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HomeMy WebLinkAboutNCG110098_COMPLETE FILE - HISTORICAL_20070420STORMWATER-DIVISION CODING SHEET - RESCISSIONS. PERMIT NO.. DOC TYPE Ek COMPLETE FILE - HISTORICAL DATE OF RESCISSION ❑ D )O OV a 0 YYYYMMDD of wArFR Ot �Q1 r O Y April 20, 2007 Mr. Monte L. Wall City of Lenoir P.O. Box 958 Lenoir, NC 28645 APR 2 6 2007 'WATER QUALII"Y SECTION 'Kc,tt� Michael 17. Easley, Governor Subject: General Permit No. NCGI10000 G. Ross Jr., Secretary' ad Natural Resources Klimek, P.li. Director ision of Water Quality Lower Creek Wastewater Treatment Plant COC No. NCG110098 Caldwell County Dear Mr. Wall: In accordance with your application for a discharge permit received on January 1, 2007 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 (919) 733-5083 ext. 578. Sincerely ORIGIr1Al. SIGNED BY 13RADLEY BENNETT Alan W. Klimek, P.E. cc: Fssheville.RegionaLOffice Central Files Stormwater Permitting Unit Files Attachments N, NotthCarolina �l rrturrr!!� North Carolina Division of Water Quality 1617 Mail Senice Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service Internet: h2oenr.stateoc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX (919)733-2496 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG110000 CERTIFICATE OF COVERAGE No. NCG110098 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, City of Lenoir is hereby authorized to discharge stormwater from a facility located at Lower Creek Wastewater Treatment Plant 1905 Broadland Road Lenoir Caldwell County to receiving waters designated as Lower Creek, class C water, in the Catawba River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III, IV, V and VI of General Permit No. NCG 110000 as attached. This certificate of coverage shall become effective April 20, 2007. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day April 20, 2007. ORIGINAL SIGNED BY BRADLEY BENNETT Alan W. Klimek, Director Division of Water Quality By Authority of the Environmental Management Commission Q4Division of liVater Quality / \4rater � Quality Section NCDENRNational Pollutant Discharge. Elimination System +Ua0.vu UCyglKirtp NCGIIOOOO _rrvrrroxr[x-nvc Nn,r[ia q[kKc6 NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit NCG110000: STORMWATER DISCHARGES associated with activities classified as: Treatment Works treating domestic sewage or any other sewage sludge or % terr`keat all device or system, used in the storage, treatment, recycling, and reclamat f mum=�gipa r j� domestic sewage, with a design flow of 1.0 million gallons per day or more, or �- d to -have approved program ' pp pretreatment ro ram under Title 40 Code of Federal Regulatio ) p�p}t 4 a; R, including lands dedicated to the disposal of sewage sludge that is located wi cor nes df the facility. a: (Please print or type) �� J 1) Mailing address" of owner/operator: Name _';.I tN OF L.PYj.LtY"` lAi, LLt,►iP !3Q/�eV /��r�xi Street Address -_Q[ /,r/✓ td- ipn„ NW _ O SP ,�---"�Y 3-"• City nOfy� t State 'ZPC�ode Telephone No. 22,ov Fax: Address to which all permit correspondence will be mailed 2) Location of facility producing discharge: Facility Name LOU/Ad^ L� c°� o ► �cAf Facility Contact e L Lida/( skaf_f��� Street Address /rjDS Ari2adlaK.cIr �r( City _"A0i r State I�CG ZIP Code County _ C-13-IdJAV ll Telephone No. 82Ad -1S *7 — 119 Q Fax: N - `7S`'. 3) Physical Location Information; Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). q Z_ c: q,�'(-Cd. (A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application) 4) This NPDES Permit Application applies to which of the following : ❑ New or Proposed Facility Date operation is to begin A Existing S) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Coder g _5 Z (5etVCir- e. 5'i-/Sfv✓t5) Page 1 of 3 SWU-226-101701 LAI NCG110000 N.O.I. 6) Provide a brief narrative description of the types of industrial activities and products manufactured at thisfacility: 'r{1P I C"-'�Pe'k lf/Uv 15 a blglgtcal Mc iLlydN" A;la �I�tjl,.'Ctl OwYr�7t rpmn w./ �P .bt�;7irs �t ufili� A'-O ru acr l i ro�W t f�j A hA r /robes 0.rt ox /C I{NG�2X �c 'i'f eli(-.»r �, 7) Discharge points / Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? _ What is the name of the body or bodies of veater (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? %ewer CWe"k If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). A/�r� 8) Does this facility have any other NPDES permits? ❑ No ?