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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 ;Vaturallry a A NCDENR FN+FKX�MFK Nlri NATIJLV. RF�'OJRGfb 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 •. � �,�IUJ `� , � f `� , � {—"�',y��� i�' `..:�n'� �.� 1tN���)1� I i���n� �ry +� �! r r�C� • / � !*' � .� / ,,.�'r � ��, is � � I � C , •'/r..flF. a '` \ 1 Y r1 / I n �`'�r r � %� 14 � ;� !'i • ! } S ' "y � - �))J "�l '.i'•'� -� f� �-1 � I I %j 1�rlr r�C �r 1 0 a 11 `'� •r. i�a i .9 • '. �� � • •,� � �� ,. f � � O '� : - 7 � C /%�+ � f , ,y r- ice. E r _ C (i. �. � , p \� f, t _ _ .• � ' �.r•� ' `•. IY t!'r �`I'� �} 1 I �� ~f .,�':. +� '��I Ir_-_ -� ail, e � / r � 1 , tr .1 r :-• '�'• I PROP EF[TY BOIA+IDARY �i,'� 1 � � �� to ,^-� � ��'� :�� Z , i�;—• •�- 1,0_ � +I j ,�' ; ,} I D 1 ' • •• awl y=\ �� •` 1- � � 1 � • 6 /� ram- /• Lti `z�l OUTFALL Ord - 'I ` OUTFALL . �,I� � ♦ , it . � � ^ � �\ , � ; � _Z � �4.,, e.. ��.. i�. ILI USGS TOPOGRAPHIC MAP LEGEND �� G14rs 7rod� s� cSCALE: 1 2000' DRAINAGE WIDE CONTOUR INTERVAL = 1U , WELL LOCATION