NCG140363_COMPLETE FILE - HISTORICAL_20120222

STORMWATER- DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO..
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C,COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑
YYYYMMDD

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NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
February 22, 2012
Jason Perakis
Rich Mix - Rich Mix
PO Box 460
Rockingham, NC 28380
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG 140363
Rich Mix - Rich Mix
Richmond County
Dear Permittee:
FEB 2 3 2012
OWO
Dee Freeman
Secretary
On 12/7/201 1, the Division of Water Quality received your request to rescind your coverage under
Certificate of Coverage Number NCG 140363. In accordance with your request, Certificate of Coverage
Number NCG 140363 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to
waters of the State without valid coverage under an NPDES permit will subject the responsible party to a
civil penalty of up to $25,000 per day. It is the intention of DWQ that enforcement proceedings will
occur for persons that have voluntarily relinquished permit coverage when, in fact, continuing permit
coverage was necessary. If, in retrospect, you feel the site still requires permit coverage, you should
notify this office immediately. Furthermore, if in the future you wish to again discharge to the State's
surface waters, you must first apply for and receive a new NPDES permit.
If the facility is in the process of being sold, you will be performing a public service if you would inform
the new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact Brian Lowther at [phone], or the Water
Quality staff in our Fayetteville Regional Office at NPDES SW.
Sincerely,
for Charles Wakild, P.E., Director
cc: Fayetteville Regional Office
Stormwater Permitting Unit
DWQ Central Files - w/attachments
Fran McPherson, DWQ Budget Office - please waive applicable fees
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www.nmaterquality.org
An Equal Opportunity 1 AKrmabve Action Employer
North Carolina
Naturally

Mr. Jason Perakis
Rich Mix
P.O. Box 460
Rockingham, NC 28380
October 6, 2006
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
M.
oan a: ft
Alan W. Klimek, P.E. Director
Division of Water Quality
ACE
Subject: General Permit No. NCG140000
Rich Mix
COC No. NCG140363
Richmond County
Dear Mr. Perakis:
In accordance with your application for a discharge permit received on September 2,
2006, 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).
Please note that this COC does not allow discharge from the irrigation of raw
material stockpiles, defined as a wastewater, from this site. This stipulation is a result of the
information presented in the application and gathered during technical review of your request for
an authorization to construct wastewater treatment system(s) at this plant.
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.
An Authorization to Construct treatment facilities has been issued concurrently with
this COC. The Fayetteville Regional Office, telephone number [phone], shall be
notified at least forty-eight (48) hours in advance of operation of the installed facilities so that an
in -place inspection can be made. Such notification to the regional supervisor shall be made
during the normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday,
excluding State Holidays.
N'o"�nCarolina
�vaiurally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncw:nerguality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal Opportunity/Atfmnafive Action Employer— 50% Recycled110% Post Consumer Paper.

I �
Mr. Jason Perakis
Rich Mix
NCG 140363
October 6, 2006
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted
facility has been installed in accordance with the NPDES Permit, the associated
Authorization to Construct, and the approved plans and specifications. Please mail the
certification (attached) to the Stormwater Permitting Unit, 1617 Mail Service Center, Raleigh,
NC 27699 1617.
One (1) set of approved plans and specifications is being forwarded to you. The
Permittee shall maintain a copy of the approved plans and specifications on file for the life of the
facility. If you have any questions concerning this permit or Authorization to Construct, If you
have any questions concerning this permit, please contact Bethany Gcorgoulias at telephone
number [phone] ext. 529.
r
Sincerely,
ORIGINAL SIGNED BY
ii BRADLEY BENNETT
Alan W. Klimek, P.E.
cc: Fayetteville -Regional -Office
Central Files
Stormwater Permitting Unit Files
enclosure .

Mr. Jason Perakis
{ Rich Mix
NCG 140363
A October 6, 2006
I
Engineer's Certification (COC No. NCG140363)
I, , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically, weekly, full time) the
construction of the project, for the
Project Name Location
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the following installations:
Construction of a process wastewater recycle system at the Rich Mix site.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Signature
Date
Registration No,
Mail this Certification to: Stormwater Permitting Unit
NC Division of Water Quality
1617 Mail Service Center
�, Raleigh, NC 27699-1617

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140363
STORMWATER AND PROCESS WASTEWATER 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,
Jason Perakis
is hereby authorized to construct and operate a process wastewater treatment/recycle system, and
is hereby authorized to discharge process wastewater (excluding discharge from the wetting of
raw material stockpiles) and stormwater from a facility located at
Rich Mix
1656 Highway 74 East
Hamlet
Richmond County
to receiving waters designated as an unnamed tributary to Marks Creek, a class C water in the
Yadkin -Pee Dee River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit
No. NCG140000 as attached.
This certificate of coverage shall become effective October 6, 2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 6, 2006.
ORIGINAL SIGNED BY
BRADLEY BENNETT
for Alan W. Klimek, P.E., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

,ry ,
LOCATION MAP:
Rich Mix
Latitude:34°sz'39" NCG140363
Longitude: 79°39'40" Facility
`7
County: Richmond Rich Mix LOcat1011
Stream Class: C
Receiving Stream: UT to Marks Creek L
Sub -basin: 03-07-16 (Yadkin -Pee Dee River Basin) [ffOtCth ICAUI 1:24,000

