NCG140362_COMPLETE FILE - HISTORICAL_20080924 (2)

4(-,1i u,hA1L)
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
LEr HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Michael F. Easley, Governor
❑t1 (��� William Ross, Secretary
O ❑t101/lo North Carolina Department of Environment and Natural
Resources
Coleco H. Sullins, Director
Division of Water Quality
September 24, 2008
Rick Proctor, General Manager
PLT Concrete Services, Inc.
3214 Turnage Road
Wilson, North Carolina 27893
Subject: Compliance Evaluation Inspection
PLT Concrete Services - Selma
NPDES Stormwater Permit NCG140362
Johnston County
Dear Mr. Proctor:
I conducted the stormwater compliance evaluation inspection on August 21, 2008 with the assistance of Bill
Anderson. Please find attached with this letter the Basin Wide Information Management System (BIMS) checklist.
Below is a list of findings and recommendations developed from the inspection.
1. The current permit was issued and became effective January 16, 2008. The General Permit NCG140000 will
expire 07/31/2009. There is no requirement to submit a new Notice of Intent or renewal request unless directed
by the Division of Water Quality.
2. The facility consists of an infiltration basin, a five -chamber drum wash recycle system, drainage ditches, and a
water detention pond designed to hold a 25-year, 24-hour rainfall event. The facility is designed to not
discharge any process wastewater water. There has been no discharge from the facility.
3. Fuel and admixture tanks have secondary containment with locked gate valves. Water is visually inspected
before discharge. All excess water on the property is routed to the grass swells located on each side of the
property. Water in the swells is discharged to the water detention pond. The pond was approximately one -
quarter full. Excess concrete is poured into blocks or poured onto the ground. A large area between the pond
and the wash out bays is covered with stacks of broken concrete slabs. This combined with the poured concrete
on the ground has increased the amount of impervious surface area, which may increase stormwater flow and
cause the detention pond to overflow.
4. The water detention pond is constructed with an overflow pipe and emergency spill way. Analytical monitoring
is not required if the water detention pond discharges as a result of a 10-year— 24 hour precipitation event.
5. The Stormwater Pollution Prevention Plan (SPPP) was reviewed. The SPPP is well written and meet all
requirements with the exception of implementing and documenting annual employee training on proper spill
response and cleanup procedures and preventative measures. Site inspection was conducted 04/30/2007 and
11/13/2007. Inspection of all containment areas was last completed on 04/30/2008. Non-stormwater discharge
inspection was completed 05/31/2008. There was one significant spill noted on 04/16/2007.
I would like to thank Bill Anderson for his time and assistance with this inspection. If you have any questions
about this letter or the inspection, please call me at 919.791.4261.
Cc: Central Files
Stormwater Permitting Unit
Sincerely,
� chHayes H
Ivhtch
Environmental Specialist
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone (%19) 791.4200 Customer Service
Internal: ,ww. ncwaicn ualit .org 1628 Mail Service Center Raleigh, NC 2769n-1628 g FAX [phone].623.6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Nor�t�Carolina
A1�i,,.,,yi.,

Compliance Inspection Report
Permit: NCG140362 Effective: 01/16/08 Expiration: 07/31/09 Owner: PLT Concrete Services Incorporated
SOC: Effective: Expiration: Facility: PLT Concrete Services, Inc.
County: Johnston 3073 W Oak St
Region: Raleigh
Selma NC 27576
Contact Person: Rick Proctor Title:
Phone: [phone]
Directions to Facility:
1-95 South to Highway 70 Exit. Turn right at the top of the ramp. Go 1,25 miles. Merge right on Highway 70 ByPass. Go 1.5 miles. Turn
right on O k Street. Site is .75 miles on the right.
System Classifications:
Primary ORC:
Certification: Phone:
Secondary ORC(s):
On -Site Representative(s)
24 hour contact name Rick Proctor
Phone: [phone]
On -site representative Bill Anderson
Phone: [phone]
Related Permits:
Inspection Date: 08/18/2008 Entry Time: 12:00 PM Exit Time: 12,35 PM
Primary Inspector: Mitchell S Hayes /�r��`U(1
Secondary Inspector(s):
Pho e: 919-791-4200
Reason for Inspection: Routine
Inspection Type: Stormwater
Permit Inspection Type: Ready Mix Concrete Stormwater/Wastewater Discharge
COC
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
0 Storm Water
(See attachment summary)
Page: 1

