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HomeMy WebLinkAboutNCG081018_NOI_20220222FOR AGENCY USE ONLY NCG08L0 144 C,e So Assigned to: ARO FRO MRO WARD WIRO WSRO RECEIVED rr.o z � 7022 DINRUND QUALITY Division of Energy, Mineral, and Land Resources Land Qua# I�n-nNG 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 4221-42251, 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 areas] are the only area requiring permitting; stormwater discharges from oil water separators and/orfrom 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 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: Fed Ex Freight, Inc. Brenden Rose Street address: City: State: Zip Code: 2200 Forward Drive, DC:2219 Harrison AR 72601 Telephone number: Email address: (870)365-4087 brenden.rose@fedex.com Type of Ownership: Government E3County E3Federal ®Municipal ❑State Non -government 0Business (If ownership is business, a copy of NCSOS report must be included with this application) 13Individual 2. Industrial Facility (facility being permitted): Facility name: Facility environmental contact: FedEx Freight, Inc: RDU John Payne Street address: City: State: Zip Code: 5203 Chin Page Road Durham NC 27703 Parcel Identification Number (PIN): County: 0748-91-06-5585 Durham Telephone number: Email address: (870) 365-4087 brenden.rose@fedex.com 4-digit SIC code: Facility is: Date operation is to begin or began: 4213 E3 New ❑ Proposed 0 Existing 8/9/2021 Latitude of entrance: Longitude of entrance: 35.895974 -78.835834 Page 1 of 5 Brief description of the types of industrial activities and products manufactured at this facility: Fueling, maintenance, washing, and loading/unloading conducted indoors or undercover. If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4: ❑ N/A 3. Consultant (if applicable): Name of consultant: Consulting firm: Nina Schittli Blymyer Engineers, Inc. Street address: City: State: Zip Code: 1101 Marina Village Parkway, Suite 100 Alameda CA 94501 Telephone number: Email address: 800-753-3771 nschittli@blymyer.com 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 Stirrup Iron Creek C;NSW This watershed has a TMDL Latitude of outfall: Longitude of outfall: 35.896770 -78.835821 Brief description of the industrial activities that drain to this outfall: Fueling, maintenance, loading/unloading conducted indoors or undercover. Washing is performed by a mobile vendor that contains, collects, and disposes of wash water off -site. Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 13 Yes 0 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? There is an average of 110 gallons of new motor oil used per month. 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? l❑ 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? 0 Yes 0 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 N01. 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: N/A ❑ This facility has Non -Discharge permits (e.g. recycle permit). If checked, list the permit numbers for all current Non -Discharge permits: N/A ❑ This facility uses best management practices or structural stormwater control measures. If checked, briefly describe the practices/measures and show on site diagram: 0 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 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): ❑ Check for $100 made payable to NCDEQ 0 Copy of most recent Annual Report to the NC Secretary of State VThis completed application and any supporting documentation ❑ A site diagram showin& 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 ❑ 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 ($50,000). Under penalty of law, I certify that: IT 1 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. I!T'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. L9 I will abide by all conditions of the NCGO80000 permit. I understand that coverage under this permit will constitute the rmit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. IN119hereby request coverage under the NCGO80000 General Permit. Printed Name of Applicant: t /�de., IIOSL' Title: �11 ✓ir�Bgl�'f'��M`l F-n 4ML-- 2 /%/LOZ'L ( ignature of Applicant) (Date Signed) Mail the entire package to: DEMLR —Stormwater Program 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. ❑ his 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? 0 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? ❑ 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? 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? Page 5 of 5 n`' ` BUSINESS CORPORATION ANNUAL REPORT . I0.30 V NAME OF BUSINESS CORPORATION: FedEx Freight, Inc. SECRETARY OF STATE ID NUMBER: 0356539 STATE OF FORMATION: AR REPORT FOR THE FISCAL YEAR END: 5/31/2021 SECTION A: REGISTERED AGENT'S INFORMATION 1. NAME OF REGISTERED AGENT: CT Corporation System 2. SIGNATURE OF THE NEW REGISTERED AGENT: E - Filed Annual Report 0356539 CA202127407336 1011/2021 03:00 Changes SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 160 Mine Lake Ct Suite 200 160 Mine Lake Ct Suite 200 Raleigh, NO 27615 Wake County Raleigh, NC 27615 SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: LTL Carrier of General Commodities 2. PRINCIPAL OFFICE PHONE NUMBER: (901) 434-7317 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS 8285 Tournament Drive, Bldg C 3630 Hacks Cross Road, Bldg C, 3rd Floor Memphis, TN 38125 Memphis, TN 38125 6. Select one of the following If applicable. (Optional see instructions) ❑ The company is a veteran -owned small business ❑ The company is a service -disabled veteran -owned small business SECTION C: OFFICERS (Enter additional officers in Section E.) NAME: C. Edward Klank , III NAME: Jeffrey T Mize NAME: Robert H. Rhea TITLE: Assistant Secretary TITLE: Assistant Treasurer ADDRESS: ADDRESS: TITLE: Secretary ADDRESS: 942 S Shady Grove Rd 3630 Hacks Cross Rd 8285 Tournament Drive, Bldg C Memphis, TN 38120 Memphis, TN 38125 Memphis, TN 38125 SECTION D: CERTIFICATION OF ANNUAL REPORT, Section D must be completed in its entirety by a person/business en Jeffrey T Mize 10/1 /2021 SIGNATURE Form must be signed by an officer listed under Section C of this forth. DATE Jeffrey T Mize Assistant Treasurer Print or Type Name of Officer Prim or Type Tdle of Officer MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525 SECTION E: ADDITIONAL OFFICERS NAME: John A. Smith NAME: Matthew L. Rittenhour NAME: Herbert C. Nappier IV TITLE: Chief Executive Officer TITLE: Chief Financial Officer TITLE: Treasurer ADDRESS: ADDRESS: ADDRESS: 8285 Toumament Drive, Bldg C 8285 Toumament Drive, Bldg C 942 South Shady Grove Road Memphis, TN 38125 Memphis, TN 38125 Memphis, TN 38120 NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: Name: TITLE: ADDRESS: NAME: TITLE: ADDRESS: r / N ---------- - - r HORVATH .pp GC�1�P3 ' UTILITY PLAN I»„ •_ Iz PMtAY6R0A0 • �U NC SIND �. w„ C300 1 _ -mac. ` �o *- 13, q� "s ✓ Fill n leio �pi 3 