NCG050324_COMPLETE FILE - HISTORICAL_20130408

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMITNO.
3a 7
DOC TYPE
d HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
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p a b)3 -Cf O Y
YYYYMMDD

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NCDENR
North Car6lina Department of Environment and Natural Resources
Division of Water Quality
Pat McCory Charles Wakild, P.E. John Skvaria, III
Governor Director Secretary
April 8, 2013
Dean Charms
Technical Manager
Blanchford RP Corporation
707 Broadview Drive
Kings Mountain, NC 28086
Subject: Permit Renewal Application Fee Return
Permit NCG050324
Blanchford RP
Cleveland County
Your fee, submitted as part of your request for a General Permit renewal received on April 5, 2013 is being
returned due to:
❑ Check for $100.00 made payable to NCDENR is missing.
❑ Application is incomplete.
❑ Application package is missing the supporting documents.
❑ Missing copy of county map or USGS quad sheet with facility clearly marked.
Other Permit renewal applications for NPDES stormwater permits do not require renewal fees. This fee is
being returned. Your check is enclosed.
Please return the complete package of information so we can continue processing your request. If you have any
additional questions, please contact Bradley Bennett at 919-807-6378.
cc:
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699.1617
Location. 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal OpportunitylAffirmative Acton Employer
One
NorthCarolina
Natura!!b

BLACHFORD INVESTMENTS, INC 1070
707 Broadview Drive
Kings Mountain, NC 28086
B&127/531
Date BRANCH 87798
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BLACHFORD RP CORP.
707 Broadview Drive, Kings Mountain, NC 28086 U.S.A. Tel: [phone] Fax: [phone]
Stormwater and General Permits Unit April 1, 2013
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Renewal of Permit NCG050324
Please find enclosed the documents for the renewal of Permit NCG050324:
1. Form SWU-220-071408 with check for $100.00 attached.
2. Supplemental Information Required for Renewal of Individual NPDES Stormwater Permit Form.
3. USGS map with associated facility maps.
4. Summary Table of Visual Monitoring Data and Results.
5. Section 3.3 Best Management Practices From Company Stormwater Pollution Prevention Plan.
6. Letter containing a short narrative of any significant changes in industrial activities at permitted facility.
7. Form SPP Certification 5109.
Sincerely,
Dean Chamis
Technical Manager
Blachford RP Corp.
707 Broadview Dr.
Kings Mountain, NC 28086
(704) 730- 1005 x.207
[e-mail]
sb�C(P603
Off,

FOR AGENCY USE ONLY
Division of Water Quality 1 Water Quality Section
NCDENRNational Pollutant Discharge Elimination System
ROF'•.. C..nouw Drt rrevr b.
ENV4FONMEMi ■ D NA - RE3p .=
NCGO50000
NOTICE OF INTENT
ficale of
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* N/A 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 GeneraIands
r irT I'
SIC- 301 Tires and Inner Tubes
SIC 311 Leather Tanning and Finishing APR — 2013
Standard Industrial Classification Code D NR - WATER
GUALI
(Please print or type) etQ� &an h
1) Mailing address of ownerloperator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
Blachford RP Corporation
707 Broadview Dr.
Kings Mountain
704-730-1005
E-mail Address [e-mail]
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
Blachford RP
Dean Chamis
[e-mail]
707 Broadview Dr.
Kings Mountain
USA
704-730-1005
3) Physical Location Information:
State NC _ ZIP Code 28086 _
Fax: [phone]
State NC _ ZIP Code 28086
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 Charlotte take 1-85 south to exit 8, turn right on
Page 1 of 4
SWU-220-071408 Last Revised 7/14/2008

NCG050000 N.O.I.
Broadview Dr., and facility will be directly in front.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application)
4) Latitude 35.229167 Longitude-81-330833 (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
;4 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: 3061
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Rubber flooring systems (automotive)
8) Discharge points:
Flow many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
9) 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? Crowders Creek, Catawba River Basin
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).
10) Does this facility have any other NPDES permits?
❑ No
N Yes
If yes, list the permit numbers for all current NPDES permits for this facility: NCGO50324
11) 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:
12) Does this facility employ any best management practices for stormwater control?
❑ No
9 Yes
If yes, please briefly describe
Contained in section 3.3 Best Management Practices of SW3P
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented? 2003
14) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
Page 2 of 4
SWU-220-071408 Last Revised 7/14/2008

