NCS000609_fact sheet binder_20231018

DEQ / DEMLR
FACT SHEET FOR NPDES INDUSTRIAL INDIVIDUAL
STORMWATER PERMIT DEVELOPMENT
Basic Information for Permit Issuance and Renewals:
Permit Writer/Date Brianna Young 10/9/2023
Permit Number NCS000609
Owner/Facility Name Kleen Tech,Inc./Kleen Tech,Inc.
SIC Code/Category 812332/Industrial Launderer
Basin Name/Sub-basin number Catawba/03-08-32
Receiving Stream/HUC 001: UT to Drowning Creek/030501010804
002: UT to Drowning Creek/030501010804
Stream Classification/Stream Segment 001: WS-IV/ 11-52-(1)
002: WS-IV/ 11-52- 1
Is the stream impaired on 303 d list]? Yes—See Section 2 below
Any TMDLs? No
Any threatened and/or endangered species? No
An compliance concerns? See Section 2 below
Any permit mods since lastpermit? N/A
New expiration date 10/31/2028
Comments on Draft Permit? See Section 6 below
Section 1. Facility Activities and Process:
Kleen Tech, Inc. is an industrial launderer and linen supply company that provides linen and laundry
service to hotels and restaurants for bed linens, table linens, and uniforms. The permittee states no
known pollutants are present in the discharge areas (use is rainwater drainage). There is an 8,000 gallon
diesel fuel storage tank and 300 gallon pH adjustment acid tank located onsite outdoors. The permittee
states neither of these storage tanks are located in outfall areas and that all laundry detergents are stored
inside the plant.
Per an email from the Asheville Regional Office dated 4/18/2022, the facility has multiple outfalls,
outdoor equipment and chemical storage, and an onsite diesel vehicle fueling station.
Outfall SW001:
Drainage area consists of forested area, facility buildings, loading and unloading areas,parking area,
sewer lines, sewer manholes, an abandoned sewerage pump station, diesel storage tank, and a pH
adjustment tank.
Outfall SWO02:
Drainage area consists of forested area, facility buildings, loading and unloading areas,parking area,
sewer lines, sewer manholes, an abandoned sewerage pump station, diesel storage tank, and a pH
adjustment tank.
Why Industrial Sites with Stormwater are Subject to a Permit: Federal NPDES regulations define
stormwater discharge associated with industrial activity in 40 CFR §122.26 (b)(14) as: "the discharge
from any conveyance that is used for collecting and conveying storm water and that is directly related to
manufacturing,processing or raw materials storage areas at an industrial plant. The term does not
Page 1 of 5

include discharges from facilities or activities excluded from the NPDES program under this part 122.
For the categories of industries identified in this section, the term includes, but is not limited to, storm
water [sic] discharges from industrial plant yards; immediate access roads and rail lines used or traveled
by carriers of raw materials, manufactured products, waste material, or byproducts used or created by
the facility; material handling sites; refuse sites; sites used for the application or disposal of process
waste waters (as defined at part 401 of this chapter); sites used for the storage and maintenance of
material handling equipment; sites used for residual treatment, storage, or disposal; shipping and
receiving areas; manufacturing buildings; storage areas (including tank farms) for raw materials, and
intermediate and final products; and areas where industrial activity has taken place in the past and
significant materials remain and are exposed to storm water. For the purposes of this paragraph, material
handling activities include storage, loading and unloading, transportation, or conveyance of any raw
material, intermediate product, final product, byproduct or waste product. The term excludes areas
located on plant lands separate from the plant's industrial activities, such as office buildings and
accompanying parking lots as long as the drainage from the excluded areas is not mixed with storm
water [sic] drained from the above described areas."
Section 2. Monitoring Information and Compliance History:
• Notice of Violation(NOV)was sent in October 2019 for failure to apply for an NPDES permit
• Notice of Recommendation for Enforcement Action(NORE)was sent in February 2020 for
failure to apply for an NPDES permit
303(d) listing:
Drowning Creek �C aIV 9.1 FW Miles
1146 From source to a point D.6 mile upstream of mouth
PARAMETER IR CATEGORY CRFFERIA STATUS REASON FOR RATING 303D YEAR
Fish Community(Nar,AL,FW) 5]Exceedin criteria Fair,Poor or severe Biodassmcation 242
Section 3. Proposed Monitoring for Stormwater Discharges:
The Division considered potential pollutants from past and present industrial activities. No monitoring
data was submitted with the permit application.
Parameters are based on potential pollutants in the drainage area, sampling results, and in some cases,
dependent upon future activities (e.g., ash removal through the drainage area). Below is a table of the
proposed monitoring for each outfall at the Kleen Tech, Inc. site.
Page 2 of 5

Outfalls SWO01 and SWO02
Quarterly monitoring
Total Suspended Solids BASIS: Potential pollutant from drainage area and BMP effectiveness
(TSS) indicator.
Quarterly monitoring
pH BASIS: Pollutant indicator
Quarterly monitoring
Total Rainfall BASIS: Discharge potential indicator
Quarterly monitoring
Non-Polar Oil &Grease BASIS: Potential pollutant from lubricants; Method 1664 SGT-HEM
targets petroleum-based O&G
Quarterly monitoring
Monthly Oil Usage BASIS: Potential pollutant from drainage area
Quarterly monitoring
BOD BASIS: Pollutant indicator
Quarterly monitoring
COD BASIS: Pollutant indicator
Stormwater Benchmarks and Tiered Response: Rather than limits,North Carolina NPDES
Stormwater permits contain benchmark concentrations. Stormwater benchmarks are numerical action
levels for stormwater monitoring. Benchmarks are not effluent limits, and benchmark exceedances are
not permit violations. Benchmarks provide facilities a tool for assessing the significance of pollutants in
stormwater discharges and the effectiveness of best management practices (BMPs). Benchmark
concentrations are intended as guidelines for the facility's development and implementation of the
Stormwater Pollution Prevention Plan (SWPPP).
Benchmark exceedances require the permittee to increase monitoring, increase management actions,
increase record keeping, and/or install stormwater BMPs in a tiered program. The permit establishes a
tiered approach to specify actions the permittee must take in response to analytical results above
benchmark concentrations. The tiered structure of the permit provides the permittee and DEMLR wide
flexibility to address issues that may arise with one or more parameters and/or outfalls.
Metals benchmarks are calculated to mimic acute water quality standards and with the guidance of
DWR. NC DWR follows established federal procedures for calculating acute standards when developing
the benchmarks. Just like the acute standards, metals benchmarks normally reflect one half of the
calculated Final Acute Value (the "1/2 FAV"). In most cases, translation into total recoverable values is
based on an assumed hardness of 25 mg/L and a total suspended solids (TSS) concentration of 10 mg/L.
Acute standards protect aquatic life from negative impacts of short-term exposure to higher levels of
chemicals where the discharge enters a waterbody. The Stormwater Permitting Program applies this
approach because of the ephemeral nature of rainfall events.
Page 3 of 5

The Division may evaluate results to determine if a smaller suite of parameters for some outfalls is
adequate to characterize potential pollution or BMP effectiveness. For example, one or more metals or
other parameters may serve as an adequate tracer for the presence of ash pollution during disturbance or
ash removal in specific drainage areas at this site. For parameters that do not have a stormwater
benchmark, the Division may develop a benchmark value if appropriate toxicity data become available
or if rising trends in concentrations suggest a persistent source.
A summary of the benchmarks in the draft permit, and their basis, is below:
Parameter Benchmark Basis
Total Suspended 100 mg/L National Urban Runoff Program(NURP) Study, 1983
Solids TSS
H 6 s.u. —9 s.u. NC Water Quality Standard(Range)
Non-Polar Oil & Review of other state's daily maximum benchmark
Grease, EPA 15 mg/L concentration for this more targeted O&G;NC WQS that
Method 1664 does not allow oil sheen in waters
SGT-HEM
BOD 30 mg/L BPJ; Based on Secondary Treatment Regulation(40 CFR
133.03
COD 120 mg/L BPJ; Generally found at levels 4x BOD5 in domestic
wastewaters
Stormwater Pollution Prevention Plan: The proposed permit conditions reflect the EPA and NC's
pollution prevention approach to stormwater permitting. The Division's maintains that implementation
of Best Management Practices (BMPs) and traditional stormwater management practices that control the
source of pollutants meets the definition of Best Available Technology (BAT) and Best Conventional
Pollutant Control Technology(BCT). The permit conditions are not numeric effluent limitations but are
designed to be flexible requirements for implementing site-specific plans to minimize and control
pollutants in stormwater discharges associated with the industrial activity. Title 40 Code of Federal
Regulations (CFR) §122.44(k)(2) authorizes the use of BMPs in lieu of numeric effluent limitations in
NPDES permits when the agency finds numeric effluent limitations to be infeasible. The agency may
also impose BMP requirements which are "reasonably necessary" to carry out the purposes of the Act
under the authority of 40 CFR 122.44(k)(3). The conditions proposed in this draft permit are included
under the authority of both of these regulatory provisions. In essence, the pollution prevention and BMP
requirements operate as limitations on effluent discharges that reflect the application of BATBCT.
Flexibility in Tier Responses: Tier Two actions provide an opportunity for the permittee to propose an
alternative monitoring plan for approval by the Region:
• Alternatively, in lieu of steps 2 and 3, the permittee may, after two consecutive exceedances,
exercise the option of contacting the DEMLR Regional Engineer as provided below in Tier
Three. The Regional Engineer may direct the response actions on the part of the permittee as
provided in Tier Three, including reduced or additional sampling parameters or frequency.
• If pursuing the alternative above after two consecutive exceedances, the permittee may propose
an alternative monitoring plan for approval by the Regional Engineer.
The permit therefore allows the permittee to petition the Regional Office for monitoring changes sooner
than Tier Three (upon any four benchmark exceedances) and gives guidance on one option to take. For
example, the permittee may request that mercury only be monitored semi-annually under the tiers, or
Page 4 of 5

that only parameters over the benchmark be monitored more frequently. In this way, changes to the
monitoring scheme for any outfall could be handled outside of a permit modification.
Other Proposed Requirements:
• It is standard for Stormwater Pollution Prevention Plan(SWPPP) requirements to include an
annual certification that stormwater outfalls have been evaluated for the presence of non-
stormwater discharges, and if any are identified, how those discharges are permitted or otherwise
authorized. The draft permit requires this facility to submit the first certification to DEMLR no
later than 12 months after the effective date of the permit.
• Requirement to submit a request for permit modification if the facility identifies or creates any
new outfalls, removes outfalls, or alters any drainage area that changes potential pollutants.
• The Division expects the permittee to apply best professional judgment and consider the safety
of its personnel in fulfilling sampling obligations under the permit.
• Federal regulations require electronic submittal of all discharge monitoring reports (DMRs). If a
state does not establish a system to receive such submittals, then permittees must submit DMRs
electronically to the EPA.
• Quarterly QualitativeNisual Monitoring to assure regular observation of outfalls throughout
year.
Section 4. Changes from previous permit to draft:
• N/A—New permit
Section 5. Changes from draft to final:
• None
Section 6. Discussions with the Facility and Regional Office:
• Initial contact with facility made: 4/14/2202
• Initial contact with Regional Office: 4/14/2022
• Draft sent to CO peer review: 2/16/2023; 8/4/2023
• Draft sent to Mooresville Regional Office: 8/30/2023
• Final permit sent for supervisor signature: 10/11/2023
Section 7. Comments received on draft permit:
• Nicole Hairston (PWS; via email 9/5/2023): The Division of Water Resource PWSS- concurs
with the issuance of permit NCS000609 for Kleen Tech Inc., in Burke County.
Page 5 of 5

LocaliQ
Georgia/North Carolina PO Box 631697 Cincinnati, OH 45263-1697
South Carolina
GANNETT
PROOF OF PUBLICATION NORTH CAROLINA ENVIRONMENTAL MANAGE-
MENT COMMISSION INTENT TO ISSUE
NPDES STORMWATER DISCHARGE PERMITS
Isaiah Reed The North Carolina Environmental Management Commis-
Deq Div Of Water Resources sion proposes to issue NPDES stormwater discharge
1617 Mail Service Ctr Permit(s) to the Person(s) listed below. Public comment or
obiection to the draft permits is invited. Written comments
Raleigh NC 27699-1617 regarding the proposed permit will be accepted until 30
days after the publish date of this notice and considered in
the final determination regarding permit issuance and
Permit provisions. The Director of the NC Division of
STATE OF WISCONSIN, COUNTY OF BROWN Energy, Mineral, and Land Resources (DEMLR) may hold
a public hearing should there be a significant degree of
Public Interest. Please mail comments and/or information
Before the undersigned, a Notary Public, duly requests to DEMLR at 1612 Mail Service Center, Raleigh,
NC 27699-1612.
--commissioned;qualified an ad utlia�zed-bylaw to — -- —
a • Kleen Tech, Inc. [PO Box 1369, Hickory, NC 286031 has
administer oaths, personally
appeared said legal clerk,who, requested new permit NC5000609 for the Kleen Tech, Inc.
facility in Burke County. This facility discharges to an
being first duly sworn, deposes and says: that he/she is the unnamed tributary in Drowning Creek in the Catawba
legal clerk of The Asheville Citizen-Times,engaged in River Basin.
publication of a newspaper known as The Asheville Citizen- Interested persons may visit DEMLR at 512 N. Salisbury
street, Raleigh, NC 27604 to review information on file.
Times, published, issued and entered as first class mail in Additional information on NPDES permits and this notice
may be found on our website:
the city of Asheville, in Buncombe County,State of North httPs://deq.nc.gov/about/divisions/energy-mineral-and-land-
she is authorized to make this affidavit resources/stormwater/stormwater-prograadstormwater-
Carolina;that he/she public-notices, or by contacting Brianna Young at
and sworn statement;that the notice or other legal brionn beo 6,20 3eq.nc.gov or 919-707-3647.
Septeradvertisement, a true copy of which is attached here to, 19237148
was published in said newspaper in the issues dated:
09/06/2023
That said newspaper in which said notice,paper,document p�
or legal advertisement was published was,at the time of e� C'cr,
each and every publication, a newspaper meeting all the
requirements and qualifications of Section 1-597 of the
=�73
General Statutes of North Carolina and was a qualified Dt"L St0
newspaper within the meaning of Section 1-597 of the f111Waf@f FrO9raq
General Statutes of North Carolina.
Sworn to and subscribed before on 09/06/2023
Legal Cler
Notary,State of WI,Cow , ofBrol n
My commision expires
Publication Cost: $159.70
Order No: 9237148 It of Copies:
Customer No: 948986 1
PO#:
THIS IS NOT AN INVOICE! VICKY FELTY
Please do not use thisformforpayment remittance. Notary Public
State of Wisconsin
57 Page 1 of 1

Young, Brianna A
From: Hairston, Nicole
Sent: Tuesday, September 5, 2023 10:52 AM
To: Young, Brianna A
Subject: RE: Draft NPDES stormwater permit NCS000609
The Division of Water Resource PWSS-concurs with the issuance of permit NCS000609 for Kleen Tech Inc., in Burke
County.
Z:?4& qa& a m
Nicole Hairston
Asheville Regional Office-Environmental Specialist II
Division of Water Resource-North Carolina Public Water Supply
Department of Environmental Quality
828-296-4580 office
828-273-7578 mobile
Nicole.Hairston @deg.nc.gov
2090 U.S. Hwy 70
Swannanoa NC 28778
�
NOR1H CARCLINA tile)
Department of Environmental quality
Email correspondence to and from this address is subject to the North Carolina Public
Records Law and may be disclosed to third parties.
DEQ is updating its email addresses to @deq.nc.gov in phases from May 1st to June 9th. Employee
email addresses may look different, but email performance will not be impacted.
From:Young, Brianna A<[e-mail]>
Sent:Wednesday,August 30, 2023 9:27 AM
To: Hairston, Nicole<[e-mail]>; Barnett, Kimberly<[e-mail]>
Subject: Draft NPDES stormwater permit NCS000609
Good morning,
The draft permit for Kleen Tech, Inc. (NCS000609) has been submitted for public notice.This facility discharges to WS-IV
class waters. Please provide any comments by 9/29/2023.
Thank you,
Brianna Young, MS(she/her)
1

Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)PLEASE NOTE NEW EMAIL ADDRESS
**DEQ is updating its email addresses to @deq.nc.gov in phases from May 1st to June 9th. Employee email addresses may look
different but email performance will not be impacted.
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address:S12 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
The Department of Environmental Quality has adjusted operations to protect the health and safety of the staff and public. Please
check with the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.
2

Young, Brianna A
From: Tim Glenn <[e-mail]>
Sent: Sunday, February 12, 2023 10:14 PM
To: Young, Brianna A
Subject: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Attachments: Kleen Tech stormwater application information.docx; Kleen Tech Stormwater maps.pdf
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Hi Brianna
Information for stormwater application question.
You had a question about chemicals that we have in our stormwater outfall areas. Kleen Tech operates a diesel fuel tank
shown on drawing submitted with original application the storage tank is 8,000 gallon, the storage tank is not located on
our outfalls.The only other chemical we have outside is a PH adjustment acid tank 300 gallon that is located over
discharge pit going to the city sewer system and not located in a rainwater outfall area. all laundry detergents are stored
inside the plant and are contained within the building containment dike.
Tim Glenn
Kleen Tech Inc.
[e-mail]
[e-mail]
i

