NCG050270_COMPLETE FILE - HISTORICAL_20180713

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ C9, O I g O--) 13
YYYYMMDD

tf tiv31
tg
Energy, Mineral &
[and Resources
ENVIRONMENTAL QUALITY
Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
FOR AGENCY USE ONLY
Date Received
Year
I MorL!--F
Day
RECEIVED
JUL 13 2018
DENR-LAND
Use this form if there has been: STORMWATFR I
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
N C S
2) Facility information:
Facility nam 1
Cony�i Orpization:
FacillYN addr`s� �UU
G`N
(01) Certificate of Coverage
N C G p
IlExpoz—
Address
A/C 1
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
biip://deco.ne.gov/about/divisions/energymineral-land-resources/energy-mineral-landpermits/stormwater-pro am
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Nack #- &&fr-ie
First MI Las
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit: go 0 a, /a K Nall Fie /
First MI Last
Page I of 2
S WU-OWNERAFFIL-23Nlarch2017

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
/y1QA2GZg/ii g J/frGG7��
Title
0910 Crk w al A ac1cj
Mailing Address
At f 0 Ile /(/G
City State ! Zip
(70 q) !278 - O%iq 1&aY. gwf r7i�e1 L .Goy+
Telephone E-mail Address
(70'/) 9;79 - O138
Fax Number
5) Reason for this change:
A result of: IJ Employee or management change
0 Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE�CERT/I�FIICATION:
I, 914,7Y/! /Q,yTTUq� 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. 1 understand that if all required parts of this form are not completed, this change may not be
processed.
Sign Date
PLEASE SEND THE COMPI,F.TF.D 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
y t at: http://deg.nc.gov/about/divisions/energ_y_-mineral-land-resources/stormwater
Page 2 of 2
Swt]-OWNE,RAF FIL-23Wr2017

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 19, 2009
Mr. Shannon D. Smith
Hexpol Compounding NC, Inc.
280 Crawford Road
Statesville, NC 28677
Dear Mr. Smith:
Dee Freeman
Secretary
Subject: NPDES General Permit NCG050000
Certificate of Coverage NCG050270
Hexpol Compounding NC, Inc.
Formerly Hexagagon Polymers Compounding
IredeIl County
On January 12, 2009, Division personnel received your request to revise your stormwater permit Certificate of Coverage
to accurately include you new company 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. I and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at [phone].
Sincerely,
r Coleen H. Sullins
cc: DWQ Central Files
Mooresville Regional Office
Stormwater Permitting Unit
Wetlands and Storrnwafer Branch
11617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] k FAK 919-807-64941 Customer Service: 1-877-623-6748
Internet wm mwaterquality.org
An Equal OpportunitylAffamaWefton Employer
MAR 2 5 2009
f
• �vl IVLI'df� i,4•rr� .:•
DWG -Surface Wafer ProiecNon
NorthCarolina
Naturally

I
r
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GF,NERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050270
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,
HEXPOL COMPOUNDING NC, INC.
is hereby authorized to discharge stormwater from a facility located at
HEXPOL COMPOUNDING NC, INC.
280 CRAWFORD ROAD
STAESVILLE
IREDELL COUNTY
to receiving waters designated as Beaver Creek, a class C stream, the Yadkin -Pee Dee River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II,1II, IV, V, and VI
of General Permit No. NCG050000.
This certificate of coverage shall become effective March 19, 2009
This Certificate of Coverage shall remain in effect for the duration of the General Pen -nit.
Signed this day March 19, 2009
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

HCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue - Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 19, 2009
Mr. Shannon D. Smith
Hexpol Compounding NC, Inc.
280 Crawford Road
Statesville, NC 28677
Dear Mr. Smith:
Subject: NPDES General Permit NCG050000
Certificate of Coverage NCG050270
Hexpol Compounding NC, Inc.
Formerly Hexagagon Polymers Compounding
Iredell County
On January 12, 2009, Division personnel received your request to revise your stormwater permit Certificate of Coverage
to accurately include you new company 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, please contact the Stormwater Permitting Unit at [phone].
Sincerely,
�/ l
Z�
/a, Coleen H. Sullins
cc: DWQ Central Files
Mooresville Regional Office
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet w m nmaterquality.org
An Equal Opportunity h khrmtive Action Employer
NorthCarolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050270
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,
HEXPOL COMPOUNDING NC, INC.
is hereby authorized to discharge stormwater from a facility located at
HEXPOL COMPOUNDING NC, INC.
280 CRAWFORD ROAD
STAESVILLE
IREDELL COUNTY
to receiving waters designated as Beaver Creek, a class C. stream, the Yadkin -Pee Dee River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, I11, IV, V, and VI
of General Permit No. NCG050000.
This certificate of coverage shall become effective March 19, 2009
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 19, 2009
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

William G. Ross Jr-, Secret .' -
North Carolina Department of Environment and Natural Resourc {{
0
Mr. Shannon Smith, Production Manager
Hexagon Polymers Compounding NC, Inc.
280 Crawford Road
Statesville, North Carolina 28625
Subject
Dear Mr. Smith:
Coleen i-1_ Sullins, Director
Division of Water Quality
May 16, 2008
Compliance Evaluation Inspection
NPDES Permit COC NCG050270
Hexagon Polymers Compounding NC, Inc.
Iredell County, NC
Enclosed is a copy of the Compliance Evaluation Inspection (CEI) report for the
inspection conducted at the subject facility on May 12, 2008, by Ms. Marcia Allocco of this
Office. Thank you for your assistance and cooperation during the inspection.
The enclosed report should be self-explanatory. Overall, the facility's Stormwater
Management program was well developed and implemented and this Office commends the
permittee's efforts to ensure compliance with the pen -nit.
If you have any questions, comments, or need assistance with understanding any aspect
of your permit, please do not hesitate to contact Ms. Allocco at [phone].
Enclosure
cc:
NCDENR
NPS-ACO Unit
Sincerely,
for Robert B. Krebs
Regional Supervisor
Surface Water Protection Section
Mooresville Regional Office
oy`
NCarolina
Nawwl!ty
Mooresville Regional Office Division of Water Quality Phone [phone]" Customer Service
Internet- w w.ncwaterquality.ore 610 East Center Ave, Suite 301 Mooresville, NC 28115 Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50°% Recycied110% Post Consumer Paper

Permit: NCG050270
SOC:
County: Iredell
Region: Mooresville
Compliance Inspection Report
Effective: 05/01/03 Expiration: 04/30/08 Owner: Hexagon Polymers Compounding NC Inc
Effective: Expiration: Facility: Hexagon Polymers Compounding NC, Inc.
280 Crawford Rd
Contact Person: Randy Simpson
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Statesville NC 28677
Title: Maintenance Manager Phone: [phone]
Certification:
Phone:
Inspection Date: 05112/2008 Entry Time: 01:00 PM Exit Time: 02:00 PM
Primary Inspector: Marcia Allocco 1401<s Phone: [phone]
Secondary Inspector(s): Ext.2204
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: ApparellPrintinglPaperlt.eatherlRubber Stormwater
Discharge COC
Facility Status:. ■ Compliant ❑ Not Compliant
Question Areas:
e storm water
(See attachment summary)
Page:1

