NCGNE1023_COMPLETE FILE - HISTORICAL_20140814

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
NCGNE ' 0�
DOC TYPE
�k HISTORICAL FILE
DOC DATE
aoiy o% H
YYYYMMDD

ATA
NCDEN R
North Carolina Department of Environment and Natural. Resources
Pat McCrory
Governor
Mr. Alex Ward
All -State Belting, LLC
520 South 18th Street
West Des Moines IA, 50265
Dear Mr. Ward:
John E. Skvarla, III
Secretary
August 14, 2014
Subject: No -Exposure Certification NCGNF 1023
All- State Belting LLC
1400 Westinghouse Boulevard, Suite 100
Charlotte, North Carolina 28273
Mecklenburg County
The Division has reviewed your submittal of the No -Exposure Certification form for
Exclusion from NPDES Stormwater Permitting. Based on your submittal and signed certification
of no exposure at the above referenced facility, the site visit of August 12, 2014, the Division is
granting your conditional exclusion from permitting as provided for under 40 CPR 12226(g), which
is incorporated by reference in North Carolina regulations.
Please note that by our acceptance of your no -exposure certification, you are obligated to
maintain no -exposure conditions at your facility. If conditions change such that your facility can no
longer qualify for a No -Exposure exclusion, you are obligated to immediately obtain NPDES permit
coverage for your stormwater discharge. Otherwise, the discharge becomes subject to enforcement
as an un-permitted discharge.
You must self re -certify your No -Exposure status annually using the enclosed form or obtain
NPDES permit coverage for any stormwater discharges from your facility. The annual self re-
certification does not need to be submitted to DWQ unless requested. Your conditional exclusion
from permitting does not affect your facility's legal requirements to obtain environmental permits
that may be required under other federal, state, or local regulations or ordinances.
Division of Energy, Mineral, and Land Resources
Land Quality Section - Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Telephone: [phone] FAX: ,704-663-6040 *Internet: http:llportal.ncdenr.orglweb/Ir/land-quality
An Equal Opportunity I Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

If you have any questions or need further information, please contact Erich Schweiber at
[phone], or at [e-mail].
Sincerely,
Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Enclosure: . Inspection report
@; Bradley-Be1,_S.tormwater-I'e fitting , Program,-Na Exposure_Eiles NCGNE01'0
n

Permit: NCGNE1023 Effective:
SOC: Effective:
County: Mecklenburg
Region: Mooresville
Contact Person: Chris Jenkins
Compliance Inspection Report
Expiration: Owner: Ali -State Belting LLC
Expiration: Facility: All -State Belting, KC
1400 Westinghouse Blvd
Ste 100
Charlotte NC 28273
Title:
Phone: [phone]
Directions to Facility:
From 1-77 take exit i to exit 1 A (Westinghouse Blvd) turn left and follow Westinghouse north, destination is on right.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 0811212014 Entry Time: 08:50AM Exit Time: 09:30AM
Primary Inspector: Erich F Schweiber Phone:
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Technical Assistance
Permit Inspection Type: Stormwater Discharge, No Exposure Certificate
Facility Status: Compliant Not Compliant
Question Areas:
® Miscellaneous Questions ® Misc
(See attachment summary)
Page: 1

Permit: NCGNF-1023 Owner • Facility: Ail -State Belling LLC
Inspection Date: 08/1212014 Inspection Type : Technical Assistance Reason for Visit: Routine
Inspection Summary:
Page: 2

t-
Permit: NCGNE1023 Owner -Facility: All -state Belting LLC
Inspection Date: 08112/2014 Inspection Type : Technical Assistance
Misc
is the facility compliant?
Reason for Visit: Routine
Yes No NA NE
® ❑ ❑ ❑
Comment: Inspection for NE request.
Facility has no materials or storage outside of building, A dumpster was onsite but was under
cover.
No exposure should be granted for this facility,
Page: 3

A U-STA TE BEITING I&
NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, NC 27699-1612
RE: Rescission Request — All -State Belting, LLC.
All -State Belting, LLC.
520 South 18'" Street I
TollFree: 844-566-2358
West DesMoines,IA Phone: [phone]
50265-5532 Fax; 515-224-1169
i-LJ 14 2017
GcvR-LAND QUALITY
STORMIAAFER PEwRIAI-J­VJPf 0
Enclosed please find a Rescission Reque,gforrn for No -Exposure certificate NCGNE0123 issued to All -
State Belting, LLC. Certificate NCGNE 23 is currently in effect for All -State Belting's operations located
at: ��
All -State Belting, LLC.
1400 Westinghouse Blvd.
Suite 100
Charlotte, NC 28273
All -State Belting's operation at the Charlotte address will cease on or about March 31, 2017 and the
assets at this location will be relocated outside of the state of North Carolina. Please accept the enclosed
rescission form as notice for cancellation of All -State Belting's No -Exposure Certification at the above
listed address, as of March 31, 2017. Any requests for additional information and/or notice of final
rescission should be sent to All -State Belting's corporate address in Iowa, as listed on the rescission
form.
Regards,
Alex Ward
All -State Belting, LLC.

RCDENR
Nam., Gwo� Dry Itll o.
C_v .neN — Nmun Rf,xV E9
Division of EnerWv, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
l~-i.-d .1. 4 2017
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
�.,
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N C I 'S I I I I I I N I C I G N I E 1 0 2 3
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below_--,`�%,
Owner/Facility Name ALL -STATE BELTING, LLC.
Facility Contact
Street Address
City
County
Telephone No.
AL EY WARD
520 SOUTH 18TH STREET
WEST DES MOINES
POLK
515 645-6955
state IA
E-mail Address
Fax: 515
ZIP Code 50265
AWARD® ALL-STATEBELT ING.COM
224-1169
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
■❑ Facility closed or is closing on :Ml/2017 - All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to '............r''' on :. ;.:,:& If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subiect 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 A Date /�� % 7
DAVfD CLARK TREASUR ERICONT ROLLER
Print or type name of person signing above Title
Please return this completed rescission request Form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] FAX: 9IM07-6492
An Equal Opportunity 1 Affirmative Action Employer