HomeMy WebLinkAboutNCG030656_COMPLETE FILE - HISTORICAL_20190422STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ d'6 L 1 6
YYYYMMDD
0
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
April 22, 2019
KSM Castings USA, Inc
Attention: Mark Bradley
120 Blue Brook Drive
Shelby, North Carolina 28150
Subject: Compliance Evaluation Inspection
KSM Castings USA INC
NPDES Stormwater Certificate of Coverage- NC
Cleveland County, North Carolina
Dear Mr. Bradley:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Interim Director
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection
we conducted at the KSM Castings Facility in Shelby North Carolina on April 18, 2019 by
Mooresville Regional Staff.
The report should be self-explanatory, however, should you have any questions, please do not
hesitate to contact me at (704) 663-1699 or by E-mail at james.moore@ncdenr.gov.
Sincerely,
James Moore
Assistant Regional Engineer
Enclosure
c: Stormwater Permitting Branch
State of North Carolina I Environmental Quality j Energy, Mineral and Land Resources
Mooresville Regional Office 1 610 East Center Ave Ste 301 1 Mooresville, NC 28115
704 663 1699 7
0 •
Compliance Inspection Report
Permit. NCGD30656 Effective. 11/01/18 Expiration: 05/31/21 Owner: Ksm Castings USA Inc
SOC: Effective: Expiration: Facility: KSM Castings USA, Inc.
County: Cleveland 120 Blue Brook Dr
Region: Mooresville
Shelby NC 28150
Contact Person: Keith Weaver Title: Phone: 704-466-0065
Directions to Facility:
Traveling west on Hwy 74 west of Shelby, turn right onto Plato Lee Road. Entrance to facility is approximately 1.8 miles from Hwy 74
on the left.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: D411812019 Entry Time: 11:05AM Exit Time: 12:30PM
Primary Inspector: Kenny Llywelyn Phone:
Secondary Inspector(s):
Christopher Graybeal
Reason for Inspection: • Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Metal Fabrication Stormwater Discharge COC
Facility Status: Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page 1 of 3
permit: NCG030656 Owner - Facility: Ksm Castings USA Inc
Inspection Date: W1812019 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Based on the inspection the site was in compliance. This was the first stormwater inspection for this facility since it was
built.
0 Page 2 of 3
Permit: NCG030656 Owner . Facility: Ksm Castings USA Inc
Inspection Date: 0411812019 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
.
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
❑ ❑ ❑
# Does the Plan include a BMP summary?
❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑ ❑ ❑
# Does the facility provide and document Employee Training?
❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
❑ ❑ ❑
# Is the Plan reviewed and updated annually?
E ❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ ❑ ❑
Comment:
Qualitative Monitoring
Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ❑ ❑ ❑
Comment:
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? 0 ❑ ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ M ❑
Comment:
Permit and Out#alls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑
# Were all outfalls observed during the inspection? 0 ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ■ ❑ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ 0 ❑ ❑
Comment: We advised during the inspection to inspect all outfalls at least once a year during a dry period to
look for ilicit discharges onsite.
Page 3 of 3
SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
KSM Castings Inc.
641 Plato Lee Rd.
Shelby, NC 28150
Attention: Keith Weever
Project Name: 2018 SW July - December
Lot Number.TK13046
Date Completed:1112612018
11/27/2018 12:23 PM
Approved and released by:
Lab Director - Greenville: Lucas Odom
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Ser&As, Inc.
106 Vantage Point Drive Weal Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.skto*lab.com
Page l of 1 I
SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
KSM Castings Inc.
Lot Number: TK13046
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality
Assurance Management Plan (QAMP), standard operating procedures (SOPS), and Shealy policies. Any
exceptions to the NELAC standards, the QAMP SOPS or policies are qualified on the results page or
discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report wastwere performed after the method
recommended 15 minute holding time.
Shealy Envinmmental Services, Inc.
106 Vantage Point Drive Wiest Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 wwwsheaWb.com
Page 2 of 11
SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
KSM Castings Inc.
