HomeMy WebLinkAboutNCG070030_COMPLETE FILE - HISTORICAL_20121210wS�
STORMWATER DIVISION CODING SHEt I
NCG PERMITS
PERM ITNO. -V O '�oo3D
DOC TYPE HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑ Cab)
YYYYMM DD
NC®ENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue
Governor
13rigette Tinsley
PI'G Fiber Glass Products Inc
473 New .lersey Church Rd
Lexington, NC 2729 3
Charles Wakild, P.E.
Director
Deccinber 10. 2012
Natural Resources
Dee Freeman
Secretary
Subject: Permit Renewal Application Fee'Return
Permit NCGO-7-4 H
PPG Fiber Glass Products Inc
Davidson County
Your fee, submitted as part of your request for a General Permit renewal received on November 29, 2012 is
being returned due to:
❑ Check for $100.00 made payable to NCDENR is missing.
❑ Application is incomplete.
❑ Application package 'is missing the supporting documents.
❑ Missing copy of county map or USGS quad sheet with facility clearly marked.
0 Other . Permit renewal applications for NPDES stormwater permits do not require renewal fees. This fee is
being returned. Your check is enclosed. You will receive additional information from our Division in the next
few weeks associated with the permit renewal process.
Please return the complete package of information so we can continue processing your request. If you have any
additional questions, please contact Bradley Bennett at 919-807-6378.
cc
Wetlands and Stormwater Branch
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: 919-807-63001 FAX: 91M07-64941 Customer Service: 1-877-623-6748
Intemet: www.ncwaterquality.org
An Equal Opponunity t Affirmative Action Employer
One
Nort:hCarolina
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NCDENR
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Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG070000
FOR AGENCY USE ONLY
Date Received
Year
Month
Dav
Certitiwle of Cora
Check #
Amoun[
Permit Assiencd to
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG070000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 32 Stone, Clay, Glass, and Concrete Products (except as specified below)
SIC* N/A Like activities deemed by DWO to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC 3273 Ready -Mixed Concrete
" Standard Industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
E-mail Address
toer Ci4nss- �rnJuc4- c T--
5-7 - 8!5
State N C ZIP Code Z 7 z 9,3
317 Fax: 33(-357-7/-71
2) Location of facility producing discharge:
Facility Name -PG-- F i ber GI0.ss ?rmC1L'_(!_+s
Facility Contact $f'i e- I,vts
Contact E-mail s e ca
Street Address 73 ew
City L in State T
County a o.,
Telephone No. C33 () 3 5 7 - $ 151 Fax: �33� 35 7 - 7/ 7 /
3) Physical Location Information:
Please provide a narrative description of how to get to the facility $�use stre t names, state road numbers, and
distance and direction from a roadway intersection). L.oc 0�` `l n �Q� cj5'b .� . , In-�S� 4
ZIP Code 2'7 Z
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be sbbmitted with this application)
4) Latitude.35 "95" . N Longitude 00" 1( ' W (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following : � rNOV
�n��ElNew or Proposed Facility Date operation is to beginExisting 2 9 2012
Page 1 of 4
SW U-222-071408
NCG070000 N.O.I.
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code:
Z 2
7) Provide a brief narrativ ascription of the types of industrial activities and products anufactured at
this facility: tk 0. =� C Orr ' ,A Os .5+4-a„ d P'\ to fir`
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 3
9) Receiving waters:
What is the name of the bod or
discharges end up in? Fop
es of water (creek, stream, river, lake, etc.) that the facility stormwater
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). f`l/�_
10) Does this facility have any other NPDES permits?
❑_ No
td Yes
If yes, list the permit numbers for all current NPDES permits for this facility: { V � (D Z'(
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
C� No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑0 No
VIJ Yes +
If yes, please briefly describe: 5 l (( �� G1v^lp_�+ _I t✓1 v� �Q�
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
Wf Yes
If yes, when was it implemented? L0.s+ (e_'1:5'Z4
14) Are vehicle maintenance activities occurring at this facility?
iNo ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
INo ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
Page 2 of 4
SWU-222-071408 Last Revised 7/14/2008
NCG070000 N.O.I.
❑ No O Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
0 No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) ofwaste: 01o51 (JR e- jh-
How is material stored: Ctos--d t u,,•�s t70.iC 5
Where is material stored: 4-0.-2- aoo,-s 0+ l S+ugaa
How many disposal shipments per year: i Z
Name of transport / disposal vendor: ECoo
Vendor address: 27So i�a-EQrSon Site- , Ge 5 ro, Aj
16) Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
L'S+-C 5
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 Signing: l od� Z0'.1 -�
Title: MAriKfACM9.trJ4 MA JAG4R_
(Signature of Applicant)
1l-16—Jz
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to 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
Z This completed application and all supporting documents
E Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 3of4
SWU-222-071408 Last Revised 7/14/2008
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USGS TOPOGRAPHIC MAP LEGEND
�� G14rs 7rod� s� cSCALE: 1 2000' DRAINAGE WIDE
CONTOUR INTERVAL = 1U ,
WELL LOCATION