NCG500205_Notice of Renewal Intent_20120113

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NCDENR
North Car01Ina Department Of Environments and NaturalResourc
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
NOTICE OF RENEWAL INTENT
Application for renewal of existing coverage under General Permit NCG500000
Existing Certificate of Coverage (CoC): NCG500205
(Please print or type)
1) Mailing address* of facility owner/operator:
Company Name Campbell Soup Supply Company L.L.C.
Owner Name Campbell Soup Supply Company L.L.C.
Street Address 2120 NC Hwy. 71 North
City Maxton State NC ZIP Code 23864
Telephone Number 910 844-1261 Fax [phone]
Email address [e-mail]
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* Address to which all permit correspondence should be mailed
2) Location of facility producing discharge:
Facility Name Campbell Soup Supply Conipany L.L.C. Elf7.F.f.)
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Facility Contact Campbell Soup Supply Company L.L.C. z c_ OR]
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Street Address 2120 NC Hwy. 71 North
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City Maxton State NC ZIP Code 23864 o xi c=> al
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Telephone Number 910 844-1261 Fax: [phone] La]
Email address hopewalters@cUnipbellsonpcom
3) Description of Discharge:
a) Is the discharge directly to the receiving stream? ,XYes DI No
(If no, submit a site map with the pathway to the potential receiving waters clearly Marked. This includes tracing the pathway of the
storm sewer to the discharge point, if the storm sewer is the only viable means of discharge) -
b) Number of discharge outfalls (ditches, pipes, channels, etcthat convey wastewater from the property):
1
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
X Non -contact cooling water Outfall(s) #: 001
X Boiler Blowdown Outfall (s) #: 001
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NCG500000 renewal application
X Cooling Tower Blowdown Outfall (s) #: 001
X Condensate Outfall (s) #: 001
X Other Outfall (s) #: 001
(Please describe ''Other") Exempt Storm Water
d) Volume of discharge per each discharge point (in GPD):
#001: 1,300,000 #002: #003: #004
(volume based on a yearly average)
' 4) Please check the type of chemical [s] added to the wastewater for treatment, per each separate discharge
point (if applicable, use separate sheet):
0 Chlorine
X Biocides X Corrosion inhibitors 0 Algaecide
X Other — Bromine (Chemtreat C2189) 0 None
5) If any box in item (4) above [other than None] was checked, a completed Biocide 101 Form arid
manufacturers' information on -the additive must be submitted to the following address for approval:
NC DENR / DWQ / Environmental Sciences Section
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621.
6) Is there any type of treatment being provided to the wastewater before discharge (i.e., retention ponds,
settling ponds, etc.)? 0 Yes X No
(If yes; please include design specifics (i.e., design volume, retentiontime, surface area, etc.) with submittal package. Existing
treatment facilities should be described in detail. )
7) Discharge Frequency: .
a) The discharge is: X Continuous 0 Intermittent ❑'Seasonal*
i) ' If the discharge is intermittent, describe when the 'discharge will occur:
*Check the.month(s) the discharge occurs: X Jan X Feb X Mar. X Apr X May. X Jun X Jul
X Aug. X Sept. X Oct. X Nov. X Dec.
b) How many days per week is there a discharge? July —March 7 days/week, April -June 5 days/week
c) Please check the days discharge occurs: X Sat. x Sun. x Mon. x Tue. x Wed. x Thu. x Fri.
Additional Application Requirements:
The following informationmust be included in duplicate [original + 1 copy] with this application or it will
be returned as incomplete.
> Site. map. If the discharge is not directly to a stream,the pathway to the receiving: stream must
be clearly indicated. This includes tracing the pathway of a storm sewer 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.
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NCG500000 renewal application
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: Michael G. Miller
Title: Senior Director of Opera ns - Maxxpn
(Signature of Applicant)
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 finenot to exceed $25,000, or by imprisonment not to exceed sixmonths, or by both. (18 U.S.C. Section 1001 providesa punishment by a fine
of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
(Date SLgned)
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This Notice of Renewal Intent does NOT require a separate fee:
The permitted facility already pays an annual fee for coverage under NCG500000.
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Mail the original and one copy of the entire package to:.
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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