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HomeMy WebLinkAboutNCG020693_COMPLETE FILE - HISTORICAL_20151209STORMWATER DIVISION CODING SHEET RESCISSIONS PERMIT NO. N Cl9'U�v��J DOC TYPE ❑COMPLETE FILE -HISTORICAL DATE OF RESCISSION ❑ �U I� � � U YYYYMMDD December 9, 2015 Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY Odell Materials Attn: Ronald Overeash 1 150 Shelton Rd Concord. NC 28027 PAT MCCRORY Gwel mw DONAI_D R. VAN DER VAART Subject: NPDES Stormwater Permit Coverage Renewal COC ##NCG020693 Dear Permittee: srrrrtun TRACY DAVIS fJu", wr For coverage under NPDES General Permit NCG020000, the Division of Energy, Mineral and Land Resources (DEMLR) is forwarding herewith the reissued Certificate of Coverage and Stormwater/Wastewater General Permit. This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October 15, 2007 (or as subsequently amended.) The following information is included with your permit package: • New Certificate of Coverage • Stormwater/Wastewater General Permit • Technical Bulletin for the General Permit • Discharge Monitoring Report (DMR) Forms • Annual Discharge Monitoring Report Forms • Qualitative Monitoring Report Forms The General Permit authorizes discharges of stormwater and/or wastewater (as applicable to your site), and it specifies your obligations with respect to discharge controls, management, monitoring and record keeping. Please review the new permit to familiarize yourself with all changes in the reissued permit. Significant changes to the General Permit are outlined in the'1'echnical Bulletin. Your coverage under the General Permit is transferable only through the specific action of DEMLR, This permit does not affect the legal requirements to obtain other permits which may be required by the N.C. Department of Environmental Quality, nor does it relieve the pertmittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment or decree. If you have any questions regarding this permit package please contact the DEMLR Stormwater Permitting Program at 919-707-9220. Sincerely, for Tracy E. Davis, P.E., C.P.M Cc: Stormwater Permitting Files State of north Carolina I Finvirnnmenlal Quality I Energy, Nlineril and land Rewurcen 16121%lail Service Center 1 512 North Sali%bury Street I Raleigh, NC 27099-1612 919 707 9200 T - w: t� Nc) 1—�LR qPfn\T CSfd-7/ 08) a:+ Z- U'lo 511011U -,, o'L p- �Sweo 6/191 va 4 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL AND LAND RESOURCES GENERAL PERMIT NO. NCG020000 CERTIFICATE OF COVERAGE No. NCG020693 STORMWATER AND 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, Odell Materials is hereby authorized to operate approved wastewater treatment system(s) and discharge stormwater and/or wastewater, as approved in the original permit/application or subsequent permit modification, from a facility located at: Odell Materials 1860 Concord -Davidson Hwy Concord Cabarrus County to receiving waters designated as Rocky River, a class C water in the Yadkin River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I,111, and IV of General Permit No. NCG020000 as attached. This certificate of coverage shall become effective October 1, 2015. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day October 1, 2015. for Tracy E. Davis, P.E., CPM Director, Division of Energy, Mineral and Land Resources By the Authority of the Environmental Management Commission NC®ENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director May 18, 2010 Ronald Gold Overcash Odell Materials 1150 Shelton Road Concord, NC 28027 Dee Freeman Secretary Subject: General Permit No. NCG020000 Odell Materials COC NCG020693 Cabarrus County Dear Mr. Garner: In accordance with your application for a discharge permit received on September 7, 2006, and the issuance of your Division of Land Resources