HomeMy WebLinkAboutNCG500612_Complete File_20151123as
North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
November 23, 2015
Mr. Larry D. Booth
Pleasant Garden Enterprises, LLC
100 Ashe P1
Chapel Hill, NC 27517
Subject:Rescission of Certificate of Coverage
NCG500612
Pleasant Garden Enterprises
Guilford County
Dear Mr. Booth:
Division staff has confirmed that the subject Certificate of Coverage (CoC)
is no longer required. Therefore, in accordance with your request, NPDES
CoC NCG5OO612 is rescinded, effective immediately.
If in the future your
State's surface waters,
NPDES permit.
company wishes to discharge wastewater to the
it must first apply for and receive a new
If you have any questions concerning this matter, please contact Charles H.
Weaver at (919) 807-6391 or via e-mail [charles.weaver@ncdenr.gov].
Sincerely,
�Z411_
for S. Jay Zimmerman, Director
Division of Water Resources
cc: Winston-Salem Regional Office / Mike Mickey
NPDES Unit
Teresa Revis / Budget
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: 919 807-6300 / FAX 919 807-6489 / Internet: www.ncwater.org
An Equal Opportunity/Affirmative Action Employer - 501/o Recycled/109/6 Post Consumer Paper
AILWA
• Division of Water Resources / WQ Regional Operations Section
���� National Pollutant Discharge Elimination System
NCDENR
RESCISSION REQUEST FORM — General Wastewater
_v..Acw _r+r onC'~l.�Urt�R!9W Cr,
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Please fill out and return this form if you no longer need to maintain your NPDES Wastewater Permit.
1) Enter the Permit number to which this request applies:
MUMBEEMEHI
2) Owner/Facility Information: • Final correspondence will be mailed to the address noted below
Owner/Facility Name: Pleasant Garden Enterprises, LLC
Facility Contact: Larry D. Booth
Street Address: 100 Ashe Place
City: Chapel Hill State: NC ZIP Code: 27517
County: Guilford E-mail Address: Ibo.booth@agmail.com
Telephone No. (919)-740-8076 Fax:
3) Reason for rescission request (This is req_u_i_red information. Attach separate sheet if necessary):
❑ Facility closed or is closing on No discharge surface waters.
❑ Facility sold to
LE
4) Certification:
on
/2 /a- 7"llJeot�/�iC.
F,V, )[.Z' j�r✓T G4AADl-'
,A/C
7-
S7b/zrRaG�,
I, as an authorized representative, hereby request rescission of coverage under the NPDES Wastewater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete.and accurate.
Signature
Print or type name of person signing above
Date fz-,7,2 -aoi�
Title
Please return this completed rescission request form to: NPDES Permits Unit
Attn: Charles Weaver
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1617 Mail Service Center, Raleigh. North Carolina 27699-1617
Location 512 N. Salisbury St Raleigh, North Carolina 27604 One
Phone 919-807-6300 1 FAX,919-807-6492 1 Customer Service 1-877-623-6748 North Carolina
Internet www ncwaterquslity org NaturallyAn Equal Opportunity 1 Al6me m6Act
ion tion Employer
Weaver, Charles
From: Mickey, Mike
Sent: Monday, November 23, 2015 11:10 AM
To: Weaver, Charles
Cc: Bowden, Kevin
Subject: FW: FW: Overdue Annual Permit Fees - NCG500612 - Pleasant Garden Enterprises
Attachments: NCDENRjpeg
Charles —The attached rescission form was just emailed to me. Can you process it? This permit needs to go
away. Thanks, Mike.
Mike.Mickev@NCDENR.gov
NC DEQ Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: (336) 776-9697
From: Larry Booth [mailto:lbo.booth@gmail.com]
Sent: Monday, November 23, 2015 10:50 AM
To: Mickey, Mike <mike.mickey@ncdenr.gov>
Subject: Re: FW: Overdue Annual Permit Fees - NCG500612 - Pleasant Garden Enterprises
Dear Mike,
Attached is the signed document.
