NCG080911_COMPLETE FILE - HISTORICAL_20171201

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V L&o0
DOC TYPE
❑ HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYM M D D

nI"zF,I=I%/t�
� IMA Division of Energy, Mineral & Land Resources FOR'AGeNCYUSE'ONLY—
.l]et R cefve
_ _ Land Quality Section/Stormwater Permitting Ya �,tE
NCDENR National Pollutant Discharge Elimination System
„(AWN. �,.,.,� D C,t: ! F.tF� QUALITY
PERMIT NAME/OWNERSHIP CHANGE FORM TMi01RA` EzR PERMIT''I; L
I. Please enter the permit number for which the change is requested. 1
NPDES Permit (or) Certificate of Coverage
N I G 1 $ 16 N I G 10
II. Permit status REjK to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
.
.Lr ' : r�
First M1 , Last
a nornOAQ,
aI. ! 4 I i. Il ti .yi :ia .I
HolderPermit
:.II :..t, I15
,.
s
phone Q
Fax
+ i,.., ►1�. ►
ill
Ili Address
�► 1city Stale Zip
First / MI / Last
Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: Change in ownership of the facility
Name change of the facility or owner
If other please explain:
b. Permit issued to (comi
c. Person legally respons
d. Facility name (discharge)
e. Facility address:
f Facility contact person:
ALM :A±11 City State ip
Ll I
r ,!. n . ► !
Phone E-mail Address
ii A 11 +. .1 �i A ► r,
4 � �
J_ Address
city State Zip
First M1 Last
f t r r r ��
'Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact:
First MI Last
Title
Mailing Address
City State Zip
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by hoth the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete[ ( / I
Signature Date
APPL CANT CERTIFICATION
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
13 ) or 7
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
_!
Revised Jart. 27, 2014

L B
Delaware Page 1
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT
COPY OF THE CERTIFICATE OF AMENDMENT OF "CON -WAY FREIGHT INC.-,
CHANGING ITS NAME FROM "CON -WAY FREIGHT INC." TO "XPO LOGISTICS
FREIGHT, INC.", FILED IN THIS OFFICE ON THE THIRTIETH DAY OF
OCTOBER, A.D. 2015, AT 6:06 O'CLOCK P.M.
A FILED COPY OF THIS CERTIFICATE HAS BEEN FORWARDED TO THE
NEW CASTLE COUNTY RECORDER OF DEEDS.
2003591 8100 Z �4 �
SR# 20150720719 `""'�
You may verify this certificate online at corp.delaware.gov/authver.shtml
.Nrtm W, BW1ot�, S�c�eary d 6taS■
Authentication: 10341231
Date:11-02-15

STATE OF DELAWARE
CERTIFICATE OF AMENDMENT
OF CERTIFICATE.. OF INCORPORATION
The cojpiratidn 6eganized and existing tinder and by virittr of the General
Corporation Law of the Static of Delaware does hereby~certify:
F IRfiT: `I"ha►t at a meeting of the [hoard of Directors of
Con-%vny Freight Inc.
resolutions were duly adopted setti'nf; forth th�rie
Certificate of Incorporation or said corporation, declaring said amendment to
be advisable anti callinu a meeti.ne of the stockholders cif said corporation #or
consideration thereon. The roolution setting earth the proposed amendment is
as hallows:
RESOLVI D. that the Certificate of Incclrpom ion or this corporation he amended
by chnngin�, the Article thereof numbered " Fink " S6 that. as
amended. said Article shall be and read as lollows:
The flame of this Corporation is XI'O I-gds.tics freight. Inc.
SECOND: That thereafter. pursuant to resolution of its ward of Directors. ;a
special meeting of the stockholders of said corporation was duly called and held
upon notice -in accordance with Secli6n 222 ofthe. General Corporation Law of,
the State of Delawara: at which meeting the necessan' ntimher or shares as required
by statute a ere voted in favor of the amendment.
THIRD: "f"hat said amendment was duly adopted in accordance with the
provisions ni' Section 242 of the General Corporation Law of the State cff
Delaware.
IN VIITNI':SS WHEREOF, said corporation has caused this certificate to lie
signed this day ofrC�hr�._ 20 115 ._
B)!:
Authorized Officer
'I'itic:. Assislanl.Se��reta'r�
`arse; Uzma Alunad
Print or Ty PC
Slu[o at 1ldaaue
Sr"ary of Slate
Dh$lom of Carponllom
Odhmd 06:06 M 10130 OB
FILED 06-.06 PSI 10.40,2615
;R 201507I0719 • F11e\umber 200591

