NCG060095_COMPLETE FILE - HISTORICAL_20180514

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C� o�(
DOC TYPE
\, HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ 4 D t lCJ�:-I
YYYYMMDD

�-
I
L E
ROY COOPER
GaNenar
MICHAEL S. REGAN
Secrtrary
Energy, Mineral
WILLIAM E. (TOBY) VINSON, JR.
and Land Resources
Nem Dkvror
ENIVIRQNIMENITAL QUALITY
May 14, 2018
Goulston Technologies, Incorporated
Attention: Mr. Dale Stoller
700 North Johnson Street
Monroe, North Carolina 28110
RE: Compliance Evaluation Inspection
Project Name: Goulston Technologies; Inc
Project ID: NCG060095
Dear Mr. Stoller:
This office has- received your response letter dated April 29, 2018, from Chalam Pakala
Engineering and Environmental Solutions. We are in receipt of the list of significant spills
occurring in the last 3 years, documentation of all illicit discharges and documentation the plan
has been , reviewed and updated annually. The request was the result of a routine. compliance
inspection performed February 28, 2018.
If you have any questions or comments, feel free to contact us at 704-663-1699,
Sincerely,
Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section
Cc: Chalam Pakala Engineering and Environmental Solutions
10017 Allyson Park Drive, Charlotte, North Carolina 28277
State of.NOrth cmlina I Fxvironmenw Quality I Fx"U, Mineral and laid itesovrcrs
Mooresville Regional Office 1610 Fast Cealar Ave Ste 3011 Momesvile, NC 28115
704 663 1699 T

,j
ROY COOPER
Governor
s
:r
Energy, Mineral
and Land Resources
ENWRONM6ENTAL QUALITY
March 9, 2018
Goulston Technologies, Incorporated
Attention: Mr. Dale Stoller
700 North Johnson Street
Monroe, North Carolina 28110
Subject: Compliance Evaluation Inspection
Goulston Technologies, Inc.
NPDES Stormwater Permit NCG060095
Marshville, North Carolina
Dear Mr. Stoller:
MICHAEL S. REGAN
Sm-erwy
WILLIAM E. TOBY VINSON, JR
Direewr
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection we conducted at
the subject facility on February 28, 2018.
The report should be self-explanatory; however, should you have -any questions concerning this report,
please do not hesitate to contact me at [phone] or by email to [e-mail].
Sincerely,
' 1 Ic'-
.Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section
LH/cys
Enclosure
c: Stormwater Permitting Branch
Slate of North Carolina ! Environmental Qua. ty j Eacrpy, Mineral and Tend Resources
Mootcsville Regional Office 1610 East Cents Avenue I Mewesvihc, NC NJ 15
704-663-1699

I►
Compliance Inspection Report
Permit: NCGO60095 Effective: 11/16/17 Expiration: 10/31/18 Owner: Goulston Technologies Inc
SOC: Effective: Expiration: Facility: Goulston Technologies
County: Union 700 N Johnson St
Region: Mooresville
Monroe NC 28110
Contact Person: Fred Edwards Title: President Phone:, 704-288-6464
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 02/28/2018 Entry Time: 10:00AM Exit Time: 11:30AM
Primary Inspector: Mary L Hays Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Foodffobacco/Soaps/Cosmetics/Public Warehousing Stomiwater Discharge COC
Facility Status: Compliant 0 Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

A
permit: NCGO60095 Owner - Facility: Goulston Technologies Inc
Inspection Date: 0212812018 Inspection Type : Compliance Evaluation Reason for Visit Routine
Inspection Summary:
On February 28, 2018, a routine inspection was conducted at this facility. Except for minor updates to the SPPP, the
facility is maintained well and appears to have all the environmental controls in place_
Page: 2

i
permit NCGO60095 Owner - Facility: Goulston Technologies Inc
Inspection Gate: 02r2Sr2(}18 Inspector type :Compliance Evaluation Reason for visit Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
0 ❑ ❑ ❑
# Does the Plan include a General Location (t1SGS) map?
E ❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
0 ❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
0 ❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ 0 ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
0 ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
■ ❑ ❑ ❑
# Does the Plan include a BMP summary?
E ❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
E ❑ ❑ ❑
# 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)?
E ❑ Cl ❑
# Is the Plan reviewed and updated annually?
❑ 0 ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
0 ❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
0 ❑ ❑ ❑
Comment: The plan needs an updated list of significant soilis or leaks of pollutants for the previous three
years, or the notation that no spills have occurred. All aspects of the SPPP needs to be
reviewed and updated on an_annuai basis including a_documented re-evaluation of the
effectiveness of the on -site stormwater BMP's and a review and comparison of the sample
analytical data to benchmark values over the past year Division's Annual Summary Data
Monitoring Report form).
Qualitative Monitoring
Has the facility, conducted its Qualitative Monitoring semi-annually?
Comment:
Yes No NA NE
■ ❑❑❑
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? [] ❑ ❑
# Has the fact ily-conducted'its Analytical monitoring from Vehicie'Maintenance areas? ❑-0-0
Comment:
Permit and Outfalls 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? K ❑ ❑ ❑
# If the facility has representative outfali status', is it property documented by the Division? ❑ ❑ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ 0 ❑ ❑
Comment: A written re -certification that the stormwater outfalls have been evaluated for the presenceof
non-stormwater discharges should be included in the SPPP.
Page: 3

Chalam Pakala Engineering and Environmental Solutions
10017,a1lyson Park Dr.. Charlotte. NC 28277 Tel_ (704)i41-4042 Fax: 00J) i41-;t043
April 29, 2018
Mr. Zahid Khan, CPM, CPESC, CPSWQ
Regional Land Quality Supervisor
NC Division of Land Quality - Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Re: Response to Stormwater Inspection and Non -Compliance
Goulston Technologies, Inc.
700 N. Johnson Street
Monroe, North Carolina 2811.0
Dear Mr. Khan:
Per your letter dated March 9, 2018, on behalf of Goulston Technologies, Inc (Goulston), CP
Engineering and Environmental Solutions (CPEES) is pleased to submit the attached responses to
your comments and non-compliance issues with our stormwater.
Goulston manufactures fiber lubricants at Monroe, North Carolina plant. The facility conducts
their operations under a Standard Industrial Classification Code (SIC) 2992. The SWPPP is a
requirement of NC DEQ-Land Quality General Stormwater Permit. it is covered under the
NPDES General Permit No. NCG060000 for the point source discharges of stormwater runoff
associated with the above -described industrial activities. A SWPP PP Plan (Rev #3) was
completed and implemented at the subject facility on September 26, 2016. Goulston strives very
hard to meet or exceed the requirements of Federal, State and Iocal regulation. The facility
started their operations in 1969 and never had a major spill leaving the property in all these years.
We have installed several BMPs to control and mitigate potential spills at the facility.
Ms. Mary Hays of the NC Land Quality Section had inspected the site on Fcbruary28, 2018 and
had identified three (3) deficiencies in her inspection. They aie:
1. Does the Plan include a list of significant spills occurred during the last 3 year;
2. Is the Plan reviewed and updated annually; and
3. Has the facility evaluated all illicit (non-stormwater) discharges?
Goulston had rectified these deficiencies and will follow through these items going forward.
Attached please see the rectifications to the above list. Please call Mr. Bruce Robinson of
Goulston Technologies at 704-296-6423 or me at (704) 541--4042 if you have any questions or
comments on this response package. We appreciate your help and cooperation on the progress of
this project.
Respectfully submitted,
CP Engineering and Environmental Solutions ,�-��-
O Cosr E fecrila Solution Provider for :llanujcrcturing� f11//f
C 'R ��i Yf.
-SSlG
Q"
Chalam V. Pakala, P.E...`1980y��
Managing Principal f. r.•c�,l,G�� ; r ,
Attachments: Stormwater Permit -Attachments
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Site Plans and Annual Review

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GOULSSTON TECHNOLOGIES, INC.
ANNUAL STO&UNATER CON19WANCE EVALUATION
Date: 11/10/2017 lYori c&L- Q4
By: BruceRobinson
Veronica McKinney, .Iohn:Mc'f aggart
Anna Dunlap, lanna Wharton, Katie Hall 5Mmmgry_gf Re 1gW I f th Asilons
Ontfall 0 Source Inanection Review Ootfrill faxneetion Review Samnline Data Review nMP Reviewaabies i & 21
Observ: Lust inspectian,9114/17
Observ: Daily Inspections with,
Observ: Qualitative-& quant %dvn
4bserv: BMPs in.place & being
no issues rioted
continents in piece and being performed
sampling performed 4rZ4/17.8t 10/23/17
performed as required
t
Non stormwater assessment on 9/1VI7
Test results received .& submitted to State
Actions: none
Actions: no actions required
Actions; samples V compliance
Actions: no wtions„rewired
no action required
Observ: I.,ast inspection 9/14/17
Observ: Dailyjinspections with
Observ: Qualitative & Quantitative
Observ:: BMPs in.piace & being
no -issues noted
comments in place andbeing.perfbrmed
sampling performed.4/24/17 & 10/23/17
performed as required
2
Non stormwater assessment on.9/14/17
Test results received a submitted to State
Actions: none
Actions: no actions required
Actions: samples.In compliance
Actions: -no actions required
no action required
Observ; Lest inspection 9/14117
Observ: Daily inspections with
Observ: Qualitative &Quantitative Observ: BMPs In place & being
no issues noted
comments in place and�being performed
sampling performed 4/24/17 & 10/23/17 performed as required
3
Non stormwater assessment on 9/14117
Test results received & submitted to state
Actions: none
Actions: no actions required
Actions:. consider roof over new dumpsti Actions: no actions required
w
to helpU th COD ,has a larger
o ciding in dum ter to minimize splits
Obscrv: Last inspection 9/14/17
Observ; :DailyWpections-with
Observ; . Qualitative & Quantitative
Observ: BMPs in.ptuc &&wing
no issues noted
comments in plum and beingperformed
sampling performed 4/24/17 & IW23/17
performed as required
4
Non stormwater assessment on 9/14/17
Test results.received & submitted to State
Actions: none
Actions: no actions required
Actions: samples in compliance
Actions: no actions required
no action required
Observ: Last inspection 9/14/17
observ: Daily inspections with
Observ: Qualitative & Quantitative
Observ: alvift in place &•being
no issues noted
comments in place andkeing.perfbrmed
sampling perforn.ird 4/24/17 & 10/23/1.7.
performed as required
5
Non stormwater assessment on 9/14/17
Test results received & submitted to:State
Actions: none
Actions: no actions required
Actions. samples incompliance
Actions: no actions required
no action required
6
10bservi Last Inspection 9/14/i7
Observ: Daily inspections with
t?baerv; Qualitative &Quantitative Obstrv: BMPs in plum & being

