NCG030731_Application_20220913

FOR AGENCY USE ONLY
NCG03 0_1 3 i
Assigned to: C N
ARO FRO RO RRO WARD WIRO WSRO
RECEIVED
SEP 13 2W
aENR-LAND QUAbly
STORMWATER PERMT7W
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG030000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC335 [Rolling, Drawing, and Extruding of Nonferrous Metals], SIC 3398 [Metal Heat
Treating], SIC 34 [Fabricated Metal Products], SIC35 [Industrial and Commercial Machinery], SIC36 [Electronic
and Other Electrical Equipment], SIC 37 [Transportation Equipment], and SIC 38 [Measuring, Analyzing, and
Controlling Instruments]. 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:
Charlotte Pipe and Foundry Company
Mike Hall
Street address:
City:
State:
Zip Code:
1335 S. Clarkson St
Charlotte
NC
28208
Telephone number:
Email address:
704-332-2647
mhallgcharlottepipe.com
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑State
Non -government
El Business (If ownership is business, a copy of NCSOS report must be included with this application)
❑Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Charlotte Pipe and Foundry Company
David Waggoner / Jenny Pappalardo
Street address:
City:
State:
Zip Code:
10145 Lighthouse Road
Oakboro
NC
28129
Parcel Identification Number (PIN):
County:
Stanly
Telephone number:
Email address:
704-348-5408 (David) / 704-348-5513 (Jenny)
[e-mail] /[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
3321
1 ONew ❑Proposed ❑Existing
1 402022
Latitude of entrance:
Longitude of entrance:
35.215920 N
1 80.339590 W
Brief description of the types of industrial activities and products manufactured at this facility:
Cast iron foundry that melts dean iron scrap to produce soil pipe & fittings and commercial castings. All industrial activity inside.
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
O N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Graham Donaldson, PE
New Day Enqineering, PLLC
Street address:
City:
State:
Zip Code:
116 N. West St
Raleigh
NC
27603
Telephone number:
Email address:
919-828-4402 X6
[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:
❑This water is impaired.
001
Unnamed trib. to Coldwater Branch
C
❑This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.211120 N
80.345120 W
Brief description of the industrial activities that drain to this outfall:
Facifity-wide discharge fiom Iwo stormwater holding ponds (BMP-2 8 BMP-3) and one ernsion con"I basin (BMP-1), receiving all smrrnwater excluding unimproved drainage.
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:
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:
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:
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:
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 NOL
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:
O This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
The f mft is new aM desigr sum that all iMuslrial actaoft i ing storage, is elsitle all w l here 2 slo ater polls aM 1 erosion contra oasin to mnhol aw flow prior to final niacharge.
❑ This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
A SWPPP is in development and will be in place prior to the operation of the facility as it is still under construction.
❑ 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)
I7 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:
HW not generated from normal operations
Occasional expired chemicals
How material is stored:
Where material is stored:
In original vessel (drum, total, pail)
Maintenance
Number of waste shipments per year:
Name of transport/disposal vendor:
1 every 2 years
Depends on material
Transport/disposal vendor EPA 10:
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 (if applicable)
l This completed application and any supporting documentation
+❑ 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 industrial process 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 143-215.68 (1) 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).
Under 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
civil or criminal penalties incurred due to violations of this permit.
O 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.
O I will abide by all conditions of the NCG030000 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.
0 1 hereby request coverage under the NCG030000 General Permit.
Printed Name of Applicant: Mike Hall
Title: Senior VP for Cast Iron Division / Plant
." 1&0 9 s-49a
(Signature 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.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
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:
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:
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:
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:
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:
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:
Page 5 of 5

Attachments
(per Item 6)
Application Fee
NC Secretary of State Annual Report
Site Diagram
USGS Quad Sheet

0 BUSINESS CORPORATION ANNUAL REPORT
1l6120n
NAME OF BUSINESS CORPORATION: Charlotte Pipe and Foundry Company
SECRETARY OF STATE ID NUMBER: 0027080 STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END: 12/31 /2021
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Dowd, W Frank , IV
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
0027080
CA202208804864
3/29/2022 01:15
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2109 Randolph Road
Charlotte, NC 28207 Mecklenburg County
SECTION B: PRINCIPAL OFFICE INFORMATION
2109 Randolph Road
Charlotte, NC 28207
1. DESCRIPTION OF NATURE OF BUSINESS: Manufacturing
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] x2 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
2109 Randolph Road 2109 Randolph Road
Charlotte, NC 28207 Charlotte, NC 28207
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: E Hooper Hardison , Jr NAME: Roddey Dowd, Jr NAME: Lois Hart Warren
TITLE: President TITLE: Chief Executive Officer TITLE: Chief Financial Officer
ADDRESS:
ADDRESS:
ADDRESS:
PO Box 35430 PO Box 35430 P.O. Box 35430
Charlotte, NC 28235-5430 Charlotte, NC 28235 Charlotte, NC 28235
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
envois Hart Warren 3/29/2022
SIGNATURE
Form must be signed by an officer listed under Section C of this form.
Lois Hart Warren Chief Financial Officer
Print or Type Name of Officer Print or Type
MAIL TO: Secretary of Stale, Business Registration Division, Post Office Box 29525, Raleigh, NO 27626-0525

SECTION E: ADDITIONAL OFFICERS
NAME: W. Frank Dowd, IV NAME:
TITLE: Chairman Of The Board TITLE:
ADDRESS: ADDRESS:
PO Box 35430
Charlotte, NC 28235-5430
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CHARLRTTE
PIPE and FOUNDRY COMPANY
P.O. Box 35430
CHARLOTTE, NORTH CAROLINA 28235
Telephone [phone]
September 7, 2022
NCDEMLR Stormwater Program
1612 MSC
Raleigh, NC 27699-1612
RE: Notice of Intent for Stormwater Discharges for NC DEQ General Permit NCG030000
Charlotte Pipe and Foundry Company
Oakboro, NC
To whom it may concern,
Please find with this cover letter the Notice of Intent for Stormwater Discharges for General
Permit NCG030000 for Charlotte Pipe and Foundry Company's (Charlotte Pipe) Oakboro facility
that is still under construction. The facility intends to begin partial operation in 4Q2022 with
full operation expected by 3Q2023.
It is our understanding that NC DEQwill want to schedule a site visit to determine if the facility
can meet the requirements for approval to access General Permit NCG030000.
If you have any questions and/or want to schedule the site visit, please contact me at (704)
348-5408 or [e-mail].
Kind regards,
U�
David Waggoner
Environmental Manager
attachment