Permit: NGG140362 Owner - Facility: PLT Concrete Services Incorporated
Inspection Date: 08/18/2008 Inspection Type: Stormwater
Reason for Visit: Routine
Inspection Summary:
Facility consists of an infiltration basin, a five -chamber drum wash recycle system, drainage ditches, and a water
detention pond designed to hold a 25 year, 24-hour rainfall event. The facility is designed to not discharge any process
wastewater water. There has been no discharge from the facility. There are no analytical or qualitative reports to review.
A copy of the permit was available during the inspection. The Stormwater Pollution Prevention Plan has been
implemented and contains all permit requirements with the exception of implementing and documenting annual employee
training on proper spill response and cleanup procedures and preventative measures.
Site inspection was completed 04/30/2007 and 11/13/2007. Inspection of all containment areas was last completed
04/30/2008. Non-stormwater discharge inspection was completed 5/31/2008. There was one significant spill noted on
04/16/2007.
Diesel fuel tanks, and chemical tanks had secondary containment with locked gate valves. Water is visually inspected
before discharge. All excess water on the property is routed to the grass swells located on each side of the property.
Water in the swells is discharged to a water detention pond designed to hold a 25 year, 24-hour rainfall event. The pond
was approximately one -quarter full. Excess concrete is poured into blocks or poured onto the ground. A large area
between the pond and the wash out bays is convered with stacks of broken concrete slabs. This increased area of
impervious surface may increase stormwater flow and cause the detention pond to overflow. At the time of inspection,
there was no indication of discharge off the property.
Page: 2

Permit: NCG140362 Owner - Facility: PLT Concrete Services Incorporated
Inspection Date: 08/18/2008 Inspection Type: Stormwater
Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices'?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
At Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: New plant manager was unaware of providing and documenting employee
training.
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outfalls observed during the inspection?
# If the facility has representative outfall status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment: This is a non -discharge concrete plant. There are no discharge outfalls. No
analytical or qualitative sampling is required.
Yes No NA NE
■ ❑ ❑ ❑
❑ ❑ ■ ❑
❑ ❑ ■ ❑
■ 0 ❑ ❑
Page:3

i �.
\O�OF W ATF9OG
� r
O �
Mr. Rick Proctor
PLT Concrete Services, Inc.
3214 Turnage Road
Wilson, North Carolina 27893
Dear Mr. Proctor:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
January 16, 2008
Coleen H. Sullins, Director
Division of Water Quality
JAN 18 2008
1`DEPIR R/iLD&I R::GiC;;ii`G DICE
Subject: General Permit No. NCG140000
PLT Concrete Services - Selma
COC No. NCG14O362
Johnston County
In accordance with your application'for a discharge permit received on July 16, 2006,
we are forwarding herewith the subject certificate of coverage (COC) to discharge under the
subject state - NPDES general permit. I apologize for the lengthy delay on my desk. 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 May 9, 1994 (or as subsequently amended).
Please take notice that the attached certificate of coverage is not transferable except
by action of the Division of Water Quality. The Division of Water Quality may require
modification or revocation and reissuance of the certificate of coverage. Coverage under
this permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land
Resources, Coastal Area Management Act or any other federal or local governmental permit
that may be required.
This letter is also an Authorization to Construct recycle and infiltration treatment
facilities. We are aware that the infiltration basin has already been constructed per earlier
agreement. Please contact the Raleigh Regional Office, telephone number [phone],
at least forty-eight (48) hours in advance of operation of the recycle system. If the recycle
system has also already been installed, please contact them this month so that an in -place
inspection can be made. Such notification to the regional supervisor shall be made during
the normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday,
excluding State Holidays.
Please submit a certification from the designing professional engineer
certifying that the permitted facility has been installed in accordance with the
NPDES Permit, this Authorization to Construct, and the approved plans and
specifications. Please mail the certification (attached) to the Stormwater Permitting Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617.
Please note that any future construction, installation, or modification of wastewater
treatment facilities (including process wastewater recycle systems) will require an
Authorization to Construct (ATC) prior to construction per 15A NCAC 2H .0138 & .0139. You
must submit, in triplicate, plans/specifications and design calculations, stamped and sealed
by a professional engineer, with a letter requesting an ATC to the Stormwater Permittingv°�nCarolina
Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617.] �jnturn//J
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone]
Internet www.nnrnerquality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal Opportunity/Affirmative Acton Employer- 50% Recycled110% Post Consumer Paper
Customer Service
1-877-623-6748

