NCG050416_COMPLETE FILE - HISTORICAL_20140117

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
5v`11
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ A
YYYYM M DD

Central Files: APS SWP
01/16/14
Permit Number NCG050416
Permit Tracking Slip
Program Category
Status
Project Type
NPDES SW
In review
New Project
Permit Type
Version
Permit Classification
Apparel/Printing/Paper/Leather/Rubber Stormwater Discharge
COC
COC
Primary Reviewer
Permit Contact Affiliation
julie.ventaloro
Coastal SW Rule
RECEIVED
JAN 17 2014
Permitted Flow
CENTRAL FILES
DWQ!u0G
Facility
Facility Name
Major/Minor
Region
New River Tire Recycling LLC
Minor
Winston-Salem
Location Address County
312 E Hwy 52 Bypass Surry
Pilot Mtn NC 27041 Facility Contact Affiliation
Ben Bryant
312 E Hwy 52 Bypass
Owner Pilot Mtn NC 27041
Owner Name
New River Tire Recycling LLC
Dates/Events
Owner Type
Non -Government
Owner Affiliation
Ben Bryant
PO Box 1375
Hillsville VA 24343
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
01/10/14 I 1 i-7JZo(`f 1t1-11 4 t 1 531(Z°!S
Regulated Activities Requested/Received Events
Rubber processing RO staff report received 01/13/14
RO staff report requested 01/13/14
Outfall 001
Waterbody Name Stream Index Number Current Class Subbasin
Chinquapin Creek 12-72-14-3 WS-II;HQW 03-07-03

+VY
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
January 17, 2014
Mr, Ben Bryant
New River Tire Recycling, LLC
P.O. Box 1375
Hillsville, VA 24343
Pat McCrory, Governor
John E. Skvada, 111, Secretary
Subject: General Permit No. NCG050000
New River Tire Recycling, LLC
COC No. NCG050416
Surry County
Dear Mr. Bryant:
In accordance with your application for a discharge permit received on January 10,
2014, we are forwarding herewith the subject certificate of coverage (COC) to discharge
under the subject state — NPDES general permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the US Environmental Protection Agency dated
October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except upon
approval of the Division of Energy, Mineral, and Land Resources. The Division of Energy,
Mineral, and Land Resources 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 Energy, Mineral, and Land Resources, the Coastal Area
Management Act, or any other federal or local government permit that may be required.
If you have any questions concerning this permit, please contact Julie Ventaloro at
telephone number [phone] or by email [e-mail].
Sincerely,
llfd-"aL,
for Tracy E. Davis, P.E., CPM
cc: Winston-Salem Regional Office, Aana Taylor -Smith
Central Files
Stormwater Permitting Program File
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 - Telephone [phone] FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: htto:/Iportal,ncdenr.orglweb/lr/land-qualms
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG050000
CERTIFICATE OF COVERAGE No. NCG050416
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,
New River Tire Recycling, LLC
is hereby authorized to discharge stormwater from a facility located at
New River Tire Recycling, LLC
312 E 52 Bypass
Pilot Mountain
Surry County
to receiving waters designated as unnamed tributary to Chinquapin Creek, a class WS-II;HQW
water in the Yadkin River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, I1, III, and IV of General Permit No.
NCG050000 as attached.
This certificate of coverage shall become effective January 17, 2014
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 17, 2014
ORIGINAL SIGNED M
KEN PICKLE
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

