NCG210452_COMPLETE FILE - HISTORICAL_20170703

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v
DOC TYPE
p�HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ �9) 7 �7 O3
YYYYM M D D

Energy. Mineral &
Land Resources
ENVIRONMENTAL QUALITY
July 3, 2017
Mr. and Mrs. Tony Merritt
Tony Merritt's Gravel Pit
3200 Damascus Church Road
Chapel Hill, NC 27516
ROY COOPER
Gorrrnot
MICHAEL S. REGAN
Serrerary
TRACY DAVIS
Director
RE: Division of Energy, Mineral, and Land Resources' (DEMLR) Investigation of Complaint Site
Information and DEMLR's Corresponding Follo►v Up Actions
Dear Mr. and Mrs. Merritt.
Thank you for the information you provided to me during our meeting in my office on Friday,
May 5, 2017. This meeting was a follow up to an earlier meeting )'oLt had with other Division staff
conveying your concerns with lack of inspection and enforcement of several projects in areas surrounding
your permitted mining operation. Following our May 5 meeting, I forwarded the two books of parcel
information and corresponding aerial photographs that you provided to me during our meeting to staff to
investigate the listed sites for compliance ►with this Division's statutes and rules, particularly the mine
permitting program, stormwater management program, and erosion and sedimentation control program. 1
also directed staff to coordinate their inspections and follow up efforts with other Department of
Environmental Quality agencies and any delegated local programs for any sites where potential
deficiencies or violations may exist outside of our jurisdiction so that other agencies could get involved
and take appropriate actions as they deemed necessary.
Raleigh Regional Office (RRO) staff completed their investigation of the sites that you provided
between April 28, 2017 and May 11, 2017 and their detailed report of their findings at each site, along
with photographs and intended follow up actions is attached for your information. Also attached is a June
13, 2017 inspection report and findings from our Winston Salem Regional Office (WSRO) staff for the
one site that is in Alamance County ►within that region's jurisdiction.
As you can see from our documentation, there were two industrial sites that needed industrial
stormwater permit coverage, the JV Brockwell Trucking site in the RRO and the JH Wilson and Son, Inc.
site in the WSRO. JV Brockwell Trucking applied for stormwater permit coverage around June 12, 2017
and subsequently was issued a Certificate of Coverage on June 28, 2017. Our RRO will continue to
monitor this site for compliance with this stormwater permit. In addition, JH Wilson and Son, Inc.
applied for stormwater permit coverage the week of June 26, 2017 and that application is still under
review by our Division. Lastly, there was one active mining operation that was less than one acre and
RRO staff advised that operator that a mining permit application must be submitted to and approved by
the Division before the site disturbance exceeds one acre. The RRO will monitor this site for compliance
with the Mining Act and rules.
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Mr. and Mrs. Merritt
July 3, 2017
Page 2
Again, thank you for providing this information to our Division for investigation to ensure that all
such activities are complying with applicable laws and rules. If you become aware of additional sites that
appear to he out of compliance, or further activities are observed at the sites beyond what is provided in
our report, please let this office know so that we may coordinate investigations and follow actions as
appropriate.
Thank you for your cooperation in this matter. If you should have any questions, please contact
me at [phone].
PM
Ad
Attachments: Raleigh Regional Office Investigation and Findings Report
Winston Salem Regional Office Investigation and Findings Report
Cc: Mr. Bill Denton, PE, RRO Regional Engineer
Mr. Matthew Gantt, PE, WSRO Regional Engineer
Mr. Brad Cole, PE. DEMLR Chief of Regional Operations
Mr. Toby Vinson, PE, DEMLR Chief of Program Operations
Ms. Janet Boyer, PE, DEMLR State Mining Specialist
Mr. Robert Patterson, PE, DEMLR Stormwater Program Engineer
Ms. Bridget Munger, DEMLR Public information Officer
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Staff from the RRO investigated the sites contained within the two bound written
volumes provided by Mr. Merritt to Tracy Davis, Director of DEMLR during his
office visit on May 5, 2017. The following information summarizes results of RRO
field investigations, including previous investigations conducted as a follow-up
to verbal information conveyed by Mr. Merritt prior to the May 5 office visit.
Bottom line: Sites were generally not in violation. Sites A and C may need
industrial stormwater permits and Site H has potential need for mining permit if
operation increases in size/scope of services. Site A is in Alamance County and
should be referred to WSRO for follow-up on the industrial stormwater issue.
4128/17 - Merritt Sites G & H
Complaint of Mark Moldenhauer Landscaping grinding wood, crushing stone and
selling those materials unpermitted:
Diane Adams met Mark Moldenhauer of Mark Moldenhauer Landscaping at his
residence at 611 Lystra Estate Drive. He has two sites that he owns on Lystra
Road. The first site is an old gravel quarry at which he said he previously met John
Holley when he first purchased the land to assist hire regarding required permits. He is
grinding trees, for which he does have a permit through the state (confirmed with John
Patrow in waste management). He also has a sediment and erosion control plan for
his other activities on site issued by Orange County. He did appear to be screening soil
at the time of the visit. He stated he screens mulch. He is permitted as a treatment and
processing facility. No stone crushing is done on site. He had a small gravel stockpile
on site which appeared to be for road maintenance. His soil area was less than 1 acre,
but he was warned that he may need to pursue a mining permit if he expands. The total
expanse of property was stated to be 30 acres, which included his home. He had very
good sediment and erosion control measures on the site to include a small skimmer
basin. There is a lot of activity of different types going on at this site.
Mr. Moldenhauer's other facility is a construction vehicle storage yard, which also had a
couple of gravel stock piles. This site was less than one acre.
4/28/17 - Merritt Site I
Complaint of Nelson Wall, M & W landfill selling loads of soil:
Diane Adams visited the site. Mr. Moldenhauer stated that the Nelson Wall site at 2151
Lystra road has not been active in a very long time. The owner had a stroke several
years ago and the operation was shut down. I visited the site. The area was grassed
(well vegetated) and the road, which did not appear to have had any vehicles on it for
some time, was grassed.

