NCG080954_COMPLETE FILE - HISTORICAL_20171120

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v0 �Sy
DOC TYPE
04 HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ -don `] II 90
YYVYMMDD

Allf,
NCDENR
14CM" CAROIINA JjE A TMENT OF
EMV�XQn M[NT -D NATURAL FIESO-X_[]
Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
FOIL AGENCY USE ONLY
Date Received
1'car
Month
➢a
if NO CHANGE in company or facility ownership or name
ECG ED,
NOV 2 0 2017
CI R-Uir.0 uU70 t fTY
.fir w�w�i i�`►r.r�.���1 � SJ f i�Y !C
If a Name Change and/or Ownership Transfer at the facility has prompted this change, do
NOT use this form. You must fill out the Name -Ownership Change Form and provide all
necessary supporting documentation instead.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner
Affiliation") applies:
Individual Permit
Nif-I S
2) Facility Information:
Facility name.-
Company/Owner Organization:
Facility address:
(m) Certificate of Coverage
NI C I GQ 180 19 6'4
ysco CJJ#Rjo44 . L[c_
s ys e t G eAft. -"4"4_, r
SCJ0 eoRAaa�QA. AIW
Address
B,vto'qd /VL__ 2 862 7
City Slate Zip
To find the current legally responsible person associated with your permit, go to this website.-
litti)://12ortal.ncdenr.org/web/ir/sw-]2ermit-contacts and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: U,1 f'})'4a 1_)
First mi Last
4) NEW OWNER AFFILIATION (Legally responsible for the permit):
Person legally responsible for this permit
_�_ m ____ 540,11ttJ1e11
First Ml Last
!�, d PE2A+4ioAlS
Title
Mailing Address
City State Zip
0 z3— 01y
Telephone E-mail Address
( } S4-,'llwe►1.ik04Aw t0CNA.Svsae.cop"
Fax Number
Page I of 2
SWU-DWNEi AFF1L-22May2G14

S
NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
5) Reason for this change:
A result of:
If other please explain.
What does `'legally responsible person" mean?
'That person is either:
Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
• the responsible corporate officer (for a cotporat.ion);
• the principle executive officer or ranking elected official (for a municipality,
State, federal, or other- public agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or the duly authorized representative of that person above.
The certification below must be completed and signed by the permit
holder.
PERMITTEE CERTIFICATION:
I, i I , attest that this application for this change in Owner Affiliation
(person legal] •esponsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this form are not completed, this change may not be
processed.
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Rnlciah, North Carolina 27699-1012
For more infonnation or staff contacts, please visit our website:
►tt :11 ortal.ncdenr.or web/lr/stonnwater
Page 2 of 2
SW U-OW NERAFFIL-22May2014

.4-
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCG080954
STORMWATCR 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,
Sysco Charlotte, LLC
is hereby authorized to discharge stormwater from a facility located at
Sysco Charlotte, LLC
4500 Corporate Drive NW
Concord
Cabarrus County
to receiving waters designated as UT to Irish Buffalo Creek, a class C water in the Yadkin 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. NCGO80000 as attached.
This certificate of coverage shall become effective February 17, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 17, 2017.
ORIGINAL SIGNED BY
BFHANY GEORGOUL1AS
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

NCG080954
N
W E
S
Map Scale 1: 24, 000
Sysco Charlotte, LLC
Latitude: 3511 25' 39" N
Longitude: 8011 39' 16" W
County: Cabarrus
Receiving Stream: UT to Irish Buffalo Creek
Index No: 13-17-9-(2)
Stream Class: C
Sub -basin: 03-07-12 (Yadkin River Basin)
Facility Location

v Division of Energy, Mineral and Land Resources
N�+ Land Quality Section
�National Pollutant Discharge Elimination System
NCDENR
"TIN RES°
CwR°N oQmV RmN, a. NCG080000
EN VIR°NM[Mf �JVo N,auR.u. URCCS
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year Month
Da
Certificate ofCovemm
Check 0 Amou
P rmit Assi ed to
rd
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG080000:
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 4221-4225)
SIC 43 United States Postal Service RECEIVED
The following activities are also Included: JAN 17 201
• Other industrial activities where the vehicle maintenance area(s) is the only aree,.rpuiring permitting
• Petroleum Bulk Stations and Terminals (SIC 5171) with total petroleum site9t 4f 6I.Mos than 1
million gallons �' RMITTING
• 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.
&7( 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 correspondence will be mailed):
Name Sysco Charlotte, LLC , (attn.. Augie Mauro)
Street Address 4500 Corporate Drive NW
City Concord State NC
Telephone No. 704 723-6014 Fax: 855
2) Location of facility producing discharge:
Facility Name
Facility Contact
Sysco Charlotte, LLC
Mr. Augie Mauro
Street Address 4500 Corporate Drive NW
City Concord -
County Cabarrus
Telephone No. 704
Email
723 - 6014
[e-mail]
ZIP Code 28027
274-0555
State NC ZIP Code 28027
Fax: [phone]
Page 1 of 4
SWU-223-071408 Last revised 6/24/14

NCG080000 N.0.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). Interstate 85 to exit 55, turn onto International Drive
North West; make a left onto Corporate Drive, the facility is located on the right.
(A copy of a county map or USGS quad sheet with facility dearly located must be submitted with this application)
4) Latitude 35025.39' north Lon itude 80039.165' west _ (deg, min, sec)
35• 9 �3 �-� - ��
5) This NPDES Permit Application appliel to which of the fdllowlftg:
❑ New or Proposed Facility Date operation is to begin
X. 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: _4 _2 _1 _3
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
facility: The SYSCO facility is a 350,000 square foot food distribution warehouse with dry, refrigerated,
and freezer storage. Fuels and various oils and lubricants are used to operate and maintain a vehicle
fleet and lubricate equipment. These liquid products may be received by tanker truck,or In drums or
tote tanks. The facility does not conduct onsite manufacturing.
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? UT to Irish Buffalo Creek _
Receiving water classification: Class C ( Irish Buffalo
Creek)
Is this a 303(d) listed stream? _Yes 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). NIA
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.)
Page 2 of 4
SWU-223-071408 Last revised 6/24/14

NCG080000 N.O.I.
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
❑ No X Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
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 flood 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 I disposal vendor:
Vendor address:
Page 3 of 4
SWU-223-071408 Last revised 6/24114

NCGO80000 N-0.1-
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 fled 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.
Pri
Tit
of Applicant)
Signing: Augie Mauro.
of Operations
i 9 /1 ?
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
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
❑ 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.
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on 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 NPDES General Permit.
For questions, please contact the DEMLR Regional Office for your area.
Page 4 of 4
SWU-223-071408 Last revised 6/24114

