NCG070005_COMPLETE FILE - HISTORICAL_20121210

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
LEI HISTORICAL FILE
❑ MONITORING REPORTS
DOCUATE
❑ �� %r� � V
YYYYMMDD

. !V
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
December 10. 2012
Cathy Curtis
Curtis Insulation Co.. Inc
10150 West Highway 97
Middlesex. NC: 27557
Subject: PermiCRenewal Application Fee Return
Per NCGU70005�)
Curtis Inc
Nash County - W
Your fee, submitted as part of your request for a General Permit renewal received on November 26. 2012 is
being returned due to:
❑ Check for $100.00 made payable to NCDENR is missing.
❑ Application is incomplete.
❑ Application package is missing the supporting documents.
❑ /M.ssing copy of county map or USGS quad sheet with facility clearly marked.
Other Permit renewal applications for NPDES stormwater permits do not require_ renewal fees. This fee is
being returned. Your check is enclosed. You will receive additional information from our Division in the next
few weeks associated with the permit renewal process.
Please return the complete package of information so we can continue processing your request. If you have any
additional questions, please contact Bradley Bennett at 919-807-6378.
cc:
Wetlands and Slormwater Branch
1617 Mail Service Center, Raiegh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service 1-877-623-6748
Intemet: www.ncwaterquality.or9
An Equal Opportunity l Affirmative Action Employer
NorthCarolina
Naturally

DWQ USE ONLY
Date Received Fee Paid Permit Number
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
(NCDENR DWQ)
STORMWATER MANAGEMENT PERMIT RENEWAL APPLICATION FORM
This form may be photocopied for use as an original
This form is to be completed by the current permit holder pursuant to Title 15A NCAC 2H.1003 (h) (2). This states
that stormwater management permits, issued for projects that require the construction of engineered stormwater
control measures (High Density Permits), shall be required to submit an application to renew the permit 180 days
prior to expiration of the permit. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB
781) Section 60. (c).
I. SUBMITTAL. REQUIREMENTS
Only complete application packages will be accepted and reviewed by the North Carolina Department of
Environment and Natural Resources (NCDENR) Division of Water Quality (DWQ). A complete package
includes all of the items listed below. The complete application package should be submitted to the
appropriate DWQ Regional Office. (The appropriate office may be found by clicking on the interactive online
map at http://portal.ncdenr.org/web/wgihome/ro. Copies of the original permit can be obtained from the Regional
Office of the Division of Water Quality.)
This Renewal is for STORMWATER PERMIT #: SW
Please check which of the following permit renewal scenarios apply. Initial in the spaces provided that you have
provided the required information.
lel_�A. Renewal Only:
-$505 fee
-Renewal Form - Sign and complete all sections (send original & 1 copy) C
-Recorded Documents Required By Permit: Deed restrictions, covenants, condominium/planned
community declaration & easements (if not already submitted to NCDENR DWQ). Copies are
acceptable.
-Designer's Certification (if required by permit and not already received by NCDENR DWQ) (See the last
page of your permit for a copy of the certification form.)
-1 Have a Copy of the Current Operation and Maintenance Agreement (O&M): Please Keep this on File w _
with your permit.
-I Do Not Have a Copy of the Current O&M: Initial This Line to Request a copy. (If NCDENR DWQ does
not have a copy on file, then you will be notified to submit a neu> O & M form.)
❑ B. Renewal and Modification:
-$505 Fee and Pages 1 & 2 of this Renewal Form
-SWU-101 Application Form ( htip:llportal.ncdenr.orgllzvebl7Wglwslsulstateswlforms dots )
-Recorded Documents Required By Permit: Deed restrictions, covenants, condominium/planned
community declaration & easements (i€ not already submitted to NCDENR DWQ). Copies are
acceptable.
- Under #II. 1. on SWU--101 Application Form — Check Box for Modification w/Renewal
-Designer's Certification (if required by permit and not already received by NCDENR DWQ) (See the last
page of your permit for a copy of the certification form.)
- O&M Agreement (htt.p:ll.portal.ncdi,,nr.org/weh/�zoq/ws/su/binp-manual)
Form SWU-102 (Renewal Form) Rev 15Aug2012 Page I of

❑ C. Renewal and Either: 1.) Permit Transfer to a New Permittee, or 2)_Project Name Change:
Please submit all items in LA and:
Request a NCDENR DWQ site inspection if transferring permit to new property owner.
Submit One of the Two Following Forms below (forms available at:
http://portal.ncdenr.org/weblwq/ws/su/statesw/forms does#tab-3):
1. HOA Name/Ownership Change Form: For planned communities (per Chapter 47C or
Chapter 47F of the General Statutes)
2. Name/Ownership Change Form: For all other transfers
Please make sure all required information is submitted with the Name/Ownership Change form (as
stated in each of the available forms) and that all required signatures and initials are filled in properly.
Otherwise the name change or transfer can not be processed and the original owner will remain as the
permit holder.
❑ D. Renewal, Modification, and Transfer (or Name Change): Please submit pages 1 and 2 of_
this Renewal form along with all items listed in 1. B. and C. above (check this box and initial items
in B. & C. that you are submitting to NCDENR DWQ).
IL APPLICANT'S CERTIFICATION
Note: The legally responsible party is the current permittee and/or the legally responsible representative until such time that the permit is
officially transferred through a request to DWQ by the permittee.
I, (print or type name of permittee or person legally responsible for the permit )
certify that I have a copy of the DWQ Approved Permit and O&M Agreement on -site R I have obtained a copy
from DWQ and it will be kept on site), that I am responsible for the performance of the maintenance procedures and
the site has been, and will be, maintained according to the O & M Agreement. I agree to notify DWQ of any
problems with the system and prior to any changes to the system or changes in ownership I will (or have through
this renewal application) notify NCDENR DWQ and submit the proper forms to modify or transfer the permit. All
information pro on this permit renewal application is, to the best of my knowledge, correct and complete.
Permittee Title: `
Address: ?' q f1 f�tl � . t) A s h . < A Ili
Signa
NOTARIZATION:
I, )2 /r 4 she L �. a Notary Public for the State of 4h,_
County of TrvU� do hereby certify that Cf1r 1l �s
personally appeared before me this day of �/ . z__ . and acknowledge the due execution of the
forgoing stormwater BMP maintenance requirements. Witness my hand and official seal,
My commission expi
Notary Signature:
SEAL
II KN B. BUNCH
L
FRANIIN COUNTY. NC
Form SWU-102 (Renewal Form) Rev 15Aug2012 Page 2 of 4

III. GENERAL INFORMATION
1. Stormwater Management Permit Number: SW -QC GQ 706e a ILV C G o
ern
2. Per Holder's name (specify `the name oif} the corporation, individual, etc.):
Owner/Signing Official's -rime and title (person legally responsible for permit):
4. Mailing Adddrre�ssss for person listed in
in item 2 above:
City:�SXCA5l H(--02_, . _ State: Zip;
Phone: Fax:
Email: 00&-&46LJ17eJ , e&-n
5. Project Name:
6. Location of Project (street address):
Cit rf_c�CA tj7 )a County: �k _sn Zip:
1 �
7. Directions to project (from nearest major intersection):
L�
Forrn SWU-102 (Renewal Form) Rev 15Aug2012 Page 3 of

IV. PERMIT INFORMATION:
1. Specify the type of stormwater treatment: ❑Constructed Wetland ❑Bioretention [ yet Detention Pond
❑Dry Detention Basin ❑Infiltration Basin ❑Infiltration Trench ❑Sand Filter [—]Other:
2. If any changes were made to the original DWQ approved project list them in the space below (attach additional
pages if needed and provide "As -Built" drawings with this application), If maior changes have been made to your
project please request a plan revision or modification of the permit and submit "As Built" drawings along with a
final or updated stormwater system engineer certification (if not already provided to NCDENR). DWQ Engineer
and Designer Certification Forms are available from each NCDENR DWQ Regional Office.
Form SWU-102 (Renewal Form) Rev 15Aug2012 Page 4 of 4

