NCG030707_Application_20191008

Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
Environmental NCG030000
Quality
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
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Certificate of Covera e
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Check #
Amount
7p6z4R
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Permit Assigned to
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National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals
M,00
SIC 3398
Metal Heat Treating
� Q
E 6
SIC 34
Fabricated Metal Products
,.�
SIC 35
Industrial and Commercial Machinery
OCT 0 8 2019
SIC 36
Electronic and Other Electrical Equipment
SIC 37
Transportation Equipment
DEhR-LAI,JD QUALITY
SIC 38
Measuring, Analyzing, and Controlling Instruments
STORMWATER PERMITTING
'K-'if F
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 Tube Specialties Company, Inc.
Street Address 1401 Industrial Drive
City Statesville State NC ZIP Code 28625
Telephone No. 704 818-8933 Fax:
2) Location of facility producing discharge:
Facility Name Tube Specialties Company, Inc. - Statesville Facility
Facility Contact Bill Hoover, EHS Manager
Street Address 1401 Industrial Drive
City Statesville State NC ZIP Code 28625
County Iredell
Telephone No. 704 818-8933 ext. 347 Fax:
Email Bill. [e-mail]
3) Physical Location Information:
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 1-77 N, take exit 49A to merge onto US-70/Garner Bagnal Blvd.
Turn left onto industrial drive, and the facility entrance is on the right hand side in less than 0.5 miles.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35° 46' 8.24° N Longitude 80' 50' 56.64" W (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
New or Proposed Facility Date operation is to begin
P/ Existing
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NCG030000 N.O.I.
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 4 9 8
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: The Statesville facility forms various size tubing for automotive industry applications.
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Fourth Creek
Receiving water classification: class C
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? NSA 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). N/A
List discharge points (outfalls) that convey discharge from the site (both on -site and off -site) and location
coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Stormwater Outfall No. 1
Latitude (degrees/minutes/seconds): W46•4-WN N
Longitude (degrees/minutes/seconds): e1-5r1_33-w W
Stormwater Outfall No
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
9) Does this facility have any other NPDES permits?
0 No
M Yes
If yes, list the permit numbers for all current NPDES permits for this facility: Industrial User Permit No. 4002
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NCG030000 N.O.I.
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
11 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 (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: Periodic visual inspections of areas exposed to stormwater, material inventory control, ensure
non -contaminated materials are not placed in waste storage bins, use leak -proof waste containers. etc.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
M Yes
If yes, when was it implemented? 2019
13) Are vehicle maintenance activities occurring at this facility?
11 No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
4 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
0 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
11 No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
M No ❑ 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:
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 143-215.613(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
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NCG030000 N.O.I.
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 ten thousand dollars ($10,000).
1 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 Galemmo
Title: General Manger
(Signature of Applicant)
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDEQ
Page 4 of 4
SWU-218-071408 Last revised 7/2/14

NCG030000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
l� Check for $100 made payable to NCDEQ.
This completed application and all supporting documents.
C�1 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,
(f) impervious areas, (g) site property lines.
Q Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail 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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Site Latitude:
Site Longitude:
Receiving Stream:
Stream Class:
303(d) Impairment:
River Basin:
Stream Index:
Map Source:
350 46' 8.24" N
800 50' 56.64" W
Fourth Creek
Class C
Not Applicable
Yadkin Pee -Dee
12-108-20-4
USGS US Topo 7.5-minute map
for Statesville East (2016)
QUADRAIIGLE LOCATIOII
1 Cwtral
t 3 3 3 Namtotty
3 Calahaln
4 5 4 Statowdlo :'last
5 Cool Springs
6 Troutman
6 1 a 7 Shapt.,d,
E Cawland
ADXWNIG QUADRA11GLLS
Figure A-1. General Location Map
Tubes Specialties Company, Inc. -
1401 Industrial Dr.
Statesville, Iredell County, NC
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Figure M2.SWPPP Site Overview
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Statesville, Iredell County, NC
Date•. September2019

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October 4, 2019
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
RE: N01 for Stormwater Discharge Associated with Industrial Activities (NCGO30000)
Tube Specialties Company, Inc. - Statesville Facility
To Whom It May Concern:
Tube Specialties Company, Inc. (Tube Specialties Company) owns and operates a manufacturing plant at
1401 Industrial Drive in Statesville, North Carolina (Statesville plant). The primary SIC code for the
Statesville plant is 3498 - Fabricated Pipe and Pipe Fittings.
With this submittal, Tube Specialties Company requests coverage under NPDES General Permit
NCG030000 for stormwater discharges associated with industrial activity at metal fabrication facilities.
Tube Specialties Company is submitting NC DEMLR Form SWU-218-071408 (NCG030000 NOI), facility
location maps, and a $100 permit application fee as attachments to this letter.
If you have any questions or comments about the information presented in this submittal, please do not
hesitate to contact me at [phone] extension 347.
Sincerely,
TUBE SPECIALTIES COMPANY, INC.
Bill Hoover
EHS Manager
Enclosures
cc: Ms. Kim Teofilak, Trinity Consultants, Inc.

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10/8/2019
North Carolina Secretary of State Search Results
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Business Corporation
Legal Name
TUBE SPECIALTIES CO., INC.
Information
Sosld: 0508040
Status: Current -Active
Annual Report Status: Current
Citizenship: Foreign
Date Formed: 10/5/1999
Fiscal Month: December
State of Incorporation:
OR
Registered Agent: National Registered Agents, Inc.
Addresses
Mailing
1459 Sundial Road
Troutdale. OR 97060-9547
Officers
Chief Financial Officer
SERGIO CABADA
1560 WILLIAMS DRIVE
STOUGHTON WI 53589
Stock
Principal Office
1459 Sundial Road
Troutdale. OR 97060-9547
President
Steven Scgalski
1560 WILLIAMS DRIVE
STOUGHTON WI 53589
Reg Office
160 Mine Lake Ct Ste 200
Raleigh, NC 27615
Secretary
DAVID STOTT
676 N MICHIGAN AVE #3700
CHICAGO IL 60611
Reg Mailing
160 Mine Lake Ct Ste 200
Raleigh, INC 27615
https://www.sosnc.gov/onIine_services/search/Business_Registration_ResuIts 1 /1