4
4128/17 — Verbal only; site not included in two -volume report
The Arrington Dump site may have been a former "mine" site based on map and
direction information, also on Lystra road. Site was investigated by Diane Adams. It
would have been adjacent to Moldenhauer's property. Mr. Moldenhauer said an area
had been mined from there illegally by the previous owner, but was then filled back in. I
did not observe any contaminants and more specific information on the site location and
where the leaching was occurring would be helpful to positively confirm my findings.
4/28/17 — Vernal only; site not included in two -volume report
Briar Chapel development is selling soil to others without a permit:
Diane Adams visited was Briar Chapel development in Chatham County. They report
they are not selling soil but transporting it to another one of their sites, which is also
permitted.
511 O/17 — Merritt Site O
ZR Chatham LLC
Diane Adams and Kat Marciniak investigated this site as a possible active mine site.
However, there is no activity going on at this site. Photographs taken. The site may
previously have been a mine/quarry, but is now reclaimed and adequately vegetated.
There is no access road to the site and housing development is occurring on adjacent
property.
ZR Chatham site
5/10117 — Merritt Site N

Bennett site complaint:
Diane Adams and Kat Marciniak investigated this property located off Damascus church
Road in Chapel Hill, NC. There is no visible hauling in the area. There are two parcels
here, both are less than one acre, but again, no activity was observed. It is densely
wooded and former clearing area is now covered in young pines.
Bennett (Damascus Church Road) site
5/10/17 — Merritt Site E
William Rives- 1516 old Lystra Road complaint:
Diane Adams and Kat Marciniak investigated this site. This property was probably used
for stock pile of soil and perhaps some small processing of rock. The area affected is
less than one acre. William Rives is now deceased. At the time of the site visit, Brett
Thompson was working on the stock pile. He has been hired by Rives family to clean
up the parcel for sale. He was advised not to exceed one acre of disturbance. No
problems were noted. Pics were taken.

William Rives Site pic 1
William Rives Site pic 2
5111/17 — Merritt Site F
Pipeline Utilities (983 Old I_ystra Road) complaint:
Diane Adams and Kat Marciniak investigated the complaint. This property is owned by
David Moser. It may have been used for processing sand at one time, but is now well
vegetated and inactive. Pics were taken.

Pipeline Utilities site pic 1
Pipeline Utilities, pic 2
5/11/17 — Merritt Site J
Alan Stone Borrow Pit complaint
Kat Marciniak and Diane Adams visited this site. It is a permitted LCID site. The site
has permits through solid waste and land quality; permits were posted. An approved
sediment and erosion control plan issued by Land Quality certificate of approval was
posted. The site had sediment and erosion control measures in place, visual screening,
perimeter posting and had no problems noted. Pics were taken.

Alan Stone site pic 1
Alan Stone pic 2

4/28117 — Merritt Site B
Melvin Parrish Dump
A soil pile was found with inert debris piled around and possible within the pile. In
addition, a small stump dump was observed. We looked for stream impacts but I found
no stream that could be polluted from the dump. I contacted Solid Waste, John Patron,
and he was familiar with the site. He said there have been many complaints about the
site but they have investigated the site a number of times and there are no issues. He is
allowed to dispose of inert debris and they have what is called a notification to collect for
the stumps. They can collect the stumps but they are required to grind them
periodically.
Conclusion: I saw no Land Quality issues. Solid Waste has no issues and there is no
stream impacted.
4/28/17 - Merritt Site M
Womble Farm Dam
We drove all over the farm and located two ponds. Both ponds had no fill material on
the.dam or in the pond. There were homes all over the farm and we knocked on every
door with no response from anyone. We feel confident we covered the entire farm.
Conclusion: There is no violation related to the pond or dams related to soils or anything
else at this site.
4/28/17 — Verbal only; site not included in two -volume report
DOT project in Carrboro on Greensboro Street:
I spoke to the general Superintendent, Mike Wehrle, with Fred Smith Co. I asked him if
the soil he was using comes from a permitted site. Mr. Wehrle said the soil comes from
another permitted project of his, Brier Chapel Development, one of the sites on the list
that Diane visited. I also spoke to their soil scientist, Graham Johnson, with ICA and he
confirmed that the proctors have been taken for all the soils used. Mr. Wehrle
mentioned that they were going to buy soil from the Merritt's but they wanted to much
money for the soil and that they were extremely mad that they did not use them.
Conclusion: Both sites are permitted by the same company they are just using soil from
one site on the other. Proctors have been taken for all soils used. No problems
5110/17 —Merritt Site A
John H Wilson
6136 N. NC 49 Hwy
Mebane, NC 27302

AST's inside of secondary containment need either a valve on the outlet, a lock on the
outlet or both. Additional AST's on site need secondary containment or to be removed
all together.
There is a large mulch pile that was shredded on site.
There is a large pile of surge stone that was crushed elsewhere and hauled on site.
There are buckets and barrels in the scrape pile that should be separated capped and
placed under a shelter until they are disposed.
There is a fill area on the West side of the property that measures approximately
150X150 or 22,500 sq. fit. that should be stabilized.
Conclusion: The facility needs to make the improvements listed above and should apply
for an Industrial Storm Water permit and follow the requirements of that permit.

