NCG180072_COMPLETE FILE - HISTORICAL_20140124

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
[I- HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ �% 1 y(Di ) y
YYYYM M D D

Georgoulias, Bethany
From: [e-mail]
Sent: Friday, January 24, 2014 10:48 AM
To: SVC DENR.stormwater
Subject: COC NCG180072 - Change of Permit Contact Person
Please change the current Permit Contact Person for COC NCG180072 to the following:
Matt Jenkins
Safety Director
Ethan Allen Operations, INC.
Maiden Division
700 S Main Ave
Maiden, NC 28650
828-428-9361 Ext. 319
mien kins(c)ethanallen Inc.com
V/2���,g,
This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain
confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are
not the intended recipient, please contact the sender by reply mail and destroy all copies of the original message.
ova, , p' 'J

Bet
From: links, Doug <[e-mail]>
Sent: Friday, March 21, 2014 12:31 PM \\�
To: SVC_DENR.stormwatera\� �✓
Cc: Keatley, Rosie \
Subject: Permit -Facility Contact Updates - Firestone Fibers
Please make the following updates to the contact information for certificates of coverage NCG170391 and NCG170415:
Permit Contact: Roseann Keatley, 704-734-2151, email: keatlevroseann(o)bfusa.com
Facility Contact: Roseann Keatley, 704-734-2151, email: keatlevroseann(@bfusa.com
Contact Address: 100 Firestone Lane, Kings Mountain, NC 28086
Thank you.

From:
Dave Dunbar <[e-mail]>
Sent:
Tuesday, March 04, 2014 12:30 PM
To:
SVC DENR.stormwater
Cc:
Josh Dunbar
Subject:
Revised Contacts for NCG160176, NCG 160174, and NCG 160188
Bradley Bennett
As noted in the response to the issue of contact changes, please m�k te_he following changes to the NPDES Stormwater
Permit Contacts Summary for NCG 160176, r G1C 61 •and N G1601888
Owner Contact l�l`
l
Ivan G. Clayton
Vice President
Sharpe Bros Division of Vecellio & Grogan, In
204 Base Leg Road
Greensboro, NC 27409
336-235-2756(phone)
336-235-0441 (fax)
[e-mail]
Permit Contact
John Riley
Safety Director
Sharpe Bros Division of Vecellio & Grogan, Inc.
204 Base Leg Road
Greensboro, NC 27409
336-235-2756(phone)
336-235-8152 (fax)
Joh n.rileyPsharpebrosvg.com
1
If you have any questions, please contact me at ddunbar cDfalconeneineers.com or at 919-871-0800 or Josh Dunbar at
idunbarCo0alconeneineers.com or at 919-871-0800.
Thank you for your assistance.
Dave Dunbar
Environmental J ON
T 919-871-0800 ENGINE'-
-EKING
F 919-871-0803
ddunbon�s falconenoineers.com
www.folconengineers.com ENGINEERING + INSPECTION + TESTING + AGENCY CM
1210 Trinity Road, Suite 110 1 Raleigh, NC 27607

From:
Westin Massey <[e-mail]>
Sent:
Tuesday, March 18, 2014 3:20 PM,
To:
SVC DENR.stormwater
Subject:
Permit -Facility Contact Updates
Attachments:
Blythe Construction (Atando Ave) SW Permit Contacts Summary with edits by client.pdf
Attached to this email are the changes needed for the contacts summary for NCG160210
For clarity, in the event the scan in not legible, the following needs to be updated/changed.
1) The title of Allen Hendricks in the Owner Affiliation section is "VP of Asphalt Operations"
2) The title of the facility contact person is "Plant Foreman"
3) The address of the facility contact person needs to be changed to "1131 Atando Ave, Charlotte, NC 28206"
Please let me know if you have any questions.
Thank you.
Westin Massey
Manager, Analytical Monitoring & SWP3
AARC Environmental, Inc.
2500 Wilcrest, Suite # 460
Houston, TX 77042
Tel: [phone]
Fax:[phone]
Web: www.aarcenv.com
AARC Environmental, Inc. was ranked #7 of the Houston -Area Environmental Companies by 2010 Local Gross Billings in the Houston Business
Journal.
AARC awarded place on Inc 500/5000 list of fastest growing businesses in America.
AThink before you print... save money, time and the environment!

Georgoulias, Bethany
From: Flanary, Jay <[e-mail]>
Sent: Friday, February 14, 2014 11:30 AM
To: SVC DENR.stormwater
Cc: Flanary, Jay
Subject: Permit -Facility Contact Updates NCG170357
Please note the additions to our NPDES Stormwater Permit Contacts Summary.
These two contact listings are currently blank.
Owner Contact Person(s)
Contact Name: Jay Flanary
Title: Director of Manufacturing Services
Address: 1823 Boone Trail Rd
Sanford NC 27330
Phone: [phone]
Fax: [phone]
Email: lay.flana [e-mail]
Thanks,
Let me know if you have any questions.
Jay Fv l !j
Jay Flanary
Director of Manufacturing Services
Frontier Spinning Mills, Inc.
Office: 919 777 2650
[e-mail]
vk
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1 u�,'

Georgoulias, Bethany
From: Flanary, Jay <[e-mail]> A
Sent: Friday, February 14, 2014 11:18 AM
To: SVC_DENR.stormwater j p 1 f
Cc: Flanary, Jay (� µs 3
Subject: Permit -Facility Contact Updates - NCG170136 t
Please note the additions to our NPDES Stormwater Permit Contacts Summary.
These two contact listings are currently blank.
Owner Contact Person(s)
Contact Name: Jay Flanary
Title: Director of Manufacturing Services
Address: 1823 Boone Trail Rd
Sanford NC 27330
Phone: [phone]
Fax: [phone]
Email:[e-mail]
Permit Contact Person(s)
Contact Name: Jay Flanary
Title:
Director of Manufacturing Services
Address:
1823 Boone Trail Rd
Sanford NC 27330
Phone:
919 777 2650
Fax:
919 718 2301
Email:
iay.flanarv(@frontierspinning.com
Thanks,
Let me know if you have any questions.
Ja.y Ra&La.sry
Jay Flanary
Director of Manufacturing Services
Frontier Spinning Mills, Inc.
Office: 919 777 2650
iay.flanary(@frontierspinning.com
t

Georgoulias, Bethany
From: Steve Ashworth <[e-mail]
Sent: Tuesday, February 04, 2014 1:54 PM
To: SVC_DEN R.stormwater
Subject: Permit -Facility Contact Updates
Attachments: NCG160186 Woodsdale Contact Info.docx
Attached is the NPDES Stormwater Permit Contacts Summary changes
NCG 160186
Adams Construction Company — Woodsdale Plant
Facility Contact:
Delete — Donald Johnson
Add — Steven Ashworth 225 Gypsum Road, Danville, VA 24541 434-791-4480 434-799-
5851 sashworth g adamspaving.com
Permit Contact:
Add — Steven Ashworth 225 Gypsum Road, Danville, VA 24541 434-791-4480 434-799-
5851 sashworth e adamsoavins.com
Thank You,
Steven Ashworth
Adams Construction Co.
Southside Division
HR/Safety
Danville, VA
434-250-6399
aunr. wecw

