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NCG020680_COMPLETE FILE - HISTORICAL_20100518
SZ STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V U& D Yb DOC TYPE S HISTORICAL FILE C MONITORING REPORTS DOC DATE ❑ � � 1 � os / YYYYMMDD North Carolina Department of Environment and Natural Resources • Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director • Secretary • May 18, 2010 • • Harold B. Newman Pine Hall Brick Company, Inc. P.O. Box 836 Madison, NC 27025 • Subject: General Permit No. NCG020000 Pipe Plant Mine COC NCG020680 • • Stokes County Dear Mr. Garner: In accordance with your application for a discharge permit received on May-24, 2006, and the issuance of your Division of Land Resources mining permit on October 23, 2009, 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). This general permit allows the discharge of stormwater from your facility. In your'• application, you specified that only stormwater would be discharged from this facility. If • separate point-source discharges of wastewater occur(i.e:, mine dewatering water or other process wastewater), you will be required to seek a modification to this permit. Any. • modification to add a wastewater discharge for this facility would have to be reviewed and • issued prior to that discharge occurring at your facility. 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, state or local governmental permit that may be required. Wetlands and Stormwater Branch . . One 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Not9thCaroli na Location:512 N.Salisbury St.Raleigh,North Carolina 27604 Phone:919-807-63001 FAX 919-807-6494%Customer Service:1-877-623-6748 Naturally Internet:www,ncwaterquality.org ;/ An Equat Opportunity 1 Affirmative Action Employer Harold B. Newman • Pine 1-fall Brink Company, Inc Pipe Plant Mine—NCG020680 May 18, 2010 Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. If you have any questions concerning this permit, please contact Bradley Bennett at telephone number(919) 807-6378. Sincerely, ORIGINAL SIGNED BY BRADLEY BENNETF for Coleen H. Sullins cc: Winston-Salem Regional Office . Central Files Storinwater Permitting Unit Files 4 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER-QUALITY GENERAL PERMIT NO. NCG020000 CERTIFICATE OF COVERAGE No. NCG020680 ,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, Pipe !Tall Brick Co., Inc. is hereby authorized to discharge stormwater from a facility located at Pipe Plant Mine . Intersection of Brickyard Rd (SR-1911) and Pipe Plant Rd (SR-1915) Pine Hall Stokes County to receiving waters designated as the Dan River, a class WX-IV and WS-V water in the Roanoke River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III, IV, V, VI and VII of General Permit No. NCG020000 as attached. This-certificate of coverage shall become effective May 18, 2010. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this 18th day of May, 2010. ORIGINAL SIGNED BY BRADI FY RFKimgrr for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission Ili LOCATION MAP: • ,2c;�,rrr 7,1?)):';a �J41V..,,iit-':i[i,':,--t-;.,'. 1;,:tr. 'Y+JI 7 + � f! 'iV -.:4 4 1 f fa$`•"i^�-W5-AV �' ) •%f,�?`rf r Ay ',,,,r•-'- t^1.4,�. "k !!! r . ( . 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'' ,.f � 4�t � t ��++��,,5 ,{r� Y ( � C.�I. �h 41 _ Fl �. �'� ' ''� �i: r�jl t ���� � j5 f�`� '� -1 T:u• {��,x R• \ -, k'jt,t 1,�: 1 s Y"'a i.�s::--�'fw k.t r 1 i ti - -; '` ▪ r \ i x :�• � I4 + ''I wa }iz x r =: /i::1 \J , s '� 4.'v S j°! 