no issues noted
comments in place and being performed
sampling performed 4/24/17 & 10/23/17.1wformed as required
Non stormwater assessment on 9/14/17
'Pest results received & submitted to State
4
Actions: none
Actions: no actions required
Actions: samples in compliance Actions: no actions required
no action required
Observ: Last inspection 9/14/1.7
Observ, Daily inspections with
Observ: Qualitative & Quantitative
Observ: .Wh in place & being
no issues noted
comments in place and being performed
sampiing,pertbrmedl 4/24/17 & I G/23/17
1performed as requited
7
Non stormwater assessment on 9/1.4/17
Test results received & submitted to State
Actions: none
Actions: no actions required
Actions: samples in compliance
Actions: na actions required
no action required
Observ: Last iin.spe4;don 9/14/17
Observ: Daily inspections with
Observ: Quulitative & Quantlt�tive observ: $MPs-in place & being
no issues noted
comments in place and being performed
sampling performed 4/24/17 & 1 GM/ 1,7 performed as required
8
Non stormwater assessment oh_ 9/14/17
Test results. received &, submitted to State
Actions: none
Actions: no actions required
Actions: samples in compliance Actions: no actions required
no action required
Obsorv: Last,inspection 9114/17 1
Obsm. Daily inspections with
Observ: Qualitative & Quantitative
Observ: BMPs in place .& being
no issues noted
comments in place and being performed
sampling performed 4/24/17 & IO.M/17
performed as required
9 'Non
stormwater assessment_ on 9114/17
Test results received & submined to'State
Actions: none
Actions: no uctions required
Actions: samples.in compliance
Actions: no actions required
no action required
Observ: Last inspection 9/14/17
Observ: Daily inspections with
Observ: Qualitative & Quantitative
Observ: BMPs In place & being
no issues noted
comments in place and being performed
sampling performed 4124/17 & 10/23117
pertbrmcd,as required
1.0
Non stormwater assessment on 9114/17
Test results received & submitted to State
Actions: none
Actions: no actions required
Actions: samples in compliance
Actions: no actions,rcquired
no action required
Observ: Last. inspection 9/14/17
Observ: Daily inspections with
Obserq: Qualitative & Quantitative
Observ: BMPs in.piace &'being
no issues noted
comments in place and being performed
sampling performed 4/24/17 & 10/23117
performed as required
11:
Pion stormwater assessment on 9/14117
Test results received & submitted to State
Actions: none
Actions: no actions required
Actions: samples in compliance
Actions: no actians.required
no action required
Observ: Last inspection.9114/17
Observ: Daily1nspec:tioos with
Obscrv: Qualitative & Quantitative . Observ.. BMPs in piece & being
no Issues noted
comments in place and being performed
sampling performed 4124/l7,&• 10/23/17 performed as required
13
Noip stormwatcv assessment on 9/14117
Test results received.& submitted to State
Actions: none
Actions: no actions required
Actions: samples in compliance IAclions: no actions required

no action required
Observ: t,rist inspection 9114117
Observ: Daily inspections with
Observ: Qualitative &. Quantitative
Observ; SMPs in place & being
:no issuesmoted
comments in place and being performed
sampling -performed 4/24117 & 10/23117
performed as required.
1.3
Non stormwater assessment on 9/14/17
Test results received & submitted to State
AWona: none
Actions: no actions required
Actions: samples in compliance
Actions: no actions required
no action required
SWPPP plan updates required?
NuMber of. Reportable Spurs:
Year to Year Sample Data Review:
171
Review tom lete - no u ates re aired
zero
Revlew.complete - no action -required
2, SW inspection & credit received-fl;om Ci of Monnia fdr 2017
3. iSQ_,14001, lnterna! audit completed on `l dn4 &.10125, campletcd ISO-14001 upgrade to 2015 std
4. DuMester/comactor has been rel aced and moved - awai roof instal l (campinte January;.2018)
5. Annual com an wide S W training vhrmonthl bulletin in October/Nov in progress
6. 3rd party,audh f'or SW compliance scheduled for l 1/16/17
7 - -. --
HSFF-24.0418
Describe updates required: Review again after P%iect (quantum - 2018
If any, list dates, attach Incident reports - - �n/a
Any observatons or actions from date review ' n/a
a .i t � U �t_ U.fi x
President
General Mgr Operstions
HR'Mgr

GOUL-YMN TECHNOLOGIES. t%C.
NON-STOBMWATER MSCHARGE ASSMMEWT
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Noncom—t ooelkrg water (gourd water)
owner knowledge
egwp—m faikue
equPddeW inspection & PM p-gram
no
well water Gum basemen pilot pmresses
Nun -mart CW progam
2
air mmpreupr blowdown
owrcr knowledge
equipmea[ failure
equipment inspection & PM program
-
fair lines is 7F 9lf
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owner knowledge
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owner knowledge
equipment failure
equipmem mspectwo & PM pmgram
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owner is owledge
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cooling wwer blowduwo
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equipmem failtuc
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sw
9
fire hydra- pushing
uwoer knowledge
n/a
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owner knowledge
equipment Wunia
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GOULSTOINTEMNOLOGIES. MC.
ANNUAL 5TOILMWATER COMPLIAN EVALUATION
Dot, Wurbhwt-G
Iiv _
Sumaary of Rrviews with AcfiOns
Ondalt N Source R.vi.w Ondall lnmeetion Review S—.r..n Dan Review amp R—iew(Tshi.. 1 A D
Obu :
Obacrv:
Obsety:
L
Actium:
Actions:
Acno m:
Actions:
-
Obs :
Observ:
Obsccv:
Obs :
2
Acdan:
Acucm:
Actims:
Actions:
Obsesv':
Obsn-
Oh -:
Obscr.:
3
Actions
Acuom:
cbms:
Arias:
Obsm:
Obi :
Obmv;
Obam:
x
Actions:
Acuons:
Actium.
Actions:
S
O6�:
Oba -
Actions:
Anions:
Actions:
Actionm,.
6
Oben:
Obcery
Obsen:
Obser
Actions
Actions.
Actions
Anions.
7
Obx -
Obsen:
Ohaes.:
Obsus':
Actions:
Actions.
Amour
Actions.
Ober'
Obs
Obsen:
M-n:
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Anions:
Actions.
Arias:
Actions.
Obm :
flbms;
Ohan+:
9
Actions:
Aeuoas.
Acuom:
Ae io¢s'.
10
Obs :
Obs :
Ohsuv;
Obs -:
Acuom:
Actions:
Actims:
.
Il
Obsm=
Observ:
Obc
Ohanv:
Actions:
Actium:
ctims:
Actims:
12
0br -:
Ob—.:
Obc.-:
06s -
Actions:
Actions:
Actions
Actions-
Obse :
Ob—
Obety:
Obsecv:
13
-
Actiom:
Actions:
Actions:
Actium:
SWFPPPIm rpd lmsequin'
Ymmber et Rgmrt.W Spins:
Year to Yar sampie Dale Ravirw:
Somm n vf Aram dati
1
2
3
Uescr4w apdmn mpired-
If my, kid d— —rk iscidnn ra"rte
Any obsemalo" or actions from dou review
SWPPP Ansod Review A QMificaum—iremmt A Officm
Presidem
G—1 .Mer Opvssi m
HR Mer
USEF-24,0418

4
4'5*A
AAM
HCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Govemor
February 23, 2015
Goulston Technologies, Incorporated
Attention: Mr. Dafe Stoller
700 North Johnson Street
Monroe, North Carolina 28110
Subject: NPDES Stormwater Permit
Stormwater Permit Certificate of Coverage No. NCG060095
Representative Outfall Status Request
Goulston Technologies
Union County
Dear Mx_ Stoller:
Donald van der Vaart
Secretary
The Mooresville Regional Office staff have reviewed your request dated January 30, 2015 received in the
Mooresville Regional Office on February 5, 2015, for a determination that the following stormwater
discharge outfall (SDO) be granted representative outfalI status for the following stormwater outfalls:
1. SDO 3 requested to be representative for Outfalls 1, 2, 3, 4, 5, and 6.
2, SDO 7 requested to be representative for Outfalls 7 and 8.
3. SDO 10 requested to be representative for Outfalls 9, 10, and 11.
4. SDO 12 requested to be representative for Outfalls 12 and 13.
Based on the information and traps provided and the site visit performed on February 23, 2015, we are
approving this request. In accordance with 40 CFR § 122.21(g)(7), you are authorized to sample outfall
number 003, 007, 010, and 012 as a representative outfalls. This approval is effective with the next sampling
event. We also want to remind you that the permit still requires Qualitative Monitoring be performed at all
SDOs, regardless of representative status.
Please remember that any actions you initiate in response to benchmark exceedences as directed in the tiered
response provisions of your permit must address all drainage areas represented by SDO 3, SDO 7, SDO 10,
and SDO 12 where appropriate.
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Telephone: [phone] FAX: [phone] • Internet: http:llportal.ncdenr.org/web4r4and-quality
An Equal Opportunity I Affirmative Action Employer — 50% Recyoied 110% Post Consumer Paper