Mr. Rick Proctor
Page 2 of 3
January 16, 2008
Please note that a condition of issuance of coverage under this permit was your
agreement to sample all discharges quarterly for fecal coliform. Given the design basis and
configuration of your control facilities, it is likely that you will not have a discharge every
quarter. In the event that a calendar quarter passes without a discharge, please submit a
monitoring report with the notation, "No discharge this quarter", or words to that effect.
We still want to receive the monitoring report, even if you have not been able to take a
sample.,
One (1) set of approved plans and specifications is being forwarded to you. You are
required to maintain a copy of the approved plans and specifications on file for the life of
the facility. If you have any questions concerning this permit or Authorization to Construct,
please contact Ken Pickle at telephone number [phone] ext. 584.
Sincerely,
d-j 1fdJ
for Coleen H. Sullins
Enclosures: Engineer's Certification
ATC package
cc: Ron Sutton, Sutton -Herring, 2201 Nash St. NW, Wilson, NC 27896, letter only
Raleigh Regional Office, Myrl Nisely, ATC package
DWQ Central Files, letter only
Stormwater Permitting Unit File NCG140362, ATC package

Mr. Rick Proctor
Page 3 of 3
January 16, 2008
Engineer's Certification (COC No. NCG140362)
I, , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically, weekly, full time)
the
construction of the project,
Project Name Location
for the Permittee, hereby state that to the best of my abilities, due care and diligence was
used in the observation of the following installations:
• Construction of an infiltration basin, a five -chamber drum wash recycle system, drainage
ditches, and other related incidental features, all in the configuration and locations
shown on the approved plans and specifications.
I certify that the construction of the above referenced project was observed to be built
within substantial compliance and intent of the approved plans and specifications.
Signature Registration No.
Date
Mail this Certification to: Stormwater Permitting Unit
NC Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140362
STORMWATER AND PROCESS WASTEWATER 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,
PLT Concrete Services, Inc.
is hereby authorized to operate a process wastewater treatment system, and is hereby authorized to discharge process
wastewater and stormwater from a facility located at
PL,T Concrete Services, Inc.
3073 West Oak Street
Selma, North Carolina
Johnston County
to receiving waters designated as unnamed tributary to Mill Creek (Selma), a class WS-1 V NSW water in the Neuse
River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in
Parts 1, 11, III, IV, V, and VI of General Permit No. NCG 140000 as attached.
This certificate of coverage shall become effective January 16, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 16, 2008.
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Name: Discharge Site - NCG140362
Short Name: Dschrg
Coordinates: 035' 33' 15.92" N, 078° 18' 49.40" W
Comment: PLT Concrete Services, subbasin 03-04-02, Neuse River Basin, Johnston County,
unnamed tributary to Mill Creek (at Selma) to Neuse River, class WS-IV NSW,
USGS quad E25SE