Note to NC Division of Water Quality
This Plant has been shut down since Aug.
down as of Nov.118,2012.
i
The plant is used primarily for office
present time. We will notify you of any
of 2002 and remainE shut
space and storage at
changes.
SINCERELY YOURS,

lot
4 s 11t.k a?•7«•35"' an;;,,7&'4}5` •3' _�
T t
Ly Unn _mad lribJlar'r to . zpawv V,., �1
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�5, L I �
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` .,�
ar -
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STORMWATER. . DISC BAR GE OUTFACE (Po)
Oatfsill' tag*"
No.
r
tee
C,;,�Da;`
Samplt Callected.
�, mold3inchts
{ r x ' h
1r,_ 'w '�.���3
'TotaiIsaintall;.
Ntw, Matar,. i ; sage,'
Annual avers c.; I1ma u
eQQSS6'� 4�
"Q41
a„x UQ4QQ?z .;r
Ull�srdd Grease,`` ITotiil
" m
_,,,a:.. .R k^ -ram
Siaspeneti:Sorids,
y�.�,.1
��� "..,
m gas. ,.:..x
�,t-
Staada�rii?unifs:::.
;BenelrmnrlrNtt
^_ ..
w �,
30a� z
IQO,?
r9.,,�::
Note: If you report a sampled value in w=s of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses in the General Permit.
Mail Original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center.
Raleigh,NorthCarolina27699-1617
POfy P q .. . , P, p y � , accorda system designed to
I certify, -under , under asl of law, that ihi,.doeament and all attachments Wert, re aced under m direction or sapervrson to race wlth a
q pi P h.. �Y f;
. Based on rEr in - y quiry of tde, person, or persons 9vho manitge the system, or
those persons dirtctly; responsible far gsthridg tlic iiotornaatiori, the inforaration submitted is to the, best of my knawiedge and lieliei; true, accurate, and tamplete.
assure that aalified. rsonnel roe t�tr and evaluate the submitted
I am aware that there are slgnitleaat'penalties for submitting false information, including the �possibility_of fines snd.Iniprisonment for knowing violations."
(Signature of Perm4w
(Date)
Form SWU-254-042508
Page I of I

-1•1 -
x4rl�
o -Ivry
tt-,:l �--
Stbrowslar gr".T,10)
or CWJfW% o(Cowww No.: WVWJI 7,p
Fw4ily Neami
NOM
0, A&irti
DAB of bm"ctkw.
Thaeathmpec":
-2 Lye' ra—t
TiAdiRt (**0* .2
was a3MM &6117 b*w) e8ft 0 No
b* perfanced &aft a�
(3 eta] 4-t 1Akt ria VChiii (w, vi.
M�l A ativil)-.4,1no-Inyi)
&.. - --Ak I
I 0006'ry "this vepwt jammmow and =MpkAu to tho bmt army hum,*Aip.
i. 7is
Damao Ok teat(1, -;w sue:
blev or-) NW alL Wvp wAq book coWs (04 b b
I O&n Dma* Q ft" *at* daftw MW bm OA, IM& famid'i cf (� 1, ot*
Pqp 102
NOWOWNIM

i
4. Clarity: Choose the number W.)ich best describes the clarity of the discharge. where 1 i; ctear ano
is very eloucir:
2 3 4 5
S. Floating Solids Choose the number which best describes the amount of floating solids in ttlr
stormwater discharge. where I is no solids and 5 is the surface covered with floating solids:
ilj } 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwaterdischarge. where I is no solids and 5 is extremely rnuddv:
Ill 2 3 4 3
7. Is there any foam in the stormwater discharge'? Yes
f _
8. Is there an oil sheen in the stormwater discharge? Yes N�
9. is there evidence of erosion or deposition at the outfall? Yes Q
!f_ Other Obvious Indicators of Stormwater Pollution:
I ist and describe
Note:
Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/depc-sition
may be indicative of poliuMnt exposure. These conditions warrant timher invest.ivat:ion.
Page 2 of 2
swu 242-a5 Im?

Permit Na:
NQ—
FWlity Nm �a1.
Ca1Miy;
Inspecew. D. Adkb
Date of hupeodw:
7Trrm of htgw tian:
71 't
• -t-� �.
Stormwater Diubarge OutfaH (SDO)
Qualibitive'Monitoring Report
._I or Cwtiflam of Coverap No.:
Elba No. 212-A78-0161 .
Total Brunt � (Lbobas):14
Was this a Reprv@"�w itutm Bwai.t? (See iedeii nd bA w) [3' Ves Q No
Phase do* yaw mew bep r�6riwr+d Aft a rgMAMWw
st+tBrm ewr� twarYl•
i
A "Rrepr�eeeatalirro S 'Bni�t:" is . utorm daedd that msswtra a� than a.l a>e�s of r�'� � lbst
Is pneoeded 6y at least 10"M a days) in which no Ilan eves nxsutwfilg greater than 0.1
Gstwtrm A =WW a"M my an* rota 10 ConcoM Wn of no piT.
t .
By Ibis , I oe to tbb rq;art is aoc um wd ==plow to tho bast of my lowwk dp;
1
{SiptsI n of ftmbt#or Door") -
a
1. Owdd'DGses�s
Outtsll No. i 5t uctm-a {pica, dllcly d L)
Reariv* Slrosm: T
Dtacribe the l ' ouua Wift !be otrt01 draitltl�e
2. CdM _ d it agw oft be d basic oohs (red. bm n1, bhx% m.) sed Hilt
OW med#m dsrk) de�tilllors:
i
i�
3. Odoan ; att�t?dissiect arior: that the disobstge may bave (i.e.. smile swngly of WL *elk
ahlaaiee odor, GILL): N E
-- ! p4p 1 an
Swu-20051 M
j

4. Clarity: Choose the number which best describes the clarity of the discharge. where l is clear ana
5 is very cloudii•.
i 22 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solid:, in the
t
stormwater discharge. where I is no solids and 5 is the surface covered with floating solids:
i ..
ail 2 3 4 5
i
6. Suspended Solids: Choose the: number which best describes the amount of suspended :,olids in
the stormwater
discharge. whixe I is no solids and S is extremely inuddv:
lit 2 3 4 .i
I
I
7. Is there any foam in the stormwater discharge! Yes fNa'
i
8. Is there an oil sheen in the stormwater discharge? Yes Md
9. Is there evidence of erosion or deposition at the outfall? Yes
f
}. (Met Obviou'J Indicators of S tormwater Pollution:
I
Note: Low clarity,
may be indic
solids, amPor the presence of foam, oil sheen, or erosionideposition
of pollution exposure. These conditions warrant further investigation.
Page 2 of 2

ftmit No.: Nj,J
Facility Name: Cut
County,: Nash _ _
�p�; D. Adktns '
Date of wpecst- : 7
Torte of inspection: j
Total Boom
Was this a
Please cletcikyaw
storm ewent (req i
Stormwaiter Discharge Outfall (SDO)
Qualitative Monitoring Report
IJJ �J_ 1 orCarWc a of Cove W No.:
a Insulation Inc.
_- - .—Photo No. 2 2.4 8.9181
-)a
(iWhos). — "_.._
&otm Evmt? (See Wmmdon below) 1Yos ❑ No
to wsr6 If Qm dltatim Mer bwft maw be pal mad diving a mprmswatlws
.i
A "ltepresetWve Ste T BVettt" is a alarm ev�ertt that m gma er than 9.1 inches of rainfall Ad that
is pmeoW by at least;72 hours (a dayv) in which no storm avant measuring greater than 0.1 inchesihas
oomured. A s4e 0f0 Mat =atWn up to 10 cmum udw haulm of no 1pi *ion.
By thia a4pu tre, I caWfy that this reFtm is accurate and complete to the best of my knowledge:
(Signttptt+e of rvuwuT or Designee)
1. OsdtQ Dever)ptiaa:
outfa l No. j StrttctW11(pipe, dkcit, W-) .Qkt� - jre
Receiving Sbum: '
Describe die htdttttrial e
the aKtWl dr,aittage area:
I
F�
2. Color: the color of the dischuge using basic colors (red, brown, blue, etc.) and tint
(light. medium, dark) deseriptare:
ii
3. Odor. Dauxil�e any distinct cdora that die dbdtarge may have (i.e., smells strongly of oil, vAWk
chlorine odor, etc.): N NE, _
Poe I of 2
swv-ids:tea I

