NCG140514_NOI Application (Signed)_20221108

RECEIVED
FOR AG NCY USE PNLY NOV 08 2022
NCG14 51 G �� N Assigned to:
ARO FRO MRO RRO WARO WIRO WSRO DEM!R-Stormwater
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG140000 Notice of Intent
This General Permit covers STORMWATER AND/OR WASTEWATER DISCHARGES associated with activities under
SIC (Standard Industrial Classification) Code 3273 [Ready Mix Concrete] and like activities. you can find
information on the DEMLR Stormwater Program at deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (8) below to: NCDEMLR Stormwater Program,1612 MSC, Raleigh, INC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person as signed in Item (9) below:
Toyota Battery Manufacturing, Inc. (TBMNC)
April Mason
Street address:
City:
State:
Zip Code:
151 Engineering Way
Georgetown
KY I't.
40324
Telephone number:
Email address:
502-867-2299
[e-mail]
Type of Ownership:
-.
Government
❑ County ❑ Federal ❑ Municipal-., ❑ State
Non -government
..
M Business (If ownership is business, a copy of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Chandler Concrete at TBMNC
Ken waegerle, CSP
Street address:
City:
State:
Zip Code:
1006 S Church Street
Burlington
NC
27215
Parcel Identification Number (PIN):
County:
8708929917
Randolph
Telepphone number:
Email address:
336-516-3195
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
3273
1 N New ❑ Proposed ❑ Existing
9/1/2022
Latitude of entrance:
Longitude of entrance:
35.899254
-79.649519
Brief description of the types of industrial activities and products manufactured at this facility:
Concrete for building construction.
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
X N/A
Page 1 of 7

This facility uses:
❑ Phosphorus -containing detergents
❑ Non -Phosphorus -containing detergents
❑ Brighteners
❑ Other Cleaning Agents No vehicle cleaning with detergents or chemical treatment of plant surfaces will
❑ Other: be performed by Chandler Concrete operations at the site.
This facility has a closed -loop recycle system that meets design requirements in 15A NCAC 02T. 1000 and hold the facilities
working volume
❑ Yes —stop completion of this NOI. Contact DWR Non -Discharge Permitting Program for permitting requirements
No
3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Vickie Miller
HDR Engineering
Street address:
City:
State:
Zip code:
555 Fayetteville St, Suite 900
Raleigh
NC
27601
Telephone number:
Email address:
919-232-6637
[e-mail]
4. Clutfall(s) (at least one outfall is required to be eligible for coverage):
3-4 digit identifier:
Name of receiving water: Classification:
❑ This water is impaired.
4022
Dodsons Lake WS-III""
❑ This watershed has a TMDL.
Discharge from this outfall is from:
® Stormwater Only ❑ Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody (if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW, ORW, Tr, WS-I, WS-II, WS-III, SA, or PNA):
Discharge occurs from this outfall:
® Only during a rainfall event
❑ Intermittently (indicate how often)
❑ Continuously (indicate flow in CFS)
Latitude of outtall:
Longitude of outfall:
35,876179
-79.629172
Brief description of the industrial activities that drain to this outfall:
The outfall is to collect and treat stormwater associated with mass grading and construction of buildings 801/802 of the TBMNA facility.
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes X No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q30 Flow of receiving waterbody (if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HOW, ORW, Tr, WS-I, WS-II, WS-III, SA, or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event
❑ Intermittently (indicate how often)
❑Continuously (indicate flow in CFS)
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 2 of 7

3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody (if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW, ORW, Tr, WS-I, WS-II, WS-III, SA, or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event
❑ Intermittently (indicate how often)
ontinuously (indicate flow in CFS)
7
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water Is impaired.
❑ This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody (if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HOW, ORW, Tr, WS-I, WS-II, WS-III; SA, or PNA):. - "-
Discharge occurs from this outfall:
❑ Only during a rainfall event.
❑ Intermittently (indicate how often)
❑ Continuously (indicate flow in CFS)
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Addition'al•4utllalls may be added in the section
"Additional Outfalls" found on the last page of this NOL
5. Wastewater
Types of Wastewater facility will generate or discharge
Vehicle & equipment cleaning (VE)
® Generate ❑ Discharge ❑ Sent to WW Treatment System
Wetting of raw material stockpiles (RM)
❑ Generate ❑ Discharge ❑ Sent to WW Treatment System N/A
Mixing drum cleaning (MD)
® Generate ❑ Discharge ❑ Sent to WW Treatment System
Facility will spray -down or actively wet aggregate piles
❑ Yes Concrete trucks and mixing drums will be washed out and wastewater is collected in a lined roll-
® No off box which is then disposed of by GFL who takes it to their landfill.
Page 3 of 7

