NCG030687_COMPLETE FILE - HISTORICAL_20180129

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V LBO
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Central Files: APS _ SWP
1126/2018
Permit Number NCG030687 Permit Tracking Slip
Program Category Status Project Type
NPOES SW Active New Project
Permit Type Version Permit Classification
Metal Fabrication Stormwater Discharge COC 1.00 COC
Primary Reviewer Permit Contact Affiliation
dck.riddle R "+ C 2W E
Coastal SWRule JAN 2 9 2018
Permitted Flow CENTRAL FILES
DWR SECTION
Facility
Facility Name
MajorlMlnor Region
Altec Industries, Inc.
Minor Winston-Salem
Location Address
County
200 Aletc Way
Surry
Facility Contact Affiliation
Mount Airy NC 27030 Nate Grundmann
200 Altec Way
Owner Mount Airy NC 27030
Owner flame Owner Type
Altec Industries Inc Non -Government
Owner Affiliation
Nate Grundmann
200 Altec Way
Dates/Events Mount Airy NC 27030
Scheduled
Orig Issue App Received Draft Initiated Issuance
1125/2018 t 1121l20W
Regulated Activities
Transportation equipment manufacture
Public Notice Issue Effective Expiration
1/2512018 1125/2018 10/31/2018
Requested /Received Events
RO staff report received 1/19118
RO staff report requested 12/4117
Outfatl 001
Waterbody Name Streamindex Number Current Class Subbasin
Stoney Creek 12-72-12 C 03-07-03

Energy, Mineral
and Land Resources
FN VIOUNMENTA1. OUALIT V
Nate Grundmann
Altec Industries Inc.
200 Altec Way
Mount Airy, NC 27030
Dear Mr. Grundmann,
ROY COOPER
Gelvernnr
MICHAEL S. REGAN
Secretary
TRACY DAVIS
A ewr
January 25, 2018
Subject: General Permit No. NCG030000
Altec Industries Inc.
COC NCGO30687
Surry County
In accordance with your application for a discharge permit received on November 21, 2017, we are
forwarding herewith the subject certificate of coverage 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).
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Energy, Mineral, and Land Resources. 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 of Energy, Mining, and Land Resources, or permits required by the Division of Water
Resources, Coastal Area Management Act, or any other federal or local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Richard Riddle at telephone number
[phone].
Sincerely, --- Z�-O/
for William E. Vinson, Jr., PE, CPESC, CPM,
Interim Director Division of Energy, Mineral and Land Resources
cc: WS Regional Office.
Central Files
Stormwater Permitting Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 Norsh Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030687
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,
Alter Industries Inc.
is hereby authorized to discharge stormwater from a facility located at
Altee Industries Inc.
200 Altec Way
Mount Airy
Surry County
to receiving waters designated as Stoney Creek, a class C water in the Yadkin Pee Dee Basin, in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts 1, 11, 111, and IV of General Permit No. NCG030000 as attached.
This certificate of coverage shall become effective January 25, 2018.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 25, 2018.
for William E. (Toby) Vinson
Interim Director /
CPESC, CPM
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

NCDENR
W— C-= - or
NOTICE OF INTENT
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG030000
hC6-0306eq
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 Metal Heat Treating
SIC 34 Fabricated Metal Products RECEIVED
SIC 35 Industrial and Commercial Machinery
SIC 36 Electronic and Other Electrical Equipment NOV 21 2017
SIC 37 Transportation Equipment
SIC 38 Measuring, Analyzing, and Controlling Instruments DENR-LAND QUA 17f
STORMWATER PER Mil -TNG
�.- 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 Altec Industries Inc.
Street Address 200 Altec Way
City Mount Airy State NC ZIP Code 27030
Telephone No. 336 786-3600 Fax: [phone]
2) Location of facility producing discharge:
Facility Name Altec Industries Inc.
Facility Contact Nate Grundmann
Street Address
City
County
Telephone No.
Email
200 Altec way
Mount Airy State NC ZIP Code 27030
surry
336 786-3600 Fax: [phone]
[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). The facility is located at 200 Altec way in Mount Airy North Carolina.
The facility is located approximately 1,300 feet southwest of Reeves Mill Road and is approximately 4.6 miles southeast of downtown Mt. Airy, North CarolEna.
Bordering the facility's western property boundary is the Mt. Airy-5urry County Airport and aircraft hangar.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 36' 27' 35" N Longitude 80' 32' 53" w (deg, min, sec)
136. `�b`� 71-3 � g0 . � ?V 173
r
Page 1 of 4
SWU-218-071408 Last.revised 712114

NCG030000 N.O.I.
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin Not Appticable
8 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: 3713 7538 7513 4225
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Altec Industries, Inc. (Altec) owns and operates an assembly and service facility located at 200 Altec Way ,Mt. Airy, North Carolina.
The fac4lty services aerial lift trucks, and assembles chassis and trailers for use by utility companies and the tree care industry.
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Detention Pond on southwestern portion of property that feeds into southwest -flowing Stoney Creek
Receiving water classification: class c
Is this a 303(d) listed stream? Yes 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). Not Applicable
9) Does this facility have any other NPDES permits?
8 No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility: Not Applicable
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
8 No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: Not Applicable
11) Does this facility employ any best management practices for stormwater control?
❑ No
8 Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: Please reference the attached facility RPCC Plan under Section 6 (stormwater Pollution Prevention Plan (SWPPP))
and the facility SPCC Plan under Section 6.6.2 located in Appendix H of the facility RPCC.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
8 Yes
If yes, when was it implemented? 11 November 2016
13) Are vehicle maintenance activities occurring at this facility?
❑ No 8 Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
8 No ❑ Yes
Page 2 of 4
SWU-218-071408 Last revised 712114

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 B Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
8 No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
8 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: Spent paint, solvents, and paint -related wastes generated from painting operations and from the puncturing of aerosol cans.
How is material stored: Drums on secondary containment pallets and in flammable storage cabinets located near points of use.
Where is material stored: Main Hazardous Waste AL'CUTulation Storage Area located within the outdoor roofed slructUre, located WBSI Ol the Main Building
How many disposal shipments per year: 4
Name of transport 1 disposal vendor: clean safe Tecrtnologies Inc.
Vendor address: 3695 Hallowing point Rd #7 Prince Frederick. MD 20678
15) Certification:
North Carolina General Statute 143-215.65 (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 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: Ben Griffin
Title: General Manager
(Signatgre of Appli t (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

NCG030000 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.
❑ 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.
❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
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 .........(919)
807-6300
Page 4 of 4
SWU-218-071408 Last revised 712114

ramlialtm 200 Altec Way Telephone: [phone]
Mount Airy, NC Facsimile: [phone]
Altec Industries, Inc. 27030 www.altec.com
Tuesday, 31 October 2017
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Attention: Stormwater Permitting Unit
SUBJECT: Notice of Intent for NPDES General Permit Application
Altec Industries, Inc.
200 Altec Way
Mount Airy, North Carolina 27030
To whom it may concern:
NOV _ 12017
DENR-!-a;;7 Q'JA iTY
G T GRia'lvvATER PEFWITTING
Enclosed is the Notice of Intent (NOI) for a General National Pollution Discharge Elimination System
(NPDES) Permit and the required supporting documents for the above referenced facility. We are also
enclosing a check for $100 for the required permit fee.
Altec Industries, Inc. owns and operates the facility that serves as a manufacturing assembly and service
operation in Mount Airy, North Carolina (Altec Mt. Airy). The facility is located at 200 Altec Way, Mount
Airy, North Carolina, in Surry County. The facility services aerial lift trucks, and assembles chassis and
trailers for use by utility companies and the tree care industry.
The facility is located approximately 1,300 feet southwest of Reeves Mill Road, and is approximately 4.5
miles southeast of downtown Mt. Airy, North Carolina. Altec Mt. Airy's property in comprised of
approximately 90 acres and includes three single -story metal buildings originally built around 1998.
Bordering the facility's western property boundary is the Mt. Airy-Surry County Airport and aircraft hangar
and bordering the northeastern boundary is Pike Electric, LLC property.
Altec Mt. Airy has paved driveways and parking areas surrounding the Altec buildings that include a storm
drain system that drains to the south and southwestern portions of the site. There are three terraced
gravel -covered staging areas on the southern portion of the property_ The facility also receives
stormwater runoff from the adjacent, northeastern Pike Electric, LLC property. -
The storm drains in the paved areas collect sheet flow precipitation and drain either to a pond adjacent to
the Mt. Airy-Surry County Airport on the southwestern portion of the site or to a riser -type sediment basin
on the southern portion of the site. Stormwater that does not enter the storm drain system flows through
curb drains to a swale east of the property that eventually enters Stoney Creek, or an intermittent stream
on the southwestern edge of the property, around the pond adjacent to the airport and eventually joins
Stoney Creek.

