NCG120117_NOI_20220216

FOR AGENCY USE ONLY
NCG12n11 7
Assigned to: . C S0
ARO FRO MRO RRO ARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG120000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities classified as: Landfills that are
permitted by the North Carolina Division of Waste Management under provisions and requirements of North
Carolina General Statue 130A-294.
Stormwater discharges from open dumps, hazardous waste disposal sites, or discharge of waste (including
leachote) to the waters of the state are specifically excluded from coverage under this General Permit.
You can find information on the DEMLR Stormwater 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:
Greene County
Kyle DeHaven (County Manager)
Street address:
City:
State:
Zip Code:
229 Kingold Bouevard
Snow Hill
NC
28580
Telephone number:
Email address:
242-747-3446
[e-mail]
Type of Ownership:
Government
FRIid"��9 D
OCounty ❑Federal ❑Municipal []State
:'T �,j V
Non -government
FES 1 0' pn?9
❑Business (If ownership is business, a copy of NCSOS report must be included with this application)
❑Individual
DINkAND UUALITY
OTORMWATER PERMITTING
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Greene County Landfill
David Jones (Public Works Director)
Street address:
City:
State:
Zip Code:
105 Landfill Road
Waltsonburg
NC
27888
Parcel Identification Number (PIN):
County:
0200636
Greene
Telephone number:
Email address:
252-747-5720
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
4953
❑New ❑ Proposed DExisting
N/A
Latitude of entrance:
Longitude of entrance:
35.524996
-77.695841
Brief description of the types of industrial activities and products manufactured at this facility:
C&D waste hauling and dumping, storm debris storage, excavating borrow sites for daily cover.
If the Stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
El N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Jay Zimmerman
Municipal Engineering Inc.
Street address:
City:
State:
Zip Code:
68 Shipwash Drive
Garner
NC
127529
Telephone number:
Email address:
919-772-5393
[e-mail]
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
El This water is impaired.
SDC1
Unnamed tributary to Sandy Run
C;Sw,NSW
O This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
35.527075
-77.687485
Brief description of the industrial activities that drain to this outfall:
Active Construction and Demolition Landfill (CDLF) and related recycling activities
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
16
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 occurinthe drainage area'of this outfall?
—El Yes +`El No
If yes, how many gallonsof new motor oil are used each month when averaged over the
calendar year?
.
3-4 digit identifier:' i
rNarrme of receivingrwat6F.
Classifcation: .
`P-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 0 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? I] Yes © 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

S. 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:
El This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Drainage ditches and sedimentation basins
❑ This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
❑ 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.wa'ste:
How material is stored:£ - I
Where material is`stored:
--
Number of waste shipments -per year: -' i -
Name of transport/disposal vendor:`
Transport/disposal vendor EPA ID:
Vendor address:
❑ Thisfacility is located on a Brownfielii'orSuperfund site
If checked, briefly describe the site conditions
6. Required Items (Application will be returned unless all of the following items have been included):
i7
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
O
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 materials are stored
g)
impervious areas
h)
site property lines
0
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 143-215.6E (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).
UndQr penalty of law, I certify that:
;I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
Wivil or criminal penalties incurred due to violations of this permit.
he 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
formation.
will abide by all conditions of the NCG120000 permit. I understand that coverage under this permit will constitute the
ermit requirements for the discharge(s) and is enforceable in the same manner as an individual permit.
hereby request coverage under the NCG120000 General Permit.
Printed Name of Applicant:
Title: (Cl,vu�
(Signature lic )
Mail the entire package to: DEMLR— Stormwater Program
(Date Signed)
Department of Environmental Quality
1612 Mail Service Center
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: ' _ —
O This water is impaired.
❑ This watershed ha's,aiTMDL.
Latitude of outfall: _ _ -
Longitude of outfall:
-
Brief description:ofthe 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?
t
3-4 digit identifier:
Name of receiving water:
Classification: '' ; _ - .
'1
❑ 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?
Page 5 of 5

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3 ! CONSTRUCTION &DEMOLITION N1 Ip
�• "� MUNICIPAL ENGINEERING INC.
.E. R RE ®. o LANDFILL FACILITY rnE
{E 9 4 GREENE COUNTY 5B SHIPWFBH DRIVE, O.RNER, NC 27529 - PHONE: [phone]
£E£E£E FAgLITY/OPERATION/CLOSURE PLAN r� ? P.O. Box 349, BOONE, NC ZS607 - PHONE: BZB-262-1767
a EXISTING CONDITIONS NORTH CAROLINA LICENSE NUMBERS: F'0812 S C-586