NCG030665_COMPLETE FILE - HISTORICAL_20151201

PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
I, -'HISTORICAL FILE
iJ MONITORING REPORTS
a 301E
YYYYMMDD

RECEIVED
N C Dept of ENR
North Carolina Department of Environmental Qu 11N)EC 01 2015
E
Pat McCry ry Winston Salem
wart
Governor Secretary
November 24, 2015
Mr John F Peters, Operations Manager
US Chemical Storage
1614 Industrial Drive
Wilkesboro, North Carolina 28697
Subject General Permit No NCG030000
US Chemical Storage - Industrial Drive
COC No NCG03066S
Wilkes County
Dear Mr Peters
In accordance with your revised application for a discharge permit received on September 1,
2015, we are forwarding herewith the subject certificate of coverage (COC) 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 October 15, 2007 (or as subsequently amended)
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 Energy, Mineral and Land Resources (Division) 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 Division or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that may be required
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone]
Sincerely,
ORIGINAL SIGNED M
KEN PICKLE
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and
Land Resources
cc Winston-Salem Regional Office - L -eJ 0-oil"I
Central Files
Stormwater Permitting Unit Files
Attachments
1601 Marl Service Center Raleigh North Carolina 27699 1601
Phone [phone] Internet www ncdenr gov
An Equal Opportunity V Affirmative Action Employer - Made in part by recycled paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO NCG030000
CERTIFICATE OF COVERAGE No NCG030665
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,
US Chemical Storage
is hereby authorized to discharge stormwater from a facility located at
US Chemical Storage
1614 Industrial Drive
Wilkesboro
Wilkes County
to receiving waters designated as the Yadkin Raver, a Class WS-IV waterbody Yadkin River Basin, m accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II,1I1, IV, V and VI
of General Permit No NCG030000, as attached
This Certificate of Coverage shall become effective November 24, 2015
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day November 24, 2015
ORIGINAL SIGNED M
KEN PICKLF
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

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DRAINAGE DITCH DRAINAGE DITCH

r
Permit Number NCG030665
Central Files APS — SWP _
1112512015
Permit Tracking Slip
Program Category
Status Project Type
NPDES; SW
In review New Project
Permit Type
Version Permit Classification
Metal Fabrication Stormwater Discharge COC
COC
Primary Reviewer
RECEIVED
Permit Contact Affiliation
bill diuguid
Coastal SWRule
CENTRAL FIDES
Permitted Flow
pWR SECTION
Facility
Facility Name
Major/Minor
Region
US Chemical Storage
Minor
Winston Salem
Location Address
County
1605 Industrial Dr
Wilkes
Facility Contact Affiliation
Wilkesboro NC 28697
Nada Wellman
1605 Industrial Dr
Owner
Wilkesboro
NC 28697
Owner Name
Owner Type
John Peters
Non Government
Owner Affiliation
John Peters
1614 Industnal Dr
DatestEvents
Wilkesboro
NC 28697
Scheduled
Ong Issue App Received Draft Initiated Issuance Public Notice Issue J Effective Expiration
911/2015 i,IZ*! fs /II]ZV tC
Regulated Activities Requested /Received Events
RO staff report received 11/20/15
RO staff report requested 11/19/15
Outfall 1
Waterbody Name Streamindex Number Current Class Subbasin
YADKIN RIVER 12434) WS IV 03 07 01

North Carolina Department of Environmental Quality
Pat McCrory Donald R van der Vaart
Governor Secretary
November 24, 2015
Mr John F Peters, Operations Manager
US Chemical Storage
1614 Industrial Drive
Wilkesboro, North Carolina 28697
Subject General Permit No NCG030000
US Chemical Storage - Industrial Drive
COC No NCG03066S
Wilkes County
Dear Mr Peters
In accordance with your revised application for a discharge permit received on September 1,
2015, we are forwarding herewith the subject certificate of coverage (COC) to discharge under the
subject state - NPDES general permit This permit is issued pursuant to the requirements of North
Carolina General Statute 143-2151 and the Memorandum of Agreement between North Carolina and
the US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended)
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 Energy, Mineral and Land Resources (Division) 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 Division or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that may be required
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone]
Sincerely,
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and
Land Resources
cc Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
1601 Mall Service Center Raleigh North Carolina 27699 1601
Phone [phone] I Internet www ncdenr gov
An Equal Oppottunq 1 At6rmahve Acton Employer — Made in part by recycled paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO NCG030000
CERTIFICATE OF COVERAGE No NCG030665
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolma 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,
US Chemical Storage
is hereby authorized to discharge stormwater from a facility located at
US Chemical Storage
1614 Industrial Drive
Wilkesboro
Wilkes County
to receiving waters designated as the Yadkin River, a Class WS-IV waterbody Yadkm River Basin, in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III, IV, V and VI
of General Permit No NCG030000, as attached
This Certificate of Coverage shall become effective November 24, 2015
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day November 24, 2015
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