Delaware Page 1
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY "XPO LOGISTICS FREIGHT, INC." IS DULY
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE AND IS IN GOOD
STANDING AND HAS A LEGAL CORPORATE EXISTENCE SO PAR AS THE RECORDS
OF THIS OFFICE SHOW, AS OF THE THIRTEENTH DAY OF NOMMER, A.D.,
2015.
AND I DO HEREBY FURTHER CERTIFY THAT THE ANNUAI, REPORTS HAVE.
BEEN FILED TO DATE.
AND I DO HEREBY FURTHER CERTIFY THAT THE SAID "XPO LOGISTICS
FREIGHT, INC." WAS INCORPORATED ON THE TWENTY-FIFTH DAY OF
FEBRUARY, A.D. 1983.
AND I DO HEREBY FURTHER CERTIFY THAT THE FRANCHISE TAXES HAVE
BEEN PAID TO DATE.
2003591 8300 rt�-" '''��(j
SR# 20150902479
You may verify this certificate online at corp.delaware.gov/authver.shtml
Authentication: 10415237
Date:11-13-15

Form W-9
Request for Taxpayer
Give Form to the
(Rev. December20
Identification Number and Certification
requester. not
Department of the Treasury
Sand to the IRS.
Intemal Revenue Service
1 Name (os shown on your incomo tax retum). Name is required on this Ilne; do not leave this line blank.
XPO Logistics Freight, Inc.
N
2 Business narneldisregardod entity name, if different from above
m
tv
a
r-
3 Check appropriate box for federal tax classification; check only one of the following seven boxes:
4 Excinpllons (codes apply rnrfy to
certain antpres, not individuals; sea
H
❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ TrusVestate
instructions on page 3)i
CL m G
C
�+ �
single -member LLC
Limited IEabilii company. Enter the tax classification C=C corporation, S=S cor oration, P= artnershi ►
❑ Y P Y� { p P A pi
Exempt payee code (it any) $
`o 2
Note. For a single-rnumhr:r LLC that is disregarded, do not check LLC; check the appropriate box in The lino above for
Exemption trorn FATCA reporting
«� m
the lax classification of the single-nianibcr owner,
code (if any) E
C
a t)
❑Other (see in5trur:lians)►
iN,Wro.r„��wrrnrrunw��en,ne•m•uSt
!r=
6 Address (number, street, and apt, or suite nu)
Requester's name and address (optional)
U
06
PO Box 3745
y
6 City, slate, and 21P code
inn'
Portland, OR 97208.3745
7 List account nurnbor(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Socialsecuritynumber
backup withholding. For individuals, this is generally your social security number (page However, fora
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on 3. Far other
page
entities, it is your employer identification number (EIN). if you do not have a number, see Now to get a
TIN on page 3.
or
Note. if the account is in more than one name, see the instructions for fine 1 and the chart on page 4 for LEmployer fdonfification number
guidelines on whose number to enter. m_ g 0 4 0 8 4
Certification
Under penalties of perjury, f certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be Issued to me); and
2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that 1 am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. 1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and
generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN, See the
instructions on page 3.
Wgn Signature of { I
Here U.S. person ► _ Date ► I, i J�
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. Information about aeveiopmenis affecting Form W-9 (such
as legislation enacted after we release it) is at www.irs.gov/hv9.
Purpose of Form
Art individual or entity (Furm W-9 requester) who is required to file an inforration
return with the IRS must obtain your correct taxpayer identification number (TIN)
which may be your social security number (SSN), individual taxpayer identification
number (ITIN), adoption taxpayer identification number (ATIN), or employer
identification number (EIN), to report on an information return the amount paid to
you, or other amount reportable on an information return. Examples of inlorrmlion
returns include, but are not limited to, the following:
• Form 1099-INT {interest earned or paid)
• Form 1099-M (dividends, including those from stocks or mutual funds)
• Form 1099-MrSC (various types of interne, prizes, awards, or gross proceeds)
• Form 1099-S (stock or mutual fund sales and certain other transactions by
brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1096 (home mortgage interest), 109e-E (sludent loan interest), 1096-T
(tuition)
• Form 1099-C (canceled debt)
• Form 1099•A (acquisition or abandonment of secured property)
Use Farm W-9 only if you are a US. person (Including a resident alien), to
provide your correct TIN.
It you do not return Form W-9 to the requester with a TIN, you might be subject
to backup withholding. See Mar is backup withholding? on page 2.
By signing the lilled-out form, you:
1. Certify that the TIN you are giving is correct (or you are waiting for a number
to be issued(,
2. CerOy that you are not subject to backup withh6ding, or
3. Ciaim exemption from backup withholding if you are a U.S. exempt payee. It
applicable, you are also certifying that as a U,S, person, your allocable share of
any partnership incorno from a U.S. trade or business is not subject to the
withholding tax on foreign partners' share of effectively connected income, and
4, Certify that FATCA code(s) entered on this form (it any) indicating that you are
exempt from the FATCA reporting, is correct. See What is FATCA reporting? on
page 2 for further information.
Cat. No. 10231x
Form W-8 {Rev. 12.2014)

