NCG050420_COMPLETE FILE - HISTORICAL_20170503

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
\LL HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ b1 `? 0501
YYYYM M D D

4, DEQ GE0 SURVEY, SIES OF • i
SERVICE CENTE
H;
`RAlQ6NC 27699
.05/25/2017 , CREDIf 10:51:32
t : VISA' SALE
Card ?Oa(a0L�p0000IX�333 :=
SEQ#: !
40'
INVOICE + !'
°;ApprgYal Code: 087rA ;
k..Meihod M' fW
.Tar _
tk6de: :
SALE AMOUNT' ' $100,00
;-' .:'CUSTOMA COPY •; ,.; . q'

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
INVOICE
Annual Permit Fee
WIIIIIIIIYAIVIIIIIIIIIIII�IIIf IIIII'IIv
Open
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with
your permit_ It is required of any person holding a permit for any time during the annual fee period, regardless of the facility's
operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid
pen -nit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is
needed, you must reapply, with the understanding the permit request may be denied due to changes in environmental,
regulatory, or modeling conditions.
Invoice Number: 2017PR003639 Annual Fee Period: 2017406-01 to 2018-05-31
Permit Number: NCG050420 Invoice Date: 05/03/2017
Lincoln County
Robert Bosch Tool Corporation - Lincolnton Division Due Date: 06/02/2017
David Fisher Annual Fee: $100.00
Robert Bosch Tool Corporation
1980 Indian Creek Rd
Lincolnton, NC 28092
Notes:
1. You may pay either by mail with checklmoney order OR by electronic payment (eCheck or Credit Card).
2. If payment is by checkimoney order, please remit payment to:
NCDEQ - Division of Energy, Mineral and Land Resources
Attn: Stormwater Billing
1612 Mail Service Center
Raleigh, NC 27699-1612
3. If payment is electronic, please see httn:lldeg.nc.gGvlstormwater-epavments to pay electronically. Payments by eCheck will
debit your checking account. Credit card transactions will incur a convenience fee.
4. Please Include your Permit Number and Invoice Number on all correspondence.
5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee
Coordinator at 919-707-9220.
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2017PR003639
Permit Number: NCG05O420
Lincoln County
Robert Bosch Tool Corporation - Lincolnton Division
David Fisher
Robert Bosch Tool Corporation
1980 Indian Creek Rd
Lincolnlon, NC 28092
II IIIIIII li IIII 111111 llll Ilil III I II ll
* 2 0 1 7 P R 0 0 3 6 3 9
Open
Annual Fee Period: 2017-06-01 to 2018-05-31
Invoice Date: 5/3/2017
Due Date: 6/2/2017
Annual Fee: $100.00
Check Number:

A*XWA
WDE�IR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 23, 2014
Mr. David A. Lee
Robert Bosch Tool Corporation
1980 Indian Creek Road
Lincolnton, North Carolina 27204
Subject: General Permit No. NCG050000
Robert Bosch Tool Corporation
COC No. NCGO50420
Lincoln County
Dear Mr. Lee:
John E. Skvada, III
Secretary
In accordance with your application for a discharge permit received on April 24, 2014, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state -
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General
Statute 143-21S.1 and the Memorandum of Agreement between North Carolina and the US
Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
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 Energy, Mineral and Land Resources (Division). 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 Division or permits required by
the Division of Water Resources, Coastal Area Management Act or any other federal, state or local
governmental permit that may be required.
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone].
Sincerely,
ORIGINAL SIGNED Bl
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and
Land Resources
cc: Mooresville Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone]ntemet www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer - Made in part by recycled paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCGO50420
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,
Robert Bosch Tool Corporation
is hereby authorized to discharge stormwater from a facility located at
Robert Bosch Tool Corporation
1980 Indian Creek Road
Lincolnton
Lincoln County
to receiving waters designated as an unnamed tributary to Indian Creek, a Class WS-lV waterbody to South Fork
Catawba River, Catawba River Basin; in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1, 1I, I1I, IV, V and VI of General Permit No. NCG050000, as attached.
This Certificate of Coverage shall become effective June 23, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 23, 2014.
ORIGINAL SIGNS M
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