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the following contact information in our Permit Database for your permit as of 2/4/2014.
Permit Number: NCG160186
Permit Type: Asphalt Paving Mixture Stormwater Discharge CDC
Facility Name: Adams Construction Co.-Woodsdale Plant
Facility Addressl: 5280 Woodsdale Rd
Facility Address2:
City, state & Zip: Roxboro, NC 27574
• ,- a ., W-
MUST submit a;Ghange,of Vame/Ownershipform to.DEMLR,to make any. changes to this'Ownerinformation.
See ".Miscellaneous,Forms" at htko://oortal:ncdenr.ora/web/Ir/nodes-sfocrriwater
Owner Name: Adams Construction Co
Owner Type: Non -Government Owner Type Group: Organization
Owner Affiliation: Scott Thompson Title:
Addressl: 225 Gypsum Rd
Address2:
City, State & Zip:
Work Phone:
Email Address:
Danville. VA 24541
434-791-4480
Fax: [phone]
Owner Contac1 -il �:N,, a-, ,,,
Contact Name TALC Address Phone f" Email
Facility'Contact Person(s):^.
Contact Name RtLe Address Phone f su Emu
Den ;ohnsen 225 Gypsum Rd, Banyille, VA 24541 431 7911480-434 799 5851
ADD
Steven Ashworth 225 Gypsum Road, Danville, VA 24541 434-791-4480 434-799-5851
[e-mail]
Perrhit:Contact-4* 7
Contact Name Ti L-e Address Phone gp�jj
Steven Ashworth Safely Manager 225 Gypsum Road, Danville, VA 24541
434-791-4480 434-799-5851 [e-mail]
2/4/2014
Page

1.
Georgoulias, Bethany
From: Steve Ashworth <[e-mail]>
Sent: Tuesday, January 28, 2014 4:49 PM
To: SVC DENR.stormwater
Cc: 'Doug Dawson'
Subject: Permit -Facility Contact Updates
Attachments: NCG160120 Reidsville Contact info.docx; NCG160133 Pelham Contact info.docx
Attached is the updated NPDES stormwater permit contacts summary. 1
Please update the following:
Permit Number NCG160120
Facility Name Piedmont Asphalt, LLC — Reidsville Plant
Facility Contact Persons:
Delete — Don Holland
ADD — Jackie Stanley Plant Operator 7641 NC Hwy 87 W, Reidsville, NC 27320 434-728-1877
Permit Contact Persons:
Delete — Donald Johnson
ADD — Steven Ashworth EFIS Manager PO Box 11328, Danville, VA 24543 434-791-
4480 sashworth rr adamspavin1 comm
Permit Number NCG160133
Facility Name Piedmont Asphalt, LLC — Pelham Plant
Permit Contact Persons:
Delete — Donald Johnson
ADD - Steven Ashworth EFTS Manager PO Box 11328, Danville, VA 24543 434-791-
4480 sash wort h naadamspaving.com
Thank you,
Steven Ashworth
Adams Construction Co.
Southside Division
HR/Safety
Danville, VA
434-250-6399
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Af
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1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the followine contact information in our Permit Database for your permit as of 1/28/2014.
Permit Number: NCG160120
Permit Type: Asphalt Paving Mixture Stormwater Discharge COC
Facility Name: Piedmont Asphalt LLC - Reidsville Plant
Facility Addressi: 7641 NC 87
Facility Address2:
City, State & Zip: Reidsville, NC 27320
Owner Information Details:
See 4 Miscellaneous Forms at fittdh/ jno EMLR to;make, any,changes to this Owner information.
MUST submit a Chan a ofName Ownershi form to
rtal:nctienr.oro/web/dr/npdes stormweter'" i
Owner Name: Piedmont Asphalt LLC
Owner Type: Non -Government
Owner Type Group: Organization
., ***-Legally. Responsible for.Permit ***
'(Responsible corporate ofhicer/principle executive officer.or ranking'+elected official/general partner orpropnetor, 't
for any other person with delegated' signatory,authorlty fromthe legally responsible
Owner Affiliation: Doug Dawson
Addressl:
PO Box 11328
Address2:
City, State & Zip:
Danville, VA 24543
Work Phone:
434-797-1360
Email Address:
Title: Branch Manager
Fax:
Owner COnta Ct,Per$On(S),::
Contact Name Title Addres Phone fax Email
Facility. Contact Person(s)'`:: , v r .a a ar` ; s' v
Contact Name Title Addres Phone Fax Email
Don —1 ielland 7641 NC Hwy 87 W, Reidsville, NC 27320 "`gin
ADD
Jackie Stanley Plant Operator 7641 NC Hwy 87 W, Reidsville, NC 27320 434-728-1877
Permit Contact Persons) r
Contact Name Title Address Phone Fix Email
Denald 9ohnsen PO Box 11328, Danville, VA 24543 434-791-4480
WE
Steven Ashworth EHS Manager PO Box 11328, Danville, VA 24543
434-791-4480 [e-mail]
1/28/2014
Page

Georgoulias, Bethany
From: Kevin Heape <[e-mail]>
Sent: Tuesday, January 28, 2014 8:42 AM
To: SVC DENR.stormwater
Subject: Permit Contact Summary Report (Update)
I am writing to update the contact information on the NPDES Stormwater Permit, Certificate of Coverage #NCG170400,
for Viscotec Automotive Products, LLC in Morganton, NC. Please find the -new -contact information below. If you need
any further information regarding this change, please contact me at [phone].
Facility Contact Person(s)
Contact Name: Kevin Heape
Title: Facilities & Environmental Engineer
Address: 1500Union St, Morganton, NC 28655
Phone: [phone]
Fax: [phone]
Permit Contact Person(s)
Contact Name: Kevin Heape
Title: Facilities &,Environmental Engineer "
Address: 1500 ftnion St, Morganton, NC 28655
Phone: [phone]
Fax: [phone]
Thanks,
Kevin Heape
Facilities & Environmental Engineer
Viscotec Automotive Products, LLC
1500 E. Union St.
Morganton, NC 28680-0130
P: [phone]

� 4 9 X
Division of Energy, Mineral & Land Resources
V 11
Land Quality Section/Stormwater Permitting
NC®ENR
National Pollutant Discharge Elimination System
PERMIT NAMEIOWNERSHIP CHANGE FORM
Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of
FOR AGENCY USE ONLY
Unto Received
Year Month
Ua
If. Permit status prior to requested change.
a. Permit issued to (company name):
Lee Industries
b. Person legally responsible for permit:
Patrick
Beard
Fast MI
Last
Engineering Manager
Title
2104'"StSW
Permit Holder Mailing Address
Conover NC
28613
City State
Zip
[phone] [phone]
Phone _
Fax .. _
c. Facility name (discharge):
Lee Industries Plant 3
d. Facility address:
1620 Fisher Court
Address
Newton NC
28658
City State
Zip
e. Facility contact person:
Chris Ward (828)
464-8318
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:
b. Permit issued to (company name):
c. Person legally responsible for permit:
No change
Bill Mckinney
First Ml Last
Exec. Vp
Title
2104°StSW
Permit Holder Mailing Address
Conover
NC
28613
City
State
Zip
[phone]
[e-mail]
Phone
E-mail Address
d. Facility name (discharge):
No change
e. Facility address:
Address
City
State
Zip
f. Facility contact person:
First
MI
last
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: Patrick Beard
First M1 Last
Engineering Manager
Title
2104"'StSW
Mailing Address
--- --- - --Conover----NC_---- ---28613_ .
City State Zip
[phone] [e-mail]
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 reguired 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, Patrick Beard, 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 in ple[e.
Signature Date
APPLICANT CERTIFICATION
1, Bill McKinney 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
pack a wi11 be returned as i complete.
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 276994612
Revised Jan. 27, 2014

Georgoulias, Bethany
From:
Bobbie Cox <[e-mail]>
Sent:
Friday, January 24, 2014 3:12 PM
To:
SVC DENR.stormwater
Cc:
[e-mail]
Subject:
Permit Contact Updates
Good afternoon,
This information is for Permit Number: NCG150029 We did go to www.swpermits.nc.gov and completed the renewal
process form.
We have a new Owner Affiliation Bill Bateman
vWe have a new Facility Contact Person Bobbie Cox Phone: [phone] Fax: [phone] Email:
[e-mail]
,/We have a new Permit Contact Person Steve Borden Phone: [phone] Fax: [phone] Email:
[e-mail]
Thank you, �, 2 o 2 cPrkc,-� 2 S f vio-e- - CtrJZ-c�
Bobbie Cox �-
Director of Operations �n G Ce'y, of r
Moore County Airport UA-
Phone: [phone] V gx#,a( �b
FAX: [phone]
[e-mail] 31
VIW!
S
_�0Ctx
1

