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Home My WebLink AboutNCG120093_COMPLETE FILE - HISTORICAL_20140515STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v DUCTYPE �' HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE p Q O I (") U 5 1 YYYYMMDD Fayetteville Division 2592 Hope Mills Rd Microbac Fayetteville, NC 28306 910.864.1920 Phone 910.864.8774 Fax Certificate of Analysis Ft. Bragg - Department of the Army Mr. James Duncan Project: Stormwater sample - #77 IMSE-BRG-PWE-W, Bldg 0-9125 Ft, Bragg NC, 28310 Outfall €F77, grab 1405404-0l Date Reported: May 21, 2014 Date Received: May 15, 2014 Date Sampled: May 15, 2014 Sampled By: Duncan Anal a Result Units Analyzed Analyzed By Method Qualifier Field Data pH 8.32 pH Units 5/15/14 13:52 Duncan pH Maiyzed by: Microbac - FavetteWle Wslon Settleable Solids <0,10 mVL 5/16/14 7:20 JAO SM 2540 F=1997 Total Suspended Solids 26.0 mg/L 5/16/14 9:40 JTL SM 2540 D-1997 Turbidity 180 NTU 5/15/14 16:25 DSK SM 2130 B-200.1 QC Duplicate Results Analyte Result Units Source RPD Limit Turbidity 186 NTU 1405404 1 5 Total Suspended Solids 326 mg/L 1405389 21 5 Total Suspended Solids 26.8 mg/L. 1405406 5 5 Total Suspended Solids 392 mg/L 1405409 5 5 State Ceti ifications: NCDNR #II NCDOFI #137714 USDA #3787 Respectfully Submitted Bonnie K. Sanders, Senior Project Manager Page 1 of 1 Ft. Bragg - Department of the Army Mr. James Duncan IMSE-BRG-PWE-W, B]dg 0-9125 Ft. Bragg NC, 29310 �MICROBAC'; Fayetteville Division Certificate of Analysis Project: 5tormwater sample - 07 Storm Water, grab K00404-0 l Dale Reported: 10/16/14 Date Received: 10/14/14 Date Sampled: 10/14/14 Sampled By: Duncan Analyte Result Units Analyzed Anal zed B Method Qualifier Field Data PH 6.53 pH Units 10/14/14 10:30 Duncan pH Analyzed by: Mlcrobac Laboratories, Inc. - Fayetteville Settleable Solids. <0.10 ml/L 10/14/14 13:40 JAO SM 2540 F-1997 Total Suspended Solids 14.5 mg/L 10/15/14 09:32 SW SM 2540 13-1997 Turbidity 130 NTU 10/14/14 15:45 DSK SM 2130 B-2001 QC Batch Run - (Hicrobac Laboratories, Ina - Fayeneville) J Analyte Result Units Source RPD Limit _ J Total Suspended Solids 91.0 mg/L K4J0452 2 5 Total Suspended Solids 77.6 mg/L K4J0405 3 5 Total Suspended Solids 1.11 mg/L K4J0397 5 Turbidity 34.0 NTU K4J0419 1 5 State Certifications: NCDNR #II NCDOH #37714 Respectfully Submitted Bonnie K. Sanders, Senior Project MAnager Thank you for your businesa We invite yourfeedhack on our level ofseri4ce to yon. Please contact the Division Afonuger, Rob Dermer at 910-864-1920 with any questions You nary also contact J. 7F.evor. Boyce, President at presidenQmlcrnbac cony Microbac Laboratories, Inc. Page 1 of 2 2592 Hope Mills Road I Fayetteville, NC 28306 1 910.864.1920 p 1910.864.8774 f I www.microbac.com North Carolina Department of Environment and Natural Resources o� W AreRQc } Technical Bulletin for N.C. General . Y Stormwater Permit NCG020000 Technical Sulletin for NCGO20000 Last Revised 3/15/2012 What activities are covered by this general -hermit? NCG020000 coverage includes the discharge —of: ✓Stormwater - Mining & Quarrying (Non -Metallic Minerals, Mine excava- tion, Processing, & Vehicle Maintenance) ✓Mine Dewatering Discharges (Wastewater) ✓Sand and/or Gravel operation discharges (Wastewater) ,,'Non -Closed -Loop Recycle systems discharges (Process Wastewater) ✓ Non -Discharging Closed -Loop Recycle systems & infrequent overflows hat are key Stormwater Requirements? NCG020000 excludes discharges • DOT Borrow Pits • Peat, Coal & Metal Mining • Oil and Gas Extraction Operations • Combined Mining/Asphalt Operations ✓Semi -Annual Analytical & Qualitative Monitoring. ✓ Inspect BMPs with land disturbance activities every 7 calendar days & within 24-hours of a storm event. ✓Develop & Implement a Stormwater Pollution Prevention Plan (SPPP) (Part!!!, Section A). ✓ Provide Secondary Containment for bulk storage (Part lli, Section A). What are key Wastewater Requirements? -'Quarterly Analytical Monitoring (Table at Right). ✓ Perform Operation & Maintenance of treatment facilities (Part 11, B)." ✓Per North Carolina Session Law 2011-394, industrial wastewater per- mit dischargers with an NPDES permit no longer need an Authorization to Construct (ATC), however, wastewater discharges must still meet effluent limitations. An exceedence of these limits is a violation. What has changed since the last renewal? AR Facilities; • Reduced inspections for inactive mines: inactive mines are now to be inspected at least 1x/month and after 0.5" (or more) of rain. • R t' f "t ; th " b I b h k 1' t h 1f - II , I I 3 31 3 .7lablel,ISurn nf,��r�C �ki 1 I:4ltequfFementsiw471ki`.�i ;'�� tr w,lilIf 'A!QuarterM ,: _q Mlne'Dewatering 'V' / I> ..�r ( ��..i,'yYes f'" 4 """t NaI i Mine Dewatering Discharges ✓ z..lProcess Wastevua#er.a Other Recycle ✓ Closed LoopRecycle ✓ An Other Process WW ✓ epor Ong o morn ormg at Is at or a ow enc mar s or imi s as been reduced to an Annual Summary DMR due March 1. • Turbidity limits on effluent discharges have been removed --however turbidity standards still apply in the receiving waters. • Exceedences or violations must be sent to the Regional Office within 30 days of receipt from lab. . • Failure to monitor according to permit terms triggers monthly monitoring for the remainder of the permit. Changes Specific to Stormwater . • Benchmark exceedences shall be reported to the Regional Office. Benchmarks are not limits. • Stormwater discharges shall be monitored from Vehicle Maintenance Areas for Total Petroleum Hydrocarbons (TPH) rather than Oil & Grease (0&G). • Stormwater discharges shall be monitored