NCG050068_COMPLETE FILE - HISTORICAL_20130520

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John Skvarla, III
Governor Director Secretary
May 20, 2013
Dan Houston
United Southern Industries
PO Box 469
Forest City, NC 28043
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCGO50068
United Southern Industries
Rutherford County
Dear Mr. Houston:
On 4/23/2013, the Division of Water Quality received your request to rescind your coverage under
Certificate of Coverage Number NCG050068. In accordance with your request, Certificate of Coverage
Number NCG050068 is rescinded effective immediately.
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. If something changes and your facility would again require stormwater or
wastewater discharge permit coverage, you should notify this office immediately. We will be happy to
assist you in assuring the proper permit coverage.
If the facility is in the process of being sold, you will be performing a public service if you would inform
the new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact Boyd DeVane at 919 807-6373, or the Water
Quality staff in our Asheville Regional Office at 828-296-4500.
Sincerely,
x"'. �Q-) t4l�.
for Ctlarles Wakild, P.E., Director
cc: Asheville Regional Office
Stormwater Permitting Unit
DWQ Central Files - wlattachments
Fran McPherson, DWQ Budget Office - please waive applicable fees
Mecklenburg or Wake County
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 NorthCarolina
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 'ry //
Phone: 9IM07-63001 FAX: [phone] naturally
Internet: www.ncwaterquality.org i/
An Equal Opportunity 1 Affirmative Action Employer

WArF Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
.4 Division of Water Quality
April 28, 2003
Dan Houston
United Southern Indust -Forest
PO Box 469
Forest City, NC 28043
Subject: NPDES Stormwater Permit Renewal
United Southern Indust -Forest
COC Number NGG050068
Rutherford County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG050000, the
Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This
permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection
Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of General Stormwater Permit NCG050000
• A copy of the Analytical Monitoring Form (DMR)
• A copy of the Qualitativel Monitoring Form
• A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division
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 Department of
Environment and Natural Resources, or relieve the permittee from responsibility for compliance with any
other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office
Stormwater and General Permits Unit at [phone], ext. 578.
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Asheville Regional Office
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCGO50068
STORMWATER DISCHARGES
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,
United Southern Indust
is hereby authorized to discharge stormwater from a facility located at
United Southern Indust -Forest
3 Duke St
Forest City
Rutherford County
to receiving waters designated as Bracketts Creek, a class C stream, in the Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG050000 as attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