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USGS TOPOGRAPHIC QUADRANGLE MAP SITE LOCATION MAP
KANNAPOLIS, NORTH CAROLINA SYSCO OF CHARLOTTE
4500 CORPORATE DRIVE
ORG. DATE: 1996 * CONCORD, NORTH CAROLINA
SCALE: 1 INCH = 1000 FEET I _
PROJECT NO. 73107008 N Preftt oh FIGURE 1: TOPOGRAPHIC MAP

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Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Mr. Augie Mauro
Sysco Charlotte, LLC
4500 Corporate Drive NW
Concord, NC 28027
Dear Mr. Mauro:
RECEIVEDROY
COOPER
FEB 2,8 017
Cl/
Governor
MICHAEL S. REGAN
DEIYR-DEiWLR
Land QLality Section
secretary
M°°t'esvtile Regional ()ffiee
T R A C Y DAVIS
Director
February 17, 2017
Subject: General Pen -nit No. NCGO80000
Sysco Charlotte, LLC
COC No. NCGO80954
Cabarrus County
In accordance with your application for a discharge permit received on January 17, 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).
Picase 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
[phone] or by email juiic.ventaloroancdenr.gov.
Sincerely,
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
V cc: Mooresville Regional Office, Zahid Khan
Central files
Stormwater Permitting Program files
Stale of North Carolina I Environmental Quality J Energy, Mineral and band Resources
1612 Mai! Service Center � 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. NCG080000
CERTIFICATE OF COVERAGE No. NCGO80954
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,
Sysco Charlotte, LLC
is hereby authorized to discharge stormwater from a facility located at
F
S sco Charlotte, LLC
P
4500 Corporate Drive NW
Concord . - �p
Cabarrus County
to receiving waters designated as UT to Irish Buffalo Creek, a class C water iri the Yadkin River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts 1, 1I, 1I1, and IV of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective February 17, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 17, 2017.
1
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral and Land Resources
By the Authority of the Environmental Management Commission

A�
NCDENR
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG080000
FOR AGf NLY 115E ONLY
rhtc R=ivcd
Yew W30 Da
CQt1EIICM[e Ur CUYC
hock N Amou
P rmi[ Assi d m
+v
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG080000:
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 FTEC•`EI ED
The following activities are also Included: JA 11 17 2
01 iJ
• Other industrial activities where the vehicle maintenance area(s) is the only areggquiring permitting
Petroleum Sulk Stations and Terminals (SIC 5171) with totsl petroleum site 4',a�(*,6f.lt'Jtss than 1,
million gallons
er7nti117!!VG
Stormweter 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.
VW 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 twhich all correspondence will be moiled):
Name Sysco Charlotte, LLC , (attn.. Augie Mauro)
Street Address 4500 Corporate Drive NW -
City Concord--- - . _. . ............._. _.__. State NC ` ZIP Code 28027
Telephone No. 704 723-6014 Fax: [phone]
2) Location of facility producing discharge:
Facility Name Sysco Charlotte, LLC
Facility Contact- Mr. Augie Mauro
Street Address 4500 Corporate Drive NW
City Concord State NC ZIP Code 28027,--!
County Cabarrus
Telephone No. 704 723 - 6014 Fax: [phone]
Email �
[e-mail]
L
Page 1 of 4
SWU-223-071408 last revised 6R4114

NCG080000 N.©.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). Interstate 86 to exit 55, turn onto International Drive
North West; make a left onto Corporate Drive, the facility Is located on the right.
(A copy of a county map or USGS quad shoat with facility dearly located must be submitted with this application)
4) Latitude 35°25.39' north Longitude 80°39.165' west _ (deg, min, sec)
�. 0�
5) This NPDES Permlt Appli onn appllel to which of th fcillow� lt<g:
❑ New or Proposed Facility Date operation Is to begin, �.,• ...__
x 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: _a 2 1 _3
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
facility: The SYSCO facility Is a 360,000 square foot food distribution warehouse with dry, refrigerated,
and freezer storage. Fuels and various oils and lubricants are used to operate and maintain a vehicle
fleet and lubricate equipment. These liquid products may be received by tanker truck or In drums or
tote tanks. The facility does not conduct onsite manufacturing.
8) Discharge points I Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? UT to Irish Buffalo Creek
Receiving water classification: Class C ( Irish Buffalo
Creek)
Is this a 303(d) listed stream? Yes 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). NIA
9) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers forall 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.)
Page 2 of 4
SWU-223-071408 Last revised 6124114

r
NCG08000a N.O.I.
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
❑ No X Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
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 flood 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 1 disposal vendor:
Vendor address:
SWU-223-071408
Page 3 of 4
I
Last rev]sed 5124/14 CI

NC113080000 N.O.I.
16) Certification:
North Carolina General Statute 143-215.68 (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 falsities, tampers with, or knowingly renders Inaccurate any recording or monitoring devloe or method required to be
operated or maintained under this Article or rules of the Commission implementing this Article shall he guilty of a Class
2 misdemeanor which may Include a One 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.
certify that I am familiar with the information contained in this application and that to the best of my
knowledge and relief such information is true, complete, and accurate.
Tn Signing: Augle Mauro
sidt of Operations
7 t /9
at'ur of Applicant) (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
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
❑ 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.
13 Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mall 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 NPDES General Permit.
For questions, please. contact the DEMLR Regional Offlce for your alrea.
Page 4 of 4
SWU-223-071408 Last revised 6124114

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KANNAPOLIS, NORTH CAROLINA SYSCO OF CHARLOTTE
4500 CORPORATE DRIVE
ORG. DATE:1996 CONCORD, NORTH CAROLM
SCALE: 1 INCH =1000 FEET
PROJECT NO.73107008, N "Ifim, RICIXlow FIGURE 1 TOPOGRAPHIC MAP