from basins designed to contain the 10-year storm. • The SBMP plan has been replaced by a specific mining SPPP. • Stormwater Analytical Monitoring has been -increased to twice per year. • When an analytical benchmark is exceeded, a Tiered Response applies. Cut -off concentrations have been removed. • Qualitative monitoring must be recorded during the same representative storm event as analytical monitoring. • 48 hours of little or no precipitation may now precede a "Representative Storm Event". Changes Specific to Wastewater • A Lower TSS Wastewater limit for PNA waters has been added. • All mines must monitor for TSS— but only industrial sand has limits. • Approval of a Pumping 0&M Plan maybe required prior to coverage (for sites that may drain wetlands, or where dewatering discharge may affect sensitive waters like shellfish- ing (SA) waters ). • Fecal coliform monitoring is re- quired for all WW discharges to SA waters. I I PAGE TECHNICAL BULLETIN FOR N.C. GENERAL STORMWATER PERMIT NCG020000 LAST REV.3/15/2012 1 Frequently Asked Questions Do I have to monitor all outfalls? Do I need an ATC? Yes. However, you may request Repre- sentative Qutfall Status (ROS). If ap- proved, this status allows analytical & now qualitative monitoring at fewer outfalls. To request ROS, submit a ROS Request Form SWU-ROS (from our web - site) to the DWQ Regional Office. What if I can't collect a Storm - water discharge in 30 minutes? When distances separate multiple out - falls and preclude collection within 30 minutes of each discharge event, begin collection within 30 minutes and con- tinue until all outfalls with discharges are sampled. Documentation must be kept in the SPPP. Do I still need to monitor my inactive mine? Yes. BMP inspections of inactive mines are reduced (to at !east 1x/month and within 24 hours of any storm event 0.5" or more). However, monitoring of inac- tive mine discharges remains the same. Inactive mines must possess an "Inactive Renewal" from DLR and notify the DWQ Regional office, or certify to DWQ the site has been stabilized. Where to do I have to sample for turbidity? Turbidity may be monitored at the Stormwater or Wastewater Outfal!. The permittee may choose to monitor tur- bidity In the receiving water, directly upstream and downstream of the Out - fall. If you have a question about where to monitor turgidity, contact your Re- gldna! Office for assistance. What if I don't address qualita- tive monitoring problems? If mines do not respond to problems seen in visual monitoring, DWQ may require that mines change the monitor- ing frequency, apply for an individual permit, implement in -stream monitor- ing, install or modify structural storm - water, controls, or implement other controls. What if I forget to monitor? Mines that do not monitor per permit conditions, shall monitor every month until the permit is renewed. . No, Per North Carolina Session Law 2011 -394, industrial wastewater permit dis- chargers with an NPDES permit no longer need additional approval "...for the construction, installation, or altera- tion of any treatment works ". However, wastewater discharges must still meet effluent limitations. Exceeding these limitations is a violation of permit terms. Where & when do I send DMRs? See Permit Section: Part 1V, Section E: I1iIj EG11111�i l �Il�ll ' ue'{&,l ,�l!� i11�3i11�111Da' Iilyllllil;gEi�131�,D e�ljl! F�� III a' lllf 'lllif �'E,1��I �Il fill ' Iafl Elpl it i��f �I IL ' atl n �111IEjll;ll d!EI Ir I��13'�lil�l I Ili 3 !i ��I��III1 E !I k i OC p I° ill II � I II�iI 3 I31 I l i ' II�I��,I�IIIIVI��I.�,1IIiiVJ�,IV�I��IIIIJ�:11V191E�'13!.3t�i ��E�'I�I�, jl'``: Annual DMR ALL Analytical SW & By March Summary WW DATA (inc)uding 1 of each to Central Exceedences & No Office Flow/ No Discharge) Year Exceedence Benchmark DMR to Exceedences, Limit Within Reglonal violations & 30 days Office All Tier 2 Monitoring Record in No Flow or Within SPPP No Discharge 30 Days Must a PE sign -off on my new or expanded treatment facility? It is no longer a requirement of this per- mit application for a Professional Engi- neer to sign off on plans and calcula- tions. However it may be a requirement of other North Carolina regulations, such as those of the N.C. Board of Examiners for Engineers and Surveyors. What if I can't sample because of bad weather? Adverse weather is dangerous or creates inaccessibility for personnel. Documen- tation of adverse weather and the rea- sons for not sampling must be included Who can help me? v Division of Water Quality (DWQ) Offices: with your SPPP records. A substitute sample must be taken during the next qualifying storm event. When do I need an O&M Plan? When a mine with dewatering activities has the potential to drain nearby wet- lands or surfaces waters, the Division may require a Pumping 0&M Plan be approved prior to Issuance. These O&M Plans shall include -but are not limited to: groundwater monitoring strategies & detailed plans to maintain the surround- ing hydrology. Why did you replace Oil & Grease with TPH in VM areas? The TPH test only targets chemicals de- rived from crude oil. The Oil & Grease (O&G) test recovers fats from animal & vegetable sources and chemicals from crude oil. Because TPH is more specific, it is a better parameter for vehicle main- tenance areas. The TPH method we are specifying for NCG02 is EPA 1664A (SGT- HEM). It is important to mote that DWQ is not specifying the more expensive Gas Chromatograph (GC) TPH method. DWQ found lab costs for EPA 1664A (SGT-HEM) to be comparable to current 0&G test costs. To test these parame- ters in Stormwater, labs must