HomeMy WebLinkAboutNCG140451_COMPLETE FILE - HISTORICAL_20170222YYYYM M D D
t
Central Files: APS , SWP _
2/21/2017
Permit Number NCG140451 Permit Tracking Slip
Program Category
Status Project Type
NPOES SW
In review New Project
Permit Type
Version Permit Classification
Ready Mix Concrete Stormwater/Wastewater Discharge COG
COG
Primary Reviewer
RECEIVED
Permit Contact Affiliation
rick riddle
FEB 2 2 2011
Coastal SWRule
CENTRAL FILES
Permltted Flow
DWR SECTION
Facility
Facility Name Major/Minor Region
Eagle Rock Concrete - Franklinton Minor Raleigh
Location Address County
2095 US Hwy 1 Franklin
Facility Contact Affiliation
Franklinton NC 27525 Lyman Austin
2095 US Hwy 1
Owner Franklinton NC 27525
Owner Name
Eagle Rock Concrete
Dates/Events
Owner Type
Non -Government
Owner Affiliation
Adam Loftin
8310 Bandford Way
Raleigh NC 27615
Scheduled
Orig Issue App Received Draft initiated Issuance Public Notice Issue Effective Expiration
1/30/2017
Regulated Activities Requested /Received Events
Ready mixed concrete - stormwater discharges RO staff report received 217117
RO staff report requested 2I7117
Outfal I 001
Waterbody Name Streamindex Number Current Class Subbasin
Cedar Creek 28-29-(2) C;NSW 03-03-01
Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Adam Loftin
Eagle Rock Concrete, LLC
8310 Ban dford Way
Raleigh, NC 27615
Dear Mr. Loftin:
ROY COOPER
Governor
MICHAEL S. REGAN
secretary
TRACY DAVIS
Director
February 21, 2017
Subject: General Permit No. NCG 140000
Eagle Rock Concrete, LLC
Franklinton Plant
COC NCG140451
Franklin County
In accordance with your application for a discharge permit received on January 30, 2017, 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 (COC) is not transferable except after notice to the
Division of Energy, Mineral, and Land Resources. The Division may require modification or revocation
and reissuance of the certificate of coverage.
Please note that NCG 140000 contains effluent limitations for process wastewater discharges (see Part IV,
Section D). Wastewater discharges must meet the requirements of these effluent limitations. An
exceedance of any of these limitations is a violation of permit conditions.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
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 Richard Riddle at telephone number
(919) 807-6375.
Sincerely,
for Tracy E. Davis, P.E., CPM
cc: Raleigh Regional Office
Central Files
Stormwater Permitting Program Files
Nothing Compares--.,.,
SState of North Carolina I Environmental Quality I Energy, Mineral and land Resources
512 N. Salisbury Street I lbl2 Mail Service Center I Raleigh. North Carolina 27699-1612
919 707 9200
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY. MINERAL, AND LAND RESOURCES
GENERAII PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG14045t
STORMWATER and WASTEWATER 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;
Eagle Rock Concrete, LLC
is hereby authorized to discharge stormwater and process wastewater from a facility located at
Eagle Rock Concrete - Franklinton
2095 US Highway 1
Franklinton
Franklin County
to receiving waters designated as UT to Cedar Creek, a class C, NSW water in the Tar -Pamlico
River Basin; in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1, Ii. II1, IV. and V of General Permit No. NCG 140000 as attached.
This certificate of coverage shall become effective February 21, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 21, 2017.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
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NCG140451
N
W E
S
Map Scale 1:24, 000
Eagle Rock Concrete
Franklinton
Latitude: 360 04' 01" N
Longitude: -780 29' 11" W
County: Franklin
Receiving Stream: Cedar Creek
Stream Class: C, NSW
Index Number: 28-29-(2) (Tar -Pamlico Basin)
Facility Location
Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Adam Loftin
Eagle Rock Concrete, LLC
8310 Bandford Way
Raleigh, NC 27615
Dear Mr. Loftin:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
February 21, 2017
Subject: General Permit No. NCG 140000
Eagle Rock Concrete, LLC
Franklinton Plant
COC NCG140451
Franklin County
In accordance with your application for a discharge permit received on January 30, 2017, 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 (COC) is not transferable except after notice to the
Division of Energy, Mineral, and Land Resources. The Division may require modification or revocation
and reissuance of the certificate of coverage.