3' f•. 1 4,405 ' ,. l w l , ,i pry 7,.F ., f�_�.:.s ;.' i - slit x t ?.,' ti,� ,�y!▪,. l_'�r - t, f r 1 z , > /( s ` r • 4 o •f.'I � trt 1 tW�, • $ i � st;1r 1,ti • t1-A PC=r4r�'W i,.� 7'•_tti ZN,- Q •l-, . r7 ,y? �I .... ` 1 rtj "'r; '..7 ,. 4#°' Jo ,5J.''' "E 4 � ▪ ..a , '�4,A,' i 5,� �y"1�} (1 1• Ito\ S#•s 4 f i n.(+.�R.U.7i\•1",' r CI .a..w�I",::.. .n ,,..�. i:, r.r..1 r-'-+..�. n„' .,..>k...h. ....,._....iw::'; 7,?n i, r1 J� , - .. Latitude: 36'19'26.13" N NCG020680 �� '�• : Longitude: 80°04'14.G9" W Facility .{, '.;{ ror „ 4li ) County: Stokes Pine Hall Brick Co. Location "- •x Stream Class:WS-1\V and WS-V Inc. • C. •{� _� t Receiving Stream: Dan River • 1 Sub-basin: 03-02-01 (Roanoke River Basin) drorth Not to Scale NCGO2 Stormwater Permit: Mining Permit Review Permit Number: NCG020680 Reviewer: Johnson(originally Lau) Mine Name: Pipe Plant Ming Summary • Receiving Stream: UT to the Dan River • Classification: WS-V/ WS-IV - SLO • River Basin: Roanoke • County: Stokes • Notes: The mine drains to two parts of the Dan River. stream indexes 22-(8) and 22425.5). Regional Information • • Office: o ®ARO Contact: wig o ❑FRO Contact: o ❑MRO Contact: o ❑RRO Contact: o ❑WaRO Contact: o ❑WiRO Contact: o ,WSRO Contact: • Dates: o Approval requested: o Approval received: o "No wetland impact" determination, (1SA NCAC 02B .0231(b)(5)(f)requires the Division to preserve the water levels of wetlands. We can require engineering plans to ensure that this is the case.) o Inspection: • Notes: Other Agency Information • DLR o2 Application submitted date: o Appro dev date; _Permit.85-11_not.issued.as-of5/27/08 • DEk(if WS) 1-.) ; I a1 3 o� o Needed? Eyes Eno o Application submitted date: _ o Approved date: _ Page 1 of 6 e NCGO2 Stormwater Permit: Mining Permit Review o Notes: This site does not claim wastewater(neither mine dewatering or process wastewater). However, it says that the discharges are through sediment basins. Determine if wastewater is present. -, pei ? 1� '51�� f� • Shellfish Sanitation (if SA) 11 o Needed? Oyes no .514) Q kJ Si'1 f afp.ici o Application submitted date: X{ ,,i4 G Sci . o Approved date: • • Notes: Application Review a) The permit application • Signed: byes Dno • Complete: ®yes ❑no • SIC Code: SIC 1459, Clay,Ceramic,and Refractory Minerals, Not EIsewhere Classified i. Describes activities: byes Ono ii. Covered by permit: ®yes Ono b) Mine Type: • Quarry: ❑ • Sand: ❑ • Clay: c) Wastewater: • Type - Mine dewatering: Dyes no - Stamped by PE? ®yes Ono - If clay& dewatering, ATC? Dyes Eno (required) - Process wastewater produced: Dyes Eino 411 - Stamped by PE? Oyes Ono - If recycle¬ closed,ATC? Dyes Ono(required) - Notes: Application says that neither mires:dewatering nor process wastewater generation production is occurring. However, it also says that the water discharges through sediment basins. THERE ARE 60 SEDIMENT BASINS ONSITE. Every square foot of this mine is shown to drain to a basin. find. there are several streams through the site. They appear to have some sort of buffered area around them,but they are labeled "10 year limit of disturbance". What is that? Why is it relevant? Is there actually wastewater present here? • Wastewater and ORW Waters Requirements - New/expanding wastewater to ORW? Dyes no(not allowed) Page 2 of 6 NCGO2 Stormwater Permit: Mining Permit Review - New/expanding wastewater to Oyes ®no(special limits) upstream ofORW? - Notes: None found immediately downstream. d) Other: • Does this facility have other permits? Oyes ®no • Hazardous waste activities onsite? Oyes ®no • Notes: Communication logs f,4,wA tc Date Item 9h,A6. VZ31 6.y ris , Q r -Wastewater onsite? If not, then why 60 basins onsite? Each basin has an outlet. a i -This is a water supply. �` ,rr -Streams onsite. What is a "10 year limit of disturbance"? What is that?How are &,V s �} u these streams affected? fj Q -Is the facility operating? Was to begin operation in 7/06. C " u41' t1�£ @fltc-fri3CE isat 51%,(5-04- 6E/NC"..