perform this test in accordance with EPA proce- dures, but do not need to be certified. Note: A lower benchmark applies for TPH:15 mg/I (not 30 mg/1). What about the Coastal Rules? If you have a new mine in one of the 20 Coastal Counties with >10,000 BUA, you may also need a State Stormwater Per- mit. If you are in the 20 Coastal Coun- ties, check with the Regional Office. Can I use PAMS at my site? Yes, floccuiants may be used. A list of evaluated products is on our website. Asheville Office.. ........... (828) 296-4500 Washington Office.......... (252) 946.6481 Fayetteville Office.......... (910) 433-3300 Wilmington Office.......... (910) 796-7215 Mooresville Office......... (704) 663-1699 Winston-Salem Office,..... (336) 771.5000 .. (919) 791A, h Central (91%807.6300 DWQ Stormwater Permitting Unit: http://Portal.ncdenr.org/web/wq/ws/su Impaired Waters & TMDL Lists: http: //h2o.enr.state.nc.usltmdll Z• A NCDEE R North Carolina Department of Environment and Natural Resources Division of Water Quality Pat McCrory Charles Wakild, P.E. Governor Director April 15, 2013 Fort Bragg Directorate of Public Works Attn: Gregory G. Bean 2175 Reilly Road Stop A Fort Bragg, NC 28310-5000 Subject: COMPLIANCE EVALUATION INSPECTION Fort Bragg Directorate of Public Works Lamont Road C&D Landfill, Certificate of Coverage-NCG120093 NPDES Stormwater General Perm it-NCG120000 Cumberland County Dear Mr. Bean: John E. Skvarla, III Secretary On April 10, 2013, a site inspection was conducted for the Lamont Road C&D Landfill facility located at Lamont Road, Cumberland County, North Carolina. A copy of the Compliance Inspection Report is enclosed for your review. William Decarmine and Jim Duncan were also present during the inspection and their time and assistance is greatly appreciated. Permit coverage authorizes the discharge of stormwater from the facility to receiving waters designated as an UT to Bones Creek, a Class C stream in the Cape Fear River Basin. The site visit and file review revealed that the subject facility is covered by NPDES Stormwater General Perm it-NCG1 20000, Certificate of Coverage- NCG120093. As a result of the inspection, the facility was found to be in compliance with the conditions of the NCG120000 permit. Please refer to the enclosed Compliance Inspection Report for additional comments and observations made during the inspection. Please be advised that violations of the NPDES Stormwater General Permit are subject to a civil penalty assessment of up to $25,000 per day for each violation. If you or your staff has any questions, comments, or needs assistance with understanding any aspect of your permit, please contact me at (910) 433-3300 or by e-mail at trent.alien@ncdenr.gov. Sincerely, Trent Allen Environmental Engineer Enclosure cc: FRO — Surface Water Protection Section DWQ Central Files Location: 225 Green Street, Suite 714, Fayetteville, North Carolina 28301.5095 Phone. 910.433.3300 \ FAX-. 910.486-07071 Customer Service: 1-877.623-6748 Internet: http:llportal.nGdenr.orWweblwq An Equal Opportunity S Affirmative Action Employer o e NhCarolhia ;Vatllrally 0 ' ,;. 10 Permit: NCG120093 SOC: County: Cumberland Region: Fayetteville Compliance Inspection Report . Effective: 11/01/12 Expiration: 10/31/17 owner: Directorate of Public Works Ft Bragg Effective: Expiration: Facility: Lamont Road C&D Landfill 2175 Reilly Rd Stop A Contact Person: Daniel Messier Title: Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): On -site representative William Bill Decarmine Related Permits: Inspection Date: 04/10/2013 Entry Time: 09:30 AM Primary Inspector: Trent Allerjd+..TlGG�6s�� Seseflbry Inspector(s): Reason for Inspection: Routine Permit Inspection Type: Landfill Stormwater Discharge COC Facility Status: ■ Compliant ❑ Not Compliant Question Areas: 0 Storm Water (See attachment summary) Fort Bragg NC 28310 Phone: 910-396-6873 Certification: Exit Time: 12:30 PM Phone: Phone: 910-396-2301 ext 228 Phone: 910-433-3300 Inspection Type: Compliance Evaluation Page: 1 is, 6 Permit: NCG120093 Owner - Facility: Directorate of Public Works Ft Bragg Inspection Date: 04/10/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: During the inspection, records were available for review. Past samples have shown that there is a problem with meeting fecal coliform benchmark values. This facility is now under the tier two requirments due to benchmark exceedance of fecal coliform. Mr Decarmine is trying different things to determine what is causing the fecal count. He is sampling at an upstream manhole at this time to determine if an old septic drainfield may be causing the problem. The stormwater that leaves the landfill may never reach the receiving stream due to the distance between the landfill and the stream. Please keep the Regional Office informed with your findings. Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ■ ❑ ❑ ❑ Comment: Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? 