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5110117 — Merritt Site C
JV Brockwell Trucking
8821 Old NC 86
Chapel Hill, NC 27516
The secondary containment for the 1000 gallon AST needs a lockable valve and the
additional 1000 gal. AST needs secondary containment or to be removed from the site.
Jody Roberts (the owner's son) said they would remove the additional tank.
Mulch is manufactured on site and some is dyed on site.
Dye drums should be stored under cover away from precipitation.
Conclusion: The site needs an Industrial Storm Water permit and follow the
requirements of the permit
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5I10117 — Merritt Site D
Mellott Trucking
Ferguson Road
Chapel Hill, NC
The site consisted of an overgrown bone yard. Equipment and materials are scattered
around the site. No Issues found
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5110/17 -- Merritt Site K
Weldon Horton
3908 Hamlet Chapel Road
Pittsboro, NC 27312
Hole dug on the back side of the property that has grown over with pine trees. No issue
found
18

It appears at one time there was a dump in the area because there is a sign that states
"No dumping by court order. Other than 2) abandoned trailers with trash strewed in what
once was the front yard, we could find no dump site. There is a field behind one of the
trailers and a cut over adjacent to the same trailer. No problems found.
20

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Energy, Mineral
and land Resources
ENVIACNMCNTAL QUALITY
June 13, 2017
John H. Wilson & Son, Inc.
Attn: Torn Wilson
6136 NC 49
Mebane, NC 27302
RE: INSPECTION REPORT FOR JOHN H. WILSON & SON, INC.
Dear Mr. Wilson:
ROY COOPER
Govemor
MICHAEL S. REGAN
Secretory
TRACY DAVIS
Director
On May 25`h, 2017, Sue White and Glen White of this office responded to a complaint made about
your business at 6136 NC 49 in Mebane, NC with a site visit and inspection. You were present for
this inspection.
The inspection was to determine if this site would require a general storm water permit and if so,
which permit would apply to your site. During the inspection stockpiles of concrete and asphalt were
observed along with some mulch piles. There were also sections that were for the storage of old
vehicles and tires. Two areas contained tanks with fuel and oil that had secondary containment.
The areas with secondary containment, as discussed during the inspection, involved
repairs/maintenance including closing off and sealing the valve on both containment areas and using
a pump truck to drain the water from the containment as needed.
The tires that were laying outside must be moved to a covered area or disposed of along with the old
vehicles that are not being used for storage units or parts to be used by the shop.
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey 5ectlon - Land Ouality Section
450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105- Phone: [phone] - FAX: [phone]
Intemet: htta:Aaortal,ncdenr.or_ weblir!
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

Letter of Inspection
Tom Wilson
June 13, 2017
Page 2 of 2
The overall inspection indicated that your site should be covered under the NCG130000 permit for
Non -Metal Scrap Recycling described as:
5093 Scrap and Waste Materials
Establishments primarily engaged in assembling, breaking up, sorting, and wholesale distribution of
scrap and waste materials. This industry includes auto wreckers engaged in dismantling automobiles for
scrap. However, those engaged in dismantling cars for the purpose of selling secondhand parts are
classified in Industry 5015.
• Junk and scrap, general line -wholesale
• Nonferrous metals scrap -wholesale
• Scavenging -wholesale
• Scrap and waste materials -wholesale
A link to the forms required to apply for the NC130000 will be emailed to
tom "ohnlhwilsonandson.com. Please respond with your Notice of Intent (permit application) no later
than 30 days from receipt of this letter. If you have any questions or comments regarding this letter or
the permitting process, contact Sue White [phone] or Glen White [phone].
Sincerely,
Matthew E. Gantt, P.E.
Regional Engineer
WSRO Land Quality Section
cc: WSRO files

Central Files: APS — SWP�
612812017
Permit Number 'NCG210452, Permit Tracking Slip
Program Category Status Project Type
NPOES SW Active New Project
Permit Type Version Permit Classification
Timber Products Stormwater Discharge COC 1.00 COC
Primary Reviewer
r ,r . t i ,� Permit Contact Affiliation
a�
robert.patterson
C I v D
Coastal SWRule
.SUN 28 2017
CENTRAL FILES
Permitted Flow
❑WR SECTION
Facility
Facility Name Major/Minor Region
J.V. Brockwell Trucking Minor Raleigh
Location Address County
399 Dairyland Rd
Orange
Facility Contact Affiliation
Chapel Hill NC 27516 Tommy Roberts
399 Dairyland Rd
Owner Chapel Hill NC 27516
Owner Name Owner Type
Linda Brockwell Roberts DBA J V Brockwell Trucking Non -Government
Owner Affiliation
Linda Brockwell Roberts
8821 Old NC 86
Dates/Events Chapel Hill NC 27516
Scheduled
Orig Issue App Received Draft Initiated Issuance
6/28/2017 6/12/2017
Regulated Activities
Timber products manufacture
Public Notice Issue Effective Expiration
6/28/2017 6/28/2017 7/31/2017
Requested !Received Events
RO staff report received 6127/17
RO staff report requested 6/21117
Outfall 001
Waterbody Name Streamindex Number Current Class Subbasin
Bolin Creek (Hogan Lake) 16-41-1-15-1-(0.5) WS-V;NSW 03-06-06

