NCG080895_COMPLETE FILE - HISTORICAL_20140701

PERMIT NO.
DOC TYPE
DOC DATE
STORMWATER DIVISION CODING SHEET
NCG PERMITS
HISTORICAL FILE
J MONITORING REPORTS
0 -�)Q) � D-7 0
YYYYMMDD

M
S
`oa
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Pat McCrory, Governor John E. Skvarla, 111, Secretary
July 1, 2014
Mr. William H. Long
Long Hill, LLC
PO Box 11625
Winston Salem, NC 27116
Subject: Notice of Discrepancies/General Stormwater Permit Inspection NPDES Permit
No. NCG080895 Long Hill LLC, Forsyth County
Dear Mr. Long:
On June 27, 2014, Sue White of this office performed a Stormwater Permit Inspection at
Long Hill LLC located at 1275 Old Belt Way, Rural Hall, NC in Forsyth County. Justin Pardue
was present for the inspection. This inspection was at the request of Mr. Pardue and is
intended to aide in the compliance of Long Hill LLC. We evaluated five (5) areas as designated
on the attached EPA inspection form. Observations from each area are addressed below:
1. Permit
This facility holds General Stormwater Permit No. NCG080895 to discharge Stormwater from
activities associated with Vehicle Maintenance Areas under the National Pollutant Discharge
Elimination System (NPDES). The permit became effective November 1, 2012 and expires
October 31, 2017.
2. Records/Reports
Part 11, Section A of the permit requires the development of a Stormwater Pollution Prevention
Plan (SPPP). The SPPP was not available on -site at the time'of the inspection. A complete
and updated SPPP plan and completed monitoring forms and results must be kept on -site for a
period of 5 years. The contents of the SPPP plan were discussed with Mr. Pardue.
3. Facility Site Review
Overall this site was clean and well managed. There are two identified Stormwater Discharge
Outfalls (SDO) associated with this property.
4. Effluent/Receivin_, Waters
Most of the stormwater leaves the site via the stormwater pond located on the NW corner of the
property. The other is at the front of the property and covers mostly the office and parking
areas. Monitoring must occur at both locations until such time as Representative Outfall Status
can be established. Runoff from the site flows into an unnamed tributary to Grassy Creek,
classified as Class "C waters in the Yadkin Pee -Dee River Basin,
5. Self -Monitoring Program
Analytical monitoring is required per Part 11, Section B of the permit since the facility uses > 55
gallons/month of new motor oil. This sampling should be performed semi-annually during a
representative storm event. The semi-annual qualitative (visual) monitoring in Part II, Section D
should be performed and documented also on a semi-annual basis during a storm event.
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27101 . Phone: [phone] I FAX: [phone]

Long Hill LLC
7/1/2014
Page 2 of 2
Neither of these have been done. Since Mr. Pardue requested this inspection for help in
becoming compliant, this inspection is considered an Notice of Discrepancy and not a
Notice of Violations. Please be aware that a follow up inspection will be done in
approximately 6 months. It is expected that this site will be in compliance at that time.
If you have any questions concerning this letter or the attached inspection report, please contact
Sue White or me at [phone].
Sincerely,
Matthew E. Gantt, P.E.
Regional Engineer
Land Quality Section
Attachments:
BIMS Inspection Checklist
CC: Nonpoint Source Assistance and Compliance Oversight Unit
Division-of-Land-Quality---WSRO

114
Permit: NCG080895
SOC:
County: Forsyth
Region: Winston-Salem
Compliance Inspection Report
Effective: 12/12/12 Expiration
Effective: Expiration
10131/17 Owner: Long Hill LLC
Facility: 1275 Old Belt Way
1275 Old Belt Way
Rural Hall NO 27045
Contact Person: Tim Mabe Title: Phone:
Directions to Facility:
US 52 N - take exit NC65 - turn right on 65Bethania-Rural Hall Rd & drive approx 114 mile - tum right on Forum Pkway - drive 112
mile - turn right on Old Belt Way - site is on the left
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06/27/2014 Entry Time: 09:30AM Exit Time: 11:OOAM
Primary Inspector: Sue White Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine inspection Type: Compliance Evaluation
Permit Inspection Type: Transportation wfVehicle Maintenance/Petroleum Bulk/Oil Water Separator Stormwater Discharge COC
Facility Status: Compliant Not Compliant
Question Areas:
M Storm Water
(See attachment summary)
Page: 1

Permit: NCG080895 Owner - Facility: Long Hili LLC
Inspection Date: 06/27/2014 Inspection Type : Compliance Fvaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

i
Pennit: NCGO80895 owner - Facility: Long Hill LLC
Inspection Date: 06/27/2014 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeepina Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: Went over SP3 with Justin Pardue_
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment: No monitoring to date.
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comment: No monitorinq
Permit and outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outfalls observed during the inspection?
# If the facility has representative outfall status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment:
Yes No VIA NE
■ W ■ ■
■ 19 ■ ■
■ IM ■ ■
■ B ■ ■
■ 0 ■ ■
■ i ■ ■
110 ■ ■
■ Im ■ ■
■ 'E"s ■
■ OM ■ ■
■PH ■ ■
■ E ■ ■
■ ar; ■ ■
■ 0 ■ ■
Yes No NA NE
❑ M ❑ ❑
Yes No NA NE
1119130
❑ IN ❑ ❑
Page: 3

Compliance Inspection Report
Permit: NGG080895 Effective: 12/12/12 Expiration: 10131/17 Owner: Long Mill LLC
SOC: Effective: Expiration: Facility: 1275 Old Belt Way
County: Forsyth 1275 Old Belt Way
Region: Winston-Salem
Rural Hall NC 27045
Contact Person: Tim Mabe Title: Phone:
Directions to Facility:
US 52 N - take exit NC65 - turn right on 651Bethania-Rural Hall Rd & drive approx 1/4 mile - turn right an Forum Pkway - drive 112
mile - turn right on Old Belt Way - site is on the left
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06/2712014 Entry Time: 09:30AM Exit Time: 11:00AM
Primary Inspector: Sue While Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Transportation wlVehicle MaintenancelPetmleum BulklOil Water Separator Stormwater Discharge COC
Facility Status [] Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