Environmental FirstSearch
n Y L .25 Mile Radius EUVIEL °
F. > ASTM Map: RCRAGEN, ERNS, UST FIRSTS 4
113 THIRD ST, HILDEBRAN NC 28637
q`e
Cline Park Dr
rda ,ve NE w
y z
3
M
2 d Pve N�
tAve NE 3
-----------
it,ce 2005 US Census TIGER Files
Target Site (Latitude:35.719426 Longitude:-8 L421144)................_........... '
Identified Site,Multiple Sites.R.eplor......................._...............................
..
NPL,DELNPL,Brownfield,Solid Waste Landfill(SWL).Hazardous Waste
Triballand._..._............................................................................
................._.....
Railroads...................................._.................................................._........._......
Black Rings Represent 114 Mile Radius; Rat Ring Represent;it),)I,,Radius

w Environmental FirstSearch
.5 Radius Mile Ra
7
ASTM Map: CERCMil R Radius , LUST, SWL FIRSTS
, cs' .
113 THIRD ST, HILDEBRAN NC 28637
D i
1:
21
21
31 /
I
41
5
C
T
S
S
S
S
19
f�
Source:2005 U.S. Census TIGER Files
Target Site (Latitude:35,719426 Longitude:-9 1.42 1144).............................
;identified Site,Multiple Sites,Receptor.......................................................... ® -'
NPL,DELNPL,BrownfieId,Solid Waste Landfill(SWL),Hazardous Waste
Tnballand...._..................._..................................._........_................................_ I
Railroads...........................................................................................................
Black Rings Represent 1/4 Mile Radius; Red Ring Represem:500 fi.Radiu5

Environmental FirstSearch
1 Mile Radius Envlrucaaa a
FIRST
ASTM Map: NPL, RCRACOR, STATE Sites
S
113 THIRD ST, HILDEBRAN NC 28637
70
• i
r J
Source. 2005 U.S. Census TIGER Files
Target Site (Lstimde:35.719426 Longitude:-81.421144)...................._......: r -
Identified Site,Multiple Sites,Receptor.......................................................... ® i
NPL,DELNPL,Brownfield.Solid Waste Landfill(SWL),Hazardous Waste c�
Triballand............................................................................................................
Railroads...........................................................................................................
Black Rings Represent U4 Mile Radius; Red Ring Rrprescnts 500 ft.Radius
F

l
COK
MANUFACTURING
FABRIC SERVICES
OF HICKORY
2
I
SUBJECT
PROP WOODED
z
w
y
;r KLEEN
TECH
INIJ
LL
I
KLEEN TECH 11 BURKE GRAPHIC SCALE IN FEET
® 3RD ST. NE LOTS 1 & 2 im 0 111J.5 2 5
PYRAMID 0 HILDEBRAN NORTH CAROLINA o T^x- 11 =225•
ENVIRONMENTAL&ENGINEERING,P.C. 2 TAX MAP 9 zoos—is 2

® ® ® RIO
SITE: 31RD. ST. NE LOCATION: HILDEBRAN, NORTH CAROLINA
. ,1 («I
117
WT
ON
A
113s•o , r �• � � -1� °11- � � � „ Y1, ��
S ` t ( • • A i •r ° C
,* yx 1 s J yy�//yy��1 • °rjt•1 9(' ;._ ° a p Ir 'T .t
\ 41..,E ..,,•^.0 _ •°i .e. •� - �%/ "11 x
USGS IDENTIFICATION SCALES
MINUTE MAP LONGVIEW, NC 1/2 0 1
ORIGINAL DATE: 1993 MILES:
PHOTOREVISION
DATE: NA 1000 0 2000 4000 6000
FEET:
PRIMARY HIGHWAY, HARD SURFACE 1' = 2000'
SECONDARY HIGHWAY, HARD SURFACE NOTES:►TOPOGRAPHICAL COMOUR INTERVAL = 20 FEET
UGHfr
►PHOTOREVISIONS DENOTED IN PURPLE
IMPROVED
DUTY ROAD HARD OR
MPROVED SURFACE MAGNETIC COUNTY MAP OF:
_ UNIMPROVED ROAD NORTH NORTH CAROLINA
UJ STATE ROAD
®I U.S. ROUTE E�l I COUNTY: BURKE
INTERSTATE ROUTE APPROXIMATE SITE LOCATION
KLEEN TECH I
1'-2000' aox m NM sorcca+nM ws usm a iws
(� M M ST. NE, LOTS 1 & 2 � zooa 1� �A°�°f IX
�J HILDEBRAN • NORTH CAROLINA B/14/09
PYRAMID I TM• +
n
ENVIRONMENTAL&ENGINEERING,P.C. TOPOGRAPHIC MAP uscsroro

1(' r xa zb x# '):•{ Sry p`� ``�g {i r c 1
off« •Fv aa§. r` 1
l b t
x-. r
1 4 � yy} Yd� •d �
i� i { fr� a,4� t s 'Y- is-'r•3� t�i, .
In
Al
17.
of
,i'��•
viz
AsS z�1
¢� � b4 s� �r v+ r>k f r a�� e}y •� � e�.� �
y
6 }-ti•Y ,'[ # Afi y a V3i{Mir, k t, r
ll E 5 1t
h
e ,f,RAPHIC SCALE IN FEET
C�
I

%
\ )
- -
\ : � �
§
! ƒ
§
. . e ,
u G i
O ❑ f - — - j ƒ \
� § § , /

f• 6 -
2
1
t
R 1' -
rs-
u
IV
a!L
i ,,
111*4
#Nil,
{ °�r� 1 • *j. f , �. ,Try : �` o

_ f
a:A
q
1 s
/ T Z
v
a
a
.:40
eo4
d 'Y M•. �_ }f+E Q 1. � w$r 4 �1�'{�/'�rM J±�f. j� I l� }
f
a

Information requested:
Kleen Tech Inc. permit application NCS000609
1. Summary of activities for property since constructed in 2000 has operated
as Commercial Laundry operation serving textile cleaning for hotels,
restaurants.
2. No known pollutants use is rainwater drainage outfall
3. No known monitoring data for rainwater drainage
4. Application dated 10/28/2019 is still correct
5. No operational changes have been made for the facility
Submitted by,
Tim Glenn
Kleen Tech Inc.

Young, Brianna A
From: Tim Glenn <[e-mail]>
Sent: Thursday, February 16, 2023 3:17 PM
To: Young, Brianna A
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Hi Brianna
Yes I can confirm the list of items to be complete.The main pipeline for the city sewer crosses the property and there
are 3 or 4 manholes.The city abandoned pump station has been filled in.
Thanks,
Tim Glenn
Kleen Tech Inc.
[e-mail]
From:Young, Brianna A<[e-mail]>
Sent: Wednesday, February 15, 2023 9:06 AM
To:Tim Glenn <[e-mail]>
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Good morning Tim,
I would like to confirm the activities that take place and the items present onsite. Based on the aerial photographs and
your email,the drainage areas consist of forested area,facility buildings, loading and unloading areas, parking area,
sewer lines, sewer manholes, an abandoned sewerage transfer system, diesel storage tank, and pH adjustment tank.
Please confirm if these items are correct and complete.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
INC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Please check with the appropriate staff before visiting our offices,
1

as we may be able to handle your requests by phone or email.We appreciate your patience as we continue to serve the public
during this challenging time.
From:Tim Glenn <[e-mail]>
Sent: Sunday, February 12, 2023 10:14 PM
To:Young, Brianna A<[e-mail]>
Subject: [External] RE: Kleen Tech, Inc. (NCS000609) information request
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Hi Brianna
Information for stormwater application question.
You had a question about chemicals that we have in our stormwater outfall areas. Kleen Tech operates a diesel fuel tank
shown on drawing submitted with original application the storage tank is 8,000 gallon,the storage tank is not located on
our outfalls.The only other chemical we have outside is a PH adjustment acid tank 300 gallon that is located over
discharge pit going to the city sewer system and not located in a rainwater outfall area. all laundry detergents are stored
inside the plant and are contained within the building containment dike.
Tim Glenn
Kleen Tech Inc.
[e-mail]
[e-mail]
2

Young, Brianna A
From: Young, Brianna A
Sent: Thursday, February 9, 2023 10:18 AM
To: Tim Glenn
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Importance: High
Good morning Mr. Glenn,
I just left you a voicemail. I am following up on my previous emails regarding additional information requested for the
stormwater permit application NCS000609 for Kleen Tech, Inc.To date I have still not received a response.This
information is required in order to move forward with reviewing the permit renewal application. If a response is not
received by February 28,2023,the review will cease and the application will be returned. Operating a treatment
facility, discharging wastewater, or discharging specific types of stormwater to waters of the State without valid
coverage under an NPDES permit is against federal and state laws and could result in fines.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Please check with the appropriate staff before visiting our offices,
as we may be able to handle your requests by phone or email.We appreciate your patience as we continue to serve the public
during this challenging time.
From:Young, Brianna A
Sent:Wednesday, November 30, 2022 3:33 PM
To:Tim Glenn <[e-mail]>
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Importance: High
Good afternoon Tim,
I am following up on my previous emails.To date I have still not received a response.This information is required in
order to move forward with reviewing the permit renewal application. Please provide a response as soon as possible.
Thank you,
i

Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Please check with the appropriate staff before visiting our offices,
as we may be able to handle your requests by phone or email.We appreciate your patience as we continue to serve the public
during this challenging time.
From:Young, Brianna A
Sent:Thursday,September 8, 2022 3:10 PM
To:Tim Glenn <[e-mail]>
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Good afternoon Tim,
I am following up on my previous email as I have not seen a response to date. Please provide the requested information
as soon as possible.This information is required in order to continue with the permit renewal review.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From:Young, Brianna A
Sent: Friday,July 29, 2022 10:39 AM
2

To: 'Tim Glenn' <[e-mail]>
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Good morning Tim,
I have a question regarding the information provided.You state that there are no pollutants present in the discharge
areas. Per an inspection conducted at the facility in 2019 by DEMLR staff,the site has outdoor equipment, chemical
storage, and an onsite diesel vehicle fueling station. Please provide information pertaining to equipment, chemicals, and
any additional items stored outside or outdoor activities (such as loading/unloading of materials)that have the potential
to come into contact with rainfall.
In addition, please provide an updated site map and description of activities each drainage area. Information previously
provided is not clear which parts of the property drain to which outfall.
Please let me know if you have any questions.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From:Young, Brianna A
Sent:Thursday,July 28, 2022 5:30 PM
To:Tim Glenn <[e-mail]>
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Ti m,
Thank you for providing this information. I will reach out if I have any additional questions.
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
3

Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From:Tim Glenn <[e-mail]>
Sent:Thursday,July 28, 2022 5:19 PM
To:Young, Brianna A<[e-mail]>
Subject: [External] RE: Kleen Tech, Inc. (NCS000609) information request
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Hi Brianna
Attached is the information request answers I had promised to send last week. also, I have attached the files of the
original application and maps for the Kleen Tech facility at 110 3rd street NE Hildebran NC
I went to the summary report page and there is no information using the NCS000609 please let me know if you have any
questions.
Thank you,
Tim Glenn
Kleen Tech Inc.
[e-mail]
From:Young, Brianna A<[e-mail]>
Sent:Thursday,April 14, 2022 11:46 AM
To:Tim Glenn <[e-mail]>
Subject: Kleen Tech, Inc. (NCS000609) information request
Good afternoon,
I am working on the individual stormwater permit application for Kleen Tech, Inc. (NCS000609). I need
additional information in order to 1) confirm that the information I have is correct and 2) make sure the permit
adequately serves the needs of the facility. Please provide the following:
• Summary of industrial activities taking place in the drainage area for each outfall;
• List of pollutants expected for each outfall;
• An electronic spreadsheet summarizing all of the monitoring data that has been collected;
• Verification that the information in the application is still complete and correct; and
• An explanation of any operational changes since the application was submitted.
4

Enter your stormwater permit number into the Stormwater Permit Summary Report and you will see a form that
includes the address of the facility, contact information for the permit, and the regulated stormwater outfall(s)for the
facility. Please review the facility information to make sure it is correct. Information can be updated using the links
provided below,where applicable:
• Facility/Company name or ownership: Name/Ownership Change Form
• Owner Affiliation (Legally responsible person; i.e., someone with the company who is designated to
represent the company per signatory requirements or another authorized representative): Permit Contact
Update Request Form
• Delegation of Signature Authority (DOSA): Permit Contact Update Request Form
• Billing contact: Permit Contact Update Request Form
• Permit contact: Permit Contact Update Request Form
• Facility contact: Permit Contact Update Request Form
• Facility address only: Email Bethany Geor og ulias
• Stormwater outfall information: Email Bethany Geor_og ulias
• Visit the eDMR Six Steps website and complete Steps I and 2.
• Pay outstanding permit fees: Stormwater ePayment website
Once I have the above listed information, I can continue my review. You will receive a draft permit for a 30-day
comment period. During this time we will be able to address any comments or concerns you have. During the
same 30-day period, the draft will be sent to a Regional Office staff member for review as well as out to public
notice. Once all comments and concerns are addressed, you may be issued a final permit.
Please contact me if you have any questions.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
5

Young, Brianna A
From: Young, Brianna A
Sent: Thursday, February 9, 2023 10:18 AM
To: Tim Glenn
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Importance: High
Good morning Mr. Glenn,
I just left you a voicemail. I am following up on my previous emails regarding additional information requested for the
stormwater permit application NCS000609 for Kleen Tech, Inc.To date I have still not received a response.This
information is required in order to move forward with reviewing the permit renewal application. If a response is not
received by February 28,2023,the review will cease and the application will be returned. Operating a treatment
facility, discharging wastewater, or discharging specific types of stormwater to waters of the State without valid
coverage under an NPDES permit is against federal and state laws and could result in fines.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Please check with the appropriate staff before visiting our offices,
as we may be able to handle your requests by phone or email.We appreciate your patience as we continue to serve the public
during this challenging time.
From:Young, Brianna A
Sent:Wednesday, November 30, 2022 3:33 PM
To:Tim Glenn <[e-mail]>
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Importance: High
Good afternoon Tim,
I am following up on my previous emails.To date I have still not received a response.This information is required in
order to move forward with reviewing the permit renewal application. Please provide a response as soon as possible.
Thank you,
i

Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Permitting Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Please check with the appropriate staff before visiting our offices,
as we may be able to handle your requests by phone or email.We appreciate your patience as we continue to serve the public
during this challenging time.
From:Young, Brianna A
Sent:Thursday,September 8, 2022 3:10 PM
To:Tim Glenn <[e-mail]>
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Good afternoon Tim,
I am following up on my previous email as I have not seen a response to date. Please provide the requested information
as soon as possible.This information is required in order to continue with the permit renewal review.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From:Young, Brianna A
Sent: Friday,July 29, 2022 10:39 AM
2

To: 'Tim Glenn' <[e-mail]>
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Good morning Tim,
I have a question regarding the information provided.You state that there are no pollutants present in the discharge
areas. Per an inspection conducted at the facility in 2019 by DEMLR staff,the site has outdoor equipment, chemical
storage, and an onsite diesel vehicle fueling station. Please provide information pertaining to equipment, chemicals, and
any additional items stored outside or outdoor activities (such as loading/unloading of materials)that have the potential
to come into contact with rainfall.
In addition, please provide an updated site map and description of activities each drainage area. Information previously
provided is not clear which parts of the property drain to which outfall.
Please let me know if you have any questions.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From:Young, Brianna A
Sent:Thursday,July 28, 2022 5:30 PM
To:Tim Glenn <[e-mail]>
Subject: RE: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Ti m,
Thank you for providing this information. I will reach out if I have any additional questions.
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
3

Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From:Tim Glenn <[e-mail]>
Sent:Thursday,July 28, 2022 5:19 PM
To:Young, Brianna A<[e-mail]>
Subject: [External] RE: Kleen Tech, Inc. (NCS000609) information request
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Hi Brianna
Attached is the information request answers I had promised to send last week. also, I have attached the files of the
original application and maps for the Kleen Tech facility at 110 3rd street NE Hildebran NC
I went to the summary report page and there is no information using the NCS000609 please let me know if you have any
questions.
Thank you,
Tim Glenn
Kleen Tech Inc.
[e-mail]
From:Young, Brianna A<[e-mail]>
Sent:Thursday,April 14, 2022 11:46 AM
To:Tim Glenn <[e-mail]>
Subject: Kleen Tech, Inc. (NCS000609) information request
Good afternoon,
I am working on the individual stormwater permit application for Kleen Tech, Inc. (NCS000609). I need
additional information in order to 1) confirm that the information I have is correct and 2) make sure the permit
adequately serves the needs of the facility. Please provide the following:
• Summary of industrial activities taking place in the drainage area for each outfall;
• List of pollutants expected for each outfall;
• An electronic spreadsheet summarizing all of the monitoring data that has been collected;
• Verification that the information in the application is still complete and correct; and
• An explanation of any operational changes since the application was submitted.
4