(Yes /' If yes, list the permit numbers for all current NPDES permits for this facility: NCv O 23 q $ 1 9) Does this facility have any Non -Discharge permits (ex: recycle permits)? ❑ No 17 Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: W O0l _C251% 10) Does this facility employ any best management practices for stormwater control? /WNo ❑ Yes If yes, please briefly describe: 11) Does this facility have a Stormwater Pollution Prevention Plan? No ❑ Yes If yes, when was it implemented? 12) Are vehicle maintenance activities occurring at this facility? �XNo ❑ Yes 13) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? 0 No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? fK No ❑ Yes d) If you answered yes to questions b. or c., please provide the following information: SWU-226-101701 Page 2 of 3 NCG110000 N.O.I. Type(s) of waste:_ How is material stored: Where is material store How many disposal shipments per year: Name of transport / disposal vendor:_ Vendor address: 14) 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 Ire maintained under Adicle 21 or regulations or the Environmental Management Commission implementing that Adicle, or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Title: .5aot. L Notice of Intent must be accompanied by a check or money order for $80.00 made payable to: NCDENR Final Checklist This application will be returned as incomplete unless all of the following items have been included: Q/isCheck for $80 made payable to NCDENR ff9 This completed application and all supporting documents U Copy of county map or USGS quad sheet with location of facility clearly marked on map Mail the entire package to: Stormwater and General Permits Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note Page 3 of 3 SWU-226-101701 Discharge Location Facility Information Facility Latitude: 35' 52' 55" Sub -Basin: 03-08-31 Location I nneitude: SI" 34' 35" Quad #: D 12 NE (Lenoir) Swam Glass: C Reniuce Stream: Lower Creek Ciyof Lenir-Lower Ceek WWfP linnincd Flnw; 6.0 MGD North NC00^_3991 Caldwell Comuy DIRECTIONS TO THE LOWER CREEK WWTP FROM AREAS EAST OF LENOIR: From 1-40, take exit 123 (Hickory) onto US 321 toward Lenoir. Drive approximately 13 miles north (passing Caldwell Community College in Hudson), exiting right onto Southwest Blvd (only one exit ramp). Travel about 4 miles and take a right onto the Virginia Street exit. At the end of the exit ramp, take another right onto Virginia Street / Miller Hill Road. Drive one mile and turn right onto Broadland Road (at Resurrection Church). Drive about one mile until the road dead ends at the Lower Creek WWTP. FROM AREAS WEST OF LENOIR: From 1-40, take exit 105 (Morganton) onto NC 18 toward Lenoir. Continue on NC 18 / US 64 driving approximately 18 miles east, turning right at the stoplight onto Southwest Blvd. Travel about 0.5 miles and take a right onto the Virginia Street exit. At the end of the exit ramp, take a left onto Virginia Street / Miller Hill Road. Drive one mile and turn right onto Broadland Road (at Resurrection Church). Drive about one mile until the road dead ends at the Lower Creek WWTP. Re. [Fwd: Looking for approval for NCG 1 10098, NCG 110101, and... Subject: Re: I Fwd: Looking for approval tar NCG 110098, NCG 110101, and NCG 110103 ] From: Larry Frost <larry.fiosl @ ncmaiLnet> Date: Wed, 14 Feb 2007 14:36:13 -0500 To: Laurie Moorhead <Laurie.Moorhead @ ncmail.ncl>, Aisha Lau <Aisha.Lau @ ncmail.net> I have reviewed these NOI's and have no issues with them. Please issue the COC's, Thanks Larry Laurie Moorhead wrote Laurie Moorhead - Laurie.Moorhead@ncmail.arL North Carolina Dept. of Environment and Natural Resources Asheville Regional Office Division of Water Quality - Water Quality Section 2090 U.S. 70 Highway Swannanoa, NC 28718 Tel: 828-296-4500 Fax: 828-299-7043 Subject: Looking for approval for NCG 110098, NCG 110101, and NCG 1 10103 From: Aisha Lau<aisha.lau N ncmail.ncl> Date: Wed, 14 Feb 2007 09:1 1:24 -0500 I'o: Laurie Moorhead<Laurie.Moonccadnnanail.net> fo: Laurie Moorhead<Laurie.Moorhead Q ncmail.nel> Howdy Laurie, 1 hope that this note finds you happy and well. When you get the chance would you please either review this application yourself or pass this information on to the appropriate person for approval? Please either get back to me, or have one of the other ARO staff gel back to me, regarding these applications on or before Wednesday, March 14. 