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Home My WebLink AboutNCG210446_COMPLETE FILE - HISTORICAL_20161116STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE iL7-HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE 0 d O l L% f YYYYMMDD Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY Mr. Paul J. Shields Goldston Lumber, Inc. P.O. Box 219 Goldston, North Carolina 27252 Dear Mr. Shields: PAT MCCRORY Gotemor DONALD R. VAN DER VAART Secretary TRACY DAVIS November 16, 2016 Director Subject: General Permit No. NCG210000 Goldston Lumber, Inc. COC No. NCG210446 Davidson County In accordance with your application for a discharge permit received on September 06, 2016, we are forwarding herewith the subject certificate of coverage 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). Should the frequency of wood preservation increase beyond the occasional operation as described in the permit, please notify the central office at the below number. 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 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 or permits required by the Division of Water 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 Richard Riddle, Stormwater Engineer at telephone number (919) 807-6375. Sincerely, ORIGINAL SIGNED BY MICHEAL F RANDALL for Tracy E. Davis, P.E., CPM, Director Division of Energy, Mineral and Land Resources cc: Raleigh Regional Office Central Files Stormwater Permitting Unit Files State of North Carolina I Environmental Quality I Energy, Mineral and land Resources 1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 276994612 919 707 9200 T STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG210000 CERTIFICATE OF COVERAGE No. NCG210446 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, Goldston Lumber, Inc. is hereby authorized to discharge stormwater and from a facility located at Goldston Lumber, Inc. 2304 South Main Street Goldston Chatham County to receiving waters designated as Cedar Creek, a class C water in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, and IV of General Permit No. NCG210000 as attached. This certificate of coverage shall become effective November 16, 2016. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day November 16. 2016. OR18INALBIGNEDBY MICHEAL F RANDALL for Tracy E. Davis, P.E., Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission NCG210446 11 Goldston Lumber, Inc. 1 MP UfA Latitude: 350 35' 22" N Longitude: -790 19' 35" W County: Chatham Receiving Stream: Cedar Creek Stream Class: C Map Scale 1:24, 000 Index Number: 17-39 (Cape Fear River) Facility Location Central Files: APS ^ SWP _ 11/16/2016 Permit Number NCG210446 Permit Tracking Slip Program Category Status Project Type NPDES SW Active New Project Permit Type Version Permit Classification Timber Products Stormwater Discharge COC 1.00 COC Primary Reviewer rick.riddle Coastal SWRuIe Permitted Flow Facility Facility Name Goldston Lumber, Inc. Location Address 2304 S Main St Goldston NC 27252 Permit Contact Affiliation RECEIVED NOV 2 3 2U16 CENTRAL FILES DWR SECTION Major/Minor Region Minor Raleigh County Chatham Facility Contact Affiliation Paul J. Shields PO Box 219 Owner Goldston NC 27252 Owner Name Owner Type Goldston Lumber Inc Non -Government Owner AffIIlatlon Paul J. Shields PO Box 219 Dates/Events Goldston NC 27252 Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration 11/16/2016 9/6/2016 11/16/2016 11/16/2016 7/18/2018 Regulated Activities Requested /Received Events Timber products manufacture RO staff report received 11/16/16 RO staff report requested 9/16116 Outfall 1 Waterbody Name Streamindex Number Current Class Subbasin Cedar Creek 17-39 C 03-06-11 Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY Mr. Paul J. Shields Goldston Lumber, Inc. P.O. Sox 219 Goldston, North Carolina 27252 Dear Mr. Shields: PAT MCCRORY Govemur DONALD R. VAN DER VAART Secretary TRACY DAVIS November 16, 2016 Direclor Subject: General Permit No. NCG210000 Goldston Lumber, Inc. COC No. NCG210446 Davidson County In accordance with your application for a discharge permit received on September 06, 2016, we are forwarding herewith the subject certificate of coverage 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). Should the frequency of wood preservation increase beyond the occasional operation as described in the permit, please notify the central office at the below number. 