NCG510534_Renewal (Application)_20200728

ROY COOPER lg ; —�
Governor I"
IP
MICHAEL S. REGAN { .
Secretary
, ,t
S. DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
July 29, 2020
T.A.C., Inc.
Attn: Thomas A. Berry, President
PO Box 1111
Greensboro, NC 27402-1111
Subject: Permit Renewal
Application No. NCG510534
Twin Oaks Grocery (J Mart tt IV)
Rockingham County
Dear Applicant:
The Water Quality Permitting Section acknowledges the July 28, 2020 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Ct
Wren The ord
Administrative Assistant
Water Quality Permitting Section
cc: Timothy Leatherman-Pyramid Environmental & Engrg
ec: WQPS Laserfiche File w/application
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I

PY ILA M I CO
ENVIRONMENTAL& ENGINEERING, P.C.
July 17, 2020
NCDEQ— DWR —Water Quality Permitting Section RECEIVED
1617 Mail Service Center JUL 2 8 2020
Raleigh, NC 27699-1617
NCDEQ/DWR/NPDES
Re: Notice of Renewal Intent for
Twin Oaks Grocery
2257 NC Highway 65
Reidsville, Rockingham County, NC 27320
NPDES Permit Certificate of Coverage # NCG510534
NCDEQ Incident#30775
To Whom It May Concern:
Enclosed please find the NPDES Permit Renewal package for the Twin Oaks Grocery
remediation system holding the NPDES General Permit Certificate of Coverage NCG
510534.
If you have any questions or comments regarding this renewal package, please feel free
to contact me at [e-mail] or at 336-335-3174.
Sincerely, () f
Timothy D. Leatherman, L.G.
Project Manager
Enclosures: NPDES Permit Renewal Package
P.O.Box 16265•Greensboro,NC 27416
503 Industrial Ave•Greensboro,NC 27406
Phone[phone]•Fax[phone]•Toll Free(866)545-9507
Email:[e-mail]
www.pyramidenvironmental.com

A76,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
NOTICE OF RENEWAL INTENT
(Required by 15A NCAC 02H .0127(d)1; (term definition see 15A NCAC 02H .0103(19)]
Application for renewal of existing coverage under General Permit NCG510000
Existing Certificate of Coverage (CoC): NCG510 5 3 4 RECEIVED
(Please print or type) JUL 2
g 2020
NCDEQ/DWR/NPDES
1) Mailing address of site Owner: (address to which all correspondence should be mailed)
Company Name T.A.G., Inc.
Company Contact Thomas A. Berry, President
Street Address 2200 E. Bessemer Ave.
City Greensboro State NC ZIP 27405
Telephone# (336) 273-8663 Fax# [phone]
Email Address [e-mail]
2) Location of remediation site producing discharge:
Facility Name Twin Oaks Grocery (Jay Mart IV)
Facility Contact Timothy D. Leatherman
Street Address 2257 NC Highway 65
City Reidsville State NC ZIP 27320
County Rockingham
Telephone# (336) 335-3174 Fax# (336) 691-0648
3) System operator/Consultant ID: (if different from Owner)
Company Name Pyramid Environmental & Engineering, PC
Company Contact Michael G. Jones
Street Address 503 Industrial Ave.
City Greensboro State: NC ZIP 27406
County Guilford
Telephone# (336) 335-3174 Fax# (336) 691-0648
Email Address mike a pyramidenvironmental.com
1 of 2 Page Revised
g 9/1/13

NCG510000 Renewal Application
4) Site ranking & ID: GW incident# 30775
Site Ranking(if available) H135D
Date of most recent discharge 7/4/2020
Additional Application Requirements:
The following information must be included in duplicate [original + 1 copy] with this application or
it will be returned as incomplete.
➢ Site map: Clearly showing the path of the remediation system effluent from the site to
its discharge point
➢ Authorization for representatives. If this application will be submitted by a consulting
engineer(or engineering firm), include documentation from the Permittee showing that
the consultant submitting the application has been designated an Authorized
Representative of the applicant.
CERTIFICATION
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: Thomas A. Berry
Title: President, T. ., nc.
(Signature of Applicant) (Date Signed)
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 Article 21 or regulations of the Environmental Management Commission implementing that Article, or who
falsifies,tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under
Article 21 or regulations of the Environmental Management Commission implementing that Article,shall be guilty of a misdemeanor punishable by a
fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both.(18 U.S.C.Section 1001 provides a punishment by a fine of not
more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
♦ ♦ ♦ ♦ ♦
This Notice of Renewal Intent does NOT require a separate fee.
The permitted facility already pays an annual fee for coverage under NCG510000.
♦ ♦ ♦ ♦ ♦
Mail this application and one coPy of the entire package to:
NC DENR/DWR/Water Quality Permitting Section
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
Attn: Charles Weaver
Page 2 of 2 Revised 9/1/13

y PYRAM I D
ENVIRONMENTAL& ENGINEERING, P.C.
Authorized Representative for NPDES Permit Renewal
I, Thomas A. Berry, the president of T.A.C., Inc., designate Pyramid Environmental &
Engineering, P.C. as an authorized representative of T.A.C., Inc. for the Twin Oaks
Grocery remediation system NPDES permit renewal.
-i (rap
Thomas A. Berry Date
P.O.Box 16265•Greensboro,NC 27416
503 Industrial Ave•Greensboro,NC 27406
Phone[phone]•Fax[phone]•Toll Free(866)545-9507
Email:[e-mail]
www.pyramidenvironmental.com

,
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T.A.C., Inc. Facility •
Twin Oaks Grocery (J Mart # IV) GWR Site Location
(not to scale)
Latitude: 36° 23'38"N State Quad:SW Eden
Longitude: 74°48'25"W Permitted Flow: N/A NPDES Permit NCG510534
Receiving Stream: UT to Rock House Creek Stream Class: WS-IV
Drainage Basin: Roanoke River Basin Sub-Basin: 03-02-02/03010103 NOYth Rockingham County