4. Clarity: Choose the number which best describes the clarity of the discharge. where I [s clear ana
S is very cloud~•:
2 i 4 i
5. Floating Solids: Choose the mjmber which best describes the amount of floating solids in the
stormwater discharge. where 'I is no solids and 5 is the surface covered with floating solids:
tl 2 3 4 5
6. Suspended Solids: Choose tht number which best describes the amount of suspended solids in
the stormwater discharge. w1wre I is no solids and S is extremely muddy:
Il) 2 3 4 5
I
7. Is there any foam in the stormwater discharge? Yes 1�
8. is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the out -fall? Yes
(} Other ObviousIIndicators of Stormwater Pollution:
l
i :ist and describe
i
t
I
Note: Low clarity, High solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indiclive of pollutimt exposure. These conditions warrant further investigation.
i Paste 2 of 2
I
SWU-242.05 13M

Stormwsater Discharge Outfall (SDO)
-.Qualitative Monitoring Report
Permit No.: _/ _VI _ J,;_LJ_J •„ I or Certificate ofCovmp No.: Nlrlgl,,Ql
Facility Name: Cur is Insulation Inc.
County: Nash Phone No. 25L 78 81 _ J
Impector. D. Adkins
Date of Wromion: IS . :.a
Time of Inspection: -3 .. 'j
TotAi Evcnt Procipi s, (inches):
Was this a Reg Ive Storm Evw ? (See ier Wmadon below) [� Yes Cl No
Pleare check yaw per�it to ver ► if QMaolttative ,N�o bwft wwt be peotrwd drying a represental1�e
storm event (requh+em{tts varyj.
A "Rept+eaentative Ste Evem" is a steam 80aet dW n+emns gteatm than 0.1 inches of rainfall ttid that
is preceded by at laastj72 hn irs (3 days) in which no worm event rneamning greater then 0.1 inelmli as
occurred. A aitoe s not may o3atain-up to to oorteaa dw haura of no Pr+edpimtwn. -
By this aignatura,1 fiat this reFort is accurate and muplow to the best of my knowledge:
(S +e of Permii*!a'r Designee)
1. onthm Due pNah:
OudWl No. •--+�---- -i Structinv (pipe, ditch, etc.) _ i-j; Zt
Receiving Stream: �-lee-
Describe,-
the indttetrial a iasithat ovaw within the ouWl dminap area:
�I
2. Color, the color oftlt: dischaage using basic colas (red, brown, blue, etc.) and tiht
(light, medium, dark) riptm:
i
3. odor: pas
chlorine odor, ft.):
y distinct ad n that the discharge may have (i.e., smells stmngly of oil, weak
pos6lof2
swu.34-013e8

4. Clarity: Choose the number which best describes the clarity of the discharge. where I is ciear arw
5 is very eloudti--
- i
- i�t 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge. where I is no solids and 5 is the surface covered with floating solids:
I i31 2 3 4 5
E
i
i
6. Suspended Solids: Choose the: number which best describes the amount of suspended ;solids in
the stormwater discharge. whtxe 1 is no solids and S is extremely muddv:
il€ i 3 4 .i
7. Is there any foam in the stormwater discharge'? Yes iNd
8. Is there an oil sheen in the stormwater discharge? Yes �I(l
E
9. is there evidence of erosion or deposition at the outfall? Yes JNd
�RIRJMII
E ist and describe .
Notts.
indicators of S tormwater Pollution:
Low clarity. tiigh solids. anchor the presence of foam... oil sheen, or erosionidepnsition
may be indicative of pollut€Ern exposure. These conditions warrant further investigation
Paste 2 of 2
SWU-2.42-03 13or

WEEKLY LAGOON INSPECTION
CURTISS INSULATION INC.
■ '
'INSPECTORWATER
CLARITYJ
FREE BOARD
LEVEL-�
1
ri
I
�r■�li�

SPCC PLAN INSPECTION FORM
CURTIS INSULATION INC. MONITOR WEEKLY
EVIDENCE OF LEAKAGE
Dikes Drained (Yes
or No Gallons
Valves Locked
Yes or No
Corrective
action taken
Inspector-
Date
'p
—dX
0
V
_w
a
o
a
—--0--
0
m
3
:�
a
m
m
io
o
a
r
-- p--
�
m
m
o
---o
0
a
o
a
1015H2
no
no
no
no
no
no
no
no
no
yes
yes
D.Adkins
10/12/12
no
no
no
no
no
no
no
no
no
yes
yes
D.Adkins
10/19/12
no
no
no'
no
no
no
no
no
no
yes
yes
D.Adkins
10/26/12 _
- no
no
no
no
no
no
no
no
no
es----
-- es
D.Adkins-

TEST WELL BALE OUT RECORD
BALE TEST VAVELLS ONCE VVERY QUARTER'
Curtis Insulation Inc.
ENE•
I
INSPECTOR
.- .

