NCG210443_COMPLETE FILE - HISTORICAL_20190411

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv lY y 3
DOC TYPE
i74 HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
0 ��� g � Ll
YYYYMMDD

l
McCoy, Suzanne
From: Georgoulias, Bethany
Sent: Thursday, April 11, 2019 1:18 PM
To: McCoy, Suzanne
Subject: FW: [External] Re: Returned Check for NCG210443 Annual Fee
And here it is, presumably resolved!
Bethany GeorgOulias
Environmental Engineer
Stormwater Program. Division of Energy. Mineral, and Land Resources
N.C. Department of Environmental Quality
919 707 3641 office
bethanv.georoulias ca.ncdenr.gov
512 N. Salisbury Street, Ralcigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing}
Website: http://dcq.nc.govlabout/divisions/enera-mineral-land-resources/storm%vater
Email correspondence to and from this address is subject to the North Carolina Public Records
Law and may be disclosed to third parties.
From: Claudette Bonin <[e-mail]>
Sent: Thursday, April 11, 2019 1:09 PM
To: Georgoulias, Bethany<[e-mail]>; Deborah Reese <[e-mail]>; Brandon
Bennett <[e-mail]>
Subject: [External] Re: Returned Check for NCG210443 Annual Fee
External email. Do:not click links or open attachments unless you verify. Send all suspicious email as an attachment to
re ort:s am nc. ov
Hello Bethany and Deborah,
Thank you for letting us know. We apologize for any inconveniences this may have caused. I went ahead and paid
it online. A payment in the amount of $100.00 was made yesterday, April 1 Oth, 2019. Could you please let me
know if there is still a balance due to interest and or late fees.
Thank you and have a great day!
Claudette
t

Claudette Bonin
Office Manager
Novem Industries
From _Gec rgouhas,Bethany <[e-mail]>
Sent: Wednesday, April 10, 2019 12:32:57 PM
To: Brandon Bennett; Claudette Bonin; Claudette Bonin
Cc: McCoy, Suzanne; Deborah Reese
Subject: Returned Check for NCG210443 Annual Fee
Mr. Bennett,
We received a check #4498 for an annual stormwater permit fee payment for permit COC No. NCG210443 (which you
renewed last year) that was unfortunately returned/blocked by the bank. Because the payment was due on 4/4/2019, the
payment has now been marked overdue. Can you please contact Deborah Reese at the email above or at 919-707-9220
as soon as possible to resolve this?
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Regards,
Bethany Georgoulias
Environmental Engineer'
Stormwater Program; Division of Energy, Mineral, and Land Resources
N.C. Del}artment of Environmental Quality
919 707 3641 office
bet hany..georgoulias a ncdenr.
512 N, Salisbury' Street, Raleigh, NC 27604 (location)
1612 Mail Service Center, Raleigh, NC 27699-1612 (mailing)

WebA. tc h ://de .ne. p(Sv/aboiis--/divisions/everg mineral-land-resources/stornnvater
Email correspondence to and From this address is subject to the North Carolina Public Records
Law and may be disclosed to third parties.

t
WELLS FARGO BANK N.A.
P.O. SOX 6995
PORTLAND, OR 97228-6995
338
DEPT OF ENVIRONMENTAL QUALITY #300387
***** INTEROFFICE MAIL
ATTN: DONNA SHERRIL
***MAC D1086-271"
CREDIT/CLEAR: WF AU 100993 GL 10005004
PAGE 1 OF 1 ACCOUNT CHARGED XXXXXX0500
--------------------------------------------------------------------------------------------------
REASON FOR NON-PAYMENT
w) tq m-C)OM �
N C,6&40�0-
ITEMS ENCLOSED: 1
DATE: 04-08-2019
------------------------------------------
SEQUENCE # AMOUNT
DEPOSITORY ACCOUNT NUMBER: XXXXXX3460
LOCATION (STORE) NUMBER: 300387
YOUR ACCOUNT HAS BEEN CHARGED FOR THE FOLLOWING PAPER ITEM(S) RETURNED UNPAID.
Frozen/Blocked 3333087015 100.00
ADDITIONALDATA 040519
TOTAL CHARGES FOR PAPER RETURNS 100.00
Luc 414 a () 0
TOTAL CHARGES FOR PAPER RETURNS 100.00
SHOULD YOU HAVE ANY QUESTIONS OR REQUIRE ADDITIONAL INFORMATION, PLEASE CALL THE
PHONE NUMBER THAT IS LISTED ON YOUR BANK STATEMENT.

