NCG210295_COMPLETE FILE - HISTORICAL_20130613

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C)j
DOC TYPE
[ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ a\) 13 ola ) 3
YYYYMMDD

From: Shannon Floyd [[e-mail]]
Sent: Wednesday, June 12, 2013 9:48 AM
To: SVC DENR.stormwater
Subject: Permit -Facility Contact Updates
Please change email address for the following permit # NCG210295
Wilderness NC, Inc
PO Box 2136
Lexington, NC 27293
Owner: Ronnie D Bolt new email: [e-mail]
Permit Contact: Shannon Floyd email: [e-mail]
Thank you
1

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleco 11. Sullins, Director
Division of Water Quality
September 12, 2008
Ronnie Bolt
Wilderness NN C nclncl
PO Box2136
Lexington NG 27293
Subject: NPDES Stormwater Permit Coverage Renewal
Wilderness NCI Inc.
COC Number NCG210_2_9_5_
Davidson County
Dear Permittee:
In response to your renewal application for continued coverage under stormwater General Permit NCG210000 the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater General Permit. This permit has been 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.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of stormwater General Stormwater Permit NCG210000
• A copy of the Technical Bulletin for the General Permit
• Five copies of the Discharge Monitoring Report (DMR) Form
• Five 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
the changes in the reissued permit.
The more significant changes to the General Permit include the following:
• Permit cover page, second paragraph — The General Permit now may cover activities that DWQ determines to be similar in
either the process, or in the exposed materials, to the Timber Products Industry.
• Part I Section A — A new provision that facilities draining to 303(d) listed waters, or in watersheds with an approved TMDL,
may not be eligible for continued coverage at the next renewal of the General Permit.
• Part I Section B second paragraph — A new clarification that the permit does not authorize discharges that DWQ determines
are wastewaters.
• Part II Section A — The required contents of the Stormwater Pollution Prevention Plan have been expanded and clarified.
• Part II Section B Table 1 — A new requirement to sample stormwater discharges twice per year for those facilities with
exposed piles of certain materials remaining on site longer than seven days.
• Part II Section B Tables 2 and 3 and following — For permittees with exposed piles, there are new provisions requiring the
permittee to execute Tier One and Tier Two response actions, based on the first benchmark exceedence (Tier One) and the
second consecutive benchmark exceedence (Tier Two). Tier Two requires that the permittee institute monthly monitoring
instead of twice -per -year monitoring, until three consecutive monitoring events show no benchmark exceedences.
• Part 11 Section B — For permittees with exposed piles, a new provision that four exceedences of any particular benchmark
will trigger increased DWQ involvement in the permittee's stormwater management and control actions. DWQ may direct
the permittee to apply for an individual permit, or may direct the implementation or installation of specific stormwater control
measures.
• Part II Section C — Clarification that under the qualitative monitoring provisions of the permit, the permittee is obligated to
respond to repeated observations of stormwater pollution. DWQ may impose additional stormwater management
requirements if the permittee is non -responsive, or if the responses are ineffective.
Your coverage under the General Permit is transferable only through the specific action of DWQ.
on<
NorthCarolina
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enrstate.nc.us/su/stormwatechlml 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50°% Recycled110% Post Consumer Paper

NPDES Stormwater Permit Coverage Renewal
Permit Number NCG2:10295
Page 2
This permit does not affect the legal requirements to obtain other permits which may be required by NCDENR, nor does it relieve
the permittee from responsibility for compliance with any other applicable federal, stale, or local law, rule, standard, ordinance,
order, judgment, or decree.
If you have any questions regarding this permit package please contact t3elhany-- Georgoulias of the Central Office Stormwater
Permitting Unit at [phone].
Sincerely,
/J��LCCLeJ
joi Coleen H. Sullins
cc: DWQ Central Files
Stormwater Permitting Unit Files
Win-sto Salem Regional Office