Permit: NCG080S95 Owner -Facility: Long Mill LLC
Inspection Date: 0612712014 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: NCG080895 Owner - Facility: tong Hill LLC
Inspection Date: 0612712 A Inspection Type : Compliance Evaluation
Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
❑
E ❑ ❑
# Does the Plan include a General Location (USGS) map?
❑
N ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
❑
N ❑ ❑
9 Does the Plan include a detailed site map including outfall locations and drainage areas?
❑
■ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑
®❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
❑
! ❑ ❑
# Does the facility provide all necessary secondary containment?
❑
0 ❑ ❑
# Does the Plan include a BMP summary?
❑
■ ❑ ❑
Doss the Plan include a Spill Prevention and Response Plan (SPRP)?
❑
0 ❑ ❑
# Dues the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑
®❑ ❑
# Does the facility provide and document Employee Training?
❑
®❑ ❑
# Does the Plan include a list of Responsible Party(s)?
❑
E ❑ ❑
# Is the Plan reviewed and updated annually?
❑
■ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑
❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑
■ ❑ ❑
Comment: Went over SP3 with Justin Pardue
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ❑ 0 ❑ ❑
Comment: No monitoring to date.
Analytical Monitoring
Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ 0 ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ N ❑ ❑
Comment: No monitoring
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ❑ ■ ❑ ❑
# Were all outfalls observed during the inspection? E ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ® ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ ❑ ■ ❑
Comment:
Page: 3

4�
l�
�h
MCENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Chuck Wakild, P.E. Dee Freeman
Governor Director Secretary
November 26, 2012
Long Hill, LLC
Attn: Mr. William H. Long
P.O. Box 11625
Winston-Salem, NC 27116
Subject: Compliance Evaluation Inspection
NPDES General Stormwater Permit NCG080000
Certificate of Coverage NCGO80895
Long Hill, LLC
Forsyth County
Dear Mr. Long:
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality.(DWQ.or the
Division) conducted a compliance evaluation inspection (CE1) at the subject facility on November 16, 2012.
The assistance and cooperation of Mr. Justin Pardue, during the inspection, was greatly appreciated. An
inspection checklist is attached for your records and the inspection findings are summarized below.
The facility is located at 1275 Old Belt Way, in Rural Hall, Forsyth County, North Carolina, at
approximate coordinates 36.2126320,-80.2950020. Stormwater related to industrial activity is discharged from
the site to Grassy Creek, which is currently classified as a Class C water located in the Yadkin Pee -Dee River
Basin.
Documentation & Monitoring Review
The Certificate of Coverage (COC) for the site (NCG080895) was issued and became effective on July
13, 2012. As of the date of the inspection, the facility is still under construction and is not yet in operation in its
industrial capacity. In accordance with Part III, Section A, Paragraph 1, of the NCG080000 General Stormwater
Permit, the Stormwater Pollution Prevention Plan (SP3) should be fully developed and implemented,
Qualitative and Analytical Monitoring (QM & AM) should commence, and all secondary containment
requirements must be met, immediately upon commencement of industrial activity at the site. Please strive to
meet these requirements to remain fully compliant with the permit.
Mr. Boone has provided Mr. Pardue a template that he may be able to use to develop the SP3 for the
facility. Mr. Boone has also asked Mr. Pardue to notify him immediately when construction is complete and
industrial operations begin at the facility.
Site Review
Mr. Boone found no violations or issues on the -site during the inspection. Mr. Boone also conduction a
Construction Stormwater inspection while on site. He found no issues during the construction inspection either.
That inspection has been written up and summarized in a separate letter from the Division.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone]l Customer Service: 1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org �/ y �' WU ` y�� //I
An Equal Opportunity 1 Affirmative Action Employer "

Long Mill, LLC
Attn: Mr. William H. Long
Compliance Evaluation Inspection, NCGO80895
1112612012, Page 2 of 2
You are reminded that violations of the NCG080000 ' general permit are subject to civil penalty
assessments not to exceed $25,000 per day, per violation. Should you have any questions regarding the
permit, the inspection, or this letter, please do not hesitate to contact Mr. Boone or me at [phone].
Sincerely,
W. Corey Basinger
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
1. BIMS Inspection Checklist
CC'SWP — WSRO'
Central Files
Stormwater Permitting Unit

Compliance Inspection Report
Permit: NCG080895 Effective: 07/13/12 Expiration: 10/31/12 Owner: Long Hill LLC
SOC: Effective: Expiration: Facility: 1275 Old Belt Way
County: Forsyth 1275 Old Belt Way
Region: Winston-Salem '
Rural Hall NC 27045
Contact Person: Tim Mabe Title: Phone:
Directions to Facility:
US 52 N - take exit NC65 - turn right on 65/Bethania-Rural Hall Rd & drive approx 114 mile - turn right on Forum Pkway - drive 1/2 mile
- turn right on Qld Bglt Way - site is on the left
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 11116/2012 E Time: 09:00 AM Exit Time: 10:00 AM
Primary inspector: Ron Boone f('ZG/Phone: [phone]
Secondary Inspector(s): .
�
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Transportation wNehicle Maintenance/Petroleum Bulk/Oil
Water Separator Stormwater Discharge COC
Facility Status: ■ Compliant Not Compliant
Question Areas:
S Storm Water
(See attachment summary)
Page: 1

Permit: NCGO80895 Owner - Facility: Long Hill LLC
Inspection Date: 11/16/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This site's NCG080000 permit was issued 7/13/2012, but the site is not yet in operation in its industrial capacity.
Construction to build the facility is still in progress. A Stormwater Pollution Prevention Plan (SP3) has not yet been
developed and Qualitative Monitoring (QM) and Analytical Monitoring (AM) has not yet been accomplished. The permittee
is reminded that the NCG080000 permit requires that the SP3 be fully developed and implemented upon commencement
of industrial activities regulated under the NCGO80000 permit, and that QM and AM also be started once industrial
operations commence.
Please refer to the attached inspection summary letter for additional information.
Page: 2