Permit: NCG050270 Owner - Facility: Hexagon Polymers Compounding NC Inc
Inspection Date: 05/12/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: NCG050270 Owner - Facility: Hexagon Polymers Compounding NC Inc
Inspection Date: 05/12/2008 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 indi�de a "Narrative Description of Practices"?
,4
# Does the Plan includei .detailed site map including outfall locations and drainage areas?
# Does the Plan include a Ili i;,9f significant spills occurring during the past 3 years?
# Has the facility evaluated
# Does the facility provide all
alternatives to current practices?
# Does the Plan include a BMP summa
secondary containment?
# Does the Plan include a Spill Prevention a" Response Plan (SPRP)?
.,
# Does the Plan include a Preventative Mainten8hce and Goad Housekeeping Plan? '
# Does the facility provide and document Employee'i'raining?
N
# Does the Plan include a list of Responsible Party(s)? >
# Is the Plan reviewed and updated annually? 2;
# Does the Plan include a Stormwater Facility inspection Progra'rjj,?
Has the Stormwater Pollution Prevention Plan been implemented? i
Comment: There have been no spills on site in the last ^tfitee years. The two
10,000-gallon.oil tanks on site have secondary containment�and the discharge valves
were locked ih the closed position at the time of the inspectionFacility personnel
stated that any collected water:is disposed off site and is not co'ngled with
stormwater.
The Spill Prevention and Response Plan (SPRP) requires that a resO�psible person
shall be on site at all times. Please update the SPRP to include the reonsible
employees during all shifts along with the section of the SPPP that lists Responsible
parties for the SPPP.
The SPPP was last updated in 2006 and is reviewed annually.
Qualitative Monitoring.
Has the facility conducted its Qualitative Monitoring semi-annually?
AT
Comment: The.permittee could not provide documentation that the required
semi-annual qualitative monitoring had been completed during the last 5-year permit
term (some recent monitoring records were available). Please ensure going forward
that the semi-annual monitoring is completed at Outfall 001 and the documentation is
included in the SPPP.
Analytical Monitoring
■nnn
■nnn
■nnn
■nnn
n n ■
■nn¢n
■.0nn
■nnn
■nnn
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■❑❑❑
■nnn
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Yes No NA NE
n■nn
Yes No `M NE
Page:3

Permit: NCGO50270 Owner - Facility: Hexagon Polymers Compounding NC Inc
Inspection Date: 05112/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Has the facility conducted its Analytical monitoring? Q n ■ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? 0
Comment: The permittee does not conduct vehicle maintenance on site and therefore
is not required to conduct analytical monitoring.
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ■ ❑ U
# Were all outfalls observed during the inspection?
# If the facility has representative outfall status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment: The Stormwater Pollution Prevention Plan included an evaluation of illicit
discharges but it was not signed by a Responsible Corporate Officer as required by the
permit. Please review this requirement and update the SPPP as appropriate.
There was evidence that carbon black used onsite (fine particulate) has been entrained
in stormwater runoff on site. However, the carbon black is captured in the on site
stormwater retention pond and has not impacted stormwater discharges that leave the
site through Outfall 001 at the front of the property.
Page: 4