Please note that NCG 140000 contains effluent limitations for process wastewater discharges (see Part IV,
Section D). Wastewater discharges must meet the requirements of these effluent limitations. An
exceedance of any of these limitations is a violation of permit conditions.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
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 Richard Riddle at telephone number
(919) 807-6375.
Sincerely,
>�� ?1�2�
for Tracy E. Davis, P.E., CPM
cc: Raleigh Regional Office
Central Files
Stormwater Permitting Program Files
Nothing Compares—,
SState of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
512 N. Salisbury street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
919 707 9200
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140451
STORM WATER and WASTEWATER 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,
Eagle Rock Concrete, LLC
is hereby authorized to discharge stormwater and process wastewater from a facility located at
Eagle Rock Concrete - Franklinton
2095 US Highway 1
Franklinton
Franklin County
to receiving' waters designated as UT to Cedar Creek, a class C, NSW water in the Tar -Pamlico
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III, IV, and V of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective February 21, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 21, 2017, ORIGINAL SIGNED BY
, iI1GHEAL F RANDALL
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission
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NCG140451
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Map Scale 1:24,000
Eagle Rock Concrete
Franklinton
Latitude: 360 04'M" N
Longitude: -780 29' 11" W
County: Franklin
Receiving Stream: Cedar Creek
Stream Class,. C, NSW
Index Number: 28-29-(2) (Tar -Pamlico Basin)
Facility Location
As. 0
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NCDENR
E• A��.._., .:+r�avH.. one.,-ee:s ._
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG 140000
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NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit's 1
NCG140000: JAN 3 0 017
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as:
r -! f )ter,
SIC (Standard Industrial Classification) Code: 3273 and like activities Ready,Mixed Concrete
This NOi may be an application to discharge process wastewater. NCG140000 contains effluent limitations for
process wastewater discharges. Wastewater discharges must meet the requirements of these effluent
limitations. An exceedence of any of these limitations will result in a violation of the permit conditions.
For questions, please contact the DEMLR Central Office or Regional Office in your area. (See page 6)
(Please print or type)
1) Mailing address of owner/operator (official address to which all permit correspondence will be
mailed): (Please print or type all entries in this application form.)
Legal Owner Name Eagle Rock Concrete, LLC
(Please attach the most recent Annual Report to the NC Secretary of State showing the current legal name. Alternatively this
permit can be given to an individual.)
Signee's Name (as signed for in question 29 below)
Street Address 8310 Bandford Way
Adam Loftin
City Raleigh State NC ZIP Code 27615
Telephone No. (919) 781-3744 Email adam@eaglerockconcrete.com
Alternate Contact Name Email (if different)
Alternate Contact Telephone (if different)
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Eagle Rock Concrete - Franklinton
Lyman Austin
2095 US Highway 1
Franklinton State NC ZIP Code 27525
Franklin
(919) 781-3744
3) Physical location information:
Fax: NIA
Please provide narrative directions to the facility (use street names, state road numbers, and distance and
direction from a roadway intersection). Facility is located on the west side of US Highway 1, approximately
2,500 feet north of the intersection of US Highway 1 and SR 1133 toward SR 1127.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 36.067025°
Longitude-78.486410' (deg, min, sec)
5) This NPDES Permit Application applies to the following (check all that apply):
Z✓ New or Proposed Facility Date operation is to begin April 1, 2017
[] Existing Facility Permit #
Page 1 of 7
SWU-229-11032011 Last revised 712114
NCG140000 N.O.I.
6)
Consultant's application information:
Consultant' Ryan Fisher, PE
Consulting Firm: VVi thers Raven el, Inc.
