NCG210441_COMPLETE FILE - HISTORICAL_20160428

STORMWATER DIVISION CODING SHEET i
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
i@-HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ aol t� �y
YYYYMMDD

Permit Number NCG210441
Program Category
NPDES SW
Permit Type
Timber Products Stormwater Discharge COC
Primary Reviewer
julie.ventaloro
Coastal SWRule
Permitted Flow
Facility
Central Files: APS _ SWP _
4/28/2016
Permit Tracking Slip
Status Project Type
In review New Project
Version Permit Classification
COC
Permit Contact . f ll tier}.
R Ion
MAY 0 5 M6
CENTRAL FILES
DWR SECTION
Facility Name
Major/Minor
Region
Capital Materials and Recycling, LLC
Minor
Raleigh
Location Address
County
2095 US 1 Hwy
Franklin
Facility Contact Affiliation
Franklinton NC 27525
Gary Lynch
2095 US 1 Hwy
Owner
Franklinton
NC 27525
Owner Name
Owner Type
Capital Materials & Recycling LLC
Non -Government
Owner Affiliation
Gary Lynch
2095 US 1 Hwy
Dates/Events Franklinton NC 27525
Scheduled
Orig issue App Received Draft Initiated Issuance
Public Notice Issue1
Effective
Expiration
3/3/2016
y�f�t(1
4141-41i°If
r7/3 f f gal
Regulated Activities
Requested /Received Events
Timber products manufacture
RO staff report received
x
RO staff report requested
3/27116
Outfal l 001
Waterbody Name Streamindex Number Current Class Subbasln
Cedar Creek 28-29-(2) C;NSW 03-03-01

I
Energy. Mineral
and Land Resources
ENVIRONMENTAL QUALITY
April 29, 2016
Mr. Gary Lynch
Capital Materials and Recycling, LLC
8310 Bandford Way
Raleigh, NC 27615
PAT MCCRORY
Gnvernor
DONALD R. VAN DER VAART
-SCL'7t'Iart'
TRACY DAMS
Dirccmr
Subject: General Permit No. NCG210000
Capital Materials and Recycling, I.Le
COC No. NCG210441
Franklin County
Dear Mr. Lynch:
In accordance with your application for a discharge permit received on March 3, 2016, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state —
NPDFS 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).
Please take notice that this certificate of coverage is not transferable except upon approval of the
Division of Energy, Mineral and Land Resources. The Division of Energy, Mineral and Land
Resources may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Energy, Mineral and Land Resources, the Coastal Area Management Act, or any other
federal or local government permit that may be required.
Per the requirements of the Tar -Pamlico Riparian Buffer Rule, all storrnwater drainage to stream
buffers, from portions of this site that have been constructed after January 1, 2000, must be
discharged through a correctly designed level spreader or another device that meets diffuse flow
requirements per 15A NCAC 213 .0259. Diffuse now requirements are described in Chapter 8 of the
North Carolina Stormwater BMP Manual, available at: hitp://deq.iic.Qov/about/divisions/enerl;v-
mineral-land-resoui-ceslener�zy-mineral-land-permit-guidance/storinwater-bmp-manual,
State of Notch Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 ,Mail Sern'ice Center 1 512 North Salisbury Street I Ralcigh, NC 27699-1612
919 707 9200 T

If yOU have any questions concerning this permit, please contact Julie Ventaloro at telephone number
[phone] or by email julie.ventaloro a,ncdellr.gov.
Sincerely,
2i6-� I - Q� �
for "fracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Raleigh Regional Office, J. Holley
Central Files
Stormwater Permitting Program Files
S tate of \orth Carobs 1 Emim=ental Qnalin•I Energy, \Sneral and Land Resoumes
1612 %U Smice Center 1512 North SalisburySire et I Raleigh, \C 27699-1612
919 707 9200 T
- _ c

