NCG060402_Application_20190916

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NOTICE OF INTENT
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG060000
2&0,0C
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
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Certificate of Coverage
N C G 0 6
Check N
Amount
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Permit Assigned to
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National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000:� .f
STORMWATER DISCHARGES associated with activities classified as:
SEP V 6 2 i.t
SIC (Stdriddrel Industrial Clussific;ution) 20 Food acid Kindred Products
SIC 21 Tobacco Products uCiVR'L/`'`tg QUALITY
SIC 283 DrugsTCFiMi't`>11'ERI PEWITTING
SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations
SIC 422 Public Warehousing and Storage (except 4226)
For questions, please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this NOI for renewals.
(Please print or type)
1)
Mailing address of owner/operator (address to which all permit correspondence
will be mailed):
Name Stig Bruse Andersen
Street Address 3611 Powhatan Rd
City Clayton State NC
ZIP Code 27527
Telephone No. 919 550-2200 Fax: 919
359-8101
2)
Location of facility producing discharge:
Facility Name Novo Nordisk - DAPI-US
Facility Contact Matt Kuntz
Facility Address 3611 Powhatan Rd
Facility City Clayton State NC
ZIP Code 27527
Facility County Johnston
Telephone No. 919 410-5333 Fax: 919
359-8101
Email [e-mail]
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). Located on the east side of Powhatan Rd 0.65 miles north of its
intersection with US 70 Business. Facility is north of the railroad tracks.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35d 37m 03s Longitude 078d 24M 20s (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑✓ New or Proposed Facility
❑ Existing
Date operation is to begin October 01, 2019
S W U-221
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Last revised 6/24/14

NCG060000 N.O.I.
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: 2 8 3 3
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: Facility produces and purifies precursor ingredients from various chemicals for pharmaceuticals. Chemicals are stored in bulk tanks,
totes, and drums. Chemicals stored on -site include acids, bases and ethanol. Materials are received by trucks and tankers. Products are shipped by trucks.
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 3 (industrial)
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Little Poplar Creek
Receiving water classification: ws-lv; NSW
Is this a 303(d) listed stream? Yes (2008) 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). NCDOT
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): 35d 37m 06.1s
N
Longitude (degrees/minutes/seconds): 078d 24m 30.5s
W
Stormwater Outfall No. 002
Latitude (degrees/minutes/seconds): 35d 37m 00.3s
N
Longitude (degrees/minutes/seconds): 078d 24m 05.0s
W
Stormwater Outfall No. 003
Latitude (degrees/minutes/seconds): 35d ism 54.4s
N
Longitude (degrees/minutes/seconds): 078d 23m 53.4s
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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SWU-221 Last revised 6/24/14

NCG060000 N.O.I.
9) Does this facility have any other NPDES permits?
❑ No
4 Yes
If yes, list the permit numbers for all current NPDES permits for this facility: NCGo10000, WQ0038790
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
M No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
M Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: 4 wet detention ponds, 1 sediment basin (temporary), secondary containment @ Tank Farm.
Sediment Basin will be removed after completion of facility construction, full firewater containment for all production areas.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
M Yes
If yes, when was It implemented? Under development, to be finished by 09/30/19.
13) Are vehicle maintenance activities occurring at this facility?
4 No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
0 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
E. M -
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
❑ No 4 Yes
d) Is hazardous waste stored in the 100-year flood plain?
11 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: Chemicals, Solids including resin
How Is material stored: in tanks and drums
Where is material stored: in the Central Accumulation Point (CAP) inside each production building.
How many disposal shipments per year: at least 30 per year
Name of transport / disposal vendor: Triumverant Environmental
Vendor address: 2016 Garner Station Blvd, Raleigh, NC 27603
Page 3 of 4
SWU-221 Last revised 6/24114

NCG060000 N.O.I.
15) Certification:
North Carolina General Statute 143-215.6E (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: > I IG" 2>ZUSE ANDERSCA.1
Title: VICE PKESI O&V7 CIMRA I OARS
(Signature of Applicant)
a /OAI ZG m
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable
to: NCDEQ. Do not send the check or money order separately.
rR h—�
E0F=i )
SEP 16 20119
DENR-LAND QUALITY
STORMVVATER PERMITTING
Page 4 of 4
SWU-221 Last revised 6124/14

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).
® 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,
loaded, and unloaded, (f) impervious areas, (g) site property lines.
® Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
nFMt R - 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 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
...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 5 of 4
SWU-221 Last revised 6/24/14

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POWHATAN, NC (1993) QUADRANGLE
7.5 MINUTE SERIES, 1:24000
MAP 1 — SITE LOCATION MAP
Novo Nordisk — Clayton NC Stormwater Pollution Prevention Plan
NPDES General Permit NCG060000 Page 4

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10 September 2019
State of North Carolina
Department of Environmental Quality
DEMLR- Stormwater Program Division
1612 Mail Service Center
Raleigh, NC 2/699-1612
Subject: Novo Nordisk - DAPI-US Facility
Stormwater Discharge Permit - NOI
Attn: Annette Lucas
State Stormwater Program Coordinator
919-707-3639
annette.lucasCa ncdenr.go_v_
Dear Ms. Lucas and team members,
0
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novo nordisk
SEP 16 2013
DENR-LAND QUALITY
STORMWATER PFRMI T T IN;,
Enclosed please find Novo Nordisk - DAPI-US Facility's request for stormwater discharges
and notice of intent for coverage under General Permit NCG060000. As per the applica-
tion, the package includes:
o A check for $100, payable to NCDEQ
o Completed application and supporting documents that shows
o A map with the location of the facility
o Two (2) copies of a site diagram indicating stormwater management struc-
tures
If there are questions or additional information required for support, please contact me
via email (JRK I Calnovonordisk.com) or via phone at 919-410-5333
Sincerely,
r
Jeremy Keltner
Novo Nordisk 3611 Powhatan Road Telephone: E-mail:
Pharmaceutical Clayton, NC 27527-9217 [phone] [e-mail]
Industries, LP USA Telefax: Internet:
[phone] www.novonordisk-
clayton.com