Larry Booth
------------------
On Fri, Nov 20, 2015 at 9:24 AM, Mickey, Mike <mike.mickeykncdenr.gov> wrote:
Larry — Thanks for letting me know. To make it official, could you please complete Items 3 & 4 of the attached permit
rescission form? Just scan and email back to me or mail to the address listed on the form. This will stop future annual
fee invoices from being sent.
Let me know if you have any questions. Thanks, Mike.
From: Larry Booth [mailto:lbo.booth@gmail.com]
Sent: Friday, November 20, 2015 8:35 AM
To: Mickey, Mike <mike.mickey@ncdenr.gov>
Subject: Re: FW: Overdue Annual Permit Fees - NCG500612 - Pleasant Garden Enterprises
Dear Mike,
I wish to not renew the boiler blowdown discharge permit.
1
The boiler has not been operated since Hooker Furniture
last used it in 2005. I purchased the facility in 2006 from
Hooker Furniture. The property basically remains vacant
at this time.
Thank you for your service, and your notification.
Very truly yours,
Larry D. Booth
On Tue, Jun 30, 2015 at 3:05 PM, Mickey, Mike <mike.mickey_(a�_ncdenr. og_v> wrote:
Larry — Thanks for talking with me this afternoon. It is my understanding that you wish to keep the above
general permit current should you need to discharge boiler blowdown from the Thrower Road facility in the
future. As I explained, the permit expires on July 31, 2015. However, before the Division can renew the
permit, the delinquent annual fees for 2013, 2014 and 2015 will need to be paid. The invoices are attached
and should to be processed immediately. Upon payment, the new permit will be sent to the 100 Ashe Place
address. Let me know if you have any questions. Thanks, Mike.
From: Bowden, Kevin
Sent: Monday, June 22, 2015 8:50 AM
To: Mickey, Mike
Subject: Overdue Annual Permit Fees - NCG500612 - Pleasant Garden Enterprises
Mike,
Attached are the three overdue annual permit invoices. If Mr. Booth desires to keep the permit, the invoices
are overdue and payable. Thanks. kevin
Kevin Bowden
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
(phone) 919.807.6397, (fax) 919.807.6494, (e-mail) Kevin.Bowden@,ncdenr.gov
2
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, PE
Governor Director
December 6, 2012
Mr. Larry D. Booth
Pleasant Garden Enterprises, LLC RECEIVED
100 Ashe Place
Chapel Hill, NC 27515 DEC 112012
Subject: NPDES General Wastewater Permit CENTRAL FILES
Pleasant Garden Enterprises, LLC DWOIBOG
(formerly the Hooker Furniture facility)
Permit No. NCG500612
Guilford County
Dear Mr. Booth:
Dee Freeman
Secretary
On December 5, 2012, Mike Mickey of this office met with you to perform a General Wastewater
Permit Inspection at the Pleasant Garden Enterprises facility at 1212 Thrower Road. Currently, the boilers
are not operated. Hooker Furniture previously fired the boilers with sawdust prior to closing in 2005. At
present you are operating a printing operation in one area of the facility that is heated using a space heater.
It is our understanding that there are; no plans to operate the old boilers. If that is the case, the
present permit could be voided. Attached is the necessary rescission form. Please complete and mail to
the address listed in Raleigh. Once rescinded, the annual permit fees will cease.
If at some future time it becomes necessary to discharge non -contact cooling water, cooling tower or
boiler blowdown wastewater, you can simply reapply for coverage under the general permit.
Should you have any questions concerning this letter, please contact Mike Mickey or me at (336)
771-5000.