Notice of Intent for NPDES General Permit Application
Altec Industries, Inc. —Mt. Airy, North Carolina
Tuesday, 24 October 2017
Page 2
If after reviewing the enclosed information, you have any questions or need any additional information,
please do not hesitate to contact me or our Corporate Environmental Manager, Mr. Bruce W. Stainbrook
at 770/919-9552 ext. 228,
Regards,
ALTEC INDUSTRIES, INC.
Ben Griffin
General Manager
Cc: Bruce W. Stainbrook- Altec, Inc. — Corporate
Jan Nordcliff — Altec, Inc. — Creedmoor, NC
Enclosures

Attachments
Attachment One:
Site Location Map
Attachment Two:
Location of Stormwater Outfalls Corresponding to Drainage Areas
Attachment Three:
Stormwater Management Structures and Runoff Conveyance
Features
Attachment Four:
Petroleum Material Storage Areas
Attachment Five:
Chemical Material Storage Areas
Attachment Six:
Site Property Lines
Attachment Seven:
USGS Quad Sheet with Location of Facility
Attachment Eight:
Facility RPCC Plan (Confidential/Sanitized Copy)
0

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NCG030687
N
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Map Scale 1:24,000
Altec Industries, Inc.
Latitude: 361 27' 35" N
Longitude: -800 32' 53" W
County: Surry
Receiving Stream: Stoney Creek
Stream Class: C
Index Number: 12-72-12 (Yadkin Pee Dee Basin)
*�►����/mil •1
ter
Facility Location

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* Altec n'dustries MLLAiry op er'at,onsR�`•�';`.r,
�.
Ra-Tech Aviation
of Mount Airy
-s n y Creek
.� Q00gle Earth

Source: 2017 Google Earth Aerial Photo), Scale_ 1 block/ -5_57 ft.
ALTEC INDUSTRIES, INC.
200 ALTEC WAY
MOUNT AIRY, NORTH CAROLINA
27030
LOCATION OF STORMWATER
OUTFALLS CORRESPONDING
TO DRAINAGE AREAS
OCTOBER 2017
Attachment
Two.

E
N
(Used oil) 7 Z. S
JAST 300-gallon capacity W
(day tank in Mezzanine) (Liquified Petroleum Gas)
(Shear oil and Motor oil) AST 30,000 gallon capacity
55 gallon drums 2 x (Oil/water separators) ave stored varies by use
ave 1 or 2 stored
(service stock room) I
�1 OFFICE AREA
RADIO SERVICE AREA
I
FINAL ASSEMBLY WELD
a
SHOP
�[ _
SHOP
PAINT
SHOP-
(Oil/water separators)
,--
(Oillwater separators)
10,000 and 1,000 gallon
10,000 and 1,000 gallon
USTs
USTs
(Motor oil)
Hydraulic i ( oil)
{On -Road Diesel)
AST 1,000 gallon capacity
55 gallon drums
AST 2,000 gallon capacity,
ave 750 gallons stored
WAREHOUSE
average 1 or 2 stored
ave 1,000 gallon stored
(underground room)
11
EST LAB TOOL AND SUPPLY
ROOM
PMA TOOL
(Pike) (Pike)
(PARTS MT AIRY) REPAIR
KEY
Locations of Petroleum Material
Bulk AST ....................
(Motor oil)
Bulk UST .................... X
AST 1,000 gallon capacity
underground oit/water
ave 750 gallons stored
Separators .................. +
(underground room)
Drums & Totes............
Source: 2017 Goa le Earth Aerial Photo/ with Drawn La out , Scale: 1 block/ -21
ALTEC INDUSTRIES, INC.
200 ALTEC WAY
P&C, MOUNT AIRY, NORTH CAROLINA
27030
PETROLEUM MATERIAL STORAGE Attachment
LOCATIONS
Four.
AUGUST 2017

Source: 2017 G000le Earth (Aerial Photo), Scale 1 block/ --212 ft
ALTEC INDUSTRIES, INC.
200 ALTEC WAY
PftcMOUNT AIRY, NORTH CAROLINA
® 27030
CHEMICAL MATERIAL
STORAGE LOCATIONS
AUGUST 2017
Attachment
Five.

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ALTEC INDUSTRIES, INC.
20OALTEC WAY
Pme
MOUNT AIRY, NORTH CAROLINA 2703(
R 9ME HATT
Will I
rar.r aq a pan m am s
SITE PROPERTY LINE Attachment
LAYOUT MAP SIX.

^1
1. �i:dle. I UlQGK/ -,),I I L IL.
ALTEC. INDUSTRIES, INC.
200 ALTEC WAY
MOUNT AIRY, NORTH CAROLINA
27030
USGS QUAD SHEET WITI
LOCATION OF FACILITY
AUGUST 2017
Attachment
Seven.

0
ra 200 Altec Way
Mount Airy, NC
ANec Industries, Inc. 27030
Tuesday, 31 October 2017
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Attention: Stormwater Permitting knit
Telephone: [phone]
Facsimile: [phone]
www.aftec.com
SUBJECT: Notice of Intent for NPDES General Permit Application
Altec Industries, Inc.
200 Altec Way
Mount Airy, North Carolina 27030
To whom it may concern:
Enclosed is the Notice of Intent (NO[) for a General National Pollution Discharge Elimination System
(NPDES) Permit and the required supporting documents for the above referenced facility. We are also
enclosing a check for $100 for the required permit fee.
Altec Industries, Inc. owns and operates the facility that serves as a manufacturing assembly and service
operation in Mount Airy, North Carolina (Altec Mt. Airy). The facility is located at 200 Altec Way, Mount
Airy, North Carolina, in Surry County. The facility services aerial lift trucks, and assembles chassis and
trailers for use by utility companies and the tree care industry.
The facility is located approximately 1,300 feet southwest of Reeves Mill Road, and is approximately 4.5
miles southeast of downtown Mt. Airy, North Carolina. Alter Mt. Airy's property in comprised of
approximately 90 acres and includes three single -story metal buildings originally built around 1998.
Bordering the facility's western property boundary is the Mt. Airy-Surry County Airport and aircraft hangar
and bordering the northeastern boundary is Pike Electric, LLC property.
Altec Mt. Airy has paved driveways and parking areas surrounding the Altec buildings that include a storm
drain system that drains to the south and southwestern portions of the site. There are three terraced
gravel -covered staging areas on the southern portion of the property. The facility also receives
stormwater runoff from the adjacent, northeastern Pike Electric, LLC property.
The storm drains in the paved areas collect sheet flow precipitation and drain either to a pond adjacent to
the Mt. Airy-Surry County Airport on the southwestern portion of the site or to a riser -type sediment basin
on the southern portion of the site. Stormwater that does not enter the storm drain system flows through
curb drains to a swale east of the property that eventually enters Stoney Creek, or an intermittent stream
on the southwestern edge of the property, around the pond adjacent to the airport and eventually joins
Stoney Creek.

Notire of Intent for NPDPS General Permit Appliration
Altec Industries, Inc. —Mt. Airy, North Carolina
Tuesday, 24 October 2017
Page 2
If after reviewing the enclosed information, you have any questions or need any additional information,
please do not hesitate to contact me or our Corporate Environmental Manager, Mr. Bruce W. Stainbrook
at 770/919-9552 ext. 228.
Regards,
ALTEC INDUSTRIES, INC.
Ben Griffin
General Manager
Cc: Bruce W. Stainbrook- Altec, Inc. — Corporate
Jan Nordcliff — Altec, Inc. — Creedmoor, NC
Enclosures

Q
NCDENR
NoR C."Ou- buWAr-cw or
FNVi14-v "o N.aVV.l Re101aleFJ'
NOTICE OF INTENT
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG030000
u
National Pollutant Discharge Elimination System application for coverage under General Permit
NC13030000'
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals
SIC 3398 Metal Heat Treating
SIC 34 Fabricated Metal Products
SIC 35 Industrial and Commercial Machinery
SIC 36 Electronic and Other Electrical Equipment
SIC 37 Transportation Equipment
SIC 38 Measuring, Analyzing, and Controlling Instruments
W�yl 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 Altec Industries Inc.
Street Address 200 Aitec way
City Mount Airy
Telephone No. 336 786-3600
2) Location of facility producing discharge:
Facility Name Altec Industries Inc.
Facility Contact
Street Address
City
County
Telephone No.
Email
Nate Grundmann
200 Altec Way
Mount Airy
Surry
336 786-3600
[e-mail]
3) Physical Location Information:
State NC
Fax: 336
ZIP Code 27030
786-3631
State NC ZIP Code 27030
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), The facility is located at 200 Altec Way in Mount Airy North Carolina.
The facility is located appmximately 1.300 feet southwest of Reeves Mill Road and Is approximately 4.5 miles southeast of downtown Mt. Airy, North Carolina.
Bordering the facility's westem property boundary is the Mt, Airy-Surry County Airport and aircraft hangar.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 36° 27' 3s° N Longitude 80° 32' 53" W (deg, min, sec)
Page 1 of 4
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NCG030000 N.O.I.
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility
B Existing
6) Standard Industrial Classification:
Date operation is to begin Not Applicable
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility.
SIC Code: 3713 7538 7513 4225
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Allec Industries, Inc. (Allec) owns and operates an assembly and service facility located at 200 Met; Way ,Mt. Airy, North Carolina.
The facility services aerial lift trucks, and assembles chassis and trailers for use by utility companies and the tree care industry.
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Detention Pond on southwestern portion of property that feeds into southwest -flowing Stoney Creek.
Receiving water classification: class c
Is this a 303(d) listed stream? Yes 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). NOIAppricable
9) Does this facility have any other NPDES permits?
8 No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility: Not Applicable
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
8 No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: Net Applicable
11) Does this facility employ any best management practices for stormwater control?
❑ No
8 Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: Please reference the attached facility RPCC Plan under section 6 (Slormwater Pollution Prevention Plan (SWPPP))
and the facility SPCC Plan under Section 6.6.2 located in Appendix H of the facility RPCC.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
IN Yes
If yes, when was it implemented? 11 November 2016
13) Are vehicle maintenance activities occurring at this facility?
❑ No 8 Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
8 No ❑ Yes
Page 2 of 4
SWU-218-071408 Last revised 712114

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 8 Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
8 No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
8 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: Spent paint, solvents, and paint -related wastes generated from painting operations and from the puncturing of aerosol cans.
How Is material stored: Drums on secondary containment pallets and in flammable storage cabinets located near points of use,
Where Is material stored: Main Hazardous waste Accumulation storage Area located within the outdoor roofed structure, located west of the Main Building
How many disposal shipments per year: 4
Name of transport / disposal vendor: Clean Safe Technologies Inc.
Vendor address: 3695 Hallowing Point Rd #7 Prince Frederick, MD 20678
15) Certification:
North Carolina General Statute 143-215.6E (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 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.
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: Ben Griffin
Title: General Manager
(Signaturd of
f D -- 31-Zo l
(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 712/14

