NCG020901_COMPLETE FILE - HISTORICAL_20160826

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
�'HISTORICALFILE
❑ MONITORING REPORTS
DOG DATE
❑ p� 0 � CJ b o �
YYYYMMDD

(Permit Number NCG020901
Program Category
NPDES SW
Permit Type
Mining Activities Stormwater Discharge COC
Primary Reviewer
rick,riddle
Coastal SWRule
Permitted Flow
Facility
RECEIVED
AUG 2 6 Z016
CENTRAL FILES
DWR SECTION
Central Files: APS ` SWP _
8/2512016
Permit Tracking Slip
Status Project Type
Issued New Project
Version Permit Classification
COC
Permit Contact Affiliation
Facility Name MajorlMlnor Region
New Chatham Quarry Minor Raleigh
Location Address County
Gilmore Lodge Rd Chatham
Facility Contact Affiliation
Siler City NC 27344 Bobby A. Branch
PO Box 61
Owner Gulf NC 27256
Owner Name
Owner Type
New Chatham Holdings LLC
Non -Government
owner Affiliation
Bobby A. Branch
PO Box 61
Dates/Events
Gulf
NC 27256
Scheduled
Orig Issue App Received draft Initiated Issuance
Public Notice Issue Effective
Expiration
8/25/2016 5/24/2016
812512016 8/2612016
9/30/2020
Regulated Activities
Requested /Received Events
Mining & material processing
RO staff report received
8124116
RO staff report requested
617116
Outfall 1
Waterbody Name
5treamindex Number
Current Class
5ubbasin
Tick Creek
17-43-13
C
D3-06-12
Outfall 2
Waterbody Name
Streamindex Number
Current Class
Subbasin
Tick Creek
17-43-13
C
03-06-12

Energy, Mineral
and Land Resources
ENVIAONMENTAL QUALITY
August 25, 2016
Bobby A. Branch
New Chatham Holdings, LLC
P.O. Box 61
Gulf, NC 27256
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Seeman
TRACY DAVIS
bimcfor
Subject: General Permit No, NCG020000
New Chatham Quarry
COC NCG020901
Chatham County
Dear Mr. Branch:
In accordance with your application for a discharge permit received on May 24, 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).
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 may require modification or revocation and
reissuance of the certificate of coverage.
Also please note that mine dewatering wastewater includes wet pit overflows caused solely by direct
rainfall and groundwater seepage for this type of mining operation. Any discharge of this water (and any
stormwater comingled with it) is subject to the effluent limitations in this permit.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, 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 at telephone number
[phone].
Sincerely,
fi)rTracy E. Davis, P-E., CPM
cc: Raleigh Regional Office
Central Files
Stormwater Permitting Program Files
Slate of North Carolina I $mironmental Quality I Energy, Mineral and land Resources
1612 Mail ServiCe Center 1 512 North Salisbury Street I Raleigh, NC 27699.1612
919 707 9200 i

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020901
STORMWATF,R AND MINE DEWATERING DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
New Chatham Holdings, LLC
is hereby authorized to discharge stormwater and mine dewatering-from a facility located at
New Chatham Quarry
Gilmore Lodge Road
Siler City
Chatham County
to receiving waters designated as Tick 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, IV, and V of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective August 25, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 25, 2016.
for Tracy E. Davis, Y.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

Division of Energy, Mineral and Land Resources 1
Land Quality Section — Stormwater Permitting Program
National Pollutant Discharge Elimination System
M
Energy, Min erol NCG020000
and Land Resources
ENVIRONMENTAL QUALITY
NOTICE OF INTENT — General Permit Application
FOR A(FENCY USE ONLY
Dale Received
Year
I Month Day
Certificate of Covemgc
N Q G 0 2
Check R AI ounl
I omit Assijncd to
•lbd
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG020000:
STORMWATER AND/OR WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code -14XX Mineral Mining Industry (except as specified below) and
like activities
The following activities are included:
• Active or inactive mining operations (including borrow pits —except for NCDOT borrow pits) that discharge
stormwater contaminated with or that has come in contact with, any overburden, raw material, intermediate
products, finished products, byproducts or waste products located on the site of such operations;
• Stormwater from vehicle maintenance activities (VMA) at mining operations-,
• Overflow from facilities that recycle process wastewater; and/or
• Mine dewatering (wastewater)
The fallowing activities are specifically excluded from coverage under this General Permit:
• Stormwater discharges associated with peat mining, coal mining, and metal mining;
• Stormwater discharges from mining operations which are intermixed on site with stormwater from concrete
operations;
• Stormwater discharges associated with oil and gas extraction operations; and
• Stormwater discharges associated with tourist gem mines
• NCDOT borrow pits (covered under individual permit NCS000150)
The following discharges are covered by NPDES general permit NCG520000 instead of NCG020000:
Point source discharges of stormwater and wastewater from in -stream sand mining operations (sand dredging
or dipping operations) are covered instead by NPDES General Permit NCG520000, administered by the Division
of Water Resources NPDES Wastewater Permitting Program. Please contact DWR for more information.
