NCG210316_COMPLETE FILE - HISTORICAL_20141125

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
XJC6 ;L163 /�
6
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION ,
❑ o���l�a5
YYYYMMDD

4
Alexander, Laura
From:
Caudill, Craig
Sent:
Tuesday, November 25, 2014 11:46 AM
To:
Alexander, Laura
Subject:
NCG210287
Attachments:
NCG210316.pdf
Importance: High
Follow Up Flag: Follow up
Flag Status: Completed
Laura,
One more recommendation to close due to dissolution.
Sorry to piece mail these.
Regards,
Craig Caudill
Business Officer & Cash Management Supervisor - Financial Services Division
N.C. Department of Environment and Natural Resources
Financial Services Division
217 West ]ones Street - Office 5208-A
1606 Mail Service Center
Raleigh, NC 27699-1606
[e-mail]
Office / Fax [phone]
Notice: Email correspondence to and from this address may be subject to the North Carolina Public Record Law and may be disclosed to third parties by authorized
state official.
1

State of North Carolina
Department of the Secretary of State
ARTICLES OF DISSOLUTION BY BOARD OF DIRECTORS AN
BUSINESS CORPORATION
SOSI D: 0080193
Date Filed: 12/30/2013 9:26:00 AM
Elaine F. Marshall
North Carolina Secretary of State
2013 353 00084
Pursuant to §55-14-03 of the General Statutes of North Carolina, the undersigned corporation hereby submits the following Articles of
Dissolution for the purpose of dissolving the corporation.
I. The name of the corporation is: Key City Furniture Company
2. The names, titles, and addresses of the officers of the corporation are: F. D. Forester, 111, President, 408 Coffey St., N.
Wilkesboro, NC 28659, James C. Forester, Vice -President, 1287 Town & Country Dr, Wilkesboro, NC 28697,
and Paul F. Anderson, Director, Post Office Box 428, N. Wilkesboro, NC 28659
3. The names and addresses of the directors of the corporation ar • F. D. Forester, 111, 408 Coffey St., N. Wilkesboro, NC
28659, James C. Forester, 1287 Town 8. Country Dr., Wilkesboro, NC 28697 Paul F. Anderson, Post Office
Box 428, N. Wilkesboro, NC 28659 and Jack Anderson, 218 Ninth St., N. Wilkesboro, NC 28659
4. The dissolution of the corporation was authorized on the 5th day of December 20 13
5. Shareholder approval for the dissolution was obtained as required by Chapter 55 of the North Carolina General Statutes.
6. These articles will be effective upon filing, unless a delayed date and/or time is specified:
This the 15 day of December 20 13
Key City Furniture Company
Name of orporation
Signature
F. D. Forester, III, President
Type or Print Name and Title
NOTES:
1. Filing fee is $30. This document must be filed with the Secretary of State.
(Revised January 2000) (Form 8-06)
CORPORATIONS DIVISION P.O. BOX 29622 RALEICH, NC 27626-0622

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210316
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,
Key City Furniture'Co
is hereby authorized to discharge stormwater from a facility located at
Key City Furniture Co-Wi eskl
503 C St
North Wilkesbb ro
Wilkes Cow untY
to receiving waters designated as YADKIN ,RIVER, a class C;Tr stream in the Ya, d n River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts i, II,
III, IV, V, and VI of General Permit No. NCG210000 as attached.
This certificate of coverage shall become effective September 15, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 12, 2008.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Michael F. Easley, Governor
William Q Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Culeer K Sullins, Director
Division of Water Quality
September 12, 2008
F Forester
Key City Furniture
PO Box 680
Wilkesboro, NC 2869j
Subject. NPDES Stormwater Permit Coverage Renewal
Key City Furniture Co-Wki__
COC Number NCG210_316
Wi--eke$ County
Dear Permittee:
In response to your renewal application for continued coverage under stormwater General Permit NCG210000 the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater General Permit. This permit has been 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 October 15, 2007.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of stormwater General Stormwater Permit NCG210000
• A copy of the Technical Bulletin for the General Permit
• Five copies of the Discharge Monitoring Report (DMR) Form
• Five copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater only, and it specifies your obligations with respect to stormwater
discharge controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself with all
the changes in the reissued permit.
The more significant changes to the General Permit include the following:
• Permit cover page, second paragraph — The General Permit now may cover activities that DWQ determines to be similar in
either the process, or in the exposed materials, to the Timber Products Industry.
• Part I Section A — A new provision that facilities draining to 303(d) listed waters, or in watersheds with an approved TMDL,
may not be eligible for continued coverage at the next renewal of the General Permit.
• Part I Section B second paragraph — A new clarification that the permit does not authorize discharges that DWQ determines
are wastewaters.
• Part II Section A — The required contents of the Stormwater Pollution Prevention Plan have been expanded and clarified.
• Part II Section B Table 1 — A new requirement to sample stormwater discharges twice per year for those facilities with
exposed piles of certain materials remaining on site longer than seven days.
• Part li Section B Tables 2 and 3 and following — For permittees with exposed piles, there are new provisions requiring the
permittee to execute Tier One and Tier Two response actions, based on the first benchmark exceedence (Tier One) and the
second consecutive benchmark exceedence (Tier Two). Tier Two requires that the permittee institute monthly monitoring
instead of twice -per -year monitoring, until three consecutive monitoring events show no benchmark exceedences.
• Part II Section B — For permittees with exposed piles, a new provision that four exceedences of any particular benchmark
will trigger increased DWQ involvement in the permittee's stormwater management and control actions. DWQ may direct
the permittee to apply for an individual permit, or may direct the implementation or installation of specific stormwater control
measures.
• Part 11 Section C — Clarification that under the qualitative monitoring provisions of the permit, the permittee is obligated to
respond to repeated observations of stormwater pollution. DWQ may impose additional stormwater management
requirements if the permittee is non -responsive, or if the responses are ineffective.
Your coverage under the General Permit is transferable only through the specific action of DWQ.
Onc
No rthCarolina
Aalatilly
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] CUStOnYL'r Service
Internet: h2o.enr.state. nc.uslsulstormwater.html 512 N. Salishury St. Raleigh, NC 27604 FAX [phone]
An Equal OpportunitylAffirmadve Action Employer— 50% Recycled110% Post Consumer Paper