C
Page 2
February 23, 2015
Mr. Date Stoller
NCG060095/ROS
Please append this letter to your Stormwater Pollution Prevention Plan (SPPP) or permit to
document that representative outfall status has been approved. if changes in drainage areas,
structures, processes, storage practices, or other activities occur that significantly alter the basis of
this approval, representative outfall status may no longer be valid. You should either resume
sampling at all SDOs, or reapply to this office for representative outfall status based on updated
information. if you have any questions or comments concerning this letter, please contact our
Office at [phone].
Sincerely,
Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section

Compliance inspection Report
Permit: NCGO60095 Effective: 12/01/12 Expiration: 10/31/17 Owner: Goulston Technologies Inc
SOC: Effective: Expiration: Facility: GoUlSton Technologies
County: Union 700 N Johnson St
Region: Mooresville
Monroe NC 28110
Contact Pemon: Fred Edwards Title: President Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
inspection Date: 02/19/2015
Primary Inspector: Donna Hood
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 0i:00PM Exit Time: 01:45PM
Phone: [phone] Ext.2193
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Food[Tobacco/Soaps/Cosmebcs/Public Warehousing Slormwater Discharge COC
Facility Status: ® Compliant Not Compliant
Question Areas:
® Storm Water
(See attachment summary)
Page:

t
Permit: NCG060095 Owner - Facility:Goulsfon Technologies Inc
Inspection Date: 02/19/2015 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary -
The inspection was performed as a response to the facility's request for Representative Outfall Status (ROS) The last
inspection at the facility was performed December 19, 2014 and the facility was found to be in compliance. Per the package
submitted the facility asked for the following:
1. Outfall 3 requested to be representative for Outfalls 1, 2, 3, 4, 5, and 6.
2. Outfall 7 requested to be representative for Outfalls 7 and 8.
3. Outfall 10 requested to be representative for Outfalls 9, 10, and 11.
4. Outfall 12 requested to be representative for Outfails 12 and 13.
A site review was performed in addition to the review of sampling data presented in the submitted package to determine
applicability of out -falls to represent the associated areas as requested At the conclusion of the site visit it was determined
that the ROS can be approved as requested.
Please be advised that site modifications could require a change in sampling points and any change in ROS sampling
would need approval from the Division of Energy, Mineral, and Land Resrouces.
Page: 2

permitNCG060095 owner - Facility: Goulston Technologies Inc
Inspection Date: 02il9/2015 Inspection Type: Cerrpliance 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 ouffall 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?
❑
❑ El ■
# Does the Plan include a BIAP summary?
❑
❑ ❑ ■
# Does the Plan indude a Spill Prevention and Response Plan (SPRP)?
❑
❑ ❑ i
# 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?
❑
❑ ❑ 0
# Does the Plan indude a Stormwater Facility Inspection Program?
❑
❑ []
Has the Stormwater Pollution Prevention Plan been implemented?
❑
❑ ❑
Comment: See summary section
Q_, ualitatiye Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ❑ [] ❑
Comment: See summary section.
AnalV6cal Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ ❑ ❑ `i
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ ❑
Comment: See summa[y section.
Permit and Outfalls
Yes F!o NA NE
# Is a copy of the Permit and the Gertificate of Coverage available at the site? ❑ ❑ ❑ ■
# Were all outfalls observed during the inspection? ❑ ❑ ❑ ■
# If the facility has representative outfall status, is it property documented by the Division? ❑ ❑ ❑
# Has the facility evaluated all illicit (non stormwater) discharges" ❑ ❑ ❑ ■
Comment: See summary section.
Wage: 3

Permit; �]�(1�(���wner - Fanifity• [�.Oi.,.I`a7� ' .
Inspection pate"Z 2.S r{<iIns pectivn Type: Camprrance Evaluafon Reason for Visft: } ��
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?
❑ n ❑
# Does the Plan include a NarmUvve•.Descittivp of Pracioes'?
n fl i1
# Does t4e1 n in�t de a detailed site map including outfall locations and drainage areas?
•�
❑ ❑ ❑
# Does th Pjaq incluq� a li¢t of gijntit ant spills occurring �udng the past 3 years?
ten,},
❑' V ❑ 0
# Has tN faei!' y e afuated feasi .le sterna � # cc ves to Currentices?
Cl I! ❑
# Does the facility provide all necessary secondary containment?
z ❑ ❑ n
# Does the Plan include a 9MP summary?
o ❑ ❑ n
# Does the flan include a Spill Prevention and Response Plan (SPRP)?
❑ .❑ 1=
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
0 n n
# Does the facility provide -and document Employee 'raining?
n n ❑
# Does the Plan include'a listof Responsible Party(s))?
@ ri 0 ❑
tt [is the I ew d and u dated annual ? Or uR40-4 t h N
n. V -n n
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater, Pollution Prevention'Plan been implemented?
Comment:
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Yes No NA NE
Y 0 0 0
-Anal ical Monitoring Yes No • NA NE
Has the facility conducted iis.Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Whicfe Maintenance, areas? ❑ ❑ !�
Comment:
Permit and Outfalls i
# Is a copy of the Permit and the Certificate of Coverage available at the site?.
# Were all outfalis observed during the inspection?
# if _the. facility has representative outfall status, Is it pibOrly documented by the Qivisiari?
#Has the.faciiiiy evaivat2cf ati�illidt (nba 5E watei) disc4 as?
Comment:
Yes No NA N E .
❑❑.D
121-❑❑❑
-Or0D❑
o ,�... 0.
Page:
. it

Chalam Pakala
a��k z�Z�(►s
and Environmental Solutions
10017 Allyson Park Dr., Charlotte, NC 28277 Tel: [phone] Fax: [phone]
January 30, 2014
Mr. Zahid Khan
Regional Engineer
NC DENR- Energy Mineral and Land Resources
610 East Center Ave.,
Mooresville, North Carolina 28115
704-663-1699
Re: Representative Stormwater Outfall Status Request Application
Go on TeW=Iogie ,
00 N. Johnson Str ee t
Monroe, Union County, h Carolina 28110
Dear Mr. Khan:
In accordance with your NC DENR Regulations, Goulston Technologies intend to apply for a
representative stormwater outfall status for their facility located in Monroe, North Carolina.
On behalf of Goulston Technologies, CP Engineering and Environmental Solutions (CPEES) is pleased to
submit the representative stormwater outfall status application for your approval. The application
package includes:
• NPDES ROS-Application
• Table showing the stormwater sampling results
• Drawing showing the outfall locations
Please call me at [phone] if you have any questions or comments on this Representative
Stormwater Outfall Status Request Application package. We appreciate your help and cooperation on the
progress of this project.
Respectfully submitted, \��'N11111111///
CARP
��0�'`FES•s�0
:a SEAL —_
Chalam Pakala, P.E. .19807
r �
Registered Professional Engineer, NC # 19807 �; •E`grG 1 N� �.``
Managing Principal l�� y.
Attachments: Representative Stormwater Outfall Status Request Application

REPRESENTA TIVE STORM WA TER
OUTFACE STATUSREQUEST
APPLICATION
Prepared for:
Goulston Technologies, Inc.
700 North Johnson Street
Monroe, North Carolina 28110
[phone]
CPEES Project No. 1045-016
January 30, 2015
Prepared by:
�C A R O!l���i
D��SS1�yry'�
;A SEAL" 9
.1930T
"�'IZ44f4M V. 11p,�P�•
Chalam NUN Enizineerin2 and Environmental Solutions
10017 Allyson Park Drive
Charlotte, North Carolina 28277
Telephone/Fax: [phone]
Email: [e-mail]_com

REPRESENTATIVE STORMWATER OUTFALL STATUS REQUEST APPLICATION
Goulston Technologies, Inc.
Monroe, North Carolina
TABLE OF CONTENTS
1.0 INTRODUCTION.............................................................................................................. 1
2.0 PROJECT INFORMATION............................................................................................ 3
2.1 Site Information....................................................................................................•...................... 3
2.2 Report Certification .......................................................................................................................4
3.0 REPRESENTATIVE STORMWATER OUTFALL STATUS REQUEST ................. 5
CP Engineering and Environmental Solutions i Representative Stormwater Outfall Status Request Application
CPEES Project No 1045-016 Goulston Technologies
Tel_ [phone] 700 N. Johnston St
Monroe, NC 28111

