NCGNE0038_COMPLETE FILE - HISTORICAL_20101213

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

STORNI«'ATER DISCIIA RGE OUTFALL (SDO)
NIO`ITORI\G REPORT
GENERAL PERtIMIT NO. NCG030000
CERTIFICATE OF COVERAGE NO. NCGO 30124
FACILITYNAME Kobc Wieland Co2MProducts, LLC
PERSONCOLLECTING SAIMPLE(S) Marc Nauh
CERTIFIED LABORATORY(S) R R A Laboratories. Inc. Lab 7 34
Lab 4
Part A- Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2009
(all satnples collected during a calendar year, shall be reported no later
than January 31 of the following year)
COUNTY Stokes
PHONE NO. (336)427-061 1
x --Z,
(SIGNATURE CWPERMITTEE OR DESIGNEE)
By this signature. I certify that this report is accurate and
complete to the hest of my knoMedgge.
:.
50050 .
::<00400::
00534
01051
00556
78141
ate:Cotal;
Tot !Tor
Iota tc ;
Outfall
Sample
:Total
': pH
Suspended
Lead
Otl and
No:
Collected >;;..
Floµ '.:<.
...:.... . ,.:
; `Sbllds. .::
Grease
Organics'
mo/dd/yr
MG
unit
mg/l
mgll
rniztl
mg/1
002
12/13/10
0.245
6.75
1.0
0.037
<5.0
NIA
Manhole
12/13/10
0.019
6.96
L2
0.039
<5.0
NIA
Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? Ves ✓ no
(if yes, complete Part B)
rart H: ventcle ivtatntenance wcuti•11'N' monitoring Ke utrements
Outftill.... Date... :50050,; 00556: 04530.. 00400.....
Np Sample Total Lots! :pH \e►r�ttotor
ColSsage.:.
mo/ddlvr MG me/l ubll unit gat/"mo
STORM EVENT CHARACTERISTICS:
Date 12/13/2010
Total Event Precipitation (inches): 0.80
Event Duration (hours): 13
(if more than one storm event was sampled)
Date
Total Event Precipitation (inches):
Event Duration (hours):
Mail Original and one cop} to-.
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27626-1617
Copy offor . SWU-245-120399
Pagel of2

NCG030167
Robert Bosch Corp - Vermont American Corporation
Active NPDES SW
Mooresville
Lincoln
05/06/10
OK -For Rescission
NCG030257
Copeland Corporation - Copeland Corporation
Active NPDES SW
Mooresville
Cleveland
05/11/10
OK -For Rescission
NCG030561
Alcoa Sub -Assembly and Logistics - ASL Salisbury
Active NPDES SW
Mooresville
Rowan
04/29/10
OK -For Rescission
NCGO80534
N C National Guard - NG Nat Gd- Belmont
Expired NPDES SW
Mooresville
Gaston
04/26/07
Not asking for rescission only for no exposure
NCGIB0068
CV Industries Century Furn Ind - CV Industries Century Fum Ind
Active NPDES SW
Mooresville
Catawba
03/10/10
OK -For Rescission
Hickory
_
NCG200426 .
Cleveland Co - Cleveland County Recycling Facility
Active NPDES SW
Mooresville
Cleveland
03/22/10
See note Below
NGG210150
Universal Forest Products Eastern Division Inc- Universal
Active NPDES SW
Mooresville
Gaston
04113/10
� - OK -For Rescission
Forest Products Eastern Division, Inc.
NCGNE0038
Hickory Springs Manufacturing Company - Dixie -Regency
Expired NPDES SW
Mooresville
Catawba
03/24/10
OK -For Rescission
Division -Hickory Springs Mfg. Co.
NCGNE0043
Hickory Springs Manufacturing Company - Hickory Springs Mfg.
Expired NPDES SW
Mooresville
Catawba
04/01/10
Company still in business, equipments under roof, Not OK for Rescission
Co -Hickory
NCGNE0044
Hickory Springs Manufacturing Company - Hickory Springs Mfg.
Expired NPDES SW
Mooresville
Catawba
03/24/10
Company still in business, equipments under roof, Not OK for Rescission
Co. -Newton
ClevelandlG§un y_Landfill�has two.perm1ts, NCG200.426 and NCG120072. Permit # NCG120072 has expired in 08-31-2007 according to bims.
Cleveland County would like to rescind NCG20042fi and keep NCG120072.
The permitte sent us evidence of payment for the year 2010 for NCG120072. Please update Bims.Thanks

NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
September 3, 2010
Dee Freeman
Secretary
Bobby Bush
Hickory Springs Manufacturing Company - Dixie -Regency Di �rsioh-Hickory Springs Mfg. Co.
PO Box 128
Hickory, NC 28603 ty, ,;'
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCGNE0038
Hickory Springs Manufacturing Company - Dixie -
Regency Division-I-lickory Springs Mfg. Co.
Catawba County . ,
Dear Permittee:
On 3/24/2010, the Division of Water Quality received your request to rescind your coverage under
Certificate of Coverage Number NCGNE0038. In accordance with your request„Certificate of Coverage
Number NCGNE0038 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 will subject the responsible party to a
civil penalty of up to $25,000 per day. It is the intention of DWQ that ei orcement proceedings will
occur for persons that have voluntarily relinquished permit coverage when, in fact, continuing permit
coverage was necessary. If, in retrospect, you feel the site still require�•permit coverage, you should
notify this office immediately. Furthennore, if in the future you wish to again discharge to the States
surface waters, you must first apply for and receive a new NPDES permit.
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 Brian Lowther at [phone], or the Water
Quality staff in our Mooresville Regional Office at NPDES SW.
Sincerely,
�/� /e/oze
far Coleen H. Sullins, Director
cc: Mooresville Regional Office
Stormwater Permitting Unit
DWQ Central Files - w/attachments
Fran McPherson, DWQ Budget Office
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 North Carol i iia
tocatiom 512 N. Salisbury St. Raleigh, North Carolina 27604 ^� �n f nII
Phone: [phone] L FAX: 91M07-64941 Customer Service: 1-877-623.6748 J �/Li tla{L'[ L1l I /
Internet: www.ncwalerquality.org j/
An Equal Opportunity 1 Affirmative Action Employer

a Q
z��l
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins.
Director
September 3, 2010
Dee Freeman
Secretary
Bobby Bush
Hickory Springs Manufacturing Company - Dixie -Regency Division -Hickory Springs Mfg'•Co.
PO Box 128 `
Hickory, NC 28603
Subject: Rescission of NPDES Stornwater Pemlit
Certificate of Coverage Number NCGNE0038
Hickory Springs Manufacturing Company - Dixie -
Regency Division -Hickory Springs Mfg. Co.
Catawba County
Dear Permittee:
On 3/24/2010, the Division of Water Quality received your request to rescind your coverage under
Certificate of Coverage Number NCGNE0038. In accordance with your request, Certificate of Cc ,eragc
Number NCGNED038 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stonnwater to
waters of the State without valid coverage under an NPDES permit will subject the responsible party to a
civil penalty of up to $25,000 per day. It is the intention of DWQ that enforcement proceedings will
occur for persons that have voluntarily relinquished permit coverage when, in fact, continuing perniii
coverage was necessary. If, in retrospect, you feel the site still requires pennit•coverage, you should..
notify this office immediately. Furthermore, if in the future you wish to again discharge to the State's
surface waters, you must first apply for and receive a new NPDES permit.
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 Brian Lowther at [phone], or the Water
Quality staff in our Mooresville Regional Office at NPDES SW.
Sincerely,
� Z' �L
for Coleen H, Sullins, Director
cc: Mooresville Regional Office
Stormwatcr Pcrmitting'Unit
DWQ Central Files - wlattachments
Fran McPherson, DWQ Budget Office
Wetlands and Stormwater Branch Qt1e I
1617 Mail Service Center, Raleigh, North Carolina 27699.1617 North Carol t 1ia
Location: 512 N. Salisbury 5t. Raleigh, North Caroiina 27604 Phone: [phone] FAX: [phone] Customer Service: 1-877-623-674B Natlitally
Internet: www.ncwaterquality.org i/
An Equal Opportunity 1 Atturnat-ve Action Employer

W A n Michael F. Easley, Governor
William Cr. Ross Jr., Secretary
4� North Carolina Department of Environment and Natural Resources
Q Alan W. Klimek, P. E. Director
>_ Division of Water Quality
Q ^� Coleen H. Sullins, Deputy Director
Division of Water Quality
April 20, 2005
Wilbur E Mann, III
Hickory Springs Manufacturing Co
PO Box 128
Hickory, NC 28603
Subject: No Exposure Certification NCGNE0038
Dixie -Regency Division -Hickory Spri - 2116 Highland Ave Ne
Catawba County
Dear Permittee:
The Division has reviewed your submittal of the No -Exposure Certification for Exclusion from NPDES
Stormwater Permitting form, which we received on August 16, 2004. We apologize for the extended period it
has taken us to get back to you on this request and we appreciate your patience as we have worked through
this process. Based on your submittal and signed certification of no exposure at the above referenced facility
the Division is granting your certification as provided for under 40 CFR 126.22(g) which is incorporated by
reference in North Carolina regulations.
Please note that by our acceptance of your no exposure certification, you are obligated to maintain no
exposure conditions at your facility. If conditions change such that your facility can no longer qualify for a no -
exposure exclusion, you are obligated to immediately obtain NPDES permit coverage for your stormwater
discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. Your
conditional no -exposure exclusion expires in five years (April 30, 2010). At that time you must re -certify with
the Division, or obtain NPDES permit coverage for any stormwater discharges from your facility.
Your certification of no exposure does not affect your facility's legal requirements to obtain environmental
permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Jonathan Diggs at [phone] ext.
537, or at [e-mail].
Sincerely,
for Alan W. Klimek, P.E.
cc: Mooresville Regional Office Central Files — wlattachments
Stormwater Permitting Unit Files
N. C. Division of Water Quality 1017 Mail Service Center Raleigh, North Carolina 27699-1017 [phone]
NCDENR
Customer Service
1-877-623-6748

