NCG050474_Application_20240619

Chalam Pakala Engineering and Environmental Solutions
10017 Allyson Park Dr.,Charlotte,NC 28277 Tel[phone],Fax-:[phone]
May 16,2024
Ms. Brittany Cook,Permit Coordinator
NC DEMLR—Stormwater Permitting Unit R E C E!U E D
1612 Mail Service Center
Raleigh,North Carolina 27699-1612 JUN L/ 2024
Phone: [phone]
Email: Brittany.cookaAdea.nc.eov
Re: NPDES Stormwater General Permit(NCG050000)Approval Request
The Andersons,Inc.
1068 Industrial Blvd
Mocksville,Davie County,North Carolina 27028
CPEES Proiect No. 1101-001
Dear Mrs. Cook:
On behalf of The Anderson-Mocksville Plant located at 1068 Industrial Blvd.,Mocksville,
Davie County,North Carolina, CP Engineering and Environmental Solutions(CPEES) is pleased
to submit the attached Stormwater NPDES General Permit(NCG050000)request for the subject
facility operations. The facility is a manufacturer of Absorbent for Animal Litter and Carriers
and the operation are conducted under SIC/NAICS Code 3999/325998, "Manufacturing
Industries,NEC ". We intend to discharge stormwater from the facility roof drains and yard to
an outfall (Outfall-01)via a detention pond located west of the site. The outfall location with
lat/long is provided on the Site Map. Currently,NO process wastewater is being generated
and/or discharged to the stormwater outfall.
The Stormwater NPDES General Permit Application package includes:
• A check for$120 Payable to NC DEQ:
• A signed NC DELMR supplied NCGO50000 NOI application;
• Copy of most recent Annual Report to the NC Secretary of State
• USGS TOPO Map;
• Site Aerial Map;
• County GIS Map; and
• TMDL and 303(d)Maps.
Please call me at 704-756-7451 or Mr. Steve Myers at 336-782-5394 should you have any
questions on this permit application request.
Respectfully submitted, CNN l 1111t
CP Engineering and Environmental Solutions CAR l/i/
(A Cost Effective Solution Provider for Manufacturing) ���� 'ES 8���
SEAL
��P'F'1'GINE .•'s�C
Managing Princ pal E '���yIlkw V,p`P 05/16/2024
Attachment: NPDES NCG050000 Application Package

FOR AGENCY USE ONLY
_ _ NCG050 WI1 �e
Assigned to:
ARO FRO MRO RRO WARD WIRO SRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCGOS0000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 23[Apparel and Other Finished Products Made from Fabrics and Similar Materials],
SIC265]Paperboard Containers and Boxes],SIC 267[Converted Paper and Paperboard Products],SIC 27[Printing,
Publishing and Allied Industries],SIC 30[Rubber and Miscellaneous Products—except as specified below],SIC31
[Leather and Leather Products—except as specified below], and SIC39[Miscellaneous Manufacturing Industries],
and other like activities deemed by DEMLR to be similar in the process and/or the exposure of raw materials,
products, by-products, or waste materials.SIC 301[Tires and Inner Tubes]and SIC 311[Leather Tanning and
Finishing]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,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 ponducted:
1. Owner/Operator(to whom all•permit correspondence will be mailed):
Name of legal organizati6nal entity: 3 i j Legally iesponsible,'pers6n as signed in"Item(7)'be ow:
THE ANDERSONS;INC I } STEVE MYERS ? �t
Street address y h ' !_/ City: ( L State: ° Zip,Code:
168 INDUSTRIAL_BLVD.- MOCKSVILLE NC % 27,028
Telephone number: - Email address: ' P
[phone] Steve\Myers@andersonsinc:ci m
Type of OwnerW1P`:r4rl-Ntlr ill L.i1t71rti1111�7t6.GG' iaf.i7144' r' �"
Government
❑County ❑Federal ❑Municipal ❑State
Non-government
9 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:
THE ANDERSONS, INC-MOCKSVILLE PLANT STEVE MYERS
Street address: City: State: Zip Code:
168 INDUSTRIAL BLVD MOCKSVILLE NC 27028
Parcel Identification Number(PIN): County:
5748265510(PARCEL#15-000-00-011-07) DAVIE
Telephone number: Email address:
[phone] Steve—Myers@ andersonsinc.com
4-digit SIC code: Facility is: Date operation is to begin or began:
3999(NAICS 325998)1 ❑ New ❑ Proposed 13 Existing 2013
Latitude of entrance: Longitude of entrance:
35°54'5.75"N 80032'39.95"W
Page 1 of 5

