NCG050393_COMPLETE FILE - HISTORICAL_20121116 (FIX)

PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
/VC(,fl5p353
0' ISTORICAL FILE
❑ MONITORING REPORTS
❑ bjot 1) jCo
YYYYMMDD

AJF
NC®ENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, PE
Governor Director
November 16, 2012
Mr. George Rusincovitch
Vescom
2289 Ross Mill Rd
Henderson, NC 27537
Subject: Stormwater Compliance Evaluation Inspection
Certificate of Coverage NoCNCG050393
Vescom
Vance County
Dear Mr Rusincovitch:
Natural Resources
Dee Freeman
Secretary
On October 25, 2012, Cheng Zhang of the Raleigh Regional Office (RRO) conducted a
Stormwater Compliance Evaluation Inspection at the subject facility. The assistance provided by
Mr. Earl Campbell, the Maintenance Manager, was greatly appreciated. The inspection report is
attached. Findings during the inspection were as follows:
1. Certificate of Coverage (COC) No. NCG050393 of NPDES general permit
NCG050000 was issued'to Vescom to discharge stormwater runoff to Nutbush Creek,
a Class-C stream, in the Roanoke River Basin.
2. The COC was issued on October 22, 2010. The facility has not developed and
implemented a Stormwater Pollution Prevention Plan (SPPP).
3. The facility conducted qualitative monitoring at Stormwater Discharge Outfall No. 1
as required by the permit. A new building was built in August 2011 with a new
Stormwater Outfall; the facility had not conducted monitoring at the new outfall.
4. Both stormwater outfalls were observed during the inspection, which were accessible
and well maintained.
5. The facility has submitted application for a No Exposure Exclusion from Permitting.
Should the application be approved by the Division, the current COC should be
rescinded; otherwise, the facility must conduct monitoring, develop and implement a
SPPP, as required by the General Permit.
North Carolina Division of Water Quality 1628 Mail Service Center Raleigh, NC 27699-1628 Phone[phone] Customrr ServicC
Intemet: www.newaterquality.org Location: 3900 Barrett Drive Raleigh, NC 27609 Fax [phone].623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper

vescom
Permit No. NCG050393
Compliance Evaluation Inspection
If you have any questions regarding the attached report or any of the findings, please contact
Cheng Zhang at 919-791-4200 (or email: cheng.zhang@ncdenngov).
Sincerely,
GIN '24
Cheng Zhang
Environmental Specialist
Enclosure: Compliance Evaluation Inspection Form
cc: Central Files
RRO 5WP files

Compliance Inspection Report
Permit: NCG050393 Effective: 10/22/10 Expiration: 05/31/13 Owner: Vescom
SOC: Effective: Expiration: Facility: Vescom
County: Vance 2289 Ross Mill Rd
Region: Raleigh
Henderson NC 27537
Contact Person. George Rusincovitch Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 10/25/2012 Entry Time: 10:30 AM Exit Time: 11:30 AM
Primary Inspector: Cheng Zhang Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Apparel!Printing/Paper/Leather/Rubber Stormwater
Discharge COC
Facility Status: 0 Compliant ■ Not Compliant
Question Areas:
0 Storm Water
(See attachment summary)
Page: 1

Permit: NCG050393 Owner -Facility: Vesoom
Inspection Date: 10/25/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The facility is considering applying for a No Exposure Exclusion from Permitting. To qualify for No Exposure, the facility
must move used wood pallets, paint drums and totes, and other materials stored in the backyard indoor or under shelter
and cover the dumpster with waste material.
Page: 2