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Ventaloro, Julie
From: Khan, Zahid
Sent: Tuesday, February 14, 2017 3:20 PM
To: Ventaloro, Julie
Subject: FW: Sysco NCGO80954
No comments from MRO
From: Moore, James
Sent: Monday, February 13, 2017 9:46 AM
To. Khan, Zahid <zahid [e-mail]>
Cc: Sidibe, Ousmane <[e-mail]>
Subject: Sysco NCGO80954
Zahid, I know the Sysco site on Corporate Drive well. No need to inspect prior to issuing the Certificate of Coverage.
Regarding NCG200516 / IMET Alloys no paperwork with the email?
James Moore

j
P&rnit Number NCGO80954
Program Category
NPDES SW
Permit Type
Transportation wNehicle MainienancelPetroieum BulklOil Water Separator Stormwater
Discharge COC
Primary Reviewer
julie.ventaloro
Coastal SWRule
Permitted Flow
Facility
Central Files APS _ SWP
2J1612017
Permit Tracking Slip
Status Project Type
In review New Project
Version Permit Classification
COc
Permit Contact Affiliation
R UC E I V D
FEB 2 2 2017
CENTRAL FILES
DWR SECTION
Facility Name
Major/Minor
Region
Sysco Charlotte, LLC
Minor
Mooresville
Location Address
County
4500 Corporate Or Nw
Cabarrus
Facility Contact Affiliation
Concord NC 28027
Augie Mauro
4500 Corporate Or Nw
Owner
Concord
NC 28027
Owner Name
Owner Type
Sysco Charlotte LLC
Non -Government
Owner Affiliation
Augie Mauro
4500 Corporate Or Nw
OateslEvents Concord NC 28027
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
1117/2017 -211-7 LO I "7 2-1/t 7 /101 7 1 0 1(311 Z -r 7
Regulated Activities Requested /Received Events
Transportation with vehicle maintenance RO staff report received 2114117
RO staff report requested 1125M7
Outfall 001
Waterbody Name Slreamindex Number Current Class Subbasin
Irish Buffalo Creek 13-17-9-(2) C 03-07.12

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
February 17, 2017
Mr. Augie Mauro
Sysco Charlotte, LLC
4500 Corporate Drive NW
Concord, NC 28027
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCG080000
Sysco Charlotte, LLC
COC No. NCGO80954
Cabarrus County
Dear Mr, Mauro:
In accordance with your application for a discharge permit received on January 17, 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
[phone] or by email julie.ventaloro a,ncdenr,gov,
Sincerely,
for Tracy . 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 EnVirOnlnentat Quality I Energy, Mineral and land Resources
1612 Mail Service Center 1 512 North Salisbury Street j 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. NCGO80000
CERTIFICATE OF COVERAGE No. NCGO80954
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,
Syseo Charlotte, LLC
is hereby authorized to discharge stormwater from a facility located at
Sysco Charlotte, LLC
4500 Corporate Drive NW
Concord
Cabarrus County
to receiving waters designated as UT to Irish Buffalo Creek, a class C water in the Yadkin 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. NCGO80000 as attached.
This certificate of coverage shall become effective February 17, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 17, 2017.
oil
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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NCG080954
N
W E
S
Map Scale 1,24, 000
Sysco Charlotte, LLC
Latitude: 350 25' 39" N
Longitude: 800 39' 16" W
County: Cabarrus
Receiving Stream: UT to Irish Buffalo Creek
Index No: 13-17-9-(2)
Stream Class: C
Sub -basin: 03-07-12 (Yadkin River Basin)
Facility Location

AG
�A Division of Energy, Mineral and Land Resources
_ i Land Quality Section
National Pollutant Discharge Elimination System
NCDENR
CNNTACARONURALE50URENT NCGO80000
ENVIR°NMENT AND N/RURRL RE9°IIRCES
NOTICE OF INTENT
I Date Received I
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG080000.
W
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 4221-4225)
SIC 43 United States Postal Service RCCLIVED
The following activities are also included: JAN 17 2011
• Other industrial activities where the vehicle maintenance area(s) is the only area Ie uiring permitting
• Petroleum Bulk Stations and Terminals (SIC 5171) with total petroleum site �pnac t' of..li'ss than 1
million gallons
'�' �� ' I-R PERMITTING
• 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.
1h 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 correspondence will be mailed):
Name Sysco Charlotte, LLC , (attn.. Augle Mauro)
Street Address
City
Telephone No.
4500 Corporate Drive NW
Concord
704 723-6014
2) Location of facility producing discharge:
Facility Name
Facility Contact
Sysco Charlotte, LLC
Mr. Augie Mauro
Street Address 4500 Corporate Drive NW
City Concord
County Cabarrus
Telephone No. 704 723 - 6014
Email
[e-mail]_
State NC ZIP Code 28027
Fax:[phone]
State NC ZIP Code 28027
Fax:[phone]
Page 1 of 4
SWU-223-071408 Last revised 6/24114

NCC080000 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). Interstate 85 to exit 55, turn onto International Drive
North West; make a left onto Corporate Drive, the facility is located on the right.
(A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application)
4) Latitude 35°25.39' north Longitude 80°39.165' west _ (deg, min, sec)
5) This NPDES Permit Application appild to which of the fdllowi�tg:
❑ New or Proposed Facility Date operation is to begin
X 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: _4 _2 _1 _3
7) Provide a brief narrative description of the types of industrial activitles and products manufactured at
facility: The SYSCO facility is a 350,000 square foot food distribution warehouse with dry, refrigerated,
and freezer storage. Fuels and various oils and lubricants are used to operate and maintain a vehicle
fleet and lubricate equipment. These liquid products may be received by tanker truck or in drums or
tote tanks. The facility does not conduct onsite manufacturing.
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? UT to Irish Buffalo Creek
Receiving water classification: Class C ( Irish Buffalo
Creek)
Is this a 303(d) listed stream? _Yes 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). NIA
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.)
Page 2 of 4
SWU-223-071408 last revised 6/24114

NCG080000 N.O.I.
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
X Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
❑ No X Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
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 flood 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 / disposal vendor: _
Vendor address:
Page 3 of 4
SWU-223-071408
Last revised 6124/14

NCG080000 N.0.I.
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.
Pri
of Applicant)
Signing: Augie Mauro
of Operations
I 9'r 1
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
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
❑ 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.
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on 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 NPDES General Permit.
For questions, please contact the DEMLR Regional Office for your area.
Page 4 of 4
SVVU-223-071408 Last revised 6124114

l � '
STORM WATER POLLUTION PREVENTION PLAN
(SWP3)
Terracon Project No.73107008
Prepared for:
SYSCO Charlotte,LLC
4500 Corporate Drive
Concord,North Carolina 28027
G°°adt�w rrom
:gsco
.. Prepared by:
lrerracan
521 Clemson Road
Columbia, South Carolina 29229

