HomeMy WebLinkAboutNCG160220_More Information Received (3)_20150630�lo� ot= f>vT�hnr
National Dkdrwrge Ellmlm Mm System apptbalipn for coverage under General pen"nit
M0010MO for STOMMATIM MMIARGES assadated with aWvitfes ctasalRed as:
8102951 The manufacture of AsphaR Paving Mbrhm and Bfo m,
And, Ulna activities deemed by DEMLR to be skit in the process, or the exposure of raw
matmials. MuWailate producbs, Snai products, bye -products, or waste materials.
(Please prltrt or type)
1) Ma15ng address of 1
Name
Owner conn
Street Address
CRY
. Telephone No.
15 -mall Address .
2) Location of the faciGy produdng the discharge:
I:ae ty Name
Facility Contact
Street Address
City
County
Telephone No,
EMU
3) Physical Location Information;
Please provide a nanaUve descrlpNon of hear to -get to the I=Mty (use street names, state road numbers, and
diotance and dheation fir+ a roeda+ra hitersecnon)L NC Hwy 16 N Wwafds Glendale Snrlrras-tum richt
(A CWa a �6o�r�9ued5a>� a,M t:�yr 8 23 ,y8,�+viii a r arc oat aysa►caeon.)
4) Latitude ;.3s"2Q' 47. 532"7T."� ( '-41-23'48.9156-
aMMide {dsgr�s, minutes, seconds)
a) This NPDES PonnitApplicatim applies to width of thefollowirm
® • New or Proposed FacW I Date operation Isto begin August 2015
d Ex1SUn9 -
*If Oft new or proposed 1acMV is looeted in one of the 20 awl mmge% please cantautthe approprMe DM.R Reg>orW
Oldies (see page 4) to determine N a Staw 9tarnwmtsr perha is required prior to construdlon.
sos i Page 9 of 4
swu-231.030
Lest Weed GHOM4
JUN 3 0 2015
DENR-LAND QUALITY
STORMWATER PERN4ITTING
D14don of Euow, Nbamt and l and Resources
�•�+
NCDENR
Land Quatlty Section
National Pollutant Dischmgo Elia oai Sy*m
.�.man
NCG160M
�lo� ot= f>vT�hnr
National Dkdrwrge Ellmlm Mm System apptbalipn for coverage under General pen"nit
M0010MO for STOMMATIM MMIARGES assadated with aWvitfes ctasalRed as:
8102951 The manufacture of AsphaR Paving Mbrhm and Bfo m,
And, Ulna activities deemed by DEMLR to be skit in the process, or the exposure of raw
matmials. MuWailate producbs, Snai products, bye -products, or waste materials.
(Please prltrt or type)
1) Ma15ng address of 1
Name
Owner conn
Street Address
CRY
. Telephone No.
15 -mall Address .
2) Location of the faciGy produdng the discharge:
I:ae ty Name
Facility Contact
Street Address
City
County
Telephone No,
EMU
3) Physical Location Information;
Please provide a nanaUve descrlpNon of hear to -get to the I=Mty (use street names, state road numbers, and
diotance and dheation fir+ a roeda+ra hitersecnon)L NC Hwy 16 N Wwafds Glendale Snrlrras-tum richt
(A CWa a �6o�r�9ued5a>� a,M t:�yr 8 23 ,y8,�+viii a r arc oat aysa►caeon.)
4) Latitude ;.3s"2Q' 47. 532"7T."� ( '-41-23'48.9156-
aMMide {dsgr�s, minutes, seconds)
a) This NPDES PonnitApplicatim applies to width of thefollowirm
® • New or Proposed FacW I Date operation Isto begin August 2015
d Ex1SUn9 -
*If Oft new or proposed 1acMV is looeted in one of the 20 awl mmge% please cantautthe approprMe DM.R Reg>orW
Oldies (see page 4) to determine N a Staw 9tarnwmtsr perha is required prior to construdlon.
sos i Page 9 of 4
swu-231.030
Lest Weed GHOM4
NCG160000 MAL
a
6) Standard Industrial Classification:
E 1 3
Provide the 4 digft Standard Industrial Classification Code (SIC Code) that describes the primary Industrial
activity at this facility
SIC Code: 2 9 5 1
7) Services and Activities
a) Provide a brief narrative description of the types of industrial activities and products
manufactured at this facility: (Include a site diagram showing the process areas and location of
activities present at this facility.) ':fttE production.of asphalt pEtving mix for highway and road ,Ponstruction.
Stockpiled materials are #2 Diesel Stone Aggregate and Liquid Asphalt Cement
b) Check all activities conducted at this facility.
® Outdoor stockpiling of materials
® Storage of raw materials
M Storage of materials in above-
ground tanks
® Material Loading and Unloading
6) Discharge points / Receiving waters:
® Transport of materials by a conveyor
or front-end loader
❑ Vehicle and equipment maintenance
❑ Vehicle or Equipment Washing
❑ Vehicle and equipment fueling
Hour many discharge poInts (ditches, pipes, channels, curb and gutter, swales, eta) convey stormwater from
the property? 1
What is the name of the body or bodies orwater (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? UT to South New Fork River
if the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. Ctty of Ralelgh municipal storm sewer).
Receiving water classification (if known): W5-1V-H0W
8) Does this facility
a) Have an untreated wastewater discharge? ® No ❑ Yes
b) Have a treated wastewater discharge? ® No ❑ Yes
If yes, list the permit number. '
c) Have a wastewater discharge from a recycle system? ® No ❑ Yes
If yes, list the permit number.
d) Have a non -discharge permit? ® No ❑ Yes
If yes, list the permit number.
e) Discharge wastewater to a municipal wastewater collection system? ®No ❑ Yes
Ifyes, list the municipality and permit number
Note: Stornwater discharge permit NC®160000 does not authorize the discharge of any wastewater.
If this site discharges wastewater, you must obtain the appropriate wastewater discharge
permit In addition to coverage for stormwater discharges under NCG160000.
10) Does this facility employ any best management practices for stormwater control?
❑ NO. Yes (Show any structural BMP's on tate site diagram.)
If yes, please briefly describe:
contatnment areas
Page 2 of 4
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NCG9000OO N.O.I.
11) Does this facility have a Stormwater Pollution Prevention Pian?
® No O Yes
If yes, when Was it Impiemented?
12) Are vehicle/equipment maintenance activities occurring at this faculty?
®No OYes
13) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or'Dlsposal Facility?
® No O Yes
b) Is this facllity a Small Quantity Generator {less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
IN No O Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
d) Is hazardous waste stored in the 100 -year flood plaln?
® No O Yes V yes, Include Information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the fotlowing information:
Type(s) of waste:
Now Is material stored:
Where is material stored:
How many disposal shipments per year.
Name of transport / disposal vendor.
Vendor address:
14) Certification:
North Carolina General Statute 143-215.68 (1) provides that:.
Any person who knowingly makes any false tstatement, representaftn, or certifloation In any applkalion, record, report, plan. or other
document tied or required to be mahrtalned under the Article or a rule implemenpng thts Article; or who kno 4n* makes a false
statement or a material fact In a ndemaking proceeding lir contested case under this Article; or who falsil es, tampers with, or knowln*
readers inaccurate any rung or monitortng device or method requhed to be operated or malntalned under thls Article or rules of the
[Environmental Management] CommlWon Implementing thls Article shall be multty of a Cuss 2 misdemeanor which may include a One
notto wooed ten thousand dollars (510,000).
I hereby request coverage under the referenced General 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 certify that 1 am familiar with the lninrmatlon contained In this application and that to the
best of my knowledge and belief such Information Is true, complete, and accurate.
/1c
{Dare Signed)
This Notice of Intent must be accompanied by a check or money order for §100.00 made payable to:
NCDENR
SWU-239-030908
W Page 3 of 4
Led revised 011/`10114