NCG030000 N.O.I.
Final Cherklict
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.
❑ 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.
❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
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 .........(919)
807-6300
Page 4 of 4
SWU-218-071408 Last revised 712114

Attachments
Attachment One: Site Location Map
Attachment Two_ Location of Stormwater Outfalls Corresponding to Drainage Areas
Attachment Three: Stormwater Management Structures and Runoff Conveyance
Features
Attachment Four: Petroleum Material Storage Areas
Attachment Five: Chemical Material Storage Areas
Attachment Six: Site Property Lines
Attachment Seven: USGS Quad Sheet with Location of Facility
Attachment Eight: Facility RPCC Plan (Confidential/Sanitized Copy)

Attachment One: Site Location Map

k;kw
At
•� Altec. Industries Mt: Airy Operations
Ra-Tech Aviation
of Mount Airy \
} sawGNP
t
logo Creek
t Stagy y
1!
{
�'- Qoogle Earth
! ' I I,:

Attachment Two: Location of
Stormwater Outfalls
Corresponding to
Drainage Areas

Source: 2017 GooQle Earth (Aerial Photo), Scale: 1 block/ -557 ft.
ALTEC INDUSTRIES, INC.
200 ALTEC WAY
MOUNT AIRY, NORTH CAROLINA
27030
LOCATION OF STORMWATER
OUTFALLS CORRESPONDING
TO DRAINAGE AREAS
OCTOBER 2017
Attachment
Two.

Attachment Three: Stormwater
Management
Structures and Runoff
Conveyance Features
Please reference the attached facility RPCC Plan under Section 6 (Stormwater Pollution
Prevention Plan (SWPPP) and the facility SPCC Plan under Section 6.6.2 located in
Appendix H of the facility RPCC.

Attachment Four: Petroleum Materia
Storage Areas

(Used oil)
AST 300-gallon capacity
(day tank in Mezzanine)f�R
(Shear oil and Motor oil) 2 x (Oil/water separators)
55 gallon drums
ave 1 or 2 stored 1
(service stock room) + T
OFFICE AREA
RADIO SERVICE AREA Id
SHOP
(Oil/water separators)
10,000 and 1,000 gallon £'
USTs
(Motor oil)
AST 1,000 gallon capacity
ave 750 gallons stored WAREHOUSE
(underground room)
:ST LA8 TOOL AND SUPPLY ROOM
(Pike) I (Pike)
(Motor oil)
' AST 1,000 gallon capacity
- _ ave 750 gallons stored
(underground room)
s
Source: 2017 GooQ1e Earth (Aeriai Photo/ with Drawn
(Liquified Petroleum Gas)
AST 30.000 gallon capacity
ave stored varies by use
FINAL ASSEMBLY I WELD
SHOP
PAINT
SHOP
N
5
w
(Oil/water separators)
10.000 and 1.000 gallon
USTs r
(Hydraulic oil) (On -Road Diesel)
55 gallon drums AST 2,000 gallon capacity.
-arage 1 or 2 stored ave 1,000 gallon stored
PMA I TOOL
(PARTS MT AIRY) I REPAIR
Scale 1 block/ -210 ft
ALTEC INDUSTRIES, INC.
200 ALTEC WAY
Pftc. MOUNT AIRY, NORTH CAROLINA
27030
KEY
Locations of Petroleum
Material
Bulk AST ....................
Bulk UST ....................
x
Underground Oil/Water
Separators ...................
+
Drums $ Totes............
PETROLEUM MATERIAL STORAGE Attachment
LOCATIONS
Four.
AUGUST 2017

Attachment Five: Chemical Material
Storage Areas

Source: 2017 Google Earth (Aerial Photo), Scale: 1 block/ -212 ft.
ALTEC INDUSTRIES, INC.
200 ALTEC WAY
MOUNT AIRY, NORTH CAROLINA
27030
CHEMICAL MATERIAL
STORAGE LOCATIONS
AUGUST 2017
Attachment
Five.

Attachment Six: Site Property Lines

I
N
-ja t
4
r�
�.: IP • !
'Q`� � �............» •:7"'r:.r'..... Cyr.
• I
ALTEC INDUSTRIES, INC.
200 ALTEC WAY
re
MOUNT AIRY, NORTH CAROLINA 2703i
:in Pfto
w�.iA w•ir :� �:=
SITE PROPERTY LINE Attachment
LAYOUT MAP SIX.

Attachment Seven: USGS Quad Sheet with
Location of Facility

y
• n
••� li -�_ �`M �� ♦ I, � ~ • (`Jr //,//ram 1 4 y- T--If
r
• • h �7
-AL 7 fN US TRIES, INC. C
?73
Irk
Fop
91
t y t
Source: 2016 Goggle Earth To o ra hic Scale: 1 block/ -3 112 ft.
ALTEC INDUSTRIES, INC. USGS QUAD SHEET WITH
200 ALTEC WAY Attachment
P&)C. MOUNT AIRY, NORTH CAROLINA LOCATION OF FACILITY
Seven.
27030 AUGUST 2017

Attachment Eight:
Facility RPCC Plan
(Confidential/Sanitized
Copy- Not for Public
Review)

RELEASE
PREVENTION
CONTROL ANDe
COUNTERMEAA,��1RE5
PLAN
Q
Altec Industries, Inc. — Mount Airy, NC
Dare: 08 August 2017

Release Prevention Control and Countermeasures Plan
Introduction
This Release Prevention Control and Countermeasure (RPCC) Plan (hereafter referred to as the "Plan")
has been prepared for Altec Industries, Inc. in accordance with federal and the State of North Carolina
regulations regarding release prevention and control.
The Clean Water Act (CWA), the Resource Conservation and Recovery Act (RCRA), and the Superfund
Amendment and Reauthorization Act (SARA) require industrial sources to develop plans to minimize the
risks of unplanned releases of toxic and hazardous substances. This plan incorporates the Spill Prevention
Control and Countermeasure (SPCC) and the Storm Water Pollution Prevention Planj(SWP3) requirements
of the CWA, the Contingency Plan requirements of RCRA, and the Emergency Response Plan
requirements of SARA into one document. G��
The plan is designed to provide the controls and procedures necessary�to m nimize hazards to human
health and the environment from fires, explosions, and releases of toxic•and hazardous substances to the
air, soil, surface waters, and groundwater. S\V7
This document contains preventive actions and emergency response procedure`s be followed in the event
of an emergency. Designated associates of Altec Industries,,inc- are familiar with the contents of this plan,
and trained to carry out the necessary procedures either as a l catio` team or in concert with the North
Carolina Department of Environmental Quality, in conjunction withh .local law enforcement Emergency
Responders (police and fire departments). �% D
The section entitled EMERGENCY NOTIFICATIONIIST can detached from this plan in case of an
emergency. This section is discussed in greater cletail,i``r�\\tve following portions of the plan. Tables and
figures are located in the respective sectiori`��% v
D
Aftec Industries Inc. — Mt. Airy, North Carofina
Revision Date: 08 August 2017 Page I iI
Supersedes: None

Release Prevention Control and Countermeasures Plan
Table of Contents
NOTE: Sections 1-9 contain reference information which is included in the Appendices at the end of this
manual. Additional appendix documents not referenced in the document may also be included.
INTRODUCTION
EMERGENCY NOTIFICATION LIST
SECTION 1
SECTION 2
SECTION 3
GENERAL FACILITY INFORMATION NOTE: SECTIONS 1-5 NOT INCLUDEEDD.}MAINTAINED IN FACILITY COPY
F. SPILL POTENTIAL �< A�O
G. STORMWATER DISCHARGE
H. SPCC PLAN CERTIFICATION �y
I. STATEMENT OF RELEASE PLAN ROL'ICY
J. PLAN REVIEW AND AMENDMENT �D
K. RELEASE EVENT HISTORY ��
L. PLAN DISTRIBUTION LIST
FIGURE 1-1 TOPOGRAPY�MAP OFySIT�AND SURROUNDING AREA
FIGURE 1-2 AERIAL ,PPHOTOGR_PH,OF SITE AND SURROUNDING PROPERTY
MATERIALS AND FACILITY INVENTORY
TABLE 2-1 <MATERIALS INVENTORY
FIGURE 2-1 PETROL`EUM'MATERIAL STORAGE LOCATIONS
FIGURE 2-2 ALL CHEMICAL MATERIAL LOCATIONS
A \ ��
MINIMUM,PREVENT3VE MEASURES
oA%FACILIIY'DESIGN
SPILL CONTROL EQUIPMENT
C. LOADINGIUNLOADING OPERATIONS
D. Alk,EMISSIONS
A. GENERAL FACILITY INFORMATION
B. PROPERTY AND FACILITY DESCRIPTION
D
C. OVERVIEW OF FACILITY OPERATIONS
D. HAZARDOUS MATERIAL STORAGE AREAS
E. AIR EMISSION POTENTIAL
TABLE 3-1 ABOVEGROUND STORAGE TANKS
TABLE 3-2 UNDERGROUND STORAGE TANKS
FIGURE 3-1 LOCATION OF SPILL RESPONSE EQUIPMENT
SECTION 4 CONTINGENCY PLAN
/_Relc(0l: 1:l' wilV1: 1:4Lvil:►i►1
Altec Industries Inc. — Mt. Airy, North Carofina
Revision Date: 08 August 2017 Page I iii
Supersedes: None

