NCG180243_COMPLETE FILE - HISTORICAL_20140915

STORMWATER-DIVISION CODING -SHEET.
RESCISSIONS .
PERMIT NO.
N
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ �U�yUSI�
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Chris Farabee
Thomasville Furniture Industries, Inc.
401 East Main Street
Thomasville, NC 27361
Dear Mr. Farabee:
September 10, 2014
John E. Skvarla, III
RECEIVEpretary
SEP 15 2014
CENTRAL.., FILES
DWR SECTION
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG 180243
Thomasville Location
Davidson County
On July 10, 2014 the Division of Energy, Mineral and Land Resources received your request to rescind your
coverage under Certificate of Coverage Number NCG 180243. In accordance with your request, Certificate
of Coverage Number NCG 180243 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to waters
of the State without valid coverage under an NPDES permit is against federal and state laws and could result
in fines. If something changes and your facility would again require stormwater or wastewater discharge
permit coverage, you should notify this office immediately. We will be happy to assist you in assuring the
proper permit coverage.
If the facility is in the process of being sold, you will be performing a public service if you would inform the
new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact us at 919-707-9200, or the Stormwater staff in our
Winston-Salem Regional Office at 336-771-5000.
Sincerely,
U
for Tracy E. Da is, PE, CAM, Director
Division of Energy, Mineral and Land Resources
cc: WSRO — Aana Taylor -Smith
Stormwater Permitting Program
Central Files - w/attachments
Deborah Reese, DEMLR Budget — Please waive fees
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 - 919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal.ncdenr.orglweb/Ir!
An Equal Opportunity 1 Affirmative Action Employer- 50% Recycled 110% Post Consumer Paper

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NCDENR
Nam, C—a... DFPnRrriENT of
ENVIRONMENT ANC NRU RE RcC
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
RECEIVED
Please fill out and return this form if you no longer need to maintain your NPDES stormwaterD�rrnit.ND QUALITY
STORMWRRAiiTTER PERMITTING
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N I c I s I I I I I I I I N C I G I C)I 3
2) Owner/Facility Information: * Final correspondence will be my ailed to the address noted below
Owner/Facility Name 7V)Ong sy � ke, Tu t t!�'t`-�'yye, lV,.d� , CO UysyVV`_ L:1 n-e,
Facility Contact
Street Address
City
County
Telephone No.
33t`o
E-mail Address
Fax:
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
Facility closed or is closing on I I . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to on F__� . If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete and accurate.
Signature j Date8 /a2 / 14
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] FAX: [phone]
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4
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES IIII IIIIIIIIIIII II II IIII Illlll
INVOICE * 2 0 1 4 P R 0 0 7 2 7 6
Annual Permit Fee Open
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with
your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facility's
operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid
permit is a violation and is subject to a $10,000 per day fine. If 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.
Invoice Number: 2014PROO7276 Annual Fee Period: 2014-09-01 to 2015-08-31
Permit Number: NCG180243 Invoice Date: 0810712014
Davidson County
Thomasville Furniture Industries County Line Road Due Date: 09/06/2014
Sara Barker Complex Annual Fee: $100.00
Thomasville Furniture Industries Inc
PO Box 339
Thomasville, NC 27361-0339
Notes:
1. You may pay either by checklmoney order OR by electronic payment.
2. if payment is by checklmoney order, please remit payment to:
NCDENR - Division of Energy, Mineral and Land Resources '
Attn: Stormwater Billing
1612 Mail Service Center
Raleigh, NC 27699-1612
3. If payment is electronic, see http://portal.ncdenr.org/web/wolhot-tol)ics/eoayment for additional details. See
http://portal.ncdenr.org/web/wq/epayment to pay electronically. Only eCheck transactions are allowed at this time. Credit card
transactions are not accepted.
4. Please include your Permit Number and Invoice Number on all correspondence.
5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3.512.
6. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7, Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee
Coordinator at 919-707-9220.
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2014PROD7276
Permit Number: NCG180243
Davidson County
Thomasville Furniture Industries County Line Road
Complex
Sara Barker
Thomasville Furniture Industries Inc
PO Box 339
Thomasville, NC 27361-0339
III IIIII IIIIII IIIIIIIIIIIIII 1111111
* 2 0 1 4 P R 0 0 7 2 7 6
Open
Annual Fee Period: 2014-09-01 to 2015-08-31
Invoice Date: 8/7/2014
Due Date: 9/6/2014
Annual Fee: $100.00
Check Number:

NHG
Heritage Home Group
Regional Director
NCDENR — DWQ
585 Waughtown Street
Winston-Salem, NC 27107
July 1,2014
Certified Mail # 7006 2760 0002 8628 9795
Re: Permit Rescission
Certificate of Coverage NCG180243
Thomasville Furniture Industries, Inc. —County Line Road Complex
509 County Line Road, Thomasville, NC 27360
Chris Farabee
Environmental Engineer
401 E. Main Street
Thomasville, NC 27361
Tel: [phone]
Fax: [phone]
[e-mail]
This letter is to notify your office that Thomasville Furniture Industries, Inc. has ceased all operations at
County Line Road.. Thomasville Furniture Industries, Inc. officially requests that you rescind the NPDES
permit listed above.
This facility shut down in May 2014. All records and reports will be maintained at our corporate office
located at 401 East Main Street, Thomasville, NC 27361.
If you have questions or comments, please contact me at [phone] or
Chris. Farabee@heritagehome .com
Sincerely,
Chris Farabee
Environmental Engineer
Cc: environmental file — County Line
Ec: Paul Cobb — HHG
Val Fields —HHG
David Stout - HHG
JUL I 0 r614
t1 NR•W;',
►3cpt's

Alexander, Laura
From:
Taylor -Smith, Aana
Sent:
Tuesday, September 09, 2014 9:22 AM
To:
Alexander, Laura
cc:
Gantt, Matt
Subject:
RE: NCG180163
Attachments:
Rescission request for NCG180243
Hi Laura,
I have just returned from the NCG180163 and NCGIS0243 sites. Both are shut down and permits can be rescinded.
Thanks!
Aana
Aana Taylor -Smith
Land Quality Section
Division of Energy, Mineral, and Land Resources
NC DENR Winston-Salem Regional Office
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Alexander, Laura
Sent: Monday, September 08, 2014 2:39 PM
To: Taylor -Smith, Aana
Subject: NCG180163
Aana,
Here is another rescission request from Thomasville Furniture — Heritage Home Group.
Thank you!
Laura Alexander