Energy, Mineral
and Land Resources
ENVIRONMENTAL, QUALITY
June 28, 2017
Linda Brockwell Roberts
Dba J.V. Brock -well Trucking
8821 Old NC 86
Chapel Hill, NC 27516
ROY COOPER
Governor
N4ICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCG210000
Republic Services of North Carolina
COC No. NCG210452
Orange County
Dear Ms. Roberts:
In accordance with your application for a discharge permit received on June 12, 2017, 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 Jordan Lake Nutrient Strategy Buffer Rule, all stormwater drainage to
stream buffers, from portions of this site that have been constructed after August 11, 2009, must meet
diffuse flow requirements per 15A NCAC 2B .0267. Diffuse flow requirements are described on the
Riparian Buffer Protection Program website: https://deq.nc.gov/about/divisions/water-
resourceslwater-resources-hermitslwastewater-branch/401-wetlands-buffer-hermits/401-riharian-
bu ffer-protection-pro gram.
If you have any questions concerning this permit, please contact Robert Patterson at [phone]
or [e-mail].
Stale of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
ib 12 Mail Service Center 1 512 N. Salisbury St. I Raleigh, NC 27699
919 707 9200 T

Sincerely,
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Raleigh Regional Office — Thad Valentine
Central Files
Stormwater Program Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 N. Salisbury St. I Raleigh, NC 27699
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210452
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE 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,
Linda Brockwell Roberts dba J.V. Brockwell Trucking
is hereby authorized to discharge stormwater from a facility located at
J.V. Brockwell Trucking
399 Dairyland Rd.
Chapel Hill
Orange County
to receiving waters designated as Bolin Creek (Hogan Lake), a class WS-V; NSW water in the
Cape Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts 1, II, III, IV, V, and VI of General Permit No. NCG210000 as
attached.
This certificate of coverage shall become effective June 28, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 28, 2017.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

NCG210452 I I ].V. Brockwell Trucking
Map Scale 1:24,000
Latitude: 35° 56' 45" N
Longitude: 790 06' 48" W
County: Orange
Receiving Stream: Bolin Creek
Stream Class: WS-V; NSW
Stream Index: 16-41-1-15-1-(0.5)
River Basin: Cape Fear
Facility Location

P4-M,jCo4/
Division of Energy, Mineral and Land Resources
0 VA Storrnwater Permitting Program
National Pollutant Discharge Elimination System
NCDENR
N v NCG210000
G[Mwe��eM! MO NW1�L l+OQMCLI
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 GeneraIR to CE I VED
• Wood Kitchen Cabinets (SIC 2434)
Woad Preserving (SIC 2491) JUN 12 2017
• Logging (SIC 2411) b€fVR-LAND QUALWY
Standard Industrial ClassNicatlon Code bTORMWATER P MVING
(Please print or rype)
1) Mailing address of ownerloperator (address to which official Permit correspondence will be mailed):
Name
Owner Contact (a
person
Street Address
City
Telephone Na.
t
E-mail Address
)T
2) Location of facility producing discharge:
Facility Name
_
Facility Contact (a
person
Contact E-mail
Street Address
City
County
Telephone No.
3) Permit Contact
4)
Permit Contact (a
Contact E-mail
Contact phone nut
Physical Location information:
If - 3 Bob
State IV -C, ZIP Code
Fax:
Please provide a narrative description of how to get to the faclfrty use street narries, state road numbers,
A..,.,. _ -A .r:.,,,.s: ,., r.-- .........,�..,.,..:.,�,... ..►:,...� AI.l A/ 1 /'mot /1 Pt0 a Ncv n - ,
ra vAW1r1Vir131"t f,r/JTVVDf�
(A copy of a county map or USGSCq�uad sheet with fac kity c'early located on the map is re red to be submitted with ttds application)
S) Latitude J Longitude — 7 388 (degrees, minutes, seconds)
Page 1 of 4
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NCG210000 NA L
6) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
L'Existfng
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: A
8) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: lJp gW de Q /_` j.� ai ZA72Ak ingjZ ar, ah2Z% �a7`�rnar/ �, LA
S) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
14) Receiving waters:
What is the name of the body -grr b ides of ter (c eek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? �36 111 a EE
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?
r�
B No
❑ Yes
If yes, list the permit numbers for all current water quality permits for this facility.,
12) Does this facility have -any Non -Discharge permits (ex: recycle permits)?
®'No
❑ Yes
If yes, fist the permit numbers for all current Non -Discharge permits for this facility:
13) Does this facility employ any best management practices for stormwater control?
U No
❑ Yes
If yes. please briefly describe:
14) Does this facility have a Stormwater Pollution Prevention Plan?
&04/0
❑ 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.)
❑ No ®'Yes
Page 2 of 4
SWU-2354380113 Last revised 7014

