NCG120112_Application_20210331

I
NCC�►2D 112.
Environmental
Quality
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG120000
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Zo2.1
02,
1 3
Certificate of Covera e
N C G 1 2
Check #
Amount
5.11
oo
Permit Assigned to
nip
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG 120000:
STORMWATER DISCHARGES associated with activities classified as:
REEIVED
Landfills that are permitted by the North Carolina Division of Waste Management under the' ;R 3 12021
provisions and requirements of North Carolina General Statute 130A — 294.
DENR-LAND QUALITY
The following activities are specifically excluded from coverage under this General Perm,ilti)RMVV.ATER PERMITTING
• Stormwater discharges from open dumps, hazardous waste disposal sites, or discharge of waste (including
leachate) to the waters of the state.
( For questions, please contact the DEMLR Regional Office for your area. See page 4.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name Bruce Woody - Orange County Solid Waste
Street Address 1207 Eubanks Rd
City Chapel Hill State "C ZIP Code 27516
Telephone No. 919 968-2788 Fax: [phone]
2) Location of facility producing discharge:
Facility Name Orange County C&D Landfill
Facility Contact Bruce Woody -Assistant Director for Solid Waste Management
Street Address 1514 Eubanks Road
City Chapel Hill State "C ZIP Code 27516
County Orange
Telephone No. 919 932-2989 Fax: - -
E m a i l [e-mail]
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). From Interstate 40, take exit 266 and head south. Turn on to Eubanks Road (SR-1727) and
drive aporoximately 1.2 miles. Site is located alona both sides of road.
(A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application.)
4) Latitude as° 58' 9.4146" Longitude -79' 4' S6.4191, (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility
0 Existing
Date operation is to begin
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NCG120000 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: 4 9 5 3
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Industrial activities include the collection, processing, and disposal of waste via landfill operations.
8)
Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Old Field Creek (Index: 16-41-1-7)
Receiving water classification: 1N5-", nlsw
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? "I^
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). "'"
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. 1
Latitude (degrees/minutes/seconds): 35° 58' 13.10"
N
Longitude (degrees/minutes/seconds): 79'04�37.91"
W
Stormwater Outfall No. 2
Latitude (degrees/minutes/seconds): 35-58-09.12"
N
Longitude (degrees/minutes/seconds): 79"04-37.75"
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.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
9) Does this facility have any other NPDES permits?
11 No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
If
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NCG120000 N.O.I.
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
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
M Yes (Show structural BMPs on the site diagram.)
If yes, please briefly describe: The county convenience center has 3 total stormwater BMPs. These include 2 bioretention basins for water quality
management, and one attenuation basin for water quantity management. All BMPs are shown on the exhibit map.
12) Does this facility have a Stormwater Pollution Prevention Plan?
11 No
❑ 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?
a No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
11 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
0 No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
0 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: N/A
How is material stored: N/A
Where is material stored: N/A
How many disposal shipments per year:
Name of transport / disposal vendor: N/A
Vendor address: N/A
15) Certification:
N/A
North Carolina General Statute 143-215.6B(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).
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NCG120000 N.O.I.
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:
Title: 4Z- e..sr rr u�c�.e.c,✓"
(Signature of Applicant) (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDEQ
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NCG120000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑x Check for $100 made payable to NCDEQ
❑x This completed application and all supporting documents
A site diagram showing, at a minimum, (existing or proposed):
(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,
(f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on 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 NPDES 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-227-071408 Last revised 6/24/14

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LEGEND N SOURCE: Google Earth
11 approximate locations of facilities A [image date 04-09-13]
Vicinity Aerial Photograph
Client Orange County Solid Waste Management SCALE: [not shown]
Facility North + South + Active C&D Landfills
Location Chapel Hill, North Carolina DAA NO. R00597
Project Environmental Monitoring Programs
�/�► Aden
LNF FIGURE
D
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�•/"'`� �"' Engineering •SurveCHECKED LNFying • Environmental Services DATE 02-13-14

�'' Draper Aden Associates
me Engineering • Surveying • Environmental Services
To: DEMLR — Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
cc: file
RECEIVE
MAR
LAND QUALITY SECT101I
DAM SAFETY
Letter of Transmittal
Date: 3/22/2021
Project Number: R0592-179N
Project Name:
Orange County C&D
Landfill
Phone No. 919.827.0864
We are sending you via:® UPS ❑ USPS ❑ Hand Delivered ❑
® Attached ❑ Under separate cover
❑ Shop Drawings ❑ Prints ❑ Plans ❑ Specifications ❑ Samples
❑ Copy of letter ❑ Plats ❑ Proposal ❑ Change Order ❑ Report
❑ Other:
Copies
Date
No.
Description
1
3.19.21
1
Completed NCG12 Permit Application
2
3.19.21
1
Site Exhibit
1
3.19.21
1
Check for Review Fee - $100
1
2.19.21
1
USGS Quad Map
These are transmitted as checked below:
® For approval ❑ Returned for corrections ❑ Resubmit copies for review
❑ For your use ❑ Submit copies for distribution
❑ FOR BIDS DUE: ❑ Other:
REMARKS:
Please give me a call at 919.827.0876, or contact me via email at [e-mail] should you
have any questions, concerns, or if you find any application items to be missing, and I will take care
of it as soon as possible. Thank you!
Printed Name:
Title:
Alex C. Amavizca, EIT
Project Engineer
P:\R00\500\R00592\R00592-179N3\CORRESP\LOT 21 0322 - NCG12 Submission.daa
Signature:
114 Edinburgh South Drive • Suite 200 - Cary, NC - 27S11 - 919.827.0864 - www.daa.com
Blacksburg - Charlottesville • Mana33a5 - Newport News - Richmond • Virginia Beach
Fayetteville