NCG020853_COMPLETE FILE - HISTORICAL_20140324

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
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DOC TYPE
�f-HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ cad I L D 3) y
YYYYMMDD

Permit Number NCG020853
Central Files: APS _ SWP
3/24/2014
Permit Tracking Slip
Program Category
Status Project Type
NPDES SW
In review New Project
Permit Type
Version Permit Classification
Mining Activities Stonnwater Discharge COC
COC
Primary Reviewer
RECEIVED
Permit Contact Affiliation
Bethany.Georgoulias
tl L®
Coastal SWRule
MAR 2 4 2014
CENTRAL FILES
Permitted Flow
DWQ/BOG
Facility
Facility Name
Major/Minor Region
Rose Pit
Minor Washington
Location Address
County �
429 S Hughes Blvd
Pasquolank 1
Sand Pit Rd
Facility Contact Affiliation
Elizabeth Cty NC 27909
David Cross
Manager
429 S Hughes Blvd
Owner
Elizabeth Cty NC 27909425(
Owner Name Owner Type
Twiford IV LLC Non -Government
Owner Affiliation
David Cross
Manager
429 S Hughes Blvd
Dates/Events Elizabeth Cty NC 27909425
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue
Effective
Expiration
1011/2013
.3 /Zjf'2.014
,I�
3/2A/U[4-
1Z13t/7,011
Regulated Activities
Requested /Received Events
Mine dewatering
RO staff report received
3/17114
Mining activities - stormwater discharges
RO staff report requested
10/29/13
Outfall 001
Waterbody Name Streamindox Number Current Class Subbasin
New Begun Creek 30-3-16-(1) C;Sw 03-01-50

r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Pat McCrory, Governor
Director John E. Skvada, III, Secretary
March 24, 2014
David W. Cross
Twiford IV, LLC
429 S. Hughes Blvd.
Elizabeth City, NC 27909-4526
Subject: General Permit No. NCG020000
Rose Pit
COC NCG020853
Pasquotank County
Dear Mr. Cross:
In accordance with your application for a discharge permit received on October 1,
2013, we are forwarding herewith the subject certificate of coverage 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 after
notice to the Division of Energy, Mineral, and Land Resources. The Division may require
modification or revocation and reissuance of the certificate of coverage.
The active Mining Permit for this site (#70-16) does not allow dewatering. You
must modify that Mining Permit before dewatering is permitted, and you must notify
the Division of Water Resources if the operation will pump over 100,000 gallons per day.
Mine dewatering wastewater includes wet pit overflows caused solely by direct rainfall
and groundwater seepage for this type of mining operation. Any discharge of this water
(and any stormwater commingled with it) is subject to the effluent limitations in this
permit. Complying with an approved Mining Permit is a condition of the NCG020000
NPDES discharge permit.
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Telephone [phone] / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal.ncdenr.org/web/Ir/land-guality,
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Mr. David Cross,
March 24, 2014
Page 2 of 3
This general permit allows the discharge of stormwater and certain types of
wastewater from your facility. In your application, you specified that only mine
dewatering water would be discharged from this facility. If separate point -source
discharges of stormwater occur (i.e., stormwater not combined with mine dewatering
water), conditions in this permit for stormwater discharges apply.
Mine dewatering at this site has the potential to impact adjacent wetlands.
Hydric soils have been identified on NRCS maps within the southwestern corner of the
permit boundary and on surrounding properties. You should obtain a preliminary
jurisdictional determination (or "I D") by the U.S. Army Corp of Engineers (USACE) to
determine if wetlands are present, and whether a delineation of wetlands is necessary.
Please contact the USACE to arrange a preliminary JD. NC DENR staff may be available to
attend that site visit as well. Please contact Mr. Thom Edgerton in the Washington Regional
Office DEMLR at [phone].
