NCG210517_Application_20240729

F
r FOR AGENCY USE ONLY
NCG21 05
Assigned to: gl0ti ��
ARO FRO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG210000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC24[Timber 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:SIC2434[Wood Kitchen Cabinets],SIC2491[Wood Preserving], and SIC2411 [Logging]. 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 conducted.
1. Owner/Operator(to whom all permit correspondence will be mailed):
Name of legal organizational entity: Legally responsible person assigned in Item(7) below:
Rehrig Pacific Company Tehan Redman
Street address: City: State: Zip Code:
1419 Gaston Street Lincointon NC 28092
Telephone number: Email address:
704-614-3357 [e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑State -
Non-government
la 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:
Rehrig Pacific Company- Lincolnton Tehan Redman
Street address: City. State: Zip Code:
1419 Gaston Street Lincointon NC 28092
Parcel Identification Number(PIN): County:
00404 Lincoln County
Telephone number: Email address:
4- 14-3 tredman@,rehri .com
4-digit SIC code: Facility is: Date operation is to begin or began:
2448 1 ❑ New ❑ Proposed 0 Existing
Latitude of entrance: Longitude of entrance:
35.474033 1 81.233731
Brief description of the types of industrial activities and products manufactured at this facility:
The facility operates as a wood pallets, sorting, manufacturing and repairing facility.
This facility will produce Wood Pellets: ❑Yes ®No
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the M54:
0 N/A
Page 1 of 5

3. Consultant(if applicable):
Name of consultant: Consulting firm:
Alan Anderson Lighthouse Environmental
Street address: City: State: Zip Code:
3860 Ridge Road Southeast Smyrna GA 30080
Telephone number: Email address:
770-712-9555 alan.anderson li thouseenviro.com
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.
001 Lithia Inn Branch WS-IV ❑This watershed has a TMDL
Latitude of outfall: Longitude of outfall:
35.475697 81.233983
Brief description of the industrial activities that drain to this outfall:
A dum ster and a wood grinder are the industrial activities in this area.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes R 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.
002 Lithia Inn Branch WS-Iv ❑This watershed has a TMDL
Latitude of outfall: Longitude of outfall:
35.474028 81.233775
Brief description of the industrial activities that drain to this outfall:
Loading docks and a du=ster are the industrial activities in this area.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes R 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.
N/A I 1 ❑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?
3-0 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
N/A ❑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

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:
❑This facility has Non-Discharge permits(e.g.recycle permit).
If checked,list the permit numbers for all current Non-Discharge permits:
0 This facility uses best management practices or structural stormwater control measures.
If checked,briefly describe the practices/measures and show on site diagram:The potential pollutant sources are: a Dumpster
Griner,and the Loading docks.Periodically inspections are conducted to ensure sawdust,wood clips or debris are not expose .
0 This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked, please list the date the SWPPP was implemented:
May 2024
❑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$120 made payable to NCDEQ
❑ Copy of most recent Annual Report to the NC Secretary of State(if applicable)
0 This completed application and any supporting documentation
0 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
0 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($30,000).
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.
0 I 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.
0 1 hereby request coverage under the NCG210000 General Permit.
Printed Name of Applicant: Tehan Redman
Title: Site Manager
(Signa�re of Applicant) (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.
N/A 1 ❑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 N/Agit 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.
N/A I ❑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 N/Agit identifier: Name of receiving water: Classification: ElThis 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.
N/A ❑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

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