Mailing Address: 137 S. Wilmington St., Suite 200
City: Raleigh
State: NC Zip Code, 27601
Phone: ( 919 ) 535-5175
Email: rfisher@withersravenet.com
Fax: ( 919 ) 467-6008
(Optional)
Staple Business Card Here:
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary
industrial activity at this facility:
SIC Code: 3 2 7 3
8) Provide a brief description of the types of industrial activities and products produced at this facility:
(Attach a site diagram showing the process areas present at this facility.)
Production of ready -mix concrete and outside storage of aggregate.
Stormwater Discharge, Wastewater_ Treatment & Discharge and Permitting Information
9) Discharge points / Receiving waters:
Number of discharge points (ditches, pipes, channels, etc.) that convey stormwater and/or wastewater from
the property:
Stormwater-only: Wastewater -only: Wastewater Commingled with Stormwater.
For new facilities: Expected date of commencement of discharge: April 2017
What is the name of the body or bodies of water (creek, stream, river, lake, etc,) that the facility stormwater
and/or wastewater discharges end up in? unnamed tributary W Cedar Creek (Tar -Pam River Basin)
Receiving water classification(s), if known: C; NSW
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
Will this facility discharge wastewater to SA (Shellfishing) waters? ❑ Yes 8 No
Note: Discharge of process wastewater to receiving waters classified as WS-II to WS-V or SA must
be approved by the N.C. Division of Water Resources, Public Water Supply Section. If DWR
does not approve, coverage under NCG140000 cannot be granted. No new discharges of
process wastewater are permitted in receiving waters classified as WS-1 or freshwater ORW.
10) Each applicant shall provide the following information (attach additional sheets as necessary):
Two (2) site plans depicting the facility or site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibiy show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Stormwatertwastewater treatment structures
o Location of numbered storm water/wastewater outfalls (corresponding to which drainage areas)
a Runoff conveyance structures
o Areas and acreage where materials are stored
o Impervious area acreages
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
o Site property lines, North Arrow, and bar scale
Page 2 of 7
SWU-229-07122011
Last revised 712I14
NCG140000 N.0.I.
o If applicable, the 100-year floodplain line
o Acreage of each storrnwater and wastewater topographical area
n Each of the facilities' wastewater or stonnwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
v Site location (insert)
Site plans shall be 24" x 36" In size.
• Line drawing and description: Aline drawing of the water flow through the facility. A pictorial
description of the nature and amount of any sources of water and any collection and treatment measures.
• A narrative description and identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by
discharge. Processes, operations, or production areas may be described in general terms (e.g. 'ash
silo").
11) Does the applicant have any unresolved Notice of Violations (NOVs)?
✓❑ No ❑ Yes
Wastewater.
12) What types of wastewater does your facility generate or discharge?
Type of Authorized,wastewater
Generate
Discharge`
Sent to,WW
Treatment
S stem
Vehicle and equipment cleaning E
✓
✓
Wetting of raw material stockpiles RM
✓
✓
Mixing drum cleaning MD
✓
✓
Further explanation, if necessary:
13) Will your facility spray -down or actively wet aggregate piles?
❑ No ❑✓ Yes
14) Does the facility use any of the following on site?
❑Phosphorus -containing Detergents
❑Brighteners ❑ Other Cleaning Agents
Z Non -Phosphorus -containing Detergents
❑Other:
15) Are wastewater treatment facilities planned in the 100-year flood plain?
❑✓ No ❑Yes
16) Does your facility use or plan to use a recycle system, or recycle components in your treatment system?
❑ Yes ❑✓ No
If yes, what size storm event is the system designed to hold before overflowing? (for example, 10-yr, 24-hr)
NIA year, 24-hr rainfall event
Page 3 of 7
SWU-229-07122011 Last revised 712114
NCG140000 N.O.I.
W 17) Will your facility build a closed -loop recycle system that meets design requirements in 15A NCAC 02T
1000 and hold your facilities' working volume'?
❑ Yes ❑✓ No
Will your facility discharge wastewater to surface waters?