The specific requirements for mine dewatering at facilities near wetlands can be
found in Part 111, Section E of your permit. You must have an approved Pumping -
Operation and Monitoring (O&M) Plan before mine dewatering discharges occur at
this facility if wetlands are present on or near this mining site.
A Pumping 0&M Plan for your facility must be submitted to the Washington
Regional Office within 60 days of your receipt of this permit. Contact Thom Edgerton at
the Washington Regional Office at [phone] for more information about the
approval process. Discharging mine dewatering wastewater without a Pumping O&M Plan
approval will be subject to enforcement action.
This project is located in one of North Carolina's 20 coastal counties. Coastal
stormwater management rules (15A NCAC 2H .1000) may require an additional State
Stormwater Permit (different from the NPDES mining activities discharge permit) for built -
upon areas and stormwater controls. Please contact Samir Dumpor in the Washington
Regional Office at [phone] if you are uncertain about whether to apply for a State
Stormwater permit.
This permit does not affect the legal requirements to obtain other permits which
may be required by the Division of Energy, Mining, and Land Resources, or permits
required by the Division of Water Resources, Coastal Area Management Act, or any other
federal or local governmental permit that may be required. Please be reminded that
obtaining and complying with an approved Mining Permit is a condition of the
NCG020000 NPDES discharge permit.
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Telephone [phone] / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http://portal.ncdenr.or(i/web/Ir/land-cualit
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Mr. David Cross,
March 24, 2014
Page 3 of 3
If you have any questions concerning this permit, please contact Bethany
Georgoulias at telephone number [phone].
Sincerely,
for Tracy E. Davis, P.E., CPM
cc: Washington Regional Office/Attn: Thom Edgerton
Judy Wehner/DEMLR Mining Program
Stormwater Permitting Program Files
DWR Central Files
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Telephone [phone] / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal.ncdenr.org/web/Ir/land-guality
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
_►_�:_ 1 1 1111
L11411111 aim, TKA119
STORMWATER AND MINE DEWATERING 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,
Twiford IV, LLC
is hereby authorized to discharge stormwater and wastewater (upon approval of a
Pumping Operation and Monitoring (0&M) Plan, and all appropriate Mining Permit
modifications) from a facility located at
Rose Pit
Sand Pit Road
Elizabeth City
Pasquotank County
to receiving waters designated as New Begun Creek, a class C;Sw water in the Pasquotank
River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts 1, 11, 111, IV, V, and VI of General Permit No. NCG020000 as
attached.
This certificate of coverage shall become effective March 24, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 24 ?nl4
for
i racy G. uavis, r.r,., uirector
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

NCG020853
Map Scale 1:24,000
Twiford IV, LLC
Rose Pit
Latitude: 361 14' 53" N
Longitude: 760 11' 39" W
County: Pasquotank
Receiving Stream: New Begun Creek
Stream Class: C;Sw
Sub -basin: 03-01-50 (Pasquotank River Basin)
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NCG020000
NOTICE OF INTENT
FOR AGFNCI' USI: ONLY
Date Received
Year
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Permit Assigned to
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National Pollutant Discharge Elimination System application for coverage under General Permit
NCG020000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code - 14XX Mineral Mining Industry (except as specified below)
The following activities are also included:
Active or inactive mining operations (including borrow pits —except for NCDOT borrow pits) that discharge
stormwater contaminated with or that has come in contact with, any overburden, raw material, intermediate
products, finished products, byproducts or waste products located on the site of such operations,
Stormwater from vehicle maintenance activities at mining operations;
Overflow from facilities that recycle process wastewater; and/or
Mine dewatering (wastewater)
The following activities are specifically excluded from coverage under this General Permit:
Stormwater discharges associated with peat mining, coal mining, and metal mining,
Stormwater discharges from mining operations which are intermixed on site with stormwater from asphalt
operations and/or concrete operations,
Stormwater discharges associated with oil and gas extraction operations; and
Stormwater discharges associated with tourist gem mines
NCDOT borrow pits are covered under NCS000150
The following discharges are covered by NPDES general permit NCG520000 instead of NCG020000:
Point source discharges of stormwater and wastewater from in -stream sand mining operations (i.e., sand
dredging or dipping operations).