s O�OF WA rF9QG
>_
0 C
April 27, 2007
Mr. Randy Simpson
Hexagon Polymers Compounding NC, Inc.
280 Crawford Road
Statesville, NC 28625
Dear Mr. Simpson:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: Permit No. NCG050270
Hexagon Polymers Compounding NC
Formerly Thona NC, Inc.
Iredell County
Division personnel have reviewed and approved your request to change the your name under the General Permit,
received on March 23, 2007.
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, please contact the Stormwater Permitting Unit at [phone], extension 502.
cc: DWQ Central Fifes
Mooresvillc.Regional Office, Water Quality Section
Stormwater Permitting Unit
Sincerely,
` E\ ?`CAL C�Virct,l�l I<�►.
AND NATURAL RESOURCES
Alan W. Klimek P. E. IgppRES1ALLE RE-GIOMAL OFFICE
MAY 0 Z 2007
WATER QUALITY SECTION
t
Carolina
avitundy
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Prone [phone] Customer Service
Internet h2o.enr.statemc.us 512 N. Salisbury St Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/AffirmativeA[tion Employer —50%RecydedhO%Post ConsurnerPaper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050270
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 theNorth Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
HEXAGON POLYMERS COMPOUNDING NC, INC.
is hereby authorized to discharge stormwater from a facility located at
HEXAGON POLYMERS COMPOUNDING NC, INC.
280 CRAWFORD ROAD
STATESVILLE
IREDELL COUNTY
to receiving waters designated as Beaver Creek, a class C stream in the Yadkin Pee -Dee River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,1I, II1, IV, V, and VI
of General Permit No. NCGO50000 as attached.
This certificate of coverage shall become effective April 27, 2007,
This Certificate of Coverage shall remain in effect for the duration of the General Permit_
Signed this day April 27, 2007. ORIGINAL SiGN7_D S�!
"S K i
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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April 27, 2007
Mr_ Randy Simpson
Hexagon Polymers Compounding NC, Inc.
280 Crawford Road
Statesville, NC 28625
Dear Mr. Simpson:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P-E. Director
Division of Water Quality
Subject. Permit No. NCG050270
Hexagon Polymers Compounding NC
Formerly Thona NC, Inc.
Iredell County
Division personnel have reviewed and approved your request to change the your name under the General Permit,
received on March 23, 2007.
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, please contact the Stormwater Permitting Unit at [phone], extension 502.
Sincerer-RjGINAL SIGNED E`.✓
1 IN P:CKI E
Alan W. Klimek P. E.
cc: DWQ Central Files
Mooresville Regional Office, Water Quality Section
Stormwater Permitting Unit
Nam` Carolina
Wura!!y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet h2o.enr.state.mus 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal opputunity/Affirmative Aaron Employer — 50% Recycledl10% Post Consumer Paper

STATE.OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO50000
CERTIFICATE OF COVERAGE No. NCG050270
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 theNorth Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
HEXAGON POLYMERS COMPOUNDING NC, INC.
is hereby authorized to discharge stormwater from a facility located at
HEXAGON POLYMERS COMPOUNDING NC, INC.
280 CRAWFORD ROAD
STATESVILLE
iREDELL COUNTY
to receiving waters designated as Beaver Creek, a class C stream in the Yadkin Pee -Dee River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 1I,111, IV, V, and VI
of General Permit No. NCG050000 as attached. -
This certificate of coverage shall become effective April 27, 2007_
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April27, 2007. �.U�AL StCi'"�`�
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission.

<3

01) HEXAGON AlCi6DCA176
POLYMERS COMPOUNDING
March 13, 2007
Subject: Thong NC Inc. name change effective immediately
ZZ
Dear Valued Customers & Suppliers,
% G -s
As you are aware, Thona NC Inc. has been and will continue to be wholly owned by
Hexagon AB.
In an effort toward Global consistency, Hexagon AB is requesting that all Thong
facilities worldwide change their legal identities.
Starting immediately, Thona NC Inc. will be known as:
Hexagon Polymers Compounding NC Inc.
Please change our name on PO's, payments, invoices, quotes, shipping documents,
and all other correspondence, etc...
Please note that this is a name change only. All contacts, addresses, FID numbers will
remain the same. The name change will not effect any contractual obligations entered
into by Thona NC Inc.
Thank -you in advance.
Hexagon Potymers Compounding NC inc.
280 Crawford Road
5tatesviile, NC 28625
Tel: [phone]
Fax:[phone]
wwwhpc-us. cam
info@hpc-us_com

