HomeMy WebLinkAboutNCG030680_COMPLETE FILE - HISTORICAL_20170324STORMWATER DIVISION CODING SHEET
' NCG PERMITS
PERMIT NO.
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
0 4` � �0 3 ou
YYYYMMDD
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Mr. Byron Bellman
General Dynamics Mission Systems
3801 Boren Drive
Greensboro, NC 27410
Dear Mr. Bellman:
ROY COOPER
Govemor
M[C,qAEL S. REGAN
a�
Secretary
DAVIS
n 0- T-
rr
� ACY
Dyj
Director
March 24, 2017 0
o
CD
Subject: General Permit No. NCG030000
General Dynamics Mission Systems
COC No. NCG030680
Catawba County
In accordance with your application for a discharge permit received on January 25, 2017, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state —
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US
Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except upon approval of the
Division of Energy, Mineral and Land Resources. The Division of Energy, Mineral and Land
Resources may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Energy, Mineral and Land Resources, the Coastal Area Management Act, or any other
federal or local government permit that may be required.
If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number
(919) 807-6370 or by email iulie.ventaloro@ncdenr.gov.
Sincerely,
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office, Zahid Khan
Central Files
Stormwater Permitting Program Files
State of North Carolina I Emirouuternal Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030680
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
V1
In compliance with the provision of North Carolina General Statute 143-215.1 _fu other lawl
standards and regulations promulgated and adopted by the North Carolina En%nme�l
Management Commission, and the Federal Water Pollution Control Act, as atnrded,
CP
General Dynamics Mission Systems
� a
is hereby authorized to discharge stormwater from a facility located at
General Dynamics Mission Systems SATCOM
1700 Cable Drive NE
Conover
Catawba County
to receiving waters designated as Mull Creek and Long Creek, class WS-IV waters in the
Catawba River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts 1, 1I, III, and IV of General Permit No. NCG030000 as
attached.
This certificate of coverage shall become effective March 24, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 24, 2017.
VW'2'!=WN
for Tracy E. Davis, P.E., CAI
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission
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NCG030680
N
W E
S
Map Scale 124, 000
General Dynamics Mission Systems
SATCOM
Latitude: 351 42' 27" N
Longitude: 810 11' 24" W
County: Catawba
Receiving Stream: Mull Creek & Long Creek
Index No: 11-76-4 & 11-76-5-1
Stream Class: WS-IV
Sub -basin: 03-08-32 (Catawba River Basin)
r�r
Facility Location
Energy, Mineral
and Land Resources
ENVIRONMENTAL OUALITV
March 24, 2017
Mr. Byron Bellman
General Dynamics Mission Systems
3801 Boren Drive
Greensboro, NC 27410
ROY COOPER
Governor
MICHAEL S. REGAN
.Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCG030000
General Dynamics Mission Systems
COC No. NCG030680
Catawba County
Dear Mr. Bellman:
In accordance with your application for a discharge permit received on January 25, 2017, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state —
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US
Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except upon approval of the
Division of Energy, Mineral and Land Resources. The Division of Energy, Mineral and Land
Resources may require modification or revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Energy, Mineral and Land Resources, the Coastal Area Management Act, or any other
federal or local government permit that may be required.
If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number
(919) 807-6370 or by email iulie.ventaloro&cderingov.
Sincerely,
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office, Zahid Khan
Central Files
Stormwater Permitting Program Files
State oENorth Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street i Raleigh, NC 27699-1612
919 707 9200 T
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG030000
CERTIFICATE OF COVERAGE No. NCG030680
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
General Dynamics Mission Systems
is hereby authorized to discharge stormwater from a facility located at
General Dynamics Mission Systems SATCOM
1700 Cable Drive NE
Conover
Catawba County
to receiving waters designated as Mull Creek and Long Creek, class WS-IV waters in the
Catawba River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III, and IV of General Permit No. NCG030000 as
attached.
This certificate of coverage shall become effective March 24, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 24, 2017.