Permit: NCGO80895 Owner - Facility: Long Hill LLC
Inspection Date: 11/16/2012 Inspection Type: Compliance Evaluation
Reason for Visit:
Routine
Stormwater Pollution Prevention Plan
Yes
No
NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
❑
®❑
❑
# Does the Plan include a General Location (USGS) map?
❑
o
®
❑
# Does the Plan include a "Narrative Description of Practices"?
❑
❑
■
❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
❑
❑
❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑
❑
®
❑
# Has the facility evaluated feasible alternatives to current practices?
❑
®❑
❑
# Does the facility provide all necessary secondary containment?
'❑
n
®
n
# Does the Plan include a BMP summary?
nn■❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑
❑
®
❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑
Cl
M
❑
# Does the facility provide and document Employee Training?
❑
®
❑
❑
# Does the Plan include a list of Responsible Party(s)?
❑
n
n
# Is the Plan reviewed and updated annually?
❑
n
■
n
# Does the Plan include a Stormwater Facility Inspection Program?
❑
❑
❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑
n
®
❑
Comment: A Stormwater Pollution Prevention Plan has not yet been developed.
Qualitative Monitoring
Yes No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
Cl
!
❑
n
Comment: Qualitative Monitoring has not yet been accomplished.
Analytical Monitoring
Yes No
NA
NE
Has the facility conducted its Analytical monitoring?
0
®❑
❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
❑
a
Cl
Comment: Analytical Monitoring has not yet been accomplished.
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outfalls observed during the inspection?
# If the facility has representative outfall status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment: Please refer to the attached inspection summary letter.
Yes No NA NE
Page: 3

NCDENR
North Carolina Department of Environment and Natural Reso
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
RECEIVE©
N.C,Dept. of ENR
JUL 17 2012
roes
Winston-Salem
ReeglonalIonalOffice
uee Free an
Governor Director
Secretary
Tilly 13, 2012
Mr. William H. Long
Long Hill, LLC
P.O. Box 11625
Winston-Salem, NC; 27116
Subject. General Permit No. NC.GO80000
1275 Old Belt Way
COC NCGO80895
Forsyth County
Dear Mr. Long:
In accordance with your application for a discharge permit received on July 5, 2012, 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 local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Rbbert- Patterson at
telephone number [phone], or at [e-mail].
Sincerely,
ARGWSIGMEe B!1
IM PICKLE
for Charles Wakild, P.E.
cc: Winston-Salem Regional Office, Ron -Boone
Central Files
Stormwater Permitting Unit Files
Vincent C. Townsend, PE, PLS Green Mountain Engineering, PLLC
Wetlands and Stormwater Branch
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 91 M07-63001 FAX: [phone]
Internet: www.ncwaterquatity.org
An Equal Opportunity 1Atfermative Action Employer
NorthCarolina
Naturally

STATE OF NORTH CAROLINA-
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCG080895
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,
Long Hill, LLC
is hereby authorized to discharge stormwater from a facility located at
1275 Old Belt Way
Rural Hall
Forsyth County
to receiving waters designated as Grassy Creek, a class C water in the Yadkin - Pee Dee River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCGO80000 as attached.
This certificate of coverage shall become effective July 13, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 13th day of July, 2012,
ORIGINAL SIGNED 81
KEN ROLE
jor Charles W aklid, P.E., Director
Division of Water Quality
B- the Authority of the Environmental Management Cor-nmission

� A.
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
July 13, 2012
Mr. William H. Long
Long Hill. LLC
P.O. Box 11625
Winston-Salem, NC 27116
Subject: General Permit No. Ni,6080000
1275 Old Belt Way
COC NCG080895
Forsyth County
Dear Mr. Long:
Dee Freeman
Secretary
In accordance with your application for a discharge permit received on July 5, 2012, 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 local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Robert Patterson at
telephone number [phone]. or at [e-mail].
Sincerely, _
ORIGINAL SIGNED B)
KEN PICKLE
for Charles Wakild, P.E.
cc: Winston-Salem Regional Office; Ron Boone
Central Files
Stormwater Permitting Unit Files
Vincent C. Townsend, PE,-PLS —Green Mountain Engineering, PLLC
Wetlands and Stormwater Branch
1617 Dail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: 9IM07-6494
Internet: www,ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
Natura!!rf

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCG080895
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,
Long Hill, LLC
is hereby authorized to discharge stormwater from a facility located at
1275 Old Belt Way
Rural Hall
Forsyth County
to receiving waters designated as Grassy Creek, a class C water in the Yadkin - Pee Dee River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCGO80000 as attached.
This certificate of coverage shall become effective July 13, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 13'' day of July, 2012.
ORIGINAL SIGNED W
KEN PICKLE
for Charles Wakild, P.E., Director
Division of Water Quality
By the Authority of the Environmental Mana'a-Ment Commission

Patterson, Robert
From:
Boone, Ron
Sent:
Friday, July 13, 2012 7:24 AM
To:
Patterson, Robert
Cc:
Basinger, Corey
Subject:
RE: NCGO80895 - Long Hill, LLC-1275 Old Belt Way
Nape, not that I can think of. Go ahead and issue it. Thanks Robert.
Regards,
Ron Boone
NC DENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Email: [e-mail]
Voice: [phone]
FAX: [phone]
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.
From: Patterson, Robert
Sent: Wednesday, July 11, 2012 9:33 AM
To: Boone, Ron
Subject: NCGO80895 - Long Hill, LLC-1275 Old Belt Way
Ron,
Please see NOI attached.
We have received an application for coverage of a new facility under NCG 08 from Long Hill, LLC. The facility drains to
Grassy Creek (class C) in Rural Hall (Forsyth County). They have vehicle maintenance, and is a small quantity generator.
I also issued them a post -construction sw permit last month for this site. Does the WSRO have any concerns about
issuing this facility a COC for this general permit?
Thanks
Robert D. Patterson, PE
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting
1617 Mail Service Center, Raleigh, NC 27699-1617 Mail 1 512 N. Salisbury St, Raleigh, NC 27604 1 91h Floor Location c4i Parcels
[phone] Phone [phone] Fax I Robert, Pattersog,ncdenr.gov .Email I hitp://portal.ncdenr.org/web/wq/ws/su Wehsite
bA Before printing this email, please consider your budget and the environment.
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 regulation.
1