NCGO50416
WCA
Map Scale .124, 000
New River Tire Recycling, LLC
New River Tire Recycling, LLC
Latitude: 360 23' 09" N
Longitude: 800 27' 39" W
County: Surry
Receiving Stream: UT to Chinquapin Creek
Index No: 12-72-14-3
Stream Class: WS-II;HQW
Sub -basin: 03-07-03 (Yadkin River Basin)
r�r
Facility Location

fi7w�
,of
Division of Water Quality / Water Quality Section
ACMUNNOMM-O"
SL
NCDENam
K National Pollutant Discharge Elimination System
NC l C4 OLLIA '­­ M
Fs:nr+o��eir: a 0 NuuRe Re <" Es
NCG050000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month Day
Ll
D[
Certificate of covera e
N GO5v1(I le,
Check #
1 Amount
t 'l 17 Sr
vv
Permit Assiened to
e0JA idro
National Pollutant Discharge Elimination System application for coverage under General Permit
NCGO50000:
STORMWATER DISCHARGES associated with activities classified as:
SIC` 23 Apparel and Other Finished Products Made from Fabrics and Similar Materials
SIC' 265 Paperboard Containers and Boxes
SIC 267 Converted Paper and Paperboard Products
SIC' 27 Printing, Publishing and Allied Industries
SIC' 30 Rubber and Miscellaneous Products (except as specified below)
SIC' 31 Leather and Leather Products (except as specified below)
SIC' 39 Miscellaneous Manufacturing Industries
SIC* NIA Like activities deemed by DWQ to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC' 301 Tires and Inner Tubes
SIC' 311 Leather Tanning and Finishing
Standard industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
New River Tire Recycling LLC
PO Box 1375
Hillsville _
276 728 0201
E-mail Address [e-mail]
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
New River Tire Recycling LLC
Ben Bryant
[e-mail]
312 E 52 Bypass _
Pilot Mountain
Surry
276-7280201
3) Physical Location Information:
State VA ZIP Code 24343
Fax:
State NC
Fax:
1
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). Intersection of 268 and 52 Bypass turn right onto 52
Bypass. Building is 1 mile on the right.
Page 1 of 4
SWU-220-071408 Last Revised 7114/2008

NCGO50000 N.O.I.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application)
4) Latitude 3(� 623 9 'Ul1) 962354 Longitude 1570118 ` 80 °27 -3 • ' (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
x New or Proposed Facility Date operation is to begin.lan 15, 2014
❑ Existing
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3 0 6 9
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Tires and shredded tires are stored onsite.
8) Discharge points:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
9) Receiving waters:
What is the name of the body or bodies of water (creels, stream, river, lake, etc.) that the facility stormwater
discharges end up in? small stream
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).
10) Does this facility have any other NPDES permits?
x No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
x No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
x No
❑ Yes
If yes, please briefly describe:
13) Does this facility have a Stormwater Pollution Prevention Plan?
x No
❑ Yes
If yes, when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
xNo ❑Yes
Page 2 of 4
SWU-220-071408 Last Revised 704/2008

NCG050000 N.O.J.
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
x No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
x No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of
hazardous waste?
x No ❑ Yes
d) !f you answered yes to questions b, or c., piease provide the foiiowing information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport I disposal vendor:
Vendor address:
16) Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device of method required to be operated or maintained under this Articie 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 coverage under the referenced General Permit. i understand that coverage under this permit
wil! 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: Ben Bryant_
Title: Owner
l
_1 /6/2014
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Page 3 of 4
SWU-220-071408 Last Revised 7/14/2008

'NCG050000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearby waters
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 4 of 4
SWU-220-071408 Last Revised 7/14/2008

Bennett, Bradley
From: Taylor -Smith, Aana
Sent: Monday, January 13, 2014 12:56 PM
To: Bennett, Bradley
Subject: RE: New River Tire Recycling LLC - Pilot Mountain
Hi Bradley,
They recently decided that they were going to expand their operation out of doors, so go ahead and process the NCG05.
wasn't sure how to rescind the NCGNE application.
ThanksH
Aana Taylor -Smith
Land Quality Section
Division of Energy, Mineral, and Land Resources
NC DENR Winston-Salem Regional Office
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Bennett, Bradley
Sent: Monday, January 13, 2014 12:51 PM
To: Taylor -Smith, Aana
Subject: New River Tire Recycling LLC - Pilot Mountain
Hi Aana,
Just wanted to touch base about this one. We got an NCG05 application from them but they also have NCGNE0980
pending in BIMS. BIMS indicates that you guys were going to inspect again when they were moved into the site. Please
let me know if we should start processing the NCG05 or wait for you to look at the NCGNE.
Thanks
BB
Bradley Bennett
Stormwater Permitting Program Phone: [phone]
NC Division of Energy, Mineral and Land Resources Fax: [phone]
1612 Mail Service Center Email: brad ley, bennett@nod enr.goy
Raleigh, NC 27699-1612 Web: hUp:/lportal.ncdenr.orglwebllrlstormwater
Email correspondence to and from this address may be subject to public records laws