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission
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NCG030680
N
W E
S
Map Scale 124, 000
General Dynamics Mission Systems
SATCOM
Latitude: 350 42' 27" N
Longitude: 810 11' 24" W
County: Catawba
Receiving Stream: Mu[! Creek & Long Creek
Index No: 11-76-4 & 11-76-5-1
Stream Class: WS-IV
Sub -basin: 03-08-32 (Catawba River Basin)
r?1�+�►`� ��■fit► +�� �r# M
Facility Location
A
r
Energy, Mineral
and Land Resources
ENVIRONMENTAL OVALITY
General Dynamics
Attention: Mr. Byron Bellmaa fig:
3801 Boren Drive
Greensboro, North Carolina 27410
General Dynamics Mission Systems
Attention: Mr. Byron Bellman
1700 Cable Drive Northeast
Conover, North Carolina 28613
ROY COOPER
Governor
MICHAEL S. REGAN
Secrewry
March 14, 2017
MAR 2 0 2017
ILt7,,,
Subject: Notice of Inspection
NPDES Stormwater Certificate of Coverage- NCG030680
Catawba County, North Carolina
Dear Mr. Bellman:
TRACY E. DAVIS
Director
Enclosed please find a copy of the Compliance Inspection Report for the initial inspection conducted at the
General Dynamics Mission Systems site on March 8, 2017. The report should be self-explanatory, however, should
you have any questions concerning these reports, please do not hesitate to contact me at (704) 663-1699 or by email
at Holliday.Keen@ncdenr.gov.
Sincerely,
Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section
Enclosure: Inspection Report
W?-,-fStormwater.- ermitting-Programi
State of North Carolina j Environmental Quality I Energy, Mineral and Land Resources
Mooresville Regional Office 1610 East Center Ave Ste 3011 Mooresville, NC 28115
704 663 1699 T
Compliance Inspection Repo
Permit: NCGO30680 Effective: Expiration: Owner: General Dynamics Advanced Information
Systems
SOC: Effective: Expiration: Facility: General Dynamics Mission Systems SATCOM
County; Catawba 1700 Cable Dr Ne
Region: Mooresville
Contact Person: Byron Bellman Title:
Directions to Facility:
from 1-40 turn south on rock dam rd ne, left on McLin Creek Rd and then right on Cable Drive.
System Classifications:
Primary ORC: Certification:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Conover NC 28613
Phone: 336-323-9752
Phone:
Inspection Date: 0310812017 Entry Time: 04:30PM Exit Time: 05:00PM
Primary Inspector: Holliday Keen Phone:
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Metal Fabrication Stormwater Discharge COC
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1
Permit: NCG030680 Owner - Facility: General Dynamics Advanced Information Systems
Inspection Date: 03108/2017 inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This inspection was performed per the Notice of Intent received by our office on January 25, 2017. Upon inspection, I found
that this site is in accordance with the Notice of Intent submitted. I recommend that this site be granted a certificate of
coverage under the General Permit NCG030000.
Page: 2
Permit: NCG030680
SOC:
County: Catawba
Region: Mooresville
Compliance Inspection Repoli
Effective: Expiration: Owner: General Dynamics Advanced Information
Systems
Effective: Expiration: Facility: General Dynamics Mission Systems SATCOM
1700 Cable Dr Ne
Contact Person: Byron Bellman Title:
Directions to Facility:
from I-40 turn south on rock dam rd ne, left on McLin Creek Rd and then right on Cable Drive.
System Classifications:
Primary ORC: certification:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Conover NC 28613
Phone: 336-323-9752
Phone:
Inspection Date: 03108I2017 Entry Time: 04:30PM Exit Time: 05-OOPM
Primary inspector: Holliday Keen Phone:
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Metal Fabrication Stormwater Discharge COC
Facility Status: [] Compliant ❑ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1
Permit NCG030880 Owner - Facility: General Dynamics Advanced Information Systems
Inspection Date: 03108/2017 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This inspection was performed per the Notice of Intent received by our office on January 25, 2017. Upon inspection, I found
that this site is in accordance with the Notice of intent submitted. I recommend that this site be granted a certificate of
coverage under the General Permit NCG030000.
