NCG050072_COMPLETE FILE - HISTORICAL_20130402

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
lv L& b6 6 0'7 a
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Ae 0 a
Division of Water Quality / Water Quality Section
An a
NC®ENR National Pollutant Discharge Elimination System
NC TH CAR—INA MCP<RTM of
FNnRo—e., allo fl.4Tl1RAL RE9pJRCE9
NCGO50000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year Month Da
Certificate of Coverage
NC
Check 9 Amonnt
Fermi! Assipped to
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
SIC*
NIA
Like activities deemed by DWQ 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 301 Tires and Inner Tubes
SIC 311 Leather Tanning and Finishing
" Standard Industrial Classification Code
(Please print or type)
1) Mailing address of ownerloperator (address to which all
Name
Street Address
City
Telephone No.
E-mail Address
Carpenter Co.
PO Box 879_
Conover
828-464-9470
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
Carpenter Co.
Curtis Daniels
[e-mail]
2009 Keisler Dairy Road
Conover
Catawba
828-464-9470
StateNC
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:)ondence will be mailedj:
ZIP Code 28613 _
Fax: [phone]
StateNC. ZIP Code 28613
Fax: [phone]
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). Travel 1-40 west exit at 132 turn left on Thornburg
drive travel 3 miles turn left onto Emmanuel Church road travel 'Amile turn left on Keisler Dairy Road
plant on Left
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application)
Page 1 of 4
SWU-220-071408 Last Revised 7/1412008

NCGO50000 N.O.I.
4) Latitude 35.6947 Longitude-81.1819 (degrees, minutes,
seconds)
5) This NPDES Permit Application applies to which of the following :
ew or Proposed Facility Date operation is to begin
X❑ NCG050 Existing
6) and Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code:
Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Polyurethane Foam and Polyester Fiber batting Manufacturing and associated vehicle
maintenance
7) Discharge points:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
8) 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? Long 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).
9) Does this facility have any other NPDES permits?
X❑ No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X❑ No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
X ❑ Yes
If yes, please briefly describe: Chemical Unloading performed inside building or in containment area, Trash
Compactors covered, Chemical storage pads have secondary containment, Good Housekeeping, Preventative
Maintenance, Inspections
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X ❑ Yes
If yes, when was it implemented?1985
13) Are vehicle maintenance activities occurring at this facility?
❑ No X ❑ Yes
Page 2 of 4
SWU-220-071408 Last Revised 7/14/2008

NCG050000 N.O.I.
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X ❑ No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑ No X❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X ❑ No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: Non-Haz Pour head waste, Isopropanol Waste, Paint Waste, Universal Waste, etc.
How is material stored:Drums, totes, and boxes
Where is material stored:lnside Building
How many disposal shipments per year:Around 12
Name of transport / disposal vendor:Univar 1 Trade B Treatment
Vendor address:2001 Continential Blvd. Charlotte NC 28273
15) 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 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, and accurate.
Printed Name of Person Signing
Title: Division Manager
(Signature of Applicant)
Tom Dunston
3,1i
(Dale Si ned)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Page 3 of 4
SWU-220-071408 Last Revised 7/14/2008

NCGO50000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑check #0001 604083 Check for $100 made payable to NCDENR
X ❑ This completed application and all supporting documents
X ❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearby waters
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 submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWQ 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-220-071408 Last Revised 7/14/2008

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Rev. 11/18/2010 WJR

��' • Division of Water Quality / Water Quality Section
NCDENRNational Pollutant Discharge Elimination System
ryCfiTM CNi0— DEowRtnEHT OF
E—RON— n 0 14 W R�RCEs
NCG050000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year Month Day
Certificate of Coverage
N
Check k 1 Amount
�_Permit Assigmed to
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
SIC*
NIA
Like activities deemed by DWQ 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
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 (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
E-mail Address
Carpenter Co.
PO Box 879_
Conover
828-464-9470
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
Carpenter Co.
Curtis Daniels
[e-mail]
2009 Keisler Dairy Road
Conover
Catawba
828-464-9470
StateNC ZIP Code 28613
Fax: [phone]
StateNC. _ ZIP Code 28613
Fax: [phone]
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). Travel 1-40 west exit at 132 turn left on Thornburg
drive travel 3 miles turn left onto Emmanuel Church road travel '/z mile turn left on Keisler Dairy Road
plant on Left
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application)
Page 1 of 4
SWU-220-071408 Last Revised 7/14/2008

11
Iry
(` t'✓i [ } ! {�j it�tf1P Wes) t4 9 1 !7 r� M Q a

t
NCGO50000 N.O.I.
4) Latitude 35.6947 Longitude-81.1819 (degrees, minutes,
seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
X❑ NCGO50072 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:
Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Polyurethane Foam and Polyester Fiber batting Manufacturing and associated vehicle
maintenance
7) Discharge points:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
8) 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? Long 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).
9) Does this facility have any other NPDES permits?
X❑ No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X❑ No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
X ❑ Yes
If yes, please briefly describe: Chemical Unloading performed inside building or in containment area, Trash
Compactors covered, Chemical storage pads have secondary containment, Good Housekeeping, Preventative
Maintenance, Inspections
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X ❑ Yes
If yes, when was it implemented?1985
13) Are vehicle maintenance activities occurring at this facility?
❑ No X❑ Yes
SWU-220-071408
Page 2 of 4
Last Revised 7/14/2008

NCG050000 N.O.I.
14) Hazardous Waste:
a) 1s this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X ❑ No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑ No X❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X❑ No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:Non-Haz Pour head waste, Isopropanol Waste, Paint Waste, Universal Waste, etc.
How is material stored:Drums, totes, and boxes
Where is material stored:lnside Building
How many disposal shipments per year:Around 12
Name of transport 1 disposal vendor:Univar 1 Trade B Treatment
Vendor address:2001 Continential Blvd. Charlotte NC 28273
15) 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 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, and accurate.
Printed Name of Person Signing: _Tom Dunston
Title: Division Manager
� LI
tore of Applicant)
3� ;
(Dale S ned)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Page 3 of 4
SWU-220-071408
Last Revised 7/14/2008

NCG050000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑check #0001604083 Check for $100 made payable to NCDENR
X❑ This completed application and all supporting documents
X ❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearby waters
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 submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 4 of 4
SWU-220-071408 Last Revised 7/14/2008

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