ATv Division of Water Quality / Surface Water Protection
4;1'
�► Section
NCDENR National Pollutant Discharge Elimination System
No m Gwa — ChV—A � ar
fMnnwKrrrr I Na Resovmccs
NCGO80000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate of covemRc
so$g1s
Chock N Amount
+'+ + 'f to * 1 a u
Permit Assigned to
(%W\.
National Pollutant Discharge Elimination System application for coverage under 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 SIC 4221-4225)
SIC 43 United States Postal Service
The following activities are also included:
• Other industrial activities where the vehicle maintenance area(s) is the only area requiring permitting
• Petroleum Bulk Stations and Terminals (SIC 5171) with total petroleum site storage capacity of less than
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.
'Kj�'_af I For questions, please contact the D WQ 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
Strect Address
City
Telephone No.
Long HII, LLC _
P.C. Box 1.1625
Winston-Salem
[phone].
2) Location of facility producing discharge:
StateNC ZIP Code 27116
Fax: [phone]
Facility Name
1275 Old Belt Way
Facility Contact
Tim Mabe
Street Address
1275 Old Belt Way
City
Rural Hall StateNC ZIP Code 27045
%OGu ty
rOrSyii-i
Telephone No.
(Not yet determined Fax: (Note yet determined
Email
[e-mail]
Page 1 of 4
SWU-223-071408 Last revised 7114108

NCG080000 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). US 52 North; take exit NC 65, turn right on
65/Bethania-Rural Hall Rd and drive. approximately 1/4 mile; turn right on Forum Parkway, drive
approximately 1/2 mile; turn right on Old Belt Way, drive approximately_300 feet, site is on the left.
(A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application)
4) Latitude_ _36°12'43.1" Longitude_80017'40.2"
5) This NPDES Permit Application applies to which of the following:
X New or Proposed Facility
❑ Existing
6) Standard Industrial Classification:
Date operation is to begin August 2012
(deg, min, sec)
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 4231 '
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
facility: No manufacturing, vehicle maintenance and re -fueling with diesel fuel. Oil changes and
waste oil storage.
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? Yadkin River via Grassy Creek (12-94-7-3)
Receiving water classification: _C
Is this a 303(d) listed stream? NoHas a TMDL been approved for this watershed?
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).
9) Does this facility have any other NPDES permits?
❑ No
X Yes
If yes, list the permit numbers for all current NPDES permits for this facility: Local grading Permit No. 205517
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 SMPs on the site diagram.)
If yes, please briefly describe: A sand filter is installed downstream of the fuel dispensation area.
12) Does this facility have a Stormwater Pollution Prevention Plan?
X No
❑ Yes
If yes, when was it implemented?
Page 2 of 4
SWU-223-071408 Last revised 7/14108

NCG080000 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?
❑ No X 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: Lubricants (motor oil)
How is material stored: In a tank on site
Where is material stored: Near southeast corner of proposed garage
How many disposal shipments per year: 4 per year
Name of transport / disposal vendor: Noble Oil Services, Inc.
Vendor address: 5617 Clyde Ryne Drive, Sanford, NC 27330-9562
15) Certification:
North Carolina General Statute 143-215.6B (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 diecharne(S) and is enforceable in the same mariner as
an individual permit.
i car, y that I ori'I fal!IIIi Y�llth the EiifOriilatian lvnfaincd Eel this I aE:+j311iuL aiid that L ti ie t3c5t r3f, my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing:
Title:
(Signature. of apntrcant)
(Data 4ignedl
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
Page 3 of 4
SWU-223-071408 Last revised 7114108

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
6'1'1 This completed application and all supporting documents
2"' A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfails
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
Vf Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee coverage under the NPDES General Permit.
For questions, please contact the D WQ Regional Office for your area.
DW 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 4 of 4
swu-223-071408 Last revised 7n 4108

3512 Parkwood Dr, Greensboro, NC 27403 to 585 WauGhtown St, Wi... https://rnaps.google.com/maps?f=d&source=s_d&.saddr=3512+Park...
Goosle
Directions to 585 Waughtown St, Winston-Salem, NC 27107
28.9 mi - about 40 mins
T3512 Parkwood Dr, Greensboro, NC 27403
1.
Head south on Parkwood Dr toward Manor Dr
go 0.4 mi
About 2 mins
total 0.4 mi
+�
2.
Turn left onto S Holden Rd
go 2.4 mi
About 5 mins
total 2.9 mi
3.
Turn right onto High Point Rd
go 4.0 mi
Destination will be on the right
total 6.9 mi
About 7 mins
Total: 6.9 mi - about 13 mins
,g,
Alberdingk Boley Inc
total 0.0 mi
6008 High Point.Rd, Greensboro, NC 27407
4.
Head southwest on High Point Rd toward Pitlockry PI
go 1.3 mi
About 3 mins
total 1.3 mi
5.
Continue onto E Main St
go 2.3 mi
About 4 mins
total 3.6 mi
6.
Continue onto Greensboro Rd
go 1.0 mi
About 2 mins
total 4.7 mi
7.
Turn right onto the interstate 74 WIUS 311 N ramp
go 0.3 mi
total 4.9 mi
�
8.
Merge onto 1-74 WIUS-311 N
go 5.6 mi
About 5 mins
total 10.5 mi
311
9.
Continue onto US-311 N
go 8.7 mi
About 8 mins
total 19.2 mi
10.
Merge onto 1-40 WIUS-311 N
go 2.0 mi
About 2 mins
total 21.2 mi
11.
Take exit 193E for US-52 NIU.S. 311 NIN Carolina 8 N toward Mount Airy
go 0.3 mi
total 21.5 mi
311 12.
Merge onto US-311 NIUS-52 N
go 322 ft
total 21.5 mi
13.
Take exit 108A for Sprague St
go 0.2 mi
total 21.7 mi
14.
Turn right onto E Sprague St
go 361 ft
total 21.8 mi
15.
Take the 1 st left onto Old Lexington Rd SE
go 0.1 mi
About,54 secs
total 21.9 mi
16.
Turn left
go 344 ft
Destination will be on the left
total 22.0 mi
Total: 22.0 mi - about 26 mins
C+ 585 Waughtown St, Winston-Salem, NC 27107
These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause
conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your
1 of 2 6/27/2014 8:07 AM

