NCG021040_Application_20240625

FOR AGENCY USE ONLY
NCG021Q!L0
Assigned
ARO FRO MRO RRO AR WIRO WSRO
Division of Energy, Mineral, and Land Resources land Qualit Section FOB
National Pollutant Discharge Elimination System G�Y�
MCG020000'Notice of Intent sI01�
This General Permitcovers STORMWATERAND/OR WASTEWATER DISCHARGES associated with activities under
SIC(Standard Industrial Classfication)Code 14[Mineral Mining Industry)except for.peat mining,coal mining,
metal mining, oil and gas extraction,tourist gem mines, NCDOT borrow pits,in-stream sand mining,and
discharges from mining operations which are intermixed on site with..stormwaterfrom concrete.operations. You
can find information on the DEMLR Stormwater Program at deq.nagov/SW.
Directions: Print or type all entries on this application. Send the original,signed.application with all required
items listed in Item(9)below to: NCDEMLR Stormwater Program,1612 MSC,Raleigh,NC 27699-1612. The
submission of this application does riot guarantee coverage under the General Permit. Priorto coverage under
this General Permit a site inspection will be conducted.
1. OininerJOperator(to whom all permit correspondence will be mailed):
Name of legal organizational entity:. - Legally responsible person assigned in Item(10)below:
elC J AM L1-c L6 J Lac JAelz IAe-rJPj1fZLj
Street address: City: State: Zip Code:
Po 15OX I $q k LAI 5T0.,V Nc z85o 1
Telephone number: Email address:
ZSZ- 521 - 11081 J14MUJAtaLl e Gm 4L-, colt
Type of Ownership: _
Government.
County 0 Federal ❑Municipal El State
Non-government
EMusiness(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:
SANOh f50ZTt7M'ET-PLR2A-(`I095 I'At_NE - AcAd Ir1CsJRy� T
Street address: - City: State: Zip Code:
Z'l,GG 4Wh 55 WBjT V-I"%)O�J !VG _ Z85o 1
Parcel Identification Number(PIN) County, _
460q 22 (,'T S LEAfo//Z
Telephone number: Email address:
J11AYWA-vf" E GN1Ast. coM
Latitude of entrance: Longitude of entrance: -
3S,222G _-77, (,4-11
4-digit SIC code: Facil"ny is: Date operation is to begin or began:
1440 ❑New 12'Proposed l/('Oof { ZNIY7
❑Existing I�''o�iZc1✓' '
Types of minerals mined at this facility: ��//
❑Clay ❑ Feldspar Ore El Lithium Ore El Phosphate ❑Soil L7Construction Sand ❑Industrial Sand
❑Other:
Pagel of 11

• f
Is this a prgcessing-only facility for materials mined elsewhere? Is this an inactive mine site?
'Does total area of this mine site include ready-mixed concrete plant and/or asphalt plant areas?
❑Yes,and has separate NPDES stormwater permits(provide permit numbers):
11 Yes,and does not have separate NPDES stormwater permits
C�rIGb
Does this facility already have a valid Mining Permit from DEMLR's.Land Quality,Section? -
Yes(please provide the Mining Permit Number)
E�M(please indicate the status of the Mining Permit application) #'jrrQ11_a Aiii-RO0✓.4-L
Are you applying for a discharge permit in the same location as&previously permitted mine?
❑Yes(please provide permit number and mine name).
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
CW6/A
3. Consuitant(ifapplicable):
Name of consultant: Consulting firm:
JPrrri'fFs 12201:4- em2ocinra �'� dwile4e3 kyrc
Street address:-86% 4-2Sf City: t: sc � -75?74
b
Telephone number: Email address:
q (R 302 ifrf)) /IlG�6oG e. �AvU,coc1
4. Development Activities and Buffers
Mining operation will precede development activities at this site:
Yes
RiTo—
Mineis located within one of the 20 Coastal Counties,and will it add more than 10,000 ft2 of impervious surface:.
❑Yes(to both)
G o,this mine is within one of the 20 Coastal Counties,but will not at more than 10,000 ft=of impervious surface
❑ No,this mine is not within one of the 20 Coastal Counties
Mine is in.the Neuse,Tar-Pamlico,or Catawba River Basins,oR in the Randleman or Jordan Water supply Watersheds?
93�re—s(specify size of stream buffers) �O '
❑ No
Mine site will include wastewater discharges from a ready-mix concrete batch plant?
❑Yes(please seek additional,coverage under General Permit NCG140000:Ready-Mix Concrete)
L o
S. Mine Dewatering
Mine dewatering will occur at this site:
❑No(mark N/A for the rest of this section)
Mi ne dewatering from this facility will be discharged to:
2 ace Waters and/or Wetlands
❑Other(specify)
❑Mine will not discharge dew-ateringto Surface Waters and/or Wetlands;specify how dewatering will occur and where
water will be directed:
❑N/A
Page 2 of 11

Wetlands 9nd/or Surface Waters are within 400'of the mine pit perimeter: 404/401 Certification permits required:
sjspecifydistance) S- -O s(Inieflydescribe)
❑ No 24-Pks
❑ N/A_. . _ ❑ N/A
Have you been required-to obtain a wetland delineation certified by the US ArmyCorpsofEngineers?
C—s(please attach to this application) ❑No
6. Wastewater Treatment
Will this facility wash mined materials?
❑Yes RITO—
Will discharges of process wastewater treatment systems occur(including possible recycle system overflows)
❑Yes(please describe)
Will this facility employ chemical additives to flocculate suspended solids?
❑Yes(specify name/manufacturer/quantity of daily use)
algo
Note:please visit:htips:/(files.nc.sov/ncdeo/Water+Quality/Environmental+SciencesLATU/PAM8 30 18.pdfforlist of
approved PAMS
Will any of the wastewater treatment facilities at this mine overflow only during rainfall events that exceed the 10-yr,24-hr
rainfall event?
❑Yes(specify which systems)
a-90
Are wastewater treatment facilities(including recycle systems)planned in the 100-year flood plain?
❑,Yes
Wastewater Treatment Alternative Review.as required by15A iVCAC 2H.0105(c)(2)
Types of wastewater this mine site will discharge: '9,TVOne pewatering ❑Process Wastewater
Types of wastewater considered for this alternative review: O-Mne Dewatering ❑Process Wastewater
Are there existing sewer lines within a one-mile radius?
❑Yes
❑Wastewater treatment plant will accept wastewater
El Is feasible to connect(explain) '
❑Is not feasible to connect(explain)
Wastewater treatment plant will not accept wastewater(please attachletter documenting this)
No
Page 3 of 11

Are youalrgady proposing a closed-loop recycle system(CLRS)that meets design requirements of 15A NCAC2T.10000?
erfordewatering
❑Yes,for process wastewater
❑Yes,for both
No,this option is technologically feasible(explain)
El No,this option is not technologically feasible(explain)
-❑ No,this option is otherwise feasible(explain)
C9Ko',this option is otherwise not feasible(explain) PAU' Zw'c I/.41,f ry
What is the feasibility of building a CLRS compared to direct surface water discharge?
Surface or Subsurface Disposal System
11 A surface or subsurface disposal system is technologically feasible(explain)
❑A surface or subsurface disposal system isnot technologically feasible(explain)
❑A surface or subsurface disposal system is otherwise feasible to implement(explain)
❑✓A surface of subsurface disposal system is not otherwise feasible to implement(explain)
��r7 A9d;5MZC V&16 Tr BvRArn cf
What is the feasibility of employing subsurface of surface discharge as compared to a direct discharge to surface waters?
Direct Discharge to surface.waters,is the most environmentally sound alternative to all reasonably cost-effective options
for the wastewaters being considered?
�s
❑ No
If this review included all wastewater discharge types,would excluding some types make any of the above non-discharge
options feasible for some the wastewaters?
❑Yes
7. Outfalis(s)At least one outfall is required to be eligible for}coverage.
3-4 digit identifier. Name of receiving`yater. - Classification: ❑This water is impaired.
)NDD - I WE7GRA(0 / 1TGb1 ❑This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater M-Mine Dewatering ❑Process Wastewater
7Q16 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HOW,
ORW,Tr,WS-I,WS-11,WS-III,SA,or PNA)`.
Discharge occurs from this outfall:
❑Only during a rainfall event ntermittently(indicate how often) ❑Continuously(indicate flow in CFS)
Latitude of outfall: ',Longitude of outfall:
3S 23 COG 0_ G 513
Brief description of the industrial activities that drain tothis outfall;
rnlaar C��WRT�ILr�JC�
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 receivin water: Classification: - ❑This water is unpaired.
W 2 kC-7'Lf&d4 (7CL( ❑This watershed has aTMDL
Page 4 of 11

Discharge¢om this outfall is from:
$Stormwater—Ea'vtine-Dewatering—❑-Process Wastewater
7Q10 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HQW,
ORW,Tr,:WS-I,WS-11,WS-111,SA,or PNA):
Discharge occurs from this outfaIk
❑ only during a rainfall event [Rintermittently(indicate how often) ❑Continuously(indicate flow inCFS)
n'J iVr�'Jt
Latitude of outfall; Longitude of outfall:
35 , 2255 —77, p c{S3
Brief de/�s/�cription of the industrial activities that drain to:this outfall:
ill f(Yi 1 iG✓ G FrI/(
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes C
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
Discharge from this outfall is from:
0 Stormwater ❑Mine Dewatering ❑Process Wastewater
7Q1D Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HQW;
_ORW,.Tr,.WS-1,WS-11,WS-III,SA,or PNA):
Discharge occurs from this outfall-
0 only during a rainfall event ❑ Intermittently(indicate.how often) ❑Continuously(indicate flow in CFS)
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
Discharge from this outfall is from:
❑Stormwater El Mine Dewatering ❑Process Wastewater
7Q10 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HQW,
ORW,Tr,WS-1,WS-11,WS-111,SA,or PNA): . _
Discharge occurs from this outfall:
❑Only during a rainfall event ❑ Intermittently(indicate how often) ❑Continuously(indicate flow in CFS)
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 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: - El this water is impaired.
❑'This watershed has a TMDL
-- - Discharge from this outfall is from:- -- - -
❑Stormwater ❑Mine Dewatering ❑ Process Wastewater
7Q10 Flow of receiving waterbody(if discharging Mine Dewatering or Process Wastewater to waters classified as HQW,.
ORW,Tr,WS-I,WS-11,WS-111,SA,or PNA):
Discharge occurs from this outfall:
Page 5 of 11

❑ Only dufing a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of ourfall: Longituoeof outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area ofthis outfall? ❑Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendaryear?
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
&. 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(q.g.recycle permit)'. If checked,list the permit numbers for all current Non-
Discharge permits:
his facility uses best management practices or structural stormwater.control measures.
If checked,briefly describe the practices/measures and show on site diagram:
A3 �7Z /yltN�' P�%r!- N0 �ZorLc;�f�ck. 7154fh4(L�C
ER-This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked;please list the date the SWPPP was im implemented:
LJ I LL LiE PRrPat�-ram ►4�Fid2 �
❑This facility stores hazardous.waste inthe10G-year floodplain.
if checked,describe how the area is protected from flooding:
❑This facility is a(mark all that applyj
❑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 Brownfield or Superfund site
If checked,briefly describe the site conditions:
❑ Facility provides appropriate secondary containment for bulk storage of liquid materials
Ifchecked,briefly describe these measures:_
❑Site has an active landfill within the mining permit boundary
If checked,please indicate type:
a) ❑ LCID(Land clearing and Inert Debris)
b) ❑other(specify)
Page 6 of 11

9-Required-IternsjApp icauonwn a return unle�I of the following items have been included):
❑Check for$120 made payable to NCDEQ
❑Copy of most recent Annual Report to the NC Secretary of State(if applicable)
❑This completed application and any supporting documentation
❑ Copy of the approved mining permit or indication,of mining permit application status
❑ Copy of US Army Corps—approved wetland..delineation:(if applicable)
❑ Line drawing of the water flow through the facility or block flow diagram.
❑ Pictorial..description of the nature of any sources of water and any collection and treatment measures
❑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 outfaliscorresponding to the drainage areas
e) runoff conveyance features
f) areas where process materials are stored
g) impervious areas
h) site property lines
0'2 copies of large scale(24"xW minimum)site plan showing.
a) topographical lines
b) all outfall locations
c) applicable buffers and delineated wetlands
d) receiving waters'
e) 100-year flood plain(if applicable)
El Copy of county map or USGS quad sheet with the location of the facility clearly marked
If mines site is in one of the 20 Coastal Counties(if applicable)
❑,Applicant has check with the appropriate regional office to verify the need for a Coastal State Stormwater permit_
a) indicate the Regional Office Contact:
❑Detailed list of; _
a) impervious surface areas and percentages
b) sub-drainage areas
c) total drainage area
If mine is dewatering and nearwetlands,or may otherwise impact surface waters or groundwater
❑2 copies of large scale(24"06"minimum)plans delineating areas on the listing acreage including
a) wetlands,
b) ditches
c) well-placements
d) pits
e) borrow areas
0 overburden storage
g) stormwater controls/BMPs
h) vehicle maintenance areas
i) settling basins
j) product process(such as screening,stockpiles,and waste piles)
k) total drainage area _
1) impervious surface percentages(if state Stormwater programs apply)
m) applicable buffers
n) access and/or haul roads
0 Pump dewatering size and information on its specifications
Page.7 of 11

❑Well information(design,depths,maintenance)
El Physical monitoring for the wetland areas
❑Settling pond size information,if applicable
❑ Level spreader design,if applicable
❑ Details about dewatering method
❑Cone of influence calculations _
❑ Description of measures to prevent erosion and flooding
❑Description and information about401/404 permits that have been obtained
❑Copy of US,Army Corps of Engineers wetlands delineations or approved wetland.delineation(if applicable)
❑ 1 have contacted my local regional office about a Pumping Operation and Monitoring(POM)plan
a) Regional-office contain
b) Date Contacted:
10.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).
Linder penalty of law,I certify that:
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.
❑'The informationsubmitted inthis 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.
❑Q I will abide by all conditions of the NCGO20000 permit.1 understand that coverage under this permit will constitute the
permit requirements for thedischarge(s)and is enforceable in the same manner as an individual permit.
❑1 hereby request coverage under the.NCG020000 General Permit.
Printed Name of Applicant:. IS C 4/V
Title:
(Signatur Applicant) (Date Signed)
Mail the entire package to: -Stormwater Program
Department of.Environmental quality
1612 Mail Service Center
Raleigh, NC 27699-1612
-Page 8 of 11