REFERENCE: BONG A ALTA SENRVET OF THE PARCELS wTH PIN / 2NW07k1547 NORTH CAROLNA
h 255MO721055 AS RECORDED N DEED BOON 1670 PpOL J%4 327 NASH COUNTY
RECORDED N NASH COUNTY REGISTER OF DEEDS. FILED FOR RECISTRA1gN AT.
t_E 20 QL N THE REOSe
OF DEEDS OFFICE —b S RECORDED IN BOOK PACE
I
TO, nrtWILL
RTER
3T11 RESSTT . L4 STREE ET 1YABASH. DL 61192 BT:
TINS 6 TO CERTIFY THAT THl6 YAP UI PLAT AND ME SLRVCY ON wIX3T E S BATED WERE J,Y ESTABLISHED IN ACCEDANDE wM
© �' THE LTA%dNGAJMD STANDARNSPS IN D DETAIL AND INCLUDED IT FOR ALTO/AGSM LANg OF TABLE D SIRE SI.NVET PURSUANT AWRY ACCURAC A ADOPTED
�8R BAow TED BY ALTA AND NSPS AND N EFFECT ON EMSTHE IDAiE OF THISACEAMCATION. UNDERSIWED TO THEFIIRTHFR CERTFIET STANDARDS T N MY
i �` NRROFMONAL O"BJON. AS LAND SURVEYOR REGISTERED N THE STATE OF NORTH CAROLWA. THE MAXMUM RELATIVE POSITIONAL
ACCURACY 1-IOX00 FEET.
10 SM4 HOPE
ttt-�RECESSED CONCRETE
RAID ENDER RAIL-
ROAD TRAGIC
" u'Yl� RDIi
REe�;
MM MONUMENT '9171G­
NORTHAM-ON,M.ONO FI.
EAST*4-2.Na3 R.
606eY F. "MS
1311 FOREST HAT. RO
WLSON, N C. 27M6
PIN / 2e60IN25a66
Da 111% PG 442
PA
' NOTE: POP WAY z
STOPS
AT PROPERTY LINE.
P
F0.
BOBBY F. ANTS
II FGREST HEAL AD
111LSOM, N.G 2789a
PIN / 2660061496
D.B. 1119 PG 442
1Cm
arm
14M MORN Nc so
W�m10 Id(. M.0 bAR
RN 1 E..OIMI.RT.0
?
O.E. 611 R ALSO
LINE TABLE
LINE
LENGTH
BEARING
U
97,06
N89'la'14'E
L21
8853
S88'37'54'E
L3
8653
S05.42'30•E
NC
ry
r P......-•�i
WAREHOUSE
TOTAL AREA OF PARCEL.
b36.016 Fg__R.
GAS
T rLwA G MOORE HENS
C/0 FANCY M. HILL
E83a NORTH NAG 561
SPRING MOPE 14C. 27392
PIN / 2BQD00707653U
D.B. 525 PG 450
NORTH CAROINA
NASM COUNTY
4 RENEW OFFICER OF NASH +
COUNTY. CERTIFY THAT ME MAP OR PLAT To *" THIS
CERTIFICATION 15 AFF XW MEETS ALL $TAIIRTGEY REOUYE-
MENTS FOR RECORDING
DATE REMEM OFFICER �^ N
VICINITY NAP rrF
LE= ..
NSS • IRON STAKE SET
GRA%% AREA EEpIINSSS • E)3STAAPNINLLo IRON STAKE
OR SHOT REFUSE TPK A RWiNO NA;
FROM OPERATION PPr6. Pot" POLE
R RIGHT OF WAY
S • RALAOAD SPRCE SET
ERR • FA.RAILROAD SPINE
?,_S A MAIL SET
ONE GYERFIEAD ELECTRIC
SP A WIPUTED PONT
Mm ■ GTO MORRME)FT
PED E PHONE PEDESTAL
® ET9 im WELL
CG MMOL CORMER
RCP REINFORCED COCRETE PIPE'
ECP EDGE OF PAVEMENT
FIRE HYDRANT
.05
•- �.I
Ll
I I.e
�•boMn�
c/o"
tiS i�
slsw9 N�
i�td i FOUND
yMOAEblaemm6�
No RE. FOAM
+ I
FOUND,
I
I. TER S HOPNVN5 SERTFR THAT THIS PLAT DRAWN
i IIELYA C 1100RM MGq i
RV
1R61Eit 11T SIIPEAN90N FROM AM ACTUAL SALVE[ MADE UNDER
CM NNUC`T LL 1a1
1�cA2"Io
MY SUPERNSgN (TEED DESC COR W 800C_7SH
R I
IMF NIOM70Y
ARI S NOT SO
PAIY GMAT TIE BQHmMIES NOT SON NOUN ARE SHOWN
AS FNIONOM VINES PLOT44 FTt01 W
aMo Ay NAA
AT THE RATIO OF
BARN..,. ULA LS 1 442 THAT THE HISP OF PREC1SI01!
AS OA 1; IgQ� THAT RAS
E LET S. PROFESTHER LAMB Nn L-3976. CERTIFY
M H D.
NTH GAS 0 NM
ED IN ACCORDANCE AS
PREPARED W
PLAT 15 OF ANOTHER RY.SLIRVEM
PLAT IS AS THE
THAT THIEXISTING
STATT [LIMBER
wM ES3 SGNATUMIE, RE45TM UMBER
IGINALGN
OF PARCELS. A COURT ORDERED SURVEY. OR OTHER 6tCFPT10N
RDE ED S RYE ER EXCEPTION
_,OV4
L T IS 37L
AF61 4u 8115 27 DAY OF .uLr Aa,p 07
'ME DEFINITION
TO 'ME OEFINTNN OF SIBOH9DN.
TED S HOPKIPM PROFESSIONAL LAND SURVEYOR N.. t-3976 TED S. HOPMS. PROFESAONiAL LAND %WXYDR Np L-3976
PIPE
i) CONTROLCORNER
p
I�
�1
.
p
MALIRXX & GLADYS
H. OPRD
SP�RWC HOPE. NAi7M
'
RN / 26500G717416
1DR3 1575 PG IL24
_qTX OAT.
PIN / 266000711517
J11-JR�`
PIN / 2HOD0721065
OW IM
AMERICA N ROGEM NG
'
3711 W. MLL ST.
WABASH N, 46002 _
IRON
REFERENCE
09. 1570 PC'. 314
E FOUND
HTROL
PHYSICAL ADTIRES&
RNER
R20 EAST NASH STREET
SPRING HOPE N.C. 27BS2
ZONING Is H-I
FRONT 3S
SIDE 25'
REM 23'
{5
MAXIMUM PERAATED
5
ro]ONT 50'
NOTE 12.902 SO FT.
OR 0.29 ACRES OF TIE
SUBJECT PROPERTY LEAS
WTN THE RIGHT OF WAY
OF TM HEEL ROAD.
THIS PROPERTY DOES NOT
LIE N A 1DO TEAR Rom
HAZARD AREA AOOGIDNG
To FWA PANEL NO.
372o2660001
ALTA SURVEY
FOR
Thermafiber, Inc.
11e 1O , Township
Nelh CGTLnty North CaroUE
Scale: 1'.100' Drawn By 7ED
7-27-07
• R we 6N .01
1 1
cao� Civiltek East
Tap EASY HASH STREET (252) 476-SODS
SPRINT HOPE. N.C. 27662
E-4WL: ddn k-.W.AHhnnN,Ad iNGMNEk]ISNO

NOMENR
Noirih-Carohria-Depaftment of Environment and Natura''I Resources
Division of Water Quality
Be'verly Eaves Perdue Coleen H. Sullins Dee ,Freeman-:'
Governor Director
Secretary
May 21, 2009
Cathy Curtis.
Curtis Insulatidn'Co., Inc.
10 150 West Highway 97
Middlesex, NC 27557
Subject: NPDFS General P6n'nit NCG070000'-.­­
Certificate of CovefageNCG070005-'�*:.;,.-.",. .
Curtis Insulation Co.,
Vonn , erly American: R&kw"66'
Nash County
Dear Ms. Curtis
Divisio'n 'personnel have reviewed and approved your request to transfer youircoverage under-th-e
General Pen -nit, received on May 7, 2009,
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained' in..-, -
the General Permit -remain unchanged and in full effect. This revised Certificate of Coverage-'i,s
rn
under the requirements of North Carolina General Statutes 143-215.1 and the Meorandk 0
Memorandum f
Agreement between -North Carolina and the U.S. Environmental Protection Agency.
� If you have any questions, please contact the Sarah Young in the Stormwater Pe'r'm- ttinj Unit ati
919-807-6303..
Sincerely,
,9i Coleen H. S"ullins.
cc: DWQ Central Files
Raleigh- Regional Office
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail service Ce inter.Rai&i h, North'Gar6lina 27699-1617
Location: 512 N. Salisbury St Ralelgh, North Caiolina 27604
Phone: , 9 1 U07-6300 4 FAX: 919"807-6494 k Customer S&vicei 1-877-623-6748
One
I nternet W"WW'.nmte*ality.org
MfthCdiolind'..
An Equal Opportunity I Affirmatve Acton Employer

4.
5 ,
STATE OF, -NORTH CAROLINA�Y
DEPARTMENT OF ENVIRON11rNT•AND NATURAL RESOURCES �.:
DIVISION OF WATER QiJALITY.
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070005
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,
CURTIS INSULATION COMPANY, INC.
is hereby. authorized' to discharge, stormwater from a facility located at
CURTIS INSULATION COMPANY, INC.
820 EAST NASH STREET
SPRING HOPE
NASH COUNTY
to rec0ving.waters designated as Sapony Creek, a class C NSW stream, in the Tar -Pamlico River Basin
-in accordance witi?=the effluent limitations, monitoring requirements, and other conditions•set forth -in
Parts I ;II;;lII IV, V; and VI of General Permit No. NCG070060 as attached.
.This certificate of coverage shall become effective May 21, 2009.
This-Certificate.of Coverage shall remain in effect for the duration of the General Permit.
Signed.thisday-Mav 21 2009.
Coleen H. Sullins, Director
Division of Water Quality
Y By Authority of the Environmental Management Commission