V4AMichael F. Easley, Governor
r�.
`O�� y William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
Division of Water Quality
O -C
NC DEPT. C�ENJ ARONMr`NT
AND NATURAL RESOURCES
April 28, 2003 &LIUROWLIF or-GIONAL OFFICE
P¢ 0
Keith Madden
Arc Advanced Rubber Compoundi AM 30 2W3
280 Crawford Road
Statesville, NC 28677
Subject: NPDES Stormwater Permit Renewal
Arc Advanced Rubber Compoundi WATER OVALITY SECT10t
COC Number NCGO50270 4 f
Iredell County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG050000, the
Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This
permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection
Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of General Stormwater Permit NCG050000
• A copy of the Analytical Monitoring Form (DMR)
• A copy of the Qualitativel Monitoring Form
• A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. 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 Department of
Environment and Natural Resources, or relieve the permittee from responsibility for compliance with any
other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office
Stormwater and General Permits Unit at [phone], ext. 578.
cc: Central Files
Stormwater & General Permits Unit Files
Mooresville Regional Office
Sincerely,
164
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
AM
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
<Ab GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050270
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,
Thona NC, Inc.
is hereby authorized to discharge stormwater from a facility located at
Arc Advanced Rubber Compoundi
280 Crawford Rd
Statesville
Iredell County
to receiving waters designated as Beaver Creek, a class C stream, in the Yadkin - Pee Dee
River Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1, 11, III, IV, V, and VI of General Permit No. NCG050000 as
attached.
This certificate of coverage shall become effective May 1, 2003-
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

(� W A TIC Michael F. Easley, Governor
_� RQ William G. Ross Jr., Secretary
North Carolina Department of Environment and.Natural Resources
AlanW? kiimeg, R.E:; Director Y.
Division of Water Quality
C3 ~C
September 4.2002 1
} �
BRIAN W SATTERLEY sip o 2002
ARC ADVANCED RUBBER COMPOUNDI
280 CRAWFORD RD
STATESVILLE, NC 28677 1
Subject: NPDES. Stormwater Permit Coverae.Rencwal�' i
Arc Advanced Rubber Compoundi
COC Number NCG050270
Iredell County
Dear Permittee:
Your facility is currently covered for Stormwater discharge under General Permit NCG050000. This permit expires
on March 31. 2003. The Division staff is currently in the process of rewriting this permit and is scheduled to have
the permit reissued by early spring of 2003. 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. To make this renewal process easier, we are informing you in
advance that your permit coverage will be expiring. Enclosed you will find a Permit Coverage Renewal
Application Form. The application must be completed and returned by October 2, 2(X)2 in order to assure
continued coverage under the general permit. Due to staff and budget constraints, letters confirming our receipt of
the completed application will not be sent.
Failure to request renewal within the time period specified, may result in a civil assessment of at least $250.00,
Larger penalties may he assessed depending on the delinquency of the request. Discharge of stormwater from your
facility without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1
and could result in assessments of civil penalties of up to $10,000 per day.
Please note that recent federal legislation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the I I categories of "storm water discharges associated with industrial activity." (except
construction activities)_ If you feel your facility can certify a condition of "no exposure", i.e. the facility industrial
materials and operations are not exposed to stormwater, you can apply for the no exposure exclusion. For additional
information contact the Central Office Stormwater Staff member listed below or check the Stormwater & General
Permits Unit Web Site at http:/Ih2o.cnr_state.nc.us/sulstormwater.htmI
If the subject stormwater discharge to waters of the state has been terminated, please complete the enclosed
Rescission Request Form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit renewal procedures please contact Mike Parker of the Mooresville
Regional Office at 704-663-1699 or Aisha Lau of the Central Office Stormwater Unit at [phone]. ext. 578
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Mooresville Regional Office ©��
NCDENR
N. G. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800-623-7748

WA
p
Keith Madden
Arc Advanced Rubber Compoundi
280 Crawford Road
Statesville, NC 28677
Dear Permittee:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
April 28, 2003
Subject: NPDES Stormwater Permit Renewal
Arc Advanced Rubber Compoundi
COO Number NCG050270
Iredell County
In response.to your renewal application for continued coverage under general permit NCG050000, the
Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This
permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection
Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of General Stormwater Permit NCG050000
A copy of the Analytical Monitoring Form (DMR)
• A copy of the Dualitativel Monitoring Form
A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. 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 Department of
Environment and Natural Resources, or relieve the permittee from responsibility for compliance with any
other applicable federal, state, or local law, rule, standard, ordinance; order, judgment, or decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office
Stormwater and General Permits Unit at [phone], ext. 578,
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Mooresville Regional Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
Ah
NWENR
Customer Service
1 800 623-7748