DATA
Mr. Ronnie D. Bolt
Wilderness NC, LLC
7578 US Highway 64 East
Lexington, NC 27292
Dear Mr. Bolt:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Naluml Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
February 17, 2006
Subject: NPDES General Permit NCG210000
Certificate of Coverage NCG210295
Wilderness NC, LLC
Formerly Thomasville Furniture
Industries, Inc.
Davidson County
Division personnel have reviewed and approved your request to transfer coverage under the General Permit,
received on February 3, 2006.
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,
4
Alan W. Klimek P. E.
cc: DWQ Central Piles
Winston-Salem Regional Office, Water Quality Section
Stormwater Permitting Unit
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617
Internet: h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604
4
An Equal OpportunitylAffirmative Action Employer - 50 % Recycledll0% Post Consumer Paper
No �hCarolina
J1 Mirally
Phone [phone] Customer Service
FAX [phone]

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210295
s�iY•r�sPAlti>i�.g�.r:l:�:z•r:1,9
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,
WILDERNESS NC, LLC
is hereby authorized to discharge stormwater from a facility located at
WILDERNESS NC, LLC
7578 US HIGHWAY 64 EAST
LEXINGf ON
DAVIDSON COUNTY
to receiving waters designated as a UT to Flat Swamp Creek, a class C stream, in the Yadkin Pee -Dee River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, 111, 1V,
V, and VI of General Permit No. NCG210000 as attached.
This certificate of coverage shall become effective February 17, 2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 17, 2006.
��' e/a
Alan W. Climek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

47 3
7400
FEI
99
]9
39
°
�� �J ell \
� � m
1 �'"��i• i
° r'��'/fin !� \(J
/ __
�arSMt zlo /•
B� �.rrl
'
i�
1�1151� �
r('•�
`��
�,"�1
C /
_^ • I.
/
''v' V it \ ��\
1070
�/ r;���
,a
59
v Hann
o
plat\—\�� �, I �,
�\� I tll \ •\ U �
J�, ���"f� �
wr CT V���.� �
�., 1� i :I
B
i7-
0 jJ
35°45
80007'30' 1 670 000 FEET 1.4 ML TO U. S. 4
�1 Mapped, edited, and published by the Geological Survey
582 5' 583

A'r
Michael F. Easley, Governor
Ar
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
1—I
w Y
Alan W. Klimek, P.E. Director
Division of Water Quality
Mr. Ronnie D. Bolt
Wilderness NC, Inc.
7578 US Highway 64
Lexington, NC 27292
Subject: Permit name or ownership change request
Permit NCG210295
Your request for a permit name change or ownership change received on b , is being
returned due to:
❑ Permit Name/Ownership Change Form is missing.
Q" Permit Name/Ownership Change Form is incomplete. —.2 vJ I I j' ro-z--D— /41 n
❑ Permit Name/Ownership Change Form signatures missing.
C�' Missing legal document of the transfer of ownership (such as a contract or a deed).
❑ Other
Please return the information so we can continue processing your request. If you have any
additional questions, please contact Sarah Young at [phone] extension 502. Our mailing
address is as follows: Wetlands and Stormwater Branch
1617 Mail Service
Raleigh, NC 27699-1617
4,
DWQ Storm
Cc:
DWQ Central Files
SPU
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617
Internet: h2o.enr.stale.na.us 512N. Salisbury St. Ralcigh,NC 27604
Nam` Caolina
�v Caml min
Phone [phone] Customer Service
FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/l 0% Post Consumer Paper