Page: 2
permit: NCG030680 Owner - Facility: General Dynamics Advanced Information Systems
Inspection Date: 03108/2017 Inspection Type : Complianoe Evaluation Reason for Visit- Routine
Page. 3
`�-
Ncco366&6
ADivision
of Energy, Mineral and Land Resources
Land Quality Section
.A �,.
NCDENR
National Pollutant Discharge Mimination System
NCC030000
NOTICE OF I ITENT
National Pollutant Discharge Elimination System ipplloatlon for coverage under General Permit
NCGO30000:
STORMWATER DISCHARGES associated wlth activities classified as:
SIC (Standard Industrinl Classification) 335 Rdiing, Dmwirig, and Extruding Gf Norderrom Metals
BIG 3398 Metal Heat Treating
BIG34 FatancatedMetal Products RECFIVED
SIC 35 Industrial unit Commercial Machinery
SIC 3e Electronic and Other Electrical Equipment JAN 2 B i'.7
SIC 37 Transportation Equipment
SIC 39 Measuring, Analyzing, and Controlling Inotruments DENR-LMO DUALITY
STORMWATER PERMI1TiNG
For gussoms, planes contact the DEifl R Rsylone! OtRce Ibr your arse. Boa 4.
(Pismo print or type)
1) Mailing address or ownodoperator
I II
Name General Pynamic ATjN: Bymg Bauman
Street Address 2N Boren Oriva
City GroQosborn
Slate AQ_ ZIP Coda 27410
Telephone No. 33"3-9752
Fax: 335:323-g034
2) Location of facility producing discherge.
Facility Name fl
Facility Contact Byron Bellman
Stract Address 1700 Cable Dr Ne
CRY Concive
Sato VC _ ZIP Code Z=
County CaL4da ............
Telephone No. NO-323-9751
Fax: 330-2239&i4
Email Bvron.Bollman®nd-ms.00m
3) Physical Location Information:
Pipme provldo a narrative description of how io get to
the facility (use atreel names, state road numbers, and
distance and direction from a roadway Intersection).
From 140 turn south on Rack Dam Rd NE. Left on McUn
Creek M and lhon right on Cpble Drive,
(A copy of a county map or UWS quad sheaf nisi ro %ditty dsumy located must be submitted Win this apphmaan.)
4) Latitude 3S42' 2B.7" _ Longltude_-Bt W 24.1" (dog, min, sac)
35•910,13y91 lgl.lgo05�>
NCGO30000 N.O.I.
a) This NPDES Permit Application applies to which of the following:
X Now or Proposed Facility pate operation Is to begin
0 Existing
9) Standard Industrial Classification:
Provide the 4-digit Standard Industrial Classfficatlon Code (SIC Code) that describes the primary industrial
activity at this facility.
SIC Code: 3 0 8 3
7) Provide a brief narretive description of the types of industrial activities and products manufactured at
this facility: Metal Falxlcation - Industrial qgy((i_fi3med_to storrnwater IneWdet-loadlnu-dvCk area with
open dumostilm.god a layOMM area south of the building for -pintos. packaging- p daeuioment (see Photos 1
and 21.
8) Discharge points I Receiving waters:
Now many discharge paints (ditches, pipes, Channels, etc.) convey stormwater from the property? 1
What Is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility atormwater
discharges and up In? Mull Creek and Lorca Creek _
Receiving water cleaslficatlun: WS-IV and V S-1V
Is this a 303(d) fisted stream? _ No Has a TMDL been approved far this watershed? No�
If the site storrnwalw discharges to a separate storm sewer system, name the operator of the separate stone
sewer system (e.g. City of Raleigh municipal storm sewer). bA
0) Does this facility have any other NPDES permits?
x No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this faeAtty:
10) Does this facility havo any Nan-Dischargo parmlts fox: recycle permit)?
X NO
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: _
11) Does this facility employ any bast management practices for atormwatsr control?
X No
❑ Yes (Show any structural BMPs on the site diagram.)
If yes, please Wefly describe:
12) Dow this facility have a Stormwatar Pollution Prevention Plan?
X No
❑ Yes
If yes, when was A Implemented?
13) Are vehicle maintenance activities occurring at this tactility?
X NO Q Yes
Page 2 of 4
SVMU-Yta-0it�0a Lest "FOOd VVIA!
NCGD30000 N.O.I.
141 Hazardous Waste:
a) Is this radllty a Hazardous Wasta Treatment, Storage, or Disposal FadlW
X No 0 Yes
b) Is this facility a Small Quantify Generator (ion than 1000 kg, ar hazardous waste generated pot morph) of
hazardous waste?
X No ❑ Yea
c) to this faniilty a Large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yas
d) is hazardous waste aWmdlnthe 100•yesrflood pUdn?
X No ❑ Yes If yes, include information to domonstrata protxtlon from flooding.
e) It you answered yes to questions b. or c., please provide the fallowing Information:
T)pe(s) of wasta-
Harr Is matortal slorad:
Mom Is material stored:
Haw many disposal shipments per year,
Name of transport/ disposed vendor.
Vendoraddreaw
15) Cortyflcellom
North Carolina General SIBtute 143-216.t1B (1) provides that:
Any person who know1r4y mama arrr false e/e*rnwd, mpraeaiddion, or cwdkzb n in end' spprulfon, record, mood,
plop, or Ww doaanad lad or regeYad to he malradtad under arh Arable m a rule hwkmagang Iris Adk* er Ow
kno,Avtr make a files rtammerd d a msiarrd fed In a nderneking wooeedlan or ovaeslad case under fhb Artkt; or
who fohlau, u rrpws wah, or kmwfto rerrdan Inaccurate arrr mawdhp or manawft dents a meawd mgurad to tw
ep*rapatl a mektaked undu arh Arable a n doe of to Co nnrMsk w ki*mw the eft Arad* char he pulky de Clan 2
mbdameanor which soy Imirda a frw not to nwmW San thoueend doAKs (910,0Da).
I hereby raqueet coverage under the referenced Genora4 Permit. I understand that coverage udder this pem*
will, oonanttrts the permit requltoments for the dlsoharge(e) and Is enforceable In the same mariner as an
Individual permit.
I certify Owl I am familiar with the Information contained In this appocavo n and that to the best of my
knowledge and ballet such Uftrnatiorl le true, complete, end accurate.
Printed Name of Person Signing:
TI((9: 1_,CAr 4L ---
( arms of Appftcen0 (Difte Signed)
This Notice of Intent must be accompanied by a cheek or money ardor for $100.00, made payable to:
NCDENR
Page 3 of 4
aWU-216-a11405 Lea$ rawhed 7MM4
tf
NCGO3000D N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following atoms have been Included:
X Check for $100 made payable to NCI NR.
X This Completed appllcatlon and all supporting documents.
X A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) etormwater management atructures, (c) location of stormwater nutfalls
corresponding to the drafnaga areas, (d) runoff conveyance features. (a) areas where materials are stored,
(f) impervious areas, (9) site property lines.
X Copy of County map or USG$ quad sheet with the location of the facility oleany marked on the map.
Mall the entire package to:
Stormweler Permitting Unit Program
Division of Energy, Mineral and Land Resources
1012 Mall Service Center
Raleigh, North Carolina 27809-1612
M212
The submiasion of this document does not guarantee coverage under the General Permit
For quea fans please sorted Um DFMLR Regional Office lbryour arcs.
