NCG030738_Application_20230426

C EStrat�a
Nc,C Will -� eSc�Ss�on
March 28,2023
REECEIVED Via Email
Mr.Eben Snow APR 2 �I 2023
Rockwell Frame Shop )MR-stonwater Program
508 Pahner Road
Rockwell,North Carolina 28138
Notice of Intent—Change in Applicable Permit Coverage
Strata Environmental Project Number 2305500-24-54
Dear Eben:
The CMH Manufacturing, Inc. dba Schult Homes — Rockwell Frame Shop facility currently has
stormwater permit coverage under NCG210000 (Lumber and Wood). Based on an inspection by the
North Carolina Department of Environmental Quality (NCDEQ), your facility needs to switch coverage
to the NCG030000 (Metal Fabrication) general permit. Strata Environmental Services, Inc. (Strata) has
attached the necessary letter,forms,and instructions for completing this coverage change.
The application for the stormwater permit coverage change consists of a completed NOI form
(NCG030000), a check for the application fee of $100 (payable to NCDEQ), the National Pollutant
Discharge Elimination System(NPDES)Recission Request Form(NCG210000),site map,topo map,and
NCSOS Annual Report. Please review the attached completed NOI form and Rescission form for
accuracy,type or photocopy the suggested cover letter on your letterhead and sign both forts in blue ink.
Please be sure to attach the check for $100.00 (made out to "NCDEQ") to the completed NOI form.
Make a copy of the signed cover letter, check, signed NOI form, and signed Recission form (for your
facility files) and email a copy to Strata at cmhCstrataenv.com. Send the original signed cover letter,
signed NOI form,signed Recission form,and check to:
DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh,NC 27699-1612
Please send out the completed packet at your earliest convenience. Strata appreciates the opportunity to
support Clayton Homes.
Sincerely,
STRATA iENVIRONMENTAL SERVICES,INC.
James G.Maynes,P.E.
Engineer
JGMRmb
Enclosures
2305500-24-54.38986
110 PerlmeterPark,Sulte E,Knoxville,TH 37922•tel[phone]•fax[phone]•www.strataem.com

Additional Outfalls
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
3-4 digit identifier: Name of receiving water: Classification_ ', ❑This water is-impaireiL
I_. ❑This watershed.hasa;TMDL.
Latitude of outfall: i f 'i Longitude of'outfall:
Brief description of the industrial activities that drain to.this.outfall: __ _ Fir''
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
!iL I?al I i't' ' i'. i.i f its !. itf1t,12 ( .' II1;C^ �i„� ..❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall: '
Brief description of the industrial activities that drain to this outfall:
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Page 5 of 5

FOR AGENCY USE ONLY
Assigned to:
ARO FRO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
Rescission Request Form
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
Directions: Print or type all entries on this application form. Send the original,signed application to: NCDEMLR
Stormwater Program, 1612 Mail Service Center,Raleigh,INC 27699-1612. The submission of this form does not
guarantee recission of your NPDES stormwater permit.Prior to the recission of your NPDES stormwater permit, a
site inspection will be conducted.
1. Owner/Operator(to whom all permit correspondence will be mailed):
Name of legal organizational entity: Legally responsible person assigned in Item(4)below:
CMH Manufacturing,Inc.ciba Schutt Homes-Rockwell Frame Shop Joe Eamhardt
Street address: City: State and zip code:
1 Viscount Road Rockwell NC/28138
Telephone number: _ Email_address:._
[phone] --- — joe:earnha� [e-mail]
2. Industrial Facility(facility requesting rescission):'
Facility name:
--Schutt Homes=Rockwell Frame Shop.
Street address:
1 Viscount-Road- 'r-
City: State: Zip"C I County:
Rockwell I ..... .,r,. Narth,Carolina., ., 28138: , _'Rowan
Permit Number to which this request applies:
NCG210281 .'•
3. Reason for rescission Request
This is required information.Attach separate sheets if necessary.
0 Facility is closed or closing.All industrial activities have ceased such that no discharges of stormwater are contaminated
by exposure to industrial activities or materials.
Date closed/closing:
0 Facility sold.
Sold to:
On date:
D Other(please explain):
The facility has been permitted under NCG210000(Lumber and Wood).NCDEQ conducted a site visit and requested the change in coverage.

