NCG050451_Application_20201118

Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCGO50000
NOTICE OF INTENT
'M1
t1)C&_0%E7z)4 5 j
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
t
t
Certificate of Covera �e
NCG"0�{y
Check #
Amount
a
4100
Permit A;I �ned to
Nq• o
LWA
Ws. rzz
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG050000:
RECEI " STORMWATER DISCHARGES associated with activities classified as:
SIC* 23 Apparel and Other Finished Products Made from Fabrics and Similar Materials NO 18 2020
SIC* 265 Paperboard Containers and Boxes DENR•LAND QUA!.ITv
SIC* 267 Converted Paper and Paperboard Products 8VIRMWATER PERMITTING
SIC* 27 Printing, Publishing and Allied Industries
SIC* 30 Rubber and Miscellaneous Products (except as specified below)
SIC* 31 Leather and Leather Products (except as specified below)
SIC* 39 Miscellaneous Manufacturing Industries
SIC* N/A Like activities deemed by DEMLR to be similar in the process and/or the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC* 301 Tires and Inner Tubes
SIC` 311 Leather Tanning and Finishing
* Standard Industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name Pretium Packaging
Street Address 3240 N Ohenry Blvd
City Greensboro State NC ZIP Code 27405
Telephone No. 336621,1891 Fax:
E-mail Address [e-mail]
2) Location of facility producing discharge:
Facility Name Pretium Packaging
Facility Contact Chris Newsom
Contact E-mail [e-mail]
Street Address 3240 N Ohenry Blvd
City Greensboro State NC ZIP Code 27405
County Guilford
Telephone No. 336621,1891 Fax:
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). The facility is on 3240 N Ohenry Blvd at the end of the road on the right side.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application)
4) Latitude 36°07'22.5"N Longitude 79°44'58.9°W (degrees, minutes, seconds)
Page 1 of 4
SWU-220-071408 Last Revised 6/24/14

NCG050000 N.O.I.
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
M Existing
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: 3 0 8 5
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Pretium Packaging is a manufacturer of blow molded plastic containers (primarily milk jugs and pesticide containers).
8) Discharge points:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
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):
360 7'21.96"N N
Longitude (degrees/minutes/seconds):
79044'53.29"W W
Stormwater Outfall No. 002
Latitude (degrees/minutes/seconds):
360 7'22.41 "N N
Longitude (degrees/minutes/seconds):
79o44'57.24"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
Page 2 of 4
SWU-220-071408 Last Revised 6/24/14

NCGO50000 N.O.I.
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): _
Longitude (degrees/minutes/seconds):
9) Receiving waters:
N
W
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Jordan Branch --a tributary of North Buffalo 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). N/A
10) Does this facility have any other NPDES permits?
P No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
P No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑ No
P Yes
If yes, please briefly describe: Most industrial operations occur indoors, no industrial liquids or oils are stored outside, and plastic resin storage and transfer
occurs within an enclosed pneumatic transfer system. Overall facility housekeeping, resin transfer operations, and truck loading operations all have specific BMPs within the SPPP.
In addition, the facility has a web -based compliance tracking system to ensure completion of tasks including inspections, monitoring, and training. More info on BMPs can be found in the SPPP.
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
P Yes
If yes, when was it implemented? September 2020
14) Are vehicle maintenance activities occurring at this facility?
e No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
e No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
IN 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:
Page 3 of 4
SWU-220-071408 Last Revised 6/24/14

NCG050000 N.O.I.
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
16) 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, and accurate.
Printed Name of Person Signing: Chris Newsom
Title: Plant Manager
(Signature of Applicant)
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDEQ.
Page 4 of 4
SWU-220-071408 Last Revised 6/24/14

NCG050000 N.O.I.
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
IN This completed application and all supporting documents
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearby waters
Mail the entire package to:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or Regional Office for your area.
DEMLR 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 .........
[phone]
Page 5 of 4
SWU-220-071408 Last Revised 6/24/14

