WLB&L CITERPILLAR. Justin R. Ganschow 9201 Faulkner Lake Rd., AR 72117 Office: (501)228-2764 Ganschow_Justin_R@cat.com Arkansas Department of Environmental Quality Permits Branch, Water Division 5301 Northshore Drive, AR 72118 December 16, 2013 ~~ ~om~m w DEC 31 2013 By 1\ \ ~ '1 'f:b w Greetings: is applying for coverage under the NPDES General Permit ARROOOOOO for stormwater discharge. Enclosed is the $200 fee for the NPDES General Permit and a USB drive containing the following files: NOT for our current NPDES Individual Permit AR0051454 NOI for the General Permit ARROOOOOO Current SWPPP Please contact me if you have any questions. Thank you, Justin R Ganschow, CHMM Environment, Health & Safety Supervisor Ganschow_Justin_R@cat.com 501.228.2764 encl/cc
Cousins, Sarah Sent: Subject: Justin R. Ganschow <Ganschow_Justin_R@cat.com > Tuesday, January 07, 2014 11:10 AM Cousins, Sarah RE: Industrial Stormwater General Permit Sarah, Sorry for the mistake. It should be 34 45'18.53" N 92 09'30.48" W. Justin R Ganschow, CHMM Environment, Health & Safety Supervisor Earthmoving Division EHS Lead Ganschow Justin R@cat.com Desk 501.228.2764 Cell 309.297.0032 Date: Subject: "Cousins, Sarah" <cousins@adeq.state.ar.us> "Justin R. Ganschow'' <Ganschow Justin R@cat.com> 01/07/2014 10:58 AM RE: Industrial Stormwater General Permit Justin, The coordinates provided for Outfall 005 are incorrect (the longitude). The NOI has them as Lat: 34 45' 18.53"; Long: 34 45' 20.79" Please provide me with the correct coordinates for this outfall. That should be the last piece of information I need to finish this up. Thanks, Sarah Justin R. Ganschow [mailto:ganschow Justin R@cat.com] Sent: Tuesday, January 07, 2014 9:50AM Cousins, Sarah Subject: RE: Industrial Stormwater General Permit Sarah, Here is the certificate of Good Standing from the Delaware Sec. of State. Please let me know if you require anything else. Thank you! Justin R Ganschow, CHMM 1
Environment, Health & Safety Supervisor Earthmoving Division EHS Lead Ganschow Justin R@cat. com Desk 501.228.2764 Cell 309.297.0032 Date: Subject: "Cousins, Sarah" <cousins@adeg.state.ar.us> "Justin R. Ganschow'' <Ganschow Justin R@cat.com> 01 /03/2014 04:12PM RE: Industrial Stormwater General Permit Yes, that will be fine. Justin R. Ganschow [mailto:ganschow Justin R@cat.com] Sent: Friday, January 03, 2014 3:51 PM Cousins, Sarah Subject: Fw: Industrial Stormwater General Permit Sarah, Is an electronic copy sufficient? Thank you. Justin R Ganschow, CHMM Environment, Health & Safety Supervisor Earthmoving Division EHS Lead Ganschow Justi n R@cat.com Desk 501.228.2764 Cell 309.297.0032 -----Forwarded by Justin R. Ganschow/OA/Caterpillar on 01/03/2014 03:50PM ---- Date: Subject: Paul J. Rivera/OF/Caterpillar Justin R. Ganschow/OA/Caterpillar@Caterpillar 01/03/2014 02:52PM Fw: Industrial Stormwater General Permit Can you help with this? Paul ----Forwarded by Paul J. Rivera/OF/Caterpillar on 01/03/2014 02:52PM---- "Cousins, Sarah" <cousins@adeq.state.ar.us> "rivera paul j@cat.com" <Rivera Paul J@cat.com> 2