TABLE OF CONTENTS
Pape
Storm Water Pollution Prevention Plan (SWP3) Modification Log ... .................................................. I
1.0 PURPOSE AND BASIS OF SWP3.......................................................................................1-1
2.0 FACILITY DESCRIPTION.....................................................................................................2-1
3.0 POLLUTION PREVENTION TEAM......................................................................................3.1
4.0 IDENTIFICATION OF POTENTIAL POLLUTANT SOURCES.............................................4-1
4.1 STORM WATER DRAINAGE FROM SIGNIFICANT ACTIVITIES.....................................................4-1
4.2 INVENTORY OF EXPOSED MATERIALS & SIGNIFICANT ACTIVITIES......................................4-1
4.3 SAMPLING DATA ............................................. ................................................................ 4-3
4.4 PREVENTIVE MEASURES AND CONTROLS ..................... ................................................... 4-4
5.0 STORM WATER MANAGEMENT CONTROLS...................................................................5-1
5.1
GOOD HOUSEKEEPING .... ................................................................ ...............................
5-1
5.2
PREVENTIVE MAINTENANCE .................................. ..........................................................
5-1
5.3
SPILL PREVENTION AND RESPONSE PROCEDURES..........................................................5-1
5.4
INSPECTIONS.................................................................................................................5-2
5.5
EMPLOYEE TRAINING ......... .............................................................................................
5-3
5.6
RECORD OF SPILLS........................................................................................................5-3
5.7
NON -STORM WATER DISCHARGE...................................................................................5-3
5.8
SEDIMENT AND EROSION CONTROL.................................................................................5-3
5.9
MANAGEMENT OF RUNOFF .......................... ........................................................ ...........
5-3
6.0 SITE COMPLIANCE EVALUATION.....................................................................................6-1
7.0 VISUAL INSPECTION OF STORM WATER DISCHARGE..................................................7.1
8.0 SWP3 UPDATE AND MODIFICATION.................................................................................8-1

t
TABLE OF CONTENTS (coat.)
APPENDICES
APPENDIX A
Figure 1 - Topographic Map
Figure 2 - Site Diagram
Figure 3 - Site Diagram (with outfalls shown)
APPENDIX B
Quarterly Inspections Form and Storm Water Annual Observance
APPENDIX C
List of Significant Spills and Leaks Form
APPENDIX D
Annual Site Compliance Evaluation Form
APPENDIX E
Record of Training
APPENDIX F
Non -Storm Water Discharges
APPENDIX G
Record of Sampling Data
APPENDIX H
Notice of Intent (NOI) Form
APPENDIX I
NCDENR Inspection Form and Correspondence
APPENDIX J
Notice of Termination (NOT) Form

STORM WATER POLLUTION PREVENTION PLAN
SYSCO Charlotte, LLC
1.0 PURPOSE AND BASIS OF SWP3
The purpose of this Storm Water Pollution Prevention Plan (SWP3) is to identify potential
sources of pollution that may reasonably be expected to affect the quality of storm water
discharges associated with industrial activity from the SYSCO Charlotte facility. In addition,
the SWP3 describes the implementation of practices that are to be used to reduce pollutants
in storm water discharges associated with such industrial activity.
The SWP3 is based on the North Carolina Department of Environment and Natural
Resources National Pollutant Discharge Elimination System (NPDES) for Storm Water
Discharges from Industrial Activity General Permit NCG080000 requirements. It is prepared,
in part, using the United States Environmental Protection Agency (EPA) guidance document
833-13-09-002, Developing Your Storm Water Pollution Prevention Plan, A Guide for
Industrial Operators and North Carolina Department of Environment and Natural Resources
(NCDENR) Division of Water Quality document Storm Water Pollution Prevention Plans for
Storm water Runoff at Industrial Activities,
SWP3 1_1 Modification Date

SYSCO Charlotte TERRACON
Project No. 73077037
2.0 FACILITY DESCRIPTION
The SYSCO Charlotte facility is located at 4500 Corporate Drive in Concord, Cabarrus
County, North Carolina. The total property area is approximately 40 acres occupied by a
350,000 ft2 food distribution warehousing facility. This facility consists of dry, refrigerated,
and frozen -goods warehousing areas connected by an operations center with a separate
truck service/wash/and fueling center. Refer to Figure 1 (Appendix A) for the general
location of the facility. The Standard Industrial Classification (SIC) code for the Facility is
5141 (Wholesale Groceries — General Line). Food products are stored on -site and shipped
locally. Fuels and various oils and lubricants are used to operate and maintain vehicles and
lubricate equipment. These liquid products may be received by tanker truck or in drums or
tote tanks. The facility does not conduct any on -site manufacturing.
Storm water is directed by curbing towards storm water collection drains and lines that are
part of the overall storm water collection system on the property. Site overland flow
directions and a storm water collection system diagram are shown on Figure 3. Site storm
water is directed via the storm water collection system to an on -site storm water detention
basin. This basin discharges from a single point to an unnamed tributary of Irish Buffalo
Creek.
A Notice of Intent (NOI) for Storm Water Runoff has been submitted to the North Carolina
Department of Environment and Natural Resources (NCDENR) Department of Water Quality
Storm Water Permitting Unit for coverage under a State of North Carolina Storm Water
General Permit NCG08000. A copy of the NOI form submittal is included in Appendix H.
SWP3 2-1 Modification Date

SYSCO Charlotte
Project No. 73107008
3.0 POLLUTION PREVENTION TEAM
TERRACON
SYSCO Charlotte has designated individuals for a Pollution Prevention Team. The
individuals or positions designated in Table 1 are responsible for developing, implementing,
maintaining, and revising the SWP3. The team will provide insight and will ensure the goals
of the storm water management program are accomplished.
The Team should be very familiar with Section 5.0, Storm Water Management Controls,
which contains instructions to mitigate a release to storm water, in the event it occurs.
Section 5.0 of this plan is also companioned to the facility's Spill Prevention, Control, and
Countermeasure Plan, a controlled document also housed at the facility.
Table I •. Pollution Prevention Team
Name/Title
Responsibility
•
Developing and enforcing the SWP3 requirements
Augie Mauro
•
Providing resources necessary to prepare and maintain the
Vice -President of
SWP3
Operations
Delegating responsibilities to designated representatives
•
Certifying_the SWP3 on an annual basis
•
Implementing and performing requirements of the SWP3
Mr. Avery Long
•
Establishing best management practices and good
housekeeping programs
Facilities Director
•
Updating the SWP3
Joe Watkins
•
Conducting monthly inspections and annual compliance
Facility Maintenance
evaluations
Rick Farley
•
Maintaining required records, including inspections , spill or
Safety Di[pQlor
leak incident reports, and employee training
S NP3 3-1 Modlfcallon Date.