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 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 or permits required by the Division of Water 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 Richard Riddle, Stormwater Engineer at telephone number (919) 807-6375. Sincerely, for Tracy E. Davis, P.E., CPM, Director Division of Energy, Mineral and Land Resources cc: Raleigh Regional Office Central Files Stormwater Permitting Unit Files State of Nonh Carolina I Environmental Quality I FnerP', Mineral and Land Resources 1612 Mail SerNice Center 1 512 North Salisbury Street � Raleigh, NC 27699-1612 9l9 707 9200 T STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG210000 CERTIFICATE OF COVERAGE No. NCG210446 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, Goldston Lumber, Inc. is hereby authorized to discharge stormwater and from a facility located at Goldston Lumber, Inc. 2304 South Main Street Goldston Chatham County to receiving waters designated as Cedar Creek, a class C water in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1. 1I, III, and IV of General Permit No. NCG210000 as attached. This certificate of coverage shall become effective November 16, 2016. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day November 16, 2016. for Tracy E. Davis, P.E., Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission ji CXO t-•,.- � I /�� i \'� � j � } � JIB`'--- f �`1� � �°�1 ��5,'�� i a `may I 1 �i` _ 1 , ] J�l 4 . r rtl r J•v ` J� w �� I - s I I 7 C.1 �r� _ . � 'mil•-� � f �1 j � �� + �1.}�¢��f}� � ^ , �' (� f '``.�`� � (�' � /� � `,�`,1 A�' � �� Ij •,I \ /..\ 11 %„� , ' 1/ ! f�'I Nrr 5,�.. J/1 i�J` `J `./ J�i �j�s.�11��j •'�.�li `_-: � t `� 1 `.11 � (� --_� ' i /L--7 � f o , � 1 C^ ' � •� it +J ,� � � !j`.� �_ u l ) ' 1 �\ / '�� {{(( �� \I�yT#��i � �--1 tom! ,• � r � �� / (- �_. � � r `� ,! ��r � �' �f' -- `�'"" / \`. •<< �j Wei '� s.,� /" � � �� - `�=./' .._ �•� L `- '\ \� _yam= ,� �� +,r ��L� r- �� l>• �� L"��.�'� 2 . t - }�� ,r� f l �. . t 1 sr71 .�tri�� I f \� Q. )/•/` / J~ t��_ �N a -) _ � I _ J � ~ \ - •,i � � � 1 n` .i 'A. I �•Lrf,• r:Prl,r...� - J t low, `'' �) l � �, ��; I � - _ - %`= • ��•-. � f � r� ; � , ice,-:, ��`� ��;�� /� � i - � �: Goldston Lumber Inc. 11'`U _�` ` � �� `—'~ �� • —'L`; � -t � � �.�.( r..-I�_� �: �, l J �'t-'-__�//`lam l� j- /` -`,' \IgQ-��'' �114� ll � \ o .l`.�� ,\ \✓�i J ��<� �'l V �r,�t-,,;�� 1)/��{ �f�/1 `�c 0 1 \��-• ---: Char �`.� .r \ �✓. !CrtJ%1 / ;.,/ � 1 I7 O `��`� �r� {,�/ If"r�__:i-.- J � � � I p�/hem- �= C •�.��-/I+��f_ _....,` /�l .i\/II� /�}1 - ` f I i>;._\�� x i66i("�f1 jl��• �1 \+' j °�- ', '"_ - } \�1�\y- l,�'� •.CS'•�::.J; i C- . I :-1 \. ,� u��a`.\? l OJ ! p�\\,.t1,\ i `'i.� t. ,F'•,- c„ ; ..� �! __.',') /1% �l , I `,C/�/ en /, r, -..`\ 1 `� t\ _ r C` �`�" •\v, �•_. % , • ��` `-eM � ; J� ,� ice--' f t i� ' � _�� " � L,`� 1` ti ��}!I ` ` 1� � �t,••ti_.' � � �-J' '>32F' �$� �- �/ f J �, y `�=a.` a �` �L ` NCG210446 N W E S Map Scale 1:24, 000 Goldston Lumber, Inc. Latitude: 350 35' 22" N Longitude: -790 19' 35" W County; Chatham Receiving Stream: Cedar Creek Stream Class: C Index Number: 17-39 (Cape Fear River) Facility Location a r� 'r NCDENR Name Cwo t of E�r,r" —D NI R— Rr ces NOTICE OF INTENT Division of Energy, Mineral and Land Resources Stormwater Permitting Program National Pollutant Discharge Elimination System NCG210000 FOR AGENCY USE ONLY Date Received Year Month Da Certificate or ve e N t e a mm.if Assigned to KiCAA11 National Pollutant Discharge Elimination System application for coverage under General Permit NCG210000: For STORMWATER DISCHARGES associated with activities classified as: SIC' 24 Timber Products (except as specified below), including Wood Chip Mills; And, Like activities deemed by DEMLR 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: Wood Kitchen Cabinets (SIC 2434) Wood Preserving (SIC 2491) Logging (SIC 2411) RECEIVED SEP 0 6 2016 Standard Industrial Classification Code DENR•LAND sroRMw QUALITY(Please print or type) ATER PERMITTING TING 1) Mailing address of owner/operator (address to which official permit correspondence will be mailed): Name Goldston Lumber, Inc. Owner Contact (a person) Paul J. Shields, pres Street Address PO Box 219 2304 South Main St. City Goldston State NC ZIP Code 27252 Telephone No. 919-777-8803 Fax: n/a E-mail Address goldston.lumber@gmail.com q 2) Location of facility producing discharge: • ' ) — 767. . Facility Name same J Facility Contact (a per n) Contact E-mail Street Address City State ZIP Code County Telephone No. Fax: 3) Permit Contact Permit Contact (a perso Contact E-mail _ Contact phone number_ 4) 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). 