Rich Mix
NPDES General Permit NCG 140000
Narrative Report — Concrete Ready
Date: August 8, 2006
c<<<'
Prepared for:
Rich Mix
1656 US Hwy 74 East
P.O. 460
Rockingham, North Carolina 28380
[phone]
Prepared by:
DON BRIGHT ENGINEERING, PLLC
110 Village Court
P.O. Box 2291
Gamer, NC 27529
[phone]
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Site Location
The proposed site is located on 1.403-acres parcel in Richmond County. The 911 address
for the facility is 1656 US Hwy 74 East, Rockingham, North Carolina 28380. Presently,
the site is vacant and devoid of permanent structures.
Site Drainage
The site has been surveyed and is show on the attached plans. Site topography drains to
the southern portions. Proposed site drainage and stormwater discharge locations are
shown on the attached site plan.
Obtained Approval
The site layout was approved by Land Quality on June, 26 2006. A copy of the approval
letter is attached.
NSDES Compliance
The truck washdown area has been graded to allow all generated wastewater to be
collected in the truck washout area and the recycle water pit. Runoff will be diverted
away from the washdown area to be treated by the permanent sediment basin. The truck
washdown area is sloped to divert all drainage material from the truck and drum to the
truck washout pit where heavy material and settable solids will settle out. Overflow from
the washout pit will flow to the recycle water pit for further treatment. Water will be
drawn from the recycle pit for concrete productions. The stockpile areas are located
within the permanent sediment basin drainage area. The stockpiles will not be wetted
down thereby producing no additional wastewater to be treated..
Calculations have been provided as Attachment "A". From the calculations provided
there is a daily water balance deficit of 2,920 gallons. During the 25-yr 24-hr storm
event, there is an excess of 727 gallons of wastewater which will be contained in the
recycle water pit. Therefore all recycle water is used in the manufacture of concrete
yielding a 0 discharge of wastewater effluent. All total suspended solids and pH are
contained on site and reused for concrete production. As an additional protection, all
runoff from the site will flow to the permanent sediment basin prior to leaving the site.
Stormwater will be pumped from the permanent sediment basin as needed for the
concrete production.
A Stormwater Pollution Prevention Plan (SWPPP) will be written and implemented
within 2 months upon plant startup as required by the NPDES permit in concurrence with
the proposed plan

Rich Mix
Supporting Calculations
Daily Wash Water Usage Calculations:
5 trucks per day (max)
15 gallons from truck washdown
100 gallons for drum wash
575 Toral al/da
unofffor the 25 yr 14- hour Storm Event
Runoff From 25-yr 24-hr storm event
6.5 inches ( Fig 5.F.13 NCDENR SEDIMENT & EROSION HANDBOOK)
Drainage area to the Initial Wash Pit & Main Wastewater Recycling Basin
960 sq/ft
Volume = 960sq/ft * 6.5in * 1/12 Win * 7.48 cu/ft per gal
3890 gal = Volume
Total Volume to the Initial Washout Pit and Main Wastewater Basin
Daily Wash Water Usage + Runoff = 575 gal + 3890 gal
4465 aJ =Total Volume 11
Storage Provided
20'x 10'x 3'de th Initial Washout Pit (with 2:1 side slopes)
Depth (it) Length (ft) I Width (ft) Volume (ft2) Volume (gal)
[phone]
+2 16 6 96 718.08
+3 12 2 24 179.52
Total Volume = 2394
40'x 10'x 3' de th Main Wastewater Basin (with 2:1 side slopes)
Depth (ft) Length (ft) Width (ft) Volume (ft2)1 Volume (gal)
+I 40 10 400 2992
+2 36 6 216 1615.68
+3 32 2 64 478.72
Total Volume = 5086
With a foot of freeboard in the main wastewater basin and the initial washout pit full,
the storage provided is 4488 gallons of runoff and daily wash water.
Note: Storage Provided with P Freeboard > Daily Wash Water Usage + Runoff.
4488 gallons > 4465 gallons
Rich Mix
Supporting Calculations
August 08, 2005
Page I of 2

Rich Mix
Supporting Calculations (coat.)
Production Water
35 gal/yd = Water Required
3640 gallons = Daily Plant Water Useage
y Water Balance Equation with no Rain:
I Wash Water - Daily Plant Water Useage
gallons + 3640 gallons =
-3065 gallons
-efore, there is a deficit of 3065 gallons during plant operations.
ly Water Balance Equation with 25-yr 24-hr Rain:
the 25-yr, 24-hr storm event and the Maximum Production:
tl Wash Water +25-yr 24-hr Stom Event - Daily Water Useage
gallons + 3890 gallons - 3640 gallons =
825 gallons
rre, when the 25-yr-24hr storm event occurs and during maximum
tion there will be an excess of 824.6 gallons. However, during normal
ons the plant will operate at a water deficit.
Rich Mix
Supporting Calculations
August 08, 2005
Page 2 of 2

L—_ 10'—�
T INITIAL WASHOUT PIT/ 3,' wale 2:1 water at 3" depth
provides 2394 gal. storage volume
20'
_ly_ (overflows to main basir)
MAIN WASTEWATER BASIN
with I' freeboard
jT provides 2094 gal. storage volume
T
10, 2:1 3'
1 �
( 40'
With a foot of freeboard in the Main Wastewater Basin and the Initial Washout Pit full,
the storage provided is (2394 gal. + 2094 gal.) 4498 gallons for runoff and daily wash water.
••••\\aut\gtp
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tp 1 022L a Washout Pit
Rich Mix Concrete Batch Plant
9 ' r�lNEf • r j Richmond County, N.C.
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Land Resources
James D. Simons, PG, PE Land Quality Section Micnael F. Easley, (3ovemor
Director and State Geologist William G. Ross Jr., Secretary
June 26, 2006
LETTER OF APPROVAL
Unique Stone Inc.
Attn: Jason Perakis, VP
P.G. Box 460
Rockingham, NC 28380-
RE: Project Name: Unique Stone Concrete Plant Acres Approved: i.i
Project ID: Ricbm-2006-006
County: Richmond Hamlet US Hwy 74
River Basin: Yadkin Stream Classification: Other
Submitted By: McNeill Surveying me Land Planning, PLLC;
Date Received by LQS: 6/1/2006
Plan Type: New
Dear Mr. Perakis:
This office has reviewed the subject erosion and sedimentation control plan. We find the
plan to be acceptable and hereby issue this Letter of Approval. The enclosed Certificate of
Approval must be'posted at the job site. This plan approval shall expire three (3) years following
the date of approval, if no land -disturbing activity has been undertaken, as is required by Title
15A NCAC 4B .0129.
Title 15A NCAC 4B .0118(a) requires that a copy of the approved erosion control plan be
on file at the job site. Also, this letter gives the notice required by G.S. 113A-61.1(a) of our right
of periodic inspection to insure compliance with the approved plan.
North Carolina's Sedimentation Pollution Control Act is performance -oriented, requiring
protection of existing natural resources and adjoining properties. If, following the
commencement of this project, the erosion and sedimentation control plan is inadequate to meet
the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina General
Statute 113A-51 through 66), this office may require revisions to the plan and implementation of
the revisions to insure compliance with the Act.
Fayetteville Regional Office
225 Green Street — Suite 714, Fayetteville, North Carolina 28301 • Phone: [phone] I FAX: [phone]