1
SYSCO Charlotte TERRACON
Project No. 73107008
4.0 IDENTIFICATION OF POTENTIAL POLLUTANT SOURCES
The employee parking lot areas and other areas not related to day-to-day facility operations
utilize storm water collection systems that are not isolated from the remainder of the facility;
therefore, these areas must be considered as covered under the General Permit and
subsequent SWP3. These areas are maintained by paving or landscaping, and are
generally kept free from debris.
Site storm water is routed through drains and curb and gutter systems to an on -site
detention basin at the eastern portion of the property.
Most material transfers (primarily vehicle fueling) occur under roof which reduces storm
water contact; however, bulk petroleum -product delivery by truck, for instance, require
temporary operations to occur outside where a spill could result in exposure to storm water
runoff.
Activities performed and significant materials used at the SYSCO facility that may potentially
be pollutant sources to storm water are included in Table 2.
4.1 Storm Water Drainage from Significant Activities
Figures 1 and 2 (Appendix A) show the topographic gradient of the site. Surface runoff on
the site is directed to storm sewer inlets in paved areas. Figure 2 in Appendix A shows the
majority of significant activities exposed to storm water are located at the south side of the
main building gear the truck center, and directional arrows on the map indicate storm water
flow direction; however, diesel fuel is periodically delivered in -bulk to re -fuel the generator at
the northern portion of the site west of the main employee parking lot. The general site
gradient is to the east.
The storm water from areas where significant activities have been identified is piped to a
storm water detention basin to the east. Water collected in this basin exits to the east, via a
concrete riser with a metal trash rack in the detention pond. This pond could be used to
isolate storm water prior to exiting the property. Storm water, upon passing through the riser,
is discharged to an unnamed tributary of Irish Buffalo Creek.
4.2 Inventory of Exposed Materials & Significant Activities
Table 2 provides a list of the materials and significant activities exposed to storm water. A
narrative of each significant activity is included in this section. General operations occurring
outside require the use of drip pans placed underneath hose connections when bulk
materials are being transferred. Absorbent materials are used to clean up surface staining
as needed. Drip and spill collection equipment is to be monitored in the event of rainfall
events and managed to prevent overflow. The site is not equipped with a wastewater
pretreatment operation; however, the facility does maintain an oil/water separator that
discharges to the sanitary sewer system. Floor drains within the truck shop, central trench
within the truck wash, and the bar screen drain within the trailer wash discharge to the
oil/water separator.
SWP3 Modification Date
4-1

l
SYSCO Charlotte TERRACON
Project No. 73/07008
Table 2: Inventory of Exposed Materials & Significant Activities
Map
ID
Area.of Concern
Potential Pollutant
1
Emergency Generator
Diesel fuel
2
Trash Compactors & Shop Dumpster
Trash, food -grade oils, misc. waste
groceries
3
Refrigeration Oil Storage
Compressor oil
4
Truck & Trailer Wash
Trash, food -grade oils, misc. waste
groceries
5
UST and Fueling Islands
I Diesel fuel
6
Used Oil AST
Oil
Emergency Generator
The facility maintains an emergency generator on a concrete pad in the landscaped areas at
the north side of the main building (See Figure 2, Map ID No. 1). The generator is fueled by
diesel stored in an approximate 1,000-gallon above ground "belly" tank attached to the base
of the generator. The generator is a self-contained unit, and the belly tank is within a steel
containment. The tank and containment are under cover from the unit's housing and not
exposed to storm water; however, during routine re -fueling of the generator, diesel is
delivered via truck. Refueling is not conducted under cover. Refueling activities are not
conducted during rainfall events (except during emergency need). During rainfall events,
delivery drivers will be asked to withhold product delivery until fairer weather. Refueling
activities are conducted in a manner consistent with those described for the UST and
Fueling Islands paragraphs below.
Trash Compactors and Shop Dumpster
The facility maintains two exterior horizontal trash compactors/dumpsters- one at the east
side of the dry warehouse and one at the south side of the freezer warehouse (See Figure
2, Map ID No. 2). Materials are placed within a chute inside each warehouse that feeds into
trash compactorsldumpsters. The facility also maintains a dumpster at northeast corner of
the Truck Maintenance Shop. The dumpsters are stored with lids closed to minimize rain
infiltration, and liquids are not disposed within the dumpsters. A waste disposal contractor
empties the dumpsters as needed. The areas around the dumpsters are inspected weekly
and subsequent to each disposal event for spillage. Any spilled materials are promptly
cleaned and placed back into the dumpster. Oil -filled hydraulic hoses and cylinders on the
compactors are inspected weekly and maintained in good working order. Institutional
controls enacted by SYSCO require that compactors are not serviced during rainfall events
(except during emergency).
Refrigeration Oil Storage
Three, 55-gallon drums of waste refrigeration oil are stored on spill palettes at the east side
of the dry warehouse near the compactor (See Figure 2, Map ID No. 3). These drums are
stored with bungs in -place until a removal subcontractor pumps the contents for disposal.
Rainwater collected within the spill palettes is inspected for sheens prior to discharge. Minor
spills during filling are promptly cleaned with oil absorbent.
SWP3 Modification Date
4-2

SYSCO Charlotte TERRACON
Project No. 73107008
Truck and Trailer Wash
The facility maintains a power washing station for cleaning and disinfection of trailer interiors
(See Figure 2, Map ID No. 4). The power washer sprays a water -based disinfectant solution
supplied from a 250-gallon plastic tote inside the trailer wash. Washout is primarily
conducted under the canopy, which covers the rear, roll -up door of each trailer during
cleaning. Residual materials are cleaned from the inside of the trailer in order to maintain a
sanitary environment for the transportation of food -grade products. The majority of washout
discharges to a grate under the canopy and to the oil/water separator. However, small
quantities of washout and/or disinfectant may discharge to the pavement around the
washout station during these operations. The grate is cleaned periodically, and any
materials removed from the grate are disposed in the dumpster.
The truck wash is a pull -through type with roll -up doors at the entrance and exits. Wash
water discharges to a central floor trench and ultimately, to the oil/water separator. This area
is not subject to exposure except during re -filling of cleaning products containers.
UST and Fueling Islands
The facility maintains one 20,000-gallon diesel underground ground storage tank (UST) and
four dispensers on three fueling islands. The UST and fueling islands are located on the
south side of the shop and truck wash (See Figure 2, Map ID No. 5). This commercial UST
is subject to NCDENR UST Regulations under Permit Number 0-035443. An employee and
the delivery truck driver are present to observe fuel transfer operations. The delivery truck
comes equipped with a transfer hose that is connected to a fitting that services both tanks.
Once the connections are made, the valves on the truck and to the tank(s) are opened.
During fuel delivery, the truck driver monitors the level indicator on the truck. Once the
transfer is completed, the valves on the tank and truck are closed, and the hose is removed.
The hose is capped and placed back on the truck's rack. Product delivery is not accepted
during rainfall events. Product delivery is strongly encouraged to be conducted during
daylight hours only.
Used Oil AST
The facility maintains one 500-gallon used motor oil double -walled, above -ground storage
tank (AST). This AST is stored inside the truck shop and is not subject to storm water
exposure; however, the pump -out coupling for the AST is exposed to storm water. This
coupling is located on the north exterior wall of the shop (See Figure 2, Map ID No. 6). This
coupling is used by the used oil disposal contractor during pump -out of the tank. During oil
extraction, the truck driver and a SYSCO employee monitor for leaks or drips. Any spill is
promptly cleaned with absorbent materials. Used oil is not pumped out during rainfall events.
4.3 Sampling Data
There is no sampling required as part of the General Permit; however, any storm water
sampling data, voluntary or directed by a permitting or regulatory authority, is to be kept in
on file with this plan. Records of storm water monitoring data are to be filed in Appendix G
and maintained for minimum of three years. For sampling methods and procedures, refer to
NPDES Storm Water Sampling Guidance Document, EPA 833-B-92-001.
SWP3 Modification Date
4-3