Please Arint or tvoe all entries in this application form.
1) Mailing address of ownerfoperator (official address to which all permit correspondence will be mailed]:
Legal Owner Name New Chatham Holdings, LLCC
(Attach the most recent Annual Report to the NC Secretary of State showing the current legal name of the corporation or entity.
Alternatively this permit can be given to an individual or government authority. This name must be the same name as appears on the
Division of Energy, Mineral, and Land Resources' Mining Permit.)
Signee's Name (as signed for in question 41
Street Address P.O. Box 61
City Gulf State NC _
Telephone No. 919 — 708-8465
Alternate Contact Name*
at end) Bobby A. Branch, Manager
ZIP Code 27256
E-mail [e-mail]
E-mail (if different)
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NCG020000 N.O.I.
Alternate Contact Telephone (if different)
"Alternate contact should be affiliated with the Owner/Operator. Consultant information can be provided
in question 5.
2) Location of facility producing discharge:
Facility Name New Chatham Quarry
Facility Street Address Gilmore Lodge Road (This is NOT a mailing address)
Facility City Siler Cily State NC ZIP Code 27344
Facility County Chatham
Facility Contact Bobby A. Branch
Telephone No. 919-708-8466 T Fax: NA
Contact E-mail redmud(�windstream.net
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). '1500 feet NW of intersection of Gilmore Lodge Road
and Ike Brooks Road (Proposed facility, must bare forestland at present)
4) Facility Location Coordinates:
Latitude 35.674783 N Longitude 79.385397 W (degrees / minutes 1 seconds or decimal degrees)
5) Consultant Information (if applicable):
Consultant: O.F. "Russ" Patterson. III
Consulting Firm:
Mailing Address:
City:
State: NC Zip Code: 27331
Phone: ( 919 ) 774-3770 Fax: ( NO )
E-mail: russ(ftattersonexWoration.com
Permits:
6) This NPDES Permit Application applies to which of the following:
X New or Proposed Facility
❑ Existing
7) Standard Industrial Classification:
(Optional)
Staple Business Card Here
Date operation is to begin: Late Summer 2016
Date began mining:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility SIC Code: 1 4 2 3
8) Provide a description of the types of minerals mined at this facility: Meta ra wacke will be mined to
produce construction aggregate.
9) Is this a PROCESSING -ONLY facility for materials mined elsewhere? X No ❑ Yes
10) Is this an inactive mine site?
X No proposed site
❑ Yes If yes, have you certified to the Stormwater Permitting Program that all portions of the site where
clearing, grading, and/or excavation activities have occurred have been stabilized?
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❑ No ❑ Yes (If yes, the site may be eligible for "Dormant Status" and reduced BMP
inspections. See the General Permit_)
11) Does this facility already have a valid Mining Permit from DEMLR's Land Quality Section?
X No If no, please indicate the status of the Mining Permit application: Permit_ApI?lica_tion Submitted
❑ Yes If yes, please provide the Mining Permit number: Also provide a copy of
the DEMLR Mining Permit with this NPDES application.
12) 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:
13) Are you applying for a discharge permit in the same location as a previously permitted mine?
X No
❑ Yes If yes, specify permit number and mine name if known:
14) Does this facility have any Non -Discharge permits from DWR (e.g., recycle permits)?
X No
❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility:
15) Does total area of this mine site include ready -mixed concrete plant and/or asphalt plant areas?
X No
❑ Yes If yes, do they have separate NPDES stormwater permits? ❑ No ❑ Yes (provide permit
number(s) )
If not owned by the same company, who is the owner?
