NCG050348_COMPLETE FILE - HISTORICAL_20140321

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
,P_iHISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ %gi=CJaa-L
YYYYMMDD

AFILE
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM
Director
March 21, 2014
Mack Molding Company
Attn: Frank Bumgarner, EHS Manager
149 Water Tank Rd.
Statesville, NC 28677
Pat McCrory, Governor
John E. Skvada, III, Secretary
Subject: Compliance Evaluation Inspection
General Stormwater Permit NCG050348
Iredell County, NC
Dear Mr. Bumgarner:
Enclosed is a copy of the Compliance Evaluation Inspection (CEI) report for the
inspection conducted by me at the subject facility on March 19, 2014.
The report should be self-explanatory; however, should you have any questions
concerning the report, please do -not hesitate to me at [phone] Ext.2199.
Sincerely,
Samar Bou-Ghazale
Assistant Land Quality Regional Supervisor
Attachment
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, Forth Carolina 28115
Telephone [phone] / FAX: [phone] • Internet: http:/lportal.nodenr.orgtweb4r/land-gua[O
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Compliance Inspection Report
Permit: NCG050348 Effective: 06/01/13 Expiration: 05/31/18 Owner: Mack Molding Company
SOC: Effective: Expiration: Facility: Mack Molding Company
County: Iredell 149 Water Tank Rd
Region: Mooresville
Statesville NC 28677
Contact Person: Frank Bumgamer Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 03/19/2014 Entry Time: 03:45 PM Exit Time: 04:25 PM
Primary Inspector: Samar E Bou Ghazale Phone: [phone]
Secondary Inspector(s): > xt.2199
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Apparel/Printing/Paper/Leather/Rubber Stomiwater
Discharge COG
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
■ Storm Water
(See attachment summary)
Page: 1

Permit: NCGO50348 Owner - Facility: Mack Molding Company
Inspection Date: 03/19/2014 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Facility is ISO certified. This facility is doing good job with all aspects of the permit_ Please provide ground cover on the
recently uncovered area. Please keep up the good work.
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
■
n
❑ in
# Does the Plan include a General Location (USGS) map?
■
❑
in ❑
# Does the Plan include a "Narrative Description of Practices"?
■
❑
fi ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
❑
❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑
0
■ n
# Has the facility evaluated feasible alternatives to current practices?
■
n
n n
# Does the facility provide all necessary secondary containment?
❑
Cl
® ❑
# Does the Plan include a BMP summary?
■
❑
n n
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
n
n n
# Does the Plan 'include a Preventative Maintenance and Good Housekeeping Plan?
■
rf
❑ ❑
# Does the facility provide and document Employee Training?
■
❑
❑ ❑
# Does the Plan include a list of Responsible Party(s)?
■
Cl
0 ❑
# Is the Plan reviewed and updated annually?
■
❑
n n
# Does the Plan include a Stormwater Facility Inspection Program?
■
Cl
n ❑
Has the Stormwater Pollution Prevention Plan been implemented?
■
❑
0 ❑
Comment: Site is in compliance.
Qualitative Monitoring
Yes No
NA NE
Has the facility conducted its Qualitative Monitoring semi-annually?
■
Cl
❑ ❑
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? ■ ❑ 0 ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ rl ■ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ■ ❑ 0 ❑
Comment:
Page: 2

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM
Director
March 21, 2014
Mack Molding Company
Attn: Frank Bumgarner, EHS Manager
149 Water Tank Rd.
Statesville, NC 28677
Pat McCrory, Governor
John E. Skvada, III, Secretary
Subject: Compliance Evaluation Inspection
General Stormwater Permit NCG050348
Iredell County, NC
Dear Mr. Bumgarner:
Enclosed is a copy of the Compliance Evaluation Inspection (CEI) report for the
inspection conducted by me at the subject facility on March 19, 2014.
The report should be self-explanatory; however, should you have any questions
concerning the report, please do -not hesitate to me at [phone] Ext.2199.
Sincerely,
f�
Samar Bou-Ghazale
Assistant Land Quality Regional Supervisor
Attachment
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Telephone [phone] FAX: [phone] • Internet: http:llportal.ncdenr.ora/webfrAand-quality
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Compliance inspection Report
Permit: NCGO50348 Effective: 06/01/13 Expiration: 05/31/18 Owner: Mack Molding Company
SOC: Effective: - Expiration: Facility: Mack Molding Company
County: Iredell 149 Water Tank Rd
Region: Mooresville
Statesville NC 28677
Contact Person: Frank Bumgamer Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 03/19/2014 Entry Time: 03:45 PM Exit Time: 0425 PM
Primary Inspector: Samar E Bou Ghazale 5,9& Phone: [phone]
Secondary Inspector(s): Ext2199
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Apparel/Printing/PaperfLeather/Rubber Stormwater
Discharge COG
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
■ Storm Water
(See attachment summary)
Page: 1