2304 South Main St., Goldston, NC 27252 (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) 5) Latitude 35 35 22 Longitude 79, 19, 35 (degrees, minutes, seconds) Page 1 of 4 SWU-236-080113 Last revised 7/2/14 �t' NCG210000 N.O.I. 6) This NPDES Permit Application applies to which of the following : ❑ New or Proposed Facility X Existing 7) Standard Industrial Classification (SIC): Date operation is to begin 1984 Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 2421 8) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: Goldston Lumber, Inc. is a sawmill which utilizes rejected logs and log cores, recycling this material into lumber for pallets, crating, or dunnage. We also operate a wood preserving plant using non- hazardous copper azole, which we operate less than 5 days a year, pressure treating less than 15,000 board feet per year. 9) Discharge points 1 Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 3 10) Receiving waters: What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? Cedar Creek to Deep River 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). n/a 11) Does this facility have any other water quality permits? X No ❑ Yes If yes, list the permit numbers for all current water quality permits for this facility: 12) 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: 13) Does this facility employ any best management practices for stormwater control? ❑ No X Yes If yes, please briefly describe: All fork lifts and Front end loaders are parked under shelter at the end of the day preventing any potential oil leaks from mixing with storm water runoff. Silt fences are installed at the rain water discharge points nearest to any sawdust/ shavings/ chip accumulation piles. 14) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No X Yes If yes, when was it implemented? 8/30/2016 1S) Does this facility have exposed accumulations of sawdust, bark, mulch, wood chips, or similar size woody material on -site for longer than seven (7) days? (Exposed directly to rainfall or to run-on from other areas of the facility.) ❑ No X Yes Page 2 of 4 SWU-236-060113 Last revised 712114 NCG210000 N.O.I. 16) Are vehicle maintenance activities occurring at this facility? ❑ No X Yes 17) Hazardous Waste: Goldston Lumber is a conditionally exempt facility producing zero hazardous waste in the past 6 years. 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) 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: 18) 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 fled or required to be maintained under this Article or a rule implementing this Article; orwho 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 [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 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: _Paul J. Shields Title: President (Signature of _8/27/2016 (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: Page 3 of 4 SWU-236-080113 Last revised 712/14 NCG210000 N.O.I. NCDENR Final Checklist This application will be returned as incomplete unless all of the following items have been included: ❑ Check for $100 made payable to NC DENR ❑ This completed application and all supporting documents ❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map Mail the entire package to: Stormwater Permitting 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 the issuance of an NPDES permit. For questions, please contact the DEMLR Central Office or Regional Office for your area. To visit our website, go to httpJ/portal.ncdenr.org/w ir/stormwater DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office... (704) 663-1699 Raleigh Office........ (919) 791-4200 Washington Office ... (252) 946-6481 Wilmington Office... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office ......... (919) 807-6300 Page 4 of 4 SWU-236-080113 Last revised 712114 I . "898 . -�09108 J097 �� 209 9040 o .r 3 in tA1 � till 4ftup- f T 2 ko�o, 4 :^ y 139�634 . _.._ 9040 i y 9'276 9282 7UNTY NC Parcel Number: 9209 Deed Book: 825 Map Number: 9606-28-8989.000 Deed Page: 0374 Owner Name: SHIELDS PAUL J 8 SARA G Plat Book:: A S. Main Street - Goldston Lumber t,0er Aer Ci ddre ty: own P O BOX 219 GOLDSTON Plat Page: Deed Acres: 20.546 a provided On this map are prepared hx the inventorer ry of real properly found -thinln n Ccuniy, NC and are oornpded ham moorded plate, deeds, and odpublic records x The data isfor ebrmationelpurposes"andshouldnotbewbadtuled e lids aoarch, property appraisal. survey, or tar zoning vsdRcadon. Owner State: Owner Zip: Tax Year: Description: NC 272520000 G03-1 Physical Address: Improvement Value: Land Value: Fire District: Township Code: 2304 BELLEVUE ST N 143603 92046 200 6 One Inch = 400 Feet -GOLDSTON LUMBER, INC. SITE RUNOFF CONTROL Draw map showing the surrounding area for about one mile in all directions. Extend the map in the direction of ! site drainage so that drainage can be traced until it reache nearest large body of water. !I runolf can be impounded on off site show loca 'on and approximate num er of oallons•( . A.^ / I u a 0 can be contained. Locate where and how runoff may be ` h blocked by dikes, dams, shutting off lift pumps, etc. Show e surrounding land use (residential, cornfield, etc.). Show places of public assembly, such as schools, churches. Use symbols below. 5h w North arrow. , { 4 AA-Vf^ in Office E Q Main gas Cutoff c� TRIM \ a Fue 0 `1 s Shop A'tfai djpl D Ki n _�-- Tank Farm Sawmill Treati4g Plan ti : Covered` -Drip Pad.. s, X 3.381 xA Yard 0 i rr Ca, Mfg f `, y .;•. T^ears •r.,..-'' Rernanufacturing Plant 4 Gas to,f 4- Wate •cu\if, Electr cart: Fire ingu SCALE 1" = 200'- EXTERICQ}R Jc • � ''s CONTOUR INTERVAL 10' pke- Hrdrgn+ N: Fence ........... -x xar rr - Well ....... rXeme ........ irection Ground Slopes........ ---- Gate ............ Drain Lines or Culverts _ Stream or Creek ......... , ,.,�� _ Railroad ........... .... �- (with direction of flow) impoundment Location ...... Drain Intel ........ QQ Surface.................Lilt Pump ....... Yanhole'.. QQ Underground ............ - .i _ � _ Proposed Dike or Berm ....: �� VehiIe.:.. /a.,+►ri«ble L1 �`4fs F+. 5Ta rJJ4 r ,5at+�+Q13 lo�o•�'i A-3— potSon3 G�-1.. 7 .t' r� Division of Energy, Mineral and Land Resources �� Stormwater Permitting Program National Pollutant Discharge Elimination System NCDENR R" C'R - D" � NCG2l! 0000 EN+naon..e..r —D N+a Rr3o�r+ NOTICE OF INTENT �f [R:1il�I /Lfx!i t National Pollutant Discharge Elimination System application for coverage under General Permit NCG210000: For STORMWATER DISCHARGES associated with activities classified as: SIC' 24 Timber Products (except as specified below), including Wood Chip Mills; And, Like activities deemed by DEMLR 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: • Wood Kitchen Cabinets (SIC 2434) • Wood Preserving (SIC 2491) • Logging (SIC 2411) RECEIVED SEP 0 6 2015 . Standard Industrial Classification Code DENR IAND STp,gfdW QUALITY (Please print or type) ATER PERMITTING 1) Mailing address of ownerloperator (address to which official permit correspondence will be mailedl: Name Goldston Lumber, Inc. Owner Contact (a person) Paul J. Shields, pres Street Address PO Box 219 2304 South Main St. City Goldston State NC _ ZIP Code 27252 Telephone No. 919-777-8803 Fax: n/a E-mail Address goldston.lumber@gmail.com 2) Location of facility producing discharge: • ' ) — 71. 3 c Facility Name Facility Contact (a Contact E-mail Street Address City County Telephone No. 3) Permit Contact Permit Contact (a perso Contact E-mail _ Contact phone number_ Sam 4) Physical Location Information: State Fax: ZIP Code 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). 