DWQ USE ONLY
Date Received Fee Paid Permit Number
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
(NCDENR DWQ)
STORMWATER MANAGEMENT PERMIT RENEWAL APPLICATION FORM
This form may be photocopied for use as an original
This form is to be completed by the current permit holder pursuant to Title 15A NCAC 2H.1003 (h) L). This states
that stormwater management permits, issued for projects that require the construction of engineered stormwater
control measures (High Density Permits), shall be required to submit an application to renew the permit 180 days
prior to expiration of the permit. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB
781) Section 60. (c).
I. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the North Carolina Department of
Environment and Natural Resources (NCDENR) Division of Water Quality (DWQ). A complete package
includes all of the items listed below. The complete application package should be submitted to the
appropriate DWQ Regional Office. (The appropriate office may be found by clicking on the interactive online
map at http://portal.ncdenr.org/�veb/%%,u/hoine/ro. Copies of the original permit can be obtained from the Regional
Office of the Division of Water Quality.) e (
This Renewal is for STORMWATER PERMIT #: SW iUr_ 2 LTA 7a),o '��__'s
Please check which of the following permit renewal scenarios apply. initial in the spaces provided that you have
provided the required information.
[]l_�A. Renewal Only:
-$505 fee
-Renewal Form -Sign and complete all sections (send Original & 1 copy)
-Recorded Documents Required By Permit: Deed restrictions, covenants, condominium/planned
community declaration & easements (if not already submitted to NCDENR DWQ). Copies are
acceptable.
-Designer's Certification (if required by permit and not already received by NCDENR DWQ) (See the last
page of your permit for a copy of the certification form.)
-1 Have a Copy of the Current Operation and Maintenance Agreement (O&M): Please Keep this on File
with your permit.
-I Do Not Have a Copy of the Current O&M: Initial This Line to Request a copy. (If NCDENR DWQ does
not have a copy on file, then you will be notified to submit a new O & M form.)
❑ B. Renewal and Modification:
-$505 Fee and Pages 1 & 2 of this Renewal Form
-SWU-101 Application Form flocs)
-Recorded Documents Required By Permit: Deed restrictions, covenants, condominium/planned
community declaration & easements (if not already submitted to NCDENR DWQ)_ Copies are
acceptable.
- Under #11. 1. on SWU-101 Application Form — Check Box for Modification w/Renewal
-Designer's Certification (if required by permit and not already received by NCDENR DWQ) (See the last
page of your permit for a copy of the certification form.)
- O&M Agreement(lit tp:llportakiicdenr.orehveb/zvi�lzos/sit/hIn Ji-inariu,tl)
Form SWU-102 (Renewal Form) Rev 15Aug2012 Page I of 4

❑ CRenewal and Either: 1.) Permit Transfer to a,New Permittee, or 2.) Project Name Change_
Please submit all items in I.A and:
Request a NCDENR DWQ site inspection if transferring permit to new property owner.
Submit One of the Two Following Forms below (forms available at:
l-ittpllportal.ncdenr.org/..reb/w /.vs/su/st;ttes.%-/for ms docsrtab-3):
1. HOA Name/Ownership Change Form: For planned communities (per Chapter 47C or
Chapter 47F of the General Statutes)
2. Name/Ownership Change Form: For all other transfers
Please make sure all required information is submitted with the Name/Ownership Change form (as
stated in each of the available forms) and that all required signatures and initials are filled in property.
Otherwise the name change or transfer can not be processed and the original owner will remain as the
permit holder.
❑ D. Renewal Modification and Transfer or Name Change): Please submit pages 1 and 2 of
this Renewal form along with all items listed in I. B. and C. above (check this box and initial items
in B. & C. that you are stibmitting_to NCDENR DWO).
II. APPLICANT'S CERTIFICATION
Mote: The legally responsible party is the current permittee and/or the legally responsible representative until such time that the permit is
officially transferred through a request to DWQ by the permittee. 1
1, (print or type narne of permittee or person legally responsible for the permit) _ c /
certify that I have a copy of the DWQ Approved Permit and O&M Agreement on -site ffiR I have obtained a copy
from DWQ and it will be kept on site), that I am responsible for the performance of the maintenance procedures and
the site has been, and will be, maintained according to the O & M Agreement. I agree to notify DWQ of any
problems with the system and prior to any changes to the system or changes in ownership I will (or have through
this renewal application) notify NCDENR DWQ and submit the proper forms to modify or transfer the permit. All
information provid on this permit renewal application is, to the best of my knowledge, correct and complete.
L ermittee Title: Y 7t i A c --1 V" -t'
Address:
Signa
NOTARIZATION:
1, / % a Notary Public for the State of�"�
County of * '/ S , do hereby certify that Lvz i+
personally appeared before me this day of %/1%Q�/ and acknowledge the due execution of the
forgoing stormwater BMP maintenance requirements. Witness my hand and official seal,
My commission e.
Notary Signature:
SEAL
pYLAN B. BUNCH
NOTARY PUBLIC
FRANKLIN COUNTY, INC
Form SWU-102 (Renewal Form) Rev 15Aug2012 Page 2 of 4

III. GENERAL INFORMATION
1. Stormwater Management Permit Number: Sw 1 ldl�a
2. Pe
mit Holder's name (specify, the name of the corporation, individual, etc.):
A ----
3. Plint Owner/Signing Official's-z4me and title (person legally responsible for permit):
4. Mailing Address for person listed in item 2 above:
x
City: �� s tZ�1�1�Y�L _ State:
Phone: Li Fax: - ,5� l
Email: 61 �5 1 410� �C� ri7�f .CCU 1'1
5. Project Name-
6. Location of Project (street address):
r� cd
Cite - } County
7. Directions to project (from nearest major intersection):
Z.`
%'lit 1�- ` 1 � '� r ;%Gs 12_�f )i' i�L y _ f�1 't"1 t r"l
Farm SWU-102 (Renewal Form) Rev 15Aug2012 Page 3 of 4

IV. PERMIT INFORMATION:
1. Specify the type of storm water treatment: ❑Constructed Wetland ❑Bioretention [2W-"et Detention Pond
❑Dry Detention Basin ❑Infiltration Basin ❑Infiltration Trench ❑Sand Filter ❑Other:
2. If any changes were made to the original DWQ approved project list them in the space below (attach additional
pages if needed and provide "As -Built" drawings with this application). If major changes have been made to your
project please request a plan revision or modification of the permit and submit "As Built" drawings along with a
final or updated stormwater system engineer certification (if not already provided to NCDENR). DWQ Engineer
and Designer Certification Forms are available from each NCDENR DWQ Regional Office.
Form SWU-102 (Renewal Form) Rev 15Aug2012 Page 4 of 4

Note to NC/Division of Water Quality
This Plant has been shut down since Aug. of 2002 and remains shut
down as of Nov. 18,2012.
The plant is used primarily for office space and storage at
present time. We will notify you of any changes.
SINCERELY YOURS,

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PO.irit,,t-:35°5?'Oa:a .r' = :78".100,1c: `fL�. 3It J4120- t

