NC0025534_Tax Certification_20230308

Haynes Wire Company
158 N. Egerton Road
Hendersonville, NC 28792
March 2, 2023
NC Division of Water Resources
Surface Water Protection Division
1617 Mail Service Center
Raleigh, NC 27699-1617
-10Mt. ft �
MAR 0 S 2UL3
NCDEQ/DWR/NPDES
Enclosed please find the completed application to exempt waste water treatment equipment for Haynes
Wire Company.
Should you have any questions, I can be contacted via email kmazankowski ha nesintl.com or by
phone at 828-393-1214.
Regards,
Ken Mazankowski
Finance Manager

TCN:
This application is to be used only for waste treatment systems and equipment Rev.
under the authority- of the NC Division of Water Resources (DWR) 01/29/2016
4111111111
DIRECTIONS: Complete and mail signed copies of the application form and all supporting information to both: 1) the County Tax Administrator for the County in which the facility is located (one copy)
AND 2) to the NC Division of Water Resources, Surface Water Protection Section, 1617 Mail Service Center, Raleigh, NC 27699-1617 (two copies). Type or print in blue or black ink. A separate
application package is required for each facility where property proposed for tax certification is located.
THIS APPLICATION WILL NOT BE PROCESSED WITHOUT COMPLETE AND ACCURATE INFORMATION. If you have any questions regarding this application, please call the local tax office or the
NC Division of Water Resources at 919/807-6300 or their web site at ht-s:/Iox.de;.: rod.nc. ov/about/divisions/water-resources/water-resources- ermits/wastewater-branch/nL des-wastewater/tax-
certifcation for more specific contact information.
Please Note:
a) Tax Certifications will only be processed for facilities under the authority of the DWR and only if the DWR has found that the described property:
1. Has been or will be constructed or installed;
2. Complies with or that plans therefore which have been submitted to the DWR indicate that it will comply with the requirements of the Environmental Management Commission;
3. Is being effectively operated or will, when completed, be required to operate in accordance with the terms and conditions of the permit, certificate of approval, or other document of approval
issued by the DWR; and
4. Has or, when completed, will have as its PRIMARY rather than incidental purpose the reduction of water pollution;
5. Is being used exclusively (100%) for waste treatment.
b) If approved, the Tax Certification issued will incorporate all requested assets at the facility that meet the criteria for Tax Certification by DWR. Therefore this application must include any new assets
for which Tax Certification is beft requested, as well as any assets previously receiving Tax Certification from DWR for which Tax Certification is still needed.
A. Applicant (Ap licant is the owner of, and ta-pa} er for, the propem described in this a .plication for tax certification.I
Name of Applicant:
Name of Facility:
Haynes Wire Company
NC Mountain Home
Address of Applicant, if different from facility where property located:
Physical Address of Facility where property located (no P.O. Box):
158 N Egerton Rd Hendersonville NC 28792
(address) (city)
(zip)
(street address) (city) (zip)
Business Relationship of Applicant to facility where property located:
Henderson
Counts where ro em located:
Owner
Name of Contact Person at Facility where property located:
Ken Mazankowski
Does the Applicant hold any NC Division of Water Resources Permits?
© Yes / ❑ No
828-393-1214
Title: Finance Manager Phone Number:
ifves, please list
Permit Nots): Hendersonville POTW NSU-07 (Pipe 001), NC DEQ Div. of Energy, Mineral and Land Resources NCS000209
If approved, will this be the first Tax Certification issued for this Facility?
If no, attach any previously issued
Yes / El No
tax certifications
B. Complete this Section on-ly if the Operator/User of the facility and equipment
is different from the Owner of the facili .
Name of Operator/User:
vperatoraser Address:
(address)
Operator/User Contact Name:
Relationship between Operator/User of facilin• and et u ment and
(city)
*** ATTACH A PROCESS SCHEMATIC TO YOUR APPLICATION The number of each item for which Tax Certification is being requested must be shown on the schematic *** Application continues on
Next page

DIVISION OF WATER RESOURCES TAX CERTIFICATION & EXEMPTION APPLICATION PAGE 2
Waste Treatment Systems & Equipment: Waste treatment systems & equipment must be used exclusively for the abatement of water pollution Rey. 091(1/n013
Was asset listed in I Asset Number,
p Description ( )
ur om Appw.dv pticn of Waste Treatment Systems or Equipment the permit YesMo 'Vehicle Identification
rammaua Number (VIN)
HWC Cleaning HouseNVater Treatment Em Improvement NO 07-10051
%ottime item is
How is this equipment used for pollution abatemem? used for pollution
abatement
Year of
Acquisition
2022
gins Is this asset
Od I Historical replacing a prior
Cost..
299,157 as set?
NO
Tleahremal,nasteveter resuhtng from the—rafastudng p.om..
100%
e
Adach atldgional page. if necessary — - -
Ir the asset is listed in the DWq permil, the descdprion mual be identical as lisled on nm current perme. If the a.ael to nor.pacirically listed in the DVM panne. the applicant must attach detailed inrormatlon as to ahy the a ... I vhould quality for Tax Cwfirication.
when =ilyina syatema or equipment. DENR es not candying the oast or the equipment or the year of acquisition,
Facilities: To qualify for tax certification, the building or section of building being applied for, must be used exclusively for water pollution prevention. A sketch of the building, square footage along with details
as to how the building is used for water pollution prevention, is required.
Land: To qualify for tax certification, the land must be used exclusively for water pollution prevention. A schematic diagram of the facility detailing the land being applied for is required. The amount of land
(acreage) is required and how this land is being used to prevent water pollution. For wastewater treatment and irrigation system list separately the acreage used for actual treatment from the acreage required by
the facility's water quality permit for buffers and setbacks.
SIGNATURE:
I hereby certify that the above equipment, facilities and/or land are used for the purpose stated, and that the information presented in this application is accurate, Furthermore, I certify that any portable or mobile
equipment listed on this lication will be used exclusi a state of North Carolina.
Applica
Signature: /� ,,�/
` ��entation
Title�jPF✓le/ta ���-U Date:.r'�7/'►l�rQ' I-F7�a3(print name also) JNOTICE: The penalty for false stateion Of:
herein includes imprisonment and / or the assessment of civil penalties. (Name of Applicant Business Entity) rc.yo

HAYNES WIRE WASTE WATER PROCESS FLOW CHART
Cleaning house department Waste water department
Chemical and rinse water process tanks Waste treatment tanks
Used Chemicals/Rinse water sent from Cleaning house to Waste water dept. to be treated then discharged to
POTW connection point and sent to The City of Hendersonville WWTP per our Waste Water Treatment permit.