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Ventaloro, Julie
From: Taylor -Smith, Aana
Sent: Thursday, January 16, 2014 2:35 PM
To: Ventaloro, Julie
Subject: RE: New River Tire Recycling LLC - Pilot Mountain
Hi Julie,
Thanks for looking at that! I just looked at my map and the UT to Chinquapin Creek looks correct to me. They sent me a
copy of the NOI as well and I've been to the site, so go ahead and issue.
Thanks so much!
Aana Taylor -Smith
Land Quality Section
Division of Energy, Mineral, and Land Resources
NC DENR Winston-Salem Regional Office
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Ventaloro, Julie
Sent: Thursday, January 16, 2014 1:47 PM
To: Taylor -Smith, Aana
Subject: FW: New River Tire Recycling LLC - Pilot Mountain
Hi Aana,
I'm processing this NOI. They didn't list a stream on the NOI. Best I can tell from the topo is the site discharges to a UT
to Chinquapin Creek, which is WS-II;HQW. Can you verify? Address is 312 E 52 Bypass, Pilot Mountain. Lat: 36 deg 23
min 09 sec; Long: -80 deg 27 min 39 sec.
Also, do you want to review the NOI? Or should I go ahead and issue the permit since you're already familiar with the
site?
Thanks!
Julie Ventaloro
Stormwater Permitting Program
NC Division of Energy, Mineral, and land Resources
1612 Mail Service Center, Raleigh, NC. 27699-1612
Phone: [phone]o Fax: (gig) 807-6494
Website: http://watersuppiMatershed.nc.gov
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third
parties.

From: Bennett, Bradley
Sent: Wednesday, January 15, 2014 7:02 AM
To: Taylor -Smith, Aana
Cc: Ventaloro, Julie
Subject: RE: New River Tire Recycling LLC - Pilot Mountain
Aa na,
I have withdrawn the NCGNE permit in BIMS and added a note about them applying under NCG050416.
m
Bradley Bennett
Stormwater Permitting Program Phone: [phone]
NC Division of Energy, Mineral and Land Resources E Fax: [phone]
1612 Mail Service Center Email: bradley.ben nett(@ncdenr.00v
Raleigh, NC 27699-1612 Web: http:/lportal.ncdenr.or_glweb/Ir/stormwater
Email correspondence to and from this address may be subject to public records laws
From: Taylor -Smith, Aana
Sent: Monday, January 13, 2014 12:56 PM
To: Bennett, Bradley
Subject: RE: New River Tire Recycling LLC - Pilot Mountain
Hi Bradley,
They recently decided that they were going to expand their operation out of doors, so go ahead and process the NCG05.
I wasn't sure how to rescind the NCGNE application.
ThanksH
Aana Taylor -Smith
Land Quality Section
Division of Energy, Mineral, and Land Resources
NC DENR Winston-Salem Regional Office
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Bennett, Bradley
Sent: Monday, January 13, 2014 12:51 PM
To: Taylor -Smith, Aana
Subject: New River Tire Recycling LLC - Pilot Mountain
Hi Aana,
Just wanted to touch base about this one. We got an NCG05 application from them but they also have NCGNE0980
pending in BIMS. BIMS indicates that you guys were going to inspect again when they were moved into the site. Please
let me know if we should start processing the NCG05 or wait for you to look at the NCGNE.

