Loading...
HomeMy WebLinkAboutNCG200514_COMPLETE FILE - HISTORICAL_20170605STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. duo S/Y DOC TYPE HISTORICAL FILE 0 MONITORING REPORTS DOC DATE ❑ JDl7 G �06 YYYYMMDD P( Energy, Mineral & Land Resources ENVIRONMENTAL QUALITY Wei Zhao BlueSky Solutions, LLC 631 Winterlochen Road Garner, NC 27603 Dear Wei Zhao, ROY COOPER Governor MICHAEL S. REGAN Secretary TRACY DAVIS Director June 1,2017 RECEIVED JUN 0 5 ?017 CENTRAL FILES DWR'SECTION Subject: NPDES Stormwater Permit NCG200514 BlueSky Solutions, LLC Formerly Greenteknology Electronics Recycling Solutions, LLC Randolph County Division personnel received your request to revise your stormwater permit Certificate of Coverage to accurately reflect your new company and/or facility name. 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 or need further information, please contact the Stormwater Permitting Program at (919) 707-9220. Sincerely, for racy E. Davis, P.E., CPM, Director Division of Energy, Mineral and Land Resources cc: Mooresville Regional Office Stormwater Permitting Program Files. Central Files Nothing Compares—, State of North Carolina k Environmental Quality I Energy, Mineral and Land Resources 512 N. Salisbury Street I I612 Mail Service Center I Raleigh, North Carolina 27699/612 919 707 9200 .r ` f.`�r:rrph3�[► f7ilrQ[ :: !]II1�:1 DEPARTMENT OF ENVIRONMENfAL QUALITY DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG200000 CERTIFICATE OF COVERAGE No. NCG200514 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, BlueSky Solutions, LLC is hereby authorized to discharge stormwater from a facility located at: BlueSky Solutions, LLC 5019 Hovis Road, Suite G Charlotte Mecklenburg County to receiving waters designated as Stewart Creek, a class C water in the Catawba River Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, and IV of General Permit No. NCG200000 as attached. This certificate of coverage shall become effective June 1, 2017, This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day June 1, 2017. for Tracy E.IDavis, P.E., Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission _r;'A�.-tir� NCDENR N�,C .� ­ � F�+�AOMN[xi ,wo NR\.HhL 1,5;t Gel Division of Energy, Mineral & Land Resources Land Quality Section/Stormwater Permitting National Pollutant Discharge Elimination System PERMIT NAME/OWNERSHIP CHANGE FORM R AGENCY USE ONLY Date Received Year Month Da I. Please enter the permit number for which the change is requested. NPDES Permit (or) Certificate of Coverage N !3_1 S 16 1 1 1 1 N 10 1 G 1 2 1 01 0 5 1 4 I1, Permit status prior to requested change. a. Permit issued to (company name): Greenteknology Electronics Recycling Solutions LLC b. Person legally responsible for permit: Ethan S Gilbert First MI Last Director of Business Development Title RC�Cr` )�D 715 Roller#an Rd Apt 313 C C 1 V Permit Holder Mailing Address MAY 0 3 2017 Charlotte NC 28205 City State Zip DENR•LAND QUALITY ( 704 )412 3343 ( ) STOWWATER PERMITTING Phone Fax c. Facility name (discharge): Greenteknology Electronics Recycling Solutions LLC d. Facility address: 5019 Hovis Rd Suite G Address Charlotte NC 28208 City State Zip c. Facility contact person: Valerie A Gilbert ( 704 ) 412 3343 First / MI / Last Phone 111. 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): Blue_Sky Solutions LLC c. Person legally responsible for permit: Wei Zhao First MI _ Last **" Please send permit copy to facility i President contact listed below**** Title 631 Winterlochen Rd Permit Holder Mailing Address Garner NC 27603 City State Zip { 919 )771 0744 wei.zhao@blueskysolutions.us Phone E-mail Address d. Facility name (discharge): BlueSky Solutions LLC - Charlotte Facility c. Facility address: 5019 Hovis Rd Suite G Address Charlotte NC 28208 City State Zip f. Facility contact person: Valerie A Gilbert First Ml Last { 704 ) 412 3343 valerie.ailbert@blueskysolutions.us Phone E-mail Address 1V. Permit contact information (it'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: Valerie A Gilbert First Ml Last EHS Compliance Manager Title 5019 Hovis Rd Ste G Mailing Address Charlotte NC 28208 City State Zip { 704 ) 412 3343 valerie.gilbert@blueskysolutions.us 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 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): 1, _y_Cy, 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 complete an that if all required supporting information is not included, this application package will be returned s i omplete. 