0111111 # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ ■ ❑ Comment: Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? ■ ❑ ❑ ❑ # Were all outfails observed during the inspection? ■ ❑ ❑ ❑ # If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ■ ❑ # Has the facility evaluated all illicit (non stormwater) discharges? ■ ❑ ❑ ❑ Comment: Page: 2 AT- NCDEWR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Governor Gregory Bean Directorate of Public Works Ft Bragg Imbg-PW 2175 Reilly Rd Stop A Fort Bragg, NC 28310 Dear Permittee: Charles Wakild, P. E. Director December 4, 2012 Dee Freeman Secretary Subject: NPDES Stormwater Permit Coverage Renewal Lamont Road C&D Landfill COC Number NCG120093 Cumberland County In response to your renewal application for continued coverage under stormwater General Permit NCG120000 the Division of Water Quality (DWQ) is forwarding herewith the reissued General Permit. This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October 15, 2007 (or as subsequently amended). The following information is included with your permit package: • A new Certificate of Coverage (COC) • A copy of General Permit NCG120000 • A copy of the Technical Bulletin for the General Permit • Two copies of the Discharge Monitoring Report (DMR) Form • Two copies of the Qualitative Monitoring Report Form The General Permit authorizes discharges of stormwater, and it specifies your obligations for discharge controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the permit to update your current SPPP to reflect all new permit requirements. The first sample period of your permit begins January 1, 2013. Your facility must sample a "measureable storm event" beginning during the periods beginning January 1 and July 1 of every year (or, if applicable, report "No Flow," as outlined in Part III, Section E). Also, please note that Tier 3 Actions in Part II of your permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this permit and do not count prior exceedances. The more significant changes in the General Permit since your last COC was issued are noted either in the Draft Permit Fact Sheet that accompanied the public notice (http://portal.ncdenr.ore/web/wg/ws/su/current- notices), or in the Response to Comments / Summary of Changes and Technical Bulletin documents that are posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit http://Portal.ncdenr.ore/web/waws/su/npdessw (click on 'General Permits' tab) tb review that information for your specific General Permit carefully. 1617 Mail Service Center, Ralegh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phi:, ,e: 919.807-63001 FAX, 919-807-6492 Internet: www.ncwateMualitv.oiai An Fqual Oppwvv nilylAffirmative koor �mplurar NorthC Ai-olina ;Vain ntrllff Gregory Bean December 4, 2012 Page 2 of 2 Some of the changes include: Part II: • Section A: The Stormwater Pollution Prevention Plan (SPPP) section, if applicable, has been updated to the most current language of our permits. Additional conditions for specific industry sectors have been added to the SPPP requirements in some cases. • Sections B, C: Failure to perform analytical stormwater monitoring may result in the Division requiring that the permittee begin a monthly sampling scheme. • Sections B, C: A lower TSS benchmark of 50 mg/I for HQW, ORW, PNA and Tr Waters applies to these more sensitive waters. • Sections B, C: The monitoring parameter Oil & Grease (O&G) has been replaced by the parameter Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in some cases, other analytical monitoring requirements. • Sections B, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined in the "Definitions" section of the permit. • Sections B, C. The term "Representative Storm Event" has been replaced by "Measurable Storm Event." A measurable storm event is defined in the permit. • Section A: If the permittee fails to respond effectively to problems identified by qualitative monitoring, DWQ may require the permittee to perform corrective action. Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit, including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and Maintenance obligations; and Definitions. Please note that all samples analyzed in accordance with the terms of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on the Stormwater Permitting Unit's website above. DMR forms must be delivered to the Division no later than 30 days from the date the facility receives the sampling results from the laboratory. Also note that existing permittees do not need to submit a renewal request prior to expiration unless directed by the Division. Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit package, please contact the Division's Stormwater Permitting Unit at (919) 807-6300. Sincerely, for Charles Wakild, P.E. cc: DWQ Central Files Stormwater Permitting Unit Files Fayetteville Regional Office STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG120000 CERTIFICATE OF COVERAGE No. NCG120093 STORM WATER 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, Directorate of Public Works Ft Bragg is hereby authorized to discharge stormwater from a facility located at: Lamont Road C&D Landfill 2175 Reilly Rd Stop A Fort Bragg Cumberland County to receiving waters designated as Bones Creek, a class C waterbody in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III, and IV of General Permit No. NCG120000 as attached. This certificate of coverage shall become effective December 4, 2012. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this 41h day of December, 2012. for Charles Wakild, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission D5NR--FRO NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director October 20, 2011 Mr. Gregory G. Bean Fort Bragg Directorate of Public Works 2175 Reilly Rd. Stop A Fort Bragg, NC 28310-5000 Subject: General Permit No. NCG 120000 Lamont Road C&D Landfill COC NCG 120093 Cumberland County Dear Mr. Bean: OCT 2 l 2011 DWQ Dee Freeman Secretary In accordance with your application for a discharge permit received on October 4, 2011, 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 or permits required by the Division of Land Resources, Coastal Area Management Act or any other federal or local governmental permit that may be required. If you have any questions concerning this permit, please contact Robert Patterson at (919) 807-6375, or at robert.patterson@ncdenr.gov. Sincerely, ORIGINAL SIGNED B) KEN PICKLE for Coleen H. Sullins cc: Fayetteville Regional Office, Mike Lawyer Central Files Stormwater Permitting Unit Files Wi-41=+nds and `:tormwater 8ranc', One 1617 Maii Ser.ice Censer, Raleinh, North rarolina 27699-1617 NOrtliCw China Lor, iory 512::. Salisbury SI, R,:!ek!h, NL':!h Carolina 2760, Pho,,a; 919.8E rMOO 1 FAX: 919.B67.W-! 