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Home My WebLink AboutNCG081010_Application_20210831 FOR AGENCY USE ONLY RF`. ,EI V ED NCG08 ( D l O Assigned to: ALucas AUG 31 2021 ARO FRO RO RRO WARO WIRO WSRO DENR-LAND QUALITY ;TORMWATER PEPR'r Division of Energy, Mineral, and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCG080000 Notice of Intent This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard Industrial Classifications: SIC 40[Railroad Transportation], SIC 41[Local and Suburban Transit and Interurban Highway Passenger Transportation],SIC 42[Motor Freight Transportation and Warehousing—except for SIC 4221-4225],SIC 43[United States Postal Services], SIC 5171[Petroleum Bulk Stations and Terminals—when total petroleum site storage capacity is less than 1 million gallons]. The following activities are also included:other industrial actives where the vehicle maintenance area(s)are the only area requiring permitting;stormwater discharges from oil water separators and/or from secondary containment structures associated with petroleum storage facilities with less than 1 million gallons of total petroleum site storage capacity. You can find information on the DEMLR Storm water Program at deq.nc.gov/SW Directions: Print or type all entries on this application. Send the original, signed application with all required items listed in Item (6) below to: NCDEMLR Stormwater Program, 1612 MSC, Raleigh, NC 27699-1612. The submission of this application does not guarantee coverage under the General Permit. Prior to coverage under this General Permit a site inspection will be conducted. 1. Owner/Operator(to whom all permit correspondence will be mailed): Name of legal organizational entity: Legally responsible person as signed in Item(7)below: Town of Mooresville Randall W. Hemann Street address: City: State: Zip Code: P.O. Box 878 Mooresville NC ,28115 Telephone number: Email address: 704-662-3188 rhemann@mooresvillenc.gov Type of Ownership: Government ❑County ❑Federal 0 Municipal ['State Non-government ❑Business(If ownership is business,a copy of NCSOS report must be included with this application) ❑Individual 2. Industrial Facility (facility being permitted): Facility name: Facility environmental contact: Town of Mooresville Public Services Operations Facility Marissa Meltzer Street address: City: State: Zip Code: 2523 Charlotte Highway Mooresville NC 28117 Parcel Identification Number(PIN): County: 4657474070.000 I redel I Telephone number: Email address: 704-799-4195 mmeltzer@mooresvillenc.gov 4-digit SIC code: Facility is: Date operation is to begin or began: In New ❑Proposed l:I Existing September 23,2011 Latitude of entrance: Longitude of entrance: 35.596329 -80.838181 Page 1 of 5 Brief description of the types of industrial activities and products manufactured at this facility: vehicle&equipment storage,vehicle maintenance,vehicle wash bay,OWS,outdoor storage of equipment(laydown yard),material storage(stone,straw,dirt,salt,etc.),brine prep area,decant area If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4: ❑ N/A Town of Mooresville 3. Consultant(if applicable): Name of consultant: Consulting firm: Street address: City: State: Zip Code: Telephone number: Email address: 4. Outfall(s)At least one outfall is required to be eligible for coverage. 3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired. 001 Reeds Creek WS-IV, B 0 This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 35.597185 -80.836472 Brief description of the industrial activities that drain to this outfall: vehicle&equipment storage,vehicle maintenance,vehicle wash bay,outdoor storage of equipment(laydown yard),material storage(stone,straw,dirt,salt,etc.),brine prep area,decant area Do Vehicle Maintenance Activities occur in the drainage area of this outfall? El Yes El No If yes,how many gallons of new motor oil are used each month when averaged over the calendar year? 156 Gallons/month 3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired. 0 This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? El Yes ❑No If yes,how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: 0 This water is impaired. ❑This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? El Yes El No If yes,how many gallons of new motor oil are used each month when averaged over the calendar year? All outfalls must be listed and at least one outfall is required.Additional outfalls may be added in the section "Additional Outfalls"found on the last page of this NOI. Page 2 of 5 5. Other Facility Conditions (check all that apply and explain accordingly): ❑This facility has other NPDES permits. If checked, list the permit numbers for all current NPDES permits: ❑This facility has Non-Discharge permits(e.g. recycle permit). If checked,list the permit numbers for all current Non-Discharge permits: 0 This facility uses best management practices or structural stormwater control measures. If checked, briefly describe the practices/measures and show on site diagram: Outfall 001 discharges to a Wel Detention Pond.The vehicle wash bay and decant areas lead to an OWS before sanitary sewer.Additional BMP's and secondary containment methods are identified in the fadlity's Stormwater Operation and Maintenance Plan ❑This facility has a Stormwater Pollution Prevention Plan(SWPPP). If checked, please list the date the SWPPP was implemented: Operation&Maintenance Plan originally implemented March 2016. Updated November 2020 ❑This facility stores hazardous waste in the 100-year floodplain. If checked, describe how the area is protected from flooding: ❑This facility is a(mark all that apply) ❑ Hazardous Waste Generation Facility ❑ Hazardous Waste Treatment Facility ❑ Hazardous Waste Storage Facility ❑ Hazardous Waste Disposal Facility If checked, indicate: Kilograms of waste generated each month: Type(s)of waste: How material is stored: Where material is stored: Number of waste shipments per year: Name of transport/disposal vendor: Transport/disposal vendor EPA ID: Vendor address: ❑This facility is located on a Brownfield or Superfund site If checked, briefly describe the site conditions 6. Required Items (Application will be returned unless all of the following items have been included): 0 Check for$100 made payable to NCDEQ ❑ Copy of most recent Annual Report to the NC Secretary of State 0 This completed application and any supporting documentation 0 A site diagram showing, at a minimum, existing and proposed: a) outline of drainage areas b) surface waters c) stormwater management structures d) location of stormwater outfalls corresponding to the drainage areas e) runoff conveyance features f) areas where industrial process materials are stored g) impervious areas h) site property lines O Copy of county map or USGS quad sheet with the location of the facility clearly marked Page 3 of 5 7. Applicant Certification: 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. . .shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000). Under penalty of law, I certify that: CI I am the person responsible for the permitted industrial activity,for satisfying the requirements of this permit,and for any civil or criminal penalties incurred due to violations of this permit. 17 The information submitted in this NOI is,to the best of my knowledge and belief,true, accurate, and complete based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information. 0 I will abide by all conditions of the NCG080000 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. 0 I hereby request coverage under the NCG080000 General Permit. Printed Name of Applicant: Randall W. Hemann Title: Town Manager 14611 g N7432) (Signature of Applicant) (Date Signed) Mail the entire package to: DEMLR—Stormwater Program Department of Environmental Quality 1612 Mail Service Center oirisk Raleigh, NC 27699-1612 Page 4 of 5 Additional Outfalls 3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired. ❑This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes ❑No If yes,how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired. ❑This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes ❑No If yes,how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired. ❑This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes ❑No If yes,how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired. ❑This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes ❑No If yes,how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired. ❑This watershed has a TMDL. 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