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Division of Energy, Mineral and Land Resources
* • Land Quality Section �!
PA
dw=2Y, National Pollutant Discharge Elimination System
NCDENR
N01— C aM-09 - or NCG030000
E.
E- MID NNUP. ftS 'P CS
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date RLCelved
Year
mooth
DUN
Centricatc of C e
Check P
A annc
Permit A,s, ed to
1 N 1 VA 51
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000 �� tSRA ��f
STORMWATER DISCHARGES associated with activities classified as O �AO
SIC (Standard Industrial Classification) 335 Rolling Drawing and Extruding of Nonferroub Metals Q
SIC 3398 Metal Heat Treating to W� s
SIC 34 Fabricated Metal Products
SIC 35 Industrial and Commercial Machinery
SIC 36 Electronic and Other Electrical Equipment c
SIC 37 Transportation Equipment
SIC 38 Measuring, Analyzing and Controlling Instruments
, For questions, please contact the DEMLR Regional Office for your area See page 4
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed
Name JohnAPeters
Street Address 1614 Industrial Dr
City Wilkesboro State NC ZIP Code 28697
Telephone No 336 990 0796 Fax [phone]
2) Location of facility producing discharge
Facility Name
Facility Contact
Street Address
City
County
Telephone No
US Chemical Storage
Nada Wellman
1605 Industrial Dr_
Wilkesboro
Wilkes
336 990 0912
Email nwellman@uschemicalstorage com
3) Physical Location Information
State NC ZIP Code 28697
Fax [phone]
Please provide a narrative description of how to get to the facility (use street names state road numbers and
distance and direction from a roadway intersection) From 421 take exit 86B go West on 2681-2 miles we
are located on the right hand side Turn into Ithaca we will be the parking lot to your left
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application )
4) Latitude_36 819 2349 North Longitude_ 81 9,26 2903
meter (deg, min, sec)
Page 1 of 4
SWU 218 071408
Last revised 712114

NCG030000 N O f
5) 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_�-
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility We fabricate buildings to be used for chemical storage, we also manufacturer Rigid
containment system The processes that we use are, weld, paint, sand blasting
8) Discharge points 1 Receiving waters
How many discharge points (ditches pipes channels, etc ) convey stormwater from the property? 2
What i5 the name of the body or bodies f water (creek stream, river, lake etc ) that the facility stormwater{
discharges end up in? Yakin River _ _� SS 1Aj ' '_- T V -3 -- 4' 7— Q
Receiving water classification _ 5�2F-A-^ --r,-A ,
Is this a 303(d) listed stream? Has a TMDL been approved for this watershed?
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm_
sewers stem a g City of Ralpj h 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 permit)?
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'
X No
❑ Yes (Show any structural BMPs on the site diagram )
If yes, please briefly describe
We are developing that now
12) Does this facility have a Stormwater Pollution Prevention Plan?
X No
❑ Yes
If yes, when was it implemented? We are in the process of developing
13) Are vehicle maintenance activities occurring at this facility?
❑ No X Yes
Page 2 of 4
5WU 218 071408 Last revised 712114

NCG030000 N O 1
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?
❑ No X 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) Is hazardous waste stored in the 100-year flood plain?
❑ No X Yes If yes Include Information to demonstrate protection from flooding
e) If you answered yes to questions b or c please provide the following Information
Type(s) of waste Paint Solvents
How is material stored Oils and Solvents are stored In buildings that are equipped with containments
Where is material stored To the side main building
How many disposal shipments per year Six Times a year
Name of transport ! disposal vendor Safety-Kleen
Vendor address 2600 North Central Express Way Richardson TX 75080
15) Certification
North Carolina General Statute 143-215 6B (i) 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 Commission implementing this Article shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed lerl 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 r 00= tia,- _
Title 6, P66 ii' - L`2 &^ S "'ill A a :+cP—f'
of Applicant)
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100 00, made payable to
NCDENR
Page 3 of 4
SWU 218 071408 last revised 712114

North Carolina Department of Environmental Quality
Pat McCrory Donald R van der vaart
Governor Secretary
November 24, 2015
Mr John F Peters, Operations Manager
US Chemical Storage
1614 Industrial Drive
Wilkesboro, North Carolina 28697
Subject General Permit No NCG030000
US Chemical Storage - Industrial Drive
COC No NCG030665
Wilkes County
Dear Mr Peters
In accordance with your revised application for a discharge permit received on September 1,
2015, we are forwarding herewith the subject certificate of coverage (COC) 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 October 15, 2007 (or as subsequently amended)
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 Energy, Mineral and Land Resources (Division) 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 Division or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that may be required
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone]
Sincerely,
ORIGINAL SIGNED Pl
KEN PICKLE
for Tracy E Davis, P E, CPM, Director
Division of Energy, Mineral and
Land Resources
cc Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
1601 Mall Service Center Raleigh North Carolina 27699 1601
Phone [phone] Internet www ncdenr gov
An Equal Opportunity 1 Afirmabve Action Employer - Made in part by recycled paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO NCG030000
CERTIFICATE OF COVERAGE No NCG030665
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,
US Chemical Storage
is hereby authonzed to discharge stormwater from a facility located at
US Chemical Storage
1614 Industrial Drive
Wilkesboro
Wilkes County
to receiving waters designated as the Yadkin River, a Class WS-IV waterbody Yadkin River Basin, in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth to Parts I, 11, III, IV, V and VI
of General Permit No NCG030000, as attached
This Certificate of Coverage shall become effective November 24, 2015
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day November 24, 2015
ORIGINAL SIGNED W
KEN PICKLE
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

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North Carolina Department of Environmental Quality
Pat McCrory Donald R van der Vaart
Governor Secretary
November 24, 2015
Mr John F Peters Operations Manager
US Chemical Storage
1614 Industrial Drive
Wilkesboro, North Carolina 28697
Subject General Permit No NCG030000
US Chemical Storage - Industrial Drive
COC No NCG03066S
Wilkes County
Dear Mr Peters
In accordance with your revised application for a discharge permit received on September 1,
2015, we are forwarding herewith the subject certificate of coverage (COC) to discharge under the
subject state - NPDES general permit This permit is issued pursuant to the requirements of North
Carolina General Statute 143-215 land the Memorandum of Agreement between North Carolina and
the US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended)
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 shail be final and binding
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Energy, Mineral and Land Resources (Division) 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 Division or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that maybe required
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone]
Sincerely, Q�
/� xl'e 4
for Tracy E Davis, P E, CPM, Director
Division of Energy, Mineral and
Land Resources
cc Winston-Salem Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
1601 Mail Service Cenler Raleigh, North Carolina 27699 1601
Phone [phone] internet www ncdenr gov
An Equal Opporlody 1 Affi maSive Acton Empioyea - Made in part by recycled papcK

e
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO NCG030000
CERTIFICATE OF COVERAGE No NCG030665
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,
US Chertucal Storage
is hereby authorized to discharge stormwater from a facility located at
US Chemical Storage
1614 Industrial Drive
Wilkesboro
Wilkes County
to receiving waters designated as the Yadkin River, a Class WS-IV waterbody Yadkin River Basin, in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, III, IV, V and VI
of General Permit No NCG030000, as attached
This Certificate of Coverage shall become effective November 24, 2015
This Certificate of Coverage shall remain in effect for the duration of the General Perrrut
Signed this day November 24, 2015
4't') a, izc-'
for Tracy E Davis, P E , CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

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Diuguid, Bill
To The file
Cc Diuguid, Bill, Pickle, Ken
Subject US Chemical Storage NCG030665 and NCG030666
To the future Reviewer
There has been some discussion with the WSRO and the industrial company listed above as to whether
these two adjacent sites in Wilkesboro should be combined under one permit or separate permits
You may want to revisit that question at the expiration of this permit in October 2017
Bill Diuguid
Stormwater Permitting Program
Land Quality Section
Division of Energy, Mineral and Land Resources I NCDEQ
1612 Mail Service Center (Mail)
512 N Salisbury St, Raleigh, NC 27604 1 9th Floor (Location & Parcels)
Raleigh North Carolina 27699-1612
Phone [phone] Fax [phone]
Web site htto //portal ncdenr org/web/wq/ws/su
}I Nothing Compares_
M
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties

JUSTRITB • DEW11T AVENUE • MAT100N, IL 61938. 800-798-9250
INVOICE NO
INVOICE
DATE
p0 NUMBER
BATCH
NUMBER
VOUCHER
NUMBER
GROSS AMOUNT
DISCOUNT
NET AMOUNT
082615SPUP2
8126/2015
A0553
10000
000
100 00
L� o 3
002325
812612015
NCDENER 424438
US Chemical Storage LLC St Louis MO 63195 8281
10000
CHECK NUMBER
DATE
TOTAL AMOUNT
JUSTRITF
3921 DEVOTT AVENUE
r MATfOON IL 61938
800-798-9250
TO
�THE
(ORDER
OF
One Hundred And Xx 1 100
v
USBANK VENDOR NO _DATE CHECK NUMBER
70 275-612 424438 ' 8/26/2015 002325
R
NCDENER
1612 MAIL SERVICE CENTER RALEIGH NC 27699 1612
a

NCG030000 N 4 1
Final Checklist
This application will be returned as incomplete unless all of the following items have been included
Ef Check for $100 made payable to NCDENR
Cf This completed application and all supporting documents
C A site diagram showing, at a minimum (existing or proposed)
(a) outline of drainage areas (b) stormwater management structures (c) location of stormwater outfalls
corresponding to the drainage areas (d) runoff conveyance features, (e) areas where materials are stored
(0 impervious areas (g) site property lines
Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map
Mail the enure package to
Stormwater Permitting Unit Program
Division of Energy. Mineral and Land Resources
1612 Mad Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General permit
For questions, please contact the DEMLR Regional Office for your area
DEMLR Regional 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]
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