Release Prevention Control and Countermeasures Plan
B. CONTINGENCY PLAN DEVELOPMENT
C. PROTECTION OF SURFACE WATER BODIES
D. EMERGENCY RESPONSE COORDINATORS
E. PREPAREDNESS AND PREVENTION
F. EMERGENCY RESPONSE EQUIPMENT
TABLE 4-1 EMERGENCY EQUIPMENT LIST
SECTION 5 EMERGENCY RESPONSE PROCEDURES
A. GENERAL OVERVIEW
B. ALERT PROCEDURES
C. PERSONNEL RESPONSIBILITIES
SPECIFIC EMERGENCY PROCEDURES _
MAIN EMERGENCY CHEMICAL SPILL PROCEDURE SIGN D
(FEATURING SPILL RESPONSE TEAM)
D. EMERGENCY NOTIFICATION PROCEDURES
E. REQUIRED ALTEC CORPORATE NOTIFICATION
F. EMERGENCY RESPONSE PROCEDURES�� Q
A�
SECTION 6 STORMWATER POLLUTION PREVENTION- PLAN �D
O 4� ��
A. SPILL PREVENTION, CONTROL,cAND COUNTERMEASURE PLAN (SPCC)
B. STORMWATER PERMIT ��� ,���D
C. STORMWATER POLLUTIOWP`REVENTION TEAM
D. STORMWATER POLLUTION+PREVENTIOWPLAN (SWPPP)
E. STORMWATER MONITORING PR_O � m
FIGURE 6-1 DIRECTION,OF STORMWATER FLOW AND DRAINS
FIGURE 6-2 SAMPLE PACKAGING AND SHIPPING DIAGRAM
SECTION 7 INSPECTIONS -AND RECORDS NOTE: SECTIONS 7-9 NOT INCLUDED, MAINTAINED IN FACILITY COPY
A. GENERAL OVERVIEW
B. INSPECTIO_N'SCHEDULE
C.��IN'SPECT,IO�F,ORMS AND RECORDKEEPING
aa�ABLE�� INSPECTION SCHEDULE
a
SECTION 8 SECURITY
v
SECTION 9 PERSONNEL TRAINING
A. TRAINING OVERVIEW
B. TRAINING PROGRAMS
C. TRAINING PROGRAM OUTLINES
D. TRAINING RECORDS
E. JOB DESCRIPTIONS FOR ASSOCIATES INVOLVED IN EMERGENCY
RESPONSE
Altec Industries Inc. — Mt. Airy, North Carolina
Revision Date: 08 August 2017 Page 1 iv
Supersedes: None

Release Prevention Control and Countermeasures Plan
APPENDICES
APPENDIX A INSPECTION/ REPORTING FORMS
1. WEEKLY HAZARDOUS WASTE STORAGE AREA INSPECTION'FORM
2. MONTHLY STORMWATER INSPECTION FORM
3. MONTHLY AST INSPECTION FORM
4, ANNUAL AST INSPECTION FORM
APPENDIX B TRAINING REPORTS AND RECORDS NOTE: APPENDICES B THROUGH H NOT INCLUDED.
MAINTAINED IN FACILITY COPY
1. HAZARDOUS WASTE TRAINING FORM
2. HAZWOPER TEAM CERTIFICATION RECORDS ��•�
APPENDIX C SPILLS AND EMISSIONS {�
1, CHEMICAL SPILL REPORT FORM
2. SPILL REPORTING AND NOTIFICATION PROCEDURESaFORM
3. REPORTABLE QUANTITY RELEASE NOTIFICATION SUPPLEMENT FOR
OFFSITE RELEASES FORM
APPENDIX D RESOURCES
1. REPORTABLE QUANTITIES REQUIRING AGENCY NOTIFICATION
2. MATERIAL SAFETY DATA SHEET-S FORr,S L"ECTED MATERIALS
APPENDIX E EMERGENCY FORMS
1. EMERGENCY EVA�CU,y T ONfAND TAKE -SHELTER MAP
May also rncluZ aps for,veritilat'ion, plumbing, equipment, piping, drainage, etc.
AGE 2. LP -GAS STOR'FIRE §AFETY ANALYSIS
�>
APPENDIX F PERMITS��
1. HAZARDOUS. WASTE GENERATOR EPA ID
2. AiR�fyERMIT�\�v'
`
3.�UNDERGROUND STORAGE TANK (UST) PERMIT
n46TORMWATER PERMIT
APPENDIX G SPCC,REQUIREMENT CROSS REFERENCE
APPENDIX H SPCCIPLAN (original)
1. SPCC PLAN
2. SPCC FIGURES
3, SPCC APPENDICES
Altec Industries Inc. — Mt. Airy, North Carolina
Revision Date: 08 August 2017 Page I v
Supersedes: None

Altec Industries, Inc.
ADDRESS: 200 Attec Way
Mount Airy, North Carolina 27030
PHONE No.: [phone] FAx No.: [phone]
Work Phone:
[phone]
Cell Phone:
[phone]
Home Phone:
[phone]
Home Address:
121 Kreeger Court, King, NC 27021
rt4 .
Altec Industries Inc. — Mt. Airy, North Carolina
Revision Date: 08 August 2017 Page i E-1
Supersedes: None

ALTEC CORPORATE:
Bruce W. Stainbrook Corporate Environmental Manager
Cell Phone: [phone]
Work Phone: [phone] x228
Work Address: 810 Franklin Court, Suite A, Marietta, GA 30067
COMPANYMEDICAL PROVIDER:
SEVERE INJURIES/ SEVERE BURNS:
Northern Hospital of Surry County
830 Rockford Street
Mount Airy, NC 27030
[phone] ` D
Wake Forest.Bapi�st Medical Center - Bum Unit
1 Medical Center Boulevard
Winston;Salerr NC•2T157
(336) �A7.1�_2011
d��D v
EMERGENCY HOSPITAL MEDICAL SERVICES: Northern H�o`pi`8i%of Surry County
<Ci n Rockfo d,Street
�Mount;Airy`, ,NC 27030
(336) 7.19=7000
FIRE AND EMERGENCY RESPONSE
FIRE DEPARTMENT: A� o� CaH 911 in emergency
Bannertown Fire Department
156 Lost Horizon Trail,
Mount Airy, NC 27030
(336-783-9040 (Surry County Fire Marshall)
A y�� [phone] (Fire Station -not manned 2417)
EMERGENCIES RELIJTEPyTO THE SANITARY SEWER DISCHARGE:
vY
Mount Airy Waste Water Treatment Plant (WWfP)
1750 S. Andy Griffith Pkwy,'
Mount Airy, NC 27030
[phone] (24-hour WWTP phone)
[phone] (24-hour mobile phone)
Altec Industries Inc. — Mt. Airy, North Carolina
Revision Date: 08 August 2017 Page I E-2
Supersedes: Norte

1.
z
MUST DIAL *9
for outside line
GovFwwwAwvcrNonF=4TyoN:
MOUNT AIRY POLICE DEPARTMENT......................................................................... 911 EMERGENCY
................. I ... I— ............................................... [phone]
SURRY COUNTY SHERIFF ........................................................................................911 EMERGENCY
.............................................................................................[phone]
SURRY COUNTY EMERGENCY SERVICES.............................................................!A 911 EMERGENCY
...........................\\.....[phone]
NORTH CAROLINA DEPARTMENT OF SAFETY 0EMERGENCY OPERATIONS CENTER:
24-HOUR CHEMICAL/ OIL SPILL REPORTING HOTLINE ... v...................... [phone]
QNORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
EMERGENCY RESPONSE COMMISSION: A �� ��?
REGIONAL (V1iINSTON-SALEM) -MAINLINE... .....\..�.j............�.\...................... [phone]
REGIONAL (WINSTON-SALEM) - UST PERMITVINSPECTIONS'y.....................[phone]
EPA REGION 4 SPILL HOTLINE.................................v........•,D.........................,.....[phone]
EPA NATIONAL RESPONSE CENTER ........ ................r................................................... [phone]
b �
LOCAL CONmAcrm REsouR s:
4 �.
{{��AN 4\\NAME
�VD ��
TEMPORARY FENCING. ^�� Fence Builders Inc.
ELECTRICAL SERVICES & EQUIP,MENT: C.W. Electric Company Inc.
PLUMBING/ HVAC SYS_gmi'v Stanley Heating and Air
hu
SAFETY'EQUIPMENT:T
JANITORICLEANING SERVICE:
SOLID WASTE DISPOSAL HAULER:
USED OIL COLLECTION SERVICE:
HAZARDOUS WASTE DISPOSAL/
SPILL CLEANUP:
Simplex
Hagemeyer
Fastenal
Dana Pruitt Cleaning Service
DH Griffin Wrecking Co.
Clean Safe Technologies
Clean Safe Technologies
PHONE NUMBER
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
Altec Industries lrrc. — Mt. Airy, North Carolina
Revision Date: 08 August 2017 Page I E-3
Supersedes: None

