NCG170190_COMPLETE FILE - HISTORICAL_20121116

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. w
DOC TYPE HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ a.�
YYYYMMDD

w
NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Michael C Inscoe
Five Star Properties & Rentals, LLC
PO Box 601
Henderson, NC 27536-7536
Dear Pennittee:
Division of Water Quality
Charles Wakild, P. E.
Director
November 16, 2012
Dee Freeman
Secretary
Subject: NPDES Stormwater Permit Coverage Renewal
Five Star Properties & Rentals, LLC
COC Number NCG 170190
VanceCounty
In response to your renewal application for continued coverage under Stormwater General Permit
NCG 170190 received July 10, 2012, the Division of Water Quality (DWQ) is forwarding herewith the
reissued Certificate of Coverage and 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 October 15, 2007 (or as
subsequently amended.)
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of the stormwater General Permit
• A copy of a Technical Bulletin for the General Permit
• Copies of the Discharge Monitoring Report (DMR) Form
• Copies of the Annual Discharge Monitoring Report Form (if applicable)
• Copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater only, and it specifies your obligations with
respect to stormwater discharge controls, management, monitoring, and record keeping. Please review
the new permit to familiarize yourself with all changes in the reissued permit. Significant changes to the
General Permit are outlined in the attached Technical Bulletin.
Your coverage under the General Permit is transferable only through the specific action of DWQ.
This permit does not affect the legal requirements to obtain other permits which may be required by
DENR, nor does it relieve the permittee from responsibility for compliance with any other applicable
federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: 91M07-64921 Customer Service: 1-877-623-6748
Internet www.ncviatemuallN.oro One
An Equal Opportunity \ Affirmative Adion Employer North Caro I i n a
Naturally

If you have any questions regarding this permit package please contact the DWQ Stormwater Permitting
Unit at 919-807-6300.
Sincerely,
ORIGINAL SIGNED 131
KEN PICKLE
for Charles Wakild, P.E.
cc: DWQ Central Files
Stormwater Permitting Unit Files
Raleigh Regional Office, Surface Water Protection Section Supervisor