UNITED STATES GEOLOGICAL SURVEY
DEPARTMENT OF THE INTERIORFUSGS
GREENSBORO AND MCLEANSVILLE QUADRANGLE
NORTH CAROLINA - GUILFORD COUNTY
7.5 MINUTE SERIES (TOPOGRAPHIC)
2019
209055.522 1 Pretium PacKaging 1 3240 N. Chenry Boulevard I Greensboro, North Carolina S e Location map Figure 1
rpsgroup.com

MAKING
COMPLEX
rps EASY
• •'
CERTIFICATIONASSESSMENT AND
PRETIUM PACKAGING D. 2020
Outfall Directly Observed Method Used Describe Results from Test for the Presence of Non -Storm Water Name of Person Who
Date of Test or
to Test or Discharge (Indicate whether any discharges were observed, and
During the Test (identify as Conducted the Test or
Evaluation
indicated on the site map) Evaluate indicate source; e.g. landscape watering; condensate from A!C unit, Evaluation
Discharge etc.)
A visual evaluation of the storm water drainage system during dry
Isla Cameron
8/19/2020
#001
Visual
conditions determined there was NO presence of a non -storm water
Chris Newsom
discharge at this outfall.
Neill Gresham
A visual evaluation of the storm water drainage system during dry
Isla Cameron
8/19/2020
#002
Visual
conditions determined there was NO presence of a non -storm water
Chris Newsom
discharge at this outfall.
Neill Gresham
CERTIFICATION
III __
I, G t7'r- I S A) a J 4 Q (responsible corporate official), certify under penalty of law that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
to persons who manage the system or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief; true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
A. Name & Official Title (type or print)
B. Area Code and Telephone No.
e#R ► s 4. nl � wfQ �- . ALA Y r.,.A
33 b - (-- o �(- Sc)/ (,
C. Signature
D. Date Signed
10-jf_-2_C�Z-0
,L�-
.� V
�► isle
STRMWiTE RMITTING

MAKING
COMPLEX
rsps EASY
6 CERTIFICATIONS
The following sections describe the certifications required by the permit.
6.1 Certification Signature
The certification statement below should be signed by a corporate officer and
maintained with this SPPP for the duration
I certify under penalty of law that this document and all attachments were prepared
under my direction or supervision in accordance with a system designed to ensure
that qualified personnel properly gather and evaluate the information submitted.
Based on my inquiry of the person or persons who manage the system, or those
persons directly responsible for gathering the information, the information submitted
is to the best of my knowledge and belief, true, accurate, and complete. I am aware
that there are significant penalties for submitting false information, including the
possibility of fine and imprisonment for knowing violations.
Signature: Certification Date:
Print Name: CW21s /4. 4CtA)So-�Title: PLA-rJ7
Pretium Packaging I SPPP Plan I RPS Project No. 209055
rpsgroup.conn Page 25

North Carolina Secretary of State Search Results
Page 1 of 1
• Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List • View Filings • Print a Pre -Populated
Annual Report form • Print an Amended a Annual Report form
Business Corporation
Legal Name
Intertech Corporation
Prev Legal Name
Chemical Systems Corporation
Information
Sosld: 0075238
Status: Merged O
Date Formed: 9/26/1968
Citizenship: Domestic
Fiscal Month: January
Annual Report Due Date: May 15th
Registered Agent: Secretary of State
Addresses
Mailing
15450 South Outer 40 Drive
Chesterfield, MO 63017
Officers
Secretary
Michael Alger
15450 South Outer Forty Road
Chesterfield MO 63017
Stock
Class: Common
Shares: 100000
No Par Value: Yes
Principal Office
15450 South Outer 40 Drive
Chesterfield, MO 63017
Reg Office
2 South Salisbury Street
Raleigh, NC 27601
President
Paul Kayser
15450 South Outer Forty Road
Chesterfield MO 63017
Reg Mailing
PO Box 29622
Raleigh, NC 27626
https://www.sosnc.gov/online_services/search/Business_Registration_Results 11 /30/2020