NCG180053_COMPLETE FILE - HISTORICAL_20150406

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
DOC TYPE
El COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ o� DSO �b �o
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Carlton Craig
Stanley Furniture Company
200 North Hamilton Street, 4200
High Point, NC 27260
Dear Mr. Craig:
Donald R, van der Vaart
Secretary
April 6, 2015
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG 180053
Guilford County
On January 5, 2015, the Division of Energy, Mineral and Land Resources received your request to rescind
your coverage under Certificate of Coverage Number NCG 180053. In accordance with your request,
Certificate of Coverage Number NCG 180053 is rescinded effective immediately.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 us at 919-707-9200, or the Stonnwater staff in our
Asheville Regional Office [phone].
Sincerely,
ORIGINAL SIGNi ED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
cc:hevillc Regional Office
Stormwater Permitting Program
Central Files - w/attachments
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http:llportal.ncdenr.org/web/Irl
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

I
NCDENR
NCR C4ROLI OEMIITMEW OE
F._IRONMENT "D N,{ ftR RCSRCE5
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
pate Received
Year
Month
Da
RECEIVED
JAN 0 5 20 a
Please fill out and return this form if you no longer need to maintain your NPDES stormwater,;i-y
5) CRiVi4V07ER
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N 1, C S N C G 1 $ 0 0 5 3
2) Owner/Facility Information: ' Final correspondence will be mailed to the address noted below
Owner/Facility Name Stanley Furniture Com an
Facility Contact Carlton Craig -
Street Address 200 North Hamilton Street, No. 200
City High Point State NC ZIP Code 27260
County Guilford ra E-mail Address ccraig!2stanleyfurniture.com
Telephone No. 276 634- 134 Ext_ 237 Fax: 276 _ Q34-0158
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
stormwater are contaminated by exposure to industrial activities or materials.
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: Facility was closed and sold to Tide and Times on November 15, 2014.
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
Date , m
Anita Wimmer VP of Finance
Print or type name of person signing above 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
1612 Mail Service Center, Raleigh, Nord", t;arohna 27699.1612
Phone: [phone] EAK 919-807-6492
An EgLA Opponor',ity 1, Affirrnative Act?on Employer

December 12, 2014
NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Re: Industrial Stormwater — General Permit Rescission Request
Stanley Furniture Company - Robbinsville
68 Snowbird Rd
Robbinsville, NC 28771
Permit Number NCG180053
Dear Sir or Madam:
RECEIVE—ED
�h►0J2015
I -4?lil1L1 QUAU✓
STCRfv,UVATER nEf;iiJ; f r�`
Please find enclosed the completed Rescission Request Form for the Stanley Furniture Company
facility formerly located in Robbinsville, NC. All applicable industrial activity ceased as of
October 31, 2014. The facility was permanently closed and the property sold on November 15,
2014.
Please contact me with any questions at 276-634-0134 ext. 237• or through email at
ccraiL, cr)stan1cvf nniiture.coM.
Sincerely,
Carlton Craig
Product Compliance & Safety

Alexander, Laura
From: Watkins, Wayne
Sent: Monday, March 09, 2015 11:43 AM
To: Alexander, Laura; Herbert, Laura C
Subject: RE: Rescission Request for NCG180053 -
Follow Up Flag: Follow up
Flag Status: Flagged
Laura, I made the inspection of the former Stanley Furniture Company facility in Robbinsville, NC on March 5, 2015. The
facility is not in operation at this time. I did observe many areas of concern (stormwater systems discharge to a stream
that runs directly through the facility) that will hopefully be addressed when the new Owner produces a SWPPP.
Thanks, Wayne
Wayne Watkins - Wayne. Watkins@ncdenr,gov
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Energy, Mineral and Land Resources, Land Quality Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
therefore may be disclosed to third parties.
From: Alexander, Laura
Sent: Friday, February 06, 2015 12:59 PM
To: Watkins, Wayne; Herbert, Laura C
Subject: RE: Rescission Request For NCG180053 -
Thanks for the update and have a good weekend 1
From: Watkins, Wayne
Sent: Friday, February 06, 2015 11:06 AM
To: Herbert, Laura C
Cc: Alexander, Laura
Subject: RE: Rescission Request For NCG180053 -
It is still on my list of things to do — had to many dam and trout buffer issues to work it in last week. Will probably get
there by the end of the month.
Wayne Watkins - Wayne.Watkins@ncden,gov
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Energy, Mineral and Land Resources, Land Quality Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]