5/3117 Signature Date APPLICANT CERTIFICATION I, VG , 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 comple d a d that if all required supporting information is not included, this application package will be returnc as ncomplete. C)<2S:- 513117 Signature U 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 G t % L PURCHASE OF BUSINESS AGREEMENT { THIS PURCHASE OF BUSINESS AGREEMENT (the "Agreement"l made and entered into ! this _ day of �e,�. (ihe "Execution Date"), BETWEEN: r Ethan Gilbert of 715 Rollerton Rd., Charlotte, worth Carolina 28208 (the "Seller") and • MoMka,! Va-Ivts, bfaelud 0t 4 6aC2 coM1�u4� Val +e c C k r -L" G 1740 a93a OF THE FIRST PART Wei Zhao of 632 Winterlochen Road, Garner, North Carolina 27603 (the "Purchaser") OF THE SECOND PART BACKGROUND A. The Seller is the I (iil°'o member owner of GREENTEKNOLOGY ELECTRONICS RECYCLING SOLUTIONS, LLC of 5019 hovis rd, Charlotte, North Carolina 28208 (the"LLC'") which carries on the business of electronics recycling tinder the operating name GREENTEKNOLOGY ELECTRONICS RECYCLING SOLUTIONS. LLC in the " State of Delaware. B. The Seller desires to sell their ownership to the Purchaser, and the Purchaser desires to buy the ownership.' IN CONSIDERATION of the provisions contained in this Agreement and for other good and valuable consideration, the receipt and sufficiency of which consideration is acknowledged, the Parties agree as follows: Definitions i- The following definitions apply in the Agreemeni: a. "Closing" means the completion of the purchase as described in this Agreement by the payment of agreed consideration, and die transfer of ownership, .+ L b. "Parties" rneans both the Seller and the Purchaser and "Pam" means any tine of theist. 2. Subject to the terms and conditions of this Agreement. and in reliance on the representations. warranties, and conditions set out in this Agreement, the Seller agrees to sell to the Purchaser and the Purchaser agrees to purchase from the Seller. Purehai�,�rice 3. The price to be paid by the Purchaser to the Seller will be ® US Dollars ( the ..Total Purchase Price"). a. The Parties agree to co-operate in the tiling of elections under the Interned Revenue Code f and under any other applicable taxation legislation. in order to give the required or- { f desired effect to the allocation of the Total Purchase Price. r Sing 5. The Closing of the purchase and sale will take place on October 1. 2016 (the "Closing Date") at the offices of the Seller or at such other time and place as the Parties mutually agree. G. At Closing:, and upon the Purchaser resolving the Total Purchase Price in fill to the Seller. the Seiler will- y a. Provide the Purchaser with duly executed forms and documents evidencing transfer of signing authority and control of the band: accounts of the LLC; b. The Scllcr will take ail steps necessary for the LLC to enter the Purchaser. or its nominee. -is the 100% member owner. Pump 7. The Total. Purchase Price will be paid by the Purchaser in a lump sum payment of US Dollars and by a promissory note (the "Promissory Note") in the form I attached, in the amount of _US Dollars made out to the Seller. IN WITNESS ► HEREOF the Parties have duly affixed tlieir signatures under hand and seal an this 1 S4- day of } I Wei Zhao (Purchaser) lthan Gilbert (Seller)' i NORTH CAROLINA Department of the Secretary of State To all whom these'presents shall come, Greetings: 1, Elaine F. Marshall, Secretary of State of 'the State of North Carolina, do hereby certify the following and hereto attached to be a true copy of ARTICLES OF AMENDMENT OF BLUESKY TRADING LLC WHICH CHANGED ITS NAME TO BLUESKY SOLUTIONS LLC the original of which was filed in this office on the 27th day of March, 2017. Scan to verify online. Document Id: C201708302981 Verify this certificate online at http://www.sosne.gov/verification IN WITNESS WHEREOF, i have hereunto set my hand and affixed my official seal at the City of Raleigh, this 27th day of March, 2017. f1w., j 7*.'� Secretary of State SHEALY ENVIRONMENTAL SERVICES, INC. Report of Analysis Environmental Process Solutions, PLLC 624 Matthews -Mint Hill Road Office 115 Matthews, NC 28105 Attention: Kellie Hedrick BAN ZQI? Project Name: Greentek Stormwater DWG SEG Project Number:47 Lot Number: RJ11072 Date Completed:10/14/2016 Kelly M. Nance Project Manager i? LABORATORY ACI ACCREDITATION I�" v BUREAU .a_... r ACCREDITEDaa-ummn This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc. The following non -paginated documents are considered part of this report: Chain of Custody Record and Sample Receipt Checklist, Shealy Environmental Services, Inc. Page: 1 of 4 106 Vantage Point Orive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www,shealylab.com SHEALY ENVIRONMENTAL SERVICES, INC. SC DHEC No: 32010 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639 Case Narrative Environmental Process Solutions, PLLC Lot Number: RJ11072 This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary following this Case Narrative. The sample ; receiving date is documented in the header information associated with each sample. All results listed in this report relate only to the samples that are contained within this report. Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved NELAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality Assurance Management Plan (QAMP), standard operating procedures (SOPs), and Shealy policies. Any exceptions to the NELAC standards, the QAMP, SQPs or policies are qualified on the results page or discussed below. If you have any questions regarding this report please contact the Shealy Project Manager listed on the cover page I Shealy Environmental Services, Inc. Page: 2 of 4 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com k SHEALY ENVIRONMENTAL SERVICES, INC. Sample Summary Environmental Process Solutions, PLLC Lot Number: RJ11072 Sample Number Sample ID Matrix Date Sampled Date Received 001 GREENTEK STQRMWATER Aqueous 10/07/2016 1110 10/11/2016 (1 sample) Shealy Environmental Services, Inc. Page. 3 of 4 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com Inorganic non-metals Client: Environmental Process Solutions, PLLC Laboratory ID: RJ11072-001 Description: GREENTEK STORMWATER Matrix: Aqueous Date Sampled:1010712016 1110 Date Received: 1011112016 Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 (TSS) SM 254OD-2011 1 10/12/2016 1738 DMA 24272 CAS Analytical Parameter Number Method Result Q PQL Units Run TSS SM 254OD-20 36 1.6 mg/L 1 POL = Practical quanlitation limit D = Detected in the method blank E = Quantitation of compound exceeded the calibration range H = Out of holding time ND = Not detected at or above the POL J = Estimated result < POL and > MDL P = The RPD between two GC columns exceeds 40% N = Recovery is out of crileria Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W' Shealy Environmentai Services, Inc. Page: 4 of 4 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com Chain of Custody and Miscellaneous Documents Shealy Environmental Services, Inc. 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www,shealylab.com Wo m O V m V f0 SHEALY ENVIRONMENTAL SERVICES. INC. SHEALi' Chain of Custod Record 106 vantage Point Urine . WOW Columbia, SC 29172 Y Tole;3hono No. 603.791-9700 Fax No. 803-791-9111 tis' w1v.v.shealylab. a�ri t,y�r �1-.LJi`I Oft/ ?aeon. ra Carrier TerAeh�cnr A,c JF.r,pi' Ad' ets S:I. y�Y •"r. Si7f,rLnr a.�,s�, �AMr ricr A Moro mace iir- I%= N— i sezov FG'!; z5;c�t`1 vrq'actAV. Q ra. W. 1 '? :ten ro r �rscr;c.fan t�s:e - rwy: , - �, • ;� 1 5 n i �' F .1 •fr' Q '•y_' C lri�/�A'; t :1Yd1'bY5 W iiCJl -,T AiII h!.y i y l '� Z Thin Atvand T7 nn� Rl gedrv7 (Rfor hb nyvpw! sq red hr eiped'Ly PT.,1 S un� CL-ixeil � Irrure?xd i t .4e nl {SPLwWY1 i u 4.m n to flR+r X Wrvse r .1 Rn',•.w:u.hnrihy Dl:e T.1re •--+-k�1'rSL�tFr.WdOy.,._.-._.�._._-- -- -—�-fan+--- Tvrs- NO to: At! samo{es are retained !or !uur weeks r; nrn r©aapt un!css 0r4.7er.7fT,-,nroqmAWR are? mada. DfSTR!&LlT7JN: Y.77T'`°e`.`FsLril'I•fl!a!'��r'tttY.?tt+'Y,nM Sc.•r�rr{:J; PrNti•FicitiK.'Rerlf Cary Number 6'2- (4 3 t=ViLe I u vro -* RJ11072 Ff31 t3n3 ICc:Ya• i.A Wss1eV liararJ rP�rY.,yrc�5an GC• Ra;w.l�as�;ar5 {S,-+�r^'Y.' Lit QDaT,amrd = film hawt f_i Poi• rl nnkyw, fI r. hl Fi.rr:s:tllGy Lrsr. ;rr� J f?,--#'.%-a by r:.xa I "'Or"a L4 9 CFaE tihNi.Y Rasa.ra a� i:v (l:+i•:hIS �, i lab rcr Peok Re�-�t+! Te+ry ' � �G GDC'Lr:l@rlr N:Ar10er F-A.'�133 e:,4ct'�= ,]ern: GF�rr-?CJ4 SHEALY ENVIRONMENTAL SERVICES INC. Shenk t;(,Yhonvienidl Srirvires, Mr. Ydw 1 011 DAUr..irii: N1:SMPM: 14KC0ItU413, Effi.tis. Wit: fiWZflt20i4 h:.Pir, Daw frJ,2Ar?Qil Surnlim Rcccipt ClKcklis: (SMI (.:licni; L linu• e0u(1,ZS sub „• Coiplcr Inspuetcd hyldatc•: _% tr11 1lto Lot If: _%i t r: ; Means o-freceipt:Sr'SESI r.i Client ri UPS n i:edF\ a Ofht:r � Yes ,- Nn r I 1 1. \'mere mistndy s'als pmsenll (in Ihn cooler? i Yes a No u NA,� I If Custody SMls were Present. Were thcy intact turd unbroken? � pH strip ID: Cl strip ID:_ f 1 Coolcr UVOriginal :entperaturc upon receiptiDerived (cotrected) m ipe;azure uputt iccripl: Method: a Tempr.rmurc Blank sY, gaiml Bottles IR Gun ID: IR Gun Correction Fuclur: �� 'C Meiborl ol't:ooiant:,c• ��ct Ice o Bluc 1GC i Dry Ice :1 None - Yes a No o ?, lI tetrt trdturc of an cou)zr eXccc dcd 6.01C, was Project Manager iNntifed? t p Y ' PN•1 was Notified b hunt! cttlail 1 face-la-ltti:c circle anel. E Yes cI leis o 91A� 4. is lhu curtunerrial couricr's aci6n g sli attached to this form!tipsQ-^ No 05. Were proper ctistody proccdtires (rclinquisliedireceived) followed','R C. o- No ❑ Ih. NVCW . tMTIPIL' IDS liNted (on the C(-)C? f ep , _ No 0 7. Were sample IDS listed (In all sample uuntuincri? yew, No C- 8. Was cnilection date & time fitted kin the f,()(7? j lcs,m- No c 9. Was collectiou date & time listed on ull sample cuntuiiier.;? 