Michael F. Easley, Governor
William G. Ross, Jr., Secretary
orth Carolina Department of Environment and Natural Resources
C. ) Alan W. Klimek, P.E., Director
'0 Division of Water Quality
WC& 1g0362,
CERTIFIED MAIL 7006 0810 0002 6048 6738 fvr�i• ✓�(
RETURN RECEIPT REQUESTED
Mr. Rick Proctor
PLT Concrete, Inc.
3214 Turnage Rd.
Wilson, NC 27893
Subject: Notice of Violation
Construction of Treatment Unit without a Permit
PLT Concrete Plant in Selma, NC
Case No. NOV-2006-CV-00I I
Johnston County
Dear Mr. Proctor:
On July 13, 2006, Myrl Nisely from the Raleigh Regional Office (RRO) of the Division of
Water Quality (DWQ) conducted a site visit as part of a permitting and process review .
effort prior to the issuance of your industrial siormwater permit NCG 140000. During this
visit he observed an ongoing effort to construct process wastewater treatment units prior to
issuance by DWQ of the Certificate of Coverage and an Authorization to Construct for this
facility. This constitutes a violation of North Carolina General Statute 143-215.1 (a) (2)
which states the following:
143-215.1 (a) Activities for Which Permits Are Required - No person shall do any
of the following activities unless that person has received a permit from the
Commission and has complied with all conditions set forth in permit:
(2) Constructed or operate any sewer system, treatment works, or disposal system
within the State.
This Office requests that you respond to this letter in writing within 30 days of receipt of
this Notice. Your response should be sent to both this office at the letterhead address
and to the attention of Mr. Danny Smith at the Wetlands and Stormwater Branch,
Compliance and Assistance Unit, 1617 Mail Service Center, Raleigh NC, 27699-1617.
Your response should address the following:
• Please explain what mechanisms you will use in the future to ensure that all
appropriate "Authorizations to Construct' and permit coverage are obtained before
the initiation of construction.
North Carolina Division of Water Quality Raleigh Regional G(tice Surface Water Protection Phone [phone]
Internet: w vw.ncwaterqualitv.ore 1628 Mail Service Center Raleigh, NC 27699-1628 FAX [phone]
Customer Service 1-877-623-6748

Pur Selma NOV, August 23, 2006
Page 2 of 2 S.
Thank you for your attention to this matter..�These'eiolations-and any future violations are
subject to civil penalty assessment of up to425 000:00 pei,day=for each violation. Should
you have any questions regarding these matters; please,contact-Myrl Nisely at 919-791-
4200.
Sincerely,
C/o/ m-
Charles Wakild, P.E.
Surface Water Protection Supervisor
Raleigh Regional Office
cc: Danny Smith — NPS Assistance and Compliance Oversight
Bethany Georgoulias — Stormwater Permitting Unit
Central Files
RROXSWP-File
Ron Sutton, Herring -Sutton and Associates, P.A.
2201 Nash St. NW
Wilson, NC 27896

;..N.P
PLT
CONCRETE SERVICES, INC.
September 57 2006
Mr. Charles Wakild; P.I.
Surface Water Protection Supervisor
Raleigh Regional Office
1628 Mail Service Center
Raleigh, N.C. 27699-1628
Dear Sir,
GUv
In response to Four letter concerning case No. Nov-2006-CV-00I 1. 1 again must
apologize for failing to leave our "Notice of Intent" form with Mr. Ken Pickle during our
plan review meeting on March 27.2006.
During our long meeting. we discussed several areas of concern I'or both parties
and came to agreement on how our plans could be changed to satisfy everyone involved.
It still continues to be an embarrassment that after all the effort and time put I'Orth
Oil our Sclma. N.C. plant during this meeting. Both myself and our engineer felt the
meeting without giving Mr. Pickle our N.O.1 to construct the new plant.
I have included in this mailing, a copy ol'all communications concerning this
error on my part and assm'e yIou that this "will not" happen again. In fact, we've already
submitted an N.O.1 and the required plans and calculations for another new plant located
near %cbulon. N.C., which we hope to get started on its construction within the next 30
days.
I hope this writing explains and clears up any questions you have, but if you need
to discuss this further, please call me at an\nimc at our Wilson. N.C. office at
252-293-0500.
Sincerely.
PI_T Concre/ SM" es Inc.
r�/
Rick Proctor
General Manager
l� SEP 1 5 2006
L _. Ft.',IEIG� H REGIOHA OFFICE
44J
3214 Turnage Road • Wilson, North Carolina 27893 • Office 252-293-0500 • Fax [phone]

