NCG120110_Corrected NOI Application pg 3 of 4_20190718

NCG120000 N.O.I.
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
❑ No
R Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: 9226MWP20
11) Does this facility employ any best management practices for stormwater control?
❑ No
M Yes (Show structural BMPs on the site diagram.)
If yes, please briefly describe: Dry detention basins with vegetative stabilization
12) Does this facility have a Stormwater Pollution Prevention Plan?
M No
❑ Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
9 No ❑Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
M No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
4 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?
M 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:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
15) Certification:
North Carolina General Statute 143-215.613(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).
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SWU-227-071408 Last revised 6/24/14