NCG070213_COMPLETE FILE - HISTORICAL_20180531

PERMIT NO.
DOC TYPE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
/v c.&60 va ) �)
VHISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE j ❑
YYYYM M DD

' Central Files: APS _ SWP _
9/23/2016
Permit Number NCG070213 Permit Tracking Slip
Program Category Status Project Type
NPDES SW In review New Project
Penn it Type Version Permit Classification
Stone, Clay, Glass, and Concrete Products Stormwater Discharge COC COC
Primary Reviewer Permit Contact Affiliation
julie.ventaloro
Coastal SWRule RECEIVED
Permitted Flow S E P 2 S 2016
CENTRAL FILES
Facility nWR SECTION
Facility Name Major/Minor Region
Amanzi Marble & Granite LLC Minor Winston-Salem
Location Address County
703 Park Lawn Ct Forsyth
Facility Contact Affiliation
Kernersville NC 27284 Omar Kalaf
703 Park Lawn Ct
Owner Kernersville NC 27284
Owner Name Owner Type
Amanzi Marble & Granite LLC Non -Government
Owner Affiliation
Omar Kalaf
703 Park Lawn Ct
Dates/Events Kernersville NC 27284
Scheduled
Orig Issue App Received Draft Initiated Issuance
8/22/2016
Regulated Activities
Stone products manufacture
Public Notice Issue jj Effective Expiration
712317,01(1 q'I?.3r✓Z01� SJ3i jzo1�
Requested /Received Events
RO staff report received 9/22116
RO staff report requested 919116
Outfall 001
Waterbody Name Streamindex Number Current Class Subbasin
Reedy Fork 16-11-(1) WS-III;NSW 03-06-02

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
September 23, 2016
Mr. Omar Kalaf
Amanzi Marble & Granite, LLC
703 Park Lawn Ct
Kernersville, NC 27284
PAT MCCRORY
00vernor
DONALD R. VAN DER VAART
Secretan
TRACY DAVIS
!)hector
Subject: General Permit No. NCG070000
Amanzi Marble & Granite, LLC
COC No. NCG070213
Forsyth County
Dear Mr. Kalaf:
In accordance with your application for a discharge permit received on August 22, 2016, 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.
Per the requirements of the Jordan Lake Nutrient Strategy Buffer Rule, all stormwater drainage to
stream buffers, from portions of this site that have been constructed after August 11, 2009, must meet
diffuse flow requirements per 15A NCAC 2B .0267. Diffuse flow requirements are described in
Chapter 8 of the North Carolina Stormwater BMP Manual, available at:
http://deq_nc.gov/about/div_isions/energy-mineral-land-resources/energy-mineral-land-permit-
guidancelstormwater-bmp-manual.
State of North Carolina I Environmental Quality I Einergy, Mineral and Land Resources
1612 Mail Sendce Center 1 512 North Salisbury Street I Raleigh, NC 27699-L612
919 707 9200 T

If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number
[phone] or by email [e-mail].
Sincerely,
for Tracy Yak,E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Winston-Salem Regional Office, Glen White
Central Files
Stormwater Permitting Program Files
S rate of Nonh C=Em 1 Ensvm=enml Quality I En 13t Mineral and Land Resources
1612 Md Senice Censer 1 512 WrthS6turyStteet I Raleigh, NC 27699.161_
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCI?S
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070213
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYS"I'EM
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,
Amanzi Marble & Granite, LLC
is hereby authorized to discharge stormwater from a facility located at
Amanzi Marble & Granite, LLC
703 Park Lawn Ct
Kernersville
Forsyth County
to receiving waters designated as UT to Reedy Fork, a class WS-III;NSW water in the Cape Fear
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, I11, and IV of General Permit No. NCG070000 as attached.
"['his certificate of coverage shall become effective September 23, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 23, 2016.
for
Director, Division of I"nergy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