Development Activities and Buffers:
16) Will this mining operation precede development activities at this site?
X No
❑ Yes
17) is this mine located within one of the 20 Coastal Counties, and will it add more than 10,000 ft2 of
impervious surface?
❑ Yes (to both)
❑ No, this mine site IS in one of the 20 Coastal Counties but will NOT add 10,000 ft2 of impervious surface.
XNo, this mine site is NOT in any of the 20 Coastal Counties.
If this site is in one of the 20 Coastal Counties, you may be required to apply for an additional State
Stormwater Permit_ Check with your local Regional Office (see contact information and checklist below).
SWU-NCG02-No!
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NCG020000 N.O.I.
18) Is this mine located the Neuse, Tar -Pamlico, or Catawba River Basins, or the Randleman or Jordan
Water supply Watersheds?
X No
❑ Yes If yes, what size stream buffers are included on site? ft. You must show buffers on site
plans. Also include information and plans showing diffuse flow through buffers as required.
Discharge Points, Receiving Waters & Wetlands:
19) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges will end up in? Unnamed intermittent tributaries of Tick Creek
To find the waterbody, please see the "MAPS" tab on http:liportal.ncdenr.orgtweblwg- for a map of NC
Surface Waterbody Classifications. NO "MAPS TAB" ON NEW WEBSITEI
Receiving water classification(s) for the waters: eventually to "C" stream {TICK CREEK)
If the site will discharge to a separate storm sewer system, name the operator of the separate storm sewer
system (e_g_ City of Raleigh municipal storm sewer).
Discharge of wastewater to receiving waters classified as WS-11 through WS-V, or SA, must be
approved by the Division of Water Resources (DWR) or Division of Marine Fisheries
(DMF). DEMLR cannot grant coverage under NCG020000 without that approval. Also be advised that
no new discharges of wastewater are permitted in receiving waters classified as WS-1 or
freshwater ORW. Wastewater discharges to saltwater ORW will not be approved under General Permit
NCG02 but may be eligible for an individual permit.
20) Will this mine site discharge wastewater or stormwater to waters classified as High Quality Waters
(HQW), Primary Nursery Areas (PNA), Trout (Tr) waters, or a class with a symbol like "+"" or "@a " that
denotes a special management strategy is in place?
X No
❑ Yes, PNA"
❑ Yes, HOW* ❑ Yes, includes "+" or
❑ Yes, Trout jr)
21) Will this mine site discharge wastewater or stormwater to waters classified as Shellfish (SA) waters?
X No
❑ Yes, SA*
"For questions 19-20, be advised that the NCG02 General Permit limits the discharge volume of total combined
wastewaters to 50 percent of the receiving water in -stream flow under 7Q10 conditions in HQW waters (PNA and
SA waters are considered HQW by definition). You may be required to contact USGS to obtain a 7Q10 flow.
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22) Will this mine site discharge wastewater or stormwater to impaired waters, or to waters with an
approved "Total Maximum Daily Load" (TMDL)?
To find impaired waters, please see the "Impaired Waters" map on the "MAPS" tab on
http://Dortal.nedenr.org/web/wq.
To find approved TMDLs in North Carolina, please see DWR's Water Planning Section website:
http://portal.ncdenr.oM/web/wgtps/mtu/tmdl/tmdls.
X No
❑ Yes, these waters are impaired for (list pollutants):
❑ Yes, these waters have a TMDL for (list pollutants):
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23) List discharge points (outfalls) that convey discharge from the mine site (both on -site and off -site) and
location coordinates. Attach additional sheets if necessary, or note that this information is specified
on the site plan. Include proposed maximum daily flow rate for each wastewater outtall.
You must show all discharge points clearly on the submitted site plan. Be advised
that NCDEQ may require you to apply for an individual permit, based on proposed
discharge rates and receiving stream conditions (low flows, impairments, etc.)
Stormwater
Stormwater Outfall No. PSB #3
Latitude (deg reeslminuteslseconds or decimal degrees):
Longitude (deg reeslminuteslseconds or decimal degrees):
(PSB = Permanent Sediment Basin)
Stormwater Outfall No. PSB #6
Latitude (degrees/minutes/seconds or decimal degrees):
Longitude (deg reeslminuteslseconds or decimal degrees).-
Stormwater Outfall No.