1 Customer Ser.,ce 1-877 -623-6748 Naharall In;c-net: www.ncwatarquaVy.o::, i/ STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG120000 CERTIFICATE OF COVERAGE No. NCG120093 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-2I5.1, other'lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Fort Bragg Directorate of Public Works is hereby authorized to discharge stormwater from a facility located at Lamont Road C&D Landfill Lamont Road Fort Bragg Cumberland County to receiving waters designated as an UT to Bones Creek, a class C water in the Cape Fear 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. NCG120000 as attached. This certificate of coverage shall become effective October 20, 2011. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this the 201h day of October, 2011. ORIGINAL SIGNED B! KEN PIC:KI F for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission III=a giro in-TSi'lll�ff:1','f� :tmnnt Rnan cao Lane 13cai o Patterson, Robert wonam From: Lawyer, Mike Sent: Wednesday, October 19, 2011 9:20 AM To: Patterson, Robert Subject: RE: NCG120093 - Lamont Rd. C&D Landfill (Fort Bragg) Robert, This landfill at Bragg has been under an erosion control plan with DLR for some time and while inspecting it along with DLR staff a few weeks back I realized they did not have permit coverage under NCG12. I spoke with Bragg personnel about whether or not their MS4/Phase II permit covered this facility and they decided it was best to apply for coverage under the NCG12 for this individual facility much like the general permit coverage they have for a mine/borrow pit under NCG02. The FRO has no objections to issuance of a COC for this facility. Thanks, Mike Michael Lawyer, CPSWQ Environmental Specialist NCDENR-Division of Water Quality Surface Water Protection Section Fayetteville Regional Office Direct: (910) 433-3329 Main: (910) 433-3300 Fax: (910) 486-0707 e-mail: mike-lawyerl2ncdenr.gov Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties unless the content is exempt by statute or other regulation. From: Patterson, Robert Sent: Tuesday, October 18, 2011 9:53 AM To: Lawyer, Mike Subject: NCG120093 - Lamont Rd. C&D Landfill (Fort Bragg) Mike, Please see NOI attached. We have received an application for coverage of an exiting C&D facility under NCG 12 from Fort Bragg. The facility drains to an LIT to Bones Creek (class C) in Fort Bragg (Cumberland County). They have vehicle maintenance, but no haz. waste. Does the FRO have any concerns about issuing this facility a COC for this general permit? Thanks. Robert D. Patterson, PE Environnsentat Engineer NCI)ENR I DWQ I Storrnwater Permitting 1617 Mail Service Center, Raleigh, NC 27699-1617 Mail 1 512 N. Salisbury St, Ralr.igh, INC 27604 1 91" Floor Location & PaCcels (919) 807.6375 Phone 1 (919) 807-6494 Fax I Rnbert.Pattersonf[?Rcdr'nr.Fov Ismail I hitl: II portal.ncdennorGc/web/wa/ws/su Wehsite ,j BePnre printing this email, please consider your hudget and the environment. E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties unless the content is exempt by statute or other regulation. n a AWA NCDENR -WOF Ewmowrew mD Nuimw RescuRcea NOTICE OF INTENT DbVion of Water Qc.ality / Sui face '.Vater Protectioi. Section National Pollutant Discharge Elimination System NCG120000 —FOR AGENCY USP ONLY Data Rectwc,. Year ivtanttt D to v Certificate of Coy -.,rage DD k f Amount too Pe it igned to National Pollutant Discharge Elimination System application for coverage under Gene �wwg NCG120000:STORMWATER DISCHARGES associated with activities classified as: B OCT ,- 2011 Landfills that are permitted by the North Carolina Division of Waste Management under the provisions and requirements of North Carolina General Statute 130A — 294. OENR•WATER QUALITY WETLANDS AND STORMATER 811" The following activities are specifically excluded from coverage under this General Permit: Stormwater discharges from open dumps, hazardous waste disposal sites, or discharge of waste (including leachate) to the waters of the state. i� For questions, please contact the DWQ Regional Office for your area. See page 4. (Please print or type) 1) Mailing address of owner/operator [address to which all hermit corresaondence will be mailed): Name Directorate of Public Works Street Address IMSE-BRG-PW; 2175 Reilly Road Stop A City Fort Bragg State NC ZIP Code 28310-5000 Telephone No. (910) 396-4009 Fax: (910) 432-6908 2) Location of facility producing discharge: Facility Name Lamont Road C&D Landfill Facility Contact Mr. Daniel Messier Street Address 2175 Reilly Road Stop A City Fort Bragg County Cumberland Telephone No. (910) 396-6873 Email daniel.i.messier(&us, army. mil 3) Physical Location Information: State NC ZIP Code 28310-5000 — Fax: (910) 432-4770 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). Enter Ft Bragg from All American Freeway. Turn left onto Longstreet Road and travel 3.3 miles. Turn right onto Coolyconch Road. Travel 1.2 miles to landfill. (A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application.) 