NCG140472_NOI Application_20190530

NG;-tq o q-1 2
Division of Energy, Mineral and Land Resources
Stormwater Program
National Pollutant Discharge Elimination System
Environmental � � � � " - QCG140000
Quality
MAY 3 0 2019 MAY 2 8 REC
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
YearMonth
Da
Zotc�
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Certificate of Coverage
NICIGI o -i Z
Check #
I Amount
64
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Permit Assigned to
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DcNR-LAI\!D QUALITY
National Pollutant Dischargejipptgplication for coverage under General Permit NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code: 3273 and like activities
Wad
Ready Mixed Concrete
This NOI may be an application to discharge process wastewater. NCG140000 contains effluent limitations
for process wastewater discharges. Wastewater discharges must meet the requirements of these effluent
limitations. An exceedance of any of these limitations will result in a violation of the permit conditions.
For questions, contact the DEMLR Central Office or Regional Office in your area. (Seep 8)
(Please print or type)
1) Mailing address of owner/operator (official address to which all permit correspondence will be
mailed): 1 7
Legal Company Name i'o�95 W ��
(Please attach the most recent Annual Report to the NC Secretary of State showing the current legal name. Alternatively
this permit can be given to an individual.)
Signee's Name (as signed for in question 28 below) 111A Yie/dFJ i4l�l���
Street Address q U1,Rf t 3�a S%/24 41-
City State ZIP Code c
Telephone No. — 7-3 Email A %3# 1410-i"CrZat r—e- "t6.vtz'9 n9 41
Alternate ContactName &'fr� f Email (if different) 61J M
Alternate Contact Telephone (if different) :Z5 2- i Gi+
2) Location of facility producing discharge:
Facility Name
Street Address is I k& rt. r
City Nt, k) dk A—r/ State N6- ZIP Code -z-
County Facility C/"' /9 Vo,y
Contact M,14 Ft�Q S 4 gibu J , n-
Telephone No. Zj" x- q yS'— %3 Email uuLAEit-1 i4
3) Physical location information: /M4dl ` Grsm
Please provide narrative directions to the facility (use street names, state road numbers, and distance and
direction from a roadway intersection). Q-L."P 04-,c 05 7J
60 Wj_;e' 4 bz fi r. s" IvP4_612 , tv i4l 1, 6,►,. S irz �� T1-�. IZ�'y � n 72 6 j .
(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 3 j5 " O � j Longitude % 7 `/d I Z3 11 1/I/ (deg., min, sec or decimal)
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NCG140000 N.O.I.
5) This NPDES Permit Application applies to the following (check all that apply):
)KNew or Proposed Facility Date operation is to begin .TV
❑ Existing Facility Date operation began
6) Consultant's appli ation informs .on,
Consultant: �7u �' e� It (GdL ,� d SU j/, AF
Consulting Firm: l7 L4 A x 64Ar L J11 014-
Mailing Address: 11U W.6j,.r
City: hf} S k /�a 4i2 �j
State: Zip Code:
Phone: (2)
Email: �iC1 �F�` �St?iyTy} (ct� Cim kgrZ!� to !jy
i/
(Optional)
Staple Business Card Here:
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary
industrial activity at this facility:
SIC Code: J Z 7 3
8) Provide a brief description of the types of industrial activities and products produced at this facility:
(Attach a site diagram showin,Q the process areas present at this facility.)
Stormwater Discharge, Wastewater Treatment & Discharge and Permitting Information
9) Discharge points / Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges will end up in?
/2> ✓4"C,
To find the waterbody, please see the NC Surface Waterbody Classifications map at
https://deq. nc.gov/abouVdivisions/water-resources/water-resources-science-data
Receiving water classification(s) for the waters: (�2 $ 5-W *f /V
If the site will discharge to a separate storm sewer system, name th operator of the separate storm sewer
system (e.g. City of Raleigh municipal storm sewer).T,L�-
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NCG140000 N.O.I.
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.
Be sure to indicate a type for each outfall listed below as Stormwater only, Wastewater only or Wastewater
Commingled with Stormwater 16 f��
W 13 T� ✓z- 0 iv"e rs-ru �-<-i tLA19 i� jZ
Outfall No. !i Storm ate only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): w
Outfall No. Stormwater only
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
Outfall No. Stormwater only
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
Outfall No. Stormwater only
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
❑ Wastewater only
❑ Wastewater only
❑ Wastewater only
_ N
w
_ N
w
N
w
Wastewater Commingled with Stormwater
Wastewater Commingled with Stormwater
Wastewater Commingled with Stormwater
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): w
Outfall No. Stormwater only
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
Outfall No. Stormwater only
Latitude (degrees/minutes/seconds):
Longitude (degrees/minutes/seconds):
❑ Wastewater only
❑ Wastewater only
_ N
w
_ N
w
Wastewater Commingled with Stormwater
Wastewater Commingled with Stormwater
Will this facility discharge wastewater to SA (Shellfish) waters? ❑ Yes No
Note: Discharge of process wastewater to receiving waters classified as Critical Area (CA) must be
reviewed by the N.C. Division of Water Resources, Public Water Supply Section ahead of
approval. No new discharges of process wastewater are permitted in receiving waters
classified as WS-1 or freshwater ORW.