4. Applicant Certification:
North Carolina General Statute 143-215.6E(1)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...shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars($30,000). 1 hereby request exclusion from NPDES stormwater permitting.
Under penalty of law,I certify that:
0 1,as an authorized representative, hereby request recission of coverage under the NPDES stormwater Permit for the
subject facility.I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true,complete,and accurate.
Printed Name of Person Signing: Joe Earnhardt
Title: General Manager
(Sig nature of Applicant) (Date Signed)
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality'
1612'MailServic&'Center ` 4`
_ - -"Raleigh, N,C 27699-1612
i
� �. 1-.'il it � 'sir �$i . I '.1:}I�UL i . r Ifli ,} Ij 4`... F'. -- �--c•'r".
Page 2 of 2

r BUSINESS CORPORATION ANNUAL REPORT
NAME OF BUSINESS CORPORATION: Cmh Manufacturing,Inc.
0228173 Filing fe '°Only
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: TN
E-Filed Annual Report
0228173
REPORT FOR THE FISCAL YEAR END: 12/31/2022 CA2023GS702556
31812023 11:30
SECTION A:REGISTERED AGENTS INFORMATION © Changes
1.NAME OF REGISTERED AGENT: CT Corporation System
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
160 MINE LAKE COURT, SUITE 200 160 MINE LAKE COURT, SUITE 200
Raleigh, NC 27615 Wake County Raleigh, NC 27615
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Manufacture and distribute mobile Homes
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
5000 Clayton Road 5000 Clayton Road
Maryville,TN 37804-5550 Maryville,TN 37804-5550
6. Select one of the following if applicable.(Optional see Instructions)
❑ The company is a veteran-owned small business
❑ The company is a service-disabled veteran-owned small business
SECTION C'OFFICERS(Enter additional officers in Section E.)
NAME: Ron Powell NAME: Price Cooper NAME: Price Cooper
TITLE: President TITLE: Vice President TITLE: Secretary
ADDRESS: ADDRESS: ADDRESS:
5000 Clayton Rd 5000 Clayton Road 5000 Clayton Road
Maryville,TN 37804 Maryville,TN 37804 Maryville,TN 37804
SECTION D:.CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
enC
rice Cooper 3/8/2023
SIGNATURE DATE
Fonn must be signed by an officer listed under Section C of this form.
Price Cooper Secretary
Print or Type Name of Officer Print or Type Title of Officer
MAIL TO:Secretary of State, Business Registration Division,Post Once Box 29525,Raleigh,NC 27626-0525

SECTION E:ADDITIONAL OFFICERS
NAME: price Cooper NAME: Kevin T Clayton NAME:
TITLE: Chief Financial Officer TITLE: Chairman TITLE:
ADDRESS: ADDRESS: ADDRESS:
5000 Clayton Road 5000 Clayton Road
Maryville,TN 37804 Maryville,TN 37804
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: Name:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:

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Ill°XTS
LEGEND SOURCE:USGS 2022
SITE BOUNDARY
PRIMARY ROADS
TOPOGRAPHY
--- WATERWAY
110 PERIMETER PARK ROAD FIGURE
SUITE TopographicMa
KNOXVILLE,TN 37922 P
PHONE [phone] Rockwell Quadrangle, 2022
Str C-3ta FAX [phone]
ENVIRONMENTAL FROJECTNUMBER DATE CMH Manufacturing,Inc.dba Shull Homes-Rockwell Frame Shop
2205500-24 March 2023 1 Viscount Road,Rockwell,North Carolina 28138

OUTFALL / RECEIVING WATERS: SECOND CREEK
001 (NOT 303d LISTED,NO TMDL)
® OUTFALL LAT/LONG
1 001: 35.5629,-60.4066
GRASS , s
lJ Rp��� `� TOkvGF
Om W I
EMPTY ¢ 1 �� GRAVEL
1
1 O d 1 EMPTY TOTE
!� 0 01 _� 2 Z I O STORAGE
I' 1 AIR COMP
CO WATER (-25% IMPERVIOUS) Q p O
€ j TOWER (5ACRES) r~n� SMORAGE ,,,P
�' J 'BATHROOM
Q CONCRETE
OPEN 0
�g vQj FIELD
WASH PAD GRAVEL
ffi (NOT IN USE) '
SHED '
LEGEND
GATE
FENCE LINE SCOUNT ROAD
—•> —> DRAINAGE PIPES
DUMPSTER/COMPACTOR
® STORM DRAIN SITE AREAS
DRAINAGE WAY
Q STORM WATER FLOW PATH MATERIAL HANDLING/STORAGE AREAS
rr o PROPANE TANK Q WASTE AREAS
— — DRAINAGE BOUNDARY O PROCESSINGAREAS 0 25 50 75 100
A SPILL KIT Oq LOADING&UNLOADING AREAS
® OUTFACE TRENCH DRAIN 5 HAUL ROADS(NIA) SCALE IN FEET
110 PERIMETER PARK FIGURE
SUITE Site Layout
KNOXVILLE,TN 37922
PHONE [phone] Storm Water Pollution Prevention Plan 2
Strata FAX [phone]
ENVIRONMENTAL FILE DATE Schult Homes-Rockwell Frame Shop
2205500-24 November 2022 1 Viscount Road,Rockwell,North Carolina 28138