'U
9 ���s, �
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1.0 INTRODUCTION
Goulston Technologies, Inc. (Goulston) manufactures fiber lubricants at the Monroe,
North Carolina facility. The main facility was constructed in 1969 and met necessary
sediment erosion control requirements that were present at that time. The site
encompasses approximately 26+ acres located on North Johnson Street. Boral, Inc.,
bound the property on the north, CSX Railroad (Charlotte Line) on the northeast, Monroe
Ice & Fuel Co., on the east and southeast, CSX Railroad (Waxhaw Line) on the south,
and North Johnson Street on the west. The approximate location of the manufacturing
facility on a US Geological Survey Map made from Monroe, North Carolina 7.5-minute
series quadrangle is provided on Figure 1. The geographic site location can also be given
as 340 59' 10" North latitude and 800 33' 29" East longitude.
Bearskin Creek traverses the Goulston property from west to east, flowing from the North
Johnson Street culvert to the CSX Charlotte Line trestle. Approximately 10 acres of the
26 acres owned by Goulston lie to the north of Bearskin Creek (North Facility). The
property contains a warehouse facility and flammable storage building. The 16 acres
south of the creek (South Facility) currently support the majority of the existing. Goulston
facilities. These facilities include four manufacturing areas, five warehouse areas,
laboratories, water and wastewater treatment areas, two tank farms, truck loading and
unloading areas and office space. A railroad spur from the CSX Railroad Waxhaw line is
located at the southern property boundary. A rail car unloading area with a secondary
containment is located along the spur.
The warehouse areas currently store raw materials and finished products. Raw materials
are delivered to the facility both packaged and in bulk. Finished products are also stored
both packaged and in bulk. The Warehouse 41 building is used for both storage and
production. The Warehouse #2 building houses a small pilot plant & storage.
Warehouse #4B contains a powder handling area and a phosphation process & storage.
The two above ground tank farms (west and east) are located to the south of the
manufacturing and Warehouse #1 buildings, respectively. Nine mineral oil tanks are
located in the west tank farm. Five tanks storing mineral oil, one tank storing a
flammable liquid, one tank storing diesel fuel and one tank storing liquid propane are
located in the east tank farm. Both tank farms are contained by concrete block secondary
containment structures.
CP Engineering and Environmental Solutions I Representative Stormwater Ourfall Status Request Application
CPEES Project No 1045-016 Goulston Technologies
Tel- [phone] 700 N. Johnston St.
Monroe, NC 28111

The primary Standard Industrial Classification (SIC Code) for the facility is 2992,
Lubricating oils and greases, establishments primarily engaged in manufacturing of
lubricants. There are approximately 120 full-time employees at this facility. The facility
operates 20 hours a day, 5 days a week and 52 weeks per year. Figure 2 shows the
facility layout with the orientation of the buildings on the property.
CP Engineering and Environmental Solutions 2 Representative Stormwater Outfall Status Request Application
CPEES Project No 1045-016 Goulston Technologies
Tel: [phone] N. Johnston St.
Monroe, NC 28111

2.0 PROJECT INFORMATION
2.1 Site Information
1
Company Name:
Goulston Technologies, Inc.
2
Mailing Address:
700 N. Johnson Street
Monroe, North Carolina 28110
3
County:
Union
4
Description:
Manufactures Specialty Oils
5
SIC Code:
2992, Lubricating Oils and Greases
6
NPDES General Permit:
NCG060000
Certificate of Coverage:
NC6060095
7
Date of Renewal:
December 1, 2012
Date of Expiration:
October 31, 2017
8
Facility Location:
700 N. Johnson Street
Monroe, North Carolina 28110
9
Facility Startup Year:
1969
10
Facility Contact:
Mr. Dale Stoller, Director of Operations including
Environmental
Telephone:
[phone]
Fax:
[phone]
11
Stormwater Contact:
Mr. Bruce Robinson, Maintenance Manager
Telephone:
[phone] ext 1320
12
Consultant:
Mr. Chalam Pakala, Professional Engineer
Address:
10017 Allyson Park Dr., Charlotte, NC 28277
Telephone:
[phone]
Email:
[e-mail]
13
Latitude:
34° 59' 10"
Longitude:
-80" 33' 29"
Number of Outfalis
13
L
(currently)
CP Engineering and Environmental Solutions 3 Representative Stormwater Outfall Status Request Application
CPEES Project No 1045-016 Goulston Technologies
Tel: [phone] N. Johnston St.
Monroe, NC 28111

2.2 Report Certification
I, Chalam Pakala , a Professional Engineer for Chalam Pakala Engineering and
Environmental Solutions, do certify that the information contained in this report is
correct and accurate to the best of my knowledge.
Signature of Registered Professional Engineer
1 /30/2015
Date
Registration No. 19807 State NC
SEAL 9.9 h
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CP Engineering and Environmental Solutions 4 Representative Stormwater Outfall Status Request Application
CPEES Project No 1045-016 Goulston Technologies
Tel: [phone] N. Johnston St.
Monroe, NC 28111

3.0 REPRESENTATIVE STORMWATER OUTFALL STATUS
REQUEST
Goulston Technologies had implemented Stormwater Pollution Prevention (SWPP) Plan
at the subject facility for several years. The SWPP Plan is current at the facility. Part of
the NPDES Stormwater General Permit, Goulston was collecting stormwater samples
from 13 outfall locations and analyzing them for the parameters listed in the permit.
Only one location (Outfall #2) of the 13 outfalls had exceeded the benchmark values for
oil, consecutively. Goulston had implemented several Best Management Practices
(BMPs) to control and mitigate the stormwater contamination from the facility. The
sampling results in 2014 from all 13 outfalls had indicated the concentration of
parameters listed in the permit were below the benchmark values. In addition, the State
inspection report indicates that Goulston had always met or exceeded the State inspector
expectations.
Based on the similar facility activities, Goulston intend to reduce the number of outfall
sampling stations at the site and request the State to grant a representative outfall status
for certain outfalls based on their proximity to other outfalls, typical industrial activity
contributing to each outfall. Therefore, Goulston intend to sample four (4) outfalls
instead of thirteen (13) currently listed. The state supplied Representative Stormwater
Outfall Request Application is attached with this letter for your approval.
The representative sampling locations are provided on Drawing l . The lab results are
provided on Table I and the laboratory data could be provided if needed.
CP Engineering and Environmental Solutions 5 Representative Stormwater Outfall Status Request application
CPEES Project No 1045-016 Goulston Technologies
Tel: [phone] N. Johnston St.
Monroe, NC 28111

REPRESENrATIVE
ST`OlZMWArElZ OUrFALL
STATUS REQUEST'
APPLICATION

NCDENR
Fft_v"�
Division of Water Quality / Surface Wate,!io#ection
NpQ,r
USi~ ONLYDate
Reoeived
PFORAGENCY
M.nth
Da
National Pollutant Discharge EliLnination Systern;�'v, �
OR REPRESENTATIVE OUTFALLF� S�RgS) •��^FC�'�cs,
REQUEST FORM 44) � "20JS
if a facility is required to sample multiple discharge locations with very"signor stormwater discharges, the
permittee may petition the Director for Representative Outfall Status (ROSj1/Q fray grant Representative
Outfall Status if stormwater discharges from a single outfall are representativeWsabarges from multiple
outfalls. Approved ROS will reduce the number of outfalls where analytical sampling requirements apply.
If Representative Outfall Status is granted, ALL outfalls are still subject to the qualitative monitoring
requirements of the facility's permit —unless otherwise allowed by the permit (such as 111CG020000) and DWQ
approval. The approval letter from DWQ must be kept on site with the facility's Stormwater Pollution
Prevention Plan. The facility must notify DWQ in writing if any changes affect representative status.
For questions, please contact the DWQ Regional Office for your area (see page 3).
(Please print or type)
1) Enter the permit number to which this ROS request applies:
Individual Permit (or) Certificate of Coverage
N C S N C G 0 6 0 0 9 5
2] Facility Information:
Owner/Facility Name: GOULSTON TECHNOLOGIES, INC.
Facility Contact MR. DALE STOLLER
Street Address 700 N. JOHNSON STREET
City MONROE State NC ZIP Code 28110
County UNION E-mail Address a1to11erC&goulston.com
Telephone No. 704 296-6040 Fax: [phone]
3) list the representative outfall(s) information (attach additional sheets if necessary):
Outfall(s) • #3 is representative of Outfall(s) _ #1. #2. #3, #4, #5, AND #6
Outfalls' drainage areas have the same or similar activities? X Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? X Yes d No
Outfalls have similar monitoring results? X Yes ❑ No ❑ No data*
Outfall(s) #7 is representative of Outfall(s) #7 AND #8
Outfalls' drainage areas have the same or similar activities? X Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? X Yes © No"
Outfalls have similar monitoring results? X Yes ❑ No ❑ No data*
Outfall(s) #10 is representative of Outfall(s) _ #9, #10 AND #11
Outfalls' drainage areas have the same or similar activities? X Yes ❑ No
Outfalls' drainage areas contain the same or similar materials? X Yes o No
Outfalls have similar monitoring results? X Yes ❑ No ❑ No data*
*Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific
circumstances will be considered by the Regional Office responsible for review.
Page 1 of 6
SWtJ-ROS-2009 Last revised 12I3012009

Representative Ouffail Status Request
Outfall(s) #12 is representative of Outfall(s) #12 AND #13
outfalls' drainage areas have the same or similar activities? X Yes ❑ No
outfalls' drainage areas contain the same or similar materials? X Yes ❑ No
outfalls have similar monitoring results? X Yes ❑ No ❑ No data*
4) Detailed explanation about why the outfalls above should be granted Representative Status:
(Or, attach a letter or narrative to discuss this information.) For example, describe how activities and/or
materials are similar.
SEE THE ATTACHED NARRATIVE FOR EACH REPRESENTATIVE OUTFALL
5) 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 shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed
ten thousand dollars ($10,000).
I hereby request Representative Outfall Status for my NPDES Permit. I understand that ALL outfalls are still
subject to the qualitative monitoring requirements of the permit, unless otherwise allowed by the permit
and regional office approval. I must notify DWQ in writing if any changes to the facility or its operations take
place after ROS is granted that may affect this status. If ROS no longer applies, I understand I must resume
monitoring of all outfalls as specified in my NPDES 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 Nar�of�ersn Sj�tilg� IJA.I U� • S�t.►LQ
Title: (( � j 111/ r12 .-rOQ e)� eNDPPATion1S
(Signature of Applicant)
Oi /30 JWi s
(Date Signed)
Please note: This application for Representative Outfall Status is subject to approval by the
NCDFNR Regional Office. The Regional Office may inspect your facility for compliance with the
conditions of the permit prior to that approval.
Page 2 of 6
SWLJ-ROS-2009 Last revised 12I3012009