STORMWAT.,ER- DI-S,CHARGEPUTFALL (SD.0)
".:.'-:-MON1TOR1]4G REPORT
, r-,
�t
PNI '- ""� j*'�' ' , I .
le�'
"I . NO -"'� I .1� � ". -
0 Rf
Ave
nna"ali ge,
izl�� 0556%
Wiid!GiiWq
"e
10
FDPXAQ& 0 0 53 WN
au uspen
00400a Qi
TV. .units
Stan
MR-1113RAN TOO-401A
MI
1Nate: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses in the General Permit.
Mail Original and one copy to:
Division of Water Quality
Attn: Centril Files
1617 Mail Service Center.
Ralcio, North Carolina 27699-1617
"I ced*,, under penilty, of low, that-this,document and all attachments were prepared under my.diriction or supervision in itecordance with a,system designed to
it , . , ' - — 'C� ' .. ' .'L . 'f h 6 system
:assure t "A i !ii 6' sibmlitiil' Bi that qua pe�"qne �pFqp�!,-y.pt,er.an .9va evaluate the information u as on my inquiry o..t e person or
those persona itirectiy l'" . rson,,pr persons who rnznqge�t
­"Alif-j" W" nf�rmiitioii, the information itibnAttid . is, to the.best of my "o*10ii iiid hilk e "accurate,"i' d '''
responsible or. gathering ng true, . an . complete.
1, am a*Sr' e4hat there are 'signifl, 'n'alties fdr'.subrnlit'in-j false information, inchidin' the posAbiliti.of fines and linprl0nnient for kno*ingA6l'fttions.'T
9
7T
(Sipat"i-e of Pemiftei) (Date)
I I 'I . A
Form SWU-254-042508
Page 1 of 1

f
. Sfgr�w��rr • Qidl:.l, (,quQ)
P ii N1o�. %. /�;- f _l rr ,,,! o► 6 ai'C R Nb-- /r7�pf I ;1
Fw ai/y Name: h-
f.'•�:iii�l: At_aah � � �- M1,��
0. Addrii
Date ciUpowkw- 11
r=e of bmpoobm: _ : -Y d �.- - - - - - - --
TOW BractAr
dyes pia a Cana 6wR,rT ittrioa WaN) e'Tm ElNo
�11
pAra a g AI e t pc Ns ���:.. i . t` .'s! l c-OMWAV ft Naw 9a pgtfOmjOd ci #*g a- lVPVUAAlfft
'N!f" hR t!.1 fig►- Z - rRIt.kf :•f � 1 I ti=
is Ip memd by at stir i 0 etol 19) ts1 r10 ifii►i:
�, Ay i A—,jj,3n4 i� TjftbA�] al jtu 1 D��z��r��
_ By tbir I Safe tg,oct u m amew m�k wmpkft to Ifiv lost of W*, fsrtuhk kdv,:
Owlhff ,No. �� sbm*m 0 (� idh* dr-) ,
(f�3�, ��+�, �'.i�;d•r�,si�za}+d9t� _...r,_,_��., nD��. �r�%-c ��`
i
I�
it
PIp 1 d1
gwu4rmtm

i
4. Clarity: Choose the number wtich best describes the clarity of the discharge. where I ii clear ano
is very clotid'i".
2 3 4 5
5. Floating Solids Choose the number which best describes the amount of floating solids in trio
stormwater discharge. where I is no solids and 5 is the surface covered with floating solids:
2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwateridischarge. where t is no solids and S is extremely muddy-:
9
r1l, 2 3 4
Is there any foam in the stormwater discharge?
l�
Is there an•oiI sheen in the stotmwater discharge?
i
i
f
Is there evidence of erosion or deposition at the out -fall?
r}. Other Obvious
i :ist -and describe
Note:
Indicators of 5tormwater Pollution:
Yes
Yes
Yes
Low clarity, high solids, and/or the presence of foam oil sheen, or erosion/depc.sition
tnav be indic Itrve of pollutEm exposure. These conditions warrant further investivai:inn,
I
i
Pace 2 of 2
swu-242-05 UM

I�
S&rmwater Diacbarge OudmH (SDO)
Q021itative Monitoring Report
Pamit No.: I�ISIJt J:.IJ_1.1 or C.e�jgft ofCa~er pNo.:
Facility Name:
C e In,ittation irk'.,
CouncY Na ...� Ph= No. 1 2-4 &91O1 _
Impmor. D. Adkinsl , Daw Of
Tmw of Ingmatian:
TcMnl Brent d'racipidss�ae ..---
Waa thin a Sam" Bv+att? (Sae Ihet+aatioe Wow) O es ❑ No
Pie4w ckm*�'P to VOWNA W JldXWW he aam beperj6►mrddWft a rqw*x d%%*
_AWW vwy).
A "R+epreoautative Brat" is a ,'Itwm event *Aa etaaatrs Iredw than 0.1 inaw of iaitdal that
is pneaaded by at dEaltt� i ftm (14Ws) in � hkh no men woo g B*eow tbon O. ] 11lc�bel�
oaxttred. A e Mat May aa:tds ap 0 10 ooawoad" btata� Of as _
By" I I t w this ngwt in eemaw aad mgAow to the bast of my-i novirk dp.
(S of or 1 e)
1. chdm Daaeilodo-t
OUM NO. i Sbuctm 0 (pips, dla* air.)
Raaeiving 9p e m; J - -..- . 14
Dmribe do-W6
I
I cdm tlr ,C w of trite 4, ph atle ttsiag basic colon (m 4 6own4 bhx4 etc.) ad tint
(11" WAdhm dark) & btipoat::
�I
3. Odw Omy7dimliac- aidora tbst dw diaobatrn may have (i.e.. amella man* of oii,*wk
cbiaaiae odor, eto.y: E
i
Pap t of

4. Clarity: Choose the number which best describes the clarity of the discharge. where i is,ciear ano
1
5 is very_ cloudy-
2 3 4 3
1
>. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where l is no solids and 5 is the surface covered with floating solids:
ill 2 3 4
6. Suspended Solids: Choose the, number which best describes the amount of suspended ,solids in
the stormwater discharge. whixe I is no solids and S is extremely muddy:
ill 2 3 4 5
7. Is there any foam in the stormwater discharge?' Yes INd
8. Is there an oil sheen in the stormwater discharge? Yes (Nc�
9. is there evidence of erosion or deposition at the outfall? Yes �laf
0. Uther Ubvious.IndEcators of Stormwater Pollution:
Note:
Low clarity, Ii.igh solids, an+l/or the presence of foam, oil sheen. or erosion/deposition
may be indicative Ot'polluti nt exposure. These conditions warrant further investigation.
f
Parse 2 of 2

Stormwaiter Discharge Outfall (SDO)
Qualitative Mouttoring Report
Permit No.: bISdJ i3 ,..,1_1 �._.l_ or Cm ficam of Cavmge No.:
Facility Name: Cur is Ineulation Inc..
County: Nash � ;I Phone No. 252.478-91Bt /
Ins r. D. Adkins ;I —
Date of hupm3tion: 'I F a
Torre of Inspection:
Total Event Prod (limos). _ _ .
Was this a Represent�vae Storm EV=PT (See inlWmation below) Yes ❑ No
Please check yosir prr�elt to wr#15+ if Q Lvd tw vs Mwrhwft mw be per, d daring a npresetsr4 Jw
starer event (rrgeb+eMi�a vary).
A "l ntative St Event" is a slots evert dw tneastttas WuM than 0.1 inches of rainfall'iuid fiat
is pr umded by at least "IZ hours (3 dayi) in which no stars easu
evert mring greeter than 0.1 inches Im
occurred, A single do In event may eon up to 10 com wdve haute of no preoipketion.
By this aigaum, I coO* that this rq4 st is accuraro end complete to the beat of my knowledge:
(S*dm of Pemi* or Designee)
1. Oahu Deaer own:
Oudkall No. - r i I stmctturs (pipe, ditch, aft.)
Receiving Stream: ' I --
Describe the iadmtrisf + ctivhies that bOwr within the outhll &Wnap am: -
2. Colors I fire cola of The discharge ur:iag basic colas (red, brown, blue, etc.) and tint
nijh% medium. dark) �descriptors: -- _
I�
i
3. Oder: Describe any distinct cdon that dw diwls V racy have (i.e.. smells strongly of oil., oak
chlorine odor, etc.): N NE _
�I -
P*Iof2
SwU-M-M f 30t -
i

i
I
4. Clarity: Choos� the number which best describes the clan of the discharge. where I is clear ana
h' I h' S
,i is vcry clotjd%,.
f
i
i
+!� 2
5. Floating Solids: Choose the ni►mber which best describes the amount of floating solidi in the
stormwater discharge. where ! is no solids and 5 is the surface covered with floating solids:
2 3 4 5
i
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater� discharge. where l is no solids and 5 is extremely muddy:
cl) 2 3 4 .5
7. is there any foam in the stormwater discharge? Yes
I
8. is there an oil sheen in the stormwater discharge? Yes
i
9. Is there evidence of erosion or deposition at the outfail? Yes
!!, Other Obvious Indicators of Stormwater Pollution:
!:ist and describe
E
i
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or crosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
i
Paste 2 of 2
S W U-242-05 13m

