NCG110164_Application_20231116

Sa/isba�y�R�wan
November 8, 2023
Mrs. Brittany Cook
NC DEQ/ DEMLR/Stormwater Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Subject: City of Salisbury(Grant Creek WWTT) General Permit Application NCG110000
Mrs. Cook,
Enclosed is the$120 check required to continue the review process for the subject application.
Please contact me at(704)216-7539 if you required additional information.
Sincerely,
Sonja asinger
Environmental Services Manager
Cc: Check#459155 for$120

FOR AGENCY USE ONLY
NCG11 Q I 6 4
Assigned to: A. GOOD OCT ti 2 ZM
ARO FRO RRO WARO WIRO WSRO � P ,r"m
VI �{ ,wfe r ii°J3(E;�TG�;
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG110000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities classified as: Treatment Works
treating domestic sewage or any other sewage sludge of wastewater treatment device or system, used in the
storage, treatment recycling, and reclamation of municipal or domestic sewage, with a design flow of 1.0 million
gallons per day or more, or required to have an approved pretreatment program under Title 40 Code of Federal
Regulations(CFR)Part 403, including lands dedicated to the disposal of sewage sludge that is located within the
confines of the facility;and like activities deemed by DEMLR to be similar in the process and/or the exposure of
raw materials, products, by-products, or waste materials. 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 27699-2612. 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:
City of Salisbury Jim Greene, Jr.
Street address: City: State: Zip Code:
132 N. Main Street Salisbury NC 28144
Telephone number: Email address:
704-638-5227 [e-mail]
Type of Ownership:
Government
❑County ❑Federal OMunicipal ❑State
Non-government
❑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:
City of Salisbury WWiP(Grants Creek WWTT) Sonja Basinger
Street address: City: State: Zip Code:
1915 Grubb Ferry Rd Salisbury NC 8144
Parcel Identification Number(PIN): County:
323 013 Rowan
Telephone number: Email address:
704-216-7539 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
4952 []New ❑Proposed ❑Existing 1964
Latitude of entrance: Longitude of entrance:
35.711191 -80.433042
Page 1 of 5

Brief description of the types of industrial activities and products manufactured at this facility:
Wastewater Treatment Plant
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the M54:
0 N/A
3. Consultant(if applicable):
Name of consultant: Consulting firm:
N/A
Street address: City: State: Zip Code:
Telephone number: Email address:
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.
GC27 I Grants Creek C 0 This watershed has a TMDL
Latitude of outfall: Longitude of outfall:
35.71113 -80.431406
Brief description of the industrial activities that drain to this outfall:
Enclosed Wastewater Treatment Units;covered Residuals loading area;employee parking
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? E3 Yes M 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? O Yes E3 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? 0 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 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:
NC0023884
0 This facility has Non-Discharge permits(e.g.recycle permit).
If checked, list the permit numbers for all current Non-Discharge permits:
WO0001956
❑This facility uses best management practices or structural stormwater control measures.
If checked,briefly describe the practices/measures and show on site diagram:
❑This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked, please list the date the SWPPP was implemented:
❑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):
0 Check for$100 made payable to NCDEQ
❑ Copy of most recent Annual Report to the NC Secretary of State N A
O This completed application and any supporting documentation
I] 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
ID 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 143-215.6E(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 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.
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.
0 1 will abide by all conditions of the NCG110000 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.
O I hereby request coverage under the NCG110000 General Permit.
Printed Name of Applicant: Jim Greene, Jr.
Title: City Manager
L' /L 6 'aI I a
(Sign ure of Applicant) (Date Si ned)
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4 of 5

DocuSgn Envelope ID:C06EC292-97F1-41D2-A7A7-A27DA6170CE5
Permit NCO023884
•� Upstream
Sampling point
` 1/mil r 1
• Outfall 001
/ _ f Downstream - -"
/♦ \ O Sampling point
�r
Is
,. Grant Cr ® ��
. .. W WTf
C V
ran4,
I (`
C 1 � Town Cr
� r
Salisbury WWTP - NCO023884 Facility
Location
USGS Quad Name: Salisbury, NC Outlall 001 Rowan County
Receiving Stream: Yadkin River
Stream Class: WS-V Lat.: 35043'38"
BasinlHUC: Yadkin-Pee Dee103040103 Long.: 80025'28" North F Not to SCALE
Page 15 of 15

a
S' a'�{� ,Via• - ,_;� �,. � � 1��
GRANTS CREEK WWTP
STORMWATER MAP
A
Stormwater Inlet
Stormwater Waffle Box
Stormwater Outfall
4
°4
�,, � ..� ",r, � r �' �► Stormwater Pipe
1 �k
French Drain
2022 AERIAL PHOTOGRAPHY
�•R r, ..- 1 inch=90 feet
_ 1■ ' MAP UPDATED JUNE 2023
0 . k
GC3
o �
i
r •'
•, l� 3 _/ter yy "
28
'.: Cy it
�
GG'2 t774
o
s
•
c a T* � �p r+ -
ic%r � �Jrl�i -` ✓._'._ +.go-+� � l``-_— l _t
F
y
1: VVWULJVAW
Rowan County
Grants Creek WWTP
Not to Scale
' w
GRANTS CREEK