NCGO50000 N.O.I.
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
IN No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
9 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 1 disposal vendor: _
Vendor address:
16) Certification:
North Carolina General Statute 143-215.6 b (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 he 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: Dean Chamis
Title: _Technical Manager
(Sil—nature of Applicant)
� 3
(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
5WU-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
1�1 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 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]
Page 4 of 4
SWU-220-071408 Last Revised 7/14/2008

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
G- 1. A current Site Map from the Stormwater Pollution Prevention Plan. The location of
industrial activities (including storage of materials, disposal areas, process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall,
building locations and impervious surfaces should be clearly noted.
2. A summary of Analytical Monitoring results during the term ofthe existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number,
parameters sampled, lab results, date sampled, and storm event data. H
�.� 3. A summary of the Visual Monitoring results. Do not submit individual monitoring
reports. The summary can consist of a table including such items as outfall number,
parameters surveyed, observations, and date monitoring conducted.
�. G • 4. A summary of the Best Management Practices utilized at the permitted facility.
Summary should consist of a short narrative description of each BMP's in place at
the facility. If the implementation of any BMP's is planned, please include
information on these BMP's.
5. A short narrative describing any significant changes in industrial activities at the
permitted facility. Significant changes could include the addition or deletion of
work processes, changes in material handling practices, changes in material storage
practices, and/or changes in the raw materials used by the facility.
6. Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility (Sign and return attached form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal
waiting on lab results)
Representative storm sampling may now be conducted anytime during the year (the April
to November window has been eliminated) and the representative rainfall event is now defined
as a storm event that measures greater than 0.1 inches and is preceded by at least 72 hours in
which no storm event measuring greater than 0.1 inches has occurred.

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21.95-Acre Blachl'ord R. P. Corporation
(Former Wix Dana Facilities I and I1)
Kings Mountain, North Carolina
pigurerlo.
2,
Checked by: I)1I
Drawn by: CIH
Dare: 9,11,02
JobNo-: 1354-02-585

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OVERVIEW MAP - 0846163.1 r - S&ME
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Target Property
A
Sites at elsvatlans higher ton
or equal to the targsi property
•
Suss at elevations lower than
the target property.
1
Coal Gasification Shoe
National Pricrlty list Sites
Landfill Sites
Ira 1 M11Rf'
fit Power transmission lines :` :j Hazardous Substance
f Oil & Gas pipelines
Wegands
I
TARGET PROPERTY:
21.95-Acre W1x Dana Property
CUSTOMER:
S&ME
ADDRESS;
707-Hroaduiew iDdve
CONTACT:
Curfr. HelmJr.
CITYISTATEMP:
I(Ings Mourdalrt NO 26086
INQUIRY #:
0846163.1r
LAT

DETAIL MAP - 0846163.1 r - S&ME
F'9'm a , 8T
�981 4*
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ar
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. 4w
1K
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firtes at elevationsri3gher than
or equal to itle tarpt property
•
Sitee at elevations lower than
the target property
L
Coal Gasiticatfon Sims
r
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National Priority Ust Qas
f
Landfill Sites
ins
IV Pawer transmission Lines Hazardous Substance
%�/ oll8 Qasptpelfnes disposal Sues
Welands
ON
TARGET PROPERTY:
21.95,Aere WtK Dana Property
CUSTOMER:
SWE
ADDRESS:
707 Broadview Drive
CONTACT:
Curtis Helms Jr.
CITY/STATEOF:
lOngs Mountain IBC 28086
INQUIRY#:
0846163.1r
LATILONQ
35.2317181.3271
DATE:
September 12, 2002 10:35 errs
rOWC40 EDk
tn.o 2WI ADY, Im 01. Ur" . U FOR pmrM.

OCA71ON AP
..... ....... .