Sincerely,
cc: Central Files — SWP
WSRO
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: 336-771-50001 FAX: 336-771-46301 Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
W. Corey Basinger
Water Quality Regional Supervisor
Surface Water Protection Section
NorthCarolina
An Equal Opportunity 1 Affirmative Action Employer
IWA
'4 • • Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NCDENR
NORfMCApO1JNADEPARTMENT OF ENVIRONMEIf� AND NARIRAL RESOURCES RESCISSION REQUEST FORM — General Wastewater
FOR AGENCY USE ONLY
Date Received
Year
Month Day
Please fill out and return this form if you no longer need to maintain your NPDES General Wastewater Permit.
1) Enter the Certificate of Coverage No. to which this request applies: N C G 5 0 0 6 1 2
2) Owner/Facility Information: * final correspondence will be mailed to the address noted below
Owner/Facility Name:
Facility Contact:
Street Address:
City:
County:
Telephone No.
Pleasant Garden Enterprises LLC
State ZIP Code
E-mail Address
Fax:
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
❑ Facility closed or is closing on . All industrial activities have ceased such that no discharges of cooling
water or boiler blowdown are discharged to surface waters.
❑ Facility sold to on . If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES General Wastewater Permit
for the subject facility. I am familiar with the information contained in this request and to the best of my knowledge and
belief such information is true, complete and accurate.
Signature
Print or type name of person signing above
Date
Title
Please return this completed rescission request form to: NPDES Permits Unit
Attn: Charles Weaver
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: 919-807-63001 FAX: 919-807-64921 Customer Service:1-877-623-6748 NOrthCaTOlina
Internet: www.ncwaterquality.org ���`�
An Equal Opportunity 1 Affirmative Action Employer �!lxtu
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 15I 31 NCG500612 111 121 12/12/05 117 18I C I 19I S I 20I I
Remarks
211111111111111111111111111111111111111111 11111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved --------- -----------
67I 169 70131 711 I 721 NJ 73I I 174 751 I I I I I I 180
I —I —I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
10:40 AM 12/12/05
07/08/01
Pleasant Garden Enterprises
Exit Time/Date
Permit Expiration Date
1217 Thrower Rd
Pleasant Garden NC 27313
11:05 AM 12/12/05
12/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Larry D Booth,100 Ashe PI Chapel Hill NC 27517//919-740-8076/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Michael M Mickey WSRO WQH336-771-5000/
�a-
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1
Permit: NCG500612
Inspection Date: 12/05/2012
Owner - Facility: Pleasant Garden Enterprises
Inspection Type: Compliance Evaluation
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: The former Hooker Furniture facility closed in 2005. Previously, they had a
discharge from boilers fired by sawdust. The discharge ceased at closing. The building
was bought by Pleasant Garden Enterprises, LLC (Larry Booth). Currently, Larry is
operating a very small printing operation in one room of the building on the south side of
Thrower Road that is heated using a space heater. (Note: he also owns the building on
the north side of Thrower Road, but has nothing to do with the lumber drying operation
that is adjacent to the north building). Since no discharge is planned in the near future,
a rescission form is to be sent.
Yes No NA NE
❑ ❑ M ❑
■❑❑❑
❑ ■ ❑ ❑
■❑❑❑
■ ❑ ❑ ❑
Page # 3
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
July 30, 2007
Larry D. Booth
Pleasant Garden Enterprises, LLC
100 Ashe Place
Chapel Hill, NC 27517
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Subject: Renewal of coverage / General Permit NCG500000
Pleasant Garden Enterprises
Certificate of Coverage NCG500612
Guilford County
Dear Permittee:
In accordance with your renewal application [received on January 8, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG500612 to discharge under NCG500000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Winston-Salem Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Jim
McKay [919 733-5083, extension 595 or james.mckay@ncmail.net].