STATE OF NORTH CAROLINA -
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050270
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,
Thona NC, Inc.
is hereby authorized to discharge stormwater from a facility located at
Are Advanced Rubber Compoundi
280 Crawford Rd
Statesville
Iredell County
to receiving waters designated as Beaver Creek, a class C stream, in the Yadkin - Pee Dee
River Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1, 11, III, IV, V, and VI of General Permit No. NCG050000 as
attached.
This certificate of coverage shall become effective May 1, 2003,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

4
P"M DER
JSti �.
.;JAMES,B. HUNT JR.
GOVERNOR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
MOORESVILLE REGIONAL OFFICE
WATER QUALITY SECTION
February 21, 2000
.BILL_ HOLMAN ` CERTIFIED MAIL:
SECRETARY RETURN RECEEUPT REQ1JEE ST ED:
Mr. Brian Satterley
XcERR 'T.:sTEVElas=,.s-a :Advanced Rubber Compounding, Inc.
L ` tir .280 Crawford Road
'DIRECTOR �,�� - •�,' -�
'Statesville, North Carolina 28625
Subject: Notice of Violation
Failure to abide by the conditions of
"'`~ - Stormwater Permit No. NCG050270
Iredell County, NC
�'X.
- -Dear Mr. Satterley:
-}}..� - Chapter 143, Article 21 of the North Carolina General Statutes (NCGS)
-,.:;authorizes and directs the Environmental Management Commission of this Department
! Ito protect and preserve the water and air resources of the State. Tlie Division of Water
-jQuality has the delegated authority to enforce adopted pollution control rules and
:,regulations.
Enclosed please find a copy of a Complaint Investigation Report for the
... •'` ,s.r investigation conducted on February 2, 1999 by Mr. Wes Bell and Roberto Scheller of
- this Office. As a result of this investigation, the following conditions were found in
~violation of North Carolina General Statute (NCGS) 143-215.1 and Stormwater Permit
- -� —No. NCG050270:
The facility did not have the following documentation required by
r = = Stormwater Permit No. NCG050270. a stormwater pollution
ry f:q�f prevention plan, a stormwater management plan, a spill prevention and
- ..-. .:Z•:. �':�YY�..-.' ice.
�response plan, a preventative maintenance and good housekeeping
program, employee training schedule, identification of the responsible
- and a facili inspection plan- In addition, the facility did not
.a P�yis): t3' p P tY
perform the required qualitative monitoring for the entire years of 1998
T�
.. and 1999.
919 NORTH MAIN STREET, MOORESVILLE, NORTH CAROLINA 2B115
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFrIRMATIVE ACTION EMPLOYER - 50% RECYCLEA/10% POST -CONSUMER PAPER

Mr. Satterley
Notice of Violation
Page Two
Be advised that NCGS 143-215.6A provides for a civil penalty assessment of not more
that twenty-five thousand dollars ($25,000.00), or twenty-five thousand dollars ($25,000.00) per
violation, per day when the violation is of a continuing nature, against any person who fails to
abide by the conditions of the permit__ You will be advised of any enforcement recommendation_
It is requested that you respond in writing to this Notice indicating the actions you have
taken to resolve the documentated violations_ Please address your response to Mr. Bell by no
later than March 17 2000.
Should you have questions, please do not hesitate to contact Mr. Bell or me at (704) 663-
1699.
Sincerely,
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
Attachment
cc: Iredell County Health Department