BLACHFORD RP KINGS MOUNTAIN, NC
z
BROADVIEW DRIVE
17 18 57 58
16 16
5 21 6 8
O 8 1
O U
20 O 7
8 10
16
50
S 14
OUTFALL 002
To Sanitary Sewer
j� �/ LEGEND
(❑� 1 Oil Fill Lines
2 Diesel Fuel Tanks 6K
3 Boiler Room (with Waste Storage)
4 Boiler Sump to Sanitary
001 5 Chemical Storage (distribution)
6 Reserved
7 Banbury Mixer
8 Chemical Storage (process)
9 Water Jess
10 Glue/Chemical Storage
10 Glue/Chemical Storage
11 Naphthenic Oil Tanks
12 Clay Silo
13 Limestone Silo
14 Cooling Tower
15 Air Compressor Condensate
16 Trash/Dumpsier/Recyling Containers
17 Equipment Storage
18 Pallet Storage
19 Silo Baghouse
20 Paint Line
21 Maintenance
22 DetailingrGluing
Storm Drain
o Sanitary Manhole or Drain to Sanitary Sewer

BLACHFORD RP CORP.
707 Broadview Drive Kings Mountain, NC 28086 U.S.A. Tel: [phone] Fax: [phone]
Blachford RP Corporation Visual Monitoring Results Table Period: 2011- 2012
Qualitative Monitoring Date
10/15/2012
10/15/2012
5/9/2012
5/9/2012
10/19/2011
10/19/2011
6/16/2011
6/12/2011
Outfall
001
002
001
002
001
002
001
002
Color
Clear
Clear
Clear
Clear
Clear
Clear
Clear
Clear
Odor
None
None
None
None
None
None
None
None
Clarity (1- 5, where 1 is clear and 5 is very
cloudy)
1
1
1
1
1
1
1
1
Floating Solids (1- 5, where 1 is no solids and
5 is the surface covered with floating solids)
1
1
1
1
1
1
1
1
Suspended Solids (1- 5, where 1 is no solids
and 5 is extremely muddy)
1
1
1
1
1
1
1
1
Any foam in the outfall?
No
No
No
No
No
No
No
No
Any oil sheen in the outfall?
No
No
No
No
No
No
No
No
Any erosion or deposition in the outfall?
No
No
No
No
No
No
No
No
Other obvious indicators of stormwater
pollution?
None
None
None
None
None
None
None
None

3.3 BEST MANAGEMENT PRACTICES
The owner/operator shall review the Best Management Practices (BMPs) for applicability and feasibility.
BMPs that are applicable and feasible for the facility shall be selected and scheduled for implementation.
BMPs not selected shall be documented as to why it was either not applicable or feasible. Refer to
Section 2.4 for potential sources controlled.
Category or Area
Best Management
Potential Sources Controlle[1
Practices
I.. Good Housekeeping
1. Refer to Section 5.3.
Small spills and residual
Practices
materials.
2. Spill Prevention and
l . Refer to Section 4.
Releases from equipment and
Response
containers.
3. Manufacturing Equipment
1. Periodic inspection
Leaks and spills.
and Activities
program.
2. Preventive
Pallets are swept, if necessary to
maintenance program.
prevent chemicals from being
3. Absorbents and
washed off pallets (if any)
cleanup procedures for
during a precipitation event.
spills and leaks.
4. Silos/Oil AST/Cooling
I. Spill
Oils, chemicals and sediment.
Towers/Backup Fuel Storage
preventionlcIcan tip
Area
procedures.
2. Proper containment
and drainage procedures.
3.Maintain liquid level in
cooling towers to prevent
overflow.
5. Dumpsters, Ship/Receive
Utilize proper
Oils and chemicals, trash, solid
housekeeping and
wastes, bags empty of
loading/unloading
chemicals, etc.
procedures, keep covered
if possible.

BLACHFORD RP CORP.
707 Broadview Drive Kings Mountain, NC 28086 U.S.A. Tel: [phone] Fax: [phone]
Stormwater and General Permits Unit April 1, 2013
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Significant Changes in Industrial Activities
There has been an approximate decrease of 40% in total production at the permitted facility from 2011 to present.
However, there is an anticipated recovery of 20% of the above decrease toward the end of 2013.
Sincerely,
Dean Chamis
Technical Manager
Blachford RP Corp.
707 Broadview Dr.
Kings Mountain, NC 28086
(704) 730- 1005 x.207
[e-mail]

11
North Carolina Division of Water Quality - Stormwater Permitting Unit
Facility Name: SL,aG (•}VoRt> IZ?_
Permit Number: fJG /- C;
Location Address: -7=,-7
t'=P S iIW vH iaTATiv , �V (� Zff ��
County:
" I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all attachments
were developed and implemented under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information required by the SPPP. Based on my inquiry of
the person or persons who manage the systenVor those persons directly responsible for gathering the information,
the information gathered is, to the best of my knowledge and belief, true, accurate and complete."
And
" I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP has been
fully implemented at this facility location in accordance with the terms and conditions of the Stormwater discharge
permit."
And
I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations."
Sign (according to permitsignatory requirements) and returnAhis Certification. DO NOT
SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
Signature
Date V131115
111,6G(-_
Title
SPPP Certification 5/09