IMPORTANT INFORMATION ABOUT YOUR CONSUMER CHECKING ACCOUNT
Substitute Checks and Your Rights
What is a substitute check?
To make check processing faster, federal law permits banks to replace original checks with "substitute
checks." These checks are similiar in size to the original checks with a slightly reduced image of the front
and back of the original check. The front of a substitute check states: "This is a legal copy of your check.
You can use it the same way you would use the original check." You may use a substitute check as proof
of payment just like the original check.
Some or all of the checks that you receive back from us may be substitute checks. This notice describes
rights you have when you receive substitute checks from us. The rights in this do not apply to original
checks or to electronic debits to your account. However, you have rights under other law with respect to
those transactions.
What are my rights regarding substitute checks?
In certain cases, federal law provides a special procedure that allows you to request a refund for losses
you suffer if a substitute check is posted to your account (for example, if you think that we withdrew the
wrong amount from your account or that we withdrew money from your account more than once for the
same check)_ The losses you may attempt to recover under this procedure may include the amount that
was withdrawn from your account and fees that were charged as a result of the withdrawal (for example,
bounced check fees).
The amount of your refund under this procedure is limited to the amount of your loss or the amount of
the substitute check, whichever is less. You are also entitled to interest on the amount of your refund
if your account is an interest - bearing account. If your loss exceeds the amount of the substitute check,
you may be able to recover additional amounts under other laws. If you use this procedure, you may
receive up to $2,500 of your refund (plus interest if you account earns interest) within 10 business days
after we received your claim and the remainder of your refund (plus interest if your account earns interest)
no later than 45 calendar days after we received your claim. We may reverse the refund (including any
interest on the refund) if we later are able to demonstrate that the substitute check was correctly posted
to your account.
How do I make a claim for a refund?
If you believe that you have suffered a loss relating to a substitute check that you received and that was
posted to your account, please contact us at 1-8011869-3557. You must contact us within 40 calendar days
of the date that we mailed (or otherwise delivered by a mans to which you agreed) the substitute check
in question or the account statement showing the substitute check was posted to your account, whichever
is later. We will extend this time period if you were not able to make a timely claim because of extraordinary
circumstances.
Your claim must include -
• A description of why you have suffered a loss (for example, think the amount withdrawn was incorrect);
• An estimate of the amount of your loss;
• An explanation of why the substitute check you received is insufficient to confirm that you suffered a loss;
and
• A copy of the substitute check or the following information to help us identify the substitute check: the
check number, the name of the person to whom you wrote the check, the amount of the check.
02004 Wells Fargo Bank, N.A.
All rights reserved. Member FDIC.

FROZIBLOCK ACC
Dq/08 2019
0333087015
Do Not Re -deposit
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original check.
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NOVEM INDUSTRIES. DUSTRIES. INC
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Central Files: APS , SWP
4/28/2016
Permit Number NCG210443 Permit Tracking Slip
Program Category Status Project Type
NPDES SW In review New Project
Permit Type Version Permit Classification
Timber Products Stormwater Discharge COC COC
Primary Reviewer
julie.ventaloro
Coastal SWRule
Permitted Flow
Facility
Facility Name
Novem Industries, Inc.
Location Address
3901 N Graham St
Permit Contact Affiliation
RECENED
MAY 0 5 2016
CENTRAL FILES
DWR SECTION
Major/Minor Region
Minor Mooresville
County
Mecklenburg
Facility Contact Affiliation
Charlotte NC 28206
Brandon Bennett
I Mgr Operations President
PO Box 1272
Owner
Cornelius
NC 28031
Owner Name
Owner Type
Novem Industries Inc
Non-Govemment
Owner Affiliation
Brandon Bennett
1 Mgr Operations President
PO Box 1272
Dates/Events
Cornelius
NC 28031
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective
Expiration
3/22/2016
il1ygjzt)1L �r2Q12o1l0
-7 J311401
Regulated Activities
Requested /Received Events
Timber products manufacture
RO staff report received
4127116
RO staff report requested
4120116
Outfatl 001
Waterbody Name Streamindex Number Current Class 5ubbasln
Irwin Creek. 11-137-1 C 03-08-34