Representative Outfall Status Request
Final Checklist for ROS Request
This application should include the following items:
Xn This completed form.
X❑ Letter or narrative elaborating on the reasons why specified outfalls should be granted representative
status, unless all information can be included in Question 4.
Xn Two (2) copies of a site map of the facility with the location of all outfalls clearly marked, including the
drainage areas, industrial activities, and raw materials/finished products within each drainage area.
Xu Summary of results from monitoring conducted at the outfalls listed in Question 3.
Xu Any other supporting documentation.
Mail the entire package to:
INC DENR Division of Water Quality
Surface Water Protection Section
at the appropriate Regional Office (See map and addresses below)
Notes
The submission of this document does not guarantee Representative Outfall Status (ROS) will be granted as
requested. Analytical monitoring as per your current permit must be continued, at all outfalls, until written
approval of this request is granted by DWQ. Non-compliance with analytical monitoring prior to this request
may prevent ROS approval. Specific circumstances will be considered by the Regional Office responsible for
review.
For questions, please contact the DWQ Regional Office for your area.
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone [phone]
FAX [phone]
Fayetteville Regional Office
Systel Building,
225 Green St., Suite 714
Fayetteville, NC 28301-5094
Phone [phone]
FAX [phone]
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone [phone]
FAX [phone]
Mooresville Regional Office
610 East Center Ave.
Mooresville, NC 28115
Phone [phone]
FAX [phone]
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Phone [phone]
FAX [phone]
Washington Regional Office
943 Washington Square Mail
Washington, NC 27889
Phone [phone]
FAX [phone]
Page 3 of 6
SW J-ROS-2009 Last revised 12/30/2009

Representative Outfall Status Request
Winston-Salem Regional Office Central Office
585 Waughtown Street 1617 Mail Service Center
Winston-Salem, NC 27107 Raleigh, NC 27699-1617
Phone [phone]
Water Quality Main FAX [phone]
Page 4 of 6
SWU-ROS-2009 Last revised 12/30/2009

Representative Outfall Status Request
Outfall Narratives-
I.Outfall(s) #3 is representative of Outfall(s) #1, #2, #3, #4, #5, AND #6
The facility stores oily products in several aboveground storage tanks (AST) with concrete secondary
containment structures (dikes) around them. The secondary containment structure discharge pipes are
valved and locked to protect waters of the US from potential leaks and spills reaching from these ASTs.
Outfalls # 1, #2, #4 and #5 release stormwater from the valved and locked secondary containment of
several ASTs. Outfall 46 discharges stormwater from the loading and unloading area of a nearby AST
cluster. The drains (Outfalls 41, 92, #4 and #5) from these secondary containment structures are
engineered to control oil leaks with the help of oil absorbing filters. In critical areas, two sets of filters,
one inside the containment, near the discharge point, and another outside the containment are installed
for emergency purposes. The facility had implemented several Best Management Practices (BMPs)
throughout the facility to control potential leaks and spills from these areas. The BMPs at these outfalls
include: 1) daily inspections, valved secondary containment dikes with oil absorbing filters, covered
loading (into the tanks) pipes with a shelter, covered shed for the pumps to pump oil into the
manufacturing area, and visual valve shut downtopen boards.
Outfall #3 represent the activities (loading and unloading of oils stored in the ASTs, stormwater from
the general traffic) of above mentioned outfalls (Outfalls #1, #2, #4, #5 and #6). In addition, Outfall #3
also carries stormwater from a nearby dumpster. Thus, Outfall #3 is chosen as a representative outfall
for all the outfalls listed above. In addition, the State stormwater inspector requested this outfall to be
considered as the representative outfall in this area.
2.Outfall(s) #7 is representative of Outfall(s) #7 AND #8
The majority of activities at Outfalls #7 and #8 are the storage of tanker trailers before being pumped
into the plant and general paved parking area discharge.
Outfall #7 represents the activities (tanker trailer storage and stormwater from the general traffic) of
above mentioned outfalls (Outfalls #7 and #8). In addition, Outfall 117 could potentially, in its
stormwater, carry an overflow / fire water from the newly built process area. Thus, Outfall #7 was
chosen as a representative outfall for the above mentioned outfalls.
3.Outfall(s) #10 is representative of Outfall(s) #9, #10 AND #11
The .majority of activities at Outfalls #9, #10 and #I I are the storage of tanker trailers, totes, drums and
general paved parking area discharge.
Outfall #10 represents the activities (tanker trailer storage, drum and tote storage and stormwater from
the general traffic) of above mentioned outfalls (Outfalls #9, #10 and #11). In addition, Outfall #10
could potentially carry, in its stormwater, spills / leaks from the tankers going into ASTs unloading area
and the tank clusters. Thus, Outfall #10 was chosen as a representative outfall for the above mentioned
outfalls.
Page 5 of 6
SWIJ-ROS-20D9 Last revised 12/30/2009

Representative Outfall Status Request
4.outfall(s) #12 is representative of outfalls) #12 AND #13
The majority of activities at Outfalls 412 and # 13 are the storage of tanker trailers and drums and
general paved parking area discharge.
Outfall #12 represents the activities (tanker trailer storage, drum storage and stormwater from the
general traffic) of above mentioned outfalls (Outfalls #12 and #13). Please note Outfalls #12 amd #13
are in close each other and their activities are very much the same and thus, Outfall #12 was chosen as a
representative outfall for the above mentioned outfalls.
Page 6 of 6
SWU-Roy-20W Last revised 1220/2009

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SI LOCATION MAP
er
FACILITY DRAWINO SHOWINO
SrOlZMWA7TlZ OUrTALLS
LOCATION

80' 3 '0,0(r � PBD- 34'0.00"Wi I I P80' 33- 0.00- W, I I I P80' 32' .00" V
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ow - ow- I I I b8o- 34, � .00- wl b8o- 33- jo-oo- W b80' 32-10.00-
Name: MONROE Location: 034' 59' 11.4" N 080* 33'273" W
Date: 1/25/2008 Caption: SITE LOCATION MAP
Scale: 1 inch equals 2000 feet GOULSTON TECHNOLOGIES, INC.
FIGURE 1 JOB 1045-001
Copyright (C) 1997, Mapt-h, Inc.

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Scale: I inch equals 2000 feet GOULSTON TECHNOLOGIES, INC.
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E.
Governor Director
December 4, 2012
Fred Edwards
Goulston Technologies Inc
700 N Johnson St
Monroe, NC 28111-5025
Dee Freeman
Secretary
Subject: NPDES Stormwater Permit Coverage Renewal
Goulston Technologies
COC Number NCG060095
Union County
Dear Permittee:
In response to your renewal application for continued coverage under stormwater General Permit NCG060000
the Division of Water Quality (DWQ) is forwarding herewith the reissued 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 Caroiina and the U.S. Environmental Protection Agency, dated October
15, 2007 (or as subsequently amended).
The following information is included with your permit package:
• A new Certificate of Coverage (COC)
• A copy of General Permit NCG060000
• A copy of the Technical Bulletin for the General Permit
• Two copies of the Discharge Monitoring Report (DMR) Form
• Two copies of the Qualitative Monitoring Report Form
The General Permit authori2es discharges of stormwater, and it specifies your obligations for discharge
controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself
with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the
permit to update your current SPPP to reflect all new permit requirements.
The first sample period of your permit begins January i, 2013. Your facility must sample a "measureable
storm event" beginning during the periods beginning January 1 and July 1 of every year (or, if applicable,
report "No Flow," as outlined in Part III, Section E). Also, please note that Tier 3 Actions in Part II of your
permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this
permit and do not count prior exceedances.
The more significant changes in the General Permit since your last COC was issued are noted either in the
Draft Permit Fact Sheet that accompanied the public notice (http://portal.ncdenr.org/webfwg/ws/su/current-
notices), or in the Response to Comments / Summary of Changes and Technical Bulletin documents that are
posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit
http://portal,ncdenr.org/web/wq/ws/sulnpdessw (click on 'General Permits' tab) to review that information
for your specific General Permit carefully.
1617 Mai! Service Center, Rategh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Raleigh, North Cantina 27604
Phor„ ; 919-807-63001 FAX: 91 �,-697-6492
Internet: %wm.ncwaterauality.or.
An En .al (;pportt z ty 1 Affinnatne H . n E mploy, ;
NorthGarotina
Naturally

•
Fred Edwards
December 4, 2012
Page 2 of 2
Some of the changes include:
Part II:
• Section A: The Stormwater Pollution Prevention Flan (SPPP) section, if applicable, has been updated
to the most current language of our permits. Additional conditions for specific industry sectors have
been added to the SPPP requirements in some cases.
• Sections B, C: Failure to perform analytical Stormwater monitoring may result in the Division requiring
that the permittee begin a monthly sampling scheme.
+ Sections 8, C: A lower TSS benchmark of SO mg/I for HQW, ORW, PNA and Tr Waters applies to these
more sensitive waters.
• Sections 8, C. The monitoring parameter Oil & Grease (O&G) has been replaced by the parameter
Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in some cases, other
analytical monitoring requirements.
• Sections 8, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in
separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined
in the "Definitions" section of the permit.
• Sections B, C. The term "Representative Storm Event" has been replaced by "Measurable Storm
Event." A measurable storm event is defined in the permit.
+ Section D: If the permittee fails to respond effectively to problems identified by qualitative
monitoring, DWQ may require the permittee to perform corrective action_
Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit,
including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and
Maintenance obligations; and Definitions. Please note that all samples analyzed in accordance with the terms
of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on
the Stormwater Permitting Unit's website above. DMR forms must be delivered to the Division no later than
30 days from the date the facility receives the sampling results from the laboratory. Also note that existing
permittees do not need to submit a renewal request prior to expiration unless directed by the Division.
Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit
does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it
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 the Division's Stormwater Permitting Unit at [phone].
Sincerely,
for Charles Wakild, P.E.
cc: DWQ Central Files
Stormwater Permitting Unit Files
Mooresville Regional Office

