NCG120119_Application_20220923

RECEIVED
FOR AGENCY USE ONLY
NCG120 I I cl 1
Assigned to: S. ®Hl
ARO FRO MRO RRO WARO WIRO WSRO
DEMLR-Stormwater Program
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG120000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities classified as: Landfills that are
permitted by the North Carolina Division of Waste Management under provisions and requirements of North
Carolina General Statue 130A-294.
Stormwater discharges from open dumps, hazardous waste disposal sites, or discharge of waste (including
Ieachate) to the waters of the state are specifically excluded from coverage under this General Permit.
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, INC 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:
Wilson County
Denise Stina le
Street address:
City:
State: Zip Code:
PO Box 1728
Wilson
NC 127894
Telephone number:
Email address:
252-339-2804
dsti nag [e-mail]
Type of Ownership:
Government
OCounty ❑Federal []Municipal []State
Non -government
❑Business (If ownership is business, a copy of NCS05 report must be included with this application)
❑ 1 ndividual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Westside C&D Landfill
Andy Davis
Street address:
City:
State:
Zip Code:
2400 Hwy 42 East
Wilson
NC
127893
Parcel Identification Number (PIN):
County:
3732-52-9078
Wilson
Telephone number:
Email address:
252-339-2823
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
4953
1 ❑ New ❑ Proposed OExisting
September 17, 2004
Latitude of entrance:
Longitude of entrance:
35.732
-77.865
Brief description of the types of industrial activities and products manufactured at this facility:
Construction and Demolition (C&D Debris Landfill), Soil Excavation, Maintenance Facility Operation
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MM:
O N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
W. Michael Brinchek, P.E.
Smith Gardner, Inc.
Street address:
City:
State:
Zip Code:
14 N. Boylan Ave
Raleigh
NC
27603
Telephone number:
Email address:
919-828-0577
[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.
SDO1
Toisnot Swamp
C, Sw, NSW
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.716
-77.859
Brief description of the industrial activities that drain to this outfall:
Closed, Inactive C&D Landfill Unit
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? E3 Yes El 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.
SD02
Toisnot Swamp
C, Sw, NSW
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.720
-77.866
Brief description of the industrial activities that drain to this outfall:
Active C&D Landfill Unit
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes El 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.
SD03
I Buck Branch
C, Sw, NSW
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.722
-77.859
Brief description of the industrial activities that drain to this outfall:
Active Soil Stockpiling and Soil Borrow Area
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes i0 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?
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 NOI.
Page 2 of 5

5. Other Facility Conditions (check all that apply and explain accordingly):
O This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
NCC222395
❑ 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:
Approved E&SC Plans for all construction activities, routine maintenance of E&SC features
This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
9/22122
❑ 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):
O Check for $100 made payable to NCDEQ
Copy of most recent Annual Report to the NC Secretary of State
O This completed application and any supporting documentation
O 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 materials are stored
g) impervious areas
h) site property lines
El 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 143-215.6B (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 ($10,000).
Under penalty of law, I certify that:
0 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.
0 The information submitted in this N01 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.
El I will abide by all conditions of the NCG120000 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.
El I hereby request coverage under the NCG120000 General Permit.
Printed Name of Applicant: Denise Stinagle
Title: County Manager
(Signature of
I r 1,t IQC��-
(Date Signed)
Mail the a ire p kag&tg/ DEMLR— Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4 of 5

DocuSign Envelope ID: F47208F2-E7354981-B649.2ED9BFECC8E6
SMITH GARDNER 1la N. 4N.B
Boylan 0.venue, Raleigh NC 27603
TEL WEB
919328.0577 www.smithgamnennmom
September 22, 2022
North Carolina Department of Environmental Quality
NCDEMLR Stormwater Program
1612 Mail Service Center
Raleigh, NC 27699-1612
RE: Westside CEO Landfill
NC6120000 Permit Application
Wilson County, North Carolina
Dear Sir/Madam:
On behalf of Wilson County, Smith Gardner, Inc. (S+G) is pleased to submit the enclosed
permit application for coverage under the NCG120000 general permit for the Westside C&D
Landfill. Enclosed are the following items for your review:
• NCG120000 Permit Application Signed by the Responsible Official;
• $10C Application Fee
• FY21-22 Solid Waste Facility Annual Report;
• Overall Site Diagram; and
• USGS Quadrangle General Facility Location Map.
Should you have any questions or concerns regarding the contents of this application, please
feet free to contact Mike Brinchek of S+G at [phone] or by email at your earliest
convenience.
Sincerely,
SMITH GARDNER, INC
IA
DoeuSyned bya#" h, ,9ew
f 990AB598 AD
Matthew M. Jones, E.I.
Staff Engineer
macfasmithgardnerinc.com
Attachment
CC: Denise Stinagle, Wilson County
Andy Davis, Wilson County
OocuBW" W'_
35BL2tEB/00IM0..
W. Michael Brinchek, P.E.
Senior Project Manager
mikefdsmithgardnerinc.com
4l.• 028426 r