BLACHFORD RP CORP.
707 Broadview Drive, Kings Mountain, NC 28086 U.S.A. Tel: [phone] Fax: [phone]
Stormwater and General Permits Unit April 1, 2013
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Renewal of Permit NCG050324
-j.
Please find enclosed the documents for the renewal of Permit NCG050324:
1. Form SWU-220-071408 with check for $100.00 attached.
2. Supplemental Information Required for Renewal of Individual NPDES Stormwater Permit Form.
3. USGS map with associated facility maps.
4. Summary Table of Visual Monitoring Data and Results.
5. Section 3.3 Best Management Practices From Company Stormwater Pollution Prevention Plan.
6. Letter containing a short narrative of any significant changes in industrial activities at permitted facility.
7. Form SPP Certification 5/09.
Sincerely,
Dean Chamis
Technical Manager
Blachford RP Corp.
707 Broadview dr.
Kings Mountain, NC 28086
(704) 730- 1 D05 x.207
[e-mail]

i Date Received i
Division of Water Quality /Water Quality Section
NCDENR National Poilutant Discharge Elimination System
No C—OLIN Do-M - Nr or
�uvwo.,raeirr .No N rw.y R[saunccs
NCG050000
NOTICE OF INTENT
Permit
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 Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed) :
Name Blachford RP Corporation
Street Address 707 Broadview Dr.
City Kings Mountain
Telephone No. 704-730-1005
E-mail Address [e-mail]
2) Location of facility producing discharge:
State NC ZIP Code 28086
Fax: [phone]
Facility Name Blachford RP
Facility Contact Dean Chamis
Contact E-mail [e-mail]
Street Address 707 Broadview Dr.
City Kings Mountain State NC ZIP Code 28086
County USA
Telephone No. 704-730-1005 Fax: [phone]
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 Charlotte take 1-85 south to exit 8, turn right on
Page 1 of 4
SWU-220-071408 Last Revised 7/14/2008

NCG050000 N.O.I.
Broadview Dr., and facility will be directly in front.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application)
4) Latitude 35.229167 Longitude-81-330833 (degrees, minutes, seconds)
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: 3061
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Rubber flooring systems (automotive)
8) Discharge points:
How many discharge points (ditches, pipes, channels. etc.) convey stormwater from the property? 2
9) 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? Crowders Creek, Catawba River Basin
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),
10) Does this facility have any other NPDES permits?
❑ No
's Yes
If yes, list the permit numbers for all current NPDES permits for this facility: NCGO50324
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
K No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑ No
Yes
If yes, please briefly describe: Contained in section 3.3 Best Management Practices of SW3P
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
:9 Yes
If yes, when was it implemented? 2003
14) Are vehicle maintenance activities occurring at this facility?
K No ❑ Yes
Page 2 of 4
SWU-220-071408 Last Revised 711412MA

NCGO50000 N.O.I.
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
IN No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month) of
hazardous waste?
Z No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
M 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 1 disposal vendor:
Vendor address:
16) Certification:
North Carolina General Statute 143-215.6 b (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
[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
Title, Technical Manager^
(Sirnature of Applicant)
Dean Chamis
i 3
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Page 3of4
SW U-220.071408

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
�Zl Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearly 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 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]
Page 4 of 4
SWU-220-071408

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
•G • 1. A current Site Map from the Stormwater Pollution Prevention Plan. The location of
industrial activities (including storage of materials, disposal areas, process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall,
building locations and impervious surfaces should be clearly noted.
2. A summary of Analytical Monitoring results during the term of the existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number,
parameters sampled, lab results, date sampled, and storm event data. H
3. A summary of the Visual Monitoring results. Do not submit individual monitoring
reports. The summary can consist of a table including such items as'outfall number,
parameters surveyed, observations, and date monitoring conducted.
jam, G • 4. A summary of the Best Management Practices utilized at the permitted facility.
Summary should consist of a short narrative description of each BMP's in place at
the facility. If the implementation of any BMP's is planned, please include
information on these BMP's.
5. A short narrative describing any significant changes in industrial activities at the
permitted facility. Significant changes could include the addition or deletion of
work processes, changes in material handling practices, changes in material storage
practices, and/or changes in the raw materials used by the facility.
G. 6. Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility (Sign and return attaches! form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal
waiting on lab results)
Representative storm sampling may now be conducted anytime during the year (the April
to November window has been_ eliminated) and'the representative rainfall event is now defined
as a storm event that measures greater than 0.1 inches and. is preceded by at least 72 hours in
which no storm event measuring greater than 0.1 'inches has occurred.