Enter your stormwater permit number into the Stormwater Permit Summary Report and you will see a form that
includes the address of the facility, contact information for the permit, and the regulated stormwater outfall(s)for the
facility. Please review the facility information to make sure it is correct. Information can be updated using the links
provided below,where applicable:
• Facility/Company name or ownership: Name/Ownership Change Form
• Owner Affiliation (Legally responsible person; i.e., someone with the company who is designated to
represent the company per signatory requirements or another authorized representative): Permit Contact
Update Request Form
• Delegation of Signature Authority (DOSA): Permit Contact Update Request Form
• Billing contact: Permit Contact Update Request Form
• Permit contact: Permit Contact Update Request Form
• Facility contact: Permit Contact Update Request Form
• Facility address only: Email Bethany Geor og ulias
• Stormwater outfall information: Email Bethany Geor_og ulias
• Visit the eDMR Six Steps website and complete Steps I and 2.
• Pay outstanding permit fees: Stormwater ePayment website
Once I have the above listed information, I can continue my review. You will receive a draft permit for a 30-day
comment period. During this time we will be able to address any comments or concerns you have. During the
same 30-day period, the draft will be sent to a Regional Office staff member for review as well as out to public
notice. Once all comments and concerns are addressed, you may be issued a final permit.
Please contact me if you have any questions.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
5

Young, Brianna A
From: Tim Glenn <[e-mail]>
Sent: Thursday,July 28, 2022 5:19 PM
To: Young, Brianna A
Subject: [External] RE: Kleen Tech, Inc. (NCS000609) information request
Attachments: Kleen Tech stormwater application information.docx; Kleen Tech Stormwater maps.pdf;
Kleen Tech Stormwater EPA form.pdf
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Hi Brianna
Attached is the information request answers I had promised to send last week. also, I have attached the files of the
original application and maps for the Kleen Tech facility at 110 3rd street NE Hildebran NC
I went to the summary report page and there is no information using the NCS000609 please let me know if you have any
questions.
Thank you,
Tim Glenn
Kleen Tech Inc.
[e-mail]
From:Young, Brianna A<[e-mail]>
Sent:Thursday,April 14, 2022 11:46 AM
To:Tim Glenn <[e-mail]>
Subject: Kleen Tech, Inc. (NCS000609) information request
Good afternoon,
I am working on the individual stormwater permit application for Kleen Tech, Inc. (NCS000609). I need
additional information in order to 1) confirm that the information I have is correct and 2) make sure the permit
adequately serves the needs of the facility. Please provide the following:
• Summary of industrial activities taking place in the drainage area for each outfall;
• List of pollutants expected for each outfall;
• An electronic spreadsheet summarizing all of the monitoring data that has been collected;
• Verification that the information in the application is still complete and correct; and
• An explanation of any operational changes since the application was submitted.
Enter your stormwater permit number into the Stormwater Permit Summary Report and you will see a form that
includes the address of the facility, contact information for the permit, and the regulated stormwater outfall(s)for the
facility. Please review the facility information to make sure it is correct. Information can be updated using the links
provided below,where applicable:
• Facility/Company name or ownership: Name/Ownership Change Form
1

• Owner Affiliation (Legally responsible person; i.e., someone with the company who is designated to
represent the company per signatory requirements or another authorized representative): Permit Contact
Update Request Form
• Delegation of Signature Authority (DOSA): Permit Contact Update Request Form
• Billing contact: Permit Contact Update Request Form
• Permit contact: Permit Contact Update Request Form
• Facility contact: Permit Contact Update Request Form
• Facility address only: Email Bethanyy og ulias
• Stormwater outfall information: Email Bethany Georgoulias
• Visit the eDMR Six Steps website and complete Steps 1 and 2.
• Pay outstanding permit fees: Stormwater ePayment website
Once I have the above listed information, I can continue my review. You will receive a draft permit for a 30-day
comment period. During this time we will be able to address any comments or concerns you have. During the
same 30-day period, the draft will be sent to a Regional Office staff member for review as well as out to public
notice. Once all comments and concerns are addressed, you may be issued a final permit.
Please contact me if you have any questions.
Thank you,
Brianna Young, MS (she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/ Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address:512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email. We
appreciate your patience as we continue to serve the public during this challenging time.
2

i
EPA Idwifcaecn Number NPDES Permit Nwkei Fac9ity Name Form Approved o=6119
-� ._�..!1!_ r'1 i `I A• OMB No.20404H
Form U.S.Environmental Protection Agency
1 1EPA Application for NPOES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION • r
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the fac lily a new or existing treatment works
1.1.1 treatment works? 1.1.2 treating domestic sewage? �/
if yes,STOP.Do NOT complete No If yes,STOP.Do NOT ih No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
e 1.2.1 Is the facility a concentrated animal feeding 1.2.2 is the facility an existing manufacturing,
operation or a concentrated aquatic animal c ommercfaf,mining,or silviculturai facility that is
o. production facility? currently discharging process wastewater?
0 n Yes+ Complete Form t [( No E] Yes 4 Complete Form Elf No
z and Form 28. 1 and Form 2C.
1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the fari6ty a new or existing manufacturing,
mining,or siMcultural facility that has not yet commercial,mining,or silvicultural facility that
:G commenced to discharge? discharges only nonprocess waste or?
c (] Yes 4 Complete Form 1 No ❑ Yes 4 Complete Form No
and form 2D. _ 1 and Form 2E.
1.2.5 Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
a associated with Industrial activity or whose
discharge is composed of both stormwater and
no •stormwater7
Yes 4 Compete Form 1 0 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15.
SECTIONrr• r LOCATIO 0
2.1 Facility Name
KfErN `fie INC
`0q 2.2 EPA Identification Number
v
2.3 Facility Contact
N
Name(first and last) Title Phone number
e Email ress TI r
l C, C®
a; 2.4 Facility Malting Address
zStreet or P.O.box 10o
Q 6'�(, /:3 Gq - —
City or town State 21P code
rl�cx� NGRM CAR
EPA Form 351DO(Wad 3.19) Page 1

EPA ldontirmtion Number NPOES Permit Number racuily Name \ Form AWoved03105119
I rC ri1 OMB No.2040-M
V 2.5 Facility Location
rStreet,route number,or other specific identifier
M� I10 RD l�E
g County name County code(if known)
//
K
City or town State ZIP code
Z 1-MMRAN NQ8 TH cARUJO gun
CODESr
3.1 SIC Code(s) Description(optional)
0
°
3.2 NAICS Codes) Description(optional)
r
C
A
tJ
- OPERATOR IAA CUD
I"I4.1 Name of Operator
LEFN Tic
a4.2 Is the name you listed in Item 4.1 also the owner?
o tfJ Yes ❑ No
4.3 Operator Status
to ,.❑ Public—federal ❑Public—state El Other public(specify)-
El Other specify
4.4 Phone Number of 0 erator
4.5 0 eratorAddress
° Street or P.O.Box
Ell IJO 3RD 5T. N �
City or town State ZIP code
g Email address of operator
0
SECTION 5.
. • r •r
5.1 Is the facility located on Indian Land?
e El Yes IJ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
- OMB No.2040-0004
SECTION • I CFR 122.21(f)(6))J�
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
o w
water) fluids)
-5 -E
r` a ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
rn
c
K ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
w
SECTION
1
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
specific requirements.)
FJ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTIONOF C 1
8.1 Describe the nature of your business.
J�.LJCXU S WiL` ^Gvc�GQC
LCcv ere z°G �G' �� f}o�}c 1S l���+c„uRc'1)S
w I �r7V'G,t uvr�i72M S.
a
Z
COOLINGSECTION 9. 1 CFR 122.21(ffl9))
9.1 Does your facility use coaling water?
,^ ❑ Yes O No 4 SKIP to Item 10.1.
9.2 Identify the source of cooling water.(Note that facilities that use a coaling water intake structure as described at
a 2 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
O Y
U C
SECTION1 VARIANCE REQUESTSI I
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
H apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
d ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
c on 301(c)and(g))
Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA beMifipOen Number NPDES Permit Number K L� F ry Form 010811o.1003105119
40-0004
L/—IAI�
SECTION1 CERTIFICATION STATE M ENT(40 and
11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application. I
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 Column 2
Section 1:Activities Requiring an NPDES Permit ❑ wl attachments
Section 2:Name,Mailing Address,and Location ❑ wl attachments
Section 3:SIC Codes ❑ wl attachments
Section 4:Operator Information ❑ wl attachments
❑ Section 5:Indian Land ❑ wl attachments
❑ Section 6: Existing Environmental Permits ❑ wl attachments
a.
E wl topographic
Section 7:Map d map ❑ wl additional attachments
g Section 8:Nature of Business ❑ wl attachments
❑ Section 9:Cooling Water Intake Structures ❑ wl attachments
U
,o ❑ Section 10:Variance Requests ❑ wl attachments
c
H Section 11:Checklist and Certification Statement ❑ wl attachments
32
11.2 Certification Statement — —
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted.Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible forgathering the information,the information submitted is,to the best of my knowledge and
belief,true,accurate,and complete.I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title(
Signature Dale signed
l�/ag49,9-)(7
EPA Form 3510-1(reme.019) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
K r CC►/ Y W I t' OMB No.2040-0004
Form U.S Environmental Protection Agency
2F \—rEPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATION •r
1.1 Provide information on each of the facili 'sou s in the table below
Outfall Receiving Water Name Latitude Longitude
Number
l pfm nl( 6 e 15, 13
C
O
14
2 MAING CRU35 ° v
m
0
SECTION • 1
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application? J
❑ Yes d No 4 SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected Outfalls Final Compliance Dates
Description-of-Pro ist-ootralFrmmbe Source s of Discharge
Required Projected
2
C
E
O
O.
E
2.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(Optional Item)
❑ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page t

EPA Identification Number NPDES Permit Number ! Facility Name Form Approved 03105/19'
,� _• �l I- l�' —('L/�l I I ►I C�• OMB No.2040-0004
SECTION DRAINAGE •t FI IY h1 17 'V
0 3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
a specific guidance.)
o` Yes ❑ No
SECTION • • I
4.1 Provide information on the facility's pollutant sources in the table below. Q
Outfall Impervious Surface Area Total Surface Area Drained
Number (within a mile radius of the facility) (within a mile radius of the facility)
specify units specify units
specify units specify units
specify units specilyunits
specilyunits specilyunits
specilyunits specilyunits
specify units specilyunits
4.2 Provide a narrative descriptiq of the facility's significant material in the space below.(See instructions for content
requirements.)
H
N
U
O
fn
c
O
O-
4.3 Provide the location and a description of existing structural and non-structur ontrol measures to reduce pollutants in
stormwater runoff. See instructions for s ecificguidance.) C
Stormwater Treatment
Codes
Outfall from
Number Control Measures and Treatment Exhibit
2F-1
(list)
EPA Farm 3510-2F(Revised 3-19) Page 2

EPA Identification Number NPDES Per Number Facility Name Form Approved 03/05/19
L EN TEn `�1 OMB No.2040-0004
SECTION • •• •r lC IV l.. INC
CFR
"I
I certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, 1 certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C, 2D,or 2E application.
Name(print or type first and last name) Official title
�RU� Sl�'GS Ig6ms5141/�L � �I
Signature Date signed
tq
/0 `2 I
M 5.2 Provide t e testing in ormation reqV6sted in the table below.
r Onsite Drainage Points
y Outfall Description of Testing Method Used Date(s)of Testing Directly Observed
o Number During Test
m
E Ajo�G
0
in
0
Z
SECTION 6.SIGNIFICANT LEAKS OR SPILLS
r r
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
y
0
Y
N
J
C
U
C
_Q)
SECTION • • r
See the instructions to determine the pollutants and para eters you are required to mo itor and,' turn the tables you must
`o com lete.Not all applicants need to complete each tabl
7.1 Is this a new source or new discharge?
o ❑ Yes+ See instructions regarding submission of ❑ No 4 See instructions regarding submission of
d
estimated data. actual data.
m Tables A,B,C,and D
H 7.2 Have you completed Table A for each oulfall?
❑ Yes ❑ No
EPA Form 3510-21'(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19'
W�p/ OMB No.2040-0004
7.3 Is the facility subject to an effluent limitation guideline(ELL`G))or effluent limitations in an NPDES permit for its process
wastewater? J
❑ Yes No 4 SKIP to Item 7,5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 2E 2 are present in the discharge?
El Yes Exhibit
4 SKIP to Item 7.7.
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7 Do you qualify for a small business exemption under the criteria_specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. InJ' No
7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑ Yes ET No 4 SKIP to Item 7.10.
7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
'c Table C?
c
0 ❑ Yes ❑ No
U
0 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
E ❑ Yes 02 No 4 SKIP to Item 7.12.
0
7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
d Conc. ntrations_of-10 pp
s
H ❑ Yes ❑ No
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes IJ No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes [7 No
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F are present in the discharge?
❑ Yes No 4 SKIP to Item 7.17.
7.16 Have you listed pollutants in Exhibit 2F-4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17 Have you provided information for the storm event(s)sampled in Table D?
❑ Yes No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number F icility Name Form Approved 03105119
OMB No.2040-0004
o Used or Manufactured Toxics f l t�I VVV
7.18 Is any pollutant listed on Exhibits 2F-2 through 2F-4 a substance or a component of a substance used or
manufactured as an intermediate or final product or byproduct?
❑ Yes� [� No 4 SKIP to Section 8.
0
M 7.19 List the pollutants below,including TCDD if applicable.
1. 4. 7.
a
2. 5. 8.
s
U
0 3. 6. 9.
SECTIONBIOLOGICAL T• DATA r
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your7No
rge within the last three years?
0
❑ Yes 4 SKIP to Section 9.
;
,° 8.2 Identify the tests and their purposes below.
Z1' Submitted to NPDES
u Test(s) Purpose of Testis) Date Submitted
x Permitting Authority?
0
~ ❑ Yes ❑ No
A
U
o ❑ Yes ❑ No
0
m
❑ Yes ❑ No
• CONTRACT ANALYSIS INFORMATION ,t
9. natyses-repor#ed-in-Seetiena-(on-T-ables-kkou"-performed-h a-contractiaberatoryo
consulting firm? /
❑ Yes E No 4 SKIP to Section 10,
9.2 Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1 Laboratory Number 2 Laboratory Number 3
Name of laboratory/firm
0
H Laboratory address
N
a
N
Q
U
i
o Phone number
U
Pollutant(s)analyzed
EPA Form 3510-2F(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
1-7 K� 1 R��n r'�" ' Al n OMB No.2040-0004 '
�r7 �V 1V l%
SECTION
! CHECKLIST AND CERTIFICATION STATEMENT(40
10.1 In Column 1 below,mark the sections of Form 2F that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not
all applicants are required to com lete all sections or provide attachments.
Column Column
Section 1 w/attachments(e.g.,responses for additional outfalls)
❑ Section 2 ❑ w/attachments
Section 3 w/site drainage map
❑ Section 4 ❑ w/attachments
❑ Section 5 ❑ wl attachments
c
❑ Section 6 ❑ w/attachments
d
El Section 7 ❑ Table A ❑ w/small business exemption request
A
❑ Table B ❑ w/analytical results as an attachment
0
❑ Table C ❑ Table D
r
Q ❑ Section 8 ❑ w/attachments
c
y ❑ ection 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms)
z Section 10 ❑
10.2
Cecttfication5tateruenf
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information,including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Signature Date signed
" /�)d7 /'--)a-l �
EPA Form 3510-2F(Revised 3.19) Page 6

Environmental FirstSearch
n Y L .25 Mile Radius EUVIEL °
F. > ASTM Map: RCRAGEN, ERNS, UST FIRSTS 4
113 THIRD ST, HILDEBRAN NC 28637
q`e
Cline Park Dr
rda ,ve NE w
y z
3
M
2 d Pve N�
tAve NE 3
-----------
it,ce 2005 US Census TIGER Files
Target Site (Latitude:35.719426 Longitude:-8 L421144)................_........... '
Identified Site,Multiple Sites.R.eplor......................._...............................
..
NPL,DELNPL,Brownfield,Solid Waste Landfill(SWL).Hazardous Waste
Triballand._..._............................................................................
................._.....
Railroads...................................._.................................................._........._......
Black Rings Represent 114 Mile Radius; Rat Ring Represent;it),)I,,Radius

w Environmental FirstSearch
.5 Radius Mile Ra
7
ASTM Map: CERCMil R Radius , LUST, SWL FIRSTS
, cs' .
113 THIRD ST, HILDEBRAN NC 28637
D i
1:
21
21
31 /
I
41
5
C
T
S
S
S
S
19
f�
Source:2005 U.S. Census TIGER Files
Target Site (Latitude:35,719426 Longitude:-9 1.42 1144).............................
;identified Site,Multiple Sites,Receptor.......................................................... ® -'
NPL,DELNPL,BrownfieId,Solid Waste Landfill(SWL),Hazardous Waste
Tnballand...._..................._..................................._........_................................_ I
Railroads...........................................................................................................
Black Rings Represent 1/4 Mile Radius; Red Ring Represem:500 fi.Radiu5

