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HomeMy WebLinkAboutNCS000255_Renewal Application_20220404Permit Coverage ��� Renewal Application Form NCDENR National Pollutant Discharge Elimination System NP Permit Number NC Stormwater Individual Permit S 000255 Please provide your permit number in box in the upper right hand corner, complete the information in the space provided below and return the completed renewal form along with the required supplemental information to the address indicated. Owner Information * Address to which permit correspondence will be mailed Owner / Organization Name: crede u, LLC Owner Contact: Steve McKenzie Mailing Address: 530 East Main street Biscoe, NC 27209 Phone Number: 91OA28-2111 RECEIVED Fax Number-: 910•42BA986 E-mail address: steve.mckenzie(@grede.com a E,. "!N1 ®L�!.. Facility Information Facility Name: Grede ll. LLc Facility Physical Address: 530 East Main streetDEW-Stormwater Program Biscoe, NC 27209 Facility Contact: Amandeep Brar Mailing Address: 530 East Main Street Biscoe, NC 27209 Phone Number: 910-428-2111 Fax Number: 91OA28.4986 E-mail address: amandeep.brar@grede.com Permit Information Permit Contact: Amandeep Brar Mailing Address: 530 East Main Street Biscoe. NC 27209 Phone Number: 91DA28-2111 Fax Number: 910-028-4986 E-mail address: amandeep.brar@grede-corn Discharge Information Receiving Stream: Lick Creek Stream Class: ws-tu Basin: Cape Fear River Basin Sub -Basin: Deep River Number of Outfalls: 3 Facility/Activity Chances Please describe below any changes to your facility or activities since issuance of your permit. Attached a separate sheet if necessary. No significant changes to facility industrial operations or activities have occurred since the October 1, 2017 effective date of final NPOES Stormwater permit NCS000255. CERTIFICATION I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief such information is true, c plet and accurate. Signature Date 04101/2022 Steve McKenzie Operations Leader Print or type name of person signing above Title - SW Individual Permit Coverage Renewal Please return this completed application form Stormwater Permitting Program and requested supplemental information to: 1612 Mail Service Center Raleigh, North Carolina 27699-1612 SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL NPDES STORMWATER PERMIT Two copies ofeacli of the following shall accompany this submittal in order for the application to be considered complete: 2. �° 3 4 4! (Do not submit the site Stormwater Pollution Prevention Plan) A current Site Map from the Stormwater Pollution Prevention Plan. The location of industrial activities (including storage of materials, disposal areas, process areas and loading and unloading areas), drainage structures, drainage areas for each outfall, building locations and impervious surfaces should be clearly noted. A summary of"Analytical Monitoring results during the term of the existing permit (if your permit required analytical sampling). Do not submit individual lab reports. Tile summary can consist of a table including such items as outfall number, parameters sampled, lab results, date sampled, and storm event data. A Summary of the Visual Monitoring results. Do not submit individual monitoring reports. The summary can consist of a table including such items as outfall number, parameters surveyed, observations, and date monitoring conducted. A summary of the Best Management Practices utilized at the permitted facility. Summary should consist of a short narrative description of each BMP's in place at the facility. If the implementation of any BMP`s is planned, please include information on these BMP`s. A short narrative describing any significant changes in industrial activities at the permitted facility. Significant changes could include the addition or deletion of work processes, changes in material handling practices, changes in material storage practices, and/or changes in the raw materials used by the facility. 6. Certification of the development and implementation of a Stormwater Pollution Prevention Plan for the permitted facility (Sign and return attached form). If the final year analytical monitoring of the existing permit term has not been completed prior to tiling the renewal submittal, then the last years monitoring results should be submitted within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal waiting on lab results) STORMWATER POLLUTION PREVENTION PLAN DEVELOPMENT AND IMPLEMENTATION CERTIFICATION A North Carolina Division of Energy, Mineral, and Land Resources —Slo7nm4ater Permitting Facility Name: Grade 11, LLC__ Permit Number: wcS000255 Location Address: 530 East Main Street County: ^| certify, under penalty of law, that the SLonnwater Pollution Prevention Plan (SPpP) document and all attachments were developed and implemented under mydirection orsupervision inaccordancewith designed toassuethat qua|i�edpeounoe|propedygather and evaluate the infonnabonrequiredbyLhe'6PPP. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information gathered is, to the best of my knowledge and belief, true, accurate and comp|e0e." ^} certify that the 5PPP has been developed, signed and retained at the named facility location, and the 5PPP has been fully implemented at this facility location in accordance with the terms and conditions of the stormwater discharge permit." Ano' ^|amaware that there are significant pena|Uesforta|sUyinginfonnation.inc|udingdhepossibi|ityof§nesand imprisonment for knowing vio|abuns.^ Sign (according to permit signatory requirements) and return this Certification. DO NOT SEND STORMWATER POLLUTION PREVENTION PLAN WITH THIS CERTIFICATION. 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