NCG210000 N.O.I.
16) ;No
e ehlcle maintenance activities occurring at this facility?
❑ Yes
17) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage. or Disposal Facility?
tb No ❑ Yes
b) Is this facility a SmaIf Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
!FI No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazafdous waste?
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: /
18) Certification:
North Carolina General Statute 143-215.6 b (I) provides that:
Any person who knowingly makes any false statement, representailon, or cerllficatton in any application, record. report, plan, or other
document filed or required to be maintained ► nder this Ankle or a rule Implementing this Article: or who knowingly makes a false
statement of a material fad in a ndemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaocurate any recording or monitoring device or method required to be operated or maintained under this Article or rides of the
[Environmental Management] Commission Implementing this Article shall be guilty of a Class 2 misdemeanor which may krcbide a rote 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 discharges) 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:
(Signature of Applicant)
LOLO�
(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
SWU-236-080113 Last revised 7/2114

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NCG210000 N.O.I.
Final Gheckls,t
This application will be returned as incomplete unless all of the following Items have been Included:
VCheck for $100 made payable to NC DENR
his completed application and all supporting documents
Copy of county map or USGS quad sheet with location of facility dearly 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 ham://�rtaLncdenr off/web/!r/sto�ater�rtaLrrcdenr o�/weli/!r/sto�ater
DEMLR Regional Mee ContaM lnformation:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 4 of 4
SWU-23e-riot 13 Last revised 7014

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Print Butter Export ite5utts Sate t: 1 loth 900 feet
©� 9789880545(ROSERTS) (ParCeiS) V
1 inch = 300 (eetMapC0pyr(ghtTextl

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
June 28, 2017
Linda Brockwell Roberts
Dba J.V. Brockwell Trucking
8821 Old NC 86
Chapel Hill, NC 27516
ROY COOPER
MICHAEL S_ REGAN
Secretary
TRACY DAVIS
Dlrecror
Subject: General Permit No. NCG210000
Republic Services of North Carolina
COC No. NCG210452
Orange County
Dear Ms. Roberts:
In accordance with your application for a discharge permit received on June 12, 2017, 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 Jordan Lake Nutrient Strategy Buffer Rule, all stormwater drainage to
stream buffers, from portions of this site that have been constructed after August 11, 2009, must meet
diffuse flow requirements per 15A NCAC 2B .0267. Diffuse flow requirements are described on the
Riparian Buffer Protection Program website: https://deq.nc.gov/about/diyisions/water-
resources/water-resources-permitslwastewater-branch/401-wetlands-buffer-permits1401-riparian-
buffer-protection-program.
If you have any questions concerning this permit, please contact Robert Patterson at [phone]
or [e-mail].
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resoumcs
1612 Mail Service Center 1 512 N. Salisbury St, I Raleigh, NC 27699
919 707 9200 T

le r
Sincerely,
Original Signed by Robert A Patterson
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Raleigh Regional Office — Thad Valentine
Central Files
Stormwater Program Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 N. Salisbury St. I Raleigh, NC 27699
919 707 9200 T

T. �
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE No. NCG210452
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE 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,
Linda Brockwell Roberts dba J.V. Brockwell Trucking
is hereby authorized to discharge stormwater from a facility located at
J.V. Brockwell Trucking
399 Dairyland Rd.
Chapel Hill
Orange County
to receiving waters designated as Bolin Creek (Hogan Lake), a class WS-V; NSW water in the
Cape Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, 11, III, IV, V, and VI of General Permit No. NCG210000 as
attached.
This certificate of coverage shall become effective June 28, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 28, 2017.
Original Signed by Robert D. Patterson
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

NCG210452 11 J.V. Brockwell Trucking 1
Map Scale 1:24,000
Latitude: 350 56' 45" N
Longitude: 790 06' 48" W
County: Orange
Receiving Stream: Bolin Creek
Stream Class: WS-V; NSW
Stream Index: 16-41-1-15-1-(0.5)
River Basin: Cape Fear
rt3r`I.M►tit��it��Ir �f�1= ��
7
Facility Location