4) Latitude 3508' 45" N Longltude 79° 4' 29" W (deg, min, sec) 5) This NPDES Permit Application applies to which of the following: El txiwsting or Proposed Facility Date operation is to begin Page 1 of 4 SWU-227-071408 Last revised 7/14/08 NCG I ' 0 0 0 0 N.0,1. 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: 9 7 1 1 Provide a brief narrative description of the types of Industrial activities and products manufactured at this facility: weighing and unloading vehicles, waste compaction, concrete crushing, earth moving by bulldozer, recycled material salvage/storage, construction/demolition debris, inert land clearing debris, acceptance of asbestos, daily operation of Waste Transfer Station 7) 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? Tributaryes Creels IS Receiving water classification: " 'g V-15 S btvWs' I Is this a 303(d) listed stream? ( NO) Has a TMDL been approved for this watershed? ( NO ) If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). ( NA ) 8) Does this facility have any other NPDES permits? L9'No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: 9) Does this facility have any Non -Discharge permits (ex: recycle permit)? ❑L�lY es If yes, list the permit numbers for all current Non -Discharge permits for this facility: Solid Waste Permit# 26-08, Transfer Station Permit# 26-06 10) Does this facility employ any best management practices for stormwater control? 1❑N L9'Yes (Show structural BMPs on the site diagram.) If yes, please briefly describe: Drainage ditches, riprap drainage channels, storm water and/or sediment basins, silt fence, gabion anti -erosion wall 11) Does this facility have a Stormwater Pollution Prevention Plan? [ o ❑ Yes If yes, when was it implemented? 12) Are vehicle maintenance activities occurring at this facility? ❑ No kes 13) Hazardous Waste: a) Is th' cility a Hazardous Waste Treatment, Storage, or Disposal Facility? No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous'waste generated per month) of hazardous waste? Page 2of4 swU-227-071408 Last reAsed 7/14108 ACG120000 N.O.I. c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? &-g ❑ Yes d) Is hazardous waste stored in the 100-year flood plain? C ❑ 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: Types) of waste: How is material stored: — Where is material stored: How many disposal shipments per year: Name of transport I disposal vendor: Vendor address: 15) Certification: North Carolina General Statute 143-215.613(i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule Implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under. this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and. is enforceable in the same manner as an individual permit. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printe me arson Signing: Gregory G. Bean Ti . Dire r of Public Works (Signature of Applicant) ,odll (Date Signed) Notice of intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR Page 3 of 4 SW U-227-071408 Last revised 7/14108 *.'G12000V N.J.I. Fhial Chechlist This application will be returned as incomplete unless all of the following items have been Included: 12�' Check for $100 made payable to NCDENR lq*'— This completed application and all supporting documents COY' 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 Division of Water Duality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee coverage under the NPDES General Permit. For questions, please contact the DWQ Regional Office for your area. DW(- Regional Office Contact information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-6300 Page 4 of 4 swu-227-071448 Last revised 7/14ro8 September 6, 2011 Directorate of Public Works North Carolina Department of Environment Natural Resources (NCDENR) Storm Water Permit Unit , Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: NCG120000 Application - C&D Landfill Dear NCDENR: Enclosed is the NCG120000 permit application for the Construction and Demolition Landfill at Fort Bragg, North Carolina. Per NCDENR guidance, the following information is submitted with the package. a. Payment for permit (may be sent from DFAS-Rome, NY) b. Completed application c. Site Diagram d. Latitude/longitude and city maps For further information, please contact Mr. Herman Crawford, Water Management Branch, at (910) 396-2823, extension 220. Sincerely, Berman S Crdwf d Jr DPW Water Mcfm B anch Enclosures w Division of Water Quality / Surface Water Protection �A Section NCDENRNational Pollutant Discharge Elimination System NORI11 LNIC m DU YmrN O Emm.Mr--0 N�vvnK fteD 1CC! NCG120000 NOTICE OF INTENT FOR Dale National Pollutant Discharge Elimination System application for coverage under General Permit NCG120000: STORMWATER DISCHARGES associated with activities classified as; Landfills that are permitted by the North Carolina Division of Waste Management under the provisions and requirements of North Carolina General Statute 130A — 294. The following activities are specifically excluded from coverage under this General Permit: Stormwater discharges from open dumps, hazardous waste disposal sites, or discharge of waste (including leachate) to the waters of the state. For questions, please contact the DWO Regional Office for your area. See page 4. (Please print or type) 1) Mailing address of ownerloperator (address to which all hermit correspondence will be mailedl: Name Directorate of Public Works Street Address IMSE-BRG-PW; 2175 Reilly Road Stop A City Fort Bragg State NC ZIP Code 28310-5000 Telephone No. (910) 396-4009 Fax: (910) 432-6908 2) Location of facility producing discharge: Facility Name Lamont Road C&D Landfill Facility Contact Mr. Daniel Messier Street Address 2175 Reilly Road Stop A City Fort Bragg County Cumberland Telephone No. (910) 396-6873 Email daniel.i.messierpus.armv.mil 3) Physical Location Information: State NC ZIP Code 28310-5000 Fax: (910) 432-4770 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), Enter Ft Bragg from All American Freeway. Turn left onto Longstreet Road and travel 3.3 miles. Turn right onto Coolyconch Road. Travel 1,2 miles to landfill. (A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application.) 