NCG080948_COMPLETE FILE - HISTORICAL_20180129

STORMWATER DIVISION CODING S
NCG PERMITS
PERMIT NO. /V Cr, A � y
DOC TYPE L-C HISTORICAL FILE
MONITORING REPORTS
DOC DATE ❑ dl�Jb�Ic� 1
YYYYMMDD

C'.&r,o-f $`/es
RECEIVED
JAN 24 2010
Division of Energy, Mineral W-IA l Vices
Land Quality Section /ir�#� Ml!'iHG
National Pollutant Discharge Elimination System (NPDES)
Energy- Mineral s PERMIT OWNER AFFILIATION DESIGNATION FORM
land Resources Wvtta3rmsErat•c au+cu:Y (Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY US8ONLY
Date Received
Ycar Month
Da
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the owner of the facility has changed,
do NOT use this form. Instead, you must flit out a Name -Ownership Changle Form
and submit the completed form with all required documentation. give
What does "legally responsible individual" mean? JAN 2 9 2018
The person is either: CENTRAL FILES
• the responsible corporate officer (for a corporation); DWR SEgil?
• the principle executive officer or ranking elected official (for a municipality, state, federal or other pu N
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit (oi) Certificate of Coverage
N I C I S I I I I I I I N I C]G.U9, 1 v94 161
2) Facility Information:
Facility name: frC..n�s�*<v 5��,«s - L�. TrR�s.f Sg�Jcq-
Company/Owner Organization:
Facility address: ��oi-7`rc;cer- Roc, _
1 Address
13Vrl.,cy�t��-j r-AC. Z7Z-IS
Cuy Stale Zip
To find the current legally responsible person associated with your permit, go to this website:
htt :Llde .nc. ov/about/divisions/ener -mineral-land-resources/cner2v-mineral-land- ermitslstormwater- ro m
and run the Permit Contact Summary Report.
3) OLD OWNER AFFMIATION that should be removed:
Previous legally responsible individual: N ek,.c4
First M1 Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit: R 1.6 K t
First M1 Last
Page 1 of 2
S W U-OWNE PAFFILr23March2017
0

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
5) Reason for this change:
A result of -
If other please explain:
TRTe f
Mailing Address
City State Zip }
�33Ca} E 7 - 53'1Li t-A, k 't 11Q6 f�Et7C3 > i c,.nsclEti• - G, c +'1
Telephone E-mail Address
Fax Number
QC Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
The certification below must be completed and signed by the permit holder.
PERM ITTEE CERTIFICATION:
1, _ Rod k I , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge_ 1 understand that if all required parts of this form are not completed, this change may not be
pr cessed.
i-,:2-/S
Sign re Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral, and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the website at:
h=.//deci.nc.gov/about/divisions/energy-mineral-land-resources/stormwater
Page 2 of 2
S WU-oWNEItAFFIL-23Mar20! 7

t
Central Files: APS — SWP
8/2/2016
Permit Number NCGO80948 Permit Tracking Slip
Program Category
Status
Project Type
NPDES SW
In review
New Project
Permit Type
Version
Permit Classification
Transportation wNehicte Maintenance/Petroleum Bulk/Oil Water Separator Stormwater
COO
Discharge COC
Primary Reviewer
Permit Contact Affiliation
rick riddle
,IC
E\ I V G D
Coastal SWRule
AUG 04 ZUlb
Permitted Flow
CENTRAL FILES
DWR SECTION
Facility
Facility Name
Transdev Services - Link Transit Service
Location Address
2801 Troxler Rd
Burlington
NC 27215
Major/Minor Region
Minor Winston-Salem
County
Alamance
Facility Contact Affiliation
Nancy Nichols
2801 Troxler Rd
Owner Burlington NC 27215
Owner Name Owner Type
Transdev Services Inc Non -Government
Owner Affiliation
Nancy Nichols
2801 Troxler Rd
DateslEvents Burlington NO 27215
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
6/1612016
Regulated Activities Requested /Received Events
Transportation with vehicle maintenance RO staff report received 811116
RO staff report requested 6/28/16
Outfall 1
Waterbody Name Streamindex Number Current Class Subbasin
Gum Creek 16-19-7 WS-V;NSW 03-06-03