Energy, Mineral
and Land Resources
ENVIRONMENTAL OUALITV
PAT MCCRORY
Gr rru,r
DONALD R. VAN DER VAART
SecrVtury
TRACY DAV[S
INre c7ur
April 29, 2016
Mr. Brandon Bennett
Novem Industries, [tic.
P.O. Box 1272
Cornelius, Nc 28031
Subject: General Permit No. NCG210000
Novem Industries, Inc.
COC No. NCG210443
Mecklenburg County
Dear Mr. Bennett:
In accordance with your application for a discharge permit received on March 22, 2016, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state —
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US
Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except upon approval of the
Division of Energy, Mineral and Land Resources. The Division of Energy, Mineral and Land
Resources may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Energy, Mineral and Land Resources, the Coastal Area Management Act, or any other
federal or local government permit that may be required.
Per the requirements of the Catawba Riparian Buffer Rule, all stormwater drainage to stream buffers,
from portions of this site that have been constructed after June 30, 2001, must be discharged through
a correctly designed level spreader or another device that meets diffuse flow requirements per 15A
NCAC 2I3 .0243. Diffuse flow requirements arc described in Chapter 8 of the North Carolina
Stormwater 13MP Manual, available at: litt :Hde .nc. ov/about/divisions/ener -mineral-land-
resources/energy-mineral-land-permit-y-u idance/stormwater-bmp-manual.
Slate of North Carolina I Emironntental Quality I Einergy, Mineral and I.and Resources
1612 Mail Service Center 1512 North SahSbUn Street I Raleigh, NC 27699-1612
919 707 9200 T

If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number
[phone] or by email julie.ventaloroQncdenr.gou.
Sincerely,
for Tracy 1". Davis. P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office, Z. Khan
Central Files
Stormwater Permitting Program Files
Mecklenburg County DEEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202
State of %orthCarolim j Emim=-nml Qualig'j En"- ,, \#neral and Land Resouzzes
1612 \U Senice center j it? North SalisbuTyStmet j Raleor NC 27699-1612
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION 017 ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210443
s'rORMWATER 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,
Novem Industries. Inc.
is hereby authorized to discharge stormwater from a facility located at
Novem Industries, Inc.
3901 N. Graham Street
Charlotte
Mecklenburg County
to receiving waters designated as UT to Irwin Creek, a class C. water in the Catawba River Basin,
in accordance with the effluent limitations, monitoring requirements; and other conditions set
forth in Parts I, 1I, I11, and IV of General Permit No. NCG210000 as attached.
This certificate of coverage shall become effective April 29, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 29, 2016.
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

NCG210443
r�)
Novem Industries, Inc.
Novem Industries, Inc.
Latitude: 351 16' 13" N
Longitude: 801 48' 54" W
County: Mecklenburg
Receiving Stream: UT to Irwin Creek
Index No: 11-137-1
♦4"i��"�l�t�I*��ir���T:
•f.��►����!r.'r1..1 sip
Map Scale 1: 24, 000
Stream Class: C
Sub -basin: 03-08-34 (Catawba River Basin)
Facility Location

Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
National Pollutant .Discharge Elimination System
NCDENR NCG210000
&rrrea«Mc•r wvo N'IVHw� Fi�roume[s
FOR AGENCY USF ONLY
Date Received
Year
Month Wv
Ce[Gf cntc of Coverage
C G t
Check Al
Amount
Permit Assi d to
�A4 O[O
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG210000:
For STORMWATER DISCHARGES associated with activities classified as:
SIC 24 Timber Products (except as specified below), including Wood Chip Mills;
And, Like activities deemed by DEMLR to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials.
The following activities are specifically excluded from coverage underthis General Pe mit-CEIVED
• Wood Kitchen Cabinets (SIC 2434) MAP 22 2015
• Wood Preserving (SIC 2491)
• Logging (SIC 2411) �AIRIfliir��
'Standard Industrial Classification Code ��;Wliliil tll:
(P/ease print or type)
1) Mailing address of ownerloperator (address to which official permit correspondence will be mailed]:
2)
Name TV
Owner ontact person
Street Address P(
City corf1 State jtJf
'' ZIP Code 2 �C1
Telephone No. LLA- Fax: wig
E-mail Address 1ns2 L--t4�;) CL/GM�;V1 C� .( S1r i'
Location of facility producing discharge:
Facility Name
Facility Contact (a person)tW
Contact E-mail%
Street Address ?
City
County
Telephone No_L�
3) Permit Contact
Permit Contact (a pel
Contact E-mail
Contact phone numb
4) 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)_'_O t" nP !'-' c) f mum, 4--)C1In-) 7)t
(A copy of arccoounty mra�p-�or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
5) Latitude ; )�CW� Longitude P �"�9y�(degrees, minutes, seconds)
/ gp ' I t I
page 1 of 4
ME
SWU-236-080113 Last revised 7014