4) Latitude 35" 8' 45" N Longitude 790 4' 29" W (deg, min, sec) 5) This NPDES Permit Application applies to which of the following: ❑. New or Proposed Facility Date operation is to begin RY"Existing Page 1 of 4 SWU-227-071408 Last revised 7/14/08 NCG120000 N.0.I. 6) Standard Industrial Classification: Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility. SIC Code: 9 7 1 1 Provide a brief narrative description of the types of Industrial activities and products manufactured at this facility: weighing and unloading vehicles, waste compaction, concrete crushing, earth moving by bulldozer, recycled material salvage/storage, construction/demolition debris, inert land clearing debris, acceptance of asbestos, daily operation of Waste Transfer Station 7) Discharge points / 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? Tributary to Bones Creek Receiving water classification; WS III Is this a 303(d) listed stream? ( NO) Has a TMDL- been approved for this watershed? ( NO ) If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). ( NA ) 8) Does this facility have any other NPDES permits? Lti?"No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: 9) Does this facility have any Non -Discharge permits (ex: recycle permit)? ❑, No C9'Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Solid Waste Permit# 26-08, Transfer Station Permit# 2 - 10) Does this facility employ any best managemen practices for stormwater control? 13 Now ! _ es (Show structural BMPs on the site diagram.) If yes, please briefly describe: Drainage ditches, riprap drainage channels, storm water and/or sediment basins, silt fence, gabion anti -erosion wall 11) Does this facility have a Stormwater Pollution Prevention Plan? L�'Nost ❑ Yes If yes, when was it implemented? 12) Are vehicle maintenance activities occurring at this facility? ❑ No lwe`_S 13) Hazardous Waste: a) Is th cillty a Hazardous Waste Treatment, Storage, or Disposal Facility? No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous'waste generated per month) of hazardous waste? Page 2 of 4 Sw11-227-071408 Last revised 7/14/08 NCG120000 N.O.I. c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? 11YIC' ❑ Yes d) Is hazardous waste stored in the 100-year flood plain? 4 o ❑ Yes If yes, include Information to demonstrate protection from flooding. e) If you answered yes to questions In. 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: 15) Certification: North Carolina General Statute 143-215.68(i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowlhgly 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, Printe me arson Signing: Gregory G. Bean Ti . Dire r of Public Works (Signature of Applicant) (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR Page 3 of 4 SWU-227-071408 Last revised 7114108 NCG120000 N.O.I. Final Checklist This application will be returned as Incomplete unless all of the following Items have been Included: CY' Check for $100 made payable to NCDENR C� This completed application and all supporting documents COY' A site diagram showing, at a minimum, (existing or proposed): (a) outline of drainage areas, (b) stormwaler management structures, (c) location of slormwater outfalls corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored, (f) impervious areas, (g) site property lines. I Copy of county map or USGS quad sheet with location of facility clearly marked on map Mail the entire package to: Stormwaler Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee coverage under the NPDES General Permit. For questions, please contact the DWQ Regional Office for your area. 71 DWQ Regional Office Contact Information: Asheville Office ,..... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-6300 Page 4 of 4 SW U-227-071408 lest revised 7/14108 Ilk 41 QY k •d I;s, 0) 41 ra ro • N ,r 1 ; f f''..�.M t•cyt. S y.�t 'I�� .1n to F ! it ys��' e �13 �I k < ! �I '• �<41 rI ,jlyil�y� x;bs�li�ip►•f1-,54 yt1 �j' .' � F". ✓'• •� ,>a�s�'' iii 4 �Y, 31 f� c .i��,r6�� $attt„".I .,rSir �`?I.�*�t''�f'�^��i�y 'p, +��:��:4�j`}*Y'rl' .�'f fa LD j'�il�• tA,k�lli '�� 1 ,jl1 ?'I' f9• ••1 A l t ��$ct 1 tfi-f n<, r�ti-.'r=j.,rli,r jt Id e 1ti4 O ,. Qj 5 t aC 7 a v in sl ,r�• d s � .,r:� m •fit.p� I� �. �- . 1 '� r� n f 41rPr 3 r �g . �� a :i r'`1.1x � �� i' `�fi { �3 t�a' -.kit . ,} ft� � :a.. 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Map data 02011 Google - http://mapper.acme.coin/ 9/1 /2011 Division of Water Quality / Surface Water Protection Section - National Pollutant Discharge Elimination. System NCG'120000 FOR AflFNQY USE ONLY gate RcsxiveA cw I Month Dag"., ,...Geniiic,,t0 orCuvem ::. , D. Chcck p" ( eri ul Assl ed to? ...NOTICE OF INTENT) National Pollutant Discharge Elimination System application for,coverage under Genera �[�/] NCG120000: STORMWATER'DISCiHARGES associated with activities classified as: rv. _0 J 4. 2011' - - Landfills thatere permitted by the North Carolina Division of.Waste'Management under the provisions and requirements of North Carolina General $tatute 130A. — 294. m;wp f8 -' VVEi�AIlD3_ . The following activities, are specifically wfOlIded from coverage under this General Permit: Stormwater discharges from open dumps, hazardous v�aste disposal -sites, or discharge of waste (including leachate) to the. waters of the state. For questions, please contact fhe-DWQ Re&n' al,Offke.for y.pur'area. See page_4.. ; . 