Lot Number: TK13046
Sample Number
Sample ID
Matrix
Date Sampled
Date Received
001
OF 1
Aqueous
11/12/2018 1545
11/13/2018
002
OF 2
Aqueous
11112/2018 1430
11/13/2018
003
OF 3
Aqueous
11/12/2018 1350
11/1312018
004
OF 4
Aqueous
11/12/2018 1330
11/13/2018
(4 samples)
Shealy Environmental Services. Inc.
106 Vantage Point Drive West Columbia. SC 29172 (803) 791-9700 Fax (803) 79"111 www,sheayab.com
Page 3 of I I
SHEALY ENVIRONMENTAL SERVICES, -INC.
Detection Summary
KSM Castings Inc.
Lot Number: TK13046
Sample Sample ID
Matrix Parameter
Method
Result a
Units
Page
001 OF 1
Aqueous TSS
SM 2540D-
13
mglL
5
002 OF 2
Aqueous TSS
SM 2540D-
1.6
mglL
6
004 OF 4
Aqueous TSS
SM 2540D-
23
mglL
8
004 OF 4
Aqueous Zinc
200.7
0-043
mg1L
8
(4 detections)
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com
Page 4 of 11
Client:KSM Castings Inc. Laboratory ID: TK 13046-001
Description: OF 1 Matrix: Aqueous
Date Sampled: 1111212018 1545
Date Received:1111312018
Inorganic
non-metals_
Run Prep Method Analytical Method
Dilution
Analysis Date Analyst Prep Date
Batch
1 (PH) SM 4500-H B-2011
1
1111MO18 1607 MDD
89673
1 (TSS) SM 254OD-2011
1
11/16/2018 1521 MGM
89684
1 (SGT - HEM (n) 1664B
1
11/23/2018 0949 ARP
90346
CAS Analytical
Parameter
Number Method
Result Q LOQ
Units Run
PH
SM 4500-H B-2
6.4
su 1
TSS
SM 254DD-
13 5.0
mg1L 1
SGT - HEM (non -polar material)
1664E
ND 4.3
mg/L l
ICP-AES
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 200.7 200.7 1 11/15/2018 1929 CJZ 11/15/2018 1038 89584
CAS Analytical
Parameter Number Method Result Q LOQ Units Run
Copper 7440-50-8 200.7 ND 0.010 mg1L 1
Lead 7439-92-1 200.7 NO 0.010 mg/L 1
Zinc 7440-66-6 200.7 ND 0.020 mg/L 1
LOQ . Limit of Quen4tation 8 - Daheclad In the method blank E = Ouen<ttatlan of compound exceeded Cie callbrafloo range
No = Not detected at or above Um LOQ N . ReCovery is out of C MUM P = The RP4 between two GC columns exceeds 40%
H = Out of hold ft time W = Reported an wet weigh basis
Shealy Environmental Services. Inc.
106 Ventage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www,shealyleb.com
Page 5 of 1 ]
Client:KSM Castings Inc. Laboratory ID:TK13046-002
Description: OF 2 Matrix: Aqueous
Date Salnpled:1111212018 1430
Date Received:1111312018
Inorganic non-metals
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 (pH) SM 4500-H B-2011
1 11/15/2018 1614 MOD
89673
1 (TSS) SM 254OD-2011
1 11/16/20181521 MGM
89684
1 (SGT - HEM (n) 1664E
1 11/23/2018 0949 ARP
90346
GAS Analytical
Parameter
Number Method Result Q
LOQ
Units Run
pH
SM 4500-H B-2
6.3
Sul 1
TSS
SM 2540D-
1.6
1.4
mg1L 1
SGT - HEM (non -polar material)
1664E
NO
4.6
mg/L 1
ICP-AES
Run Prep Method
1 200.7
Analytical Method Dilution Analysis Date Analyst
200.7 1 11/15/2018 1934 CJZ
Prep Date Batch
11115/2018 1038 89584
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units Run
Copper
7440-50-8 200.7
ND
0.010
mgk 1
Lead
7439-92-1 200.7
ND
0.010
mg/L 1
Zinc
7440-66-6 200.7
NO
0.020
mg/L 1
LOO = Um" of Quantitation a = DetacM in the medrotl blank E - Quan iletion of compound exceeded am cal&atlon range
ND =Not detected atorabove the Loa N = Recovery is out of altena P = The RPD between two GC mkimin exceeds 40%
H = fhd of holding wie W = Reposed an wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 (803) 791.9700 Fax (803) 791 9111 www.shealylab.com