NOTICE OF INTENT (NOn FOR DISCHARGERS OF STORMWATER RUNOFF ASSOCIATED WITH IN.DUSTRIAL ACTIVITY AUTHORIZED UN.DER NP.DES GENERAL PERMIT ARROOOOOO Application Type: New 181 Renewal 0.Permit No. ARROO_ I. PERMITTEE/OPERATOR INFORMATION Permittee (Legal Name)*: _C_at_erp...&...;.il_lar_J_nc_. Permittee Mailing Address: Permittee City: Permittee State: 9201 Faulkner Lake Road Arkansas ------- Zip: 72117 Permittee Telephone Number: _("""5-"0..:..1 )<...,;2::.:2:..:8...:-2::.:7...:c6...:..4 _ Permittee Fax Number _(>..;.5_0... 1 )""" ' 9_5_5_-5_4_00'--------- Permittee E-mail Address Rivera Paul J@cat.com The legal name of the Pcnnittee must be identical to the name listed with the Arkansas Secretary of State. Operator Type: 0 STATE 0 PARTNERSHIP 0 FEDERAL [81 CORPORA TIONn 0 SOLE PROPRIETORSHIP 0PUBLIC 0 OTHER: **State oflncorporation: _ DE II. INVOICE MAILING lnforma TION (if different from facility mailing address) Invoice Contact Person: NA City: NA ~~------------------- Invoice MailiJig Company: -'N'--A'----------------- State: _N:...:...;A;.. Zip: _N'-'A'------ Invoice Mailing Address: -=-N:.:..A=------------------- Telephone: -=-N:.:..A=------------------- III. FACILITY INFORMATION Facility Name (if different from Permittee):, Facility Physical Address: 920 I Faulkner Lake Road Contact Person: Justin Ganschow Facility County: Pulaski Contact Title: EHS Supervisor Facility City: Zip: 72117 Telephone Number: (501) 228-2764 Facility is at the NE comer of the intersection of l-440 and Faufkner Lake Directions to the Facility: road. Fax Number NA ~~~--~~~~------ Ganschow _Justin_ R@cat.co AFJN (ifknown): _6;;.:0'---0;;.:I..:c52=9'------------- Email Address: m ~~------------------ Is mailing address different from facility address? 0 Yes 181 No If yes, provide mailing address in the space provided. Mailing Address: ;;_N;.;;..A"---------------------------------------------- City: _N~A~------------ State: _.:...:..;;_ NA Zip: _N_A Construction Type of Machinery Facility SIC NAICS Industrial Business: Manufacturing Code(s): 3531 Code (s): 333120 Sector: *** ABl *** Please see Part 1.5 of ARROOOOOO for a complete listing of Industrial Sectors. The facility may operate under the above chosen sector unless otherwise notified by the Department. Description of Major Process(es) at Facility: The Caterpillar facility in will manufacture parts and assemble motor graders for final delivery to customers. The facility will include the following operations: receipt of pre-fabricated. parts, fabrication of motor grader components, surface coating of fabricated parts, assembly of fabricated parts, final testing of motor graders, shipment offinished units. ARKANSAS DEPARTMENT OF ENVIRONMENTAL QUALITY WATER DlVlSION - PERMITS BRANCH 5301 NORTHSHORE DRIVE I NORTH LITTLE ROCK, ARKANSAS 72118 I PHONE 501-682-0623/ FAX 501-682-0880 www.adeq.state.ar.us Page 3 of6 Revision Date - 08/30/2010
NOTICE OF INTENT (NOI) FOR DISCHARGERS OF STORMWATER RUNOFF ASSOCIATED WITH INDUSTRIAL ACTIVITY AUTHORIZED UNDER NPDES GENERAL PERMIT ARROOOOOO List of Chemicals Used in the Process: Listed Chemicals are stated in the SWPPP {Table 3). Facility Latitude: *...:3:...;4_ degrees 44.00 minutes Facility Longitude: * 92 degrees *Facility coordinates should be taken at the entrance to the facility. 