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
August 1, 2016
Nancy Nichols
Transdev Services, Inc.
2801 Troxler Road
Burlington, NC 27215
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCGO80000
Transdev Services, Inc.
Link Transit Services
COC NCG080948
Alamance County
Dear Mrs. Nichols:
In accordance with your application for a discharge permit received on .tune 16, 2016, 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
Energy, Mineral, and Land Resources. The Division may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
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 Richard Riddle at telephone number
[phone].
Sincerely,
for Tracy E. Davis, P. E., CPM
cc: Winston Salem Regional Office
Central Files
Stormwater Permitting Program Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 312 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCGO80948
STORMWATER 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,
Transdev Services, Inc.
is hereby authorized to discharge stormwater from a facility located at
Link Transit Service
2801 Troxler Road
Burlington
Alamance County
to receiving waters designated as Cabin Branch, a class WS-V, NSW water in the Cape Fear
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I. 1% 111, and IV of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective August 1, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 1, 2016.
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

D80948 Transdev Services,,
Link Transit Service

A*A
_
'F"N'CDEM�
NOTICE OF INTENT
Division of Energy, Mineral and Land Resources
Land Quality Section
National PoIlutmt Discharge Elinxination System
NCGO80000
FOR AGENCY USE ONLY
Date Received
Year.
I mssi 1 Ds
Certificate of Gav
i ed to
National Pollutant Discharge Elimination System application for coverage tinder General -Permit
NCG080000;
STORMWATER DISCHARGES from Vehicle Maintenance Areas (including vehicle rehabilitation,
mechanical repairs, painting, fueling, lubrication, and equipment cleaning operations areas) associated
with activities classified as:
SIC 40 (Standard Industrial Classification) Railroad Transportation
SIC 41 Local and Suburban Transit and Interurban Highway Passenger Transportation
SIC 42 Motor Freight Transportation and Warehousing (except SIG 4221-4225). RECEIVED
SIC 43 United States Postal Service V
The following activities are also included:
JUN 16 2016
r.r
• Other industrial activities where the vehicle maintenance area(s) is the only area re uwngrr rr' on-PALITY
• ��,°ai
Petroleum Bulk Stations and Terminals (SIC 5171) with total petroleum site storag p� 4�p'Z�iFWKitanilNG
1 million gallons
• Stormwater discharges from oil water separators and/or from secondary containment structures
associated with petroleum storage facilities with less than 1 million gallons of total petroleum site storage
capacity.
• Discharges associated with vehicle maintenance operations at activities, which are otherwise designated
on a case -by -case basis for permitting -
ifquestions, please contact the DEMLR Regional Office for your area. See page 4,�
(Please print or type)
1) Mailing address of ownerloperator (address to which all correspondence will be mailed):
Name
Street Address
City .
Telephone No.
Transdev Services, Inc.
2801 Troxier Road
Burlington State NC ZIP Code 27215
336-858-6753 Fax:
2) Location of facility producing discharge:
Facility Name Transdev Services — Link Transit Service
Facility Contact . Nancy Nichols
Street Address 2801 Troxler Road
City Burlington State NC ZIP Code 27215
County Alamance
Telephone No. 336-858-6753 Fax:
E-mail nancy-nicholsetransdev.com
Page 1 of 4
SWU-223-071408 Last revised 6/24114

NCGO80000 N.O.I.
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). South from intersection of 140 and Alamance. Road
for 1.3 mites then west on Troxier Road for 0.4 miles
(A copy of a county map or USGS quad sheet with facility clearly located must be submitled Mth this application)
4) Latitude 36' 03' 00" Longitude -790 29' 15" (deg, min, sec)
34. 0 3 0 - q `� D
5) This NPDES Permit Application applies to which of the following:
X' New or Proposed Facility Date operation is to begin 06/06/16
❑ Existing
6) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
5iC Code: 4 1 1 1
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
facility: Fixed route bus transit operation, buses will be maintained and washed at the facility
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Gum Creek
Receiving water classification: WS-V, NSW
is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). NIA
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X No -
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ -No
X Yes (Show any structural BMPs. on the site diagram.)
If yes, please briefly describe: BMP's include good housekeeping. preventative maintenance. monthly
facility inspections, spill prevention and control, and storm water monitoring
12) Does this facility have a Storrnwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented? 06/06116
• Page 2 of 4
SXJVU-223-071408 Last revised 6i24114

MCGO80000 N.O.I.
13) Are vehicle maintenance activities occurring at this facility?
❑ No X Yes
14) Hazardous Waste:
:a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No d Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg_ of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
X No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) 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 1 disposal vendor:
Vendor address:
15) Certification:
North Carolina General Statute 143-215.6B (1) 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 maternal fact in a mlemaking proceeding or contested case under this Article; or
who falsifies, tampers wish, or knowingly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Glass 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 coritained 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: Nancy Nichols
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
Page 3 of 4
MAYU-223-071408 Last revised 6/24/14

