NCG160226_NOI Application_20180102

FOR AGENCY USE ONLY
Date Received
Year I Month I Day
I Certificate of Coveraee _ I
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG160000 for STORMWATER DISCHARGES associated with activities classified as:
UEi i/ ED
SIC 2951 The manufacture of Asphalt Paving Mixtures and Blocks, JAN (�
1Y 2 2010
And, Like activities deemed by DEMLR to be similar In the process, or the exposure of raw
materials, intermediate products, final products, by-products, or waste materiP9NN--LAN0 MAU'n,
ST-ORm -RA PGRMjrrjN'3
(Please print or type)
1) Mailing address of the owner/operator (address to which official permit correspondence will be mailed):
Name
Division of Energy, Mineral, and Land Resources
Owner Contact
Land Quality Section
NCDENR
National Pollutant Discharge Elimination System
No— G.ROLINA DERAar w of
ENVIRONMENT AND NA RA RE OUROE$
NCG160000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year I Month I Day
I Certificate of Coveraee _ I
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG160000 for STORMWATER DISCHARGES associated with activities classified as:
UEi i/ ED
SIC 2951 The manufacture of Asphalt Paving Mixtures and Blocks, JAN (�
1Y 2 2010
And, Like activities deemed by DEMLR to be similar In the process, or the exposure of raw
materials, intermediate products, final products, by-products, or waste materiP9NN--LAN0 MAU'n,
ST-ORm -RA PGRMjrrjN'3
(Please print or type)
1) Mailing address of the owner/operator (address to which official permit correspondence will be mailed):
Name
BLYTHE BROTHERS ASPHALT CO. LLC
Owner Contact
ALEC BLYTHE
Street Address
1415 E. WESTINGHOUSE BLVD
City
CHARLOTTE
State NC
ZIP Code 28273
Telephone No.
704 588 - 0023 EXT 235
Fax: 704
588-9935
E-mail Address
[e-mail]
2) Location of the facility producing the discharge:
Facility Name
BLYTHE BROTHERS ASPHALT CO. LLC - NORTH PLANT
Facility Contact
ALEC BLYTHE
Street Address
9501 OLD STATESVILLE ROAD
City
CHARLOTTE
State NC
ZIP Code 28269
County
MECKLENBURG
Telephone No.
704 588 - 0023 EXT 235
Fax: 704
588-9935
Email
[e-mail]
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 the intersection of Reamer Road and Hwy 115, go North 0 44 miles.
Facility will be on the left at 9501 Old Statesville Road. Alternatively, from 1-485, take NC -115 South approximately 1 mile and facility will be on the right
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application )
4) Latitude 35' 21'04.67" N Longitude 80D 49'28.84" W (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility* Date operation is to begin
❑X Existing
"If this new or proposed facility is located in one of the 20 coastal counties, please contact the appropriate DEMLR Regional
Office (see page 4) to determine if a State Stormwater Permit is required prior to construction.
Page 1 of 4
SWU-231-030909 Last revised 9/10/14

NCG160000 N.O.I.
11) Does this facility have a Stormwater Pollution Prevention Plan?
N No ❑ Yes However, the facility is in the process of developing an SPPP
If yes, when was it implemented?
12) Are vehicle/equipment maintenance activities occurring at this facility?
N No ❑ Yes
13) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
N No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
N No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg or more of hazardous waste generated per month) of
hazardous waste?
N No ❑ Yes
d) Is hazardous waste stored in the 100 -year flood plain?
N 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:
14) Certification:
North Carolina General Statute 143-215.66 ([) 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
[Environmental Management] 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 that I am familiar with the information contained in this application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: F. W. BLYTHE
Title: MEMBER MANAGER
g, Az�t
(Signature of Applicant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Page 3 of 4
SWU-234-030909 Last revised 09/10/14

NCG160000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included.
Please do not ask us to "hold" an incomplete application in anticipation of a check under separate cover.
✓❑ Check for $100 made payable to NCDENR
✓❑ This completed application signed by the applicant, and all supporting documents
✓❑ 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 which drainage areas), (d) runoff conveyance structures, (e) areas where materials are
stored, (f) impervious areas, (g) site property lines, (h) vehicle and equipment maintenance, blasting,
painting, and washing areas, and (i) location of activities listed in 7b
✓❑ Copy of county map or USGS quad sheet (preferred) with location of facility clearly marked on map
Please mail the entire package to:
Stormwater Permitting Program
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Please note:
The submission of this document does not guarantee the issuance of NPDES permit coverage.
For questions, please contact the DEMLR Regional Office for your area.
To visit our website please go to httaJ/portaLncdenr.orclweb/Ir/stormwater
DEIVILR Regional Office Contact Information:
Asheville Office ..
Fayetteville Office
Mooresville Office
Raleigh Office .....
Washington Office
Wilmington Office
Winston-Salem .
Central Office ... .
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
[phone]
.[phone]
Page 4 of 4
SWU-234-030909 Last revised 09/10/14

December 20, 2017
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
RE: Notice of Intent for NCG160000.
Dear Stormwater Permitting Unit,
RECEIVE®
JAN 021U�8
DENR-LAND QUAL.ITy
STORMWATER PERMITTING
Please find enclosed the completed Notice of Intent (NOI) to discharge stormwater
under NPDES General Permit NCG160000 for Blythe Brothers Asphalt Company L.L.C.
Included is a check made payable to NCDEQ in the amount of $100 for the permit fee,
site plan map of the facility, and a copy of a portion of USGS 7 5 minute quad showing
the location of the facility.
If you have any questions or require additional information on the enclosed NOI, please
contact me.
Sincerely,
Alec Blythe
Project Manager
Blythe Brothers Asphalt Company L.L.C.
Enclosures: Check for $100 made payable to NCDEQ
NOI for NPDES General Stormwater Permit NCG160000
Site Plan
USGS Map showing facility location

plor
Stream Information:
11-120-1 , It
Dixon Branch
From SOLI[Ce to Long
Creek
C
August 31, 1974
Mom Inio
Catawba
Zc�oin v�
x "
Site Location
A-.
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FIGURE 1
USGS 7.5 MIN TOPOGRAPHY SITE LOCATION MAPRECEl�
Blythe Brothers Asphalt Company L.L.C. JAIL 02 2
9501 Old Statesville Road
Charlotte, North Carolina 28269 DENR-LAND QUAL ITY
STORMWATER PERMITTING
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-= Site
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Blythe Brothers Asphalt Company L.L.C.
Stormwater Discharge Outfall Location SDO-001: Latitude: 35° 21' 3.7" Longitude* -80° 49' 35 0"
Stormwater Discharge Outfall Location SDO-002 Latitude 35° 21' 6 6" Longitude. -80° 49' 40 8"
Receiving Stream Unnamed Tributary to Dixon Branch
Dixon Branch is a Class C water identified by Stream Index # 11-120-1, located in the Catawba River Basin
10 -Digit HUC Watershed 0305010114, Mountain Island Lake -Catawba River, 12 -digit HUC Subwatershed 030501011403, Long Creek,
According to the 2014 NC Integrated Report (303(d) List), Dixon Branch is not listed as an Impaired Water.

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50RMwP
Huntersville Asphalt Plant
Old Statesville Road, Charlotte, NC
SITE PLAN
Stormwater Pollution Prevention Plan
I �`' � i ' � ', j: / / ' / , // , / / / / j � -' � — — — — — - — - — — — — —132W StatesvilleAve, resville, NC
SCO Inc.
SCALE: 1 100. BlytheBrothers Asph,
12/15/17 1 FIGURE 3
SILT SN V,
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Stonnwater Outfall
SDO-001 - - _ _ _ � '�;,'_ - _ i '=,i �'/, " '; , �,';''' '.. ;'� /'�;'� ' ��; , ' '
35°21'3.7"/80°49'35.0"
-------------
Outfall
---w— = Local Drainage Direction
//,=Area Drained Through SDO-001
=Area Drained Through SDO-002
Total Area Impervious Area% Impervious
Drainage Area Ac. Ac.
SDO - 001 8.7 2.2 25%
SDO - 002 4.5 0 0%
Scale 1 100'
Relative Surface Flow Direction
I