SYSCO Charlotte TERRACON
Project No. 73107008
4.4 Preventive Measures and Controls
Table 3 summarizes the controls and best management practices (BMPs) applied to
minimize exposure of storm water. Engineering controls are considered first, if practicable
and reasonable. The site utilizes a combination of engineering, operational, and BMPs and
procedures to minimize the potential for releases of materials. Operating procedures and
best management practices such as inspection programs supplement physical controls, and
are designed to prevent system upsets and spills. These measures include processes,
procedures, schedules of activities, and other management practices to prevent or reduce
water pollution.
Plant security, including lighting, fencing and guard service, are also utilized at the site. The
facility operates 24 hours per day; however, petroleum products are received during daylight
hours, with few exceptions.
Table 3: Measures and Controls
Map
ID
Significant
Activity
Engineering Controls
Operating Procedures or Management Controls
1
Emergency
Fuel level indication; tank
. Drip pans to catch leaks
Generator
with containment; truck
• Storm water inlets should be covered with spill mats or oil
level gauges; cover to
booms during truck unloading
prevent rainwater
collection,
o Employee and/or truck driver surveillance during transfers;
wheel chocks to prevent drive -offs
• Cap pipes and hoses when transfer is complete
• Area surveillance during operation, security patrols
• Small spills are promptly cleaned
• Visual inspection for sheen or product of all storm water
collected in secondary containment prior to discharge
• Regular training for employees involved in oil transfer
operations
• Spill kit kept in mechanical room.
2
Trash
none
• Liquids are not placed in the compactors or dumpsters
Compactors
• Regular inspection of hydraulics
& Shop
• Weekly inspections for spillage and inspections
Dumpster
subsequent to each disposal event
3
Refrigeration
none
• Spill palettes to catch leaks
Oil Storage
• Store drums empty, and under cover if possible
• Employee surveillance during transfer operations
• Regular training for employees involved in oil transfer
o erations
4
Truck &
none
• Trailer interiors are to be inspected prior to washout- if
Trailer Wash
significant materials have been spilled inside the trailer,
washout is to be conducted under the canopy.
• Trailer washout is not to be conducted during precipitation
events except under the canopy.
SWP3 Modification Date
4-4

SYSCO Charlotte
Project No. 73107008
TERRACON
Map
ID
Significant
Activity
Engineering Controls
Operating Procedures or Management Controls
5
UST and
Fuel level indication and
a Drip pans to catch leaks
Fueling
control interlocks with
e Storm water inlets should be covered with spill mats or oil
Islands
pumps; tanks with
booms during truck unloading
containment, majority of
. Employee and/or truck driver surveillance during transfers;
transfer line underground,
wheel chocks to prevent drive -offs
draining to indoor
containment; truck level
. Cap pipes and hoses when transfer is complete
gauges; traffic bollards
• Area surveillance during operation, security patrols
• Small spills are promptly cleaned
• Regular training for employees involved in oil transfer
operations
• Spill kit kept adjacent to dispenser islands
6
Used Oil AST
Double walled AST, indoor
• Drip pans or absorbent pads to catch leaks
storage; pump -out
• Storm water inlets should be covered with spill mats or oil
coupling is positioned
booms during truck unloading
higher than the AST
. Employee and/or truck driver surveillance during transfers;
storage level to prevent
wheel chocks to prevent drive -offs
siphoning.
. Cap pipes and hoses when transfer is complete
• Area surveillance during operation, security patrols
• Small spills are promptly cleaned
• Regular training for employees involved in oil transfer
operations
• Fueling island under canopy
• Spill kit kept adjacent to dispenser islands at south side of
shop
SWP3 Modification Date
4-5

' SYSCO Charlotte TERRACON
Project No. 73107008
5.0 STORM WATER MANAGEMENT CONTROLS
5.1 Good Housekeeping
Good housekeeping practices reduce the potential for significant materials to impact storm
water. SYSCO Charlotte promotes good housekeeping by routine and regular cleaning
schedules. Good practices include material accountability, organized storage practices, and
continuous inspection and maintenance of machinery.
5.2 Preventive Maintenance
The preventive maintenance required by the permit involves, at a minimum, quarterly
inspections, testing, and cleaning of storm water management controls. At the SYSCO
Charlotte facility, this requires that any drip pans utilized be leak proof; regular inspections
are performed; oil -filled equipment are maintained in good working condition; and all fueling
equipment be in good working order. Outside bulk storage containers, hoses, connections,
valves, heat tracing, and other equipment vital to preventing storm water exposure are to be
regularly inspected to identify conditions that may cause breakdowns or failures, resulting in
discharges of pollutants. These inspections are one of the duties of the Pollution Prevention
Team.
5.3 Spill Prevention and Response Procedures
Implementation of spill prevention and response procedures is an important factor to an
effective SWP3. The facility needs to update the spill prevention and response plan and
make necessary modifications if there have been any significant changes to the facility.
SYSCO Charlotte maintains a separate Spill Prevention, Control, and Countermeasure
(SPCC) plan on site in operations.
The facility maintains spill kits, sand bags, sorbent booms, and other absorbent materials to
prevent spill migration. Containment equipment such as absorbent pillows, drain covers,
absorbent, and miscellaneous tools are stored in the center of the fuel island. A floating oil
boom is stored at the storm water detention pond.
Members of the Pollution Prevention Team should be familiar with the available spill
mitigation equipment.
Spills from areas listed in Table 2 will drain to the nearest storm drain inlet which
consolidates runoff with the storm water from the balance of the site. The storm water
discharges to the eastern storm water detention pond, where it will remain until a sufficient
volume has collected within the pond to discharge through a culvert to the unnamed tributary
of Irish Buffalo Creek. If spills and leaks can be diverted and controlled prior to storm water
consolidation, cleanup costs and time spent will be reduced; thus, this is the preferred
method. If the spill enters the storm sewer inlets at the site, the flow will eventually exit into
the detention pond. A floating oil boom should be deployed around the riser in the storm
water detention pond should a release flow into the pond.
SWP3 Modification Date
5-1

