NCG140462_NOI Application_20180406

POR AGENCY USE ONLY
Date Received
Division of Energy, Mineral and Land Resources Year Month Da
Stormwater Program Certificate of Coverage
National Pollutant Discharge Elimination System N 4
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Energy,
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Energy, Mineral Permit Assi ed to
and land Resources NCG140000
ENVIAONMr NTAL QUALITY
NOTICE OF INTENT
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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 and like activities - Ready Mixed Concrete
This NOI may be an application to discharge process wastewater. NCG140000 contains effluent limitations for
process wastewater discharges. Wastewater discharges must meet the requirements of these effluent
limitations. An exceedance of any of these limitations will result in a violation of the permit conditions.
For questions, contact the DEMLR Central Office or Regional Office in your area. (Seepage 8j
(Please print or type)
1) Mailing address of ownerloperator (official address to which all Hermit correspondence will be
mailed
Legal Company Name Forsyth Redi-Mix, Inc.
(Please attach the most recent Annual Report to the NC Secretary of State showing the current legal name. Alternatively this
permit can be given to an individual.)
Signee's Name (as signed for in question 28 below) Jason Speer
Street Address 100 Anderson Street
City Rural Hall State N.C. ZIP Code 27045
Telephone No. 336-969-0446 Email frmx windstream.net
Alternate Contact Name Email (if different) 11111110
Alternate Contact Telephone (if different)
2) Location of facility producing discharge:
Facility Name Redi Mix Contrete
Street Address 309 S. Chimnev R
City Greensboro State N.C. _ ZIP Code 27409
County Guilford
Facility Contact Jason Speer
Telephone No. 336-345-3202 Email frmx(@windstream.net
3) Physical location information:
LZI)
APR
03 2018
Please provide narrative directions to the facility (use street names, state road numbers, and distance and
direction from a roadway intersection). From 1-40 in Greensboro, N.C. exit „on,Galliamore Dairy Rd. headed
South for 0.81 miles left on S. Chimney Rock Rd. for 1.7 miles to Marietta Rd., make left on S. Chimnev Rock
Rd. for 0.16 miles lust 100 ft. North of Swiqqett Rd. on the right.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 36-03-56 Longitude -79-55-22 (deg., min, sec or decimal)
5) This NPDES Permit Application applies to the following (check all that apply):
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NCG140000 N.O.l.
Q New or Proposed Facility Date operation is to begin April 2018
❑ Existing Facility Date operation began
6) Consultant's application information:
Consultant: Harris B. Gupton
Consulting Firm: Gu ton & Webb P.A.
Mailing Address: P.O. Box 1070
City: K
State: N -C. Zip Code: 27021
Phone: (_,L36 ) 985-6519
Email; h u ton u tonco.com
(Optional)
Staple Business Card Here:
7) 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
8) Provide a brief description of the types of industrial activities and products produced at this facility:
(Attach a site diagram showing the process areas present at this facility.)
The preparation of ready mix concrete for truck distribution offsite to, client locations
Stormwater Dischar a Wastewater Treatment & Discharcie and Permitting Information
9) Discharge points 1 Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
andlor wastewater discharges will end up in? Long Branch to High Point Lake to Deep River/Upper
Randleman to Cape Fear River
To find the waterbody, please see the "MAPS" tab on
https:ilncdenr.maps.arcgis.comiapps/webappviewer/index.html?id=bel 25ad7628f494694e259c80dd64
265 for a map of NC Surface Waterbody Classifications.
Receiving water classifications) for the waters: WS -1V, CA
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). City of Greensboro
List discharge points (outfalls) that convey discharge from the 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.
Be sure to indicate a type for each outfall listed below as Stormwater only, Wastewater only or
Wastewater Commingled with Stormwater
Outfall No. 1 Stormwater only ❑ Wastewater only ❑ Wastewater Commingled with Stormwater 0
Latitude (degrees/minutes/seconds): 36-03-56 N
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NCG140000 N.O.I.