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the following contact information in our Permit Database for your permit as of 1/24/2014
Permit Number. NCG170099
Permit Type: Textile Mill Products Stormwater Discharae COC
Facility Name: Milliken & CD -Golden Vailev
Facility Addressl: 2080 NC Hwy 226
Facility Address2:
City, State & Zip: Bostic. NC 2801E
Owner Information Details:
Owner Name:
Owner Type:
Owner Affiliation: Lee Slusher
Addressl: PO Box 1926
Addrew2: tl-482
City, State & Zip: SDartantwra SC 29304
Work Phone: [phone]
Email Address: Iee.siusher0mllliken.mm
Owner Type Group: Organization
Title:
®r
owner?Co tack-P�rson(s)' �
Contact Name Ift guess Phone En 9MAp
Faclpty%Contact Person(s) ;.
Contact Name INg Address Phona FAN €Nell
Mike Tutterow 2080 NC Hwy 226, Bostic, NC 28018 828-247-4300
C-9.eberCG-Galiem 2080 NC Hwy 226, Bostic, NC 28018 828-247-4313
�Qrrinit :ContaCt;:Person(s). '
Contact Name rUe Afdtes Phone EM Enm
C-Aebert6-6allen—PG-Box492"partanbargr6C-29U4-- 828-247-4313
HA FLEG- R�►�A t G��Lry.
� G:rr<2y2w1?
.18
( a,E �,� .c4 � I M�
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1/24/2014 Page 1

Georgoulias, Betha
From:
Sent:
To:
Subject:
Forrester, Cindy <[e-mail]>
Tuesday, March 18, 2014 5:48 PM
SVC_D E N R.stormwater
Permit Contact Updates
Please update the following for Permit No. NCG150032.
Owner Type: Government
Owner Affiliation Title: Division Manager of Fleet Services
Owner Affiliation Work Phone: [phone]
Owner Affiliation Email: debbvk(acitvofeastonia.com
OAIIe
V
Owner Contact Person: Debby Key, Division Manager of Fleet Services, PO Box 1748, Gastonia NC 28053-1748, Phone
704-866-6854, Fax [phone], debbvk([e-mail]
Facility Contact Person: Debby Key, Division Manager of Fleet Services, PO Box 1748, Gastonia NC 28053-1748, Phone
704-866-6854, Fax [phone], [e-mail]
Permit Contact Person: Cindy Forrester, Transit System Analyst, PO Box 1748, Gastonia NC 28053-1748, Phone 704-836-
0039, Fax [phone], cindyf([e-mail]
Please feel free to contact me if you have any questions or if you need additional information.
Thanks -
Cindy Forrester
Transit System Analyst
City of Gastonia
PO Box 1748
Gastonia, NC 28053-1748
704.836.0039 Office
704.866.6047 Fax
mailto:cindvf(@citvofgastonia.com
www.citvofgastonia.com
1

Sm�
NC Division on of Energy, Mineral and Land Resources
r
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the following contact informstion in our permit Dataoase for vour Permit a oP4111/201d
Permit Number; NCGI80179
Permit Type: Furniture and Fixru=-aQrmwater Di5chorqe COC
Facility Name: S'j11 Sherrill Occasional
Facility Addressl: 2g26 Highland Ave
Facility Address2:
City, State & Zip: Hickory, NC 28601
Owner Information Details:
owner Name: CrH Sherrill Occacimal
Owner Type: Ncin-Goyernmeet Owner Type Group: Organization
Owner Affiliation:
William F smith
Addrml;
PO Box 189
Address2:
City, State & Zip:
Hickory. NC 28603
Work Phone:
428-322-2640 )C 9- /r
Email Address:
;77777"1 5/ Z' 1?lel.
YuR 1~. (Cbk
YiDe: VP./�/J7�ilOx✓ S
Fax: g2a "YJl' 5-9 /i
Contact Namn MIRAddres;iEll= t"
Contact Name Ule Address
ERE mail
William E Smith `%�% PO Box 189, Hickory, NC 28603 //. �88228 322-266440/
01A
Conm Name TM AelAmgs p
William E Smith PO Box 189, Hickory, NC 7.8603 1"826 22-2640 I It
4!'11/2014
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NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the followlne contact information in our Permit Database for dour Permit As of S/(1/2014
i
Permit Number: NCG180086
Permit type: Furniture and Fixtures $tormwater oiocn'ro� 8 COC
Facility Name: Hws Cc Inc-onA Hirmry White
Facility Addressl: 866 7th Ave 5E
Fadlity Address2:
City, State & Zip: Hickory. NC 28602
owner Information Details:
Owner Name: Hws Co Inr
Owner Type: Non .ov-rnm n[ Owner Type Group: OrQanizbtion
Owner Affiliation: Villian, E Smith
Addressl: PO Sax 189
Address2:
City, State & Zip: Him. NC 28603
Work Phone:->'m��Zp'�ZZ'2�yO
Email Address: S%%1 /TyW 0)
Contact Name M
Contact Name
William E Smith
contact Name
William E Smith
Address
PO Box 188, Hickory, NC 28603
Address
PO Box 189, Hickory, NC 28603
Title: VIP ! i®"
Fax: ?2 -
I
Phone
E '
(828 22-2640
I
828 22-2690
46J- �/s^
411 ii2014
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NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
Permit Number: NCGlOO178
Permit Type: Furnituro and F' res
Facility Name: Sherrill F - HICISON
Facility Addressl: 4 i hl
Facility Addrew2:
city, State & Zip: Nlr nrv.
owner Inf.QrmationI :
Owner Name: Sherrill Furnit rt
Owner Type: Non-Governme8t Owner Type Group: Organiaalion
Owner Affiliation:
Addressl:
Address2:
City, State & Zip:
Work phone:
Email Address:
dlckatY N4.2�1
®a-32 Z§sn Ex[. 6818
Ji77,77¢i✓ ®>/
Title: kI4/ale a.0 %//S7'V j
Fax:
/GG �N/IN% LUNG'', GOrtr
shone Fey( Email
�..:' � ''.a4 "dil i`iY:`i"t/�4Y
��AwSr�'�'£"-� ��..1 �:,
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Contact .tt
NC 2863
&' �� � 8y07
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't'
William ESmih
.
YA/% A&
PO Box 189, Hic1Wry,
i
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is
4
C(,ntpct Nance
11011
Address
Pho EM
William E Smith
PO Box 189; Hickory, NC 28603
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4/11/2014
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page

