NCG020876_COMPLETE FILE - HISTORICAL_20150113

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
Iv Ci& 03O� 9
DOC TYPE
VHISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
V
YYYYMMDD

A*A
WDENR
North Carolina Department of Environment and Natural
Pat McCrory
Govemor
Mr. Charles Ray Peele
C. R. Peele Construction
481 Holly Shelter Road'
Jacksonville, NC 28540
Dear Mr. Peele:
December 12, 2014
Resources
John E. Skvar la, III
Secretary
JANr32015
Subject: General Permit No. NCG020000
Four Points Mineral Mine '#1
'COC NCG020876
On§low County
In accordance with your application for a discharge permit received on November 10,
2014, 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).
This certificate of coverage is not transferable. If the facility changes ownership or is
closed, the Division of Energy Mineral & Land Resources may require modification, revocation
or reissuance of the certificate of coverage.
Please be aware that mine dewatering at your site has the potential to impactadjacent
wetlands. The specific requirements for mine dewatering at facilities near wetlands can be
found in Part III, Section E of your permit. You must have an approved Operation and
Monitoring -Elan before mine dewatering discharges occur at your facility. Discharging
mine dewatering wastewater without Plan approval will be subject to enforcement action. An
Operation and Monitoring Plan for your facility must be submitted to the Wilmington Regional
Office within 60 days of your receipt of this permit. Contact Dan Sams at the Wilmington
Regional Office at [phone] for more information about the approval process.
This site will discharge to a receiving stream designated as High Quality Waters
(HQW). As a result, a more stringent TSS limit and wastewater discharge volume applies.
The low tide flow condition estimated to be as protective as 7Q10 base flow.
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http:l/portal.nedenr.orglwebl
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Please note that mine dewatering -wast`ewatei includes wet pit overflows caused
solely by direct rainfall and groundwater seep for this type of mining operation. Any
discharge of this water (and any stormwater commingled with it) is subject to the effluent
limitations in this permit.
This general permit allows the discharge of stormwater and certain types of
wastewater from your facility. In your application, you specified that only mine dewatering
wastewater would be discharged from this facility. If separate point -source discharges of
stormwater occur (i.e., stormwater not combined with mine dewatering water), you will be
required to adhere to the conditions in this permit for stormwater discharges. .
This project is located in one of North Carolina's 20 coastal counties. Coastal
stormwater management rules (15A NCAC 2H .1000) may require an additional. State
Stormwater Permit (different from the NPDES mining activities discharge permit). Please
contact Georgette Scott in the Wilmington Regional Office at [phone] to determine
if you will be required to submit an application for a State Stormwater permit.
This permit does not affect the legal obligation to obtain other permits which may be
required by the Division_ of Energy, Mining, and Land Resources, or any other federal, state, or
local authorities.
If you have any questions concerning this permit, please contact Larry Wade PE at
telephone number [phone] or email at lar .wade ncdenr. ov.
Sincerely,
f/2
for Tracy E. Davis, P.E.
cc. - Wilmington Regional Office
Central -Files
'Stormwater Permitting'Program Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO, NCGO20000
CERTIFICATE OF COVERAGE No. NCGOZQ876
STORMWATER AND MINE DEWATERING WASTEWATER 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,
C. R. Peele Construction
is hereby authorized to discharge stormwater and mine dewatering wastewater from a
facility located at
Four Points Mineral Mine #1
633 Hubert Boulevard
Hubert
Onslow County
to receiving waters designated as Pasture Branch, a class SA;HQW water in the White Oak
River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts 1, II,1II, IV, V, and VI of General Permit No. NCG020000 as
attached.
This certificate of coverage shall become effective December 12, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day. December 12, 2014.
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

NCG020876
r�l
Map Scale 1:24,000
C. R. Peele Construction
Four Points Mineral Mine # 1
Latitude: 340 43' 02" N
Longitude: -770 12' 55" W
County: Onslow
Receiving Stream: Pasture Branch
Stream Class: SA;HQW
Sub -basin: 03-05-01 (White Oak River Basin)
Facility Location

