NCG160229_NOI Application_20180627

Environmental
Quality
Division of Energy, Mineral, and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG160000
FOR AGENCY USE ONLY
Date Received
Year Month
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Certificate of Covera e
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NOTICE OF INTENT Ac
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National Pollutant Discharge Elimination System application for coverage under General Permit
NCG160000 for STORMWATER DISCHARGES associated with activities classified as:
SIC 2951 The manufacture of Asphalt Paving Mixtures and Blocks,
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 materials.
(Please print or type)
1) Mailing address of the owner/operator (address to which official permit correspondence will be mailed):
Name Neyra Industries, Inc.
Owner Contact Greg Houser
Street Address 10700 Evendale Drive
City Cincinnati State OH ZIP Code 45241
Telephone No. 513 733-1000 Fax:
E-mail Address [e-mail]
2) Location of the facility producing the discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Email
3) Physical Location
Neyra Industries, Inc.
George Woehler
931 East Elm Street
Graham State NC ZIP Code 27253
Alamance
336 235-7567 Fax:
[e-mail]
Losovql OD
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 Alamance County Courthouse, head east on East Elm
Street approximately 4 miles, turn riqht into the facility at 931 East Elm Street.
(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 36 04'51.6"N
Longitude 79 22'51.1" W
(degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑✓ New or Proposed Facility* Date operation is to begin 06/01/2018
❑ 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.
RECEIVED
JUN 2 7 2013
SW U-231-030909 L
Page 1 of 5 D SL ' QUALITY
PERMITTING

NCG160000 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: 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.) Manufacture and distribution of asphalt sealant. Raw materials are pumped inside from
outdoor ASTs, where they are mixed and stored in interior ASTs. Loadinq occurs outside.
b) Check all activities conducted at this facility.
❑ Outdoor stockpiling of materials
❑ Storage of raw materials
❑✓ Storage of materials in above-
ground tanks
❑✓ Material Loading and Unloading
8) 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
How many discharge points (ditches, pipes, channels, curb and gutter, swales, etc.) convey stormwater from
the property? 1
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Haw River
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
Receiving water classification (if known):
List discharge points (outfalls) that convey discharge from the site (both on-site and off-site) and location
coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Stormwater Outfall No. 1
Latitude (degrees/minutes/seconds): 36 04'47.5•
N
Longitude (degrees/minutes/seconds): 79 22'50.4^
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
Stormwater Outfall No. only
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
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SWU-234-030909 Last revised 09/10/14

NCG160000 N.O.I.
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): _
Longitude (degrees/minutes/seconds):
9) Does this facility
N
W
a) Have an untreated wastewater discharge? M No ❑ Yes
b) Have a treated wastewater discharge? R No ❑ Yes
If yes, list the permit number.
c) Have a wastewater discharge from a recycle system? M No ❑ Yes
If yes, list the permit number.
d) Have a non -discharge permit? e No ❑ Yes
If yes, list the permit number.
e) Discharge wastewater to a municipal wastewater collection system? 9 No ❑ Yes
If yes, list the municipality and permit number
Note: Stormwater discharge permit NCG160000 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 M Yes (Show any structural BMP's on the site diagram.)
If yes, please briefly describe: Good housekeeping, preventative maintenance, visual inpsections, erosion prevention
11) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No R Yes
If yes, when was it implemented? 06/01/2018
12) Are vehicle/equipment maintenance activities occurring at this facility?
e No ❑ Yes
13) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
a No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
d No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
M No ❑ Yes
d) Is hazardous waste stored in the 100 -year flood plain?
R 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: N/A
How is material stored: N/A
Page 3 of 5
SW U-234-030909
Last revised 09/10/14

NCG160000 N.O.I.
Where is material stored: N/A
How many disposal shipments per year:
Name of transport / disposal vendor: N/A
Vendor address: N/A
14) Certification:
N/A
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
[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: G g Houser
Title: Vice President, Research velopment
(Signature of
4JeSi-
(D z d)
This Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDEQ
Page 4 of 5
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 NCDEQ
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:
DEMLR - Stormwater Program
Dept. of Environmental Quality
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 http://Portal.ncdenr.orq/weblirlstormwater
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] j
Page 5 of 5
SWU-234-030909 Last revised 09/10/14

Skteek
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Trailer
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Neyra Industries, Inc.
(Graham, NC) _
BVANGUARD
Y� I Favv�ox�vrer., nrc. \
Parking
LOffice
i RR
Air Compressor RR
Tool
11000 gal.
Roo
Finish
product
Tanks
0
Steam
Boiler
M
Gate
Facility
Dumpster
0
2.0000 gal
Coal Tar
Tank
20000 gal
Lp Sealer
Base Tank
10000 gal
Redicote
Tank
/
15000 gal
Clay Slurry Uj
tanks \
0
Key
Tank Farm
© Pallet Storage
A Fire Extinguisher
© Electrical Shutoff
® Water Shutoff
© Gas Shutoff
r\ Surface Flow
«« Berm (Water Flow Control)
Single drainage area, discharging at SDO #1
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14
water aReell ase
SDO #1
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Topographic Map
VANGUARD
One (1) Section = One (1) Mile
NORTHEAST BURLINGTON
N QUADRANGLE
NEYRA INDUSTRIES
E NORTH CAROLINA 931 EAST ELM STREET
GRAHAM, NORTH CAROLINA
s 7.5 MINUTE SERIES