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210441
STORMWATER DISCHARGES
NATIONAL POLLUTANT llISCHARGE 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,
Capital Materials and Recycling, LLC
is hereby authorized to discharge stonnwater from a facility located at
Capital Materials and Recycling, LLC
2095 U.S. I Highway
Franklinton
Frnklin County
to receiving waters designated as UT to Cedar Creek, a class C;NSW water in the Tar -Pamlico
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, I11 III, and IV of General Permit No. NCG210000 as attached.
This certificate of coverage shall become effective April 29, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 29, 2016.
f i- Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and I -and Resources
By the Authority of the Environmental Management Commission

NCG210441
I
Map Scale 1:24, 000
Capital Materials and Recycling, LLC
Capital Materials and Recycling, LLC
Latitude: 360 04' 01" N
Longitude: 780 29' 12" W
County: Franklin
Receiving Stream: UT to Cedar Creek
Index No: 28-29-(2)
Stream Class: C;NSW
Sub -basin: 03-03-01 (Tar -Pamlico River Basin)
Facility Location

f '
DocuSign Envelope ID: 2EBB24E6-EA4E-4A14-83F8-350AD27A383B
I SMITH�-6ARRNER ^30�� FEl 1S'Ee
14 N. gay as Avenue, Raleigh NE 27603 919 828,0577 wwwsmilhgartlnerinc cum
E001NEEH5 ---
March 2, 2016 PFr. 11r�
x rr r
NC Department of Environmental Quality ^r
,YIVIS/On ofEner y, Mineral andLandResaurces � ARI Q
Attention: Stormwater Permitting Program DENR-LAND QUALITY
1617 Mail Service Center ST0R1.MVVA ER r'ERM11 1 ING
Raleigh, NC 27699-1617
RE: Capital Materials S Recycling, LLC
Franklinton, Franklin County
Notice of Intent for General Permit C6120000 (Landfills)
Dear Sir/Madam:
On behalf of Capital Materials & Recycling, Smith Gardner, Inc. (S+G) is pleased to submit this
Notice of Intent (NOI) package for the above referenced mulching facility located in Franklin
County, NC. The site operates under NC Solid Waste Permit No. 35-03TP. As such, we are
submitting an NGI for coverage under the General Permit #NCG210000 (Timber
Products). Please find the attached N01 package for coverage under this permit and the
associated $100 permit fee.
If you have any questions, or require further information, please contact me at [phone]
ext. 127 or by email at stacey(dsmithgardnerinc.com.
Sincerely,
SMITH+GARDNER,INC.
�%%% CAR{ �' •.
DocuSlgned by:. a�' •
Stacey 1S11B4?M0FjjA
ti J'�9�FH...... �`
Senior Engineer $'�,e�r A.016
sas/sas
att.
CC: Mr. Gary Lynch, Capital Materials & Recycling
Ms. Christine Ritter, P.G, NC DFO DWM
Ms. Mary Whaley, NC DEQ DWM
File
K.1Prujects\Capital Materials & Recycling IFranktinton, NCKNPOES\NCI Letter 3-2-16.6ou