mining permit on June 18, 2009, 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 general permit allows the discharge of stormwater from your facility. In your application, you specified that only stormwater would be.discharged from this facility. If separate point -source discharges of wastewater occur (i.e., mine dewatering water or other process wastewater), you will be required to seek a modification to� this permit. Any modification to add a wastewater discharge forth is facility would have to be reviewed and issued prior to that discharge occurring at your facility. 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, state or local governmental permit that may be required. Wetlands and Stormwater Branch 1617 Mail Service Center, Ralegh, North Carolina 27699-1617 Locabom 512 N. Salisbury St. Ralegh, North Carolina 27604 Phone: 919-807-63001 FAX: 919-807-64941 Customer Service:1-877-623-6748 Internet: vvww.ncwaterquality.org An Equal Opportunity 4 Affirmative Action Employer Nne oirthCarolina ;Vatura!!y Ronald Gold Overcash Odell Materials - NCG020693 May 18, 2010 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. If you have any questions concerning this permit, please contact Bradley Bennett at telephone number (919) 807-6378. Sincerely, ORIGINAL_ ,SIGNED BY 9RADLEY BENNETT for Coleen H. Sullins cc: Mooresville Regional Office Central Files Stormwater Permitting Unit Files STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRO_NM_EN_T AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG020000 CERTIFICATE OF COVERAGE No. NCG020693 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, Ronald Gold Overeash is hereby authorized to discharge stormwater from a facility located at Odell Materials 1860 Concord -Davidson Highway Concord Cabarrus County to receiving waters designated as the Rocky River, 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, I1I, IV, V, VI and VII of General Permit No. NCG020000 as attached. This certificate of coverage shall become effective May 18, 2010. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this 18th day of May, 2010. ORIGINAL SIGNED BY BRADLEY BENNETT for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission LOCATION MAP: Latitude: 35°26'32.34" N NCG020693 Facility . Te i Longitude: $0 45 32.85 �� Cabarrus ' Ronald Gold Location County: � Stream Class: C Overcash Receiving Stream: Rocky River Sub -basin: 03-07-11 (Yadkin Pee Dee River Basin) [ffo'Cth Not to Scale NCG02 Stormwater Permit: Mining Permit Review Permit Number: NCG020697 Reviewer: Johnson (Originally Lau) Mine Name: Odell Materials , Sum -mart' • Receiving Stream: Rdcky River • Classification: • River Basin: • County: • Notes: This is an existing mine that began operation in-1986. See Maps 1 &5 below Regional Information • Office: o FARO Contact: /} L o ❑FRO Contact: o o ®MRO ❑RRO Contact: Michael Parker e Contact: e5jiM I gtrtC.y o o ❑WaRO ❑WiRO Contact: Contact: / o ❑WSRO Contact: • Dates: �O 3 o Approval requested: o Approval received: o "No wetland impact" determination, (15A NCAC 02B .023l(b)(5)(0 requires the Division to preserve the water levels of wetlands. We can require engineering plans to ensure that this is the case.) o Inspection: • Notes: Other Agency Information DLR �L o Application submitted date: .