NCG210142_COMPLETE FILE - HISTORICAL_19980501

STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO.
DOC TYPE
E3 COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ j " 5 � D 5
YYYYMMDD

v
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
JOHN THYNE
FLEETWOOD HOMES OF NC INC #69
PO BOX 1155
ROXBORO, NC 27573
Subject: Reissued Stormwater General Permit for
Certificate of Coverage No. NCG210142
Person County
Dear Pemuttee:
T�
AMMM
[D E N R
In response to your renewal application for continued coverage under the General Permit
NCG040000, 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 NCG040000 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'919-733-0719
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE NO. NCG210142
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,
FLEETWOOD HOMES OF NC INC #69
is herby authorized to discharge stormwater from a facility located at:
455 LUCY GARRET ROAD
ROXBORO,NC
PERSON COUNTY
to receiving waters designated as North Flat River in the Neuse River Basin
in accordance with the effluent limitations, monitoring requirements and other conditions set forth in Parts I,
II, III 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

nTFR
r
PAUL WILLIAMS
FLEE'TWOOD HOMES OF NC INC-#69
PO13OX 1155
ROXBORO. NC 27573
Dear Pcnnittec:
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
September 4. 2002
Subject: NPDES Stormwatcr Permit Coverage Renewal
Fleetwood Homes Of Ne Inc-#69
COC Number ncg210142
person County
Your facility is currently covered for stormwatei discharge under General Peinit NCG210000. This permit expires
on March 31, 2003. The Division staff is currently in the process of rewriting this permit and is scheduled to have
the iM for reissued by curly spring of 2003. Once the permit is relsSaed, your lacility would be cligiblc for
continued coverauc undor the reissued permit.
In order to assure your cominued coverage under the general permit. VOL] must apply to the Division of Water
Quality (DWQ) for renewal of your permit coverage. To make this renewal process easier, we arc informing you in
advance that your permit coverage will be expiring. Enclosed you will find a Permit Coverage Renewal
Application Form. The application must be completed and returned by Oclober2. 2002 in order to assure
continued coverage under the general.pernlit. Due to staff and budget constraints. letters confirming our receipt of
the completed application will not he sent.
Failure to request renewal within the time period specif icd. may result in a civil assessment of at (east $250.00.
Larger penalties may be assessed depending on the delinyucncy oil request. Discharge of son ntwatcr from your
facility without coverage under a valid s(onowater NPDIS permit would Cr1115frLUC a violation of NCGS 143-215.1
and could result in assessments of civil penalties of up to $10,000 per day.
Please note that recent federal legislation has extended file "no expusurc exclusion" to all operators of inrlusti iul
facilities in any of the I I categories of" s'tornl water discharges associated with industrial activity." (except
construction activities). If you feel your facility can certify a condition of "no exposure', i.e. the Iacility industrial
materials :md operations are not exposed to stonnwmor, VOL, can apply for the no exposure exclusion. For additional
inlimnaiion contact the Ccnu'al Office Stoll Staff member listed below or check the Stormwatcr & Gcncral
Permits Unit Wch Site at http://112o.eiir.state.nc.us/sti/stornlwzitcr.hlnll
If the subject sfonnwaler discharge to waters of the sane has been tcnmintual. please complete the enclosed
Rescission Request Form. Mailing instructions are listed on the bottom of the form. You will be notilicd when the
rescission process has been completed.
If you have any questions regarding the permit renewal procedures please contact .loe Aibiston of the Rnlcigh
Regional Office at 919-571-47(H) or Bill Mills of lilt Central OOicc Stormwatcr Unit at [phone], ext. 548
Sincerely,
13radloy I3c1111cu, Supervisor
Stormwatcr and Gcncral Permits Unit
cc: Central Files
Stormwatcr and Gcncral Permits Unit Files
Raluieh Rcgiontd Oflicc
e ;�n
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1647 [phone] Customer Service
1- 800-623-7748