i
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory
Thomas Reeder., John E. Skvarla
Governor
Acting Director Secretary
June 26, 2013 Div I8U'.r�USFUA
JUL 16 Z013
Mr. Steve Bernas
Con -way Freight-NHN
SWP SEC. -,N
MOORESVILLE REGIONAL OFFICE
110 Bumgarner Industrial Dr.
Conover, NC 28613
Subject: General Permit No. NCGO80000
Con -way Freight
COC NCGO80911
Catawba County
Dear Mr, Bernas:
In accordance with your application for a discharge permit received on April 24, 2012, we are
forwarding herewith the subject certificate of coverage 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 after notice to the
Division of Water Quality, The Division of Water Quality 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 Water Quality, the Division of Energy, Minerals, and Land Resources
or any other state, federal or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Boyd DeVane at telephone
number [phone],
cc: Mooresville Regional Office
Central Files
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www,ncwaterqualily,org
An Equal Opporlunity 1 Affirmative Acdor Employer
Sincerely,
for Thomas Reeder
orie
NhCarohna
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCGO80911
STQRMWATER 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,
Con -way Freight, Inc.
is hereby authorized to discharge stormwater from a facility located at
110 Bumgarner Industrial Dr.
Conover, NC
Catawba County
to receiving waters designated as unnamed tributaries to Cline Creek, class C waters in the
Catawba River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCGO80000 as
attached.
This certificate of coverage shall become effective June 27, 2013.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 27, 2013.
for Thomas-keeder, Acting Director
Division of Water Quality
By the Authority of the Environmental Management Commission

LOCATION MAP:
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44� : Can-wayY r''
Freight, Inc * �Rtio at �J
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Latitude: 35°41'51.7" N NCG080911
Longitude: 81 14 44 W Con -way . Freight, IncFacility
County: Catawba Location
Stream Class: C Conover, NC '
Receiving Stream: Cline Ck., Catawba River
Segment: 11-129-5-2 &VowA Not to Scale

AWXWX
KNEW
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas Reeder, John E. Skvarla
Governor Acting Director Secretary
June 26, 2013
Mr. Steve Bernas
Con -way Freight-NHN
110 Bu ngarner Industrial Dr.
Conover, NC 28613
Subject: General Permit No. NCG080000
Con -way Freight
COC NCGO80911
Catawba County
Dear Mr. Bernas:
In accordance with your application for a discharge permit received on April 24, 2012, we are
forwarding herewith the subject certificate of coverage 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 after notice to the
Division of Water Quality. The Division of Water Quality 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 Water Quality, the Division of Energy, Minerals, and Land Resources
or any other state, federal or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Boyd DeVane at telephone
number [phone].
Sincerely,
for Thomas Reeder
cc: Mooresville Regional Office
Central Files
Stormwater Permitting Unit Files
Wetlands and Stor nwater Branch
1617 Mail Service Center, Raleigh, NoO Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: 919M7.6494
tntemet; www,ncwaterqual4y.org
An Equal Opportunity 1 Atfrmative Action Employer
No ehCarolina
;atura!!U
J