Letter of Approval
Unique Stone Inc.
June 26,2006
Page 2 of 2
Acceptance and approval of this plan is conditioned upon your compliance with Federal
and State water quality laws, regulations, and rules. In addition, local city or county ordinances
or rules may also apply to this land -disturbing activity. This approval does not supersede any
other permit or approval.
Please be aware that your project will be covered by the enclosed NPDES General
Stormwater Permit NCGO1000 (Construction Activities). You should first become familiar with
all of the requirements for compliance with the enclosed general permit.
Please note that this approval is based in part on the accuracy of the information provided
in the Financial Responsibility Form, which you provided. You are requested to file an amended
form if there is any change in the information included on the form. In addition, it would be
helpful if you notify this office of the proposed starting date for this project. Please notify us if
you plan to have a preconstruction conference.
Your cooperation is appreciated.
Sincerely,
Jodi Pace, EI
Land Quality Section
Enclosures: Certificate of Approval
NPDES Permit
cc: McNeill Surveying & Land Planning, PLLC
Gary L. Williams, Building Inspector
Belinda Henson, Division of Water Quality
Land Quality Section -Regional Office File
May 26, 2006: The Sedimentation Control Commission approved a motion at the
May 18, 2006 meeting to allow the use of both the old and new practice standards and
specifications through the end of 2006. The new practice standards and specifications must
be used on plans submitted on or after January 1, 2007. This will allow time for
distribution to design professionals and presentation of the revisions at the fall workshops.
Arrangements are being made to mail revision packets to all local programs and regional
offices. Following that packets will be mailed to owners of existing manuals. Complete new
manuals will be available for sale in about 3 weeks.
These revisions are also available on the DENR website at
www.dir.enr.state.nc.us/pages/manualsandvideos.htmi

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Concrete Batch Plant
USGS MAP
Rich Mix Concrete Batch Plant
Richmond County, N.C.
060e,

©j Division of Water Quality / Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
14RN CMOL„u COMLKM CI
N[,I, uW NN414 N[OQAC[!
NCG 140000
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities r;lassified as:
SIC (Standard Industrial Classification) Code • 3273 Ready Mixed Concrete
For new plant sites that will discharge or recycle process wastewater (even if commingied with
stormwater): This NOI is also an APPLICATION FOR Authorization to Construct (ATC) wastewater
treatment facilities. ATC requests must be submitted at least 90 days prior to construction'.
For existing plant sites discharging or recycling process wastewater (even if commingled with
stormwater): This NOI is also an APPLICATION FOR Authorization to continue to operate wastewater
treatment facilities In place. Construction, modification, or installation of any new treatment components
at an existing site requires an ATC.
Treatment facilities used to treat or recycle process wastewater (including stormwater BMP structures
treating process wastewater flows commingled with stormwater) require an ATC prior !o construction
per 15A NCAC 2H .0138. The authorization to construct or continue to operate will be issued at the
same time as the Certificate of Coverage (COC) for the NCG14 permit. Design of treatment facilities
must comply with requirements of 15A NCAC 2H .0138 & .0139.
Construction of wastewater treatment facilities (this includes recycle systems) at new or existing plant
sites requires submission of three (3) sets of plans and specifications signed and sealed by a
Professional Engineer (P.E.) or qualified staff along with this application. A copy of the design
calculations should be Included. Please see questions 14 & 15.
For questions, please contact the DWQ Regional Office for your area. (See page 5)
(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.
Jason Perakis
P.O. Box 460
Rockingham
910 582-5445
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No,
Rich Mix
Jason Perakis
1656 HWY 74 E,
State NC ZIP Code 28380
Fax: [phone]
a .c` State NC ZIP Code 28345
Richmond
"z-]44D
Fax: [phone]
'As per 15A NCAC 2H .0106 Page 1 of 5
'Unless treatment facilities are designed, constructed, and put into operation by employees internal to the company who are qualified to
perform such work for their respective companies in accordance with General Statutes, 89C-25 (7), plans and specifications must be signed
and sealed by a P.E.
SWU-229-101905 Last revised 10/1912005