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, P.E. Director
10/24/2002
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
FLEETWOOD HOMES OF NC INC-#69
PO BOX 1155
ROXBORO, NC 27573
1'1�lr
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: NOTICE OF VIOLATION
FAILURE TO SUBMIT RENEWAL APPLICATION
FLEETWOOD HOMES OF NC INC-#69
NCG210000
COC NUMBER NCG210142
PERSON COUNTY
Dear Permittee:
This letter is to inform you that, as of the date of this letter, the Division of Water Quality has not received a
renewal request for the subject permit certificate of coverage. This is a violation of NCGS §143.215.1 (c)(1) which
states "All applications shall be filed with the commission at least 180 days in advance of the date on which it is
desired to commence the discharge of wastes or the date on which an existing permit expires, as the case may be".
Any permittee that has not requested renewal at least 180 days prior to expiration or permittee that does not have a
permit after the expiration and has not requested renewal at least 180 days prior to expiration, will be subjected to
enforcement procedures as provided in NCGS § 143-215.6 and 33 USC 1251 et. seq.
In order to prevent continued, escalated action, including the assessment of civil penalties you must submit a
completed permit coverage renewal application to the attention of the "Stormwater and General Permits Unit" at
the letterhead address within ten (10) days of your receipt of this letter (renewal application enclosed). If the
subject discharge has been terminated, please complete the enclosed rescission request form. A valid reason for
requesting rescission is required, incomplete forms will be returned and you will still be subject to possible
escalated action. Mailing instructions for submitting rescission request are listed on the bottom of the form. You
will be notified when the rescission process has been completed.
Thank you for your prompt attention to this situation. If you have any questions regarding this matter, please
contact Bill Mills of the central office Stormwater and General Permits Unit at 919-733-5083, ext. 548.
Sincerely,
for Alan W. Klimek, P.E.
Director, Division of Water Quality
cc: Stormwater and General Permits Unit Files
Central Files
Raleigh Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
INVOICE
Annual Permit Fee
Overdue
`l. 0 I-e-L
This annual fee is required by the North Carolina Administrative Code. it covers the administrative costs associated with your
permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facility's operating
status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation
and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is needed, you must reapply, with the
understanding the permit request may be denied due to changes in environmental, regulatory, or modeling conditions.
Permit Number: NCG210142
Person County
Fleetwood Homes Of NC Inc-#69
ACCOUNTS PAYABLE
Fleetwood Homes Of NC Inc
455 Lucy Garett Rd
Roxboro, NC 27573
Annual Fee Period: 2005-07-01 to 2006-06-30
Invoice Date: 08/11/05
Due Date: 09/10/05
Annual Fee: $80.00
Notes:
1. A $25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512.
2. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
3. Remit payment to:
NCDENR - Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
4. Should you have any questions regarding this invoice, please comlact the Annuw
919-733-5083 extension 210
(Return This Portion With
ANNUAL PERMIT INVOICE
Permit Number: NCG210142
Person County
Fleetwood Homes Of NC Inc-#69
ACCOUNTS PAYABLE
Fleetwood Homes Of NC Inc
455 Lucy Garett Rd
Roxboro, NC 27573
Overdue
Annual Fee Period: 2005-07-01 to 2006-06-30
Invoice Date: 08/11/05
Due Date: 09/10/05
Annual Fee: $80.00
Check Number:

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
SCOTT HARKER
FLEETWOOD HOMES OF NC INC #41
PO BOX 818
PEMBROKE, NC 28372
Subject: Reissued Stormwater General Permit for
Certificate of Coverage No. NCG210141
Robeson County
Dear Permittee:
N15VA
oe
A&JA
Adwaftodeandw IL
ID E N R
In response to your renewal application for continued coverage under the General Permit
NCG040000, the Division of Water Quality (DWQ) is forwarding herewith the General Permit
NCG210000 which is a new General Permit to cover most of the Timber Products Industry. You
have now been given coverage under NCG210000 and your coverage under NCG040000 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 NCG040000 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. NCG210141
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,
FLEETWOOD HOMES OF NC INC #41
is herby authorized to discharge stortnwater from a facility located at:
349 E. RAILROAD AVENUE
PEMBROKE,NC
ROBESON COUNTY
to receiving waters designated as Lumber River in the Lumber River Basin
in accordance with the effluent limitations, monitoring requirements and other conditions set forth in Parts I,
II, III 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

