NCG160234_Application_20200311

(Q 0 23L f
FOR AGENCY USE ONLY
Date Received
Year Jlonth Dac
Division of Energy, Mineral, and Land Resources tat)
11
Land Quality Section Certificate of Coveragre INS
National Pollutant Discharge Elimination System NICIGIt k I
g Y Check 0 Amount
Environmental miry Iiob
Quality NCG160000 s.S yr le-1"ti•-d
NOTICE OF INTENT RECEIVED
National Pollutant Discharge Elimination System application for coverage under General Permit RECEIVED
NCG160000 for STORMWATER DISCHARGES associated with activities classified as: MAR 1 1 2070
SIC 2951 The manufacture of Asphalt Paving Mixtures and Blocks, DENR-LAND QUALITY
STORMWATER PERMITTING
And, Like activities deemed by DEMLR to be similar in the process, or the exposure ot raw
materials, intermediate products, final products, by-products, or waste materials.
(Please print or type)
1) Mailing address of the owner/operator(address to which official permit correspondence will be mailed):
Name Sharpe Brothers,A Division of Vecellio&Grogan, Inc (Sharpe Brothers)
Owner Contact John Riley
Street Address 204 Base Leg Road
City Greensboro State NC ZIP Code 27409
Telephone No. 336 235-2756 Fax: 336 235-2743
E-mail Address [e-mail]
2) Location of the facility producing the discharge:
Facility Name Sharpe Brothers Plant 4
Facility Contact
• Street Address 4572 High Point Road
City Kernersville State NC ZIP Code 27284
County Forsyth
Telephone No. 336 355-1818 Fax: 336 346-8160
Email
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). I-74/US-311 S to High Point Road Exit right. Martin Marietta quarry on right.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 36°2'8.46"N Longitude 80°6'30.81"W (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
El New or Proposed Facility* Date operation is to begin
0 Existing
*If this new or proposed facility is located in one of the 20 coastal counties, please contact the appropriate DEMLR Regional
Office(see page 4)to determine if a State Stormwater Permit is required prior to construction.
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NCG160000 N.O.I.
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code)that describes the primary industrial
activity at this facility
SIC Code: 2 9 5 1
7) Services and Activities
a) Provide a brief narrative description of the types of industrial activities and products
manufactured at this facility: (Include a site diagram showing the process areas and location of
activities present at this facility.)Hot Mix Asphalt Plant-See Figure 2
b) Check all activities conducted at this facility.
❑✓ Outdoor stockpiling of materials ❑✓ Transport of materials by a conveyor
✓❑ Storage of raw materials or front-end loader
✓❑ Storage of materials in above- ❑ Vehicle and equipment maintenance
ground tanks ❑ Vehicle or Equipment Washing
❑✓ Material Loading and Unloading ❑ Vehicle and equipment fueling
8) Discharge points/Receiving waters:
How many discharge points (ditches, pipes, channels, curb and gutter, swales, etc.) convey stormwater from
the property? One outfall to retention pond.
What is the name of the body or bodies of water(creek, stream, river, lake, etc.)that the facility stormwater
discharges end up in? Spurgeon Creek
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
Receiving water classification (if known):ws-lll
List discharge points (outfalls)that convey discharge from the site (both on-site and off-site) and location
coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Stormwater Outfall No. 001
Latitude(degrees/minutes/seconds): 36°2'8.46"N N
Longitude (degrees/minutes/seconds): 80°6'30.81°W W
Stormwater Outfall No.
Latitude(degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude(degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude(degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No. only
Latitude(degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
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NCG160000 N.O.I.
Stormwater Outfall No. _
Latitude(degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
9) Does this facility
a) Have an untreated wastewater discharge? I No ❑ Yes
b) Have a treated wastewater discharge? I No ❑ Yes
If yes, list the permit number.
c) Have a wastewater discharge from a recycle system? I No ❑ Yes
If yes, list the permit number.
d) Have a non-discharge permit? I No ❑ Yes
If yes, list the permit number.
e) Discharge wastewater to a municipal wastewater collection system? I No ❑ Yes
If yes, list the municipality and permit number
Note: Stormwater discharge permit NCG160000 does not authorize the discharge of any wastewater.
_ If this site discharges wastewater,you must obtain the appropriate wastewater discharge
permit in addition to coverage for stormwater discharges under NCG160000.
10) Does this facility employ any best management practices for stormwater control?
❑ No I Yes (Show any structural BMP's on the site diagram.)
If yes, please briefly describe: Rock filters before drop inlet,and Outfall 001 discharges to retention pond.
11) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No I Yes
If yes, when was it implemented? 2016-Currently being updated.
12) Are vehicle/equipment maintenance activities occurring at this facility?
❑ No IYes
13) 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?
▪ No ❑ Yes
c) Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
I No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
I No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
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NCG160000 N.O.I.
Where is material stored:
How many disposal shipments per year:
Name of transport/disposal vendor:
Vendor address:
14) Certification:
North Carolina General Statute 143-215.6B (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article;or who falsifies,tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management]Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit. I certify that I am familiar with the information contained in this application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: John Riley
Title: Safety Director
2/28/20
(S. ature of Aant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for$100.00 made payable to:
NCDEQ
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NCG160000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included.
Please do not ask us to "hold" an incomplete application in anticipation of a check under separate cover.
• Check for$100 made payable to NCDEQ
• This completed application signed by the applicant, and all supporting documents
• A site diagram showing, at a minimum, (existing or proposed): -See Figure 2.
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
(corresponding to which drainage areas), (d) runoff conveyance structures, (e) areas where materials are
stored, (f) impervious areas, (g) site property lines, (h) vehicle and equipment maintenance, blasting,
painting, and washing areas, and (i) location of activities listed in 7b.
• Copy of county map or USGS quad sheet(preferred)with location of facility clearly marked on map-See
Figure 1.
Please mail the entire package to:
DEMLR-Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Please note:
The submission of this document does not guarantee the issuance of NPDES permit coverage.
For questions,please contact the DEMLR Regional Office for your area.
To visit our website please go to http://portal.ncdenr.orq/web/lr/stormwater
DEMLR Regional Office Contact Information:
Asheville Office [phone]
Fayetteville Office [phone]
Mooresville Office [phone]
Raleigh Office [phone]
Washington Office ...[phone] — Raleigh
Wilmington Office [phone] Washinitivn
Winston-Salem [phone]
Central Office .........[phone] • � w "
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SWU-234-030909 Last revised 09/10/14

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PROJECT NO.: ENMO190150.00 • Outfall Sharpe Brothers Plant 4
4572 High Point Road
SCALE: As Shown Drop Inlet Kernersville, NC 27284 Mier El