- � ` � �+ f,_ J \ ��- • � sc��J 'S � � _, P 4/` , C✓ � it
h � _ . �'-;t �� � � •-. _ mac,. ..^ � • '-•� -.
��— -^.; tee.-7��•• ;�, r-,`~ • \•.' 7 . C:"%E, �� � �yc--'��` �.
ILI
1980 lndian'Creek Rd, L'ncointon, NC 28092, US, Q }
T
���-)C}��iC Cif It 1

ROBERT BOSCH TOOL CORPORATION
1800 W CENTRAL ROAD
ATTN: ACCOUNTS PAYABLE
MOUNT PROSPECT, IL 60056
NCDENR
0 1617 MAIL SERVICE CENTER
a RALEIGH NC 27699-1617
0
a
Date 04/08/2014
Page 1 of 1
#7
SUMMARY INFORMATION
Total Gross $100.00
Total Discount $0.00
Total Net $100.00
ADVICE
Vendor No.0000600001
Check No.01265026
03/31/14 RBTCNCG05000014 1900276084 100.00 .00 100.00
* * * E N D O F A D V I C E*
X-97450 M-13-11
145BMP0002
WAR m: suLTIPLE SAFETY FEATURES. THE FACE OF Tim CHECK HAS A BLUE 84CKGROW0 AND FLUORESCENT CC( (HOLD NICER BLWU IMT TO VWn REFER TO SECURITY ENDORSEMENT BACKER FOR TRUE WATERMARK AND ACDRIONAL FEATURES.
® BOSCH Robert Bosch Tool Corporation 1JIC605 0 too
1800 W. Central Road
Mount Prospect IL 60056 70 1ssB
719
DREMEL• No. 01265026
DATE AMOUNT
o4/08/2014 *********$100.00
One hundred and 00/100 Dollars
Pay to the
Order of NCDENR
Harris Central N.A.
Roselle, Illinois . - X0
Authoriz'dr Signature

Division of Water Quality /Water Quality Section
National Pollutant Discharge Elimination System
NCDENR
� G., — ran cw
FMYIioIM FW 4 "4% M. ft-W3,ICM
NCGO50000
NOTICE OF INTENT
POR AGENCY USE ONLY
Date Received
Year I Month
!]a
I ` I Oq
Cettirwate of Covamee
D a
O
Check #
I Amount
�
lav
troll Assigned,to
u refet
National Pollutant Discharge Elimination System application for coverage under General Permit
NCGO50000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 23 Apparel and Other Finished Products Made from Fabrics and Similar Mate t'/ SIC 265 Paperboard Containers and Boxes Inf
SIC 267 Converted Paper and Paperboard Products
SIC 27 Printing, Publishing and Allied Industries APR 'A12014 �
SIC 30 Rubber and Miscellaneous Products (except as specified below) _ _ s E
SIC 31 Leather and Leather Products (except as specified below) w"`i
SIC 39 Miscellaneous Manufacturing Industries
SIC` NIA Lice activities deemed by DWQ to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC 301 Tires and Inner Tubes
SIC 311 Leather Tanning and. Finishing
Standard Industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
E-mail Address
19-M
f•;�Ucp /N 4,U State NL ZIP Code ,Z rO 42
?0Y ? 3 G - V/oS Fax: 9 a ?31- �?0
CL64 11 zel -56-e & KS . 16eSC-L . Cat
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
State ,VC_ ZIP Code
76V 936 Fax: ?OV 7.m- kz70
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). Nc '46b
` Q `hX-ft.1 CA-, . ,{',u>w .-A,06sa
�. /VG�7 Mt' Nc /5D� ! MWOaY>< �n/s i cc,ii! s�T o�✓ _1�,i�r�i«J /Qd . �/� • �.k}� +nl
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application) _TAM06. C'Z- . ed.
Page 1 of 4
SWU-220-071408 Last Revised 7/14/08