F�
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NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 17, 2009
Greg (card
Fleetwood }-tomes of NC Inc - Fleetwood Homes Of NC Inc-#41
349 East Railroad Street
Pembroke, NC 28372
Subject: Rescission of NPDES General Permit
Certificate of Coverage Number NCG210141
Fleetwood Hoines of NC Inc - Fleetwood Homes Of NC Inc-#41
Dear Greg Icard:
On 1/23/2009, the Division of Water Quality received your request to rescind you coverage under Certificate of Coverage
Number NCG210141. In accordance with your request, Certificate of Coverage Number NCG210141 is rescinded
effective inunediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stonnwater to waters of the State
without valid coverage under an NPDES permit will subject the responsible party to a civil penalty of up to $25,000 per
day. It is the intention of DWQ that enforcement proceedings will occur for persons that have voluntarily relinquished
permit coverage when, in fact, continuing pennit coverage was necessary. If, in retrospect, you feel the site still requires
_permit coverage, you should notify this office innnediately. Furthermore, if in the future you wish to again discharge to
the State's surface waters, you must first apply for and receive a new NPDES permit.
If the facility is in the process of being sold, you will be performing a public service if you would inform the new or
prospective owners of their potential need for NPDES pennit coverage.
If you have questions about this matter, please contact Sarah Young at [phone], or the Water Quality staff in our
Fayetteville Regional Office at 910-433-3300.
Sincerely,
/4'
Colleen 14.
cc: Fayetteville Regional Office
Stonnwater Permitting Unit
DWQ Central Files - w/attachments
Fran McPherson, DWQ Budget Office
Wetlands and Stormwaler Branch
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604
Phone: [phone] [ FAX: [phone] Customer Service: 1-871823-6748
Inlemet: w .ncvvaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
JVmmally

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4 mnreyoc Permit Coverage
Certificate of Coverage Number
Rescission Request Form
NCG210141
National Pollutant Discharge Elimination System
General Permit NCG210000
C
VFl
Please fill out and return this form on if you no longer need to maintain your NPDES stormwater per�1VThe following is the information currently in our database for your facility. Please review this informatimake all corrections as necessary in the space provided to the right of the current information. � �Facility Contact Information
Facility Name:Fleetwood Homes Of NC Inc-#41
Facility Physical Address: 349 E Railroad Ave
Pembroke, NC 28372�'
Facility Contact:
Mailing Address:
Phone Number:
Fax Number
Email Address
Owner Affiliation Information * Rescission notice will be mailed to the owner address
Owner / Organization Name: Fleetwood Homes Of NC Inc C L d TEr 1)
Owner Contact: John Beddow
Mailing Address: PO Box 1187
Lumberton, NC 28359
Phone Number: 910-671-4999 Ext.
Fax Number:
E-mail address:
Reason for rescission request (Thi$ is rear wired information. Attach separate sheetf necessary):
7Ac -1V4C /if4 1AGatoy /q Gumdef7biu yS e%Soct S'rnce FEee a2e03
—F
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of certificate of coverage NCG210141 under NPDES
Stormwater General Permit NCG210000 for the subject facility. I am familiar with the information contained in this
request and to the best of my knowledge and belief such information is true, complete and accurate.
� 0� a J
Signature QcutC�t/ GGLt41t Date
AIG0 %e—e-Vt SCAW l �z Z� SfO;Of
Print or type name of person signing above Title
Please return this completed rescission request form to: SW General Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

