NCG210514_Application_20240702

FOR AGENCY USE ONLY
NCG21 0 5 \ JP
Assigned to:
ARO FRO MRO RO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG210000 Notice of Intent
011414
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC24 member Products, including Wood Chip Mills —except as specified below] 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. The following activities are specifically excluded from coverage under this General
Permit: SIC 2434 [Wood Kitchen Cabinets], SIC 2491 [Wood Preserving], and SIC 2411 [Logging]. You con 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:
Stella -Jones Corporation
Bret Jones
Street address:
City:
State:
Zip Code:
57 Low Ground Road
Enfield
NC
27823
Telephone number:
Email address:
[phone]
[e-mail]
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:
Stella -Jones Corporation Enfield Peeling Yard
Jeffrey Wood
Street address:
City:
State:
Zip Code:
57 Low Ground Road
Enfield
NC
27823
Parcel Identification Number (PIN):
County:
0400110
Halifax
Telephone number:
412-894-2879 x 6979
Email address:
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
2,
IN New ❑ Proposed ❑ Existing
estimated July 1, 2024
Latitude of entrance: N 0360 09' 36.74"
Longitude of entrance: W 0770 41' 30.25"
Brief description of the types of industrial activities and products manufactured at this facility:
Intended use is to operate as a wooden pole peeling (debarking) and wood kiln drying operation
This facility will produce Wood Pellets: ❑ Yes (9 No
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
RI N/A
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3. Consultant (if applicable):
Name of consultant:
Consulting firm:
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:
El This water is impaired.
001
1 Fishing Creek
C:NSW.HQW
❑ This watershed has a TMDL.
Latitude of outfall: N:878350.85
Longitude of outfall: E:2285021.80
Brief description of the industrial activities that drain to this outfall:
operate a wooden pole peeling (debarking) and wood kiln drying operation
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑O 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: - -
I ® This water is impaired.
002
1 Fishing Creek
C:-NSW.HQW
10 This watershed has a'TMDL.
Latitude of outfall:
Longitude of outfall
N:878162.58
E:2385278.32
Brief description of the industrial activities that drain to this outfall:
operate a wooden pole peeling (debarking) and wood kiln drying operation
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?
. i I
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 calendaryear?
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? Cl 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 NO1.
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----S.-Other Facility Conditions (check -all that -apply -and explain accordingly): -- - --
R1 This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
NCG010000, Certificate of Coverage #NCC233686,
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
❑ 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 peryear:
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):
© 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
® 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
® 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 143-215.613 (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:
211 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 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.
211 will abide by all conditions of the NCG210000 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.
® I hereby request coverage under the NCG210000 General Permit.
Printed Name of Applicant:
Bret Jones
Director of Southern Operations
- - - -- -- - L----- -
i�-�- - --( -%- Z y -
(Signatur of IPVCant) (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:
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:
❑ 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:
❑ This water is impaired.
❑ This watershed has aTMDL.
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