Latitude (deg reeslminuteslseconds or decimal degrees):
Longitude (degreeslminuteslseconds or decimal degrees):
Stormwater Outfall No.
Latitude (deg reeslminuteslseconds or decimal degrees):
Longitude (deg reeslminuteslseconds or decimal degrees):
Stormwater Outfall No.
Latitude (degrees/minutes/seconds or decimal degrees):
Longitude (degrees/minutes/seconds or decimal degrees):
Stormwater Outfall No_
Latitude (deg reeslminuteslseconds or decimal degrees). -
Longitude (degreeslminuteslseconds or decimal degrees):
35.674650 N
79.385389 W
35.674783 N
79.385397 W
Mine Dewatering
Mine Dewatering (Wastewater) Outfall No. PSB #6
Proposed maximum flow rate:_40,000GPD
Latitude (degrees/minutes/seconds or decimal degrees): 35.674783 N
Longitude (deg reeslminuteslseconds or decimal degrees): 79.385397 W
Mine Dewatering (Wastewater) Outfall No
Proposed maximum flow rate:
N
W
N
W
N
W
N
W
Latitude (degrees/minutes/seconds or decimal degrees):
N
Longitude (deg reeslminuteslseconds or decimal degrees):
W
Process Wastewater
Process Wastewater Outfall No. NA Wastewater Description:
Proposed maximum flow rate:
Latitude (deg reeslminuteslseconds or decimal degrees):
N
Longitude (degrees/minutes/seconds or decimal degrees):
W
Process Wastewater Outfall No_ Wastewater Description:
Proposed maximum flow rate:
Latitude (degreeslminuteslseconds or decimal degrees):
N
Longitude (degrees/minutes/seconds or decimal degrees):
W
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24) Help us understand what will happen to the dewatering water at this mine site:
❑ NIA — this mine is not dewatering at all and will not dewater in the future.
a) Will this mine be dewatering and discharging to waters of the state? (Answer only if dewatering)
X No
❑ Yes If yes, where to? ❑ Surface Waters and/or Wetlands (on -site or off -site)
❑ Other (on -site or off -site) Describe:
b) Will this mine be dewatering but not discharging to waters of the state? (Answer only if dewatering)
❑ No
XYes If yes, explain how you are dewatering, and where that water will be directed: When mining
starts and dewatering is necessary, mine water will be directed to Permanent Skimmer Basin #3.
to be recycled
25) Are there wetlands or surface waters within 400' of the mine pit perimeter?
X No There are intermittent streams wll 400'
❑ Yes If yes, what distance are they from the mine pit perimeter? feet.
26) Will mining operations require dewatering near wetlands or other waterbodies, and will dewatering
potentially impact any wetlands or other waterbodies?
X No, dewatering will not occur near (within 400') of wetlands or other waterbodies (e.g., streams, lake, etc.)
❑ Yes, dewatering will be near wetlands or other waterbodies
Wetlands must be CLEARLY DELINEATED on the site plan. Mine dewatering activities that
have the potential to drain wetlands or otherwise impact surface water or groundwater MUST develop and
implement a Pumping Operation and Monitoring (POM) Plan that has been approved by the
Department.
For sites that may drain wetlands — approval of a POM Plan may be required prior to coveracte under
this is permit. The POM Plan should be submitted to the appropriate Regional Office and in all cases must be
approved prior to operation.
The plan shall include, but is not limited to: (1) Groundwater monitoring strategies to demonstrate the effect of
pumping and to establish any pumping regime necessary to reduce impacts, and (2) Detailed plans to maintain
surrounding hydrology and respective monitoring to demonstrate compliance. See checklist at the end of the
application. Contact the Regional Office for questions specific to your mine.
27) Have you been required to obtain 4041401 Certification permits?
X No
❑ Yes If yes, please briefly describe below (include information such a required mitigation, BMPs,
setbacks, and/or O&M plans for on or off -site wetlands or other pertinent information). Attach other sheets as
necessary:
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28) Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers?
X No ❑ Yes If yes, please attach to application submission.
Stormwater BMPs and Vehicle Maintenance:
29) Does this facility employ best management practices for stormwater control?
❑ No
X Yes If yes, please briefly describe: Sediment Traps and Basins are constructed at discharge points.
Disturbed areas are reseeded where practible. See Mine Map & Plans for Details
30) Does this facility have a Stormwater Pollution Prevention Plan?