E] Yes ❑ No
If the facility's treatment system meets the design requirements of 15A NCACO2T .1000 (including
holding the 25-year, 24-hour storm plus one foot of freeboard), holds the working volume of your site,
and does not discharge wastewater to surface waters, you may not be required to obtain an NPDES
permit for wastewater discharges. If you believe this is the case, please contact DEMLR's Aquifer
Protection Section Land Application Unit Central Office Supervisor or staff (1636 Mail Service Center,
Raleigh, NC 27699-1636) for more information on obtaining the necessary permits or approvals. If you will
discharge wastewater or stormwater to surface waters, please continue to apply for a permit to discharge
associated with ready -mixed concrete or like operations under NCG140000. For further questions, please
contact DEMLR's Stormwater Permitting Unit Staff.
18) A wastewater treatment aftematives review is required by 15A NCAC 2H.0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this altematives review? ❑✓ VE ❑✓ RM oMD
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one -mile radius? ..................................... ✓❑Yes ❑ No
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? ....❑ Yes ❑ No
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?" The sitewigcommingle atormwaterand
wastewater and vA l not require connection to any adjacent sewer collection systems. Also, the closest a~ system Is a promrLred force main
(based an our research) and would require a pumping system to convey wastewater into Me Hne, which would be prohibitive.
c) Closed -loop Recycle System (must meet design requirements of 15A NCAC 2T .1000):
Are you already proposing a closed -loop recycle system (CLRS)? ❑ Yes Z No
(1) If Yes, contact DEMLR's Aquifer Protection Section's Land Application Unit
(2) If No, is this option technologically feasible (possible)? Why or why not?'suilding a CLRS is feasible, but is
rat selected by Engle Rack Concrete due to the cost prohibitive nature of the device.
(3) If No, is it feasible to build a CLRS on your site? Why or why not?' h is leasibile, but not seleCted due to the
additional costs required to construct and maintain a CLRS.
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?' Adirectsurtace
water disrharge was selected due to the distance between the industrial activity, the stormrvater pond, and Mre nearest surface water (approx. 500 LF).
d) Surface or Subsurface Disposal System (e.g., spray irrigation):
i) Is a surface or subsurface disposal technologically feasible (possible)? ................... ❑Yes ❑✓ No
t See DWQ's Aquifer Protection Section Land Applicadon Unit's water Balance Calculatlon Policy for more information, on Duvta LAU s
website htt :rr ortal.ncdenr.o b a sAau! i for more information.
Page 4 of 7
SWU-22"7122011 Last revised 7r2114
NCG140000 N.O.I.
Why or Why not? Irrigation of wasteweter is not possible due to the size of the site and ongoing activitles that are adjacent to the site.
ii) Is a surface or subsurface disposal system feasible to implement?" ..........................❑ Yes ✓❑ No
Wh y or Wh y not? Surface or subsurface disposal is not feasible due to the size of area needed and the ongoing activities that are a4acent Who_
site.
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?' Drsu discharge to surface waters is mare feasible than sabtwdacelsurface diectune due to the topography
and epsting conditions of the site to allow for surface drimage to a stomrwater pond for oonvningltng.
e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?`.. ❑✓ Yes ❑ No
i) If No, contact DEMLR's Land Application Unit to determine permitting requirements.
f) If this review included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non -discharge options feasible?.............]Yes ❑✓ No
You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibifify should fake into account initial and recurring costs.
Stormwater.
19) Does this facility employ any best management practices for Stormwatercontrol? [-]No ❑✓ Yes
If yes, please briefly describe: One (1) stormwater wet paw is proposed to treat and discharge to the untamed tributary of ceder creek.
20) Does this facility have a Stormwater Pollution Prevention Plan? ❑✓ No ❑ Yes
If yes, when was it implemented? A SWPPP wl6 be treated prior to plant operation in December 2DM
21) Are vehicle maintenance activities (VMA) occurring or planned at this facility? ❑✓ No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? ❑✓ No ❑ Yes
Other/Permitting:
22) Does this facility have a Division of Land Resources Erosion S Sedimentation Control (EBSC) Permit?
❑✓ No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility: Appal will be sentence received.