3 ADD►TlONAL EMERGENCY Numarns.
NATIONAL POISON CENTER ----- ------------------------------------------------------------------------ ..[phone]
US OSHA (OCCUPATIONAL SAFETY & HEALTH DmSION) - RALEIGH OFFICE
ALTEC INDUSTRIES PERSONNEL CERTIFIED IN EMERGENCY FIRST AID AND/OR CPR:
......... [phone]
Wesley Tucker Nate Grundmann Kenny Badgett Richard Bowman . Randy Burge
Juan Caro Kevin Clark Thomas Collins Todd Drane Chris Galyean
Terry Harrison Paul King Chris Mchome Donnie McMillian Steve Niston
Chad Poteat Terry Puckett Terry Roberts Fortino Ruiz 'Tony Venable
Q
4, � AtTEC INDUSTRIES PERSONNEL CERTIFIED IN HAZ'1 �P R.y �`�
HAZARDOUS WASTE OPERATIONS AND EMERGENCY RES�P�$?[29 CFRA910.120]:
4
Spill Team Leader �� ,�
Nate Grundmann Kenny Badgett ,1wesley gTLucker Steve Niston
SPILL REj= SF i E 'SIGNMENTS
ASSigp!nent F n��� Primary Back -Up
.
LARGE SPILL'_
U'«awh.r'r a_w4^✓t.,
111!i Mtn`¢FJ
c Reception Desk
Associate notifies Spill Team Leader"or
{336} 786-3600
Kenny Badgett, or Andy
management of spill`{`��. t; t'
or Spill Team Leader
Kelly.
Nate Grundmann
x
'r► *�r"�
Spill Team;Leaer7(otifyl
Whichever manager or
Includes Nate
`obdize
Team) �... �►
backup person comes
Grundmann, Kenny
across the spill scene first.
Badgett, or Andy Kelly.
Keep customers/ visito clear of spill area r ;;`
Andy Kelly
Ben Griffin
Mobilize spill kits -
Wes Tucker and Steve
Kenny Badgetti
,
Niston
Clean up spill'
,�:.,
Wes Wes Tucker, Kenny
Badgett, and Steve Niston
Nate Grundmann
Cover/secure stormwater drainage
Kenn y Badgett
Juan Caro
Bring drums to spill site
Wes Tucker
Kenny Badgett
Altec Industries Inc. — Mt. Airy, North Carolina
Revision Date: 06 August 2017 Page I E-4
Supersedes: None

MILL RESPONSE TEAM
ASSIGNMENTS
Assignment
Primary Back -Up
LARGE SPILL OUT OF CONTROL
-----
Spill Team Leader (calls 911)
Nate Grundmann
Kenny Badgett or Andy
Kelly
Keep customers/ visitors clear of spill area
Andy Kelly
Ben Griffin
Coverlsecure stormwater drainage
Kenny Badgett
Juan Caro
Call emergency spill contractor service
Nate Grundmann
Kenny Badgett or Andy
,1Ak�1 Kelly
Meet Fire Department/ambulance
Nate Grundmann
<`Ke`hny Badgett or Andy
Kelly
EXTREME CASE OF EVACUATION
Notify associates to evacuate
Nate Grund\\ayn
Kenny Badgett or Andy
(building evacuation; not property
Kelly
Shut down plant equipment
Kenny, Badgett
440
J
Juan Caro
Guide customer & associate evacuation
Nate Grundmann,
Andy Kelly
Includes Andy Kelly, James
King, Terry Harrison, Terry
Pucket, Ronnie Collins
Take associate attendance>D
Appropriate Managers
and•Are'a Supervisors
Ricky Reid, Kyle Francis,
Dwight Blizzard, Dale
q�\�
yb
McKnight, Handley Garton,
Mike Reed, Luke Atkins
411k
�l,
C�
and Nate Grundmann,
K":4U4Z
o-
EPA IDENTIF CATION;NUMBER: NCR000166991 [Small Quantity Generator]
�1 IV
GLOBAL POSITIONING SYSTEM (GPS) COORDINATES
LATtTUDE: 360N27' 35" N LONGITUDE: 80' 32' 53" W
LATITUDE: 3049905 LONGITUDE:-80.60688
NAICS CODES:
Assembly 336211 [Motor Vehicle Body Manufacturing]
Vehicle Maint. 811111 [General Automotive Repair]
Vehicle Lease 532120 [Truck, Utility Trailer Rental & Leasing]
Parts Storage 493110 [General Warehousing & Storage]
Revision Date: 08 August 2017
Supersedes: None
SIC CODES:
3713 [Truck & Bus Bodies]
7538 [General Automotive Repair Shops]
7513 [Truck Rental & Leasing]
4225 [General Warehousing & Storage]
Altec Industries In& — Mt. Airy, North Carolina
Page I E-5

SURROUNDING OCCUPANCIES $ LAND USE:
EAST: Pike Electric, LLC Corporate Headquarters building, Reeves Mill Road (1,300 feet)
LC Transportation Service (commercial), agricultural and undeveloped land.
SOUTH: Stoney Brook creek, undeveloped land, residential properties.
SOUTHWEST: Pike Electric, LLC property, pond, aircraft hangar and Mount Airy-Surry County
Airport, US Route 52 and US Interstate 74 (1/2 mile).
NORTH: Residential properties (200 feet), commercial businesses and_ undeveloped land.
Virginia's state border (6.5 miles).
NORTHWEST: Residential properties, downtown Mount Airy (4.5 miles), Blue -Ridge Appalachian
Mountains (11 miles).
49,
A v
4
44
421� �b
Altec Industries Inc. — Mt. Airy, North Carolina
Revision Date: 08 August 2017 Page I E-8
Supersedes: None

Release Prevention Control and Countermeasures Plan
Section Six
Stormwater Pollution Prevention Plan
A. SPILL PREVENTION, CONTROL, AND COUNTERMEASURE PLAN (SPCC)
Note the certified Spill Prevention, Control, and Countermeasure (SPCC) Plan is included in Appendix H.
Any discord in information between the RPCC Plan and the SPCC Plan should result in the default to the
plan with the latest revision date.
B. STORMWATER PERMIT
Altec Mt. Airy is authorized to discharge stormwater in accordance.with.the terms of General Permit
Number for stormwater discharge associated with industrial activities (light metal fabrication
and vehicle maintenance). Altec Mt. Airy has been issued Permittnumber . by the State of
North Carolina and a copy is included in Appendix F. ��``y
C. STORMWATER POLLUTION PREVENTION TEi4M
A Stormwater Pollution Prevention Team (stormw'ait r, team} ll.ibe established at the Altec Mt. Airy
facility. The stormwater team will have the followinjresponsibilitles:
• Identify toxic and hazardous materials in the,facility.
I;' _k
• Identify potential spill sources,
• Develop Best Management Practic s,(SMP) to prevent pollutants from entering stormwater.
• Develop and conductbMP training for facility personnel.
v L
• Review changes in;facilityde -design and operations and implement any necessary actions.
• Coordinate�mcident response, cleanup, and notification of authorities.
t__ v {t .y
• Establish post-incident.(eporting procedures.
nA�� 1,S v
• Review environmental incidents to determine and implement necessary changes.
• Develop{interdepartmental coordination to carry out the Stormwater Pollution Prevention
Management provisions.
• Evaluate effectiveness of overall Stormwater Pollution Prevention Plan (SWPPP) and make
recommendations for changes in the provisions to management.
Team Membership
Stormwater team members will meet periodically as necessitated by changes to the Altec Mt. Airy
operations, change in regulatory status, significant stormwater events, or if anticipated situations arise
which impede implementation of these provisions. Meetings of the Stormwater Pollution Prevention Team
Altec Industries, Inc. — Mt. Airy, North Carolina
Revision Date: 06 August 2017 Page 16 - 4
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Release Prevention Control and Countermeasures Plan
will be documented and maintained at the site by management for a minimum of three years. The
following personnel are members of the Stormwater Pollution Prevention Team:
Chairperson: Mr. Nate Grundmann — Facilities EH&S Supervisor
Team Member 1: Mr. Kenny Badgett - Maintenance Technician
Team Member 2: Mr. Ronnie Collins - Service Manager
Team Member 3: Mr. Andy Kelly - Plant Manager
D. STORMWATER POLLUTION PREVENTION PLAN (SWPPP)
The stormwater team chairman is responsible for the implementation and continued development of the
Stormwater Pollution Prevention component of this Release Prevention Control- 'aind Countermeasure
Plan. Input is provided by plant management with respect to plant operations. �D
Site Topography & Stormwater Discharges
The site's topographic relief varies between 1,206 to 1,278 feet above sea level. The elevation drops
sharply to the south and west. n0.. k
Stormwater discharge is generated from a variety of sourrce5,&duding�sbme sheet stormwater runoff
from several areas of the property. The site is graded`rso that�QthVajority of stormwater from
manufacturing areas is routed to stormwater drains located througho`ut.the facility. Stormwater is primarily
discharged from the property via two outfalls located to,t e,wesstt an
��dvouth of the Main Building.
The Altec facility receives stormwater runoff from the, adjacent, northeastern Pike Electric, LLC property.
Paved driveways and parking areas surrounding the Altec�be;ildings have a storm drain system that drains
to the south and southwestern portions of4he\site. There are three terraced gravel staging areas on the
southern portion of the site. g �y
The storm drains in the paved area
as collect sheet)flow runoff and drain either to a pond adjacent to the
—� X v
Mt. Airy-Surry County Airport on'theysouthwester pportion of the site or to a riser -type sediment basin on
the southern portion of the site,Stormwater thatYdoes not enter the storm drain system flows through curb
cuts to a swale east of thep'ropeity tha`eventually enters Stoney Creek, or an intermittent stream near
the southwestern edge �ofAthe propetty��that cuts around the pond adjacent to the airport and eventually
joins Stoney Creek. Figure,64 prove s a site layout map showing the direction of Stormwater flow on the
�property. j
4(n Potential Polluon'Sour�r��
s
tr
Raw, intermediate, •ani �) nal products are covered or inside buildings when feasible. The majority of
chemicals are kept under cover at the facility. The diesel fuel station, the bulk liquid propane tank, and
areas storing oxygen, nitrogen, carbon dioxide, and propane cylinders are located outdoors. Aerial lift
trucks are parked outdoors. Painted steel parts may be stored outdoors while raw steel is covered or
indoors. There are rock chutes and concrete flumes in the drainage areas with a high potential for soil
erosion.
Potential stormwater pollution sources may arise from sediment breakdown of gravel covered areas (total
suspended solids); vehicle leaks (oil and grease); fueling operations (oil and grease, hydrocarbons)
outside storage; and loading/unloading operations. Records of materials used in these areas that
represent potential contaminants are maintained as part of the annual air emissions reporting
Aftec Industries, Inc. — Mt. Airy, North Carolina
Revision Date: 08 August 2017 Pagel 6 - 2
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Release Prevention Control and Countermeasures Plan
requirement. In order to decrease or eliminate potential pollution, best management practices have been
implemented.
Best Management Practices (BMPs)
Best management practices (BMPs) have been implemented to prevent pollutants from entering
stormwater discharges. BMPs are selected, installed, operated, and maintained in accordance with the
requirement of the general permit. The Chair of the Stormwater Team is responsible for ensuring
necessary BMPs are implemented in a timely manner. Many baseline BMPs implemented at the facility,
including visual inspections, spill prevention, and response, are discussed throughout this Plan. General
BMPs implemented at the Altec Mt. Airy facility are discussed below.
Good Housekeeping
Good housekeeping procedures are designed to maintain a clean and orderly wori<�environment, thereby
minimizing the potential for pollutants to enter stormwater. The following gooi�ousekeeping procedures
will be followed: �w
Regular disposal of trash and other solid waste material,
• Maintaining dry and clean floor and ground surfaces ung fjr000ms`hovels, etc.;
• Monitoring loading/unloading operations to avoid spills;
Av ��D
• Maintenance of secondary containment structures around.'outside storage area;
Ah
• Evaluating stormwater from secondary containment stnictu es and disposing of accordingly;
• Avoiding spills of miscellaneous chemicalstifuel or oter vehicle fluids;
• Providing collection and storage areas for waste6prroducts and arranging for proper disposal;
\\D aS1U�
• Keeping outside equipment in goovd.repir to�eliminate chronic drips and leaks;
• Maintaining spill kits in areas where chemicals are stored;
• Prompt and proper cleanup of any,fuel'or vehicle fluid spills that may occur;
• Storing drums and.portable containers in locations with cover from rain and/or containment;
111\\1 V 41�\ v
• Keeping drumm6,or,,other portable containers closed/secure when not in use;
• Use of gravely rip-raoto,stabilize soil but allow stormwater to permeate;
• Providing sediment,and erosion control measures (straw bales, silt fences, sediment basins);
-&M�i r q�\X v
• Utifizing•filters,in and around all stormwater drainstinlets at the facility;
• Keeping stormwater conveyances clear of debris and sediment;
• Cleaning vehicles in the wash bay and properly maintaining the oil/water separator;
• Conducting regular inspections of facility; and
• Adhering to overlapping federal and state requirements for storage tanks and fueling
operations.
Preventive Maintenance
Preventive maintenance involves the regular inspection and testing of plant equipment and operational
Altec Industries, Inc. — Mt. Airy, North Carolina
Revision Date: 06 August 2017 Pagel b - 3
Supersedes: None

