NCG130054_COMPLETE FILE - HISTORICAL_20160715

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
IVL& f 36(J,5--y
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ oZo D 7
YYYYMMDD

7/15/2016
Corporations Division
r�
Elaine F. Marshall
Secretary
North Carolina
DEPARTMENT
SECRETARYOF
OF THE I
STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone]
Filings For: LEISURE TIME, INCORPORATED
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Date Filed
Document Id
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Fiscal Year
Document Type
619/1994
941195039
Creation Filing
F—
Articles of Incorporation
®
8/30/1994
942420383
Annual Report
Annual Report
®
11/21/1995
953250093
Annual Report
�
Annual Report
2
8/7/1996
962200819
Annual Report
Annual Report
®
8/27/1997
972390034
Annual Report
Annual Report
®
6/11/1999
9916251079
jAnnual Report
I
Annual Report
®
7/30/2001 12001
211 00636
jAnnual Report
I
lAnnual Report
®
11/4/2002
2002 308 02501
Annual Report
lAnnualReport
®
10/6/2003
2003 279 03156
Annual Report
�—
Annual Report
®
11/1/2004
2004 306 00364
Annual Report
Annual Report
®
10/31/2005
2005 304 10675
Annual Report
Annual Report
®
i211/2008
2008 304 00767
Annual Report
Annual Report
®
3/3/2010
C201006207913
Notice Annual Report
r
1ADM Notice
®
F8/13/2010
C201022505641
Destruction Filing
��
ADM Dissolution
®
7/25/2011
12011 608 03470
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https:/twww,sosnc.gov/Searchlf I i ngs/4585068 111

Leisure Time
155 Leisure Time Lane
Winston-Salem NC 27107
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(Return This Portion With Check)
ANNUAL PERMIT INVOICE
INf ViIV'lllllllll&IIIIIIiIIIIIV19111IIN�lI�
Open
Invoice Number: 2016PR002393 Annual Fee Period: 2016-04-01 to 2017-03-31
Permit Number: NCG130054
Invoice Date: 319l2016
Davidson County
Leisure Time, Inc. Due Date: 418/2016
4e,�
•� Annual Fee: $100.00
Gene Petty
Leisure Time Inc
155 Leisure Time Ln Check Number:
Winston Salem, NC 27107 f?

WC 'Sivl&'�

HCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
Apri 124, 2009
Mr. Gene Petty
Leisure Time, Inc.
155 Leisure Time Lane
Winston-Salem, NC 27107
Subject: General Permit No. NCG130000
Leisure Time, Inc.
COC NCG 130054
Davidson County
Dear Mr. Petty:
Dee Freeman
Secretary
In accordance with your application for a discharge pcnnit received on April 15, 2009, 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 October 15, 2007 (or as subsequently amended).
. 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 reissuanec 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 Robert Patterson at
telephone number [phone]
Sincerely,
ORIGINAL SIGNED BY
for Coleen IT �tl E I%gKLE
cc: Winston Salem Regional Office, Jenifer Carter
Central Liles
'Stormwater Permitting.Unit Files -
Wetlands and Stonnwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 91M07-63001 FAX: 91M07.6494 L Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal O000rtunity 1 Affirmative Action Errolover
None
rthCarolina
)Vatmallty

STATIC OF NORTH CAROLINA
DEPARTMENT OF 1 NVIRONMENT AND NATURAL RESOURCES
DIViS[ON OF WA'I'I-R QUALITY
GENERAL PERMIT NO. NCG130000
CERTIFICATE OF COVERAGE No. NCG130054
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 prornUlgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Leisure Time, Inc.
is hereby authorized to discharge stormwater from a facility located at
Leisure Time, Inc.
155 I..eisure Time Lane
Winston-Salem
Davidson County
to receiving waters designated as a -UT to Leak Creek, a class C water in the Yadkin Pee -Dee
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1, 11, 111, IV, V, and VI of General Permit No. NCG130000 as
attached.
This certificate of coverage shall become effective April 24, 2009.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 24'h day of April, 2009.
ORIGINAL SIGNED BY
KEN PICKLE
for Coleen H. Sullins., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

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NCG130054
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Map Scale 1:24,000
Leisure Time, Inc.
Leisure Time, Inc.
Latitude: 351 59' 36" N
Longitude: 801 IT 50" W
County: Davidson
Receiving Stream: UT to Leak Creek
Stream Class: C
Sub -basin: 03-07-04 (Yadkin Pee -Dee River Basin)
Facility Location

RIE: NCG 130054 - Leisure Time, Inc., Davidson County
Subject: RED: NCG130054 - Leisure Time, Inc., Davidson County
From: "Carter, Jenifer" <jenifer.carter a ncdenr.gov>
Date: Thu, 23 Apr 2009 09:1 1:53 -0400
To: Robert Patterson <[e-mail]>
Please proceed. I've been there at their request and instructed them on how to go
about applying for the permit. Thanks!
Jenifer Carter
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
-----Original Message -----
From: Robert Patterson[mailto:[e-mail])
Sent: Thursday, April 23, 2009 8:37 AM
To: Jenifer Carter
Cc: Corey Basinger
Subject: NCG130054 - Leisure Time, Inc., Davidson County
Jenifer,
Please see NOT attached.
We have received an application for coverage of an existing facility under NCG 13 from
Leisure Time, Inc. The facility drains to a UT to Leak Creek (class C) just south of
Winston-Salem (Davidson County). No vehicle maintenance or haz waste. Does the WSRO
have any concerns about issuing this facility a COC for this general permit?
Thanks!
Robert D. Patterson, PE
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Fax: [phone]
Email. [e-mail]
Website: htt2://h2o.enr.state.nc.us/su/stormwater.html
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1 01,1 4/23/2009 9: l5 AM