NCG210460_NOI Application_20180205

Division of Energy, Mineral and Land Resources
oll0 v Stormwater Permitting Program
r
National Pollutant Discharge Elimination System
NCDENR
NC C1 ouN DEPARTMENT OF NCG210000
ENVIRONMENT AND NAN RESOURCES
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate of Coveran
C G 1
hec #
Permit Assi ed to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG210000:
For STORMWATER DISCHARGES associated with activities classified as:
SIC 24 Timber Products (except as specified below), including Wood Chip Mills;
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 foilowing activities are specifically excluded from coverage under this General Permit:
Wood Kitchen Cabinets (SIC
Wood Preserving (SIC 2491) 2434) RECEIVED
Logging (SIC 2411) FEB O 5 2018
" Standard Industrial Classification Code
(Please print or type) DENR-LAND QUALITY
STORMWATER PERMITTING
1) Mailing address of ownerioperator (address to which official permit correspondence will be mailed):
Name
Industrial Timber
Owner Contact (a person) Matt Hoffman - Corporate Safety Director
Street Address 330 White Plains Road
City Hiddenite State NC
Telephone No. 704 606-1370 Fax:
E-mail Address [e-mail]
2) Location of facility producing discharge:
ZIP Code 28636
Facility Name Industrial Timber
Facility Contact (a person) Marty Jennings
Contact E-mail [e-mail]
Street Address 330 White Plains Road
City Hiddenite State NC ZIP Code 28636
County Alexander
Telephone No. 828 632-0550 Fax: T
3) Permit Contact
Permit Contact (a person) Matt Hoffman
Contact E-mail [e-mail]
Contact phone number 704-606-1370
4) 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 -Hiddenite go west on Hwy 90 about
1.5 miles and make right onto White Plains Road, go 1/4 mile to Facility
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted vAth this application)
5) Latitude 33 5 5 1 3.34" Longitude 81 0 7 1 2 8. 5 "(degrees, minutes, seconds)
35117 � q "SSP I e 1 o �3
SWU-236-080113 g Last revised 7/2/14

NCG210000 N.O.I.
6) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
Ek Existing
7) Standard Industrial Classification (SIC):
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 2421
8) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Cuts and Routes hardwood and plywood for furniture industry
9). Discharge points I Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 4
10) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Bull Branch Creek
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).
11) Does this facility have any other water quality permits?
13: No
❑ Yes
If yes, list the permit numbers for all current water quality permits for this facility:
12) Does this facility have any Non -Discharge permits (ex: recycle permits)?
13 No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
13) Does this facility employ any best management practices for stormwater control?
❑ No
M Yes
If yes, please briefly describe: Sweeping, cover over wood storage, Cover over
oils, baclhouse for dust control
14) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
EkYes
If yes, when was it implemented?
December 2017
16) Does this facility have exposed accumulations of sawdust, bark, mulch, wood chips, or similar size
woody material on-site for longer than seven (7) days? (Exposed directly to rainfall or to run-on from
other areas of the facility.)
❑ No 12 Yes
Page 2 of 4
SWU-236-080113 Last revised 7/2/14

NCG210000 N.O.I.
16) Are vehicle maintenance activities occurring at this facility?
a No ❑ Yes
17) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
ONo ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
13 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
ER No ❑ Yes
d) 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:
18) Certification:
North Carolina General Statute 143-215.6 b ([) 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: Matt Hoffman
Title: Corporate Safety Director
(Signature of
1--30- /9'
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Page 3 of 4
SWU-236-080113 Last revised 7/2/14

NCG210000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NC DEN
❑ This completed application and all supporting documents
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater Permitting 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 the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or Regional Office for your area.
To visit our website, go to http://Portal.ncdenr.ong1web/lrlstormwater.
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]
Page 4 of 4
SWU-236-080113 Last revised 7/2/14

d
1419 )• ' , \ ,� �� �Cr���
>
\, J,
1422
�. Ol { 'i
•1205.hite•P One
/1 •o• "n _ Ch \,
0
Zr�f
0
_- 1
/--I
J/ 7
hey
Scale 1:24 000
Contour Interval 20 Feet
xDOD 0 loco 7000 2Oco 400D aoco GODS 70N F2FT
a o 1 KILaMEFER
UNITED STATES GEOLOGICAL SURVEY
DEPARTMENT OF THE INTERIOR/USGS
TAYLORSVILLE/HIDDENITE QUADRANGLE
NORTH CAROLINA
Quadrangle Location 7.5 MINUTE SERIES (TOPOGRAPHIC)
1970
Industrial Timber, Inc.
330 White Plains Road
Hiddenite, North Carolina
Project No. 166139.529.00
Site Location Map
®-r
Ga1aTech