6. Wastewater treatment alternatives
What wastewaters were considered for this alternatives review: ❑ VE ❑ RM ❑ MD
Are there existing sewer lines with a one mile radius: ❑ Yes ® No
If Yes:
❑ The wastewater treatment plant will accept the wastewater. It is feasible to connect. Explain:
❑ The wastewater treatment plant will accept the wastewater. It is not feasible to connect. Explain:
❑ The wastewater treatment plant will not accept the wastewater (attach a letter documenting)
❑ Surface or subsurface disposal is technologically feasible
❑ Surface or subsurface disposal is not technologically feasible
Explain: N/A
❑ Surface or subsurface disposal system is feasible to implement
❑ Surface or subsurface disposal system is not feasible to implement
Explain: N/A
What is the feasibility of employing a subsurface or surface discharge as compared to a direct discharge to
surface waters? Explain:
There is no discharge as wastewater is collected and taken to a permitted facility for disposal.
Discharge to surface waters is the most environmentally sound alternative of all reasonably cost-effective
options of the wastewaters being considered: N/A
❑ Yes
❑ No — contact DEMLR's Land Application Unit to determine permitting requirements
If this review included all wastewater discharge types, would excluding some types make of the above non -
discharge options feasible? N/A
❑ Yes
❑ No
7. Other Facility Conditions (check all that apply and explain accordingly):
This facility has a DMLR Erosion & Sedimentation Control Permit.
If checked, list the permit numbers for all current E&SC permits for this facility:
RANDO-2022-027; RANDO-2022-031
❑ This facility has a Division of Waste Management permit.
If checked, list the permit numbers for all current DWM permits for this facility:
® This facility has other NPDES permits. The overall site has several NCGOI Permits for Const
If checked, list the permit numbers for all current NPDES permits: but the two listed above are relevant to this area of t
site.
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
❑ This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
❑ This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
Page 4 of 7
ction
e

❑ This facility is subject to Phase II Post -Construction Area
If checked, please list the permitting authority:
❑ This facility is located in one of the 20 Coastal Counties
If checked, please indicate if the facility is adding more than 10,000 ft2 of built -upon area or is a CAMA Major Permit
❑ Will add more than 10,0000 ft of built -upon area
❑ Is a CMA Major Permit
❑ Yes to both
❑ No to both
❑ This facility is discharging wastewater to a stormwater BMP
If checked, please indicate the permitting authority, and attach letter approval to do so:
❑ This facility has wastewater treatment facilities in the 100-year floodplain
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Faci ".-""
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal facility
If checked, indicate:
Kilograms of waste generated each month:
Type(s) of waste:
How material is stored:
Where material is stored:
4§ ,
,...
Number of waste shipments per year:
Name of transport/disposal vendor:
Transport/disposal vendor EPA ID:
Vendor address:
❑ This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
S. Required Items (Application will be returned unless all of the following items have been included):
IIn Check for $100 made payable to NCDEQ
IN Copy of most recent Annual Report to the NC Secretary of State Copy of Certificate of Authority attached.
® This completed application and any supporting documentation
® A line drawing of the water flow through the facility.
IM Copy of county map or USGS quad sheet with the location of the facility clearly marked
❑ Letter documenting that WWTP will not accept wastewater (if applicable)
❑ Approval from permitting authority to discharge wastewater to a stormwater BMP (if applicable)
Page 5 of 7

IN Two (2) 24" x 36" site diagrams showing, at a minimum, existing and proposed:
a) outline of drainage areas
b) Stormwater/wastewater treatment structures
c) Location of numbered stormwater/wastewater outfalls (corresponding to which drainage areas)
d) Delineation of drainage areas to each discharge point
e) Runoff conveyance structures
f) Areas and acreage where materials are stored
g) Impervious area acreages
h) Locations(s) of streams and/or wetlands the site is draining to, and applicable buffers
i) Site property lines, North Arrow, and bar scale
j) If applicable, the 100-year floodplain line
k) Acreage of each Stormwater and wastewater topographical area
1) Each of the facilities' wastewater or stormwater source and discharge structures and each of its hazardous waste
treatment, storage, or disposal facilities
m) Notation of the water quality classification of the receiving water that site waters eventually discharge to
n) Site location (insert)
9. Applicant Certification:
North Carolina General Statute 143-215.6B (!)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 ... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
M I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
civil or criminal penalties incurred due to violations of this permit.
® The information submitted in this NOI is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
® I will abide by all conditions of the NCG140000 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 hereby request coverage under the NCG140000 General Permit.
Printed Name of Applicant: April Mason
Title: Site Services GM
�42 OICZII-e�
(Signat ul
e of Applicant)
Mail the entire package to:
3 o?oaao
(Date Signed)
DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 6of7