Environmental FirstSearch
1 Mile Radius Envlrucaaa a
FIRST
ASTM Map: NPL, RCRACOR, STATE Sites
S
113 THIRD ST, HILDEBRAN NC 28637
70
• i
r J
Source. 2005 U.S. Census TIGER Files
Target Site (Lstimde:35.719426 Longitude:-81.421144)...................._......: r -
Identified Site,Multiple Sites,Receptor.......................................................... ® i
NPL,DELNPL,Brownfield.Solid Waste Landfill(SWL),Hazardous Waste c�
Triballand............................................................................................................
Railroads...........................................................................................................
Black Rings Represent U4 Mile Radius; Red Ring Rrprescnts 500 ft.Radius
F

l
COK
MANUFACTURING
FABRIC SERVICES
OF HICKORY
2
I
SUBJECT
PROP WOODED
z
w
y
;r KLEEN
TECH
INIJ
LL
I
KLEEN TECH 11 BURKE GRAPHIC SCALE IN FEET
® 3RD ST. NE LOTS 1 & 2 im 0 111J.5 2 5
PYRAMID 0 HILDEBRAN NORTH CAROLINA o T^x- 11 =225•
ENVIRONMENTAL&ENGINEERING,P.C. 2 TAX MAP 9 zoos—is 2

® ® ® RIO
SITE: 31RD. ST. NE LOCATION: HILDEBRAN, NORTH CAROLINA
. ,1 («I
117
WT
ON
A
113s•o , r �• � � -1� °11- � � � „ Y1, ��
S ` t ( • • A i •r ° C
,* yx 1 s J yy�//yy��1 • °rjt•1 9(' ;._ ° a p Ir 'T .t
\ 41..,E ..,,•^.0 _ •°i .e. •� - �%/ "11 x
USGS IDENTIFICATION SCALES
MINUTE MAP LONGVIEW, NC 1/2 0 1
ORIGINAL DATE: 1993 MILES:
PHOTOREVISION
DATE: NA 1000 0 2000 4000 6000
FEET:
PRIMARY HIGHWAY, HARD SURFACE 1' = 2000'
SECONDARY HIGHWAY, HARD SURFACE NOTES:►TOPOGRAPHICAL COMOUR INTERVAL = 20 FEET
UGHfr
►PHOTOREVISIONS DENOTED IN PURPLE
IMPROVED
DUTY ROAD HARD OR
MPROVED SURFACE MAGNETIC COUNTY MAP OF:
_ UNIMPROVED ROAD NORTH NORTH CAROLINA
UJ STATE ROAD
®I U.S. ROUTE E�l I COUNTY: BURKE
INTERSTATE ROUTE APPROXIMATE SITE LOCATION
KLEEN TECH I
1'-2000' aox m NM sorcca+nM ws usm a iws
(� M M ST. NE, LOTS 1 & 2 � zooa 1� �A°�°f IX
�J HILDEBRAN • NORTH CAROLINA B/14/09
PYRAMID I TM• +
n
ENVIRONMENTAL&ENGINEERING,P.C. TOPOGRAPHIC MAP uscsroro

1(' r xa zb x# '):•{ Sry p`� ``�g {i r c 1
off« •Fv aa§. r` 1
l b t
x-. r
1 4 � yy} Yd� •d �
i� i { fr� a,4� t s 'Y- is-'r•3� t�i, .
In
Al
17.
of
,i'��•
viz
AsS z�1
¢� � b4 s� �r v+ r>k f r a�� e}y •� � e�.� �
y
6 }-ti•Y ,'[ # Afi y a V3i{Mir, k t, r
ll E 5 1t
h
e ,f,RAPHIC SCALE IN FEET
C�
I

%
\ )
- -
\ : � �
§
! ƒ
§
. . e ,
u G i
O ❑ f - — - j ƒ \
� § § , /

f• 6 -
2
1
t
R 1' -
rs-
u
IV
a!L
i ,,
111*4
#Nil,
{ °�r� 1 • *j. f , �. ,Try : �` o

_ f
a:A
q
1 s
/ T Z
v
a
a
.:40
eo4
d 'Y M•. �_ }f+E Q 1. � w$r 4 �1�'{�/'�rM J±�f. j� I l� }
f
a

Information requested:
Kleen Tech Inc. permit application NCS000609
1. Summary of activities for property since constructed in 2000 has operated
as Commercial Laundry operation serving textile cleaning for hotels,
restaurants.
2. No known pollutants use is rainwater drainage outfall
3. No known monitoring data for rainwater drainage
4. Application dated 10/28/2019 is still correct
5. No operational changes have been made for the facility
Submitted by,
Tim Glenn
Kleen Tech Inc.

Young, Brianna A
From: Young, Brianna A
Sent: Friday, July 29, 2022 3:55 PM
To: Granger, T. Mack; Aiken, Stan E
Subject: RE: Kleen Tech, Inc. (NCS000609)
If no actual report was written,just send me the photos and I'll add those along with this email chain (which has some
additional information and your recommendation)to the permit history and just go with that in lieu of an official
inspection report. Does that work for you?
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From: Granger,T. Mack<[e-mail]>
Sent: Friday,July 29, 2022 3:48 PM
To:Young, Brianna A<[e-mail]>; Aiken, Stan E<[e-mail]>
Subject: RE: Kleen Tech, Inc. (NCS000609)
Brianna,
I don't think there was a permit number yet when I visited, but honestly at this point I do not remember. I am not
finding a report either. I do have site inspection photos though and remember the inspection.The site has two outfalls,
outdoor storage of cleaning detergents, and a diesel refueling station. Let me know how you would like to proceed.
Mack Granger
Environmental Specialist II
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
828 296-4500 main
828 296-4613 office
mack.granger[a)ncdenr.gov
2090 US70 Highway
Swannanoa, NC 28778-8211

- - -7
D E Qft,A-
NQM i I CAFKA.I" ,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From:Young, Brianna A<[e-mail]>
Sent: Friday,July 29, 2022 3:19 PM
To: Granger,T. Mack<[e-mail]>;Aiken, Stan E <[e-mail]>
Subject: RE: Kleen Tech, Inc. (NCS000609)
Could you please send me a copy of the inspection report? I didn't see one in Laserfiche or BIMS (unless I'm totally
overlooking it). Thanks!
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From: Granger,T. Mack<[e-mail]>
Sent: Friday,July 29, 2022 3:17 PM
To:Young, Brianna A<[e-mail]>; Aiken, Stan E <[e-mail]>
Subject: RE: Kleen Tech, Inc. (NCS000609)
Hi Brianna,
I inspected this facility on March 18, 2022 as a follow up to the NOI.AROs recommendation was to proceed with the
permit.At that time,their application was not on Laserfiche, so I did not review their application. Let me know how I can
assist.
Respectfully,
Mack Granger
2

Environmental Specialist II
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
828 296-4500 main
828 296-4613 office
mack.aranger(oncdenr.gov
2090 US70 Highway
Swannanoa, NC 28778-8211
e:-e- D,- EQftA-
P40M I I r'f." :.,:MA
QfpNf WOM 41 ErV#krggmruij I q uhhy
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From:Young, Brianna A<[e-mail]>
Sent: Friday,July 29, 2022 10:55 AM
To: Granger,T. Mack<[e-mail]>;Aiken, Stan E <[e-mail]>
Subject: RE: Kleen Tech, Inc. (NCS000609)
Good morning,
I wanted to follow up on the previous emails for NCS000609 and see if ARO felt another site visit was needed before this
permit goes out to public notice (the only one I am aware of occurred in 2019). 1 am still trying to get some information
from Tim Glenn regarding industrial activity in each drainage area. If no site visit is needed, I will proceed with public
notice once I get all information from Mr. Glenn. If a site visit is needed before public noticing, I will hold the permit until
I hear from ARO.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
3

From: Young, Brianna A
Sent: Monday,April 18, 2022 12:36 PM
To: Granger,T. Mack<[e-mail]>;Aiken, Stan E <[e-mail]>; Smith, Mike M
<[e-mail]>
Subject: RE: Kleen Tech, Inc. (NCS000609)
We just got the check for this application that we had been sitting on for a few years. It didn't get scanned in because we
couldn't assign it a permit number until now. When I'm in the office later this week I'll get it scanned and uploaded to
Laserfiche.
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From: Granger,T. Mack<[e-mail]>
Sent: Monday,April 18, 2022 11:42 AM
To:Young, Brianna A<[e-mail]>; Aiken, Stan E <[e-mail]>; Smith, Mike M
<[e-mail]>
Subject: RE: Kleen Tech, Inc. (NCS000609)
Hi Brianna,
We could not locate the permit application in Laserfiche under NCS000609.This facility has multiple outfalls, outdoor
equipment and chemical storage, and an onsite diesel vehicle fueling station.The fueling station would be an additional
concern for the permit.
Respectfully,
Mack Granger
Environmental Specialist
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
828 296-4500 main
828 296-4613 office
mack.granper(a�ncdenr.gov
2090 US70 Highway
4

Swannanoa, NC 28778-8211
D� E
p q��A�ge�mriii�I{hitllYy
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From:Young, Brianna A<[e-mail]>
Sent:Thursday,April 14, 2022 11:57 AM
To:Aiken, Stan E<[e-mail]>; Granger,T. Mack<[e-mail]>; Smith, Mike M
<[e-mail]>
Subject: Kleen Tech, Inc. (NCS000609)
Good afternoon,
I am starting to review the permit application for Kleen Tech, Inc. (located in Hildebran, NC) requesting new stormwater
permit coverage.This application has been assigned permit number NCS000609. Please let me know of any special
conditions that should be included in this permit, or if there are any specific concerns that should be addressed.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
5

F
r
1 '
rT�
lop*
f
?� "ALM
NATO 0 ..
AF
a '
1s• ..
' 4^
311 12 22 12008

_ ;t ,. ``r ''1 r4`` ,`.� ' .yi ✓ ~ V 'I I I - hT '.!f/ P''/% f.,t" / •: '�''° 5 +•)i,:
_
,
:i
,
,
4
,
�-
\ `i Z .r-'. �- .�—, � t,`� �, ,';,� a •.. � � , 1 ' \.�: /'' PK} �1 R, �LY � 'r� ✓` _ ,�,�F�� p .:� �_ .
1 /
IN or
iN
1 , 7
.40
}' ' � � Sa` - 1 , ../ � ''�. ..�,. �l 7 _ !.. I�dj' .- '-•.,mom'.' ,�� / f «' s � �l, � - .«-- - -�-.,..�
n
s ,
y
. .
r
-
, I
_
�'.•+_ ,-. _,�., - i. : a, _r ...'�•'j�'i \ .. .fie a,: .. .:� - .i •y.2 _ I '�{ / '/ / � / - y.�
sir-..� - •• _ -
J f
,
K
�� L
r - �
%
i
c � :- r- -•: .. •: .� :.: _ y /� >P� l_� / 'ems_
_
I
' _ s' � / -�� - _ -'+t6�' - I `• < -i.lA'� � 'y�! �-r►' -�X% ''t y •.'Ii.=;i. 1. � �� / � 1 '�_ \
- � ,♦t - � .. _� _ 'f - �\ ;� _ _�_ -ate .ti i -r- - /" ' _ . � �`� - � -.v
/
t
,.' _- —.�'-- t _ :. - _ a i _ - - .. / _ •ems
_ n
_Aw
r « _
Z`
' -- C4- a -_ �-: ,. .._1-- . . =- _ . ; -- •- - i`t�+ �'ott 7,7
, k
Y x ^+''• _. -/_ � � _ - - - fit:;- - - � ✓ ;4_ _I', - / � - - 'e -'C� - �
-
� ta_` Z '�
l000�
^ a
e
-
a � —
z
I
�._ ' F .. ..•� - _ ,� , ..;,,..r� I — _ j1 '+fir / - ,
C
.01_ _ -._. ♦ � _ - a /� .. J �: /� 4�.. / '�� : - '.�, l � `� F:' : . yam. � i r.�- q - - - ' �y.. -- � _
,
oo�
:r
..._.�� \, !ems-
r t � ", J -.t"� _ :I..i�.t t , -l3. ';�� /.r � � ,e7t��: � .. � :i - <t aL''` - �•�
JR
41
y
v _
4 4
r
-
a bT ,
,/ F :' �i.. — ��Ir:-�� ' / S :� � yr J •.
- / r
�i ��, ". .% � �/ :.7'_...-ia4..- `:. :�: yG -+ fi.��_� �tr :A � Y'. ` , �w�Y•- .� �` ''.,Y�` - '� �� � �`'
/ % �4 A� . X ,.y 4/ ./f � ems'-' C 1 , . . ,,.� � (• 6 ,..� ` .�, ®`+ - '^w'P�: -. pt ,
y cY J fie, w 't, 'b .. b . "i, ''� �`*�! �v -•Z`1•. \.1�� � a \ - .��'4
J_ a � ��ii. � . fie ' ���/� / ( - � f' �� •I � 1 ow� .. _ .. �� 14i� 1� 1 � ` •

W
n�-
P
n
ZZ
..At .n': _ '. '*'• -�+ `�+Sd F1 'i-
._. :r '.. . ., y� T '+.'a- -:�_ _ _, _.. ..' i,. � _. _ _ .. 'c? — FT- � .s\+i`•w ti�::�4i w:�G.. t�- a � -40-. -
AL
oy ,
- ' riyy� gip. _ _ ,( - . . .: -, � -.K�' ._ .. vyy�R� i.:-R:_ -.c. �e ' -•a+Yx_ :.1a ��k� —
aa.•. .. . - . .. ;.. ,� - -. .�::�:-. . _._- .�. �-`T+> •,� sir i - 7�e _ _�� _i:`.1c - '.f�,. -
/-. '-�'_-•
�
- .r'; -. .. _ ,®���, _ � �4' Syr 't'.. y` �•.''�-':-- _ 'a+ �..'�' ��
y, / . . . '•� ',i. _ � x` � \ r _ _ _ _ �TS�.� R �`���r-a '"i.Y�.,. " _ .e1Y./1[,�_�?�: !�'. .A"_ y* • }
,a
T; l
, r
r � ..
r:
low
in, 8 / 2 22 %, Lai D
r
s
.ram

i
tiL
• f R •
-
t
_- _.
r
p o or
M •y 9T� p
f�� �/ y �. .�� �'% .Ia-^ �' •Y. 1111J`''�J1111
• Y
w
V ' .s�� + +' a,' ,fr. _R gyp. ':'+ "^Gr "' `^":SQ+ any► .. N^ 7 { ""+i:'� .aw.=.-..1 4a�.r�Y :.Wl *„3'z,p,�
$�-!OL i¢��;. '3�r1•°1�" Po' .M- .(� �Y .f "R ..w�~ 'yA�S�' -� y y �� •^Y� � � �� - � X R =+-zt.i� � _
I
' e
' � a" ✓' + .: ..it= i,x".+�•� '` /'t^ :. •- ".�' V',�; �..'/e 1tb��:.: ; rl+..>"> 3-�� . ?qs f���.Fis`.
•
- r

ti
.l K
_ E
w
r
_
r � � S ✓
ww
v
T
',. l; ... - ' ' - �... ... r "-! _� - __ — .fie•
}t
. r ,
' s
-
• f
_
_
w^
e
_ w
� T
is
w
4:
s 9
•- M
i-
4
y
�Lr
r
.y yI

v
�a
i
rt
.s
r..
0 U o

of _
s54ir"'
IA
01
4.
or
v
1 r
SS`
:
7-
y
,
,yy r
K
_ 71 ., y� ice. . ��•. ' T � '�'.� } - `_. ,J 'M' ...',
a `
1
y
i
If
-
E. 1. 'a^'�r4--_ y - .- ,r .r�..' _: ` �.:; '� F y: .y,[y► 1 ."�. - .i. / { / °/ � �� ...e:. y. 1 ..�r
•
i i
d
I
_
r
•
,
Y
=� _ _ ,� .r -�.;�{' �: ` � �I� • �r> -. f. - ; a�: , �; .tea.. . ..• n
r L' _ ; ✓ ' rye' :�
:-'.- -� ' F - a _� .' -[ - '_- ifs...?, -,. ,•S:. _ _ ��• •�i - a, ' .rgw�' _ � 's. ;,. , Y
` T
./, i _� t J ., _ gyp•
_
.. 1
�_ - �. - - , n _ -�_ ;,fir,' � '.^• � .. 9,:. �-- _ ;�' -- � ; �', �
AMU
� lIR ! '` '•u 1F�•• ..•:�: r' u. ,- .q . .,, • .. _ _ a .. +r,¢i,=� _ /
r
rk, It
lP
wj
T <
l
f _ ,
�
,A � fry► +' .f � Y i �
_
i
AL
AA 0
- L y
AL `'•' • ".a1 1°r ♦ .r,M,. 'n�i•j7 'Sr ti q� :� . .� 1 V-, ,fli.: • f. ('; ' 1_ _ . - �I � t �'! !
ice' -
42
- .. - fir✓¢ ,ti ,. ��: R + J .i. + ,r . +, ,• ,w.� :r,' .� - � ��
41
♦ v
-oo
' - . . _ •':
NI
ry`•►'�i' -'a ♦ ` rJ� ••Z ♦\ ' • ♦ ♦ 1- - - �" .'4+�! ��1CY -
;. w `
• , _ - , . -
_
, �' - ' _ . 's ., � .,, •� ,fir \ _� y �, .•� ` _ _ '� � ;c' i � , t.
1.
,+..,,.. !Ai�l ' _ ;-. ; � I. �+ 1. i •R A Y:. '�=. ./v �•\ �C�i'.• ••. - . s'f.s' - .iqi '41 - f , 7_ i • t
.
d
l
': - �..{; _ a .',y.�a. r ...Ca� l� ` fir C w_ � \ s • _ •"" • �r'•.F,tm ,.• - 't /_ .
r
1
A I
! Y
yy/f
'+r-`:-_.__ '�. ., Ij _ L •� � ••r i Y ✓ �. �'! • ••\r • '�. 4 t. •9'r•Jinn-..- _ v. �� r'a�� x ` ' Y ♦ .
/. :_r, , - � _rips .`. 1 /'I �//�4' • ' .4r'-` .� ( �f •;' i e. + � 1
AOM III
IA
R
owl
Ni
Ir
AN
_
y r\
_ 1
! II
MIA
OIN
P
.L 3 / 1 1222 12 ■ 11 '
_
r
rPr
.� '. r., . �� 'Yip .' I � -y � `' / / `-!\ , • II.
_ u ,
,
1 •
r _
•' a
r r.