1'cs u' No c 10. Did till container label informanon ILA, date, time) agree With the COC? Yrs.c' No c f 11, Wert; ltyti tU lx urfonncd listed or. the (0(;! Yes \o c U. Did all samples arrive in the nmper containers fnr each lest atirvor in good coaditioh (nfihrtiLmt, Ii&s on, Ycs . Nn r3 13. Was adequate sample volume available? Yes C 11\0 a _ 1 . Were all sample; received within 14 the holdtag time or 48 hours, w'hicbevcr cainei (list" Yes n NA ra, _ 15, Wrrc may samples containers raissing t--.ocss (circle one) samples Not li.tcd un COC? Y'es In Non NA ri 16. %Vere bubbles presmit >" a -Size" (t/,"or 6ntin in diamcteri in any VOA vials? Ycs ❑ No ci NA p' 17, Wcre a1.1 DRO tuctals.-nutrictit satnph�s reccived at z p11,if -': 2^ Yes ❑ No ❑ NA Ef 18, Wrm all c 'anidc andior sulfidesamples received at a p1-1 > 12? j Yes a Nu a NA -, 19. Were all applicublt: NH3+1'KNtcyunidc,pht lltil. BNA ('<0.2mg.'Li sarnple.i frcz: of residual chlorine? Yes ❑ NV a j KA 1-0.'A"cre cAlcclicui tcm tralurrs documented on the COC: for NC samples? Yes 3 Alva N!1 f 21. %Vcrc client r:mwksfrcqucsas (i.e- regi:esred dihltions, M KISD (Iesitmalions, ctr...'•) l (:trtrecQy ttuusrribetl from the COC into the comment section in l.lMti? Ye r N.O d 22. Was the uote number u" token frinit the tnuitnincr 1N1)t:I3 I Sate le.Preservatien (Must be completed #or aft sam lets incorrectly prescrvcd or with headspacc.) Sample(s) were rcvtivcd incorr_c-dy preserved and wc= adjusted :1rcordingly in sample ruxivin '"Vith ;.SO, 1NO1, HC1, NoOH),using SR r Suluplr(.) were received with huhhles :'fi mm in dinincier. ! Samples(s) �__ _ were rccciv:d with TRC =•0.2 moJ (if 4Zl i5 No) aml weri: adjusird ,7crordinglg in sample teceivinQ tvitb sodiuut thiosullute (NA:520=) w•idi Shculy ID: $C Orinldn; water Project Samp'.e(s) pH verified to be> 2 by Datc: Sam Ic(s) :cere No: received at a pl'I or"•; 2 and were sidjusird acuordingly using SRr+ Sate I. lubcls Lp lif-d by: 'y N'crificd !r = t)a,e: t Comments: Shealy Environmental Services, Inc. 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com ENVIR�®ONMENTAL FM(Y"tCESS SOLUTIONS, PLLC NC Firm #P-0882 July 5, 2016 Greenteknology Electronics Recycling Soutions, LLC 5019 Hovis Rd., Suite G Charlotte, NC 28208 ATfN: Valerie Gilbert Dear Ms. Gilbert: 624 Matthews -Mint Hill Road Suite #115 Matthews, INC 28105 (980) 202-2377 Tier 1 Response- Turbidity Measurement During Semiannual Stormwater Sampling Event 6127116 The turbidity from the 6/27/16 sampling event was recorded as 95.3 NTU. This exceeded the benchmark value of 50 NTU listed in the General Stormwater Permit NCG020000, Table 3. Per the permit requirements, a turbidity exceedance requires a Tier 1 Response within 7 days of the occurrence and a remedial recommendation within one month. This letter serves as both the notification of exceedance and the remedial action documentation. Remedial Action for Reduction of Turbitity A large quantity of sediment was observed in a low flow area of the discharge stream and trash was partially blocking the outfall discharge at the fence boundary. The remedial action recommended by EPS, PLLC to reduce turbidity is to keep the outfall exit free from debris and to periodically clear the pavement of accumulated sediment in the observed path of the outfall stream. Sincerely, Xn, Sharon Bass Senior Engineer Environmental Process Solutions, PLLC 624 Matthews -Mint Hill Rd.,#115 Matthews, NC 2805 0: 980-202-2377 M: 704-451-5354 Sharon.Bass@epschariotte.com NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. http:1112ortal.ncdgnr.org/web/1r/,Updeg-stormwater/ Permit No.: N/C/ G/ Q/ 2/ 0/ 0/ 0/0 / or Certificate of Coverage No.: N/C/G/?/0 / 0 / S Facility Name: Greenteknology Electronics Recycling Solutions, LLC County: Mecklenburg Phone No. 704-412-3343 Inspector: Sharon Bass Date of Inspection: 6/27/16 Time of Inspection: 20:04 Total Event Precipitation (inches): 0.25 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ❑X Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureabie storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 001 Structure (pipe, ditch, etc.) paved lot channel Receiving Stream: Stewart Creek Describe the industrial activities that occur within the outfall drainage area: storage of electronic components to be recycled 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: ^ light brown or tan 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): none 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the Yes No outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe Laree amounts of trash and dirt have been carried by flow across the Darkine lot to the outfall. Excess solids trash are filtered b the fence at the outfall boundary causing partial blockage. Small particles (sand and dirt) have settled from the stream at the points where flow is slowed. To remedy this, EPS, PLLC has proposed that Greentek clean and shovel sediment and trash from the flow area and to ensure that the outfall point at the fence is not blocked. Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013 Date: 6128/16 Facility Name: Greenicknology Electronics Recycling Solutions, LLC Analyst: Sharon Bass Permit!!: NCG2f100001Cert.ofCoverageH: NCC200514 Settleable Solids Reference Melhod:2540 F 20" Edition (include edilion) Facility/location Time Analysis Sample volume Start 45 minute find Result Comments Sam]ed Time anal led in mis time stir time time MIA, Gfeentek 5019 I lovis 20:04 08:34 1000 08:35 09:23 09:40 2.5 Some debris larger than dirt Rd., Suite G 6127/16 6l28116 6P-8116 particles, such as small wood Charlotte, NC 29209 Q I.PS, chips, were observed in the I'LLC settleable material_ Their Matlews, contribution to the total NC settleable volume was estimated. Note: Samples must be gently agitated tiller 45 minutes and allowed to settle for an additional 15 min. Field PCriannel Notes 04104/201 1 i 1 r PRISM �uaopnroaies, inc Full -Service Analytical & Environmental Solutions Environmental Process Solutions, PLLC Sharon Bass 624 Matthews -Mint Mill Road, Office 115 Matthews, NC 28105 NC Certification No. 402 NC Drinking Water Cert No, 37735 SC Certification No. 99012 FL NELAC Cert No. E87519 VA NELAC Cent No. 460211 Project: Greentek SW Lab Submittal Date: 06/28/2016 Prism Work Order: 6060513 i Case Narrative 07/05/2016 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. ` Respecttuliy, PRISM LABORATORIES, INC. Cara C. Rusmisell Project Manager Data Qualifiers Key Reference: Reviewed By Cara C. Rusmisell Project Manager D RPD value outside of the control limits. BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-800/629-6364 - Fax: 704/525-0409 Page 1 of 5 i P R ISM I Fullironmee al Solutions 8 Sample Receipt Summary Environmental SoEutlonn 07/05/2016 '/umrtaon�4 i�c i Prism Work Order: 6060513 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received Greentelc SW 6060513-01 Water 06/27/16 06/28/16 Samples were received in good condition at 5.3 degrees C unless otherwise noted. V This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-800/52M364 - Fax: 7041525 0409 Page 2 of 5 Full -Service Analytical 8 Environmental Solutions lueon�ivn¢4lNG I Laboratory Report 07/05/2016 i Environmental Process Solutions, PLLC Project: Greentek SW Client Sample ID: Greenlek SW Attn: Sharon Bass Prism Sample ID: 6060513-01 624 Matthews -Mint Hill Road, Office 115 Prism Work Order: 6060513 Matthews, NC 28105 Sample Matrix: Water Time Collected: 06/27/16 20:04 Time Submitted: 06/28/16 12:20 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Datelfime ID General Chemistry Parameters Total Suspended Solids 74 D mg1L 12 0.80 1 *SM 2640 D 6130116 13:02 SLS P61`0602 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spring brook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 3 of 5 i I I P R ISM FullService Analytical 6 Environmental Solutions 17ueo� ATOMS. Mo. Environmental Process Solutions, PLLC Project: Greentek SW Attn: Sharon Bass 624 Matthews -Mint Hill Road, Office 115 Matthews, NC 28105 General Chemistry Parameters -Quality Control Analyte Batch P6FO602 - NO PREP Reporting Result Limit Units Level II QC Report 715116 Prism Work Order: 6060513 Time Submitted: 6/28/2016 12:20:OOPM Spike Source %RF-C RPD Level Result %REC Limits RPD Limit Notes Blank (P6F0602-BLK1) Prepared & Analyzed: 06/30/16 Total Suspended Solids BRL 5.0 mg/L LCS (1136170602-121S1) Prepared & Analyzed: 06/30/16 Total Suspended Solids 480 5.0 mg1L 477.0 100 90-110 Duplicate (P6F0602-DUP2) Source: 6060513-01 Prepared & Analyzed: 06/30/16 Total Suspended Solids 53 5.0 mg/L 74 33 20 D I I This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041526 4409 Page 4 of 5 i _ Full -Service Analytical 8, -ISM- Environmental Solutions ��BOAArOAIES INC. CHAIN OF CUJS'TO®lr_RECORD PAGE_ OF _ QUOTE S TO ENSURE PROPER BILLING: 449 Springbrook Road • Charlotte, NC 28217 Project Name: Phone 7041529-6364 • Fax: 7041525-0409 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) Client Company Name , Ggase ATTACH any project specific reporting (QC LEVEL 1 11 111 IV) visions and/or QC Requirements Report TolContact Name: invoice To: Reporting Address: 6-4 4rn 't1 Address: Phone:10-7-15i'ba-NSFaxx ((Yes O Purchase Order No./Billing Reference Email Address: i�n . + i55. A ' Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days EDD Type: PDF_ExcelY, Other `Working Days" ❑ 6-9 Days