Patterson, Robert D
From: Valentine, Thad
Sent: Tuesday, June 27, 2017 8:44 AM
To: Patterson, Robert D
Cc: Davis, Tracy; Vinson, Toby; Cole, Brad
Subject: RE: Merritt complaint investigation summary
Robert
You can issue the COC for this project. I will need to perform an initial site visit to assure they know where they should
sample and what is expected of them as far as documentation. I'll schedule that this week
From: Patterson, Robert D
Sent: Wednesday, June 21, 2017 4:32 PM
To: Valentine, Thad <[e-mail]>
Subject: RE: Merritt complaint investigation summary .
Thad — I'm reviewing the NOI we received for NCG210452, JV Brockwell Trucking, Orange Co. I just wanted to follow-up
from these emails that RRO is ok with us issuing the COC for this one. Thanks.
Robert D. Patterson, P.E.
Environmental Engineer
919-807-6369 1 Robert. [e-mail]
httr)s://deq. nc.gov/a bout/divisions/enerey-m i nera I -la nd-resources/stormwater
NC Dept. of Environmental Quality
DEMLR Stormwater Program
512 N. Salisbury St.
1612 Mail Service Center
Raleigh, NC 27699-1612
Email correspondence to and from this address is subject to the North Carolina Public Records Law and maybe disclosed to third parties.
From: Valentine, Thad
Sent: Monday, June 12, 2017 9:42 AM
To: Davis, Tracy <tracy.davis(Pncdenr.gov>; Vinson, Toby <[e-mail]>; Denton, Bill
<[e-mail]>; Gantt, Matt <matt.gantt@ncd_enr.goy>; Adams, Diane <diane.adamsC@ncdenr.g_ov>
Cc: Randall, Mike <[e-mail]>; Riddle, Rick L <[e-mail]>; Georgoulias, Bethany
<[e-mail]>; Ventaloro, Julie <[e-mail]>; Patterson, Robert D
<[e-mail]>; Lucas, Annette <[e-mail]>; Alexander, Laura
<la [e-mail]>
Subject: RE: Merritt complaint investigation summary
I spoke with the owner of JV Brockwell's last week and they indicated that they are having some difficulty assigning an
SIC code to their facility. After some discussion we found that the 2499- Not Elsewhere classified best fit their activity
Mulch yards do not commonly need a SW permit) . They indicated they are submitting their application using that SIC #.
From: Davis, Tracy
Sent: Monday, June 12, 2017 9:04 AM
To: Vinson, Toby <tob .vinson ncdenr. ov>; Denton, Bill <[e-mail]>; Gantt, Matt
<[e-mail]>; Valentine, Thad <[e-mail]>; Adams, Diane <[e-mail]_v>
Cc: Randall, Mike <[e-mail]>; Riddle, Rick L <[e-mail]>; Georgoulias, Bethany
1

11
V
<[e-mail]>; Ventaloro, Julie <[e-mail]>; Patterson, Robert D
<[e-mail]>; Lucas, Annette <[e-mail]>; Alexander, Laura
<la [e-mail]>
Subject: RE: Merritt complaint investigation summary
Yes, please verify that the two industrial SW permits have been submitted. Once I hear back on this and receive a report
on the situation with the site in the WSRO, I plan to respond back to Mr. Merritt with our findings.
Does anyone have the Merritt's email address and/or phone number?
Thanks, Tracy
From: Vinson, Toby
Sent: Monday, June 12, 2017 9:00 AM
To: Denton, Bill <[e-mail]>; Gantt, Matt <[e-mail]>; Valentine, Thad
<thad.valentinePncdenr.gov>
Cc: Davis, Tracy <[e-mail]>; Randall, Mike <mike.randall ncdenr. ov>; Riddle, Rick L
<[e-mail]>; Georgoulias, Bethany <[e-mail]>; Ventaloro, Julie
<[e-mail]>; Patterson, Robert D <[e-mail]>; Lucas, Annette
<[e-mail]>; Alexander, Laura <[e-mail]>
Subject: FW: Merritt complaint investigation summary
Bill, Matt & Thad,
You may need to check the status of any Industrial SW Applications also with the Central Office Staff to verify submittal.
Toby
William E. Toby Vinson, Jr., PE, CPESC, CPM
Chief of Program Operations
Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
512 N Salisbury St
1612 Mail Service Center
Raleigh, NC 27699
Phone: [phone]
Email: [e-mail]
-,>"Nothing Compares,.._
w
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Davis, Tracy
Sent: Monday, June 12, 2017 8:31 AM
To: Gantt, Matt <[e-mail]>

Cc: Denton, Bill <[e-mail]>; Vinson, Toby <[e-mail]>
Subject: RE: Merritt complaint investigation summary
Matt, can you give me a report on what you found on the one site in your region? An inspection report will do.
Thanks, Tracy
From: Gantt, Matt
Sent: Thursday, May 25, 2017 12:49 PM
To: Davis, Tracy <[e-mail]>; Denton, Bill <bill.dentonRncdenr.gov>
Cc: Vinson, Toby <[e-mail]>; Cole, Brad <[e-mail]>; Valentine, Thad
<[e-mail]>
Subject: Re: Merritt complaint investigation summary
Will do.
Thanks
Matt
From: Davis, Tracy
Sent: Thursday, May 25, 2017 12:10:48 PM
To: Denton, Bill
Cc: Gantt, Matt; Vinson, Toby; Cole, Brad; Valentine, Thad
Subject: RE: Merritt complaint investigation summary
Thanks, Bill and Thad. Please let me know when they have applied for the industrial SW permit for the site in RRO.
Matt, please do the same for the site in your area.
Thanks, Tracy
From: Denton, Bill
Sent: Thursday, May 25, 2017 11:55 AM
To: Davis, Tracy <[e-mail]>
Cc: Gantt, Matt <[e-mail]>; Vinson, Toby <[e-mail]>; Cole, Brad
<brad.cole@ncdenr.p,ov>; Valentine, Thad <[e-mail]>
Subject: RE: Merritt complaint investigation summary
Tracy:
There were two sites that needed to apply for Industrial stormwater permits, but one of the two was Site A in Alamance
County; WSRO is following up on that one.
Regarding Site C, the JV Brockwell Trucking site, Thad reports that the owners/operators are in the process of applying
for the required Industrial Stormwater permit. Further, he has directed them to go ahead and move any storage drums
they have to locations underneath shelters and to provide a lockable valve on their secondary containment structure.
Thad will continue to "ride nerd" on the permit process until compliance is achieved. If additional updates are needed,
please advise.
EM
William H. Denton, IV, PE
3

