NCG050445_Application_20190524

NCG-0 50 4 Lfq
Env/ronmen tal
Quality
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG050000
FOR AGENCY USE ONLY
Date Received
Year
Mouth
I Da
I
z
Certificate of Covera e
NCG
Check #
IAmount
_41 6
00
Pennit Assigned to
tic
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG050000:
STORMWATER DISCHARGES associated with activities classified as:
SIC` 23 Apparel and Other Finished Products Made from Fabrics and Similar Material e!
SIC` 265 Paperboard Containers and Boxes ',Q�
SIC* 267 Converted Paper and Paperboard Products Sr 01.
SIC" 27 Printing, Publishing and Allied Industries��r��U
ubber and
SIC` 31 Leather and Miscellaneous
Products
(except as specified below)cept as specified below)%;44/
SIC* 39 Miscellaneous Manufacturing Industries
SIC* N/A 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 following activities are specifically excluded from coverage under this General Permit:
SIC* 301 Tires and Inner Tubes
SIC 311 Leather Tanning and Finishing
* Standard Industrial Classification Code
(Please print or type)
1)
Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
E-mail Address
2) Location of facility producing discharge:
Facility Name nATGr'_ t� cl�q�tty
Facility Contact
Op is 1
Contact E-mail
VfA% S e
Street Address
ctoo ecx)
City
Ul.S..11 wl
County
AE'C
Telephone No.
O� kc);
3) Physical Location Information:
1
State �t j[` ZIP Code Z_ S'kLy
Fax:
State tN[_ ZIP Code
Fax:
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). EA' otJ M Wc-si .:`flag QGF1 ov g
1 1Ati'lQ� lNi m&C--ks-Dru-je
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required with this application) — 14kP AM
4) Latitude3S ye6►,cs &43"' Longitude pEGnc;r,5 49' 1'lIV%(degrees, minutes, seconds)
Page 1 of 4
SWU-220-071408 Last Revised 6/24/14
t__go

NCGO50000 N.O.I.
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility
Existing
6) Standard Industrial Classification:
Date operation is to begin LOLO k /20 VZA7
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: iO
7) Provide a brief narrative de cription of the types of industrial activities and products manufactured at
this facility: V 1 f' AtAJPA<XQfLE A-vo �s,
MW
8) Discharge points:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
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. ' /ZZ'A_Z_1
Latitude (degrees/minutes/seconds). N
Longitude (degrees/minutes/seconds):- 1 W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): AN
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): Z N
Longitude (degrees/minutes/seconds): -Aq 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
Page 2 of 4
SWU-220-071408 Last Revised 6/24/14

NCGO50000 N.O.I.
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
9) Receiving waters:
What is the name of the body or bodies of watescreek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? IF_ T, k<W
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).
10) Does this facility have any other NPDES permits?
No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
❑ No
`Yes
If yes, please briefly describe
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
IN�`Yes
If yes, when was it implemented? 6/0_t_ /20 VA
14) Are vehicle maintenance activities occurring at this facility?
No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
No ❑ Yes
'�k C-
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
14'No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazard(lUs waste generated per month) of
hazardous waste?
No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
Page 3 of 4
SWU-220-071408 Last Revised 6/24/14

NCG050000 N.O.I.
How is material stored: _
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor: _
Vendor address:
16) Certification:
North Carolina General Statute 143-215.6 b (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 informationrie Irue, complete, and accurate.
Printed Name of Person S���
Title: V-A r Nignin V�
(Signature
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDEQ.
Page 4 of 4
SWU-220-071408 Last Revised 6/24/14

NCGO50000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
DR� Check for $100 made payable to NCDEQ
This completed application and all supporting documents
Copy of county map or USGS quad sheet with location of facility clearly marked on map and nearby waters
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 the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or Regional Office for your area.
DEMLR Regional Offlce 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 .........(919)
807-6300
Page 5 of 4
SWU-220-071408 Last Revised 6/24/14

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5/15/2019 Tax Parcel / GIS Viewer
Harnett couHrrTax Parcel l GIS Viewe
900 EDWARDS BROTHER X Q
Show search results for 900 ED...
1 -78.807 35.395 Degrees
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•78.725, 35,409
Site Information
Le"CO, McKay Or
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SUMTER PACKAGING
STORM WATER POLLUTION PREVENTION PLAN
1) Purpose:
The Purpose of the Sumter Packaging Stormwater Pollution Prevention
Plan is to minimize or eliminate the possibility of any chemical or
products used by Sumter Packaging contaminating stormwater.
2) Site Plan:
A: Sumter Packaging operates one Plant on a 13.49 acre site that is
located at 900 Edwards Brothers Drive, Lillington, NC 27546.The
Plant is approximately 59,275 sq. ft. and will be used for design,
manufacture and transport displays, corrugated boxes and other
packaging products. It also will be involved in fulfillment, assembly
and logistics. The Plant contains one piece of equipment called a
Blister Sealer Machine which does not operate with any chemicals,
liquid products.
B: Potential pollutant sources: Lubricating Oil.
All Lubricating Oils are stored within the building.
3) Logistics:
All inbound shipments are received direct at one of the three
shipping docks located at the backside (north side) of the building
and all outbound shipments are shipped direct from one of the three
shipping docks. There are no outside processes as all manufacturing,
transporting of displays and assembly are conducted inside of the
building.