Georgoulias, Bethan
From: Britton C Smith<[e-mail]> ��
Sent: Tuesday, March 04, 2014 9:22 AM ?,A\0,
IIJ
To: SVC_D E N R.stormwater
Subject: Permit -Facility Contact Updates
Hi,
I am needing to change the contact information for Masterbrand Cabinets' SW Permit number NCG180224. I am the
new contact and my info is:
- Mr. Britton Smith
- 651 Collier Loftin Road Kinston NC 28504-6847
- Phone #: [phone]
Let me know if you have any questions.
Britton Smith
EHS Specialist
MBCI Kinston Operations
[phone]
CONFIDENTIALITY NOTICE: The information transmitted is intended only for the person or entity to which
it is addressed and may contain confidential and/or privileged material. Any review, retransmission,
dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities
other than the intended recipient is prohibited. If you received this in error, please delete the material from any
computer

sion of Energy, Mineral R Land Resources
��r� Land Quality Section/Stormwater Permitting
NCDENRNational Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date R,wed
Yea. Month
Day
I. Please enter the pennit number for which the change is requested.
NPDESPermit (or) Certificate ofCoveraae
N C S 10 1 1 N 16 G 2 2 H
11. Permit status t� to requested change.
a. Permit issued to (company name): (�
b. Person legally responsible for permit: IJG f f [ I I Lon
First Nil Last
Talc
6J i 1lC/-Lood
Permit Bolder i\IaiI ing Address
K"r) S+0'A Ne 2M)z/-68t17
Cite state Zip
(2sz )SSq'2SN11 (Z$'Z )SS- 9'?-S3S
I'hune Fax
c. Iracilitynamc((Iisch:ugc): M.�{v�ro c( "Lpep - P)-I q
d. Pacilityaddress: 6,rl Co//,'L, Lv4,-^
Address
K;ns+o.. tv L 2BTay
city sane Zip
e. Facility contact person: I )
First / h91/ Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result ol. ham_e in ownership of the facility
v:une change of the Cicility or owner
lf'wht,r please explain:
b. Permit issued m(comp:ury name): M.aiv
c. Pe sou legally responsible for permit: -F,',i
d. Facility name (discharge):
c. Facility address:
Fist Nil Last '
Ge.tuMa,.tSr1
Till.•
GSI ColI�'rr-Ld,f (?d(
�11' I'cnnit holder Mailing Address
Al
c 2fsoy-69V?
city Stine Zip7)rS�•2ZZ3 eri! 2fY'7 �,Stnf%��rnviv¢fM�
I'hone F-mail Addre..,s
Address
Con
Ci1v SEac Zip
f. Facility contact person:
First \II Last
('ZS— 0C,-z1yy bcJr, f%6?r+f"-1•��,
Phone E-mail Address COfn
IV. Permit contact information (if dificrent from the person legally responsible for the permit)
Revised Jan. 27. 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contain t3 ft T�(" if
PirSi All Lau
rhle
Rc�
Mailing Address
A/ C 2 eJ-,l Y
city State Zip
Phone 17-mail Address
\, Will file permitted facility continue to conduct the same industrial activities cooducted prior
to Ih' ownership or name change^
yes
❑ No (Please explain)
\ I. Required Items: THIS APPLICATION WILL BE, RETURNED UNPROCESSED IP 1'11,Nls-
AK' INCO:NIPUTE OR MISSING:
� This completed application is rcquircd for 1)0111 uanle chutgc and/or ownership change
requests.
❑ Legal documentation of the transtcr of ownership (such as relevant pages of a contract (Iced.
or a bill of sale) is rcquircd for all ownership change request. Articles of incorporation arc
not sufficient -lox an ownership change.
The cel'Iilicafions below must be completed and signed by both the permit holler prior to the chmlge.:md
the new epplicanl in the case of an ownership change request. For ❑name change request. the signed
rApplicant"s Certification is sufficient.
1'h:R:yt►'1"I'1'sE CI?It"1'IEICA'I'ION (Permit holder prior to ownership change): f �Q
I. _. aulest Ihau this application for a name/ownership change has been reviewed and is accurate and
contplcle to the best of my knowledge. 1 understand that ifall required pans of this application arc not
completed and that if'all requirc(1 supporting infixnlatiou is trot includedI, this application package will be
returned as incomplete.
Signature
APPLICANT CER"►IPIC:ATION
Date
I. auest that this application for nytc/ownership change Isis been reviewed and is accurate and
complete to the best of np1 knowledge. I understand that if all rcquircd pans of this application are not
cnnlplomed and dlnt if;dl MILlire(i supponing inR i-IM16on is not included, lhiS applic;llion package will be
returned as incomplete.
Raised Jan. 27. 2014
Signcuure
Due
11I.EASE SENDTHE COMPLETE APPLICATION PACKAGETO:
Division of Energy, Mineral and Land Resources
Storniwalcr Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612

rxq ��

Georgoulias, Bethany
From: Guy Lee <[e-mail]>
Sent: Tuesday, February 18, 2014 1:53 PM
To: SVC DENR.stormwater
Cc: 'Steve Whittington' ^lj
Subject: Permit -Facility Contact Updates NCG180006 p n \N
Greetings: \��
Regarding Progressive Furniture Inc., Claremont, North Carolina, NCG180006:
Steve Whittington
Post Office Box 729
Claremont, North Carolina 28610
Work Phone: [phone]
Email: [e-mail]
Should be listed as the "Person Legally Responsible for Permit", "Owner Contact", "Facility Contact" and "Permit
Contact".
Please update the Stormwater Permit records accordingly.
Thank you,
Guy Lee IV, PE
Environmental Consultant
Guy Lee IV PLLC
5486 Sherrills Ford Road
Catawba, North Carolina 28609-9005
USA
Office: 828-241-3417
iPhone:828-244-2885
Email: [e-mail]
Gmail: [e-mail]
Business: www.guyleeivpllc.com
Ministry: www.guyleeiv.corn

Georgoulias, Bethany
From: Georgoulias, Bethany
Sent: Wednesday, February 19, 2014 8:55 AM
To: 'Guy Lee'
Cc: 'Steve Whittington'; Bennett, Bradley; Munger, Bridget
Subject: RE: Permit -Facility Contact Updates NCG180006
Attachments: NPDES-Name-Owner-Change-20140127-DEMLR-SW.pdf
Hi Guy,
Thank you for letting us know about these updates. We can make the other changes to permit contact, owner contact,
and facility contact with the e-mail below.
I noticed that you are asking us to change "Person Legally Responsible for Permit" for this permit. We must have a
paper document with a signature to make that change, since it is the legal entity responsible for the permit. I apologize
for the added step to make this change, but we need to have a record with original signature for the file.
Attached is a form you can use to make that change. Just fill out the information that is pertinent if other ownership
changes have not taken place. We will process that change when we receive it.
Thanks very much, and please let us know if you have questions.
Regards,
13elhunv Georgoulias. Environnlenlnl Engineer
NCDENR / Division of Enerey, Mineral, and Land Resources
Stonrnwater Permitting Proflram
1612 Mail Service Center. Raleigh, NC 27699-1612
512 N. Salisbury Street, Raleigh, NC 27604
919 / 807-6372 (phone): 919 / 807-6494 (fax)
Website: httP //portal.ncdenr.orUweb/ir/storniwater
E-mail con'esponeknce lu and,lron ihi.s address may he .suhiecl to the Noah Carolina Public ReconA lmr and nap he: disclosed to third parties.
From: Guy Lee imailto:guv(&guyleeiv com]
Sent: Tuesday, February 18, 2014 1:53 PM
To: SVC_DENR.stormwater
Cc: 'Steve Whittington'
Subject: Permit -Facility Contact Updates NCG180006
Greetings:
Regarding Progressive Furniture Inc., Claremont, North Carolina, NCG180006:
Steve Whittington
Post Office Box 729
Claremont, North Carolina 28610
Work Phone: [phone]
Email: stevew(a)proRressivefurniture.com

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the following contact information in out- Permit Database for your hermit as of 3/28/2014.
Permit Number: NCG170109
Permit Type: Textile Mill Products Stormwater Discharge COC
Facility Name: Coats American -Hendersonville
FacilityAddressl:-17&Brevard-Rd 1-710 131ZCVAR0 R(�
Facility Address2:
City, State & Zip: Hendersonville, NC 28739
Owner Information Details:
Owner Name:
Owner Type:
Owner Affiliation:
Addressl:
Address2: /
City, State & "p:
Work Ph e:--�
Coats American Inc
Non -Government
WS OAVE
Owner Type Group: Organization
Title: PIAAJ'i MGR
130
•-Toecoo-vAori HLNDLRS oNVit1C Ne a8793
—
'$�4Sc(o`�� iL7a EAt. i 57 Fax: S,78- (o9:l- 7156
at, NNis.,Aavaluy eccn+s,c
Contact Name Title
Address
Phone Fax
Email
Po 13ox 1301 Nc cersoN✓;11e �ta57g3
Sas-69-420x
Ef4 185
elar�ay,�'u�clre�teaAS,ti
Contact Name Title
Address -
Phone Fax
Email
Danny Fulcher - -
- A - PO Box 130, Hendersonville; NC 28793- -
828-693-4222 -- 88 - -
Contact Name Title 1 Address Phone Fax Email
Qanai-r-8avefay- 9 A0%,C ( PO Box 130, Hendersonville, NC 28793 828-693-4222
DANNY \-J (.Hrr