Sincerely,
for Coleen H. Sullins
cc: Central Files
Winston-Salem Regional Office / Surface Water Protection
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarolina
Phone: 919 733-5083 / FAX 919 733-0719 / Internet: www.ncwaterquality.org Naturally
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG500000
CERTIFICATE OF COVERAGE NCG500612
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Pleasant Garden Enterprises, LLC
is hereby authorized to discharge Boiler Blowdown from a facility located at
Pleasant Garden Enterprises
1212 Thrower Road
Pleasant Garden
Guilford County
to receiving waters designated as an unnamed tributary to Polecat Creek in subbasin 30609
of the Cape Fear River Basin in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective August 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 30, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Michael F. Easley, Governor
,1 AT�q�
�O G
January 8, 2007
Larry D. Booth
Pleasant Garden Enterprises, LLC
100 Ashe Place
Chapel Hill, NC 27517
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: NPDES Permit Modification
Permit NCG500612
Pleasant Garden Enterprises, LLC
formerly Guilford Plant
Guilford County
Dear Mr. Booth:
Division personnel have reviewed and approved your change of address request of the subject permit, received on
January 4, 2007. This permit modification documents the change in ownership.
Please find enclosed the revised permit including a copy of the Certificate of Coverage for your treatment facility,
a copy of the General Wastewater Discharge Permit NCG50000, and a copy of a Technical Bulletin for General
Wastewater Discharge Permit NCG500000. All other terms and conditions contained in the original permit remain
unchanged and in full effect. This permit modification is issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions concerning this permit modification, please contact the Point Source Branch at (919)
733-5083 extension 363.
Sincerely,
CA �L'
0 AlanW. Klimek, P.E.
cc: Central Files
Winston-Salem Regional Office, Surface Water Protection
NPDES Unit File
W Cary ma
'Nal !y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service
Internet: h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX (919) 733-2496 1-877.623-6748
An Equal Opportunity/Affirmative Action Employer — 500% Recycled/100% Post Consumer Paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG500000
CERTIFICATE OF COVERAGE No. NCG500612
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER BLOWDOWN,
CONDENSATE AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
PLEASANT GARDEN ENTERPRISES, LLC
is hereby authorized to discharge boiler blowdown from a facility located at
PLEASANT GARDEN ENTERPRISES,LLC
1212 THROWER ROAD
PLEASANT GARDEN
GUILFORD COUNTY
to receiving waters designated as an unnamed tributary to Polecat Creek, a class WS-III stream in the Cape Fear
River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, III, and IV hereof.
This certificate of coverage shall become effective January 8, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 8, 2007.
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
0
HOOKER
FURNITURE
Easy Elegance • Since 1924
November 28, 2006
NCDENR
ATTN: Charles H. Weaver, Jr.
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
REF: General Permit NCG500000
Dear Mr. Weaver:
D
DEC ®r 2006
This letter is to inform you that Hooker Furniture Corporation no longer owns the
facility located at 1212 Thrower Road in Pleasant Garden, North Carolina.
Therefore, Hooker Furniture wishes not to renew the NPDES permit for this facility.
I will however forward the permit forms with the cover letter to the new owner for
his review. It is always a pleasure working with professionals like you and I look
forward to working with you again in the future. If you have any questions please
feel free to contact me.
Sincerely,
A� - A L-
David S. Davis
Director of Engineering
(276)632-1763 ext. 3435
cc: Mr. Larry Booth
Jack H. Garrison, Jr.
David S. Davis • Director - Engineering
P.O. Box 4708, Martinsville,' Virginia 24115 • 276-632-1763 • Fax: 276-656-3338 • Email: ddavis@hookerfurniture.com
www.hookerfurniture.com
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NA WOWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit
(or)
Certificate f Cov ge
INICI
N I
C I G
0 I
00d
11. Permit status prior to status change.
a. Permit issued to (company name):
h'e,�Ae TU,em
TUE
b. Person legally responsible for permit•.