NCGO50000 N.A.I.
4) Latitude. c.25 r 3-6 :,/ Longitude „ SI 016 ��?~W - (degrees, minutes, seconds)
5) this NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
0 Existing
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
7) Provide a brief narrative description of the types of Industrial activities and products manufactured at
this facility: �i��kns, a . �� 1 Acc sso�, ZA,.dof ft-- •.�%r,�v�.
8) Discharge points:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream river, lake, etc.) that the facility stormwater
discharges end up in? Cr—ei _O7 fQ V--3.-.5-
If 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 sewer). _ �—A
10) Does this facility have any other NPDES permits?
N No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits.(ex: recycle permits)?
® No
Cl Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes
If yes, please briefly describe: e-S�r o r c wrr
Al 41—, LL-L, - -" ;1 e-
-
13) Does this facility have a Stormwater Pollution Prevention Plan?
® No
❑ Yes
If yes, when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
X) No ❑ Yes
Page 2 of 4
SWU-220-071408 Last Revised 7114/08

NCG050000 N.O.I.
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
19 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑ No 19 Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
J4 No ❑ Yes
d) It you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: Scpb out S S-v
How is material stored: S rum
W here is material stored: Sec"' ,,..1 Q«. ,.tk ls-►ly n. S
How many disposal shipments per year:
Name of transport / disposal vendor: lkj►1 fa' e- E-,c r,6N,.� _$�� ✓r c p�
Vendor address: 90/ W INot.rPs 5�., TN1:.aN. a/'s ,. 1 i►/ yG .Z 8/ - 336
16) Certification:
North Carolina General Statute 143-215.6 b (I) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under 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 operated or maintained under this Article or rules of the
[Environmental Management) Commission implementing this Article shalt 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 Sionino: J--->'aV t-A )A- �
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Page 3 of 4
5W U-220-071408 Last Revised 7/14/08

NCGO50000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
Check for $100 made payable to NCDENR
d This completed application and all supporting documents
Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearby waters
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWO Central Office or Regional Office for your area.
DWO 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]
Central Office .........(919)
807-6300
Page 4 of 4
SWU-220-071408 Last Revised 7114/08

Diuguid, Bill
From: Khan, Zahid
Sent: Friday, May 23, 2014 12:58 PM
To: Diuguid, Bill
Subject: FW: NCG050420 Robert Bosch Tool Corp Lincolnton NOI May 8 14
Bill,
Please see Ryan's comments. Thanks
From: Kormanik, Ryan
Sent: Thursday, May 22, 2014 7:43 AM
To: Khan, Zahid
Subject: RE: NCGO50420 Robert Bosch Tool Corp Lincolnton NOI May 8 14
Zahid,
I have no issues with issuance of this permit.
Ryan Kormanik
Environmental Senior Specialist
Division of Energy, Mineral, and Land Resources
NCDENR Land Quality Section
704.663.1699 - Office
828.461.3445 - Cell
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
WAPlease consider the environment before printing this e-mail
From: Khan, Zahid
Sent: Thursday, May 08, 2014 11:37 AM
To: Kormanik, Ryan
Subject: FW: NCGO50420 Robert Bosch Tool Corp Lincolnton NOI May 8 14
Ryan,
Please review and respond to me. before May 30, 2014. Thanks
Zahid
From: Diuguid, Bill
Sent: Thursday, May 08, 2014 11:26 AM
To: Khan, Zahid; Bou-ghazale, Samar; Hood, Donna
Subject: NCG050420 Robert Bosch Tool Corp Lincolnton NOI May 8 14
Zahid Khan, Samar Bou-Ghazale, Donna Hood, Mooresville Regional Office:
Please review the attached NOI application with the objective of responding to me with a recommendation to issue the
permit. I recognize that you may not visit each new permittee during this NOI review, but it affords you the opportunity
to log the permit into your regional database and add the facility to a future monitoring and compliance visit schedule.

