General stormwater and wastewater permits. The following are
the findings from the subject inspections:
NCG050371 (Cloniger Rd) & NCG050372 (Denton Rd)
• A Stormwater Pollution Prevention Plan (SPPP) has been developed and properly implemented.
• Qualitative monitoring has been conducted and recorded in accordance with permit requirements.
• Analytical monitoring is not required since no vehicle maintenance is performed on -either site.
• There were no residuals from spills or leaks observed on the ground, nor in or near surface waters.
• There was no evidence of use of, or cleaning of industrial machinery or equipment outdoors.
• 10 outfalls are being monitored (8 and 2 respectively). It was noted that the Denton Road facility has
been shut down, though monitoring has continued.
NCG500643 (Denton Rd)
• This facility has the potential to discharge cooling tower blow down and A/C condensate, though the
facility is currently shut down.
• Monitoring reports have been completed as required, with forms indicating `no discharge'.
continued on reverse...
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: 336-771-50001 FAX: 336-771 46301 Customer Service: 1-877-623-6748 Nofth Caronn a
Internet: www.ncwaterqualily.org
Natumllff
An Equal Opportunity 4 Affirmative Action Employer
The Division greatly appreciates your efforts to maintain compliance. Should you have any questions,
please contact Jenifer Carter at (336) 771-4957.
Sincer ly,
Steve W. Tedder
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: CW7SRO=Filbs
S WP — Central Files
NPS ACO Unit
�0 w A71F79
,o c
> J► .� 'I
April 11, 2008
Ms. Jennifer Teague .
Environmental, Safety & Health Coordinator
Unilin Flooring — Thomasville Plant
550 Cloniger Drive
Thomasville, North Carolina 27360
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Subject: General Permit No. NCG050000
Unilin Flooring — Thomasville Plant
COC No. NCG050371
Davidson County
Dear Ms. Teague:
In accordance with your application for a discharge permit received on March 26, 2008, 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 May 9, 1994 (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 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.
Please note that the attached permit expires on April 30, 2008. Your COC will be automatically
renewed to cover the full 5 year term of the soon to be reissued permit. In the interim you must abide by
the terms of the expiring permit. You can review the proposed general permit changes at
(http://h2o.enr.state.nc.us/su/publicnotice.htm). If you have any questions concerning this permit, please
contact Bill Diuguid at telephone number (919) 733-5083 ext. 382.
S"'6QfNAL SIGNED BY
BRADLEY BENNETT
Coleen H. Sullins
cc: Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-5083
Internet: www.newatargualitv.orE Location; 512 N. Salisbury St, Raleigh, NC 27604 Fax (919) 733-9612
ovo NCarolina
Customer Service
1-877-623-6748
An Equal OpportunitylAffirmative Action Employer — 500/6 Recycledl10% Post Consumer Paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCGO50371
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,
Unilin Flooring
is hereby authorized to discharge stormwater from a facility located at
Unilin Flooring Thomasville Plant
550 Cloniger Drive
Thomasville
Davidson County
to receiving waters designated as Hamby Creek, Class C, to Yadkin River Basin, in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, III, 1V, V and VI of General Permit
No. NCG050000, as attached.
This Certificate of Coverage shall become effective April 11, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 11, 2008.
ORIGINAL SIGNED BY
BRADLEY BENNETT
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
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Latitude:3s1s1'4s" , NCG050371Facility
��.
Longitude: 80�3 13
County: Davidson Unilin Flooring Location a�yYx=
,t'..
Stream Class: C Thomasville
Receiving Stream: Hamby Creek
Sub -basin: 03-07-07 (Yadkin -Pee Dee River Basin) NOT s[�!!ED
Stream,Index: 12-119-7-4
f
Ms. Jennifer Teague .
Environmental, Safety & Health Coordinator
Unilin Flooring — Thomasville Plant
550 Cloniger Drive
Thomasville, North Carolina 27360
Dear Ms. Teague:
TC.-
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
April 11, 2008 RECEIVED
N.C. Dept. of ENR
APR 2 12008 #
y4 m6 "C.
Paricra
Subject: General Permit No. NCG050000
Unilin Flooring — Thomasville Plant
COC No. NCG050371
Davidson County
In accordance with your application for a discharge permit received on March 26, 2008, 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 May 9, 1994 (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 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 pen -nits 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.