1 f I hear back from you I'll issue them with your assumed approval. COC 9 Facility Location City NCG 110098 Lower Creek WWTP 190513roadland Rd.Lenoir NCG 110101 Muphy W WTP Payne St. Murphy NCG 1101031roresl City Water Reclamation FacilityRiverside Drive Rutherford 'I hank you for your help. Take care, Aisha Aisho Lou N.C. Division of Water Quality Stormwater Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Phone: (919) 733-5083 ext. 578 Fax: (919) 733-9612 email: aisha. tau@ncmai l.net Website: http://h2o.ant. state. ac.a9/su/stofmwater. html Never doubt that a small group of thoughtful, committed citizens can change the world: indeed, it's the only thing that ever has. Margaret Mead Larry Frost - Larry.Frost@ncmail.net North Carolina Dept. of Environment and Natural Resources Asheville Regional Office Division of Water Quality - Water Quality Section 2090 U.S. 70 Highway I cf2 2/14/20072:41 PM Michael E. Fasley, Governor William G. Russ Jr., S=etary North Carolina Department of Environment and Nnnmil RCsenrces Alan NC Klimek, P.li. Director Division of Water Qualify SURFACE WATER PROTECTION December 8, 2006 CERTIFIED MAIL RETRUN RECEIPT REQUESTED 7005 0390 0001 3553 Mr. Lane Bailey, City Manager City of Lenoir Post Office Box 958 Lenoir, North Carolina 28645 Subject: Stormwater Permitting for Treatment Works Lower Creek WWTP General Permit Number NCG110000 Caldwell County Dear Mr. Bailey: The Division several years ago developed General Stormwater Permit No. NCG110000, it is applicable to owners or operators of stormwater point source discharges associated with activities classified as Treatment Works. Treatment Works are defined as those facilities treating municipal or domestic sewage with a design flow of 1.0 million gallons per day or more, or facilities, which are required to have an approved pretreatment program. . A review of the Division's records indicates that the City does not have a permit, has not submitted a Notice of Intent (NOI) or has not submitted a No Exposure Certification for the Lower Creek WWTP, in accordance with North Carolina General- Statutes 143-214.7 and 143-215.1. 1 have enclosed a copy of the NOI and a copy of the Technical Bulletin for Stormwater General Permits, which contains links for online information. You are requested to fill out the attached NOI completely (see the final checklist on page 3) and return it to the address on the form. Please understand that operating your WWTP without the appropriate Stormwater permit constitutes a violation of North Carolina General Statute (NCGS) 143-215.1; enforceable under provisions of NCGS 143-215.6A as administered by this Agency. If you or your staff should have any questions regarding this matter you may contact Mr. Keith Haynes or me at (828) 296-4500. Sincerely, l ost mental Engineer Enclosure On NopItCarolina AiturOff!/ North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, NC 28779 Phone (828) 296-4500 Customer Service Internet: vnr✓ xcwaterquality,org 17AX (828)299-7043 1-877-623-6748 An Equal OpportuOylARrmative Action Employer — 50 % Recycled110% Post Consumer Paper a#. D .. z -. a.. mPER Lr)r C c, w U Ln ( 4 M m �Ln o o 0 " 0 " 0 x" C3 R, U tmark (! §on l}il 5 a] ere RmtdIr •7T J .Ci fTlCQon, Tere . •.' = a J `" V " '-• o „ v z C3 z 3 v d w aFoi Cfry Sfete, Z%Ft4...................................... SEI�IDER: COMPLETE THIS SECTIO •I. .ELIVERY . ■ Complete items 1, 2, and 3. Also complete A. Signature, item 4 if Restricted Delivery Is desired. �•I1 ■ Print your name and address on the reverse Agent so that