(2_t_ Pe-9_01(7 S J i\ c f 40 (o3b Page 3 of 6 NCGO2 Stormwater Permit: Mining Permit Review Map 1: Receiving stream#1, Dan River is divided into two sections around this mine. The first receiving stream is index number 22-(8),which is from Bi: Creek down to a point 0.2 miles below Town Fork Creek. Index 22-(25.5)�is the second receiving stream and is below this section. 4111111rm... Illiiii>, po. '...- ,11. 1P 4A \.‘ _., - ' 4 • r= �,� \,,, 71 4.-.4 rI _ \ v ate/` +10 A .11111111111k a JO. i ik - ,0,..0: . N le . . "flidfr- .41:* - V ;47-21t a 1,44 Ai. 4 7 fp ...... A . c.,.. ,... , (40,-. 4 49;41 1;f7-:11 A 1 .11. it P i 1 i El= ._`,.. , rei 4S 0 1/16 .._., , / - ,t1t-_" .... '''r k. ....>'rill' ip..':'I' - , -,..4.•V la, ; • „e1/44,.., .,. . 14 0^ ti y �� "} , t om } Page 4 of 6 NCG02 Stormwater Permit: Mining Permit Review Map 2: The application says that the mine is about 1 mile south of Highway 311 on SR-1911 (Brickyard Rd). h , t. i 1 Jc���'L•N`1n� �y il Ci'A o�� ' fi 7 Lee N. WV, i.n�yn,��- -H ❑r Fbue Ne,orm ueT i i I F �. / .• '. ' .r' ?'' (.t Map#3: Close up of Mine: Operating without a permit? Facility was to open 7/06(2008 Google Earth Map) o C a� `L Q` tiIltililIN: :. t 10111 % . .' . I • lips 1 Ilk or Gok _, a Page 5 of 6 NCGO2 Stormwater Permit: Mining Permit Review Map #4: Road Names: Terrain Navigator,Google Maps, and Google Earth differ in what they call this stretch of road. f Se 1 i J Pee ,. Brickyard Rd.? Pipe Plant Rd.? .wok 1.00 Mlles f - - v ■ti• .,O ' polo aid9o"'toaar 111 Mouse Nwl�ion I Ck.1it V.#,:t• ..7. _#/bt I� ' A \ Brickyard Rd. Pipe Plant Rd. • .=' r z ..4 - a .r } 400 41 . �.". r 4 - T :00001 �• . 2008 T e le 4llap ' ' 1 •' _7 I ' � L &o w 3 `h>•fi�11 IN0syH qal /) ) ? k 3l _,, Page 6 of 6 LOCATION MAP: '‘14611411* ailli,1!„A ' NW% 0 iiiie 414166.1 ..i il' pi (1 - ,tom , ,, .... i 11 14046 �L' �. t - - -r - 17. 11Alki A. 011 - ri 1 s_ 036° 47.04-N OWQS'48�'' r.�F � �� _;' � _ ,' c TiP' v Pipe Plant Mine ,dfiiiii, Nr...""ev-116 • . . -_ „......„-....„ .--ir -', 1 , Il?ek,.. ii„ ... 0,0- „.„.... _ igaii. 4.1/4 ,.. ,,,,, A. s -,iixe--- .... • Ts- 1 T 1 l (l' -- +-I1 u-- / , '!s \ 4 ' ..r - . `r Latitude: 3619'26.13" N NCG020680 Facility Longitude: 80'V4'14.69" W County: Stokes Pine Hall Brick Co. Location Stream Class: WS-IV and WS-V Inc. Receiving Stream: Dan River Sub-basin: 03-02-01 (Roanoke River Basin) 01f tth Not to Scale STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG020000 CERTIFICATE OF COVERAGE No. NCG020680 STORM WATER 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, Pipe Hall Brick Co., Inc. is hereby authorized to discharge stormwater from a facility located at Pipe Plant Mine Intersection of Brickyard Rd (SR-1911)and Pipe Plant Rd (SR-1915) Pine Hall Stokes County to receiving waters designated as the Dan River, a class WX-IV and WS-V water in the Roanoke River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG020000 as attached. This certificate of coverage shall become effective May 31, 2008. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this 31st day of May, 2008. for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission • 't C r;t n f} y t1906� • ,I .r::pn?. r'ln, 14.,,iif . - Basal I t • Damn - • r_. • ,- Bag3n IS.mr]!r• - - 4 eta.1 - - f • 5 5113 3 - •. } •u,1 • . ., lia 111 it = • eih # i ,ii 1%�Ha4ln i a `. ='�' fie[ I'.1•11 a �a.111_'� u•• �ia.,irt IK. # ' 10' 1 ••13a�1• uain 33 13ae 6 Fir 11tlenm I Begin 1 cr,1112 j''" �- • I'"I,u1*i 'Flan 35 13aa rr^G .1et 6Y j ' Basin 515 I',u•in 36• •Bssm 32 Basin: '.- sen I a ° }rL-ii�_ ' 1um55 - 1 n31 pm 7 ,t •- ilr N� Bev, I 1 R m , ., Basin 3� -i ' "l � fi ✓ • i linsut S I',,S' R• av] Ili ...,-....• _ ,41 '1 ♦ tA� " • -3Y'= r • F +�'1 r I t-3`f t T. , Bausa ei } yy a.x1 ' fry `i'cf 1?I1 Y ', 1 1` c l .% L l t -'1aS3]illI. 71 ..4 L1 "_`r F aa.Fi13 11i a r. it • ram. . f °4Yi0-e L5 1 2 C ENGINEERING&ENVIRONMENTAL 3008 SCIENCE COMPANY I� DERSON DR., _SUITE 102 RALEIGH,NORTH CAROUNAA 27WY —. — . (!1O)711-77l5 41b •Approx. Basin Discharge Location U,7> I) Vicinity Map 4'20 06 Proposed Pipe Plant Mine rIr;3R�N1,. NTS Stokes County., NC 1 e2s ENGINEERING & ENVIRONMENTAL SCIENCE COMPANY 3008 ANDERSON DRIVE,SUITE 102 RALEIGH, NC 27609 (919)781-7798 April 25, 2006 ia) Mr. Preston McMillan Pine Hall Brick Co., Inc. ��1 P.O. Box 836 Madison, NC 27025 • Say lJ z RE: Stormwater Permit a Proposed Pipe Plant Mine V, Stokes County, NC Dear Mr. McMillan: Engineering & Environmental Science Company (E2S) has completed the mine map for the above-referenced site. The subject site is located in Stokes County (see Figure attached, and provided mine maps-Sheets 1, 2, and 3). Proposed for the mine are 60 sediment basins. Only exposed ground due to mining activities will be conducted on the subject property. It is proposed to sample two (2) discharge points at any given time with the sample points represented the largest and smallest representative exposed water shed. We appreciate serving you on this project. Please contact us if you have any questions. Sincerely, 11 �v T• Patrick Shillln iton, . . President Attachment: Figure 1 FOR AGENCY USE ONLY Date Received Year Month nay AF:111111A Division of Water Quality/ Water Quality Section A 0$ d Ceri H1cac a of Coverage NiCI Srclalo Ibl$lo NCDENR- National Pollutant Discharge Elimination System /��-1 C�"y�,�,;k k •Ai i,n-u, R �+. y�" NORM CAO•�H1 OwTUEwT Or V b IT)� •c�fJ E~ON N[NT two Nwr,Ria RESCLRCES ✓4 l; Assigned to NCG020000 • 4, NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit w NCG020000: iJ e 3 STORMWATER DISCHARGES associated with activities classified as: Q • z SIC' 14 Mineral Mining Industry(except as specified below) ~~1 0 V The following activities are also included: • Active or inactive mining operations(including 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 • The following activities are specifically excluded from coverage under this General Permit: • • Peat mining, coal mining, and metal mining • • Stormwater discharges from mining operations which are intermixed on site with stormwater from asphalt operations, and oil and gas extraction operations •Standard Industrial Classification Code • (Please print or type) • 1) Mailing address of ownertoperator: Name •?e )luf� �r.