NCG180257_COMPLETE FILE - HISTORICAL_20170815

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
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DOC TYPE
[<HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
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YYYYMMDD

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Ms. Heather Knowles
MasierBrand Cabinets, Inc. .
118 Lexington Parkway
Lexington, NC 27295
Dear Ms. Knowles:
NC Department of
Environmental Quality
Received
AUG 15 2017
Winston-Salem
Regional Office
August 1, 2017
ROY COOPER
Gotienror
MICHAEL S, REGAN
Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCG180000
MasterBrand Cabinets, Inc.
COC No. NCG180257
Davidson County
In accordance with your application for a discharge permit received on June 28, 2017, 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),
Please take notice that this certificate of coverage is not transferable except upon approval of the
Division of Energy, Mineral and Land Resources. The Division of Energy, Mineral, and Land
Resources 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 Energy, Mineral and Land Resources, the Coastal Area Management Act, or any other
federal or local government permit that may be required.
If you have any questions concerning this permit, please contact Robert Patterson at [phone]
or [e-mail].
Sincerely,
Original Sighed by Robert D. Patterson
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
CC: Winston-Salem Regional Office
Stonnwater Program Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail service Center 1 S 12 N. Salisbury St I Raleigh. NC 27699
919 707 9:?00 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG180000
CERTIFICATE OF COVERAGE No. NCG180257
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;
MasterBrand Cabinets, Inc.
is hereby authorized to discharge stormwater from a facility located at
MasterBrand Cabinets, Inc.
118 Lexington Pkwy
Lexington
Davidson County
to receiving waters designated as North Potts 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 1, II,111, IV, V, and VI of General Permit No. NCG180000 as
attached.
This certificate of coverage shall become effective August 1, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 1, 2017.
Original Signed by Robert D. Patterson
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

/:;.
_f
:i 1

Patterson, Robert D
From: White, Sue
Sent: Monday, July 31, 2017 12:04 PM
To: Patterson, Robert D; Gantt, Matt
Subject: RE: NOI FOR COMMENT - NCG180257 - MasterBrand Cabinets - Davidson County
No issues with this NOI.
Sue White, El
Assistant Regional Engineer
Department of Energy, Minerals and Land Resources
336-776-9661 office
sue.white ncdenr. ov
Winston Salem Regional Office
450 W. Hanes Mill Road
Winston Salem, NC 27106
fc. Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Patterson, Robert D
Sent: Monday, July 31, 2017 8:44 AM
To: Gantt, Matt <[e-mail]>
Cc: White, Sue <[e-mail]>
Subject: NOI FOR COMMENT - NCG180257 - MasterBrand Cabinets - Davidson County
Please see the laserfiche link below for the NOI and let Central Office staff know of any comments/recommendations
you may have for the COC.
Unless we receive RO comments to the contrary, we will issue the COC in 30 days. If able, please reply sooner if you
know you do not have any RO comments.
NO1: httP://edocs.deg.nc.goy/Stormwater/O/doc/553849/Paeel.asox
Note: We are in the process of automating this email in future; until then we will be manually sending this email with the
link to the NOI in laserfiche.
Thanks!
Robert D. Patterson, P.E.
Environmental Engineer
919-807-6369 1 [e-mail]
https://deg. ncsov/a bout/divisions/enerU-m i nera I -la nd-resources/stormwater
NC Dept. of Environmental Quality
1

DEMLR Stormwater Program
512 N. Salisbury St.
1612 Mail Service Center
Raleigh, NC 27699-1612
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties.

Wells Fargo Bank, NA No. 581107
M A S T E R B R A N D- Charlotte NC
CABINETS, INC. 531 {
53f
P.O. Box #420
Jasper, IN 47547-0420 06/19/2017 No. 581107 $***100.00
PAY One Hundred Dollars And Zero Cents***********************
TO NC DEPT OF ENVIRONMENT & NATURAL RESOURCES
THE ATTN: STORMWATER BILLING
OF 1612 MAIL SERVICE CENTER
OF RALEIGH, NC 27649
Y ' c P L7 V Aorl

G 0 m p.l
-�� CD
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Grp 0 x a��
June 5, 2017
Stormwater and General Permits Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Re: Notice of Intent
MasterBrand Cabinets, Inc.
118 Lexington Parkway
Lexington, NC 27295
To Whom It May Concern:
Enclosed with this letter you will find an NOI, site map, and permit fee for MasterBrand
Cabinets, Inc. facility located at the address listed above.
If you have any questions regarding this submittal, please contact me at
,,[e-mail].
Sincerely,
Jesse Nowicki RECEIVED
Environmental Specialist U.S. Compliance Corporation JUN 28 2017
DENR-LAND QUALITY
cc: Heather Knowles — MasterBrand Cabinets, Inc.
STORMWATER PERMITTING
* Enclosures
U.S. Compliance Corporation
520 Third Strut • Suite 100 • Excelsior, MN 55331 • Phone [phone] . Fax [phone]
www.uscompiiance.com