F WATF
\O�� 9Q(r Michael P. Easley, Governor
7 William G. Ross Jr., Secretary
f— North Carolina Deportment of Environment mid Natural Resources
1
Y Coleco H. Sullins, Director
Division of Water Quality
December 17, 2008
Scott Harker
Fleetwood Homes of NC Inc.
349 E. Railroad Ave.
Pembroke, NC 28372
Subject: NPDES Stormwater Permit Coverage Renewal
Fleetwood Homes of NC #41
COC Number NCG210141
Robeson 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 is reissued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North
Carolina and the U.S. Environmental Protection Agency, dated October 15, 2007 (or as subsequently amended.)
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of stormwater General Permit NCG210000
• A copy of a 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 in the General Permit since your last Certificate of Coverage 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
Ti 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 II 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.
NaihCarolina
�U(!fl/177��f
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.nc.uslsulstormwatechtml 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
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Permit Reissuance Letter — Permit NCG210141
Page 2
Your coverage under the General Permit is transferable only through the specific action of DWQ.
This permit does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it relieve
the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance,
order, judgment, or decree.
If you have any questions regarding this permit package please contact Sarah Young of the DWQ Stormwater Permitting Unit
at [phone].
Sincerely,
for Coleen H. Sullins
cc: DWQ Central Files
Stormwater Permitting Unit Files
Fayetteville Regional Office

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210141
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,
Fleetwood Homes of NC, Inc.
is hereby authorized to discharge stormwater from a facility located at
Fleetwood Homes of NC #41
349 E. Railroad Ave.
Pembroke
Robeson County
to receiving waters designated as the Lumber River, a class WS-IV SW stream, in the Lumber 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 December 17, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 17, 2008.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

NCG210141 Renewal
1 �
Subject: NCG210141 Renewal
From: Bradley Bennett <[e-mail]>
Date: Tue, 01 Jul 2008 13:51:50 -0400
To: maureen.schwitzer(afleetwood.com
Ms Schwitzer
Attached is the permit renewal pacakge for this facility. Please make the needed
adjustments and return it to us.
BB
I
NCG210141 Renewal.pdf Content -Type: application/pdf
I Content -Encoding: base64
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October 15, 2007
John Beddow
Fleetwood Homes Of NC Inc-#41
PO Box 1187
Lumberton, INC 28359
Michael F. Easley, Governor
William G. Ross Jr.. Secretary
North Carolina Department of Environment and Natural Resources
Fleetwood Homes Ot NC lnc-#41
COC Number NCG210141
Robeson County
Dear Permittee:
Coleen H. Sullins. Director
Division of Water Quality
Your facility is currently covered for stormwater discharge under General Permit NCG210000. This permit expires on
April 30, 2008. The Division staff is currently In the process of renewing this permit. When a draft is available for
notice and public comment, it will be posted on our website at http://h2o.enr.state.nc.us/su/publicnotice.htm. Please
continue to check this website to review and comment on proposed changes to the permit. Once the permit is
reissued, your facility would be eligible for continued coverage under the reissued permit.
To assure consideration for continued coverage under the general permit, you must apply to the Division of Water
Quality (DWQ) for renewal of your permit. Enclosed you will find a Permit Coverage Renewal Application Form. The
application must be completed and returned by November 16. 2007, Letters confirming our receipt of the
completed application will not be sent.
Failure to request renewal within the time period specified may result in a civil assessment of at least $250.00.
Larger penalties may be assessed depending on the delinquency of the request. Discharge of stormwater from your
facility without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1 and
could result in assessments of civil penalties of up to $25,000 per day.
"No exposure exclusion" is now available to industrial facilities in any of the categories of "storm water discharges
associated with industrial activity," (except construction activities). If you feel your facility can certify a condition of
"no exposure", i.e. the facility industrial materials and operations are not exposed to stormwater, you can apply for
the no exposure exclusion. For additional information contact the Central Office Stormwater Staff member listed
below or check the Stormwater Permitting Unit Web Site at littp://h2o.enr.state.nc.us/su/Noexpexempt.htm.
If the subject stormwater discharge to waters of the state has been terminated, please complete the enclosed
Rescission Request Form. Mailing instructions can be found on the bottom of the form. You will be notified when
the rescission process has been completed.
If you have any questions regarding the permit renewal procedures please contact Robert Patterson of the Central
Office Stormwater Permitting Unit at [phone], ext. 360.
Sincerely,
B^<t-eU, h�•y`
Bradley Bennett
Supervisor, Stormwater & General Permit Unit
Cc: Central Files
Fayetteville Regional Office
SWPU Files
Nol�hCarolina
�rturnl(y
Wetlands and Stormwater Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: wvw.nmatemuality.oNlsu Location: 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10%Post Consumer Paper