Brief description of the types of industrial activities and products manufactu_r_e_d_at thisfacility:----
MANUFACTURER OF ABSORBENT FOR ANIMAL LITTER AND CARRIERS
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
51 N/A
3. Consultant(if applicable):
Name of consultant: Consulting firm:
CHALAM PAKALA CP ENGINEERING AND ENVIRONMENTAL SOLUTIONS
Street address: City: State: Zip code:
10017 ALLYSON PARK DR. CHARLOTTE NC 28277
Telephone number: Email address:
704-756-7451 [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.
-01 UNNAMEDTR19UrARYANDTO LEONARD CREEK C ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35054'2.63"N 80"3244.76"W
Brief description of the industrial activities that drain to this outfall:
FACILITY ROOF DRAINS,BAG FILTER AREA,ABSORBENT LOADING AREA,WOOD CHIPS UNLOADING AREA,DUNIPSTERS AND YARD STORAGE
Do Vehicle Maintenance Activities occur in.the.drainage area of thisoutfall?"'"-� `�-------=EFYhes W No
If yes,how many gallons of new motor ooil ar used each month when averaged over the caffridar year?.r y ►
3-4 digit identifierN',Name of receiving water: i j Classification: ' i ❑This water is.impairedl i
''❑This watetshed has a;TIVIDL.
Latitude of outfall: { l r Longitude of outfall:
Brief description of the industrial activities that drain to this �outfall:'ty y t
OvI17f(mili( I)( i (I> ir�n►lan,�t:?I OLP JUT-V �,w
Do Vehicle Maintenance Activities occur in the drainage area of this outfall?, = []Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averag`d.er 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 ❑ 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

�OtherFacility__Conditions_(checkall_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:
8 This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
DETENSION POND TO COLLECT ALL STORMWATER FROM THE SITE
M This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked, please list the date the SWPPP was implemented: IN PREPARATION
❑This facility stores hazardous waste in the 100-year floodplain.
If checked,describe how the area is protected from flooding: NA
❑This facility is a(mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility— _ �-
1"r r—Ifchecked,indicate:---;� by
Kilograms of waste generated each month: ' Type(s)of.wa'ste:
s
How material isst j� I Where materialiskstored:
Number of waste shipmentsperyear.--�"' I j Name of transport/disposal vendor:? fyd
Transport/disposal vendorEPA,ID: - i Veridoraddress: �✓',g �`
h ,,..u.x[�_.n.,M1 :!
❑This faciliiyils loceYed on a'Brow`nfeld or Supeiiuod site'.......
If checked,briefly describe the site conditions
6. Required Items(Application will be returned unless all of the following items have been included):
8 Check fort$120 payable to NCDEQ
I@ Copy of most recent Annual Report to the NC Secretary of State
8 This completed application and any supporting documentation
8 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
M 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(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:
8 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.
B 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.
8 I will abide by all conditions of the NCG050000 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.
8 I hereby request coverage under the NCGO50000 General Permit.
Printed Name of Applicant: KEVIN L. WARD
Title: PLANT & OPERATIONS MANAGER
v_— I A )0)�;- —4,9ure
of App ant) (Date igne )
V� I
v �
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality ,,'
1612 Mail Service Center
Raleigh,NC 27699-1612
Page 4 of 5

_A_dditional-O_utfalls
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 ❑ 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 ❑ 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:°'� -�"` _❑ ter This wa is impaired.
l"�"� �t ✓' ❑Thiswatershed`hasaRtTMDL
Latitude of outfall: e 'Longiiiudeef outfall: is""• j t
1 I 1 t I I
Brief description of the'industrial activities that drain to This outfall: t f
L- 1 I
Do Vehicle f_vlaintenance`_Aciivities occur in the drainage,area of this outfall 6 +,y_ - O Wes ❑ No
If yes,how manya gallons of new motor oil are used each month when averaged over the calendary ar? F
}.JJ�'II-fJfSJi'- lli4 !dY CJI'�J11FTI113t1Fn7i1° 1t}s:i#J}�' '�� ,��„="
3-4 digit identifier: Name of receiving water: Classification: 'V�k,—/ El This water is impaired.
d.. ❑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 ❑ 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 ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5

