NCG060384_COMPLETE FILE - HISTORICAL_20170825

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
HISTORICAL FILE
❑ MONITORING REPORTS
DOC TYPE
DOC DATE
i] aot -I o
YYYYMMDD

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
August 25, 2017
Mr. David Caplinger
Mondelez Global LLC
759 Chimney Rock Road
Greensboro, NC 27409
ROY COOPER
Governor
MICHAEL S. REGAN
Secrelary
TRACY DAVIS
Oirecror
NC Dep2rtlnent of
Environmental Quality
Received
SEP 0 8 2017
Winston-Sa!em
Regional Office
Subject: General Permit No. NCG060000
Mondeldz Global LLC
COC No. NCG060384
Guilford County
Dear Mr. Caplinger:
In accordance with your application for a discharge permit received on May 22, 2017, 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 Water Resources, the Coastal Area Management Act, or any other federal or local
government permit that may be required.
Nothing Compares--,,-.-
SState of North Carolina i Environmental Quality I Energy, Mineral and Land Resources
512 N. Salisbury Street � 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
919 707 9200

If you have any questions concerning this permit, please contact Bethany Georgoulias at telephone
number [phone] or by email bethany.geor =oulias(u�ncdenr.gov.
cc: Winston-Salem Regional Off -tee
Stormwater Program Files
DWR Central Files
Sincerely,
Original sighed by B. Georgoulius
for Tracy E. Davis, P.E, CPM, Director
Division of Energy, Mineral, and Land Resources
Nothing Compares--,-,
State of North Carolina f Environmental Quail(y I Energy. Mineral and Land Resources
512 N. Sallsbury Street 16)2 Mail Service Center I Raleigh. North Carolina 276999612
919 707 9200

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE N% NCG060384
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,
Mondelez Global LLC
is hereby authorized to discharge stormwater from a facility located at
Mondelez Global LLC
759 Chimney Rock Road
Greensboro
Guilford County
to receiving waters designated as East Fork Deep River, a class WS-IV water in the Cape
Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts 1, 11, I11, and IV of General Permit No. NCG060000 as
attached.
This certificate of coverage shall become effective August 25, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 25th day of August 2017.
Original signed by B. Georgoulias
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

NCG060384 11 Mondelez Global LLC III I
Map Stale 1: 24, 000
Latitude: 360 3' 56" N
Longitude: 790 56' 57" W
County: Guilford
Receiving Stream: Fast Fork Deep River
Stream Class: IIVS-IV
Index Number: 17-2-(0.3) (Cape Fear River Basin)
Facility Location

Central Files: APS — SWP _
8/25/2017
Permit Number NCGO60384 Permit Tracking Slip
Program Category Status Project Type
NPDES SW Active New Project
Permit Type Version Permit Classification
FoodlfabaccofScapslCosmeticslPublic Warehousing Slormwater Discharge COC 1.00 COC
Primary Reviewer
Bet ha ny. Georg oulias
Coastal SWRule
Permitted Flaw
Facility
Facility Name
Mondelez Global, LLC
Location Address
759 Chimney Rock Rd
Greensboro NC 27409
Permit Contact Affiliation
Major/Minor Region
Minor Winston-Salem
County
Guilford
Facility Contact Affiliation
David Caplinger
759 Chimney Rock Rd
Owner Greensboro NC 27409
Owner Name Owner Type
Mondelez Global LLC Non -Government
Owner Affiliation
David Caplinger
759 Chimney Rock Rd
Dates/Events Greensboro NC 27409
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
8/25/2017 716/2017 8/2512017 8/2512017 10/31/2017
Regulated Activities Requested /Received Events
Food and kindred products manufacture RO Staff report requested 7124I17
RO staff report received 7124l17
Outfall 001
Waterbody Name Streamindex Number Current Class Subbasfn
East Fork Deep River 17-2-(0.3) WS-IV:' 03.06-08
Outfall 002
Waterbody Name Streamindex Number Current Class Subbasin
East Fork Deep River W-2-(0.3) WS-IV:' 03.06.08

Georgoulias, Bethany
From:
White, Glen
Sent:
Monday, July 24, 2017 11:17 AM
To:
Gantt, Matt
Cc: White, Sue; Georgoulias, Bethany
Subject: RE: NOI from Mondelez Global LLC for NCG06
Matt
WSRO has no problem with the permitting unit issuing NCG060384.
Glen White
Environmental Specialist
NCDENR Winston-Salem Regional Office
Division of Energy, Minerals & Land Resources
450 Hanes Mill Rd — Suite 300
Winston-Salem, NC 27105
glen.white y tnedenr.gov
[phone]
From: Gantt, Matt
Sent: Monday, July 24, 2017 11:04 AM
To: White, Glen <[e-mail]>; White, Sue <[e-mail]>
Subject: FW: NOI from Mondelez Global LLC for NCG06
Can you please look this over and let Bethany know if you have any concerns?
Thanks,
Matt
From: Georgoulias, Bethany
Sent: Monday, July 24, 2017 10:59 AM
To: Gantt, Matt <matt. antt ncdenr. ov>
Subject: NOI from Mondelez Global LLC for NCG06
Good morning, Matt,
We received an NOI from Mondelez Global, LLC in Greensboro for coverage under NCG06.
Here is a link to the NOI: http:/Zedocs.deg.nc.govZStormwater/0/doc/551940/PageI.asp
Does WSRO have any concerns with issuing a COC to this site?
Thanks,
Bethany
Bethany Georgoulias
Environmental Engineer
Stormwater Program, Division of Energy, Mineral, and Land Resources