tandard 10 days ❑ Rush Be reArov Site Location Name: Samples received after 14:00 will be processed next business day. Site Site Location Physical Address: Turnaround time is based on business days, excluding weekends and holidays. et1Ar - {REN ESEE RED BY PRISM LABORATORIERSE FOR TERMS & S, INC. TO CLIENT) REGARDING SERVICES TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Certification: NELAC DOD FL NC OTHER NIA Water Chlorinated: YES— NO� Sample Iced Upon Collection: YES NO CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY HOURS MATRIX (SOIL, WATER OR SLUDGE) SAMPLE CONTAINER PRESERVA• TIVES ANALYSIS REQUESTED REMARKS PRISM LAB ID NO 'TYPE SEE BELOW NO SIZE 69:I ESE SL3 16 Z : 154 w -P ! f /J6AW_ , o Sampler's Signature V Sampled By (Print Name) TIJACOJ fin Affiliation Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized. ' ws ed y: ( ignature Received y: ( nature ate iGtary Hours Additional Comments: Sde-Arrival T"sme �z --. ; ; Reknqurshad y: (Slgnatu Received By: (Signature) Data 5rte Departure TirTte , FIe7d Tech Fee.i` Relinquished By: (Signature) Received For �fsm Le lie Date r Mileage k ` r y ? -i Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WIJJfUUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST UNTIL RECEIVED AT THE LABORATORY. j�rt { , CI Fed Ex U UPS ❑ Hand -delivered CI Prism Field Service ❑ Other tiJ 0 W 4� NPDES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: GERCLA LANDFILL OTHER: ❑ NC ❑SC 0 N❑ SC 0 NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ 5C © NC ❑ SC ❑ NC ❑ SC I ❑ NC ElSG ❑ NC ❑ SC ' ❑ El ❑ ❑ ❑ ❑ ❑ ❑ nr�Irmlar *CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) Central Files: APS — SWP 12l29t2015 Permit Number NCG200514 Permit Tracking Slip Program Category Status Project Type NPDES SW In draft New Project Permit Type Version Permit Classification Wholesale Trade of Metal Waste and Scrap Stormwater Discharge COC COC Primary Reviewer Permit Contact Affiliation ricksiddle RECEIVED Coastal SWRule .BAN 0 4 2011 Permitted Flow CENTRAL FILES DWR SECTION Facility Facility Name Major/Minor , Region Greenteknology Electronics Recycling Solutions, LLC Minor Mooresville Location Address County 5019 Hovis Rd Mecklenburg Ste G Facility Contact Affiliation Charlotte NC 28208 Valerie Gilbert 5019 Hovis Rd Owner Charlotte NC 28208 Owner Name Owner Type Greenteknology Electronics Recycling Solutions LLC Non -Government Owner Affiliation Ethan Gilbert 715 Rollerton Rd Dates/Events Charlotte NC 28205 Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Is ue Effective Expir do 11/1312015 12/312015 �,,�aa�r<57 1 ga41� 5 2 1 1 T !11 III` F Regulated Activities Requested /Received Events Scrap metal recycling RO staff report received 12/17/15 RO staff report requested 1211115 Outfall 1 Waterbody Name Streamindex Number Current Class Subbasin Stewart Creek 11-137-1-2 C 03-08-34 PAT MCCRORY t ol'!'1'nor DONALD R. VAN DER VAART Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY December 29, 2015 Ethan Gilbert Greenteknology Electronics Recycling Solutions, LLC. 715 Rollerton Road, Apt 117 Charlotte, NC 28205 Subject: General Permit No. NCG200000 Greenteknology Electronics Recycling Solutions, LLC COC NCG200514 Mecklenburg County Dear Mr. Gilbert: Secrehrn- TRACY DAVIS I ),serf In accordance with your application for a discharge permit received on November 13, 2015, 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 October 15, 2007 (or as subsequently amended). Please take notice that this certificate of coverage is not transferable except after notice to the Division of Energy, Mineral, and Land Resources. 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 Division of Energy, Mining, and Land Resources, or permits required by the Division of Water Resources, Coastal Area Management Act, or any other federal or local governmental permit that may be required. If you have any questions concerning this permit, please contact Richard Riddle at telephone number (919) 807-6375. Sincerely, for Tracy E. Davis, P.E., CPM cc: Mooresville Regional Office Central Files Stormwater Permitting Program Files Charlotte -Mecklenburg Storm Water Service State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources 1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612 919 707 9200 T r'TQ STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG200000 CERTIFICATE OF COVERAGE No. NCG200514 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, Greenteknology Electronics Recycling Solutions, LLC is hereby authorized to discharge stormwater from a facility located at Greenteknology Electronics Recycling Solutions, LLC 5019 Hovis Road, Suite G Charlotte Mecklenburg to receiving waters designated as Stewart Creek, a class C water in the Catawba River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, and IV of General Permit No. NCG200000 as attached. This certificate of coverage shall become effective December 29, 2015. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day December 29, 2015. for Tracy E. Davis, P.E., Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission _�, C T � � � I �� }• 1 i � � �� ' • �w tag'• - .� � CIS. NCG 200514 N W E S Map Scale 1: 24, 000 Greenteknology Greenteknology, Electronics Recycling Solutions, LLC Latitude: 350 16' 09" N Longitude: 800 54' 00" W County: Mecklenburg Receiving Stream: Stewart Creek Stream Class: C Index Number: 11-137-1-2 (Catawba River Basin) �.j )fit I( A :1-11J nN-/ffl Facility Location i FOR AGENCY USE ONLY 1 Date Receive ar MoNh 4' • Division of Energy, Mineral, and Land Resources Ye �� Land Quality Section Certifi eo c v NCDENR National Pollutant Discharge Elimination System c A Na Tm C+-01­ 4eP.R1-t- Or 4V601 Its E.VMO EH Iwo N� Resmmcc6 NCG2��000 ieiilll AS, ne:l 1�IL Rtdd�e Y NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit NCG200000 for STORMWATER DISCHARGES associated with activities classified as: SIC 5093 Scrap Metal Recycling (except as specified below) And, Like activities deemed by DEMLR to be similar in the process, or the exposure of raw materials, intermediate products, final products, by-products, or waste materials. The following activities are excluded from coverage under this General Permit: 1) Automobile Wrecking for Scrap (a portion of SIC 5093) Non -Metal Scrap Recycling (a portion of SIC 5093) Used Motor Vehicle Parts (SIC 5015) (Please print or type) Mailing address of the owner/operator (address to which official permit correspondence will be mailed): Name Greenteknology Electronics Recycling Solutions, LLC Owner Contact Ethan Gilbert Street Address 715 Rollerton Rd, Apt 117 City Charlotte State NC ZIP Code 28205 Telephone No. (631) 252-5618 Fax: E-mail Address ethan@greentekrecycling.com 2) Location of the facility producing the discharge: Facility Name Greenteknology Electronics Recycling Solutions, LLC Facility Contact Valerie Gilbert Street Address 5019 Hovis Rd, Suite G City Charlotte State NC ZIP Code 28208 County Mecklenburg Telephone No. (704) 412-3343 Fax: Email Valerie@greentekrecycling.com 3) Physical Location Information: Please provide a description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). Start by heading north on 1-277. Continue/follow onto NC-16 N. After 4 miles, turn left onto Hovis Road. Our facility is on the right in 0.8 miles. (A copy of a county map or USGS quad sheet with facility clearly Ip�ed on the map is a required part of this application.) 4} Latitude 3648"6'1T Longitude 8 (degrees, minutes, seconds}i(ad 5) This NPDES Permit Application applies to which of the following: vT ❑ New or Proposed Facility' Date operation is to begin . Existing 'If this new or proposed facility is located in one of the 20 coastal counties, please contact the appropriate DEMLR Regional Office (see page 4) to determine if a State Stormwater Permit is required prior to construction. Page 1 of 4 SWU-235-012815 Last revised 1/28115 NCG200000 N.0.1. ;r 6) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 5 0 9 3 7) Services and Activities a) Provide a brief description of the types of industrial activities and products manufactured at this facility: (Include a site diagram of the process areas and location of activities present at this facility.) Inside our warehouse we sort, de -manufacture, and process electronic scrap. Outside of facility in the rear of the building we have a large metal bin to collec_t_steel,.a large dumpster for trash, and some used wooden pallets. b) Check all activities conducted at this facility. X Outdoor stcckpiling of materials X Processing —cutting, grinding, crushing, baling, separation, etc. Storage of materials in above- ground tanks X Material loading and unloading 8) Discharge points / Receiving waters: X Transport of materials b%.,) a conveyor or front-end loader X Vehicle and equipment maintenance v Vehicle or equipment washing X Vehicle and equipment fueling How many discharge points (ditches, pipes, channels, curb and gutter, swales, etc.) convey stormwater from the property? 5 What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? Stewart Creek If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). Receiving water classification (if known): 9) Does this facility: a) Have an untreated wastewater discharge? 13 No [W! Yes b) Have a treated wastewater discharge? 0 No ❑ Yes If yes, list the permit number c) Have a wastewater discharge from a recycle systam? ®No ❑ Yes If yes, list the permit number. d) Have a non -discharge permit? 