[J
Mr. Ronnie D. Bolt
Wilderness NC, Inc.
7578 US Highway 64
Lexington, NC 27292
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
Subject: Permit name or ownership change request
Permit NCG210295
Your request for a permit- name change or ownership change received on , is being
returned due to:
❑ Permit Name/Ownership Change Form is missing.
2 Permit Name/Ownership Change Form is incomplete. —,2
❑ Permit Name/Ownership Change Form signatures missing. o
a' Missing legal document of the transfer of ownership (such as a contract or a deed).
❑ Other
Please return the information so we can continue processing your request. If you have any
additional questions, please contact Sarah Young at [phone] extension 502. Our mailing
address is as follows: Wetlands and Stormwater Branch
1617 Mail Service
Raleigh, NC 27699-1617
J- "
DWQ Storm
Cc:
DWQ Central Files
SPU
�m
A
uuLl
w
a'
>
m
W
c�
N'hCarolina
turn//!1
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617
Internet: h2o.encstate.nc.us 512 N. Salisbury St. Raleigh, NC 27604
An Equal Opportunity/Atf rmative Action Employer— 50 % Recycled/l 0% Post Consumer Paper
Phone [phone] Customer Service
FAX [phone]

N
Wilderness-N.C., Inc.
January 30, 2006
Alan W. Klimek, P.E., Director
NC DENR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Certified Mail # 7099 3220 0006 4526 0605
Re: Wilderness-N.C., Inc.
New Ownership/Technical Contact
NPDES Permit Nos.:rNC00023604.& NCG210295
Dear Mr. Klimek:
This letter is addition to the attached "Ownership change forms" which designates Wilderness-
N.C. as the new owner of the former Thomasville Furniture Ind. Inc. SFD/SFLP facilities. We
also have a new technical contact for Wilderness. As the president of the company, I hereby
authorize Shannon Floyd to be my representative in signing all reports. She will handle all of
our environmental programs.
If you have any questions or concerns regarding this information, please feel free to contact
Shannon Floyd at (336) 4746-2314 or via e-mail at wdsncOnorthstate. net.
Sincerely,
O
Ronnie Bolt, President
Wilderness-N.C., Inc. 111
O
Enclosure nO
r
I �
CC: Shannon Floyd n� w
i
LI w

Michael F. Easley, Governor
William G. Ross Jr., secretary
North Carolina Department of Environment and Natural Reseurem
Alan W. Klimek, P.E. Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM'"
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I C 1 0 1 0 1 1 N I C I G
II. Permit status prior to status change.
a. Permit issued to (company name)
b. Person legally responsible for permit: Rochelle Boyd
First / MI / Last
Manager Environmental Affair
Title
P.O.Box 339
Permit Holder Mailing Address
Thomasville NC 27361-0339
City state Zip
( 116) 476-9261. (116 )474-2906
Phone Fax
c. Facility name (discharge): Thomasville Furniture Industries—SFD
d. Facility address: 7578 US Highway 64
Address
Lexington NC 27292
City state Zip
e. Facility contact person: Rochelle Boyd (336 )476-2264
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: 81 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:
9001 C 0 83.E
Wilderness N.C.,Inc.
Ronnie D. Bolt
First / MI / Last
President
7578 US Hiehwav 64
Pcrmit Holder Mailing Address
—_'i owing I C N97292
City state Zip
[phone] [e-mail]
Phone E-mail Address
Wilderness N.C.,Inc.
7578 US Highway 64
Lexington NC 27292
City State Zip
f Facility contact person: Shannon Floyd
First / MI / Last
[phone] [e-mail]
Phone E-mail Address
Revised 7/2005

I A
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
April 28, 2003
Rochelle Chisom
Thomasville Furniture Co - 64 East
401 E Main St
Thomasville, NC 27361
Subject: NPDES Stormwater Permit Renewal
Thomasville Furniture Co - 64 East
COC Number NCG210295
Davidson County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG210000, 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 NCG210000
• A copy of the Analytical Monitoring Form (DMR)
• A copy of the Qualitativel Monitoring Form
• A copy of a Technical Bulletin for the general permit
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 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 Bill Mills of the Central Office
Stormwater and General Permits Unit at [phone], ext. 548.
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
�*A
NCDENR
Customer Service
1 800 623-7748