51.64" seconds 36.05" seconds IV. OUTFALL INFORMATION Outfall number should be assigned sequentially to stormwater discharge locations if the facility has more than one outfall. (i.e. 00 I, 002, etc.) These should coincide with th.e Outfall locations on the site map for the facility. Outfall: 00 l --'-'-'----- Faulkner Lake.:...:..:;._; 13.1 0 seconds 41.23 seconds Outfall: 002 --=---=----..:...:..;:_; Faulkner Lake (outfalls continued below) 14.64 seconds 37.59 seconds Similar Outfalls: Please indicate any similar outfall numbers tha:t the facility may have in accordance to Part 3. 7.1. Pages may be added for additional outfa.lls. V. FACILITY PERMIT INFORMATION List any additional permits from the Water Division that the facility may have coverage under. NPDES Individual Permit Number (If Applicable): --'A:...:.:.:R:.:.0..::.:05:..l:..4:.:.5...:.4 NPDES General Permit Number (If Applicable): --'A:..::.::.:R:.::::G--=--------------- NPDES General Construction Stormwater Pennit Number (1 f Applicable): ARR 15 ~----------------------------------- No Discharge Permit Number (If Applicable): _N:,;.:.;A::.._--:--:---:--------..,..--:-.,...,..--.,------- Air: 2209-AR-2; Waste Water List any permits the facility has from another division within ADEQ: --=U-"ti=liLy'-': 2=-:0=-=1-=6-" 08..::.:0:...:1:..::2..::.:5 VI. CONSULT ANT INFORMATION (If applicable) Consultant Company: Consultant Contact Name: Consultant Email Address: NA NA NA ------------------ ~~----------- -~~--- Consultant Address: NA City: NA State: NA Zip: Consultant Phone Number: NA Consultant Fax Number: NA ------------------ ------------------------------- ARKANSAS DEPARTMENT OF ENVIRONMENTAL QUALITY WATER DIVISION - PERMITS BRANCH 5301 NORTH SHORE DRIVE I NORTH UTTLE ROCK, ARKANSAS 72118 I PHONE 501-682-0623/ FAX SO 1-682-0880 www.adeq.state.ar.us Page 4 of6 Revision Date- 08130/201 0 NA
NOTICE OF INTENT (NOI) FOR DISCHARGERS OF STORMWATER RUNOFF ASSOCIATED WITH INDUSTRIAL ACTIVITY AUTHORIZED UNDER NPDES GENERAL PERMIT ARROOOOOO VII. CERTIFICATION OF OPERATOR (This statement must be completed fot all applicants requesting coverage under the ARROOOOOO. The Certification must be initialed and signed.) ~ "l certify that, if this facility is a corporation, it is registered with the Secretary of State of Arkansas. Please provide the full name of corporation if different than that listed in Section I above." "I certify that a stormwater pollution prevention plan has been developed in accordance with Part 4 of the general permit. "I certify that the cognizant official designated in Part IX ofthis Notice of Intent is qualified to act as a duly authorized representative under the provisions of 40 CFR 122.22(b). If no cognizant official has been designated, I understand that the Department will accept reports only signed by the applicant:" "I certify under penalty of Jaw 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 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 fine and imprisonment for known violations." Responsible Offis;ial Printed Name: Paul Rivera -. Respp~i~l~ rni\~i~ :Si~~ature:... \JJ-:::::.-M-~-... ~,...)«-:-. -.-::=:->-.,., ~ ', t ~ ~ ~ -- Title: Facility Manager pate: 12/13/20J3.:- VIII. COGNIZANT OFFICIAL Cognizant Official Printed Name: _,.P.a,.u_l... R... iv'-e_ra -=------- Cognizant Official Signature: _\S Cognizant Official E-mail: Rivera Paul J@cat.com _+ _""""j)..,_~+.:=.~--= ="'-----..::.T~el..::.e"'ph..::.o:.:.n:.:.e.:...: :.5~0.:..1-..:.9.:..5c:...5-..::.5... Title: _Fa_c_il_ity""-" _M_a_n_.,g'-er _ 4.:.. 