NCG030698_Application_20190319

Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
Environmental NCG030000
Quality
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
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Certificate of coves c
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Check #
I Amount
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National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 335 Rolling, Drawing, wid Exlrudirty of Nonferrous McLals
SIC 3398 Metal Heat Treating
SIC 34
Fabricated Metal Products
REe I!t17
SIG 35
Industrial and Oommercial Machinery
"` `
SIC 36
Electronic and Other Electrical Equipment
MAR 19 2013
SIC 37
Trarrsporlaliort Equipmomt
SIC 38
Measuring, Analyzing, and Controlling Instruments
DENR-LAND QUALITY
STORMWATER PERMI l i INO
4Z f For questions, please contact the DEMLR Regional Office for your area. See page 4.
tt`
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name Brad J Crace
Street Address 5000 Womack Rd
City Sanford
State NC ZIP Code 27330
Telephone No. 919 777-2274
Fax: [phone]
2) Location of facility producing discharge:
Facility Name Caterpillar Inc
Facility Contact Kevin Staubus
Street Address 2018 Boone Trail Rd.
-------------------------------------
Clty Sanford
State NC ZIP Code 27330
County Lee
Telephone No. 919 777-2375
........... - - - -
-- — - Fax: [phone]
Email staubus_kevin(ftat.corn
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 on the North, North East side of Boone Trail Rd. (aka Business 421) at
2018 Boone Trail Rd.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35.522 Longitude -79 223 (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
[✓[ New or Proposed Facility
❑ Existing
Date operation is to begin 1/22/2019
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SWU-218-071408 Last revised 7/2/14

NCG030000 N.O.I.
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 5 3 1
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: To begin, metal fabrications will produce steel parts for our main plant at 5000 Womack. By end of 02 a paint system will be installed
and then by end of 04 a sub assembly will be added, completing the projects for full operation.
8) Discharge points / 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 uD in? Big Buffalo Creek
Receiving water classification: None
Is this a 303(d) listed shear? NO I las a I MDL beers approved for tills watershod? Nt,
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 sower). N/A
List discharge points (outfalls) that convey discharge from the site (both on -site and off -site) and location
coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Stormwater Outfall No. 1
Latitude (degrees/minutes/seconds): 35.5n877 N
Longitude (degrees/minutes/seconds):-79229321 W
Stormwater Outfall No. 2
Latitude (degrees/minutes/seconds): 35.524411
N
Longitude (degrees/minutes/seconds):-79.220446
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwator Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater OUtfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
9) Does this facility have any other NPDES permits?
11 No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
Page 2 of 4
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NCG030000 N.0.1.
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
11 Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: To reduce risk from historical property line modifications, stormwater has been redirected from entering
the residential property to the west and into a new pond to the North end of the Caterpillar property.
12) Does this facility have a Stormwater Pollution Prevention Plan?
_ No
❑ Yes
If yes, when was it implemented? In process
13) Are vehicle maintenance activities occurring at this facility?
No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
No LJ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑ No 10 Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
No ❑ Yes If yes, include information to demonstrate protection from flooding.
e.) If you answered yes to questions b or c , please provide. the following information-
Type(s) of waste: Flammable, corrosive
How is material stored: Depending on the waste type and characteristics, per regulatory guidelines.
Where Is material stored: Currently in a separate room in the NE corner of the building.
How many disposal shipments per year: one so far
Name of transport / disposal vendor: Veolia manages our By Product Material streams and contracts out to other vendors.
Vendor address: 200 East Randolph Drive, Suite 7900 Chicago IL
15) Certification:
North Carolina General Statute 143-215.66 (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report,
plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who
knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or
who falsifies, tampers with, or knowingly renders Inaccurate any recording or monitoring device or method required to be
Page 3 of 4
SWU-218-071408 Last revised 7/2/14

NCG030000 N.O.I.
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: -<X- C'.+..Q.._.
Title: Cctc—NJ
(Signature of Applic (Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NODFQ
RE0, 1 ``
MAR 19 2013
DENR-LAND QUALITY
STORMNATER PERMI 1 TING
Page 4 of 4
SWU-218-071408 Last revised 7/2/14

NCG030000 N.O.I.
Final Checklist
Tapplication will be returned as incomplete unless all of the following items have been included:
Check for $100 made payable to NCDEQ.
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:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mall 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]
Control Office .........(019)
807 6300
Page 5 of 4
SWU-218-071408 Last revised 7/2/14

