NCG140481_Application_20200401

Environmental
Quality
Division of Energy, Mineral and Land Resources
Storm*ater Program
National Pollutant Oischarge Elimination System
G140000
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate of CoveraKe
Check # I Amount
�j tO0t7
tJ Permit Assigned to
e . �rMc a
J
Willi
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coven pyN F _eEl #? ! ,mot NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code: 3#3 and like activities - Ready Mixed Concrete
This NOI may be an application to discharge process wastewater. NCG140000 contains effluent limitations
for process wastewater discharges. Wastew ter discharges must meet the requirements of these effluent
limitations. An exceedance of any of these lirr itations will result in a violation of the permit conditions.
For questions, contact the DEMLR Central Office or Regional Office in your area. (See page 8
(Please print or type)
1) Mailing address of owner/operator (official address to which all permit correspondence will be
mailed : M j
Legal Company Name / Ayie l�0 0,
(Please attach the most recent Annual Report to the NC Secretary of State showing the current legal name. Alternatively
this permit can be given to an individual.)
Signee's Name (as signed for in question 28 below)������
2)
Street Address 1 If 33�- A/10J
City k/f+S A I &
ya y-OI,
Telephone No. —� -jr t=11
Alternate ContactName d 6rc Ar
Alternate Contact Telephone (if different) 2
Location of facility producing discharge:
Facility Name
Street Address
City
County Facility
Contact
Telephone No.
2 S1 Z
3) Physical location information:
State #V C ZIP Code 7
Email AAJd WC'0"-/GIZLC7'E/c,), .4P4 A /M 41
Email (if different) I etw,
GO A+t
Please provide narrative directions to the facility (use street names, state road
direct'on from a roadway i tersection). D •�} M r IQ- ►�/�S T 1. /4 rI
direct'
-14- P ") 2 v& A JV d- Z � �S�
M-04 /.
"M j
>, and distance and
141,yrd CXj,r SvL'r*
(A copy of a aaap-er USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude J �" /, ' 13 $i # Longitude 7 8 o 6 31 S z "t4,�deg., min, sec or decimal)
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5) This NPDES Permit Application applies to the following (check all that apply):
K'New or Proposed Facility Date operation is to begin G ( I (;
❑ Existing Facility Date operation began
6) Consultant's applicati n information:
Consultant: �9 7 I • /?i G�, q n. d
Consulting Firm: #&jJ Aic A rLj sir ;01(Optional)
Mailing Address: It d Waf ru Staple Business Card Here:
City: WA AItir
State: /Y Zip Code:
Email
7) Provide the 4 digit Standard Industrial Classitjication Code (SIC Code) that describes the primary
industrial activity at this facility:
SIC Code:,;,? Z Z- .3
8) Provide a brief description of the types of industrial activities and products produced at this facility:
(Attach site diagram showing the process areas present at this facility.)
(Attach
MiXXJ Cc kvcAa-rV—,
9) Discharge points / Receiving waters:
What is the name of the body or bodies of
and/or wastewater discharges will end up
7.m A t 1. _ _ 7 .. an .. _ - f"
To find the waterbody, please see
https://deq.nc.gov/about/divisions
:er Treatment & Discl
on
stream, river, lake, etc.) tha�the facility stormwater
jl
Cti g v [[ , H.44 -6 u A -a elf ,
NC Surface Waterbody Classifications map at
:er-resources/water-resources-science-data
Receiving water classification6s) for the waters: A / r/ r'e `e G�"e- G sub
If the site will discharge to a separate storm sewer system, name the operator of the separate storm sewer
system (e.g. City of Raleigh municipal storm sewer). N
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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.
Be sure to indicate a type for each outfall listed below as Stormwater only, Wastewater only or Wastewater
Commingled with Stormwater
Outfall No. A Stormwater only Wastewater only
Latitude (degrees/mi es/seconds):
Longitude (degrees/minutes/seconds):
Outfall No. Stormwater only
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
Outfall No. Stormwater only
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
❑ Wastewater only
_ N
W
_ N
W
Wastewater Commingled with Stormwater
Wastewater Commingled with Stormwater
❑ Wastewater only Wastewater Commipgled with Stormwater
N
W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Outfall No. Stormwater only
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
❑ Wastewater only
Outfall No. Stormwater only ❑ Wastewater only
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
Outfall No. Stormwater only
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
_ N
W
_ N
W
Wastewater Commingled with Stormwater
Wastewater Commingled with Stormwater
❑ Wastewater only Wastewater Commingled with Stormwater
N
n�
Will this facility discharge wastewater to SA (Shellfish) waters? ❑ Yes Afro
Note: Discharge of process wastewater to receiving waters classified as Critical Area (CA) must be
reviewed by the N.C. Division of Water Resources, Public Water Supply Section ahead of
approval. No new discharges of process wastewater are permitted in receiving waters
classified as WS 1 or freshwater ORW
You must show all discharge points clearly on the submitted site plan. Be advised that
NCDEQ may require you to apply for an individual permit, based on proposed discharge rates
and receiving stream conditions (low flows, impairments, etc.)