Please contact the NPDES Wastewater Point -Source Group for more information on coverage under this
permit.
Please Drint or Woe all entries in this aoolication form
1) Mailing address of owner/operator (official address to which all permit correspondence will be mailed):
Legal Owner Name Twiford IV, LLC
(Attach the most recent Annual Report to the NC Secretary of State showing the current legal name of the corporation or entity.
Alternatively this permit can be given to an individual or government authority. This name must be the same name as appears on the
Division of Land Resources' Mining Permit.)
Signee's Name (as signed for in permit signature at bottom) David W. Cross
Street Address 429 S. Hughes Blvd.
City Elizabeth City State NC ZIP Code 27909-4526
Telephone No. [phone] _ Email david(a)crossre.com
Alternate Contact Name p2@140w
maiI if differrent)
Alternate Contact Telephone (if different) D
OCaWAIM
Page 1 of 8 n Na
SWU-NCG02-NOI — -- - Last revised 915/2012

NCG020000 N.O.I.
2) Location of facility producing discharge:
Facility Name Rose Pit
Facility Street Address Sand Pit Road (Physical Location) 429 S. Hughes Blvd (Mailing Location)
Facility City Elizabeth City State NC ZIP Code 27909
Facility County Pasquotank
Facility Contact David Cross
Telephone No. [phone] Fax: [phone]
Contact E-mail david(g crossre.com
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). From the X of Weeksville Road and Pitts Chapel Road
go South on Pitts Chapel Road for 0.80 miles. Turn left on Sand Pit Road and go for 1.0 miles. The site is on
the left.
4) Latitude 360 14' 53.3" Longitude 760 11' 39.1" (degrees, minutes, seconds)
Permits:
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility
Existing
6) Standard Industrial Classification:
Date operation is to begin:
Date began mining: 6/24/1993
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 1 4 4 2
7) Provide a narrative description of the types of minerals mined at this facility: Sand and top soil
8) Is this mine an inactive mine site?
1q1No
❑ Yes If yes, do you posses an "Inactive Renewal" from DEMLR and notified the DWQ Regional Office or
have you certified to the DWQ that the site has been stabilized? ❑ No ❑ Yes
9) Does this facility already have a valid Mining Permit from the Division of Energy, Mineral and Land Resources
(DEMLR) [formerly DLR]?
❑ No If No, please indicate the status of the Mining Permit application:
KYes If yes, please provide the Mining Permit number: 70-16 Please also provide a
copy of your DEMLR Mining Permit with this DWQ application.
Note: DWQ cannot issue a COC for the NCG020000 General Permit until a Mining Permit is issued or
renewed by the DEMLR.
10) Does this facility have any other NPDES permits?
WNo
❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility:
Page 2 of 8
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NCG020000 N.O.I.
11) Are you applying for a mining permit in the same location as a previously permitted mine?
R]No
❑ Yes If yes, specify permit number and name if known:
12) Does this facility have any Non -Discharge permits (ex: recycle permits)?
allo
❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility:
13) Does total area of this mine site include ready -mix and asphalt areas?
rq]No
❑ Yes If yes, do they have DWQ stormwater permits (if owned by the same company)? ❑ No
(provide permit number )
If not owned by the same company, who is the owner?
14) Will this mining operation precede development activities at this site?
R]No
❑ Yes
❑ Yes
15) Is this mine located within one of the 20 Coastal Counties and will it add more than 10,000 ftZ of impervious
surface?
WNo
❑ Yes If yes, you may be required to apply for an additional state stormwater permit. Check with your
local Regional Office. See contact information and checklist below.
16) Is this mine located the Neuse, Tar -Pamlico, or Catawba River Basins, or the Randleman or Jordan
Water supply Watersheds?