-or
4 \ * _ .c -
♦ - - R' �� - �� y .ic- _
%4 '
aION .;....� ... - ,5 ..a
IF
ZE 4
LLAW
AL 1-1
06 Not
t
4
A.
y y Y
;
.'
low
Ilk
At
ak
IL
low
Iii
4
a
;+ # ;
f
v
a<�
. - , �.. ...�. �' :,- ;� •1 � +. .. ` � a • - a of
y r
q
�a a
s lk
: , 118122 12 . 12
. ►; 5 'i` .�
� ' _`gS � oaf C..,_ �Mtirl�Jk- ,..�► ' _. t, � ` ".`: ..' .. - '..,, ;'Si �► " .. �.. "'".

v .
( a

MEN
k1l ` off
YOM
t � �� ib
i � t ► ,�v,;to ►
FAIll
kk
JA
dr
vy-
r I
- kid_ � ,. .. �, �Ri - � •�. _:. . - '-
ie ` ..
•_ y
,. _.
+ LEVE _.
ANNG
NI;N
APKI
_ s
;a t� ..e"�'�`-.n`"y ape.��_ .�,y /� a ��� � . . •,w
4 d, ! Y1• AL
IN
a
A -
,-
. y
• T v�
M.'
t
- _
s _.
r 3 / 18 / 22 - 12 _ _
. 1 2 v,
- .. '..e 'VC y .
_
...- _
Nk
x 4

i
2
r
� 311 � 12D22 12 : 13

D311 � 12 � 22 12 : 13

l
.. _' � �'. �`�. � !r 1`•. ��� ��1✓ '1. r � : �/ f slj 's�y a 1�1.Y�- till/���d � Y f t y .
PIT
.. .rs � � i ' . k �O'7 ♦ r. t .�s i r . _ ` 1 I +. . I!' �� t11,, f f .•.�ii
wk
Zer v_ 1�
..- ":rl�
_=*• '.I _ - y .•e � ' 'i/� ' �f, ) ?i - � Q _�� i� ��s . yam.* t. , . 7f
a •r i
moll
�
-
f - �TI {�yr�' " ,. rVAR��.� y���. � f t � I - .�.� �� ,;p. f(. ' r Y ryl�$- ♦ - � 9 � � ..
4
s
y 1
�. '`r �..
�l ir
Aai a •� -yam, y p.. ` u. `

i
5
i.
a
j -
I ;
rrm
ot
CC
it
4 F. ..
r. r 1
a
l,+
�' �'� �:.:. ! >•. � :..r F '::' ,. .d. ! _. : . + — J. . is � 1.c�
-01
.7C a3''-�� •. �.�a.�".. r '"'X�„ y, r'`� ,y�a S "�': '�+`t �'$.� - _-� _ �':.�iY' .�""f, k,F;� ,� _ „*�. ��''"'�r�.g,;,,.�i ¢ ..� -
:iI a'tile
MP
r w i�".
►M
- M
l•v ; 9Ns .�8� �
�y� r +�
_
fir: ` .�4., -'.ru - .�'/l---� '�.- -S� ••. ��'ti� k`�...1@..6. ate: -
tlk
� � 4
5R" "�•FS F'r l
r _
j�� _.' i .T-� ,�yy r /fi. . 1 •� '�' •• '� Y � Y_r� y �. .°'�G -
s _
i � �

��. to _*. �� ` � 1 � r�i'��-`��',�� {,i \r. `C � , �- � s_� + ,r '.��V � J , ja.,i}� ��•�t.. ' rxr ,V-wlz
Zf
--'E _ � : : --�. ,�-. - 'Z��'.]`•.;•�r:��•'�C_` -`-:y"���`�"-:.•,�"�� :s; .y�e+C� ••ap`..a��'...��1�yy 1 , ,� , r . t� :t��f- ��,� . . r,,'.Xa ,�a' '.
- _ - '_ _ � .� -<.��.`ti�'w�JC���„� ..+? 1 'r'- - .C\rr���-�.4 .�',k. y�+.r�,2:• 3 i iF. - Y J• \ ,�t ''4�. J;:,
-
N
w - . : _::-. -�-.,,.- �.;�__-- .`. _„-.'-s --':- �.`::�._a�►-e�`+C:"-.m •.�+.a.- ' c_.a':���rr•C '��' .iCr.- -ri1R+` � K'�'� RRr•L','�' ', f;� /�,
`�„�.. - ;•� _'s:_4-�.Nc� - `It... -_ '_ r,,\.. i Sc. \w �`.P .r• 1. w`S. ,� Y` �i 1 �•.. '!• a
t _
� �'M� `T'-_. - __ _,y,0 �-. _ �ti .- ♦-`a,.�-a.`�v'�; .i,.af.. -y�?�';� .fir' 't �ti���'y�1}[ j r> N '
__ _ �:'IG��••i�r <_ --- _ - ��. .l SCliL....�A �i - R_� _ �1 ate.. e1,� '-#S„ J •' • ♦ ,:1• �' , .' .•M .• /4 �' .ti y.
"yW I�• Y rL .i•-fit T,1y
-df�",. \.. �: _ � - - - -.t:a! ,`C. .-:�� ,T r .q .� t '\t � �' .a• . i. . ^�v' +1' -.fy- 4.G/�- � .Y +
� _ �,may;,,:-. _ ' ... � = _._ - _ t' .; -. - � _ A• -a..i .`^��l °?.>,\.c-y�4 �. -.� k,` .+_.. +-� ''�. "� '.:PY \ . l . . •�'Y ��..a �rf :A." f..w_• �.:+.t�
r
'i
)
F
- ,. r : - _ - ..: - - , ,_ ,_ _. � _... ,... .-. .. .. t...,�ti. �.. '�' . >,1 ,'Q� -.,- 3r"i'��.`•'
°mil",�' ��'S'' '.i ,�fi L� 'Y 4•`1 'zr '�V
,
1 {{,
.3 ' •t "
_ _ - .-- , - >z_�-, . r::�.�_.- . i is ..•. ♦_}. _...n ♦ '� ♦,.- - .P j. r a, y..'A'. .e, .Y a r.. .v,'. •G<• ( J �' '�.. 1
�- sb ` ,-._ .�• '+ .Y, ;_A. r.. .,riY 1. k {:.. ,Y _ ..>h 1a
. 71
- - �. _ 1 _ - -,.. _ ` --. .. _. a� � , ..,> 7:. .. •:�.•. a .. .a\,�. .�` r,�. a '•}a. ,} •i• t+ i ^Yi./^ ;1S'. . I'� 'r `�JF� _ C<� �:�r•V i�, �.. v� - _ _ '.:>_, -;_ `v c. . .',!` ``qy '! r w Lv' 117' 4'9". +ky. ',. i �^,��!'�.•11`
.` .. .�.. _.. _+1T... �.=Loa•C_.�.'>ti �i•i:R t'Y,t. � :� i A21 �_ _Yr _ j � �
4:. 'ar
<ti ,+• , -i•r
- - - _ _ - : - - - ;•C..il. ►a. i e. � b�•pyy r .,t.i . G.`- 'c. Sf<�'7ya,,,+'� r,� � :.+^ • �• � � 4 W r , t .f: _1: ' � -
':r. J • CY '< °.y.. e"I�s� „L`, x. ,l.'rf{'�JS>� �'' u•, a 1^_n,_. mil, ..yl��„ �,„ • -.n s... ,•. ; L
,>� ''�Y,'Y- fd .f. ..1,r.2` .fir . �•I,. ,..�. fs �s� � 7. .'-4. .�:I a-. '� >r,�•• - .' - +�".
,. - - -. - 4 i S ,.t!�l' :..%[o��.l♦ i' z •.� .9•
..-yI{' ;., �' . 'SJ-r ,%.✓I'<' :# ...�`+. .5 Ir C• ..+-r'. 'i I,jj' }•. a:*iti 'Y Tic',
-y'�. '
' - - - f-.:�f H. br.'."tw:: •T .I ..e.4�.aL, „� � .:S•. v. . . ,� • « at,. :y .�" .•4._ ♦ :F Y �•. 7i• ,r.�(�. Y��t•
_ - .. . - -J - �'.'' :•-�'. .:SrF�. ..��Y•MI
L,,•.. 1 .�-v•�-�',.� ��. � A �p .:.!� .� <- ��, .1..�� 1.
>• P.• ', 4.Y�, -c•I. 7.... r i. n . -fY r ,� ��yy .>:at/- .�:`:. s . Y ti `: .�i-
- - .:' - �. <:�-� * :- .k� ..{•3..iSN •• '`F'_ r. l`` �i7. 3,'9,• • -t •.,`,M .•' >74,•.:' .r > Jr„ l ••
. _ ~...i'°'. -.z _} . ? > . "t4 { t_ � i-:, ..r R.>� } 'S v � ,.yF r., i .T _[.1t ,{ .)t •a¢L a, .� .
r t r r a. <"S tyy w ,rJ:r'F . i•a �/ 4. y 3_ �,
rt^'tl r ..^,},{�j''n•ahl.::.,. +. -, Ell.
`i!•• >{ i : >�' +1'rr> i t.� 11 r• 1 > .- .• 1- t;-i✓'� �'„
•i> 1 ''' ..',a•Tt-.. 1..51:T. 1'ti ^S'." r j .r; .� . . 4. ✓ :1_ 1( . . •.
w ,
•- .ae-�.. ., . c . - . : r - -.:. ':`,. r{S�c, 1►- , c•;af� . '
y M L v- .5�r 1, :..+;:V �f3+ :e�`Kd. e'e}. t. .,a, R1 j .rarer-•'.b1♦A"i1> ', .v y: . « .�••h
.. ... -_ �._- - - z �. } ... y. �... t,•'�.. A :f'G" •y".`>�-fSl l•.. YC•. � .IM •�,. _
a,[,* ,. . �Y .sl . }',-{!." , : ..af" !i J7f• ' a > ,�,K ,r rJ . yr !' - ,`.--
.:Y•:. �. :'t. +•. :.♦ � ,. . .��y, 1, >>!' ' f 1J,,:-Y ura".:• ((fa, �''-, F. �..f m «+ �
.!' .4. �' v.Y. '•.-';�:F;�.1 .i R ` �" l ' ,n • '�+.:• � .�r, •rh �_ �!•. 1 �( 4r
"t �yrr ,b•-'. ��y ..,x'f �1 ..Ts t. '! -., ✓. . .7,
_ - - = - '.j; ;, ._1.�., ,: :`t'': : -w:,:P,- ..°,-,.. AYF`�!. c. Ji. / .t ♦FL .r-:�1�, •{� -- ♦.'. ' .,O•�/�,.-' j r .!'<S �R
� + 4.. •'n+l.. � .W��` ! ..?. ♦ a ;.a. L7"'Sf' .�• I.,!: '> - It
v - r a C -ti! .�y�Af\-ti,N .�'-S. ..S;r , >' .:-7n '<'i.....r•' ti. a t'+� ,y> . f��+ y,�, <yy��- ^s-" 1 �i. '9�•,"
.i-�.+v.. : "`-�'Y . _ _ { 1' :.,^ :i-' : b • . '�✓i..-"�J,, y` .i '� 1_ _ a7 , _ r -rY.'•r.e:l�♦(✓ ..i Fr .- .1•
-� � - + . -,^+°'•+5='�Lr.',-: =-. ,;.' - ..;:)- �-...; , .:- T::. �;`- :>-�. ..1, ,,e v.YR-i ••4c:x. . � �I. ,c. .Cy- _ ' , .,� ,Rc ',� .. !. , _� . ...
Y, _ ", - v. > ',4 ,�l yam, '�a .a :�:Y-Pt.:y �.; /+C,�ji't „r �'1;.,� 4r?-. .p '��± , .c,,:'!�." .Y R .4. _ -^� !- .`�'+ •_ � !'---.'sr--•'�. ..-:yZ:.1__.- _. .: ,. -.. : .,. _:5.1. . _t_ �-;.. , ' . , ,.1 ttT>:.�. y<},.+�. •�,�!�`c'Y � .a•. ,M• .o • «.... r�i". _.t?_- . +c.�F:.-. 1.J � �� .y- :1'�= }T .-' s.r a.
- - - '�Y'„ ,:.�•>,.r.:1, :"' '�-' 4. '.F• :s !t 4:�.f�,,� 1:.. . .�`. ..;;; .t . �Tv,,r. .r' ..€ L. =?` - �• t•`- ,.L. b'<
st - - - ...:�>`�- .;f�, . <.. : .:^'t (1 �. � a. arc. ' ✓" qr•' ..r• ' ,.�';. ,S�'' .-i ,•t.�. > -i'1� .r
_ 1 �". ..> 'K . `.:.'C<•.`::� va l-,y 3. »• ' ]*•!'1 . •.Is: :r (.f. i.,.. �- ,✓•i ./.::ti . ::i'-•! .�. .r- ��L - :n'} .
;-i- r' ti•.' -.,:,+..�.:<,v t: , , f ♦.. „ "1' i`a �•��•'0. t 'r. .t•.. J '•"F" 4t-• � .yam . ••1:r•�.i�• �•r�. �• {�
- : 3r C' i,�' -•5.:4` .�i� q ��
.3-�. - _ ._< F+• .w . - ..l Y
.f .¢} ,its. >J^� •f ;ai„1i�I w".- _x :' - '.;1J•'f'n .: _ .rq
k . ., A . •9s. . vu • ; .•. rQ>�t. r'�ti h,- 9 •. ` -�j_., -a..
. � _ _. __ _ _ _ .".-`- .. -: .- _'. r;C- -.- . 1 - .:'. ) 4'°. .:.a �..y�.fyY>��ap�.,•:. . :i
y ,
iG;
.��. _ - .�. f .,�. .,. 1.. rr ,♦
_ _�•',� -k' Y .tom P.
'-R'- J' •r".-'
- _ �. ._ - ^_ _ -- __- .. , . i, ._- .- _ \. .- :..- . . .-• -. ,.... -
A-
i
-__.3. .- ._. .. -, _ .... - ,:-., .- � ._. - .. :.. _.: .:.:vv-" _._: .:o.:.P• .. `�ri-.� "Y•ii ' - d_ a, la > - . f•' `:l k:" _.> ,t' r'•
-. _ _�"' - -- --._ _. , . -.. : _ --. :. .. .- ' .s..:.. . .- . . .. ... . 1 ".:�-, .. .< "�, tr y' ate' l' . M � ...� Iw�, � . „ r•,:11
i - . _ .:•t - .: 1C.!. ,SI t, +n ..) V . t .:(. - .+r =: 'tfi'J ,•,t:+:=Js',. - 'Y.'Y'" , ,.ir. ,n ►•>✓_; i. - ' �:
_�_ - _ Y .. - . -. ;- � _-- _. . _ : _� . . _,:::r;t `F;t .a,r_iia.>.i i .7�l•'`t i t!. . `.: l�� `.s _ r.. ✓r �c.' :r. y,�f�. t,.- of .itisy� ,y,,r�• - --� . .1 i
- - _ - - :J r 1 . >1. a , ,{� yFRR: L^i� K�::.- c� 'a .,r _ y'� "r[ ..1:. s•.'.•rAf,' .t..=:.•V' 1Gc J: ,r ram'- .1._ i-1^ :i.'.' -•♦.�- �a
' - - '.a°'rR J:° '.•...�q�n` -r..Y" Z. - �1- r .. .r�-,•`'"b; �aL.`.cor'.:.a; i ..-..: :4i� h � .i,rs'34F,_i,. - 1�l'r��ss,>-� --t - 4L �-•„r."�:_ :`ro_,-'1.14. ,5_.>.y•.•_,, F.wKk . V . .' >}Y..:: ,f_.. •\ �� - r.,. ..'' ! �i-��•-�p/� , .1.. 4, S'. .t_. iC.•,vSf •�.�'. . .
_ _ +.. Y. .:Ft '} i+a.. ,l kYt•: 2' .< . .7'1 '..{M .� .:.- r5'�•:!<:r1i��:1( ar.-,- -V„r - ...� ^."„ _ _f> .,.�t'',y �,. _ � r� _•,�
_ _ - ;r •.,: f:J�:?j -
* b,.,r! ',=f.a•�-.a� X].• 7 f.l:• ,y .v..f JJ" _• _ _ %.' :'7:'fi• '3 -+F "•i .3.•,t - rf 3
-
_ _ .. . . •,.::. _ ,l':'•G> M,-a :_ '.: _ ;A, ?SF �F 4. •t-a"f'�:i�?.-w- -�"S ft+srY . f r{:'. ♦ ♦ chi _'lc'�- -.n>
,
- __ - _.- - _ ... ;.• - .._ .:.. -_ . :-.. :,- ..� _ � . _. .: rt-.;.:. '^.fh.• ..� K:O . 2- 1 x�r" e� ! .n%� -.:t��• � ,:... �J•-' �/s/� 4�_s S. '
I-_ - J+ i .• ..�• r.ha ' ♦/:tl••t ��•JMI� .� �J� #. ' i):y,� aJ f 1' - j�,��J' � 'Y. -'f-,
_ _ \♦ �37 1__G:' .! •,f ��� '1 1, ,. r %/ . '"! ^S •• - ..l -�,",'T '4��f ^''•. ♦3 .�fi-ir✓%.
- -.-`.'._f a1' t.. � 41:9' i.. . "J '� .. T... l:r'7•c:' "-- n �"a. , ) •i :• ;v- .L .. ✓ -Y. _f. � >.� i.
- - - -=G't. -'_L` - - .{ t �. _A.�'3... �w. t' .'.N z 'gib >• ^=. �- r !r_ r r
' - - - ir.._ '�,} t�Y".`t..l "lr 1'.'.},.�1J.� 1 -�r - 'lw_ 1. ,(�� 't � �•"':5� ��:: trf': .-.! �I 't ✓• ♦ -
- - _ - -... _: - _�:- :. � ti L . .-. [.. _,. _.� ...__.n' � .. .,. "1 •a.. - ♦='L� ,v.'�!. 'T3_j. .^�._f :. . '� $ ~ v.�n r > <._,. •s, .f - �< t � -":F. �
._. - -_-. __ -. � .._ _. .: - _:. ....°.- - ..: ._�. .. -�.�_ �. _: a... � . .- _ }L. ,�. � - .>.' r• .ram. '.Z-� ••I" 1T
__ . ,_ __ - _. _ -�.. -- . _:. . .. - _ _. . . r_ - _ ,,.....r r. ,-,.. ..., G .•,]�..,f.-. �e•:. . _ ..' ' '[J,. .2: � �. .,.: 1. ':C lY-•3 A -.�
-, ,a.. .�_. .t.:M'Fly" ,: Yh:•� `•-' 4''" r tr JK->. ''r`+l:.- _ r,.. �� .r' ..�� -•* ,..'P• - -"r
- - .. _ _ � ` - _- _.-- .:.- .- .:. _ . .... . .> .. __.:. . . . . ..:... {.- a. .3. ,rnl N.±,, >Fi .�y„ � :1�. L . „• �✓a .-%n 1F' _+r. . _i•
- _ _. .. _. _ .. __ _ .. .. :-. .: . .r-.. . . -. --f - r,. • ..:.- ..'! r"., .. -� �. . 4'-` .n:'L�. nY - � _ � h .r Y�f .0.'-;� '� J Jt .:+a"--_
•e-� -- '_._:. . . .�- _ ..- :♦ _ .-,.�. - ,-:. ,_,_ :: .�:...- .- .-r. .,.:,� : _ _. . ... - .': J_ vt d t ,t i �.ei.' A , v':v''-•}. {'. 2 ..N- _ '�'�
-1.fi�c <. �� r P -' �J •w . J{.. l.: �'
: _... . _ _. . ... - . �_ _... .. _.. _�: :: .._. _- -:-.: . .- . . .v- '.: J •..- >,,,_-,Y..; :' 1 .afi -r•:� ':r{.. ,r:f'..4. tI' r, •Ssi� L. .l.'� -
_ _ .. _ -. .. _. __ .: . . _. •" �._ _. _ - _.._.._ . .' .. . - . �,. ,-. . JIJ. 'Z': .:.... _!j� 1.; ;Ft'-ee�� �e '.31 . r.r .'�rL rfF�'•
-:_ _... � - .�,. rY- ... -.. ._ :. -.. _.,.�. ,._- _�--: -: ,�'.a'F,'.�•H 4. tl i' n;S. V•�, > v y�>v4c >y� '$ �c•'. ,/Yir•'.: lc.. -r, _
r - . - .-, - :. `s. - - •-; - ...'_ ,.•.: ._.- .�..,.., ] , ..�i? - r.... - t >•G.e.T yL. A,a' �+fl,`N" ('rT' _., - -..a.i''L .j J
1 rg Z
- _ _ - „1..�: + ' 'f:: t ' r;�'Y d'rz" v i'`Jr';.'i:k-!Y•i+-• �:�> . r.. ..yr -".?F �.3� /- -1^ y.., t%:"r:Y.:- '.+r'-�-
-„-- . • _ism,x'�`.F;+ra r. ,:'s' � r.�� e 3-...,..'t' �G 'r t '�'�% '� •>i.i't - ,?Y:
_�,_.. ., GCS i -.t - r' ;:v~ ,t i ..'!ta Jt"Yp,'t,4•.-' Y IJF L:vJ e-:."♦ a ' -J .::�:. -~ _. f
�.
lot
WIN
,
�IA"
11_ s•.
r -
- �� ... . a. Ate- � ._.-•-'•_
rar. J..✓"°c
l
i
In