r
Permit: NCG050393 Owner -Facility: Vescom
Inspection Date: 10/25/2012 Inspection Type: Compliance Evaluation
Reason for Visit:
Routine
Stormwater Pollution Prevention Plan
Yes No
NA NE
Does the site have a Stormwater Pollution Prevention Plan?
❑ ■
❑ ❑
# Does the Plan include a General Location (USGS) map?
❑ ■
❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
Cl ■
❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
❑ ■
❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ ■
❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
❑ ■
❑ ❑
# Does the facility provide all necessary secondary containment?
❑ ■
❑ ❑
# Does the Plan include a BMP summary?
❑ ■
❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑ ■
❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑ ■
❑ ❑
# Does the facility provide and document Employee Training?
❑ ■
❑ ❑
# Does the Plan include a list of Responsible Party(s)?
❑ ■
❑ ❑
# Is the Plan reviewed and updated annually?
❑ ■
❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑ ■
❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ ■
❑ ❑
Comment: The facility has not developed and implemented a SPPP.
Qualitative Monitoring
Yes No
NA NE
Has the facility conducted its Qualitative Monitoring semi-annually?
■ ❑
❑ ❑
Comment: The facility conduted qualitative monitoring at Outfall No. 1, but not at
Outfall No.2.
Analytical Monitoring
Yes
No
NA
NE
Has the facility conducted its Analytical monitoring?
❑
❑
■
❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
❑
❑
■
❑
Comment:
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■
❑
❑
❑
# Were all outfalls observed during the inspection?
■
❑
❑
❑
# if the facility has representative outfall status, is it properly documented by the Division?
0110
❑
# Has the facility evaluated all illicit (non stormwater) discharges?
■
❑
❑
❑
Comment:
Page: 3

NCDENR
North Carolina Department of Environment and Natural Resources
Severl,y Eaves Perdue
Governor
Mr. George Rusincovitch
Vescom
2289 Ross Mill Road
Henderson, North Carolina 27537
Dear Mr. Rusincovitch:
D'hvision of Water Quality
Coleen Fl. Sullins
Director
October 22, 2010
Dee Freeman
Secretary
1~ �;17 �%17
_
I, OCT
i
IDE IR RAL IGH RrP—nh1, ;
OFFICE
Subject: General Permit No. NCG050000
Vescom
COC NCG050393
Vance County
In accordance with your application For a discharge permit received on September 27, 2010 and
subsequent site visit performed by Cheng Zhang of the Raleigh Regional Office on October 20, 2010 , 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 aenerai Statute
143-215.1 and the Memorandum of.Agreement between North Carolina and the US Environmental
Protection Agency dated_ October15, 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
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be
requir e.d by the Division of 'Water Qual;ty or permits required by the Division of Land Resources, Coastal
Area Management Act or any other federal or Ideal governmental permit that may be required.
If you have any questions concerning this permit, please contact Cory Larsen at [phone]
or corer Iarsem-r.,,ncdenr. o_v.
Sincerel;�Z�
�J
for Coleert H. Sullins
cc: Raleigh Regional Office, Cheng Zhang
Central Files
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch One, 1Il��
1617 Mail Service Center, Ralegh. North Carolina 2?699-1617 1 V
Location: 512 N. Salisbury St. Ralegh. North Carolina 27604 T��nI'tll C�1h01n /�J/
Phone: [phone] FAx: [phone] Customer Service: 1-877-623-6748 /LL tlrl lr{
Internet: www.ncwaterquality.org 6, ,/

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GI?NERAI, PERN-Irr NO. NCG050000
CERTIFICATE OF COVERAGE No. NCGI150393
STORMWATL=R DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other iawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
. VESCOM
is hereby authorized to discharge sto,mwatcr from a facility located at
Vescom
2289 Ross Mill Road
Henderson, NC
Vance County
io receiving waters designated as Nutbush Creek, a class C water in the Roanoke Kiver 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. NCG050000 as attached.
This certilicate of coverage shall become efilective October 22, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this duty October 22, 2010.
.%ur Coleen H. Sullins, Director
Division of `;later Quality
By the Authority ofthe Environmental Management Commission

LOCATION MAP:
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NCGO50393
)VU0 Seal` 1:20, 000
VESCOM
Lab bade: 36° 20' 23" N
Longitude; 780 H' 04" W
County: Vance
Receiving Stearn: Nutbu:h Crr�k
Stream Class: C
Sub -basin: 03-02-0.6 (Roanoke River Basin)
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Facility Location

