NCG060417_Application_20210222

Division of Energy, Mineral and Land Resources
' Land Quality Section
National Pollutant Discharge Elimination System
Environmental NCG060000
Quality
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
2021
07-
1 2
Certificate of Covera e
N C G 0 6! 1
Check #
I Amount
D
o0
Penrut Assigned to
u
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000: �
STORMWATER DISCHARGES associated with activities classified as: �4„0
IMF
SIC (Standard Industrial Classification) 20 Food and Kindred Products FEB 2 2 2021
SIC 21 Tobacco Products DEVR I AND QUALITY
IT
SIC 283 Drugs STORMWATPR ERkAll
SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet repara Ions
SIC 422 Public Warehousing and Storage (except 4226)
For questions, please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this NOI for renewals.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
Daniel VonDielingen
59 Moore Drive
Durham
317 655-2804
2) Location of facility producing discharge:
Facility Name Eli Lilly and Company - RTP
Facility Contact
Facility Address
Facility City
Facility County
Telephone No.
Email
Daniel VonDielingen
59 Moore Drive
Durham
Durham
317 655-2804
[e-mail]
3) Physical Location Information:
State NC
Fax: N/A
ZIP Code 27709
State NC ZIP Code 27709
Fax: N/A
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). See attached Site Location Map
From the intersection of TW Alexander Dr and Moore Dr head North 1 mile to West Loop Road. Turn Left onto West Loop road and travel 0.3 miles to
the destination on the left. From intersection of Ellis Road and Moore Drive head South 0.2 miles. Turn Right onto West Loop road and travel 0.3 miles to location on left.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted With this application.)
4) Latitude 35' 56m 16.38s N (deg, min, sec) Longitude 78° 51m 54.90s W (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑✓ New or Proposed Facility Date operation is to begin 5/15/2021(Utilides)/ July 2022(Manufacturing)
❑ Existing
Page 1 of 4
SWU-221 Last revised 6/24/14

NCG060000 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 8 3 4
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: This facility will manufacture pharmaceutical products by filling syringes with formulated product and will assemble devices for parenteral products.
NOTE: We submitted a Stormwater No Exposure Certification NCG0000 application submission for this facility on Jan 22, 2021.
NOTE: We are submitting this application only as a precautionary measure in case the no exposure application is not approved.
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Unnamed tibutary to Northeast Creek
Receiving water classification: ws-v;Nsw
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? n/a
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). Ma
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): 35° 56m 6.59160s
N Note: NAD 27 datum values
Longitude (degrees/minutes/seconds): 78' 52m 28.11000s
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
Stormwater Outfall No. only
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Page 2 of 4
SWU-221 Last revised 6/24/14

NCG060000 N.O.I.
9) Does this facility have any other NPDES permits?
❑ No
F Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
GENERAL PERMIT NO. NCGO10000
(Note: We have applied for a NCG0000
10) Does this facility have any Non -Discharge permits (ex: recycle permit)? Storm Water No Exposure Application. Inside
storage only for chemicals.)
11 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
OR Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: The site will have a stormwater management retention basin/area
The location of this structural BMP at the site level is shown on attached Drawing C-400.
More detailed design information on this structural BMP can be found on attached Drawing C-406.
12) Does this facility have a Stormwater Pollution Prevention Plan?
We are making a Stormwater No Exposure certification submission for this facility. We are submitting this application only as a precautionary measure in case the no exposure application is not
No approved. If needed, we Wit develop an SWPPP.
❑ Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
4 No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
11 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste? Waste areas do not exist yet. The area that is starting up first is Central Utilities and does not have any hazardous waste. Upon full implementation at the
site, we anticipate being a small quantity generator.
❑ No 0 Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
4 No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
@ 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: Waste areas do not exist yet. When fully operational, small quantity laboratory chemicals and equipment cleaning wipes could be generated.
How Is material stared: Lab waste will be stored inside in small waste vessels and drums for disposal. Equipment cleaning wipes stored in containers and in drums for disposal.
Where is material stored: Material will be stored inside in the Admin/Lab building storage room and Bldg 5 for disposition.
How many disposal shipments per year: To be determined. This is a new facility that will not start manufacturing until 2022.
Name of transport / disposal vendor: To be determined. This is a new facility and will not start manufacturing until 2022.
Vendor address: To be determined.
Page 3 of 4
SWU-221 Last revised 6/24/14

