NCG180013_COMPLETE FILE - HISTORICAL_20161027

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

PAT MCCRORY
DONALD R. VAN DER VAART
,;ecla•ru,.I
Energy, Mineral TRACY DAV[S
and Land Resources
ENVIRONMENTAL QUALITY
October 27.2016
Mr. Sean Fahey
Steelcase
250 Swathmore Avenue
High Point, NC 27263
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG I 80013
Guilford County
Dear Mr. Fahey:
On September 13, 2016, the Division of Energy, Mineral and Land Resources received your
request to rescind your coverage under Certificate of Coverage Number NCG 180013. In
accordance with your request, Certificate of Coverage Number NCG 180013 is rescinded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 tines. 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 us at 919-707-9220, or the Stormwater
staff in our Regional Office [phone].
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
,for Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
cc: Winston-Salem Regional Office
V%Stormwater Permitting Program
Central Files - w/attachments
State of North Carolina I Environmental Quality j Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, North Carolina 27699-1612
'i 19 707 9220 T

Division of Energy, Mineral & band Resources
N.
Land Quality Sect ionlStorinwater Permitting Program
National Pollutant Discharge Elimination System
Energy. hlineraf RESCISSION REQUEST FORM
and L and Resources
EHVIGOHUEt�l AL OUP.LITV
FOR AGENCY USE ONLY
Date Received
Year
Monfh
Da
pf�
Please fill out and return this form if you no longer need to maintain your NPDES stormwater rro
4Q1 Q. UFr�� R
1) Enter the permit number to which this request applies:
Individual Permit (Oo Certificate of Coverage
N, C. .S. IN "C G: j �' O C% 3
2) Owner/Facility information:: * Finral correspondence will be mailed to the address noted below
Owner/Facility Name J+4er case
Facility Contact
Street Address
City
County
Telephone No.
2 5o Swu-1-k kh oV1'C Ave-
0 h i-
r6 -ty6- g/5z
State N (- ZIP Code Z -7Z.6_?
E-mail Address [? _f4- 6 /CaSc
Fax:
3) Reason for rescission request r('This,Niisrequired information. Attach separate sheet if necessary):
Facility closed or is closing on t5 .'1ti l All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to V7� 7771 on )Y r 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 Stormwater 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 — S��_
Seah f--dkei
Print or type name of person signing above
Date
�SSdc- �n✓1'ah�-eti�-� �9�'"-��
Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612

Alexander, Laura
From: White, Glen
Sent: Thursday, September 22, 2016 10:09 AM
To: Alexander, Laura
Subject: RE: NCG180013 Rescission Request
Follow Up Flag: Fallow up
Flag Status: Flagged
Laura
The facility 250 Swathmore Ave, High Point is completely vacant with "For Lease" signs posted. There are no exposures
outside of the building. OK to rescind.
Glen White
Environmental Specialist
NCDENR Winston-Salem Regional Office
Division of Energy, Minerals & Land Resources
450 Hanes Mill Rd — Suite 300
Winston-Salem, NC 27105
glen. [e-mail]
[phone]
From: Alexander, Laura
Sent: Monday, September 19, 2016 12:03 PM
To: White, Glen <[e-mail]>
Subject: RE: NCG180013 Rescission Request
Great, thanks!
From: White, Glen
Sent: Monday, September 19, 2016 11:29 AM
To: Alexander, Laura <[e-mail]>
Subject: RE: NCG180013 Rescission Request
I'll go by there Wednesday and.make sure it's all clear.
Glen White
Environmental Specialist
NCDENR Winston-Salem Regional Office
Division of F,nergy, Minerals & Land Resources
450 Hanes Mill Rd — Suite 300
Winston-Salem, NC 27105
glen.white a,ncdenr.gov
[phone]
From: Alexander, Laura
Sent: Monday, September 19, 2016 11:05 AM
To: White, Glen <glen.white(@ncdenr.gov>
Subject: NCG180013 Rescission Request
Good Moring Glen,

Please see attached rescission request.
Thank you,
Laura
From: [e-mail][mailto:[e-mail]]
Sent: Monday, September 19, 2016 12:06 PM
To: Alexander, Laura <laura.alexander@ncdenr;gov>
Subject: Scanned page