Parmit No.: W—j i
Facility Name: Cuf
County: Nash
Inspector: Q. Adkins,'
Dare of Inspe Gn: l
Time of Inapeotion: . j
Stormwater Diubarge Ondall (SDO)
Qunii tative Monitoring Report
'J. _I—J_ j . I or Cetdfica;be of Coverage No.: Nl�l�l,Ql;?I
Insulation Inc,
___PhmNo. 252-478-9t$1 /
Tots! Event Pnmi ' I (!robes):
1
Was this a Representative Sterm Even.t.7 (See hfonmdon below) [�rYes [] No
Pkarse checkIt to vrer6 Y'Qwatftas w JI!{wrAorft,um be perfarmd during a repweamtative
storm event On vgry).
i
A "Repr+tnsmtative Sta .' � Event" is a otDrm event that meamtta grater than 0.1 inches of minfttll n*� that
is preceded by at laastill hours V days) in which no storm event numsuring grinner than 0.1 incheii6i
occum xL A single event moarmla up to 10 commidve hmus of no nciotepon.-- T-
By this sigaomm I croiitify that this reii;cKt is accurm sod maph to to the boat of my knowledge:
(gam offtmft*jG Du*n)
1. Ck"m DesMptlea•
OutWl No. —I i Structure (pipe, ditch, dic.} , ' _ .
Rom iving Strmrm: ;� �__��;�� _ _ -. -• _
Describe the fikhotrial l that a;:ur within 'the oval dnumge area: -74,, 42
�i
L Cohn ; the color offhw discharge using besic colors (red, brawn, blue, ft.) and tint
(light, medium. dark} 'ptom:
3. Oder, lany distimot odm that the di Amp may have (i.e., smalls strongly of oil, }week
chlorine odor, etc.): N E '
� I
. a
pep 1 of 2
swt"MINN

4
5
6.
Clarity: Choose the number which best'describes the clarity of the discharge. where i is clear ano
.i is very cloum"
i fl 2 3 4 5
Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
111 2 3 4 5
Suspended So
the stormwrate
7. Is there any f m
8. Is there an oil
: Choose the number which best describes the amount of suspended :solids in
:charge. whoxe I is no solids and S is extremely muddv:
ill i 3 4 5
im in the stormwater discharge?
in the stormwater discharge?
9. is there eviden a of erosion or deposition at the outfall?
u. (Aher Obvious] Indicators of Stormwater Pollution:
€ Jst and describe
i
Yes {Nd
Yes f qq7
Yes [No
i
Note:: Low clarity, High solids, aml/or the presence of foam, oil sheen, or erosion/depusition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Paste 2 of 2
SW U-7-42-05 l jur

WEEKLY LAGOON INSPECTION
CURTISS INSULATION INC.
INSPECTOR
WATER CLARITY
LEVEL
i
i�■�il
i■
i
�III�
1
Ill
�
rr�
0
0®I
I
®®

SPCC PLAN INSPECTION FORM
CURTIS INSULATION INC. MONITOR WEEKLY
EVIDENCE OF LEAKAGE
Dikes Drained (Yes
or No Gallons
Valves Locked
Yes or No
Corrective
- — -
action taken
Inspector—
Y
—Q
U)
d
'p`
10
0
V
H
E
?
a
—
O -
O
a
— = —
O
eQ
Q-
y
—�
m
—
--�—
H
O
-----
p
—
—p----
—
4
Date
1015112
no
no
no
no
no
no
no
no
no
yes
yes
D.Adkins
10/12/12
no
no
no'
no
no
no
no
no
no
yes
es
D.Adkins
10/19/12
no
no
no
no
no
no
no
no
no
yes
yes
D.Adkins
10126/12.
no
no
no
no
no
no
no
no
no
yes
yos
D.Adkins
I f

TEST WELL BALE OUT RECORD
BALE
Trl�T •aR . .+ r.a�i+r r_�rr_rsv QUARTER
I �wI�TCp
BALE 1 EST ryELL�7 Vlr`►C 1•-Y L�+ � LJ' R 1 ER
Curtis Insulation Inc.
TEST
r
•-
•- •