3512 Parkwood Dr, Greensboro, NC 27403 to 585 Waughtown St, Wi... https://maps.google.com/maps?f=d&source=s_d&saddr=3512+Park...
route.
Map data 02014 Google
Directions weren't right? Please find your route on maps.google.com and click "Report a problem" at the bottom left.
oF2 6/27/2014 8:07 AM

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6/27/2014 8:49 AM

585 Waughtown St, Winston-Salem; NC 27107 to Long Brothers - Go...
https://maps.goocyle.com/maps?hi=en&�tab=wl
Driving directions to Long Brothers
P585 Waughtown St
Winston-Salem, NC 27107
1. Head south toward Old Lexington Rd SE
2. Turn right onto Old Lexington Rd SE
3. Turn right onto Waughtown St
4. Take the 1st right onto Vargrave St
5. Turn left to merge onto U5-52 N toward Expressway N
6. Take exit 118 toward Rural HalllBethania/N Carolina 65
7. Continue straight
8. Turn right onto NC-65 ElBethania-Rural Hall Rd
(gN Long Brothers
1275 Old Beltway
Rural Hall, NC 27045
344 ft
269 ft
0.3 mi
407 ft
10.8 mi
0.2 mi
56 ft
2.4 mi
These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other
events may cause conditions to differ from the map results, and you should plan your route accordingly. You must
obey all signs or notices regarding your route.
Map data 002014 Google
2 of 2 6/27/2014 8:49 AM

585 Waughtown St, Winston-Salem, NC 27107 to Long Brothers - Go...
https://maps.goo,,1�Ie.com/iTiaps?hl=en&tab=wI
Driving directions to Long Brothers
(q'% 585 Waughtown St
Winston-Salem, NC 27107
1. Head south toward Old Lexington Rd SE
2. Turn right onto Old Lexington Rd SE
3. Turn right onto Waughtown St
4. Take the 1st right onto Varg rave St
5. Turn left to merge onto US-52 N toward Expressway N
6. Take exit 118 toward Rural Hall/Bethania/N Carolina 65
7. Continue straight
8. Turn right onto NC-65 E/Bethania-Rural Hall Rd
(g� Long Brothers
1275 Old Beltway
Rural Hall, NC 27045
344 ft
269 ft
0.3 mi
407 ft
10.8 mi
0.2 mi
56 ft
2.4 mi
These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other
events may cause conditions to differ from the map results, and you should plan your route accordingly. You must
obey all signs or notices regarding your route.
Map data 02014 Google
2 of 2 6/27/2014 8:52 AM