North Carolina Secretary of State Search Results
Page 1 of 3
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online • Add Entity to My Email
Notification List • View Filings • Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form
Business Corporation
Legal Namo
Caterpillar Inc.
Information
Sosld: 0188274
Status: Current -Active
Annual Report Status: Current
Citizenship: Foreign
DaLe Furined. 5/7/1986
Flsral Month- December
State of Incorporation:
DE
Registered Agent: CT Corporation System
Addresses
Reg Office
Reg Mailing
Mailing
Principal Office
160 Mine Lake Ct Ste 200
160 Mine Lake Ct Ste 200
510 Lake Cook Road, Ste. 100
510 Lake Cook Road, Ste. 100
Raleigh, NC 27615-6417
Raleigh, NC 27615-6417
Deerfield, IL 60015
Deerfield, IL 60015
Officers
Senior Vice President
William P. Ainsworth
510 Lake Cook Road, Ste. 100
Deerfield IL. 60015
Vice President
Wai Man Chan
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Chief Accounting Officer
Jananne A Copeland
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Vice President
Thomas J. Bluth
510 Lake Cook Road, Ste. 100
Deefield IL 60015
Vice President
Qi Hua Chen
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Vice President
Joseph E Creed
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Chief Financial Officer
ANDREW BONFIELD
510 LAKE COOK ROAD, SUITE 100
DEERFIELD IL 60015
Vice President
JASON CONKLIN
510 LAKE COOK ROAD, SUITE 100
DEERFIELD IN 60015
President
Bob De Lange
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Controller Assistant Secretary Vice President
Kyle J Epley DESMOND EPPEL ANTHONY FASSINO
510 Lake Cook Road, Ste. 100 510 LAKE COOK ROAD, SUITE 100 510 LAKE COOK ROAD, SUITE 100
Deerfield IL 60015 DEERFIELD IL 60015 DEERFIELD IL 60015
https://www.sosnc.gov/online_services/search/Business_Registration_Results 3/20/2019

North Carolina Secretary of State Search Results
Page 2 of 3
Vice President Vice President Assistant Secretary
STEVEN FERGUSON Thomas G. Frake Joni J. Funk
510 LAKE COOK ROAD, SUITE 100 510 Lake Cook Road, Ste. 100 510 Lake Cook Road, Ste. 100
DEERFIELD IL 60015 Deerfield IL 60015 Deerfield IL 60015
Vice President
Damien Giraud
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Vice President
Kathryn D. Karol
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Vice President
Julie A. Lagacy
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Vice President
Frederic Istas
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Vice President
Philip G Kelliher
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Vice President
Nigel A. Lewis
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
President
Denise C Johnson
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Vice President
Pablo M. Koziner
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Corporate Secretary
Suzette Long
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
General Counsel Treasurer President
SUZETTE LONG Richard D. Moore Thomas Pellette
510 LAKE COOK ROAD, SUITE 100 510 Lake Cook Road, Ste. 100 510 Lake Cook Road, Ste. 100
DEERFIELD IL 60015 Deerfield IL 60015 Deerfield IL 60015
Vice President Vice President Vice President
OGI REDZIC Evelyn J Savage Christopher Snodgrass
510 LAKE COOK ROAD, SUITE 100 510 Lake Cook Road, Ste. 100 510 Lake Cook Road, Ste. 100
DEERFIELD IL 60015 Deerfield IL 60015 Deerfield IL 60015
Assistant Secretary Chief Executive Officer Vice President
BARBARA THOMAS D. James Umploby Tana L. Utley
510 LAKE COOK ROAD, SUITE 100 510 Lake Cook Road, Ste. 100 510 Lake Cook Road, Ste. 100
DEERFIELD IL 60015 Deerfield IL. 60015 Deerfield IL 6001h
Vice President
David T Walton
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Vice President
Ramin Younessi
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Stock
Vice President
Karl E. Weiss
510 Lake Cook Road, Ste. 100
Deerfield IL 60015
Assistant Treasurer
CHAD WITHERS
510 LAKE COOK ROAD, SUITE 100
DEERFIELD IL 60015
https://www.sosnc.gov/online_services/search/Business Registration_Results 3/20/2019

North Carolina Secretary of State Search Results
Page 3 of 3
Class: COMMON
Shares: 1000
No Par Value: Yes
https://www.sosnc.gov/online_services/search/Business_Reaistration_Results 3/20/2019

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