NCG080000 N.O.I.
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
❑ This completed application and all supporting documents
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map
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 coverage under the NPDES General Permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact_ Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 4 of 4
SWU-223-071408 Last revised 6/24/14

'^�.
FAciury- LINK TRANSIT SERVICE
TRANS ' DEV SERVICES, INC. FIGURE 1 LOCATON: 2801 TkOXLER ROAD
C719�1 720 EButteffield Road, Suite 300 SITE LOCATION MAP BURLINGTON, NORTH CAROLINA

011TFALL
N0. 1
---
-a BUS PARKING
3
TRAJSDEV IVA!I TENANCE BUILDING
BUS WASH
O
GRASS
af
TRUCK
TRIANGLE GRAOINGANDPAViNGBUILDING
I
PARKING GRAVEL
m
—�
GRASS
! w
x
0
!
L-F-j
GRAVEL
ASPHALT
w— — PARKING
LOT
PROPERTY LIKE
tdORTki
o TRANSDEV SERVICES, INC. FACILITY: LINK TRANSIT SERVICE
ail 720 E. Butterfield Road, Suite 300 FIGURE 2SITE MAP LOCATION: 2801 TROXLER ROAD, BURLINGTON, NC
Lombard, Illinois 60148 SCALE: 1 inch = 100 feet DATE: 06/06116

w
Energy, Mineral
and Land Resources
ENVIRONMENTAL OVALITY
August 1, 2016
Nancy Nichols
Transdev Services, Inc.
2801 Troxler Road
Burlington, NC 27215
PAT MCCRORY
Goveneor
DONALD R. VAN DER VAART
3eeretary
TRACY DAVIS
Director
Subject: General Permit No. NCGO80000
Transdev Services, Inc.
Link Transit Services
COC NCG080948
Alamance County
Dear Mrs. Nichols:
In accordance with your application for a discharge permit received on June 16, 2016, 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
Energy, Mineral, and Land Resources. The Division may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
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 Richard Riddle at telephone number
[phone],
Sin, cep,SIGNSD BY
'UMIICHINXEAL F RANDALL
for Tracy E. Davis, P.E., CPM
cc: Winston Salem Regional Office
Central Files
Stormwater Permitting Program Files
State of Nonb Carolina I Environmental Quality I Energy, Mineral and Land Re:sotQces
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCG080948
STORMWATER 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,
Transdev Services, Inc.
is hereby authorized to discharge stormwater from a facility located at
Link Transit Service
2801 Troxler Road
Burlington
Alamance County
to receiving waters designated as Cabin Branch, a class WS-V, NSW water in the Cape Fear
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I. 11, III, and IV of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective August 1, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 1, 2016. ORIGINAI SIGNMBY
MICHEAL F RANDALL
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

Riddle, Rick L
From: Riddle, Rick L
Sent: Tuesday, June 28, 2016 11:09 AM
To: Gantt, Matt
Subject: NO] for Review - NCG080948
Dear Mr. Gantt:
Hello and good day again. Please review the attached NOI application and after your review and possible inspection,
respond to me with any recommendations for issuance of the permit. I have also included a survey map, topo map, and
site map for your review
COC # lFacility
I ovation
Cit}fCounty
NCGO80948
"I'ransdev Services, Inc.
2801 Troxler Rd.
Burlington/Alamance
If you need any more info, please give me a call or email.
recommendation to issue the permit by 7/28/16,
1 appreciate all of your efforts.
Thanks and have a great day.
Richard Riddle
Richard L. Riddle, Jr.
Stormwater Engineer
North Carolina Department Enviromental Quality
North Carolina Division Energy Mineral Land Resources
919 807-6375 office
rick. riddleancdenr 9 ov
512 North Salisbury Street
1612 Mail Service Center
Raleigh, NC 27699-1612
I would like to request for you to send me your review or
'~-'`'Nothing Compares..
Email correspondence to rind from this address is subject to the
North Carolina Public Records Law and ma3N be disclosed to third parties.