1
Permit Number NCG020876 .
Program Category
NPDES SW
Permit Type
Mining Activities Stormwater Discharge COC
Primary Reviewer
larry.wade
Coastal SWRule
Permitted Flow
Facility
Facility Name
Four Points Mineral Mine #1
Location Address
633 Hubert Blvd
Hubert NC 28539
Owner
RCEf y EV
JAN 0 8 2015
CENTRAL FILES
DWR SECTION
Central Fifes: APS _ SWP _
12/11/2014
Permit Tracking Slip
Status Project Type
In draft New Project
Version Permit Classification
COC
Permit Contact Affiliation
Major/Minor
Region
Minor
Wilmington
County
Onslow
Facility Contact Affiliation
Charles Ray Peele
462 Holly Shelter Rd
Jacksonville
NC 28540
Owner Name Owner Type
C R Peele Construction Non -Government
Owner Affiliation
Charles Ray Peele
462 Holly Shelter Rd
DateslEvents Jacksonville NC 28540
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/12/2014 11/10/2014 12/11/2014 12/12/2014 12/12/2014 12131 /2014
Regulated Activities Requested /Received Events
Mine dewatering RO staff report received 12/4114
Mining activities - stormwater discharges RO staff report requested 11/17/14
Outfall 100
Waterbody Name Streamindex Number Current Class Subbasin
Pasture Branch 19-41-16-2 SA;HQW 03-05-01

NCDENIt
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Charles Ray Peele
C. R. Peele Construction
481 Holly Shelter Road
Jacksonville, NC 28540
Dear Mr. Peele:
John E. Skvarla, III
Secretary
December 12, 2014
Subject: General Permit No. NCG020000
Four Points Mineral Mine #1
COC NCG020876
Onslow County
In accordance with your application for a discharge permit received on November 10,
2014, 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).
This certificate of coverage is not transferable. If the facility changes ownership or is
closed, the Division of Energy Mineral & Land Resources may require modification, revocation
or reissuance of the certificate of coverage.
Please be aware that mine dewatering at your site has the potential to impact adjacent
wetlands. The specific requirements for mine dewatering at facilities near wetlands can be
found in Part III, Section E of your permit. You must have an approved Operation and
Monitoring Plan before mine dewatering discharges occur at your facility. Discharging
mine dewatering wastewater without Plan approval will be subject to enforcement action. An
Operation and Monitoring Plan for your facility must be submitted to the Wilmington Regional
Office within 60 days of your receipt of this permit. Contact Dan Sams at the Wilmington
Regional Office at [phone] for more information about the approval process.
This site will discharge to a receiving stream designated as High Quality Waters
(HQW). As a result, a more stringent TSS limit and wastewater discharge volume applies.
The low tide flow condition estimated to be as protective as 7Q10 base flow .
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http:Ilportal.ncdenr.or, /wq eb/i
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Please note that mine dewatering wastewater includes wet pit overflows caused
solely by direct rainfall and. groundwater seepage for this type of mining operation. Any
discharge of this water (and any stormwater commingled with it) is subject to the effluent
limitations in this permit.
This general permit allows the discharge of stormwater and certain types of
wastewater from your facility. In your application, you specified that only mine dewatering
wastewater would be discharged from this facility. If separate point -source discharges of
stormwater occur (i.e., stormwater not combined with mine dewatering water), you will be
required to adhere to the conditions in this permit for stormwater discharges.
This project is located in one of North Carolina's 20 coastal counties. Coastal
stormwater management rules (1SA NCAC 2H .1000) may require an additional State
Stormwater Permit (different from the NPDES mining activities discharge permit). Please
contact Georgette Scott in the Wilmington Regional Office at [phone] to determine
if you will be required to submit an application for a State Stormwater permit.
This permit does not affect the legal obligation to obtain other permits which may be
required by the Division of Energy, Mining, and Land Resources, or any other federal, state, or
local authorities.
If you have any questions concerning this permit, please contact Larry Wade PE at
telephone number [phone] or email at larr�[e-mail].
Sincerely,
for Tracy E. Davis, P.E.
cc: Wilmington Regional Office
Central Files
Stormwater Permitting Program Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION -OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCGO20000
CERTIFICATE OF COVERAGE No. NCG020876
STORMWATER AND MINE DEWATERING WASTEWATER 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,
C. R. Peele Construction
is hereby authorized to discharge stormwater and mine dewatering wastewater from a
facility located at
Four Points Mineral Mine #1
633 Hubert Boulevard
Hubert
Onslow County
to receiving waters designated as Pasture Branch, a class SA;HQW water in the White Oak
River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, II1, IV, V, and VI of General Permit No. NCG020000 as
attached.
This certificate of coverage shall become effective December 12, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 12, 2014.
for Tracy E. Davis, P.E., CPM_
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