1-44khfS
A-
C 4yxAe
Fast / eat /
Last
UL P-AC51aF1
/i Ov=
I: 0. if OX
Titls
'f7d
e
Pemit Holder
%yiwwasJvcc'e—
Mail
&/t
Address
City
(24.) e S?- — /7&3
State
Zip
Phone
Fax
c. Facility name (discharge):
/i'�ne� �7/�/�Yaec
�s LbG._g�7ort%
d. Facility address:
/Z!2 7A
ob-4e
e �QdP
6.4,9Pkv
Address
jtle
2721'S
City
State
Z+P
e. Facility contact person:
Di V'e p S. /ai 4yiS
(Z7016
2-! 763 1G3 �cS�
First / MI. / last
Phone
M. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
V" Name change of the facility or owner
If other please explain:
b. Permit issued to (company name): HA45A� 4!5;iepi
c. Person legally responsible for permit: ZACWJ! -V. �ppyrfj
Fast / eat / Last
Sl aoNT
Trle
/00 4 "AP44GE
Permit Bolder Mailing Address
Ale. 775717
city sun
(YM7¢0 - 8076
Phone Emg Address
d. Facility name (discharge): `- S,QyV7-' Cj ¢Q / JFNiWQQ/1;1, .�-, GGG
e. Facility address: !21 ZGvE� �Lo/¢li
Address
2y�.y �ti C 27313
city state zp
f. Facility contact person: ;9, -Fco-ff
Fast / Ml / Last
(y0+)7�o 6076
L INDACE Phone E-mailAddmss
i .
Revised 7n005 [AN f
PERMIT NAMFJOWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information: (if different from the person legally responsible for the permit)
Permit contact: LR�R y -� Z347orEl
First / MI / Last
Title
/O� ASNE �qc�
Mailing Address
Al 6, E7s/ 7
ry State zip
&70 /bo. boo t`h 9rr1a'/. rem
V. Will the permitted facility continue to conduct the same industrial activities conducted prior to
this ownership or name change?
❑ Yes y14,0EHOkS/.�lj
f3( No (please explain) -'*9XO u/o00 IOA Alerl /i79,t�y�Ao>�/2i✓y
VI. Required Items: THIS APPLICATION WILL BE RETCrRNED UNPROCESSED IF ITF,!►IS ARE
INCOMPLETE OR MISSING.
10 This completed application is required for both name change and/or ownership change requests.
Al Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or a bill
of sale) is required for an ownership change request. Articles of incorporation are not sufficient for
an ownership change.
............:..................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and the new
applicant in the case of an ownership change request. For a name change request, the signed Applicant's Certification
is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
attest that this application for a namelownership
change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required
parts of this application are not completed and that if all required supporting information is not included, this
application package will be returned as incomplete.
-A !;, (,;_- -I , - (<:�,
SignatLm Date
APi LICANT CERTIFICATiON.-
1, L ARR y T,% ,Boo >y , attest that this application for a namelownership
change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required
parts of this application are not completed and that if all required supporting information is not included, this
application package will be returned as incomplete.
sipfatm Date
..................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2005
BILL OF SALE
This BILL OF SALE (the `Bill of Sale") is executed and delivered pursuant to
Section 0(c)(ii) of the Purchase Contract, dated as of November 8, 2005 (as heretofore amended
and supplemented, the "Purchase Contract"), originally between Hooker Furniture Corporation, a
Virginia corporation ("Seller" ), and Larry D Booth, an individual doing business as Booth
Enginecring Co., a sole proprietorship, and subsequently assigned to and assumed by Pleasant
Garden Enterprises, 11,C, a North Carolina limited liability company ("Buyer"), under the
Assignment and Assumption of Purchase Contract and Fourth Amendment to Purchase Contract,
dated as of May 17, 2006.
1 i i n Capitalized terms used herein without definition shall have the
respective meanings given to them in the Purchase Contract
2. Sale and Transfer of Personal Property. For the consideration set forth in the
Purchase Contract and other good and valuable consideration, the receipt, adequacy and
sufficiency of which are hereby acknowledged, Seller hereby sells, transfers, conveys, grants and
delivers to Buyer, effective as of 12:01 a.m. EDT on May 17, 2006, all of Seller's right, title
and interest in and to all of the personal property (the "Personal Property") described on
Schedule A hereto.
