NCG140478_Application_20191223

FOR AGENCY USE ONLY
Date Received
Year Month Day
Division of Energy, Mineral and Land Resources Stormwater Program Certificate of Covera e
National Pollutant Discharge Eli �j( N C G 11 I I I&
r ,- 6tf� Check# Amount
Environmental Quality NCG140000 DEC 23 2019 Per•tSir igneedu)
DENR-LAND QUALITY
NOTICE OF INTENT STORMWATER PERMITTING
National Pollutant Discharge Elimination System application for coverage under General Permit NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code: 3273 and like activities - Ready Mixed Concrete
This NOI may be an application to discharge process wastewater. NCG140000 contains effluent limitations
for process wastewater discharges. Wastewater discharges must meet the requirements of these effluent
limitations. An exceedance of any of these limitations will result in a violation of the permit conditions.
For questions, contact the DEMLR Central Office or Regional Office in your area. (See page 8)
(Please print or type)
1) Mailing address of owner/operator(official address to which all permit correspondence will be
mailed):
Legal Company Name The Lane Construction Corporation
(Please attach the most recent Annual Report to the NC Secretary of State showing the current legal name. Alternatively
this permit can be given to an individual.)
Signee's Name (as signed for in question 28 below) James Seybert
Street Address 6125 Tyvola Centre Drive
City Charlotte State NC ZIP Code 28217
Telephone No. 704-679-0503 Email [e-mail]
Alternate ContactName David Chaparro Email (if different)[e-mail]
Alternate Contact Telephone (if different) 336-518-4671
2) Location of facility producing discharge:
Facility Name Lane Temporary Concrete Batch Plant- Statesville
Street Address 2201 International Drive
City Statesville State NC ZIP Code 28625
County Facility Iredell
Contact David Chaparro
Telephone No. 336-518-4671 Email dmchaparro(a laneconstruct.com p
3) Physical location information:
Please provide narrative directions to the facility(use street names, state road numbers, and distance and
direction from a roadway intersection). From 1-40 get off at Exit 154 Old Mocksville Rd., go south,
turn right onto US Highway 64 West, go for 0.9 miles, turn right at International Drive., destination will be on left
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 35.80941 Longitude -80.84885 (deg., min, sec or decimal)
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5) This NPDES Permit Application applies to the following (check all that apply):
e New or Proposed Facility Date operation is to begin 02/15/2020
❑ Existing Facility Date operation began
6) Consultant's application information: See attached sheet
Consultant:
Consulting Firm: (Optional)
Mailing Address: Staple Business Card Here:
City:
State: Zip Code:
Phone: (
Email:
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code)that describes the primary
industrial activity at this facility:
SIC Code: 3 2 7 3
8) Provide a brief description of the types of industrial activities and products produced at this facility:
(Attach a site diagram showing the process areas present at this facility.)
This is a temporary portable central mix concrete batch plant which will be used to
produce concrete for the NCDOT 1-40/1-77 Interchange proiect (Contract C204163).
Stormwater Discharge, Wastewater Treatment & Discharge and Permitting Information
9) Discharge points/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 will end up in? Fourth Creek
To find the waterbody, please see the NC Surface Waterbody Classifications map at
https://d eq.nc.gov/about/divisions/water-resources/water-resou rces-science-data
Receiving water classification(s)for the waters: C
If the site will discharge to a separate storm sewer system, name the operator of the separate storm sewer
system (e.g. City of Raleigh municipal storm sewer).
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List discharge points (outfalls)that convey discharge from the site (both on-site and off-site) and location
coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Be sure to indicate a type for each outfall listed below as Stormwater only, Wastewater only or Wastewater
Commingled with Stormwater
Outfall No. 1 Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater �
Latitude(degrees/minutes/seconds): 35°48'31.37" N
Longitude(degrees/minutes/seconds): 80°50'56.22" W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude (degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Will this facility discharge wastewater to SA(Shellfish)waters? ❑ Yes •No
Note: Discharge of process wastewater to receiving waters classified as Critical Area (CA) must be
reviewed by the N.C. Division of Water Resources, Public Water Supply Section ahead of
approval. No new discharges of process wastewater are permitted in receiving waters
classified as WS-I or freshwater ORW.
