NCG070112_COMPLETE FILE - HISTORICAL_20130314

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
�I-HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ p( l7 L �J 1�i3 '
YYYYMMDD

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Renewal info
NPDES Stormwater General Permit
# NCG070112
Facility Name
Statesville Brick Company
PO BOX 471
Statesville NC 28687
Your Name
Steve Moose
E-mail Address
smooseC statesville. net
Contact Phone Number
704 - 872- 4123 ex 119
Fax # [phone]
Yes, I am interested in renewing my permit by paper renewal.
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Division of Water Quality / Water Quality Section
NCDENR
National Pollutant Discharge Elimination System
"p C_.O w OEPkSfM1EMT OF
E.,yippNMENi �O
NCG070000
RENEWAL OF STORMWATER PERMIT #NCG070112
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
I Certificate of Coveraee i
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* NIA Like activities deemed by DWQ 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 Statesville Brick Company
Street Address PO Box 471
City Statesville
State NC ZIP Code 28687 -­-0471
Telephone No_ 704 872-4123
Fax: [phone]
E-mail Address [e-mail]
2) Location of facility producing discharge:
Facility Name Statesville Brick Company
Facility Contact Steve Moose
Contact E-mail [e-mail]
Street Address 391 Brick Yard Road
City Statesville
State NC ZIP Code 28677
County Iredell
Telephone No. 764-872-4123
Fax: 704• 872-4125 _
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). I-40
west, exit 141 left on Shar9n School Road,
Right on Hiehwav 70 West-_ Left on Brick Yard
RnAd
(A copy of a county map or USGS quad sheet with facility dearty located on the map is required to be submitted with this application)
4) Latitude
35.7125
Longitude-81,.0356 (degrees, minutes,
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
54 Existing
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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: 1 4 5 9
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Brick - We process Clay & Shale materials into brick used for building
purposes.
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 6
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Catawba River
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). N/A
10) Does this facility have any other NPDES permits?
❑ No NCG020266
Yes NCG020267
If yes, list the permit numbers for all current NPDES permits for this facility: NCG020761
11) 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:
12) Does this facility employ any best management practices for stormwater control?
Shale - Rowan
Clay - Iredell2
Clay - Iredell
❑ No
M Yes
If yes, please briefly describe: Ground cover, maintenances activeites in one area
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
® Yes
If yes, when was it implemented? 11 /30/ 1998
14) Are vehicle maintenance activities occurring at this facility?
❑ No M Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
0 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
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NCG070000 N.O.I.
X 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 / disposal vendor:
Vendor address:
16) 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 fled 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: Johnny 0. Meredith
Title: Vice President of Production
Q 3 -4) �3
(nature of A cant) (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
® This completed application and all supporting documents
® 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
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NCG070000 N.O.I.
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWQ 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]
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5WU-222-071408 Last Revised 7/14/2008