Additional Outfalls
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody (if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW, ORW, Tr, WS-I, WS-II, WS-III, SA, or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event
❑ Intermittently (indicate how often)
❑ Continuously (indicate flow in CFS)
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? []Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody (if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW, ORW, Tr, WS-I, WS-11, WS-III, SA, or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event
❑ Intermittently (indicate how often)
❑ Continuously (indicate flow in CFS)
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to thifiyotfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only ❑ Wastewater Comingled with Stormwater
7Q30 Flow of receiving waterbody (if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW, ORW, Tr, WS-I, WS-II, WS-III, SA, or PNA):
Discharge occurs from this outfall:
❑ Only during a rainfall event
❑ Intermittently (indicate how often)
❑ Continuously (indicate flow in CFS)
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? []Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 7 of 7

RECEIVED
Operation & Maintenance Agreement_R-StormwaterProgram
Project Name: Toyota Battery Manufacturing North Carolina Plant
SCM Name: East Pond
Project Location: Randolph County between US 421 and Old 421 Roads
Maintenance records shall be kept on the SCM. This maintenance record shall be kept in a log on the
facility site. Any deficient SCM elements noted in the inspection will be corrected, repaired, or replaced
immediately. These deficiencies can affect the integrity of structures, safety of the public, and the
pollutant removal efficiency of the SCM.
The East Pond SCM is located at lat 79 deg 37' 27.71" and long 35 deg 52' 58.56".
I acknowledge and agree by my signature below that I am responsible for the performance of the
maintenance procedures listed the SCM above and attached O&M Plans. I agree to notify NCDEQ of any
problems with the system or prior to any changes to the system or responsible party.
Responsible Party: Aqr, � r ' 1 c5o(1 Title & Organization: �j cn.rr�.� I r l«ta (e r kc4"1 1y
✓ Pd V � �Q �
Street address: JSJ E
City, state, zip: Ge,, C�LPn ��� WO�3c..r
Phone number(s): 5'0 r SL
^ Email: c,( r: J. 0. 'E6{
(1 3 7
Signatur`�e:/ M1 /�'_ (, (31-1-� Date: n onr. 31 d-0 a
I, 1-1,14C--) ,11 u�" ' qa. �M
N,o�tary Public for the State of 14C County
of tc do hereby certify that ftW � Q� personally appeared
before me this 3r day of (ANe-,YA e,I 21�22 and acknowledge the due execution of the
Operations and Maintenance Agreement.
Witness my hand and official seal,
NOTARY
MY om Ex .
U
G� PUBLIC
2
Seal
My commission expires Iz It 1-n- 7

Operation & Maintenance Agreement
Project Name: Toyota Battery Manufacturing North Carolina Plant
SCM Name: West Pond
Project Location: Randolph County between US 421 and Old 421 Roads
Maintenance records shall be kept on the SCM. This maintenance record shall be kept in a log on the
facility site. Any deficient SCM elements noted in the inspection will be corrected, repaired, or replaced
immediately. These deficiencies can affect the integrity of structures, safety of the public, and the
pollutant removal efficiency of the SCM.
The West Pond SCM is located at lat 79 deg 38' 12.21" and long 35 deg 53' 12.86".
I acknowledge and agree by my signature below that I am responsible for the performance of the
maintenance procedures listed for the SCM and attached O&M Plans. I agree to notify NCDEQ of any
problems with the system or prior to any changes to the system or responsible party.
Responsible Party: ' Y C ; ) (J ' l£en
Title & Organization: � P!`Pre� m kn ,_ n er �Jcn -t— S.p(V , e
Street address: ( S �n- /IrAL21C,;J� ` (.J cc
City, state, zip: i. of�e
Phone number(s): 5-6 -d-I—'Zi
Email: p n f" 1. (ttti�e
Signature:
of do hereby certify that
before me this day of aem
Operations and Maintenance Agreement.
Witness my hand and official seal,
c,,�Op MEps
.a �at4OTARY
My m Exp.
0
G
PUBLIC 2
Seal
Date: ) F 3'a0a �
ary Publi for the State of G County
+' 1 ��CAYQ %� personally appeared
and acknowledge the ue execution of the
My commission expires 12,113 / zz