NCS000561_Renewal Application_20180402

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
February 15, 2018
Mr. Brian Wodetzki
Pencco,Inc.
P.O. Box 600
San Felipe, TX 77473
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
WILLIAM E. (TOBY) VINSON, JR.
Interim Director
FEB I%IN
Subject: NPDES Stormwater Permit Renewal
Pencco
NPDES Individual Permit No. NCS000561
Nash County
Dear Mr. Wodetzki:
Your facility was covered for stormwater discharge under NPDES Individual Permit NCS000561
however, this permit expired on June 30, 2017. To assure consideration for continuing coverage
under your permit, you must apply to the Division of Energy, Mineral and Land Resources (DEMLR)
for renewal of your permit.
Enclosed you will find a permit Renewal Application Form, Supplemental Information request, and a
Stormwater Pollution Prevention Plan Certification for your facility. You can also find this information
on our website: https://deg.nc.gov/about/divisions/energy-mineral-land-resources/npdes-industrial-
stormwater. Submitting the application form along with the requested supplemental information will
constitute your application for renewal of this permit. Until your permit renewal is completed and you
receive a new permit, please continue to comply with all conditions and monitoring requirements in
your expired NPDES stormwater permit.
Please submit the application and supplemental information to DEMLR by March 31, 2018.
Discharge of stormwater without coverage under a valid stormwater NPDES permit constitutes a
violation of N.C. General Statute 143-215.1 and may result in the assessment of civil penalties up to
$25,000 per day.
RECEIVED
APR 02 2010
DENR•LAND QLIALITY
STORMWA7ER PERMI77INS
State of North Carolina I Environmental Quality I Energy. Mineral and Land Resources
512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
9197079200

If you have any questions concerning this permit renewal, please contact Julie Ventaloro at telephone
number [phone] or by email [e-mail].
Sincerely,
J�Wiiw(&Calr—
Annette Lucas, Supervisor
Stormwater Permitting Program
cc: Central Files
Stormwater Permitting Program Files
State of North Carolina I Environmental Quality I Energy. Mineral and Land Resources
512 N. Salisbury Street 11612 Mail Service Center I Raleigh. North Carolina 27699-1612
919 707 9200

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the followine contact information in our Permit Database for vour uermit as of 2/15/2018
Permit Number: NCS000561
Permit Type: Stormwater Discharge Individual
Facility Name: Pencco
Facility Addressl: 10143 US Hm 264a
Facility Address2:
City, State & Zip: Middlesex, NC 27557
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
See "Miscellaneous Forms" at htto://oortal.ncdenr.ora/web/ir/nodes-stormwater
Owner Name: Pencco Inc
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Brian Wodetzki Title:
Addressi: PO Box 600
Address2:
City, State & Zip: San Felipe TX 77473
Work Phone: [phone] Fax:
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: June
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Pers
Contact Name Title
Permit Contact Persi
Contact Name Title
Address Phone Fax Email
Address Phone EANK Email
Permit Billing Contact
Contact Name Title Address Phone Fax Email
Brian Wodetzki PO Box 600, San Felipe, TX 77473 219-728-9511
2/15/2018 Page 1

�AM
��
Permit Coverage
Renewal Application Form
NCDENR
National Pollutant Discharge Elimination System
Stormwater Individual Permit
NPDES Permit Number
NCS 600S6
Please provide your permit number in box in the upper right hand corner, complete the information in the space provided
below and return the completed renewal form along with the required supplemental information to the address indicated.
Owner Information
Owner / Organization Name:
Owner Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Facility Information
Facility Name:
Facility Physical Address:
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Permit Information
Permit Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Discharge Information
Receiving Stream:
Stream Class:
Basin:
Sub -Basin:
Number of Outfalls:
* Addtess to Which permit mrmsponotince W11 be /nailed
erncrp, Snc.
rw.ic A&%4cm
419- Us- 320E
t cot s?crr A PeAcc A.Cn.N
JMA4g La?ek% CC 0. CnAw
ChPsierr@ �Jen �co.cev►,
Facility/Activity Changes Please describe below any changes to your facility or activities since issuance of your permit. Attached a
separate sheet if necessary.
CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief
such information is true, complete and accurate.
Signature ` Date /?6r`b
I7�rf �wsif/Y "0 '±&' C'awdb A4d -
Print or type name of person signing above Title
Please return this completed application form SW Individual Permit Coverage Renewal
Stonmwater Permitting Program
and requested supplemental information to: 1612 Mail Service Center
Raleigh, North Carolina 27699-1612

SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL
NPDES STORMWATER PERMIT
Two copies of each of the following shall accompany this submittal in order for the application
to be considered complete:
(Do not submit the site Stormwater Pollution Prevention Plan)
Initials
1. A current Site Map from the Stormwater Pollution Prevention Plan. The location of
industrial activities (including storage of materials, disposal areas, process areas and
loading and unloading areas), drainage structures, drainage areas for each outfall,
building locations and impervious surfaces should be clearly noted.
2. A summary of Analytical Monitoring results during the term of the existing permit
(if your permit required analytical sampling). Do not submit individual lab reports.
The summary can consist of a table including such items as outfall number,
parameters sampled, lab results, date sampled, and storm event data.
A—3. A summary of the Visual Monitoring results. Do not submit individual monitoring
reports. The summary can consist of a table including such items as outfall number,
parameters surveyed, observations, and date monitoring conducted.
V- 4. A summary of the Best Management Practices utilized at the permitted facility.
Summary should consist of a short narrative description of each BMP's in place at
the facility. If the implementation of any BMP's is planned, please include
information on these BMP's.
_ 11 Ott' S. A short narrative describing any significant changes in industrial activities at the
permitted facility. Significant changes could include the addition or deletion of
work processes, changes in material handling practices, changes in material storage
practices, and/or changes in the raw materials used by the facility.
6. Certification of the development and implementation of a Stormwater Pollution
Prevention Plan for the permitted facility (Sign and return attached form).
If the final year analytical monitoring of the existing permit term has not been completed
prior to filing the renewal submittal, then the last years monitoring results should be submitted
within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal
waiting on lab results)

STORMWATER POLLUTION PREVENTION PLAN
DEVELOPMENT AND IMPLEMENTATION
CERTIFICATION
North Carolina Division of Fnergy, Mineral, and <anclResources - Storm water Permitting
Facility Name:
Permit Number:
Location Address:
County:
40(4 1_r NWy 26rtA
MIA „ AIC Z%S-S-1
"I certify, under penalty of law, that the Stormwater Pollution Prevention Plan (SPPP) document and all
attachments were developed and implemented under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP.
Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information gathered is, to the best of my knowledge and belief, true,
accurate and complete."
gnou
"I certify that the SPPP has been developed, signed and retained at the named facility location, and the SPPP
has been fully implemented at this facility location in accordance with the terms and conditions of the
stormwater discharge permit."
qad
"I am aware that there are significant penalties for falsifying information, including the possibility of fines and
imprisonment for knowing violations."
Sign (according to permit signatory requirements) and return this Certification. DO NOT
SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION.
Signature n/�I Date 1/2/611
Print or type name of person signing above Title
SPPP Certification 10/13

Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
r1a National Pollutant Discharge Elimination System (NPDES)
Energy. Mineral & PERMIT OWNER AFFILIATION DESIGNATION FORM
Land Resources (Individual Legally Responsible for Permit)
ENVIRONMENTAL rcesY
Use this form if there has been:
FOR AOGNCY USE ONLY
Date Received
Y..
Momh
Da
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual" mean?
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation')
applies:
Individual Permit (or) Certificate of Coverage
N I C I S 10 1 a 1 N I C I G
2) Facility Information:
Facility name: he vkcc o
Company/Owner Organization: Pena-o.?nc.
Facility address: 10143 u< Htdy 26yG
Address
N;14lc5cv RUC 27s47?
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
htto://dea. nc. gov/about/divisions/energy-mineral-I and-resources/energy-mi neral-land-germ its/stonnwater-program
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Rr;a,A Wage+zit;
first MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit:
CGrtst�l� M �.�
Fvst MI Last
Page I of 2
SW U-OWNERAFFI423March2017

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
Title
aax Coo
C- r Mailing Address
JFA P_!01! IX %%473
CityState Zip
(g-79 AY5-less (1F1es+erc42 PtArca.ca.
Telephone E-mail Address
(919 ),Zoos • 32M
Fax Number
5) Reason for this change:
A result of: ® Employee or management change
0 Inappropriate or incorrect designation before
E.. Other
Ifotherplease explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
I, c6aswe., h4mmr r attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this form are not completed, this change may not be
processed.
14z4eZ 3,y�zoi,N
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the website
at: http://deg.ne.gov/about/divisions/energy-mineral-land-resources/stormwater
Page 2 of 2
S WU-OWNERAFFa.23Mar2017

Appendix A

• VIO. AVY,
-in ql
Aw
Imet
I
I
Herring —Sutton & Associatibs, P.A.
Pennw Inc.
ftslueern — 'SUMOY46ra — pla=m
WUB=. morth CurOjtj%CL Jrfaq& (, 252) 2W&�.WW Town of hfiddlese�,. Nash Co., NC