I
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060095
STORM WATER
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,
Goulston Technologies Inc
is hereby authorized to discharge stormwater from a facility located at:
Goulston Technologies
700 N Johnson St
Monroe
Union County
to receiving waters designated as Bearskin Creek, a class C waterbody in the Yadkin River
Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1,11, III, and IV of General Permit No. NCG060000 as attached.
This certificate of coverage shall become effective December 4,2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 41h day of December, 2012.
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

0
WA
NODE A
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
May 16, 2012
Mr. Fred Edwards, President
Goulston Technologies, Inc.
Post Office Box 5025
Monroe, North Carolina 28111-5025
Subject: Compliance Evaluation Inspection
Goulston Technologies, Inc.
Stormwater Permit No. NCG060095
Union County
Dear Mr, Edwards:
Dee Freeman
Secretary
Enclosed is a copy of the Compliance Evaluation Inspection Report for the inspection conducted at the subject
facility on May 10, 2012 by Mr. Wes Bell of this Office_ Please advise the facility's staff responsible for the
implementation of the Stormwater Permit of our findings by forwarding a copy of the enclosed report.
The report should be self-explanatory; however, should you have any questions concerning this report, please do not
hesitate to contact Mr. Bell at [phone], or at wes.bell@ncder►r.gov.
Sincerely,
for Robert Krebs
Surface Water Protection Regional Supervisor
Enclosures:
Inspection Report
Representative Outfall Status Application
pH Guidance Document
cc: Union County Health Department
0
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748
Internet www.mwat&quardy.org
One
NorthCarolina
Naturally
�, An Equal opportunity', Affirmative Action Empbyer— 30% Rscvckai?10% Post Consumer paper

..4
Compliance Inspection Report
Permit: NCG060095 Effective: 11/01/07 Expiration: 10131/12 Owner. Goulston Technologies Inc
SOC: Effective: Expiration: Facility: Goulston Technologies
County: Union
700 N Johnson St
Region: Mooresville
Monroe NC 28110
Contact Person: Fred Edwards Title: President Phone. [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
On -site representative
On -site representative
Related Permits:
Veronica McKinney
Brute Robinson
Certification:
Phone:
Phone: [phone]
Phone: [phone]
Inspection Date: 05/10/2012 Entry Time; 09:50 AM Exit Time: 01:20 PM
Prima Inspector: Wesley N Ball r�/'�'�r t, { ! Phone: [phone]
Primary Pe Y � � ��1-_� Ext.2192
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: FoodlTobacco/Soaps/Cosmetics/Public Warehousing
Stormwater Discharge COC
Facility Status: ■ Compliant Q Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: 1

permit: NCGO60095 Owner - Facility: Goulston Technologies Inc
Inspection Date: 05110/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
ANALYTICAL MONITORING SECTION cont'd.
The stormwater pH analyses were performed by both the contract laboratory and the on -site staff, however, the pH
analyses performed by the contract lab were outside of the required 15-minute holding time (several days) and reported
on the submitted monitoring reports. The on -site pH analyses were performed within the required holding time and
amended 2011 monitoring reports will be resubmitted.
The facility staff must ensure of the following for the on -site analysis of pH:
- pH meter calibrations are performed and documented prior to each sampling event.
- pH meter calibrations are performed in accordance with Standard Methods, 18th-20th Editions.
pH collection and analysis times are documented (verify compliance with the 15-minute holding time).
Note: A technical guidance document for pH meter calibrations and analyses has been attached to this report.
Page: 2

$f
Permit: NCG060095 Owner - Facility: Goulston Technologies Inc
Inspection pate: 0511012012 Inspection Type: Compliance Evaluation
Reason for Visit:
Routine
5torrnwater Pollution Prevention Plan
Yes
No
NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
■
0
Q
# Does the Plan include a General Location (USGS) map?
■
n
Q
# Does the Plan include a "Narrative Description of Practices"?
■
n
C1
n
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
0
D
# Does the Plan include a list of significant spills occurring during the past 3 years?
■
n
❑
n
# Has the facility evaluated feasible alternatives to current practices?
n
n
■
0
# Does the facility provide all necessary secondary containment?
■
n
n
n
# Does the Plan include a BMP summary?
■
n
0
❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
n
❑
0
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
n
n
n
# Does the facility provide and document Employee Training?
■
n
n
n
# Does the Plan include a list of Responsible Party(s)?
■
n
n
n
# Is the Plan reviewed and updated annually?
■
n
11
n
# Does the Plan include a Stormwater Facility Inspection Program?
!
Q
n
Has the Stormwater Pollution Prevention Plan been implemented?
■
n
n
n
Comment: The Stormwater Pollution Prevention Plan (SPPP) was organized and well
maintained. The SPPP was last updated on 4/612012 and facility stormwater
inspections were performed on 5/17/2011 and 9/22/2011 _ Employee training was last
performed in November 2011 and an SPCC Plan has been incorporated into the Spill
Prevention and Response Plan. The facility staff must ensure that all Tiered Responses
(One or Two) are documented in the SPPP.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ■ 0 0
Comment: Qualitative/visual monitoring events were performed on 5111/2011 and
9/22/2011.
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ■ Q ❑ 0
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? fl D ■ Q
Page: 3

Permit: NCG060095 Owner - Facility: Goulston Technologies Inc
Inspection date: 06/10/2012 Inspection Type: compliance Evaluation
Reason for Visit: Routine
Comment: Analytical monitoring events were last performed in May 2011 and
September 2011. Pace Analytical Services, Inc. has been contracted to perform the
stormwater analyses. The faciilty staff must ensure that all results are reported (on the
monitoring, report) down to the detection/reporting level (ex. <5.0 rnglL instead of "ND").
See "Summary" Section for additional comments. -
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# 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 site grounds were well maintained and no discharges were observed
at the time of the inspection. The facility has designated five stormwater outfalls;
however, additional outfalls will need to be designated for each valved outlet along the
curbed driveway adjacent to the railroad tracks. The SPPP should be updated to include
these outfafls and the receiving stream (unnamed tributary to Bearskin Creek). In
addition, an application for Representative Outfall Status has been attached to this
report for consideration. Please be advised that analytical monitoring at all stormwater
outfalls is required unless a Representative Outfall Status application has been
submitted and approved.
Yes No NA NE
Page: 4

GOUISTON TfCHN010G1fS,_INC.
...
THE LEADER IN FIBER LUBRICANT TECHNOLOGY
R c-!vED
OfVIBfCIV GF WArR QUALITY
May 17, 2012
Attn: Central Piles
Division of Water Quality, DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
To Whom It May Concern:
r, AY 2 - K l2
M©QRESViL E RED !dNAL OFF(CE
Please find enclosed amended Stormwater Discharge Outfall Qualitative Monitoring
Reports for our May 11, 201 1 and September 22, 2011 monitoring events. The pH values
for both monitoring events have been corrected as discussed during our recent DWQ
inspection.
Should you have any questions or require additional information, please do not hesitate to
contact me.
Regards,
Veronica McKinney
Health, Safety & Environmental Manager
Enclosures
cc: Wes Bell
700 N. Johnson St., Monroe, NC 28110, USA Phone [phone]
PO Box 5025, Monroe, NC 28111-5025, USA '?T- a s'
Fax [phone] hrr J� Iwww. og� uls

/4 m2 nJeci
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENEItnl. PERMIT NO. NCG060i100 SAMPLES COLLECTED DURING CALENDAR YEAR: 2QI1 _.
CERTIFICATE OF COVERAGE NO. NCG04._ Wg,, (Tbh monitoring report is due at the Division no litter thaa 30 days from
the date the facility r eves the umpling results from the laboratory.)
FACLI-ITY NAME Technologies, Inc. courlrrY 11,
VERSON COLLECTING
'SAZMftlis' PHONE NO.
CHRtLNIEDL.A113RA1O1Y ace
Lab#
Lab # PLEASE; 51GN ON THE REVFA SE 4
Port A: Specific Monitoring Requirements
Outfrii
No.
unto
Sample
Collected,
ntolddi r
045M
Total Suspended
Solids,
mg&
00400
pH,
Standard units
1 00340
Chemical Oxygen
Denumd.
m
11055E 1
Oil and Grease,
wwL
31010
Feeal Coliform,
Colowes per 100 nit
Bruchturtrk
-
100
Wititin 6.0 — 9.0
120
30
1000
OF-1
1
.4
13.7
7.23
_CE- 3_
- --- 5L11111
14.0
1 7.21
1 JU
NU
I-
Note: if you report a sampled valuo in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
Sec General Peruat text.
Did this facility perform Vehicle Maintenance A"vities using more than 55 gallons of new motor oil per rnonth7 _ ycs __no
(if yes. complete Ilan B)
Part B: Vehicle
Mrinlenunev Activity
tltonitoria uiretnoats
Oat lull
No.
Date
Satttpie CaUccted,
moldd! r
00336 00530
Oil and Grease, Total Suspended Solids,
W&
00440
pH, New Motor OU usage,
Standard units Annual aver&M aunto
1Scue>znturk
-
30 100
6.0 —9.0 -
klikkA :: 1i you tcpuri a rantPICR vatuo in excess 01 tac benchniLrk value, or Outside the benchmmuk range for pH, you must implement Tier I or Tier 2 rel "uses,
Sec General Yennit text.
STORM EVENT CHARACTERISTICS:
1)xtc 5/11/11(first event sampled)
Total Lvrnt Precipitation (inches): 0' 30
Date (list each additional event ►ampled this reporting period, and ralurail amount)
Total Fvel►t precipitutiou (inclies): �` �
Mall Original and ono copy to:
Division of Water Quality
Alta: DWQ Central Files
1617 Moil Sorvice Canter
Raleigh, North Carolina 27699-1617

