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HomeMy WebLinkAboutNCG120118_Application_20220503Division of Energy,Mineral and Land Resources FOR AGENCY USE ONLY Date Received Land Quality Section Yew I M°nth 1 Da National Pollutant Discharge Elimination System CM,&.te of Covem _ 12 Environmental NCG12O000 CM1ecA= Ammmt Quality Pemtit Ass ed to NOTICE OF INTENT p�� National Pollutant Discharge Elimination System application for coverage under General Per CEIVED NCG120000: STORMWATER DISCHARGES associated with activities classified as: MAY 0 3 ?022 Landfills that are permitted by the North Carolina Division of Waste Management un6 Stornlwater Program provisions and requirements of North Carolina General Statute 130A — 294. The following activities are specifically excluded from coverage under this General Permit: Stormwater discharges from open dumps, hazardous waste disposal sites, or discharge of waste (including leachate) to the waters of the state. For questions, please contact the DEMLR Regional Office for your area. See page 4. (Please print or type) 1) Mailing address of ownerioperator (address to which all Permit correspondence will be mailed): Name Street Address City Telephone No. Dan Wall 2310 Garner Road Raleigh State NC 919 650-8353 Fax: 919 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No. Email Wall Recycling C&D Landfill Dan Jarboe 385 Gold Hill Road ZIP Code 27610 828-7649 Asheboro State NC ZIP Code 27203 Randolph 336 629-7175 Fax: djarboe@wal (recycling. com 3) Physical Location Information: Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). From E. Presnell, turn onto Gold Hill Road, Facility on left (A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application.) 4) Latitude 3543' 2.175" Longitude 79 47' 29.3136" (deg, min, sec) 5) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility ❑� Existing Date operation is to begin SWU-227-071408 Page 1 of 4 Last revised 6/24/14 NCG120000 N.O.I. 6) Standard Industrial Classification: Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility. SIC Code. 4 9 5 3 7) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: Construction & demolition, asphalt, concrete, wood 8) Discharge points / Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 4 What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? Penwood Branch Receiving water classification: C Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). List discharge points (outfalls) that convey discharge from the site (both on -site and off -site) and location coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan. Stormwater Outfall No. i Latitude(degrees/minutes/seconds): 3543'4" N Longitude (degrees/minutes/seconds): 79 47' 30° W Stormwater Outfall No. 2 Latitude (degrees/minutes/seconds): 35 43' 12 N Longitude (degrees/minutes/seconds): 79 47' 37" W Stormwater Outfall No. 3 Latitude (degrees/minutes/seconds): 35 43' 17" N Longitude (degrees/minutes/seconds): 71 47' 36" W Stormwater Outfall No. 4 Latitude (degrees/minutes/seconds): 3543' 11" N Longitude(degrees/minutes/seconds): 7947'20" W Stormwater Outfall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Stormwater Outfall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Stormwater Ouffall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W 9) Does this facility have any other NPDES permits? IN No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: Page 2 of 4 SWU-227-071408 Last revised 6/24/14 NCG120000 N.O.I. 10) Does this facility have any Non -Discharge permits (ex: recycle permit)? d No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: 11) Does this facility employ any best management practices for stormwater control? ❑ No M Yes (Show structural BMPs on the site diagram.) If yes, please briefly describe: Sediment traps, sediment basins, berms, vegeation, gravel roads 12) Does this facility have a Stormwater Pollution Prevention Plan? 11 No ❑ Yes If yes, when was it implemented? 13) Are vehicle maintenance activities occurring at this facility? S No ❑Yes 14) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? a No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? e No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? M No ❑ Yes d) Is hazardous waste stored in the 100-year flood plain? e No ❑ Yes If yes, include information to demonstrate protection from flooding. e) If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: How is material stored: _ Where is material stored: How many disposal shipments per year: Name of transport / disposal vendor: _ Vendor address: 15) 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 fled or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Page 3 of 4 SWU-227-071406 Last revised 6124/14 NCG120000 N.O.I. I hereby request coverage under the referenced General 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. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing¢. Dan Wall Title:. CC-0n _ . , I `) (?swizz, (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to;, NCDEQ Page 4 of 4 SWU-227-077408 Last revised 6/24/14 NCG120000 N.O.I. Final Checklist This application will be returned as incomplete unless all of the following items have been included: 1/ Check for $100 made payable to NCDEQ FT This completed application and all supporting documents 0 A site diagram showing, at a minimum, (existing or proposed): (a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored, (f) impervious areas, (g) site property lines. M Copy of county map or USGS quad sheet with location of facility clearly marked on map Mail the entire package to: DEMLR - Stormwater Program Dept. of Environmental Quality 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee coverage under the NPDES General Permit. For questions, please contact the DEMLR Regional Office for your area. DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office ......... (919) 807-6300 Page 5 of 4 SWU-227-071408 last revised 6124114 A 4 i" w B c A E 1 s a � - . .AJ.bj'r: � ' ♦ - Ems* � } �, a � +vey, 1 �1�! \ v :+- `� �, a '�♦ a � #1 a \ f 4\ i t E 1 F \ d � h 2 wa LEGEND: PHASE 2E / / ` -� �>>• FACILITY BOUNDARY cAc-IVE7 y / ✓ $ ` �i!✓ _ `«r # _ , STREAM/WATER PHASESELIMITS LIMITS CONTOUR MAJOR PHASE .l' i /. ` - • L� a �iYg ' 'i ^ /✓ \ -__ //� ` .... !Y %'4 g ,.4� y CONTOUR MINOR 1<, �.--- / ' y r� ,y«k •� V DRAINAGE AREA {` PHASE 2A 1a / / �. t s6 •I�x �{y.5 -.-.. - ..CLOSEDI \ / sus: .. a', P q - FLOW PATH 9HASE A 2 \ j / t C ' _ GAS EXTAACAON WELL t e SURFACE WATER I� i\ SED MENT m�naPP '1N'X� T \` N./// I• "�� tt j / x �i� PHASE IB rs _ f " Ift �.�-. vw a jf w ..`mow / ' / � — OUTFA� � ' •ax wu 6 7 SAMPLING LOCATION GROUNDWATER - MONITORING WELL EXISTING CONDITIONS (IMAGERY) WALL RECYCLING ME GOLD HILL RD. ASHEBORO, NC, 272 WALL RECYCLING CARLSON ENVIRONMENTAL CONSULTANTS,o CEc A B c owo: wxoi-xco,xom E MBE: >mr4 xM� EIIT 2 i ONLY PxI B