4 (Please print oritype)r 1) Mailing. address of owner/operator (address to which all-paimillt correspondence will be mailed): Name Directorate of Public Works Street Address " IMSE-BRG-PW; 2175 Reilly Road. Stop A City Fort Bragg State NC -ZIP Code 28310-5000 Telephone No. (910) ' 396-4009 Fax: (910) 432-6908 2) -Location of facility producing discharge; Facility Name Lamont Road C&D Landfill Facility Contact, Mr. Daniel Messier Street Address 2175 Reilly Road''Stop A City Fort Bragg State. NC ZIP Code 28310-5000 County Cumberland' Telephone No. (910) 396-0873 Fax; (910) 432-4770 Email don iel.i.messierOulus.armv.niilr ` 3) Physical Location information: Please provide a narrative description of how to gat'.to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). Enter Ft Bragg from All American Freeway. Turn left onto Longstreet Road and -travel 3.3 miles. Turn right onto Coolyconch Road. Travel-.1.2 miles to landfill. (A copy of a county map or Li$G5 quad sheet with facility clearly located must be submitted with this'eppricatfon)' n c „ 4). Latitude '35 t3 45�r N Longitude 79 4 29 W (deg, min, sec) Ur , 5) This NPDES.Permil Application -applies to which -of_ ti e;followiog: f�, w or Proposed Facility Date operation. is to begir3 h5 'F�tlsti ng' Page 1 of 4 SW t1-227.071408 Lest revised 7l14108 r4CG120000 N,01 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: 9 7 i 1 Provide a brief narrative description of the types of industrial,activities and products manufactured at this facility: weighing and unloading vehicles, waste compaction, concrete orushing, earth moving by bulldozer, recycled material salvagelstorage, con structionldemolition debris, inert land clearing debris, acceptance of asbestos, daily operation of Waste Transfer Station 7) Discharge points I 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? Tributary to Bones Creek Receiving water classification: WS 111 Is this a 303(d) listed stream? (NO) Hasa TMDL been approved for this watershed? ( NO ) If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). ( NA } 8) Does this facility have any other NPDES permits? I9"No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this faoility: 9) Does this facility have any Non -Discharge permits (ex: recycle permit)? [B Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Solid Waste Permit# 26-08, Transfer Station Permit# 26-06 10) Does this facility employ any best management practices for stormwater control? ❑,�, ,�No' t�!'Ya .. Show structural BMPs on the site diagram,). If yes, please briefly describe: Drainage ditches, riprap drainage channels, storm water and/or sediment basins, silt fence, gabion anti -erosion wall 11) Does this facility have a Stormwater Pollution Prevention, Plan? [9'N0 ❑ Yes If yes, when was it implemented?- 12) Are vehicle maintenance activities occurring at this facility? ❑ No es 13) Hazardous Waste: g) Is t cility a Hazardous Waste Treatment, Storage, or Disposal Facility? d ,No'' ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste?' Page 2 of 4 SW U-227-07.1408 Last revised 711 Aro8 M NCG120000 N.03. C) Is this facility a Large Quantity Generator (1000 kg. or, more of hazardous waste generated per month) of hazardous waste? 6o ❑ Yes d) ist hazardous waste stored jr1 the,100-year flood plain? L '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; 15) Certification;. North Carolina General Statute 143-215,6B(i) provides that: Any person who knowingly makes any false statement, representation, gr,certifliation in any appiicatlon, record, report, plan, or other document filed or required to be maintalned under this Article or a rule implementing this Article, or who knawingly makes a false statement of a material fact I a rulemaking proceeding or contested ease 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 ($10000). 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) andis enforceable in thewsafne 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,.. Printe me erson Signing: Gregory G, Bean Ti µDire r of Public Works w; , Si nature of Applicant Sigbed) Notice of Intent must.,be accompanied by a check or money order for $100.00 made payable; to: NCDENR s U Page 3 of 4 5W U-227-071408 Last revised 7114100 E NCG,120000 N.O.I. Final Checklist This application will be returned as incomplete lrtless all of the following items have been included: L� Check for $100 made payable to NCDENR CY This completed application and all supporting documents 5�" 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,: (Qlmpervious=areas, (g),site property, lines, l� Copy of county map or USGS quad sheet.with location of facility clearly marked on map Mail the entire package to: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 , of The submission of this document does not guarantee coverage under the NPDES General Permit. For questions, please contact the DWQ Regional Office for your area, DWg Regional Office Contact Information: Asheville Office ...•.. (828) 296-4500 Fayetteville Office .•• (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ......... (919) 791-4200 Washington Office ...(252.) 946-6481 Wilmington Office .•. (910) 796-7215 Winston-Salem ...... (336) 771-5000• Central Office .........(919) 807-6300� Page 4 of 4 $wU-227-07140g Last revised 7114/08 a � I ! r�r. ..mot �- �.. 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