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCGO80911
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision bf 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,
Con -way Freight, Inc.
is hereby authorized to discharge stormwater from a facility located at
110 Bumgarner Industrial Dr.
Conover, NC
Catawba County
to receiving waters designated as unnamed tributaries to Cline Creek, class C waters in the
Catawba River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG080000 as
attached.
This certificate of coverage shall become effective June 27, 2013.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 27, 2013.
for ThomaEAZeeder, Acting Director
Division of Water Quality
By the Authority of the Environmental Management Commission

'AI Division of Water Quality / Surface Water Protection
P Section
w �nrrirrrrrrr,
NCDENR National Pollutant Discharge Elimination System
None, CAROIY" DP%XTWWT CI
EwnoNwDm mo NmuvK Rraancn
NCG080000
NOTICE OF INTENT
FOR AGENCY US ONLY
Date Received
Year Month Da
Certificate of cavern e
Check # I Amount
Pemsit Assigned to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCGO80000:
STORMWATER DISCHARGES from Vehicle Maintenance Areas (including vehicle rehabilitation,
mechanical repairs, painting, fueling, lubrication, and equipment cleaning operations areas) associated
with activities classified as:
SIC 40 (Standard Industrial Classification) Railroad Transportation
SIC 41 Local and Suburban Transit and Interurban Highway Passenger Transportation
SIC 42 Motor Freight Transportation and Warehousing (except SIC 4221-4226)
SIC 43 United States Postal Service
The following activities are also included:
• Other industrial activities where the vehicle maintenance area(s) is the only area requiring permitting
• Petroleum Bulk Stations and Terminals (SIC 5171) with total petroleum site storage capacity of less than 1
million gallons
• Stormwater discharges from oil water separators and/or from secondary containment structures
associated with petroleum storage facilities with less than 1 million gallons of total petroleum site storage
capacity.
• Discharges associated with vehicle maintenance operations at activities, which are otherwise designated
on a case -by -case basis for permitting.
*,—( For questions, please contact the DWQ Regional Office for your area. Seepage4.
(Please print or type)
1) Mailing address of owner/operator (address to which all correspondence will be mailed):
Name
Street Address
City
Telephone No.
Con -way Freight
2211 Old Earhart Rd, Ste 100
Ann Arbor
734-757-1667 Fax: [phone]
2) Location of facility producing discharge:
Facility Name
Con -way Freight - NHN
Facility Contact
Steve Bernas
Street Address
110 Bumgarner Industrial Drive
City
Conover StateNC
County
Catawba
Telephone No.
828-466-3622 Fax: [phone]
Email
[e-mail]
StateMl ZIP Code 48105
_ ZIP Code 28613 L �24
V
�tPR 2Q�3 �
Page 1 of 4
SWU-223-071408 Last revised 7114/08

NCG080000 N.O.I.
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).
Please see attached page for directions to facility.
(A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application)
4) Latitude 35* 41' 51.741" Longitude-81* 14' 43.984" _ (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility
®, Existing
6) Standard Industrial Classification:
Date operation is to begin
Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 4 2 1 3
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
facility: Con -way Freight— NHN is a less -than truckload freight carrier. Loading and unloading operations as
well as minor vehicle maintenance (such as topping off vehicle fluids) take place here.
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 (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Cline Creek
Receiving water classification: Stream Class C
Is this a 303(d) listed stream? No— Has a TMDL been approved for this watershed? ISO
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).
9) Does this facility have any other NPDES permits?
® 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)?
® No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
11) Does this facility employ any Crest management practices for stormwater control?
❑ No
® Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: The site practices good housekeeping, preventative maintenance on equipment
to prevent drips and leaks, spill prevention and response procedures as outlined in their SPPP.
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
® Yes
If yes, when was it implemented? 4/1512013
Page 2 of 4
SWU-223-071408 last revised 7/14108

NCGO80000 N.O.I.
13) Are vehicle maintenance activities occurring at this facility?
❑ No ® Yes 04 ven (ni nor mca,ir\tCAOa VICE 9ucjA L�,5 Lopri os o% vtkCdc �lw'ds
14) Hazardous Waste:
a) is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
R No ❑ 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
hazardous waste?
■ No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
® 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:Waste is generated from freight and Is dependent on what is shipped.
How is material stored:ln salvage drums with appropriate labels and liners.
Where is material stored:ln a designated accumulation area on the dock
How many disposal shipments per year:This depends on # of damaged shipments, but 21yr average
Name of transport 1 disposal vendor:PSC Environmental Services
Vendor address:5301 Brookshire, Charlotte, NC 28216
15) Certification:
North Carolina General Statute 143-215.6E (1) 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 Signal g-- Jeff Sexten
Title: Man a er Environmental Compliance
(S aftfre o Dafe Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Page 3 of 4
5WU-223-071408 Last revised 7/14108