•
•
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Memorandum
To: Cory Larsen, DWQ - Stormwater Permitting Unit
From: Cheng Zhang, DWQ - Raleigh Regional Office
Date: October 22, 2010
Subject: Vescom NCG05000 Certificate of Coverage Application
Vescom submitted an application for coverage under NCGO50000 in September 2010.
On October 20, 2010, I, Cheng Zhang of DWQ Raleigh Regional Office visited the subject facility.
Following observations were made.
The applicant did not know the location of the stormwater discharge outfall mentioned in the NOI. After
a walk-through, I found that a shallow concrete Swale on the south side of the facility that collected
stormwater from the parking lot in front of the building and roof (through gutters on the south side of
the building), the swale ended in thick brushes. This was the only possible stormwater discharge point
that I could identify. There were no stormwater collection structures (drains, sumps, ditches, or swales)
other than the swale. Stormwater leaves the facility',s east boundary mainly via sheet flow.
I observed some finished product (vinyl wall paper rolls) (stretch wrapped) stored in part of the concrete
paved area behind the building. I was told that was product with defects/lesser quality and hauled away
periodically. Quality product was stored in door. I also saw some empty totes/containers, piles of wood
pallets, and used machinery/equipment stored in the corner of the asphalt paved area behind the
building. There was a dumpster attached to the back of the building containing solid waste produced at
the facility.
I was told that all waste ink was kept in the building and disposed of by a contractor.
Based upon the above observations, here are some of my thoughts:
1. Does the facility need a COO Stormwater discharge via the swale has no interaction with the
production process (raw material, final products, etc.). Stormwater exposed to the final product stored
in the backyard probably leaves the facility via sheet flow.
2. The facility may qualify for a No Exposure Certification.
3. It does not concern me if the permit writer considers that a COC be issued. In this case, the facility
needs to evaluate all stormwater discharge points thoroughly in order to develop and implement a
Stormwater Pollutant Prevention Plan.
Xap