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© 2020 Smith Gardner. Inc.

I
Facility Information
Construction and Demolition Landfill Facility Information
CSD LF Facility Identification`
Permit Number
Permit Name
Contacts
Is the Fatuity Contact and the filling Contact the same person? `
Facility Contact
salutation` First NameLast Name` Title` Telephone`
Mr Andy Davis Drecto (252,245-
1 0612
Billing Contact
salutation` First Name` Last No. Title`
MI Andy Dams Oirector
Address
Is me Physical and Mailing Address the same? `
Physical Address
atreetfRoad `' Cdyaown `
2400 NC HWY 42 Wilson
EAST
Mailing Address
Mail Address `
PO BOX 1728
Disposal operations `
9809-CDLF-2004'
Wilson County
West&de C&D
Landfill
EADSlihcoilege
9809-CDLF-2004
Wilson County Westside C8D Landfill
Yes No
Emad`
adaysawilsoncounty
nic gov
Telephone `
12521245-
0612
Yes
Zip Coda `
27893
Email `
adavisgo,
ilsoneount
ync gov
No
County `
Wall
C41To ` Zip Code• state`
Wilson 27894 NC
Old Your facility accept ana mapose waste l unng the repwtmg pered'
. Yes No
Enter Yes w No Nan please tick Me Nest button on Me lower W,
Airspace / Capacity Data
0uesuons Pn his seCdon Mate M all cellsiunils of the lMea facility operates under Me current 4-d,l all number regje,es, a whalhw Me Calis/unifs are Closed or are not conuguaus at we time a Mrs rew
Tonnage must Ce Cs, ..n scale records a. rover Mn penal between the ...'ling data am the date .f the ast surrey unless anomei penal a approved Airspace measurements include daily, intermeoiete and final
Cover
Most Recent Survey Date ` Total Airspace Used [cubic yards] ` TOW Tons Disposed In Used Airspace `
4i72022 64 031 474.537 44
Operations

Tipping Feerron:e
Does the Tip Fee Include the $21ton Solid Waste Tax?*
Attach Fee Schedule it Needed
Leachate Management'
Alternative Cover Information
$ a0 00
Yes
No
Any document Mpe Inay be upkkiced here.
Hca., I..,ate he,,,ed r. Me wage WWet VedVMel IeCllity�
Sewer Pump Truck i Not Appilcebte Other
Connection (Descnbe)
Pleas. daunbe ale Npe(q of al:elna0ve weekly mver used et MIs faakly't
A-2 Fines 1.656 58 Tons

Waste Disposal Data
Waste Disposal Data Entry"
Waelo you prefer to Manually Enter Data or Upload a Spreadsheet'
• Manually Enter Waste Disposal Data
Upload Spreadsheet
Waste Sources from North Carolina
niease Intel!" Total amount of Haste received at this facility ortginatipg from North Carolina dung the reporting penoa indicate tonnage received av County of waste ongin it waste was receives tram a Transfer
Sa!ion please indicate !ha Counry ration 9 the Transfer Star,
State county" Jul Aug Sep Oct Nov Dec Jan Feb Mar Apt May Jun Totals
N Wilson 2,50 2,17 2,33 2,24 2,34 1 73 1,61 205 229 2,39 3,02 2.70 27.4
C 079 6.18 7 19 4.88 9.72 194 3.91 8.23 5.50 798 6.38 0.16 328
6
Total NC Sources
OUDot-State Waste
Total Waste Received
2743286
Did your facility receive waste from out ofsuitesources,
Yes No
27,432.86