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary lI \\)c\\
NC DEb1LR has the followine contact information in our Permit Database for your hermit as p(3127120141 '\�
Permit Number. NOG170269
permit Type: Te#ile Mill Produas Smrtnwater Dischnaroe CAC i `r p A-.. Facility Name: n-Sevier Plant 1. OAIS NORV glWfICA -- SE Nbe PAK)'
Facility Addressi: 630 American Thread Rd
Facility Address2:
City, State &Zip: Marion. NC 28752
S�01�
I MUSTfsubmit a Change of.Name/Ownertti/p,formitoDEMLR,to make any�changes to this Owner information.
See "Miscellaneous Forms`at httoa/mortal.ncdenr.orofweb/Ir/nodes-stormwater
Owner Name: -.
Owner Type: Non-GovemmeM
_ r (Responsible corporate om
or army otl"rkr
Owner Affiliation: i I \ T2ja��I p
Addressl: (0 �l fiA/ r i77cCT1% !\OFio
i
#ARfONf NC LL/;2975cZ
FoU—?56-4111
'ALM .e.190"s & C4;75, 6/U
Omer�Oruaniration �zr
Address2:
city, sate & Ap
Work Phoz
Address:
uGq
atnrrOrlty from
al parmcr or proprietor,
Title: I&I?Dle OF AAIIJJC,%N6
Fax: gab- `756 -'71OF
Address Ellen fAA Email
f}'seve
Facility Contact Person(s)
Contact Name r3t(s A Address Phone EPA EMAU
Permit Contact Person(s)
Contact Name _Ems T Addr Phone fag 91110
's 4 Y�N 4101)40 1,05P(YI,
..r., .11)14 pagJ

Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
s'
NC®EN
National Pollutant Discharge Elimination System
E.,
PERMIT NAME/OWNERSHIP CHANGE FORM
1. Please enter the permit number for which the change is requested.
FOR AGENCY USE ONLY
Data Received
Year
Manth
I Day
I
NPDES Permit (or) Certificate of Coverage
ii1 Q 1'0 1 17 0 4 0 1
�Utj
11. Permit status arior to requested change.
a.
Permit issued to (company name):
True Textiles Inc.
b.
Person legally responsible for permit:
Andrew R Messner
First MI Last
Director Of Operations
Title
304 E. Main St.
Permit Holder Mailing Address
Elkin NC 28621
City State Zip
[phone] ( )
Phone Fax
c.
Facility name (discharge):
True Elkin inc. I
d.
Facility address:
304 E. Main St.
Address
Elkin NC 28621
City State .Zip
e.
Facility contact person:
Dave Walker [phone]
First / Ml / Last Phone
Ill. 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: Change in "Owner Affiliation"
b.
Permit issued to (company name):
True Textiles Inc.
c.
Person legally responsible for permit:
John P. Levicki
First MI Last
Chief Operating Officer
Title
304 E. Main St.
Permit Holder Mailing Address
Elkin NC 28621
City Slate Zip
[phone] [e-mail]
Phone E-mail Address
d.
Facility name (discharge):
True Elkin Inc. I
e.
Facility address:
304 E. main St.
Address
Elkin NC 28621
City Stale Zip
f.
Facility contact person:
Scott M Taylor
First MI Last
[phone] [e-mail]
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27. 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: Scott M Taylor
First MI Last
Environmental Coordinator
Title
9 Oak St.
Mailing Address
Guilford ME 04443
City State Zip
[phone] [e-mail]
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
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):
I, 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 Date
APPLICANT CERTIFICATION
1, John Levicki, 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. J
U 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, 2014

Crystal Reports Viewer
d� ,, -E I M s
Page 1 of 1
(R cj 1 [12 Parameters Tj Gmup Tree 1 M / I�/t 0 M I 0- 100%
Main Report
air
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEhILR has the followine contact inform al ion in our Permit Database for your permit as oft/li/20W.
Permit Number: NCGI90074
Permit Type: Ship and Boat Building Stomrwater Dischame COC
Facility Name: ManneMax - Wriahtsville Beach
Facility Addressl: 1j0_Short St
Facility Address2:
City, State & Zip: Wrightsville Beach NC 28480
CRMAL SPORTS'
1 ::
Owner lnfornatna Det@ils_
MUST submit a Change of Name/Ownersh/pform to DEMLR to make any changes to this Owner information.
See "Miscellaneous Forms" at http://portal.ncdenr.org/web/ir/nodes-stormwater
Owner Name: Mannemax East Inc
Owner Type: Non -Government Owner Type Group: Oroanvation
*** Legally Responsible for Permit ***
(Responsible mrpoate oKcer/principle executive oKcer w ranking elected otricial/general partner, or propnetor,
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: William H McGill Title:
Addressl: 18167 US Mwv 19 N
Address2: Ste 300
City, State & Zip: Clearwater, FL 33764
Work Phone: [phone] Fax: [phone]
Email Address:
m LZ 18110-7 U, S - s,� 15 KI
�' -
(a t �,cynl � 331irq
�a�- sz� - 39 S`i
n
V
Y; " "4,X ,
�,o M
- ---- - i �_ °f Pew P Z-s4 rJe

NC Division of Energy, Mineral and Land Resources
,NP„DES Stormwater Permit Contacts Summary
NC DEMM has the following contact information in our Permit Database for your permit as of 21711014
Permit Number: NCG190033 In/ C., 11~
!' t2
Permit Type: Shig and Boat Buildino Stormwater Discharge COC
Facility Name: Town Creek Marina - Beaufort y
Facility Addressi: 232 W Beaufort Rd
Facility Address2:
City, State & Zip: Beaufort. NC 28516
Owner Name: Conscience Bay LLC DBA Town Greek Marina
Ownerlype: Non -Government Owner Type Group:, Organization
Owner Affiliation: Charles B Tulevech Title: 'r'Io.giAA 'Iqe-YVbe
Addressl: 232 W Beaufort Rd J
Address2:
City, State & Zip: Beaufort. NC 28516
Work Phone: [phone] Fax: [phone]
Email Address: mom; nO„-�oux� CteeK (Ylpf i (1LL.�m
Contact Name Ml
Address a3a H • 6eCLLJC& P6. Phone
fax
Email
oharles 8 TuIeyeeh
ejl^9nk^�� c`dea.u.PDCkINe 2851(o a3a.7d8,(all(
a5�.-2$.V053
^n^^aQeeh
��4.0 M
�j4QJen M Yule�eCh
spiil� 5LLme G50-^oe.
yrv:ee@bfc 0(eeY
Contact Name L710
Charles Tulevech 'j)j"l AS
Address Phone
MP.r 6f-" 232 W Beaufort Rd, Beaufort, NC 28516 252-728-6111
UK
EMAU
Contact Name IICfl Address Phonepu
Charles Tulevech mU :np Mtmbe( Rt4 Box 25, Beaufort, NC 28516 252-728-6111
JJ Fxd. 127
2/7/2014
Page

