NCG050420_COMPLETE FILE - HISTORICAL_20140626

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
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DOC TYPE
[Y, HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
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YYYYMMDD

Permit Number NCGO50420
Central Files: APS _ SWP _
6/23/2014
Permit Tracking Slip
Program Category
Status Project Type
NPDES SW
In review New Project
Permit Type
Version Permit Classification
AppareUPrinting/PapertLeather/Rubber
Stormwater Discharge COC r
j
COC
Primary Reviewer
bill.diuguid.
1
Rl-Permit
ZQ�4
Contact Affiliation
Coastal SWRuIe
VV1�tCnuu oQl7f',f'$S r4 ��y[
iN�}gT h DTl(ls
Permitted Flow
Facility
Facility Name Major/Minor Region
Robert Bosch Toot Corporation - Lincolnton Division Minor Mooresville
Location Address County
1980 Indian Creek Rd Lincoln
Lincolnton NC 28092
Owner
Facility Contact Affiliation
David Fisher
1980 Indian Creek Rd
Lincolnton NC 28092
Owner Name Owner Type
Robert Bosch Tool Corporation Non -Government
Owner Affiliation
David Fisher
1980 Indian Creek Rd
Dates/Events Lincointon NC 28092
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
4/21/2014 1IZ3,It 617-3 /1,10 #34
Regulated Activities Requested /Received Events
Outfall 1
Waterbody Name Streamindex Number Current Class Subbasin
Indian Creek 1 t-129-8-(6.5) WS-IV 03-08-35

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North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 23, 2014
Mr. David A. Lee
Robert Bosch Tool Corporation
1980 Indian Creek Road
Lincolnton, North Carolina 27204
Subject: General Permit No. NCG050000
Robert Bosch Tool Corporation
COC No. NCGO50420
Lincoln County
Dear Mr. Lee:
John E. Skvarla, III
Secretary
In accordance with your application for a discharge permit received on April 24, 2014, 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,
zd,.,`J
x�- J�
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and
Land Resources
cc: Mooresville Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone]Internet: www,ncdenr.gov
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DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050420
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,
Robert Bosch Tool Corporation
is hereby authorized to discharge stormwater from a facility located at
Robert Bosch Tool.Corporation
1980 Indian Creek Road
Lincolnton
Lincoln County
to receiving waters designated as an unnamed tributary to Indian Creek, a Class WS-IV waterbody to South Pork
Catawba River, Catawba 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. NCG050000, as attached.
This Certificate of Coverage shall become effective June 23, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 23, 2014.
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

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Division of Water Quality / Water Quality Section
NCDENRNational Pollutant Discharge Elimination System
Y;win CW(yw I?vwrlMr yr cw
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NCG050000
NOTICE OF INTENT
FOR AGENCY USE: ONLY
Elate Keceiced
Year
Wntlt
Day
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Cenificare of Coti�era c
NICIG10 o
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Amount
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National Pollutant Discharge Elimination System application for coverage under General Permit
NCG050000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 23
SIC 265
SIC 267
SIC' 27
SIC 30
SIC 31
SIC 39
SIC* N/A
Apparel and Other Finished Products Made from Fabrics and Similar M
Paperboard Containers and Boxes
Converted Paper and Paperboard Products
Printing, Publishing and Allied Industries
Rubber and Miscellaneous Products (except as specified below)
Leather and Leather Products (except as specified below)
TUO
gn
FA'.L014i II
a }};
ewa
Miscellaneous Manufacturing Industries
Like activities deemed by DWQ to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC 301 Tires and Inner Tubes
SIC 311 Leather Tanning and, Finishing
* Standard Industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name QoI'Sosc - 'ro / A)
Street Address
City
Telephone No.
E-mail Address
_. / % F 0 c r K 47�
L i )6,6 State NC. ZIP Code
T70q 7 3 G- YIDS Fax: 9 a '?3/ - S/70
CSA/r .'�i3�er 96 . .6a6-k. trell-t
2) Location of facility producing discharge:
Facility Name pa�erf 906c�_ Ts ,r orj"6od
Facility Contact r^ V.-
Contact E-mail of &V f'r3 zr-_e-_ as C_o r✓t.
Street Address 0 (frem a -
City L " >v State, IVC� ZIP Code
County
Telephone No. c 93(1 -- 8•/O-15' Fax: 70S/ '7- _?, kk-/2O
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). 'VC '40 9AQ4-as -1 �" C�r!)eV"/k , 'Tra,w
r
.�. iClG� � ,f N� /S� I r�•f +4I�nrY� 7 .Na i u.r�� ��� av �,rLe.rv�c.�J %� . <o /` • �►�. rtr�.T' �
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application) S�ld,?r.• C�ac tea[,
Page 1 of 4
SWU-220-071408 Last Revised 7/14108