Longitude (degrees/minutes/seconds): 79-55-19 W
Outfall No. 2 Stormwater only ❑ Wastewater only ❑ Wastewater Commingled with Stormwater Q
Latitude (deg reeslminuteslseconds): 36-03-55 N
Longitude (degrees/minuteslseconds): 79-55-19 W
Outfall No. Stormwater only ❑
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
Outfall No. Stormwater only ❑
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
Outfall No. Stormwater only ❑
Latitude (degrees/minutes/seconds):
Longitude (degrees/minuteslseconds):
Outfall No. Stormwater only ❑
Latitude (degrees/minutes/seconds)-
Longitude (degrees/minutes/seconds):
Outfall No. Stormwater only ❑
Latitude (degrees/minutes/seconds):
Longitude (degreeslminutes/seconds):
Wastewater only ❑ Wastewater Commingled with Stormwater ❑
N
W
Wastewater only ❑ Wastewater Commingled with Stormwater
N
W
Wastewater only ❑ Wastewater Commingled with Stormwater
N
W
Wastewater only ❑ Wastewater Commingled with Stormwater
N
W
A]
Wastewater only ❑ Wastewater Commingled with Stormwater ❑
N
W
Will this facility discharge wastewaterto SA (Shellfish) waters? ❑ Yes Q No
Note: Discharge of process wastewater to receiving waters classified as Critical Area (CA) must be
reviewed by the N.C. Division of Water Resources, Public Water Supply Section ahead of
approval. No new discharges of process wastewater are permitted in receiving waters
classified as WS -1 or freshwater ORW.
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.)
10) Each applicant shalt provide the following information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibly show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Stormwater/wastewater treatment structures
o Location of numbered stormwaterlwastewater outfalls (corresponding to which drainage areas)
o Runoff conveyance structures
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NCG140000 N.O.I.
o Areas and acreage where materials are stored
o Impervious area acreages
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
o Site property lines, North Arrow, and bar scale
o If applicable, the 100 -year floodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities' wastewater or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
o Site location (insert)
Site lans shall be 24"x 36" in size.
• Line drawing and description: Aline drawing of the water flow through the facility. A pictorial
description of the nature and amount of any sources of water and any collection and treatment measures.
• A narrative description and identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by
discharge. Processes, operations, or production areas may be described in general terms (e.g. "ash
silo").
11) Does the applicant have any unresolved Notice of Violations (NOVs)?
Q No ❑ Yes
Wastewater.,
12) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater
Generate
Discharge
Sent to WW
Treatment
System
Vehicle and equipment cleaning (VE)
Q
❑
Q
Wetting of raw material stockpiles (RM)
Q
❑
Q
Mixing drum cleaning (MD)
Q
❑
❑
Further explanation, if necessary: Delvo ESC to be added to mixing drums at end of day for overnight storage
and reused in the next day's batch.
13) Will your facility spray -down or actively wet aggregate piles?
❑ No Q Yes
14) Does the facility use any of the following on site?
❑ Phosphorus -containing Detergents
❑ Brighteners Q Other Cleaning Agents
❑ Non -Phosphorus -containing Detergents
❑ Other:
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NCG140000 N.O.I.
15) Are wastewater treatment facilities planned in the 100 -year flood plain?
Q No ❑ Yes
K1K'—t 1 B) Will your facility build a closed-loop recycle system (CLRSs) that meets design requirements in 95A
NCAC 02T.1000 and hold your facilities' working volume'?
❑ Yes Q No
If Yes, STOP COMPLETION of this permit. Contact DWR Non -Discharge Permitting Program for permitting
requirements.
17) A wastewater treatment alternatives review is required by 15A NCAC 2H.0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? Q VE ORM E MD
b) Connection to a Municipal or Regional Sewer Collection System:
Are there existing sewer lines within a one -mile radius? ..................................... Q Yes ❑ No
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... ❑ Yes Q 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) Surface or Subsurface Disposal System (e.g., spray irrigation):
Is a surface or subsurface disposal technologically feasible (possible)? .................... ❑ Yes Q No
Why or Why not? With the variation in Flows vs Utilization due to seasonal variations it is impractical
to use a subservice system.
ii) Is a surface or subsurface disposal system feasible to implement?* ....................... ❑ Yes Q No
Why or Why not? With the variation in Flows vs Utilization due to seasonal variations it is impractical
to use a subservice system.