• DocuSign Envelope ID: 7908OE4A-DE5A-409C-888D-OA95E9ElOOBC
Division of Energy, Mineral and Land Resources
�F=r� Stormwater Permitting Program
National Pollutant Discharge Elimination System
NCDENR! �^1 (�(� raoarn cw L- Du�.rtr - or 1 \
�7 �I G 1 U v0 Q
e•NIm+Mr,.r .no r+Nw.t FL[' 1wU�
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Dav
CenificateofCovera e
NCG 1
Check 1!
1 Aenourit
emat Assikwd to
o
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG210000:
For STORMWATER DISCHARGES associated with activities classified as:
SIC" 24 Timber Products (except as specified below), including Wood Chip Mills;
And, Like activities deemed by DEMLR 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:
• Wood Kitchen Cabinets (SIC 2434) j �.,_ 3
• Wood Preserving (SIC 2491)
• Logging (SIC 2411) MAR 0 3 20:5
* Standard Industrial Classification Code DENR-LAND QUALITY
(Please print or type)
STONOWAFER PERWI i fNG
1) Mailing address of owner/operator (address to which official permit correspondence will be mailed):
Name Capital Materials & Recycling, LLC
Owner Contact (a person) Gary Lynch
Street Address 8310 Bandt-ord Way
City KaleighState NC ZIP Code
Telephone No. Fax:
E-mail Address [e-mail]
2) Location of facility producing discharge:
Facility Name
Capital Materials and Recycling, LLC
Facility Contact -(a person) Gary Lynch
Contact E-mail
[e-mail]
Street Address
2095 US_1 Highway _
City
Franklinton State NC ZIP Code 27525
County
Franklin
Telephone No.
[phone] Fax:
3) Permit Contact
Permit Contact (a person) Gary Lynch
Contact E-mail [e-mail]
Contact phone number [phone]
4) 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). The site is located on the right hand side of the road
while traveling south, approximately 2.8 miles south of the intersection of US 1 Hiohwav and Hiohwav 56 in
Franklinton, NC.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
5) Latitude N036° 04' 00.60" Longitude W0780 29' 10.50" (degrees, minutes, seconds)
/� J � Page 1 of 4
SWU-236-080113 3 64 7 Last revised 7/2/14

DocuSign Envelope ID: 7908OE4A-DE5A-409C-BBBD-OA95E9E100BC
NCG210000 N.O.I.
6) .This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
X Existing
7) 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: 2499
8) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: The facility receives woody and inert wastes for processing (grinding). The woody
material is ground and sold as mulch.
9) Discharge points ! Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? Three (3)T
10) 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? Unnamed_ tributary of Cedar Creek
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).
11) Does this facility have any other water quality permits?
❑ No
X Yes
If yes, list the permit numbers for all current water quality permits for this facility: It has a prior land
disturbance approval of unknown date and operates under Solid Waste Permit No. 35-03TP
12) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
13) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes
If yes, please briefly describe: The prior developed land disturbance plan established conveyance channels
and sediment basins to manage runoff from the site.
14) Does this facility have a Stormwater Pollution Prevention Plan?
X No — But will be implemented in accordance with NCG24
❑ Yes
If yes, when was it implemented?
15) Does this facility have exposed accumulations of sawdust, bark, mulch, wood chips, or similar size
woody material on -site for longer than seven (7) days? (Exposed directly to rainfall or to run-on from
other areas of the facility.)
Page 2 of 4
SWU-236-080113 Last revised 712114

DocuSign Envelope ID: 79080E4A-DE5A-409C-B88D-0495E9Ei00BC
NCG210000 N.O.I.
❑ No X Yes
16) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
17) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X 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:
18) 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 Name of Person Signing:
Title: Manager
Gary Lynch
2/29/2016
(Date Srgned)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Page 3 of 4
SWU-236-080113 Last revised 712114

' DocuSign Envelope ID: 7908OE4A-DE5A-409C-B88D-OA95E9E100BC
NCG210000 N.O.E.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
X Check for $100 made payable to NC DENR
X This completed application and all supporting documents
X Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater Permitting Program
Division of Energy, Mineral, and !_and Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or Regional Office for your area.
To visit our website, go to http:11portal.ncdenr.orq/web/tr/stormwater
DEMLR 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 .........(919)
807-6300
Page 4 of 4
SWU-236-080113 Last revised 712114

DocuSign Envelope ID: 7908OE4A-DE5A-409C-B88D-OA95E9E1GOBC
1134
SITE LOCATION
! .�
r
ELj�y a REFERENCE:
• 1. TOPOGRAPHY FROM U.S.G.S. 7.5 MINUTE
'? OUADRANGLE "FRANKLINTON", DATED 1978.
L71
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Feet
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(01 SITE VICINITY MAP
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50 DRAWN: APPROVED: SCAL
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VVY21
-sWTH+'0ARD N ER
14 N. Boylan Avenue, Raleigh NC 27693 1919.828.0577
DATE: PROJECT NO.: FIGURE NO.:
AS SHOWN Feb. 2016 PROJECT 1