4-5
gr
411
NO
2OWN
4
USGS TOPOGRAPHIC MAP
sm
Kings Mountain, North Carolina
Figure No.
2
Drawn by: CIH

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oil!

.r
OVERVIEW MAP - 0846163.1 r - S&ME
* Target Property n 114 to Ypq
A. Sitea ai elevations higher than
or equal to the target property
• Sites at elevations tower than Pourer transn;lssian Ilnes Hazardous Substance
I.... the target property. Oil & Gas pipelines Disposal SW
L Coal Gasification Suss Wetlands
National Priority Ust'sites
0 Landfill Sites
TARGET PROPERTY: 21.95•Acre WIX Darla Property CUSTOMER: SWE
w_ ADDRESS: 707 BroWew Drive CONTACT: Curtis Helms Jr.
CITYISTATI=MP: Iangs Mountaln NO 28086 INQUIRY #: 0846163.1 r
LATILOIVG: 35.2317181.3271 DATE- September 12, 2002 10:35 am
L
CeA}'rlpM a 2002 EnR, In O 20o BOT, lAa RBI. 07200f. W} kgift [Anmd.
�.n:, � pwn-

DETAIL MAP - 0846163.1 r - S&II E
\g
FLM9 (--FLC1DHr
�dT ,�� u11NR f0
_.._..._.. far_ ....
sr
. HDgr
n
Target Property
i
►
Saes at elevations higher than
or equal to the target property
— +
Skes at elevations lower than
the target property
k
Coal Gasification Sites
x
Sensitive Receptors
National Priority List Sites
Landfill Sites
4F�•
a iris lit 174111wa
�1 Power transmission lines HazardDus Substance
Oil & Gas pipelines D'ispbsal ��
Wetlands
TARGET PROPERTY:
21.95-Acre Wix Darla Property
CUSTOMER:
SWE
ADDRESS:
707 Broadview Drive
CONTACT:
CLds Helms Jr.
CITY/STATEIZIP:
Kings MDuntaln NC 28086
INQUIRY#:
0846161ir
LATILONG:
35.23t7! 81.3271
DATE:
Sapteftar 12, 2002 10:35 am
UWOM 0 2DO2 E[ N Mr. 0 20GI GOT, ao. R0, 61 M— 1. AN W11hU Kaarvad.

BtY�R�.
�,/i
::: � __ _
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y ' ��^ �
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f
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L ( ice.. i �

BLACHFORD RP KINGS MOUNTAIN, NC
C3
X
°n
0
a
m
N
BROADVIEW DRIVE
17 18 17 16
16 16
5 21 6 B
0 8 1
9 8
O 'CO) O 7 1
8 10
16
10
19
Bi2
12
4
OUTFALL 002
To Sanitary Sewer'
41 LEGEND
0 0 1 Oil Fill Lines
2 Diesel Fuel Tanks 6K
�,..� 3 Boiler Room (with Waste Storage)
4 Boiler Sump to Sanitary
001 5 Chemical Storage (distribution)
6 Reserved
7 Banbury Mixer
8 Chemical Storage (process)
9 Water Jets
10 Glue/Chemical Storage
10 Glue/Chemical Storage
11 Naphthenic Oil Tanks
12 Clay S'do
13 Limestone Silo
14 Cooling Tower
15 Air Compressor Condensate
16 Trash/Dumpster/Recyling Containers
17 Equipment Storage
18 Pallet Storage
1g Silo eaghouse
20 Paint Line
21 Maintenance
22 Detailing/Gluing
Starr Drain
Sanitary Manhole or Drain to Sanitary Sewer