A
0 �
I)AN 1-I(:)US"1'(:)N
UNITED SOU FIERN INDUST-FOREST
PO ROX 469
FORIHST U Y, NC 2S043
Dear 11crmitlec:
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
September 4, 2002
Subject: NPDES Stornlwater Permit CoveragC Renewal
Ur11lCd SOU111CI-11 IndnS(-frn'Cst
COC Number NCG050068
kulherforcl County
Your facility is currently covered For stormwater discharge wider General Permil NCC;050000. This, hermit expir'CS
on March 31. 2003. The Division staff is currently in the process of rewriting this permil and is scheduled to have
file permit rcissucd by early spring of 2003. Once the per'mif is reissued, your lacilily would be CligihlC For
Cr>ntimied Cuvcrage under IhC rcissucd permit.
In order to assure your continual C0vcr.r1TC under IIIC general permit, you nursl apply to [Ile Division of Willer
Ou;lli(y (I)WO) I'or r'CnCWaI of'your' permit Covu'agC. TO nuke Ihis renewal process Casio. we are informing you in
ZL(MUICC Iha( your permit Coverage will hC explrinoo Friclosud yOU WIII hn(I .I PCTRIit Coverage Renewal
Application Form. The application muse be completed and rcturncd by October- 2, 2002 in order to assm-e
cnntinucd coverage under the gCIM-A permit. Due 10 Staff rind budget cirnstraims, ICIICI-S confirming our receipt nl'
the cunrplClC(I al)hliC,16011 will not be sent.
Failure to rc(lucst renewal within dtc time period specified, may result in a civil asscssnient of at least $250.(X),
Larger' penalties lorry he assessed dCIMIdIng ern IIIC delinquency of the request. Discharge of s[ormwater 1'rom your
facility without coverage under a valid stormwater NPDF-S penult Would constitute a violation of NCGS 143-215.1
and could result in assesstncntS of civil penalties of up to $10,000 per day.
Please rlole that recent federal Icgislation has extended tic "no Cxposure exclusion" to all operators ol- industrial
facilities in any of the I I c iim,ories of "storm Willer (Tisch-INICS associated With industrial aclivity," (except
construction aclivilies). If you feel your Facility can Cerlify a Cnndiliun of 110 Cxpnsure i.e. IIIC facility industrial
rnll(CI'lals .uud 0perati0Ils ire not exposed to slornlwalel', you can apply for the no exposure CxClusion- For additional
infol-mation contact file Central Oflicc Slot-Inw leer SlaIT memher fisted below or check the Stormwaler & Gencral
Permits Unit Web Site at fittpa/h2o.Cnr.s(atc.nc.uslsu/sturmwnlcr.hl1111
If the Suhjecf SurrmwatCI- discharge to Waters of (he state has hcen ferIllirlated, plCasC CompICIC the CnelosC(I
Rescission Rcyucst Form. Mailing instructions arc listed on the holtom ol'the form. You will he notified When the
rescission proc;css has hCCn cornplocd,
II'ynu have any gLICS0011s rCgarding file permit renewal procedures please contact Jim Reid of file Asheville
Rcgional ( )kf icc at 828-251-6208 or AISha L AI of 111C Cenlr'al Office Siormwaier Unit nt [phone], Cxl. 578
Sincerely.
'!xJ � � f 5 i1V.N
13radIcy I3cmicil, Supervisor
Stormwater. and General Permits Unit
cc: Central Files
Stornlwalcr and General Pei -mils Unil I"Iles
Asheville kcgional Office
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800-623-7748

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 30, 1998
NMT14A B WELLS
UNITED SOUTHERN INDUST-FOREST
PO BOX 469
FOREST CITY, NC 28043
AM
09WA
MftNd90h0 'i
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCG050068
Rutherford County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, the Division
of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit
is reissued 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 December 6, 1983.
The following information is included with your permit package:
■ A copy of the stormwater general permit.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have -
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
permit. This form must be completed and returned to the Division within 30 days of receipt of
this letter. DO NOT send the SPPP with the signed form.
■ Five copies of Analytical Monitoring forms.
Five copies of Qualitative Monitoring forms.
A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
■ A corrected Certificate of Coverage if you indicated a name or address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. 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
DWQ or permits rcquircd by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number [phone]
Sincerely,
foA. Preston Howard, Jr., P. E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
April 30, 1993
Martha B. Wells
United Southern Industries, Inc.
P O Box 469
Forest City, NC 28043
A. Preston Howard, Jr., P. E.
Director
Subject: General Permit No. NCG050000
United Southern Industries, Inc.
COC NCGO50068
Rutherford County
Dear Ms. Wells:
In accordance with your application for discharge permit received on October 1, 1992, 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
December 6, 1983.
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 Environmental Management. The Division of Environmental Management 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 Environmental Management 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 Mr. Steve Ulmer at telephone number 919/733-
5083.
cc
S JN&Y'Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P.E.
Asheville Regional Office
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626.0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
STORMWATER DISCHARGES
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,
United Southern Industries, Inc.
is hereby authorized to discharge stormwater from a facility located at
United Southern Industries, Inc.
3 Duke Street
Forest City
Rutherford County
to receiving waters designated as Bracketts Creek in the Broad River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, I1,111
and IV of General Permit No. NCG050000 as attached.
This certificate of coverage shall become effective April 30, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 30, 1993.
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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FACILITY Urfr`ferl)
sic -&M Tr/ JV§�S rrP5-, 106.
COUNTY
► 4h?f -rod
NPDES
MAlvzG- v � o g
Fil 6 w
DSN FLOW
N ,.A
SUB BASIN
0 3 - N- UZ
I -ATTITUDE .I
35 a,20 1 53
LONGITUDE
RECEIVING STREAM
✓G�ke7�s Teek
STREA GLASS
DISCHARGE CLASS
�40(MvrAier
EXPIRATION DATE
OVA l _ q7