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
WATER QUALITY SECTION
919 NORTH MAIN STREET
MOORESVILLE, NORTH CAROLINA 28115
REPORT OF: Complaint Investigation
DATE OF INVESTIGATION: February 2, 2000
INVESTIGATED BY: Wes rBel and Roberto Scheller TIME SPENT: 2.0 hours
PLACE VISITED: Advance Rubber Compounding, Inc. (ARC)
PHYSICAL LOCATION: Statesville, Iredell County
MAILING ADDRESS: 280 Crawford Road
Statesville, N.C. 28625
RIVER BASIN: Yadkin -Pee Dee
PERSON CONTACTED: Mr. Brian Satterley, Lab/Quality Manager
REASON FOR VISIT: Investigation of complaint regarding illegal discharge of wastewater
COPIES TO: Iredell County Health Department
REPORT:
On January 28, 2000,-this Office received a report that a black sludge was being
discharged from -a stormwater collection basin at ARC in Statesville, Iredell County.. The
complaint was investigated by Wes Bell and Roberto Scheller of this office on February 2, 2000.
ARC is a manufacturer of rubber products for non -tire automotive applications. ARC
was issued Stormwater Permit No. NCG050270 by the Division on May 1, 1998 for the
discharge of stormwater to Beaver Creek._ The inspectors from this office met with Mr. Satterley
to investigate the stormwater collection basin and compliance status with Stormwater Permit No.
NCG050270. The stormwater collection basin contained a black sludge that had settled to the
bottom. The rocks along the banks were also stained. Mr. Satterley confirmed that the black
sludge was a carbon black powder used in ARC's manufacturing process. According to Mr.
Satterley (and later confirmed by the inspectors), the carbon black powder is unloaded from a
hopper type trailer into a temporary underground container. The contents are then pumped into
several above ground silos. Minor spillages occur during the unloading process. During rainfall
events, the spilled carbon black powder intermixes with stormwater and discharges into the
stormwater collection basin. At the time of the investigation, the basin was discharging clear
water. The receiving stream, Beaver Creek, was observed to contain no carbon black powder
from the basin discharge.

Complaint Investigation
Page Two
The Material Safety Data Sheet (MSDS) for the carbon black powder was reviewed by
Mr. Satterley and the inspectors. The substance is nonhazardous and insoluble in water. In
addition, it was determined that the stormwater collection basin was not located on ARC's
property. Mr. Satterley was informed that although no carbon black powder was detected in the
receiving stream, the facility is liable for any stormwater discharges containing the carbon black
powder.
In addition to the inspection of the stormwater collection basin, the compliance status
with the Stormwater Permit No. NCGO50270 was reviewed. The facility failed to maintain the
appropriate documentation such as: A stormwater pollution prevention plan, a stormwater
management plan, a spill prevention and response plan, a preventative maintenance and good
housekeeping program, employee training schedule, identification of the responsible party(s), and
a facility inspection plan. The facility had also failed to perform the required qualitative
monitoring for the entire years of 1998.and 1999. Mr. Satterley indicated that a consultant was
recently hired to assist the facility in becoming compliant with all permit conditions. Mr.
Satterley was informed that the documentation -should have been maintained once the permit was
issued and that the failure to maintain the documentation was a violation of permit conditions.
Mr. Satterley was courteous and very helpful throughout the investigation. A follow-up may be
necessary to verify compliance with the conditions of Stormwater Permit No. NCG050270.

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
MOORESVILLE REGIONAL OFFICE
DIVISION OF WATER QUALITY
February 22, 2000
Mr. James K. Haley
James K. Haley Associates, Inc.
Post Office Box 25346
Winston-Salem, North Carolina 27114-5346
Subject: Illegal Discharge
Iredell County, NC
Dear Mr. Haley:
Attached is a copy of the Report of Investigation prepared by Wes Bell of this
Office regarding the illegal discharge of wastewater that was reported by you on January
31, 2000.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Mr. Bell or me at [phone].
Sincerely,
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
Attachment
cc: Iredell County Health Department
0 6.1
Frsr
. Jrt-A.a L-T_A -
2 0 1 0
919 NORTH MAIN STREET, MOORESVILLE, NORTH CAROLINA 2811S
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY ! AI:FIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST -CONSUMER PAPER
r...m.Wu.,i�:w