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DENILA has The follmrine contact information in our Permit Database for your nermil a.s of 1/28/2014.
Permit Number; NCGIB0242
Permit Type: Furniture and FMures Stonnwater Discharae CDC
Facility Name: Baker Fumiture
Facility Addres l: ] Baker Way
Facility Address2:
City, State & Zip: Connellys Sodnos. NC 286tj
Owner Information Details*
(MUST su6mlt a Change of Name%Owneish/pform toIpEMLR to make eriy changes to tltls Owrieulnformatlori: '
See Mlscellaneous Forms",athtttt;//ooital ncAenKora(web/111S:Ies=ittict at`er:
Owner Name: Kgh14CCBB1Rd0y
Owner Type: Non -Government Owner Type Group: Organization
I� ;***ItegallyiReaponsibleJor Permltk** �}- , --to
.•
n
(Responaibla corporate otncerlPOndple o><ecutivo officer or mnklnB eloctadol0dal/general partner or propdetor'
.. ,or,erry,other persaii witlidNegatedralpriatory authodtyfrom flia legally icsponsl6le person.),'
Owner Affiliation: L)A,De -\/004r Title:
Addressl: 1 Baker Wav
Address2:
City, State & Zip: Connelys Springs . NC 2"
Work Phone: -2�0A4=4441 5,AS �4i Sys( Fax:
Email Address: W aI C. Yo VK LJ � ki w . M
Mil-Fusils M' 1
Address
Phone Pao Emig
Fa`dlltiy;ConLrictP,eison(s)__,�—'�—'�- - �•�'--� ,
Contact Name ",jug Address Phone Fax EMAH1 11
-Jelsh7dEws I Baker Way, Connellys Springs, NC 828-397-5551 828.397-7506 wrAiiN.T7M�2La k.•N�e✓, Pakti
(/DILL 5T4W,:P 28612
Permlt;ConlactlPerson(s) ,t _ - -
Contact Name Title Address Phone Ea Email
1/28/2014
Page

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the followine contact information in our Permit Database for your permit as of 2/2612014
Permit Number: NCG160161
Permit Type: Asphalt Paving MiMurg Stormwater Discharge COC
Facility Name: Murihead Distribution Center (MDC)
Facility Addressl: 1503 Camden Ave
Facility Address2:
City, State & Zip: Durham, NC 277
Owner Information Details:
�`;^MUST 3ubmrt a'Chhange ofNam�
a`z� $� '� �?`^See°"Mlscellaneou
Owner Name: Carolina Sunrock LLC
Owner Type: Non -Government
Owner Affiliation: Brian Pfohl
Addressl: 200 Horizon Dr Ste 100
Address2:
City, State & Zip: Raleigh. NC 27615
Work Phone: [phone]
Owner Type Group: Organization
Title:
Fax: [phone]
Email Address: bofohl(d)thesunrockgrouo
com
Owner„�Contaet�Pe�son(s) 'rs ra: r = ., -r,l er # 55EE SFr,
Nei ah.6'
Contact Name T1SLg
Addres Phon fax
Email
Contact Name IjUg Address Phone Eim !mil
Fred Blankenship 200 Horizon Dr, Ste 100, Raleigh, NC 919-868-5650 919-861-1866
P,.,ermlt Cont`act�ge(s(s)� on '
-
Contact Name Jift Address
Phone
J;mai1
Tony Sample Compliance Manager
200 Horizon Dr, Ste 100
Raleigh, NC 27615
919-669-6187
tsample@thesu
nrockgroup.com
2/2ero1a
Page

NC Division of Energy,, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
INC DEMLR has the following contact information in our Permit Database for your permit as of 1/28/2014.
Permit Number: NCG160133
Permit Type: Asphalt Paving Mixture Stormwater Discharge CO
Facility Name: Piedmont Asphalt LLC - Pelham Plan
Facility Addressl: 1675 Quarry Rd
Facility Address2:
City, State & Zip: Pelham, NC 27311
Owner Information Details:
I -MUST submit 6 'Change offiamiEF/Own6 fqnrfi1t6'DElVlLRto*make an changes- Fo.t�hislOwner .iriforiiiati6ri:.:
�"hal' �,d6n, q y ti
See,Niscellan6ous Forms" at.hUi) /:/po- nc no� i b ds-stormwater,
Owner Name: Piedmont Asphalt LLC
Owner Type: Non -Government Owner Type Group: Organization
p
Responsible for Permlt
.(Responsible corporae Officer -or. ranking electid,official/generallpartner
anv other De ln�to au�th'iit"fr6in�thel�'*all i�r6 �oA�ible
0 _y�g_ S_
Owner Affiliation: Doua Dawson
Addressl:
PO Box 11328
Address2:
City, State & Zip:
Danville, VA 24543
Work Phone:
434-797-1360
Email Address:
Title: Branch Manage
Fax:
l.Qwfier,-.Cb'-nta(
Contact Name MLq Address Phone Fax E13110
Contact Name M19 Address Phone Fax Email
Phillip Worley 1675 Quarry Rd, Pelham, NC 27311 336-388-9581
IPermit"Contac
Contact Name B119 Address Phone Fax Email
Dena'd gehnsen PO Box 11328, Danville, VA 24543 434-791-4480 [e-mail]
ADD
Steven Ashworth EHS Manager PO Box 11328, Danville, VA 24543 434-791-4480 [e-mail]
1/28/2014 Page

From: Eddie Valdivieso <[e-mail]>
Sent: Thursday, March 20, 2014 9:57 AM V
To: SVC_DENR.stormwater v(\
Cc: Alan Crockin
Subject: Permit -Facility Contact Updates NCG160143 & NCG160194
To whom it may concern:
With respect to both NPDES Industrial Stormwater Permit #s NCG160143 & NCG160194, please note the following facility
contact and permit contact updates for both facilities:
Facility Contact Person & Permit Contact Person:
Facility & Permit Contact Name:
Title: Senior Project Engineer
Address: 934 W. Kitty Hawk Road
P.O. Box 333
Kitty Hawk, NC 27949
Phone: [phone]
Fax: [phone]
Eddie Valdivieso, P.E.
Email: eddiev(o)rpccontractino.com
Contact with any questions or comments.
Regards,
Ecide V
Eduardo J. Valdivieso, P.E.
Senior Project Engineer
R.P.C. Contracting, Inc.
P.O. Box 333
Kitty Hawk, NC 27949
Tel. [phone]
Fax [phone]
[e-mail]
www. rpccontracti ng. com
reins

NC Division of Energy, Mineral and Land Resources J Sri
NPDES Stormwater Permit Contacts Summary �\
NC DEMLR has the followine contact information in our Permit Database for vnur permit as of 3/1412014.
Permit Number: NCG160210
Permit Type: Asphalt Paving Mixture Stonnwater Discharge COC
Facility Name: BCI Matedals Inc
Facility Addressl: 1131 Atando Ave
Facility Address2:
City, State & Zip: Charlotte. NC 28206
Owner Information Details:
Owner Name: Blythe Construction
Owner Type: Non-Govemmen[ Owner Type Group: Organization
Owner Affiliation: Allen Henddcks Title: VF X�VALT aT4ZL j
Addressl: 2911 N Graham St
Address2:
City, State & Zip: Charlotte, NC 28206
Work Phone: [phone] Fax: [phone]
Email Address: allen henddcks@blvtheconstruction com
Contact Name Ijpg Address Phone Lax Email
_ _ �-
FacilitYr,Coritact,P,erson(s)�c.:Faz-
Contact Name IUQ Address Phone f" Email
Randy Turner AAj, Ra-r(w 94 3 A "��- cg Chadotte, NC 28206 704-334-5014 704-375-7814 ntndy.tumer@bdmat
till ATA&A1 AmE adak rpm
Contact Name Title Address Phone f PA Knia
3/14/2014 Pace