NCG140000 N.O.I.
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). Business Hwy 74 east of Hamlet, facility
on right before intersection of NC 381. (Facility is at the old Coca Cola Plant)
(A copy of a county map or USGS quad sheet with facility clearly located on the map Is a requked pan of this application.)
4) Latitude 34° 52' 38.59" Longitude 79° 39' 39.65"
9 (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
® New or Proposed Facility Date operation is to begin
❑ Existing
6) Standard Industrial Classification:
December 2006
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3 2 7 3
7) Provide a brief description of the types of Industrial activities and products produced at this facility:
(Include a site diagram showing the process areas present at this facility.)
Facility will provide ready mix concrete. Aggregate and chemical storage on site.
Concrete truck washout with recycling washout.
8) Discharge points / Receiving waters:
9)
How many discharge points (ditches, pipes, channels, etc.) convey stormwater and/or wastewater from the
property? one ditch
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges end up in? unnamed tributary to Marks creek
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
Receiving water classification (if known): C
Note: Discharge of process wastewater to receiving waters classified as WS-II to WS-V or SA must
be approved by the N.C. Dept. of Environmental Health. If DEH does not approve, coverage
under NCG140000 cannot be granted. No Bew discharges of process wastewatar are permitted
In receiving waters classified as WS-1 or freshwater ORW.
..— urra rncn¢y nave any other NPDES permits?
t� 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 permits)?
® 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
® Yes
If yes, please briefly describe: Adheres to North Carolina Storm water Best
SWU-229-101905
Page 2 of 5
ent Practices
Last revised 10/1912005

NCG140000 N.O.I.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
® Yes
If yes, when was it implemented? SWFFF will be implemented within 2 months upon plant startup
13) Are vehicle maintenance activities occurring or planned at this facility?
® No
❑ Yes
Wastewater Treatment Design Information
14) Are discharges occurring or planned from any of the following process wastewater generating activities?
Vehicle and equipment cleaning El Yes ❑ No
Wetting of raw material stockpiles ❑ Yes ® No
Mixing drum cleaning ® Yes ❑ No
If yes to any of the above, please describe the type of process used to treat and/or recycle the process
wastewater.
�1 For a sufficient application, you must provide design specifics (e.g., design volume, retention time, surface
Ire' area, etc.) and calculations to demonstrate compliance with permit effluent limits (pH - 6-9 SU, Total
Suspended Solids (TSS) - 30 mg/I, and Settleable Solids (SS) - 5 ml/I.) [Use separate sheet(s)].
If all these discharges are recycled, please refer to Question 15.
For Plants that recycle and/or discharge process wastewater:
When applying for this permit, you are also applying for an authorization to construct (new
treatment facilities) or authorization to continue to operate (existing treatment facilities) as
part of the NOI. For new sites, you must submit three (3) sets of design plans and
specifications with this application and provide supporting calculations that predict
compliance of final discharge with permit limits. For existing sites, applicants should submit
three (3) sets of plans and specs for facilities as -built and provide as many design details as
possible, or submit a detailed diagram of treatment systems in place that includes information
such as tank volumes, dimensions, retention time, piping, settling basin details, etc.
Please note: If new treatment systems are planned for an existing site, an ATC will be required
prior to construction of those facilities. Plans/specs/calculations prepared by a P.E. and the
request for an ATC may be submitted with this NOI, or separately at a later date. DWQ may
request the status of your plans for requesting an ATC upon issuance of the COC.
15) Does the facility use or plan to use a recycle system?
❑ No
® Yes
If yes, what size storm event is the system designed to hold before overflowing? (for example, 10-yr, 24-hr)
25 year, 24-hr rainfall event
For a recycle system (regardless of when it overflows), please provide plans, calculations, and design specifics
(e.g., throughput assumptions/water balance, design volume, retention time, surface area, amount of
freeboard in design storm event, etc.). (Use separate sheet(s)].
For a sufficient application, the information must demonstrate compliance of final discharge with permit effluent
( limits (pH - 6-9 SU, Total Suspended Solids (TSS) - 30 mg/l, and Settleable Solids (SS) - 5 ml/I), or must
demonstrate that the recycle system has sufficient capacity to contain runoff from a 25-year, 24-hr rainfall
event plus one foot of freeboard under design operating conditions.
Page 3 of 5
SWU-229-101905 Last revised 10/1912005

NCG140000 N.O.I.
16) Are wastewater treatment facilities (including recycle systems) planned in the 100-ye3r flood plain?
® No C1 Yes If so, include information to demonstrate protection from flooding. (Minimum design
requirements for treatment works include protection from the 100-year flood, per 15A NCAC 2H .0219.)
17) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
51 No
O Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
P1 No
❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
N No
❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Types) 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 a contested case under this Arficle; 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: ZA A/
Title:
2j�
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $80.00 made payable to:
NCDENR
SWU-229-101905 Page 4 of 5
Last revised 10/19/2005

NCG140000 N.0.1.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $80 made payable to NCDENR.
❑ This completed application and all supporting documentation (including design details and calculations for
treatment systems).
❑ If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR)
or local designee: documentation verifying applicant has developed and submitted that Plan to the governing
agency (required per 15A NCAC 02H .0138).
❑ For new sites (or sites that will install new treatment facilities): Three (3) copies of plans and
specifications for wastewater treatment facilities (including recycle systems), signed and sealed by a
Professional Engineer or qualified staff meeting requirements of G.S. 89C-25 (7).
❑ For existing sites: three (3) copies of plans and specifications for wastewater treatment facilities (including
recycle systems) as built, stamped and sealed by a Professional Engineer, or (only if plans not available) a
detailed diagram of treatment systems in place that includes information such as tank volumes, dimensions,
retention time, piping, settling basin details, etc.
❑ A site map showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater/wastewater treatment structures, (c) location of
stormwater/wastewater outfalls (corresponding to which drainage areas), (d) runoff conveyance structures,
(a) areas where materials are stored, (f) impervious areas, and (g) site property lines.
❑ A county map or USGS quad sheet with location of facility clearly marked.
Mall the entire package to:
Stormwater Permitting 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.
I For questions please contact the DWQ Regional Office for your area.
DM Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office
... [phone]
Mooresville Office
... [phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
733-5083
SWU-229-101905
Page 5 of 5
Last revised 10/19/2005