3, Further Actions. Seller covenants and agrees to warrant and defend the sale,
transfer, conveyance, grant and delivery of the Personal Property hereby made against all
persons whomsoevet claiming by, through or under Seller, but not otherwise, to take all steps
reasonably necessary to establish the record of Buyer's title to the Personal Property and, at the
request of Buyer, to execute and deliver futther instruments of transfer and assignment and take
such other action as Buyer may reasonably request to mote effectively transfer and assign to and
vest in Buyer the Personal Property, all at the sole cost and expense of Seller.
IN WITNESS WIMEOF, Seller has executed this Bill of Sale as of May 17, 2006.
HOOKER FURNITURE CORPORATION
By:
(.-Lai i(Ye.
yder
Exccut Vice residen Finance and
Administration
I
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, P.E., Director
May 13, 2003
Mr. Scott Prillaman
Hooker Furniture Corporation
P.O. Box 789
Pleasant Garden, NC 27313
,Tk?OW,A
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: General Permit No. NCG500000
Pleasant Garden Plant
COC NCG500612
Gui 1 ford County
Dear Mr. Prillaman:
In accordance with your application for a discharge permit received on March 27, 2001
we are forwarding herewith the subject certificate of coverage to discharge under the subject state
— NPDES general permit. This permit is issued pursuant to the requirements of North Carolina
General Statute 143-215 .1 and the Memorandum of Agreement between North Carolina and the
US Environmental Protection agency dated May 9, 1994 (or as subsequently amended).
This general wastewater permit for boiler blowdown replaces your previous individual
wastewater permit, NC0001171, which is hereby rescinded since your wastewater is now
discharging to the City of Greensboro POTW.
If any parts, measurement frequencies or sampling requirements contained in this permit
are unacceptable to you, you have the right to request an individual permit by submitting an
individual permit application. Unless such demand is made, this certificate of coverage shall be
final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to
the Division of Water Quality. The Division of Water Quality may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land
Resources, Coastal Area Management Act or any other Federal or Local governmental permit
that may be required.
If you have any questions concerning this permit, please contact Aisha Lau at telephone
number (919) 733-5083 ext. 578.
Sincerely,
Original Signed By
WILLIAM C. MILLS
Alan W. Klimek, P.E.
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone 919-733-5083 FAX 919-733-9919
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
cc: Winston-Salem Regional Office
Central Files
Stormwater and General Permits Unit Files
Compliance Unit — Robert Farmer
Budget Dept. — Fran McPherson
NPDES Unit Files
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG500000
CERTIFICATE OF COVERAGE No. NCG500612
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER BLOWDOWN,
CONDENSATE AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Hooker Furniture Corporation
is hereby authorized to discharge boiler blowdown from a facility located at
Pleasant Garden Plant
1212 Thrower Road
Pleasant Garden
Guilford County
to receiving waters designated as an unnamed tributary to Polecat Creek, a class WS-III stream in the Cape Fear
River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, III and IV hereof.
This certificate of coverage shall become effective May 13, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 13, 2003.
Original Signed By
WILLIAM C. MILLS
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
'}k'E.tt �t:� �.� rt� •t j'' `LR JJ i _ " a},�-> ' `,t n 1 •�,�, f
i F
r
r;J,u
y _
f•. t- _J� f� ,
Wit
y jjj���
\ I ti
r rj .' a7s J4�s✓ti � i Ir' �-..,.�.�±q `�." ,'`+j c....�.... Y'.� .\\
.,t 3t.:7 j i • `,. \1f(e �` 1 ,
jJ
r a 4r,t i��, ✓ � �� � t ',�3 �� ''�`ir75' � F/.'---, ! � i �,�t1 :� - }i - ^`` ,t..
