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Home My WebLink AboutNCG050436_COMPLETE FILE - HISTORICAL_20161121STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. Nuco�091L, DOC TYPE HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ 1()I(:;, i I a I YYYYM M DD .� I-gu- ZgA._J ki-J f Energy, Mineral and Land Resources �' a ENVIRONMENTAL QUALITY °°'`s[°�'a�F� November 21, 2016 s �J r C� Mr. Ben Payne 'o, � V.P. of Operations o* C"; Red Valve Company, lnc.`'' k°R 1205 Isley Drive Gastonia, NC 28052 Dear Mr. Payne: PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary TRACY DAVIS Direvor Subject: General Permit No. NCG050000 Red Valve Company COC No. NCG050436 Gaston County In accordance with your application for a discharge permit received on November 2, 2016, 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). The Division also reviewed your request for no -exposure certification for exclusion from NPDES stormwater permitting received on June 24, 2016. Based on an inspection of your facility, the Mooresville Regional Office found that materials on your site are exposed, or have the potential to be exposed to stormwater. For that reason, the Division is unable to concur with your request for no - exposure certification, and you are required to operate under the attached General Permit NCG050000. 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. State of North Carolina I Emimomental Quality I Energy, Mineral and land Resources 1612 Maii Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612 919 707 9200 T If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number (919) 807-6370 or by email }ulie.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 S tm of w& Caolica I Emi==mtal Quality [ EneW, .NbeM mdL=d Rem 16U \ail Senior 1512 Nort Salim Stuet I Ralei jk 'sr 27GWOU 919 707 9200 T STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL AND LAND RESOURCES GENERAL PERMIT NO. NCG05000no— CERTIFICATE OF COVERAGE No. NCG05W361� STORMWATER DISCHARGES o�o Q � NATIONAL POLLUTANT DIS( 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, Red Valve Company, Inc. is hereby authorized to discharge stormwater from a facility located at Red Valve Company 1205 Isley Drive Gastonia Gaston County to receiving waters designated as unnamed tributary to Long Creek, a class C water 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. NCG050000 as attached. This certificate of coverage shall become effective November 21, 2016. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day November 21, 2016. for Tracy E. Davis, P.E., CPM Director, Division of Energy, Mineral and Land Resources By the Authority of the Environmental Management Commission R�10 Z NCGO50436 N W E' S Map Scale 129,276 V -1 Red Valve Company r f l!/1J �Y. H.L��4 •�� .��J 1 j W.w iiek. a^ - FRed Valve Company, Inc. Red Vale Company Latitude: 350 17' 13" N Longitude: 81° 14' 25" W County: Gaston Receiving Stream: UT to Long Creek Index No: 11-129-16-(4) Stream Class: C Sub -basin: 03-08-36 (Catawba River Basin) Facility Location Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY November 21, 2016 Mr. Ben Payne V.P. of Operations Red Valve Company, Inc. 1205 Isley Drive Gastonia, NC 28052 PAT MCCRORY Govemor DONALD R. VAN DER VAART Secretary TRACY DAVIS Director Subject: General Permit No. NCG050000 Red Valve Company COC No. NCG050436 Gaston County Dear Mr- Payne: In accordance with your application for a discharge permit received on November 2, 2016, 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). The Division also reviewed your request for no -exposure certification for exclusion from NPDES stormwater permitting received on June 24, 2016. Based on an inspection of your facility, the Mooresville Regional Office found that materials on your site are exposed, or have the potential to be exposed to stormwater. For that reason, the Division is unable to concur with your request for no - exposure certification, and you are required to operate under the attached General Permit NCG050000. 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. State of North 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 If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number (919) 807-6370 or by email iulie.ventaloro a ncdenr.gov. Sincerely, >2� �- -)LA2.,6t.& 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 Snte 0 W&Carotim 1 EU%UD=Mtal QU&htyl Ecegy,.\iaeral aodiaad Rew=es 1612 mil S ante Center 1 512 %vardz S&HsbW Suet 1 Ralei jk \C27699.16Q 919 707 9200 T STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL AND LAND RESOURCES GENERAL PERMIT NO. NCG050000 CERTIFICATE OF COVERAGE No. NCGO50436 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, Red Valve Company, Inc. is hereby authorized to discharge stormwater from a facility located at Red Valve Company 1205 Isley Drive Gastonia Gaston County to receiving waters designated as unnamed tributary to Long Creek, a class C water in the Catawba River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III, and IV of General Permit No. NCG050000 as attached. This certificate of coverage shall become effective November 21, 2016. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day November 21, 2016. for Tracy E. Davis, P.E., CPM Director, Division of Energy, Mineral and Land Resources By the Authority of the Environmental Management Commission 0 J i NCGO50436 N W E S Map Scale 1.•29,276 lii.J I .^:.".�' e\ V �' ` - f +� -yam �•F�!=w� VF. �A i�L� Jr 7 4 , 4y IIY r i. 1 I C - f y� ( k - f QACk • �.--.'�'�.rv--r. U�• 4'1 U- 1�/€ NSF Red Valve Company2. .Su�slil L 'V i/ e� •~� 4nJ • l.'r I ! _- 1��5t �r"!'��'' 't ..�7ivs ��`I Red Valve Company, Inc. Red Valve Company Latitude: 35° 17' 13" N Longitude: 810 14' 25" W County: Gaston Receiving Stream: UT to Long Creek Index No: 11-129-16-(4) Stream Class: C Sub -basin: 03-08-36 (Catawba River Basin) Facility Location Central Files: APS ^ SWP 1112112016 Permit Number NCGO50436 Program Catagory NPDES SW Permtt Type ApparellPdntnglPaper/Leather/Rubber Stormwater Discharge CDC Primary Reviewer julie.ventaloro Coastal SWRule Parmltted Flow Facility - C i s j ML+FILES Permit Tracking Slip Status Project Type In review New Project Version Permit Classification COC Permit Contact Affiliation Facility Name MajorfMinor Region Red Vaive Company Minor Mooresville Location Address County 1205 Islay Dr Gaston Facility Contact Affiliation Gastonia NC 28052 Amanda Bowman 1205 Islay Dr Owner Gastonia NC 28052 Owner Name Owner Type Red Valve Company 2 3 2016 Non-NOV OwneGAffillationt CENTRAL FILES Ben Payne DWR SECTION Operations VP of 1205 Islay DT DataWEvents Gastonia NC— 28052 Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration 11rZ2016 1,1uI-X014 11l2112,01 'Slit /Z.0It Regulated Activities Requested !Received Events Rubber processing MR D � %�w e*d 1Fa- Pb 1 Act44of Outfall 001 Waterbody Name Streamindex Number Current Class Subbasin Long Creek 11-129-16-(4) C 03-08-36 Energy', Mineral and Land Resources ENVIRONMENTAL QUALITY November 21, 2016 Mr. Ben Payne V.P. of Operations Red Valve Company, Inc. 1205 Isley Drive Gastonia, NC 28052 PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary TRACY DAVIS Direclor Subject: General Permit No. NCGO50000 Red Valve Company COC No. NCG050436 Gaston County Dear Mr. Payne: In accordance with your application for a discharge permit received on November 2, 2016, 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). The Division also reviewed your request for no -exposure certification for exclusion from NPDES stormwater permitting received on June 24, 2016. Based on an inspection of your facility, the Mooresville Regional Office found that materials on your site are exposed, or have the potential to be exposed to stormwater. For that reason, the Division is unable to concur with your request for no - exposure certification, and you are required to operate under the attached General Permit NCGO50000. 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. Slate of North 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 If you have any questions concerning this permit, please contact Julie Ventaloro at telephone number (919) 807-6370 or by email iulie.ventaloronncdenr.gov. Sincerely, >17- �- ?-�""-C 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 S tare of Norm Cuorma I Emitomnc W Qui ity I Enersy, Mnexal and Land Rem=s 16L' Neil Service Cenmr I 512 Novh S&W urySneet I Raleigh, '.Nr 27699.16L' 919 707 9200 T STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL AND LAND RESOURCES GENERAL PERMIT NO. NCG050000 CERTIFICATE OF COVERAGE No. NCG050436 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, Red Valve Company, Inc. is hereby authorized to discharge stormwater from a facility located at Red Valve Company 1205 Isley Drive Gastonia Gaston County to receiving waters designated as unnamed tributary to Long Creek, a class C water in the Catawba River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, 111, and IV of General Permit No. NCG050000 as attached. This certificate of coverage shall become effective November 21, 2016. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day November 21, 2016. for Tracy E. Davis, P.E., CPM Director, Division of Energy, Mineral and Land Resources By the Authority of the Environmental Management Commission NCGO50436 N W E S. Map Scale 129,276 _I m'.:iQ.U. Y\ I1v,ii Z f l 1,'.? ) / \ /__11) 111l 1'i! :"I1 Es 1 Red Valve Company., V\ t Red Valve Company, Inc. Red Valve Company Latitude: 3S° 17' 13" N Longitude: 810 14' 25" W County: Gaston Receiving Stream: UT to Long Creek Index No: 11-129-16-(4) Stream Class: C Sub -basin: 03-08-36 (Catawba River Basin) Facility Location �. r A ion NCDENR FJ+naaVKr AND NAMLW� FtESCU M Division of Energy, Mineral and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCG050000 rn. -VMri 1r� _..' . NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit NCGOS0000: STORMWATER DISCHARGES associated with activities classifed as: SIC' 23 Apparel and Other Finished Products Made from Fabrics and Similar Materials SIC 265 Paperboard Containers and Boxes e _ SIC 267 Converted Paper and Paperboard Products ! `7 �E� SIC* 27 Printing, Publishing and Allied Industries C D SIC' 30 Rubber and Miscellaneous Products (except as specified below) Novc022616 SIC 31 Leather and Leather Products (except as specified below) _ Ui�}�--� NO O_ f" SIC 39 Miscellaneous Manufacturing Industries tlfv SIC* NIA 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 Coda (Please print or type) I) Mailing address of ownerloperatar (address to which all p2rmlt comes ndence will be mailed Name &n Pixqne. V Street Address SOT MS(6fi D City (aJZ14on i c.. State L- C ZIP Code r18Q C—Q Telephone No. rlept-l- R(A- S"! C7 Fax: 1(34- _ 9,.S q- _gq j I o E-mail Address 1P" ne� Q A4dVM- k1r_ fro" 2) Location of facility producing discharge: Facility Name Facility Contact Contact E-mail Street Address City County Telephone No. l =S rt ve C-1L4 Aic'. State 1'-'C ZIP Code MOL2 a 71- UaDr Fax: � 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). LOOT I_CXAi . TeSS,-Mor U N �1c c,•{ . (A copy of a county map or USGS quad sheet with facility dearly located on the map is required with rds application) Page 1 of 4 SWU 220-071408 Last Revised 6124114 NCG050000 N.O.I. 4) Latitude,.3-V- o 2_20 Longitude ' 6 i • a da (degrees, minutes, seconds) 5) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin OExisting 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: a L/ �l 7) Provide a brief narrative descript}on of types of industrial activities and products manufactured at this facility: iQu G'Ue!' L:"Lf1'e I I%1 W f - -- 8) Discharge points: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 9) Receiving waters: What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? if the site stormwater discharges to a separate storm sewer syst�n, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). [rL T� O 661 60f1,rG, 10) Does this facility have any other NPDES permits? ANo ❑ 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)? XNo ❑ 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? ❑ Yes If yes, when was it implemented? � p �'O1cre SS _ 14) Are vehicle maintenance activities occurring at this facility? I No ❑ Yes Page 2 of 4 SWU-220.071408 Last Revised 6124114 NCGO50000 N.O.I. 16) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? 3dNo ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? ❑ No Oyes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? �610 ❑ Yes d) 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 stoned: How many disposal shipments per year. Name of transport 1 disposal vendor: Vendor address: 16) Certification: North Carolina General Statute 143-215.6 b (1) provides that: Any person who knowingly makes any false statement, representation, or cerlifiicaNan 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 accurate. Printed Name oftPerson Signing:�a (Signature of Applicant) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR. Page 3 of 4 SWU-220-071408 Last Revised 6124114 NCGO50000 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 NCDENR ❑ 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: Stormwater and General Permits 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 the issuance of an NPDES pennit. For questions, please contact the DEMLR Central Olirce or Regional Office for your area. DEMLR Regional Office Contact Information: Asheville Office ...... (828) 2964500 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 SWU-220-071408 Last Revised 6124114 20141ntegrated Report Page 1 of 1 DWG2014 Integrated Report Division of Water Rewurces How to read the305(b) 200h 34.292-852200earees http:llncdenr.maps.arcgis. comlappslwebappviewerlindex.html?id=dcb44280272e4ac49d9... 10/26/2016 4u 4 V W'0 0 .a i LA yw �. U .4 Jv I\N tm �+ -.'t o. `�',' �4 1, ,i � -. � i. _ r � � �� a .. � * • L � ^'G - a �µ,.� , , 2014 Integrated Report , d �s .4 .•.rF.iwy"'1Y kl,:Y.:daawss.•r�., ll_�:.�_s_u�u+'+::.+.�— u ., `_.ir,3_.y..,,.,. 3) rvr - -_..