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f ORDER OF EVCDEQ_ -- -- - *'100-00
i� �.. . .�..�t....t........
One Hundred and 001100",�,��.......i ��.*....x.....,,.,.�*it.,,.,.
ly DOLLARS E
IVCdDEQ
Mail Service Center
Ralergt� rNC �27fi99"1817
r .
-ME
-
• �; Capital Matenals &'.Recycling ;NOI fee

r

KTO moo W,
ork, �' - T--
Energy, Mineral
and Land Resources
ENVIRONMENTAL "ALITY
April 29, 2016
Mr. Gary Lynch
Capital Materials and Recvcling, LLC
8310 Bandford Way
Raleigh, NC 27615
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secrefan,
TRACY DAVIS
Uirecior
Subject: General Permit No. NCG210000
Capital Materials and Recycling, LLc
COC No. NCG210441
Franklin County
Dear Mr. Lynch:
In accordance with your application for a discharge permit received on March 3, 2016, we are
forwarding herewith the subject certificate of coverage (COC) 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).
Please take notice that this certificate of coverage is not transferable except upon approval of the
Division of Energy, Mineral and Land Resources. The Division of Energy, Mineral and Land
Resources may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Energy, Mineral and Land Resources, the Coastal Area Management Act, or any other
federal or local government permit that may be required.
Per the requirements of the Tar -Pamlico Riparian Buffer Rule, all stormwater drainage to stream
buffers, from portions of this site that have been constructed after January 1, 2000, must be
discharged through a correctly designed level spreader or another device that meets diffuse flow
requirements per 1 SA NCAC 213 .0259. Diffuse flow requirements are described in Chapter 8 of the
North Carolina Stormwater BMP Manual, available at: htip:.//dN.iic.gov/about/divisions/enerQy-
mineral-land-resources/enemy-m inera I -land -perm it-guidance/stormwater-bmp-manual.
State of North Carolina I Environmental Quality 11-nergy, Minera9 and Land Resources
1612 Mail Sendce Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
9I9 707 9200 T

If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number
[phone] or by email julie.ventaloroa.nedenr. ov.
Sincerely,
OR',GMAL SIGNED V
BETHANY GEOBGOULIAS
far "Fracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Raleigh Regional Office, J, Holley
Central Files
Stormwater Permitting Program Files
S mte of \arrh Carolina 1 Ew�imnmeaml Qualm•! En-M,, \5nera4 and Lard Resources
1612 NU Senice Center E 512 NorthS&l urgStreet I Raleirh, NC 27699-1612
919 707 MO T

Ventaloro, Julie
From: Ventaloro, Julie
Sent: Sunday, March 27, 2016 12:03 PM
To: Holley, John
Subject: Review Request NCG210441
Attachments: NCG210441 Capital Materials Recycling_NOI.pdf
John,
We've received an NOl for an existing timber products processing facility in your region:
NCG210441 Capital Materials and Recycling in Franklin County. This site discharges stormwater at 3 points to UT to
Cedar Creek (Class C;NSW). The NOI is attached.
Please let me know if the Raleigh Regional Office has any concerns about issuing this COC.
Julie Ventaloro
Stormwater Permitting Program
NC Division of Energy, Mineral, and Land Resources
1612 Mail Service Center, Raleigh, NC 27699-1612
Phone: [phone] Fax: [phone]
Website: http://watersupplywaiershed.nc.gov
�5- Nothirig Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

