NCG500618_Permit (Issuance)_20070723

A7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Don Kendall
Mack Molding Company
149 Water Tank Rd
Statesville, NC
Dear Permittee:
28677
July 23, 2007
Subject: Renewal of coverage / General Permit NCG500000
Mack Molding Company
Certificate of Coverage NCG500618
Iredell County
In accordance with your renewal application [received on December 8, 2006], the Division is renewing
Certificate of Coverage (CoC) NCG500618 to discharge under NCG500000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General 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, the 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. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Mooresville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist von in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Jim
McKay [919 733-5083, extension 595 or [e-mail].
Sincerely,
for Coleen H. Sullins
cc: Central Files
Mooresville Regional Office / Surface Water Protection
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org
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NorthCarolina
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG500000
CERTIFICATE OF COVERAGE NCG500618
TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE AND SIMILAR WASTEWATERS UNDER THE
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,
Mack Molding Company
is hereby authorized to discharge from a facility located at
Mack Molding Company
149 Water Tank Road
Statesville
Iredell County
to receiving waters designated as an unnamed tributary to Broad Meadow Creek in
subbasin 30832 of the Catawba River Basin in accordance with the effluent limitations,
monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective August 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 23, 2007.
-76 (11,.,„,
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
NOTICE OF RENEWAL INTENT
Application for renewal of existing coverage under General Permit NCG500000
Existing Certificate of Coverage (CoC): NCG500 /
(Please print or type)
1) Mailing address' of facility owner/operator:
Company Name :2-7/4G'/G /7-7OLi ,,t/ ,- ' - ' „pAt
Owner Name itYn.c K C-t A,LL
Street Address 1 49. W Lk iz Z TA +v1C 20 A 4
City si /9-i �SState /V C. ZIP Code g'L, 77
Telephone Number "7U''1 — "% 5// Fax: % `/ g 7? _ / 94 4,
Email address /—'&4//•9G4fCN.E.<. donn-
* Address to which all permit correspondence should be mailed
2) Location of facility producing discharge:
Facility Name ,4 24 Ai 6- (, van '�+.► - f
Facility Contact JF7 rt,
t IC g��rc� G-�r
Street Address 1 L) 9 Ix-1 dy l`F— 2 T-N,11(.
City S� R i E 5 �/ i State Al, C . ZIP Code 4-,2 ,?6, 7 '7
County �(24--2. 1J E LL
Telephone Number i o 1 ? 7 Y / Fax: ` e.) `i Y7. - / 9� G
Email address F , 14clL.MA 1 i&,
3) Description of Discharge:
a) Is the discharge directly to the receiving stream? 0 Yes 0 No
(If no, submit a site map with the pathway to the potential receiving waters clearly marked. This includes tracing the pathway of the
storm sewer to the discharge point, if the storm sewer is the only viable means of discharge.)
b) Number of discharge outfalls (ditches, pipes, channels, etc. that convey wastewater from the property):
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
on -contact cooling water
0 Boiler Blowdown
Outfall(s) #:
Outfall (s) #:
Page 1 of 3

NCG500000 renewal application
Cooling Tower Blowdown Outfall (s) #: /
❑ Condensate Outfall (s) #:
0 Other Outfall (s) #:
(Please describe "Other")
d) Volume of discharge per each discharge point (in GPD):
#001:.c0 0 #002: #003: #004
4) Please check the type of chemical [s] added to the wastewater for treatment, per each separate discharge
point (if applicable, use separate sheet):
❑ Chlorine
0 None
0 Biocides [3-6 rrosion inhibitors
0 Algaecide 0 Other
5) If any box in item (4) above [other than None] was checked, a completed Biocide 101 Form and
manufacturers' information on the additive must be submitted to the following address for approval:
NC DENR / DWQ / Environmental Sciences Section
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
6) Is there any type of treatment bein provided to the wastewater before discharge (i.e., retention ponds,
settling ponds, etc.)? 0 Yes C3'No
(If yes, please include design specifics (i.e., design volume, retention time, surface area, etc.) with submittal package. Existing
treatment facilities should be described in detail. )
7) Discharge Frequency:
a) The discharge is: Continuous
0 Intermittent 0 Seasonal*
i) If the discharge is intermittent, describe when the discharge will occur:
ii) *Check the month(s) the discharge occurs: 0 Jan 0 Feb 0 Mar. 0 Apr 0 May 0 Jun 0 Jul
0 Aug. 0 Sept. 0 Oct. ❑ Nov. 0 Dec.
b) How many days per week is there a discharge? /17 aAJ — Sq 7` . (� )
c) Please check the days discharge occurs: O'Sat. 0 Sun. ❑ Mon. Clue. O-Wed. 0-Thu. 0-Fri.
8) Receiving stream[s]:
a) To what body or bodies of water (creek, stream, river, lake, etc.) does the facility discharge
wastewater? If the site discharges wastewater to a separate storm sewer system (4S), name the
operator of the 4S (e.g. City of Raleigh). e2ee/C
b) Stream Classification: .61
Page 2 of 3

NCG500000 renewal application
Additional Application Requirements:
The following information must be included in triplicate [original + 2 copies] with this application or it will
be returned as incomplete.
Site map. If the discharge is not directly to a stream, the pathway to the receiving stream must
be clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
Authorization for representatives. If this application will be submitted by a consulting
engineer (or engineering firm), include documentation from the Permittee showing that the
consultant submitting the application has been designated an Authorized Representative of the
applicant.
Certification
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing:
Title:
(Siature of Applicant) (Date Signed)
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document
filed or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under
Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by
a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine
of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
This Notice of Renewal Intent does NOT require a separate fee.
The permitted facility already pays an annual fee for coverage under NCG500000.
Mail the original and two copies of the entire package to:
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 3 of 3

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Caption: Approximate Distance to Nearest Sewer Line
Copyright (C) 1997, Maptech, Inc.

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