Permit: NCGO50348 Owner - Facility: Mack Molding Company
Inspection Date: 03/19/2014 inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Facility is ISO certified. This facility is doing good job with all aspects of the permit. Please provide ground cover on the
recently uncovered area. Please keep up the good work.
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
it
0
❑ ❑
# Does the Plan include a General Location (USGS) map?
W
0
# Does the Plan include a "Narrative Description of Practices"?
■
0
0 0
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
Cl
11
# Does the Plan include a list of significant spills occurring during the past 3 years?
D
❑
■ 0
# Has the facility evaluated feasible alternatives to current practices?
■
❑
Q ri
# Does the facility provide all necessary secondary containment?
n
0
■
# Does the Plan include a BMP summary?
■
013
n
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
n
Q
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
❑
# Does the facility provide and document Employee Training?
■
1)
rl
# Does the Plan include a list of Responsible Party(s)?
■
D
❑ 0
# Is the Plan reviewed and updated annually?
■
❑
0 Cl
# Does the Plan include a Stormwater Facility Inspection Program?
■
❑
Q n
Has the Stormwater Pollution Prevention Plan been implemented?
■
0
0 0
Comment: Site is in compliance.
Qualitative Monitoring
Yes
No
NA NE
Has the facility conducted its Qualitative Monitoring semi-annually?
®n
❑ n
Comment:
Permit and Outfalls
Yes
No
NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■
❑
n Q
# Were all outfalls observed during the inspection?
0011
❑
# If the facility has representative outfall status, is it properly documented by the Division?
n
❑
■ ❑
# Has the facility evaluated all illicit (non stormwater) discharges?
MOO
❑
Comment:
Page: 2

W A r' j;, Michael F. Easley, Govern —
G William G- Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
10
Q Coleen H. Sullins, Director
Division of Water Quality
DIVISION OF WATER QUALITY
September 24, 2007
Mr. Frank Bumgarner, Manager
Mack Molding Company
149 Water tank Road
Statesville, North Carolina 28677
Subject: Mack Molding Company
Permit No. NCG050348
Iredell County, N.C.
Dear Mr. Bumgarner:
Attached is a copy of the stormwater inspection conducted for the subject facility on September
12, 2007, by Mr.Samar Bou-Ghazale of this Office.
The report should be self-explanatory; however, -should you have any questions concerning the
report, please do not hesitate to contact Mr. Bou-Ghazale or me at [phone].
Sincerely,
Rob B. Krebs
Surface Water Protection Regional Supervisor
Attachment
N``o��nnCarolina
watura!!y
Mooresville Regional Office Division of Water Quality Phone [phone] Customer Service
Internet: wwcv.ncwaterqualitv.org 610 East Center Ave, Suite 301 Mooresville, NC 28115 Fax [phone].623 6748
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S
Compliance Inspection Report
Permit: NCG050348 Effective: 09/08/06 Expiration: 04/30/08 Owner: Mack Molding Co
SOC: Effective: Expiration: Facility: Mack Molding Company
County: Iredell 149 Water Tank Rd
Region: Mooresville
Statesville NC 28677
Contact Person: Frank Bumgarner Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 09/12/2007 Entry Time: 11:15 AM Exit Time: 01:00 PM
Primary Inspector: Samar E Bou Ghazale Phone: [phone]
Secondary Inspector(s): Ext.225
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Apparel/Printing/Paper/Leather/Rubber Stormwater
Discharge COC
Facility Status: ■ Compliant Q Not Compliant
Question Areas:
■ Storm Water
(See attachment summary)
Page: 1