I
DocuSign Envelope ID: 2E8824E8-EA4E-4At4-83F8-350AD27A3838
SMITH4-GARONER
l�tl.i;iEHS--•--- - -- -
March 2. 2016
Alit ISS U; S11B
14h Boylan Aven6e.PaieigliNC2t503 9198280577 www smilhgadnerinc com
NC Oepartment of Environmental Quality
Oiuision ofEnerg MrneralandLandR0S0YrCes
Attention: Stormwater Permitting Program
161 ? Mail Service Center
Raleigh, NC 2?699-1617
RE: Capital Materials S Recycling, LLC
Franklinton, Franklin County
Notice of Intent for General Permit C6120000 (Landfills)
Dear Sir/Madam:
MAR
DENR-LAND QUALM(
M(
STQRffIWAf'FR 1`6RIA11 I ING
On behalf of Capital Materials & Recycling, Smith Gardner, Inc. IS-FGJ is pleased to submit this
Notice of Intent (NOO package for the above referenced mulching facility located in Franklin
County, NC. The site operates under NC Solid Waste Permit No. 35-03TP. As such, we are
submitting an N01 for coverage under the General Permit #NCG210000 ITimber
Products)- Please find the attached NOI package for coverage under this permit and the
associated $100 permit fee.
Ifyou have any questions, or require further information, please contact me at [phone]
ext. 127 or by email at staceyrdsmithgardnerinc.com.
Sincerely,
SMITH + GARDNER, INC. �,�,.„st��s�,,►�
CARt�I*.,,
�,�i�Q'r•�•'es y 10 N
5 DOCUSIgned by:. is SEAL
Stacey A. Smith. P' �� :.:;;::`•r�� �.�
Senior Engineer
sas/sas
att-
cc: Mr. Gary Lynch, Capital Materials & Recycling
Ms. Christine Ritter, P.G, NC DEQ DWM
Ms. Mary Whaley, NC DEQ OWM
File
K:1Pmjeds\Capitat MateriaLs & Recycling [Frank Linton, NCANP0E51NCn Letter 3-2-16,docr

DocuSign Envelope ID: 79080E4A-DE5A-409C-B88D-OA95E9E100BC
Division of Energy, Mineral and Land Resources
��� Stormwater Permitting Program
National Pollutant Discharge Elimination System
NCDENR
' •° �oe
xNCG210000
Erga.ncxr ,wo ,vunu. Fi<sp S
FOR AGENCY USE ONLY
Date Received
Year
I ;vlornh
Da
Certificate ofCoverage
N I.
Check #
A tmt '
remift Ass' d to
A d
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG210000:
For STORMWATER DISCHARGES associated with activities classified as:
SIC 24 Timber Products (except as specified below), including Wood Chip Mills;
And, Like activities deemed by DEMLR 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:
• Wood Kitchen Cabinets (SIC 2434) Kr
• Wood Preserving (SIC 2491) ,.r
• Logging (SIC 2411) MAR 0 3 2ta;49
* Standard Industrial Classification Code pENR-LAND Gi-li' it
(Please print or type) STOI: MW I'Ek PERivil'i I ING
1) Mailing address of ownerloperator (address to which official permit correseondence will be mailed):
Name Capital. Materials & Recycling, LLC
Owner Contact (a person) Gary Lynch
Street Address 83I0 Bandford way
City leighState NC ZIP Code
Telephone No. - -1860 Fax:
E-mail Address
[e-mail]
2) Location of facility producing discharge:
Facility Name
Capital Materials and Recycling, LLC
Facility Contact (a person) Gary Lynch
Contact E-mail
[e-mail]
Street Address
2095 US 1 Highway
City
Franklinton State NC
County
Franklin
Telephone No.
[phone] Fax:
3) Permit Contact
Permit Contact (a person) Gary Lynch
Contact E-mail [e-mail]
Contact phone number [phone]
4) Physical Location Information:
ZIP Code 27525
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). The site is located on the right hand side of the road
while traveling south. aDDroximately 2.8 miles south of the intersection of US 1 Hiahwav and Hiahwav 56 in
Franklinton, NC.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
5) Latitude N0360 04' 00.11l0" Longitude W078° 29' 140:J6" (degrees, minutes, seconds)
Olt& 4 00 Page 1 of 4
SWU-236-080113 3� , • Last revised 7I2I14
- I 'ig�s7�

