Loading...
HomeMy WebLinkAboutNCG180201_COMPLETE FILE - HISTORICAL_20140515- STORMWATER DIVISION CODING -SHEET - - RESCISSIONS. PERMIT NO. bua 0 1 DOC TYPE ❑COMPLETE FILE -HISTORICAL DATE OF RESCISSION ❑ �U�`7 V�J I J YYYYMMDD A • NCDENR ErMAOMNCM* IW6 N4UI�L RC]GP.LCS Division of Energy, Mineral & Land Resources Land Quality Section/Stormwater Permitting National Pollutant Discharge Elimination System PERMIT NAMEIOWNERSHIP CHANGE FORM FOR AGENCY USE ONLY Date Received Year Month Day Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage N G S 1 0 N C G 1118 10 2 0 11 Permit status prior to requested change. a. Permit issued to (company name): Kellex Corporation b. Person legally responsible for permit: Chris Rice First Ml Last President Title P.O. Box 40 Permit Holder Mailing Address Valdese NC 28690 City State Zip (828) 874-2124 (828) 874-2842 _ Phone Fax c. Facility name (discharge): Kellex Corporation -Valdese d. Facility address: T 501 Hoyle Street Address Valdese NC 28690 City State Zip e. Facility contact person: David Ebert (828} 874-2124 First / MI / Last Phone III. Please provide the following for the requested change (revised permit). a. Request for change is a result of: ❑ Change in ownership of the facility ® Name change of the facility or owner If other please explain: Facility contact change. b. Permit issued to (company name): Kellex Seating 0 c. Person legally responsible for permit: Chris Rice First MI Last President Title 501 Hoyle Street d9 Permit Holder Mailing Address Valdese NC 28690 City State Zip (828) 8742124 crice?kellex.com Q Phone E-mail Address d. Facility name (discharge): Kellex Seating 0 e. Facility address: 501 Hoyle Street Address Valdese NC 28690 City State Zip f. Facility contact person: Donald Grey First MI Last (828) 874-2124 dgray@,,kellex.com Phone E-mail Address IV. Permit contact information (if different from the person legally responsible for the permit) Revised Jan. 27, 2014 NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM Page 2 of 2 Permit contact: David Ebert First Ml Last Maintenance Manager Title P.O. Box 40 Mailing Address Valdese NC 28690 City State Zip (828) 874-2124 debert@kellex.com Phone E-mail Address V. Will the permitted facility continue to conduct the same industrial activities conducted prior to this ownership or name change? ® Yes ❑ No (please explain) VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE INCOMPLETE OR MISSING: ❑ This completed application is required for both name change and/or ownership change requests. ❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or a bill of sale) is required for an ownership change request. Articles of incorporation are not sufficient for an ownership change. The certifications below must be completed and signed by both the permit holder prior to the change, and the new applicant in the case of an ownership change request. For a name change request, the signed Applicant's Certification is sufficient. PERMITTEE CERTIFICATION (Permit holder prior to ownership change): 1, , attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information is not included, this application package will be returned as incomplete. Signature APPLICANT CERTIFICATION Date 1, Davis d Ebert, attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowle . 1 understand that if all required parts of this application are not completed and th f all required su tng information is not included, this application package will be returne inc p ete. Ma 15, 2014 Signature Date PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO: Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Revised Jan. 27, M4 David Ebert, Enclosed is Kellex's prepared stormwater permit contact change form. Please have signed where indicated and mail in the prepared envelopes by CERTIFIED MAIL ON OR MAY 31". The changes were also as required submitted electronically to the state of North Carolina Please make a copy for your files. If you have any questions, please contact me. Paul W. Spangenberg Env. Compliance Manager Email: pspangenberg@bellsouth.net Office: (919) 846-7492 Cell: (919) 624-0630 1LV I 274 NFE '1 BOf3I 00 09/ 25109 Sly N DER : NIGKOFTYRHILLLNFURN II MOVEDRCSS D RETURN TO SDgp_00756_6_g 0 9 f R 0 0 9 5 8 4 SC: 27699181799 `rit'i��rrr�r��rr�r�rr�r�rrrrr��r��rrrii#��rrri�r�ri�+�trr�ir�E i al