X No ❑ Yes If yes, when was it implemented?
31) Are vehicle maintenance activities (VMA) occurring or planned at this mine site?
X No ❑Yes, If yes, will VMA area runoff discharge into the wastewater treatment system(s)?
❑ No, VMA runoff will discharge separately through a stormwater outfall
❑ Yes, VMA runoff will drain back to the mine pit or other wastewater system
Wastewater Treatment Facilities:
32) Will mine dewatering occur? (Yes, we are asking about dewatering again.)
❑ No
X Yes If yes, will the mine discharge this water? NO
33) Will this facility wash mined materials?
❑ No
X Yes If yes, will the mine discharge this water? NO
34) Will discharges of process wastewater treatment systems occur (including possible recycle system
overflows)?
X No
❑ Yes If yes, describe what kind of systems:
35) Will this facility employ chemical additives to flocculate suspended solids?
X No
❑ Yes If yes, provide the name, manufacturer, and the quantity of average daily usage of the chemical
additive (if known):
Note: Please see our website for a list of evaluated polyacrylamide (PAMS) products for use in North
Carolina: http://portal.ncdenr.org/web/Ir/construction-stormwater
36) Will any of the wastewater treatment facilities at this mine overflow o• my during rainfall events that
exceed the 10-yr, 24-hr rainfall event?
❑ Yes If yes, which treatment systems are those? NO WASTE WATER DISCHARGE
❑ No, all wastewater treatment facilities will discharge more frequently (i.e., during smaller rain events)
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37) Are wastewater treatment facilities (including recycle systems) planned in the 100-year flood plain?
X No
❑ Yes
� � r 38) A WaSteWater treatment alternatives reviewis required by 15A NCAC 2H.0105 (c)(2)
►F for any new or expanding water pollution control facility discharges in North Carolina. You may
attach additional sheets. List the types of wastewater this mine site will discharge:
X Mine Dewatering
❑ Process Wastewater (such as washing or recycle system overflows, other mining activity wastewater)
a) What wastewaters were considered for this alternatives review? X Dewatering ❑ Process WW
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one -mile radius? ..................................... ❑ Yes X No
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... ❑ Yes ❑ No
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?*
c) Closed -loop Recycle System (meets design requirements of 15A NCAC 2T .1000):
i) Are you already proposing a closed -loop recycle system (CLRS)? ......................... X Yes ❑ No
(1) If Yes, for what type of wastewater at this mine site? ❑ Dewatering XProcess WW
(2) If No, is this option technologically feasible (possible)? Why or why note*
(3) If No, is it otherwise feasible to build a CLRS at this site? Why or why not?*.
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?*
d) Surface or Subsurface Disposal System (e.g., spray irrigation):
i) Is a surface or subsurface disposal technologically feasible (possible)? ................ _ .. ❑ Yes X No
Why or Why not? * NA
ii) Is a surface or subsurface disposal system otherwise feasible to implement?*............ ❑ Yes X No
Why or Why not?* Process water will need to be recycled as there is no other water source other
than around water, storm water, or pit dewatering
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?* Not discharging
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e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options for the wastewaters being considered?*
❑ Yes X No
f) if this review included all wastewater discharge types, would excluding some types (e.g. mine
dewatering) make any of the above non -discharge options feasible for some of the wastewaters?
❑ Yes X No The only water leaving the mine site will be storm water through basins.
* Feasibility should take into account initial and recurring costs. You may be asked to provide
further information to support your answers to these questions after the initial review_
Other:
39) 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 Q 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 I disposal vendor:_
Vendor address:
40) Is your facility providing appropriate secondary containment for bulk storage of liquid materials? (See
permit text for secondary containment requirements.)
XNo ON SITE BULK STORAGE OF FUELS IS NOT PLANNED
Yes
41) Does your site have an active landfill within the mining permit boundary?
X No
❑ Yes if yes, specify type: ❑ LCID (Land Clearing and Inert Debris) ❑ Other:
Final Checklist:
lwao,-- This application will be returned as incomplete unless all of the following items have been included and
initiated for. Please show that the following required information has been included by initialing in each
space below.
X Fee of $100 made payable to NCDEQ.
—X_ Completed application and all supporting documents.
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Copy of the valid approved mining permit (MP) for the facility or indication of MP application status,
`X_ Copy of a county map or other general location map that shows the mining site and nearest major roads.