_ ���� • • —
y
tiifl�. HILOEB � � -
Nit
USD01618961
MIS
Lh« ' -
r
+q•
_ I
N 0 U o
r�
a

r
a 1 A rf
Sj At. Y-'I n
y ,y" � . E f 6 � tl ,�} 1 i u 1 I la�I r till I y • i � '_d : ` - ` i.^ - f..
If .71� ;¢_ 'Mr
�. '. _ u 1 I. 4 �� � Y, I,rf ` •1� r � "�!.. fl I/t n+6 � �R fv�`yv 7 J e;� i �.. . � �_
y(, � -01 r •�»l' ` 1•k �1AI 6'
rlt
f'II�" , •' rli`.i + • k , e�"(qf;d�.'., s 3" ..,i_
•'` ...; ',_ ! ..Y . v. .J " " v rY'7Y� l�'. I+S. J , A L'.: - ;:.� I+ -,,.'• !! �r!}f!ap.-. --- - i/F•F
. ,y'Ki, 1 ,yy�'p. �1��{119�•, './f� -,��. ti � 5sa " . . . . "- - ,*' '—
f .>7. •d}�. _ _ it 1 I:.. ii - 4 .yi 4 ,t• �� :%. �' 1 ,�. / 1 .-
'.1' r 1 .may a f.
141.
. "` t,_ � d[jYlls A ��e: 'ii •�:,-.a'r_ � a".•:� .. �f .�'. ,i',7�' :.. ,_ ��_ r
It
S `.
_ _ _ � ! 1 •t,y} - .. ` bit
Ij �,51+ it rC't . r: } • ,,• 'r` "" - ',��� �` • �� .
4%
f ?
WE
� 1
_.r
s
L_
� 311 � / 2 � 22 12 : 15
k.
d.
f,
♦o a

.{ . Opp.
r
1 .
.i.....�r..n-.i•' � ,. .� -- - � ® •. _ - e,. '_ •fin.::., Y4c ^ w,
+ -UL
• , , . _
i
> f
r
" .. .:/4kt
Alw
. r T` ..�.. ` �, �i�1��`.wTL^_ > � � �: .�., _ -. v� ,m t��`- S. � ,•:A,, _•�, -. yam-
-. _ ,}F-' - �" �.. �� '� y ' ey". ....i ! •P.- •...�-• ��' _ ..� u ��. -
t
-. .g .._..--. • ,^_,,. - .- ,� ^� ., '. s. K. �� - WC
AI. •-. .:.. .._ -. '.-. �< y ,�,�..t� � .Iwo �r -
•
_
y
r ..
-
.4
a.!-��
lop
t•.
T
79w,
ell
+
,
1 _

4
er
y qP >
k .,f
....
40
311812Q � 2Aw
' v:` ''� 'T h T f � �',.,' ..,,� a ` ♦ 1 "IFS w+ `� ,.� k _ '°' 'tl: ��ewa�r` ' �- ��`
-4
♦_
V6
ppy�� n
, pip y
/1N'#Y

N,
i '
" y Y
_
r - _
VC
K .x,
Y
R _
Jn�
— .Ji•ti'
0 13 0

x
jt
-n
.. .v. ... a ;_.. _
I
-
t
-yam�jr•• "< fj -�.! ��.''
s I i
r
at
' W
Id {
sue.. At N OF—
law -

• _t i
4
ilwl
me
13
Y
4 Y 1
S
,
- lit,
a _
rt _ "Y-
� r• - J
�
i f
r4
iLl
NN P .�-� - � � �. � �y 'r '�'� �a+s'"���� �'„�•."i-� ^�ti try_'�'�.+s`~� 5 i� . .��
f
r
t. P
�I
�14 •t
fyr
N r
r
f
1 i
' t
0
r
7
4
41gp, t

i
r
12 i
VOW
woo
WOW
VOW
vow
•I.- -� v r' r '�144 1 ommWWOMNOO
pitR
TI4"
r
ANEW-
- - `
• 1
11
_
P
5 f
-i
P'
f
C
�W AA
low
ow
t `
J
l�
-� bM

3
I
i
1
ilm I
vow
13
ow
s
-U7
�1 y
.. M �
#OTIGG
x
+i {1f
...
.. SULI
Y
1830
13:. . ..
19 >

!s i11
*+ • 13'➢
WO i •
• •
4-44*16
�� i i ;i • ` - M
s� s • I• • �,
.'s • • 00
.i
AA
• g to •
• i • 6 to �4
• i • O 04 64
• • � i i4 —
• • • i
s •
. i
�• i
�• Y
ri
to
o pp
� r
44
"?l wit,
• •
b
f
� y ,
n . .

t:
y;tit. Y ..
lor
}1 a' L . �.
t � I
It
1 , wool' . . .r
.-:- - - -
r
_
- a
xx
ra
W311 1 2 D CAM 2 12 : 22
v

4/14/22, 10:43 AM North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online -
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Business Corporation
Legal Name
Kleen-tech, Inc.
Information
Sosld: 0291130
Status: Current-Active O
Date Formed: 7/25/1991
Citizenship: Domestic
Fiscal Month: December
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: Glenn, Timothy
Addresses
Reg Office Principal Office Mailing Reg Mailing
110 3rd street NE 110 Third Street Northeast P O Box 1369 PO Box 1369
Hildebran, NC 28637 Hildebran, NC 28637 Hickory, NC 28603 Hickory, NC 28603
Officers
President
Timothy Glenn
4091 Alta Vista Way
Lenoir NC 28645
Stock
https://www.sosnc.gov/online_services/search/Business_Registration_ResuIts 1/2

4/14/22, 10:43 AM North Carolina Secretary of State Search Results
Class: COMMON
Shares: 100000
Par Value 1
https://www.sosnc.gov/onIine_services/search/Business_Registration_ResuIts 2/2

Young, Brianna A
From: Young, Brianna A
Sent: Wednesday,April 13, 2022 3:21 PM
To: Tim Glenn
Subject: RE: [External] RE: Stormwater permit application for Kleen Tech, Inc.
Good afternoon Glenn,
We received your check in the amount of$860 and I have logged the application into our system.Your permit
application is now under review. Please reference permit number NCS000609 in future communications. Please let me
know if you have any questions in the interim.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
Please check with the appropriate staff before visiting our offices,as we may be able to handle your requests by phone or email.We
appreciate your patience as we continue to serve the public during this challenging time.
From:Tim Glenn <[e-mail]>
Sent:Thursday,April 7, 2022 4:36 PM
To:Young, Brianna A<[e-mail]>
Subject: [External] RE: Stormwater permit application for Kleen Tech, Inc.
CAUTION: External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.
Hi Brianna
We issued a new check for the$860 for permitting fee. We did send a separate check with the 2019 filing but did not
clear the bank, you should receive the new check by mail.
Thank you,
Tim Glenn
Kleen Tech Inc.
[e-mail]
i

From: Young, Brianna A<[e-mail]>
Sent:Tuesday, March 22, 2022 4:30 PM
To:Tim Glenn <[e-mail]>
Cc: Granger,T. Mack<[e-mail]>
Subject: Stormwater permit application for Kleen Tech, Inc.
Good afternoon Mr. Glenn,
The Stormwater Permitting Program received the permit application for Kleen Tech on November 3, 2019; however,this
application was received without a check. Please note that a check for$860 is required in order to begin processing the
permit application. You may send the check to the following address:
NC DEQ—DEMLR
Attn: Brianna Young
1612 Mail Service Center
Raleigh, NC 27699-1612
Please let me know if you have any questions.
Thank you,
Brianna Young, MS(she/her/hers)
Industrial Individual Permits Coordinator
Stormwater Program
NC DEQ/Division of Energy, Mineral, and Land Resources (DEMLR)
[e-mail](e-mail preferred during State of Emergency)
919-707-3647 (office)
Mailing address: 1612 Mail Service Center, Raleigh, NC 27699-1612
Physical address: 512 North Salisbury Street, Raleigh, NC 27604
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
Based on the current guidance to minimize the spread of COVID-19,the Department of Environmental Quality has adjusted
operations to protect the health and safety of the staff and public. Many employees are working remotely or are on staggered shifts.
To accommodate these staffing changes,all DEQ office locations are limiting public access to appointments only. Please check with
the appropriate staff before visiting our offices, as we may be able to handle your requests by phone or email. We appreciate your
patience as we continue to serve the public during this challenging time.
2

EPA Idanofutim Number NPOES Pwme Number Faceiiy Name Form-Appra4e443R5 u'�
z'4) 6mBNu.2o4oum
Form U.S.Environmental Protection Agency '�;� ^lTfth
1 aEPA Application for NPDES Permit to Discharge Wastewater'
NPDES GENERAL MFORMATION E2
SECTION • •r r
t1 ApplMants Not Requfredto Submit Form 1 "'^„ (1 i ;'^';
1 11 is the facility a new or existing publicly owned 1 12 Is the facility a new or existing treatment works
treatment wodcs? treating domestic,sewage? ; •-L,If yes,STOP.Do NOT complete Ef No If yes,STOP.Do NOT d tsoTQR,YIVHTEt�P�fifvii ilfdv
Form 1.Complete Form 2A complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
r 12.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
a operation or a concentrated aquatic animal commercial,mining,or silviculturai facility that is
production facility? currently discharging process wastewater?
cYes+ Complete Form 1 [� No Yes 4 Complete Form Ef No
o and Form 2B. 1 and Form 2C.
R1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial,mining,or stivicultural facility that
commenced to discharge? discharges only nonprocess waste r?
Yes 4 Complete Form 1 No Yes 4 Complete Form L� No
e and Form 2D. _ 1 and Form 2E.
0 1.2.5 Is the facility a new or existing facility whose
� discharge is composed entirety of stonnwater
a associated with industrial activity or whose
discharge is composed of both stonnwater and
no tormwateR -- - _- --
Yes+Complete Form 1 Ej No
and Form 2F
unless exempted by
40 CFR
12226(b)(14)(x)or
b 15.
SECTIONADDRESS, 1 LOCATION(40
2.1 Fac Name
K� FC—N I -Ir-H IN C
0 2.2 EPA Identification Number
r�
A 2.3 Facility Contact
Name(first and last) Tille Phone number
Tim PRIESIPEAIT
Email address I
(r KLEENT-ECHINC, CO
ai 2.4 Facility Mailing Address
c _
Skeet or P.O.box P� U^ (^` / Gq
City or town State ��( Zip coda
rlj�x� NGRTHLARDII
EPA Form 3510-1(w4ed 319) Page 1