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­ Install principal sedirneitt bu�,lri�� ind traps bel"Ae i:iny major site gl�],Ilrlq takes Erect
. s place
),j,jitic,ncil sediment tr,,,p5 and se,jff!-,M fences at ,g;(7j,jIrI,j takes Pl&-e t", ivelp stcllfllent. contained ,-"n-
;jte at all r,pnote lc,tohol)s
3 [,11'(:Utt key tl.I(IAf­ Cc'htl:j rrit�_J,iufe, it, , 'rq.:Ii, tl,,o, l-,itli sCdiflleilt tarps to dfve(t Wale( truill I-Lk-jiui't-I
jf,,;t;t:_irbecj areas out of the ti,ir's oll'i ,,e,1In)ef-t._i.;,jeii wafer int,, the traps, Install diversions ,ib3ve
cfe,J, to o6 dlatuibe,! Prier to qlodil­,r) !f �lrinwn ,.fI "I'Ins instoli c(Jdltf, F!cl nee-dtd rkinotf--culitrol
Irjejsures as ggoJin'] toke6 PlIit­ 'Aoj,es left e,f__".sed wall, within -1 calendar days be planted or
,the,rwise provided with tempc,r-iry c,r p,zrf-f-,r,ent g,'ounri ­ver, devices or _,Uuctur,,s sufficient to
­cstrtjin tic,sion
4 lo'luscol-lifig and final stal:'Ji7_ati,,t, is the 1,7j5t iTi,ill-,t :­nstirtiction pi-,ost. All disturbed c4e,js slti.,,jid
­,ove permanent stabjhzotion pta.:Ai,ces jippliCA lf'"'ide pt-finarierit grc,on-jcovev tvr fill Jl-,WfL""J re,am,
Ailhin 15 w,�r�inq duj-s, ,,f 90 c,,)l&i,(t,or days, whi(itever t,s -,hoit,r, tc)(I,-)w,nqj �rriplt-tiorj of ,-:)nstf,;(:ti6s, (,r
cl,,eloljnlent. Lhist(_iuie svdfnie,it ,I;C,fjj," F_ 1,�-fil­Cj ff_rjI _j etjjr(jU;jt burin;burin;andandtiops All Itn-'r"for "
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StI;;ctures btibi-ild t,c feri,':"�_O ,At�,C the �,)I­' h'j� U,tf, f)loi_,efly st'A'dized. 133-,ilr4, and jisl:t)raj ,-,I,c;3
;tit 'Id C,C periloinentl1v ,e,4,.tote,j or r_,Th­,wi,e _,t,jr,,li,,e,J
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'SEEDINC `_PL0FFATIi'jNS
PERMAHL-NI ,X1 HNIZ I
bO W,';�IIIRE �64AMI_IN HiJUTO HRMUDA
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4000 Li1,1A(.KE UME`,FLAJE I
101'1(l LFI/Ak+',EIiP_jI)__j() FERVJ[17ER
5()() L_B,ACRE 0­20-0 ',f,+ERPli!)SPHA1E
40010 Lb/'ACPE STRAW MULCH . I
AI`4k_H(')R S_IRAN B) 1-',A,1146 01H ASPHALT EMULSION !' GAt_S- PER !U()C1' '0 1­1 I
TEMPOR yR Y �,Ft bil•KG I
1
40 LbI/­('PL (ERHAi4 k.flo_Ei (MAY I - Af() If )
120 LB; ACRE PIE (16kAil4i (AOG 15 -- JA.',' 1)
50 l,D,/,.,(kF L+�CjE)E I-L"PUIE2A (jAN I ­ Mat 1)
�'OCW) Ull,'AC'RF LWE,)TOIF I
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!()s,U l,b/ACkF 10 j(j_ 1, fER11t.17FR I 1.
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4000 Llti'Ai',RL STRAW H'hi-ji I
ANCHOR `,1PAl,V Lif T4k_j,1W_1 WITH ASPHALT EMUL1(31 7 GALS I -ER 10W -I � I
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54 THI: i*EA .,_) k '_,t,DFEO 4-6 INCHES MINIMUM REMOVE ALL DjU�E i
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ki)01S, kk)(+��,, fitl LiAIVINC, SURFACE SM(,i,,)Tl­i AHD Or,14-ORM WL)Ri', i
(jl,j[_ ANb FLki,! , "
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fA A I f I rC i I -k t I f]j: i
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)1'I k1t kl;w4 'AINFA-, :,k[ ,-.4 r �N !mIFFEPTILCE !N THE '.,E(I-,N(,v 'EASE !)NLE-S !
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R; WIi 1'Fi-l- iAli (,AIE ,10WiIS N)T iIF I'� -�i, k"�EED, i
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FEI=TILI_A AlJf) f.itit,_,H [fa,fJAi',CD 41-N'EAS lK4lAi:1)lATEt_1 i
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t cl-l" ,j4'A" ,,,,J ti,;, the Ol,a ui;Jgl the e­f,:'..klle.t _I JI ,4_"-tQt­) Gnj
ro(A frl,it Rt-,n,).,e 61 sface soil ,cnfou)llq hi,jh 011tl 14 ).4n is nlottt, and ,---)'I L - r BASIN * '
.�toifjAe ,,, di.j,c,,e ,,4 it rxt-i:,C.!,
" E(.tilile thick lih rn'1f,,,1,,I (,-,, the e.l-,bjjtl,fn,tf,f Is t,de ", rootz, wady
, )et,ltion, o,J,3,liw-:tlei, cli'd ,,ther objert,o-,,AA. ­.lkt­_A Pl."'., the WI ,,,
the lifis not 1u e,-A 9 in,l,,s and machine c,,of..ult it Uve, f4l th-
e,nb,. j ,,,exlt 6 ,n ,nes' ill olju. for tflol�&nt
) I�C;,�trjj,;t the C,kIl.et 5,,,:t,,,,j ,1 jrj� ��Ijt),�jri,jnejj r C I 1 ,.1-7 - ' I I I i
I � Pot � rc�,­ U��, I I I
ej .1. the 5uil t,ol,i P;pinu, by "6;rig t;tt,.F lof,,i, ,-,r o le,.-
b .'er, the 61'ror, o; I � * I � L-11 I- ___5'. Mir, ---__J
cutCtt tfwlct� t,et�,t.,- Ir., fij3r,'�,) st-,-toe cirld the f,­l , ­ -1
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rime the f,ttei ujt,,,tct*-en the ripr,,f,, and soil Ext-vid the Tub, ,, 1 � !
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a,. re-5 the spill*fty (.)urd,3tb_4) find side„ (;, the tap of the do�il._­
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E,,a,,3t, ,o i,ey."uy tre"'ll Wang the._o,,t6fhn,� ,�r the _-pil,oj f�ur,,:Oti­� -- - i, L f-,--- __ --------------­-.---­ . ___ __ ------,-- ________.____ ___ ------ - ).­_� * - - � �..
-----,. _­ —
vri I , h e, t � each should t�� at --- -[ Hood siroro,36, 0 _L_ ,va:51`10 __qt��na ,,te,,,jj,).) up the ti.jes to the h�,�oht of the �J, ,I I __ "
- -
le;st 2-t inches: ,3-�t�, ,ii,d 24 .r),'Ites vjjje with 1-1 1;f0e Elopes. �1_1-­­ ­ - ____ - __ __ - __ ­­ I ___ - _., _ - , _ - F - - _. _-.1- __ ass,, ." 137, Rip k . , , " , ,a, �j�',
- -
4 it,�W the V,,,.J J,e,l L-1- the elevation :if , f lil 11�5t 1-1 tkl� li'111,01 tz . I _-'r i ,� , rzf _ . . "t . k P* MCIA
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f-icifild(e secti-ner,t c1,,,fi,c­t, I- - _1,
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I- At cut jnd nit IAOP,�s 5t,c-jI0 be 2 I Of (Idt'-i , \ , _ _ _ __ I " - I �
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v____ Isodn"ant storage zor,4 14 . . . . . . .. I 1� d. A-:11
, , ,
6 tr'suire inat the ,tune (J, ointlye) se< t,oc ,A the embool. in,­t has c m�,),mo-, � i ", fna� (to 0 basin capacity) I " , I 1� , .. - - - �, � I
bDtton, ,-f Jime,J - I— - ___ __ --------- ------- ___ __ ___ ___ - - ____
—
',�__ \ sd. .,i - h - I---- - 1. __ __ "I � - - - - LH
uotto;vi .idti) of 3 f-I "id ma,,in-irn aide sic.pe �4 1 , I trot e,,L�nd t -, trio , - - � j - - - J _1 - i- �_J. t- t­ �
-
th,� ��A i 1.1'i ��,ICII,Al \ - - , , � e 1X7 - - L­_� - 17'­ �
� " I - - I i Fli-I-F -7, I - � 7 1 1
-- - ,..� (h� I - ___ I - I - -, F tier
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,� ----, - - = - I I I
pi­,�. with 2 1 side ,lIq)ee e,i,,00�,,) f.I trit to[) ct C,e -.1 rjl.,j ""LIii.- "'t I 1- I, I _.. - I I I _ - fabric' I
7 f­l��truct int, .I.niffl-11 twistle'd skc,ne -Pi4l.ci t�ctl,­ ..'Itt" 's ,4�c ,�,2__l 1 1-- -. -1-i-IM
1, P We thiLl, �te, sr.
't th� sides 0 the 'FiIli.oy ­X0 �t,­-t­c� 'A o ­jnim j ...