_X_ Copy of USGS topographic map showing the mining site and surrounding areas, or other map that clearly
shows site location in relation to nearby streams, wetlands, and other waters, etc.
_x_ 2 copies of large-scale (minimum 24" x 36") site plan with topographical lines with
all outfalls, applicable buffers and wetlands clearly delineated, receiving waters, and
100-year flood plain line if applicable.
_NA_ A copy of your US Array Corps -approved wetland delineation if you marked "yes" to question 27 above.
A line drawing of the water flow through the facility or block flow diagram. A pictorial description of the
nature of any sources of water and any collection and treatment measures.
_NA_ If mine site is in one of the 20 Coastal Counties:
• Applicant has checked with the appropriate regional office to verify the need for a Coastal State
Stormwater permit. Indicate the Regional Office Contact:
• Applicant has included a detailed list of impervious surface areas and percentages, sub -drainage
areas, and total drainage area.
If the mine is dewatering and near wetlands, or may otherwise impact surface waters or groundwater,
include the following and contact your local regional office about a Pumping Operation and
Monitoring (POM) Plan. An approved POM plan may be required priorto NCG02 issuance.
2 copies of detailed Full Size Plans (at least 24" x 36") delineating areas on the
plans and listing acreage (including: wetlands, ditches, well -placements, pits,
borrow areas, overburden storage, stormwater controls/BMPs, vehicle
maintenance areas, settling basins, product process (such as screening,
stockpiles, waste piles), total drainage area, impervious surface percentages (if
state SW programs apply), applicable buffers, and access and/or haul roads).
Pump dewatering size and information on its specifications.
Well information (design, depths, maintenance).
Physical monitoring for the wetlands areas.
Settling pond sizing information, if applicable.
Level spreader design, if applicable.
Details about dewatering method.
Cone of influence calculations,
.Description of measures to prevent erosion and flooding.
,Description and information about 401/404 permits that have been obtained.
,Copy of US Army Corps of Engineers wetland delineations or approved wetland delineation (if
applicable).
.I have contacted my local regional office about a POM Plan.
Regional Office Contact: . Date contacted:
-OR-
X I will not impact any nearby wetlands, surface waters, or groundwaters by dewatering.
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SWU-NCG02-NOt Last revised 1125h6

NCG020000 N.O.I.
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).
41) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
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 agree to abide by the following as a part of coverage under this General Permit:
1. I agree to abide by the approved Mining Permit for this mining activity. (A copy of the valid
mining permit must be attached to this request.)
2. 1 agree to not discharge any sanitary wastewater from this mining activity except under the
provisions of another NPDES permit specifically issued therefore_
3. 1 agree that bulk storage of petroleum products and other chemicals shall have adequate
protection so as to contain all spills on the site.
4. 1 agree that solid wastes will be disposed of in accordance with N.C. statutes and rules
governing solid waste disposal.
5. 1 agree that maintenance activities for vehicles and heavy equipment will be performed so as to
not result in contamination of the surface or ground waters.
I agree to abide by the provisions as listed above and recognize that the provisions are to be considered as
enforceable requirements of the General 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: Bobby A. Branch
Title: Manager
G
(Signatu of Applicant) (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDEQ.

NCG020000 N.O.I.
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 coverage under the NPDES
NCG02 General Permit. Upon review of the submittal, the Division may
determine that coverage under an individual permit is more appropriate. Also be
advised that renewed and continued coverage under NCG02 may be dependent
upon the permittee's compliance success and/or status of the receiving waters.
For questions, please contact the DEMLR(Land Quality Section Regional Office for your area.
DEMLR/Land Quality Section 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 .........(919)
707-9220
Page 13 of 13
SWU-NCG02-NOI Lasl revised 1125116

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Longitude: -790 23' 07" W
County: Chatham
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Stream Class: C
Map Scale 1:24,000 Index Number: 17-43-13 (Cape Fear Basin)
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CHATHAM COUNTY, NC Parcel Number: 85314 Deed Book: 608
Map dumber: 8780-40-5784.000 Deed Page: 0060
Owner Name: GILMORE BROOKS W ETUX DAWN L Plat Book:: 15
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P y Owner City: GREENSBORO Deed Acres: 213.293
Owner State: NC Physical Address: GILMORE LODGE RD N
Owner Zip: 27410 Improvement Value: 0
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