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters? Utilizing a Series of Concrete Chambers Designed to Current Storm
-- .
Water et assns Guidelines Ines or 100yr. storms �s a much. more feasible method. This allows „Cl___
to reuse storm water as required for operation of Concrete Plant with the sedimentation occurring in
each holding Chamber. This also allows the Owner to have direct access to remove any sediment if it
exceeds designed sediment storage levels in the bottom of the Chambers. Utilizing this method only
allows storm water flows to leave the Chambers in Extreme Precipitation Conditions and only then
after being Treated via the equivalent of an oversized Wet Storm Water Basin.
d) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?*... 0 Yes ❑ No
i) if No, contact DEMLR's Land Application Unit to determine permitting requirements.
e) If this review included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non -discharge options feasible? ..............❑ Yes Q No
* You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
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NCG140000 N.O.I.
Stormwater.,
18) Does this facility employ any best management practices for Storm Water control? ❑ No Q Yes
If yes, please briefly describe: Based on Designers years of extensive experience with Design of Storm Water
Facilities,
Management is our Processional Opinion, that the reuse methodology as described in Item 17.c.iii constitutes
Bes
19) Does this facility have a Storm Water Pollution Prevention Plan? Q No ❑ Yes
If yes, when was it implemented?
20) Are vehicle maintenance activities (VMA) occurring or planned at this facility? 0 No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? ❑ No ❑ Yes
Other/Perm
21) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
Q No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility:_ Gradin, Less than 0.5 Acre
22) Is your facility subject to Phase Il Post -Construction Area? ❑ No 21 Yes
If yes, who is the permitting authority? City of Greensboro
23) Is your facility located in one of the 20 Coastal Counties? ❑ Yes Q No
Is your facility adding more than 10,000 ftz of built -upon area or CAMA Major Permit? Q Yes ❑ No
24) Is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate piles,
drum rinse -out, or vehicle and equipment cleaning to a storm water BMP? R1 No ❑ Yes
If yes, please attach your approval from the permitting authority to do so.
25) Does this facility have any other NPDES permits? Q No ❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
26) Does this facility have any Non -Discharge permits (ex: recycle permits)? Q No ❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
27) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
Q No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
Q No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
Q No ❑ Yes
d) Type(s) of waste: NONE
How is material stored:
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NCG140000 N.O.I.
Vendor address:
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
IN Check for $100 made payable to NCDEQ.
This completed application and all supporting documentation. See Question 10.
1�-- ❑ 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).
S Two (2) site plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
outfalls. See Question 10.
A county map or USGS quad sheet with location of facility clearly marked.
28) 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) tate 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.
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).
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:_ Jason Speer
Title: President
(Sig Lure of Ap ant)
3-Zl-I9
(Date Signed)
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NCG140000 N.O.I.
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR
Mail the entire package to:
Stormwater Permitting Unit 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 the issuance of an NPDES permit.
For questions, please contact the DE'MLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ...... [phone]
Fayetteville Office
Mooresville Office
Raleigh Office ......
Washington Office
Wilmington Office.
Winston-Salem ....
Central Office ......
[phone]
[phone]
[phone]
...[phone]
[phone]
[phone]
... [phone]
Page 9 of 8
SWU-NCG14-NOI Last revised 8/01/2017

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6GCity
,-,jNorth
®f Greensboro
Carolina
March 15, 2018
7o whom it may concern,
Water Resources
City of Greensboro's Water Resources Department will not accept stormwater runoff from the Redi Mix
site at 309 S. Chimney Rock Rd into their sanitary sewer system.
Best regards,
Jonathan Clapp
Engineering Specialist
Department of Water Resources
City of Greensboro
Phone:[phone] Fax.[phone]
PO Box 3136, Greensboro, NC 27402-3136
www. reensboro-nc. ov
PO Box 1170 • Greensboro, NC 27402-1170 • www.greensboro-ne.gov . 336 -373 -CITY (2489) • TTY # 336-333-6930
5035