2304 South Main St., Goldston, NC 27252 (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) 5) Latitude 35, 35, 22 Longitude 79, 19, 35 (degrees, minutes, seconds) Page 1 of 4 SWU-236-080113 Last revised 712/14 r! NCG210000 N.O.I. 6) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin 1984 X Existing 7) Standard Industrial Classification (SIC): Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 2421 8) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: Goldston Lumber, Inc. is a sawmill which utilizes rejected logs and log cores, recycling this material into lumber for pallets, crating, or dunnage. We also operate a wood preserving plant using non- hazardous copper azole, which we operate less than 5 days a year, pressure treating less than 15,000 board feet per year. 9) Discharge points 1 Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 3 10) Receiving waters: What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? Cedar Creek to Deep River 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). nla 11) Does this facility have any other water quality permits? X No ❑ Yes If yes, list the permit numbers for all current water quality permits for this facility: 12) 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: 13) Does this facility employ any best management practices for stormwater control? ❑ No X Yes If yes, please briefly describe: All fork lifts and Front end loaders are parked under shelter at the end of the day preventing any potential oil leaks from mixing with storm water runoff. Silt fences are installed at the rain water discharge points nearest to any sawdust/ shavings/ chip accumulation piles. 14) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No X Yes If yes, when was it implemented? 8/30/2016 15) Does this facility have exposed accumulations of sawdust, bark, mulch, wood chips, or similar size woody material on -site for longer than seven (7) days? (Exposed directly to rainfall or to run-on from other areas of the facility.) ❑ No X Yes SW U-236-080113 Page 2 of 4 Last revised 712114 NCG210000 N.Q.E. 16) Are vehicle maintenance activities occurring at this facility? ' ❑ No X Yes 17) Hazardous Waste: Goldston Lumber is a conditionally exempt facility producing zero hazardous waste in the past 6 years. a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? X No ❑ Yes b) Is this facifity 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) 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 / disposal vendor:_ Vendor address: 18) 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 or method required to be operated or maintained under this Article 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 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: _Paul J. Shields Title: President (Signature of �8/27/201 fi_ (Date Signed) Notice of intent must be accompanied by a check or money order for $100.00 made payable to: Page 3 of 4 SWU-236-080113 Last revised 7/2114 NCG210000 N.O.I. NCDENR Final Checklist This application will be returned as incomplete unless all of the following items have been included: ❑ Check for $100 made payable to NC DENR ❑ This completed application and all supporting documents ❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map Mail the entire package to: Stormwater Permitting 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 the issuance of an NPDES permit. For questions, please contact the DEMLR Central Office or Regional Office for your area. To visit our website, go to tttp.Ilportal.ncdenr.or_y/weblirlstormwater DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ... (252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-6300 Page 4 of 4 SWU-236-080113 fast revised 7014 i14' f 909 LOT � 9.91 5;� �: ��,�� '� 3 08 1� . i"583 � 41,4 � . � i . . � •. 'gip 71>.,��{ 254.1 I0ell .4 82r� 183M11` 7 \ � fqFT19041 /� •'`" 4 r2�i1 t t►.1914s �r + r \^ 14� �i� `�` .9215•�.r:.l► �+'"+• il/ � y qr LA .086 �. j3 92U8 GI`G, a• �.� �YfN A.Je,:I 3 NN J_. " 904p 1 t - Ica 9282 �UNN NC Parcel Number: 9209 Deed Book: 825 Map Number. 9606-28-8989.000 Deed Page: 0374 Owner Name: SHIELDS PAUL J 8t SARA G Plat Book:: l4 S. Main Street - Goldston Lumber tw Address: P O BOX 219 Plat Page: owner City: GOLDSTON Deed Acres: 20.546 Owner State-. NC Physical Address: 2304 BELLEVUE ST N Owner Zip: 272520000 improvement Value: 143603 a pmelded on this m tp are prepared for the "rventory of reel property found mildn Land Value: 92046 n Couny. NC and are mmpded from recorded plats• deeds, and other publld records Tax Year; a.This data isfor lnformadoryl purposes only and should not be wbedprtsd Description: G03-1 Fire District: 200 One Inch=400 Feet a °tie search. peperry amprolaat, survey, a for zonind verification.Tnr.... nl.lw f`.,.