we can return the card to you. Addme ao ■ Attach this card to the back of the mailpiece, R. Received by (Printed Name C/Date 1Delivery �• 1"�wa �ilflerent from kem 1? Yes In,,,t., Carolina Gepanmr•. nt of Y Envircnrc�r-., ar, i.:•lsfur! Rr„ rry adtlress below: ❑ No �D90 U.S Highway 7G, 5wannonoa, Plc �'_>.g778 ON"CDENR W LAI-1E BAILEY, C11-1y tANAGERI 3. ce Type C1TYO�I_ENQIR CenlfletlMal ❑F�pregsMal POST Of FICE BOX 958 egstemd �Retum Receipt for Merchandise LENOlR f!C 2864.5-0958 13 Insured Mall D,C.D.D. - - 4. Restricted Dellvao (Extra Fee) ❑Yes 7005'0390 0001 3553 1671 PS Form 3811, February20D4 Domestic Return Receipt 102595-026t i540 :Qa --I April 20, 2007 Mr. Monte L. Wall City of Lenoir P.O. Box 958 Lenoir, NC 28645 Michael 1'. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.G. Director Division of Water Quality Subject: General Permit No. NCG l 10000 Lower Creek Wastewater Treatment Plant COC No. NCGI 10098 Caldwell County Dear Mr. Wall: In accordance with your application for a discharge permit received on January 1, 2007 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 (919) 733-5083 ext. 578. Sincerely, ORIGINAL SIGNED BY BRADLEY BENNETT Alan W. Klimek, P.E.. cc: Asheville Regional Office Central Files tormwater-Permitting_UniY Files Attachments No thCarulina �'EturallY North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service Internet: h2o.enr.state,nc.us 512 N. Salisbury St. Ralcigh, NC 27604 17AX (919) 733-2496 1-877-623-6748 An Equal OpportunitylAffnnative Action Employer — 50% Recycled110% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG110000 CERTIFICATE OF COVERAGE No. NCG110098 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, City of Lenoir is hereby authorized to discharge stormwater from a facility located at Lower Creek Wastewater Treatment Plant 1905 Broadland Road Lenoir Caldwell County to receiving waters designated as Lower Creek, class C water, in the Catawba River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, 111, IV, V and VI of General Permit No. NCG 110000 as attached. This certificate of coverage shall become effective April 20, 2007. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day April 20, 2007. ORIGINAL SIGNED BY BRADLEY BENNETf Alan W. Klimek, Director Division of Water Quality By Authority of the Environmental Management Commission - t� �. (y)fi S�r�•3-.irl tlt I t 'h^ }� �. /7 y y1 � a � � ,+e� t�rlt rK,., �L� i4�•��i0��{ tvr ... � „' "i. (;�:::. y CityofLcnoir— .'`�l�,t M Latitude:35"52'55" ��.�. Longitude. 81'34'35" County: Caldwell Lower Stream Class: C Receiving Stream: Lower Creek Sub -basin: 03-08-31 (Catawba River Basin) r�.,�•�-.,r Not scaled a A171-WA NC®ENR NOTICE OF INTENT Division of Water Quality / Water Quality Section National Pollutant Discharge Elimination System NCG1.100OO National Pollutant Discharge Elimination System application for coverage under General Permit NC G 110000: STORMWATER DISCHARGES associated with activities classified as: Treatment Works treating domestic sewage or any other sewage sludge or wastewater treatment device or system, used in the storage, treatment, recycling, and reclamation of municipal or domestic sewage, with a design flow of 1.0 million gallons per day or more, or required to have an approved pretreatment program under Title 40 Code of Federal Regulations (CFR) Part 403, including lands dedicated to the disposal of sewage sludge that is located within the confines of the facility. (Please print or type) 1) Mailing address of owner/operator: Name CIt GF . L' /"/ 14 G'L Street Address , _ 43�6-95-6 City L -n0i State ZIP Code ;2Y(,jYs Telephone No. ��•- rJ j rf- �209 Fax: 92d 75-7 - 21 (n 2 Address to which all permit correspondence will be mailed 2) Location of facility producing discharge: Facility Name Law , - ^ppk -IT Facility Contact Street Address City L"o i r State pL% ZIP Code County Telephone No. B'�-�d -�.S'j —_2l�( O Fax: €d2,9 - -7 ' 3) Physical Location Information: Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). S e.P. Gfit-Gc4l ed (A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application) 4) This NPDES