f is required by the North Carolina Administrative Code. It covers the administrative costs associated with your { . required of any person holding a pert -nit for any time during the annual fee period, regardless of the facility's operating a us. F lure to pay the fee by the due date will subject the permit -to revocation. Operating without a valid permit is a violation and is ject to a S 10,000 per day fine. If the permit is revoked and you later decide a permit is needed, you must reapply, with the unde tanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions. Permit Number: NCG180201 Burke County Hickory Hill Furniture David Ebert Hickory Hill Furniture 502 Hoyle St S W Valdese. NC 28690 Annual Fee Period: 2009-09-01 to 2010-08-31 Invoice Date: 09/15/09 Due Date: 10/15/09 Annual Fee: $100,00 v ` I. A $25.00 processing fee will be charged for TOurn ed-checks, in accordance with the North Carolina General Statute 25-3-512. 2. Non -Payment of this fee by the payment due date will initiate the permit revocation process. 3. Remit payment to: NCDENR -Division of Water Quality z - 1617 Mail Service Center g Q Raleigh, NC 27699-1617 °r 4 4. Should you have any questions regarding this invoice, please contact the Annual Administerin ompance F rdinatur at 919-807-6321. ( ;�' ,..:..: ;r! (Return This Portion With Check) ANNUAL PERMIT INVOICE Permit Number: NCC3180201 Burke County Hickory Hill Furniture David Ebert Hickory Hill Furniture 502 Hoyle St S W Valdese, NC 28690 2 0 0 9 P R 0 0 9 5 8 4 L Annual Fee Period: 2009-09-01 to 2010-0B-31 Invoice Date: 09/15/09 Due Date: 10/15/09 Annual Fee: $100.00 Check Number: 1�ti -`- f NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 2 0 0 8 P R 0 1 0 4 5 7 INVOICE Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative'Cbcfe..- covers the administrative costs associated with your permit. It is required of any person holding a permit 1;ar,any tide duriti the annual fee period, regardless of the facility's operating status. Failure to pay the fee by the due date will sitlaject the-p-c init to revocation. Operating without a valid permit is a violation and is subject to a $10,000 per day fine. 1f the permit is'revoked and you later decide a permit is needed, you must reapply, with the understanding -the permit request may be denied due to changes in environmental, regulatory, or modeling conditions. Permit Number: NCG180201 Burke County Hickory Hill Furniture David Ebert Hickory Hill Furniture 502 Hoyle St S W Valdese, NC 28690 Annual Fee Period: 2008.09-01 to 2009-08-31 Invoice Date: 10/15/08 Due Date: 11/14/08 Annual Fee: $100-00 Notes: I. A $25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512. 2. Non -Payment of this fee by the payment due date will initiate the permit revocation process. 3. Remit payment to: NCDENR - Division of Water Quality - 1617 Mail Service Center Raleigh, NC 27699-1617 ": r'it:f`f]r..3l:jii,lai�'-i3ilfi?7nSlit 4. Should you have any questions regarding i}iis invotre, phase contact the Annual Administering and Compliance Fee Coordinator at 919-807-6321, (Return This Portion With Check) ANNUAL PERMIT INVOICE Permit Number: NCG180201 Burke County Hickory Hill Furniture •. :: David Ebert Hickory Hill Furniture 502 Hoyle St S W Valdese, NC 28690 1111111111111111111111111111 2 0 0 8 P R 0 1 0 4 5 7 Overdue Annual Fee Period: 2008-09-01 to 2009-08-31 Invoice Date: 10/15/08 Due Date: 11/14/08 Annual Fee: $100.00 Check Number: 116 State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Wayne McDevitt, Secretary Kerr T. Stevens, Director August 27, 1999 DAVID EBERT NORWALK FURNITURE HICKORY HILL FURNITURE P.O. BOX 40 VALDESE, NC 28690 Dear Permittee: NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Subject: Reissue - NPDES Stormwater Permit Norwalk Furniture Hickory Hill Furniture COC Number NCG180201 Burke County In response to your renewal application for continued coverage under general permit NCG180000, 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 the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983. The following information is included with your permit package: * A copy of general stormwater permit NCG180000 * A Stormwater Pollution Prevention Plan (SPPP) Certification Fort. Completion of this form is required to certify that you have developed and implemented the SPPP