SYSCO Charlotte
Project No. 73107008
TERRACON
Any storm water collected in containments, if contaminant -free (i.e. free of odors and/or
sheen), could be pumped to the paved areas for release as storm water. Contaminated
storm water should be removed by an approved contractor.
Should a spill occur, the following simplified procedures should be followed. These
procedures are very broad, and are not considered an adequate substitute for area -specific
spill response procedures outlined in the facility's SPCC plan.
Simplified Procedures
1. Stop the source of the spill if it can be done so safely.
2. Ensure the all valves are closed and pumps are shut down.
3. Ensure mats are on all affected storm water grates (see Figure 2, Appendix
A).
4. Notify members of the Pollution Prevention Team.
5. Use the spill kit equipment or sandbags to divert spill to paved areas where
possible.
6. Call for assistance if additional equipment will be needed to prevent an off -
site release of oil or other hazardous substances.
7. Use skimmer pumps or a vacuum truck to collect liquid oil for disposal.
8. Scoop solid oil into appropriate containers and properly dispose of.
9. If there is potential for an off -site release, notify the Director of Warehouse in
Operations.
10. If there is an off -site release of oil, notify the appropriate local, state, and
federal agencies.
Key Contacts
In addition to facility contacts which are maintained on site, the following list provides a quick
reference to other individuals and agencies to report discharge of any hazardous substance
or oil in excess of the reportable quantity. Reportable quantity of oil is the quantity which
causes a "film or sheen upon or discoloration of the surface of the water or adjoining
shorelines or causes a sludge or emulsion to be deposited beneath the surface of the water
upon adjoining shorelines."
SYSCO Director of Warehouse [phone]
U.S. National Response Center [phone]
North Carolina Department of Environment
and Natural Resources (NCDENR) [phone]
5.4 Inspections
Quarterly inspections will be performed and records of inspections will be maintained on -site
and readily available upon request for at least three years after the date of the inspection.
Inspection records will note when inspections were performed, who conducted the
5wP3 Modification Date
5-2

SYSCO Charlotte TERRACON
Project No. 73107008
inspections, areas inspected, and steps taken to correct any problems. Quarterly inspection
forms are located in Appendix B for the facility to utilize when performing the inspections.
5.5 Employee Training
SYSCO Charlotte will develop and implement an employee training program to educate
employees about the requirements of the SWP3. This training program will include
background on the components and goals of the SWP3 and training in spill prevention and
response, cleanup and proper disposal techniques, good housekeeping, proper material
handling, disposal and control of waste, and inspection procedures. New employees will go
through training programs as soon as practical, depending upon job responsibilities.
Refresher training for employees should be established by the Pollution Prevention Team.
Records of refresher and employee training courses will be maintained in Appendix E.
5.6 Record of Spills
Significant spills at the facility need to be documented and reported to state and federal
agencies. Documentation of past spills such as leaks, spills, and other discharges that had
the potential to affect the quality and quantity of storm water discharges are maintained for
three years. Appendix C contains a form that can be used.
5.7 Non -Storm Water Discharge
NCDENR requires the facility to identify any non -storm water (dry weather) effluent directed
to surface water or groundwater. If unauthorized discharges are observed, report to
NCDENR immediately by telephone and in writing within five days. Appendix F contains a
form to list any non -storm water discharges that may occur at the facility.
5.8 Sediment and Erosion Control
SYSCO Charlotte has either paved or landscaped the property, with the exception of non -
developed, naturally vegetated areas.
5.9 Management of Runoff
SYSCO Charlotte has installed one storm water detention pond. This pond receives runoff
prior to discharge off -site. The pond, if not at full capacity, loses water through infiltration
and/or evaporation. When filled, the pond discharges through a concrete riser equipped with
a metal trash rack.
SWP3
5-3
Modification Date

SYSCO Charlotte TERRACON
Project No. 73/07008
6.0 SITE COMPLIANCE EVALUATION
SYSCO Charlotte will perform a site compliance evaluation at least once a year, as required
by NCDENR. A thorough site compliance evaluation will include visual site inspection, a
summary report of the evaluation, and any actions taken concerning the SWP3. Appendix D
contains a blank site comprehensive compliance evaluation form. A minimum of three
year's worth of completed evaluations are to be kept in Appendix D.
SWP3 Modification Date
6-1

SYSCO Charlotte TERRACON
Project No. 73107008
7.0 VISUAL INSPECTION OF STORM WATER DISCHARGE
NCDENR requires SYSCO Charlotte to perform and document a visual inspection of storm
water discharge related to industrial activity from the storm water outfalls from the site at
least annually. Appendix B contains the form to document the inspection.
Three years of SWP3 inspection reports and required records will be available for review
upon request. The following is a list of the required records to be maintained:
• The Notice of Intent (NO]) authorized by NCDENR, and supporting documentations
used to request authorization under the general permit;
• A copy of the general permit;
• The SWP3 for the site named in authorized NOI, and any amendments to the SWP3;
• Inspection records;
• Annual compliance evaluation;
• Any correspondence, from NCDENR' will be maintained in the Appendix H; and
• Notice of Termination (NOT)', if applicable.
t The permit does not relieve the facility from compliance with Federal or State laws pertaining to threatened or endangered
species or historical properties. Where applicable, NCDENR or other appropriate agency should be contacted and compliance
efforts in regard to these laws should be reflected in the SWP3.
2 Submit the NOT form to NCDENR relinquish the permittee's authorization to discharge storm water associated with industrial
activity at the industrial facility.
7-1
SW133 Modification Date

SYSCO Charlotte TERRACON
Project No. 73107008
8.0 SWP3 UPDATE AND MODIFICATION
SYSCO Charlotte will update and modify the SWP3, within 90 days after any of the
following:
• A change in design, construction, operation or maintenance that has a
significant effect on the potential for the discharge of pollutants to the waters
of the State; or
• The inspections (including the regular comprehensive site compliance
evaluation required herein) indicate deficiencies in the SWP3 or any BMP; or
• A visual inspection of contributing areas or a visual inspection of the storm
water discharges or monitoring of the storm water discharges indicate the
plan appears to be ineffective in eliminating or significantly minimizing
pollutants from sources identified in the plan.
SWP3 8.1 Modification Oate