•
Ft Bragg DFAC - UPDATED 20100817 Type 1l 24-hr 25 YR Rainfall=6.50"
Prepared by (enter your company name here) Printed 8/18/2010
HydroCAD® 8.50 sln 006004 © 2007 HydroCAD Software Solutions LLC Page 67
Time span=5.00-100.00 hrs, dt=0.05 hrs, 1901 points
Runoff by SCS TR-20 method, UH=SCS
Reach routing by Star-lnd+Trans method - Pond routing by Stor-lnd method
Subcatchment M BASIN Runoff Area=0.470 ac 0.00% Impervious Runoff Depth=1.32"
Tc=0.0 min CN=49 Runoff=1.20 cfs 0.052 of
Subcatchment 1A PRE: Predevelopment Runoff Area=3.060 ac 0.00% Impervious Runoff Depth=1.32"
Flow Length=444' Slope=0.0177 7 Tc=28.5 min CN=49 Runoff=2.86 cfs 0.336 of
Subcatchment 1B: POST DEV NORTH Runoff Area=0.450 ac 0.00% Impervious Runoff Depth=0.66"
Tc=0.0 min CN=40 Runoff=0.42 cfs 0.025 of
Subcatchment 1B PRE: PRE-DEV NORTH Runoff Area=1.060 ac 0.00% Impervious Runoff Depth=1.32"
Tc=0.0 min CN=49 Runoff=2.71 cfs 0.116 of
Subcatchment 1C: POST-DEV EAST Runoff Area=1.000 ac 20.00% Impervious Runoff Depth=1.64"
Tc=0.0 min CN=53 Runoff=3.31 cfs 0.137 of
Subcatchment 1C PRE: PRE-DEV EAST Runoff Area=0.830 ac 18.07% Impervious Runoff Depth=2.08"
Tc=0.0 min CN=58 Runoff=3.55 cfs 0.144 of
Subcatchment 1D: POST-DEV SOUTH Runoff Area=0.150 ac 26.67% Impervious Runoff Depth=1.81"
Tc=0.0 min CN=55 Runoff=0.55 cfs 0.023 of
Subcatchment 1D PRE: PRE-DEV SOUTH Runoff Area=0.720 ac 30.56% Impervious Runoff Depth=2.63"
Tc=0.0 min CN=64 Runoff=3.91 cfs 0.158 of
Subcatchment 2A: 2A Runoff Area=1.510 ac 53.64% Impervious Runoff Depth=3.71"
Flow Length=272' Slope=0.0240'1' Tc=8.4 min CN=75 Runoff=8.98 cfs 0.467 of
Subcatchment 2D: POST-DEV SOUTH
Subcatchment 3A: WS106
Subcatchment 4A: WS107
Subcatchment 5A: WS101
Subcatchment 6A: WS102
Subcatchment 7A: WS103
Subcatchment 8A: WS104
Runoff Area=0.440 ac 43.18% Impervious Runoff Depth=2.63"
Tc=0.0 min CN=64 Runoff=2.39 cfs 0.096 of
Runoff Area=0.130 ac 38.46% Impervious Runoff Depth=3.01"
Tc=5.0 min CN=68 Runoff=0.71 cfs 0.033 of
Runoff Area=0.080 ac 100.00% Impervious Runoff Depth>6.03"
Tc=0.0 min CN=98 Runoff=0.83 cfs 0.040 of
Runoff Area=0.470 ac 48.94% Impervious Runoff Depth=3.51"
Tc=5.0 min CN=73 Runoff=2.95 cfs 0.137 of
Runoff Area=0.170 ac 11.76% Impervious Runoff Depth=1.81"
Tc=0.0 min CN=55 Runoff=0.63 cfs 0.026 of
Runoff Area=0.140 ac 14.29% Impervious Runoff Depth=1.90"
Tc=0.0 min CN=56 Runoff=0.54 cfs 0.022 of
Runoff Area=0.140 ac 28.57% Impervious Runoff Depth=2.53"
Tc=0.0 min CN=63 Runoff=0.73 cfs 0.030 of
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Swale on south side of the facility.
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Ft Bragg DFAC - UPDATED 20100817 Type it 24-hr 25 YR Rainfall=6.50"
Prepared by {enter your company name here} Printed 8/18/2010
. HydroCADO 8.50 sln 006004 C 2007 HydroCAD Software Solution_s_LLC Page 68
Subcatchment 9A: 105 Runoff Area=0.030 ac 0.00% Impervious Runoff Depth=1.32"
Tc=0.0 min CN=49 Runoff=0.08 cfs 0.003 of
Subcatchment RD1: ROOF Runoff Area=0.130 ac 100.00% Impervious Runoff Depth>6.03"
Tc=0.0 min CN=98 Runoff=1.35 cfs 0.065 of
Subcatchment RD2: ROOF Runoff Area=0.080 ac 100.00% Impervious Runoff Depth>6.03"