� o Approved date: • DEH (if WS) yea o Needed? Dyes ®no o Application submitted date: o Approved date: • Shellfish Sanitation (if SA) o Needed? Dyes ®no o Application submitted date: o Approved date: • Notes: Application Review a) The permit application • Signed: • Complete: • SIC Code: SIC 0014 i. Describes activities: ii. Covered by permit: As"Msi 11- 35 3 hD KSU E DAi E rT Lz? I MUj G�, 13 f Q ®yes ❑no ®yes ❑no Dyes ®no Dyes ®no Page 1 of 5 y' _�:. NCG02 Stormwater Permit: Mining Permit Review iii. Notes: This is not a valid SIC Code on http://www.osha.gov/pls/imis/sicsearch.html. Determine correct SIC Code. b) Mine Type: • Quarry: ❑ • Sand: ❑ • Clay: ❑ • Notes: Application says "dirt". Determine if this is sand or clay. c) Wastewater: • Type - Mine dewatering: Dyes ®no - Stamped by PE? [-]yes ❑no - If clay & dewatering, ATC? Dyes Ono (required) - Notes: No engineering site map provided. - Process wastewater produced: Dyes ®no - Stamped by PE? ❑yes ❑no - If recycle & not closed, ATC? Dyes Ono (required) - Notes: Verify that mine dewatering and/or process wastewater production is not occurring. The applicant made several errors on the application and may not understand these terms. Also, the application says that the stormwater flows through a "silt pond". Is stormwater co - mingling with a wastewater? • Wastewater and ORW Waters Requirements - New/expanding wastewater to ORW? Dyes ®no (not allowed) - New/expanding wastewater to ❑yes ®no (special limits) upstream of ORW? - Notes: None found immediately downstream. d) Other: • Does this facility have other permits? Dyes ®no • Hazardous waste activities onsite? Dyes ®no • Notes: Communication logs .Date Item -What type of "dirt" is being mined? SIC 0014 does not exist. -No mine dewatering or process wastewater? Then why is there a silt pond? -Determine if DLR has issued the permit (emailed BG on 5/27/08) -No engineering plans provided, just a map to the site and the parcel map. Page 2 of 5 NCG02 Stormwater Permit: Mining Permit Review Other notes: This mine is difficult to locate. The application says that the address is 1860 Concord -Davidson Highway. Google Maps only knows this as Davidson -Concord Highway (also known as Highway 73), and cannot find the address 1860. The application also says that it is at the intersection of Poplar Tent and Highway 73 (see Map 3), and the map provided shows "Columbus Chapel", which is near Highway 73 and Shiloh Church Rd (see Map 3). However, the stretch of Shiloh Church Rd that intersects with Highway 73 is named Stanley McElrath Rd (see Map 2). The mine is near this intersection, and between two side roads, Kingsway Drive and Vickers Rd (see Map 1). mage) Page 3 of 5 NCG02 Stormwater Permit: Mining Permit Review on most large maps) Page 4 of 5 NCG02 Stormwater Permit: Minim Permit Review Map 5: Receiving Stream Determination . ll9 u .,per`-•�1i�� - <AL 6Br Page 5 of 5 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCGO20000 CERTIFICATE OF COVERAGE No. NCG020693 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, Ronald Gold Overeash is hereby authorized to discharge stormwater from a facility located at Odell Materials 1860 Concord -Davidson Highway Concord Cabarrus County to receiving waters designated as the Rocky River, 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, H, III, IV, V, and VI of General Permit No. NCG020000 as attached. This certificate of coverage shall become effective May 31, 2008. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this 31' day of May, 2008. for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission LOCATION MAP: a 4 44 i tt ,,11 n l t f_ Odell Materials r'.. Latitude: 35"26'32.34" N NCG020693 Facility Longitude: 80045'32.88" W County: Cabarrus Ronald Gold Location Stream Class: C Overcash Receiving Stream: Rocky River Sub -basin: 03-07-11 (Yadkin Pee Dee River Basin) cffotth Not to Scale Cabarrus County Web Site Page l of 2 Parcel Information Map 0, Z0011) lu Ze0111 UU: Zcan Nall %,I Identify [lent Oierr Prim 0 Layer Name Visibte Topo - 4tt ❑ `1235 11 lA3 Streams R 7 2399 504 It Structures ❑ 453 78 848a Sri 18' 3117 5020 Easement ❑� 8349 A21.1 217 Lot Dimensions 1-1 3348 Road Labels R] 7160 Zip Code ❑ Parcel 252s w 83 Municipalities ❑�I 6326 Aerial Photos - ❑ 8671 2001 County 52035122 8123 2805 