Front Outfall Samples.
I Jan
.2018
-
30 Jun
20.18
1 Jun
2018
31 Dee
2018
1 Jan
2019
30 Jun.
2019
1 Jun
201.9
31 Dec
2019
1 Jan
2020
30 Jun
2020
1 Jun.
.2020
31 Dec
2020
1 Jan
2021
_
30 Jun
2021
I. Jun
:2021
_
31 Dec
2021
1 Jan
2022
-
30 Jun
2022
1 Jun
2022
-
31 Dec
2022
Sample Date
Total Suspended Solids m
100
Iron m AL
N/A
H(Standard)
6-9
Total Rainfall inches
Color
Odor
Clarity
Floating Solids
Suspended Solids
Foam
Oil Sheen
=Wr
Erosion or deposition at the
outfall%fl
Other Obvious indicators of stormwater pollution
Note:
(1) All samples are 'grab.,samples.
(2) Their must be a minimum of 60 days separating samples

Back Outfall Samples
I Jan
2018
-
30,Jun
2M
1 Jun
.2018
-
31 Dec
418
1 Jan
2019
-
30 Jun
2019
1 Jun
2019
-
3.1 Dec
2019
1 Jan
2020
-
30 Jun
2020
1 Jun
2020
-
31 'Dec
2020..
1 Jan
2021
-
30 Jun
2021
1 Jun
2021
31 Dec
2021
1 Jan
2022
30 Jun
2022
1 Jun 2022
1
31 Dec
2022
Sample Date
Total Suspended Solids m L
100
Iron m AL
N/A
pH (Standard)
6-9
Total Rainfall inches,
Color
Odor
E
Clarity
Floating Solids
Suspended Solids
Foam
Oil Sheen
Erosion or deposition at the
outfall
Other Obvious indicators of stormwater pollution
Note:
(1) All samples are grab samples.
(2) Their must be a minimum of 60 days separating samples

H
mv
:
C%t
N
en
u
43
-
r4N.
ci
tu
A
cj
c4N
i : rq
N
cq
in
An
CD
Front Out&ILSampi es
-cat
4
cl
Tbtal:Susp'ehded*Solids OngfL)
i0o
Iron (mgAL).
NIA
--r-Ti
Or
h Z
pH (Standard),
6,.-,g
I?
Total_ (inches)
Color
Odor
Ax, t'r,
Lv.vz'
Clarity
ic-lul CIL, r
Floaflag Solids.
VoA'Ve 1�
Suspended Solids
1AWC
Foam
Oil, Sheen
E'rosion.-or-di3oositi4n. at
outfall
r \J.
y)l
indicators of
.stormwater p.ollutioll
p
A
,Nn*fe!:
(,I)'.All's2iniples,.-.are,gr.,,tb-.SaMDIeS.,
Their must be a UM 0 millli* f 60 d4y.s separn ta i: g samples
M
I.

E
Dear 'Otitfah -Sa
U
m'
.Mples
Total- Suspended Solids: (Og/-
Iron (mg/L),
NIA
n 4,
pR--,(Siandard)
4.-
Total Rainfall (ihiclitt)
Color.
Odor
ClarifY
FIdatini(Solids
Suspended Solids.
Foam.
tr1Ji 6L
toio-u or de -osition: #Ihe
outRill
Other Obviousindicatdrs,--,of
sto'rmwater;'061hiflon
Nro.t&'
(1): All samples, are. -grab Aes-
p - -sam
:(2)'Their nust be. a. --minimum- of 0"days-- epara i"n- samples:
r4
rt
CC
'CD
sn
on.
U
ej
1z
A
4c>
V-4
Im
wl"'a
NIT-
72-
'all
cla')v
(ave
C(C-Af
--Iliamr
AW6
A441c,
lum
m
IH
F

BMP Summary:
Best Management Practices start with Good Housekeeping. Ensuring that the facility is professional in
appearance and nature picking up anything which does not belong. Also included as a part of good
housekeeping is preventative maintenance and proper inspection on all equipment. Other BMPs in place
is the utilization of Spill Kits — containing absorbent material at the area. Drains are covered with
spill/storm mats during transfers, and finally operating instructions and release instructions being
posted. Hoses and valves are inspected regularly and operators are trained in handling and transfer
operations in order to prevent spills which could occur as a result from failed hoses/valves/ or overfill.
All tanks are located within concrete containment. Most all waters which fall within this area is recycled
and utilized in the manufacturing process.