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG 170000
CERTIFICATE OF COVERAGE No. NCG170190
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,
Five Star Properties & Rentals. LLC
is hereby authorized to discharge stormwater from a facility located at:
Five Star Properties & Rentals, LLC
PO Box 601
Henderson
Vance County
to receiving waters designated as UT of Sandy Creek, a class C NSW waterbody in the Tar -
Pamlico River Basin in accordance with the effluent limitations, monitoring requirements,
and other conditions set forth in Parts 1, II, 111, IV, V, and VI of the General Permit as
attached.
This certificate of coverage shall become effective November 16, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 16, 2012,
ORIGINAL SIGNED Bt
KEN PICKLE
for Charles Wakild, P.E., 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
April 17, 1995
Richard Johnson
Harriet & Henderson Yarns Inc
P.O. Box 789
Henderson, NC 27536
2A& 90
�Ja
ML
[DEHNR
Subject: General Permit No. NCG170000
Harriet & Henderson Yarns Inc
COC NCG170190
Vance County
Dear Richard Johnson
In accordance with your application for discharge permit received on March 9, 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 take 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. ANTONIO EVANS at telephone
number 919/733-5083.
Sincerely,
Original Sigtr::
Coleen H. Sullins
A. Preston Howard, Jr. P.E.
cc: Raleigh Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170190
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,
Harriet and Henderson Yams, Inc.
is hereby authorized to discharge stormwater from a facility located at
Harriet and Henderson Yams, Inc.
Main Street
Henderson, NC
Vance County
to receiving waters designated as an unnamed tributary to Sandy Creek in the Tar-PamlicRiver Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III
and IV of General Permit No. NCG 170000 as attached.
This certificate of coverage shall become effective April 17, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 17, 1995.
Original Signer.! By
Coleen H. Sul?ins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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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
July 28. 1999
MICHAEL C. INSCOE
HARRIET & HENDERSON YARNS-N. HENDERSON
P.O. BOX 789
HENDERSON, NC 27536
Dear Permittee:
1'011'
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Stormwater Permit
Harriet & Henderson Yarns-N. Henderson
COC Number NCG 170190
Vance County
In response to your renewal application for continued coverage under general permit NCG170000. 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 NCG170000
* A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to
certify that you have developed and implemented the SPPP as per the conditions of the permit. This form
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 for the general permit which outlines changes in the permit, key requirements,
and addresses frequently asked questions
* A Certificate of Coverage
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 Tony Evans of the Central Office Stormwater
and General Permits Unit at [phone], ext. 584
Sincerely,
for KerrT. Stevens
cc: Central Files
Stormwater and General permits Unit Files
Raleigh Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative 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. NCG170000
CERTIFICATE OF COVERAGE No. NCG170190
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,
HARRIET & HENDERSON YARNS-N. HENDERSON
is hereby authorized to discharge stormwater from a facility located at
HARRIET & HENDERSON YARNS-N. HENDERSON
MAIN STREET
HENDERSON
VANCECOUNTY
to receiving waters designated as a UT of Sandy Creek in the Tar - Pamlico River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, 111,
IV, V, and VI of General Permit No. NCG170000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 28. 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
August 4,2004
Michael C Inscoe
Harriet & Henderson Yarn
PO Box 789
Henderson, NC 27536
Subject: NPDES Stormwater Permit Coverage Renewal
Harriet & Henderson Yarn - Main St
COC Number NCG 170190
Vance County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG 170000 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 new Certificate of Coverage
• A copy of General Stormwater Permit NCG 170000
• A copy of a discharge monitoring report form
• 5 copies of the qualitative monitoring report form
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 the Department of Environment and Natural
Resources, or relieve the pennittee 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 of the Central Office Stormwater Permitting
Unit at [phone], ext. .
Sincerely,
� -,delly 4:5v'
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater Permitting Unit
Raleigh Regional Office
Surface Water Protection Section
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] Internet: http:llh2o.enr.state.nc.us/su/stormwater,html
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
NorthiCarolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170190
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,
Harriet & Henderson Yarn
is hereby authorized to discharge stormwater from a facility located at
Harriet & Henderson Yarn - Main St
Main St
Henderson
Vance County
to receiving waters designated as a UT of Sandy Creek, a class C NSW stream, in the Tar - Pamlico River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts 1, 11, 111, IV, V, and VI of General Permit No. NCG170000 as attached.
This Certificate of Coverage shall become effective August 1, 2004.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August I, 2004.
" ,telle � —
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management
Commission

Permit Coverage
Renewal Application Form
National Pollutant Discharge Elimination System
Stormwater Discharge Permit
Permit Number
NCG 170190
The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all
corrections/additions as necessary in the space provided to the right of the current information.
Owner Affiliation Information * Reissued Permit will he mailed to the owner address
Owner/ Organization Name: — -- ____ — C—•svE S,/A f2C$'1- TAe0-T.L\US I L.LC
Owner Contact: kenEWWrrd
�1GgcL C,
Mailing Address: RA - Box —784-
r 6a 1
Henderson, NC 27536-7536
Phone Number: (454j43A-3332 s
Fax Number:
F-mail address:
Facility/Permit Contact Information
If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below.
Facility Name: 7 C
Facility Physical Address:
Ia�(N(NC
Facility Contact: Mli:Jl1la 2(._ C, V'SG �
Mailing Address: 1 ��
I—Ic-i�CIE�^,ora, N C z7536
Phone Number: �5,2 — ��c -7olt Fax Number:
E-mail address:
M"' 62 N c • r � c•<�M
Impaired Waters/TMDL
Does this facility discharge to waters listed as impaired or waters with a finalized'CMDL? O Yes LLNo ❑ Don't Know
(For information on these waters refer to http://h2o.enr.state.nc.uslvu/lmpaired_Waters_TMDU )
CERTIFICATION
1 certify that 1 am familiar with the infarmatioA.contamed in the application and that to the best of my knowledge and belief such information is true,
complete and accurate. /
Signature Date •�(-1`j- 0I,�
NL
Print or type name of person signing above 'Cille
Please return this completed renewal application form to: Stormwater Permitting Unit
Attn: Bethany Georgoulias
1617 Mail Service Center
Raleigh, North Carolina 27699-161

NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Kent Ward, c/o Michael Inscoe
Harriet & Henderson Yarn
500 Alexander Ave Ste A
Henderson, NC 27536-7536•
Dear Permittee:
Division of Water Quality
Charles Wakild, P.E.
Director
June 26, 2012
Subject: NPDES Stormwater Permit Coverage Renewal
Harriet & Henderson Yarn - Main St
Permit Number NCG 170190
Vance County
Dee Freeman
Secretary
Your facility was covered for stormwater discharge under NPDES Permit NCG 170190, however, this
permit expired on 7/31/2009. To assure consideration for continuing coverage under your permit, you
must apply to the Division of Water Quality (DWQ) for renewal of.your permit. Enclosed you will find a
Permit Coverage Renewal Application Form. Filing the application form will constitute your application
for renewal of this permit.
The application must be completed and returned to DWQ by August 1, 2012. Failure to request
renewal within this time period will result in the inactivation of your expired permit in our system.
Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a
violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties of up to
$25,000 per day.
If you have any questions regarding permit renewal procedures please contact Bethany Georgoulias of the
Stormwater Permitting Unit at [phone] or [e-mail].
Sincerely,
Bradley Bennett, Supervisor
Stormwater Permitting Unit
Cc: Central Files
SPU Files
ti\ 1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: [phone] FAX: 91M07-64921 Customer Service: 1-877-623-6748
Internet: vov%um waterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
Naturally

"- �t, / n o,4)
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v u& l to 17 o
DOC TYPE
C HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ a 0 Q / I l 0
YYYYM M D D

1�
®g®®g�
1®CDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Michael C Inscoe
Five Star Properties & Rentals, LLC
PO Box 601
Henderson, NC 27536-7536
Dear Permittee:
Division of Water Quality
Charles Wakild, P. E. Dee
Director
November 16, 2012 �� "��—
Nov 19 2012
Nc
Subject: NPDES Stormwater Permit Coverage Renewal
Five Star Properties & Rentals, LLC
COC Number NCG 170190
VanceCounty
In response to your renewal application for continued coverage under Stormwater General Permit
NCG 170190 received July 10, 2012, the Division of Water Quality (DWQ) is forwarding herewith the
reissued Certificate of Coverage and 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 October 15, 2007 (or as
subsequently amended.)
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of the stormwater General Permit
• A copy of a Technical Bulletin for the General Permit
• Copies of the Discharge Monitoring Report (DMR) Form
• Copies of the Annual Discharge Monitoring Report Form (if applicable)
• Copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater only, and it specifies your obligations with
respect to stormwater discharge controls, management, monitoring, and record keeping. Please review
the new permit to familiarize yourself with all changes in the reissued permit. Significant changes to the
General Permit are outlined in the attached Technical Bulletin.
Your coverage under the General Permit is transferable only through the specific action of DWQ.
This permit does not affect the legal requirements to obtain other permits which may be required by
DENR, nor does it relieve the permittee from responsibility for compliance with any other applicable
federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: 91 M07-64921 Customer Service: 1-877-623-6748
Internet v .ncwatemualitv.om 7�TOnic
An Equal Opportunity l AHirmaWe Action Employer NorthC arotlna
Naturally

r
If you have any questions regarding this permit package please contact the DWQ Stormwater Permitting
Unit at 919-807-6300.
Sincerely,
ORIGINAL B1
PlM
for Charles Waki Id, P.E.
cc: DWQ Central Files X
Stormwater Permitting Unit Files
Raleigh Regional Office, Surface Water Protection Section Supervisor

r
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG170000
CERTIFICATE OF COVERAGE No. NCG170190
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,
Five Star Properties & Rentals, LLC
is hereby authorized to discharge stormwater from a facility located at:
Five Star Properties & Rentals, LLC
PO Box 601
Henderson
Vance County
to receiving waters designated as UT of Sandy Creek, a class C NSW waterbody in the Tar -
Pamlico River Basin in accordance with the effluent limitations, monitoring requirements,
and other conditions set forth in Parts I, 11, Ill, IV, V, and VI of the General Permit as
attached.
This certificate of coverage shall become effective November 16, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 16, 2012.
3lH0ld N3H
l8 ISNJIS IVNIOW
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission