NCG080970_NOI Application_20180802

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FOR AGENCY USE ONLY
Dare Received
Division of Energy, Mineral and Land Resources Year rvt De
Land
Quality Section
National Pollutant Discharge Elimination System cemrkaceoreov
Cteck # Amo=
Environmental NCG080000
Quality Assioned to
NOTICE OF INTENT l(' � 090 � f/0
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG080000:
STORMWATER DISCHARGES from Vehicle Maintenance Areas (including vehicle rehabilitation,
mechanical repairs, painting, fueling, lubrication, and equipment cleaning operations areas) associated
with activities classed as:
SIC 40 (Standard industrial Classification) Railroad Transportation
SIC 41 Local and Suburban Transit and Interurban Highway Passenger Transportation
SIC 42 Motor Freight Transportation and Warehousing (except SIC 4221-4225)
SIC 43 United States Postal Service
The following activities are also included:
• Other industrial activities where the vehicle maintenance area(s) is the only area requiring permitting
• Petroleum Bulk Stations and Terminals (SIC 5171) with total petroleum site storage capacity of less than 1
million gallons
• Stormwater discharges from oil water separators and/or from secondary containment structures
associated with petroleum storage facilities with less than 1 million gallons of total petroleum site storage
capacity.
• Discharges associated with vehicle maintenance operations at activities, which are otherwise designated
on a case-by-case basis for permitting.
IR F— For questions, please contact the DFMLR Regional Offfce for your area. See page 4.
(Please print or type)
1) Mailing address of owner/operator (address to which all correspondence will be mailed):
Name
Street Address
City
Telephone No.
FedEx Freight, Inc., Attn: Brendan Rose
2200 Forward Drive, DC:2270
Harrison
870 3654087
2) Location of facility producing discharge:
State AR ZIP Code 72601
Fax:
Facility Name Fedex Freight, Inc. - GVN
Facility Contact Brendan Rose
Street Address 1200 Industrial Blvd
City Greenville State NC ZIP Code 27834
County Pitt
Telephone No. 870 365-4087 Fax: [phone]
Email brenden.nosearedex.com
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NCGO80000 N,O.I.
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 Us -264w, tum left onto Old Creek Road. Continue straight onto
Industrial Boulevard. The facility is on the left.
(A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application)
4) Latitude 35.643NO Longitude -77.34w24 (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
F New or Proposed Facility Date operation is to begin 6/15/18
❑ Existing
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 0 2 1 3
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
faCility: This is a faeight transportation facility. Freight kmxft and unloading occurs in indoor dock area Tran trailers. Vehicle diesel fueling is perfomned under canopy
at dedicated fuel island. Walle wash vendor contains, collects, and removes vehicle wash water for proper disposal off-site.
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, 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? Parker Creek to Tar River
Receiving water classification: QNsw
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No
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). NIA
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. 001
Latitude (degrees/minutes/seconds): 35.64051g N
Longitude (degrees/minutes/seconds): -77.348074 W
Stormwater Outfall No.
Latitude (degreeslminutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degreestminutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
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NCGO80000 N.O.I.
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutestseconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
9) Does this facility have any other NPDES permits?
9 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)?
9 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
R Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: The facility has an on-site detention pond.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
F Yes
If yes, when was it implemented? 6/15/18
13) Are vehicle maintenance activities occurring at this facility?
❑ No 4 Yes
14) Hazardous Waste:
a) is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?.
4 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑ No R Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
I No ❑ Yes
d) Is hazardous waste stored in the 100 -year flood plain?
❑ No 9 Yes If yes, include inforrnation to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Types) of waste: Varies, Hazardous waste maybe generated from dammed freight that the facility transports.
How is material stored: Hazardous waste is stored in indoors on salvage drums.
Where is material stored: Hazardous waste stored indoors on elevated dock in OSD bay.
How many disposal shipments per year. 5
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NCGO80000 N.O.I.
Name of transport / disposal vendor: Stericycle, Alworth, Republic Env.
Vendor address: 181 Windchaser way, Moyock, NC 27958
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 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: UT42(kre, /Z0
Title: 6n✓. �.•��,,:�•c/
-7/17/8
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDEQ
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NCG080000 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 NCDEQ
❑ This completed application 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 the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the NPDES 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 ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
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SWU-223-071408 Last revised 6/24/14

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a. All Notices of Intent to be covered under this general permit shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a
responsible corporate officer means: (a) a president, secretary, treasurer or vice
president of the corporation in charge of a principal business function, or any other
person who performs similar policy or decision making functions for the corporation, or
(b) the manager of one or more manufacturing, production, or operating facilities,
provided, the manager is authorized to make management decisions which govern the
operation of the regulated facility including having the explicit or implicit duty of
making major capital investment recommendations, and initiating and directing other
comprehensive measures to assure long term environmental compliance with
environmental laws and regulations; the manager can ensure that the necessary
systems are established or actions taken to gather complete and accurate information
for permit application requirements; and where authority to sign documents has been
assigned or delegated to the manager in accordance with corporate procedures.