r � l
CONCRETE SERVICES, INC.
July 14, 2006
Mr. Ken Pickle
Division of Water Quality
N.C.D.E.N.R.
Dear Mr. Pickle,
This letter is to "sincerely apologize" for my forgetfidness and
stupidity in regards to the "notice of intent" paperwork that was not given to
you during our meeting at your office on March 30, 2006.
As you can see, I had sent a fax to ow- engineer, Ron Sutton on March
27, 2006 to review and address any concerns that he might have prior to our
meeting with you.
I am really embarrassed about the fact that I walked our without
leaving the N.O.I. with you and can'tjustify to you or myself why I did so.
After meeting with Mr. Niesley on Thursday and realizing what I had done, I
can't begin to tell you how sorry I am about this.
I can only ask that you please forgive my ignorance and hopefully,
after reviewing our package and the photos of our site design, you will allow
us to open our Selma Plant as planned, on June 24, 2007.
If there is anything further that you need or if you would like for me
to meet with you about this, please give me a call at 252-205-3337.
Sincerely,
Proctor
General Manager
PLT Concrete Services, Inc.
CEP 15 2006
r' •_EIGH REGIOI5IL OFH
_ ...
3214 Turnage Road • Wilson, North Carolina 27893 • Office 252-293-0500 • Fax [phone]

P. 1
Communication Result Report ( Mar.2). 2006 10:13AM ) z
Fax Header) PLT CONCRETE
Date/Time: Mar.27. 2006 10:05AM
File Page
No. Mode Destination Pg(s) Result Not Sent
-----------------------------------------------------------
3443 Memory TX 2915900 P. 6 OK
----------------------------------------------------------------------------------------------------
Reason for error
E.I) Hang uo or line fail E.2) Busy
E.3) No answer E.4) No facsimile connection
E.5) Exceeded max. E —mail size
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03/23/2006, 15:59 9197339612 PAGE 02
R#Aw-'M
USE ONLY
(ved
nDivisin of Water Quality / Surface Water Protection
ovesRi
d'V�� ��Notional Pollutant Discharge Elimination SystemAAw-'M■�ed m
E nwnw °Nmm anwwcs NCG140000
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG140006:
"STORM WATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified a-si
SIC (Standard Industrial Classification) Code - 3273 Ready Mixed Concrete
For new plant sites that will discharge or recycle process wastewater (even If commingled with
stormwater): This NOI Is also an APPLICATION FOR Authorization onstruct (ATb) wastewater
treatment facilities. ATC requests must be submitted at least 90 days prior to construction'.
For ex/stln i plant sites discharging. or recycling process wastewater (even if commingled with
stormwater): This NOI is also an APPLICATION FOR Authorization to continue to operate wastewater
treatment facilities in place. Construction, modification, or Installation of any new treatment components
'.at an existing site requires an ATC.
Treahrient facilities used to treat or recycle process wastewater (including stormwa"ter BMP structures';'
treating process' wastewater flows commingled with stormwater) require an ATC prior to construction -:
per 15A NCAC 2H .0138. The authorization to construct or continue to operate will be issued at the
same dine as the Certificate of Coverage (COC) for the NCG14 permit. Design of, treatment facilities
must comply with requirements of 15A NCAC 2H .0138 & .0139.
Construction of wastewater treatment facilities (this Includes recycle systems) of new or existing plant
sites rAqulres'submisslon of three (3) sets of plans and specifications signed and sealed by a
Professional Engineer (P.E:) or qualified staff'along with this application. A copy of the design
calculations should be Included. Please see questions 14 & 15.
For questions, please contact the DWO Regional Office for your area (See page 5)
(Please print or type)
1) Melling address of ow/nnedopeerrator (address to which all aermlt/corresuondonce ' will be moll�ill
Name I�T l �iil�i(t�}e �Vil a�, /l/C•
Street Address U f WG
city State �_ ZIP Code
" Tel No. �� S of — n5,r) 0 Fax: S ^
2) Location of facility pr ducing discharge: ..
Facility Name C
Facility Contact C IC
Street Address
City State . zip Code s
County SCFax:
! 1�%J
Telephone No. Fax
Page 1 of 5
'As per 15A NCAC 2H .0106
'Unless pealment fecllltles are designed, constructed, and put Into operation by amploya is Iniemal to the company wno era quallfled to
perform'such work for their respeciive companies in accordance with General Statutes, e9C-25 (7), plans and speclticallons must be slgned ..
and sealed by a P.E.
SWiJ-229-101,01905 Last revlsedl0/19/2005
p,?oP.0-6y J'ol?'JIV14a