Ventaloro, Julie
From:
Bennett, Bradley
Sent:
Wednesday, January 15, 2014 7:02 AM
To:
Taylor -Smith, Aana
Cc:
Ventaloro, Julie
Subject:
RE: New River Tire Recycling LLC - Pilot Mountain
Follow Up Flag:
Follow up
Flag Status:
Flagged
Aa na,
I have withdrawn the NCGNE permit in RIMS and added a note about them applying under NCG050416.
BB
Bradley Bennett
Stormwater Permitting Program Phone: [phone]
NC Division of Energy, Mineral and Land Resources Fax: [phone]
1612 Mail Service Center Email: bradley.benneft �ncdenr.gov
Raleigh, NC 27699-1612 Web: http:llportal.ncdenr.orolwebllrlstormwater
Email correspondence to and from this address may be subject to public records laws
From: Taylor -Smith, Aana
Sent: Monday, January 13, 2014 12:56 PM
To: Bennett, Bradley
Subject: RE: New River Tire Recycling LLC - Pilot Mountain
Hi Bradley,
They recently decided that they were going to expand their operation out of doors, so go ahead and process the NCG05.
I wasn't sure how to rescind the NCGNE application.
Thanks!!
Aana Taylor -Smith
Land Quality Section
Division of Energy, Mineral, and Land Resources
NC DENR Winston-Salem Regional Office
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Bennett, Bradley
Sent: Monday, January 13, 2014 12:51 PM
To: Taylor -Smith, Aana
Subject: New River Tire Recycling LLC - Pilot Mountain

'� r
Hi Aana,
Just wanted to touch base about this one. We got an NCG05 application from them but they also have NCGNE0980
pending in BIMS. RIMS indicates that you guys were going to inspect again when they were moved into the site. Please
let me know if we should start processing the NCG05 or wait for you to look at the NCGNE.
Thanks
M.
Bradley Bennett
Stormwater Permitting Program
NC Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612
Phone: [phone]
Fax: [phone]
Email: bradley.bennett(o—ncdenr.gov
Web: http:liportal.ncdenr.orglweb/ir/stormwater
Email correspondence to and from this address may be subject to public records laws

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

t n�•t+��ftniCrlttlt
Qflfitftl
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Fur guidance on filling out this furnr, please visit hi(ps:Hdcq.nc.gov/aboui/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: NICI l l l l l l l or Certificate
Facility Name:
County:
I nspector:
Date of Inspection:
Ti
me of Inspection: . 2.� YYl
Total Event Precipitation (inches):
Coverage No.: NIC/Gl o /,5 /()/ q I. I I
0.
All permits require qualitative monitoring to be performed during a "measRF*l1s--�aWvcnt."
T4 --1LES
A "measurable storm event" is a storm event that results in an actual disiWarge_ eft ttitlie permitted site
J
outfail. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this suture. Ie3:vif that tPis report is accunate mp ete to the best of my knowledge:
{Signature of Permittee
1. Outfall Description:
Outfall No. '1Z _ Structure (pipe, ditch, etc.):.
Receiving Stream:
_ UnC-11-.c A 5 �,W/%~- /_ C�.
Describe the industrial activities that occur within
Fall drainage area:
SWU-242, List modified 06101f21U13
Page I of 2

2. Color: Describe the color of the ischarge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): _1'42 o der T
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
storm►vaterdischarge, where l is no solids and 5 is the surface covered with floating solids:
l% 2 3 4 5
h. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stonnwater discharge, where 1 is no solids and 5 is extremely muddy:
,0) 2 3 4 5
7. Is there anv foam in the stormwater discharge? o Yes o'Na.
S. Is there an oil sheen in the stormwater discharge? oYcs o.
9.
Is there evidence of erosion or deposition at the outfall? o Yes erlN
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of roam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Lail modified UWO112U19