You must show all discharge points clearly on the submitted site plan. Be advised that
NCDEQ may require you to apply for an individual permit, based on proposed discharge rates
and receiving stream conditions (low flows, impairments, etc.)
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10) Each applicant shall provide the following information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibly show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Stormwater/wastewater treatment structures
o Location of numbered stormwater/wastewater outfalls (corresponding to which drainage areas)
o Runoff conveyance structures A// Y IK15 �
o Areas and acreage where materials are stored
o Impervious area acreages
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
o Site property lines, North Arrow, and bar scale
o If applicable, the 100-year floodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities' wastewater or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
o Site location (insert)
Site plans shall be 24" x 36" in size.
• Line drawing and description: Aline drawing of the water flow through the facility. A pictorial description
of the nature and amount of any sources of water and any collection and treatment measures.
• A narrative description and identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by
discharge. Processes, operations, or production areas may be described in general terms (e.g. "ash
silo").
11rNo
a applicant have any unresolved Notice of Violations (NOVs)?
❑Yes
Wastewater:
12) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater
Generate
Discharge
Sent to WW
Treatment
S stem
Vehicle and equipment cleaning VE
❑
❑
Wetting of raw material stockpiles RM
❑
❑
Mixing drum cleaning MD
❑
❑
if necessary: V �}
1 q n.e J -rd
13) Will your faci ity spray -down or actively wet aggregate piles?
❑ No AYes
14) Does the facility use any of the following on site?
❑ Phosphorus -containing Detergents
❑ Brighteners ❑ Other Cleaning Agents
d A ds
❑ Non -Phosphorus -containing Detergents
❑ Other:
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15) rN
astewater treatment facilities planned in the 100-year flood plain?
❑ Yes
'—i 16) Will your facility build a closed -loop recycle system (CLRSs) that meets design requirements in 15A
1 NCA C 02T .1000 nd hold your facilities' working volume'?
❑ Yes No
If Yes, STOP COMPLETION of this permit. Contact DWR Non -Discharge Permitting Program for permitting
requirements.
17) A wastewater treatment alternatives review is required by 15A NCAC 2H.0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? VE RM MD
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one -mile radius? ..................................... ❑ Yeso
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... ❑ Yes ❑ No A/4
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?*
c) Surface or Subsurface Disposal System (e.g., spray irrigation): X
i) Is a surface or subsurfa2 disposal technologically feasible (possible)?.........Yes ❑ No
Why or Why not? el' -MBA !� ✓%3lf �I
ii) Is a surface or subsurface disposal
Why or Why not? Pamy✓tp l ,
to implement?* ........................... Yes ❑ No
/-IYte
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
disc�_arge to syrf?e wgter Ai'�y� t1­✓cy A A/
d) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?*... VYes ❑ No
i) if No, contact DEMLR's Land Application Unit to determine permitting requirements.
e) If this review included all wastewater discharge types, would excluding some types e.g. raw
stockpile wetting) make any of the above non -discharge options feasible? .............. AYes o
" You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
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Stormwater:
18) Does this facility employ any best
If es, pl a briefly describ
% Y"r0-t.
19) Does this facility have a Stormwater Pollution
If yes, when wqs it,implemented? Wlb
for Stormwater control? ❑ No M Yes
f'ro /x A, wdti, l
Plan? ❑ No Yes
A V Q " `sue "1�6
20) Are vehicle maintenance activities (VMA) occurring or planned at this facility? VNo ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? ❑ No ❑ Yesl `
Other/Permitting:
21) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
❑ No Yes �p )'!aj r'r
If yes, list the permit numbers for all current E&SC permits for this facility:
22) Is your facility subject to Phase II Post -Construction Area? ❑ Noes
If yes, who is the permitting authority? C , , � 4
23) Is your facility located in one of the 20 Coastal Counties?Yes ❑ No
Is your facility adding more than 10,000 ft2 of built -upon area or CAMA Major Permit? ❑ Yes No
24) Is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate piles, drum
rinse -out, or vehicle and equipment cleaning to a stormwater BMP?o ❑ Yes
If yes, please attach your approval from the permitting authority to do so.
25) Does this facility have any other NPDES permits? ❑ No ❑ Yes / U
If yes, list the permit numbers for all current NPDES permits for this facility:
26) 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 t is facility:
27) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
JXNo ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
No ❑Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
*haa dous waste? /
No ❑ Yes /9 ✓ /�� �j,.� ! �✓j1. r✓ J /z ad ^t.
d) Type(s) of waste:
How is material stored. t�1
Where is material stored: / 1
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How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
Final Checklist
This pplication 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 documentation. See Question 10.
If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR) or
local designee: documentation verifying applicant has developed and submitted that Plan to the governing
agency (required per 15A NCAC 02H .0138). APP 1 r
Two (2) site plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
outfalls. See Question 10.
A county map or USGS quad sheet with location of facility clearly marked.
28) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
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 permit, 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 employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter
1980 dollars), if authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected
official.
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 information is true, complete, and a curs e. 11
Printed Name of Person Si�9 Wing: M A6
Title: C
(Signalure of Applicant) (Date Signed)
EOFINI!
MAY 3 0 2019
DENR-LAND QUALITY
STORMWATER FERIA i "I INC
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