03/23/2006 15:59 9197339612 PAGE 03
NCG140000 Nt0.1.
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street state road numbers, �d
distance.and direction from a roadway intersection). / S 7
10 �F e �� l% m! , m 2 ca u1`/ 70 Q�IAMY,
(A copy of a county map or uSGS quad sheet with facility clearly located on the map is a required pad of this application.)
q) Letitude3Cp�`!•.3�r�`u'/s6eet_ongitude7aA2 ,�.l8roev.'�?a¢e(deg, min, sec)
5) Thl ;NPDES'Permit Applicatioalspplies to which of the following:
VNew or Proposed Facility Date operation is to begin % 0?0a6
❑ Existing
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the: primary industrial
activity at ifil3 facillly e,
SIC Co
r;
;7) Provide. a: brief descrn 1ptloof the types of Industrial activities and products produced at this f6di It :'
(Include a site diagram showing the process are present at this facility,)
B) Discharge pointol Receiving waters:
A- 14160 many dts h ge Points (ditches, pipes, channels, etc.) convey stormwater and/or wastewater from the
property7.Si
• 13• What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the tabtltty stormwater
and/or wastewater discharges end up in?
. If the site stormwater discharges to a separate storm sewer system, name the operator;of the separate atorm:
89Wer system (a.b.'City ofRaleigh;municipal storm, sewer). ,
Receiving watercl:93sification.(if known):
Note: Discharge of process wastewater to receiving waters classified as \VS-11 to WS-V or SA must"
be approved by the N.C. Dept. of Environmental Health. ItDEH does ndtepprove, covergge."' '
under NCG140000 cannot be granted. No new discharges of process wastewater are permitted
Iri raC0lVln waters classifled as WS-I or freshwater ORW.
9) Does this facility have any other NPDES permits?
0
0 Yes _ .
If yes, list the permit numbers for all current NPDES permits for this facility:
10) DDo/es this facility have any Non -Discharge permits (ex: recycle permits)?
4c No
❑,Yes
If yes, list the permit, numbers for all current Non -Discharge permits for this facility '
11) Does this feollity employ any best management practices for stormwater5ontrall
❑ e. U e�e✓t��On .
r "es e- t, .uo
If yes, pi ase briefly describe:
Page 2 of 5
SWU-22B-7o1906 Last revised:10/19/2005