Division of Energy, Mineral and Land Resources
Land Quality Section
r National Pollutant Discharge Elimination System
NCDENR NCG060000
ENVIRONMENT AND NATURAL REBC RCES
NOTICE OF INTENT
FOR AGENCY USE ONLY
Daie Received
Year
Month
i]av
Certificate ol'CoNera
NI 6 MV
Cicc'
o i[
Pennit Assi gaed to
U
7
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000: RECEIVED
STORMWATER DISCHARGES associated with activities classified as:
JUL 0 6 2017
SIC (Standard Industrial Classification) 20 Food and Kindred Products QUALITY
SIC 21 Tobacco Products I)ENR-LANfl
SIC 283 Drugs Sr0RMWpTERPERMITTING
SIC 284 Soaps, Detergents, & Cleaning Preparations', Perfumes, Cosmetics, & Other Toilet Preparations
SIC 422 Public Warehousing and Storage (except 4226)
For questions, please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this NOl for renewals.
1) Mailing address of owner/operator
Name
Street Address
City
Telephone No.
(Please print or type)
ev
759 Chimney Rock Road
Greensboro State NC ZIP Code
919-394-1007 Fax:
2) Location of facility producing discharge:
409
Facility Name Mondelez Global LLC
Facility Contact David Caplinger
Facility Address 759 Chimney Rock Road
Facility City Greensboro State NC ZIP Code 27409
Facility County Gulford County
Telephone No. 919-394-1007 Fax:
Email David. Ca lin er mdlz.com
3) Physical Location Information:
led):
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). From 1-40 go south on Hwy 68• east on Hwy 1556• and
then right on Chimney Rock Road; the facility is on the south side of the road.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 36°03'55.90" N Longitude 79056'56.83" W (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X Existing
Page 1 of 4
SWU-221 Last revised 6/24114

NCG060000 N.O.I.
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: 4 2 2 5
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: The facility has trucking bay areas for the loading and unloading of finished goods (primarily
cookies and snacks). Mobile -to -mobile refueling and vehicle washing are industrial activities that are
conducted onsite.
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points ! Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? East Fork Deep River
Receiving water classification: WS-IV
Is this a 303(d) listed stream? Yes Has a TMDL been approved for this watershed? Yes
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). NIA
9) 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:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: BMPs for various industrial activities including onsite fuelinq and vehicle washing,
have been implemented to minimize spills and provide emergency response, if needed.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented? _February 2017
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
Page 2 of 4
SWU-221 Last revised 6124114

NCG060000 N.O.I.
14) 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) Is hazardous waste stored in the 100-year flood plain?
X No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) if you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor:
Vendor address:
15) Certification:
North Carolina General Statute 143-215.68 (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 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
will constitute the permit requirements for'the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify th,gf I fam 'ar with the information contained in this application and that to the best of my
knowled e nd elief s ch information is true, complete, and accurate.
Priri Nam of Per on Signing: David Caplinger
_
Title. anaa r.of C tomer l-ooistics
(Signatae of Applicant) (gate Sfgned)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR. Do not send the check or money order separately.
Page 3 of 4
SWU-221 Last revised 6/24l14

1114011I: 111111I11 L,X01I
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
X Check for $100 made payable to NCDENR. Must be included with this application (not sent separately).
X This completed application and all supporting documents.
X A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, and unloaded, (f) impervious areas, (g) site property lines.
X Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR 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-221 Last revised 6/24114

N
East Fork I
Y!
Modified from U.S.G.S. topographical map of Guliford, NC 7.5' quadrangle, 2016
U.S.G.S. TOPOGRAPHIC MAP Environmental Resources Management
Mondelez Global LLC Scale: 1:24000
759 Chimney Rock Road Figure 1
Greensboro, NC 27409 Project No: 0378032

SITE DRAINAGE MAP Figure
Mondelez Global LLC 2
759 Chimney Rock Road
�' Greensboro, North Carolina 27409

July 3, 2017.
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1.612 Mail Service Center
Raleigh, NC 27699-1612
RE: Notice of Intent for Stormwater Permitting
To Whom It May Concern:
Environmental Resources Management, Inc. (ERM), on behalf of
Mondelez Global LLC, is submitting the enclosed [Notice of Intent for
coverage under NPDES General Permit NCG060000.
Please direct any future correspondence in this regard to David
Caplinger, Manager of Customer Logistics. If needed, Mr. Caplinger's
phone number and email address are [phone] and
[e-mail].
Sincerely,
Sarah Arnberger
Project Manager
Environmental
Resources
Management
200 South Wacker Drive
Suite 2575
Chicago, 11. 60606
[phone]
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