Page 6 of I I
Client: KS Castings Inc. Laboratory I11TK13046-003
Description: OF 3 Matrix: Aqueous
Date Sampled:11112/2018 1350
Date Received:1111312018
Inorganic
non-metals
Run Prep Method Analytical Method
Dilution
Analysis Date Analyst Prep Date
Batch
1 (pH) SM 4500-H B-2011
1
11/15/2018 1623 MDD
89673
1 (TSS)SM2540D-2011
1
11/16120181521 MGM
89684
1 (SGT - HEM (n) 1664B
1
11123/2018 0949 ARP
90346
CAS Analytical
Parameter
Number Method
Result Q LOQ
Units
Run
PH
SM 4500-H B-2
6.2
su
1
TSS
SM 2540D-
NO 2.5
mg1L
1
SGT - HEM (non -polar material)
1664B
ND 4.4
mg1L
1
ICP-AES
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 200.7 200.7 1 11/15/2018 1939 CJZ 11/15/2018 1038 89584
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
Units
Run
Copper
7440-50-a
200.7
ND
0.010
m91L
i
Lead
7439-92-1
200.7
NO
0.010
mg1L
1
Zinc
7440-6"
200.7
ND
0.020
mg1L
1
LDQ - Urns of 0uanMtion 8 - De%cted In the method blank E - Quantitation of ownpound exceeded the raGbration range
ND - Not detected at or above the 1-00 N - Recovery is out at aftena P = The RPD between two GC cokrmns exceeds 40%
H - out of hokltrg time W = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791.9111 www.shealylab.com
Pagc 7 of i l
ClientXSM Castings Inc. Laboratory ID:TK13046-004
Description: OF 4 Matrix: Aqueous
Date Sampled:11112120181330
Date Received:1111312018
Inorganic non-metals
Run Prep Method Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
t (pH) SM 4500-H 6-2011
1 11/15/2018 1629 MOD
89673
1 (TSS) SM 254OD-2011
1 11/16/2018 1521 MGM
89684
1 (SGT - HEM (n) 16648
1 11/23/2018 0949 ARP
90346
CAS Analytical
Parameter
Number Method
Result Q
LOCI
Units Run
PH
SM 45DO-H B-2
6.5
su 1
TSS
SM 254OD-
23
5.0
mg1L 1
SGT - HEM (non -polar material)
16645
ND
4.3
mg1L 1
ICP-AE5
Run Prep Method
1 200.7
Analytical Method Diiution Analysis Date Analyst
2001 1 11/15/2018 1944 CJZ
Prep Date Batch
11115/2018 1038 89584
CAS Analytical
Parameter
Number Method
Result Cl
LOO
Units
Run
Copper
7440-50-8 200.7
ND
0.010
mg1L
1
Lead
7439-92-1 200.7
ND
0,010
mgA-
1
Zinc
7440-66-6 200.7
0.043
0.020
mg1L
1
LDQ = Ltmdof Quarodation 8 = Deroeted In the method blank E = QuarWW6on of compound exceeded the calibration range
ND = Not dateciad at or above the LOQ N = Recovery is out of criteria P = The RPD between trp GC coluaw exceeds 40%
H = Out of holding time W = Reported on wet weight beak
Shealy Environmentat Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.sheatoeb.com
Page 8 of 1 l
Chain of Custody
and
Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Vantage Point Drive west Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 wwwshealylab.com
Page 9 of 11
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Shealy Environmental Services, Inc,
106 Vantage Pant Chive
West Cokanbla, 6atAh Carolina 29172
Telephone No. (803) 791-9700 Fax No. (803) 791.9111
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Nora: All samples are retained !orals walks from rewipt
unktesother arra emeatsamnude.
LAB USE CNU'
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SHEALY ENVIRONMENTAL SERVICES, INC.
w � y 'n:-nrr.A bc
17. 4
V Sample Receipt Checklist (SRC)
�-s 11
'j � 1 7 , I
Kir.=s toftnrcipt: "A ] ifmt Lf P.S D FcL:I--..% C Ckhcr.