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NCG020876
N
W E
S
Map Scale 1: 24, 000
C. R. Peele Construction
Four Points Mineral Mine # 1
Latitude: 340 43' 02" N
Longitude: -770 12' 55" W
County: Onslow
Receiving Stream: Pasture Branch
Stream Class: SA;HQW
Sub -basin: 03-05-01 (White Oak River Basin)
�►1n f���i�l�1�i��tR`�.
Facility Location

Wade, Larry
From: Jenkins, Shannon
Sent: Monday, January 05, 2015 2:17 PM
To: Wade, Larry
Subject: RE: NGG020876 Four Points Mineral Mine #1 - Onslow County
Larry,
We concur with the issuance of this General Permit provided the facility is operated and maintained properly in
accordance with the permit. Let me know if you need a formal memo or if this email will suffice.
Thanks
Shannon Jenkins (for Patti Fowler).
From: Wade, Larry
Sent: Monday, January 05, 2015 1:07 PM
To: Jenkins, Shannon
Subject: RE: NCG020876 Four Points Mineral Mine #1 - Onslow County
Sorry Shannon, Thanks
From: Jenkins, Shannon
Sent: Monday, January 05, 2015 12:35 PM
To: Wade, Larry
Subject: RE: NCG020876 Four Points Mineral Mine #1 - Onslow County
Larry,
I didn't receive the attachments (application, etc) other than the location (Arcmap) and memo.
Thanks
Shannon
From: Wade, Larry
Sent: Monday, January 05,1015 12:30 PM
To: Jenkins, Shannon
Subject: NCG020876 Four Points Mineral Mine #1 - Onslow County
Hello Shannon,
Please review the attached information and let me know if you have any concerns issuing a permit for the subject
facility.
Larry W. Wade PE Telephone: [phone]
Fax: [phone]
Stormwater Permitting Program
North Carolina Department of Environment & Natural Resources
1

Division of Energy Mineral and Land Resources
1612 Mail Service
942S
Raleigh, NC 27699-1612
Physical Address - 512 N. Salisbury St. Room
Raleigh, NC 27604
is a government E-mail address****************************
*********E-mails sent and received from this address can be disclosed to third parties************

Wade, Larry
From: Hammers, Karl
Sent: Thursday, December 04, 2014 1:38 PM
To: Wade, Larry
Subject: C.R. Peele Construction NCG20000 application
Larry,
I looked at the C.R. Peele project yesterday. He is applying for discharge without pumping. if it is not already required
for that type of discharge, I would like to see monitoring required for the same parameters as is required for dewatering
by pumping. He also has an LCID pit right next to the pit that is discharging. We have had concerns in the past that wet
concrete was being dumped at this LCID and chemicals were running into the pit. If allowed under the permit I would
like to require that he keep some kind of physical barrier between the LCID and the pit that is dewatering.
Please let me know if you need any clarification or any additional information. Thank you.
Karl Hammers
Environmental Specialist
Division of Energy, Mineral, and Land Resources
NC Department of Environment and Natural Resources
127 Cardinal Drive Extension
Wilmington, NC 29405
910-796-7372-direct
910-350-2004-fax
E-mail correspondence to.and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulations.

Wade, Larry
To: Sams, Dan
Cc: Scott, Georgette
Subject: NCG020876 Four Points Mineral Mine
Attachments: NCG020876 NOI.pdf
Hello Dan,
Find attached the NO for the subject existing facility. I am sending a site plan through inter office mail.
Please review the information and let me know if you have any concerns issuing a permit.
If you need additional information, please let me know.
Larry W. Wade PE Telephone: [phone]
Fax: [phone]
Stormwater Permitting Program
North Carolina Department of Environment & Natural Resources
Division of Energy Mineral and Land Resources
1612 Mail Service Physical Address - 512 N. Salisbury St. Room 942S
Raleigh, NC 27699-1612 Raleigh, NC 27604
************************This is a government E-mail address****************************
*********E-mails sent and received from this address can be disclosed to third parties************