�_ .. ..w ..vrsi 4a 4 P t is t i t, rib Sh y gj� :1 r'� E � '''fit 'ryyh�yr " � {• 4 n tip` .o �•, tt' 1� =a. October 26, 2016 1:1,128 0 0.0075 0.015 0.03 ml 0 0.01 0.02 0.04 km Esrl, HERE, DeLoane, Mspmylydle, tD OperStreellMsp conrlhutors, and the GIS Leer community NC DENR- Dlvlsbn of Water Resources NCDENR - DMlslon of Water Resources I NC DENR - DWR I Mivosoft I Earl, HERE, DeLorme, IPC I U 4? Division of Energy, A ine3ral and Land Resources Land Quality Section NCDENR National Pollutant Discharge Elimination System � � Ewmimaggr mwKmupwL NCG050000 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 Materials SIC 265 Paperboard Containers and Boxes �+ SIC* 267 Converted Paper and Paperboard Products RC�EIVE O' SIC* 27 Printing, Publishing and Allied Industries tro� UU SIC' 30 Rubber and Miscellaneous Products (except as specified below) 1Y 0 2 2016 SIC 31 Leather and Leather Products (except as specified below) [004ANP SIC 39 Miscellaneous Manufacturing Industries TOW1%APOMIMNU SIC* NIA Like activities deemed by DEMLR to be similar in the process andlor the exposure of raw materials, products, by-products, or waste materials The following activities are specifically excluded from coverage underU& General Permit: SIC* 301 Tres and Inner Tubes SIC" 311 Leather Tanning and Finishing Standard industrial Classification Code (Please print or type) 1 } Mailing address of ownerloperator (address to which all permit comesfwndence will be mailed): Name -, en Pa u n e. VP of o +r�ns Street Address SOS ZS(OAJ DrWto, City { oA r a. State ?-LC _ - ZIP Code rah b CO Telephone No. r1LI-1- Rio q- Fax: '7 � E-mail Address �Pa.une✓ �,�o15L4�1t? . COS_ 2) Location of facility producing discharge: .-1 Facility Name Facility Contact Contact E-mail Street Address City County Telephone No. 1AO'7- SSL2:m Zi ve GtRc &A iC4.- --- State NBC ZIP Code &9O Ste„ _ 3) Physical Location Information: Fax: r19!- 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). - IROO -, I out O� 'RPrStMWtr cj N }a" . (A copy of a county map or USGS quad sly with facility dearilr located on the map is required with this aoication) Page 1 of 4 SWU-220-071408 Last Revised 6124114 NCGO50000 N.O.I. 4) Latitude 35-- o? eM longitude - b 1 • a Y 4 eP 3 (degrees, minutes, seconds) 6) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin �Exis#ing 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 1-% 7) Provide a brief narrative descriptAon of th types of industrial activities and products manufactured at this facility: _ 1-eu %/' Can,- IyQr Wj — 8) Discharge points: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property.? 9) Receiving waters: What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? If the site stormwater discharges to a separate storm sewer systegt name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer}. [r[ rT_ d f l'filaS 62r1 rG-, 10) Does this facility have any other NPDES permits? ANo ❑ 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)? XNo ❑ 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 ❑ Yes If yes, when was it implemented? _ p rOjrre-SS 14) Are vehicle maintenance activities occurring at this facility? XNO ❑ Yes Page 2 of 4 SWU-220-07M8 Last revised 6124114 NCGO50000 N.O.I. 16) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? g_No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? ❑ No KYes c) is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? *6lo ❑ Yes d) 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 1 disposal vendor. Vendor address: 16) Certification: North Carolina General Statute 143 215.6 b (i) provides that: Arry person who knowingly makes any false statement, representation, or certification in any apprication, record, report, plan; or other document tiled 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, tamper: 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 ttus Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand donars ($1 O,OW). 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: (Signature of Applicant) (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR. Page 3 of 4 SWU-220-071408 Last Revised 6r24114 NCG050000 N.O.I. Final Checklist This application will be retumed as incomplete unless all of the following items have been included: ❑ Check for $100 made payable to NCDENR ❑ 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: Stormwater and General Permits 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 the issuance of an NPDES permit. For questions, please contact the DEMLR Central Office or Regional Office for your area. DEMLR Realonal Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 563-1699 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 SWU-220-071408 last Revised 6/24114 2014 Integrated Report Page I of I 2014 Integrated Report Division of Waier Resources How to read the 305(b) ri 7. � MT 7. Mr 7 -1 z C,; I -T % t 1 4 jl A s J64N 51 2" 30292-85220Deo,ees httT%-//nrrlP.nr rnnnc sarf-.cr;q i nmon i i; LO'O 0 1 4 I �tli U4 I Q N .19 F�",L y` -Y� '•�. ,�1 F'� Q, 1P Nk Pv 9 All `Jr 4p r __11. N4 pr 2014 Integrated Report October 26, 2016 1:1,128 0 0.0075 0.015 0.03 mf i 0 0.01 0.02 0.04 km EsrL HERE, DeLorme, Mepmytndla, m openStrewhftp cortrlbutors, and the Oi8 user community NC DENR • Dlvb bn of WNer Rewur Am NCDENR- DWlalon of Weber Resources j NO DENR - DWR I Microsoft I Earl, HERE, Delorme, IPC I