NCG030661_COMPLETE FILE - HISTORICAL_20150826

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV C& D
DOC TYPE
CSC HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Central Files: APS _ SWP
8/5/2015
Permit Number NCG030661
Permit Tracking Slip
Program Category
Status Project Type
NPDES SW
In review New Project
Permit Type
Version Permit Classification
Metal Fabrication Stonmwater Discharge COC
CDC
I
ED
Primary Reviewer
REED
M
Permit Contact Affiliation
bill.diuguid '
AUG 2 6 2015
Coastal SWRule
1�
CENTRAL FILES
DWR SECTION
Permitted Flow
Facility
Facility Name
Major/Minor Region
Matlab, Inc. (Plant 16)
Minor Winston-Salem
Location Address
County
3010 Executive Dr
Randolph
Facility Contact Affiliation
Greensboro NC 27406
Press Brower
PO Box 2046
Owner Asheboro NC 27204
Owner Name
Owner Type
Matlab Inc
Non-Govemment
Owner Affiliation
Press Brower
PO Box 2046
Dates/Events
Asheboro
NC 27204
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective
Expiration
5/18/2015
8�/7.S 61516
t b 13 16Jl ,
Regulated Activities
Requested (Received Events
Metal products manufacture
RO staff report received
815115
RO staff report requested
5125115 V
Outfall 1
Waterbody Name Streamindex Number Current Class Subbasin
South Buffalo Creek 16-11-14-2 WS-V;NSW 03-06-02

A.oi`Ap
CCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
August 5, 2015
Mr. Press Brower, Vice President
Matlab, Inc.
P.O. Box 2046
Asheboro, North Carolina 27204
Subject: General Permit No. NCG030000
Matlab, Inc - Plant 16
COC No. NCG030661
Guilford County
Dear Mr. Brower:
In accordance with your application for a discharge permit received on May 18, 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,
'K.-f P"b'
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
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: httP:/1Porta1.ncdenr.orglweb1lrl
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer 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. NCG030661
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,
Matlab, Inc.
is hereby authorized to discharge stormwater from a facility located at
Matlab, Inc. Plant #16
3010 Executive Drive
Greensboro
Guilford County
to receiving waters designated as South Buffalo Creek, a Class WS-V; NSW waterbody to Cape Fear 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. NCG030000, as attached.
This Certificate of Coverage shall become effective August 5, 2015.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 5, 2015.
�L laee"'
for Tracy E. Davis, Q.E., CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

ik "im,Matlab 36 deg 01' 4a.a5" N Figure 2 —Matlab, Inc.
7W.,-j -79 deg. 47' 05.02" W Plant 16
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NOTICE OF INTENT
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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
SIC 3398 Meta! Heat Treating RECEIVED
SIC 34 Fabricated Metal Products
SIC 35 Industrial and Commercial Machinery MAY 18 2015
SIC 36 Electronic and Other Electrical Equipment
SIC 37 Transportation Equipment DENR-LAND QUALITY
SIC 38 Measuring, Analyzing, and Controlling Instruments STORMWATER PCRMITTiNG
p 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 Matl� a_b,__I_nc.
Street Address P.O. Box 2046
City Asheboro State NC ZIP Code 27204
Telephone No. [phone] Fax. [phone]
2) Location of facility producing discharge:
Name Matlab. Inc.
Facility Contact Press Brower
Street Address 3010 Executive Drive
City Greensboro State NC ZIP Code 27406
County R@ft!� G',.6.4 tiup
Telephone No. (336) 629-41 61 Fax: {336} 626-3595
Email press No-)matlabinc.com
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). Route 40185 west to Route 40 West to Elm Eugene
Street, North to (R) on Industrial Avenue (R) on Executive Drive
(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 01' 40.05" N Longitude -79 deg. 47' 05.02" W (deg, min, sec)
3�•v rf 7
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NCG030000 N.O.I.
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: 3479
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: METAL COATING AND ENGRAVING
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? South Buffalo Creek w '<- w
Receiving water classification: e—_.b s"b 03—D — 0 2 - 1( -14-Z
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No
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). Greensboro
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?
❑ No
X Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: Secondary containment, raw and waste materials sheltered from stormwater_
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
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NCG030000 N.O.I.
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?
X 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: Flammable Liquids (DO01)
Flow is material stored: In steel 55 gallon drums
Where is material stored: In secondary containment, sheltered from Stormwater
How many disposal shipments per year: 4
Name of transport/ disposal vendor: GARCO, Inc.
Vendor address: 2503 N. Fayetteville Street, Asheboro, NC 27204
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 wish, 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 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: Press Brower
Title: VP of En ineerin
(Signature of Applicant)
4/20/15
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR
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