NCG110138_COMPLETE FILE - HISTORICAL_20110307

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C& I I O � 3
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ �/^ I ( U3 t7
YYYYMMDD

MAR-07-11 TUE 12:37 PM RANDL.EMAN WWTP
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PLEASE DELIVER iMMED1ATELY
336 498 2254 P.01
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MAR-07-11 TUE 12:37 PM RANDLEMAN WW"TP
336 498 2254 P.02
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Stormwa ter Pollution Prevention P rt
We have two chemicals (Chlorine and Sulfur Dioxide) stored in the
chemical building. The chemicals are unloaded by the supplier and loaded
into the building by plant personnel with an electric crane. We have never
had a leak with these chemicals. If a spill occurred we could call the
supplier or A & D Environmental & Industrial Services. We have monthly
safety meetings from an outside source.
We also have lime, which is stored in a silo and loaded by supplier. If a lime
spill occurred, it could be picked up with a backhoe and put into one of tine
digestors. If necessary, a dirt berm could be built around the closest stoma
drain. All of the loading and unloading areas are kept clean and free of
obstructions.
We have a list of phone numbers and personnel (listed in our City issued
Nextel phones) that can be called upon to clean up spills.
As of March 3, 2011 we have had no spills.

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MAR-07-11 TUE 12:40 PM RANDLEMAN WWTP 336 498 2254 P.02
1;4
Storrnwater Pollution Prevention Plan
We have two chemicals (Chlorine and Sulfur Dioxide) stored in the
chemical building. The chemicals are unloaded by the supplier and loaded
into the building by plant personnel with an electric crane. We have never
had a leak with these chemicals. If a spill occurred we could call the
supplier or A & D Environmental & Industrial Services. We have monthly
safety meetings from an outside source.
We also have lime, which is stored in a silo and loaded by supplier. If a lime
spill occurred, it could be picked up with a backhoe and put into one of the
digestors. If necessary, a dirt beam could be built around the closest storm
drain. All of the loading and unloading areas are kept clean and free of
obstructions.
We have a list of phone numbers and personnel (listed in our City issued
Nextel phones) that can be called upon to clean up spills.
As of March 3, 2011 we have had no spills.

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i..
January 30, 2009
Mr. Tony Sears
City of Randleman
101 Hillary Street
Randleman, North Carolina 27317.
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division or water Quality
,cP 1�gVR
FEB 0 3 2009
.con -Salem
�srgional Offlr-a
Subject: General Permit No. NCG 110000
City of Randleman
Randleman Wastewater Treatment Plant
COC NCG 1.10138
Randolph County
Dear Mr. Sears:
In accordance with your application for a discharge permit received on December 30, 2008, 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.
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 Iocal governmental permit that may be required.
If you have any questions concerning this permit, please contact Cory Larsen at telephone number
[phone].
S incerejRIGr� SIGNED 6Y
vKEN PICKLE
for Coleen H. Sullins
cc: Winston-Salem Regional Office, Mike Mickey
Central Niles
Stormwater Permitting Unit Files
One
N orth C arol i na
North Carolina Division of Water Quality 1617 Mail service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: tvww.ncvvaterqualitl'.oru Location: 512 N. Salisbury St. Raleigh, NC 27604. Fax [phone]
An Equal opportunity/Affirmative Action Employer — 100% Recycled130% Post Consumer Paper

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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL IZESOURCES
DIVISION OF WATER QUALITY .
GENERAL PERMIT NO. NCG110000
CERTIFICATE OF COVERAGE No. NCGl10138
STOIWWATER 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,
City of Randleman
is hereby authorized to discharge stormwater from a facility located at
Randleman Wastewater Treatment Plant
3475 Applewood Road
Randleman
Randolph County
to receiving waters designated as the Deep River, a class C water in the Cape Fear River Basin,
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts 1, H, III, IV, V,'and VI of General Permit No. NCG 110000 as attached.
This certificate of coverage shall become effective January 30, 2009.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 30"' day of January, 2009.
ORIGINAL SIGNED BY
KEN PICKLE
for Coleen H. SulIiris., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

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NCG110138
is
Map Scale 1.'20, 0OQ
The City of Randleman
Randleman 1NWTP
Lab tude: 350 48' 23" N
Longibade: 790 47' 00" W
County: Randolph
Receiving Stream: Deep River
Stream Class: C
Sub -basin: 03-06-10 (Cape Fear River Basin)
Facility Location

