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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 IW4 I OY I 2 Certificate of Coverage N C791)12-LZO Check # Amount tOORI #I o0 Pennit Ass ied to M. o .J Wsa� 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 1 i t` 1 t S � � XATHLAMD AVE ( 5 . ST \ ,p�Tv BELL DR ��� \ _' ; 0 �\ ✓ —900 (-" r ,IENNIFER CT e \ CULBRETHAVE PIKE VIEW R\ o Site Location i V_,I��nrlft?i �'� Luki'� CAROLINA AVE j Z O -850 GEORGIAAVE-'' �^, ,Q�--•�1-ItLItII('J E SUNRISE AVE c Q C i COLONIAL CLIIB•DR� I edi ) ST -Txom�sli LLE B(d)ttr LEACH AVE q `z a'" ��y KINGSTON RD, i z 3 ly / / x .14 \ 1 t Cem GLONIGER DR a 62 I-"850-.� WELBORNR ARTHUR DR DON TRUELL LN c TFINI a S � a 109 A A I �,_�+ BELMONT DR �o r '650 `~"\ .ti A HUNTERS CLUB BR ` KAYLAN DR .r �c l ,Io ` yam' Fa11' ry/' `� j I TROTTERS N �•' \\��' ` 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 Je4 • File an Annual Report/Amend an Annual Report • 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 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