91 48 4 .t 77 3752 3559 7$74 2 f qce, St351 1528 1425 4 6 R 1 S R Legend IA/ Streams Easement Road Labels ❑ Parcel 0 Owner Information: Parcel Information: OVERCASH RONALD GOLD PIN: 4672518l23 ozo— PO BOX 5030 Site Address: 10860 DAVIDSON HWY CONCORD, NC 29027-5030 City, ZIP: HUNI'ERSVILLE 28078 Sales Data: Jurisdiction: Real ID- COUNTY 03-015 <�� Sale Date: 05/ 1995 -0013.00 / Sale Price: Appraisal Data: $84,000 Deed Book Page: Tax Map: 014250338 467201��� Building Value: $120.050 Legal Description: N/S HWY 73 P/0 E C LYTHLE Market Land $691,500 I -AND A � , V CE7o a Uocl 3 Value: Land Units: 23.05 ACRE(S) Extra Features: $0 Front Footage: 673 Appraised Value: $811,550 Year Built: .-1980 Heated Sq,Ft: 768 Total Sq Ft: 1._1.-1:..:-"-.-. 768 http:H 166.82.128.222/Parcel Info. asp?Function=ShowMap&Pan Direction=&MapAction=identify&Lay... 9M/2006 Cabarrus County Web Site Page I of 2 L Parcel Information Map iaem In 20001061 zone cUll ?an Identify (lev 0je;{ phar W eA;�tt)SON o _ 8 2 i 12/�! Owner Information: Parcel Information: OVERCASH RONALD GOLD PIN: 4672418671 PO SOX 5030 Site Address: Indeterminate CONCORD, NC 28027-5030 City, ZIP: Indeterminate Sales Data: Jurisdiction: Indeterminate Sale Date: 10/ 1996 Real I D: 03-015-0012.00 Sale Price: $80,000 Deed Book Paae: 017410215 Appraisal Data: Tax Map: 467201 Building Value: $0 Legal Description: NORTH OF NOT ADJ HIGHWAY 73 Market Land $414,400 Land Units: 20.72 ACRE(S) Value: Extra Features: $0 Front Footage: 0 Appraised Value: S414,400 Year Built: 1000 Heated Sq Ft: 0 Total Sq Ft: 0 I Layer Name Visible Topo - 4ft ❑ Streams Structures ❑ Easement 0 Lot ]Dimensions ❑ Road Labels 0 Zip Code ❑ Parcel Municipalities (] Aerial Photos - ❑ 2001 County ❑✓ Legend Streams Easement Road Labels ❑ Parcel http:H 166.82.128.222/Parce1Info.asp`?Function=ShowMap&Pan Direction=&MapAction=identify&Lay... 9/25/2006 Cabarrus County Web Site Page 1 of 2 Parcel Information Map o, a, a, n e o ® a I0Gu11u I09111Out Z001111,01 ?an Identify clml Oueq Print Q layei Name Visible Tape Oft ❑ 1_ _?��' 4033 8143 Streams ❑� Structures ❑ 8573 E49 Easement ❑,� 3305 ! % : Lot Dimensions ❑ ~ Road Labels 0 8194 5 044 Zip Code ❑ 5 3 U 738 Parcel ❑v 'tr 8770 Municipalities [] 7$34 451s 1 i Aerial Photos - Elio 2401 420 7235 5 37,E f-`"r County 136 u' 1197 959 Q9 1799 743 8818 8 7 4 7 5820 349 453 33 3 9483 7117 217 Legend d2 3348 7160 r �,/ Streams Easement 2528 Road Labels 6326 Parcel ❑ 8671 8123 5203 0306 ,5122 0 90 ft 3752 805 1528 7 6851 5840 n74 4 9 0 1 Ilia Owner Information: Parcel Information: OVERCASH RONALD GOLD PIN: 4672528618 PO BOX 5030 Site Address: Indeterminate CONCORD, NC 28027-5030 City, ZIP: Indetenninate Sales Data: Jurisdiction: Indeterminate Sale Date: 00/00 Real ID: 03-014-0003.00 Sale Price: $0 Deed Book Page: 006040808 Appraisal Data: Tax Map: 467201 Building Value: $0 Legal Description: N OF HWY 73 Market Land Value: $367,280 Land Units: 41.50 ACRE(S) Extra Features: $0 Front Footage: 0 Appraised Value: $367,280 Year Built: 1000 Heated Sq Ft: 0 Total Sq Ft: 0 Subdivision: http:l/ 166.82.128.222/Parcell nfo.asp?FLtnction=ShowMap&PanDi rection=&MapAction=identify&Lay... 9/25/2006 Cabarrus County Web Site Page] of 2 L Parcel Information Map (D, (D, 0, n 0 67 ® 0 Zaoo1lu Z00111Out Z00111.ull pan lderailp (IL-31 Quvj piAl 0 Owner Information: OVERCASI-I RONALD GOLD PO BOX 5030 CONCORD, NC 28027-5030 Sales Data: Sale Date: 11/1995 Sale Price: $21,000 Appraisal Data: Building Value: $0 Market Land Value: $150,720 Extra Features: $0 Appraised Value: $150,720 Parcel Information: PIN: 4672616326 Site Address: indeterminate City, ZIP: Indeterminate Jurisdiction: Indeterminate Real ID: 03-015-0014.00 Deed Book Page: 015330082 Tax Map: 467201 Legal Description: N/S HWY 73 Land Units: 18.84 ACRE(S) Front Footage: 0 Year