NCGO50000 N.Q.I. 3 Z v
4 Latitude
� ° .t5 ' 36 A/ Longitude 8/ ��6 i nifty (degrees, minutes, seconds)
,
5) This NPDES Permit Application applies to which of the following .
❑ New or Proposed Facility Date operation is to begin
X Existing
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3 '7 9 9
7) Provide a brief narrative descri tion of the types of industrial activities and products manufactured at
this facility: ?a
a, m,�er soma -) &4
S) Discharge points:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? Z_
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream river, lake, etc.) that the facility stormwater
discharges end up in? _T,-)d*,A) Gr�e,f; �,/S V 03 —0 8 —3S // -/z i- 9-- (4.
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
10) Does this facility have any other NPDES permits?
® No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
® No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑ No
Yes
If yes, please briefly describe: e 6�r o r C4�e+►�r`
M,.4,, ,,J, erc_�s�1�
13) Does this facility have a Stormwater Pollution Prevention Plan?
19 No
❑ Yes
If yes, when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
KI No ❑ Yes
Page 2 of 4
S W U-220-071408
Last Revised 7/14/08

NCGO50000 N.O.I.
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
N No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑ No 0 Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
9 No ❑ Yes
d) If you answered yes to questions b. or c.++, please provide the following information: I
Type(s) of waste: Sneertfsdups Q14rs w S,a� f Sv�u
How Is material stored:
Where is material stored: Secs r_, r ,( /�� �, c ,.t K l•a ir'.k S
How many disposal shipments per year:
Name of transport / disposal vendor: A� r fad E,wir vi c a s
Vendor address: 794/ W, filotn-s s Lo Aw.rolis _ IIV ((,-zYl -- 3301
16) Certification:
North Carolina General Statute 143-215.6 b (1) 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 rutemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management) Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed PAme of Person Si Wing: Vr� r� ��
Title: . �t s'`c�fo. �91n4
of Applicant)
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Page 3of4
SWU-220.071408 Last Revised 7114108

0616TIRI 0 RZKOW
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
ET_ Check for $100 made payable to NCDENR
This completed application and all supporting documents
EI'_ Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearby waters
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWO Central Office or Regional Office for your area.
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(9i9)
807-6300
Page 4 of 4
S W U-220-071408
Last Revised 7/14/08

NPDES FACILITY AND PERMIT DATA
UPDATE OPTION TRXID 5NU KEY NCGO50017
02/13/98 14:05:14
PERSONAL DATA FACILITY APPLYING FOR PERMIT REGION
FACILITY NAME> KERR GROUP, INC. COUNTY> HERTFORD 07
ADDRESS: MAILING (REQUIRED) LOCATION (REQUIRED)
STREET: 500 NEW HOLLAND AVENUE STREET: JOHNNY MITCHELL ROAD BX 132
CITY: LANCASTER ST PA ZIP 17602 CITY: AHOSKIE ST NC ZIP
TELEPHONE [phone] DATE FEE PAID: 09/24/92 AMOUNT: 400.00
STATE CONTACT> ULMER PERSON IN CHARGE BELA NAGYPAY
1=PROPOSED,2=EXIST,3=CLOSED 1 1=MAJOR,2=MINOR 2 1=MUN,2=NON-MUN 2
LAT: 3616010 LONG: 07659360 N=NEW,M=MODIFICATION,R=REISSUE> N
DATE APP RCVD 09/24/92 WASTELOAD REQS 1 1
27910
DATE STAFF REP REQS / 1 WASTELOAD RCVD 1 I
DATE STAFF REP RCVD / / SCH TO ISSUE / 1
DATE TO P NOTICE / / DATE DRAFT PREPARED 0 4 / 0 2 / 9 3
DATE OT AG COM REQS l I DATE DENIED 1 1
DATE OT AG COM RCVD 1 I DATE RETURNED I 1
DATE TO EPA I I DATE ISSUED 04/09/93 ASSIGN/CHANGE PERMIT
DATE FROM EPA / / EXPIRATION DATE 08/31 /97
FEE CODE( 0 ) 1=(>10MGD),2=.(>lMGD),3=(>0.1MGD),4=(<0.1MGD),5=SF,6=(GP25,64,79),
7=((3P49,73)8=(GP76)9=(GP13,34,30,52)0=(NOFEE) DIS/C 73 CONBILL(
COMMENTS: FORMERLY "KERR PLASTIC PRODUCTS"
MESSAGE: "' ENTER DATA FOR UPDATE `""

4 a
Your facility is currently covered for stormwater discharge under General Permit NCG050000.
This permit expired on August 31, 1997. Your coverage under the expired permit continues
until the state reissues or revokes the General Permit. We are currently in the process of
teissuing the' NCGO50000 permit and are scheduled to have the permit reissued by the spring of.
1998. Once. the permit is reissued your facility would be eligible for continued. coverage under
the reissued permit.
In order to assure your continued coverage under the general. permit, you must apply to the
Division of Water. Quality (DWQ) for renewal of your permit coverage, At the bottom of this
page you will find a tearoff sheet, this serves two purposes. First, it is an application for
renewal of your permit. Second, it serves as an invoice for the $400.00 application processing
fee required to process your application request. To assure continued Coverage under the general
permit this form must, be completed and returned along with.the fee by February 20, 1998...
If you have any questions regarding the permit renewal procedures please contact Robert
Tankard of the. Wash.ngton'Regional Office at [phone] or .kisha Lau.of.the Stormwater
Group at (919) .733=083 e.xt. 578.
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Washington Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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