Division of Ener lay, Mineral and Land Resources
AM - a Land Quality Section
NC®ENR National Pollutant Discharge Elimination System
Np , Cyp 11 C)E TME+ OF
Ern NNEi AND NKLUF RE9IX Es
NCG070000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year Month
Da
Certificate of Coverage
�Chfck o
Perm A 51 ed to
IV
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG070000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 32 Stone, Clay, Glass, and Concrete Products (except as specified below)
SIC" NIA Like activities deemed by DEMLR to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC 3273 Ready -Mixed Concrete RECEIVED
* Standard Industrial Classification Code
a1.13 22 2016
(Please print or type) OENR-LAND QUALITY
STORM A"IR
1) Mailing address of ownerloperator (address to which all permit correspondence wi I���}:
!Name
Street Address
City
Telephone No.
E-mail Address
3(,
2) Location of facility producing discharge:
Fax: 3'36 gck3-- (TrI19$
Facility Name tA (Y\a^ ' bs- Grrnn�1c Lt—
Facility Contact 0 VIONly
Contact E-mail n r4y, r 0 . a 7pL• 1, A�no�nz ��� c 04 -
Street Address zo C'�-
City State A_X_ ZIP Code �7 JLy`l
County VOT 5VU, _
Telephone No. 33b cri Fax: 336 TA'3 - 95.3
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 directir— frarn aroad1way iinterrsrection).l 174-o bf Q, Lto1&A {C
Ilfr.A &11V L lt"rk
C-A" 1Lilif G� 1.t]r1r Un cv14 4-�h.+31� �� '
(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 �6vo7'G3.;'N I/ Longitude 530° 03 N3•i"t^'✓✓(degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
�K New or Proposed Facility, L� (� Date operation is
is to begin
❑ Existing PSY01 0
Page 1 of 4
SWU-222-071408 Last Revised 6124/14

NCG070000 N.O.I.
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: (D U 3 �l
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: �.>> v,� �h. ,,'i t,�„n� �ro .•�_ _�,� �- ��.�;
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? s' —
9) Receiving waters:
What is the name of the body o bod' s of water re k, stream, river, lake, etc.) that the facility stormwater
Qvr
discharges end up in? Qn Ss��,�.��
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).
10) Does this facility have any other NPDES permits?
1t s'' riii•
No GSA f
❑ 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)?
).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
ZI Yes
If yes, please briefly describe:
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
IS Yes
If yes, when was it implemented? ad 13
14) Are vehicle maintenance activities occurring at this facility?
0 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?
Page 2 of 4
SWU-222-071408 Last Revised 6124114

1 NCG070000 N.O.I.
� No ❑ 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:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 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, representation, or certification in any application, record, report, plan, or other
document Tiled 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
[Environmental Management] Commission implementing this Article shall be guilty of a Class 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, land accurate.
Printed Name of Person Signing:
Title:
7 r c�
(Sign tyI of pplicant} 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 returned as incomplete unless all of the following items have been included:
-_12( 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 Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Page 3 of 4
5WU-222-071408 Last Revised 6/24114

NCG070000 N.O.I. i
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or 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 .........(919)
807-6300
Page 4 of 4
SWU-222-071408 Last Revised 6/24/14

7121/4016 703 Park Lawn Ct - Google Maps
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19-615
AMANZI MARBLE & GRANITE, LLC
1203 EAST:MOUNTAIN STREET
KERNERSVILLE, NC 27284
[phone]
PAY. -TO THE `NC Env iron ment&NaturaIResource .
ORDER OF
One Hundred Dollars and No Cents
� FiddityBank
RMffBYYOU
66-358/531
O."K'd..
8/15/2016
********$100.00
DOLLARS
i -
Division of Water Quality,U
1617 mail Service Center j .
Raleigh, NC 27699-1617
MEMO � ^ � / _ _ � � O y j /� ---- �-�_--- Uf RIZED SIGNATURE

visgo- 6w) Wk, tt-
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Mr. Omar Kalaf
Amanzi Marble & Granite, LLC
703 Park Lawn Ct
Kernersville, NC 27284
Dear Mr. Kalaf:
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secrelary
TRACY DAVIS
NC Department of, 1
September 23, 2016 Environmental Quality
Received
OCT 0 5 2016
Winston-Salem
Re-ional Office
Subject: General Permit No. NCG070000
Amanzi Marble & Granite, LLC
COC No. NCG070213
Forsyth County
In accordance with your application for a discharge permit received on August 22, 2016, 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. .
Per the requirements of the Jordan Lake Nutrient Strategy Buffer Rule, all stormwater drainage to
stream buffers, from portions of this site that have been constructed after August 11, 2009, must meet
diffuse flow requirements per 15A NCAC 2B .0267. Diffuse flow requirements are described in
Chapter 8 of the North Carolina Stormwater BMP Manual, available at:
httu://dca.ne.izov/about/divisions/enerL,v-mineral-land-resources/enerizv-mineral-land-nermit-
uidance/stormwater-bmp-manual.
State oi' North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail service Center 1 512 North Salisbury Street } Raleigh, NC 27699-1612
919 707 9200 T