� ' GF: j ✓►I, Street Address P 0, 0.4 t 3�a City inL, /,' 04 . State/VG ZIP Code _7 7a1-- Telephone No. -3 3 ff•17•- .t0 Fax: _ •Address to which ail permit correspondence will be mailed • 2) Location of facility producing discharge: Facility Name 1'-pe "41- Pole Facility Contact 14-43 t.i /11c. / N,u&1 Street Address 8rfet V.a 4 /i't J(J'iti-1qi l) RAP I4),i e Radr kead( " l q/3 City ,� e /'fud I State Are__ ZIP Code • County • S1ok 15 Telephone No. fl dw a Fax: /)c'14C. 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 dir ction from a roadway intersection). 1✓►r'v�vt 1/v "3 III tab.?' 6'u ft L' I 5 -r911, > old- I rnJe •Fs�•,�+•t 11wt13ll1 -tue site stir•/( h P Un hotit -,Itts e road, (A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application) Page 1 of 4 SWU-217-101701 0 - • NCG020000 N.O.1. 4) This NPDES Permit Application applies to which of the following : • ,N1 New or Proposed Facility - Date operation is to begin 'Phi/ iC V A ❑ Existing 5) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code(SIC Code)that describes the primary industrial activity at this facility (/ SIC Code: I ( 1 • 6) Pr ide a brief narrative description of the types of minerals mined at this facility: Seh/ fo fiwi et e 0ili r k 7) Discharge Points: Number of discharge points(ditches, pipes, channels,etc.that convey discharges from the�perty): Stormwater: (p 0Mine dewatering: i� Process Wastewater Overflow: Please provide short narrative description of discharges: /0/$61/4-'5"S a,'"e 1L4.--,-,e, I d'e�/rwrrea f 8) Receiving waters: What is the name of the bodpr�/or bodies of water(creek, stream, river, lake, etc.)that the facility stormwater discharges end up in? /k }Y i 4,V e V' If the site slorrnwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system(e.g. City of Raleigh municipal storm sewer). 9) Does this facility have any other NPDES permits? - ' X.No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: • 10) Does•this facility have any Non-Discharge permits (ex: recycle permits)? : ,No • ❑ Yes If yes, list the permit numbers for all current Non-Discharge permits for this facility: 11) Does this facility employ any best management practices for stormwater control? ❑ No Nr Yes ^ If yes, please briefly describe: v5+i-"n 1 t try/ ?'v- . .-e 5 • 12) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No g Yes • If yes, when was it implemented? 1p✓►f 1 -00 (07 13) Are vehicle maintenance activities occurring at this facility? IiNo ❑ Yes 14) Are mine dewatering discharges occurring? 4 No ❑ Yes Page 2 of 4 SWU-217-101701 NCG020000 N_O.I. 15) Are discharges of overflows from process wastewater treatment systems occurring? NO • 0 Yes If yes, answer the following questions on the wastewater treatment system: a) Please describe the type of process used to treat and/or recycle the process wastewater. Give design specifics(i.e. design volume, retention time, surface area,etc.). Existing treatment facilities should be described in detail and design criteria or operational data should be provided (including calculations)to ensure that the facility can comply with requirements of the General Permit. ]Use separate sheet(s)] Note: Construction of any wastewater treatment facilities require submission of three (3) sets of plans and specifications along with their application. Design of treatment facilities must comply with requirements 15A NCAC 2H.0138. If construction of wastewater treatment facilities applies to the discharge of process wastewater, include three sets of plans and specifications with this application. b) Does this facility employ chemical additives to flocculate suspended solids? • No ❑ Yes If yes, please gate the name, manufacturer