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Home My WebLink AboutNCG510538_Renewal Application_20210121ENV] R❑NMENTAL NEW YORK January 21, 2021 Mr. Charles H. Weaver NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: CoC Renewal for NCG510538 UST Incident # 33166 Piedmont Electric Membership Corporation 2500 NC Highway 86 South, Hillsborough, NC 27278 Dear Mr. Weaver, emsenv.com Please accept the following correspondence as our client's intent to renew the NPDES permit associated with the groundwater remediation system located at the Piedmont EMS Hillsborough, North Carolina facility. Additional data including a NCG51 Notice of Renewal Intent form, a site map depicting the layout of the system's effluent discharge line, and documentation signed by Piedmont EMC designating EMS Environmental, Inc. as an Authorized Representative. If you have any further questions, or if you require any additional information please contact me at (919) 596-0470. Sincerely, 1 EMS Environmental, Inc. James Dodson, L.G. Project Manager Attachments (3) M:\7436-Piedmont EMC\NPDES Files\RA-5633 33166 P NPDES 20210121 NPDES Permit Renew Cc: Mr. Chris Hoyler, Piedmont EMC, via electronic PENNSYLVANIA NORTH CAROLINA EMS ENVIRONMENTAL INC. ■ 1 17 South Hoover Road ■ Ourham, NC 27703-3350 ■ [office] 91 9.596.0470 0 [fax] 91 9.596.0576 �� NCDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Director Secretary NOTICE OF RENEWAL INTENT iRequired by 15A NCAC 02H .0127td11; [term definition see 15A NCAC 02H .0103(19Ii Application for renewal of existing coverage under General Permit NCG510000 Existing Certificate of Coveraee (CoC): NCG510 S3 (Please print a• type) 1) Mailing address of site Owner: (nddress to which all correspondence should be mailed) Company Name Piedmont Electric Membership Corporation Company Contact Mr. Chris Hoyler Street Address 2500 NC Highway 86 South City Hillsborough State NC ZIP 27278 Telephone # 919-644-3435 Fax # CelUMobile # Email Christopher.Hoyler@pemc.coop 2) Location of remediation site producing discharge: Facility Contact Piedmont EMC - Mr. Chris Hoyler Street Address 2500 NC Highway 86 South City Hillsborough State NC County Orange Telephone # 919-644-3435 Fax # 3) System operator /Consultant ID: (rf different from Owner) Company Name EMS Environmental, Inc. Street Address 117 South Hoover Road City Durham State NC County Telephone # 919-596-0470 Fax # Email jdodson@emsenv.com ZIl' 27278- ZIP 27703 Page 1 of2 Revised9/1/13 NCG510000 Renewal Application 4) Site ranking & ID: GW incident #: 33166 Site Ranking (if mailable): I3 142 D Date of most recent discharge: Seatember 20, 2018 Additional Application Requirements: The following information must be included in duplicate [original + 1 copy] with this application or it will be returned as incomplete. ➢ Site map: Clearly showing the path of the remediation system effluent from the site to its discharge point ➢ Authorization for representatives. If this application will be submitted by a consulting engineer (or engineering firm), include documentation fiom the Permittee showing that the consultant submitting the application has been designated an Authorized Representative of the applicant. 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: James Dodson, EMS (Agent for Piedmont EMC) Title: Project Manager of Applicant) North Carolina General Statute 143-215.6 b (i) provides that: January 21, 2021 (Date Signed) 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 not to exceed ^y25,000, 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 �25,000 or imprisonment not more than 5 years, or both, for a similar offense.) This Notice of Renewal Intent does NOT r•equir•e a separate fee. The permitted facility aheady pays an annual fee for coverage under NCG510000. Mail this application and one copy of the entire package to: NC DENR / D WR /Water Quality Permitting Section 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Attn: Charles Weaver Page 2 of 2 Revised 9/t/13 September 23 2012 North Carolina Department of Environment, Health and Natural Resources Division of Water Quality NPDES Permitting Section 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Authorized Representative of Piedmont Electric Membership Corporation Dear Sir/Madam: This is to certify that EMS Environmental, Inc., is an AUTHORIZED REPRESENTATIVE of Piedmont Electric Membership Corporation, for the purposes of obtaining coverage under NPDES General Permit NCG510000 (Groundwater Remediation — for petroleum). Sincerely, Piedmont Electric Membership Corporation Mr. Chris Hoy General Plant Supervisor Before me personally appeared L �Yt`� I�Oy � � to me known and known to me to be the person described in and who executed the foregoing instrument, and acknowledge to and before me that cw �% 5 i 0 y �2�i executed said instrument for the purposes therein expressed. WITNESS my hand and official seal this ' day of �� 2i A.D. 20�_ Notary Public l 1� My Commission Expires 1�y " STATE OF N)WM r iokiy�U COUNTYOF NOTARY PUBLIC AFb IF Fell JL O ,_ �. .. I lee I y' "�� a, IF F1 itl -41 let I r le i lei [d9in—wr4ow f �n, '- IIF some, f qa i r We IF a_; s . ck ''j '}.',�A ` 13� • E,. 1, % .S ' es I Y6 � t� r + MW- II/\ e OUT OR BREAKOAREA WALKWAY NWi2 PARKING 0 BACKUP GENERATOR GENEMTOR AST o 9 CELL TOWER UNDERGROUND POWER FORMER UST INITIAL ABATEMENT EXCAVATION AREA THIS AREA GRAVEL EXTERIOR LIGHTING POLE REMEDIATION SHED LOCATION -- (PROPOSE012'X 16'WOODEN SHED) 0 MW8 I I PROPOSED UNDERGROUND NCWIXCONDU T PROPOSED I -NCH PVC SVE UNDERGROUND PIPING PROPOSED 4-INCH PVC AS UNDERGROUND CONDUIT AND HOSING RWJ 55 FEET RI PROPOSED 4-INCH PVC PST UNDERGROUND CONDUIT FOR H2O FERN AND I -INCH SO. 50 PVC CONDUIT FOR PUMP ELECTRIC SUPPLY (CONDUIT FROM SHED TO BVE-1 WILL BE B-INCH PVC) --- -- PROPOSED 1-INCH PVC TREATED GROUNDWATER DISCHARGE LINE PROPOBEO SVE RECOVERY WELL LOCATION ® PROPOSEDASREGOVERYWEILLOCATION MW 1 w MW-5D01 ® PROPOSED DUAL PHASE PSTISVE RECOVERY WELL LOCATION z wI SVEQ m PROPOSED MW-1 AND MW-9 EVE CONVERSION POINT wI SVEd xl TW Wi I R Mw.e 0 T I DRIVE RWd AS, GPRAGE BUILDING MW 150 MW-2 PARKING 0 II 3 O . � MW3 FIGURE 2: SITE PLAN MAP WITH RW SYSTEM, PIPE TRENCH, S OUTFALL DETAILS �PRAWN BYRSMW 012 � PIEDMONT ELECTRIC MEMBERSHIP CORPORATION 2S00 NO HIGHWAY 86 SOUTH, ORANGE COUNTY, HILLSBOROUGH, NORTH CAROLINA EMS PROJECT ]436 ENVIFIO NFVIENTAL