FIGURES
Figure— 1 Site USGS TOPO Map
Figure—2 Site Aerial Map

Map Name: MOCKSVILLE Scale: 1 inch =2,000 ft.
Print Date: 05/17/24 Map Center: 0350 54'05.62"N, 080° 32'40.25"W
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o 80032'44.76"W
THE ANDERSONS- OCK3VILLE P o
f m
( e Stormwater from the site
z 0m �� ram , goes to an unnamed z
tributary and to Leonard _R o
m F�7. I`0 Creek. From Leonard
Z E Creek, Stormwater goes to
zi0� " W�_ 1111
Dutchman Creek and 9to ;R Yadkin River
DeGitionv Cj�
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GN 0.27°E O.OD"W O80°33 00.00"W O80°32'30.00"W 080°32'00.00"W O80°a 13
MN 7.97°W
SCALE 1:24000 SITE LOCATION MAP
0 1000 2000 3000 4000 5000 6000 THE ANDERSONS, INC. —MOCKSVILLE
PLANT
FEET MOCKSVILLE, NORTH CAROLINA
FIGURE 1 JOB NO. 1101-001

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}� �, The AncJersons n�A <IEVS n9 ,
BkTUH`Ei(QuNDERSONS OU�TFAL 0, ' * i' rill
G
o Gogle Earth —
_ - _
- �; �Y'a'- -- -zooIft, �-

COPY OF MOST RECENT ANNUAL REPORT TO THE NC SECRETARY
OF STATE

BUSINESS CORPORATION ANNUAL REPORT
NAME OF BUSINESS CORPORATION: The Audersons,Inc.
0928132 bopONcg Use °
SECRETARY OF STATE to NUMBER: STATE OF FORMATION: OH E-Filed Annual Report
0928132
REPORT FOR THE FISCAL YEAR END: 12/31/2023 CA202410707188
4I18J2024 04:31
SECTION A: REGISTERED AGENTS INFORMATION 0 Changes
1. NAME OF REGISTERED AGENT: National Registered Agents, Inc.
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417 Wake County Raleigh, NC 27615-6417
SECTION B: PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS: Agriculture
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
1947 Briarfield Blvd. 1947 Briarfield Blvd.
Maumee,OH 43537 Maumee,OH 43537
6.Select one of the following If applicable.(Optional see Instructions)
❑ The company is a veteran-owned small business
ElThe company Is a service-disabled veteran-awned small business
SECTION C:OFFICERS(Enter additional officers in Section E.)
NAME: Patrick E. Bowe NAME: Christine M. Castellano NAME: Brian Walz
TITLE: President TITLE: Corporate Secretary TITLE: Vice President
ADDRESS: ADDRESS: ADDRESS:
1947 Briarfield Blvd.,P.O.Box 119 1947 Briarfield Blvd,P.O.Box 119 1947 Briarrield Blvd.,P.O.Box 119
Maumee,OH 43537 Maumee,OH 43537 Maumee,OH 43537
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
an91nan Walz 4/16/2024
l3 SIGNATURE DATE
Fenn must be signed by an officer listed under Section C of this form.
Brian Walz Treasurer
Print or Type Name of Officer Print or Type Title of Officer
-- -—MAILTO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

SECTION E:ADDITIONAL OFFICERS
NAME: Brian Walz NAME: Bill Krueger NAME:
TITLE: Treasurer TITLE: Chief Operating Officer TITLE:
ADDRESS: ADDRESS: 1947 BRIARFIELD BLVD. ADDRESS:
1947 Briarfield Blvd.,P.O. Box 119 P.O. BOX 119
Maumee, OH 43537 Maumee, OH 43537
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: Name:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:

COUNTY GIS MAP
TMDL AND 303 (d) MAP

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NC Surface Water Classifications
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NC TMDL and TMDL Alternative Watersheds
Project List oeeNd�,+"r.awe,nl.xam x a _F o nN
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Project Details
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