Ir
A�
NCDENR
MowrN Gwp.,yv. Ot*.wr.orr e•
E.�>.trY' ww NaePut Fi00-ifCZ�
Division of Energy, Mineral, and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG180000
�r
Jlillll■■■,
l�M��i7� 1��#!v
'WMIU
NOTICE OF INTENT (°�E`,
National Pollutant Discharge Elimination System application for coverage under Gehtj� �EQe9i#v E®
NCG180000: JUG! 28 2017
STORMWATER DISCHARGES associated with activities classified as:
[]ENft-LAND QUALITY
SIC' 25 Furniture and Fixtures, and SIC 2434 Wood Kitchen Cabinets, STORMWATER PERMITTING
And, Like activities deemed by DEMLR to be similar in the process, or the exposure of raw
materials, products, by-products, or waste materials.
Standard Industrial Classification Code
(Pleaso print or type)
1) Mailing address of ownerloperator (address to which official permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
E-mail address
MasterBrand Cabinets, Inc
118 Lexington Parkway
Lexington
336-300-7407
hknowles@masterbrand,com
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
MasterBrand Cabinets, Inc.
Heather Knowles
118 Lexington Parkway
Lexington
Davidson
336-300-7407
3) Physical Location Information:
State NC ZIP Code 27295
Fax!
State NC
Fax -
ZIP Code 27295
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 tnterseebon)- Taking U.S. Route 29 N, take exist to Hargrave Rd.
Continue for 700 ft and take left on Hargrave Ln for 0.3 miles. Hargrave Ln turns into Lexington Pkwy
and MasterBrand Cabinets, Inc. is on the right.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) Latitude 350 46' 510' N Longitude �80119' 11.4" W (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following:
® New or Proposed Facility Date operation is to begin
❑ Existing S!5 . � Qlq -t
6) Standard Industrial Classification: t3
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 2 4 3 d
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: The facility conducts woodworking with medium density fiber board to create cabinet
doors.
Page 1 of 4
5W U-233-82814
Last revised 8/28114

NCG180000 N.O.I.
8) Discharge points 1 Receiving waters: `
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 13
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 M7 North Potts Creek
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). NIA
10) Does this facility have any other water quality permits?
® No
❑ Yes
If yes, list the permit numbers for all current water quality permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
® No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑ No
® Yes
If yes, please briefly describe: Good housekeeping, proper disposal of trash, inspections, bring in materials
inside when able, any spills/leaks are cleaned up immediately, and spill equipment are readily available
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
® Yes
If yes, when was it implemented? 6/5/2017
14) Are vehicle maintenance activities occurring at this facility?
R No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
® No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
IN No Cl Yes The facility is a CESQG
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
Page 2 of 4
5WU-233-82814 Last revised 8128114

NCG180000 N.O.I.
d) If you answered yes to questions h_ or c., please provide the following Information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport/ disposal vendor: _
Vendor address:
16) Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representatson, or certificabon in any application, record,
report, plan or other dociment filed or required to be malntained 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.)
l hereby request coverage under the referenced Generai 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: 'j -A�JL C'1' $
Title: G EWOVt'L, AAA-Ihe d�
pC-1e� 641 I %
(Signature of Applicant) (Date Signed)
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 returrted as Incomplete unless all of the following Items have been included_
Please do not ask us to hold an Incomplete application in anticipation of a check under separate cover.
0 Check for $100 made payable to NCDENR
❑ This completed application, signed by the owner/operator, and all supporting documents
❑ Copy of county map or USGS quad sheet with the location of the facllity clearly marked on the map
Mail the entire package to:
Stormwater Permitting Program
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Please note: The submission of this document does not guarantee the Issuance of an NPDES permit.
Page 3 of 4
SWU-233-82814 Last revised 8/28114

NCG180000 N.O.I.
For questions, please contact the DEMLR Central Office or Regional Office for your area.
To visit our webslte, go to http://portal.ncdenr.orgg/weblir/stormwater
DEMLR Regional Wiice Contact Information:
Asheville Office..
[phone]
Fayetteville Office . , .
[phone]
Mooresville Office
[phone]
Rafeigh Office...
[phone]
Washington Office .._(252)
946-6481
Wilmington Office
[phone]
Winston-Salem
[phone]
Central Office. ...
[phone]
Page 4 of 4
SWU-233-82814 Last revised 8/2a114