Built: 1000 Heated Sq Ft: 0 Total Sq Ft: 0 Subdivision: J Layer Name vidble Topo - 4ft ❑ Streams 0 Structures ❑ Easement 0 Lot Dimensions (J Road Labels 0 Zip Code ❑ Parcel 0 Municipalities 0 Aerial Photos - El County 0 Legend Streams r Easement Road Labels ❑ Parcel http:I/ l 66.82.128.222/Pareel Info. asp?Function=ShowMap&Pan Direction=&MapAction=ident] fy&Lay... 9/25/2006 Cabarrus County Web Site Page I of 2 r Parcel Information Map Q, G, 0, n a 9 ® 40 Zoom In Isom Qut zwm a Jll ?an Iden:it [I"r O4Jery Pcinr 0 Owner Information: OVERCASH RONAI_D GOLD PO BOX 5030 CONCORD, NC 28027-5030 Sales Data: Sale Date: 07/1998 Safe Price: $23,000 Appraisal Data: Building Value: $0 Market Land Value: $38,090 Lxtra Features: $0 Appraised Value: $38,090 C Parcel Information: PIN: 4672627117 Site Address: Indeterminate City, ZIP: Indeterminate Jurisdiction: Indetenninate Real ID: 03-014-0004.20 Deed Book Page: 022350050 Tax Map: 467201 Legal Description: NORTH OF HWY 73 Land Units: 11.04 ACRE(S) Front Footage: 0 Year Built: 1000 Heated Sq Ft: 0 Total Sq Ft: 0 Subdivision: Layer Nance Visible Topo - 4ft ❑ Streams R Structures ❑ Easement 0 Lot Dimensions ❑ Road Labels Zip Code ❑ Parcel [} Municipalities Aerial Photos - ❑ 2001 County ❑le Legend /I/ Streams 1 ✓ Easement Road Labels ❑ Parcet http:// 166.82.128.222/Parcel In fo.asp?Function=ShowMap&Pan Di rection=&MapAction=identi fy&Lay... 9/25/2006 o' ,4 Division of Water Quality / Water Quality Section 'Iva National Pollutant Discharge Elimination System NCDENR �JORrH Gno�w aolurrMerrt or ENNRON NeNr nKC N RiIP*L R[ypJnCe� NOTICE OF INTENT FOR AGF NCY USE ONLY Dade Received Year Mun certiricate of coverage -c-c Check # mount Permit Assi ned to National Pollutant Discharge Elimination System application for coverage under General Permit NCG020000: STORMWATER DISCHARGES associated with activities classified as: - o SIC' 14 Mineral -Mining Industry (except as specified below) g m 1, z cn The following activities are also included: ly W rn RD • Active or inactive mining operations (including borrow pits) that discharge stormwater contaminat.* witlbor that has come in contact with, any overburden, raw material, intermediate products, finished prad� As, -a I byproducts or waste products located on the site of such operations n t1 • Stormwater from vehicle maintenance activities at mining operations; overflow from facilities th%f cyclg process wastewater; and/or mine dewatering ig N The following activities are specifically excluded from coverage under this General Permit; _ Peat mining, coal mining, and metal mining Stormwater discharges from mining operations which are intermixed on site with stormwater from asphalt operations; and oil and gas extraction operations * Standard Industrial Classification Code (Please print or type) 1) Mailing address of ownerloperator: Name Ore 4* Street Address _1150 tn Read City / oral State 1, G ZIP Code 28'0x7 Telephone No. 7eq- *79T- 1603 _ Fax: 70y %88-2(,Z(o 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No. 3) Physical Location Information: * Address to which all permit correspondence will be mailed Fax: 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). 3 (A copy of a county map or USGS quad sheet with facility clearly located an the map is required to be submitted with this application) Page 1 of 4 SW U-217-101701 NCG020000 N.O.I. 4) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin X Existing 5) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility ,L --15 no* a Valid SZc co&? 147 Sl271M - SIC Code: 0 0 'i O 6) Provide a brief narrative description of the types of minerals mined at this facility: 7) Discharge Points: Number of discharge points (ditches, pipes, channels, etc. that convey discharges from the property): Stormwater: r Mine dewatering: Process Wastewater Overflow: Please provide short narrative description of discharges: Aua4h � f j-- pmd Im 8) Receiving waters: !R6cV' � �-wCZ CJ K-7 , S/.