.w
If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number
[phone] or by email 'ulie.ventaloro ncdenr, ov.
tU 1norn-n6clo l :}VI
416uA 16inomno;ivn j
b"MOD9R
?4'6S � 0 TOG
M9162-nole..niv
-)MO 1r foil,"4
cc: Winston-Salem Regional Office, Glen White
Central Files
Stormwater Permitting Program Files
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
S tate of Nonh Carolim I Emiry mental Qualit}• I Enerpp, \lineral aad Land R.esoutces
16V \U Senice Censer 1512 North SalishuryStteet I Raleigh, �X 27699-1612
919 707 9200 T

STATE OF NORTI-I CAROL,INA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCI�S
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070213
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,
Amanzi Marble & Granite, LLC
is hereby authorized to discharge stormwater from a facility located at
Amanzi Marble & Granite, LLC
703 Park Lawn Ct
Kernersville
Forsyth County
to receiving waters designated as UT to Reedy Fork, a class WS-III;NSW water in the Cape Fear
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, I1, III, and IV of General Permit No. NCG070000 as attached.
This certificate of coverage shall become effective September 23, 2016.
This Certificate of'Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 23, 2016.
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for "Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

f
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070213
STORM WATER 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,
l-Amanzi Marble & Granite, LL,C
is hereby authorized to discharge stormwater from a facility located at
Amanzi Marble & Granite. LLC
703 Park Lawn Ct
Kernersville
Forsyth County
to receiving waters designated as UT to Reedy Fork, a class WS-III;NSW water in the Cape Fear
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, Il, III, and IV of General Permit No. NCG070000 as attached.
-]'his certificate of coverage shall become effective September 23, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 23, 2016.
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of' the Environmental Management Commission

Energy, Mineral
and Land Resources
ENVIRONMENTAL OUALITV
September 23, 2016
Mr. Omar Kalaf
Amanzi Marble & Granite, LLC
703 Park Lawn Ct
Kernersville, NC 27284
PAT MCCRORY
Govemnr
DONALD R. VAN DER VAART
Secrelary
TRACY DAVIS
Uirecmr
Subject: General Permit No. NCG070000
Amanzi Marble & Granite, LLC
COC No. NCG070213
Forsyth County
Dear Mr. Kalaf:
In accordance with your application for a discharge permit received on August 22, 2016, 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.
Per the requirements of the Jordan Lake Nutrient Strategy Buffer Rule, all stormwater drainage to
stream buffers, from portions of this site that have been constructed after August 11, 2009, must meet
diffuse flow requirements per 15A NCAC 213 .0267. Diffuse flow requirements are described in
Chapter 8 of the North Carolina Stormwater BMP Manual, available at:
http://deq.nc.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permit-
guidance/stormwater-bmp-manual.
State of North Carolina I Fnvironmental Quality I Energy, Mineral and ].and Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number
[phone] or by email [e-mail],
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for'fracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Winston-Salem Regional Office, Glen White
Central Files
Stormwater Permitting Program Files
S tare of forth Cuotim I En%im=ental ":yj Entry, \iaetal and Land Resources
1612 \Brit Senice Ceara I 512 brthS6sbtuyStteet I Rateitth, '�X V699.16i2
919 707 9200 T

Ventaloro, Julie
From: White, Glen
Sent: Thursday, September 22, 2016 10:27 AM
To: Ventaloro, Julie
Cc: Gantt, Matt; White, Sue
Subject: RE: Review Requests NCG070213 and NCG160223
Julie
I went by the location of the future Fibercrete (NCG160223) yesterday. I don't see any issue with issuing the permit. Ok
to permit.
Sue and I are meeting with Zack at Amanzi Marble's new site in Kernersville tomorrow morning to help him determine
outfalls. That one is ok to permit as well. It will be exactly the same type of operation as they currently have permitted
at another location in Kernersville.
Glen White
Environmental Specialist
NCDENR Winston-Salem Regional Office
Division of Energy, Minerals & Land Resources
450 I -lanes Mill Rd — Suite 300
Winston-Salem, NC 27105
glen. white [e-mail]
[phone]
From: Ventaloro, Julie
Sent: Friday, September 09, 2016 3:58 PM
To: White, Sue <[e-mail]>; White, Glen <[e-mail]>
Cc: Gantt, Matt <[e-mail]>
Subject: Review Requests NCG070213 and NCG160223
Sue, Glen, Matt:
We've received NOls for one new facility and one existing facility in your region:
New Facility -- NCG070213 Amanzi Marble and Granite in Forsyth County. This site discharges stormwater to UT to
Reedy Fork (Class WS-III;NSW). The N01 is attached. I think the owner could use some assistance identifying their
stormwater outfalls.
Existing Facility -- NCG160223 Fibercrete Preservation Technologies in Surry County. This site discharges stormwater at
one outfall to UT to Stoney Creek (Class C). The NOI is attached.
Please let me know within 30 days if the Winston-Salem Regional Office has any concerns about issuing these COCs.
Thanks!
Julie Ventaloro
Stormwater Permitting Program
NC Division of Energy, Mineral, and Land Resources
1612 Mail Service Center, Raleigh, NC 27699-1612
Phone: [phone] Fax: [phone]