PARKER & ASSOCIATES, INC.
Consulting Engineers - Land Surveyors - Land Planners
306 New Bridge Street • P.O. Box 976
Jacksonville, NC 28541-0976
[phone] • Fax: [phone]
www.parkerengineeri ngandsurveying.coiit
Firm License [dumber F-0108
November 6, 2014
Stormwater & General Permits Unit
NCDENR - DEMLR
1617 Mail Service Center
Raleigh, North Carolina 27699-1634
RE: Four Points Mineral Mine #1
Mine Permit No. 67-55
NPDES General Permit # NCG020000 Application
Onslow County, NC
To Whom It Concerns:
By way of this letter, we are submitting the following information to obtain an NPDES General Permit,
NCG020000, for the above referenced project. The Mine Permit has been submitted for renewal. The mine
currently has gravity overflow only, and this application is for that. In the future, the owner might want to resubmit
so the mine can be dewatered by pumping. Please find enclosed the following information:
1. NCG020000 Notice of Intent Application Form
2. Check No. 2495 in the amount of $100.00 made payable to NCDENR
3. Two (2) copies of Mine Site Plan
4. One (1) copy of SPPP with County DOT Exhibit Map, USGS Exhibit Map, Business
Corporation Annual Report
5. One copy of U.S. Army Corps of Engineers Jurisdictional Determination Approval for
Wetlands Delineation.
If you need any additional information, or have any questions, please give me a call.
Sincerely,
PARKER & ASSOCIATE#$, INC.
Timothy M. �tew#t, PE
xe: Mr. C. R. Peeie (w/enclosures)
CF (P), LAM
TMSlmrs
C3.TMS.DEMLR. FourPointsMineralMine# I.GeneralPermit.l 1.6.14
EMAIL ADDRESS: TEXT MESSAGES TO: [e-mail] MAPS and PLANS TO: [e-mail]
+ ENVIRONMENTAL ENGINEERING + STORMWATER, WATER AND WASTEWATER SYSTEMS
+ FEASIBILITY AND DEVELOPMENT CONSUI;PING + GLOBAL POSITIONING SURVEYS + SUBDIVISION AND CONSTRUCTION PLANS

4 Division of Water Quality / Surface Water Protection
.___�_ A yolyw
±i
NCDENRNational Pollutant Discharge Elimination System
NO— C nou pep .er or
E� wpH!n c_Hi u+o NarNa� Rego- GE9 NCG020000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
Certificate of Covc gc
7
Ghe #
Amount
& nit signed to
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 specified below)
The following activities are also included:
• Active or inactive mining operations (including borrow pits —except for NCDOT borrow pits) that discharge
stormwater contaminated with or that has come in contact with, any overburden, raw material, intermediate
products, finished products, byproducts or waste products located on the site of such operations;
• Stormwater from vehicle maintenance activities at mining operations;
• Overflow from facilities that recycle process wastewater; and/or
• Mine dewatering (wastewater)
The following activities are specifically excluded from coverage under this General Permit:
• 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.e., sand
dredging or dipping operations).
Please contact the NPDES Wastewater Point -Source Group for more information on coverage under this
rmit.
Please Print or tvpe all entries in this application form.
1) Mailing address of owner/operator (official address to which all permit correspondence will be mailed):
Legal Owner Name C. R. Peele Construction
(Attach the most recent Annual Report to the NC Secretary of State showing the current legal name of the corporation or entity.
Alternatively this permit can be given to an individual or government authority. This name must be the same name as appears on the
Division of Land Resources' Mining Permit.)
Signee's Name (as signed for in permit signature at bottom) Charles Ray Peele _
Street Address 481 Holly Shelter Road
City Jacksonville State NC ZIP Code 28540
Telephone No. 910-346-2047 Email [e-mail] _
Alternate Contact Name Carroll Raynor Email (if different) carrollraynoraa gmail.corn
Alternate Contact Telephone (if different)
NOV 1 0 2014
Page 1 of 8
SWU-NCG02-NOi L 12