585 Waughtown St, Winston-Salem, NC 27107 to Long Brothers - Go...
https://niaps.goog]e.com/maps?hI=eti&,tab=%vI
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To see all the details that are visible on the
screen, use the "Print" link next to the map.
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GENERAL GRADING NOTES:
1. CUT SLOPES SHALL BE A MAXIMUM OF 3:1 UNLESS OTHERWISE SHOWN, FILL SLOPES SHALL
BE A MAXIMUM OF 3:1 UNLESS OTHERWISE SHOWN.
2. CONTRACTOR SHALL COMPLY WITH ALL STATE AND LOCAL EROSION CONTROL REQUIREMENTS.
4. TOTAL DISTURBED AREA = 2.4 ACRES.
5. REMOVE VEGETATION, TOPSOIL, DEBRIS, UNSATISFACTORY SOIL MATERIALS, OBSTRUCTIONS, AND
DELETERIOUS MATERIALS FROM GROUND SURFACE PRIOR TO PLACING FILLS. PLOW, SCARIFY, BENCH,
OR BREAK UP SLOPED SURFACES STEEPER THAN 1 VERTICAL TO 4 HORIZONTAL SO FILL MATERIAL
WILL BOND WITH EXISTING MATERIAL, PLACE AND COMPACT FILL MATERIAL IN LAYERS TO REQUIRED
ELEVATIONS.
7. A SOILS INVESTIGATION REPORT WAS NOT PROVIDED FOR THIS SITE. IT SHALL BE THE
RESPONSIBILITY OF THE OWNER AND CONTRACTOR TO RETAIN A GEOTECHNICAL ENGINEER FOR
RECOMMENDATIONS FOR PLACEMENT OF FILL MATERIAL AND STABILITY OF CUT SLOPES.
8. UNIFORMLY GRADE AREAS TO A SMOOTH SURFACE, FREE FROM IRREGULAR SURFACE CHANGES.
MEET COMPACTION REQUIREMENTS AND GRADE TO CROSS SECTIONS, LINES, AND ELEVATIONS
INDICATED, PROVIDE A SMOOTH TRANSITION BETWEEN ADJACENT EXISTING GRADES AND NEW GRADES.
SLOPE GRADES TO DIRECT WATER AWAY FROM BUILDINGS AND TO PREVENT PONDING.
9. TOPSOIL AND OTHER UNSUITABLE MATERIALS MAY BE WASTED IN AREAS AS DIRECTED BY THE
GEOTECHNICAL ENGINEER AND AS APPROVED BY THE OWNER. GRADING CONTRACTOR SHALL BE
RESPONSIBLE FOR REMOVAL AND OFF --SITE DISPOSAL OF EXCESS TOPSOIL AND OTHER UNSUITABLE
MATERIAL.
10. REMOVE EXISTING TREES ONLY AS REQUIRED FOR PROPOSED GRADES.
11. STABILIZATION IS THE BEST FORM OF EROSION CONTROL. TEMPORARY SEEDING IS NECESSARY
TO ACHIEVE EROSION CONTROL ON LARGE DENUDED AREAS AND ESPECIALLY WHEN SPECIFICALLY
REQUIRED AS PART OF THE CONSTRUCTION SEQUENCE SHOWN ON THE PLAN. ALL GRADED SLOPES
MUST BE SEEDED IN ACCORDANCE WITH CITY OF WINSTON-SALEM SEEDING SPEICIFICATIONS.
12. NO FILL MATERIAL SHALL BE BROUGHT IN FROM OFF -SITE WITHOUT PRIOR APPROVAL BY
OWNER. NO STRUCTURAL FILL MATERIAL MAY BE REMOVED FROM SITE WITHOUT PRIOR APPROVAL
FROM THE OWNER.
13, ALL PROPOSED CONTOURS AND SPOT ELEVATIONS REFLECT FINISHED GRADES.
14. PROPOSED ELEVATIONS ARE BASED UPON THE DATUM USED BY CPT ENGINEERING, INC. IN
PERFORMANCE OF THEIR TOPOGRAPHIC SURVEY,
15, ALL FILL TO BE COMPACTED IN ACCORDANCE WITH SOILS ENGINEER RECOMMENDATIONS.
16. THE CONTRACTOR SHALL IMMEDIATELY REPORT TO THE ENGINEER ANY DISCREPANCIES FOUND
BETWEEN ACTUAL FIELD CONDITIONS AND CONSTRUCTION DOCUMENTS AND SHALL WAIT FOR
INSTRUCTION PRIOR TO PROCEEDING WITH WORK.
17. IF ROCK IS ENCOUNTERED, THE ARCHITECT AND OWNER SHALL BE NOTIFIED IMMEDIATELY.
18. THE ENGINEER ASSUMES NO RESPONSIBILITY FOR COMPLIANCE WITH THE "AMERICANS WITH
DISABILITIES ACT"
19. CONTRACTOR SHALL INCLUDE REMOVAL OF TEMPORARY MEASURES AT COMPLETION AS PART OF
HIS/HER CONTRACT. AREAS DISTURBED DURING REMOVAL OF TEMPORARY MEASURES SHALL BE
SEEDED WITH PERMANENT SEEDING MIX AND SHALL BE BLENDED, RAKED AND FINISHED IN A MANNER
SUITABLE TO THE OWNER.
1. ELEVATIONS PROVIDED BY CPT ENGINEERING, INC. ARE BASED UPON
THE FIELD LOCATED INVERT ELEVATION OF THE SANITARY SEWER
MANHOLE LOCATED NEAR THE NORTHERNMOST CORNER OF THE SITE
AS NOTED ON THIS SHEET.
STORM DRAINAGE NOTES:
1. ALL STORM DRAINAGE SHALL BE INSTALLED IN ACCORDANCE WITH
NCDOT STANDARDS AND SPECIFICATIONS.
2, ALL STORM DRAINAGE PIPES SHALL BE CLASS Ili REINFORCED
CONCRETE UNLESS OTHERWISE SPECIFIED.
3. BEDDING REQUIREMENTS SHALL BE DETERMINED BY A QUALIFIED
SOILS ENGINEER DURING CONSTRUCTION.
4. REFER TO EROSION CONTROL PLAN FOR SEQUENCE OF SITE
CONSTRUCTION.
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J & G PARTNERS, LLC
PIN: 6819-88-1896.00
930
BLOCK LOT: 4942 308
'
--
MAP NO: 618898-
DEED BOOK: 2518, PAGE: 4495
ZONING: GI
/ \ Cob
C. 1. 3
EXIST, TOP CURB, 937.9
1 STORY INV. OUT:3.0
ALUM. BLDG, INV. UT32.0 �, •
FARRELL C. AND ANITA H. COOK
TBM PIN: 6819-88-0934.00 \
INVERT OF EX. SAN, M.H,: 932.46 BLOCK LOT: 4942 304E
PER SEWER IMPROVEMENT PLAN, 930100) MAP N0: 61$898
DEED BOOK: 2109, PAGE 474
ZONING: GI
eo%940' LPzt
.
EX. ASPHALT PAVEMENT
�OG� /
EX. SAN. MH ��� / OrCAGZaummopolm