�r
NCDENR
NcI (lAGL_ OEPARTME� OF
FMRONMEl MO N"f i7E9Ol1R
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG070000
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate of Covers e
k a
rmi st d to
on to
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG070000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 32 Stone, Clay, Glass, and Concrete Products (except as specified below)
SIC* NIA Like activities deemed by DEMLR to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC 3273 Ready -Mixed Concrete RECEI VEr)
" Standard Industrial Classification Code
AI.16 22 2016
(Please print or type) OENA-LAN0 QUALITY
81"I'MI+vATEM 1) Mailing address of owner/operator (address to which all permit correspondence I I� Ili d):
Name L-
Street Address 7c3 VNA,
City ��{cncs�.r _ _ State _AX_ ZIP Code a'7aBtI
Telephone No. 3S6 M2, - Fax: 316 qq3-
E-mail Address Orno.r m M a-^O%Ai-�c.rOtP1t • con
2) Location of facility producing discharge:
Facility Name l,rr ' C Ls —
Facility Contact &r-k-.
V40-
Contact E-mail 0. n, . CO ZCCX412 o.r.wn'k C oe.
Street Address 0 c,r C�
City nc.rsU c_ State N ZIP Code Aza_ '1
County
Telephone No. 336 cB%-" 5'%Q Fax: 336� RC 3 -qq191-2
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, late road numbers, and
distance and directir^ from a roadway intersection). ,N Lich �nr ,►�� � iF
(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 �°Oof o3.e'A) Longitude �Oo 03 �i3.iMt--' (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
IC9 New or Proposed Facility p L� (� Date operation is to begin
❑ Existing �a
Page 1 of 4
SWU-222-071408 Last Revised 6124114

NCG070000 N.O.I.
B) Standard Industrial Classification:
Provide theA digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity.at this facility'
SIC Code: O O 3 21,
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: 1 u5�rn Cd,��.�ri� a-g— _ �iy _[V _ d- bran"; A ,_
8) Discharge points I Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? Ell
9) Receiving waters:
What is the name of the body o bod" s of water re k, stream, river, lake, etc.) that the facility stormwater
discharges end up in? S 1� any V
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).
10) Does this facility have any other NPDES permits?
No
❑ 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)?
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
131 Yes
If yes, please briefly describe:
13) Does this facility have a stormwater Pollution Prevention Plan?
❑ No
14 Yes
If yes, when was it implemented? ao
14) Are vehicle maintenance activities occurring at this facility?
0 No ❑ Yes
1 S) 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?
Page 2 of 4
5WU-222-071408 Last Revised 6124114

NCG070000 N.O.I.
No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
FNo ❑ Yes
d) If you answered yes to questions b. 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 1 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, 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 Arlicle or rules of the
[Environmental Management) Commission implementing this Article shall be guilty of a Class 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, land accurate.
Printed Name f Person Signing:
Title:
(Si
-7&11
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 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 Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Page 3 of 4
SWU-222-071408 Last Revised 6/24/14

NCG070000 N.O.I.
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or 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-222-071408 Last Revised 6/24114