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the following contact information in our Permit Database for your permit as of 4/4/2014.
Permit Number: NCG180053
Permit Type: Furniture and Fixtures Stormwater Discharge COC
Facility Name: Stanley Furniture Company - Robbinsville
Facility Addressl: 68 Snowbird Rd
Facility Address2:
City, State & Zip: Robbinsville, NC 28771
Owner Information Details:
sub it" a 'Etianye of Name/Own rs o mAo�DEM�LR to�ma%any$hang es o5nthisfOwr%er�mformation �.;
See ! Mi"scellaneousat.htto:/+%ooctalincdenr.ora/web/Ir/nodes-stormwater
Owner Name: Stanley Furniture Company
Owner Type: Non -Government
Owner Affiliation: Micah Goldstein
Addressl: 68 Snowbird Rd
Address2: 1
City, State & Zip: obbinsville .NC 28771
Work Phone: [phone]
Email Address: maoldstein(cbstanleyfurniture.com
Owner Type Group: Organization
Title: Chief Operating Officer
Fax:
OwnerContact�Puersiin(s)':
Contact Name Title Address Phone Fax Email
Carlton Craig 140 Hollie Or, Martinsville, VA 24112 276-634-0134
Ext. 237
Contact Name Title
Randy Everhart
Address Phone Fax Email
68 Snowbird d, Robbinsville NC 28771 828-479-1145
Permit,Contact 12- son(s+) ; $ - >:
Contact Name Title Address Phone Fax Email
Carlton Craig 140 Hollie Or, Martinsville, VA 24112 276-634-0134
Ext. 237
4/4/2014 Page

Division of Energy, Mineral & Land Resources
�r��
Land Quality Section/Stormwater Permitting
NCDENR
National Pollutant Discharge Elimination System
PERMIT NAMEIOWNERSHIP CHANGE FORM
Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of
Permit status prior to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
c. Facility name (discharge):
d. Facility address:
FOR AGENCY USE ONLY
pate Re Ived
Year
I Month
Da
Lee Industries
Patrick
Beard
First MI
Last
Engineering Manager
n
Title
2104'"StSW
�
Permit Holder Mailing Address
\
Conover NC
28613
City State
Zip
[phone] [phone]
Phone
Fax
Lee Industries Plant 3
1620 Fisher Court
Address
Newton NC 28658
City State Zip
e. Facility contact person: Chris Ward [phone]
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:
b.
Permit issued to (company name):
No change
c.
Person legally responsible for permit:
Bill
Mckinney
First
MI Last
Exec. VP
Tide
2104°StSW
Permit Holder Mailing Address
Conover
NC 28613
City
State Zip
[phone]
[e-mail]
Phone
E-mail Address
d.
Facility name (discharge):
No change
e.
Facility address:
Address
City
State Zip
f.
Facility contact person:
First
MI last
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27.2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: Patrick Beard
Fust MI Last
Engineering Manager
Title
2104'"StSW
Mailing Address
-------.T--------_---- —Conover _- NC_--.--28613-
City State zip
[phone] [e-mail]
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 requited 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 inquest, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Patrick Beard 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 in plete.
Ay
Signature Date
APPLICANT CERTIFICATION
1, Bill McKinney, attest that this application for a namelownership 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
packYe wilLbe returned as i complete.
IQ49k� 4 /,Zg_/�
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
Reused Jan. 27, 2at4

From: Lewis Herman [[e-mail]
Sent: Thursday, March 27, 2014 2:04 PM V
To: SVC_DENR.stormwater
Subject: Permit -Facility Contact Updates
Good afternoon,
I submit the following facility contact and permit contact changes for the following NPDES stormwater permits.
First Certificate of Coverage NCG180108
The facility and permit contacts are the same and as follows:
Lewis Herman P.O. Box 605, Hudson, NC 28638
lewis.hermanQla-z-bov. com
Second Certificate of Coverage NCG180109
The facility and permit contacts are the same and as follows:
Lewis Herman P.O. Box 605, Hudson, NC 28638
lewis.hermanna,la-z-bov. com
Third Certificate of Coverage NCG180237
The facility contact is as follows:
(P)828 728-3261
(P)828 728-3261
Dean Williams P.O. Box 817, Taylorsville, NC 28681 (P)828 632-9774
[e-mail]
The permit contact is as follows:
Lewis Herman P.O. Box 605, Hudson, NC 28638 (P)828 728-3261
lewis.herman(i� la-z-bov. com
Lewis E. Herman Jr.
La-Z-Boy Casegoods Group
Environmental and Facilities Engineering Manager
828 726-5209 (0)
828 728-0266 (F)
(F)828 728-0266
(F)828 728-0266
(F)828 632-5195
(F)828 728-0266
This e-mail, and any attachments thereto, is intended only for use by the addressee(s) named herein and may contain legally privileged
and/or confidential information. If you are not the intended recipient, please note that any review, dissemination, disclosure, alteration,

printing, copying or transmission of this e-mail and/or any file transmitted with it, is strictly prohibited and may be unlawful. If you
have received this e-mail by mistake, please immediately notify the sender and permanently delete the original as well as any copy of
any e-mail and any printout thereof.
This message is intended only for the individual or entity to which it is addressed. It may contain privileged,
confidential information which is exempt from disclosure under applicable laws. If you are not the intended
recipient, please note that you are strictly prohibited from disseminating or distributing this information (other
than to the intended recipient) or copying this information. If you have received this communication in error,
please notify us immediately by e-mail or by telephone at the above number. Thank you.

Munaer. B
�A'�`�h'
From:
David Bone [[e-mail]]
Sent:
To:
Tuesday, April 01, 2014 10:47 PM
SVC_DENR.stormwater
Subject:
Permit -Facility Contact Updates
For the Martin County Airport NPDES permit, please change the Facility Contact Name t Jesse Council. Please let me
know if you have any questions. Thank you.
David B. Bone
County Manager, Martin County
305 East Main Street
P.O. Box 668
Williamston, NC 27892-0668
Ph.: 252-789-4300
Fax: [phone]
d boneCd martincountvncsov.com
"] r1^w C(

of w A rE9
\off oG
co
Mr. Wade Spears
Ethan Allen Operations, Inc.
700 South Main Avenue
Maiden, NC 28650
Dear Mr. Spears:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
August 19, 2005
Subject: NPDES General Permit NCG180000
Certificate of Coverage NCG180072
Ethan Allen Operations, Inc. -Maiden Division
Formerly Ethan Allen, Inc. -Maiden Division
Catawba County
Division personnel have reviewed and approved your request to change your name under the General Permit,
received on August 15, 2005.
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 is issued 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 Stormwater Permitting Unit at [phone], extension 502.
Sincerely,
Ca*' Gi?iA;_ 3:01NED 5Y
BRADLEY SENNETT
Alan W. Klimek P. E.
cc: DWQ Central Files
Mooresville Regional Office, Water Quality Section
Stormwater Permitting Unit
NoyhCarolma
AWitrnlly
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.entstale.ne.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer - 50 % Recycled110% 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. NCG180072
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,
ETHAN ALLEN OPERATIONS. INC.
is hereby authorized to discharge stormwater from a facility located at
ETHAN ALLEN OPERATIONS, INC.-MAIDEN DIVISION
700 SOUTH MAIN AVENUE
MAIDEN
CATAWBA COUNTY
to receiving waters designated as a UT of Sandy Branch in the Catawba River Basin, in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V and VI of General Permit
No. NCG 180000 as attached.
This certificate of coverage shall become effective August 19, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 19, 2005. ORiGi ir1L SIGN=D BY
BRADLEY BENNETT
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