Recovered Material Data
Please Indicate what other aclivass, oceur at Os rankly below
+ RecyclinglReuse Collection + Scrap Tire Collection
+ While Goods Collection Household Hazardous Waste Collecttan
Enter Other Activity
Recovered Materials Table
Please list below fire quantities of materials that were counted in Me Waste Disposal Data table but removed from the waste stream at this facility. Source -Separated material recovery will be Counted In Me Local
Government Solid Waste and Matenats Management Annual
Pursuing Farm. [That form is available at this linkhi tps.ildect me gawaboulldlwsionsMaste managemenVsolid-waste-seCianlennual+eromng I
Material
Tons
Aluminum Cans
0,00
Cardboard
I
84.00
Carpet
0.00
Commingled Recyclables
379.19
Computer Equipment
21,20
✓ Concrete f Rubble I Asphalt
1,121.94
Fluorescent Light Bulbs
0.00
Glass
0.00
Gypsum f Drywall Board
0,00
I
Metal: Steel Cans
0.00
Metal: Other
290.00
Pallets
118.60
Paper
0.00 I t
Plastic
0,00
Televisions
66.65
Used Oil I Oil Fillers
0.00
White Goods
0.00
Wood
5.29
Specify Other Recovered Teri
Pestcide Jugs 14.90
Total Material Recovered from the Waste Stream, Tons 2,10177

NC E-500K Disposal Tax and Waste Summary
NC E-500K Disposal Tax Data
If your facility is mlluveC to Ale NC E 500K forms weM NC Depadmenl a Revenueplease pm ce me tout quanerty tonnages Nis tedlity reponso amrp"rel MW p i
Quarter Tons Reported
Jul i . Sep 30 7,014.16
Oct i - Dec 31 633023
Jan 1 -Mar 31 5 948.83
Aprt - Jun 30 8,124.52
Total ND E-WOK Tons Reported
27.417,74
Exempt Waste Disposal a
DO your facility dispose of waste materiels prat were ex mpt tom pe NG E-SOOK Disposal Tax
of
Was the To4H NC E-500K ions Reported above adjusted from the Net Waste Subject W Tax
bewwl
Yes .: No
Summary of Facility Activity
Please verify the totals of waste recarved. recydetl. IandGllad aria [ax exempt berow.
Total Waste Received Total Recovered Net Waste Landfilleei Landfill Rate
Exempt! Adj Waste Net Waste Subject to Tax
27 432 86 2,101 77 25,331 09 0.92
000 25.131 C9
It me totals imcve are r.l ct. please review aria.1sct me date in the Waste rD.,Mal antl Reccveretl
Malerlals labs.

Waste Disposal Summary
Waste Disposal Summary
Please verify the totals of waste received. recyclaq landfilled below,
Total Waste Received Total Recovered Net Waste Landlilled Landfill Rate
27,432.00 2,10177 25,33109 0.92
II the Whale above are Incorrect. please review etM coneet the data in the Waste Disposal and Recovered Materials tabs.

RisK Assessment
RecePtors
please `ndeate either Yes or No for each question hatow end prolinde the verhrlb!e distance or d¢tances requested [surn as using range 6nGets, GIS maps. survey measurements[ Please attach additional :nformat.
:ncl'ud�n� GIS maps. lists Mpchadil wNl IOLahorr, at
•
I Are Rasidenliel Strictures A aced wr ur 1 Sod feet pf the Edge of Waste?
Yes • No
•
2 Are Water Supply Wells located wdlnh 1 500feet of Ire Edge of Waste'+
Yes • No
•
3. Are Commcmtp`Mun a,sh Water Supply Wells located within 1500 feet of the Edge of `Neste
Yes . No
•
a. Are Surface Water Features lacated'm urn 1500 feet of the Edge of Wasterf
• Yes No
If Yeshp. rhany,
1
Pleeee list the three clasest d5earte5 in feet) Vom the Edge of Waste.
600' 650'.800
•
Please list Me names of the water bodies.
Buck Branch
•
5. Is Puck Water Avaliable within I.500 feet of the Edge of WasleV
Yes No
Corrective Measures
6 Dori the fachty use an active methane exV., system [Mvxar. vacuum, f" etd j4
Yes • No
•
7 Ooes Ne facility use an passive methane extraction system [Vanden vents, ritir p
Yes • No
8. Is active ground water remematch taking place on site,
Yes No
Upload Additional Risk Assessment Occurrent,
comments