NCG210000 N.O.I.
6) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
Existing
7) Standard Industrial Classification (SIC):
Provide the 4 digit Stand rq Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code:G? C( W'DO6 Qh � 10S
8) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: a
Q \ 12Q r-A 47A L,22,0-S Lc G ,-) c-t a t-
u In rli C" VX , . 7s ► .1r•, I ca C Ca 1�3oy t-Ca) n nv1L_ n, e
9) Discharge points I Receiving waters: Pue l ,kn d p+" mew �( �� roc 3 e h,'p s
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
10) 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?
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).
11) Does this facility have any other water quality permits?
R No
❑ Yes
If yes, list the permit numbers for all current water quality permits for this facility:
12) Does this facility have any Non -Discharge permits (ex: recycle permits)?
❑ Yes ta(N.Ze_ (--N�
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
13) Does this facility employ any best management practices for stormwater control?
❑ No
l Yes
If yes, please briefly describe:
f , r�
14) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes r�
If yes, when was it implemented? _' avs
15) Does this facility have exposed accumulations of sawdust, bark, mulch, wood chips, or similar size
woody material on -site for longer than seven (7) days? (Exposed directly to rainfall or to run-on from
other areas of the facility.)
❑ No F Yes
Page 2 of 4
SWU-236-080113 Last revised 712114

NCG210000 N.O.I.
16) Are vehicle maintenance activities occurring at this facility?
114 No ❑ Yes
17) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
1� No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
% No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?.
No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport ! disposal vendor: _
Vendor address:
18) 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: rrt-P
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Page 3 of 4
SVVU-236-080113 Last revised 7/2/14

NCG210000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
Check for $100 made payable to NC DENR
Q' This completed application and all supporting documents
kd Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater Permitting Program
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or Regional Office for your area.
To visit our website, go to http://AortaLncdenr.oroAve6Arlstormwater
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office
... [phone]
Mooresville Office
._. [phone]
Raleigh Office ........ [phone]
Washington Office ...[phone]
Wilmington Office
... [phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 4 of 4
SWU-236-080113 Last revised 7I2114

Polaris 3G Map — Mecklenburg County, North Carolina
Novem Industries, Inc
Date Printed: 3/9/2016 5:48:04 PM
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This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, planimetric maps, and other public records and data.
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecklenburg County and its mapping contactors assume no legal
responsibility for the information contained herein.

Polaris 3G Map — Mecklenburg County, North Carolina
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This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, planimetric maps, and other public records and data.
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecklenburg County and its mapping contractors assume no legal
responsibility for the information contained herein.

.. _ - - .tn7tin lerinna.:e_�izuK-ryr...wn,u-na-e.1
NOVEM WASTE INC
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PO BOX 1272
,
CORNELIUS, NC 28031-1272
704-660.6460
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Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
April 29, 2016
Mr. Brandon Bennett
Novem Industries, Inc.
17,0. Box 1272
Cornelius, Ne 28031
PAT MCCRORY
Govemor
DONALD R. VAN DER VAART
Secretarr
TRACY DAVIS
Urreeror
Subject: General Permit No. NCG210000
Novem Industries, lnc.
COC No. NCG210443
Mecklenburg County
Dear Mr. Bennett:
In accordance with your application for a discharge permit received on March 22, 2016, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state —
NPDI S general permit. This permit is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US
Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except upon approval of the
Division of Energy, Mineral and Land Resources. The Division of Energy, Mineral and Land
Resources may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Energy, Mineral and Land Resources, the Coastal Area Management Act, or any other
federal or local government permit that may be required.
Per the requirements of the Catawba Riparian Buffer Rule, all stormwater drainage to stream buffers,
from portions of this site that have been constructed after June 30, 2001, must be discharged through
a correctly designed level spreader or another device that meets diffuse flow requirements per 15A
NCAC 2B .0243. Diffuse flow requirements are described in Chapter 8 of the North Carolina
Stornnvater BMP Manual, available at: http://deq.ne.gov/abOLIt/divisions/energv-mineral-land-
resources/ever mineral -land- erinit-guidance/storm water -bin p -manual.
Stale of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street } Raleigh, NC 27699-1612
919 707 9200 T