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Michael F. Easley, Governor
�Q. William G. Ross Jr., Secretary
7 Department of Environment and Natural Resources
_,;t
Alan W. Kimek, P.E., Director
Division of Water Quality
OCT 15 2002
Ms. Laureen M. Ryan
FTI Consulting
622 Yd Avenue, Suite 3100
New York, NY 10017
Subject: Rescission of NPDES General Permit
Permit Number NCGO70012
Universal Friction Consultants
Union County
Dear Ms. Ryan:
NC DEPT. OFAND N�ATURI`,l
MOORESA-u,
i
41
Reference is made to your recent request for rescission of the subject NPDES General Permit.
On the request form you state the subject site has been sold and the permitted entity is now in bankruptcy,
and therefore it no longer requires coverage under the general permit. In accordance with your request,
NPDES General Permit NCG070012 is rescinded, effective immediately.
Please be advised that this permit rescission is based wholly upon your statement that the
activities which would require general permit coverage at the site have ceased or been eliminated.
Division staff has not visited the site to obtain independent verification. Operating a treatment facility,
discharging wastewater or discharging specific types of stormwater to waters of the State without a valid
NPDES permit will subject the responsible party to a civil penalty of up to $25,000 per day. Enforcement
action will be certain for persons that have voluntarily relinquished permit coverage when, in fact,
continuing permit coverage was necessary. If, in retrospect, you feel the site still requires permit
coverage, you should notify this office immediately. Furthermore, if in the future you wish to again
discharge to the State's surface waters, you must first apply for and receive a new NPDES permit.
If you have questions about this matter, please contact Bob Sledge at [phone], extension
547 or the Water Quality staff in our Mooresville Regional Office at [phone].
Sincere ,
Alan W. Klimek, P.E
cc: obresviile-Regional-Office.w/attachment
Stormwater & General Permits Unit
Point Source Compliance — Bob Sledge - w/attachments
Central Files - w/attachments
Fran McPherson, DWQ Budget Office
AQ
CU
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617
1 800 623.7748 [phone] Fax: [phone]
rN

�� �oF w a rFRQ
FACILITY INFORMATION
PERMIT COVERAGE — - --
RESCISSION REQUEST FORM
National Pollutant Discharge Elimin
Stormwater General Permit NC
UNIVERSAL FRICTION COMI
COC Number NCG07001
Union County
ly en � � U
i�
U
OCT -8 2022
The following is the information currently in our database for your facility. Please review this information
carefully and make all corrections as necessary in the space provided to the right of the current
information.
Facility Name: UNIVERSAL FRICTION COMPOSITES
Location Address: UNARCO RD
MARSHVILLE, NC 28103
Mailing Address*: 123 EAST STIEGEL ST
MANHEINE, PA 17545
Permit Contact: TRUST SERVICE
Phone Number: 7176645326
f r
L 2-2 _3r1 Atte. .fit, AA s3W
. tiz Nij JQ01 }
hlovoy Jdjess
Ey/ 9.3 7 y
* This is the address to which the permit rescission notice will be mailed
Reason for rescission request:
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of coverage under NPDES Stormwater General
Permit NCG070000 for the subject facility. I am familiar with the information contained in this request and that
to the best of my knowledg and belief such information is true, complete and accurate.
Signature a Date /v3 Da--
r/�� r/l
Print or type name of pers n signing above title
Please return this completed rescission request and any relevant documentation to:
General Permit Coverage Rescission
Attn: Valery Stephens
Stormwater and General Permits Unit For Office Use On
1617 Mail Service Center Rescission vmoe
Raleigh, North Carolina 27699-1617 Request Date ❑ , 1
XL IJ%/kJ lelloZ /

TRUST SERVICE
UNIVERSAL FRICTION COMPOSITES
123 EAST STIEGEL ST
MANHEINE. PA 17545
Dear Permittce:
Michael F. Easley, Governor
William G. Ross Jr.,'SecretarIy
North Carolina Department of Environment.and Natural Resources
Alan W. Klimek„P.E.; Director
Division of Water Quality
Septemher 4, 2002
Subject: NPDES Stormwater Permit Coverage Renewal
Universal Friction Composites
COC Number NCG070012
Union County
Your facility is currently covered for Stormwater discharge under General Permit NCG070000. This permit expires
on March 31, 2003. The Division staff is currently in the process of rewriting this permit and is scheduled to have
the permit reissued by early spring of 2003. Once the permit is reissued, your facility would he eligible for
continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the Division of Water
Quality (DWQ) for renewal of your permit coverage. To make this renewal process easier, we are informing you in
advance that your permit coverage will he expiring. Enclosed you will find a Permit Coverage Renewal
Application Form. The application must be completed and returned by October 2, 2002 in order to assure
continued coverage under the general permit. Due to staff and budget constraints, letters confirming our receipt of
the completed application will not be sent.
Failure to request renewal within the time period specified, may result in a civil assessment of at least $250.00.
Larger penalties may he assessed depending on the delinquency of the request. Discharge of stormwater from your
facility without coverage under a valid Stormwater NPDES permit would constitute a violation of NCGS 143-215.1
and could result in assessments of civil penalties of up to $10,000 per day.
Please note that recent federal legislation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the f I categories of "storm water discharges associated with industrial activity," (except
construction activities). If you feel your Facility can certify a condition of "no exposure", i.e. the facility industrial
materials and operations are not exposed to s(ormwater, you can apply for the no exposure exclusion. For additional
information contact the Central Office Stormwater Staff rnernber listed below or check the Stormwater & General
Permits Unit Web Site at http://h2o.enr.state.ne.us/su/stormwater.hunl
If the subject stormwater discharge to waters of the state has been terminated, please complete (lie enclosed
Rescission Request Form. Mailing instructions are listed on the bottom of the form. You will he notified when the
rescission process has been completed.
If you have any questions regarding the permit renewal procedures please contact Mike Parker of the Mooresville
Regional Office at 704-663-1699 or Mack Wiggins of the Central Office Stormwater Unit at [phone]. ext.
542
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Mooresville Regional Oflicc
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800-623-7748