C
%'.'c" vu beefy srf;!s. l: resew On tLe CWICF?
_QnKX12.
If cmsto& Sca;s 1.11--il: FUNe. It, wire &X-. ill=c Zral !1T)b"4CM?
nil Strip 1r): 'j' L' 27, Z ';; Chlorine Stdi) fM fvbwd b
01igir.11 tempere-mre upon :exipl !Derived (CuTTJ_%!ltA)74.77_4r.A4 rcifpt: %Sofij Snap-ccp ILP'_
qC i cc
1,L'eSLWLk CIAOnStButtJLS IRG IR Gar Corm--tion Factor.
MW Of 0001aral: _PMet Ice Cl Ice Packs Q Dry ]cc FJ Nazic
Lyc*
Q_1Ko'Q<''%
If temperature of any cooler exceeded 6.0"C- urnPrqj=4 Mumg�7 NuffiL d'?
MI %%3 Nw-Ifed by: phunc 1 cmaii i faces to -face (circle one).
n- is
- [T—No
E77A
4. Is The commemi-aJ courier*x racking slip ched aita . to this form?
F1 No
S. Were pnqxrcuuMypale-dears (mlineinislied,'received) followed?
Na
_T
VIVere: sample IDs fisted on the CXX".)
_fgs
Ll No
I?. Were mimpict Ws listed on all sample cvnta4jtn,?
LJI'es
U No
S. Was cotlecticei date & time [Wed on the COM
No
9. Wms wilcelion dote & time ftrd on all sample conatinen?
E;Kcs
Q No
10. Did all cclataina Label info mation (M, date, time!) RDW with the COC'19
—No
11. Were testa to be perfurmod HALd an the CtC!
Ves
L1 No
12. " all samptes arrive in the props umlitsincri for each test an&Dr in good condition
(unbroken, lids att, etc-)?
es
0 Nol
13. Was adcquat w&nplo volume available?
No!
34. W= all sm&3 received wWn 14 the holding time or 48 ham, v&ichever comes fust?
J y
, 0
15. Wem any samples conmineFs rnivqineeacm (cirrk one) amples Not lined on COC?
Yea
❑ Na
P<A
16. VOA and RSK-1 75 samples, acre bubbles prcs,= 'pea -size" CA"or 6mm in dia
For
aziy of The VOA %ials?
cs
ocly.
I-J.No
UNA
17. Wurc all DRUIrretaWhunient =Vli* received ate pH of -1� 2?
0 Yes
U Na
J:k9A
I S. Wcm at) cy-anide samples received at a p14 -- 12 and sulfide =mples reoahred at a plJ > 9?
Ei yes
nND
o,,qA-
19, d1kirine'? caWeNHVTWcya:-jde/pbcnc1'625 (< 0,5uipT) sarnphtzi firm of rosidual
0 Yvs:
El No
NA
20. Wem c5clat rcmarWraqmts (i.e- reWided dilutions. NI&MSD deslgnzfiow� etc---
'bod from the Cox into the comment sectim in I=^
correctly trmmm
:y
21. Was the quote mrnbcr lislicil m the container label? If es, Quotc 9
SgimplePmer,fatim
(Must be completed for any sample(s) bcoirecty pnwrvcd oT with bmAspace.)
slunpic(s) were received incorrectly pm=vW and w= adjusmd awordwF_
in sunple receiving with .—mL of circle one: H2SO4, HNO3, RCI, NWH using SR R
it a of prtsm%don If mme d= one preservative is ncWcdL please TKM in the cone re below.
lew__ were mceived with bubbles >6 mrn in diameter.
less) ware recelvvd with TRC > 0.5 mgtl (if 419 is no) wW worn
"mied accordingly in sample rcmiving with sodium ibiostffne (N&,SO,) with Shealy. ID:
SR burcDde libels aWJW by; Date, :SLLt—
CLxnxnMfZ:
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia. SC 29172 (803) 791-9700 Fax (803) 791-9111 www,shealylab.com
Page 11 of I I
Ik-
4
K'SM Castings
K-W C+Ir:+ IC W.
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Li
Castings
December 18, 2018
Reference: 2018 July -December Stormwater Discharge Monitoring Report.