�' t err $ % ' � � ,�./ Y ( � ' � � �,t r, j'� �,� � •`f
t
d
y�
;`7 /'^'\.-',`s��ti+c.r ��.:'�.� :• .,;�� :` t t � ;.y y 1 �.
fat
efv is 1
ppJ _ t
l�X �� � `• t'}7 �/fit '�fy � � t F• �. ���>�jCi��[-•i..��i��f t ,'.: � i` t't 5� C.'
dn
OTT
/ Fc
fit;Ij�_ �. C. '-lr r "� ) ��33 ` -'�' ) ,Iltll,, •<` /
�Ff t {,`."
•
Mi
p
/( � t'.Loom
try
t
7,T
1 v
j
,�'�.., ( nj,�N . v/ � � 1.✓,,�y !/ 1 ,l �k r�..-� s, � ��t � C � �' 3 � r 'r - s
,y[ iter �N ✓v,
<`� ;j,f` - ��«.f_ - '' em f .�` 'if • '� � .'tom'` `'` `t }1:�b f. � v t'.�4,{t./(� �., m
Al
.^ t ! i •.. � � � �~�'+ _,� .,_a,.`?'"„�jt ... _ .�''+''+ -; :SSIir�iat Ui � J :' \ -e=� ,� LLzp�- .ate
ri���t ., 's a 9`��.• �/� v`_�'` � l t.SAW
}
Copyright (C) 1997, Maptech, Inc.
aul Valaelry 'L661 (0)14DUMOO
� 1t I
J � � � � r, �� y � _� � � � r—� `l sue..»- '`, 5 ' 9 f , .,�:. � -.- i 1i t•1_!.-"`-,C
y ✓ ti Jj }! f
.S l) t t r
lr _.# # /•, �� i�j�7j t S ��,�i,„�y.,,—,..,`,..,.5 �-• 4 j� /_' I��f ( '\ % * e!f
=:;•ems r i '' ! rwiln
JtI
f'. '� ,% ! � 'a,;'• -u[i .fir"1,•. ,y „�.rlJ � �l� n.� !�•...�s i! �� � :� ` ,/Jtr �ti� -��
t'A .. N .i ) 1 �/•�.�r•,g f "�,`�: „_, s , t� ,/ �..y r t 1 _ l� '�J a �� .r.��.� `\� r./ � r�:.-�/il. li�(,�°`J-..''� v! rry \�`�,�... . _.'jj ✓- �1{t }� r � 1.�,.
.tVt
" lu^ l` x _v ,- ,,.�. f fl'� f f l�`�!I" f `t ! f� ��,M1..M •"'`'•-t ..( �` �� L\t 1i�� r" ....,�
• t♦
r `: z'a9 ,`j t "- j / . 1 y i of '�'*:... �,d t ) ` i •\.,; 4 t .
• _ 2?YTT�
w
j'
irk' \
• ¢ r. Y
44
Vk-
�;f '` � "' ' `' ' ` t � _ �'`-•.;,� 1kw ,l ems, "•-. ,� � : ,��0'"` �, _, . �__ �,f � t t ` `� �.I
a a } t
� f
( • S� ».t € 4; »..i� t� t.W � 1' „ j'"r f�, , {� '` "'� �..` ,. i �n �$��.� «,,,s� � _ �� �f � � ' j�' s �s k 1 i-. ,,'t�'�•... •'t
• hd !
r ,' f =j. y .%� "''��• 1
A
1 ,✓, . ,.' -' - ,.-:- � � � •: n� � j, y�!,1r'� a � •v 1 II , (j l;ts � l
t plyi a• yi t� it i sfW g'f
J 7A I C
uo���aodao aan�iu *,"VM4
Z90Q�JV
{
",-4, \\ t r✓' rfl 4�, 1
1• a.
�.. �...;'
a
�
,
s•
V'
�tLz x wt � � �,Af � - 2 � •l,
_�
I
Markers
Name: NCG500612 - Hooker Furniture Corporation
Short Name: 500612
Coordinates: 035' 57' 47.8" N, 079' 46' 00.9" W
Comment: County: Guilford, Map #:D19NE, Subbasin: 030609, Receiving Stream:UT to Polecat
Creek, Class: WSIII