and the quantity of average daily usage of the chemical additive /1// - c) Does this facility overflow only during rainfall events exceeding the 10-yr, 24-hr rainfall event? El No ❑ Yes Ph 4-- 16) 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? p No ❑ Yes d) If you answered yes to questions b. or c., please provide the following information: Type(s)of waste: ///f1— How is material stored: Where is material stored: How many disposal shipments per year: • Name of transport)disposal vendor: - • Vendor address: 17) 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 Article 21 or regulations of the Environmental Management Commission implementing that Article,or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article,shall be guilty of a misdemeanor punishable by a fine • Page 3 of 4 SWU-217-1 01701 NCG020000 N.O.I. • not 10 exceed $10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than$10.000 or imprisonment not more than 5 years,or both,for a similar offense.) 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. I 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. 2. I agree to not discharge any sanitary wastewater from this mining activity except under the provisions of another NPDES permit specifically issued therefore. 3. I agree that bulk storage of petroleum products and other chemicals shall have adequate protection so as to contain all spills on the site. 4, I agree that solid wastes will be disposed of in accordance with N.C.statutes and rules governing solid waste disposal. 5. I 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 Narpe of Person Signing: t'A,V'c )f� 1. /Y G� W) 1 v) Title: ' %{ e 1'Y��> .ie j. GJ�•a�f'Glh • . 6_z.z (Signature of Applicant) (Date Signed) Notice of Intent must be accompanied by a check or money order for$80.00 made payable to: NCDENR Final Checklist This application will be returned as incomplete unless all of the following items have been included: +l� Check for$80 made payable to NCDENR This completed application and all supporting documents ❑ Copy of the valid approved mining permit for the facility , g. Copy of county map or USGS quad sheet with location of facility clearly marked on map 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. Page 4 of 4 S W U-217-101701 • 7'N:• �w ,J' \ ✓te n.. ..1. - -: .% , . ... „-r > 1„ .71--A', L-y ,. : ` 1`„ii-i,: }. --. C e# \\... ,, i1••. .. .w.r). 1,...:</ ... t t.. '` ::. / y : • ram'•• ,. ..r. .�.. 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Markers Name: NCG020680 - Pipe Plant Mine Short Name: 020680 Coordinates: 036° 18' 49,44" N, 080° 04' 24.68" W Comment: NCG020680, Pine Hall Brick Co., Inc. - Pipe Plant Mine., subbasin 03-03-04, Tar-Pamlico River Basin, Stokes County, Dan River, Class WS-IV, NSW, C28SE -- --i • 9 i`h " 1( r 0 Cr o 0II .ig � • A M � M _ --- h;.; ° ai -0 ,.p 4-1 U y Y 't3 14 E-'I . ›. ', so \ 413 > il en . o o g .0 ..1.4- .s., 9 I-4 g ,,,,, 0 0, Z u ��s •° y�� Z '0�' 'a�4►o 3 41�+ a 3 :4 y�y m :°.. W /CT? F�i L? .�.¢.1[' N 7 - it N --ii H ;'' 6] h••H V 00 1 , U { i3 'b .� 3U• t• om. O p `s Q1 V Z ' - i+i a U � O P4 � _�, L. to c o v� Q �, 114 m v N r pwi Po tl2 Q O . , '-, Z.*P i .6 .CI 4-• 0 J .r:.t j O f3C C 0 U y U ou r, VA : Q a) 3.�.1 p ,«+ v `+-f ' "Ly +`•+ k g us on g u ..0 SS :0 ai z O t'•i•I .lies aS D Q g G 1/2 A v E. 3 rn a+ L!il+�f f r` 1� ate.. O . .0 .0 E� 16) .5411 a t•+` '3 a= f7„ _4�?i, a'tl ,� i:•1 ," ,, ... •/�i"� '! 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