You must show all discharge points clearly on the submitted site plan. Be advised that
NCDEQ may require you to apply for an individual permit, based on proposed discharge rates
and receiving stream conditions (low flows, impairments, etc.)
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10) Each applicant shall provide the following information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibly show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Stormwater/wastewater treatment structures
o Location of numbered stormwater/wastewater outfalls (corresponding to which drainage areas)
o Runoff conveyance structures
o Areas and acreage where materials are stored
o Impervious area acreages
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
o Site property lines, North Arrow, and bar scale
o If applicable, the 100-year floodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities'wastewater or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
o Site location (insert)
Site plans shall be 24"x 36"in size.
• Line drawing and description: 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.
• A narrative description and identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by
discharge. Processes, operations, or production areas may be described in general terms (e.g. "ash
silo").
11) Does the applicant have any unresolved Notice of Violations (NOVs)?
8 No ❑ Yes
Wastewater:
12) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater Generate Discharge Sent to WW
Treatment
System
Vehicle and equipment cleaning (VE) 0 p 0
Wetting of raw material stockpiles (RM) 0 a p
Mixing drum cleaning (MD) 0 ❑✓ ✓❑
Further explanation, if necessary:
13) Will your facility spray-down or actively wet aggregate piles?
❑ No •Yes
14) Does the facility use any of the following on site?
❑ Phosphorus-containing Detergents ❑ Non-Phosphorus-containing Detergents
❑ Brighteners ❑ Other Cleaning Agents ❑ Other:
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15) Are wastewater treatment facilities planned in the 100-year flood plain?
ID No ❑ Yes
—f 16) Will your facility build a closed-loop recycle system (CLRSs)that meets design requirements in 15A
*,,
NCAC 02T.1000 and hold your facilities'working volume'?
❑ Yes ❑✓ No
If Yes, STOP COMPLETION of this permit. Contact DWR Non-Discharge Permitting Program for permitting
requirements.
17) A wastewater treatment alternatives review is required by 15A NCAC 2H.0105 (c)(2)for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? • VE PI RM El MD
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one-mile radius? ❑✓ Yes U No
(1) If Yes, will the wastewater treatment plant(WWTP) accept the wastewater? ❑ Yes ElNo
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?*
Waste water treatment plants would not accept the processed waste water due to concerns
over solids content. pH, and distance from connection point.
c) Surface or Subsurface Disposal System (e.g., spray irrigation):
i) Is a surface or subsurface disposal technologically feasible (possible)? U Yes ❑ No
Why or Why not? Surface discharge of treated waste water is technologically feasible.
ii) Is a surface or subsurface disposal system feasible to implement?* ❑ Yes IN No
Why or Why not?
There is no available area within the facility for a potential surface disposal system. The volume
of discharge will require a large system installed in a large area that is not available. In addition,
the temporary nature of this facility makes the installation of such system not feasible.
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?*
Due to the temporary nature of this facility, direct surface water discharge of treated waste
water is significantly more economically and environmentally feasible.
d) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?*...NI Yes ❑ No
i) If No, contact DEMLR's Land Application Unit to determine permitting requirements.
e) If this review included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non-discharge options feasible? 0 Yes II No
*You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
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Stormwater:
18) Does this facility employ any best management practices for Stormwater control? ❑No 0 Yes
If yes, please briefly describe: This site will use multiple BMP's for controlling erosion, storm water,
and waste water runoff as detailed in the site plan.
19) Does this facility have a Stormwater Pollution Prevention Plan? 0 No ❑Yes
If yes, when was it implemented?
A Stormwater Pollution Prevention Plan is being developed and will be implemented upon
approval of this application.