"I certify, under penalty, of law, that thisdocuinent 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
directly responsible for gathering the, information; the jnformation submitted is, to the best of my knowledge and belief,
true, accurate, and.complete. f am aware that there -are significant penalties for submitting false information, including
the possibility of fines and imprisonment for kbowing'violatlons."
(Signature of Permittee)
(Date)
S WU-249-142107
Page 2 of 2

Amen�ed
STORMWATER DISCHARGE OUTFALL (SDO).
MONITORING REPORT
GENERAL PERMIT NO. NCGO60000SAMPLES COLLECTED DURLNG.CALENDAR YEAR: 2G11 .
CEwri iCATE OP COVERAGE NO. NCG06_ ���(1' lh monitoring report is due at the Divi fen no later thte 30 days from
the date the facility recelves the sampliag results fr+om'the laboratory.)
FACILITY NAME Goals ton Technoio�ies , Tnc . COUNTY
!'LttSUN CU4i.E( !'[NC SAM 4ls'.SCarl Stgalgi PHONE NO.
C'ERTIF 1KD l.ABo.—.'. —_ aCE; Lab # 1.
'
Lab # PLTAStC SIGN ON THE REVERSE 4
Part A: Specific Moultoring Requiremeaw
Outfall Date' 00530
No. Sample Total Suspe
Collected, I Solids,
2.
Note: if you report a sampled valuo in excesa of the
See General Pern►it text.
-- pH, Chemical Oxygen Oil and Gr
Standard units Demaad, m$!L
Mal
Within 6.0 -- 9.0 1 110 30
slue, or outside the benchmark range for pH, you must im
Did this facility perforin Vehicle Maintenance Activities using more than 53 gallons of new motor oil per month? _ yes _.no
(if yes, complete: Part B)
t B.- Vehicle M
Oulfall
No.
Date
Sample Coilected,
Total
Fecal Collform,
Colonies per 100 tat
or Tier 2 responses.
Now Motor Oil Usage,
I Benchmark l - 1 30 1 100 1 6.0 f 9.0 1 1
Note: if yuu report a sampled value in excess of the
See General Permit text.
STORM EV ENT CHARACTERISTICS.
13„teS/11/11 (first event sampled)
'rota[ U, vent Precipitation (inches): 0. 30
value, or outside the benchmark range for pH, you must implement Tier i or Tier 2 responses.
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central piles
1617 Mail Service Center
Raleigh, North Carolina 27699- t 617
Date (list each addttlattal event sampled this reporting period, and rainfall amount)
Tofid F.veut Precipitation (incites);
SWU-249-10110"

"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
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. I am aware that.there are -significant penalties for submitting false information, including
the possibility of fines and imprisonment for'knowing violations."
(D te)
S W U-249- l 021 4 ]7
Page 2 of 2

STORMWATER DISCHARGB OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG06 0095
FACILITY NAME Gotslston Technologies, Inc.
PERSON COLLEC"PING SAMPLES
C'ERTIMED LABORATORY PaCe Lab #
Lab #
Part A: Specific Monitoring Requirements
SAMPLES COLLECTED DURING CALENDAR YEAR: 2011
('fibs monitoring report % due at the Dlvlsioa no later than 30 days from
the date the faclllty receives the tripling results from the laboratory.)
COUNTY Union
PHONE NO. € _ _ $
PLEASE SIGN ON THE REVERSE 4
Outfall Date
No. Sample
Collected,
mo/tl
00530
Total Suspended
Solids,
00400
pH,
Standard unite
00340 00556
Chemical Oxnen OR and Crease,
Detttttnd, tngfL
31616
Fecal Callform,
Cotoules per 100 ml.
Benchmark
100
Within 6.0 --9.0
120 30
to"
92211
ND ND
.5
b. 41
32 ND
5.2
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General permit text.
Did this facility perform Vehicle Maintenance Activities using more than SS gallons of new motor oil per month? _ yes —no
(iryes, comntcte Pert n)
Part H: Vehicle
Maintenance Activity Monitering R ulrements
Outfail
No.
Date 005% 00530 00400
Sample Collected, Oil and Grease, Totat Suspended Solids, pH. New Motor On Usage,
mo! Standard units Annual averse palVmo
Benchmark
30 100 6.0 — 9A
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier 1 or Tier 2 responses.
See General permit text.
STORM EVENT CHARACTERISTICS:
Date 9/22111(first event sampled)
Total Event Precipitation (Inches): 0.10
Date (list each additional event sampled this reporting period, and rainfall amount)
Tutai Event precipitation onehes):
Mail Original and one copy to:
Division of Water Quality
Ann- DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

*--- , k
"1 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 gpalified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the Information submitted Is, to the best of my knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false Information, including
the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee) (Date)
S W U-249-102107
Page 2 of 2

mend-�
STORMWATER DISCHARGE OUTFALLASDO) .
MONMIUNG-REPORT,
GENERAL PERMIT NO. NCG060000 SAMPLES COLLECTED DURING CALENDAR YEAR;.
CERTIFICATE OF COVERAGE NO. NCG06 0095 (Th4 taonitering report b dot: At the D1viiloo no later than 30 days from
i'AC1LITY NAME
Gauls tan Teehnolgies y Inc . the date. the facility the ssmptiag'reaulti fi+ rn the laboratory.)
PERSON COLLEC7rING SAMPteKS a PHONE NO.`(704 )
CERTIFIED LABORATORY p,ag Atvilvt-irtgl Lab # "-•
Lab-# PLEASE SIGN ON THE REVERSE
Part A: Specific Monitoriug Requirements
Outfall
Date
00530
00400
00340 1
00556 1
31616
No.
Sample
Total Suspended
pH,
Chemlcat oxygen .
Ou and Grease,
Fecal Coliform,
Collected,
Solids,
Standard struts
Demand,
m9fL
Colonies per 100 ad
molddlyr
Bent:htnurk
100
Within 6.0 — 9.0
1
30
loco
0
OF-5
ND
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tior 1 or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using ntore than 55 gallons of new motor oil per month?_ yea ,_,_no
(if yes, complete Part A)
Pert H: Vrlticte
Maintenstnrr Aetivtt
anitoringRequirtments
Outrall
No.
Dale
Satnpie Collected,
mold
00956
oil sued Grease,
00530 00400
TotaL Suspended Solids, pH, New Muter Oil Usage,
TA Standard units Amnttal avenE alhno
Benchmark
30 '
100 6.0 — 9.0
Note: If yuu report a Rampizd value in excess of the benchmark value, or outside the benchmark range for pH, you trust implement Tier 1 or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date 9/22/1�flrat event a mpled)
Total Event Precipitation (Inches): 0.10
Date (list each additional event sampled this reporting period, and rawail amount)
'fatal Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mai! Service Center
Weigh, North Carolina 27699-1617

"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
directly responsible for gathering the information, the information submitted is, to the hest of my knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, Including
the Possibility of fines and imprisonment for knowing violations."
ature of Permitteej
.� 1� 2,012
(Date)
SWU-249-102107
Page 2 of 2

F WA7'F Michael F. Easley, Governor
�Q,4 ry G William G_ Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
� Afars W_ Klimek, F.E., Director
`1 Division of Water Quality
0 Y
August 23, 2002
VERONICA MCKINNEY
GOULSTON TECHNOLOGIES INCORPORATED
PO BOX 5025
MONROE, NC 28111
Subject: NPDES Stormwater Permit Renewal
Goulston Technologies Incorporated
COC Number NCGO60095
Union County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG060000, 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 NCGO60000
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 DENR 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 Uf nit Ep a ul,` tr FT .
cc: Central Files
Stormwater & General Permits Unit Files
Mooresville Regional Office AVG 2 9 2002
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
k
MCDENR
Customer Service
1- BOD-623-7748

w A
r
0 �
Michael F_ Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
August 23, 2002
VERONICA MCKINNEY
GOULSTON TECHNOLOGIES INCORPORATED
PO BOX 5025
MONROE, NC 28111
Dear Permittee.
Alan W. Klimek, P.E., Director
Division of Water Quality
Subject: NPDES Stormwater Permit Renewal
Goulston Technologies Incorporated
COC Number NCG060095
Union County
In response to your renewal application for continued coverage under general permit NCG060000, 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 NCG060000
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 DENR 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
���
NCDERR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NO 27699-1617 [phone] Customer Service
1-800-623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE No. NCG060095
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,
GOULSTON TECHNOLOGIES INC
is hereby authorized to discharge stormwater from a facility located at
GOULSTON TECHNOLOGIES -INCORPORATED
700 NORTH JOHNSON STREET
MONROE
UNION COUNTY
to receiving waters designated as Bearskin 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, 111,
1V, V, and VI of General Permit No. NCGO60000 as attached.
This certificate of coverage shall become effective September 1, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 23, 2002.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