AGA
NODE R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
June 25, 2010
KULEMA I-1 MCCOY
STEELCASE
250 SWATI-IMORE AVENUE
HIGH POINT NC 27263
Subject: NPDES General Permit NCG180000
Certificate of Coverage NCGI 80013
Steelcase
Formerly Brayton International
Guilford County
Dear Ms. McCoy:
On June 14, 2010, Division personnel received your request to revise your stormwater permit
Certificate of Coverage to accurately reflect your new company and facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the
General Permit remain unchanged and in full effect. This revised Certificate of Coverage 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, please contact the Stormwater Pennitting Unit at 919-807-6300.
Sincerely,
ORIGINAL SIGNED BY
KEN PICKLE
for Coleen 1-1. Sullins
cc: DWQ Central Files
Winston-Salem Regional Office
Stormwater Pennitting Unit
Wet#ands and Stormwaler Branch
1617 Mail Service Center, RaEeigh, North Carolina 27699.1617
Location: 512 N, Salisbury St. Raiegh, North Carolina 27604
Phone: 91M07-63001 FAX: 91M07.64941 Customer Service: 1-877-623-6748
Internet: www.ncwatergLlality.org
One
Norte Carolina
,1)atutally
An Equal opportunity 1 Affirmative Aotian Employer

STATE OF NORTH CA.ROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG180000
CERTIFICATE OF COVERAGE No. NCGI80013
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,
Steelcase
is hereby authorized to discharge stormwater from a facility located at
Steelcase
250 Swathmore Avenue
High Point
Guilford County
to receiving waters designated as a UT to Muddy Creek in the Cape Fear River Basin in accordance with
the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, II1, IV, V
and VI of General Pen -nit No. NCG180000 as attached.
This certificate of coverage shall become effective June 25, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day June 25, 2010.
ORIGINAL SIGNED 6Y
KEN PICKLE
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

-- Mate of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
August 27, 1999
JOHN GARRETT
BRAYTON INTERNATIONAL, INC.
PO BOX 7288
HIGH POINT, NC 27264
4 0 •
0A0N%0W*%
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AN[) NATURAL RESOURCES
Subject: Reissue - NPDES Stormwater Permit
Brayton International, Inc.
COC Number NCG 180013
Guilford County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCGI80000, 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 copy of general stormwater permit NCGI80000
* A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to
certify that you have developed and implemented the SPPP as per the conditions of the 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 the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* 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 change on the Renewal Application
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 DENR 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 Storrwater
and General Permits knit at [phone], ext. 578
Sincerely,
for Kerr T. Stevens
Director, Division of Water Quality
cc: Central Niles
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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 NO. NCGI80000
CERTIFICATE OF COVERAGE No. NCGI80013
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,
BRAYTON INTERNATIONAL, INC.
is hereby authorized to discharge stormwater from a facility located at
BRAYTON INTERNATIONAL, INC.
255 SWATHMORE AVENUE
HIGH POINT
GUILFORD COUNTY
to receiving waters designated as a UT of Muddy Creek in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, 111,
I\', V, and VI of General Permit No. NCGI80000 as attached.
This certificate of coverage shall become effective August 27, 1999,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 27. 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Depadment of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
October 14, 1994
John W Garret
Brayton Interntl Collection
P.O.Box 7288
Highpoint, NC 27264
Subject: General Permit No. NCG 180000
Brayton Interntl Collection
COC NCG 180013
Guilford County
Dear John W Garret:
In accordance with your application for discharge permit received on 09/28/92, we are forwarding
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 question concerning this permit, please contact Ms. Aisha Lau at telephone number
919/733-5083.
cc: Winston-Salem Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
Sincerely,
Original Signed try
Cojeeri F1. Suili��s
A. Preston Howard, Jr. P.E.
Telephone [phone] FAX [phone]
50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NC 1 0 0
CERTIFICATE OF COVERAGE No. NCGl800I3
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with lie provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Managemcnt Commission, raid the
Federal Water Pollution Control Act, as amended,
Brayton international Collection
is hereby authorized to discharge stonnwater from a facility located at
Brayton Inlernational Collection
255 Swathmore Avenue
High Point
Guilford County
to receiving waters designated as an unnamed tributary to Muddy Creek 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 of General Permit No. NCG 180000 as attached.
This certificate of coverage shall become effective October 14, 1994.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 14, 1994.
Original Signed BY
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

NO
M PRI I yj -11 ut
75
41

FAC14. !Tf,, it 714 ol,
COUNTY
NPDES 'IV
MAP # D
DSN FLOW
C7 ! � r n
,. U _. , 7-AS1. IV
Lh;";,-" Ci li D E
LON."."TUDE.
REC'iLl!"iG STREAM e- e- k
STREAM CLASS C
DISCHARGE CLASS w � e
EXPIRATION -DATE 1 1 17