20)Are vehicle maintenance activities (VMA)occurring or planned at this facility? 0 No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? 0 No 0 Yes
Other/Permitting:
21) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
0 No 0 Yes
If yes, list the permit numbers for all current E&SC permits for this facility:
22) Is your facility subject to Phase II Post-Construction Area?❑ No 0 Yes
If yes, who is the permitting authority? City of Statesville
23) Is your facility located in one of the 20 Coastal Counties?0 Yes 0 No
Is your facility adding more than 10,000 ft2 of built-upon area or CAMA Major Permit?D Yes 0 No
24) Is your facility discharging wastewater(treated or untreated)such as water from wetting of aggregate piles, drum
rinse-out, or vehicle and equipment cleaning to a stormwater BMP? 0 No ❑Yes
If yes, please attach your approval from the permitting authority to do so.
25) Does this facility have any other NPDES permits? I] No El Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
26) Does this facility have any Non-Discharge permits (ex: recycle permits)?0 No❑Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facility:
27) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
❑s No ❑Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
0 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) Type(s) of waste:
How is material stored:
Where is material stored:
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How many disposal shipments per year:
Name of transport/disposal vendor:
Vendor address:
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for$100 made payable to NCDEQ.
~'�t ❑ This completed application and all supporting documentation. See Question 10.
❑ If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR) or
local designee: documentation verifying applicant has developed and submitted that Plan to the governing
agency (required per 15A NCAC 02H .0138).
y"—t ❑ Two (2) site plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
1 — outfalls. See Question 10.
❑ A county map or USGS quad sheet with location of facility clearly marked.
28) 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:
(I) 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.
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
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).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual
permit.
I certify that I am familiar with the information 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 S' ng: James Seybert
Title: . ct Dire r
Awu• /2./'''20l 9
(Si ature of Applicant) (Date Signed)
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Notice of Intent must be accompanied by a check or money order for$100.00 made payable to: NCDEQ
Mail the entire package to:
DEMLR-Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
orxta w
Asheville Office [phone]
Fayetteville Office [phone] • n '
Mooresville Office [phone] : wit*
v t'
Raleigh Office [phone] \_„./ , yie s
11
Washington Office ...[phone] t � , .
Wilmington Office [phone] 11;c;,001-
Winston-Salem [phone] " 1 cz
Central Office [phone]
\frW44 ngron
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Question 6:
Consultant's application information:
Site Development and overall stormwater design:
Consultant: Donald Munday, PE
Consulting Firm: Piedmont Design Associates, P.A.
Mailing Address: 125 East Plaza Drive, Suite 101
City: Mooresville
State: NC Zip Code: 28115
Phone: [phone]
Email: [e-mail]
Wastewater system design:
Consultant: David Chaparro, PE fin-house Lane Construction)
Consulting Firm: The Lane Construction Corporation
Mailing Address: 6125 Tyvola Centre Drive
City: Charlotte
State: NC Zip Code: 28217
Phone: [phone]
Email: [e-mail]

6125 Tyvola Centre Drive,
LANE Charlotte, NC 28217
December 16, 2019
DEMLR — Stormwater Program
Department of Environmental Quality RECEIVED
1612 Mail Service Center
Raleigh, NC 27699-1612 DEC 2 3 �r±s)
DcNR LAND QUALITY
Ref: NCG140000 Certificate of Coverage Application STORMWAT RPERMITTING
140 / 177 Design Build, 1-3819 B & U-6039
NCDOT Contract No. C204163
Iredell Co, NC
Gentlemen,
Attached you will find our application package, in duplicate, for a Certificate of Coverage to discharge
stormwater and processed wastewater under NPDES General Permit NCG140000 for a temporary
portable central mix concrete plant. This proposed facility will be used solely to provide concrete for the
above referenced NCDOT interstate construction contract.
Enclosed in our application you will find the necessary forms, plans, design calculations, specifications,
and a check in the amount of$ 100 for the application fee.
We trust that you find our application package complete and due to the fast track nature of this project
we ask that this application be expedited. Our concrete batching activities are time sensitive and your
attention to this matter is appreciated.
Should you have any questions regarding this application, please contact our area project engineer,
David Chaparro directly at 336-518-4671.
Sincerely,
The Lane Constructs n Co oration
s
J es Seybert
Project Director