4,;
�FA,
®
kICRRi C•irovlu t)♦p ARiMIX�OF
EINSRO mM INb 11.gl - RESOURCES
NOTICE OF INTENT
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCGO80000
FOR AGENCY USE ONLY
Date Received
Year
Month
➢
CeihScate of ca
8
Cbcck# a
unit edto
f-
National Pollutant Discharge'Elimination System application for coverage under General.Permit
NGG080000:
STORMWATER DISCHARGES from Vehicle Maintenance Areas (including vehicle rehabilitation,
mechanical repairs, painting, fueling, lubrication, and equipment cleaning operations areas) associated
with activities classified as:
SIC 40 (Standard Industrial Classification) Railroad Transportation
SIC 41 Local and Suburban Transit and Interurban Highway Passenger Transportation
SIC 42 Motor Freight Transportation and Warehousing (except SIC 4221-4225). R EC E f` ED
SIC 43 United States Postal Service l� 1 1/
The -following activities are also included:
JUN 16 2016
Other industrial activities where the vehicle maintenance area(s) is the only area re uAEYf�ANPiWJALITY
Petroleum Bulk Stations and Terminals (SIC 5171) with total petroleum site storagb 9RWT]ffff�3F3M9PT1NG
1 million gallons
Stormwater discharges from oil water separators and/or from secondary containment structures
associated with petroleum storage facilities with less than 1 million gallons of total petroleum site storage
capacity.
• Discharges associated with vehicle maintenance operations at activities, which are otherwise designated
on a case -by -case basis for permitting.
For questions, please contact the DEMLR Regional Office for your area. See page 4.
(Please print or type)
1) Mailing address of owner/operator (address to which all correspondence will be mailed):
Name
Street Address
City
Telephone No.
Transdev Services, Inc.
2801 Troxler Road _
Burlington
336-858-6753
2) Location of facility producing discharge:
State NO 7IP Code 27215
Fax:
Facility Name Transdev Services — Link Transit Service
Facility Contact . Nancy Nichols
Street Address 2801 Troxler Road
City Burlington State NC ZIP Code 27215
County Afamance
Telephone No. 336-858-6753 Fax:
Email nanc .nichols transdev,com
Page 1 of 4
5WU-223-071408 Last revised 6124/14

NCGO80000 N.O.I.
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). South from intersection of 140 and Alarnance Road
for 1.3 miles then west on Troxter Road for 0.4 miles
(A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application) .
4) Latitude 36" 03' 00" Longitude -79' 29' 15" (deg, min, sec)
5) This NPDES Permit Application applies to which o the following:
X ' New or Proposed Facility Date operation is to begin 06/06/16
❑ Existing
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: 4 1 1 1
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
facility: Fixed route bus transit operation, buses will be maintained and washed at the facility
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Gum Creek
Receiving water classification: WS-V, NSW
is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e_g. City of Raleigh municipal storm sewer). NIA
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X No "
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ -No
X Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: BMP's include good housekeeping. preventative maintenance, monthly
facility inspections, spill prevention and control, and storm water monitoring
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented? 06/06/16
Page 2 of 4
SWU-223-071408 Last revised 6124114

NCGO80000 N.O.I.
13) Are vehicle maintenance activities occurring at this facility?
❑ No X Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
X No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) 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 ! disposal vendor --
Vendor address:
15) Certification:
North Carolina General Statute 143-215.68 (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 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.
1 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: Nancy_Nichols
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
Page 3 of 4
SW U-223-071408 Last revised 6124114

NCGO80000 N.O.I.
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
❑ This completed application and all supporting documents
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) storr6water management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Storinwater Permitting Unit Program
Division of Energy, Mineral and !_and Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the NPDES General Permit.
i For questions, please contact the DEMLR Regional Office far your area.
DEML-R Regional Office Contact Information:_
Asheville Office ....
Fayetteville Office
Mooresville Office
Raleigh Office ......
Washington Office
Wilmington Office .
Winston-Salem ....
Central Office ......
[phone]
[phone]
[phone]
.. [phone]
...[phone]
.. [phone]
.. [phone]
...[phone]
Page 4 of 4
SWU-223-071448 last revised 6/24i14

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TR ANSDEV SERVICES, INC. FIGURE 1 LOCATION: 2801 TROXLER ROAD
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SCALE: 1 finch = 2000 feet DATE: 06106/16

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Lombard, Illinois 60148 SCALE: 1 inch =10o feet DATE: 06106116

BANK OF AMERICA CHECK NO, 00829224
C*tl-C>1LSdp. v Dallas, Texas
88-13011119 DATE •
720 E. Butterfield Road, Suite 300
Lombard, IL 60148 43127 2016-06-10 $ 100.00
#####*y
PAY VOID IF NOT CASHED IN 60 DAYS
ONE HUNDRED AND 001100*yy#
TO THE
ORDER OF
MEMO
NCDENR-UST
DIVISION OF WATER QUALITY
1646 MAIL SERVICE CENTER
RALEIGH NC 27699-1646 -Vc 6-o 2 0W g
PERMIT #NCG080000
AUTHORIZED SIGNATURES g