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Home My WebLink AboutNCG070112_Renewal Application Form_20180124Permit Coverage ALTX.WA Renewal Application Form �CDENR National Pollutant Discharge Elimination System Stormwater Individual Permit NPDES Permit Number NCS NCG070112 Please provide your permit number in box in the upper right hand comer, complete the information in the space provided below and return the completed renewal form along with the required supplemental information to the address indicated. Owner Information a * Address to which permit correspondence will be mai/ed Owner/ Organization Name: MICHAEL B FOSTER Owner Contact: Mailing Address: POPO BOX 471 STATESVILLE NC 28687 Phone Number: 704=872-4123 Ext. Fax Number: 704-872-4125 E-mail address: Facility Information Facility Name: STATESVILLE BRICK CO-IREDELL- Facility Physical Address: 391 BRICK YARD ROAD STATESVILLE NC 28677 Facility Contact: Mailing Address: 'I V y`� ED Phone Number: JAN 24 20Ir} Fax Number: E-mail address: r� R=� �'` &IAliffff Permit Information'OR`f1fEf�"1=f�,ida�4 Permit Contact: STEVE MOOSE Mailing Address: PO BOX 471 STATESVILLE NC 28687 Phone Number: 704-812-TI23 Ext. Fax Number: E-mail address: Discharae Information Receiving Stream: Stream Class: Basin: Sub -Basin: Number of Outfalls: CATAWBA RIVER (Lake Norman below elevation) WS-IV;CA CATAWBA RIVER BASIN 03-08-32 Facility/Activity Changes Please describe below any changes to your facility or activities since issuance of your permit. Attached a separate sheet if necessary. CERTIFICATION I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief such informatior/7is,true, complete and accurate. Signatu STEVE MOOSE Print or type name of person signing above Date �J - • -1 - ENVIROMENTAL DIRECTOR Title SW Individual Permit Coverage Renewal Please return this completed\application form Stormwater Permitting Program and requested supplements information to: 1612 Mail Service Center Raleigh, North Carolina 27699-1612 �J�—e_A Certification I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document, and that based on my inquiry of those individuals responsible for obtaining this information, I believe that the submitted information is true, accurate, and complete. Signature STEVE MOOSE Name (please type or print) ENVIROMENTAL DIRECTOR Title JANUARY 11, 2018 Date ]'- JAN 24 2011 DENIR=L-AND QUAUTY MIGAMVvATEA PEF1P IffIN05 Bir ti S"tat R[� .�. ��f �iY�rMik ,4�c ��hiuc� oau�ced �2r�si�y �isaurea� ¢uzce 181... . . �ur�'ac1`ct�r,� o� �isrfr.'c ?.flaad �uted �aicle Statesville Brick Company: We have had no significant changes in industrial activities at our permitted facility. We have had no changes that could include the addition or deletion of work processes, changes in material handling practices, changes in material storage practices, and changes in raw materials used by the facility. Steve Moose h� STATESVILLE BRICK COMPANY DATE J /// `2 6ki P. 0. Box 471 Statesville, NC 28687-0471 Phone: 704.872-4123 `l=ax: 704-872-4125 Toll Free: 800-522-4716 wwmstatesviUebrickcom SUPPLEMENTAL INFORMATION REQUIRED FOR RENEWAL OF INDIVIDUAL NPDES STORMWATER PERMIT Two copies of each of the following shall accompany this submittal in order for the application to be considered complete: Initials V/ 1. �/z. (Do not submit the site Stormwater Pollution Prevention Plan) A current Site Map from the Stormwater Pollution Prevention Plan. The location of industrial activities (including storage of materials, disposal areas, process areas and loading and unloading areas), drainage structures, drainage areas for each outfall, building locations and impervious surfaces should be clearly noted. A summary of Analytical Monitoring results during the term of the existing permit (if your permit required analytical sampling). Do not submit individual lab reports. The summary can consist of a table including such items as outfall number, parameters sampled, lab results, date sampled, and storm event data. A summary of the Visual Monitoring results. Do not submit individual monitoring reports. The summary can consist of a table including such items as outfall number, parameters surveyed, observations, and date monitoring conducted. A summary of the Best Management Practices utilized at the permitted facility. Summary should consist of a short narrative description of each BMP's in place at the facility. If the implementation of any BMP's is planned, please include information on these BMP's. 5. A short narrative describing any significant changes in industrial activities at the permitted facility. Significant changes could include the addition or deletion of work processes, changes in material handling practices, changes in material storage / practices, and/or changes in the raw materials used by the facility. V/ 6. Certification of the development and implementation of a Stormwater Pollution Prevention Plan for the permitted facility (Sign and return attached form). If the final year analytical monitoring of the existing permit term has not been completed prior to filing the renewal submittal, then the last years monitoring results should be submitted within 30 days of receipt of the laboratory reports. (i.e. do not withhold renewal submittal waiting on lab results) Sitl,, aw ni-, ON 0== wormaM��z 2=0%0 y', ,46,46m&" ac wd Pmi?,ry kra&em &6w 19'91.... Xzc*ct`csww 4 , afff& e %cod gvaed vv'?z¢ STATESVILLE BRICK COMPANY SUMMARY REPORT FOR VISUAL MONITORING Storm Water Permit #NCG070112 Visual Monitoring Results GENERAL permit expires on May/31/2018 Outfall #1-6 Date 2/10/17 and 10/02/17 Outfall #1-6 Date 3/30/16 and 10/30/16 Outfall #1-6 Date 3/02/15 and 10/15/15 Outfall #1-6 Date 3/10/14 and 9/08/14 Outfall #1-6 Date 3/12/13 and 10/08/13 Outfall #1-6 Date 3/12/12 and 10/26/12 P. 0. Box 471 Statesville, NC 28687-0471 Phone: 704.872-4123 Fax: 704-872.4125 Toll Free: 800.522-4716 www.statesvi//ebrickcom Facility Name: Statesville Brick Facili Facility Address: Statesville_ North Carolina have a total oil over water to or froom vessels and does 1. Does the facility transfer othe facility oil storabe capacity greater than or equal to 42,000 gall yes_ No, X allons Does the facility have a total oil storage capacity greater than or equal to 1 million g 2. containment that is sufficiently large to contain the capacity of and does the facility above -ground oil storage to secondary tank Plus sufficient freeboard to allow for precipitation within the largest above g any aboveground oil storage tank area? Yes No X �. eater than or equal to 1 million gallons 3. Does the facility have a total oil storage capacity gr the appropriate formula in Attachment C and is, the facility locate - d at a distance (as calculated using could cause injury charge from the facility III to this appendix or a comparable formula) such that a discharge see Appendices 1, 11, and III to DOCINOAAs to fish and wildlife and sensitive environmand acilit and Vessel Response Plans: Fish and Wildlifeli able Area1Contin envy entsPlan. Guidance for F y (see Appendix E to this part, section 10, for availability) and the App Yes _ No X greater than or equal to 1 million gallons 4. Does the facility have a total oil storage capacity g ated using the appropriate formula ui Attachment C - and is the facility located at a disc e formula) suance (as lch that a discharge from the facility would shut down III to this appendix or a compar a public drinking water intake? Yes No X 5. Does the facility have a total oil storage capacity greater than or equal to 1 million gallons facility experienced a reportable oil spill in an amount greater than or equal to 10,00 and has the ty ex P gallons within the last 5 years? Yes _ No X C North Carolina Division of energy Mineral, and Land Resources - Storm grater Permitting Facility Name: STATESVILLE BRICK COMPANY Permit Number: NCG070112 Location Address: 391 BRICK YARD ROAD STATESVILLE NC 28677 County: IREDELL "I Certify i,;nrrlcr pcnaM-y of law th?t the SfnrmIniafar Pnll1ttlon Preventinn Plan ISPPPI deculm-- and all attachments were developed and implemented under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information required by the SPPP. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information gathered is, to the best of my knowledge and belief, true, accurate and complete." And "i certify that the SPP? has been developed, signed and retained at the named facility location, and the SPPP has been fully implemented at this facility location in accordance with the terms and conditions of the stormwater discharge permit." And "I am aware that there are significant penalties for falsifying information, including the possibility of Anes and imprisonment for knowing violations." �;_ — � _- - _ _ —=-__ _- - - - _ ---= -__ -- --- __ = ��• -_ -- --__- -_- - - -=--�`�' =---Arm _• s-=-=---_:�•�- - --- Sionature STEVE MOOSE Print or type name of person signing above ENVIROMENTAL DIRECTOR Title SPPP Certification 10/13 f tj 4 z o 0 PIS Best Management Practices Manufacturing Facility Outfall Activities Pollutant #1 Bat Storage & Particulate Vegetative Buffer for Particulate removal Crushing #Z Sawdust Storage, Organic - Maintain Retaining wall in good condition Handling, and Particulates - Remove accumulated sawdust in processing area Processing Pit #4 - Protect outfall with check dams, silt fence ect... #3 Diesel Tank Petroleum SPCC Plan Color Additive Particulate - Use sufficient number of tubs to minimize cleaning Mixing - Clean tubs by dumping contents in grinding room, Plt #4 allow to dry, and then shovel out remaining contents in the grinding room. Sand Storage Particulate - Clean up loose material - If sand is stored outside, use vegetative cover, silt fence, ect to prevent erosion Brick Saw Pit #4 Particulate - Clean up of loose material Conveyor Belt Pit Particulate - Clean up of loose material #4 94 Gasoline Tank Petroleum SPCC Plan Sand Coating Particulate Clean up of loose material outside building Preparation Coating Raw Particulate - Clean up loose material outside building Material Storage Petroleum - Conduct Activities under roof Garage Activities and - Store used oil, hydraulic oil, grease, ect in appropriately Solvents labeled containers. - Clean ups ills immediately. Equipment Organics - Clean up excess grease Greasing and Petroleum - Maintain system to filter petroleum and particulates Washing Particulate from wash water Conveyor Belts Particulate - Clean up of loose material Plts. 43 & 44 Color Additive Particulate - Use sufficient number of tubs to minimize cleaning Mixing - Clean tubs by dumping contents in grinding room, Plt 43 allow to dry, and then shovel out remaining contents in the grinding room. Sawdust Processing Organic - Cleanup spilled sawdust. P1t. #3 Particulate Raw Material Particulate - Clean up spilled material outside building Storage Plt. #3 Truck Parking Petroleum - Preventive Maintenance of trucks Best Management Practices Manufacturing Facility Outfall Activities Pollutant 95 Diesel Tank Petroleum SPCC Plan Brick Saws Particulate -Maintain vegetative buffer Plt. #3 96 Sawdust Processing Organic - Clean up spilled sawdust. Plt. #3 Particulate Raw Material Particulate - Clean up spilled material outside building Storage Plt #3