Release Prevention Control and Countermeasures Plan
systems. The inspections are meant to uncover conditions such as cracks or slow leaks which could
cause breakdown or failures that result in discharges of chemicals to stormwater. The program is
designed to prevent breakdowns and failures by adjustment, repair, or replacement of equipment.
Equipment in the preventive maintenance inspection and testing program includes machining equipment;
pipes; pumps; storage tanks; material handling equipment; and stormwater management devices (i.e.,
oil/water separators and storm drains).
A record system for scheduling tests and documenting inspections in the preventive maintenance
program has been implemented. Documented test results and corrective action are on file. The Building
Maintenance Department maintains the preventive maintenance records.
A
Visual Inspections
Visual inspections are used to evaluate existing BMPs and to identify conditions with potential to cause
contamination of stormwater discharge. Visual inspections schedules are Iist6d in.Section 7, Table 7-1.
Spill Prevention and Response
Developing spill prevention and response procedures is a critical ementa of an effective SWPPP
Section 3 identifies areas where spills may occur, material handling procedures, and spill control
equipment. In addition, spill response procedures are discuss��� youghout{tDe�,RPCC Plan.
Employee Training
The purpose of SWPPP training is to teach personneyat all level s��esponsibiiity the components and
goals of the SWPPP, Refer to Section 9 for Altec associate training. D
Recordkeeping and Reporting
Incidents such as spills or other discharges along with other information describing the quality and
quantity of stormwater discharges will be -recorded. D`etalls"of the facility inspection and recordkeeping
program are included in Section 7, a��
4
E. STORMWATER MONITORING PROGRAM
Monthly stormwater Inspect pnsD l�
a v ..��
In accordance with
cth6�generallstaimwater permit, monthly site inspections are conducted by a
stormwater team member. The inspections include observations and evaluations of, BMP effectiveness,
deficiencies, and; or\ective,measures that will be taken. Deficiencies are corrected within seven (7) days
and must be documm ntedun,the inspection report along with the dates and descriptions of any corrective
actions or improvements,,that were implemented. A copy of the monthly stormwater inspection form is
included in ADnendiz A V
In addition, a stormwater team member, or his designee, shall conduct daily and/or weekly walkthrough
inspections of areas to ensure that BMPs are continually implemented and effective. Structures that
function to prevent pollution of stormwater or to remove pollutants from stormwater will also be specifically
inspected.
Analytical Monitoring
The general stormwater permit requires analytical (laboratory) monitoring of Outfalls 001 and 002. Altec
Mt. Airy is required to conduct quarterly sampling of stormwater discharges.
Aftec Industries, Inc. — Mt. Airy, North Carolina
Revision Date: 08 August 2017 Page 16 - 4
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Release Prevention Control and Countermeasures Plan
The following parameters are followed for analytical monitoring:
• Samples will be collected from a precipitation event exceeding 0.1 inches during a 24-hour
period. Precipitation events include rainfall and run-off from the melting of frozen
precipitation.
• Grab samples will be collected during the first 60 minutes of discharge.
• Samples will be collected prior to discharge leaving or at the property boundary, or before
discharge enters waters of the state on the property.
• Examinations will include observations of color, odor, clarity, floating solids, settled solids,
suspended solids, foam, oil sheen, or other obvious indicators of stormwater pollution.
Documentation will be maintained with the SWPPP if the facility is unable�a /collect grab samples.
Records will indicate if no rain event, or no "measurable" storm event occurred -during a monitoring period
(including dates/times the outfalls were viewed and/or sampling`was'�attempted). Acceptable
documentation may include weather station data, local weather statioNdata, facility rainfall logs, and
other appropriate supporting data. If adverse weather conditions p`re`vent the collection of samples, a
substitute sample will be taken during a qualifying storm event in the nextArnonitoring period. Adverse
weather conditions are those that are dangerous or create inaccessibility,,for,personnel, and may include
such things as local flooding, high winds, electrical storms,-&,1+tuations�that otherwise make sampling
impracticable, such as drought or extended frozen conditions ��v
A�
Collecting Grab Samples for Analysis
Sample Documentation
Correct sample labeling and a complete chainbof custody 're critical to ensure proper handling and
analysis by the laboratory. Laboratories can,p�ovide waterproof labels for each sample and a chain of
custody form. The following information should be,included on the label and/or chain of custody:
Unique Sample or Log:Number - All samples should be assigned a unique identification
number. Sample numbers maybe a=combination of the date, material sampled and location
where the sample',was�t'akenA Pbr;example, SWO01-112117 indicated a stormwater sample
(SW) collected`frrom'youtfalht7P�(001) on 21 November 2017.
• Date and Time, of SamoiMbllection - Date and time of sample collection (including notation
of a.m. or p m�) must be recorded.
• Facility Name and Address — include a contact phone number.
• Name andi.gnature of Sampling Personnel - The name of the person taking the sample
must be`n i ted.
• Sample Type - Each sample should indicate that it is a grab sample.
• Preservation Used - Any preservatives (and the amount) added to the sample should be
recorded. The method of preservation should be indicated, including ice for temperature.
• Analysis Required - All parameters for which the sample must be analyzed at the laboratory
should be specified.
• Comments - Any relevant information pertaining to the sample or the sampling site that may
impact sample results should be recorded. This may include unusual weather conditions.
Altec Industries, Inc. — Mt. Airy, North Carolina
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Release Prevention Control and Countermeasures Plan
Observations regarding the quality of the sample (i.e., excessive particulate, presence of oil films, color,
etc.) should be noted in the sampling documentation and it should be determined if corrective action is
required.
Sample Packaging and Shipping
If the samples are not hand -delivered to the laboratory, they should be shipped in a cooler with the chain
of custody. Caution should be taken in packing to ensure that glass containers do not break during
shipping. Ice or a synthetic ice should be placed in the container so that samples maintain a temperature
of 39.2°F (4°C) throughout shipping. Seal the container to prevent tampering.
Most samples will not require any special transportation precautions except careful packaging to prevent
breakage and/or spillage. If shipped by common carrier or sent through the U.S. mail, samples must
comply with Department of Transportation Hazardous Materials Regulations. Stormwater samples are not
generally considered hazardous materials. However, carriers should be contacted to determine if
transportation regulations apply. Figure 6-2 provides a visual diagram of sample packaging
Sample Preservation and Holding Times
imes 4�
Preservation techniques ensure that the sample remains representative o the stormwater discharge at
the time of collection. Since pollutants in the collected samples maybe unstable, samples should be
analyzed immediately, or preserved to minimize changes betweentthe time of -collection and analysis.
Sample preservation techniques consist of lowering the
mpera ure,�p,H> adjustment, and chemical
fixation. Refrigeration is the most widely used technique because�i`.,- no detrimental effect on the
sample composition, and it does not interfere with most' analytical methods. Refrigeration requires the
sample to be quickly chilled to a temperature of 39; 2'F,(4;C). Thzis'technique is used at the beginning of
collection in the field (placing samples in a coolerice), during, hipment, and at the laboratory.
In addition to preservation techniques, holding time 1.st oul be considered. The holding time is the
maximum amount of time that samples Imayvbe held before analysis and still be considered valid.
Samples exceeding these holding timesare.consEdered suspect and sample collection may have to be
repeated. In most cases the samples,must,be at:the loratory within 24 hours.
Figure 6-2
ng and Shipping Diagram
M lZj;ith CIS Cii Fd .. al d"
Pbnd aw» of and p6Ak na.h
a.aai. �p w to avert
.�., _ _. _.. . - Sasl au4r plsstfa trash beg that gtr� coslsr
Coof¢r Dui battha in babble-wap bag and seal.
Ksca bubb$o w *p emaW bold" In plssac trsah beg
end tla elwed.
Altec Industries, Inc. — Mt. Airy, North Carolina
Revision Date: 06 August 2017 Page 16 - 6
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Release Prevention Control and Countermeasures Plan
Annual Reporting
When no discharge has occurred during the report period, a discharge monitoring report providing all
required information and indicating "No Flow" will be submitted within 30 days of the end of the six-month
sampling period. Visual (qualitative) monitoring will be documented and maintained on -site for a minimum
of five (5) years from the date of inspection.
Altec Mt. Airy will submit duplicate signed copies of all reports to the following address:
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Phone: [phone]
Records D
Records of stormwater monitoring information and copies of reports�equired by the general permit are
retained for a period of at least three years from the date that coverage under the permit expires or is
terminated. Stormwater records are maintained by the site Environmental Coordinator and may include:
a� �D
• Routine site inspections; b.
• Compliance site evaluations; o
a� vD
• Non-stormwater discharge inspections;
• Stormwater discharge visual examination records;
Inspections of stormwater drain�rom dike as;
Laboratory reports; 4.
Discharge monitoring re'p°or�tj(DEQ) ,f roans;
_�� _S\\\�"
Date and time of site inspections visual observations, sampling, and laboratory analyses;
4'
Name of individual,per"forming site inspections, visual observations, sampling, and laboratory
analyses; A Vv
• Signature o in
dividual p�rming site inspections, visual observations, and sampling;
AnalyticaIresults,Net od detection limits, and the analytical techniques or methods used;
Quality' assunkeelquality control records and results;
Records -of co rective actions and follow-up activities that result from inspections; and
ti
Documentation of all changes to the SWPPP.
Altec Industries, Inc. — Mt. Airy, North Carolina
Revision Date: 08 August 2017 Page 16 - 7
Supersedes. None