O�OF 1N A7- Michael F. Easley, Governor
William G. Ross Jr_, Secretary
North Carolina Department of Environment and Natural Resources
7
Gregory J_ Thorpe, Ph_D_
a Acting Director
Division of Water Quality
December 27.2001
ANDREW STARZECKI
GOULSTON TECHNOLOGIES INCORPORATED
PO BOX 5025
MONROE, NC 28111
Subject: NPDES Stormwater Permit Renewal
GOULSTON TECHNOLOGIES INCORPORATED
COC Number NCGO60095
Union County
Dear Permitter:
Your facility is currently covered for stormwater discharge under General Permit NCG{Ifit 000- This permit expires
on August 31, 2002. The Division staff is currently in the process of rewriting this permit and is scheduled to have
the permit reissued by late summer of 2002. 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 will be expiring. Enclosed you will find a General Permit Coverage Renewal
Application Form. The application must be completed and returned by March 4.2002 in order to assure continued
coverage under the general permit.
Failure to request renewal within this time period may result in a civil assessment of at least $250.00. Larger
penalties may be 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 143-2[5.1 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 1 1 calo-orics 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 facilty industrial
materials and operations are not exposed to stormwater, you can apply for the no exposure exclusion. For additional
inlorination contact the Central Office Stormwater Staff member listed below or check the Stormwater & General
Permits Unit Web Site at htip:Hh2o.enr.state.nc.us/sulstorrnwater.html
If the subject stormwater discharge to waters of the state has been terminated, please complete the enclosed
Rescission Request Forrn. Mailing instructions are listed on the bottom of the form. You will be notified a -hen 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 Aisba Lau of [he Central Office Stormwater Unit at [phone]. ext. 578
Sincerely.
Bradley Bennett. Supervisor
Stormwater and General Permits Unit
cc: Central File's
Mooresville Regional Office
dFA
NCDENR
N_ C. Division of Water Quality 1617 Entail 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
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Kerr T. Stevens, Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Andrew Starzecki
Goulston Technologies Incorporated
PO Box 5025
Monroe NC 28111
i • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
6/26/2001 NC DEPT. OF ElVtftttt3ittMENT
AND NATURAL RESOURCES
0.W- SyiLILE REGiONA OFFICE
P��,:,r, V: D
i
+JUL 0 2 2=
SUBJECT: NOTICE OF VIOLATION AND REVOCATION FOR NON PAYMENT
PERMIT NUMBER NCGO60095 t sSa r
Goulston Technologies Incorporated f�;t �El
Union COUNTY
Dear Permittee:
Payment of the required annual administering and compliance monitoring fee of 580.00 for this year has not
been received for the subject permit. This fee is required by Title 15 North Carolina Administrative Code 2H,0105, under
the authority of North Carolina General Statutes 143-215.3(a)(1), (1 a) and (1 b). Because this fee was not fully paid within
30 days after being billed, this letter initiates action to revoke the subject permit, pursuant to 15 ncac 2H.0105(b) (2) (k)
(4), and G.S. 143-215.1 (b) (3).
Effective 60 days from receipt of this notice, subject permit is hereby revoked unless the required Annual
Administering and Compliance Monitoring Fee is received within that time. Discharges without a permit are subject to the
enforcement authority of the Division of Water Quality. Your payment should be sent to:
N.C. Department of Environment and Natural Resources
Division of Water Quality
Budget Office
1617 Mail Service Center
Raleigh, NC 27699-1617
If you are dissatisfied with this decision, you have the right to request an administrative hearing within Thirty (30)
days following recipt of this notice, identifying the specific issues to be contended. This request must be in the form of a
written petition conforming to Chapter 1508 of the North Carolina General Statutes, and fled with the Office of Administrative
Hearings, Post Office Drawer 27447, Raleigh, North Carolina, 27611-7447. Unless such request for hearing is made or
payments received, revocation shall be final and binding. If you have any questions, please contact:
Mr. Rex Gleason, Mooresville Water Quality Regional Supervisor, [phone].
i Sincerely,
Kerr T. Stevens
CC' Supevisor, Water Quality Permits and Engineering Unit
Mooresville Regional Office
County Health Department
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled 1 10% post -consumer paper

Michaei F. Easley, Governor
William G_ Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D_
Acting Dlrector
Division of Water Quality
December 27. 2001
ANDREW STAR7.FCKI
GOULSTON TECHNOLOGIES INCORPORATED
PO BOX 5025
MONROE. NC 28111
Subject: NPDES Stormwater Permit Renewal
GOULSTON TECHNOLOGIES INCORPORATED
COC Number NCG060095
Union County
Dear Permittee:
Your facility is currently covered for Stormwater discharge under General Permit NCG060000. This permit expires
on Auaust 31. 2002. The Division staff is currently in the process of rewriting this permit and is scheduled to have
the permit reissued by late summer of 2002. Once the permit is reissued. your facility would tx: 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 will be expiring- Enclosed you will find a General Permit Coverage Renewal
Application Form. The application must be completed and returned by March 4.2002 in order to assure continued
coverage under the general permit.
Failure to request renewal within this time period 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 $I0,000 per day.
Please note that recent federal legislation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the 1 f 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_c. the facilty 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' menmber fisted below or check the Stormwater & General
Permits Unit Web Site at htip://h2o.enr.state.ne.us/su/stormwater.htnml
If the subject stormwater discharge to waters of the slate 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
Mooresville Regional Office
MA
NCD6NR
N. C Division of Water qualify 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800-623-7748

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
March 21, 1996
Mr. Andrew Starzecki
Goulston Technologies, Inc.
P. O. Box 5025
Monroe, NC 28111
4 .. •
IDEHNF1
Subject: Permit Modification - Name Change
Goulston Technologies, Inc.
formerly: George A. Goulston Co., Inc.
COC NCG060095
Union County
Dear Mr. Starzecki:
In accordance with your request received March 18, 1996, we are forwarding herewith the
modified Certificate of Coverage page for the subject facility. This change in this permit is in name only.
All other terms and conditions in the anginal permit remain unchanged and in full effect. Such terms and
conditions includes the original completion date of the Stormwater Pollution Prevention Plan of October 1,
1994. This Certificate of Coverage is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U. S.
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 is not transferable except after notice
to the Division of Environmental Management. The Division o€Environmental Management 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 maybe required by
the Division of Environmental Management 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 conceming this permit, please contact Steve Ulmer at 919/. 733-5083, extension
545.
Sincerely,
3444 &
tip, A. Preston Howard; Jr., P.E.
cc: Mooresville Regional Office, Water Quality Section
Compliance - Jeanne Phillips, ISB
Central Files
Permits and Engineering, file NCG060095
Mecklenburg County
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DNISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. WG060000
CERTIFICATE -OF COVERAGE NO. NCGO60095
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,
Goulston Technologies, Inc.
is hereby authorized to discharge stormwater from a facility located at
700 North Johnson Street
Monroe
Union County
to receiving waters designated as Bearskin Creek, class C, in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,11,17I
and IV of General Permit No. NCGO60000 as attached -
This Certificate of Coverage shall become effective March 21, 1996.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 21, 1996_
yv� A. Preston howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
.tames B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Ms. Jackie Pietrowski
Goulston Technologies, Inc.
P. O. Box 5025
Monroe, NC 28111-5025
Dear Ms. Pietrowski:
�EHNR
February 16, 1996
Subject: Request for Exemption of Outfalls 2 and 4
NCG060095
Monroe
Union County
Your request to sample stormwater discharges from outfall 3 as being substantially identical and
representative of discharges from outfalls 2 and 4 for the above referenced facility for purposes of NPDES
stormwater permit monitoring requirements has been reviewed by Steve Ulmer of our Water Quality staff.
Based on your letter and site map of January 31, 1996, we approve of the use of outfall 3 as being
representative of stormwater from outfalls 2, 3 and 4.
If you have any questions concerning this response, please contact Steve Ulmer at (919) 733-
5083, Ext. 545.
Sincerely,
Bradley Bennett
Supervisor, Stormwater Group
cc: Mooresville Regional Office
Central Files
Facilities Assessment Unit
Permits and Engineering, NCG060095✓
Regional Offices
Asheville Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486-1541 704/663-1699 919/733-2314 919/946-6481 919/395-3900 919/896-7007
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
February 5, 1996
Ms. Jackie Pietrowski
Goulston Technologies, Inc.
P. O. Box 5025
Monroe, NC 28111-5025
A LT!XA
�EHNR
Subject. NPDES Permit No. NCGO60095
Name Change Forms
Union County
Dear Ms. Pietrowski
The NPDES Stormwater Group acknowledges receipt of your stormwater compliance monitoring
and change in company name as mentioned in your letter of January 31, 1996. Please complete the
enclosed name change forms and return to the address that appears on the forms.
If you have any questions on this name change, please contact me at 919/ 733-5083, extension
545.
Sincerely,
teve Ulmer
NPDES Storrnwater Group
M. Permit File NCGO60095
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 1 D% post -consumer paper

State of North Carolina
P*partment of Environment,
Health: and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Govemor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
October 1, 1993
Mr. Roger J. Crossfield
George A Goulston Co.
P.O. Box 5025
Monroe, NC 28110
ACT1.9;WA
10
E:)EHNR
Subject: General Permit No. NCG060000
George A Goulston
COC NCG060095
Union County
Dear Mr. Crossfield:
In accordance with your application for discharge permit received on December 28, 1992, 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 Environmental Management. The Division of Environmental Management 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 Environmental Management 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 Mr. Bill Mills at telephone number 9191733_.
5083.
Sincerel r�iginal Signed BY
coleen K Sullins
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 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL. RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
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,
George A. Goulston Company
is hereby authorized to discharge stormwater from a facility located at
George A. Goulston Company
700 North Johnson Street
Monroe
Union County
to receiving waters designated as Bearskin Creek 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
and IV of General Permit No. NCGO60000 as attached.
This Certificate of Coverage shall become effective October 1, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day October 1, 1993.
Original Si rppvi y
Coleen N: 15G,.,,D�
uns
A_ Preston Howard, Jr., P.E., Director �T
Division of Environmental Management
By Authority of the Environmental Management Commission

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FACILITY
COUNTY
NPDES
MAP #
SUB BASIN
LONG's t UDE
RECEDING STREAM
STREAM CLASS
DISCHARGE CLASS
FxF'WP*rV)? DATE
Ci
S7v�en t VJAT-"
DS- 31- `»