NPDES Stormwater Permit Coverage Renewal
Permit Number NCG21W0 T66
Page 2
This permit does not affect the legal requirements to obtain other permits which may be required by NCDENR, nor does it 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 Bethany_,Georgoulias of the Central Office Stormwater
Permitting Unit at [phone].
Sincerely,
for• Coleen H. Sullins
cc: DWQ Central Files
Stormwater Permitting Unit Files
Winston�Salem Regional Office

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
April 28, 2003
John Dyer
Key City Furniture Co -Wilkes
PO Box 1049
N. Wilkesboro, NC 28659
Subject: NPDES Stormwater Permit Renewal
Key City Furniture Co -Wilkes
COC Number NCG210316
Wilkes County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG210000, the
Division of Water quality (DWO) 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 new Certificate of Coverage
• A copy of General Stormwater Permit NCG210000
• A copy of the Analytical Monitoring Form (DMR)
• A copy of the Oualitativel Monitoring Form
• A copy of a Technical Bulletin for the general permit
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 the Department of
Environment and Natural Resources, 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,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
�''7
+� o1=1aR
Customer Service
1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210316
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,
Key City Furniture Cc
is hereby authorized to discharge stormwater from a facility located at
Key City Furniture Co -Wilkes
503 C St
N. Wilkesboro
Wilkes County
to receiving waters designated as the Yadkin River, a class C stream, in the Yadkin - Pee Dee
River Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, 11, III, IV, V, and VI of General Permit No. NCG210000 as
attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
&alley
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

ow AT RQ6
Michael F. Easley, Governor
Wiliam G. Ross Jr„ Secretary
North Carolina Department of Environment and Natural Resources
.lOHN DYER
K1 Y CITY FURN1-I'URF C(.)-WII_KI S
PO BOX 1049
N. WILK13Sli0RO. NC 28659
Darr 11crnlitice:
Alan W. Klimek, P.E., Director
Division of Water Quality
Scptcrllbcr 4, 2M2
Subject: NPDf S Stornn ales- Permit Coverage Renc-w.d
Key City Furniture Co -Wilkes
C{)C Number ncg21 U316
Wilkes Coumy
Ynarr f,t(:ility is currently cotCred lilt stornlwalcrclischargc: under Genet'al I'crmil NCG21{}(}{}(}. 'Ihis hermit expires
on March 31. 2{)03. The Division stalY is currently in the process of rewriting this pernlit and is SChededed to II:rvC
the permit r'CissuCd by Carly spring ol'2003. Once the permit is vcISSUCd, your' f:tcilily would he Clklihlc for
CnntinuCd CnvcragC under ihM reissued permit.
In ordCr to .rssurC your continttC(i Covcr.r'*C under the; -onend pernlit, YOU must apply to the Division of W.ttcr-
Qualily (DWQ) lilt renewal tlf your permit covcrrgC.�To make this renewal procesS CasicV. wC arc infortuing ynu in
advance that your per'tnit Coverage will he expiring. 1311cIoSCcl you will Dine{ it Permit Cover%lge Renewal
Application F'omw The applicatirnr must he completed and returned by Octohcr 2, 2002 in 01-dCr to assure
CnntintlCd cnvCragC under the gcnCral pernlit. Doc to Still I'and bud"Cl constraints, letters camlirnlin" out. receipt 01,
thU complete applicaliorl will not he sent.
FailurC to r'C(Iucst rcncwal within the time period spCCiliccl. nlay result in :1 Civil assessmenl of at least $250.00,
LarcCr pCrrallics may bC ISSCSSed dcpcnding on the dclincluCrlCy of the rcyucst. Dischar,c of'anrnlwatcr h-Om�nur
facility withnul coverage urlder a valid Sulnnwater NITES pernlit would CunsiitulC it violation ell' NCGS 143-215.1
:md Could rCSult in :tSSCSSnICnls ell' Civil IMIAticS Of' up to `i;1(},OOO per day.
111C.tse note Ih,tt recent Icdcnd legislation has extended the "110 CxposurC CXClttSiurl" 10 ❑II nperatclr'S of industrial
facilities ill any of the I I catMgor CS elf"'Storm water dischar-es associated with industrial :activity." (cxccpt
CoIlS(r'trCtinll ildivilics). 11' YOU I'Ccl your facility can certify it Cnnditiclrl ul' "no Cxpnsure". i.e. the l'Wility indusn'ial
rnalerials and operations are not exposed to stornlwatcr, you Can apply for the no ex'poStrre CxClusirlrl. I-ur additi011 ll
irllilrmation Contact tllC C.Crliral plltce Storlllwater Sual'i" nicnlhu' listed hdow or check the Stormwatcr N-, GCncral
Permits Unit Web Site at lute:I/h2o.Cnr.st:rtC,nc.us/su/stnrntw:ltcr,hunl
If the Subject stortnw:tter discharg to waters of the state has been tenollWICd. pICaSC complete the CnClosCd
Rescission Request Moroi. Mailing, inSLl'uClionS arC listed on the b(lttonl (lf the form. You will be notil'icd when the
rescission process has hccn completed.
If ynu have: ,any questions reg:rrtin- the permit renewal pr MILIres pICUSC C01111 l Ctrrcy B;I;ingcr of 1hC
Winston-Sa1cr11 ke"inmll Office at 336-771-4600 or Bill Mills ol' the Central Office Stornnvater' Unit at (919)
733-5083. Cxt. 548
Sincerely.
l.iradlMy BCnnclt, SupMI'visor
Stornn ;l1cl, :and Gcncral PCrnlits Unit
cc: Ccnlral Files
Starrnnuater and Gcneml Permits Unit Files
Winston-SalCnr RCginnO al ffice
��'y
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 8DQ-623-7748

