NCS000595_APPLICATION_20181207

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STORMWATER DIVISION CODING SHEET
NCS PERMITS
PERMIT NO.
DOC TYPE
❑ FINAL PERMIT
❑ MONITORING REPORTS
APPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ 1L-0"1
YYYYM M DD

Please print or type in the unshaded areas only.
F- Ko/ occ3 o ov 5a5
Form Approved. OMB No. 204"088.
FORM
U.S. ENVIRONMENTAL PROTECTION AGENCY
I. EPA I.D. NUMBER
1
\:EPA GENERAL. INFORMATION
5
TG C
F14�
Consolidated Permits Program
oD O D
77
GENERAL
(Read the "General Instructions" before smrring.)
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LABEL ITEMS
GENERAL INSTRUCTIONS
If a preprinted label has been provided, affix it in the
designated space. Review tine informmidon carefully; it any of it
1. EPA I.D. NUMBER
is incorrect, crass through it and enter the correct data in the
appropriate fill-in area below. Also, if any at the preprinted data
is absent (the area to the fed of the label space fists the
Ill. FACILITY NAME PLEASE PLACE LABEL IN THIS SPACE information that should appear), please provide it in the proper
-
fill-in area(s) below. If the label is complete and erect, you
V. FACILITY MAILING
need not complete Items I, III. V. and A (except Vl-B which
ADDRESS
must be completed regardless). Complete all items l no label
-
"
has been provided. Refer to the instructions for detailed item
Va. FACILITY LOCATION
descriptans and for the legal atMDrizations under which this
_
data is collected.
Il. POLLUTANT CHARACTERISTICS
INSTRUCTIONS: Complete A through J to determine whether you need to submit any
permit application forms to the EPA. If you answer `yes' to any questions, you must
submit this form and the supplemental form listed in the parenthesis following the question, Mark'X' in the box in the third column if the supplemental form is attached. If
you answer'no' to each question, you need not submit any of these forms. You may answer'no' if your activity is excluded from permit requirements; see Section C of the
instructions. See also, Section D of the instructions for definitions of bold-faced terms.
Mark 'mC
Iva* -r
YES
No
FORM
ATTACHED
YEs
No
FORM
ATTACHED
SPECIFIC QUESTIONS
SPECIFIC QUESTIONS
A. Is this facility a publicly owned treatment works which
B. Does or will this facility (either existing or proposed)
results in a discharge to waters of the U.S.? (FORM 2A)
include a concentrated animal feeding operation or
aquatic animal production facility which results in a
,a
X
_,
discharge to waters of the U.S.? (FORM 2B)
C. Is this a facility which currently results in discharges to
D. Is this a proposed facility (other than those described in A
waters of the U.S. other than those described in A or B
X
or B above) which will result in a discharge to waters of
above? (FORM 2C)
the U.S.? (FORM 2D)22
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E. Does or will this facility treat, store, or dispose of
F. Do you or will you inject at this facility industrial or
hazardous wastes? (FORM 3)
municipal effluent below the lowermost stratum
containing, within one quarter mile of the well bore,
underground sources of drinking water? (FORM 4)
G. Do you or will you inject at this facility any produced water
H, Do you or will you inject at this facility fluids for special
or other fluids which are brought to the surface in
processes such as mining of sulfur by the Frasch process,
connection with conventional ail or natural gas production,
solution mining of minerals, in situ combustion of fossil
inject fluids used for enhanced recovery of of or natural
fuel, or recovery of geothermal energy? (FORM 4)
gas, or inject fluids for storage of liquid hydrocarbons?
(FORM 4)
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ss
n
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x
sa
I. Is this facility a proposed stationary source which is one
J. Is this facility a proposed stationary source which is
of the 28 industrial categories listed in the instructions and
NOT one of the 28 industrial categories listed in the
which will potentially emit 100 tons per year of any air
instructions and which will potentially emit 250 toms per
pollutant regulated under the Clean Air Act and may affect
year of any air pollutant regulated under the Clean Air at
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or be located in an attainment area? (FORM 5)
and may affect or be located in an attainment area?
(FORM 5)
Ill. NAME OF FACILITY
f SKIP
--
IV. FACILITY CONTACT
A NAME & TITLE (last, first, & rime)
B. PHONE {area code & no.)
2
2
, L s
V.FACILTY MAILING ADDRESS
A. STREET OR P.O. BOX
3
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+s
B. CITY OR TOWN
C. STATE D. ZIP CODE -'
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VI. FACILITY LOCATION
A. STREET, ROUTE NO. OR OTHER SPECIFIC IDENTIFIER t
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acVO
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oe B. COUNTY NAME
NW-LANDQUAD ift
STORMWAi ER PERMIi7-,ilk y-
CITY O TOWN
D. STA E
E. ZIP CODE
F. COUNTY CODE (iiftnom'n)
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sz a.