If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number
[phone] or by email julie.ventaloro Dwncdenr.gov.
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., CI'M, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office, Z. Khan
Central Files
Stormwater Permitting Program Files
Mecklenburg County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202
State of'vonhCarolina I Ene•iw=-nml Qua€:yl Energy, Xinsra! andiand Resources
16€2 \hit Smice Center 1 512 NorthSatisbuwStoeet I Ral:ieb \C 27699.!61?
919 707 9200 T

Ventaloro, Julie
From:
Khan, Zahid
Sent:
Wednesday, April 27, 2016 10:39 AM
To:
Ventaloro, Julie
Subject:
RE: Review Request NCG210443
Follow Up Flag:
Follow up
Flag Status:
Flagged
Julie,
We do not have any objection. I would recommend issuing a permit for this one. We inspected this site in March and
recommended them to file an application. Thanks
Zahid
From: Ventaloro, Julie
Sent: Wednesday, April 20, 2016 3:56 PM
To: Khan, Zahid <[e-mail]>
Subject: Review Request NCG210443
Zahid,
We've received an NOI for an existing timber products facility in your region:
NCG210443 Novem Industries in Mecklenburg County. This site discharges stormwater at 3 points to UT to Irwin Creek
(Class Q. The NOI is attached.
Please let me know if the Mooresville Regional Office has any concerns about issuing this COC.
Thanks
Julie Ventaloro
Stormwater Permitting Program
NC Division of Energy, Mineral, and Land Resources
1612 Mail Service Center, Raleigh, NC 27699-1612
Phone: [phone] Fax: [phone]
Website: http://watersupplywatershed.nc.gov
0
f 7n^Nathing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
1

Division of Energy, Mineral and Land Resources
Storinwater Permitting Program
NO
National Pollutant Discharge Elimination System
NCDENR
N--Caw—tlEstirrr-- CG2 0000
EmnFOr,ncxr NU Rr'- — 1, NaJ2
FOR AGENCY USE ONLY
Date Receivod
Y. Month D.
Certificate orcovera e
MEET 1 V D
Check H
Amount
Permit Ass" d to
tA or0
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG210000:
For STORMWATER DISCHARGES associated with activities classified as:
SICx 24 Timber Products (except as specified below), including Wood Chip Mills;
And, Like activities deemed by DEMLR to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials. 0 ��tt
The following activities are specifically excluded from coverage under this General Pe6it �rEWD
Wood Kitchen Cabinets (SIC 2434)MAP �2 016
• Wood Preserving (SIC 2491)
• Logging (SIC 2411) b! lML:n i , ri3VrJIj),�}[.'1
C,
�i
Standard Industrial Classification Code '�•,�u�ilill,',iku
(Please print or type)
1) Mailing address of owner/operator (address to which official aermit correspondence will be mailed):
Name
Owner G;�
Street Address
City c State AJ ZIP Code 2 •,,,�
Telephone No. �'(<�� i— Fax:
E-mail Address crenk
2) Location of facility producing discharge:
Facility Name -L
Facility Contact (a person
Contact E-mail
Street Address
City
County
Telephone No.
3) Permit Contact
Permit Contact (a pel
Contact E-mail
Contact phone numb
State KC ZIP Code
­10 1cc� ^ Fax: VJP`
4) 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).. e0 r Oe (_ C)'f j E bo 1� nd
(A copy of a county map or USGS quad sheet with facility dearly located on the map is required to be submitted with this application)
5) Latitude s) c�7�dl � Longitude -wJR1419t4(degrees, minutes, seconds)
Page 1 of 4
SWU-236-Ml 13
Last revised 7/2/14

