HomeMy WebLinkAboutNCG210330_COMPLETE FILE - HISTORICAL_20130514STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IvCCa IO 33 0
DOC TYPE
FY HISTORICAL PILE
❑ MONITORING REPORTS
DOL DATE
❑ �'O) �� 5 �
YYYYMMDD
Amea1 I � WA
NCDENR
� wE - �s
Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG210000
I FOR AGENCY USE ONLY I
Year
a
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG210000:
STORMWATER DISCHARGES associated with activities classified as:
SIC 24 Timber Products (except as specified below), including Wood Chip Mills (as of April 2011)
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 rMAY
• Wood Kitchen Cabinets (SIC* 2434) OWN
• Wood Preserving (SIC• 2491)
• Logging (SIC• 241)
4 2013
• Standard Industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which allpermit correspondence will be mailed):
Name
Owner Contact
Street Address
City
Telephone' No.
E-mail Address
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road nun
and distance and direction from a roadway intersection). e9E jkj6sez7�bA. O-P i))eZj�t.r-r!JF �C
�#j leis/cP, ?add,, co Ear 0a<..1 Rc Qsh-Aw,, foo ' a i
(A copy of a county map or
USGS quad sheet with facility clearty located on, the map is required to be submitted with this application)
4) Latitude . �.S 7lf%� Longitude �` �f Z (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following
❑ New or Proposed Facility Date operation is to begin
Y( Existing
NCG210000 N.O.I.
6) Standard Industrial Classification (SIC):
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 1 1 7— 1
7) Provide a brief narrative I
scrty
n of the types of ind
at this facility: ZZ2 _ G 4Nd /V
and products manufactured
8) Discharge points / Receiving waters: �f
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
9) Receiving waters:
What is the name of the body or bodies of wat$r (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? _ /1eL1/l! !✓
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).
10) Does this facility have any other NPDES permits?
2/No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
A
❑ 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?
❑ ye
Yes
If yes, please briefly describe: Ajb G2 Fi�be� �o
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
N14es
If yes, when was it implemented?_
14) Does this facility store exposed piles of sawdust, bark, mulch, wood chips, or similar material on -site
for longer than seven (7) days? (Exposed directly to rainfall or to run-on from other areas of the
facility.)
VNo ❑ Yes
15) Are vehicle maintenance activities occurring at this facility?
Cl No 19/yes
NCG210000 N.Q.I.
16) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
&(No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month)
of hazardous waste?
hd No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
GYNo ❑ 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 I 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 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 me of Pe o ngning: Jr (�vN 10G ais
Title: M;"
s /3 - l3
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
NCG210000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
[� Check for $100 made payable to NC DENR
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 Permitting 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.
For questions, please contact the DWQ Central Office or Regional Office for your area.
To visit our website, go to http://portal.ncdenr.orp/web/wg/ws/su
DWQ Regional Office Contact Information:
Asheville Office ......
(828) 296-4500
Fayetteville Office ...
(910) 433-3300
Mooresville Office ...
(704) 663-1699
Raleigh Office ........
(919) 791-4200
Washington Office ...
(252) 946-6481
Wilmington Office ...
(910) 796-7215
Winston-Salem ......
(336) 771-5000
Central Office .........
(919) 807-6300
• 2041 McLin Creek Road South, Conover, NC - Google Maps
Page 1 of 1
Go
Address 2041 McUn Creek Rd 5
i� . e. Conover, NC 28613
79 yf Coavm etvd E-- Te
16
_ _ - _ _ ' Emneetwel Church Rd '
w Emmanuel rA,
r7 9apiisl Church
p
1B
Get Google Maps on your phone
49 Tca the word "GMAPS" to 46645 3
I'
' co
a � p
S
+'Oer Rd 5E: — -- �' - Ke'stiv
IlefA
Linda Geiger
dV
$'
1' Ra--
D I
1 o� ®2013 Googler Map data C2013 Google
httpJ/maps.google.com/maps?f=q&source=s q&hl=en&geocode=&q=2041+McLin+Creek... 5/3/2013
2041 McLin Creek Road South, Conover, NC - Google Maps
Page 1 of 1
Address 2041 McLin Creek Rd 5
w e Conover, NC 28613
• z `' �/ ���� � to
Conover
-
K
Conover Blvd I°
��anuet Church Rd
�Si.79_ to � nS-. I•i ,`f, �./- 'I i%�' ,
Nark ldel` i
=l f
t s' 't+F2DthSt`
Get Google Maps on your phone
Text the wotd "GMAPS"to466453
t
i
G
ji,•'L1
.�.Kmiel Rd SE a
'P&
F $_
02013 Google 'Map data C0013 Goo
http://maps.google.com/maps?f=q&source=s q&hl=en&geocode=&q=204I+McLin+Creek.. 5/3/2013
22641
TRADEWINDS INTERNATIONAL, INC. wells Fargo, N.A.
P.O. BOX 1359
CONOVER, NC 28613-1359 G6-162-531
(828) 465-2300 5/13/2013 Y
m
PAY TO
a
4
I �
ORDER OFE NCDENR - Division of Water Quality $ **100.00
One Hundred and 00/100 DOLLARS
N
NCDENR - Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
MEMO _ AUFHORIZED
Permit No NCG210330 7/1 /13 - 6/30/14
TRADEWINDS INTERNATIONAL, INC.
NCDENR - Division of Water Quality 5/13/2013
Date Type Reference Original Amt. Balance Due Discount
5/13/2013 Bill 100.00 100.00
Check Amount
NC6?1633 0
22641
Payment
100.00
100.00
Wachovia-NC Permit No. NCG210330 7/1/13 - 6/30/14 100.00
115 - C�'t2c Jra�, far 13- I u aMn� � . � 4 bN T14.*V.