�A
VANGUARD
ENVIRONMENTAL. INC.
Corporate Office
4800 W. Quincy, Suite 101 • Broken Arrow, OK 74012 • Ph. [phone] • FAX [phone] • www.vanguardenvl.com
Atlanta • Chicago • Cincinnati/Dayton • Dallas/Ft. Worth • Denver • Detroit • Houston • Kansas City • Los Angeles
Milwaukee • Minneapolis/St.Paul • Oklahoma City • Phoenix • St. Louis • Tampa / St. Petersburg • lidsa • Wichita
June 8, 2018
Kansas Department of Health and Environment
Right -To -Know Program
1000 SW Jackson, Suite 330
Topeka, KS 66612-1365
Re: Form R Fee Calculation Worksheet, Report Year 2017
To Whom It May Concern:
Enclosed please find the 2017 Form R fee calculation worksheet submitted by Vanguard
Environmental, Inc. on behalf of Full Vision, Inc. located in Newton, Kansas. No fee is required for
Full Vision, Inc. Should you have questions, you may contact me at [phone] or via email.
Best Regards,
Marleen Reddaway
Environmental Engineer
Vanguard Environmental, Inc.
[e-mail]
"Total Quality Environmental Management"
Turnkey Compliance .... Worldwide

FACILITIES ARE REQUIRED TO SUBMIT THIS COMPLETED FORM AFTER FILING
FORM R or FORM A EVEN IF THE FACILITY IS NOT REQUIRED TO PAY FEES.
Facility Full Vision, Inc.
Address 3017 Full Vision Drive
City/ST/Zip Newton
County Harvey TRI FID# 67114FLLVS3017F
C. SECTION 313 (FORM R) FEE CALCULATION WORKSHEET REPORTING YEAR 2017
1. Total all emissions from Form R's for each facility and enter in the box C. $ 0.00
below. Emissions are totals from section 5.1 through 5.5.4 -column A
and section 6.2 A (only for quantities with codes M10, M41, M62, M64,
M65, M66, M67, M73, M79, M81, M82, M90, M94, or M99 in column C.)
2. Review schedule below for range category of your emissions total and
associated fee.
3. Place fee amount on Line "C".
4. Facilities utilizing EPA's Form A alternate threshold & certificate statement
are required to pay the $250.00 fee if their emissions are above 100 pounds.
Range of Pounds Fee
100 - 19,999 $ 250.00
20,000 - 99,999 $ 700.00
100,000 -999,999 $1,700.00
1,000,000 or above $3,000.00
D. THERE IS A $3,000.00 MAXIMUM ON FEES FOR EACH OWNER OR OPERATOR D $ 0.00
FOR ANY SINGLE REPORTING YEAR INCLUDING KANSAS TIER II FEES.
IF LINE "C" IS $3.000.00 WRITE THE AMOUNT OF TIER II FEES YOU PAID
MARCH 1 ON LINE "D". IF LINE "C" IS LE55 THAN $3,000.00 WRITE ZERO (0)
ON LINE "D".
E. SUBTRACT LINE "D" FROM LINE "C" AND PLACE ON LINE "E". THIS IS THE E. $ 0.00
FEE YOU ARE REQUIRED TO PAY.
Make check payable to: Kansas Department of Health 6 Environment
Right -to -Know Program
1000 SW Jackson, Suite 330
Topeka KS 66612-1365

VANGUARD
ENVIRONMENTAL, INC.
Corporate Office
4800 W. Quincy, Suite 101 • Broken Arrow, OK 74011 • Ph. [phone] • FAX [phone] • NNww.vanguardenvl.com
June 21, 2018
DEMLR — Stormwater Pro _• am Re CE' VJUN 2 7 �D
Department of Environmental Quality 2018
1612 Mail Service Center DENR.LAND
QUALITy
Raleigh, North Carolina 27699-1612SrGRMwATERP @I h�G
RE: NCG160000 NOI for Neyra Industries, Graham, NC
To Whom It May Concern:
Please find enclosed the Notice of Intent for coverage under North Carolina Stormwater
Permit No. NCG160000 for the following facility:
Neyra Industries, Inc.
931 East Elm Street
Graham, North Carolina
Also enclosed are site layout and topographic maps, and check for $100.00
If you have any questions or need additional information, please do not hesitate to contact me
at [phone] or via email.
Best Regards,
Jeff Melson
Environmental Manager
Vanguard Environmental, Inc.
[e-mail]
America's Foremost Expert in Regulatory Compliance Management
Atlanta • Chicago • Cincinnati/Dayton • Dallas/Ft. Worth • Denver • Houston
Kansas City • Los Angeles • St. Louis • Tampa / St. Petersburg • Tulsa