.�q' I 1 9 r1i ;I, I, (� n7
NCG020000 N.O.I.
2) Location of facility producing discharge:
Facility Name Four Points Mineral Mine #1
Facility Street Address 633 Hubert Blvd.
Facility City Hubert State NC ZIP Code 28539
Facility County Onslow
Facility Contact C. R. Peele
Telephone No. 910-346-2047 Fax: [phone]
Contact E-mail [e-mail]
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). From intersection of NC24 & NC172, go North on
NC172 0.2 mile turn right on Hubert Blvd. o East 1.1 mile. Mine entrance is on left.
4) Latitude 34' 43' 1.8" Longitude (-l77° 12' 54.6" (degrees, minutes, seconds)
Permits:
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin:
X Existing Date began mining: 2000
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: 1 4 4 2
7) Provide a narrative description of the types of minerals mined at this facility: Sand
8) Is this mine an inactive mine site?
X No
❑ Yes If yes, do you possess an "Inactive Renewal" from DEMLR and notified the DWQ Regional Office
or have you certified to the DWQ that the site has been stabilized? ❑ No ❑ Yes
9) Does this facility already have a valid Mining Permit from the Division of Energy, Mineral and Land Resources
(DEMLR) [formerly DLR]?
❑ No If No, please indicate the status of the Mining Permit application:
X Yes If yes, please provide the Mining Permit number: 67-55 Please also
provide a copy of your DEMLR Mining Permit with this DWQ application.
[Note: D Q ca t issue a COtforhe N G02000 General' rm' `u tit a Mining Permit is issued or
r newer! by he,"tMLR.�L/�
10) 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:
vu14di?``1Rjjg1
Page 2of8
SWU-NCG02-NOI Last revised 9/5/2012

NCG020000 N.O.I.
11) Are you applying for a mining permit in the same location as a previously permitted mine?
El No
X Yes If yes, specify permit number and name if known: 67-55
12) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X No
❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility:
13) Does total area of this mine site include ready -mix and asphalt areas?
X No
❑ Yes
If yes, do they have DWQ stormwater permits (if owned by the same company)? ❑ No
(provide permit number )
If not owned by the same company, who is the owner?
14) Will this mining operation precede development activities at this site?
X No
❑ Yes
❑ Yes
15) Is this mine located within one of the 20 Coastal Counties and will it add more than 10,000 ft2 of impervious
surface?
X No
❑ Yes If yes, you may be required to apply for an additional state stormwater permit. Check with your
local Regional Office. See contact information and checklist below.
16) Is this mine located the Neuse, Tar -Pamlico, or Catawba River Basins, or the Randleman or Jordan
Water supply Watersheds?
X No
❑ Yes If yes, what size stream buffers are included on site? ft. Please show buffers in site plans.
If yes, please include information and plans showing diffuse flow through buffers as required.
Discharge Points, Receiving Waters & Wetlands:
17) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges end up in? Pasture Branch
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). N/A
Receiving water classification (if known): SA
Note: Discharge of industrial wastewater to receiving waters classified as WS-II to WS-V, or SA, must
be approved by the Div. of Water Resources, or Div. of Marine Fisheries. If DWR or DMF does
not approve, coverage under NCG020000 cannot be granted. No new discharges of wastewater
are permitted in receiving waters classified as WS-1 or freshwater ORW. Wastewater
discharges to Saltwater ORW will not be approved under the NCG02 General Permit.
18) If your facility has wastewater discharges and they are to HWQ and/or PNA waters (Primary Nursery Areas)
waters, what is the proposed flow rate? NIA (See
http://www,ncdmf.nettmaQs/FNA maps/index.html, for map)
Page 3 of 8
SWU-NCG02-NOI Last revised 9/5/2012