I7EMLR Reafonel Office Contgyt lffR! atlon:
Asheville Office ...... (828) 29&4600
Fayetle4o Office ... (910) 433-3300
Mooresville Office ... (704) 603.1099
Raleigh Office ........ (019) 791-4200
Washington Office ...(262) 948$481
Wilmington Office ... (910) 790-7215
Winston-Salem ...... (336) 771-5000
Central Office .........(919) 807-6300
Page 4 of 4
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Division of Energy, Mineral and Land Resources
, 4 • • Land Quality Section
� . National Pollutant Discharge Elimination System
NCDENR rrcG030000
NOTICE OF INTENT
FOICA-GENCY USE ONLY
Mrarea�r:��z=«rj
. ,I. m
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals
SIC 3398 Metal Heat Treating
SIC 34
Fabricated Metal Products
RECEIVED
SIC 35
Industrial and Commercial Machinery
SIC 36
Electronic and Other Electrical Equipment
JAN 252017
SIC 37
Transportation Equipment
SIC 38
Measuring, Analyzing, and Controlling Instruments
DENE?-LAND OUALITY
STORMWATER PERMITTING
For questions, please contact the DEMLR Regional Office for your area. See page 4.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mail:
Name
Street Address
City
Telephone No.
General Dynamic ATTN: Byron Bellman
3801 Boren Drive
Greensboro
336-323-9752
2) Location of facility producing discharge:
State NC _ ZIP Code 27410
Fax: 336-323-9634
Facility Name General Dynamic Mission Systems SATCOM
Facility Contact Byron Bellman
Street Address 1700 Cable Dr Ne
City Conover State NC ZIP Code 28613
County Catawba
Telephone No. 336-323-9752 Fax: 336-323-9634
Email Byron.Beliman d-ms.com
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). From 140 turn south on Rock Darn Rd NE. Left on McLin
Creek Rd and then right on Cable Drive.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 3542' 26.7" Longitude _-81.11' 24.1" (deg, min, sec)
3b•��'73`f of -S!. �Roob�>
NCG030000 N.O.I.
5) This NPDES Permit Application applies to which of the following:
X New or Proposed Facility Date operation is to begin
❑ Existing
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: 3 ti 6 3
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Metal Fabrication - Industrial activity exposed to stormwater includes loading dock area with
open dumpsters and a laydown area south of the building for crates, packaging, and equipment (see Photos 9
and 2).-
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property.? 2
What is the name of the body or bodies of water (creels, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Mull Creek and Long Creek
Receiving water classification: WS-IV and WS-IV
Is this a 303(d) listed stream? No 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). NA
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
X 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?
X No
❑ Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
X No
❑ Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
X No ❑ Yes
Page 2 of 4
CWI l_91 R1171 Ann
NCG030000 N.O.I.
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal i=acility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) Is hazardous waste stored in the 100-year food plain?
X 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 f disposal vendor:
Vendor address:
15) Certification:
North Carolina General Statute 143-215.6B (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report,
plan, or other document flied 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 rulamaking 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 Braude a fine not to exceed tent 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: &d
Title: e!E2& 1ik 4au1
/lJ//7
(Signature of Applicant) (Date Signed)
This Notice of intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR
Page 3 of 4
SWU-218-071408 fast revised M14
NCG030000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
X Check for $100 made payable to NCDENR.
X This completed application and all supporting documents.
X 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,
(f) impervious areas, (g) site property lines.
X Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
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 ......
(828) 296-4500
Fayetteville Office ...
(910) 433-3300
Mooresville Office...
(704) 663-1699
Raleigh Office ........
(919) 791-4200
Washington Office ...(252) 946-6481
Wilmington Office ...
(910) 796-7215
Winston-Salem ......
(336) 771-5000
Central Office .........(919)
807-6300
Page 4 of 4
5WU-218-071408 Last revised 7/2l14
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amec foster wheeier GENERAL DVI IAILMICS General Dynamics Figure No.
Mission Systems, Inc. 1700 Cable Dr
Conover, North Carolina
Amec Foster Wheeler 'nTLE.
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Environment and Infrastructure, Inc. Site 1 inch = 1,167 feet DATE: D•c•mMr 15, 2016 aJECT: sasotae1w
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