4
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210295
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,
Thomasville Furniture Company
is hereby authorized to discharge stormwater from a facility located at
Thomasville Furniture Co - 64 East
7578 US 64 East
Thomasville
Davidson County
to receiving waters designated as a UT to Flat Swamp Creek, a class C stream, in the Yadkin -
Pee Dee River Basin in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, ll, III, IV, V, and VI of General Permit No. NCG210000 as
attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
� —I
September 4. 2002
ROCIIELI-17 CHISOM
'IIIOMASVIL.LL FURNITURE CO/64 I?A
401 F .MAIN ST
THOMASVILLE. NC 27361
Alan W. Klimek, P.E., Director
Division of Water Quality
Subject: NPDES Stornawaler Permit Coverage Renewal
Thomasville FurnilurcCo/64 Ea
COC Number neg,210295
Davidson County
Dcar Pernaittee:
Your facilily is currently covered for slornwater discharge under General Permit NCG210000. This permit expires.
on March 31, 200". The Division stall is currently in the process of rewriting, this permit and is scheduled to have
the permit reissued by curly spring of 2003. Once the perntit is reissued, your facility would he eligible liar
continued cuverag,c under the I'CiSlued perntit.
In order w assure your continued coverage under the general permit, you must apply to the Division of Water
Ou:lity (DW(j) liar renewal of your permit covciagc. To make this renewal process easier. we are inlointing you in
advance Thal your per coverage will he expiring. Enclosed you will find a Permit Coverage Renewal
Application Form. The:application Elitist be complclud NEW relllrIIC(I by Ociohcr 2, 2002 in order to assure
continued coverage under the general permit. Doc to stall and budge constraints, letters confirming our receipt of
the completed application will not he sent.
Failure to request renewal within the tints period specified, ntay result in a civil ❑ssessinunl ol'at (cast $250.00.
Larger penalties may he assessed depending on the delinquency of the request. Discharge of storntwater from your
facilily without covcr:ag,c under a valid stormwatcr NPDI S permit would constitute a violation of NCGS 143-215.1
and could result in asscssnlcnls of civil potatoes of up to $10.000 Per shay.
Please note that recent lecteral legislation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the I I categories of "storm water discharges associated with industrial activity." (except
construction activities). If you feel your lacility can certify a condition of "no exposure'', i.e. the facility IndIISh'I:II
materials and opernlionS arc not exposed to Snrmwatcr_ you can apply liar the no expnsurc exclusion. For additional
infixmalion congest the Central Office Stormwatcr Stoll naenlber listed helow or check the Stormwatcr & General
Permits Unit Wch Site at http://h2o.enrstalanc.us/su/stnnnw;ner.htnd
If the subject stormwatcr discharge to waters of the state has heen terminated, please complete the enclosed
Rescission Request Form. \�lailing insu'uctions are listed on the bouom of the linen. You Will he ❑UIIIICd when the
rescission process has been completed.
it you have any questions rcg,arling the permit renewal procedures please contact Corey Basin ,cr of the
Winston-Salem Rc_ional Office at 336-771-4600 or Bill Mills of the Central Uflicc Slonnwarer Unit :at (919)
733-5083. ext. 5,18
Sincerely,
Bradley Bennett, Suporvisnr
Slot mwatcr and General Permits Unit
cc: Central Tiles
Stormwatcr and General Permits Unit Files
Winston-Salem Regionl Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
eVn
NCDENR
Customer Service
1- 800-623-7748