STORM WATER Pcu-urm PREVENTION PLAN (SWPPP) SITE MAP
Master&and Cabinets, Inc.
lie L.o. v_ Perhwwy -
L..vton, aC 27Z9s
MAP LEGEND
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•
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� Scrap Product & Pallets
'. .*
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Division of Water Quality / Water Quality Section
NCD NR National Pollutant Discharge Elimination System
N.Gr+ouru Dcv Tor
EHVNpNMIX. M3 Nn'l RC]n Z5
NCG180000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month Da
C,Wificale of Cowraize
N C G
check M Ampwd
A/
Pmwi Assi to
t t�
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG180000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 25 Furniture and Fixtures
SIC 2434 Wood Kitchen Cabinets
1) Mailing address of ownerloperator:
Name
Street Address
City
Telephone No.
* Standard Industrial
(Please print or type)
Heritage Home Group, LLC
815 Visionary Street
Lenoir
828-759-8510
2) Location of facility producing discharge:
State NC ZIP Code 28645
Fax:
+OV_- s1-le v1 Si1
o1��o �4-
* Address to which all permit correspondence will be mailed
Facility Name Heritage Home Group, LLC - IDS
Facility Contact Chris Farabee
Facility Address 1426 Unity Street
City Thomasville State NC ZIP Code 27360
County Davidson
Telephone No. 336-476-2250 Fax:
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). Take Hwy 109 South to Thomasville: Left on Unity St,
plant is several miles on the right
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
3;S -0 2 -1 7, 3+f +J — 80 o 3 0g: 99
4) Latitude 35.882509 Longitude-80.0514 (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
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: 2511
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: furniture repair operation and'warehouse
Page i of 4
S W U-233-081511

NCG18004D N.O.I.
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 5
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? Hamby Creek . , _ 0'7— a�"",�
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). City of Thomasville____ _
10) Does this facility have any other NPDES permits?
XNo
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex; recycle permits)?
XNo
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑ No
XYes
If yes, please briefly describe: minimize outside storage, secondary containment, monthly inspections
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
Yes
f yes, when was it implemented? 05-01-1998
14) Are vehicle maintenance activities occurring at this facility?
fXNo ❑ Yes
15) 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 X 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) of waste: D001 paint and D001 F003 F005 spent solvent
Page 2 of 4
SWU-233-081511

NCG180000 N.O.I.
How is material stored: 55- allon steel drums
Where is material stored: 180 dayhazardous waste storage area
How many disposal shipments per year: less than one per year
Name of transport t disposal vendor. North Star Logistics, Inc.
Vendor address: 917 Beaver Dam Road, Canton, NC 28716
16) Certification:
North Caroline General Statute 143.215.6 b (i) provides that:
Any person who knowingly makes any false statement, representatlon, 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
Nanagernent 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 Hermit. 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: Chris L. Farabee
Title: Environmental Enqineer
(Signature of Applicant)
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:
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 and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submissfon of this document does not guarantee the issuance of an NPDES permit.
Page 3 of 4
SWU-23-1081511

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SCALE
0 2000 4000 FEET
Ref erence•
U.S. Geological Survey 4
High Point, West and Fair Grove Quadrangles
North Carolina
7.5 Minute Series (Topographic)
National Geodetic Vertical Daturn
Photorevised 1987
Thomasville Furniture lndusMe%
Thomasville, North Carolina
n -
Woodward --Clyde Consultants, Inc.
OmmA fng FnSlneeru, Cedaglsts
=1 Fnvlronmentcd Srlettilrts er
Rolelsh. North Card-=
SCALE
Site Location Map
FILE NO.
1

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Chris Farabee
Environmental Engineer
Heritage Home Group
401 E. Main Street
Thomasville. NC 27361
Tel: 335,476.2250
Fax: [phone]
Chris. Farabee@'neritagehome.com
7/1/14
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Certified Mail # -7 00(o a 76D QDO � '96 ` 0 1-7'3 5
Heritage Home Group, LLC wishes to obtain'a certificate of coverage for their IDS facility located 1425
Unity Street, Thomasville, NC. This facility was part of the County Line Road Complex; CQC $$NCG180243
located at 509 County Line Road, Thomasville, NC. The County Line Road property is being sold and only
the IDS building will remain.
If you have any questions or comments, please contact me at [phone].
Best regards,
.. y.ct
Chris Farabee
Environmental Engineer, Heritage Home
Enclosures:-NCG180000 NCI for Heritage Home Group, LLC - IDS
-USGS quad sheet
-Check for $100 application fee
Cc: IDS - environmental files
Ec: David Stout- HHG
Val Fields - HHG
JUL 11 0 2014 t
r � A

Taylor -Smith, Aana
From: Gantt, Matt
Sent: Wednesday, July 30, 2014 4:54 PM
To: Taylor -Smith, Aana
Subject, FW: NCG180251 Heritage Home Group LLC-IDS NOi Thomasville Davidson County Jul 14
2014
Attachments: NCG180251 Heritage Home Group LLC NOI Thomasville Davidson County Jul 14 2014.pdf
I think I forgot to send this to you.
Oopsl
Matthew E. Gantt, P.E.
NC DENR Winston-Salem Regional Office
Division of Energy, Mineral, and Land Resources
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
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From: Diuguid, Bill
Sent: Monday, July 14, 2014 11:36 AM
To: Gantt, Matt
Subject: NCG180251 Heritage Home Group LLC-IDS NOI Thomasville Davidson County Jul 14 2014
Matt Gantt, 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 # Facy Location City/County I
NCG180251 Heritage Home Group, LLC-IDS 1425 Unity Street Thomasville/Davidson
If you need any more info, give me a call. If you could send me a recommendation to issue the permit by 08/14/2014,
I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and
comments back to me with a recommendation to issue the permit.
Thanks