NCG030712_Application_20191210

Division of Energy, Mineral and Land Resources
Nil
$. Land Quality Section
National Pollutant Discharge Elimination System
Environmental NCG030000
Quality
NOTICE OF INTENT
D3d�tiZ
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate of Covera ge
Check #
1 Amount
0 54
11100
Permit Assign d to
S. S
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000:
STORMWATER DISCHARGES associated with activities classified as:
Ks W'D
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals
SIC 3398
Metal Heat Treating
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SIC 34
Fabricated Metal Products
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SIC 35
Industrial and Commercial Machinery
GEC 10 2019
SIC 36
Electronic and Other Electrical Equipment
SIC 37
Transportation Equipment
DENR-LAND QUALITY
SIC 38
Measuring, Analyzing, and Controlling Instruments
STORMWATER PERMITTING
1 ( 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 Intertractor America Corp
Street Address
City
Telephone No.
960 Proctor Drive
Elkhorn
262 741-6627
2) Location of facility producing discharge:
State wl
Fax: 262
ZIP Code 53121
741-6606
Facility Name IntertractorAmerica Corp
Facility Contact John Schlick
Street Address 195 Budd Boulevard
City Winston-Salem State NC ZIP Code 27103
County Forsyth
Telephone No. 262 741-6627 Fax:
Email [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). Proceed south on South Stratford Road.
Turn left onto Budd Blvd. Drive south on Budd Blvd and turn left (90 degree turn) after first large warehouse building.
Subject site is second building on the 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 deg, 3', 18.1" N Longitude 80 deg, 18', 53.8" W (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
✓❑ New or Proposed Facility
❑ Existing
Date operation is to begin Dec 2019
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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 5 3 1
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: The facility is primarily a storage warehouse for parts for construction equipment (i.e., conveyor, excavator, dredger).
Minor assembly is performed at the facility including chain / track assembly. Some parts are painted inside the facility.
Some of the finished parts will be stored outside. A dumpster, scrap metal container, and wood containers are located on the site.
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? One
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end uo in? creek (Kimel Branch) that flows into Salem Creek
Receiving water classification: C
Is this a 303(d) listed stream? Yes Has a TMDL been approved for this watershed?
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).
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): 36 deg/3 min/16.57 sec N
Longitude (degrees/minutes/seconds): 80deg/18 min/5213 sec 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?
No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
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If

NCG030000 N.O.I.
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
d 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
R Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe:
Parts assembly, cleaning, and painting are performed inside the building.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
11 Yes
If yes, when was it implemented? Jan 2020
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?
M No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
e 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?
11 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 143-215.66 (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).
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: J O f-/N Sc ,L�' 47-c,e
Title: SA Fi r" C o 0 ".i .vA-ro A
l2z-? i
ignature of Applicant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDEQ
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SWU-218-071408 Last revised 7l21F14

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1
SITE
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3 OF-1
Legend_
t` Surface Water Flow Direction (dashed lines are underground flow)
OF-1 Stormwater Outfall Location
1 - Outside equipment storage area
2 - Rolloff containers with metal and wood
3 - Painting area
Ref: 2018 Aerial from Forsyth County NC GIS

0
- December 2, Q-019
NCDEQ
Division of Energy, Mineral, and Land Resources
Land Quality Section - Stormwater Permitting Program
- - - 1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Subject: Notice of Intent
Application for Coverage Under NPDES General Stormwater Permit NCG030000
- - - - Intertractor America Corp
195 Budd Boulevard
Winston-Salem, Forsyth County, North Carolina
Dear Gentlemen:
On behalf of Intertractor America Corp, Blue Ridge Geological Services, Inc. (Blue Ridge) prepared the
attached application for coverage under an NPDES General Permit to discharge storm water associated
with industrial activities at the subject site (Figures 1 and 2). A check for $100 for the new application
fee is attached.
Please contact the undersigned at 336-382-6849 if you have any questions concerning this application or you
need additional information.
Sincerely,
Je ey . Gerlock, L.G.
NC Licensed Geologist # 1141
Cc: Mr. John Schlick, Intertractor America Corp
Attachments — NOI Application, Figures, Check
7356 Belmont Drive, Trinity, NC - Phone [phone]

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Business Corporation
Legal Name
I ntertractor America Corporation
Information
Sosld: 0810547
Status: Current -Active
Annual Report Status: Current
Citizenship: Foreign
Date Formed: 10/31/2005
Fiscal Month: December
State of Incorporation:
DE
Registered Agent: CT Corporation System
Addresses
Reg Office
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Officers
Reg Mailing
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Mailing
960 Proctor Drive
Elkhorn, WI 53121-2024
Treasurer President
Timothy Archibald Oscar Bernardoni
960 Proctor Drive Italtractor ITM SpA, Via Confortino, 23/28, Loc. Calcara (BO)
Elkhorn WI 53121 Crespellano XX 40056
Vice President
Maria Cecilia La Manna
Italtractor ITM SpA, Via Confortino, 23/28, Loc. Calcara (BO)
Crespellano XX 40056
Stock
Principal. Office
960 Proctor Drive
Elkhorn, WI 53121-2024
https://www.sosnc.gov/online_services/search/Business_Registration_Results 12/11/2019