NCDENR
Fr.wrrwx ,.n N.nRr. iW .,ten
Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG110000
FOR AGENCY USE ONLY
Oute Received
Year
Mtmth
Div
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eenlrieafe of uvera¢e
NICIGH O
Check M Arnmrt
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Pcmdt &iianed to
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NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit c
NCG110000: u Q
STORMWATER DISCHARGES associated with activities classified as: f� c
Treatment Works treating domestic sewage or any other sewage sludge or wastewater treatme
device or system; used in the storage, treatment, recycling, and reclamation of municipal or i '0
w
domestic sewage, with a design flow of 1.0 million gallons per day or more, or required to have al nn M
approved pretreatment program under Title 40 Code of Federal Regulations (CFR) Part 403, �3
including lands dedicated to the disposal. of -sewage sludge that is located within the confines of
the facility; and like activities deemed by DWO to be similar in the process andlor the exposure of
raw materials, products, by-products, or waste materials.
(Please print or type)
t) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name �' / � f o Gn le n. a , kv/K) r * fy - Tapjy CC-^Y2_S
Street Address I0 ; c r
City State L' ZIP Code AaCtgM Z 73 // 7
Telephone No. _33(, 2-2- S .Fax: "
E-mail Address ' rV c'-s / n e
2) Location of facility producing discharge:
Facility Name ,�An o e.rn WW
Facility Contact I3 e
Contact E-mail via 1/ yle ry
Street Address --7'{ ,✓00
City ern State ZIP Code 2 73/ 7
County
Telephone No. -7Fax:
3) Physical Location Information: C
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and �t� lil e►2
distance and direction from a roadway inter ection). F ao 5 z!/9- e Cr ta47f
f4!9 e Z%3'/ S00 f le�✓��o W &f 3 /,�. -
(A copy of a county map or USGS quad sheet with facility clearly to aLled on the map is required to be submitted whit this application)
4) Latitude 35� Ty z-3 A Longitude 7J�7 t✓ (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following
❑ New or Proposed Facility Date operation is to begin
Z Existing
Paget of 4
SWU-226.071408
Last Revised 7/14/2008

Ki
NCG110000 N.O.I.
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: ,t � 7
7) Provide a brief narratii a descrip#ion of the types of Industrial activities and products manufactured at
this facility: __Y �rle"
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
9) Receiving waters:
What is the name of the body or bodies of water. (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? j ✓z r
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).
10) Does this facility have any other NPDES permits?
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
❑ No
g"Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: _40&_5
12) Does this facility employ any best management practices for stormwater control?
N
13) Does this facility have a Stormwater Pollution Prevention Plan?
ZrNo
❑ Yes
If yes, when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
O�No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
PTINo ❑ Yes
S W U-226-071408
Page 2 of 4
Last Revised 7/14/2008

NCG110000 N.Q.I.
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑ No ❑ 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 / disposal vendor:
Vendor address:
16) 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 Managemenl] 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: i n n xj e- re. e 1'
Title:
1z - - 9
(Signature of Applicant) (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR
Page 3 of 4
SWU-226.071408 Last Revised 7/14/2008

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NCG110138
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Neap Scale 1:20,000
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The City of Randleman
Randleman WWTP
Lad bade: 350 48' 23" N
Longitude: 790 47' 00" W
County: Randolph
Receiving Stream: Deep River
Stream Class: C
Sub -basin: 03-06-10 (Cape Fear River Basin)
Facility Location

Re: NCG 11013 8 Randleman WWTP
Subject: Re: NCG110138 Randleman WWTP
From: Mike Mickey <[e-mail]>
Date: Fri, 23 Jan 2009 08:03:49 -0500
To: Cory Larsen <Cory. Larsen@ncmai 1. net>
Corey -No objections. Go ahead and issue. Please note that they answered question #10 incorrectly.
The city holds an individual NPDES permit (NC0025445) for their 1.745 MGD municipal WWTP
(hence the reason for the NCG). Mike.
-----------------------------------------------------
On 1/22/2009 3:50 PM, Cory Larsen wrote:
Mike,
I am working on the NOI for the Randleman WWTP NCG11 stormwater permit as attached. Any
objections or should I go ahead and issue?
Cory Larsen
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Fax: [phone]
Mike Mickey
NC DENR Winston-Salem Regional Office
Division of Water Quality, Water Quality Section
585 Waughtown Street
Winston-Salem, NC 27107
Main Office: [phone]
Voice: [phone]
FAX: [phone]
1 of 1 1/23/2009 8:04 AM