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oRescission Request F
National Pollutant Discharge Elimi
General Permit NCG2
1
Please fill out and return this form only if you no
The following is the infi
make all corrections as
Facility Name:
Facility Physical Address:
J0n'4- yes 0171_�'—
need to maintain your NPDES stormwater
currently in our database for your facility. Please review this
y in the space provided to the right of the current informatto
Fleetwood Homes Of NC
NC
Number
carefully and
Facility Contact:
Mailing Address:
Phone Number:
Fax Number
Email Address
Owner Affiliation Information ' Rescission nodce 7/ be mailed to the owner addr
Owner / Organization Name: Fleetwood Homes NC Inc 9C / c- l T y /J C 4,
Owner Contact: lohn Beddow
Mailing Address: PO Box 1187
Lumberton, NC 28359
Phone Number: 910-671-4999 Ext.
Fax Number:
E-mail address:
Reason for rescission request (Thi is reciVired information. Attac separate sheet necessary):
7rfc—PAc;4A, /Oc.c,feJ' iy 6U,MJ<.7`oru iS c/dS4 J'rncc FC843ac13,
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of certificate of coverage NCG210141 under NPDES
Stormwater General Permit NCG210000 for the subject facility. I am familiar with the information contained in this
request and to the best of my knowledge and belief such information is true, complete and accurate.
Signature V acaascl �" t Date 1), o
AI,
(AI)(2K-ul �C �WI �z t� see ;Ci �WJiIOYcvlttn�k i1Cf4tc'/
Print or type name of person signing above Title
Please return this completed rescission request form to: SW General Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Permit Coverage
Renewal Application Form
National Pollutant Discharge Elimination System Certificate of Coverage Number
Stormwater General Permit NCG210000 I NCG210141
The following is the information currently in our database for your facility. Please review this information carefully and make all
corrections/ additions as necessary in the space provided to the right of the current information.
Owner Affiliation Information
Owner / Organization Name:
Owner Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Facility Contact Information
Facility Name:
'Facility Physical Address:
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Permit Contact Information
Permit Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Discharge Information
Receiving Stream:
Stream Class:
Basin:
Sub -Basin:
Number of Outfalls:
• Reissued Permit will be mailed to the owner address
Fleetwood Homes Of NC Inc
John Beddow
PO Box 1187
Lumberton, NC 28359
910-671-4999 Ext.
Fleetwood Homes Of NC Inc-#41
349 E Railroad Ave
Pembroke, NC 28372
Scott Harker
PO Box 818
Pembroke, NC 28372
910-521-9731 Ext.
the Lumber River
WSN SW
Lumber River Basin
03-07-51
Impaired WatersfrMDL: Does this facility discharge to waters listed as
( for information on these waters refer to http.//h
Facility/Activity Changes Please describe below any changes to
separate sheet if necessary, 1
��✓v-//.)"nW -/IAMF-i' 16 cc, /erg�
CERTIFICATION
S`ivCddU3
mp ired or waters with a finalized TMDL? ❑ Yes O-No
o.en state.ncus/sv/Impaired Waters TMDU )
�cl ity or activities Sint ' suance of your permit. Attached a
Cur �1// Av /s L�dJ'-e
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief
such information iss true, complete nd accur te.
Signature �f� /A�� (Date �J o 1
AureeA SClWl+Zef Jf• Fnd,rannrza��' CnyrACc�
Print or type name of person signing above Title
SW General Permit Coverage Renewal
Please return this completed renewal application form to: Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