of 2i 141cnes 11--- -'r Inu'l be le-i 6'11 �),1,1­:.t­l t.- ",146 1, ­'8,vt ,,��;qr, I
t:',`Gt , ty t______
( (varies - as shown on plans)
6 "'lc-ca u5ej ;,, thiiu,te 'ection &h,A,,,j tv c, ­lI­j,,,-jdj ,1­tu,v (,f .tt;!e
.,Ili ., ,150 size of 9 irhe(_las 8 e,cisi. c­troi Ae is ,-c,­,,-�ad', ,,-,d
a ni,i,jmtini at 1e 3iie of 14 ,nctts The st,.�is n­j, ,e m ,Jooe pi­_�j j he .
smaller stones ­4e-1 ,1(-1 tkt- ,.,tj.5 cf tne la,,je, bt,x)e-_ ;he .,t-,nt siu,olj t.-- CIP05S SECTION
ho'j, ,)„q,Acv, and h,,,nl, »e,lher­esist_nt � - _ ___._ - . - _ -------
9 Ensure that th'I. - pili.oy "ItIO zlaction e.te,,ds_ J,)­,et,eQ,n pd>t use
c t the 'croon"'! c-.t Lir"N �1.1,ie covl,jilii�ils " 1- "'I'l-, Qoj -11111 ".." ;t,
is cj%r to', le t.Dr t , v'- �­eimq utre,:�rr, Voup tile ed(ic-5 of thbtle 0,01"t
sc-h ,I, fl,v, .ill tat, ""I'll imj ,h.Pe zh, _­te.- h, - 'I'Ih- I -
oulflo. sl,=a,,g\ W - �1%i Nho­ ,�,, i !I''is)
(vanes --- - _ -, .
0 bvect ef"efgeocy byt,053 to notuful, stable a(eoS. t ,c%A­ L,y{ a � ,',utlet5 5r, i I
I i that flow will rot cidm,ije the emt,ini,ment �
l
I I �Ajt,Ai2e the eMGanI,.'hent icid jjI djst,,nL,j areas or, ).e tt.e seJrr­,t r-ol v,d I I
,],,-stream from the trap .i,me,jiot64y uft_r ,"er5t­_tio:,
.- ­ __ __ __ - - ---------.- - .- ___ -_____ ___ ___ - _ __ - I .1
MA!IiTfl,[At�lU - , -_ W.L. iWair Ltn9th - VaOos) - -,
2 1 -
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I.-,spt t temporary 5e,jooen, traps offer each pe,,c,(j of k,grot,--ant ,olntoii o � I - - __ _� '. '_
, �t sedimen( and restore ft), trap to its ,­4irial din) east ,r, � -h�n the 11, �� - I
R6rrj�ll roue Vie �U
sr,iiment has ffcc,,rouiotecl to c,,­hcAt the design dtPth ,-,f the IfI4, I -I I
5edillcrit that is F.�mc,ed ,,, ') Dri,pffr jj.jp(,stfI ureu ar,j ­l.f-:,_-e the _-Jnl,jfllillihel ,, 11� -
I , " I
port of the yva,,0 bcoo ," _` I
__ -..-- - - ____
__ ---------- _­ - __ ___ I �
(_heal 'he structure for damage (icity, erosion or piping. Petp.,-ji�oIll, ch�.,:I, this ___ _. ________1 '�,�oturol Ground
. - , . __ -
depth 'A the !iPiliway to ensure it is �j mirini,im of 18 wches befit w the I ; Dint
of the embankment Immediately W ciny settlement of the emnoniment tc,
sj,pti ' , cib-,e design9,oje Any ,jp,ap .ii5pluced ircm the �p,ll.)y ri),O Le
r��pkj�6 'J .r,fn , ,J, )kapy
Alter ufl s_-dtT,tr,t- i,rc-j,,f..,q care as hu - teen perm Of".entry stubfljz�j ­­­ the CROSS SECTION
stf 6o,� ,,icfl Wi unit,-,kAe sedi­tot '_­u�Air, ff- ,ie_l I" t'I',_`c1 �an tl,,,� -
c_lplini­j ci,t„, oll'i 't.billz, pl_,l'Illy.
---------- -
I k,Fno,,e ,,III tf,_-es, brush, stumps, cl!'d otl,er ,,b;t'6;r;6tAe ri,-)telial fool-, thr f(Ionditlori
,rsf fpiliie,cpey
2 Ex(Cjtroje the (lianne) ,,)n�j shcfpl,� it to ri-Ot Jir-les cir�d chn:n,o_-,ns sh.-wr, .Xi the rdofl5
u 2 ft overcut c�. t -41f, lily ,1,,l Inq "ec,dIL" j
�du-, ,I lfoiin�i the c,hono��i perini,ter 1, �011(�-,v yci "
preporutions and _--d buildup-
3 Retfvic,ve ,;nd propel/ dispose ,A (Ill e'ct-is -,oil ,r, that suffG,-E! w,.jtef ?)IUY drlt�l the
,.hm aiel ffc if
4 4,e pr-_ejure ,,�.ed to, u�!abh�.h ,p:i-t� "! the 1.f WIO ""th ,J�..(f,ild iiv,cr, th, LLev,:llty .)t
the condit]"'I's and 5ele'A,iji! ,-)I spe,-Iey pI_tt_,t tt-_ c1r, j,,iiei Ami ri,,d._ri t ei I 1) I,; of Y
li;­ivr sufticivrlt t,, withz;it,-.jnj ,j.-,tiCiv­:IttA velc,c!lie> '4ufil j the c"A_Ai,nkri:,rit p,,,I<, d
M,jintcUt,)n,-e
Dcf(wq the t:5t6r\i16h(Iler1t periG:J. -he'-I gros-fin(i t(.hlln,,�e,,13 ,jt(t:l t­ly roinf,lll Artt-f jf,JI,�
I
is established. pericidic(.-,11y che,-k the ,-h.-inviel. (-hec.l, it attei e,it ,,, ht,j,y r,ovif,jil event
InIfIltdicitel1 111,01­e fepahs it 15 PC(tlCUW1l'ly iti'll',61t6h, t-, ,Al­-4 t . he c1,a1110el "jutlet ai'd -Ili
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Al' •'� Division of Water Quality /Surface Water Protection
Yion
NCDENRNational Pollutant Discharge Elimination System
norsn, ewDr.. cew..xe,,. w
F,«.w.o.: �xD NM4 Re]bl,Key
NCG 140000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
I Month
I Da
.CVI
I lo
1 Q
Ccnificmc of Covcra e
to3
Check P
Am Vt
s 31
v,00
Permit A.. ed to
u
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code - 3273 Ready Mixed Concrete
For new plant sites that will discharge or recycle process wastewater (even if commingled with
stormwater): This NOI is also an APPLICATION FOR Authorization to Construct (ATC) wastewater
treatment facilities. ATC requests must be submitted at least 90 days prior to construction'.
For existing plant sites discharging or recycling process wastewater (even if commingled with
stormwater): This NOI is also an APPLICATION FOR Authorization to continue to operate wastewater
treatment facilities in place. Construction, modification, or installation of any new treatment components
at an existing site requires an ATC.
Treatment facilities used to treat or recycle process wastewater (including stormwater BMP structures
treating process wastewater flows commingled with stormwater) require an ATC prior to construction
per 15A NCAC 2H .0138. The authorization to construct or continue to operate will be issued at the
same time as the Certificate of Coverage (COC) for the NCG 14 permit. Design of treatment facilities
must comply with requirements of 15A NCAC 2H .0138 & .0139.
Construction of wastewater treatment facilities (this includes recycle systems) at new or existing plant
sites requires submission of three (3) sets of plans and specifications signed and sealed by a
Professional Engineer (P.E.) or qualified staff' along with this application. A copy of the design
calculations should be included. Please see questions 14 & 15.
For questions, please contact the DWQ Regional Office for your area. (See page 5)
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name Jason Perakis
Street Address P.O. sox 460
City Rockingham
State
NC
ZIP Code 28380
Telephone No. 910 582-5445
Fax:
910
582-5441
2) Location of facility producing discharge:
Facility Name Rich Nix
Facility Contact Jason Perakis
Street Address 1656 HwY 74 East:
City Hamlet
State
NC
ZIP Code 28345
County Richmond
Telephone No. 910 582-5445
Fax:
910
582-5441
'As per 15A NCAC 2H .0106 Page 1 of 5
'Unless treatment facilities are designed, constructed, and put into operation by employees internal to the company who are qualified to
perform such work for their respective companies in accordance with General Statutes, 89C-25 (7), plans and specifications must be signed
and sealed by a P.E.
SWU-229-101905 Last revised 1011912GOS