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Graphic Scale (feet) Wd + 4
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IV
USGS TOPOGRAPHIC QUADRANGLE MAP SITE LOCATION MAP
KANNAPOLIS, NORTH CAROLINA SYSCO OF CHARLOTTE
4500 CORPORATE DRIVE
ORG. DATE: 1996 * CONCORD, NORTH CAROLINA
SCALE: 1 INCH = 1000 FEET I
PROJECT NO. 73107008 N 1rerraca011IFIGURE 1: TOPOGRAPHIC MAP

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CONCDRD W NTkCAROLM 2 2

SYSCO Charlotte, LLC
4500 Corporate Drive NW
Concord, North Carolina 28027
Record of Quarterly Inspections
Date of Last Revision:
Calendar Quarter: 1 2 3 4 Year:
Date:
Time:
W..th r r.—fifl--
Area Inspected
r
Observations " and Follow-up Actions Taken
Source of Potentlal
Inspector's
Required
Follovi;up
Follow-up
Actlon '
Contarninatlan
Initlals
(YIN)
Date
Emergency
Generator
Trash
Compactors &
Shop Dumpster
Refrigeration Oil
Storage
Truck & Trailer
Wash
UST and Fueling
Islands
Used Oil AST
Storm Water Annual'Obsen►ance``:�;.,
Date
Time
Outfall Discharge
Observation
Date
Time
Outfall Discharge
Observation
Weather conditions such as snow, rain, or other precipitations should be noted on the form
2 Note corrosion or leaks of pipes, storage tanks, drums, bins, hoses; oily sheen in water when it rains; sewage odor, staining on ground; dead vegetation in area
3 Note unusual color, turbidity, floating, suspended, or settled solids, oll, foam, evidence of sewage or industrial waste. THIS HAS TO 13E DONE Al LgAAST ONCE AYEAR DIJRING
A RAIN EVENT. 0 unable to perform a visual evaluation of the outfall discharge during a rainfall event, a reason must be written on form.
B-1/1

APPENDIX C
LIST OF SIGNIFICANT SPILLS AND LEAKS FORM

SYSCO charlotte, LLC
4500 Corporate Drive NW
Concord, North Carolina 28027
List of Significant Spills' and Leaks
Dale of Last Revlslon:
Incident
Date
Descriptions of Spill,or'Leak
Response. Procedure
(material, recovered, storm
water exposure)
Preventive Measures �,
p
Location
Material2
Quantity
Source'
"Significant spills" Includes but not limited to releases of oils or hazardous substances in excess of reportable quantities under Section113 of the Clean Water Act
(see 4D CFR 110.10 and CFR 117.21) or Section 1D2 of CERCLA (see 40 CPR 302.A).
'Reportable quantity' is quantity which causes a film or sheen upon or discolpra6on of the surface of the water or adjoining shorelines or causes sludge or emulsion
to be deposited beneath the surface of the water or upon adjoining shorelines.
z Type of oil or fluids contained in the spill or leak.
a Where or what equipment is the spill or leak coming from?
Actions taken during the incident or for future Incidents.
If incident report Is a separate document, please reference here end include a copy in this Appendix.
All inspection records will be maintained on site for three years in a readily accessible location.

APPENDIX D
ANNUAL SITE COMPLIANCE EVALUATION FORM

,0�

Date of Last Revision:
SYSCO CHARLOTTE, LLC
STORM WATER POLLUTION PREVENTION PLAN
ANNUAL SITE COMPLIANCE EVALUATION
(3 Pages)
The annual site inspections are performed to ensure the facility is in compliance with the Storm Water
Pollution Prevention Plan (SWP3). The report will include update or resolution to any incident of non-
compliance that was determined from the site evaluation within 90 days. The annual report and
inspection forms are to be maintained on site at the facility for three years and readily available to
review upon request.
Summary of the ( year) Annual Compliance Evaluation.
Changes Required? Yes No
Change Description and Date Resolved
I have reviewed the Annual Compliance Evaluation and have designated resources necessary to
implement and update the SWP3 for the facility.
Reviewer's Signature
Date
D-1/3

Date of Last Revision:
SYSCO CHARLOTTE, LLC
STORM WATER POLLUTION PREVENTION PLAN
ANNUAL COMPLIANCE EVALUATION (cont'd)
Year:
Evaluation Date:
List the areas contributing to storm water discharge associated with industrial activity for potential pollutant
entering the storm water drains.
Emergency Generator)
Trash Compactors & Shop Dumpster)
Refrigeration Oil Storage_
Truck & Trailer Wash) _
LIST and Fueling Islands)
Used Oil AST
List any changes recommended if the measures in the SWP3 are not adequate or are improperly implemented.
Inventory of spill response equipment:
Location Equipment Found Condition Recommendatlon
Facility Modifications
Describe any changes that might affect the potential for storm water contamination from outside activities.
D-2/3

Date of Last Revision:
SYSCO CHARLOTTE, LLC
STORM WATER POLLUTION PREVENTION PLAN
ANNUAL COMPLIANCE EVALUATION (cont'd)
Significant Spills
List any significant spills or leaks from the current year that threatened or affected storm water, including any
corrective actions taken. Attach additional sheets if necessary.
Incident Date Material and Amount Corrective Action
Storm Water Releases from Containment
List any containment releases, containment overflows or if there were leaks or other problems with the
containment systems, include actions taken at the time of the release, and measures taken to prevent
recurrence.
Date Location . Description
Non -Storm Water Discharges
List any non -storm water discharges identified. Note the location, date, and identity of discharge. (See Section
5.7 of SWP3)
Best Management Practices
Describe any changes or recommendations to the management practices of the SWP3.
Additional Information
Inspector's Signature
Date
D-3/3

RECORD OF TRAINING

Dale of Last Revision:
SYSCO CHARLOTTE, LLC
STORM WATER POLLUTION PREVENTION PLAN
RECORD OF TRAINING
Type of Training: ❑ New Employee ❑ Annual Refresher
Training Ciass/Refresher Instructor Name:
Date of Training Class/Refresher:
Persons attended the class:
Name Signature

APPENDIX F
NON -STORM WATER DISCHARGES

44?
110010* 'µVolp

SYSCD Charlotte, LLC
4500 Corporate Drive NW
Concord, North Carolina 28027
List of Non -Storm Water Discharges
(sea Section 5.7 of SWP2 Pfani
Date of Last Revision:
Date
Quttall
.
Method
Observations
Are there any non -storm water'dischergee?Correbted,z
. (Authorized or
Inspector
Data

APPENDIX G
RECORD OF SAMPLING DATA

m

APPENDIX H
NOTICE OF INTENT APPLICATION

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�+� .

APPENDIX J
NOTICE OF TERMINATION (NOT) FORM