NCG060384 - Mondelez Global, LLC

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NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANO NRL RESOURCES
OTICE OF INTENT
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG060000
FOR AGENCY USE ONLY
Date Received
YearMonth
David Caplinger
Da
759 Chimney Rock Road
Facility City
Greensboro State NC ZIP Code 27409
Certificate of Covera
NIC I G1 0 1 6
Chec o t
Permit Asst ed to
919-394-1007 Fax:
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National Pollutant Discharge Elimination System application for coverage under Gene Permit
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NCG060000: EV
STORMWATER DISCHARGES associated with activities classified as:
JUL 0 6 2017
SIC (Standard Industrial Classification) 20 Food and Kindred Products QUALITY
SIC 21 Tobacco Products DENR LAND
SIC 283 Drugs STORMWATER PERMITTING
SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations
SIC 422 Public Warehousing and Storage (except 4226)
For questions, please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this NOI for renewals.
(Please print or type)
1) Mailing address of ownerloperator
Name
Street Address
City
Telephone No
ce will be mail
e(e`z
759 Chimney Rock Road
Greensboro State NC ZIP Code 27409
919-394-1007 Fax:
2) Location of facility producing discharge:
Facility Name
Mondelez Global LLC
Facility Contact
David Caplinger
Facility Address
759 Chimney Rock Road
Facility City
Greensboro State NC ZIP Code 27409
Facility County
Gulford County
Telephone No.
919-394-1007 Fax:
Email
David. Caplinger(a)_mdlz com
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). From 1-40 go south on HwV 68, east on Hwy 1556, and
then right on Chimnev Rock Road: the facilitv is on the south side of the road
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application )
4) Latitude 36003'55 90" N Longitude 79056'56.83" W (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
X Existing
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NCG060000 N.O.I.
6) Standard Industrial Classification:
Provide the 4 -digit Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this facility
SIC code- 4 2 2 5
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: The facility has trucking bay areas for the loading and unloading of finished goods (primarily
cookies and snacks). Mobile -to -mobile refueling and vehicle washing are industrial activities that are
conducted onsite.
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
What is the name of the body or bodies of water (creek, stream, river, lake, etc ) that the facility stormwater
discharges end up in? East Fork Deep River
Receiving water classification- WS -IV
Is this a 303(d) listed stream? Yes Has a TMDL been approved for this watershed? Yes
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e g City of Raleigh municipal storm sewer) N/A
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility,
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility-
11)
acility
11) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe BMPs for various industrial activities, including onsite fueling and vehicle washing,
have been implemented to minimize spills and provide emergency response, if needed
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented? February 2017
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
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SWU-221 Last revised 6/24/14

NCG060000 N.O.I.
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) Is hazardous waste stored in the 100 -year flood plain?
X No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information-
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor: _
Vendor address:
15) Certification:
North Carolina General Statute 143-215.66 (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; or who
knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or
who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
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 th I fam ar with the Information contained in this application and that to the best of my
knowled e nil%elief s ch information is true, complete, and accurate.
Prin °Namof Per on Signing: David Caplinger
Title Ndanar,of Cu tomer Logistics
of Applicant)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR. Do not send the check or money order separately.
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NCG060000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
X Check for $100 made payable to NCDENR. Must be included with this application (not sent separately)
X This completed application and all supporting documents
X A site diagram showing, at a minimum, (existing or proposed).
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, and unloaded, (f) impervious areas, (g) site property lines
X Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office..
[phone]
Fayetteville Office
[phone]
Mooresville Office
[phone]
Raleigh Office ......
[phone]
Washington Office
[phone]
Wilmington Office
[phone]
Winston-Salem ..
[phone]
Central Office
[phone]
SWU-221
Page 4 of 4
Last revised 6/24/14

Modified from U.S.G.S. tomaranhical man of Guliford. NC 7.5' auadranLyle. 2016
U.S.G.S. TOPOGRAPHIC MAP I Environmental Resources Management
Mondelez Global LLC Scale: 1:24000
759 Chimney Rock Road Figure 1
Greensboro, NC 27409 Project No: 0378032
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July 3, 2017
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612
RE: Notice of Intent for Stormwater Permitting
To Whom It May Concern:
Environmental Resources Management, Inc. (ERM), on behalf of
MondelE,z Global LLC, is submitting the enclosed Notice of Intent for
coverage under NPDES General Permit NCG060000.
Please direct any future correspondence in this regard to David
Caplinger, Manager of Customer Logistics. If needed, Mr. Caplinger's
phone number and email address are [phone] and
[e-mail].
Sincerely,
6 -
Sarah
U
Sarah Arnberger
Project Manager
Environmental
Resources
Management
200 South Wacker Drive
Suite 2575
Chicago, IL 60606
[phone]
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RECEIVED
JUL 0 6 2017
DENR-LAND QUALITY
STORMWATER PERMITTING