TOP: 941.08
INV.: 932.46
gAll / �5pt��' �4�� ORE FENCErb
\� q� EX. 15 \v' �.I . P // ' g& G `" EXIST.
\ tiq RCP 9aa�'s NIP / / �} 4a FIN. FLOOR:-°ITORY
lTA /
C? 946.55 MODUL"
1*� OFFICE
KAB 1.
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FARRELL COOK
PIN: 6819-88-3699.00
�• '`
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1ON1°�*� SITE
BLOCK LOT: 4942 305E
t
t
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MAP NO: 618894
FES: PIPE
DEED BOOK: 2092, PAGE: 3266 °j
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INVJERTr'90�3:5 -
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VICINITY MAP
\
' =2000
TOP/RIM: 920.0
F
902/ FES - PIPE 7
`-
INV. IN:915.0
(; INVERT:903.5
INV. OU T: 910.0
��_
X. FH R GAS � PAll. • a e
GENERAL NOTES:
1. PARCEL IDENTIFICATION NUMBER (PIN): 6819-88-1515.00
2. BLOCK/LOT: 4942/305A
3. PARCEL ADDRESS:
1275 OLD BELTWAY ROAD
RURAL HALL, NC 27045
4. OWNER:
LONG HILL, LLC
WINSTON-SALEM, NC 27116
5. DEED REFERENCE. BOOK 3034, PAGE 4282
6. THIS SITE IS LOCATED OUTSIDE ANY DESIGNATED SPECIAL FLOOD
HAZARD AREAS PER INFORMATION TAKEN FROM MAP NUMBER 3710681900J,
EFFECTIVE DATE JANUARY 2, 2009.
7. TOPOGRAPHIC SURVEY AND BOUNDARY INFORMATION PROVIDED BY CPT
ENGINEERING INC., FIELD SURVEY CONDUCTED IN OCTOBER 2011.
8, SITE AREA: 3,25 AC
9. ZONING: GI
10, EXISTING USE: FREIGHT TERMINAL
11, PROPOSED USE: FREIGHT TERMINAL
12. PARKING REQUREMENTS:
1 SPACE/1150 SF GFA
=> EX. ±1850 SF PLUS 7,500 PROPOSED = 9,350 SF
TOTAL REQUIRED SPACES = 9 SPACES
1 LOADING SPACE REQUIRED
13. PARKING PROVIDED:
31 SPACES INCLUDING 2 "VAN ACCESSIBLE" SPACES
1 LOADING SPACE
14. EXISTING IMPERVIOUS SURFACE: 51,530 SF = ±1.182 AC
= 1.182/3.25 = 36.4%
15. PROPOSED IMPERVIOUS SURFACE;
NEW ADDITIONAL: 29,049 SF
MINUS EXISTING REMOVED AND NOT REPLACED: 1,170 SF
= 27,879 SF (0.640 AC) ADDITIONAL
TOTAL IMPERVIOUS AFTER CONSTRUCTION: 51,530 + 29,049 - 1,170 =
79,409 SF = f 1.823 AC
= 1.823/3.25 = 56,097
SAND FILTER
/ BEFORE YOU DIG!
CALL 811 N.C. ONE -CALL CENTER
ITS THE LAW I
FLOW DIVERSION STRUCTURE, REFER
TO SAND FILTER DETAILS FOR
ADDITIONAL INFORMATION
JMH 7
TOP/RIM: 922.0
INV. IN: 916.0
` INV. OUT (PIPE 10): 915.3
\ INV. OUT (PIPE 9): 912.0
a
FOREBAY OUTLET
O Y.I. 6
THROAT: 921.0
INVERT OUT: 916.5
I� FOREBAY/PLUNGE-POOL
\ BLOCK LOT: 4942 244F
\ MAP NO: 618894gg
`DEED BOOK 2927�6PAGE: 3950
ZONING: GI
DISCHARGE - PIPE 5
(NO FES)
INV.: 922.0
G.I. 5
TOP CURB: 935.7
INV, iN: 929.6
INV_ r"T_ g74.4
AV SE
y - \ � r � 194
9�SO J d EfP ��� �: `' 0 30 0
EDGE EX, SAI---�_ 7 6 48 e 2
144
1.-
PP/i+ INV.: 941.13 EX, B" PVC SEWER *° _,P ��
�_ W 9Z� EX ASs.. T p ��-�- o �-_ __ _�- - --E SAN_. H g46
_ _
/ e A��NP TOP: 851.5J - APPROx, LOCATIO� �'��
- CI
/ W EX. 6" PVC SEWER FORCE --
�42.23 MAIN
�= X r - J54 - �- - - _ �G - - = EX. PVMT. EDGE �_
r_f W W 957 + ��T i:,,,_ rs.+ EX. E�� - V O 0
IN
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w -�- „'ten" -t-- T..
- _
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OLDw-�.�h1w � �$R 3956-�_ w -.-�� w APPf�OX- LCiCAi10N�-,.,� yy - �' w `�� w w ` ,W - - _.._ -� � r- - Ex-PVMT�E{�G +s
BELT WAY EX. 8 D-1- WATER MAIN w �L w � w w
(60 PUBLIC wW)
EX. FH \
16. LANDSCAPE REQUIREMENTS:
HIC ADJACENT TO HIC = NO BUFFER REQUIRED
STREET YARD: 10 MIN. WIDTH
VEHICLE SURFACE AREA:
17. WATER SUPPLY: PUBLIC (CITY OF
WINSTON -SALEM /FORSYTH COUNTY)
18. WASTE -WATER DISPOSAL: PUBLIC (CITY OF
WINSTON-SALEM/FORSYTH COUNTY)
19. SOIL TYPE: TmB(157.), TrnC(65%), AND 7mE(20%)
TmB - TOMLIN 2-67., TmC 6-10%. TmE 15-25%
CONSTRUCTION NOTE
1. IDENTIFICATION AND LOCATION OF ALL EXISTING UTILTIES IN AND NEAR THE AREAS
OF PROPOSED WORK IS THE RESPONSIBILITY OF THE CONTRACTOR. DAMAGE TO
UTILITIES EITHER SHOWN OR NOT SHOWN ON THIS PLAN IS THE CONTRACTOR'S
RESPONSIBILITY.
2. CONTRACTOR MUST CONTACT NC ONE -CALL, THE CITY OF
WINSTON-SALEM/FORSYTH COUNTY UTILITIES DEPARTMENT, AND OTHER SERVICE
PROVIDERS TO LOCATE ALL UTILITIES PRIOR TO ANY CONSTRUCTION OR EXCAVATION.
3. LOCATION SURVEY INFORMAT)ON REGARDING EXISTING FEATURES WAS PROVIDED BY
CPT ENGINEERING, INC.
4. CONTRACTOR TO SEED AND STABILIZE DISTURBED AREAS IN ACCORDANCE WITH
SEEDING SPECIFICATIONS OF THE WINSTON-SALEM/FORSYTH COUNTY EROSION CONTROL
DEPARTMENT.
5. ALL UTILITY CONSTRUCTION SHALL COMPLY WITH STANDARDS AND SPECIFICATIONS
OF THE CITY OF WINSTON--SALEM/FORSYTH COUNTY, LATEST EDITION AND SHALL
COMPLY WITH REQUIREMENTS OF NCDENR. )N CASES WHERE CITY OF