RDIDRENCE: BOND A ALTA SM4EY OF THE PARCELS 'MTH PIN / 280D007t1547 NORTH CAROLINA
'NORTH CAROLNA
a 2BOM721065 AS RECORDED N DEED BOOK 1570 PM 314-327 HASH COUNTY
MASH COVNIY
`
RECORDED N NASH COUNTY REGISTER OF DEED& FLED FOR REFASTRAnOtI AT.
I, x a17"T aF NASA
+ I
20 42-_- N THE RECSTERM_
COUNTY, icH is THAT THE YAP AL PUT Tp EY RE THIS
' OF _ OFFICE. IS MEETS ALL STATUTORY REOVAE-
of
vlae
g
RECORDED NN BOG(
PACE WWTSGR R DINGS
ME7DT5 FOR RECOAON4
IKA[ S�
TO:TH!"AFIBER INC. GISTFA DEEDS
4w
371/ WEST WILL STREET
WABASH. IN, 4a992
THIS IS TO CERTIFY THAT THIS NAP OR PUT AND THE Sx1HVEY CI WHICH ITAD NS BASED WERE ME N ACCORDANCE WITH
DATE RENEW OFFICER
war a4
THE %Q0JUM STANDARD DETAE REWREMNETS FOR ALTA/ACSA LAND TREE SURVEYS-. ANTLY ESTABLISHED AIR ADOPTED
VICINITY 1UP m
BY ALTA AND NSPS N 2005, AND INCLUDED HEIRS 1-19 OF TABLE A THEREOF. PURSUANT TO THE ACCURACY STANDARDS AS .
ADOPTED BY ALTA AND ASPS AND N EFFECT ON THE GATE Or TKS CERGFICAIION, UNOOYSGHEO PORtHER CERTIFIES THAT N MY
PROFESSIONAL OPINION. AS LANE) SURVEYOR REGISTERED N 714E STATE OF NORTH CARO-KAI THE MMWUM RELATIVE POSIT"AL
� SS IRON , .•
STAKE SET
ACCURACY 1-10L000 FEET.
ORASH AREA STADa:
POKE NAA'NLLC 5NE7al
® REFUSE EPK
FROMSNIT
• Poloct G PI( ND1t
FAOI OPERATION pp�W POYER POLE
RIGHT OF WAY
RR$ RA JIM SPIKE SET
ERR • OLRA4ROAO $PIT
NtS 4 AAA, SET '
OHE OVERHEAD ELECTRIC
W • CONFUTED FONT
MOH. • OW YCAA]]NT
PED ■ PHONE PED19TAL
® OOSTN. WELL
GG CONTROL CORNER
-
RCI REINFORCED OOCRETE PIPE
ECP EDGE of PAYEMpeT
' X FIRE HYDRANT
TO "0 HOPE
RECESSM OONCKTE RAILIIOAp
RAW UNDER RAa- 7NC '-A...
ROAD TRACK.` I
01•� I
I
INCH
LINE TABLE
LINE
LENGTH
HEARING
Ll
97.06
NB9'12'14•E
L2
88.53
S88'3T$4'E
L3
8593
S85'42'30'E
FASTNG-1264,aS1g5 R;
SSPPtC 63
I�
BOBBY1FOESTr. HP.5
1 JI7 FOREST HRL RO � vw,IN62N.C- 250 j%N / 2B601962500603F. 1119 PG 442 j
CHAIN -LW 1
Qwm
NOTE RIGHT OF WAY
STOPS AT PRWERTY LAE.
WYPIPE
��TJ
fWM �Ro
��-
_ WAREHOUSE
�' F�qT•
1
L
BOBBY F. HILL ` AVFL OR >/
t 311 FOREST N9LL R0 T
N.C. 2705
PN i.7L601 961H9B T ��
D.B. lilt2116 96 442
.1
1InMA G Mom 1Eu
D6/Da " G gt
vWAI —IL lAG .)m
m �At
sm Pc 4S9
6a1u G roac lees
DIv xANOr a IWL
ICU NO K SH
¢I� HOP[ KG 17tl] IRON
/w / 1Nd10W1Sf4
ND O® pT. Fg1M
J IIGYA G MLYN< IIGW D
C NIJCCY Y. IIt1 f
1 H011M AG 511 i
9PIN6 1101C R.0 — I
�a - Na06DP1
PQ 444E
L TED S. HOPKINS. PROFESSIONAL LAND SURVEYOR NG L-3976. CEATWY
THAT THIS PLAT IS OF ANOTHER CATEGORY, SUCH AS THE WCONAMATION
W EIOSTUND PARCELS, A COURT ORDERED SURVEY. OR OTHER DJUPTION
TO THE DEFDNTIRf OF 9DBCUSaN.
TED S. HOPIG4S, PROFESSIONAL HAW SDRVMW No, L-3976
mA10 Im
TOTAL AREA OF PARCEL.:
_---_.-.._ ..-..-..-ORE-..-...-.._...
CAS`
. #
D I
THELMA c MOORE HERS
C NAHCY M. HILL
1 NORTH N.C. 561
SPH6tIC HOPE, N.O. 1702
PN `I 2860007078SM
u8. 523 PG 450
PIPE
FOUND
L
CORNER
rh HF�t{
S2
n g MAURICE a GLADYS
2602 N. OLD FRANIGA1 RID
SPRDID HOPE N.C. 27982
RN ► 25OWN717918
m k�OH 1575 Pa 524
*r1
jj
SITL DATA:
PN / 256=711,947
PH 12a600072T065
AMMAN ROCCWOOL INC.
•
3711 W- MALL ST.
WABASH N, 46992 -
REFFAENCF:
IRON
D.H. 1670 PG 314
NjRa D
PHYSICAL ACORESR
RNER
820 FAST MASH STREET
SPRING HOPE, N,C. 278112
ZONING IS H-1
FRONT 35
SIDE 2V
�1
ZS
NA4 M PEF14TED
HOGST 4
NOTE: 12.602 S0. FT.
OR 0.29 ACRES OF THE
SUBDEOT PROPERTY DES
WITHIN THE RIGHT OF WAY
OF TM HEEL ROAD.
THIS PROPERTY DOES NOT
UE N A 100 YEAR FLOOD
HAZARD AREA ACCORDING
TO FERIA PANEL NO,
37202860DU
ATTA CTTDU7V
1' V Et
Thermafiher, Inc.
IEanninga Townahip
Nash County North Caroline
Scala: I'-IDO' Drava By TED
I. TIED i HOPKINS CERTIFY THAT THIS PLAT WAS DRAWN
7-27-07
V>DM MY SDPOM9G1 FROM AN ACTUAL SINYEY NNE OIDOt
YT SIPFRL/510N (DEED DESOWTIW RECORDED N BOOK
t I� 1
PA 314E �I THE BOUNOAf6ES NOT SIRYEYED ARE SHOWN
AS BROKEN VIES PLOTTED FROM NFCHMATION FWNO N
B0OK,3L. PAGE 442 • THAT PC RATE OF PREC79GI
AS CALCULATED 151: 10900 } _ THAT THIS PLAT WAS
PREPARED N ACCORDANCE WITH G5. 47-30 A5 AIiJQFD-
°m
C i vi 1 t e k East
WITI+lESS YY OFOPdiAL SONAT4RE, REGSIRATION NUMBER
o
AND SEAL �S 77 DAY 0F�--AD.,20 07 _ _
0/ O
V
Sum A. ►lonnlns Su04HAslon OPIWn
s
mz EAST KASN 9T9F[T (252) 47b-5005
SPRND HOPL N.C. 17867
TED S. HOPKIN% PROFESSIONAL LAND SURIEYCA Nn L-3976
E-vu- dr11PMWOPNwNDOnk.Iwl AtIWIINa3eDiIC

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins Dee Freeman
Governor Director Secretary
May 21, 2009 ,
Cathy Curtis
Curtis Insulation'Co., Inc.
10150.West Highway 97
Middlesex, NC 27557 i
} . Subject: NPDES General Permit NCG070000
Certificate of Coverage NCG070005:
Curtis Insulation Co.,
Formerly American Rock,&ool,<Inc:
Nash County
Dear Ms. Curtis
Division personnel have reviewed and approved your request to transfer your coverage under tlie�-:
General Permit, received on May 7, 2009.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in
the General Permit remain unchanged and in full effect. This revised Certificate of Coverage j's'issuetl=:`
under the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency. -
If you have any'questions, please contact the Sarah Young in the Stormwater Permitting Unitat,:`
919-807-6303.
Sincerely,
A/AJ
P
Coleen H. Sullins
cc: DWQ Central Files '
Raleigh -Regional Off ice
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center; Ralegh, North Carolina 27699-1617
Locatiow'512 N. Salisbury SL Raleigh, North Carolina 27604
Phone'-, 919-807-63001 FAX: 9IM07-64941 Customer Service: 1-877.623-6748 One 1 -
Internet: www.ncwate;Ouality.org NOrthQafollnA , `
An Equal Opportunity 1 Affirma8ve Acton Employer )Vah 411

STATE OF, NORTH CAROLINA
DEPARTMENT OF ENVIROWMtNY,AND NATURAL RESOURCES. ..'."..T­%"1�'
�Y DIVISION OF WA�TEK 0GAL
2..
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070005
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE I'LIMINATION SYSTEM
In comp] iance'with -the, provision of North Carolina General Statute 143-215. 1, other lawful standards
and r,,egiflations proniulgate'd and adopted by the North Carolina Environmental Management
C 6 !:n issio . n, . an t e Federal Water Pollution Control Act, as amended,
CURTIS INSULATION COMPANY, INC.
�is hereby:authorized to discharge, stormwater from a facility located at
CURTIS INSULATION COMPANY, INC,
820 EAST NASH STREET
SPRING HOPE
NASH COUNTY
tor.ece.iving.waters designated as Sapony Creek, a class C NSW stream, in the Tar -Pamlico River Basin
jn. accordance with .the effluent limitations, monitoring requirements, and other conditions set forth -in
Parts.j:ll,ljl V.and VI of General Permit No. NCG070060 as attached.
.....This c.6rtificate of coverage shall become effective May 21, 2009.
....jI1isCerti.flcate'of Coverage shall remain in effect for the duration of the General Permit..
Signed this,- 'y-May 1 "'20-09..
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Maent Commission naget-n