Tc=0.0 min CN=98 Runoff=0.83 cfs 0.040 of
Subcatchment RD3: ROOF Runoff Area=0.090 ac 100.00% Impervious Runoff Depth>6.03"
Tc=0.0 min CN=98 Runoff=0.94 cfs 0.045 of
Subcatchment RD4: ROOF Runoff Area=0.030 ac 100.00% Impervious Runoff Depth>6.03"
Tc=0.0 min CN=98 Runoff=0.31 cfs 0.015 of
Subcatchment RD5: ROOF Runoff Area=0.090 ac 100.00% Impervious Runoff Depth>6.03"
Tc=0.0 min CN=98 Runoff=0.94 cfs 0.045 of
Subcatchment RD6: ROOF Runoff Area=0.080 ac 100.00% Impervious Runoff Depth>6.03"
Tc=0.0 min CN=98 Runoff=0.83 cfs 0.040 of
Subcatchment RD7: Roof Runoff Area=0.100 ac 100.00% Impervious Runoff Depth>6.03"
Flow Length=88' Slope=0.0200 T Tc=1.5 min CN=98 Runoff=1.00 cfs 0.050 of
• Pond 1: CB1
Peak Elev=327.66' Inflow=7.35 cfs 0.369 of
24.0" x 51.0' Culvert Outflow=7.35 cfs 0.369 of
Pond 1P: INFILTRATION BASIN Peak Elev=325.50' Storage=23,524 cf Inflow=17.83 cfs 1.059 of
Discarded=0.20 cfs 0.661 of Primary=1.63 cfs 0.399 of Outflow=1.83 cfs 1.059 of
Pond 2: CB2 Peak Elev=328.51' Inflow=5.09 cfs 0.231 of
18.0" x 54,0' Culvert Outflow=5.09 cfs 0.231 of
Pond 2P: EX INLET Peak EIev=331.64' Infiow=2.94 cfs 0.119 of
24.0" x 64.0' Culvert Outflow=2.94 cfs 0.119 of
Pond 3: CB3 Peak EIev=329.09' Inflow=3.53 cfs 0.160 of
15.0" x 91.0' Culvert Outflow=3.53 cfs 0.160 of
Pond 4: CB4 Peak EIev=329.24' inflow=2.16 cfs 0.098 of
15.0" x 97.0' Culvert Outflow=2.16 cfs 0.098 of
Pond 5: CB5 Peak EIev=329.30' Inflow=1.43 cfs 0.069 of
15.0" x 39.0' Culvert Outflow=1.43 cfs 0.069 of
Pond 6: CB6 Peak EIev=327.51' Inflow=0.71 cfs 0.033 of
15.0" x 37.0' Culvert Outflow=0.71 cfs 0.033 of
40 Pond 7: Trench Drain Peak EIev=327.43' Inflow=0.83 cfs 0.040 of
10.0" x 49.0' Culvert Outflow=0.83 cfs 0.040 of
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Ft Bragg DFAC - UPDATED 20100817 ' Type 1124-hr 25 YR Rainfall=6.50"
Prepared by {enter your company name here) Printed 8/18/2010
HydroCAM 8.50 sln 006004 © 2007 HydroCAD Software Solutions LLC Page 69
Pond D1: PIPE D1 Peak Elev=331.39' Inflow=2.39 cfs 0.096 of
15.0" x 30.0' Culvert Outflow=2.39 cfs 0.096 of
Pond J131: FES1 Peak Elev=327.39' Inflow=9.00 cfs 0.457 of
24.0" x 37.0' Culvert Outflow=9.00 cfs 0.457 of
Pond J132: J132 Peak Elev=327.64' Inflow=8.46 cfs 0.424 of
24.0" x 37.0' Culvert Outflow=8.46 cfs 0.424 of
Pond JB3: J83 Peak Elev=328.25' lnflow=5.09 cfs 0.231 of
18.0" x 40.0' Culvert Outflow=5.09 cfs 0.231 of
Pond J134: FES2 Peak Elev=326.56' Inflow=2.76 cfs 0.136 of
18.0" x 19.0' Culvert Outflow=2.76 cfs 0.136 of
Pond J65: J65 Peak Elev=328.16' Inflow=1.83 cfs 0.090 of
15.0" x 129.0' Culvert Outflow=1.83 cfs 0.090 of
Pond POST: 1A POST Peak EIev=320.13' Inflow=1.73 cfs 0.450 of
24.0" x 330.0' Culvert Outflow=1.73 cfs 0.450 of
Pond PRE: OUTLET PIPE Peak EIev=320.30' lnflow=2.86 cfs 0.336 of
24.0" x 330.0' Culvert Outflow=2.86 cfs 0.336 of
iTotal Runoff Area=11.460 ac Runoff Volume = 2.145 of Average Runoff Depth = 2.25"
76.86% Pervious = 8.800 ac 23.14% Impervious = 2.650 ac
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Ft Bragg DFAC - UPDATED 20100817 Type 1124-hr 25 YR Rainfall=6.50"