EPA Form 3510-1 (8-40) CONTINUE ON REVERSE

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VI I. SIC CODES 4-di it, in order of non
B. SECOND
A. FIRST B.
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C. THIRD D. FOURTH
(specify)
(specify)
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Vill. OPERATOR INFORMATION
A. NAME B. Is the name listed in Item
9
` _ I I I �� VI also the owner?
(�C ES ❑ NO
u
ae
C. STATUS OF OPERATOR (Enter 11re appropriate feller into the answer box. if "Other, specify.)
D. PHONE (area code & no.)
F = FEDERAL
_ M =PUBLIC (other chars federal or state)
P = STATEPRIVAO = OTHER (cpechJ
(Specify)
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A
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7
E. STREET OR P.O. BOX
n ss
F. CITY OR TOWN
G. STATE
H. ZIP CODE
IX. INDIAN LAND
B
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the facility locate on dian lands?
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X. EXISTING ENVIRONMENTAL PERMITS
A. N POE$ Dischar es 1a Su ace Water
D. PSD Air Emissions tom Pra red Sources -
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B. UIC Ilnde roundlrSyno Ffuids
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E. OTHER s ci
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C. RCRA Hazardous Wastes
E. OTHER s ci
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I ff I I I I I Ic
T I I(specify)
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xI. MAP
Attach to this application a topographic map of the area extending to at least one mile beyond property boundaries. The map must show the outline of the facility, the
location of each of its existing and proposed intake and discharge structures, each of its hazardous waste treatment, storage, or disposal facilities, and each well where it
injects fluids underground. Include all springs, rivers, and other surface water bodies in the map area. See instructions for precise requirements.
xll. NATURE OF BUSINESS (provide a briefdescription)
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XIII. CERTIFICATION (see inshvctions)
I certify under penalty of law that 1 have personalty examined and am familiar with the information submitted in this application and all attachments and that, based on my
inquiry of those persons immediately responsible for obtaining the information contained in the application, l believe that the information is tru accurate, and complete. l
am aware that there are significant penalties forsubmitting false information, including the possibility of fine and impnsonmeni. 17
A. NAME & OFF CI L TITLE or r
B. SIGNATURE y
C. DATE SIGNED
COMMENTS FOR OFFICIAL USE ONLY
ic
EPA Form 3510-1 (&90)
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J� �%E�iAl Number (/soppy/from Item I of Form f) Form Approved OMB No, 2040-0086
Please print or type in the unshaded areas only. / Y 4 o 0 / / —0 / -? i7 I Approval expires 531-92
FORM
ZF
NPDES
U.S. Environmental Protection Agency
:EPA Washington, DC 20460
sc
Application for Permit to Discharge Storm Water
Discharges Associated with Industrial Activity
Paperwork Reduction Act Notice
Public reporting burden for this application is estimated to average 28.6 hours per application, including time for reviewing instructions, searching ebsbng data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate, any other aspect
of this collection of information, or suggestions for improving this form, including suggestions which may increase or reduce this burden to: Chief, Information Policy
Branch, PM-223, U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue, NW, Washington, DC 20460, or Director, Office of information and Regulatory
Affairs, Office of Management and Budget, Washington, DC 20503.
I. Outfall Location
For each outfall, list the latitude and longitude of its location to the nearest 15 seconds and the name of the receiving water.
A. Outfall Number
Qisf)
B. Latitude
C. Longitude
D. Receiving Water
(name)
II. Improvements
A. Are you now required by any Federal, State, or local authority to meet any implementation schedule for the construction, upgrading or operation of wastewater
treatment equipment or practices or any other environmental programs which may affect the discharges described in this application? This includes, but is not limited
to, permit conditions, administrative or enforcement orders, enforcement compliance schedule letters, stipulations, court orders, and grant or loan conditions.
1. Identification of Conditions,
Agreements, Etc,
2. Affected Outfalls
3. Brief Description of Project
4. Final
Compliance Date
number
source of discharge
a. req
b proj.
40
B: You may attach additional sheets describing any additional water pollution (or other environmental projects which may affect your discharges) you now have under
way or which you plan. Indicate whether each program is now under way or planned, and indicate your actual or planned schedules for construction.
III. Site Drainage Map
Attach a site map showing topography (or indicating the outline of drainage areas served by the outfalls(s) covered in the application If a topographic map is unavailable)
depicting the facility including: each of its intake and discharge structures; the drainage area of each storm water outfall; paved areas and buildings within the drainage
area of each storm water outfall, each known past or present areas used for outdoor storage of disposal of significant materials, each ebsbng structural control measure
to reduce pollutants in storm water runoff, materials loading and access areas, areas where pesticides, herbicides, soil conditioners and fertilizers are applied; each of
its hazardous waste treatment, storage or disposal units (including each area not required to have a RCRA permit which is used for accumulating hazardous waste
under a CFR 262.34); each well where fluids from the fault are injectn round; sp s, and other surface water which received storm water discharges
from the facility. '�'y+y,` S lac /,�7j l/.jicT/
EPA Form 3510-2F (1-92) Page 1 of 3 Continue on Page 2
DENR-LAND QUAI_IV
STORMWATER PERMITTING

Continued from the Front
IV. Narrative Description of Pollutant Sources
A. for each outfan, provide an estimate of the area (include units) of imperious surfaces Cmduding paved areas and building roofs) drained to the outfall, and an estimate of the total sutfaee area
drained by the outfall.
Outfall
Number
Area of impervious Surface
(provide units)
Total Area Drained
(provide units)
Outfall
Number
Area of Impervious Surface
(provide units)
Total Area Drained
(provide units)
lqDoFS " %
ITS F
60
B. Provide a narrative description of signficant materials that are currently or in the past three years have been treated, stored or disposed in a manner to allow exposure
to storm water, method of treatment, storage, or disposal; past and present materials management practices employed to minimize contact by these materials with
storm water runoff; materials loading and access areas, and the location, manner, and frequency in which pesticides, herbicides, sail conditioners, and fertilizers are
applied.
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C. For each outfall, provide the location and a description of existing structural and nonstructural control measures to reduce pollutants in storm water runoff; and a
description of the treatment the storm water receives, including the schedule and type of maintenance for control and treatment measures and the ultimate disposal
of any solid or fluid wastes other than by discharge.
Outfall
List Codes from
Number
Treatment
Table 2F-9
ad
V. Nonstorrnwater Discharges
A. I certify under penalty of law hat the outfall(s) covered by this application have been tested or evaluated for the presence of nonstormwatet discharges, and that all
nonstormwater discharged from these outfail(s) are identified in either an accompanying Forth 2C or From 2E application for the outfall.
Name and Official Title (type or print)
Signature
Date Signed
B. Provide a description of the method used, the date of any testing, and the onsite drainage points that were directly observed during a test
Significant Leaks or Spills
Provide existing information regarding the history of significant leaks or spills of toxic or hazardous pollutants at the facility in the last three years, including the
approximate date and location of the spill or leak, and the type and amount of material released.
Aj1q
EPA Forth 3510-2F (1-92) Page 2 of 3 Continue on Page 3

nrcaRaoo/7.2r22
Continued From Paae 2 EPA ID Number (copy from Item t of Form 1)
II. Discharge Information
A, B. C, & D: See instructions before proceeding. Complete one set of tables for each outfall. Annotate the outfall number in the space provided.
Table VII-A, VII-B, MI-C are included on separate sheets numbers VII-1 and VII-2.
E. Potential discharges not covered by analysis — is any tobc pollutant listed in table 2F-2, 2F-3, or 2F-4, a substance or a component of a substance which you
currently use or manufacture as an intermediate or final product or byproduct?
❑ Yes (list all such pollutants below) No (go to Section W)
Ill. Biological Toxicity Testing Data
Do you have any knowledge or reason to believe that any biological test for acute or chronic tobcity has been made on any of your discharges or on a receiving water in
relation to your discharge within the last 3 years?
❑ Yes (list all such pollutants below) No (go to Section IX)
IX. Contract Analysis Information
Were any of the analyses reported in Item VII performed by a contract laboratory or consulting firm?
❑ Yes (list the name, address, and telephone number of, and pollutants
No (go to Section X)
analyzed by, each such laboratory or firm below)
A. Name
B. Address
C. Area Code & Phone No.
D. Pollutants Analyzed
X. Certification
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that quafrfied personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those persons
directly responsible for gathering the information, the infbanalion submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
A. Name & Official Title (Type Or Print)
B. Area Code and Phone No.
D. Date Signed
EPA Farm 3510-2F (1-92) .11 Page 3 of 3
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EPA ID Number (copy from item I of Form 1) Form Approved. OMB No. 2040-0086
Approval expires 5-31-92
VII. Discharge information (Continued from page 3 of Form 2F)
Pan A— You must provide the results of at least one analysis far every pollutant in this table. Complete one table for each outfall. See instructions for additional details.
Pollutant
and
CAS Number
Jfavailable)
Maximum Values
(include units)
Average Values
(include units)
Number
of
Storm
Events
Sampled
Sources of Pollutants
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Composite
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Composite
Oil and Grease
NIA
Biological Oxygen
Demand (BOD5)
Chemical Oxygen
Demand (COD)
Total Suspended
Solids (TSS)
Total Nitrogen
Total Phosphorus
pH
Minimum
Maximum
Minimum
Maximum
Pan B — List each pollutant that is limited in an effluent guideline which the facility is subject to or any pollutant listed in the facility's NPDES permit for its process
wastewater (if the facility is operating under an existing NPDES permit). Complete one table for each outfall. See the instructions for additional details and
requirements.
Pollutant
and
CAS Number
(if available)
Maximum Values
nnclude units)
Average Values
(include units)
Number
of
Storm
Events
Sampled
Sources of Pollutants
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Composite
Grab Sample
Taken Daring,
First 20
Minutes
Flow -Weighted
Composite
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EPA Form 3510-2F (1-92) Continue on Reverse
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Continued from the Front
Part C - List each pollutant shown in Table 2F-2, 2F-3, and 2F-4 that you know or have reason to believe is present See the instructions for additional details and
requirements. Complete one table for each outfalf.
Pollutant
and
CAS Number
Ofavailable)
Maidmum Values
(intiude units)
Average Values
(include units)
Number
of
Storm
Events
Sampled
Sources of Pollutants
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Composite
Grab Sample
Taken During
First 20
Minutes
Flow -Weighted
Composite
Part D — Provide data for the storm event(s) which resulted in the ma)dmum values for the flow weighted composite sample.
1.
Date of
Storm
Event
2.
Duration
of Storm Event
(n minutes)
3.
Total rainfall
during storm event
(n inches)
4.
Number of hours between
beginning of storm measured
and end of previous
measurable rain event
5.
Mabmum flow rate during
rain event
(gallons✓minute or
specify units)
6.
Total flow from
rain event
(gallons or specify units)
7. Provide a description of the method of flow measurement or estimate.
EPA Form 3510-2F (1-92) Page Vil-2

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Poe, Tom
From: Lawyer, Mike
Sent: Thursday, December 20, 2018 10:39 AM
To: Lucas, Annette
Cc: McCoy, Suzanne; Morman, Alaina; Georgoulias, Bethany
Subject: RE: Request for Comments - NCS000595 - Pasture Management Systems Inc
All,
I'm unsure who specifically to address my comments about the subject individual permit application so I've included all
of you. Since the application is for a brand new facility that has not been built yet and they have not provided (cannot
provide?) any sampling data or even a list of potential pollutants, I'm unable to provide any substantial comments. My
comment is that the application is incomplete. They should be able to provide an inventory of products and materials
that will be onsite and potentially exposed to stormwater contact and/or runoff.
There is a facility in the Fayetteville region called McRae Woodtreating in Montgomery County under NCS000291. I do
not know if they conduct the same activities, but it might be helpful to review their file, which I delivered there to the
Central Office earlier this week along with the other individual permit files.
Michael Lawyer, CPSWQ
Environmental Program Consultant
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
910 433-3394 office
mike. IawyerdW-node nr.gov
225 Green Street, Suite 714
Fayetteville, NC 28301
-:5` Nothing Compares--%,-
r
Emaill correspondence to and from this address is subject to the
!North Carolina Public Records Law and may be disclosed to third parties_
From: [e-mail] <[e-mail]>
Sent: Tuesday, December 18, 2018 12:11 PM
To: Lawyer, Mike <[e-mail]>
Cc: McCoy, Suzanne <[e-mail]>; Morman, Alaina <[e-mail]>; Georgoulias,
Bethany<[e-mail]>
Subject: Request for Comments - NCS000595 - Pasture Management Systems Inc
A Individual application or additional information was received on 12/18/2018 for Pasture Management Systems Inc in
Anson County. The assigned Permit Number is NC5000595.
The information for the above project can be found here:
httos:Hedocs.deg.nc.eovLWaterResources/Browse.aspx?dbid=0&startid=781810.

For General Permit NO1 applications, please advise the assigned Central Office reviewer, Annette Lucas, of any
comments or objections to issuing general permit coverage to this facility no later than 30 days from now.
If this is a Rescission Request or No Exposure application, please advise the Central Office of your approval or denial no
later than 60 days from now. The Region should send No Exposure approval or denial letters directly to the applicant.
This email was automatically generated by Laserfiche workflow as a courtesy. Please do not respond to this email
address, as responses aren't monitored.

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United Slates Office of EPA Form 3510-1
Environmental Protection Enforcement Revised August 1990
Agency Washington, DC 20460
Permits Division
18WEPA Application Form 1 - General
Information
Consolidated Permits Program
RECEP
M 07 221's113
This form must be completed by all persons applying for a
permit under EPA's Consolidated Permits Program. See
the general instructions to Form 1 to determine which
other application forms you will need.
1-C2g
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PASTURE
MANAGEMENT
SYSTEMS, INC.
aEC" lc FEMX4G ACCESSORM
� Frorlding wpeNar prodorts and excepdarwf servkt ro the agrkufteunl industry slit 1991.
TOLL -FREE:
{ David Hill 7-SW230-0024
President
Ext. 227 wain SITE:
E-mail: dhiMpastvremgmt-com www.pasturemgmt.com
cot: 704467fi123
10325 Highway 49 North O(ML pleaunt. Nc / phone: [phone] A Fa 704A 2919
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EPA Individual Industrial Permit Inspections - March 18-22, 2019
Target Day
Permit 0
Facility
County
ECHO Address
DEQ Staff Attend11
NCSOW328 Beltway
South Inc.
Beltway South Inc -
B£STWAY SOUTH INC
Zahid Khan (MRO)+Isaiah Reed and Sian
Mon PM
Beltway South, Inc
Iredell
Aiken (AROJ
165 HALYBURTON RD, STONY
Iredell County
POINT, NC 28676
NCSOOD037 Mount Holly
East (MHE] Facility
pariant Corporation -
CLARIANT CORPORATION MT
Tue AM (will inspect 1 pariant site]
Mount Holly East
Mecklenburg
HOLLY FA4F PLANT
'w. wrvmr-r-nam�cu..
Tamers (MRO), Tam Poe (CO), Thad
Mecklenburg County
Facility
HIGHWAY 27 WEST,
ValentineeJR {RRO]
Clariant Corporation -
MOUNT HOLLY WEST FACILITY
Tamers Ep[in {MRO], Tam Poe [CO], Thad
Tue AM {will inspect 1 Oariant site)
NCSODDD41
Mount Holly W
Gaston
Valentine {RRO)
625 E CATAWBA AVE, MOUNT
HOLLY, NC 28120
NCM213 Defrex
Detrex Corporation -
DETREK CORP
Angela Lee (MRO), Tom Poe (CO), Thad
Tue PM
Corporation Mecklenburg
Mecklenburg
-
3114 CU LLMAN AVENU E,
County
DetrexCorporatian
Valentinr(RRO)
CHARLOTTE, NC 28206
Recovery -Concord
ENERGY RECOVERY
Wed
z9E)
. _• �.
Heritage Crystal -Clean
LLC- Charlotte
Calxrtus
RESOURCES
James Moore (RRO)+ Seth Tuley and Brandon
Finch
_
Cabarrus County
2115 SPEEDRAIL COURT,
iWSRO]
CONCORD, NC 28025
NC5000045 National
Welders Supply Company
National Welders DBA
AIRGAS NATIONAL WELDERS
Holliday Keen (MRO) +Seth Titley and Brandon
Wed
Mecklenburg
5313 OLD DOWD ROAD,
Mecklenburg County
Airgas - Charlotte Plant
Finch (WSRO)
CHARLOTTE, NC 28208
NCS000329 AT] Alhrac -
Allegheny Tech Inc -
ALLVAC - BAKERS PLANT
Bakers Site
I
Chris Graybeal (MRO) +Seth Titley and
Thur AM
Teledyne Alhrac-Bakers
Union
1700 TELEDYNE ROAD,
Union County. TDY
Plant
Brandon Finch (WSRO)
Industries, Inc.
MONROE, NC 28110
NC5000324 Consolidated
Metco Inc.
Consolidated Metco
CONSOLIDATED METCO INC
Lily Kay (MRO)+Alain Morman and Annette
Thur PM
Inc
Union
Lucas (CO)
780 PATTON AVE., MONROE,
Union County
NC 28110
NC5000330 Allvac -
Monroe Plant
Allegheny Inc- AT1
TELEDYNE ALLVAC
Kenny Uywelyn (MRO) +Alain Morman and
Thur PM or Fri AM
Allvac Monroe Plant
Union
Annette Lucas (CO)
2020 ASHCRAFT AVENUE,
Union County
MONROE, NC 28110
CO = Central Office, MRO = Mooresville Reg Office, RRO= Raleigh Reg Office, WSRO= Winston-Salem Reg Office, ARO = Asheville Reg Office
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