LOCATION MAP:
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Freight, Inc.
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-
1'yZOE,'S
I, '"'y:tea. .+ s,. ; r +y .r�• '+ w •' ,r1 } '.�� �• C_�
r p
Latitude: 35"41'51.7" N NCG080911
Longitude: 81°14'44" W Facility
County: Catawba Con -way Freight, Inc.
Conover, NC Location
Stream Class: C
Receiving Stream: Cline Ck,, Catawba River
Segment: 11-129-5-2 oVogdA Not to Scale

LEGEND
- - APPROXIMATE FACILITY BOUNDARY
UNNAMED TRIBUTARY TD CLINE CREEK
[-
- - - - - - SEPARATES DRAINAGE AREAS FOR
.T
OUTFALLS A & B (>95R IMPERVIOUS)
k
TIC STORM DRAINS
`/ STORM WATER DUTFALL LOCATION
STORM WATER FLOW DIRECTION
BASED ON SURFACE SLOPE
APPROXIMATE QUTEAll LOGTi(1TLS
LAT. 035' 41' S3.80: N
LONG. Oei• 14' 4201W
A
ORRROLYm CUTALL a coom-13 1
LAT. 035. 4i' 54.25: N
LOW- 081' 14' 39M W
.
0f44gOMME O FA L V COORCOWESj
j .. .• _
S
�t1T#"O(FFICE SPACE_
NOTE -
RECEIVING WATER IS NOT IMPAIRED. BUT IS LOCATED IN A
WATERSHED WITH A TMOL.
DRAFTED er.
WAW- M NAP
(N.J.)
CHEC10➢ EV
J.P_W. Cox -WAY MUGHT, INC.
u r o BVNGAMM INDUSTBIAI. DRH
CONOVM NORTH CAMLINA
1,6 RE.
Cmnmdwgw & Envk nmGuffi15uvicM Im.
1 j(l,,� g.+^ 1 r <` N09M 2S SMM ITIH STRI SURE IA RCIBIM VA 23Z74
F APPRDX1111 TTTE-] FIGURE
i T`rrirrr "` t2
a ea

Page 2 Question 3:
3. Please provide a narrative description of how to get to the facility:
From I-40 West bound
Exit 128 off of I-40. Turn right onto Fairgrove Church Rd SE. and continue for 0.5 miles. Thum
left onto Conover Blvd (US-321-BR, US-70) for about 0.8 miles. Turn left onto Bumgarner•
Industrial Dr for 0.1 miles. Turn left to arrive at Con -way Freight 110 Bumgarner Industrial Dr.
From I-40 East bound
Exit 128 off of 1-40 turn left onto Fairgrove Church Rd SE. and continue for 0.5 miles. Turn left
onto Conover Blvd W (US-321-BR, US-70) for 0.8 miles. Turn left onto Bumgarner Industrial
Dr. and continue for 0.1 miles. Turn left to arrive at Con -Way Freight l 10 Bumgarner Industrial
Dr.

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SOURCE: USGS 7.5 MINUTE SERIES
TOPOGRAPHIC QUADRANGLE t993 NOTE;
NEWTON, NORTH CAROLINA
CONTOUR INTERVAL = 20' OUTFALL "A" & "B» DISCHARGE TO UNNAMED TRIBUTARY
AND !S RECEIVED BY CLINE CREEK.
;! DRAFTED BY;
W,A,W, SITE LOCATION MAP
(N.J.)
CHECKED BY:
J.P.W. CON -SPAY FREIGHT. INC.
110 BUMGARNER INDUSTRIAL DRIVE
REVIEWED BY; CONOVER, NORTH CAROLINA
R.E.
QUADRANGLE LOCATION NORTH Groundwater & Environmental Services, Inc.
23 SOUTH 13th STREET, SUITE 103, RICHMOND, VA 23219
LAT. 035' 41 52.82" N SCALE IN FEET DATE FIGURE
LONG. 081' 14' 40.04" W
(APPROXIMATE SITE COORDINATES) 0 204O 4" — 3