Prepared by {enter your company name here} Printed 8/18/2010
HydroCAD® 8.50 s/n 006004 © 2007 Hydro CAD Software Solutions LLC Page 70
Summary for Subcatchment 1A: BASIN BYPASS/CHANNEL
Runoff = 1.20 cfs @ 11.90 hrs, Volume= 0.052 af, Depth= 1.32"
Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-100.00 hrs, dt= 0.05 hrs
Type II 24-hr 25 YR Rainfall=6.50"
_ Area (ac) CN . Description
" 0.470 49
0A70 Pervious Area
Summary for Subcatchment 1A PRE: Predlevelopment
Runoff = 2.86 cfs @ 12.27 hrs, Volume= 0.336 af, Depth= 1.32"
Runoff by SCS TR-20 method, UH=SCS, Time Span= 5,00-100.00 hrs, dt= 0.05 hrs
Type 11 24-hr 25 YR Rainfall=6.50"
Area (ac) CN Description
* 3.060 49
3.060 Pervious Area
Tc Length Slope Velocity Capacity Description
min feet ft/ft) (ft/sec) (cfs
28.5 444 0.0177 0.26 Lag/CN Method,
Summary for Subcatchment 1 B: POST DEV NORTH
Runoff = 0.42 cfs @ 11.92 hrs, Volume= 0.025 af, Depth= 0.66"
Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-100.00 hrs, dt= 0.05 hrs
Type 11 24-hr 25 YR Rainfall=6.50"
Area (ac) CN Description
* 0.040 55 grass pavers
0.410 39 >75% Grass cover, Good HSG A
0.450 40 Weighted Average
0.450 Pervious Area
Summary for Subcatchment 1 B PRE: PRE-DEV NORTH
Runoff = 2.71 cfs @ 11.90 hrs, Volume= 0.116 af, Depth= 1.32"
Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-100.00 hrs, dt= 0.05 hrs
Type II 24-hr 25 YR Rainfall=6.50"
•
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Oral
NCDENR
hka Cln m Co-A.T.-wn or
E"A,D--C N ii� RC�"
Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG050000
FOR AGENCY USE ONLY
Date Received
Year
Month Da
2010
0
Certificate of Covern
Check 0 1Amount
Q13Z35
Permit Assigna to
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG050000:
STORMWATER DISCHARGES associated with activities classified as:
SIC' 23 Apparel and Other Finished Products Made from Fabrics and Similar Materials
SIC 266 Paperboard Containers and Boxes
SIC" 267 Converted Paper and Paperboard Products
SIC 27 Printing, Publishing and Allied Industries
SIC' 30 Rubber and Miscellaneous Products (except as specified below)
SIC 31 Leather and Leather Products (except as specified below)
SIC 39 Miscellaneous Manufacturing Industries
SIC" NIA Like activities deemed by DWQ to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC 301 Tires and Inner Tubes
SIC 311 Leather Tanning and Finishing
' Standard Industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailedl:
Name Vescom
Street Address 2289 Ross Mill Road
City Henderson State NC ZIP Code 27637
Telephone No. 252-431-6210 Fax: [phone]
E-mail Address www.vescom.com
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
Vescom
George Rusincovitch
erusincovitch(&vescomamerica.com
2289 Ross Mill Road
Henderson State NC ZIP Code 2753
252- 31-6210 Fax: [phone]
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road
distance and direction from a roadway intersection). 1-85 TO Rte. 10-E; sta on 158E for -- 6
(A copy of a county map or USGS quad sheet with facility dearly located on the map is required with this application) If —
Page 1 of 4
SWU-220-071408 last Revised 7/14/2008
0
Q
go