• •♦
NCG210000 NA L
6) This NPDES Permit Application applies to which of the following
❑'. New or Proposed Facility Date operation is to begin
Existing
7) Standard Industrial Classification (SIC):
Provide the 4 digit Standarc{ Industrial Classification Code (SIC Code) that describes the, primary.industrial=
activity at this facilitv_�
SIC Coder` q W'co6 o vA pS
8) Provide a brief narrative description of the types of industrial activities and products manufactured at
tl
9) Discharge points 1 Receiving waters: ��e 1 Qc V- I Mo.-.I �r ;rLc1 eh"p 5.
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
10) 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?
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).
11) Does this facility have any other water quality permits?
K No
❑ Yes
If yes, list the permit numbers for all current water quality permits for this facility:
12) Does this facility have any Non -Discharge permits (ex: recycle permits)?
6Q' No i t V --,Q5 e Q ss `� �, P� Q C r„ � t
❑ Yes t-k6'- s✓ FV 2. a �C-\-"
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
13) Does this facility employ any best management practices for stormwater control?
❑ No
16 Yes
If yes, please briefly describe: >t Il 11„ } � fir- Rrq-_*1'} �, CjL�S� SV
r�,ti4�r� , o -OL(Z I� - f `Acid a :S p to t
14) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
[9 Yes
If yes, when was it implemented? _ ..<'901!s
15) Does this facility have exposed accumulations of sawdust, bark, mulch, wood chips, or similar size
woody material on -site for longer than seven (7) days? (Exposed directly to rainfall or to run-on from
other areas of the facility.)
❑ No 14 Yes
Page 2 of 4
SWU-236-080113 Last revised 712114

NCG210000 N.O.I.
16) Are vehicle maintenance activities occurring at this facility?
10 No ❑ Yes
17) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
V No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
bb No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored. -
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor: _
Vendor address:
18) 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 Articfe; or who falsifies, tampers with, or knowingly
renders inaccurale 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).
1 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.
E
Printed ame of Person Signing: zc{OQ f-�? �C Title: Vt- eS d C-�-t f (-)C r i 4-1 n, il�, O Ain vi(\ c AD r
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Page 3of4
SWU-236-080113 Last revised 7/2114

NCG210000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
♦f Check for $100 made payable to NC DENR
E^', This completed application and all supporting documents
F' Copy of county map or USGS quad sheet with location of facility. clearly,marked.on-map
---=—Mail'the entire package to:
Stormwater Permitting Program
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or Regional Office for your area.
To visit our website, go to http://oortaLncdenr.ora/weblirlstormwater
DEMLR 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 .........(919)
807-6300
Page 4 of 4
SWU-236-080113 Last revised 7/2/14

Polaris 3G Map — Mecklenburg County, Forth Carolina
Novem Industries, Inc
Date Printed: 3/9/2016 5:48:04 PM
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This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, pianimetric maps, and other public records and data.
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verificalion. Mecklenburg County and its mapping contractors assume no legal
responsibility for the information contained herein.

Polaris Ma — Mecklenburg Count North Carolin�'
0 3G p M e g y,
Novem Industries, Inc
Date Printed: 3/9/2016 5:43:25 PM
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This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, planimetric maps, and other public records and data.
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecklenburg County and its mapping contractors assume no legal
responsibility for the information contained herein. 11

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVEIZAGE No. NCG210443
STORMWATER DISCI-IARG1 S
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,
Novem Industries, Inc.
is hereby authorized to discharge stormwater from a facility located at
Novem Industries, Inc.
3901 N. Graham Street
Charlotte
Mecklenburg County
to receiving waters designated as UT to Irwin Creek, a class C water in the Catawba River Basin,
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, 11, 1I1, and IV of General Permit No. NCG210000 as attached.
This certificate of coverage shall become effective April 29, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 29, 2016.
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

NCG210443
Map Scale 1: 24, 000
Novem Industries, Inc.
Novem Industries, Inc.
Latitude: 350 16' 13" N
Longitude: 800 48' 54" W
County: Mecklenburg
Receiving Stream: UT to Irwin Creek
Index No: 11-137-1
Stream Class: C
Sub -basin: 03-08-34 (Catawba River Basin)
�t��i1►��ti��M1� �i4`RY
Facility Location