-710-8 What is the name of the body or bodies of water reek, stream, river, lake, etc.) that the facility stormwater discharges end up in? _ Vad kli'f If the site stormwater discharges tola 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? C6 No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: 10) Does this facility have any Non -Discharge permits (ex: recycle permits)? N 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 9 Yes If yes, please briefly describe: 12) Does this facility have a Stormwater Pollution Prevention Plan? IN No ❑ Yes If yes, when was it implemented? 13) Are vehicle maintenance activities occurring at this facility? X No ❑ Yes 14) Are mine dewatering discharges occurring? 04 No ❑ Yes Page 2 of 4 SW U-217-101701 NCG020000 N.O.I. 15) Are discharges of overflows from process wastewater treatment systems occurring? P9 No ❑ Yes If yes, answer the following questions on the wastewater treatment system: a) Please describe the type of process used to treat and/or recycle the process wastewater. Give design specifics (i.e. design volume, retention time, surface area, etc.). Existing treatment facilities should be described in detail and design criteria or operational data should be provided (including calculations) to ensure that the facility can comply with requirements of the General Permit. [Use separate sheet(s)] Note: Construction of any wastewater treatment facilities require submission of three (3) sets of plans and specifications along with their application. Design of treatment facilities must comply with requirements 15A NCAC 2H .0138. If construction of wastewater treatment facilities applies to the discharge of process wastewater, include three sets of plans and specifications with this application. b) Does this facility employ chemical additives to flocculate suspended solids? PC No ❑ Yes If yes, please state the name, manufacturer and the quantity'of average daily usage of the chemical additive c) Does this facility overflow only during rainfall events exceeding the 10-yr, 24-hr rainfall event? ❑ No X Yes 16) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? K No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month) of hazardous waste? 9 No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? 9 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: 17) 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 Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording Or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine Page 3 of 4 S W U-217-101701 NCG020000 N.O.J. not to exceed $10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) 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. agree to abide by the following as a part of coverage under this General Permit: 1. I 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. 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: 4ha bold hl2/L*!� h Title: r WAW- )C C U�-r.�-� 121 , c6 (Signature of Applicant) (Date Signed) Notice of Intent must be accompanied by a check or money order for $80.00 made payable to: NCDENR Final Checklist This application will be returned as incomplete unless all of the following items have been included: 1K Check for $80 made payable to NCDENR E;," This completed application and all supporting documents ❑ Copy of the valid approved mining permit for the facility 1V Copy of county map or USGS quad sheet with location of facility clearly marked on map Mail the entire package to: Stormwater and Geneml 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. Page 4 of 4 SwU-217-101701 http:llmapserver.maptech.com/api/Getlmage.asp?fname=459091 &local —server ip=120