NCG140000 N.O.I.
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). Business Hwy 74 east of Hamlet, facility
on right before intersection of NC 381. (Facility is at r_he nIa
to copy or a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 34' 52' 38.59" Longitude _ 79' 39' 39.65" (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
® New or Proposed Facility Date operation is to begin
❑ Existing
6) Standard Industrial Classification:
December 2006
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 3 2 7 3
7) Provide a brief description of the types of industrial activities and products produced at this facility:
(Include a site diagram showing the process areas present at this facility.)
Facility will provide ready mix concrete. Aggregate and chemical storage on site.
Concrete truck washout with recycling washout.
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater and/or wastewater from the
property? one ditch
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges end up in? unnamed tributary to marks Creek
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
Receiving water classification (if known): C
Note: Discharge of process wastewater to receiving waters classified as WS-11 to WS-V or SA must
be approved by the N.C. Dept. of Environmental Health. If DEH does not approve, coverage
under NCG140000 cannot be granted. No new discharges of process wastewater are permitted
in receiving waters classified as WS-I or freshwater ORW.
9) Does this facility have any other NPDES permits?
E 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 permits)?
® 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
® Yes
If yes, please briefly describe: Adheres to North Carolina Storm Water Hest Management Practices
Page 2 of 5
swu-zzs-fotsos tact revised tonsrzoos

