NCS000255_Renewal Application_20220404

Permit Coverage
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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:
[e-mail]
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.
Signature
Steve McKen
Date 04/01/2022
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Print or type name of person signing above Title
spppCertification ln113

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