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
May 1, 1998
ROCHELLE CHISOM
THOMASVILLE FURNITURE IND, INC
401 E MAIN ST
THOMASVILLE, NC 27361
Subject: Reissued Stormwater General Permit for
Certificate of Coverage No. NCG210295
Davidson County
Dear Permittee:
� E N R
In response to your renewal application for continued coverage under the General Permit
NCGO40000, the Division of Water Quality (DWQ) is forwarding herewith the General Permit
NCG210000 which is anew General Permit to cover most of the Timber Products Industry. You
have now been given coverage under NCG210000 and your coverage under NCGO40000 is hereby
terminated. 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.
The following information is included with your permit package:
■ A copy of the stormwater general permit NCG210000.
■ A new Certificate of Coverage under general permit NCG210000.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your.
permit (both NCGO40000 and NCG210000). 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 Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
■ A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
Your certificate of coverage is not transferable except after notice to DWQ. The Division of Water
Quality 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
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number [phone].
Sincerely,
for A. Preston Howard, Jr., P. E.
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 AND NATURAL. RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE NO. NCG210295
STORMWATER DISCHARGES
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,
THOMASVILLE FURNITURE IND, INC
is herby authorized to discharge stomtwater from a facility located at:
7578 US 64 EAST
THOMASVILLE, NC
DAVIDSON COUNTY
to receiving waters designated as Ut Flat Swamp Creek in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements and other conditions set forth in Parts 1,
II,111 and IV of General Permit No. NCG210000 as attached.
This Certificate of Coverage shall become effective May 1, 1998.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 1,1998
for A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authorization 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
July 21, 1995
Thomasville Fumit-Sfd 64 Lumb
401 E Main St
Thomasville, NC 27361
Subject: General Permit No. NCG040000
Tliomasville Fumit-Sfd 64 Lumb
COC NCG040295
Davidson County
Dear
In accordance with your application for discharge permit received on June 4, 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 MS. AISHA LAU at telephone number
919n33-5083.
Sincerely, 0"!"nal Signed By
Coleen H. sulli,�s
A. Preston Howard, Jr. P.E.
cc: Winston-Salem Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 100% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH. AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG040000
CERTIFICATE OF COVERAGE No. NCG040295
STOPMWATER 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,
Thomasville Furniture Industries, Inc.
is hereby authorized to discharge stornwater from a facility located at
Thomasville Furniture Industries, Inc. SFD/ 64 Lumber
7578 US 64 East
Thomasville
Davidson County
to receiving waters designated as an to mumed tributary to Flat Swamp Creek, a class C stream in the Yadkin -Pee Dee
River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III
and IV of General Permit No. NCGO40000 as attached.
This Certificate of Coverage shall become effective July 21, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 21, 1995.
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

47 30
740 000
FEET
395c
395E
395,
30.
R
l�
,
�/'� • II ,�
�
�/-�
�J
2 6M 8C4-MI Zion C
a �
� �-,� �
� ��
Iz
/ \ Qv1`��l VI�� �
��I d_)
�•�� Ch 0 ..
�/�A���/�� J), }"
[ r-• to � � I.��
4
f,�, ' >9 � ��•�
<�� � e, ,y ell
�K (V>` , 1„ /%/��� c� / /`�.
1 � � r � i
\.',��� ///e�('�T�-.:'
1 —790-_
(/1 Hann
rsville z \j ;
tatloit i Il �•
,
�'i , f
�; \K ,i /I\� �I
%ot`
Yj
/1%
I A
3 ���f���`'
750
,.I��rl
786
35°45_, _
80°07'30'
p� Mapped
1 670 000 FEET I 'A an. TO U. S. a4 582
OENTON 8.4 M,.
edited, and published by the Geological Survey
5' 583

FACILITY
Thomasville Furniture Industries, Inc. SFD/64 Lumber
COUNTY
Davidson
NPDES
NCG 0q o; 4 5'
MAP#
D18SE
DSN FLOW
NA
SUB BASIN
03-07-04
LATTITUDE
350 46' 40"
LONGITUDE
800 07' 21"
RCVNG. STREAM
UT Flat Swamp Creek
STREAM CLASS
C
DSCHRG. CLASS
Stormwater
EXP. DATE
8/31/99 "•;'�

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210295
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,
is hereby authorized to discharge stormwater from a facility located at
Wilderness,NC; n
7578,US 64 E~
Thomasville
Davidson County
to receiving waters designated as a UT to Flat to Creek, a class C stream in the Yadkin -Pee Dee
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. NCG210000 as attached.
This certificate of coverage shall become effective September 15, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 12, 2008.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission