NCG020756_COMPLETE FILE - HISTORICAL_20110624

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /VUaO���
DOC TYPE Q' HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ 3011 aa�
YYYYMMDD

�1
A;A
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Frank Horne
Frank Horne Construction, Inc
225 Frank Horne Drive
Fair Bluff, NC 28439
Dear Mr Horne,
Division of Water Quality
Coleen H Sullins
Director
June 24, 2011
Dee Freeman
Secretary
Enclosed is a copy of your certificate of coverage for your NPDES General Stormwater Permit for the
Haynes Mine Pit Please keep this copy for your records
Sincerely,
Linda Willis
Environmental Engineer
Surface Water Protection Section
Division of Water Quality
CC WRO DWQ NCG020 Columbus
Wilmington Regional Office
127 Cardinal Drive Exlensson WOrninglon NC 28405
Phone [phone] / FAX [phone]
Internet www.ncwaterauality ofo
NorthCarolina
Naturally
An Equal Opportunity/Affirmative Achon Employer Customer Service 1 877 623 6748
50% Recycled/10% Post Consumer Paper

i v4! --'I X
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CA4,NERAL PFRIVUr NO NCG020000
CERTJi ICATL OF COVERAGE No NCG020756
STORMWA"I ER AND MINE DEWATERrNG DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215 1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Frank Horne Construction, Inc
is hereby authonzed to discharge stormwater and is hereby authorized to discharge process
wastewater from a facility located at
Haynes Pit
225 Frank Horne Drive
Fair Bluff
Columbus County
to receiving waters designated as Gapway Swamp, a class C, Sw water in the Lumber River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, 11, III, IV, V, and VI of General Permit No NCG020000 as attached
This certificate of coverage shall become effective March 1, 2010
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day February 5, 2010
ORIGINAL SIGNED BY
KEN PICKI Fr
for Coleen H Sullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission

LOCATION MAP: i
I av-1 3i
'.hy' .{'fI'S ld�R
9 . ,CFO
cr{
s 'rit `1 1
irE� grew _ — r• ,� r �; s � _ �,�
�a
-i rl �Arnn�Y f
J I'll i
, S
I�
p ��I, aw►S II _ . � I
1
a
NCG020756
MW Stale 120,E
Frank Horne Construction, Inc
Haynes Pit
LaU➢]tie 341117 28 N r
Lo'gtude 793 1 W" W
Counry ColurdDus
Reea\oing Stream Gapway Swatrp
Stream Cass C, Sw — - --------
Sub basin 03 07 Si (Lumber River Basin) Nclllty Loca thon

*.
—.r" y
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H Sullins Dee Freeman
Governor Director Secretary
RECEIVED
February 5, 2010 MAR 0 j 2010
Frank Horne BY
Frank Horne Construction, Inc
225 Frank Horne Drive
Fair Bluff, NC 28439
Subject General Permit No NCG020000
Haynes Pitt
COC NCG020756
Columbus County
Dear Mr Horne
In accordance with your application for a discharge pc,nnit received on August 27, 2009,
we are forwarding herewith the subject certificate of coverage to discharge under the subject
state — NPDES general permit This permit is issued pursuant to the requirements of North
Carolina General Statute 143-215 1 and the Memorandum of Agreement between North Carolina
and the US Environmental Protection Agency dated October 15, 2007 (or as subsequently
amended)
Please take notice that this certificate of coverage is not transferable except after notice to
the Division of Water Quality The Division of Water Quality may require modification or
revocation and reissuance of the certificate of coverage
P1catiC, be awaie that rnim, dewatemig at yow site has the potential to rrnpd,t adp ent
wetlands The specific rc quiiernents foi mine dewatenng at facilities near wetlands can be found
in Section C, Part 1 of youi permit (Part II l Page 5 of 9) You must have an approved
Operation and Monitormit Plan before mine de�Naterin-2 discharges occur at your facility
Dischaiging mine dewatLring wastewatLr without Plan appro%al will be subject to enforcement
action An Opeiation and Monitoring Plan foi your facility must be submitted to the, W111nington
Regional Otfiee within 60 days of your iLccipt of this permit C'ontac t Linda Willis A the,
Wilmington Regional Office at [phone] for more information about the appioval
process
Please note that mine de"atering wastewater meludes wet pit ovei flows caused solely
by dill iainfall and gioundwatei secnaac for this type of mining opeiation Any disehaige of
this wat,;i (and any storinwatcr corriminglcd with it) is sublet to the LffluLnt ]unrtations in this
permit
Wetlands and Stormwater Branch One
1617 Mad Service Center Raleigh North Carolina 27699 1617 North Caro l n a
Location N Salisbury St Raleigh North Carolina 27604 Naturally
Phone [phone] FAX [phone]a 1 Customer Service 1 877-623 6748
Internet www ncwaterquaGty org
An Equal Opportunity 1 Affirmative Acton Employer

Mr Frank Ilornes
Frank l lorne Construction, Inc—NCG020756
February 5, 2010
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land
Resources, Coastal Area Management Act or any other federal or local governmental permit that
may be required
If you have any questions concerning this permit, please contact Bnan Lowther at
telephone number (919) 807-636$
Sincerely,
ORIGINAL SIGNED BY
for Colcen H SURPICKLE
cc Wilmington Regional Office
Central Files
Stormwater Permitting Unit Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO NCG020000
CERTIFICATE OF COVERAGE No NCG020756
STORM WATER AND MINE DEWATERING DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215 1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Frank Horne Construction, Inc
is hereby authonred to discharge stormwater and is hereby authorized to discharge process
wastewater from a tdOlrty located at
Haynes Pit
225 Frank Horne Drive
Fair Bluff
Columbus County
to receiving waters designated as Gapway Swamp, a class C, Sw water in the Lumber River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts 1, II, 11I, 1V, V, and VI of General Permit No NCG020000 as attached
This certificate of coverage shall become effective March 1, 2010
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day February 5, 2010
ORIGINAL SIGNED BY
KEN PICKLE
for Coleen H Sullins , Director
Division of Water Quality
By the Authority of the Environmental Management Commission

1
LOCATION MAP-
r .Y� !� �_ 3— -�w..- ✓
r�{3� � { 1� ljliln ii J YA ��p;�
13 0 r d o n 9 3 y
R
IN
`\OAS
I l
a—�
n
f 1 I �
��• �'f/f/II l � � ' �
}
i `
yi-
lei f
ff7
-.�
Fi3Yne5 Pit-
\y
O, • - t Nv Yk yt r \
Ell
/ r � - �a• / } Ix ry
s+ t'
�a� � '" � r « �+ �.�c.a ` 4r 6 1✓ 1 ��
>\ • AB"'' I � � •^'� -• � '� �t T '�, drl' ' �w \
00
W � - r. � ♦ ' � f r
i1 � � Ei � � n i r�
NCG020756
Frank Horne Construction, Inc
rr
Haynes Pit
Latitude 34° P' 28" N
`
LongitLde 790 1 18 W
County Columbus
N
Recawng StTeam GapwaySwamp
Stream Class C,Sw
Map Scale 120,000
Sub barn 03 07 51 (Lumber River Basin)
Facility Location

Beverly Eaves Perdue
Governor
ff �
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H Sullins
Director
February 5, 2010
crank Horne
Frank Horne Construction, Inc
225 Frank Horne Drive
Fair Bluff, NC 28439
Subject General Permit No NCG020000
Haynes Pitt
COC NCG020756
Columbus County
Dear Mr Horne
Dee Freeman
Secretary
In accordance with your application for a discharge permit received on August 27, 2009,
we are forwarding herewith the subject certificate of coverage to discharge under the subject
state — NPDES general permit This permit is issued pursuant to the requirements of North
Carolina General Statute 143-215 1 and the Memorandum of Agreement between North Carolina
and the US Environmental Protection Agency dated October 15, 2007 (or as subsequently
amended)
Please take notice that this certificate of coverage is not transferable except after notice to
the Division of Water Quality The Division of Water Quality may require modification or
revocation and reissuance of the certificate of coverage
Please be awaie that nunL dc.wateiing at yout site has the potential to impact adlaLent
wetlands The specific requitcinents foi mine dewatering at facilities near wetlands can be found
in Section C, Pait 1 of youi pen -nit (Part Ill Page 5 of 9) You must have an a2pro.'ed
Op"ration anc_I Nimiltoitiit) 111:111 bClote nun�_OLU11 i1 %uiii faci11tJ
Dt,,,dmiging nii114 114�4F1tLlin 4La4tLIV.it4i k%1111riut PI tit aPpio> ,il %< Ill hL StIbILLt tO �rtlolLLinc,rtt
action Ail Opeiation and Monitoring Plan fot your facility must be submitted to the Wilmington
RLgional OffiLL within 60 days of your iec,eipt of this peniiit Contact Linda Willis it the
Wilmington Regional Office at [phone] for more infoimation about the appioval
process
Please note that aide dewateruig wastewater tiiLhucles wet plt OVU flows Laused So1Lly
by dnLct talnfall and gioundwatei seepai~c for this typo of mtning opeiation Any dls4haige of
this water (and any stonnwatLl commingled with it) is ,ubje4t to the, CRILlunt hnlitations in this
pLn-nit
Wetlands and Slormwater Branch
1617 Mall service Center Raleigh North Carolina 27699 1617 UI'�
Locaton 512N SatshurySl Raleigh North Carolina 27604 INU111ic.il01tl.t
Phone [phone] FAX [phone] Customer Service 1 877 623 6748 7a,flll'll�f
Internet www ncwaterqualr!y org ;%
An Equal Opporluniry 1 Aflirni-Ove Action Employer

Mr Frank Homes
Frank Horne Construction, Lie-NCG020756
February 5, 2010
This permit does not affect the legal requirements to obtain other permits which maybe
required by the Division of Water Quality or permits required by the Division of Land
Resources, Coastal Area Management Act or any other federal or local governmental permit that
may be required
If you have any questions concerning this permit, please contact Brian Lowther at
telephone number [phone]
Sincerely,
� s�r+►��;_ SIGNEDGY
Kaq PICKLE
for Coleen H Sullins
c.c Wilmington Regional Office
Central Files
Stormwater Permitting Unit Files

Beverly Eaves Perdue
Governor
{LIT; via
1NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H Sullins Dee Freeman
Mr Frank Horne
Frank Horne Construction, Inc
225 Frank Horne Drive
Fair Bluff, NC 28439
Director
September 3, 2009
Secretary
BY
SEP 0 9 2009
Subject Request for Additional Information
Stormwater Project No NCG020756
Haynes Pit
Columbus County
_ -Dear Mr Horne--= - - -- - -- - -_- - -- _--_ _ -- - = _ -— _ _--=
The Division of Water Quality's Stormwater Permttting Unit received a National Pollutant Discharge
Elimination System (NPDES) permit application for Haynes Pit on August 1, 2009 A preliminary
review of that information has determined that the application is not complete The following information
is needed to continue the stormwater review _
1 Please provide infonnation on how you will meet the effluent limits for Mine Dewatering
wastewater in Table 9 of the general permit
T-ible 9 Effluent Linuranons for Pt oress Si aste►i irei Ind Ahne Deis Merin- ii aster ltei
Dtsrhat,-e Charartenvies
Effluent Linut itions-
ax <<J
\iontltl� '�1ei iae Ir;
Dai1V itanmum rJ "
Setelvible Saitd,
0 1 11114
0 2 mir1
To -al Suspended Soli. (Tnduet rd Saud Mining)
25 me'l
45 nip)
H P ansei
_ __
6 0_ a 0
Turtvebty reilh a - er non trout st-euas)
-- -
50 ATU
Turbidi on -trout lakes and r1Fy, aters
-
25 hTL,
Turbidlin (Trout-v i ere)
--- ----
10 NTU
Foam,rss-
1 TLe pl- •sage 5Jr sal' -im is d 3-2 5 Des fixated sn. tLp stia-ets cm care a p — as lots as 4 _� if ale o rsn.ral
cou&i3cm
2 Mmiiii} sterage Lua or dt,, a-ges to aate-s deuVated a, -q7%1 aatzn is 10 r.># 1
The general permit can be found online at
http J1h2o enr state ne us/suldocuments/NCG02PermitText pdf
Please note that this request for additional information is in response to a preliminary review The
requested information should be received by this Office prior to October 3, 2009, or the application will
Wetlands and Stormwater Branch
1617 Dail Service Center Raleigh North Carolina 27699 1617
Location 512 N Salisbury 5t Raleigh North Carolina 27604
Phone [phone] FAX [phone] Customer Service 1-877-623.6748
Internet www n waten}uafrty org
An Equal Opportunity 1 AtiitmaWe Action Employer
One
Nos thCarollna
Naturally

Mr frank Horne
NCG020756--Haynes Pit
September 3, 2009
be returned as incomplete The retui n of a project will necessitate resubmittal of all required items,
including the application fee
If you need additional time to submit the information, please mail or fax your request for a time extension
to the Division at the address and fax number at the bottom of this letter the request must indicate the
date by which you expect to submit the required information The Division is allowed 90 days from the
receipt of a completed application to issue the permit
Please reference the State assigned project number on all correspondence Any original documents that
need to be revised have been sent to the engineer or agent All original documents must be returned or
new originals must be provided Copies are not acceptable If you have any questions concerning this
matter please feel free to call me at [phone]
Sincerely,
Z�� 2J"q�'
Brian Lowther
Environmental Engineer
cc Wilmington Regional Office
Stormwater Permitting Unit Files

NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H Sullins Di
Governor Director
September 3, 2009
Mr Frank I Iorne
Frank Horne Construction, Inc
225 Frank Horne Dave
Fair Bluff, NC 28439
�r(Ojkd> Home,
WQ-awS-JO6-7-
Subject Request for Additional Information
Stormwater Project No NCG020756
Haynes Pit
Columbus County
Dear Mr Horne
The Division of Water Quality's Stormwater Permitting Unit received a National Pollutant Discharge
Elimination System (NPDES) permit application for Haynes Pit on August 1, 2009 A preliminary
review of that information has determined that the application is not complete The following information
is needed to continue the stormwater review
1 Please provide information on how you will meet the effluent limits for Mine Dewatertng
wastewater to Table 9 of the general permit
Table 9 Effluent Lnmtatnous fot Pi ocess 11 asters aret Ind 1litue Detir atetana Wastewater
Dtseharvat Otara5 eteiast;cs n +Yy4• _T v-
Effluent Ltmttattous'';� Z-a1 1 4—&:1,T Y,
�r 1I�F'17 ` � J** 1� r 1 # 1� re f r� ii' F
as �iA
aionlhir A ei-i a �'
C M+
Dt ",lliartmumTf�1
, ,
Settleable Solidi
01 n1 1
0 2 ml 1
Total Su rded Solid, {[ndustrnl Squad Y!eu)'
25 merl
45 Mix ! —
PH P.ange'
----
0 0 -- 9 0
Ttubtdtty re1na a er non trout streams
--
50 NM
Turbtch -an trout lil.es and s-ttrssa ers)
--
25 hTCr
Tu btdity (Trout Iva ers)
- -
101,
Faamocas
1 TLe pH raise .o- sal Warns as 6 8 9 5 1 %graced scamp uwats cis )wage a p-f as tau 014 3 dd m to aian:i-0
Z hfenrNiy Av i--e Lana -or dt,cbirres to u aters des i�-mred a1 nQ11 waters t 20 m;ll
The general permit can be found online at
http llh2o enr state nc us/su/documents/NCG02PermitText ndf
Please note that this request for additional information is in response to a preliminary review The
requested information should be received by this Office prior to October 3, 2009, or the application will
Wetlands and Stonnwater Branch Otte
1617Mad ServrceCenter Ralegh North Carolrna276991617 NolthCarollna
Location 512 N Salisbury St Raleigh North Carolina 27604
Phone [phone] FAX [phone] Customer Service 1-877-623.6748 ,/ aturall�/
Internet www ncwaterqualq oq vvv �/
An ECuai Opporturmy 1 Atf uWe Attars Employer

Mr frank Ilome
NCG020756---Haynes Pit
September 3 2009
be returned as incomplete The return of a project will necessitate resubmrttal of all required items,
including the application fee
If you need additional time to submit the information, please mail or fax your request for a time extension
to the Division at the address and fax number at the bottom of this letter fhe request must indicate the
date by which you expect to submit the required information The Division is allowed 90 days from the
receipt of a completed application to issue the permit
Please reference the State assigned project number on all correspondence Any original documents that
need to be revised have been sent to the engineer or agent All original documents must be returned or
new originals must be provided Copies are not acceptable If you have any questions concerning this
matter please feel free to call me at [phone]
Sincerely,
Brian Lowther
Environmental Engineer
cc Wilmington Regional Office
Stormwater Permitting Unit Files

Brain Lowther
Environmental Engineer
North Carolina Department of
Environment and Natural Resources
Division of Water Quality
Additional Information
Stormwater Project No NCO20756
Haynes Pit, Columbus County
Frank Horne Construction
Dear MR Lowther,
t lere is the additional information you requested in a letter dated September 3, 2009 Phis letter will
online the bt,st management prac,tu,es that will bc, used at the Haynes Pit in Columbus County
Stilling Basin 150 X 40 bottom dimension with 1 1/2 to 1 side slopts for a height of 5 feet
Stilling basin will havt, 1 foot frcc, board
Basin total volume at 4 foot 32,016 cubic teet
Total surface area at 4 foot 8,424 square feet
Total pit excavation 5 53 acres
Maximum pump rate for pit per day 2" pump rated at 11,000 gph maximum rate per day 100,000 gallons
100,0000 gallons per day (0 I OOMGD)=69 44 gpm= 156 cfs
Estimated soil particle diameter (mm) 003
Using Stokes Law reduced V=2 81(d*d)
V=settling velocity in ft/sec
d=particle diameter is in millimeters
V=2 81( 003* 003)
V= 00002529
Settling Velocity and Detention `1 ime
Using the Continuity Equation
Q=AV (Clarifier Theory)
Q= pump rate in cfs
V= Settling velocity from Stokes I,aw
A= Surface Area rc,quired to remove sc,diment (by gravity)
1 herefore A=QN
A= 156Lfs/ 00002529 fps
A=6,168 44 sq feet of surt,u,e area nc,t dt.d
Volume Calculation for stilling basin
5 53 acres @ 3600 cubic, feet per acre 19,908 cubic feet needed volume

Pagc 2
Storinwater Protect No NCO20756
I Jaynes Pit, Columbus County
Frank Horne Construction
Stilling Basins BMP for improve of sediment capture
Establish a good stand of dense vegetation within the structure
If turbidity level are not reached with rock outlet replace with a vertical riser pipe (with no perforations)
That terminates 0 5 feet below the 4 foot water level fhe riser must be at 12 inches
Pump only from the surface waters of the rim ditch
lamp for borrow pit construction
Dig rim ditch 10 to 25 feet in width along the perimeter of pit site, ditch to be dug 5 foot below pit
excavation, and graded to the stilling basin location Do not pump any waste water during the
construction of rim ditch, only begin pumping after turbidity levels are below 50 NTUs
Borrow Pit Dewatering Sampling Requirements
Measure turbidity at sampling locations
-30 minutes after startup
- at a minimum one additional time per day
Preventive Maintenance
No equipment is to be service or repair at pit site Equipment utilized during mining activity on a site
must be operated and maintained in such a manner as to prevent potential or actual pollution of surface
waters
Follow all guidelines as stated in the GENERAL, PERMIT NO NCG020000
It any additional information is needed please call me at 910-840-5208
Sincerely,
Blythe Jordan

A441w; Division of Water Quality I Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
Ftvsn wF'tT �fV N41A4M rY 0.�Jb
NCG020000
NOTICE OF INTENT
FOR AGFNCY uSF ONLY
Date Received
YeTr Month
pa
Cerlifiente of Coverage
Cheek N
Amount
PemutAs t aedto
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG020000
STORMWATER DISCHARGES associated with activities classified as
SIC (Standard Industrial Classification) Code - 14XX Mineral Mining Industry (except as speci
The following activities are also included '.��
Active or inactive mining operations (including borrow pits —except for NCDOT at dise
stormwater contaminated with or that has come in contact with, any overburde etIal, tuf�rmedi 1,
products, finished products byproducts or waste products located on the site of pens V
Stormwater from vehicle maintenance activities at mining operations
Overflow from facilities that recycle process wastewater and/or
Mine dewatenng (wastewater) Qa c
The following activities are specifically excluded from coverage under this General Pei1(nit
Stormwater discharges associated with peat mining, coal mining, and metal mining
Stormwater discharges from mining operations which are intermixed on site with stormwater from asphalt
operations and/or concrete operations,
Stormwater discharges associated with oil and gas extraction operations and
Stormwater discharges associated with tourist gem mines
NCDOT borrow pits are covered under NCS000150
The following discharges are covered by NPDES general permit NCG520000 instead of NCG020000
Point source discharges of stormwater and wastewater from in stream sand mining operations (I a sand
dredging or dipping operations)
For new mining sites that require an authorization to construct (ATC) wastewater treatment facilities This
NOI is also an APPLICATION FOR an ATC for new wastewater treatment facilities ATC requests must be
submitted at least 90 days prior to construction'
For existrn mining sites that require an Authorization to Operate (A TO) wastewater treatment facilities
This NOI is also an APPLICATION FOR an ATO for wastewater treatment facilities in place
Construction, modification, or installation of any new treatment components at an existini site requires
an ATC (if the site is already covered by NCG020000, the ATC request may be submitted without an NOI)
Some wastewater treatment facilities used to treat or recycle process wastewater (even if commingled
with stormwater) at mining sites will requtie an ATC prior to construction per 15A NCAC 2H 0138
Please see the NCG020000 General Permit for details about which treatment facilities require an
ATC (summarized in Table 1 at the end of this form) For example, an ATC is required for tieatment
of mine dewatering discharge from clay prts and non -closed -loop wastewater recycle systems The
authorization to construct or continue to operate will be issued at the same time as the Certificate of
Coverage (COC) for the NCG02 permit Design of treatment facilities must comply with requirements
of 15A NCAC 2H 0138 & 0139
Page 1 of 7
Asper 15A NCAC 2H 0106
zUnless treatment facilities are designed constructed and put into operation by employees internal to the company who are qualified to
perform such work for their respective companies in accordance with General Statutes 89C 25 (7) plans and speOications must be signed
and sealed by a P E
SwU 217 071408 Last revised 7114/08

NCG020000 N Q 1
Construction of wastewater treatment facilities subject to the ATCIATO requirements in the NCG02 permit
at new or existing mining sites requires submission of three (3) sets of plans and specifications signed
and sealed by a Professional Engineer (P E ) or qualified staff2 along with this application A copy of the
design calculations should be included Please see questions 18 & 19
Table 1 Wastewater Permit ATC/ATO Requirements
M_ ine'Dewatenng
Yes
No
Quarries
—
•
Sand Pits
—
•
Clay Pits
•
Any Dewatenng with Chemical Treatment
Process Wastewater '
SandlGravei
—
•
Closed -Loop Recycle
--
•
Other Recycle
W,
,F �— _ For questions, please contact the DWQ Regional Office for your area (See page 7)
1) Mailing address of owner/operator
Name
Street Address
City
Telephone No
E mail Address
(Please pant or type)
cl/0 (a!Z-2- 719U- _ Fax
2) Location of facility producing discharge
Facility Name nA /
Facility Contact
Street Address
City
County
Telephone No
Contact E mad
Clio &o Q-7 V3 Fax
3) Physicai Location Information
Please provide a narrative description of how to get to the facility (usp street names state road numbers, and _
distance and direction from a roadway intersection) 13U/Z��r._
Ul )�Aiiz A L 9vY . a. s In ins >t1�a 5T yr . 5iz 1 7
4) Latitude 3V .29-07 Longitude 7"�1- 02- (degrees, minutes, seconds)
5) This NPDES Permit NOI Application applies to which of the following
New or Proposed Facility
❑ Existing
Date operation is to begin 5
❑ New Permit not applicable - ATC request only NPDES Permit Number
Page 2 of 7
SWU 217 071408 Last revised 7114108

NCG020000 N 01
6) Standard Industrial Classification
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code -L �—' -L -Z
7) Provide a narrative description of the types of minerals mined at this facility
S) Discharge Points
Number of discharge points (ditches, pipes channels, etc that convey discharges from the property)
Stormwater 1 Mine dewatering _ I Process Wastewater Overflow
Discharge points should be clearly marked on the submitted site plan
Please provide short narrative description of discharges ST�n1 kM:';F1 i.5 5 -16i 4 „V//
9) Receiving waters
What is the name of the body or bodies of water (cr ek, stream, river, lake, etc ) that the facility stormwater
and/or wastewater discharges end up in'? P , 4y 5 l6✓�
If the site stormwater discharges to a separate storm sewers stem name the operator of the separate storm
sewer system (e g City of Raleigh municipal storm sewer)
Receiving water classification (if known)
Note Discharge of process wastewater to receiving waters classified as WS-II to WS-V or SA must
be approved by the N C Dept of Environmental Health If DEH does not approve, coverage
under NCG020000 cannot be granted No new discharges of process wastewater are
permitted in receiving waters classified as WS-1 or freshwater ORW
10) Will mining operations require dewatering near wetlands or impact any stream, groundwater, or wetlands'?
'No
❑ Yes If yes please provide information about any 404/401 Certification permits
Note Wetlands must be CLEARLY DELINEATED on the site plan Mine dewatering activities that have
the potential to drain wetlands or otherwise impact surface water or groundwater MUST develop and
implement an Operation and Monitoring (O&M) Plan that has been approved by the Division
The 0&M Plan should be submitted to the Regional Office and must be approved prior to operation
The plan shall include but is not limited to (1) Groundwater monitoring strategies to demonstrate the
effect of pumping and to establish any pumping regime necessary to reduce impacts and (2) Detailed
plans to maintain surrounding hydrology and respective monitoring to demonstrate compliance
11) Does this facility already have a valid Mining Permit from the Division of Land Resources (DLR)7
❑ No (If not please indicate the status of the Mining Permit application
Yes r J
If yes please provide the Mining Permit number and include a copy with your application A
Note DWQ cannot issue a COC for the NCGD20000 General Permit until a Mining Permit is issued or
renewed by the Division of Land Resources (DLR)
Page 3 of 7
SWU 217 071408 Last revised 7114/08

NCGO20000 N 0 1
12) Will this mining operation precede development activities at this site')
No
❑ Yes
13) Does this facility have any other NPDES permits?
,21ZNo
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility
14) Does this tacility have any Non -Discharge permits (ex recycle permits)/
No
❑ Yes
If yes list the permit numbers for all current Non Discharge permits for this facility
15) Does this facility employ any best management practices for stormwater control?
�❑ No
If yes please briefly describe
16) Does this facility have a Stormwater Pollution Prevention Plan)
XNo
❑ Yes
If yes when was it implemented?
17) Will vehicle maintenance activities occur at this facility
/YNo ❑ Yes
Wastewater Treatment Facilities
18) Will mane dewaternng discharges occur? (ATC/ATO required for clay pits or dewatering with Chem treatment)
❑ No tAYes
19) Will discharges of overflows from process wastewater treatment systems occur') (ATC or ATO required,
unless sand/gravel mining or closed loop recycle system)
XNo ❑ Yes
If yes, answer the following questions on the wastewater treatment system
Please describe the type of process used to treat and/or recycle the process wastewater Give
design specifics (a a design volume, retention time, surface area etc ) Existing treatment
facilities should be described an detail and design criteria or operational data should be provided
(including calculations) to ensure that the facility can comply with requirements of the General
Permit [Use separate sheet(s)]
Does this facility employ chemical additives to flocculate suspended solids? ❑ No ❑ Yes
If yes please state the name manufacturer and the quantity of average daily usage of the
chemical additive
Note Please see http Nh2o enr state nc us/ws/PAMS lis_t_htm for a list of approved polyacrylamide (TAMS)
products for use in North Carolina
Page 4 of 7
SwU 217 V1408 Last revised 7/14/08