+03/23/2006 15:59 9197339612 PAGE 04
NCG140000 N.O.I.
12) V
this facility have a Stormwater Pollution Prevention PIan7
o
❑ Yes
If yes, when was it Implemented?
13) Are vehicle maintenance activities occurring or planned at this facility?
VYeOs,U //, n ��Q � (uL�i7" -S C•U�/
wastewaterTreatment Design Information
14) Are discharges occurring or planned from any of the f�oi11 wing process wastewater generating activittes7
Vehicle and equipment cleaning IYJ Y s ❑ No
Wetting of raw material stockpiles Yes C] No
Mixing drum cleaning ❑ Yes No
If yes to any of the above, please describe the type of process used to treat and/or'recycle the process
wastewater.
For a sufficient application, you must provide design specifics (e.g., design volume, retention tim§, surface
,7;t
area, etc.) and calculations to demonstrate compliance with permlt effluent limits (pH — B-9 SU Total,,,
Suspended Solids (TSS) — 30 mg/I, and Settleable Solids (SS) — 5 ml/I.) [Use separate shest(s)]
If all these discharges are recycled, please refer to Question 15.
For plants that recycle and/or discharge process wastewater.
When applying for this permit, you are also applying for an authorization to construct (new
treatment facilities) or authorization to continue to operate (existing treatment facilities) as
part of the NOI. For n� sites, you must submit three (3) sets of design plains ,and '
specifications with this application and provide supporting, calculations, that predict
compliance of final discharge with permit limits. For existing sites, applicants should submit
three (3) sets of plans and specs for facilities as -built and provide as many design details as
possible, or submit a detailed diagram of treatment systems In place that Includes information
such as tank volumes, dimensions, retention time, piping, settling basin details, etc.
Please note: If new treatment systems are planned for an existing site an ATC will be required
prior to construction of those facilities. Plansispecs/calcu/at/ons prepared by a P.E. and the ,
request for an ATC may be submitted with this NOI, or separately at a.tlater date. DWO may
request the status of your lane forrequesting an ATC upon Issuance of the COC.
15) Does the facility use or plan to use a recycle system?
Yes L✓ilAs'/'( GU7' 11//,--'Lcl/Jh°.2,. UJ'Q,IJ --�O C/.Of>'✓U C(J,J'/yI/xC'2 d1u1fii
If yes, what size storm event is the system designed to hold before overflowing? (for example, 10-yr; 24-ht)
25 year, 24-hr rainfall event
For a recycle system (regardless of when It overflows), please provide plans, calculations, and design specifics'
(e.g., throughput assumptions/water balance, design volume, retention time, surface area, amount of
freeboard in design storm event, etc.). fUse separate sheet(s)].
For a sufficient application, the information must demonstrate compliance of final discharge with permit effluent
limits (pH — 6-9 SU, Total Suspended Solids (TSS) — 30 mg, and Settleable Solids (SS) — 5 mill), or must,
demonstrate that the recycle, system has sufficient capacity to contain runoff from a 25-year, 24-hr rainfall;
event plus one foot of freeboard under design operating conditions.
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_«03/23/2006 15:59 9197339612
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NCG140000 N.O.I.
16) Art' wastewater treatment facilitiEs (Including recycle systems) planned in, the_ 1,QD-year flood pfi�in?
p No ❑Yes It so, include information to demonstrate protection from flooding. (Mlhimum design
requirements for treatment works include protection from the 100-year flood, per 15A f 1CAC 2H'.0219.)
17)' Haiardous Waste:
a)I's �)Is facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
11� No
O Yes
b); is this facility a Small QuantityrGenerator (less than 1000 kg. of hazardous waste 0eherafi d.per month)` of
,h ardqus waste?..
® No
❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous ,waste �gnerated per month):ot
h�e(,ardous waste?
Yes
Nyou answered -yes to questions b. or c., please provide the following informatiok ,r
gype(s):of i aster.
Now is material stored:
Where is material stored
How many disposal shipments per year:
Name of transport / disposal vendor.
%160.d6r addiA35r
1t8)„C8111ficeflorl,
Nprtharollna Cieretal §tatilte 1'43-215.6 B(i) provides that:
i''' ` tecdro3 �fAliort, len,air olht?r
perldn Whb kribWlrigiy makas"any false statement, rapreeentaiion, or cerifGcstlon rn an}t applitl�llori, P
&aument�tlihd or r�c(Jired to be maintained under this Article or a rule implementing this Anlclerdr Who knp0u66)IY'mnf knowlnl�y
staterri4m of a 111aterlRl't6ct Iri;9 rulalilhkfng proceeding or contested case under this AnlPls;ror who t l;ifiBs ;erfSPltro with, g..
.. ^I>-rertd&rk+inaet:.urAto. aray rgcordleg o4monitonng device or method required to be operated or malntam`ed under this Artldleor rul®s of trite
i 21EiivltbnmentalrMpneger+tentj:Commission Implementing this Article shall be guiltq of a blhei3't nit,a) die4hdr Whldli''m9.y inmidde a flMe
'i. `not to�ersaetl tetl.lhouaand dollare.d5t0,0o0). - }
vere a under this?permit
I heraby-request eoJbrago undor the referenced General Permit. I,undorstand (haF e9 9
will constitute the permit requirements for the discharge(s) and is enforceable In the san1B mannet.as an:
Individual permit.
I certify that I am familiar with the information contained in this application and that to the be$t_ot my knowledge
and belief such information is true, complete nd accurr a -
Printed Name o arson ti gnln
Title:
(Signature of Applicant)
O.
i ..
f,4utice ofiiiierit hi st' be accompanied by a check or money order for $BO.Oa matle paYab�e to `•
NCDENR
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i7-2`lg-toteos
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