NCGO50000 N.O.I.
4) Latitude 36 n20'23.43 N Longitude 78 » 26' 04.31 W (degrees, minutes, seconds)
6) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility
X Existing
6) Standard Industrial Classification:
Date operation is to begin
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3 0 6 9 _
Provide a brief narrative description of the types of Industrial activities and products manufactured at
this facility: Vinyl Wallpaper printing and coating manufacturer
7) Discharge points:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
8) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Unnamed tributary to Nutbush Creek which leads to Kerr Lake
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
❑ Yes
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
X No
❑ Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
Page 2of4
SWU-220-071408 Last Revised 7/1412008

NCGOS0000 N.O.I.
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
15) Certification:
North Carolina General Statute 143-215.6 b (1) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Joe Berasl
Title: President
Applicant)
?-2Z-2v/d
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Page 3 of 4
SWU-22M71408 Last Revised 7/14/2008

NCGO50000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearby waters
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWQ Reallonal Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office...
[phone]
Raleigh Office ........
[phone]
Washington Office...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 4 of 4
SWU-220-071408 Last Revised 7/14/2008

Vescom America
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IS
NCDENR
Noam Cvr — Oenm*+ei+r or
Ernm mew NOD NQ — R"_O p CEs
Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG050000
FOR AGENCY USE ONLY
Date Received
Year
Month
I Da
Certificate of Covemn
Check k Amoun
Permit Assigned to
i.e✓\
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCGO50000:
STORMWATER DISCHARGES associated with activities classified as:
SIC* 23 Apparel and Other Finished Products Made from Fabrics and Similar Materials
SIC 265 Paperboard Containers and Boxes
SIC 267 Converted Paper and Paperboard Products
SIC 27 Printing, Publishing and Allied Industries
SIC 30 Rubber and Miscellaneous Products (except as specified below)
SIC 31 Leather and Leather Products (except as specified below)
SIC' 39 Miscellaneous Manufacturing Industries
SIC' NIA Like activities deemed by DWQ to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC 301 Tires and inner Tubes
SIC 311 Leather Tanning and Finishing
" Standard Industrial Classiflcatlon Code
(Please print or type)
o
1) Mailing address of owneriioperator (address to which all permit correspondence will be
0
Name Vescom
,
Street Address 2289 Ross Mill Road
City Henderson State NC ZIP Code 2753
w
Telephone No. 252.431-6210 Fax: [phone]
E-mail Address www.vescom.com
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
Vescom
Georgo Rusincovitch
orusi ncov itch(cD-vescomamerica.com
2289 Ross Mill Road
Henderson State NC ZIP Code 27537
252-431-6210 Fax: [phone]
1 10
3) Physical Location information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, a
distance and direction from a roadway intersection). 1-85 TO Rte.158E• stay on 158E for — 6 miles- Tu O
left onto Ross Mill Road; Facility will be on the rilaht-hand side _
(A copy of a county map or USGS quad sheet with facility dearly located on the map is required with this application)
Page 1 of 4
SWU-220-071408 Last Revised 7/14/2008

a
NC.G050000 N.O.I.
4) Latitude 36 u20'23.43 N Longitude 78 » 26' 04.31W (degrees, minutes, seconds)
6) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X Existing
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3 0 6 9 _
Provide a brief narrative description of the types of Industrial activities and products manufactured at
this facility: Vinyl Wallpaper printinsl and coating manufacturer
7) Discharge points:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
8) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Unnamed tributary to Nutbush Creek which leads to Kerr Lake
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
❑ Yes
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
X No
❑ Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
SWU-220-071408
Page 2 of 4
Last Revised 7/14/2008

NCG050000 N.O.I.
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
16) Certification:
North Carolina General Statute 143-215.6 b (]) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Joe Berasi
Title: President
-22- 20/ o
{Date Signed)
Notice of intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Page 3 of 4
SWU-220-071408 Last Revised 7/14/2008

NCGO50000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following Items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearby waters
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the Issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWQ Realonal Office Contact Information:
Asheville Office ....
Fayetteville Office .
Mooresville Office.
Raleigh Office ......
Washington Office
Wilmington Office.
Winston-Salem ....
Central Office ......
[phone]
[phone]
[phone]
[phone]
... [phone]
[phone]
[phone]
.. [phone]
Page 4 of 4
SWU-220-071408 Last Revised 7/14/2008

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