a
BLACHFORD RP CORP.
707 Broadview Drive Kings Mountain, NC 28086 U.S.A. Tel: [phone] Fax: [phone]
Blachford RP Corporation Visual Monitoring Results Table Period: 2011- 2012
Qualitative Monitoring Date
10/15/2012
10/15/2012
5/9/2012
5/9/2012
10/19/2011
10/19/2011
6/16/2011
6/12/2011
Outfall
001
002
001
002
001
002
001
002
Color
Clear
Clear
Clear
Clear
Clear
Clear
Clear
Clear
Odor
None
None
None
None
None
None
None
None
Clarity (1 - 5, where 1 is clear and 5 is very
cloudy)
1
1
1
1
1
1
1
1
Floating Solids (1- 5, where 1 is no solids and
5 is the surface covered with floating solids)
1
1
1
1
1
1
1
1
Suspended Solids (1 - 5, where 1 is no solids
and 5 is extremely muddy)
1
1
1
1
1
1
1
1
Any foam in the outfall?
No
No
No
No
No
No
No
No
Any oil sheen in the outfall?
No
No
No
No
No
No
No
No
Any erosion or deposition in the outfall?
No
No
No
No
No
No
No
. No
Other obvious indicators of stormwater
pollution?
None
None
None
None
None
None I
None
None

3.3 BEST MANAGEMENT PRACTICES
The owner/operator shall review the Best Management Practices (BMPs) for applicability and feasibility.
BMPs that are applicable and feasible for the facility shall be selected and scheduled for implementation.
BMPs not selected shall be documented as to why it was either not applicable or feasible. Refer to
Section 2.4 for potential sources controlled.
Category or Area
Best Management
potential Sources Controlled
Practices
1.. Good Housekeeping
1. Refer to Section 5.3.
Small spills and residual
Practices
materials.
2. Spill Prevention and
1. Refer to Section 4.
Releases from equipment and
Response
i containers.
3. Manufacturing Equipment
1. Periodic inspection
Leaks and spills.
and Activities
program.
2. Preventive
Pallets are swept, if necessary to
maintenance program.
prevent chemicals from being
3. Absorbents and
washed off pallets (if any)
cleanup procedures for
during a precipitation event.
spills and leaks.
4. Silos/Oil AST/Cooling
1. Spill
Oils, chemicals and sediment.
Towers/Backup Fuel Storage
prevention/cleanup
Area
procedures,
2. Proper containment
and drainage procedures.
3.Maintain liquid level in
cooling towers to prevent
overflow.
5. Dumpsters, Ship/Receive
Utilize proper
Oils and chemicals, trash, solid
housekeeping and
wastes, bags empty of
loading/unloading
chemicals, etc,
procedures, keep covered
if possible.

BLACHFORD- RP CORP.
707 Broadview Drive Kings Mountain, NC 28086 U.S.A. Tel: [phone] Fax: [phone]
Stormwater and General Permits Unit April 1, 2013
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Significant Changes in Industrial Activities
There has been an approximate decrease of 40% in total production at the permitted facility from 2011 to present.
However, there is an anticipated recovery of 20% of the above decrease toward the end of 2013,
Sincerely,
Dean Chamis
Technical Manager
Blachford RP Corp.
707 Broadview Dr.
Kings Mountain, NC 28086
(704) 730- 1005 x.207
[e-mail]

STORMWATER POLLUTfON PREII:ENTION PLAN
AND DEVELOPMENT ,IMPLEMENTATION
CERTIFICATION
North Carolina Division of Water Quality - Stormwater Permitting Unit
Facility Name: IZT c-0g z;,9A-j iaa
Permit Number: C- So 3 Z!q_
Location Address: -7=-T %C7o A,-.t�V jgW t, 2
1a�,G5 MflN,uTi�l.i N, AJG z�"o�
County:
" I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all attachments
were developed and implemented under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information required by the SPPP. Based on my inquiry of
the person or persons who manage the system, or those persons directly responsible for gathering the information,
the information gathered is, to the best of my knowledge and belief, true, accurate and complete."
And
" 1 certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP has been
fully implemented at this facility location in accordance with the terms and conditions of the stormwater discharge
permit."
And
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations."
,-,Sign (according to permit signatory.requirements) and, return this Certification. -DO NOT
SEND STORIV[WATERTOLLUTION:PREVENTION PLAN WITH THIS CERTIFICATION.
Signature
Date 3 /3
Title
SPPP Certification S/09