F.
I�Ig01ao/ 1go/.4-
Spruce Pine Division
200 Ethan Allen Drive
Spruce Pine, NC 28777
ETHAN ALLEN
OPERATIONS, INC.
July 20, 2005
North Carolina Department of
Environment and Natural Resources
Division of Water Quality
Sara Young
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Corporate Reorganization and Name Change for Permits
D. Bruce Ward
Environmental Coordinator
Phone: [phone]
Fax: [phone]
This letter serves to formally notify the North Carolina Department of Environment and Natural
Resources, Division of Water Quality of name change and corporate reorganization regarding
Ethan Allen that will become effective on July 1, 2005. We have just learned that as part of the
reorganization, certain internal transactions within Ethan Allen will result in the transfer of Ethan
Allen's active manufacturing/distribution facilities from one -wholly owned company of Ethan
Allen to another wholly -owned company of Ethan Allen. This corporate restructuring will not
change the manufacturing/distribution processes or operational control of the facilities subject to
permits. These name and internal changes are being implemented to better align our business
operations. Before and after the change, all active manufacturing/distribution facilities are and
still will be directly or indirectly wholly -owned subsidiaries of Ethan Allen Interiors Inc. which is
traded on the New York Stock Exchange under the symbol "ETH."
All permits for manufacturing/distribution operations will need to be issued to Ethan Allen
Operations, Inc. This corporate restructuring will not impact Ethan Allen's closed/discontinued
operations and, therefore, no changes to the permits associated with these operations will be
necessary.

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We will be contacting your offices in the near future to confirm and submit any forms that are
deemed necessary to reflect this name change and corporate reorganization. Please do not
ita ou have any concerns or questions.
V
tA)-
D. Bruce Ikard .
Environmental Coordinator
Cc:
Pam Banks Esq. Ethan Allen Global
Don Garrett, Ethan Allen Operations
Charlie Farfaglia, Ethan Allen Global
Paul Kaminski, Ethan Allen Global
Mike Baker, Ethan Allen Operations

A,
�p
NC6110a?.Z,i 1961`/86/114--
Mr. Alan W. Klimek.P.E, Director July 11, 2005
North Carolina Division of Water Quality n_ n ���JJJ ��� WORK!IM
�1617 Mail Service Center h' "
Raleigh, NC 27699-1617 I�j1 4
DIV. OF WAT TY
QUALI
Re: Corporate Reorganization and Name Change with address change for GeneMfft q9R F1 QUALITY
NCG 180000
This letter serves to formally notify NCDENR of name change and corporate
reorganization regarding Ethan Allen that will become effective on July 1, 2005. We
have just learned that as part of the reorganization, certain internal transactions within
Ethan Allen will result in the transfer of Ethan Allen's active manufacturing/distribution
facilities from one -wholly owned company of Ethan Allen to another wholly -owned
company of Ethan Allen. This corporate restructuring will not change the
manufacturing/distribution processes or operational control of the facilities subject to
permits. These name and internal changes are being implemented to better align our
business operations. Before and after the change, all active manufacturing/distribution
facilities are and still will be directly or indirectly wholly -owned subsidiaries of Ethan
Allen Interiors Inc. which is traded on the New York Stock Exchange under the symbol
"ETH."
All permits for manufacturing/distribution operations will need to be issued to Ethan
Allen Operations, Inc. This corporate restructuring will not impact Ethan Allen's
closed/discontinued operations and, therefore, no changes to the permits associated with
these operations will be necessary.
In addition we are changing our mailing address effective July1, 2005 to
Ethan Allen Operations, Inc.
700 South Main Avenue
Maiden, NC 28650
We will be contacting your offices in the near future to confirm and submit any forms
that are deemed necessary to reflect this name change and corporate reorganization.
Please do not hesitate to call me if you have any concerns or questions.
Sincerely,
Wayne Goble
Cc:
Pam Banks Esq. Ethan Allen Global
Cliff Thom, Ethan Allen Operations
Charlie Farfaglia, Ethan Allen Global
Paul Kaminski, Ethan Allen Global
C:Wy DocumentsNanufacturing Final Reorganization NCDENR hazard waste 7-11-05.DOC

n

LN(_
o�6011, {SDIvo, INg43
J. Michael Baker
Pine Valley Division Environmental Manager
P.O. Box 639. Southeast Region
Old Fort, NC 18761
Phone: [phone]
Fax: [phone]
ETHAN ALLEN
OPERATIONS, INC.
JUL 1 9 Z005 I I July 14, 2005
North Carolina Department of
Environment and Natural Resources
Division of Water Quality
Sara Young
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Corporate Reorganization and Name Change for Permits
This letter serves to formally notify the North Carolina Department of Environment and
Natural Resources, Division of Water Quality of name change and corporate
reorganization regarding Ethan Allen that will become effective on July 1, 2005. We
have just learned that as part of the reorganization, certain internal transactions within
Ethan Allen will result in the transfer of Ethan Allen's active manufacturing/distribution
facilities from one -wholly owned company of Ethan Allen to another wholly -owned
company of Ethan Allen. This corporate restructuring will not change the
manufacturing/distribution processes or operational control of the facilities subject to
permits. These name and internal changes are being implemented to better align our
business operations. Before and after the change, all active manufacturing/distribution
facilities are and still will be directly or indirectly wholly -owned subsidiaries of Ethan
Allen Interiors Inc. which is traded on the New York Stock Exchange under the symbol
"ETH."
All permits for manufacturing/distribution operations will need to be issued to Ethan
Allen Operations, Inc. This corporate restructuring will not impact Ethan Allen's
closed/discontinued operations and, therefore, no changes to the permits associated with
these operations will be necessary.

We will be contacting your offices in the near future to confirm and submit any forms that
are deemed necessary to reflect this name change and corporate reorganization. Please do
not hesitate to call me if you have any concerns or questions.
Sincerely,
. �i-Jxx'x��
I Michael Baker
Southeast Regional Environmental Manager
Cc:
Pam Banks Esq. Ethan Allen Global
Don Garrett, Ethan Allen Operations
Ron Hartwell, Ethan Allen Operations
Charlie Farfaglia, Ethan Allen Global
Paul Kaminski, Ethan Allen Global

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
WADE SPEARS
ETHAN ALLEN INC
P.O. BOX 127
MAIDEN, NC 28650
Dear Permiuee:
MAIDEN DIVISION
AjLA
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
August 27, 1999
Subject: Reissue - NPDES Stormwater Permit
Ethan Allen Inc Maiden Division
COC Number NCG 180072
Catawba 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 NCGI80000
* 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 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 Tony Evans of the Central Office Stormwater
and General Permits Unit at [phone], ext. 584
Sincerely,
for Kerr T. Stevens
Director, Division of Water Quality
cc: Central Files
Mooresville 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. NCG180000
CERTIFICATE OF COVERAGE No. NCG180072
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,
ETHAN ALLEN INC
is hereby authorized to discharge stormwater from a facility located at
ETHAN ALLEN INC
700 S. MAIN AVENUE
MAIDEN
CATAWBA COUNTY
to receiving waters designated as a UT of Sandy Branch in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III,
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

Siateof 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
May 12, 1995
Jerry Mosteller
Ethan Allen Inc.
Ethan Allen Dr
Danbury, CT 6810
Subject: General Permit No. NCG 180000
Ethan Allen Inc.
COC NCG180072
Catawba County
Dear Jerry Mosteller :
In accordance with your application for discharge permit received on March 21, 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 Signed By
Coleen H. Sullins
A. Preston Howard, Jr. P.E.
cc: Mooresville Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10%postconsumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG180000
CERTIFICATE OF COVERAGE No. NCG180072
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,
Ethan Allen, Inc.
is hereby authorized to discharge stormwater from a facility located at
Ethan Allen, Inc.
700 S. Main Avenue
Maiden, NC
Catawba County
to receiving waters designated as an unnamed tributary to Sandy Branch in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, 111
and IV of General Permit No. NCG180000 as attached.
This certificate of coverage shall become effective May 12, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 12, 1995.
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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