NC-. G he6D 3Y
Form Approved
United Stales Environmental Protection Agency OMB No. 2040-0211
NPRES Mr EPA Washington, TI N fo
60
FORM `1iMr NO EXPOSURE CERTIFICATION for Exclusion from
3510-11
NPDES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity Identified In Section A does not require permit authorization for Its storm water
discharges associated with Industrial activity in the State Identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an Industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
Industrial machinery, raw materials, Intermediate products, by-products, final products, or waste products. Material handling activities include the storage,
loading and unloading, transportation, or conveyance of any raw malarial, intermediate product, final product or waste product. A storm resistant shelter Is
not required for the following industrial materials and activities:
- drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed'
means banded or otherwise secured and without operational taps or valves;
- adequately maintained vehicles used in material handling; and
- final products, other than products that would be mobilized In storm water discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting Is
available on a facility -wide basis only, not for Individual outfalls. If any industrial activities or materials are or will be exposed to precipitation, the facility is
not eligible for the no exposure exclusion.
By signing and submitting this No Exposure Certification form, the entity in Section A is certifying that a condition of no exposure exists at Its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g).
ALL INFORMATION MUST BE PROVIDED ON THIS FORM
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator information �} �Ij f (� p
t. Name: ICI"i0IrIYT7�1I Slprinnil�yy'1�151_ I• iyi�i • I I"tq • I u I I 2. Phone: GSI�1�1�I�io 2l2lolll
3. Mailing Address: a. Street: (Plot IE `q3 d 11,218, 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t I I I I I
b. City: Hii lC , IrY 11 I 1 1 1 1 1 1 1 1 1 1 1 1 c. State: HO d. Zip Code: 2 8i 610131-- 10i 1121 a
B. Facility/Site Location Information
''Tn� � DD n
1. Facility Name: N� tilde, ,Re€�I�e}Fn qyi 1�11 -I I I I I I I I I I I I
2. a. Street Address: t21(1'�11.6, F` �i 11g1'"iila d Ave,I`r` ` E I I I I I I I I �
b. City: All 11 99KY 11 I I I l t
d. State: NIC, e. Zip Code: 1281610111- I I I I
c. County: QaItlalwlblal I I j
3. Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? � Yes No
5. a. Latitude: �51 ° I 1 /I4I ' �] • b. Longltude: 1018, ° 11,71, 5 51
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes 0 No
b. if yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary:yln 1816 Secondary (if applicable):
S. Total size of site associated with industrial activity: 2 . 8 acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion?
b. If yes, please Indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this Information In considering whether storm water discharges from your site are likely to have
an adverse Impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre 11 One to fore acres ❑ More than five acres
EPA Form 3510.11 (f 0.99) Page 1 of 4

NPDESFORM NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM ��,EPA OMB No.2040-0211
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either 'Yes" or "No' in the appropriate box.) If you answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1.
Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing
❑
or cleaning Industrial machinery or equipment remain and are exposed to storm water
2.
Materials or residuals on the ground or in storm water inlets from spillslteaks
❑
3.
Materials or products from past industrial activity
❑
4.
Material handling equipment (except adequately maintained vehicles)
❑
W1
5.
Materials or products during load Inglunload Ing or transporting activities
❑121
6.
Materials or products stored outdoors (except final products Intended for outside use (e.g., new cars] where
❑
exposure to storm water does not result in the discharge of pollutants)
7,
Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
❑
S.
Materials or products handledlstored on roads or railways owned or maintained by the discharger
❑
9.
Waste material (except waste in covered, non -leaking containers [e,g„ dumpsters])
❑
10.
Application or disposal of process wastewater (unless otherwise permitted)
❑10
11.
Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
❑
(i.e., under an air quality control permit) and evident In the storm water outflow
D. Certification Statement
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES storm water permitting.
I certify under penalty of law that there are no discharges of storm water contaminated by exposure to industrial activities or materials from the Industrial
facility or site Identified In this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority and, if requested, to
the operator of the local municipal separate storm sewer system (MS4) Into which the facility discharges (where applicable). I understand that I must
allow the NPDES permitting authority, or MS4 operator where the discharge is into the local MS4, to perform Inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water from the facility.
Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision In accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the Information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the Information, the Information submitted Is to the best of my
knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false Information, including the possibility
of fine and Imp
��riisonmenttffor
'knowing violationss../j n T T T
Print Name: NJ it'[1-* krL g- I Imair)t � I �-I T T t 1 _1 ( I j- I I I I I I i I i
Print Title: V,le,P r s'n�L Piv,.
Signature:
Date: 10181 V 1 4 l o I Lt l
EPA Form 3510-11 (10-99) Page 2 of 4