Regional Engineer — RRO
Division of Energy, Mineral, and Land Resources — Land Quality Section
Department of Environmental Quality
919 791 4200 office
bill.denton(dncdenr.gov
1628 Mail Service Center, Raleigh, North Carolina 27699
BE- "Notritng Compares,...
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
From: Davis, Tracy
Sent: Tuesday, May 23, 2017 12:07 PM
To: Denton, Bill <[e-mail]>
Cc: Gantt, Matt <[e-mail]>; Vinson, Toby <[e-mail]>; Cole, Brad
<brad.cole@ ncdenr.gov>
Subject: RE: Merritt complaint investigation summary
M1
Can you let me know when RRO issues its follow up letters to the appropriate entities? I believe there were two sites
that need to apply for an industrial stormwater permit within your region. Once I get this information and a report back
from Matt on the site in his area, I will put the findings together and respond back to Mr. Merritt.
Thanks again for your and your office's efforts!!
Tracy
From: Denton, Bill
Sent: Friday, May 19, 2017 9:37 AM
To: Vinson, Toby <[e-mail]>
Cc: Davis, Tracy <[e-mail]>; Gantt, Matt <matt. antt ncdenr. ov>; Valentine, Thad
<[e-mail]>; Cole, Brad <[e-mail]>
Subject: FW: Merritt complaint investigation summary
Toby:
Thad will be giving Matt Gantt a call to hand off Merritt Complaint Site A to WSRO. He will also be contacting the 1V
Brockwell Trucking site (Merritt Complaint Site C) to direct them to file a Notice of Intent to get the process started for
the required industrial stormwater permit there.
We will notify you and Tracy by e-mail when this has been accomplished. Thanks.
liz:3111
William H. Denton, IV, PE
Regional Engineer — RRO
Division of Energy, Mineral, and Land Resources — Land Quality Section
4

Department of Environmental Quality
919 791 4200 office
bill.denton CcDncdenr.gov
1628 Mail Service Center, Raleigh, North Carolina 27699
NC-- -:: Nothlnq Compares,%. -
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
From: Denton, Bill
Sent: Friday, May 19, 2017 9:02 AM
To: Vinson, Toby <toby.vinson(@ncdenr.gov>
Subject: RE: Merritt complaint investigation summary
Yep. That was on my 'to do' list for today. Thanks for the reminder.
William H. Denton, IV, PE
Regional Engineer - RRO
Division of Energy, Mineral, and Land Resources - Land Quality Section
Department of Environmental Quality
919 791 4200 office
[e-mail]
1628 Mail Service Center, Raleigh, North Carolina 27699
-i^Nothfng Compares�,�.
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
From: Vinson, Toby
Sent: Friday, May 19, 2017 8:31 AM
To: Cole, Brad <[e-mail]>; Denton, Bill <bill.dentonPncdenr.Rov>
Subject: FW: Merritt complaint investigation summary
Are you guys passing this one along to Matt after initial report?
Just checking,
Toby
William E. Toby Vinson, Jr., PE, CPESC, CPM
Chief of Program Operations
Division of Energy, Mineral, and Land Resources
Department of Environmental Quality
5

919-707-9220
toby.vinson @ncdenr.gov
1612 Mail Service Center
Raleigh, NC 27699
>"Nothing Compares,..
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Gantt, Matt
Sent: Wednesday, May 17, 2017 6:00 PM
To: Denton, Bill <[e-mail]>; Davis, Tracy <[e-mail]>; Vinson, Toby
<[e-mail]>; Dupree, Joe <[e-mail]>; Valentine, Thad <[e-mail]>;
Adams, Diane <[e-mail]>; Goolsby -Brown, Katy (Katy.Goo lsby- Brown Pfema.dhs.gov) <Katy.Goolsby-
[e-mail]>
Cc: Boyer, Janet <janet. [e-mail]_v>; Cole, Brad <[e-mail]>
Subject: RE: Merritt complaint investigation summary
Hi Bill,
If you can provide more information on site A in Alamance County, I will have Glen and Sue look into it.
Thanks,
Matt
From: Denton, Bill
Sent: Wednesday, May 17, 2017 5:26 PM
To: Davis, Tracy <[e-mail]>; Vinson, Toby <[e-mail]>; Dupree, Joe
<ioe.dupree@ncdenr.g-ov>; Valentine, Thad <[e-mail]>; Adams, Diane <[e-mail]>;
Goolsby -Brown, Katy ([e-mail]) <[e-mail]>
Cc: Boyer, Janet <[e-mail]>; Gantt, Matt <[e-mail]>; Cole, Brad
<brad.cole @ncdenr.gov>
Subject: Merritt complaint investigation summary
Tracy/Toby:
Please find the attached summary with photographic documentation of the entirety of the RRO investigations of the
complaints filed by Mr. Merritt. If additional information is needed, please advise.
Thad, Joe, Diane, and Kat: Please make to update the complaint database at T.• Regional Offices j Complaints � Record of
Complaints Database Starting 2017 if you have not done so already. Thank you for your excellent work and flexibility on
this unusual assignment. Job well done!
ME
William H. Denton, IV, PE
6

Regional Engineer — RRO
Division of Energy, Mineral, and Land Resources — Land Quality Section
Department of Environmental Quality
919 791 4200 office
bil I.denton(a)ncdenr.gov
1628 Mail Service Center, Raleigh, North Carolina 27699
—'>'`Nothtng Compares, ..,
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.

F/!-rrA;ft C04/
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
Iftnal Pollutant Discharge: Elimination System
NCDENR
- � NCG210000
[M110i.wt.T MC MN.I N4Rl�Ctl
NOTICE OF INTENT k\C [T t-1 0
National Pollutant Discharge Elimination System application for coverage under General Pennit
NCG210000:
Far STORMWATER DISCHARGES associated with activities classlfled as:
SIC 24 Timber Products (except as specified below), Including Wood Chip Mills;
And, Uke 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 GeneraIRECE I VE D
• Wood ICtchen Cabinets (SIC 2434)
• Wood Preserving (SIC 2491) JUN 12- 2017
• Logging (SIC 2411) MRAND QUALITY
- Standard tndustrW Classification Cade. VORMWATER PERWING
(Please print or typo)
1) Mailing address of ownedoperator (address to which official permit correspondence will be malledl:
Name
Owner Contact (a
Street Address
City
Telephone No.
E-mail Address
2) Location of facility producing discharge:
Facility Name
Facility Contact (a
Contact E-mail
Street Address
City
County
Telephone No.
3) Permit Contact
4)
Permit Contact (a
Contact E-mail
Contact phone nut
Physical Location Information:
Please provide a narrative description of Flow to get to
State 1V_-41 ZIP Code
Fax:
state road numbers,
(A copy of a countyy map or USGS quad sheet with fat uty [:early betted On the map is requ red to be submiped with this epplicatlon)
5) Latitude L, q 55 Longitude" 3B8 (degrees, minutes, seconds)
Page 1 of 4
SWU-236-080113 Last revised 7r2h4

NCG210000 N.O.I.
6) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
i'Exlsbng
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 Cade: A q 9 q
8) provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: 1r1&jXe_ R t er 41 } .k &VA/2/1AVg}
9) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
10) Receiving waters:
What Is the name of the body or bodes of water ( eek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? "Bel i Al
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate stone
sewer system (e.g. City of Raleigh municipal storm sewer).
11) Does this
this facility have any other water quality permits?
®'No
❑ Yes
If yes, fist the permit numbers for all current water quality permits for this facility:
12) Does this facility have any Non -Discharge permits (ex: recycle permits)?
t<o
❑ 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?
lid No
❑ Yes
If yes, please briefly describe:
14) Does this facility have a Stormwater Pollution Prevention Plan?
0
❑ 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 LLof the facility.)
❑ No . VYes
Page 2 of 4
SWU-236-DB0113 Last revised 7014

NCG210000 N.O.I.
16) Icle maintenance activities occurring at this faciUty?
7NO ❑ Yes
17) Ha— ous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
t� No ❑ Yes
b) Is this facility a Small Quantity Generator (lass than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
VNo ❑ Yes
c) is this facility a large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
rNo
us waste?
❑ 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 f disposal vendor. _
Vendor address: /
18) Codification:
North Carolina General Statute 143-215.6 b (1) provides that:
Any person wtto knowinghr makes any raise statement, representation, or cerU[Icatlon In any applkm*m, record, report, plan, or other
document Mad or required to be mehdained under this Article or a rule imptementtng tits ArWe. or who knomh* makes a false
statement of a matedat fad in a ndemaking proreeddhrg or contested case under this AnEde: or who falsifies, tampers with, or knowingly
renders hn =ovate any recording or monitortng device or method required to be operated or maintained under this AdIcls or ndcs of the
Xhvfronmentaf Managemenq t.ommisslon tmpiementfng dots Amide sisaii be Oly of a mass 2 misdemeanor which may include a fine not to
exceed ton thousand dollars (ESIi Ma
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 permfi.
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 Nam of Person Signing:
(Sfgnature of Appffcarft)
4-9-1
(Date Signed)
Notice of intent must be accompanied by a check or money order for $100.00 made payable to:
NCGENR
Page 3of4
SWU•236-080113 last revised i1V14

NCG210000 N.0.1.
Final Checklist
This application will be returned as Incomplete unless all of the following Items have been Included:
L��Thls
Check for $100 made payable to NC DENR
Lgcompleted application and all supporting documents
[l/ Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to.
Storrnwater 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 questlons, please contact the DEMLR Central Office or Regional Office for your area.
To visit our website, go to h_ttP,11aortal.ncdenr oru/web11r/starmwater
D>EM1R Regional Office Contact Information:
Asheville Office ......
(828) 2964500
Fayetteville Office—
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
(919) 79t-4200
Washington Office ...[phone]
Wilmington Office...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 4 of 4
SWU-23"80113 Last revised 712/14

In
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Le -CHAPEL HILL, NC 27518-5155 . DATE ///� ~ .
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