Permit: NGG050348 Owner - Facility: Mack Molding Co
Inspection Date: 09/12/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

9
Permit: NCG050348 Owner - Facility: Mack Molding Co
Inspection Date: 09112/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan? ■ n n n
# Does the Plan ide a General Location (USGS) reap? ■ n ❑ n
# Does the Plan inclade;a "Narrative Description of Practices"? ■ n f=1 n
# Does the Plan include'adetailed site map including outfall locations and drainage areas? ■ n n fwl
# Does the Plan include a list'significant spills occurring during the past 3 years? ❑■ ■
# Has the facility evaluated feast6 �' alternatives to current practices? n Q
# Does the facility provide all necess.secondary containment? *+� ■ n n n
# Does the Plan include a BMP summa ,�`f ■ 0
# Does the Plan include a Spill Prevention a Response Plan (SPRP)? ■ n n Cl
# Does the Plan include a Preventative Maintena and Good Housekeeping Plan? , ■ n n n
# Does the facility provide and document Employeeti.. aining? ■ n n fi
4-
# Does the Plan include a list of Responsible Party(s)? ■ 0 Q 0
# Is the Plan reviewed and updated annually? },r ❑ ■ ❑ Q
f_
# Does the Plan include a Stormwater Facility Inspection Prog:` ■ n n n
bf
Has the Stormwater Pollution Prevention Plan been implemented?, , n n n n
Comment.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi -.'annually? ■ n n n
Comment:
AnalLfical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? Q n ■ n
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? n ❑ ■ n
Comment:
Permit and Outfalls r Yes No NA NE
# Is a copy of the Pet and the Certificate of Coverage available at the site? ■ ❑ ❑
# Were all outfalls observed during the inspection? ■ n n n
# If the facility has representative outfall status, is it properly documented by the Division? n ■ n n
# Has the facility evaluated all illicit (non stormwater) discharges? ■ Q n ❑
Comment:
Page: 3

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E_ Director
Division of Water Quality
September 8, 2006
Mr. Frank Bumgarner
Mack Molding Company
149 Water Tank Road
Statesville, NC 28677
Subject: General Permit No. NCG050000
Mack Molding Company
COC No. NCGO50348
Iredell County
Dear Mr. Bumgarner:
In accordance with your application for a discharge permit received on April 24, 2006 we
are forwarding herewith the subject certificate of coverage (COC) to discharge under the subject
state — NPDES general permit. This permit is issued pursuant to the requirements of North
Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina
and the US Environmental Protection Agency dated May 9, 1994 (or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit
are unacceptable to you, you have the right to request an individual permit by submitting an
individual permit application. Unless such demand is made, this certificate of coverage shall be
final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to
the Division of Water Quality. The Division of Water Quality may require modification or
revocation and reissuance of the certificate of coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or
permits required by the Division of Land Resources, Coastal Area Management Act or any other
federal or local governmental permit that may be required.
If you have any questions concerning this permit please contact Aisha Lau at telephone
number [phone] ext. 578. .
Since GINI 6 t c-` 'KIFD BY
KL - ORIGINAL SIGNED BY
Alan W. Klimek, P.E. KEN PICKLE
cc: MooresV;41e Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
No Carolina
,atira!!y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050348
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,
Mack Molding Company
Is hereby authorized to discharge stormwater from a facility located at
Mack Molding Company
149 Water Tank Road
Statesville
Iredell County
to receiving waters designated as an unnamed tributary to Broad Meadow Creek, Class WS-IV waters in the
Catawba River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, R,11I, IV, V, and VI of General Permit No. NCGO50000 as attached.
This certificate of coverage shall become effective September 8, 2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 8, 2006. ORIGINAL SIGNED BY
«N PICKLE
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Markers
Name: NCG050348 - Mack Molding Company
Short Name: 050348
Coordinates: 035' 46' 14.23" N, 080° 59' 52.00" W
Comment: NCG050348, Mack Molding Company, subbasin 03-08-32, Catawba River Basin,
Iredell County, UT Broad Meadow Creek, Class WS-IV, D15SW