WNo
❑ Yes If yes, what size stream buffers are included on site? ft. Please show buffers in site plans.
If yes, please include information and plans showing diffuse flow through buffers as required.
Discharge Points, Receiving Waters & Wetlands:
17) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stgrmwat r 0 3 - of - 5p
and/or wastewater discharges end up in? Newbegun Creek — Pasquotank River # 30 -3 I fo-(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). N/A
Receiving water classification (if known): C : SW
Note: Discharge of industrial wastewater to receiving waters classified as WS-II to WS-V, or SA, must
be approved by the Div. of Water Resources, or Div. of Marine Fisheries. If DWR or DMF does
not approve, coverage under NCG020000 cannot be granted. No new discharges of wastewater
are permitted in receiving waters classified as WS-I or freshwater ORW. Wastewater
discharges to Saltwater ORW will not be approved under the NCG02 General Permit.
18) If your facility has wastewater discharges and they are to HWQ and/or PNA waters (Primary Nursery Areas)
waters, what is the proposed flow rate? N/A (See
http://www.ncdmf.net/maps/FNA maps/index.html,for map)
Page 3 of 8
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NCG020000 N.O.I.
19) Discharge Points:
Number of discharge points (ditches, pipes, channels, etc. that convey discharges from the property):
Onsite: Stormwater: 0 Mine dewatering: 1 Process Wastewater Overflow: 0
Offsite: Stormwater: 0 Mine dewatering: 1 Process Wastewater Overflow: 0
Discharge points should be clearly marked on the submitted site plan.
Please provide short narrative description of discharges:
Active Pit area will be pumped to Pond 1, water will flow through Pond 1 into Pond 2, then overflow into the
North End of a culvert. Then South, off site through the culvert under Sand Pit Road into Newbegun Creek
a) Is your mine dewatering and discharging? (Answer only if you are dewatering)
❑ No
❑ Yes If yes, where to? Surface Waters and/or Wetlands (on -site or off -site)
J Other (on -site or off -site) Describe: Discharge at Culvert at Sand Pit Road
b) Are you dewatering but not discharging? (Answer only if you are dewatering)
❑ No
❑ Yes If Yes, please explain how you are dewatering, and where that water will be directed:
20) Will mining operations require dewatering near wetlands or impact any stream, groundwater, or wetlands?
W1 No
❑ Yes
Note: Wetlands must be CLEARLY DELINEATED on the site plan. Mine dewatering activities that have
the potential to drain wetlands or otherwise impact surface water or groundwater MUST develop and
implement a Pumping Operation and Monitoring (O&M) Plan that has been approved by the
Division.
For sites that may drain wetlands — approval of a Pumping O&M plan may be required prior to
coverage under this general permit. The Pumping O&M Plan should be submitted to the
appropriate Regional Office and must be approved prior to operation.
The plan shall include, but is not limited to: (1) Groundwater monitoring strategies to demonstrate the
effect of pumping and to establish any pumping regime necessary to reduce impacts, and (2) Detailed
plans to maintain surrounding hydrology and respective monitoring to demonstrate compliance. See
checklist at end of document. Contact your local Regional Office for questions specific to your mine.
21) If you are dewatering, are there wetlands or surface waters within 400' of the mine pit perimeter?
a No
❑ Yes If yes, what distance are they from the mine pit perimeter? feet.
22) Have you been required to obtain a 4041401 Certification permits?
V❑ No
❑ Yes If yes, please briefly describe below (include information such a required mitigation, BMPs, setbacks,
and/or O&M plans for on or off -site wetlands or other pertinent information). Attach other sheets as necessary:
Page 4 of 8
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NCG020000 N.O.I.
23) Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers?
No ❑ Yes If yes, please attach to application submission.
Stormwater BMPs:
24) Does this facility employ any best management practices for stormwater control?
❑ No ] Yes If yes, please briefly describe: All runoff from Disturbed Areas is directed back into the Pit
Area of the Mine.
25) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No ❑ Yes
If yes, when was it implemented?
26) Will vehicle maintenance activities occur at this facility?
W] No ❑ Yes
Wastewater Treatment Facilities:
27) Will mine dewatering discharges occur?
n No
❑ Yes
28) Will discharges of overflows from process wastewater treatment systems occur?
RI No
❑ Yes If yes,
a. Does this facility employ chemical additives to flocculate suspended solids? ❑ No ❑ Yes
If yes, please state the name, manufacturer and the quantity of average daily usage of the chemical additive
Note: Please see our website for a list of evaluated polyacrylamide (PAMS) products for use in North Carolina:
http://portal.ncdenr.org/web/wq/ws/su/npdessw
b. Does this facility overflow only during rainfall events exceeding the 10-yr, 24-hr rainfall event?
❑ No ❑ Yes
29) Are wastewater treatment facilities (including recycle systems) planned in the 100-year flood plain?
q No
❑ Yes
30) Is your facility washing mined materials?
Y❑ No
❑ Yes If Yes, are you discharging this water?
Page 5 of 8
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NCG020000 N.O.I.
Other:
31) 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?
RI No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of
hazardous waste?
RI No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste: N/A
How is material stored: _
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor: _
Vendor address:
32) Is your facility providing appropriate secondary containment for bulk storage of liquid materials? See permit
text for secondary containment requirements.
I No
❑ Yes
33) Does your site have an active landfill within the mining permit boundary?
n No
❑ Yes If yes, specify type: ❑ LCID ❑ Other:
Final Checklist:
This application will be returned as incomplete unless all of the following items have been included and
initialed for. Please show that the following required information has been included by initialing in each
space below.
6Ft Fee of $100 made payable to NCDENR.
Etf Completed application and all supporting documents.
Elk Copy of the valid approved mining permit (MP) for the facility or indication of MP application status.
t=tk Copy of a county map or other general location map that shows the mining site and nearest major roads.
t% Copy of USGS topographic map showing the mining site and surrounding areas, or other map that clearly
shows site location in relation to nearby streams, wetlands, and other waters, etc.
2 copies of large-scale (minimum 24" x 36") site plan with topographical lines with all outfalls, applicable
buffers and wetlands clearly delineated, and 100-year flood plain line if applicable.
9 k A copy of your DEMLR mining permit.
UA. A copy of your US Army Corps -approved wetland delineation if you marked "yes' to question 23 above.
Ctk A line drawing of the water flow through the facility. A pictorial description of the nature and amount of any
sources of water and any collection and treatment measures.
Ct,t If mine site is in one of the 20 Coastal Counties:
• Applicant has checked with the appropriate regional office to verify the need for a Coastal State
Stormwater permit. Regional Office Contact: SAM I'F J,bm eoo_
Page 6 of 8
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NCG020000 N.O.I.
• Applicant has included a detailed list of impervious surface areas and percentages, sub -drainage
areas and total drainage area.
N If the mine is dewatering and near wetlands, or may otherwise impact surface waters or groundwater,
include the following and contact your local regional office about a Pumping O&M Plan (see below
for contact information). You may be required to provide an approved Pumping O&M plan priorto
NCG02 issuance.
2 copies of detailed Full Size Plans (at least 24" x 36") delineating areas on the plans and listing
acreage (including: wetlands, ditches, well -placements, pits, borrow areas, overburden storage,
stormwater controls/BMPs, vehicle maintenance areas, settling basins, product process (such as
screening, stockpiles, waste piles), total drainage area, impervious surface percentages (if state sw
programs apply), applicable buffers, and access and/or haul roads).
_Pump dewatering size and information on its specifications.
_Well information (design, depths, maintenance).
_Physical monitoring for the wetlands areas.
_Settling pond sizing information, if applicable.
_Level spreader design, if applicable.
_Details about dewatering method.
_Cone of influence calculations.
_Description of measures to prevent erosion and flooding.
_Description & information about 401/404 permits that have been obtained.
_Copy of US Army Corps of Engineers wetland delineations or approved wetland delineation (if
applicable).
I have contacted my local regional office about a Pumping O&M Plan.
Regional Office Contact: Date contacted:
O
/1 will not any impact nearby wetlands, surface waters or groundwater by dewatering.
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).
33) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
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 agree to abide by the following as a part of coverage under this General Permit:
1. 1 agree to abide by the approved Mining Permit for this mining activity. (A copy of the valid mining
permit must be attached to this request.
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NCG020000 N.C.I.
2. 1 agree to not discharge any sanitary wastewater from this mining activity except under the
provisions of another NPDES permit specifically issued therefore.
3. 1 agree that bulk storage of petroleum products and other chemicals shall have adequate protection
so as to contain all spills on the site.
4. 1 agree that solid wastes will be disposed of in accordance with N.C. statutes and rules governing
solid waste disposal.
5. 1 agree that maintenance activities for vehicles and heavy equipment will be performed so as to not
result in contamination of the surface or ground waters.
I agree to abide by the provisions as listed above and recognize that the provisions are to be considered as
enforceable requirements of the General 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:
(Signature of Applicant)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Mail the entire package to:
Stormwater and General Permits 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 DWO Regional Office for your area.
DWO Regional Office Contact Information:
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 8 of 8
SWU-NCG02-NOI Last revised 9/5/2012

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C200918000186
t
State of North Carolina
Department of the Secretary of State
Limited Liability Company
ARTICLES OF ORGANIZATION
SOSID: 1104941
Date Filed: 7/l/2009 11:21:00 AM
Elaine F. Marshall
North Carolina Secretary of State
C200918000186
Pursuant to §57C-2-20 of the General Statutes of North Carolina, the undersigned does hereby submit
these Articles of Organization for the purpose of forming a limited liability company.
The name of the limited liability company is: Twiford IV, LLC
2. If the limited liability company is to dissolve by a specific date, the latest date on which the
limited liability company is to dissolve: (If no date for dissolution is .specified, there shall be no
limit on the duration of the limited liability company.)
3. The name and address of each person executing these articles of organization is as follows:
(State whether each person is executing these articles oforganization in the capacity of a
member, organizer or both. Note: This document must be signed by all persons listed here).
M. Powell Peters, Organizer
Center, IV
301 Bendix Road, Suite 500
Virginia Beach, VA 23452-1385
4. The street address and county of the initial registered office of the limited liability company is:
M
Number and Street 429 S. Hughes Blvd.
City, State, Zip Code Elizabeth City, NC 27909-4526 County Pasquotank
The mailing address, if different from the street address, of the initial registered office is:
The name of the initial registered agent is: David W. Cross
Principal office information: (Select either a or b.)
a. Q The limited liability company has a principal office.
The street address and county of the principal office of the limited liability company is:
Number and Street 429 S.
City, State, Zip Code Elizc
Blvd.
Pasquotank
The mailing address, if different fran the street address, of the principal office of the corporation is:
b. ❑ The limited liability company does not have a principal office.

y
1 C200918000186
8. Check one of the following:
(i) Member -managed LLC: all members by virtue of their status as members shall be
managers of this limited liability company.
✓ (ii) Manager -managed LLC: except as provided by N.C.G.S. Section 57C-3-20(a), the
members of this limited liability company shall not be managers by virtue of their status as
members.
Any other provisions which the limited liability company elects to include are attached.
10. These articles will be effective upon filing, unless a date and/or time is specified:
�
This is the '
day of June 20 09
M. Powell Peters, Organizer
Type or Print Name and Title
NOTES
I. Filing fee is S125. This document must be filed with the Secretary of State.
CORPORATIONS DIVISION P.O. Box 29622 RALEIGH, NC 27626-0622
(Revised January 1001) (Form L-01)
Instructions for Filing