0 No If yes, list the permit number. ❑ Yes e) Discharge wastewater to a municipal wastewater collection system? ❑ No 0 Yes If yes, list the municipality and permit number: Charlotte/Mecklenburg sanitary sewer system Note: Stormwater discharge permit NCG200000 does not authorize the discharge of any wastewater. If this site discharges wastewater, you must obtain the appropriate wastewater discharge permit in addition to coverage for stormwater discharges under NCG200000. 10) Does this facility employ any best management practices for stormwater control? ❑ No , Yes (Show any structural BMP's on the site diagram.) Page 2 of 4 5WU-235-012815 Last revised 01/28/15 NCG200000 N.O.I. If yes, please briefly describe: We keep all of our processes indoors; we do not do processing or dismantling electronics outside. We have our steel bin and dumpster replaced frequently to avoid unnecessary stormwater contamination. 11) Does this facility have a Stormwater Pollution Prevention Plan? . No ❑ Yes If yes, when was it implemented? We are in the process of writing one and implementing it, and expect to have a Stormwater Pollution Prevention Plan within one year (by December 2016). 12) Are vehicle/equipment maintenance activities occurring at this facility? ❑ No , Yes 13) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? . No ❑ Yes c) is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? ❑ No . Yes d) Is hazardous waste stored in the 100-year flood plain? . No ❑ Yes If yes, include information to demonstrate protection from flooding. e) If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: CRTs; batteries, whole and shredded circuit boards; toner How is material stored: palletized or in Gaylord boxes Where is material stored: Inside warehouse How many disposal shipments per year: varies Name of transport ! disposal vendor: various downstream vendors Vendor address: various downstream vendors 14) Certification: North Carolina General Statute 143-215.613 (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material tact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the [Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a tine not to exceed ten thousand dollars ($10,000). I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Page 3 of 4 SWU-235-012815 Last revised 01/28/15 NCG200000 N.0.1. Printed Name of Person Signing: Title: %_Yl v icDn r V_PAA_�0J p AVV 'n i S _fYCk k'Ve al 1 -1©- (Date Signed) This Notice of Intent must be accompanied by a check or money order for 100-00 made payable to: NCDENR Final Checklist This application will be returned as incomplete unless all of the following items have been included. Please do not ask us to "hold" an incomplete application in anticipation of a check under separate cover. (_,// Check for $100 made payable to NCDENR L�`7/ This completed application signed by the applicant along with all supporting documents Lam' A site diagram showing, at a minimum, (existing or proposed): (a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls (corresponding to which drainage areas), (d) runoff conveyance structures, (e) areas where materials are stored, (f) impervious areas, (g) site property lines, (h) vehicle and equipment maintenance, blasting, painting, and washing areas, and (i) location of activities listed in 7b. Copy of county map or USGS quad sheet (preferred) with location of facility clearly marked on map Please mail the entire package to: Stormwater Permitting Program Division of Energy, Mineral, and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Please note: The submission of this document does not guarantee the issuance of NPDES permit coverage. For questions, please contact the DEMLR Regional Office for your area. To visit our website please go to ham://vortal.ncdenr.orct/'web/!r/stormwater DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office ......... (919) 707-9220 SWU-235-012815 {Apt- ,& 7. Z�- Suite C is defined by the Yellow outline. The red hatched are describes the Office Premise common area which shall be used for the benefit of all tenants in the building. �oo�tn pct_Ul�� ids h CLVAA. fsip-" Cs� Lrm shall represent the �r - • -.� w � '; •ern . r- .__ t SUITE C •aso.l ,f ...__ '4 w brI ...wry i.. E4 ,: t Tenant Initials: Landlord Initials: 04 pfo Co CLCY-e aces No, �aX aTVYN-��) �PP�dtx � Switch between Navigate and IS Map footprints can optionally bi 7.5 and lS Minuia CLrC6,na 04 � �v jVO&A arto-= 0f aeon dfAee-1 biit -f ras ll d om p S,�J u�1 aocCem pa l2e t� reC:1 k'S ©vk b oar.il—J cf I i r Ur w.L >' 1,4 p l i' i i }• r, Ufa' F yy ! h F �•` ' t 31" a�'-t'�I Ma E��; 15 ".kk/^'" }.r �Pfr -:.. r� t - i ••1: 'y it 'r, '.at -. q,.', PROPERTY IS 5019 NUNS ROAD, CHARLOTTE. NC 29208, PARCEL ID 057�023-04 Tenant initials: Landlord Initials: