NCG060391_NOI Application_20181119

NC&0603q
FOR AGENCY USE ONLY
Date Received
Division of Energy, Mineral and Land Resources Year Month Da
Land Quality Section
Certificate of Covera e
National Pollutant Discharge Elimin tionE6EIVE
stem N C G 0 6
Check # Amount
00 V46
Environmental NCG060000 rmit Assi Hied to�,
Q�rt�lrryNOV .19 20"8
DENR-LAND QUALITY
NOTICE OF INTENT STORMVbATER PERf,,IliTf'1N(
• System application for coverage under General Permit
National Pollutant Discharge Elimination y pp
NCG060000:
STORMW
ATER DISCHARGES associated with activities classified as:
�•4,''• 'St"`�� ai ii+Ziu�i al :lassificat�on) 2v i- uvu caeca �.���t i %i
SIC 21 Tobacco Products
SIC 283 Drugs
ning P re arations; Perfumes, Cosmetics, & Other Toilet Preparations
SIC 284 Soaps, Detergents, & Cleap
SIC 422 Public Warehousing and Storage (except 4226)
For questions
• , please contact the DEMLR Regional Office for your area. See page 4.
�
Do Not us
e this NOl for renewals.
(Please print or type)
1) Mailing address of owner/operator (addres
s to which all permit correspondence will be mailed
Nam
e Pepsi Bottling Ventures, LLC
Street Address 4141 Parklake Avenue, Suite 600 State NC ZIP Code 27612
City Raleigh
Telephone No. [phone] -- Fax.
2) Location of facility producing discharge:
Facility Name Western Optimized Warehouse
Facility Contact Mr. Bill Peterson
FacilityAddress 390 Business Park Drive 27107
Facility City Winston-Salem State NC ZIP Code
Facility County Forsyth
Telephone No. [phone] Fax.
Email [e-mail]
3) Physical Location Information:
to the facility (use street names, state road numbers, and
Please provide a narrative description of how to get y S Hwy 311 and Union Cross Road
distance and di
rection from a roadway intersection). Starting at the intersection of U v turn west on
-
turn miles turn south on Wallburg road, go 0.4 miles on Wallburg road,
turn west on Union Cross road for 0. ,
Business Park Drive, go 1.4 miles to 390 Business Park Drive
(A copy of a county map or US qu
ad uad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 36, g
2 12.66 N Longitude 8, 50.92 W __ (deg, min, sec)
5) This
NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility
Z Existing
Date operation is to begin
Page 1 of 4 Last revised 6124/14
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NCG060000 N.O.I.
6) Standard Industrial Classification:
Provi
de the 4-digit Standard Industrial Classification code (SIC code) that describes the primary industrial
activity at this facility.
SIC code: 2 0 8 6
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
p
at this facility: Storage and distribution of soft drinks
b) Check all activities occurring at this facility:
❑ use or process meats El use or process animal fats/byproducts
8) Discharge points / Receiving waters -
How points ditches, pipes, channels, etc.) convey stormwater from the property? 3
How many discharge p (
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Sawmill Branch Creek
Receiving water classification: C Yes
9
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed?
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).
List
discharge points (outfalls) that convey discharge from the site (both on -site and off -site) and location
coo
rdinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Stormwater Outfall No. =
Latitude (degrees/minutes/seconds): 36/2/18.016
N
Longitude (degrees/minutes/seconds): 80/8/59.622
W
Stormwater Outfall No. =
Latitude (degrees/minutes/seconds): 36/2/9.5748
N
Longitude (degrees/minutes/seconds): 80/8/39.5484
W
Stormwater Outfall No. =
Latitude (degrees/minutes/seconds): 36/2/12.57
N
Longitude (degrees/minutes/seconds): 80/8/3 6.582 _
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
Stormwater Outfall No. _ only
Latitude (degrees/minutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
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Last revised 6/24/14

NCGO60000 N.O.I.
9) Does this facility have any other NPDES permits?
11 No
❑ Yes
If yes list the permit numbers for all current NPDES permits for this facility:
an
10) Does this
facility
have Non -Discharge permits (ex: recycle permit)?
Y
11 No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ an ' o best management practices for stormwater control?
y
❑ No
11 Yes (Show any structural BMPs on the site diagram.) a stormwater retention n nd
If yes, please briefly
iefl describe: Stormwater from the eastern half of the site discharges to
prior to discharging at Outfall #3.
12) Does this facilityhave a Stormwater Pollution Prevention Plan?
❑ No
11 Yes
If yes, when was it implemented? 10/2017
13 Are vehicle maintenance activities occurring at this facility?
❑ No M Yes
14) Hazardous Waste:
a) Is this facility
ilit a Hazardous Waste Treatment, Storage, or Disposal Facility?
11 No El Yes
rator (less than 1000 kg. of hazardous waste generated per month) of
b) Is this facility a Small Quantity Gene
hazardous waste?
11 No ❑ Yes
1000 k . or more of hazardous waste generated per month) of
c) Is this facility a Large Quantity Generator ( g
hazardous waste?
4 No El Yes
d Is hazardous waste stored in the 100-year flood plain?
11 No El Yes If yes, include information to demonstrate protection from flooding.
e) If you answeredyes 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:
Page 3 of 4 Last revised 6/24/14
SW U-221

NCGO60000 N.O.I.
15) Certification:
North Carolina General Statute 143-215.613 (i) provides that:
Any person who knowingly
knowin I makes any false statement, representation, or certification in any application, record, report,
plan, or other documen
t 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
r with or knowingly renders inaccurate any recording or monitoring device or method required to be
who falsifies, tampers 9
operated or maintained un
der 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).
d General Permit. I understand hereby request coverage under the reference d that coverage under this permit
nstitute the ermit requirements for the discharge(s) and is enforceable
in the same manner as an
will co p
individual permit.
certify that I am familiar with the
e 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: Bill Peterson
Title: DirectorgtSqfety and Health
(Signature OT Applicant)
-- zj� �-�
�'D'a t Signed)
This Nonce of Intent must be accompanied b a check or money order for $100.00, made payable
to: NCDEQ. Do not send the check or money order separately.
RECEIVED
NOV 19, 20*13
DENR-LAND QUALITY
STORMWATER PERMji IR-`
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Last revised 6/24/14

NCG060000 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. Must be included with this application (not sent separately).
p
❑
This completed application and all supporting documents.
❑ A site diagram showing, at a minimum, (existing or proposed): water outfalls
(a) outline of drainage areas, (b)
stormwater management structures, (c) location of storm
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
loaded, an
d unloaded, (f) impervious areas, (g) site property lines. the map.
❑ Copy of county map or USGS quad
sheet with the location of the facility clearly marked on p
Mail the entire package to:
DEMLR - Stormwater Program
Dapt. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
N= der the General Permit.
The submission of
this document does not guarantee coverage un
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional office Contact Infor
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 5of4
SW U-221
Last revised 6/24/14

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REFERENCE: USGS 7.5-MINUTE MAP, WINSTON-SALEM 0 500 1,000 23,000
EAST, NORTH CAROLINA, DATED 2016 11111
APPROXIMATE SCALE IN FEET
TITLE FIGURE 1
SITE LOCATION MAP
PEPSI BOTTLING VENTURES Aff
390 BUISNESS PARK DRIVE ATC GROUP SERVICES LLC
WI N STON —SALEM, NORTH CATOLI N S
Charlotte, North Caroline► 28273 t704) 529-3200 FAX [phone]
SAD FILE TYPE CODE PREP. BY REV. BY SCALE DATE PROJECT NO.
SMA FL AS SHOWN 10/9/17 NA

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