CDC# NCG030656
General Permit # NCG030000
This letter and included docuementation have been prepared to comply with requirements
outlined in Certificate of Coverage NO. NCG030656. Please find the attached Semi-annual
Stormwater Discharge Monitoring Report. All four of our outfalls were sampled, and comfirmed
within the permitted limits.
If additional discussion or information is required, please contact me at 704 466 0065 or by email
at we ver k mcastin s.com.
Siv e ,
Keith Weaver
EHS Manager
wukw •darns:
KSM C $t�nP MC Inc.
120 BW Brook 0"
Snamtt, NC 26M
Internet: w. .ksmcmft�gs.[om
E•H OW &UAB3�
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General' Permit No. NCG030000
Date submitted 1 Z . IS. 115
CERTIFICATE OF COVERAGE NO. NCG03 at! S,f SAMPLE COLLECTION YEAR
FACILITY NAME WJ"�"1AYQg U&A 1 NP— SAMPLE PERIOD [:]]an -June
y-Dec
COUNTY G.+_ V9X AIUn or ❑ Monthly' m n h
PERSON COLLECTING SAMPLES IC. i, illlf _A fiA 1BRiCZiZ_ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY S Lab Cert, g _-3'C� ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collilction or analysis:
Other„e 4A,9S el
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/C ; -'
Part A: Stormwater Benchmarks and Monitoring Results
n No discharge this period?'
Date56e+Ole.
A244fourralnfilll
pH,
Non -Polar O&G/
Total Toxic
Outfall No.
tallected t
amouiK;
Total Suspended Solids—
'. �
Standard units
Copper
Lead
Zinc
Total Petroleum
Organics c
Hydrocarbons
8enthmar"
_
-
*'.100°in�/Ltnr,SO.ir►gJl. ,
�- 6:0 -_9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
i mg/L
. Zx&
C
. 8
O. k
ff.fle. f
O.f.
{ z.
b. Z
<v olo
eD Pip
4
<qA
l rs.
6.6-
La-cla
<0,010
D.D
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedonce for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here,
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 Identifying the especially sensitive receiving water dassifications where the more protective benchmark applies.
5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics Is that definition contained,in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode rav
tube manufacture use the definition found In 40 CFR 469.31),
Permit Date;11/1/2012-10/31/2017
SwU-245, last revised 10/25/2.012
Page 1 of 3
..
r
Facilities that Incorporate a solvent management plan Into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTd monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ theTTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my Inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTOI, I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. 1 further certify that this facility is implementing the all the provisions of the
solvent management plan Included In the Stormwater Pollution Prevention Plan."
Name (Print name)
Title (Print title)
(Signature) (pate)
Note: Results must be reported in numerical format. Do Ogj Moo Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format, when results are below the applicable limits, tbeTmg ibe recto oo In thefaanat_<U mg&" where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: iyou report a sample value In excess of the benchmark, you must fmplement Tier 1, Tier 2, or tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month,
n No discharge this neriod?z
No'.
�. Date sarii
.' � n,a dd/ - "
244our rainfallOutfall
"'Indltes .
Non -polar O&G/TPH by
"ePA •ihti4 5G'T-MEM
Total Suspended Solids
pH
Henchrrtarkt —A&
is ma/L
100 mg/L or 50 mg/L'
6.0 — 9.0 SU
Footnotes from Part A also apply to this Part 8
• See General Permit text, Table 5, Identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/75/2012
Page 2 of 3
Nate: If you report a sample value In excess of the benchmark you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS;
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
1F YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
off an orfainalanctonecom of this DMIL includingall No f days o1Mc_ejgt of the Job results for at end of monitoring eriod
In the case of 2& Alscharae'reportsJ o
Division of Water Quality
Attn: DWO Central Files
1617 Mail Service tenter
Raleigh, North Carolina 276139.1617
YOU MUST SIGN THIS CERTIFICATIONTQR ANY INFORMATION REPQUgD
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the Information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons direqly responsible for gathering the Information, the information submitted Is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that then re significant penalties for submitting false Information, including the possibility of fines and imprisonment for knowing violations."