15) Certification:
North Carolina General Statute 143-215.613 (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 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: DanielyonDielingen
Title: Site Head, Eli Lilly and Company RTP
(Signature of Applicant)
j'/)_ Z. ,-Z t3-Z—f
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable
to: NCDEQ. Do not send the check or money order separately.
Page 4 of 4
SWU-221 Last revised 6/24/14

NCG060000 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. Must be included with this application (not sent separately).
® This completed application and all supporting documents.
® A site diagram showing, at a minimum, (existing or proposed): NOTE: This information is on multiple drawings - see cover letter
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, and unloaded, (f) impervious areas, (g) site property lines.
❑x Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
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 coverage under the General Permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 5 of 4
SWU-221 Last revised 6/24/14

February 5, 2021
Certified Mail Return Receipt
7020 2450 0000 5540 6381
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center t� ISO,
Raleigh, North Carolina 27699-1612 'a `J
221��1
RE: National Pollutant Discharge Elimination System
NCG060000 Notice of Intent Submission .. 1
Eli and Lilly Company — Research Triangle Park
To Whom It May Concern:
Eli Lilly and Company (Lilly) has prepared this correspondence for the submission of a National Pollutant
Discharge Elimination System Notice of Intent (NOI) for NCG060000 coverage for our new facility that is
currently under construction at 59 Moore Drive in Durham, North Carolina. This application package
includes information for this new facility and is organized with the following documents and submittals:
• NCDEQ Division of Energy, Mineral and Land Resources Land Quality Section National
Pollutant Discharge Elimination System Notice of Intent NCGNE0000 Form
• Application Payment of $100.00
• Site Location Map
• Drawing C-400 showing the location the structural BMP (stormwater retention basin) at
the site level
• Drawing C-406 showing detailed design information of the structural BMP (stormwater
retention basin) and location of Outfall 001
• USGS quad sheet with the location of the facility clearly marked on it
• Drawing entitled "Proposed Drainage Watershed Outline" for the site
• Drawings C-402, C403, C-404 and C-405 showing storm sewer system on the detailed
Grading and Drainage Plans
• Drawings C-300, C-301, C-302, C-303, C-304 and C-305 showing all impervious areas
• Drawing A-100 showing impervious areas and where areas where materials are stored
(Note: Indoor Only Material Storage)
Please note that Lilly submitted a NCDEQ No Exposure Certification NCG0000 form on January 22, 2021.
We are submitting this application only as a precautionary measure in case the no exposure application
is not approved. Lilly staff have discussed the situation with Suzanne McCoy and Michael Meloy at
NCDEQ. We would ask that this application be processed in coordination with Michael Meloy who
should be visiting our site in the next 30 days to confirm our eligibility for NCG0000.

Should you have any questions concerning this submission and need further documentation, please
contact Rigo Irizarry at [phone]. Thank you for your consideration.
Sincerely,
ELI LIL AND COMPANY
( )L(I 0) -
Daniel L. VonDielingen
Site Head, Eli Lilly and Company -
cc: David S. Sternasty, Eli Lilly and Company, Vice President, Corporate Engineering and Global HSE
Rigo Irizarry, Eli Lilly and Company, Senior Engineering Consultant, Eli Lilly and Company — RTP
Enclosures: NCDEQ Division of Energy, Mineral and Land Resources Land Quality Section National
Pollutant Discharge Elimination System Notice of Intent NCGNE0000 Form
Application Payment of $100.00
Site Location Map
Drawing C-400 showing the location the structural BMP (stormwater retention basin) at the
site level
Drawing C-406 showing detailed design information of the structural BMP (stormwater
retention basin) and location of Outfall 001
USGS quad sheet with the location of the facility clearly marked on it
Drawing entitled "Proposed Drainage Watershed Outline" for the site
Drawings C-402, C403, C-404 and C-405 showing storm sewer system on the detailed
Grading and Drainage Plans
Drawings C-300, C-301, C-302, C-303, C-304 and C-305 showing all impervious areas
Drawing A-100 showing impervious areas and where areas where materials are stored
(Note: Indoor Only Material Storage)

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