DocuSign Envelope ID: 79080E4A-DE5A-409C-B88D-OA95E9ElOGBC
NCG210000 N.O.I.
6) .This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
X Existing
7) 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: 2499
8) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: The facility receives woody and inert wastes for processing (grinding). The woody
material is ground and sold as mulch.
9) Discharge points ! Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? Three (3)
10) 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? Unnamed tributary of Cedar Creek
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).
11) Does this facility have any other water quality permits?
❑ No
X Yes
If yes, list the permit numbers for all current water quality permits for this facility: It has a prior land
disturbance approval of unknown date and operates under Solid Waste Permit No. 35-03TP
12) Does this facility have any Non -Discharge permits (ex: recycle permits)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
13) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes
If yes, please briefly describe: The prior developed land disturbance plan established conveyance channels
and sediment basins to manage runoff from the site.
14) Does this facility have a Stormwater Pollution Prevention Plan?
X No — But will be implemented in accordance with NCG24
❑ Yes
If yes, when was it implemented?
15) Does this facility have exposed accumulations of sawdust, bark, mulch, wood chips, or similar size
woody material on -site for longer than seven (7) days? (Exposed directly to rainfall or to run-on from
other areas of. the facility.)
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NCG210000 N.Q.I.
❑ No X Yes
16) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
17) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X 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 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 Glass 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: Cary Lynch
Title: Manager
2/29/2016
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: .
NCDENR
Page 3 of 4
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DocuSign Envelope ID: 7908OE4A-DE5A-409C-B88D-OA95E9E10OBC
r-
NCG210000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
X Check for $100 made payable to NC DENR
X This completed application and all supporting documents
X Copy of county map or LISGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater Permitting Program
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or Regional Office for your area.
To visit our website, go to http://Aortal.ncdenr.orcAveblirlstorrnwater
DEMLR 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]
Page 4 of 4
SWU-236-080113 Last revised 712114

DocuSign Envelope ID: 7908OE4A-DE5A-409C-B88D-OA95E9E1OOBC
;- ���`-bI �a fir'- � --•�' i ;��•. i w. �� ��,..T r+ ...�. y .r � ti ,�i_4�
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f P . _ .,, '` ` > , REFERENCE:
U z _ -, - _ „� -!/_ {, 1. TOPOGRAPHY FROM U.S.G.S. 7.5 MINUTE
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QUADRANGLE'FRANKLINTON", DATED 1978,
c 0 1,000 2,000 3,000 4,000
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NC LIE. NO. C-0828(ENGINEERING)
ctS -
siTE viciNIn MaP
Q 14 N. Boylan Avenue, Raleigh NC 27603 919.828.0577
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DRAWN: APPROVED: SCALE: DATE. PROJECT NO.: FIGURE NO.:
J
C.T.J. S.A.S. AS SHOWN Feb. 2016 PROJECT 1

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210441
S`1'ORMWATER DISCHARGE'S
NATIONAL POLLUTANT DISCIIARGE ELIMINATION SYSTEM
hi 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,
Capital Materials and Recycling, LLC
is hereby authorized to discharge stormwater from a facility located at
Capital Materials and Recycling, LLC
2095 U.S. 1 Highway
Franklinton
Frnklin County
to receiving waters designated as U'I'to Cedar Creek, a class C;NSW water in the 'rar-Pamlico
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1, II. III, and IV of General Permit No. NCG210000 as attached.
This certificate of coverage shall become effective April 29, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 29, 2016.
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P,E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

NCG 210441
Map Scale 1: 24, 000
Capital Materials and Recycling, LLC
Capital Materials and Recycling, LLC
Latitude: 360 04' 01" N
Longitude: 780 29' 12" W
County: Franklin
Receiving Stream: UT to Cedar Creek
Index No: 28-29-(2)
Stream Class: C;NSW
Sub -basin: 03-03-01 (Tar -Pamlico River Basin)
r.�
Facility Location