NCG020000 N 0 1
c Does this facility overflow only during rainfall events exceeding the 10 yr 24 hr rainfall event
XNo ❑ Yes
20) Are wastewater treatment facilities (including recycle systems) planned in the 100 year flood plain)
Z2�No ❑ Yes If so include information to demonstrate protection from flooding (Minimum design
requirements for treatment works include protection from the 100 year flood, per 15A NCAC 2H 0219 )
21) Hazardous Waste
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility)
�,f' No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg of hazardous waste generated per month) of
hazardous waste)
XNo ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg or more of hazardous waste generated per month) of
hazardous waste?
*No ❑ Yes
d) If you answered yes to questions b or c please provide the following information
Type(s) of waste
How is material stored
Where is material stored
How many disposal shipments per year
Name of transport t disposal vendor
Vendor address
22) 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 Aced 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 rutemaking 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 at a Class 2 misdemeanor which may include a fine not t0
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 agree to abide by the following as a part of coverage under this General Permit
1 1 agree to abide by the approved Mining Permit for this mining activity (A copy of the valid
mining permit must be attached to this request
2 1 agree to not discharge any sanitary wastewater from this mining activity except under the
provisions of another NPDES permit specifically issued therefore
3 I agree that bulk storage of petroleum products and other chemicals shall have adequate
protection so as to contain all spills on the site
4 1 agree that solid wastes will be disposed of in accordance with N C statutes and rules
governing solid waste disposal
5 1 agree that maintenance activities for vehicles and heavy equipment will be performed so as to
not result in contamination of the surface or ground waters
Page 5 of 7
SWU 217 071408 Last revised 7/14/08

NCG020000 N O 1
1 agree to absde by the provisions as listed above and recognize that the provisions are to be considered as
enforceable requirements of the General Permil
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
Title 4'2,-Z�
114,
41/ S' / 9, 0
(SignaturcKApplicant) (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100 00 made payable to NCDENR
Final Checklist
This application will be returned as incomplete unless all of the following Items have been included
�- Check for $100 made payable to NCDENR
�Z[ This completed application and all supporting documents
Copy of the valid approved mining permit (MP) for the facility or indication of MP application status
�i Copy of a county map or other general location map that shows the mining site and nearest major roads
Copy of USGS topographic map showing the mining site and surrounding areas or other map that clearly
shows site location in relation to nearby streams wetlands and other waters etc
Copy of mining site plan with all wetlands clearly delineated
❑ If the mine is near wetlands or may otherwise impact surface water or groundwater contact the regional
office about an O&M Plan (contact information on the next page) Please refer to this O&M Plan checklist
✓ Site map with wetlands ditches well placements borrow areas, overburden storage stormwater
controls/BMPs vehicle maintenance areas settling basins, product process areas, and access roads
✓ Well information (design, depths maintenance)
✓ Physical monitoring for the wetlands areas
✓ Settling pond sizing information if applicable
✓ Level spreader design if applicable
✓ Details about dewatering method
✓ Description of measures to prevent erosion and flooding
❑ If an ATC or ATO is required three (3) sets of plans, specifications, and design calculations, signed,
sealed, and dated by a P E ATC and ATO requirements in NCG02000 are summarized in Table 1 on
Page 2 of this N01 (see the permit text for more details) Plans shall show all pertinent design features
including the location of the outfall(s) If stormwater is flowing off site, the plan must show that stormwater
will not be mixed with wastewater
Mail the entire package to
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh North Carolina 27699 1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit
Page 6 of 7
SWU 217 071408 Last revised 7/14/08