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Articie Addressed to:
j
Mr. Brian Satterely
Advanced Rubber Compounding Inc
280 Crawford Rd.
Statesville NC 28625
i
i u 2. zu
PS Foi
A. Received by (Tease Prrr1 Clearly) El. Date of Delivery
G. Signature
X r n n 1 I l [_ l�li J �C Addn3ssee
D. I d add ifferent from item 1 ? ❑ Yes
If S, enter delivery address below: ❑ No
3. Service Type
ff Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ G.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
rl �i ;r� i tr iirrli: i
259y99-W l789

Mr. Wes Bell
NCDEHNR Water Quality
919 North Main Strut
Mooresville, NC 28115
March 17, 2000
Dear Mr. Bell,
*C''?)UT. •plp
A NA'MRAL R-SIDURCFS
MAR 17 2000
MOOR''SMLE Pt; 3a�i GtiizE
Advanced Rubber Compounding Inc.
280 Crawford Road
Statesville, NC 28625
USA
16�rfw'r
Phone: [phone]
Fax: [phone]
E-mail: [e-mail]
Advanced Rubber Compounding Inc will provide the following written plans on or
before April 19, 2000:
• Stormwater Prevention Plan
• Stormwater Management Plan
• Spill Prevention and Response Plan
- Preventative Maintenance Program
Housekeeping Program
Employee Training Schedule for spill response and PM
The Stormwater Prevention and Stormwater Management Plans will include the
responsible parties, qualitative monitoring requirements for Stormwater discharges, and a
facility inspection plan.
Qualitative monitoring has already been performed on 2/2/00 and 3/16/00, and sampling
for quantitative analysis was performed on 3/16/00. Advanced Rubber Compounding Inc
is also waiting for a quote for the relocation of the stormwater pond.
Advanced Rubber Compounding is committed to complying with the terms of its
Stormwater Permit. The hiring of a new staff member to handle the stormwater
responsibilities (Judah Wilkins) and the enlistment of a consultant from Compass
Associates (Felice Johnson) has solidified this commitment.
Sincerely,
Brian W. Satterley
An affiliate of Thona S.A.
Registered Office : Industriestrage 36,
o, * B-4700 Eupen, Belgium

State of North Carolina
Department of Environment,
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
May 'l, 1998
Mr. Brian W. Satterley
ARC, Advanced Rubber Compounding
280 Crawford Road
Statesville, North Carolina 28677
F1.9MA,
IT
A&4
10
ED E N Fi
Subject: General Permit No. NCG050000
ARC, Advanced Rubber Compounding
COC NCG050270
Iredell County
Dear Mr. Satterley:
In accordance with your application for discharge permit received on October 16, 1997, 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
December 6, 1983.
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 Water Quality. The Division of Water Quality 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 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 this permit, please contact Aisha Lau at telephone number 919n33-5083
ext. 578.
Sincerely,
ORIGINAL SIGNED BY
BRADLEY BENNETT
A. Preston Howard, Jr., P. E.
cc: Mooresville Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 5096 recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO, NCG050000
CERTIFICATE OF COVERAGE No. NCG050270
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,
ARC, Advanced Rubber Compounding
is hereby authorized to discharge stormwater from a facility located at
ARC, Advanced Rubber Compounding
280 Crawford Road
Statesville
Iredeli County
to receiving waters designated as Beaver Creek, a class C stream in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,11,111
and IV of General Permit No. NCG050000 as attached.
This Certificate of Coverage shall become effective May 1, 1998,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 1, 1998.
ORIGINAL SIGNED BY
BRADLEY SENNETT
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

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