80'---------- IX. PERMIT REQUIREMENT VERIFICATION Please check the following to verify completion of permit requirements. Submittal of Complete NOI? 181 0 Submittal of Required. Permit Fee? (New Discharger Only) 181 0 Check Number: Money Enclosed Order Submittal of SWPPP (for new dischargers only)!81 0 Submittal of Site Map (for existing dischargers only). 181 0 Yes No ARKANSAS DEPARTMENT OF ENVIRONMENTAL QUALITY WATER DIVISION- PERMITS BRANCH 5301 NORTHSHORE DRIVE I NORTH LITTLE ROCK, ARKANSAS 72118 I PHONE 501-682-0623/ FAX 501-682-0880 www.adeq.state.ar.us Page 5 of6 Revision Date - 08/3012010
ADEQ A R K A N S A S Department of Environmental Quality IV. OUTFALL INFORMATION (Continued) Outfall number should be assigned sequentially to stormwater discharge locations if the facility has more than one outfall. (i.e. 001, 002, etc.) These should coincide with the Outfall locations on the site map for the facility. Outfall: _0:...:0.;:..3 Faulkner Lake ---- 14.64 seconds 35.65 seconds Outfall: _0:...: 0...:.4 Faulkner Lake..:...:..:~ 16.86 seconds 32.82 seconds Outfall: _0:..:0:.::..5 '\2.. _...:c.j.4:66o '---_ degrees Outfall: _..:;_:...;:_ 006 Faulkner Lake Faulkner Lake..:...:..:~ ~minutes 18.53 seconds ~ seconds - --'-'-"--- 20.79 seconds 24.55 seconds Outfall: _O:..:Oc.:..7 Outfall: -'-;_;_ 008 --..:...:..:~. Unnamed drainage ditch then to Faulkner Lake 44.00 minutes...::...:..::...:,_ 20.82 seconds 25.62 seconds 53.00 seconds 29.00 seconds Unnamed drainage ditch then under Faulkner Lake Rd to unnamed slough. ARKANSAS DEPARTMENT Of ENVIRONMENTAL QUALITY WATER DIVISION -PERMITS BRANCH 5301 NORTHSHORE DRIVE f NORTH LlTrLE ROCK, ARKANSAS 72.118 I PHONE 501-682-0623/ FAX 501-682-0880 www.adeq.state.ar.us Page 6of6 Revision Date - 08/3012010
Industrial stormwater Permit Route sheet Faciiity Name: CG\-\c y [)\ \ I C\ vr Permit Number: ARROO \ \~lp \ 1-r c AFIN NO.*: ~Q- 61520 No Exposure Exclusion: 0 Yes )( No I Additional Parameters 0 Industrial Sector: 8B.l Stream Segment:?:L... I Nearest Receiving Water: ~k:lt\:e.r~ HUC fj f/ii~r.~_ SoS Check t I 303(d) list 0 Yes 'X No I Google Earth coord to puckett@adeq.state.ar.us 0 Assigned Activity Initials Date Complete/Entered Sect. Application Logged/ Assign Tracking Number/Place in red folder with appropriate route sheet and filing folders (1-day) Completeness and Technical ~ ~ Engineer Review/Enter permit information into Database (3-days) \ 1- AFIN request (1-day) ~l, T /Y-1-- Enter AFIN and other information into PDS and NPDES database prior to <JY11~!]/ AA (Max of 5 business days) Engineer Engineer Supervisor Assistant Chief AA Sect. requesting invoice (same day) Complete Invoice Request Form and submit Invoice Request (same day) Prepare Authorization letter and attach appropriate permit I forms (1-day) Review/organize folder for scanning (1- day) Review all the documents/permits/ perform technical review for the proposed project. (1-day) Review the documents and sign the authorization letter or the permit. (1-day) Enter Into PDS: Permit Status/Effective Date. Input effective date in access database. (1-day) Mail original to applicant. Scan complete folder and place in appropriate E-drive folders. Update Zylab. Be sure to include this permit in weekly report I due every Tuesday by 2:00P.M. ~ } I I N/A --)Y? I 1 5C tl<tll~ r(;0_ 1/13 ~ \CD 1\ s \/ \ s REMARKS:. \. Revised 5/23/2012