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10) Each applicant shall provide the following information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or,, site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibly show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Stormwater/wastewater treatment structures
o Location of numbered stormwatelr/wastewater outfalls (corresponding to which drainage areas)
o Runoff conveyance structures
o Areas and acreage where materials are stored
o Impervious area acreages
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
o Site property lines, North Arrow, and bar scale
o If applicable, the 100-year floodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities' wastewater', or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
o Site location (insert)
Site plans shall be 24" x 36" in size.
• Line drawing and description: 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.
• A narrative description and identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by
discharge. Processes, operations, or production areas may be described in general terms (e.g. "ash
silo").
11) Doe a applicant have any unresolved Notice of Violations (NOVs)?
No ❑ Yes
Wastewater:
12) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater
Generate
Discharge
Sent to WW
Treatment
System
Vehicle and equipment cleaning VE
❑
❑
❑
Wetting of raw material stockpiles RM
❑
❑ R e
Mixing drum cleaning MD
❑
❑ Ae
Further explanation, if necessary:
13) Will you��Yes
y spray -down or actively wet aggregate piles?
❑ No
14) Does the facility use any of the following on site?
❑ Phosphorus -containing Detergents ❑ Non -Phosphorus -containing Detergents 10,11/4'
❑ Brighteners ❑ Other Cleaning Agents ❑ Other:
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15) ireXastewater treatment facilities planned in the 100-year flood plain?
No p Yes
16) III your facility build a closed -loop recycle system (CLRSs) that meets design requirements in 15A
NCAC 02T .1000 and hold your facilities' working volume'?
❑ Yes >�N�o
If Yes, STOP COMPLETION of this permit. Contact DWR Non -Discharge Permitting Program for permitting
requirements.
17) A wastewater treatment alternatives review is required by 15A NCAC 2H.0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? [KVE �(RM KMD
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one -mile radius?.....................................,kYes, ❑ No
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... 0Yes ❑ No
(a) If No, please attach a letter documenting that the WWTP will not accept th wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?" X-eS
c) Surface or Subsurface Disposal System (e.g., spray irrigation): 9! A
i) Is a surface or subsurface disposal techno/ogicallyfeasible (possible)?
Why or Why not?
.................... ❑ Yes ❑ No
ii) Is a surface or subsurface disposal system feasible to implement?* ........................... El Yes ❑ No
Why or Why not?
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?*
d) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?*... ❑ Yes ❑ No
i) If No, contact DEMLR's Land Application Unit to d termi a permitting requirements.
LV A jTG W t AISG�A K - � �S'�rrc�ilK2- Gv�iif 1+
e) If this review included all wastewater discharge types, would eluding some types (e.g. raw
stockpile wetting) make any of the above non -discharge options feasible? ..............❑ Yes ❑ No
* You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
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Stormwater:
18) Does this facility employ any best qLa nagement practices for Stormwater control? ❑ No Uyes
If yes please bri fly describe: jS ^6 A d Fi-At S army/4t t V .fL^(I(,4At
a ,� ;,
19) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No
If yes, when was it implemented?
Yes
20) Are vehicle maintenance activities (VMA) occurring or planned at this facility? XNo OYes
If yes, does your VMA area discharge into your wastewater treatment device? ❑ No p Yes
Other/Permitting:
21) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
❑ No Yes ��Op�� d j�On-1
If yes, lis{{the permit n mbers for all current E&SC permits for this facility:
22) Is your facility subject to Phase If Post -Con Area? ❑ No LYes
If yes, who is the permitting authority? Wc- D0 4, 1, A Qv4,h r
23) Is your facility located in one of the 20 Coastal Counties`rYes ❑ No
Is your facility adding more than 10,000 ft2 of built -upon area or CAMA Major Permit? ❑ Yes ❑ No
24) Is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate piles, drum
rinse -out, or vehicle and equipment cleaning to a stormwater BMPAscl.
qo ❑ Yes
If yes, please attach your approval from the permitting authority to
25) Does this facility have any other NPDES permits? Flo Yes
If yes, list the permit numbers for all current NPDES permits fort is facility: l C W 0 1 0 OJ
26) Does this facility have any Non -Discharge permits (ex: recycle permits)?JkNZ ❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
27) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
bNo ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
zardous waste?
No ❑Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
h zardous waste?
o ❑ Yes
d) pe(s) of waste: w,4 sre j-mxe-1 diY :0-
How is material stored:
Where is material stored:
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How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
Check for $100 made payable to NCDEQ.
This completed application and all supporting documentation. See Question 10.
❑ If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR) or
local designee: documentation verifying applicant has developed an submit;ed that Plan to the governing
agency (required per 15A NCAC 02H .0138). AAA 1 rc-A �oK /vq-C b 4-' A410d 'C
Two (2) site plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
1�— outfalls. See Question 10.
A county map or USGS quad sheet with location of facility clearly marked.
28) 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.
Certification: North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of
a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate
any recording or monitoring device or method required to be operated or maintained under this Article or rules of the [Environmental
Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten
thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual
permit.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge
and belief such information is true, complete, anq Rccurate. )
Printed Name of Person Signing: �� �itl/4wd, �/h� C�G✓h',Q,�
Title: n(Alhf 61Z
�t., I.
(Signature of Applica
b )2,0
(Date Signed)
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