Please note that the attached permit expires on April 30, 2008. Your COC will be automatically
renewed to cover the full 5 year term of the soon to be reissued permit. In the interim you must abide by
the terms of the expiring permit. You can review the proposed general permit changes at
http://l12o.enr.state.ne.us/su/pubiicnotice.htm). If you have any questions concerning this permit, please
contact Bill Diuguid at telephone number (919) 733-5083 ext. 382.
SIGNED BY
BRADLEY BENNETT
Coleen H. Sullins
cc: Winston-Salem Regional Office
Central Files
Stonnwater Pennitting Unit Files
Attachments
North Carolina Division of Water Quality 1617 Mail Service Cenier Raleigh, NC 27699-1617 Phone (919) 733-50S3
Inlcrnec www;ncwatel;quality.ore Location: 512 N. Salisbury St, Raleigh, NC 27604 Fax (919) 733-9612
Noe Carolina
�tura!!y
Customer Service
1-877-623-6748
An Equal Opportunity/Affirmative Action Employer — 500% Recycled/100/6 Post Consumer Paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050371
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,
Unilin Flooring
is hereby authorized to discharge stormwater from a facility located at
Unilin Flooring Thomasville Plant
550 Cloniger Drive
Thomasville
Davidson County
to receiving waters designated as Hamby Creek, Class C, to Yadkin River Basin, in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III,1V, V and VI of General Permit
No. NCG050000, as attached.
This Certificate of Coverage shall become effective April 11, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 11, 2008.
ORIGINAI. SIGNED BY
BRADLEY BENNETT
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
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Latitude: 35051'45" NCG050371
Longitude:8010313" Facility
County: Davidson Unilin Flooring
Location
Stream Class: C Thomasville'
Receiving Stream: Hamby Creek
Sub -basin: 03-07-07 (Yadkin -Pee Dee River Basin) NOT !CALED
Stream Index: 12-119-7-4
Re: NCG050371 Unilin Flooring - Thomasville NOI
Subject: Re: NCG050371 Unilin Flooring - Thomasville NOI
From: Jenifer Carter <Jenifer.Carter@ncmail.net>
Date: Mon, 07 Apr 2008 16:36:02 -0400
To: Bill Diuguid <bill.diuguid@ncmail.net>
Hi Bill,
Go ahead and issue the permit. I was actually there in February to take part in a pretreatment inspection,
so I know right where it is. I'll add them to my list.
Thanks, Jenifer Carter
NC DRNR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: (336) 771-4957
FAX: (336) 771-4630
On 4/7/2008 4:03 PM, Bill Diuguid wrote:
Jenifer Carter, Winston-Salem Regional Office:
Please review the attached NOI application with the objective of responding to me with a
recommendation to issue the permit. I recognize that you may not visit each new permittee during
this NOI review, but it affords you the opportunity to log the permit into your regional database and
add the facility to a future monitoring and compliance visit schedule. Therefore, your
recommendation now to issue the permit serves as your acknowledgement that (1) the facility is
located in your region, (2) that there are no current complaints outstanding about the facility that
have not been dealt with, and (3) that the facility may ultimately be inspected by the regional staff.
I've also attached a scanned copy of the NOI and a location map for your review.
COC #
'Facility
Location
I City/County
NCG050371
Unilin Flooring Thomasville
550 Cloniger Drive
Thomasville/Davidson
If you need any more info, give me a call. If you could send me a recommendation to issue the
permit by 5/07/2008, I'd appreciate it, so I can issue their COC. I am not allowed to issue the
permit until the respective regional office reviews and comments back to me with a
recommendation to isse the permit.
Thanks.
Bill Diuguid
William H. Diuguid, AICP
Community Planner, Wetlands and Stormwater Branch
Division of Water Quality
i of 2 4/8/2008 7:52 AM
/\�C6 05,03 4-.1
550 Cloniger Drive • Thomasville, NC 27360
Office: (336) 313-4231 • Fax (336) 313-4282
March 18, 2008
0
Stormwater and General Permits Units
Division of Water Quality
1617 Mail Service Center Office
Raleigh, North Carolina 27699-1617
Subject: Notice of Intent
General Permit NCG 050000
Facilities: THO & DTR
Certified Mail #: 7007 0220 0000 4143 7906
Enclosed is Stormwater General Permit NCG 050000 Notice of Intent, for both of Unilin
Flooring; facilities. Also, included for both facilities is a USGS Map and check.