i ,.
Division of Water Quality / Surface Water Protection FOR AGENCY USE ONLY
0 •
4r
Date Received
Year Month ❑a
NCDE�fR
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N G 1 S O N I M 19 10 0 5 3
II. Permit status prior to requested change.
a. Permit issued to (company name): 'J-ra�..lt.el R.st �v� GM"?A4Y
b. Person legally responsible for pertnit: G MkOrri,4A L-01-{
t, First MI Last
Title
Imo e-� 3o
Permil Holder Mailing Address
N Tn+v�1-9168
City State Zip
(;I& ) 0127- 2000 ( )
phone Fax
c. Facility narne (discharge): .>'iArJlE�1 �vfLa Tu�E )BB f ! LLE
d. Facility address: (225 �NOvJttzD�fkD
Address
'ROaBt 06-A tom N C 971
City State 'lip
c. Facility contact person: �Cy_y wea5lt f— (M) 414 -11 I I
First 1 MI 1 Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ C}iange in ownership of the facility
ame change of the facility or owner
1 f other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
D
NOV t 2 2M
n NF! - %-,TEr dUAL1TY
Facility name (discharge)
e. Facility address:
1•11'Sl
mi Last
l_ H &E CkVAT1
4,46 ( Fier
% M,
Title C
H A M I LTTor.► .7i9QET
Permit 1-kilder
Mailing Address
�kk GF t �''ot►.>r
mc- �72b0
City
State Zip
( 33(4) 80-7b95
r+�gol�s 'ni��wt� rn; wte
Phone
E-mail Address
�YiP.rstE`1 1-vR�[TVti;�_ �p�� ,,IB1.•YSyt�.(,�
to� S �.►o ,_1 tZD
�y PEA
_,.,
Address
',,►�s„t,
NL
City
State Zip
com
f. Facility contact person: -Tptn}DY Eyo4iA.RT _
First MI Last
c 926) 47R-1t!>i5 rev�rl�ar�-�®SIT
Phone E-mail Address
Revised 2012Apr23

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: 1�99AI> 11�ls}40P
First MI
Last
P"A-ctW-TES 'PUAo,1c&
�IMEEZ
Title
140 I�ULa�tEtVE
Mailing Address
lilt a�2Tl��rLt e 1/A
2 I Z
City Slatc
7i
(176) 732- 1211 bb;stno�
rri� cow,
Phone E-mail Address
V.
Will the permitted facility continue to conduct the same industrial activities conducted prior
to thi mnership or name change?
es
❑ No (please explain)
Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
VI. AI2I+ NCOMPLETE OR MISSING:
This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract (Iced,
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 CERTII+ICATION (Permit holder prior to ownership change):
1, , attest that this application for a name/ownership change has been reviewed and is accurate ;Ind
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 is incomplete.
Signature
Date
AMPLIANT CERTIFICATION
Q&pta .fittest that this application for a name/ownership 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 al required supporting information is not included, this application package will be
retur d as ' -omple
Signature Date
PLEASE, SEND T1-1E COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008

Staffle
Furniture Company, Inc.
November 7, 2013
Bethany Georboulias
Division oi, Watcr QUAity
SurfI'►ce Water Protection Section
1617 Mail Servicc Center
Raleigh, NC 27699-1617
Deer Ms. Georgoulias,
Please find enclosed a Permit Name/Ownership Change form for Stanley furniture Company's Robbinsville.
NC facility. The owner contact information that iS Currently on file for this facility has changed and the updated
I nformation is included on this form. Please contact me by email at bbishop cr,stanlcyfurniture.com or by phone
at (276) 732-721 1 ii'you ]lave any questions or if you need any additional information.
Sincerely.
Brad Bishop
Facilities Compliance E�ngineer
Lncl.: Permit Mime/Ownership Change Form
P0. Box 30 164 1 Fairpstouc Park Hwy Stanlcytowri, Virginia 24168 Phone [phone] srui1cyfLu-twtrrc.Com

. ..I
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
.lames B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
August 27, 1999
DAVID P. MADDOX
STANLEY FURNITURE CO.
P.O. BOX 30
STANLEY TOWN, VA 24168
1•WA
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Stormwater Permit
Stanley Furniture Co.
COC Number NCG180053
Graham County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG180000, 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 NCG180000
* 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 Bill Mills of the Central Office Stormwater
and General Permits Unit at [phone], ext. 548
Sincerely,
for Kerr T. Stevens
Director, Division of Water Quality
cc: Central Files
Asheville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG180000
CERTIFICATE OF COVERAGE No. NCG180053
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,
STANLEY FURNITURE CO.
is hereby authorized to discharge stormwater from a facility located at
STANLEY FURNITURE CO.
1 ATOAH STREET
ROBBINSVILLE
GRAHAM COUNTY
to receiving waters designated as Long Creek in the Little Tennessee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, III,
IV, V, and V1 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
Department 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
May 12, 1995
Bobby Hodges
Stanley Furniture Company
P.O. Box 30
StanleyTown, VA 24168
AMI.WMA,
IDEHNR
Subject: General Permit No. NCG180000
Stanley Furniture Company
COC NCG180053
Graham County
Dear Bobby Hodges:
In accordance with your application for discharge permit received on March 6, 1995, 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 question concerning this permit, please contact MR. BILL MILLS at telephone number
919/733-5083.
Sincerely,priginal Signed By
Coleen H. Sullins
A. Preston Howard, Jr. P.E.
cc: Asheville Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG 180000
CERTIFICATE OF COVERAGE No. NC 180053
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,
Stanley Furniture Co.
is hereby authorized to discharge stormwater from a facility located at
Stanley Furniture Co.
1 Atoah Street
Robbinsville, NC
Graham County
to receiving waters designated as Long Creek in the Little Tennessee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III
and IV of General Permit No. NCG 180000 as attached.
This certificate of coverage shall become effective May 12, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 12, 1995.
Original {'Signed 8v K Golew Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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FACILITY: Skein FAA 176UI-c— Co
COUNTY: C rck k q Nl
NPDES: N CC2 r S OO :-3
MAP#:
S
DSN FLOW: N/A
SUB BASIN: 00 " o Ll 109
LATITUDE: a 1 G 33
a 3� y 9' O �
LONGITUDE:
RECEIVING STREA��5 �e
M:
STREAM CLASS: C!
DISCHARGE CLASS:
STORMWATER