NCG140000 N.O.I.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
® Yes
If yes, when was it implemented? SWPPP will be implemented within 2 months upon plant startup
13) Are vehicle maintenance activities occurring or planned at this facility?
Igl No
❑ Yes
Wastewater Treatment Design Information
14) Are discharges occurring or planned from any of the following process wastewater generating activities?
Vehicle and equipment cleaning ® Yes ❑ No
Wetting of raw material stockpiles ❑ Yes El No
Mixing drum cleaning ® Yes ❑ No
If yes to any of the above, please describe the type of process used to treat and/or recycle the process
wastewater.
W�— For a sufficient application, you must provide design specifics (e.g., design volume, retention time, surface
1 — area, etc.) and calculations to demonstrate compliance with permit effluent limits (pH — 6-9 SU, Total
Suspended Solids (TSS) — 30 mg/l, and Settleable Solids (SS) — 5 mill.) [Use separate sheet(s)].
If all these discharges are recycled, please refer to Question 15.
For plants that recycle and/or discharge process wastewater:
When applying for this permit, you are also applying for an authorization to construct (new
treatment facilities) or authorization to continue to operate (existing treatment facilities) as
part of the NOI. For new sites, you must submit three (3) sets of design plans and
specifications with this application and provide supporting calculations that predict
compliance of final discharge with permit limits. For existing sites applicants should submit
three (3) sets of plans and specs for facilities as -built and provide as many design details as
possible, or submit a detailed diagram of treatment systems in place that includes information
such as tank volumes, dimensions, retention time, piping, settling basin details, etc.
Please note: if new treatment systems are planned for an existing site, an ATC will be required
prior to construction of those facilities. Plans/specs/calculations prepared by a P.E. and the
request for an ATC may be submitted with this NOi, or separately at a later date. DWQ may
request the status of your plans for requesting an ATC upon issuance of the COG.
15) Does the facility use or plan to use a recycle system?
❑ No
® Yes
If yes, what size storm event is the system designed to hold before overflowing? (for example, 10-yr, 24-hr)
25 year, 24-hr rainfall event
For a recycle system (regardless of when it overflows), please provide plans, calculations, and design specifics
(e.g., throughput assumptions/water balance, design volume, retention time, surface area, amount of
freeboard in design storm event, etc.). [Use separate sheet(s)).
'— For a sufficient application, the information must demonstrate compliance of final discharge with permit effluent
_ limits (pH — 6-9 SU, Total Suspended Solids (TSS) — 30 mgll, and Settleable Solids (SS) — 5 m1/1), or must
demonstrate that the recycle system has sufficient capacity to contain runoff from a 25-year, 24-hr rainfall
event plus one foot of freeboard under design operating conditions.
Page 3 of 5
SWU-229-101905 last revised 10/19/2005

NCGI40000 N.O.I.
16) Are wastewater treatment facilities (including recycle systems) planned in the 100-year flood plain?
® No ❑ Yes If so, include information to demonstrate protection from flooding. (Minimum design
requirements for treatment works include protection from the 100-year flood, per 15A NCAC 2H .0219.)
17) 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?
10 No
❑ Yes
c) Is this facility a large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
01 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, representalioo, a 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; or who knowingly makes a false
statement of a material fact in a rulernakirg proceedirg or contested rase under this Article•, or who falsifies, tampers with, or knowingly
renders inaccurate any record"mg or monitoring device or method required to be operated or maintained under this Article or rules of Lie
(Environmental Management Comrassion implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
1 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:
(Dale Signed)
Notice of Intent must be accompanied by a check or money order for $80.00 made payable to:
NCDENR
Page 4 of 5
SWU-229-101905 Last revised 10/19/2005