44:, tz. IS. 116
(Signature of Permittee) (Date)
Permit Dam 11/1/2012-10/31/2017
SWU•245, last revised 10/25/201
Page 3 of 3
r'
PAT MCCRORY
Govemor
DONALD R. VAN DER VAART
Energy, Mineral
and Land Resources
ENVMONMENTAL 4UALITY
February 24, 2016
Ms. Jan Christoph Schwarck
KSM Castings USA Inc.
120 Blue Brook Drive
Shelby, NC 28150
Secretary
TRACY DAVIS
Director
Subject: NPDES Stormwater Permit NCG030656
KSM Castings USA Inc.
Formerly KSM Castings NC, Inc.
Cleveland County
Dear Mr. Schwarck:
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at (919) 707-9220.
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Mooresville Regional Office
Stormwater Permitting Program Files
Central Files
State of North Carolina � Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, North Carolina 27699-1612
919 707 9220 T
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030656
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,
KSM Castings USA Inc.
is hereby authorized to discharge stormwater from a facility located at:
KSM Castings USA Inc.
120 Blue Brook Drive
Shelby
Cleveland County
to receiving waters designated as Beaverdam Creek, a class C water in the Broad River Basin; in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, I1, 111, and IV of General Permit No. NCG030000 as attached.
This certificate of coverage shall become effective February 24, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 24, 2016.
ORIGINAL SIGNED 8Y
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
Khan, Zahid
From:
Khan, Zahid
Sent:
Wednesday, February 17 2 :51 AM
To:
Bennett, Bradley
Cc:
Alexander, Laura
Subject:
NCG030656 Change of name
Please see change form for the name of the company. Please change in BIMS and anyway we can make these changes
here in MRO. Thanks
ZAd/rA cpfsc, cUK
zahid.Khan@ncdenr.gov
Regional Engineer
North Carolina Dept. of Environmental Quality Div. of Energy, Mineral, and Land Resources -
Land Quality Section 610 E. Center Ave., Suite 301 Mooresville, NC 28115
Ph: (704) 663-1699 Fax: (704) 663-6040
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
1
I
KSM Castings Group
AMN �np USA me
�,"Castings
F
l
Date: January 21, 2016 a�dico
CIO
Dear Dear KSM Castings Supplier.
This notice is to advise you that effective January 13, 2016 KSM Castings NC Inc. has changed its name to
KSM Castings USA Inc.
Please update your records to reflect the new name of our company.
Our DNB # 07877894 will not change.
If you should need any further information please feel free to contact us.
Sincerely,
4 4f--1
Jan-Christoph Schwarck
President / Plant Manager
KSM [aStingS USA 1nC.
120 Bkje Brook Drive
(fOrMerly: 641 Plato Lee Road)
Shelby, MC 28150
Intemet: wwwAsmeastinOs.com
E-MaiI: Info-- I
Telephone: 704-313-0422
9-a
S� G�
kAk�A S
I
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality00
;
m
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FOjI�
I. CURRENT PERMIT INFORMATION = co d
a,
1. Stormwater Management Permit Number: NCGOAdbo
2. Project Name: KSVOI C-Aan's-,PI5 XlC IUe COc.` t uCGa_%0&9-6
3. Current Permit Holder's Company Name/Organization: K&PA C kaTowQ5 9C. 14C
4. Signing Official's Name:
5. Mailing Address: I ZO
Title: %►j�m WTI
BLuc .6Qm te— bii V C_
City: _6,WLib State: MCC Zip: 7-euSe7
6. Phone: (-?04) 313 047.7. Fax: 7i 04 313 0?47-
II. PROPOSED PERMITTEE 1 OWNER 1 PROJECT 1 ADDRESS INFORMATION
This request is for: (please check all that apply)
RIKiame change of the owner (Please complete Items 1, 2 and 3 below)
[Name change of project (Please complete Item 5 below)
❑ Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address I phone number change. (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: {oLsA
2. Proposed permittee's signing official's name: :3-W CHwsruPH 6"Qka_C�1L
3. Proposed permittee's title: Auwy MAn�ACJ Aes��wr'
4. Mailing Address:
City:
State: Zip:
Phone:( Fax:
5. New Project Name to be placed on permit: Kam+ cAsrnw>as ksA ike~
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in #1 above and provide name of HOA/POA's authorized representative in #2 above)
[the property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4
t_.
III. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. This_certification musfbe'completed and. —signed by botFi-ttie
current permit°holder--and'the new applicai t if tI_L a change_flf ownership.
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the ce fication below that statement:
Check here if the current permittee is only chap 'n s/her/it me, the project name, or mailing
address, but will retain the permit. I, f..►Q , the current
permittee, hereby notify the DWQ that I am changing my name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
❑ Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit.
I, , the current permittee, am submitting this application
for a transfer of ownership for permit # . I hereby notify DWQ of the sale or
other legal transfer of the stormwater system associated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form.
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be ap d the DWQ unless and until the facility is in compliance with the
permit.
Z�Signature: C, �r Date: � '�
I, `XGLO/14 _, a Notary Public for the State of
7&kh COR011, i a, , County of _ L12u41Q.r rL1 , do hereby certify that
��ChhrsfDf��l �'�G�illJlxl'[G1� , personally appeared before me this the
day of JP L-hyQ1c-c.,� , 20 MG , and acknowledge the due execution of the
for oing instrument. Witness my hand and official seal, (NotarySeal
KRISTY MAYNOR
z
Notary Public, North Carolina
Notary Sigbature Cleveland County
My Commission Expires
August 21, 2039
SSW N/O Change Rev24Sept2012 Page 2 of 4
V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
1, , hereby notify the DWQ that I have acquired
through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted
stormwater management system, and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
Hthe most recent permit
the designer's certification for each BMP
❑ any recorded deed restrictions, covenants, or easements
❑ the DWQ approved plans and/or approved as -built plans
❑ the approved operation and maintenance agreement
Epast maintenance records from the previous permittee (where required)
DWQ stormwater inspection report showing compliance within 90 days prior to this transfer
have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts
of this application are not completed or if all required supporting information and attachments listed
above are not included, this application package will be returned as incomplete.
Signature:
I
County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
SSW N/O Change Rev24Sept2012 Page 3 of 4
VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections 1l and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name:
Organization: _
Title within the Organization:
Street Address:
City:
Mailing Address:
City:
Phone:
Email:
State:
(if different from street address)
State:
Fax:
Zip:
Zip:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute
(NCGS) 143-215.1, and may result in appropriate enforcement action including the assessment of
civil penalties of up to $25,000 per day, pursuant to NCGS 143-21,5.6.
Signature of the property owner
I
County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4
WWA �A 9.0
MCDR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Jan-Christoph Schwark
KSM Castings NC, Inc.
120 Blue Brook Drive
Shelby, NC 28150
Dear Jan-Christoph Schwark:
DIUISIQN ui- LANLJ HESOPRagV R. van der Vaart
r.ANO QUALITY SECTiom Secretary
January 21, 2015 JAN 2 9 2015
AND NATURAL AESOUR ES
Subject: General Permit No. NCG030000
KSM Castings NC, Inc.
COC NCG030656
Cleveland County
In accordance with your application for a discharge permit received on
November 25, 2014, 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 & Land Resources (DEMLR). If the facility
changes ownership or is closed, DEMLR may require modification, revocation, or
reissuance of the certificate of coverage.
This permit does not affect the owners legal obligation to obtain other permits
which may be required by DEMLR, or permits required any other federal, state, or local
governmental authorities.
If you have any questions concerning this permit, please contact Larry Wade PE
at telephone number (919) 807-6375, or email at larry.wade0nCdennggy_ .
Sincerely,
for Tracy E. Davis, P.E.
cc: Mooresville Regional Office
Central Files
Stormwater Permitting Program Files
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX 919-715-8801
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http://p_ortal-nodenr.org/webfi
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STORMWATER DISCHARGES
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,
KSM Castings NC, Inc.
is hereby authorized to discharge stormwater from a facility located at
KSM Castings NC, Inc.
120 Blue Brook Drive
Shelby
Cleveland County
to receiving waters designated as Beaverdam Creek, a class C water in the Broad River
Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1,1I,111, IV, V, and VI of General Permit No. NCG030000 as
attached.
This certificate of coverage shall become effective January 21, 2015.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 21, 2015.
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission
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