�.,• R GOLDSTON LUMBER, INC. SITE RUNOFF CONTROL Draw map showing the surrounding area for about one can be contained. Locate where and how runoff may be mile in all directions. Extend the map in the direction of Itl blocked by dikes, dams, shutting off lift pumps, etc. Show site drainage so that drainage can be traced until it reache a surrounding land use (residential, cornfield, etc.). Show places nearest large body of water. If runoff can be impounded on of public assembly, such as schools, churches. Use symbols off site show loca 'on and approximate num er of oallons•) below. Sh w North arrow. y ' ass•' • i r Rue • r' rb [o P ` GARN[IC = . i JL �i " •-• •r - i in Office g Main gas Cutoff •'a SST Pt a c Fie Shap D Kl n �lNARR[ir�• • filer ~IP 'Tank Farm Saw Treating Plan X _ s Covered` Drip Pad` 4` }k, K" sit~ Yard 0 i �� \� �a-ti..°• wry Ce, * h MfS Remanufacturi.ng Plante, jo- Gas utbf Q= Wate cu6f �= El2ctr cal �.. Fire in EXTERiQR •/ ``'`�'' c .J SCALE 1" = 200' rr,ee NYdran t 0 ,,`CONTOUR INTERVAL 10 Fence ............ .... *- Well ........ .. nvike.. 7..... irection Ground Slopes Gate _/L Drain tines or Culverts Stream or Creek .............. Railroad ........... .... '- H (with direction of flow) Impoundment Location :... . Drain Inlet ......... . ......... QSurface ................—ter— Lift Pump ... ..................... Manhole ...... QQ Underground •........... _ _ .a _ Proposed Dike or Berm ........ . Fla., le +� +`Qg FL S'r" G1aL �' ,Sae�+pl�ng (O[P'4-'�'s I 3 J pptSor,3 � J � • Riddle, Rick L From: Holley, John Sent: Friday, September 16, 2016 2:31 PM To: Adams, Diane Cc: Riddle, Rick L; Cole, Brad Subject: FW: NOI for review - NCG210446 Attachments: NCG210446 N01_Goldson Lumber.pdf Please review this notice and prepare comments for Rick Riddle and me accordingly. Note the 10-16-2016 suspense date (which is a Sunday). Please prepare your comments on or before the 12". Thanks! John L. Holley, Jr., PE, CPESC Regional Engineer NC Dept. of Environmental Quality Division of Energy, Mineral and Land Resources Raleigh Regional Office 1628 Mail Service Center, 3800 Barrett Drive Raleigh, NC 27699-1628 Phone: 919-791-4200, Fax: 919-571-4718 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: Riddle, Rick L Sent: Friday, September 16, 2016 2:20 PM To: Holley, John <john.holley@ncdenr.gov> Subject: NOI for review - NCG210446 John Holley: Please review the attached NOI application and let me know of any recommendations for the permit. COC # Facility Location City/County NCG210446 lGoldston Lumber 12304 South Main St. Goldston/Chatham If you need any more info, give me an email or call. If you could send me a recommendation for the permit by 10/16/2016 so I can issue their COC, I'd appreciate it. Have a great day. Thank you. Richard L. Riddle, Jr. Stormwater Engineer North Carolina Department Enviromental Quality North Carolina Division Energy Mineral Land Resources 919 807-6375 office rick. ricIdleCcDncdenr. ov 512 North Salisbury Street 1612 Mail Service Center Raleigh, NC 27699-1612 0�.. -->' Nothing Compares..%-, Emoil correspondence to and from this address is subject to the North Carolina Public Records Low and may be disclosed to third parties. Goldston Lumber, Inc. PO Box 219 2304 S. Main St. Goldston, NC 27251 Mr. John L. Holley, Jr. Regional Engineer NC Dept. of Environmental Quality Division of Energy, Mineral and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Subject: Notice of Intent Dear Mr. Holley, August 27, 2016 Please receive our Notice of Intent, requesting Goldston Lumber, Inc. be covered for storm water discharges under general permit NCG210000. Cc: Cheng Zhang, Chan Bryant. Sincerely, r� 1 Paul J. S elds, President Goldston Lumber, Inc. RECEIVED SEP 0 6 2016 DENR-LAND OUALITY STORMWATER PERMITTING .6691,4 . Goldston Lumber, - 1nc. w Our Quality Shield Insures The Best `.wW,,;r�o..o.. DATE P.O. Box 219 NORTH CAROLINA. Go€dsrnn, N.C.27252 Check Number. 669�4 Aug 23,.2016 . 66-112/531 Memo: AMOUNT 100.00 'AY One Hundred and 00/100 Dollars - Q THE IRDER IF: NC DEPT. OF.ENVIRONMENT & NAT. RESOURCES ATTN: PHILLYSTINE SPINKS 401 OBERLIN RD.,'SUITE•150.: = RALEIGH, NC 27605 f us AUTHORIZED SIGNATURE