as per the conditions of the permit. This forth 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. * Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form * 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 change on the Renewal Application Your coverage under this general permit is not transferable except after notice to DWQ. The Division 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 DENR or relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit package please contact Darren England of the Central Office Stormwater and General Permits Unit at (919) 733-5083, ext, 545 Sincerely, for Kerr T. Stevens Director, Division of Water Quality cc: Central Files Asheville Regional Office 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919 An Equal Opportunity Affirmalive Action Employer 50% recycled/ 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG180000 CERTIFICATE OF COVERAGE No. NCG180201 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, NORWALK FURNITURE is hereby authorized to discharge stormwater from a facility located at NORWALK FURNITURE 501 HOYLE ST VALDESE BURKE COUNTY to receiving waters designated as Valdese MSSS to Micol Creek in the Catawba River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, II1, IV, V, and VI of General Permit No. NCGI80000 as attached. This certificate of coverage shall become effective August 27, 1999. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day August 27, 1999. for Kerr T. Stevens, Director Division of Water Quality By Authority of the Environmental Management Commission State of North Carolina Department of Environment, Health and Natural Resources Division of Environmental Management James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary A. Preston Howard, Jr., P.E., Director November 17, 1995 David Ebert Norwalk Furniture P.O. Box 40 Norwalk, OH 44857 09WMA1 IT 0 0 Ad�j C) FE Subject: General Permit No. NCG 180000 Norwalk Furniture COC NCG 180201 Burke County Dear David Ebert: In accordance with your application for discharge permit received on October 11, 1995, we are forwarding herewith the subject certificate of coverage 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 December 6, 1983. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, this certificate of coverage shall be final and binding. Please tape notice that this certificate of coverage is not transferable except after notice to the Division of Environmental Management. The Division of Environmental Management 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 Environmental Management or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any question concerning this permit, please contact MR. STEVE ULMER at telephone number 919/733-5083. cc: Asheville Regional Office P.O. Box 29535, Raleigh, North Carolina 27626-0535 An Equal Opportunity Affirmative Action Employer Sincerely, YOBY 0,4G ]Wt F,i �. Ef�`iJL�Y 3�oT A. Preston Howard, Jr. P.E. Telephone 919-733-7015 FAX 919-733-2496 50% recycled/ 10% post -consumer paper 0 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT GENERAL PERMIT NO. NCGI80000 CERTIFICATE OF COVERAGE NO. NCG180201 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, Norwalk Furniture is hereby authorized to discharge stormwater from a facility located at Hickory Hill Furniture 501 Hoyle Street Valdese Burke County to receiving waters designated as Micol Creek and the Town of Valdese Storm Sewer System in the Catawba River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,11, 1II and IV of General Permit No. NCG180000 as attached. This Certificate of Coverage shall become effective November 17, 1995. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day November 17, 1995. QMGiNAL SIGNED BY 6'w=,DLEY BENNE T A. Preston Howard, Jr., P.E., Director Division of Environmental Management By Authority of the Environmental Management Commission �v lz tj I -rLj 2;e- 0c, C-1 35' (D REX EQ I 32'30" 1 2506 Z It it L 00 15, Qe elf -tK % WK m Al• A a) —1200 rsY Von... 11 r. ---------- A� ---------- Hex OU % t/r \10^'\ GO ! �`� n' � � ^.'u 12op , V It e, C 41 n Boll ers lGha s Grove) .?00 r VQ 400 I'd IN4 IV 'XI 0 Fiat rG-A V CASK I I 1-4 Ii m Cbspel LiA COD OIC-KOO-�' o I f, , cmuff" �cG 16 D 2-0 1 v LON C) 08 - 31 45- �r eon Arp-j_� S�� �y� w 6 - —TT ,!E; -rD e-?A vv A-� D ff , 31- 9