EPA Identikation Number NPDES Permit Number radlity Name \ Form Approved 0310919
_ )[�o Tg�+ 1 A 1 OMB No.2040-0004
t 2.5 Facility Location
v •'5, Street,route number,or other specific identifier
i a D ICE
o County name County code(d known)
f3URK
E v City or town State ZIP code
Z W Q ct� ��I
SECTION 3.SIC • NAICS CODES •1
3.1 SIC Code(s) Description(optional)
w
m
v
0
0
*n
v
z 3.2 NAICS Code(s) Description(optional)
v
c
m
t�
y
4.1 2name
LEN TECH G
0 4.2 l;the in Item 4.1 also the owner?
4.3
0 Public—federal ❑Public—state ❑Other public(specify)
o M Private ❑Other specify)
4.4 Phone Number of Operator
2 39 - 3 7
4.5 0 eratorAddress
Street or P.O.Box
o �
/ /0 3RD DT. NE
w City or town Slate ZIP code
14 (LDEO AN oRTb CA UWA
g Email address of operator
0
SECTION 5. • • •r
5.1 Is the facility located on Indian Land?
c ❑Yes D No
EPA Form 3510.1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMB No.204NO04
SECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
o water) fluids)
w a ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
rn
c
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑Other(specify)
SECTION1
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
R specific requirements.)
O Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTION • I
8.1 Describe the nature of your business.
pa A
y P(2Iv.-rat
/4o- z 1.:5
m' �: cse v5 %� G1e1 ;�rul5� Uv�f7zr7S
o fa1, `
Z
SECTION .• 1
9.1 Does your facility use cooling water?
•y El Yes L�J No 4 SKIP to Item 10.1.
E 9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
o, 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
rn NPDES permitting authority to determine what specific information needs to be submitted and when.)
O Y
O rp
SECTIONI VARIANCE REQUESTS41 I
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
v, apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
0 when.)
� ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
R ❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
c ton 301(c)and(g))
Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA IderxifiaUon Number_ — ---NPDES Permit Number L ,aaTiry A� Form MBBNNoo.204DON
_ rUArl
SECTION 11.CHECKLIST AND CERTIFICATION STATE M ENT •1
11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 Column 2
Section f:Activities Requiring an NPDES Permit ❑ w/attachments
[� Section 2:Name,Mailing Address,and Location ❑ wl attachments
Section 3:SIC Codes ❑ w/attachments
Section 4:Operator Information ❑ w/attachments
❑ Section 5:Indian Land ❑ w/attachments
❑ Section 6:Existing Environmental Permits ❑ w/attachments
m
Section 7:Map metopographnc ❑ wt additional attachments
g Section 8:Nature of Business ❑ w/attachments
❑ Section 9:Cooling Water Intake Structures ❑ w/attachments
Y
v
❑ Section 10:Variance Requests ❑ wl attachments
N Section 11:Checklist and Certification Statement ❑ w/attachments
Y
d 11.2 Certification Statement
s
U
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qual i d personnel properly gather and evaluate the
information submitted.Based on my inquiry of the person or persons who manage the system,or those persons
directly responsible forgathering the information,the information submitted is,to the best of my knowledge and
belief,true,accurate,and complete.I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last/name) Official title
Signature Date signed
EPA Form 1510-11(revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105/19
I!t CC t r T E�-fl f 11 OMB No,2040-0004
Form U.S Environmental Protection Agency
2F \`,EPA Application for NPDES Permit to Discharge Wastewater
NPDES STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTIONOUTFALL LOCATIONI
1.1 Provide information on each of the facili 's ouffalls in the table below
Outfall Receiving Water Name Latitude Longitude
Number
0
t DR0WN1gG C
2 1NG
o JJ
10
O e
SECTION • I
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application? J
❑ Yes d No 4 SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected Outfalls Final Compliance Dates
Description of Project (listoutiall numbers) Source(s)of Discharge
Required Projected
u,
E
d
0
n
E
2.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(Optional Item)
❑ Yes ❑ No
EPA Form 3510-21'(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Fan Approved 03105/19'
�• I,�� YT h( T't l t I /� • OMB No.2040-0004
SECTION DRAINAGE Ir GIY fF1.17 V
W 3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
specific guidance.)
N A rL
$ Yes ❑ No
SECTION • • r
4.1 Provide information on the facility's pollutant sources in the table below. Q
Outfall Impervious Surface Area Total SurfaceArea Drained
Number (within a mile radius of the facility) (within a mile radius of the facility)
specify units specify units
specify units specify units
specify units specify units
specify units specify units
specify units specify units
specify units specifyunils
4.2 Provide a narrative descripti of the facility's significant material in the space below.(See instructions for content
requirements.) /A1041C)
'o
w
c
_m
0
rl
4.3 Provide the location and a description of existing structural and non-structur ontrol measures to reduce pollutants in
stormwater runoff. See instructions forspecific
uidance. 0
Stormwater Treatment
Codes
Outfall from
Number Control Measures and Treatment Exhibit
2F-1
st
EPA Form 3510-21'(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
�.... K IEN T--En `'Cr OMB No.2040-0004
5.1 1 certify under penalty of law that the outfall(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, I certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPDES Form 2C, 2D,or 2E application.
Name(print or type first and last name) Official title
8R JCL WES l'R6�G�SS1Qr��L EI gI
Signature Date signed
{ . /O _2 ^ I
N
W 5.2 Provide t e testing in ormation reqv6sted in the table below.
s Onsite Drainage Points
N Ouffall Description of Testing Method Used Date(s)of Testing Directly Observed
o Number
During Test
d
0
o/�G
Z i
SECTION 6.SIGNIFICANT LEAKS OR SPILLS r
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
N
a
rn
`o
Y
N
J
C
V
C
ZT
SECTIONDISCHARGE INFORMATION ,1
See the instructions to determine the pollutants and parameters you are required to mo itor an turn,the tables you must
o com fete.Not all applicants need to complete each tabl .�
7.1 Is this a new source or new discharge?
`o ❑ Yes 4 See instructions regarding submission of ❑ No 4 See instructions regarding submission of
= estimated data. actual data.
d
Tables A,B,C,and D
N 7.2 Have you completed Table A for each oulfall?
❑ Yes ❑ No
EPA Form 3510-2F(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119'
01- � ^f {148(/V LELf i NU OMB No.2040-0004
7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process
wastewater?
❑ Yes [►� No 4 SKIP to Item 7.5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 2E 2 are present in the discharge?
El Yes Exhibit
4 SKIP to Item 7.7.
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. IJ No
7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑ Yes No 4 SKIP to Item 7.10.
7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
= Table C?
G ❑ Yes ❑ No
0
0 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
0 ❑ Yes B17 No 4 SKIP to Item 7.12.
0
ns 7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
concentrations of 10 ppb or greater?
N ❑ Yes ❑ No
7.12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in Item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes YNo
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F are present in the discharge?
❑ Yes No 4 SKIP to Item 7.17.
7.16 Have you listed pollutants in Exhibit 2F-4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17 Have you provided information for the storm event(s)sampled in Table D?
❑ Yes No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification umber NPDES�t Number �� Facility Name Form Approved 03/05119
NA) OMB No.2040-0004
and
a Used or Manufactured Toxics J�!
7.18 Is any pollutant listed on Exhibits 2F-2 through 2F-4 a substance or a component of a substance used or
manufactured as an intermediate or final product or byproduct?
0
❑ Yes� No 4 SKIP to Section 8.
0
7.19 List the pollutants below,including TCDD if applicable.
c 1. 4. 7.
d
2. 5. 8.
U
c 3. 6. 9.
SECTION • •GICAL TOXICITY TESTING D r
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your disc rge within the last three years?
0
c ❑ Yes No 4 SKIP to Section 9.
N
8.2 Identify the tests and their purposes below.
Z' Test(s) Purpose of Test(s) Submitted to NPDES Date Submitted
x Permitting Authority?
0
~ ❑ Yes ❑ No
A
rn
� ❑ Yes ❑ No
0
m
❑ Yes ❑ No
SECTION • • • -I
9.1 Were any of the analyses reported in Section 7(on Tables A through C)performed by a contract laboratory or
consulting firm?
❑ Yes No 4 SKIP to Section 10.
9.2 Provide information for each contract laboratory or consulting firm below.
Laboratory Number 1 Laboratory Number 2 Laboratory Number 3
Name of laboratory/firm
c
0
E
`o
H Laboratory address
T:
A
C
Q
U
N
o Phone number
cr
Pollutant(s)analyzed
EPA Form 3510-217(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Farm Approved 03105119'
� 7 `� KLCE 1 �n 1' OMB No.2040-0004
SECTIrr r ,r w d (d)) 1Y V
10.1 In Column 1 below,mark the sections of Form 2F that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not
all applicants are required to com lete all sections or provide attachments.
Column 1 Column 2
Section 1 w/attachments(e.g.,responses for additional ouHalls)
❑ Section 2 ❑ w/attachments
Section 3 wl site drainage map
❑ Section 4 ❑ w/attachments
❑ Section 5 ❑ w/attachments
❑ Section 6 ❑ w/attachments
E ❑ Section 7 ❑ Table A ❑ w/small business exemption request
❑ Table B ❑ w/analytical results as an attachment
0
❑ Table C ❑ Table D
r
v
❑ Section 8 ❑ w/attachments
c
❑ ection 9 ❑ w/attachments(e.g.,responses for additional contact laboratories or firms)
d Section 10 ❑
c) 10.2
Certification Statement
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Signature Date signed
/v�a7lda-1
EPA Form 3510-2F(Revised 3-19) Page 6

Environmental FirstSearch
25 Mile Radius Era•ieunxe A
" FIRSTS
1 ASTM Map: RMile Radius
ERNS, UST
6 eea+
113 THIRD ST, HILDEBRAN NC 28637
Sf
i q`e
ti
Cline Park Dr
rd 34ve NE w
� z
a
M 3
ve NE
2
1
Ave NE
muumuu
i
I
i
Source:2005 U.S. Census TIGER Files
Target Site (Latitude:35.719426 Longitude:-81.421144)............._.............
Identified Site,Multiple Sites.Receptor......._.................._............................
NPL,DELNPL,Brownfield,Solid Waste Landfill(SWL),Haeardous Waste
Tnballand.............................................................................................
...............
Railroads...........................................................................................................
�' Black Rings Represent 1/4 Mile Radius; Reet Ring Rrpresau;AU)fi.Radius

,v Environmental FirstSearch
.5 Mile Radius FIRS T�'i"➢'"`"
h •r , -y' ASTM Map: CERCLIS, RCRATSD, LUST, SWL
,I
, d . .a
113 THIRD ST, HILDEBRAN NC 28637
21 A,
21
31 �
31
4,
C \
S
S
S
S
1
l
6
/ f / I
1
5
i
i
(
Source:2005 U.S. Census TIGER files
Target Site (Latitude:35.70426 Longitude:-81.421144).............................
Jdentified Site,Multiple Situ,Receptor.........................................................
NPL.DELNPL,Bmwnfield,Solid Waste Landfill(SWL),Hazardous Waste
Tnballand............................................................................................................
Rai6oads...........................................................................................................
Black Rings Represent 1/4 Mile Radius: Red Ring Repmwn.500 fL Radius

Environmental FirstSearch
FIRST
1 Mile Radius
ASTM Map: NPL, RCRACOR, STATE Sites
113 THIRD ST, HILDEBRAN NC 28637
70
4--4-
Source:2005 U.S. Census TIGER Files
Target Site (Latitude:35.719426 Longitude:-3 1.421144).............................
Identified Site,M-Ifipke Sites.Receptor............................................I.............
NPL,DELNPL,Brownfield.Solid Waste Landfill(SWL),Hazardous Waste
T,iballand...................... . ........ ........ . .....
Railroads.............. .. ........ .
Black Rings Represent[/4 Mile Radius; Red Ring Reprecnli 500 ft.Radius

l
Cox
MANUFACTURING
FABRIC SERVICES
OF HICKORY
Y.1
/ SUBJECT
PRO WOODED
a
z
W
KLEEN
TECH
rf
r
C
J
0
KLEEN TECH BURKE GRAPHIC SCALE IN FEET
r ® 3RD ST. NE LOTS 1 & 2 ®0 .5 5
PYRAMID ® HILDEBRAN IMINORTH CAROLINA TAx-mAP I•=225'
ENVIRONMENTAL&ENGINEERING,P.C. nRITAX MAP I niooa-is 2

SITE: LOCATION: HILDEBRAN, NORTH CAROLING
\ r;. ( I w • 1.
' ,_ _ ,,1 1 /o�f� _ �tf • �k�y � • ' a y it 1 �.YI tY
If
i r
c ��dl 1� _ t. • � 1 U _ 1 I � /���,r—Z�, d _. Y ': .
i I lug\ C, � t • . See i ('�� t ilbd 'I
T
�113 rk o 1. ' _ "� • /
14 (Imp
\
USGS IDENTIFICATION SCALES
MSNUTE MAP LONGVIEW, NC 1/2 0 1
ORIGINAL DATE: 1993 MILES:
PHOTOREVISION
DATE: NA 1000 0 2000 4000 6000
FEET:
PRIMARY HIGHWAY, HARD SURFACE 1' — 2000,
SECONDARY HIGHWAY, HARD SURFACE NOTES:►TOPOGRAPHICAL CONTOUR INTERVAL = 20 FEET
U PHOTOREVISIONS DENOTED IN PURPLE
IMPROVED
ROAD HARD OR
SURFACE COUNTY MAP .;L:
UNIMPROVED ROAD
NORTH NORTH CAROLINA
u STATE ROAD
® u.s. RouTE COUNTY: B U R K E
®I INTERSTATE ROUTE APPROXIMATE SRE LOCATION
KLEEN TECH 1 NAM NOTEs
1"�2000 waa•: HM m"oc•,ww:wv usm w ms
W 3RD ST. NE LOTS 1 & 2 1 �•����
••• zooc—lea "�16EO�:.��,,,�w
PYRAM 1 D HILDEBRAN = fo NNORTH CAROLINA B/1{/09 pµ I n..acwa•.wsou w•wu
wuwq ww wwc r�••e uiv swa•�imsw
ENVIRONMENTAL&ENGINEERING,P.C. TOPOGRAPHIC MAP uscsioro

�9
,/ e• I ro t'
t
A
iy
^w r L �R at'oF y
t t
L Y�t L r Ts rlx �y
+ fin jI`
y'
PYRAMID
a �
!rs 1
w ■',bg. ♦ ° ti��gT fa � It Iww� Lry 4�� .� t 1'' � "1
Yyee S55
1 C ' L / . . / 11• • •
5

�1 d
AJ
' 1Y I 9
.. r

urke Goun
Y
is Y
a I
II !I

10231'2019 Burke Dwnty,NC GIB.
DD ! "
D �o
x ,r
,107
•. 1 I a
1T
h
-c
I1 1
1 •`1 R
1
_ .0701
MIr.N�le tii vLenr nrn l 'I H

EPA:dvJ1 z.xn Nurmhar NPOES Pernrit N ff&, Facility t me g}/. Form Approved UJIU5119
TA 11Y it OMB No.2040 0004
Form U.S.Environmental Protection Agency
t ^IEPA Application for NPDES Permit to Discharge Wastewater
tar=o�s GENERAL INFORMATION
o e �1 r
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 trealment works? 1'1'2 treating domestir.sewage?
If yes,STOP.Da NOT complete E No If yes,STOP.Do NOT d No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2,1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal rommerclal,mining,or silvicultural facility that is
production facility? currently discharging process wastewater?
emu
� r`I Yes 4 Complete Form 1 Na [] Yes 4 Complete Form Ef No
and Form 26. 1 and Form 2C.
1.2.3 as the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or siMcultural facility that has not yet commercial,mining,or silvicullwal fadlity that
commenced to discharge? discharges only nonprocess wasle er?
Cr [� Yes 4 Complete Form 1 No [] Yes 4 Complete Form No
°= and Form 2D. I 1 and Form 2E.
1.2.5 is the facility a new or existing facility whose
discharge is composed entirely of stormwater
a associated with industrial activity or whose
discharge is composed of both stormwater and
no •stormwater?......__. . --- - -- -_- ---- - - - --- - _ _
- - Yes 4 Complete Form 1 (] No
and Form 2F
unless exempted by
4©CFR
122.26(b)(14)(x)or
ADDRESS AND i 4{
Z.1 I'aciii Name
Ar N io�
a 2.2 EPA Identification Number
I
o
2.3 Facility Contact
Name(first and last)` � Title Phone� � Phone number
= Email address
I 1 ° 'E 0 �04MIC, co
d 2.4 Facility Mailing Address
Street or P.O.box
City or�t����� statef���Tfi �A R �� �� ZIP code �S b V,,
EPA Form 351 U-1(revised 3-19) Page 1

EPA identification Number NPOES Permit Number facility Name Form Approved 03/05118
T ,t �{ OMB No.2040-0004
H 2.5 Facility Location Y�LC J� )1
2! c Street,route number,or other specific identifier
5 o County name County code(if known)
a
-' City or town Slate ZIP code
z re H cA LI &
SECTION1 NA.IC,S CODES #
3.1 SIC Code(s) Descflpt{on(optional)
_11 1z �92
Q
V
z 3.2 NAICS Code(s) Description(optional)
c�
SECTION 4.
;• -
4.1 Name of Operator _
�tr N TC.CH WC .
0 4.2 Is the name you listed in Item 4.1 also the owner?
oIJ Yes ❑ No
4.3 0 erator Status
0
E! ,❑.!Public—federal El Public—stateEl Other public(specify)
o lJ Private ❑ Other(specify)
4.4 Phone!dumber of Operator
39
4.5 OperatorAddress —
Street a P.O.Box
110 3P-D T. NE
City Or town State ZIP code
A ILOr A
Email address of operator
SECTION r< .r
5.1 Is the facility located on Indian Land?
G J ❑Yes t�'1 No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119
OM6 Na.2040-0004
SECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
a ❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
G water) Fluids)
oin
w a ❑ PSD(air emissions) ❑ Nonattainment program(CAA) ❑ NESHAPs(CAA)
c
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
SECTIONLU
I
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
C specific requirements.)
J Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTION1
8.1 Describe the nature of your business. I 1
JlUGptr
rh
o �
tv
z
SECTION
O! I
9.1 Does your facility use cooling water?
❑ Yes IJ No 3 SKIP to Item 10.1.
i? 9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
aU
, 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
`;5 NPDES permitting authority to determine what specific information needs to be submitted and when.)
o &
o
U
SECTIONI VARIANCE REQUESTSI I
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
N apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
❑ Fundamentally different factors(CWA [] Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
R ❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Z c ion 301(c)and(g))
Not applicable
EPA Form 3510-1(revised 3.19) Page 3

