HomeMy WebLinkAboutNCG070226_Application_20210429Environmental
Quality
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG070000
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
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I OY
I 2
Certificate of Coverage
N C791)12-LZO
Check #
Amount
tOORI
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Pennit Ass ied to
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NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG070000: RECEIVED
STORMWATER DISCHARGES associated with activities classified as: p
SIC' 32 Stone, Clay, Glass, and Concrete Products (except as specified below) APR 2
SIC* N/A Like activities deemed by DEMLR to be similar in the process and/or the exposurBEAFOMND QUALITY
materials, products, by-products, or waste materials STORMWATER PERMITTING
The following activities are specifically excluded from coverage under this General Permit:
SIC' 3273 Ready -Mixed Concrete
W Standard Industrial Classification Code
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Qgt f e r-�. l ral VSS6 i r_S LAX
Name
Richard Moore
Street Address
513 County Line Road
City
Thomasville
State NC ZIP Code 27360
Telephone No.
704 213-1526
Fax:
E-mail Address
Richard. Moore@pottersbeads.com
2) Location of facility producing discharge:
Facility Name
Potters Industries
Facility Contact
Richard Moore
Contact E-mail
Richard.Moore@pottersbeads.com
Street Address
513 County Line Road
City
Thomasville
State NC ZIP Code 27360
County
Davidson
Telephone No.
704 213-1526
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). From 1-85, Exit 106, take Finch Farm Rd. heading North for 1.1 mi.
Take left onto Countv Line Rd., site is 0.25 mi. on right.
(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)
4) Latitude 35°52'43.86"N Longitude 80' 3'13.83"W (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
✓❑ Existing
Page 1 of 4
SWU-222-071408 Last Revised 6/24/14
NCG070000 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: 3 2 3 1
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: The facility manufactures reflective glass bead products for use in the transportation safety industry (e.g., reflective road markings).
The recycled glass cutlet (window & mirror glass scraps) is delivered to the facility in large sacks and fed through a bead furnace which melts the cullet
and forms the cutlet into spherical beads. The cutlet contains trace amounts of lead, and the facility is subject to TRI Form R reporting (U.S. EPA).
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 3
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): 35052'42.37"
N
Longitude (degrees/minutes/seconds): 800 3'14.52"
W
Stormwater Outfall No. 002
Latitude (degrees/minutes/seconds): 35052'45.44"
N
Longitude (degrees/minutes/seconds): 8003'16.81"
W
Stormwater Outfall No. 003
Latitude (degrees/minutes/seconds): 35052'40.77"
N
Longitude (degrees/minutes/seconds): 800 3'12.50"
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) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? North Hamby Creek - (Class C waterbody; Yadkin River Basin)
Page 2 of 4
SWU-222-071408 Last Revised 6/24/14
NCG070000 N.O.I.
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).
10) Does this facility have any other NPDES permits?
The facility is currently covered under Ennis -Flint's
❑ No NCG050426 permit. Potters Industries now owns
and operates the subject parcel, which was
Yes previously part of the original Ennis -Flint property.
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)?
4 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
M Yes
If yes, please briefly describe: Non-structural BMPs include source control (through good housekeeping practices and limiting the possiblity
for material exposure during stormwater events), routine inspection/maintenance of facility stormwater conveyances, and employee training (for
stormwater pollution prevention, safe equipment/materials handling practices, and spill prevention and response).
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
M Yes
If yes, when was it implemented? The original SPPP was implemented by Ennis -Flint in 2015. An updated SPPP was implemented by Potters Industries in April 2021.
14) Are vehicle maintenance activities occurring at this facility?
4 No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
4 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
0 No ❑ Yes (Facility is a Very Small Quantity Generator)
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
11 No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
Page 3 of 4
SWU-222-071408 Last Revised 6/24/14
NCG070000 N.O.I.
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: Richard Moore
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-222-071408 Last Revised 6/24/14
NCG070000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
M Check for $100 made payable to NCDEQ
LJ This completed application and all supporting documents
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 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 ......
(828) 296-4500
Fayetteville Office ...
(910) 433-3300
Mooresville Office ...
(704) 663-1699
Raleigh Office ........
(919) 791-4200
Washington Office ...(252)
946-6481
Wilmington Office ...
(910) 796-7215
Winston-Salem ......
(336) 771-5000
Central Office .........(919)
807-6300
Page 5 of 4
SWU-222-071408 Last Revised 6/24/14
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PIEDMONT 0 1000 2000 3000 4000 FIGURE 1
SITE LOCATION MAP
GEOLOGIC Scale (feet)
Potters Industries
Data Sources: USGS US Topo 7.5-min maps for High Point West 513 County Line Road
SMART EARTH SOLUTIONS and Fair Grove NC (2019). Thomasville, North Carolina 27360
PIEDMONT
GEOLOGIC
SMART EARTH SOLUTIONS
April 12, 2021
DEMLR — Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
6003-145 Chapel Hill Rd.
Raleigh, NC 27607
P: 919-854-9700 F: 919-854-9532
www.piedmontgeologic.com
?fz Ef V D
APR 2 9 2021
DENR"LANDSTORMWq ER PERMITTINGT
RE: Application for Coverage under NPDES General Permit NCG070000
Potters Industries — Thomasville Facility
513 County Line Road, Thomasville, North Carolina
Two Whom it May Concern:
Enclosed is a Notice of Intent (NOI) application, with supporting information, for coverage under NPDES General
Permit NCG070000 for the Potters Industries (Potters) facility referenced above in Thomasville, Davidson County,
North Carolina. Please note that the Potters facility was previously owned/operated by Ennis -Flint and was part of
Ennis -Flint's larger "County Line Road Complex" operations (currently covered under Ennis -Flint's NPDES
General Permit NCG050426). The subject facility property was recently acquired by Potters, and Ennis -Flint
continues to operate on the adjacent property.
One check in the amount of $100.00 for the application processing fee is also enclosed. Piedmont Geologic is
managing the application process on behalf of Potters.
If you have any questions or need any additional information, please do not hesitate to call.
Sincerely,
Jo-��D. Mw'ph*-ey
Jonathan D. Murphrey, P.G.
Staff Geologist
attachments
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Limited Liability Company
Legal. Name
Potters Industries, LLC
Information
Sosld: 1203866
Status: Current -Active O
Date Formed: 5/16/2011
Citizenship: Foreign
State of Incorporation: DE
Annual Report Due Date: April 15th
CurrentgnnuaL Report Status:
Registered Agent: Cogency Global Inc.
Addresses
Reg Office Reg Mailing Mailing Principal Office
212 South Tryon Street Ste 1000 212 South Tryon Street Ste 1000 300 Lindenwood Drive 300 Lindenwood Drive
Charlotte, NC 28281-0001 Charlotte, NC 28281-0001 Malvern, PA 19355-1740 Malvern, PA 19355-1740
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager Manager Manager
Roger William Andersen , II Steve Moyer Scott Randolph
300 Lindenwood Drive 300 Lindenwood Drive 300 Lindenwood Dr
Malvern PA 19355 Malvern PA 19355 Malvern PA 19482