Please, feel free to contact me with any questions or concerns you may have on any of the
enclosed information. I can be reached at 336-313-4231 or via email at
jennifer.teague@usa.quck-step.com.
.ncerely,
nnifer T ague,
Environmental; Health & Safety Coordinator
1� s
NC®ENR
NWi Gwouw+DFP+aT E-CF
FJh1A MEw MU NRI RZ3 RCU
Division of Water Quality 1 Water Quality Section
National Pollutant Discharge Elimination System
NCGO50000
FOR AGENCY USE ONLY
Date Received
Year
fvtonth
Dav
0
03
1 z
Certificate of Cove e
CJ
Check
Amount
2 r707115
E100.
Permit Assi ned to
t�
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCGO50000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 23 Apparel and Other Finished Products Made from Fabrics and Similar Materials
SIC 265 Paperboard Containers and Boxes
SIC' 267 Converted Paper and Paperboard Products
SIC' 27 Printing, Publishing and Allied Industries
SIC 30 Rubber and Miscellaneous Products (except as specified below)
SIC 31 Leather and Leather Products (except as specified below)
SIC* 39 Miscellaneous Manufacturing Industries
The following activities are specifically excluded from coverage under this General Permit;
SIC 301 Tires and Inner Tubes
SIC 311 Leather Tanning and Finishing
` Standard Industrial Classification Code
(Please print or type)
1) Mailing address of ownerloperator,
Name
Street Address
City
Telephone No.
' Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
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). T-$fj -L Wmwd
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required4o be submitted with this application)
4) This NPDES Permit Application applies to which of the following :
E New or Proposed Facility Date operation is to begin ilk j_Idcj_
El Existing
Page 1 of 3
SWU-220-101701
1� if -A .
ti_!t' on
lef-+
NCGO50000 N.O.I.
5) 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 q 1-
6) Provide a brief narrative description of the types of industrial activities and products manufactured at
thisfaciiity: K4nl.L &my- fi to i to Tmrio�•row3 inducics., 7rn regnGti6n ram,
fhnk r4 !•hrn nrpglcer:f ,w Mn hnnrr1r 4-hr4i f'_li+ f rnjilr-ri rrn n nir] YS -TlnP ,
are COIM s' sh�,POW OW 5f4-e or Sforred 1n LJ4reho"5c'.
7) Dischar a poinil 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? _ F
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? H G hd _ = V,
If the site stormwater discharges t a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. Gity of Raleigh municipal storm sewer).
8) Does this facility have any other NPDES permits?
❑ No
2'Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
9) Does this facility have any Non -Discharge permits (ex: recycle permits)?
4kN o
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
10) Does this facility employ any best management practices for stormwater control?
52"'No
❑ Yes
If yes, please briefly describe:
11) Does this facility have a Stormwater Pollution Prevention Plan?
RINo
❑ Yes
If yes, when was it implemented?
12) Are vehicle maintenance activities occurring at this facility?
121N0 ❑ Yes
13) hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
"0 ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑ No IMYes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
h�azdous waste?
Lad No ❑ Yes
pqper
)ianxS
Page 2 of 3
SW u-220-101701
NCG050000 N.O.I.
d) If you answered yes to questions b. or c., please provide the fallowing information:
Type(s) of waste:
How is material stored: f
Where is material stored:
How many disposal shipn
Name of transport / dispo
Vendor address:
14) 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 Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed
$10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of
not more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.)
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.
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Final Checklist
This application will be returned as Incomplete unless all of the following items have been included:
4Q Check for $100 made payable to NCDENR
This completed application and all supporting documents
Copy of county map or USGS quad sheet with location of facility clearly marked on map
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.
Page 3 of 3
S W U-220-101701
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Latitude:35°51'45" � NCG050371Facility
r
Longitude: 80c03 13
County: Davidson Unilin Flooring Location
Stream Class: C Thomasville 4.
Receiving Stream: Hamby Creek'
Sub -basin: 03-07-07 (Yadkin -Pee Dee River Basin) 1b0T KALIF®
Stream Index: 12-119-7-4
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