�1
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
May 1, 1998
JOHN DYER
KEY CITY FURNITURE CO INC
P.O. BOX 1049
N. WILKESBORO, NC 28659
Subject: Reissued Stormwater General Permit for
Certificate of Coverage No. NCG210316
Wilkes County
Dear Permittee:
� E N R
In response to your renewal application for continued coverage under the General Permit
NCGO40000, the Division of Water Quality (DWQ) is forwarding herewith the General Permit
NCG210000 which is a new General Permit to cover most of the Timber Products Industry. You
have now been given coverage under NCG210000 and your coverage under NCGO40000 is hereby
terminated. 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.
The following information is included with your permit package:
0 A copy of the stormwater general permit NCG210000.
■ A new Certificate of Coverage under general permit NCG210000.
■ A Stormwater Pollution Prevention PIan Certification Form. This form certifies that you have
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
permit (both NCGO40000 and NCG210000). 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 Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
■ A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
Your certificate of coverage is not transferable except after notice to DWQ. 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 required by
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number [phone].
Sincerely, bAA Ay
for A Preston Howard, Jr., P. E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 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. NCG210000
CERTIFICATE OF COVERAGE NO. NCG210316
STORMWATER DISCHARGES
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,
KEY CITY FURNITURE CO INC
is herby authorized to discharge stormwater from a facility located at:
503 C STREET
N. WILKESBORO, NC
WILKES COUNTY
to receiving waters designated as Yadkin River in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements and other conditions set forth in Parts I,
II, III and 1V of General Permit No. NCG210000 as attached.
This Certificate of Coverage shall become effective May 1, 1998.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 1,1998
for A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authorization of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
September 6, 1996
Mr. John Dyer
Key City Furniture Co.
P.O. Box 1049
N. Wilkesboro, NC 28659
' LT.RMAI
qT4 0
1:3EHNR
Subject: General Permit No. NCG040000
Key City Furniture
COC NCG040316
Wilkes County
Dear Mr. Dyer:
In accordance with your application for discharge permit received on July 29, 1996, 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 .l 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 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 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 Aisha Lau at telephone number 919/733-5083.
Sincerely,
QRlaG �X. S,MNED BY
11P [l,LE ' SEN NETT
A. Preston Howard, Jr., P. E.
cc: Winston Salem Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG040000
CERTIFICATE OF COVERAGE No. NCG04031G
STORMWATER DISCHARGES
NA`CIONAL 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,
Key City Furniture Company, Inc.
is hereby authorized to discharge stormwater from a facility located at
Key City Furniture Company, Inc.
503 C Street
North Wilkesboro
Wilkes County
to receiving waters designated as the Yadkin River, a class C stream in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, 111
and IV of General Permit No. NCGO40000 as attached.
This Certificate of Coverage shall become effective September 6, 1996.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 6, 1996.
OPIC-11 I. 3;GN -E!) BY
GRADLEY BENNETT
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

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