State of North Carolina
Department of Environment
and Natural Resources .
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Gregory J. Thrope, Ph.D., Acting Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Trust Service
Universal Friction Composites
123 East Stiegel St
Manheine PA 17545
INA
1�•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
NL;
10/15/2001
o v 4 9 2001
SUBJECT: NOTICE OF VIOLATION AND REVOCATION FOR NON PAYMENT
PERMIT NUMBER NCG070012 rl''
Universal Friction Composites
Union COUNTY
Dear Permittee:
Payment of the required annual administering and compliance monitoring fee of $80.00 for this year has not
been received for the subject permit. This fee is required by Title 15 North Carolina Administrative Code 2H.0105,.under
the authority of North Carolina General Statutes 143-215.3(a)(1), (1a) and (1b). Because this fee was not fully paid within
30 days after being billed, this letter initiates action to revoke the subject permit, pursuant to 15 ncac 2H.0105(b) (2) (k)
(4), and G.S. 143-215.1 (b) (3).
Effective 60 days from receipt of this notice, subject permit is hereby revoked unless the required Annual
Administering and Compliance Monitoring Fee is received within that time. Discharges without a permit are subject to the
enforcement authority of the Division of Water Quality. Your payment should be sent to:
N.C. Department of Environment and Natural Resources
Division of Water Quality
Budget Office
1617 Mail Service Center
Raleigh, NC 27699-1617
If you are dissatisfied with this decision, you have the right to request an administrative hearing within Thirty (30)
days following recipt of this notice, identifying the specific issues to be contended. This request must be in the form of a
written petition conforming to Chapter 150E of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings, Post Office Drawer 27447, Raleigh, North Carolina, 27611-7447. Unless such request for hearing is made or
payments received, revocation shall be final and binding. If you have any questions, please contact:
Mr. Rex Gleason, Mooresville Water Quality Regional Supervisor, [phone],
cc: Supevisor, Water Quality Permits and Engineering Unit
Mooresville Regional Office
County Health Department
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled 1 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
1 1 \o
Nt~ A UTul_ ~P,1-X i U 1q,,-r�:s
April 30, 1998 MAY 1998
HERMAN J. RAMIG
UNIVERSAL FRICTION COMPOSITES
UNARCO ROAD ar>ils,�t� of €tl�ffc�;r51rt r,n;�4��trrr
MARSHVILLE, NC 28103'`�"'"�tE k5�i1d1 Urflif
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCG070012
Union County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, the Division
of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit
is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency
dated December 6, 1983.
The following information is included with your permit package:
■ A copy of the stormwater general permit.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
permit. This form must be completed and returned to the Division within 30 days of receipt of
this letter. DO NOT send the SPPP with the signed form.
N Five copies of Analytical Monitoring forms.
Five copies of Qualitative Monitoring forms.
■ A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
■ A corrected Certificate of Coverage if you indicated a name or address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. 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
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number [phone]
Sincerely,
foA. Preston Howard, Jr., P. E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH AND NATURAL RESOURCES
DIVISION OF WATER QUALITY —
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE NO. NCG070012
STORMWATER DISCHARGES
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,
UNIVERSAL FRICTION COMPOSITES
is herby authorized to discharge stormwater from a facility located at:
UNARCO ROAD
MARSHVILLE, NC
UNION COUNTY
to receiving waters designated as Lick Branch in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements and other conditions set forth in Parts I,
H, III and IV of General Permit No. NCG070000 as attached.
This Certificate of Coverage shall become effective May 1, 1998.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 30,1998
for A Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authorization of the Environmental Management Commission