Appendices
�D
A. INSPECTION/REPORTING FORMS
B. TRAINING REPORTS AND RECORDS �� 1
C. SPILLS AND EMISSIONS A
D. RESOURCES A� `�4
E. EMERGENCY FORMS 4 ��
F. PERMITS
G. SPCC REQUIREMENT CROSSiFEI)ENCE
H. SPCC PLAN (original)
4
4
NOTE: APPENDICES B through G NOT INCLUDED,
MAINTAINED IN FACILITY COPY

J
Appendix A
INSPECTION/REPORTING
FORMS
q
Q� A�
1. WEEKLY HAZARDOUS WASTE ST • RA E AP.'
INSPECTION FORM
2. MONTHLY STORMWATER INSCTIOIIrRM
3. MONTHLY AST INSPECTIO F "RM�
4. ANNUAL AST INSPECT I �OR
p
K�
d� �a

Weekly Site Inspection Form
Altec Industries, Inc. - Mt. Airy, NC
Inspection Item
Y
Ve
N
Description of
Unsatisfactory Conditions
1.
Container Storage
a)
Are containers securely closed and properly stored? (including open top
drums and oil funnels)
b)
Are all containers free from signs of leaks, deterioration by corrosion,
bulging or other factors?
c)
Are containers properly labeled (i.e., Hazardous waste, Used oil)?
d)
Is the area free of debris and generally clean?
e)
Is the entrance to the storage area accessible?
Is aisle space sufficient for inspection of all containers?
g)
Are incompatible wastes stored apart from each other?
h)
Is the following information on all hazardous waste labels?
-Generator Name, Address and Phone Number
-Generator EPA ID Number
-Accumulation Date
-EPA Waste Number and Dot Shipping Number
�\ V
i)
Are the labels legible?
j)
Are containers being stored for 180 days or less?
A~
O'
2.
Aboveground Stora-geTanks
a)
Are tank shells free of corrosion, cracks, staining, etc ?
4
b)
Are tanks supports in satisfactory condition?
.4
l�+-y
c)
Is foundation in satisfactory condition?
IV
d)
Are piping, pumps, dispensers free of leaks?
3.
Containment
V
.'
a)
Is secondary containment provided for hazardous materials? c=
N',
N�A—
b)
Is secondary containment provided for petroleum products? A IN
a e�
- V
c)
Are containment structures free of leaks and spills?
d)
Are containment structures free of cracks or other deficiencies?k
4.
Em erigenc E ui ment & Notification 4111i i
ENV
a)
Is emergency equipment stocked and readily accessibl �\ `� 4
b)
Are overpack drums available?
c)
is the eyewash system accessible and operating,proptKrly? A M -
d)
Are fire extinguishers accessible and fully chj4edV'
e)
Do fire extinguishers have a tag with the IaSfltisi dv?\j
Are notification procedures posted or iMTee3 4tely avgiJahla,)
g)
Is the communication system in the aCe t>ctionA gZ\N)
5.
Wash BaX A a`'
a)
Is the site free of evidence Qhmo ,S-Othoriz9Cidl5oWges?
b)
is the area surrounding thb.7Wjs> bay cf n1
c)
Is the wash bay oil wate��5epbrator<oOe_>-aRpg efficiently?
6.
l isc
Any pony motors leaking? \\y
Are tires covered if stored outside?
Any erosion seen in far back lot?
Silt build up at stormwater drains?
Any recycling in the trash?
Corrective Action:
Inspector: Date/ Time:

N.
Monthly Stonmwater
Inspection Forth
Mt. Airy, NC
AREAIISSUE TO INSPECT Y N UNSATISFACTORY CONDITIONS
1 Container storage
Are there any containers of chemicals or oil stored outside which
are not covered?
Are all containers securely closed in their respective storage
areas?
Are all containers free from signs of corrosion and evidence of
bulging?
2 Storage
Are all chemicals and oils stored under roof or cover so that they
do not come into contact with stormwater runoff?
Are there any spills from the vehicles stored outside?
Are there any vehicle parts (i.e. batteries) that have been left
outside or around parked vehicles?
A
Other than testing of the lifts, is there any work being done on
Vv -
vehicles outside?
3 Secondary containment L)
Are the containment areas free of any accumulation,
precipitation, leakage orspillage?
�V "
Is the containment structure free of cracks or other deficiencies?
Is the area outside the containment structure free of spills?
*\\V /\\\V
If applicable, is the drain valve for the containment locked?
\L A!% \",'
4 General conditions 4\\ y !A�
Are storm drains and drainage ditches free of debris?
&N
l V
Gl \NY
Is there any oilspillage on the parking lot or the back lot? ,.
\�
►v
'\\`�
Is the oillwater separator for the wash bay functioning ro {I ?
Are there any si ns of leakage around the oil/water ae aarrat`oit ??
4
v
Is the drain in the wash bay functioning properly?,,\Vvv 4
Is there any spillage around the fuel and oil aba-egTurid
storage tanks? .4:� &\�
�b
Is there any staining or other signs of p�4 on they I<\-- ete
or soil that surrounds the wash ba .or, eltn area?, \
A [ v
Does the oil/water separator rteedtto clean �l\;or em tied?
Are the transformers in the: a io )'Tot lealClft ?
L
Is there evidence of oil i9k)n ;from t rat sNh om actor?
Did any spills occur strice,lhl! last; Y 6? If yes, has
,everythingbeen cleanedlu ?
Dry weather conditions >
Is there anv evidence of non--sto m water discharge?
6 Wet weather oondltlons
Are there any areas where there is soillsediment runoff?
Are there any areas where stormwater pools on the ro ert ?
Inspector: DaWtlme:

STI SP001 Monthly Inspection Checklist
General Inspection Information:
Inspection date: I Retain until date: 1 (36 months from inspection date)
Prior inspection date: Inspector name: Alk
A % 1
Tanks inspected (ID Ws): <� �1
Inspection Guidance: "
- For equipment not included in this standard, follow the manufacturer recommended inspection/testy g schedules and procedures.
- The periodic AST inspection is intended for monitoring the external AST condition and its containment structure. This visual inspection does not
s1,-.y e
require a Certified Inspector. It shall be performed by an owner's inspector who is familiar,with'the site -and can identify changes and developing problems.
- Upon discovery of water in the primary tank, secondary containment area, interstice or•spillicontamer,.remove promptly and take other corrective action.
Before discharge to the environment, inspect the liquid for regulated products or ott er.con#aminants:and dispose of it properly_
- (`) designates an item in a non-conformance status. This indicates that action is required io address a problem
-Non -conforming items important to tank or containment integy require evaluation by' an�engs. eer experienced in AST design_, a Certified Inspectorr or a
tank manufacturer who will determine the corrective action_ Note the non-co��rmance and'corresponding corrective action in the comment section.
- Retain the completed checklists for 36 months.
- In the event of severe weather (snow, ice, wind storms) or maintenance (such•apainting) that could affect the operation of critical components
(normal and emergency vents, valves), an inspection of these components Is:�equired as soon as the equipment is safetly accessible after
the event.
Item Task ,A*� n���"Status Comments
1.0 Tank Containment A �
1.1 Containment structure
Check for water, debris, cracks or fi ha,ard ^ `•�j
Yes' i No (J NIA
1.2 Primary tank
Check for water / 4� V ^ v
�bJ
(J Yes` (j No
1.3 Containment drain
Operable and in a dose ,p`os�Qb`n (\
Yes
(J (J No' C N/A
valves
A. .tea
1.4 Pathways and entry
tear and gates/doors ope able.
Yes No" t J N/A
2.0 Leak Detection ��11
2_1 Tank
Visible signs of Leakage
(� Yes" No (J NIA
2.2 Secondary containment
Visible signs of leakage from tank into secondary
(1Yes' No
containment
2.3 Surrounding soil
Visible signs of leakage
Yes' No () NIA
2.4 Interstice
Visible signs of leakage
(1 Yes' No (J NIA
AST Inspection Standard
March 2015