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
Scott Harker
Fleetwood Homes Of NC Inc-441
PO Box 818
Pembroke, NC 28372
Subject: NPDES Stormwater Permit Renewal
Fleetwood Homes Of NC Inc-#41
COC Number NCG210141
Robeson County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG210000, the
Division of Water Quality (DWO) 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
Fayetteville Regional Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
�wA
NCDENR
Customer Service
1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210141
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,
Fleetwood Homes Of NC Inc
is hereby authorized to discharge stormwater from a facility located at
Fleetwood Homes Of NC Inc-#41
349 E. Railroad Ave
Pembroke
Robeson County
to receiving waters designated as the Lumber River, a class WS-IV SW stream, in the Lumber
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 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

w ATF�
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
SCOYI' HARKtr R
FLEETWOOD HOMES OP NC INC-#41
PO BOX 818
PEMBROKE. NC 28372
Dcar Pcnnittec:
Alan W. Klimek, P.E., Director
Division of Water Quality
Seple nher 4, 2002
Sub,jcce NPDES Stormwaler Permit Coverage Renewal
Fleetwood Homes Of Nc Inc-#41
COC Number ncg210141
Robeson County
Your G'tcility is currently covered for sturntwater discharge under General Permit NCG210000. This pennil expires
on March 31, 2003. The Division stall is Cut - ell lly in the process of rewriting this permit and is scheduled to have
the permit reissued by early spring of 2003. Once the permit is reissued, your facility would he eligible lot -
continued coverage under the rcissucd permit.
In order to assure your continued coverage under the general permit, you must apply to the Division of Wuter
Quality (DWQ) for renewal of your per coverage. To make this renewal process easier, we are inlorming ,you in
advmtce that your permit coverage will he expiring. Enclosed you will find a Permit Coverage Renewal
Application Form. The application must he complcicd and returned by October 2, 2002 in ardor to assure
continued coverage under the general permit. Due to stuff and buds el constraints, letters confirming our receipt of
file completed application will not be sent.
Failure to requus't renewal within the lime period specified, ntay result in a civil assessment of al least $250.00.
Larger penalties may be assessed (Icpending on the delinquency of lhC reyucst. Discharge of stonnwatcr from your
Ltcility without coverage under a valid stonnwatcr NPDES permit would constitute a violation of NCGS 143-215.1
and could result in assessments of civil penalties of up to $10,000 per day.
Please note that recent Icderal Icgislalion has extended the "no exposure exclusion" to all operators of mduslrial
facilities in any of the I I catcgories of "storm water discharges associated with industrial activity." (except
construction activities'). If you feel your facility can certify a condition of "no exposurd', i.c. the facility industrial
materials and operations are not exposed to slot III you can apply for the no Cxposure CXCIU510n. Fur additional
information contact the Central Oflicc Slonnwater Staff member listed below or check the Storinwater & General
Permits Unit Well Site at Itltp://h2o.enrstate.nc.us/su/sunntvalCr.html
If the subject stonnwafer discharge to waters of the state has been rornlinated, please complete file unclosed
Rescission Request Form. Mailing instructions;u'c listed ()It the bouum of the form. You will he notified when the
rescission process has bccn completed.
Ih you have any questions regarding the pennit renewal procedures please contact Ricky Revels of the Faycucvillc
Rceiun:l Oflice at 910-486-1541 or Bill Mills ol'thc Coeval Office Stornlwatcr Unit at (91)) 733-5083, ext. 54S
sincerely,
Biadley 13cnnctt, Supervisor
Sturmwater and General Permits Unit
cc: Ccnlral Files
Stormwater and General Penuits Unit Files
Fayetteville Regional Office
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800-623-7748