Permit Application applies to which of the following ❑ New or Proposed Facility Date operation is to begin ,X .Existing 5) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC,Code: j g 5 �SeWLa`c e SySterh> SWU-226-101701 Page 1 of 3 t NCG110000 N.O.I. 6) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: _:{'te' L nW P,c ,,`e Wl�rn2 is eLbic l ogt'tt/1, LL5te-, aln- 7) Discharge points I Receiving waters: C/ How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? What is the name of the bod or bodof water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? •1 a✓iies f irwak If the site stormwater discharges to a separate storm sewer system,/me the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). 8) Does this facility have any other NPDES permits? ❑ No f(Yes If yes, list the permit numbers for all current NPDES permits for this facility: jV cyi%:z j 6 9) Does this facility have any Non -Discharge permits (ex: recycle permits)? ❑ No 1 Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: % "Q 0010(259 10) Does this facility employ any best management practices for stormwater control? x No ❑ Yes If yes, please briefly describe: 11) Does this facility have a Stormwater Pollution Prevention Plan? I R No ❑ Yes If yes, when was it implemented? 12) Are vehicle maintenance activities occurring at this facility? �KNo ❑ Yes 13) Hazardous Waste: . a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? 19 No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month) of hazardous waste? No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? No ❑ Yes d) If you answered yes to questions b, or c., please provide the following information: Page 2 of 3 SWU-226-101701 ' NCG110000 N.O.I. Type(s) of waste: How Is material stored: Where is material stored: How many disposal shipments per year: Name of transport / disposal vendor:_ Vendor address: 14) 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 he. maintained under Article 2.1 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed S10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: Title: Sant. WaA # of /a - ao -c6 (Date Signed) Notice of Intent must be accompanied by a check or money order for $80.00 made payable to: NCDENR Final Checklist This application will be returned as incomplete unless all of the following items have been included: Check for $80 made payable to NCDENR0 FY This completed application and all supporting documents VX Copy of county map or USGS quad sheet with location of facility clearly marked on map Mail the entire package to: � 04e C;4� 6r �/l/�• Op Stormwater and General Permits Unit CIL ZDO�If/ Division of Water Quality ,� 1617 Mail Service Center -Fvr 6,q f!.); �,OL✓el- Creek (,,AJrp Raleigh, North Carolina 27699-1617 ctG�iP°h/de� Note Page 3 of 3 SWU-226-101701 Discharge Location a Facility Information Facility Latitude: 35' 52' 55" Sub -Basin: 03-08-31 Longitude: 81° 34' 35" LOCailO11 and 8: D 12 NE (Ixnoir) Stream Class: C North noir-O0WWfP City ofL Receiving Stream: Lower Creek NCO2392J981 Permitted Flow: 6.0 MGD Caldwell County DIRECTIONS TO THE LOWER CREEK WWTP FROM AREAS EAST OF LENOIR: From 1-40, take exit 123 (Hickory) onto US 321 toward Lenoir. Drive approximately 13 miles north (passing Caldwell Community College in Hudson), exiting right onto Southwest Blvd (only one exit ramp). Travel about 4 miles and take a right onto the Virginia Street exit. At the end of the exit ramp, take another right onto Virginia Street / Miller Hill Road. Drive one mile and turn right onto Broadland Road (at Resurrection Church). Drive about one mile until the road dead ends at the Lower Creek WWTP. FROM AREAS WEST OF LENOIR: From 1-40, take exit 105 (Morganton) onto NC 18 toward Lenoir. Continue on NC 18 / US 64 driving approximately 18 miles east, turning right at the stoplight onto Southwest Blvd. Travel about 0.5 miles and take a right onto the Virginia Street exit. At the end of the exit ramp, take a left onto Virginia Street / Miller Hill Road. Drive one mile and turn right onto Broadland Road (at Resurrection Church). Drive about one mile until the road dead ends at the Lower Creek WWTP.