Pa] ff
1..e�U
Item
Task Status Comments
3.0 Tank Equipment
3.1 Valves
a. Check for leaks.
(� Yes' t;', No (j NIA
b. Tank drain valves must be kept locked.
t 1 Yes { j No' N/A
hA
3.2 Spill containment boxes
a. Inspect for debris, residue and water in the box and
(J Yes' )No t j NIA
\�
on fill pipe
remove,
b. Drain valves must be operable and closed,
(J Yes a J No' (^j NIA
3.3 Liquid level equipment
a. Both visual and mechanical devices must be
rj Yes (� No' !"J N/A
inspected for physical damage.
�\\\
b. Check that the device is easily readable.
Yes (7, No* (J NlA�
3.4 Overfill equipment
a. If equipped with a "test" button, activate the audible
horn or light to confirm operation. This could be
(� Yes ( Nqo' r','N/AJ
G�"�►,
battery Replace the battery if
V
-powered- needed.
b. If overfill valve is equipped with a mechanical test
Yes (~�No' (�
mechanism, actuate the mechanism to confirm
��
operation-
3.5 Piping connections
Check for leaks, corrosion and damage.
( IYes' V Na ;N/A
:NY e X
4.0 Tank Attachments and Appurtenances .��%J' 4
4.1 Ladder and platform Secure with no sign of severe corrosion or dam�a=�11'(—j te�` j-No' (J NIA
1
j[�:
structure
5.0 Other Conditions
5.1 Are there other conditions that should be addressed for continAue� opein �` (y`Yes' No (� NIA
or that may affect the site spill prevention plan?�`
4 r yy
Additional comments: ��
AST Inspection Standard
March 2015

General Inspection Information:
Inspection date:
Prior inspection date:
Tanks inspected (ID Ws):
STI SP001 Annual Inspection Checklist
Retain until date: (36 months from inspection date)
Inspector name: nA
Inspection Guidance: lv
- For equipment not included in this standard, follow the manufacturer's recommended inspection/testing schedules and procedures.
- The periodic AST inspection is intended for monitoring the external AST condition and its containment structure. This visual inspection does not
require a Certified Inspector. It shall be performed by an owner's inspector who is famiiiar_with the sit and -can identify changes and developing problems.
A\\NZ. v
- Remove promptly upon discovery standing water or liquid in the primary tank, secondaryContalnmentarea, interstice or spill container_ Before discharge
to the environment, inspect the liquid for regulated products or other contaminants aA dispose,bf1 properly_
- In order to comply with EPA SPCC (Spill Prevention, Control and Countermeasure`) rules, a f6bility must regularly test liquid level sensing devices to ensure
proper operation (40 CFR 112.8(c)(8)(v)). D
- {") designates an item in a non-conformance status. This indicates that action,is er quired,to address a problem_
- Non -conforming items important to tank or containment integrity require evaluation by,an engineer experienced in AST design., a Certified Inspector, or a
tank manufacturer who will determine the corrective action. Note the nonconformanc`e-,and corresponding corrective action in the comment section.
- Retain the completed checklists for 36 months. �N
A
- Complete this checklist on an annual basis supplemental to the ownenimonth4S-performed inspection checklists.
- In the event of severe weather (snow, ice, wind storms) orimaIrtte'nance ( uch as painting) that could affect the operation of critical components
`_nnents
(normal and emergency vents, valves), an inspection of�these co mp is required as soon as the equipment is safely accessible after
the event. �b \>
Item Task „���' �`l�j
Status
Comments
1.0 Tank Containment
1.1 Containment structure
Check for:�`�
A�b .vim\.
(jYes' (1No (jN/A
• Holes or cracks imconfamment wall'or floor
• Washouts
• Liner degradation}
• Corrosion Nr
• Leakage
• Paint failure
• Tank settling
AST Inspection Standard January 2016

61
1 ��-$.11 t
Item I Task Status Comments
2.0 Tank Foundation and Supports
2.1 Foundation
Settlement or foundation washout?
(]Yes* C' No
2.2 Concrete pad or ring wall
Cracking or spalling?
CjYes* (J No tJ NIA
�.4
2.3 Supports
Check for corrosion, paint failure, ete.
Yes* (J No (J N/A
<\"-
2.4 Water drainage
Water drains away from tank?
(J Yes Q No' () NIA
2.5 Tank grounding
Strap secured and in good condition?
Yes )No C NIA
3.0 Tank Shell, Heads, Roof
3.1 Coating
Check for coating failure.
(Yes' () No (� NfA�{`D
3.2 Steel condition
Check for:
{J Yes* No> ( NIA
�\ "
Dents
• Buckling
• Bulging
• Corrosion
• Cracking
3.3 Roof slope
Check for low points and standing water.
'i~ 'es* (�i Nose j N/All
4.0 Tank Equipment AK�V A.Zz�
4.1 Vents
Verify that components are moving freely an j
(�yeS�V(J No* ( NIApassageways
oven
are not obstructed for:
Emergency D
��
• vent covers 4
Pressuretvacuum VVV
• vent poppet:
• Other moving vent compone `y
7
4.2 Valves
Check the condition of all valves,folir-16 ks, corrdsi�y'
and damage.
(j Yes' r J No
{�\
4.2.1 Anti -siphon, check and
gate valves
Cycle the valve open and'closid, andcheck,for
proper operation. �j, V
(� Yes (J No' NIA
4.2.2 Pressure regulator
Check for proper operation. (Note tfial*there maybe
( Yes No-
valveNIA
small, 114' drain plugs in the bottom of the valve that
are not visible by looking from above only_)
4.2.3 Expansion relief valve
Check that the valve is in the proper orientation. (Note
yes (] No' * J NIA
that fuel must be discharged back to the tank via a
separate pipe or tubing.)
AST Inspection Standard January 2016

Item
Task
Status
Comments
4.2.4 Solenoid valves
Cycle power to valve to check operation. (Electrical
Yes (} No' (' NIA
solenoids can be verified by listening to the plunger
opening and dosing. If no audible confirmation, the
valve should be inspected for the presence and
operation of the plunger.)
4,2,5 Fire and shear valves
a. Manually cycle the valve to ensure components are
(� Yes No' (] N!A
moving freely and that the valve handle or lever has
lj
clearance to allow valve to dose completely.
n��D
b. Valves must not be wired in open position.
Yes No' t NIA
c. Make sure fusible element is in place and
(J Yes (^; No' (J NIA
correctly positioned.
d. Be sure test ports are sealed with plug after testing
is complete and no temporary test fixture or
( Yes (- No' (—j N!A\
`J'
b,
A{\�
component remains connected to valve.
4.3 Interstitial leak detection
equipment
Check condition of equipment, including:
• The window is dean and Gear in sight leak
{ ) Yes rj Ni q (�NIA
A '4
sv
taD
gauges.
• The wire connections of electronic gauges for
4
tightness and corrosion,
Activate the test button, 0 applicable.
4.4 Spill containment boxes
a. If corrosion damage or wear has compromised the
"
Yes` t i No C NIA
on rill pipe
ability of the unit to perform spill containment func-
:>
tions, replace the unit. AQ�
b. Inspect the connections to the AST for tightnesFJ
No` (� NIA
as well as the bolts, nuts and washers forAndition
and replace if necessary.�� 4
l/
c. Drain valves must be operable and�,cl\osoii!
Yes r No` Q NIA
4,5 Strainer
a. Check that the strainer is cleLaoyin good d6nditidn.
>
Yes (� No` (J NIA
b. Access strainer baske rid.ytheck ca�p'anif gasket
bolts.�w
Yes tJ No' iJ N/A
seal as well as
RA`�
A t�,1
4.6 Filter
a_ Check that the filter is in good.cofidition and is
Yes No' (J N/A
within the manufacturer's expected service life.
Replace if necessary. NY
b. Check for leaks and decreased fuel flow.
(j Yes' No () N/A
4.7 Flame arrestors
Follow manufacturer's instructions, Check for corrosion
(-Yes* (� No t N1A
and blockage of air passages.
AST Inspection Standard January 2016

1°""tl �
r't<.
Item
Task
Status
Comments
4.8 Leak detector for sub-
Test according to manufacturer's instructions and
rYes (� No* NIA
mersible pump systems
authority having jurisdiction (AHJ). Verify leak detectors
are suited and properly installed for aboveground use.
4.9 Liquid level equipment
a. Has equipment been tested to ensure proper
(� Yes {J No* t~ NIA
operation?
b. Does equipment operate as required?
(� Yes (—j No* (J NIA
V
c. Follow manufacturers instructions.
(� Yes Q No* r NIA
Ott l V
4.10 Overfill equipment
a. Follow manufacturer's instructions and regulatory
requirements for inspection and functionality
(J Yes No* (J NIA
v
verification.
b. Confirm device is suited for aboveground use by
( Yes {J No' (`•'NI
/�\\y
the manufacturer.
5.0 Insulated Tanks
5.1 Insulation
Check condition of insulation for:
(j fA
Missing sections
• Areas of moisture
���'
V �.
+ Mold
Nv-
h
Dam
• Damage
5.2 Insulation cover or jacket Check for damage that will allow water intrusion. Yes* No NIA
6.0 Miscellaneous L�1i AW T
6.1 Electriwiring and
mes
Are they in good condition? ^,�
,r_�Y�e� C No" t } N/A
_ 4\lcal
/%�,
\
6.2 Labels and tags
Ensure that all labels and tags are 1nt3Gt4nd readables-�-.�\
Yes (j No' (� NIA
Additional comments:
AST Inspection Standard January 2016

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