WINSTON-SALEM/FORSYTH COUNTY AND NCDENR STANDARDS AND SPECIFICATIONS
CONFLICT, THE MORE STRINGENT SHALL APPLY.
6. WORK WITHIN PUBLIC RIGHT OF WAY SHALL COMPLY WITH NCDOT TRAFFIC CONTROL
REQUREMENTS. A SAFE CONDITION MUST BE PROVIDED AT ALL TIMES.
7. CONTRACTOR IS RESPONSIBLE FOR ANY REQUIRED UTILITY RELOCATION.
S. REFER TO ARCHITECTURAL PLANS FOR DETAILED BUILDING DIMENSIONS. DO NOT
USE BUILDING DIMENSIONS ON THIS PLAN FOR BUILDING STAKE -OUT.
GRAPHIC SCALE
30 50
( IN FEET )
1 inch = 30 ft.
JUL - s 2012
7
GREEN MOUNTAIN
ENGINEERING, PLLC
609 STAFFORD POINTE CT.
OAK RIDGE, NC 27310
Tel: [phone]
Fax: [phone]
[e-mail]
SEALS:
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OWNER:
LONG HILL, LLC
P.O. BOX 11625
WINSTON-SALEM, NC 27116
CONTACT: WENDI LONG BREWEF
PHONE: [phone]
CONTRACTOR:
MYRICK CONSTRUCTION, INC.
3216 REHOBETH CHURCH ROAD
GREENSBORO, NC 27416
CONTACT: DEREK JOHNSON
PHONE: [phone]
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PROJECT:
REVISIONS:
JOB. NO: MYRICK120401
SHEET TITLE:
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NOTE:
SUPPLEMENTAL ACCESSIBLE SIGN (R7-8e) USED IF
THERE IS ONLY ONE REQUIRED ACCESSIBLE PARKING
SPACE (MUST BE VAN ACCESSIBLE) AND AT EACH
ADDITIONAL REQUIRED VAN ACCESSIBLE SPACE. (SEE
STD, NO, 50,10B)
MAXIMUM
PENALTY SIGN R7-8D
NOTES:
$ 250
1. ALL 12'08" ACCESSIBLE SIGNS (R7-8a & R7-1) SHALL BE MOUNTED AT 7 FEET FROM
GRADETO BOTTOM EDGE OF SIGN FACE (MUTCD). MOUNTING HEIGHT CAN BE REDUCED TO
7 5 FEET IF PLACED IN AN AREA BETWEEN SIDEWALK AND BUILDING FACE IN WHICH
0 PEDESTRIANS ARE NOT EXPECTED TO USE.
U) 2. REFER TO MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES, (MUTCD)
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z U.S. DEPARTMENT OF TRANSPORTATION AND NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION SUPPLEMENT.
3. IF ACCESSIBLE ROUTE IS A RAISED SIDEWALK AREA, -THEN
RAMPS ARE REQUIRED AT LOADING ZONE AREA.
LO
Lj FINISHED GRADE
VAN
R7-8e
ACCESSIBLE
12"x6"
RESERVED
PARKING
MUTCD
R7-8a
MUTCD RESERVED
R7-1 PARKING
12'x18* MUTCD
R7-8a
REQUIRED ACCESSIBLE
RESERVED PARKING SIGN
MAXIMUM R7-SD
PENALTY 12'x9'
$ 25D
MAXIMUM
PENALTY R7-8D
$ 250 12"x9'
SEE STANDARD NO. 50,10C FOR
SUPPLEMETAL SIGN DETAIL
SEE STANDARD NO. 50.1013 & 50.10C FOR
SUPPLEMENTAL SIGN DETAIL
ACCESSIBLE �PARKING
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ANY DIRECTION INCLUDING IN THE
DIAGONAL.
ACCESSIBLE PARKING AND WALK
NOT TO SCALE
1/4" TOOLED CJ TO MATCH
CONC. WALK SCORING
PATTERN,
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NOTE: EXPANSION
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50' 0. C.-TYP.
NOT TO SCALE
JOSAM MODEL NO. 55000
OR EQUAL TRAFFIC BEARING
SEWER CLEAN -OUT CAP
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R 3" 30'-0" O.C.
SURFACE COURSE
BASE COURSE
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FINISH TYP.
EXISTING
— — — —
1" TYPE 9_5A ASPHALT 1-1/2" TYPE 9.58 ASPHALT
SURFACE COURSE INTERMEDIATE COURSE
6"ABC STONE BASE
12" SUBGRADE COMPACTED TO 95% STANDARD
PROCTOR MAXIMUM DRY DENSITY.
ASPHALT PAVEMENT DETAIL (LIGHT DUTY)
NOT TO SCALE
12" ABC STONE
WET AND COMPACT TO 97%
STANDARD PROCTOR (6- LIFTS)
L12" SUBGRADE COMPACTED TO 95% STANDARD
PROCTOR MAXIMUM DRY DENSITY.
NOT
(OWNER MAY ELECT
AT HER DISCRETION)
ALL A DIFFERENT PAVING SECTION
ASPHALT PAVEMENT SECTIONS
NOT TO SCALE
So' ASPH. GONG. INTERMEDIATE COURSE
OR
8" ASPH. CONC. BASE COURSE
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x z'-0" 1 V-0"
EXISTING
PAVEMENT REPAIRS ON ROADS TO BE RESURFACED
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2"- 3" ASPH. CONC. SURF. COURSE
5" ASPH. CONC. INTERMEDIATE COURSE
OR
So' ASPH. GONG. BASE COURSE -7
— — — — — — — —
EXISTING EXISTING
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GREEN MOUNTAIN
ENGINEERING, PLLC
609 STAFFORD POINTE CT.
AK RIDGE, NC 27310
TeL: [phone]
Fax: [phone]
[e-mail]
SEALS:
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OWNER.
LONG HILL, LLC
P.O. BOX 11625
WINSTON-SALEM, NC 27116
CONTACT: WENDI LONG BREWEF
PHONE: [phone]
CONTRACTOR:
MYRICK CONSTRUCTION, INC.
3216 REHOBETH CHURCH ROAD
GREENSBORO, NC 27416
CONTACT: DEREK JOHNSON
PHONE: [phone]
EMAIL:[e-mail]
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DRAWN: VCT
DATE:
05/21/2012
PROJECT:
REVISIONS:
JW. Na MYRICK120401
SHEET TITLE:
MISCELLANEOUS
SITE
DETAILS
SCALE: VAS
SHEET NO.:
SHEET 1 Of 1 C-9
654.01