Therefore, your recommendation now to issue the permit serves as your acknowledgement that (1) the facility is located
in your region, (2) that there are no current complaints outstanding about the facility that have not been dealt with, and
(3) that the facility may ultimately be inspected by the regional staff. I've also attached a scanned copy of the NOI and a
location map for your review.
COC # i Facility ` Location City/County
NCGO050420 Robert Bosch Tool Corporation 1980 Indian Creek Road ; Lincolnton/Lincoln
If you need any more info, give me a call. If you could send me a recommendation to issue the permit by 06/08/2014,
I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and
comments back to me with a recommendation to issue the permit.
Thanks.
Bill
Bill Diuguid, AICP, Planner
Stormwater Permitting
Land Quality Section
Division of Energy, Mineral and Land Resources I NCDENR
1612 Mail Service Center (Mail)
512 N. Salisbury St, Raleigh, NC 27604 1 9th Floor (Location & Parcels)
Raleigh North Carolina 27699-1612
Phone: [phone] Fax: [phone]
Website: http://i2or-tal.ncdenr.org/web/wq/ws/su
E-mail correspondence to and from this address maybe subject to the North Carolina Public Records Law and maybe disclosed to third parties.

Energy, Mineral &
Lund Resources
r.•VIQC M "T-L CUSLtyy
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)
Use this form if there has been:
FOR AGENCY t1SFONI.Y
Date Rcc nod
fear \innth
D3�
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» 'tnean?
The person is either:
• the responsible corporate officer (for a corporation):
• the. principle executive officer or ranking elected official (for a municipalit}, 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'AfTiliation")
applies:
Indiv:dual Permit (or) Certificate of Coverage
N I C, , $• I I I I I I N I C I G 1 O i 6 '\ 1Z 0
2) Facility Inforthation: 4kwv ►s C Ep1%1 D q 5r9 2014 Arp /'c
M Ro -- wk,&+rS 5{afVs 7
Facility name: �iobt�:c� fiQScrIt
Company/Owner Organization: �36se) Too 1 Cor Q o y:cx y&\
Facility address; !1°t D inc�to n Cc >vc� Pi��-
ewld"L
Address ��`/►�
eitV Slate ziP
To find the current legally responsible person associated with your permit, go to this website:
hltz://cfe.izc.��ci��latioutfdivisicans/rnr`r�fv-1�mirt4ral-land-res�ulrees/ener<<�-mineral-land-�crnmitsfstortm�ater- m��rant
and run the Permit Contact Summary,Report.,
3) OLD OWNER AFFILIATION that. should be removed:
Previous legally responsible individual: M
First 411 Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit:
cQQ e MAr_QI)Qen
First M1 Las(
S W U-O► NE R AF F IL-?3,Vlarch2017
Pace I of 2

16
NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facilit} Name/Ownership Change)
S 7 A- t
Title
1q'60 (ceey- Pt�cLrJ�
A-lailina Address
1'1 C' 1 aQ-
C\ 2
Citv — Slate 'Lip
N',Q'jees�) @b scth.C-cm
Telephone E-mail Address
Fax Number
5) Reason for this change:
Employee or management change
A result of, ❑ Inappropriate or incorrect designation before
❑ Other
If other pletise explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
1. wov Allltch , attest that this application for this change in O«ner Affiliation
(person legally responsible for the permit) has been reviewed and is'accurate and complete to the best of my
knowledge. I understand that if all required parts of this form are not completed, this change may not be
processed.
Sienature
2 ZO .
Date
PLEASE SEND THE COMPLETED FORM TO:
DENILR - Storm water Program
Dept. of Environmental Quality_
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the website
at: littp:/fdeg.nc. ,ox,-{abettit/divisions/encrt,,y.=ntitieril-land-resources/stornnrater
Page of?
S W U-OW tv1: RAF FIL-23 hfar2017