W,
Certified Operators / Certification / Submittal
Certified Operators'
SWANA or Other Certified Operators
I'rease acre. me lallowmg m ormelion
br au Cerhned Goerav a working at your;echry
Name
Certitlration Type
Andy Davis
Manager of LF
Operations
Terry McClintock
Certified LF
Operations
Specialist
Kenneth
Candied LF
Matthews
Operations
Specialist
Paige Aycock
Certified LF
Operations
Specialist
Robert Patteson
Certified LF
Operations
Specialist
Certification'
Name'
Title'
Email'
Oate'
comments
Are SWANA or ether ertified opemtorfsl employee al your ial
Yes No
Expiration Date
M2023
5i3)2024
10119i2025
1011912025
4/112023
I CERTIFICATION. I certify that the Information provided is an accurate
representation of the activity at this facility
REMINDER According to G.5. 130A-309 09D(E). this renod must be sent to the County
Manager of each county Iron wh,<h waste was received A copy of this repo, will be
automatl[a0y forwarded to me Reglonal Enveonmentel Senior Special¢i for your ounty
Andy Davis
Solid Waste Director
adavis@witsoncountync gov
8110,2022

,abe 1.Of 3
Type: CRP
Recorded: 4/20/2021 12:14:44 PM
Fee Amt: $0.00 Page 1 of 3
Wilson, NC
Lisa J. Stith Register of Deeds
BK 2891 PG 453 - 455
This instrument prepared by Stephen L. Beaman, Box 1907, Wilson NC 27894-1907 [phone], who is a licensed
North Carolina attorney. Delinquent taxes, if any, to be paid by the closing attorney to the county Tax Collector upon
disbursement of closing proceedings.
Retum to Stephen L. Beaman
Brief description: Wilson County Landfill
RECOMBINATION DEED
NORTH CAROLINA WILSON COUNTY
Stamps: $0.00 PIN: 3732-52-9078
I nl1 1CLUU1 IUMAI MN DEED is made as
GRANTOR
WILSON COUNTY, a body politic and
corporate of the State of North Carolina
PO Box 1728
Wilson, NC 27894-1728
GRANTEE
WILSON COUNTY, a body politic and
corporate of the State of North Carolina
PO Box 1728
Wilson, NC 278941728
Grantor and Grantee as used herein shall
and Soso include singular, plural, masculine, feminine or neuter as required by context);
WITNESSETH:
successors,
The Grantor, for a valuable consideration paid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, sell, and convey unto the Grantee in
fee simple, all that real estate situated in WILSON COUNTY. North Carolina, and more particularly
described as follows:
DESCRIPTION SET FORTH in Exhibit or Schedule A attached hereto.
TO HAVE AND TO HOLD the aforesaid real estate and all privileges and appurtenances
thereto belonging to the Grantee in fee simple.
submitted electronically by "Beaman & Bennington, PLLC"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Wilson county Register of Deeds.
Book:2891 Page:453 Seq: 1

TO HAVE AND TO HOLD the aforesaid real estate and all privileges and appurtenances thereto
belonging to the Grantee in fee simple.
IN TESTIMONY WHEREOF, the Grantor has caused this deed to be duly executed on the day and
year first above written.
(SEAL)
WILSON COUNTY
WILSON COUNTY
/C�• !t!% _ __(SEAL)
Rob Boyette, C1 airman
Wilson County Board of Commissioners
a Notary Public, do hereby certify that
_ _personally appeared before me this day and acknowledged that
he/she the Clerk of WILSON COUNTY BOARD OF COMMISSIONERS, a body politic and corporate of
the state of North Carolina, and that by authority duly given and as the act of WILSON COUNTY, the
foregoing instrument was signed in its name by its Chairman, sealed with its corporate seal, and attested by
its clerk.
Witness my hand and official seal, this . I L�day of April, 2021.
My Co fission Exp'v
Notary
r ,%o'VARY I
W
p01° 0
y PUB00
Book:2891 Page:453 Seq:2

oy� le, ..
1�►:%iION171
Lying and being in Gardners Township, Wilson County North Carolina, and being all of the
parcels or tracts of land described in the following deeds of record in the Wilson County Register
of Deeds:
Book 1091,'page 627
Book 1110, page 159
Book 1396, page 708
Book 1562, page 165
Book 1577, page 567
Book 1930, page 792
Book 2150, page 709
Book 2213, page I
Book 2338, page 867
All of the property included in this conveyance is also shown in the 2021 Wilson County GIS
records under PIN 3732-52-9078, reference to which is hereby made and incorporated herein.
Book:2891 Page:453 Seq:3