NCG020000 N.O.I.
19) Discharge Points:
Number of discharge points (ditches, pipes, channels, etc, that convey discharges from the property):
Onsite: Stormwater: Mine dewatering: Process Wastewater Overflow:
Offsite: Stormwater: Mine dewatering: Process Wastewater Overflow:
Discharge points should be clearly marked on the submitted site plan_
Please provide short narrative description of discharges: Existing mine overflows by _gravity
a) Is your mine dewatering and discharging? (Answer only if you are dewatering)
❑ No
X Yes If yes, where to? X Surface Waters and/or Wetlands (on -site or off -site)
Other (on -site or off -site) Describe:
b) Are you dewatering but not discharging? (Answer only if you are dewatering)
X No
❑ Yes If Yes, please explain how you are dewatering, and where that water will be directed:
20) Will mining operations require dewatering near wetlands or impact any stream, groundwater, or wetlands?
❑ No
X Yes
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 a Pumping Operation and Monitoring (O&M) Plan that has been approved by the
Division.
For sites that may drain wetlands — approval of a Pumping O&M plan may be required prior to
coverage under this general permit. The Pumping O&M Plan should be submitted to the
appropriate 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. See
checklist at end of document. Contact your local Regional Office for questions specific to your mine.
21) If you are dewatering, are there wetlands or surface waters within 400' of the mine pit perimeter?
❑ No
X Yes If yes, what distance are they from the mine pit perimeter? 75' and greater feet.
22) Have you been required to obtain a 404/401 Certification permits?
X No
❑ Yes If yes, please briefly describe below (include information such a required mitigation, BMPs, setbacks,
and/or O&M plans for on or off site wetlands or other pertinent information). Attach other sheets as necessary:
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NCG020000 N.O.I.
23) Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers?
X No ❑Yes If yes, please attach to application submission.
Stormwater BMPs:
24) Does this facility employ any best management practices for stormwater control?
X No ❑ Yes If yes, please briefly describe:
25) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No X Yes
If yes, when was it implemented? Enclosed
26) Will vehicle maintenance activities occur at this facility?
X No ❑ Yes
Wastewater Treatment Facilities:
27) Will mine dewatering discharges occur?
❑ No
X Yes
28) Will discharges of overflows from process wastewater treatment systems occur?
X No
❑ Yes If yes,
a. 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
Vote: Please see our website for a list of evaluated polyacrylamide (PAMS) products for use in North Carolina:
http://Portal.ncdenr.org/web/wq/ws/su/aagessw
b. Does this facility overflow only during rainfall events exceeding the 10-yr, 24-hr rainfall event?
❑ No ❑ Yes
29) Are wastewater treatment facilities (including recycle systems) planned in the 100-year flood plain?
X No
❑ Yes
30) Is your facility washing mined materials?
X No
❑ Yes If Yes, are you discharging this water?
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NCG020000 N.O.I.
Other:
31) 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) 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:
32) Is your facility providing appropriate secondary containment for bulk storage of liquid materials? See permit
text for secondary containment requirements.
X No
❑ Yes
33) Does your site have an active landfill within the mining permit boundary?
X No
❑ Yes If yes, specify type: ❑ LCID ❑ Other:
Final Checklist:
This application will be returned as incomplete unless all of the following items have been included and
initialed for. Please show that the following required information has been included by initialing in each
space below.
Fee of $100 made payable to NCDENR.
Completed application and all supporting documents.
Copy of the valid approved mining permit (MP) for the facility or indication of MP application status.
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.
2 copies of large-scale (minimum 24" x 36") site plan with topographical lines with all outfalls, applicable
buffers and wetlands clearly delineated, and 100-year flood plain line if applicable.
A copy of your DEMLR mining permit.
A copy of your US Army Corps -approved wetland delineation if you marked "yes" to question 23 above.
A line drawing of the water flow through the facility. A pictorial description of the nature and amount of any
sources of water and any collection and treatment measures.
If mine site is in one of the 20 Coastal Counties:
• Applicant has checked with the appropriate regional office to verify the need for a Coastal State
Stormwater permit. Regional Office Contact:
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NCG020000 N.O.I.
• Applicant has included a detailed list of impervious surface areas and percentages, sub -drainage
areas and total drainage area.
If the mine is dewatering and near wetlands, or may otherwise impact surface waters or groundwater,
include the following and contact your local regional office about a Pumping O&M Plan (see below
for contact information). You may be re uired to provide an approved Pumping O&M plan priorto
NCG02 issuance.
2 copies of detailed Full Size Plans (at least 24" x 36") delineating areas on the plans and listing
acreage (including: wetlands, ditches, well -placements, pits, borrow areas, overburden storage,
stormwater controls/BMPs, vehicle maintenance areas, settling basins, product process (such as
screening, stockpiles, waste piles), total drainage area, impervious surface percentages (if state sw
programs apply), applicable buffers, and access and/or haul roads).
Pump dewatering size and information on its specifications.
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.
Cone of influence calculations.
Description of measures to prevent erosion and flooding.
Description & information about 401/404 permits that have been obtained.
Copy of US Army Corps of Engineers wetland delineations or approved wetland delineation (if
applicable).
I have contacted my local regional office about a Pumping O&M Plan,
Regional Office Contact: Date contacted:
-OR-
X I will not any impact nearby wetlands, surface waters or groundwater by dewatering.
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 ruiemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
33) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows:
(1) For a corporation; by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
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.
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.
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NCG020000 N.O.I.
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. 1 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.
I agree to abide by the provisions as listed above and recognize that the provisions are to be considered as
enforceable requirements of the General Permit.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge
and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Charles Ray Peele _
Title:
(Signature of Applicant)
(Date
I�
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Mail the entire package to:
Stormwater 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.
For questions, please contact the DWQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 8 of 8
SWU-NCG02-NOI Last revised 9/512012

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