EPA ktenti(eation Number NPDES Permit Number F ty Name Form Approved 03105119
{� ) 1 ft OMB No.2040-0404
CERTIFICATIONSECTION 11.CHECKLIST AND i C r V�J
11.1 in Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Mote
that not all applicants are required to provide attachments.
Column 1 Column 2
Section 1:Activities Requiring an NPDES Permit ❑ wl attachments
Section 2:Name,Mailing Address,and Location ❑ wl attachments
Section 3:SIC Codes ❑ wl attachments
Section 4:Operator Information ❑ wl attachments
❑ Section 5:Indian Land ❑ wf attachments
❑ Section 6: Existing Environmental Pert-nits ❑ wl attachments
-- -
E I Section 7:Map wl topographic
� ma ❑ wi additional attachments
AX,
o Section 8:Nature of Business El wl attachments
❑ Section 9:Cooling Water intake Structures ❑ wl attachments
❑ Section 10:Variance Requests ❑ wl attachments
cd Section 11:Checklist and Certification Statement ❑ wl attachments
CU 11.2 Certification Statement
U
I certify under penally of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted.Based on my Inquiry of the person or persons who manage the system,or those persons
directly responsible for gathering the Information,the information submitted is,to the best of my knowledge and
belief, true,accurate,and complete.I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Signature Date signed
jj I6/a ? 4a41(7
EPA Form 3510-1(revi%P.d 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
K L.r_r ►,1 T E{ f 1 OMB No.2040-0004
Form U.S Environmental Protection Agency
2F epA Application for NPDES Permit to Discharge Wastewater
NPDES 1..1��"'1�, STORMWATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY
SECTION 1.OUTFALL LOCATIONI
1.1 Provide information on each of the facili 's outfalls in the table below _
Outfall Receiving Water Name Latitude Longitude
Number
o �
2 350 , 0 „
J
12
0
SECTION 2.
IMPROVEMENTSl
2.1 Are you presently required by any federal,state,or local authority to meet an implementation schedule for constructing,
upgrading,or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes d No 4 SKIP to Section 3.
2.2 Briefly identify each applicable project in the table below.
Brief Identification and Affected Outfalls Final Compliance Dates
Description of Project r--(list Sources}of Discharge
Required Projected
m
E
m
0
n
E
1
2.3 Have you attached sheets describing any additional water pollution control programs(or other environmental projects
that may affect your discharges)that you now have underway or planned?(Optional Item)
El Yes ❑ No
EPA form 3510-21'(Revised 3-19) Page t

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119'
.—. �KI-Cr_q 7T� ` Il!0. OMB No.2040-0004
1 ' I !�, TT t 1�
SECTION 3.SITE
AINAGE MAP
W 3.1 Have you attached a site drainage map containing all required information to this application?(See instructions for
w W specific guidance.)
Yes ❑ No
SECTION •t i
4.1 Provide information on the facility's pollutant sources in the table below.
Wall Impervious Surface Area Total Surface Area Drained
Number (within a mile radius of the facility) (within a mile radius of the facility)
specify units specify units
specify units specify units
specify units specify units
specify units specify units
specify units specify units
specify units specify units
4.2 Provide a narrative descripti of the facility's significant material in the space below,(See instructions for content
requirements.) /NC �7,
W 4
3
O
V]
C
N
O
q
4.3 Provide the location and a description of existing structural and non-structure ontrol measures to reduce pollutants in
stormwater runoff. See instructions forspecificguidance.)
Stormwater Treatment
Codes
Outfall from
Number Control Measures and Treatment Exhibit
2F--1
list
EPA Form 3510-2F(Revised 3-49) Page 2

EPA Identification Number NPbES Permit Number Facility Name Form Approved 43/05119
Vim,TL- i Cf OMB No.2040-0004
SECTION • •' - } f� L
5.1 1 certify under penalty of law that the outfell(s) covered by this application have been tested or evaluated for the
presence of non-stormwater discharges. Moreover, / certify that the outfalls identified as having non-stormwater
discharges are described in either an accompanying NPD1=S Form 2C, 21),or 2E application.
Name(print or type first and last name) Official title
Signature Date signed
{ a
cn r ! 0 —2 R
Cn 5,2 Provide t e testing in ormation req sted in the table below.
.- Onsite Drainage Points
v Outfall
to Number Description of Testing Method Used Date(s)of Testing Directly Observed
During Test
3
E J rU
o
c
a
z
SECTION +NT LEAKS OR 1 1
6.1 Describe any significant leaks or spills of toxic or hazardous pollutants in the last three years.
A10
0
( IV
N
Y
N
J
C
Cro]
C
SECTION
DISCHARGE INFORMATIONI
See the instructions to determine the pollutants and parameters you are required to mo itor and,I turn,the tables you must
`o complete.Not all applicants need to com fete each tablq(yo Pr
W7.1 Is this a new source or new discharge?
❑ Yes 4 See instructions regarding submission of ❑ No 4 See instructions regarding submission of
e estimated data. actual data.
Tables A,B,C,and D
y 7.2 Have you completed Table A for each outfall?
B ❑ Yes ❑ No
EPA Form 3510.2F(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
OMS No.2040-0004
7.3 Is the facility subject to an effluent limitation guideline(ELG)or effluent limitations in an NPDES permit for its process
wastewater?
❑ Yes [ No 4 SKIP to Item 7.5.
7.4 Have you completed Table B by providing quantitative data for those pollutants that are(1)limited either directly or
indirectly in an ELG and/or(2)subject to effluent limitations in an NPDES permit for the facility's process wastewater?
❑ Yes ❑ No
7.5 Do you know or have reason to believe any pollutants in Exhibit 2F 2 are present in the discharge?
El Yes Exhibit
4 SKIP to Item 7.7•
7.6 Have you listed all pollutants in Exhibit 2F-2 that you know or have reason to believe are present in the discharge and
provided quantitative data or an explanation for those pollutants in Table C?
❑ Yes ❑ No
7.7 Do you qualify for a small business exemption under the criteria specified in the Instructions?
❑ Yes 4SKIP to Item 7.18. LyJ No
7.8 Do you know or have reason to believe any pollutants in Exhibit 2F-3 are present in the discharge?
❑ Yes Er- No-* SKIP to Item 7.10.
7.9 Have you listed all pollutants in Exhibit 2F-3 that you know or have reason to believe are present in the discharge in
w
Table C?
0 ❑ Yes ❑ No
U
0 7.10 Do you expect any of the pollutants in Exhibit 2F-3 to be discharged in concentrations of 10 ppb or greater?
❑ Yes al" No 4 SKIP to Item 7,12.
7.11 Have you provided quantitative data in Table C for those pollutants in Exhibit 2F-3 that you expect to be discharged in
concentration s-of1D_ppb_or_greater?
r
� ❑ Yes ❑ No
7,12 Do you expect acrolein,acrylonitrile,2,4-dinitrophenol,or 2-methyl-4,6-dinitrophenol to be discharged in concentrations
of 100 ppb or greater?
❑ Yes No 4 SKIP to Item 7.14.
7.13 Have you provided quantitative data in Table C for the pollutants identified in item 7.12 that you expect to be
discharged in concentrations of 100 ppb or greater?
❑ Yes ❑ No
7.14 Have you provided quantitative data or an explanation in Table C for pollutants you expect to be present in the
discharge at concentrations less than 10 ppb(or less than 100 ppb for the pollutants identified in Item 7.12)?
❑ Yes [7No
7.15 Do you know or have reason to believe any pollutants in Exhibit 2F are present in the discharge?
❑ Yes No 4 SKIP to Item 7,17.
7.16 Have you listed pollutants in Exhibit 2F4 that you know or believe to be present in the discharge and provided an
explanation in Table C?
❑ Yes ❑ No
7.17 Have you provided information for the storm event(s)sampled in Table D?
❑ Yes No
EPA Form 3510-2F(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number F J_�citity Name Form Approved 03105/19
jt III VVV
L, t/� OMB No.2040-0004
.o Used or Manufactured Toxics
7.18 Is any pollutant listed on Exhibits 2F-2 through 2F--4 a substance or a component of a substance used or
manufactured as an intermediate or final product or byproduct?
0
c_ ❑ Yes No 4 SKIP to Section 8.
0
u 7.19 list the pollutants below,including TCDD if applicable.
c 1. 4. 7.
d
R 2. 5. 8.
U
W
ca L 6. 9.
SECTION 6.BIOLOGICAL TOXICITY TESTING DATA(40 CIFIR 122.21(g)(11))
8.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made on
any of your discharges or on a receiving water in relation to your;�No
rge within the last three years?
c
w
❑ Yes 4 SKIP to Section 9,
8.2 Identify the tests and their purposes below.
Submitted to NPDES
Test(s) Purpose of Test(s) Date Submitted
X Permitling Authority?
0
~ ❑ Yes ❑ No
U
❑ Yes ❑ No
0
0
m
❑ Yes ❑ No
CONTRACTSECTION 9. •• • -i
9. er-o-any-ofAhe-analyses-repor ed-in-Section-T*-Tables-A through-G)-performed-by-a-contrast laboratory or
consulting firm?
❑ Yes Er No 4 SKIP to Section 10.
9.2 Provide information for each contract laboratory or consulting firm below.
Laboratory number i Laboratory Number 2 Laboratory Number 3
Name of laboratorylfirm
Q
v
.y
Laboratory address
a
a
o Phone number
U
Pollutant(s)analyzed
EPA Form 3510-2F(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119'
LK�
A)
r N �] OMB No.2040.0004
SECTION { I
10.1 In Column 1 below,mark the sections of Form 2F that you have completed and are submitting with your application.For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not
all applicants are required to complete all sections or provide attachments.
Column 1 Column 2
Section 1 wl attachments(e.g.,responses for additional outfalls)
❑ Section 2 ❑ wl attachments
Section 3 wl site drainage map
❑ Section 4 ❑ wl attachments
❑ Section 5 ❑ wl attachments
❑ Section 6 ❑ wt attachments
� ❑ Section 7
w El Table A Elwl small business exemption request
w
❑ Table B ❑ wl analytical results as an attachment
0
w ❑ Table C. ❑ Table D
L) ❑ Section 8 ❑ wlattachments
"a
y ❑ ection 9 ❑ wlattachments(e.g.,responses for additional contact laboratories or firms)
Y
Section 10 ❑
10.2
Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information,including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Signature Date signed
� - 1ab � 1��� <�
EPA Form 3510-21'(Revised 3-19) Page 6

Environmental FirstSearch
25 Mile Radius EnAru ra«
FIRSTS k = -
> ASTM Map: RCRAGEN, ERNS, UST
113 THIRD ST, HILDEBRAN NC 28637
,s r
Cline park Dr
a �
rd a4ve NE w
z
L" 3
M
2
d Pie N�
t Ave NE
5ow-ce:2005 U.S Census TIGER Files
Target Site (Latitude:35.719426 Longitude:-81.421144).............................
Identified Site,Multiple Sites.Receptor.. .......................
NPL,DELNPL,Brownfield,Solid Waste Landfill(SWL),Hazardous Waste ®
Triballand............................................................................................................
Railroads...........................................................................................................
Black Rings Represent 1/4 Mile Radius; Red Ring Rcpresew,%1)ft.Radirn

�v Environmental FirstSearch
.5 Mile Radius FY'�" rn`
FIRSTS_
ASTM Map: CERCLIS, RCRATSD, LUST, SWL
CS
113 THIRD ST, HILDEBRAN NC 28637
l
21 \
21
31
41 - —
C
T
S
S
S
S
ra
Source:2005 U.S. Census TIGER Files
Target Site (Latitude:35.719426 Langitude:-81.421144)
Jdentified Site,Multiple Sites,Receptor.......................... ...............
NPL,DELNPL,Brownfield,Solid Waste Landfill(SWL),Hazardous Waste
Tribal l a nd................................................................................--........................ 0
Railroads........................................................................................................... ---
Slack Rings Represent 114 Mile Radius; Red Rine Represeu(,50Q fi.Radius

r
Environmental FirstSearch
1 Mile Radius Esvuty�eat�l •q�,:; -
=r FIRSTS
ASTM Map: NPL, RCRACOR, STATE Sites
113 THIRD ST, HILDEBRAN NC 28637
/ 70
r
%wre:2005 U.S Certstis TIGER Files
Target Site (Latitude:35.719426 Longitude:-S L.421144).............................
Identified Site,Multiple Sites,Receptor..........................................................
NPL,l7ELNPL,Brownfield.Solid Waste Landfill(SW L),Hazardous Waste
Trib a l l an d..........................................................................................................—
Railroads........................................................................................................... ---
Slack Rings Represent 1/4 Mile Radius: Red Ring Rrpre ems Sik}R.Radius

COX
_ MANUFACTURING
FABRIC SERVICES
i OF HICKORY
LL
-f
SUBJECT
I
PROP WOODED
ui
s� ti
s KLEEN
TECH
,I
INIJ
f
�f
z
KLEEN TECH BURKE GRAPHIC SCALE IN FEET
3RD ST. NE LOTS 1 & 2 .5 2 5
PYRAMID NIHILDEBRAN NORTH CAROLINA o I TAX-mAP 1°=225'
ENVIRONMENTAL&ENGINEERING,P.C.12 TAX MAP l 2oas—i s 2

3AM W@
SITE: 3RD� ST. NE LOCATION: HILDEBRAN, NORTH CAROLINA
r ;
!1 i-:. -.� - .} r �/ � - - � � '�..,.'�� ■■■■ I'al F 4 GA J
7 �� I r f' f -.i _ ��/i _ _ '�- Z `• iti af�` s A k a S �1 r +I =a. I S.
�- ' � `sF .a r� - .y:��,_ Rr4�t,-� I of �� ��r �'r_ �•:A'l�e� '� :;_
Ir
1 rI • r i t i S ,S r �njy
f l � gyp} ' ' � ii r�• • � i .� � -,� � � t , .' � r r °
p ! � F} -_rls• 7 ■ rWTi,r
Aid
al
- �J■!7 ■ r f• •
4 i f
'r1! y 8 �y4;r r � ■` • ll •l- • t ! I f • 1tyI/ ♦ •
IT
f'e�a a e y' �\ � � �~ t r,,ls-fir ••^t _ ,?��,. - 7{i •s= • ° _ 1� • -
•i"" 11 f( N !• .'•: r •►h: �:- m�i ,o•, °� . ' +��_ f�r')� k�>}< � f' (�t'';� /�y `y �
USGS IDENTIFICATION SCALES
USGS 7.5 LONGVIEW, NC i 2 0
MINUTE MAP > 1
ORIGINAL DATE: 1993 MILES:
PHOTOREVISION
DATE: NA 1000 0 2000 4000 6000
FEET:
— PRIMARY HIGHWAY, HARD SURFACE_ 1" = 2000'
�_ — - SECONDARY HIGHWAY, HARD SURFACE� NOTES:®TOPOGRAPHICAL CONTOUR INTERVAL = 20 FEET
®PHOTOREVIS*NS DENOTED IN PURPLE
LIGHT-DUTY ROAD HARD OR
— — IMPROVED SURFACE COUNTi MAP 0F:
MAGNETIC NORTH NORTH CAROLINA
UNIMPROVED ROAD
O STATE ROAD
U.S. ROUTE B U R K E
COUNTY:
0 INTERSTATE ROUTE APPROXIMATE SITE LOCATION
7KLEEN TECH KAM
NOTES
I"72000' T K: HM I roFocnAaM ww wm w nns
3RD ST. NE, LOTS 1 & 2 gym'„
aT� ' 2009-789 ceoP= kGk oersx j OF
PYRAMID ' ° °" "°"" ""
HILDEBRAN �'� NORTH CAROLINA BI14/09 "P`pµ 1
owrwo riwc �ra■E xurex n■s ww JCf$Ts D numrsu
ENVIRONMENTAL&ENGINEERING,RC, TOPOGRAPHIC MAP usGsroPO = �'�`"`"`Y�`"°""�

t
NU� RING
ift
tow
� -'... p
t S �
9
t
i 5
tz
������ J�?�� �.-�to X � k 3, 4'f�'�' s �t�•� .
r y
a 1 �fe
Y l F y�4 -
{a J 1 f:
i 4 kLEEN
TECH
•fR� � I�
E Ic
KLEEN TECH JWJ BUR GR
APHIC SCALE IN FEET
3RD ST. NE LOTS 1 & 2 8 14 09 0 _ 112s 225
PYRAM I D N HILDEBRAN m NORTH CAROL lNA 2009- 199 225`-
ENVIRONMENTAL&ENGINEERING,P.C. 2 2005 AERIAL PHOTOGRAPH FIGURE 3

I!! I I
Yl r•�
JJ
iv
ry
cc
r.-
I
r.
tv
8
r;
N -
oG -
r-
r•i
1
ttivV��
29
co
N u i C,
i•J
i ry r a
u=1
i4 r•
iY t_I "1' iw
CIA
r r iV
r-- J
i f

Y
t>
�' •}ram. �• '• , � �h
•. yr . 'w -- _'. a::h 4
rf-
'n: J
f I
r
r F
1.

f
Fl-
111,-
MrN
as—
H
• 1
1 h-
rFS��' k�~ L �` � � •fir,. rP µ" �� � �k, � - -
IJ __ i5 t�i►` 1 4`1 u