23) Is your facility subject to Phase II Post -Construction Area? ❑ Yes ❑✓ No
If yes, who is the permitting authority?
24) Is your facility located in one of the 20 Coastal Counties? [-]Yes Q No
Is your facility adding more than 10,000 ft2 of built -upon area or CAMA Major Permit?[] Yes 0 No
Page 5 of 7
SWU-22"7122o11 Last revised 7W14
NCG140000 N.O.I.
25) is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate piles,
drum rinse -out, or vehicle and equipment cleaning to a stormwater BMP? [:]No ❑✓ Yes
If yes, please attach your approval from the permitting authority to do so.
26) Does this facility have any other NPDES permits? ❑✓ No ❑Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
27) Does this facility have any Non -Discharge permits (ex: recycle permits)? ❑✓ No ❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
28) Hazardous Waste:
a) Is this facility 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?
❑✓ No []Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
❑✓ No ❑ Yes
d) Type(s) of waste:
How is material stored: WA
Where is material stored: NIA
How many disposal shipments per year: NIA
Name of transport / disposal vendor: N/A
Vendor address: NIA
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 documentation. See Question 10.
Q If an Erosion & Sedimentation Control (EBSC) Plan is required from Division of Land Resources (DLR)
or local designee: documentation verifying applicant has developed and submitted that Plan to the
governing agency (required per 15A NCAC 02H .0138).
❑✓ Two (2) site plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
HL IT
outfalls. See Question 10.
❑✓ A county map or USGS quad sheet with location of facility clearly marked.
29) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. Ali notices of intent to be covered under this General Permit shall be signed as follows:
(1) Far a corporation: by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor. respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
Page 6 of 7
SWU-22M7122011 Last revised 712114
NCG140000 N.O.I.
Certificatlon: North Carolina General Statute 143-215.6 B(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 racording or monitoring device or method required to be operated or maintained under this Article or rules of the (Environmental
Management] Commisslon implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten
thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual
permit.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge
and belief such information is true, complete, and accurate..
Printed Name /of Person Signing:
Title: ,rCS>f�n.l �r wa�ri
(Signature. of
/(a
(Date igned)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR
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 the Issuance of an NPDES permit,
For questions, please contact the DEMLR Regional Office for your area.
DEIVILR ReAlorial Office Contact Inforrrration:
Asheville Office ......
(828) 29"500
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 7 of 7
SWU-229-07122011 last revised 712l14
r -----77p ,:_.,�.. .�
First Citizens Bank
Eagle Rock Concrete LLC 68-0030/0531 00884'.
8310 Bandford Way
Raleigh, N.C. 27615 11/16/2016
PAY TO THE NCDEQ +'100.00
ORDER OF
One Hundred and 001100"++++++++++++t++++w++t+++*+r*++++#++++++++++++++++r+++++++.+++k+++r+++++++++++:++++++++++++++++r.s++
DOLLARS
NCDEQ r
i/ .0 P
M
AUTHORIZED _—.�.�.�.----
MEMO �C� 1 qo
f _ ----_ — — --------- M
NPDES Review Fee v AUTM�EOS��NAN_
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
Energy. Mineral
anclLandResources TRACY DAVIS
ENVIRONMENTAL QUALITY .
Aireaor
January 27, 2017
LETTER OF APPROVAL WITH MODIFICATIONS
Eagle Rock Concrete
Attn: Adam Loftin
8310 Bandford Way
Raleigh, NC 27615
RE: Project Name: EAGLE ROCK CONCRETE PLANT
Acres Approved: 4.29
Project ID: FRANK-2017-019
County: Franklin, City: Franklinton
Address: 2095 US 1 Hwy.
River Basin: Neuse
Stream Classification: Other
Submitted by: Ryan Fisher
Date Received by LQS: December 28, 2016
Plan Type: Institutional
Dear Mr. Loftin:
This office has reviewed the subject erosion and sedimentation control plan. We find the plan to
be acceptable and hereby issue this Letter of Approval. The enclosed Certificate of Approval
must be posted at the job site. This plan approval shall expire three (3) years following the date
of approval, if no land -disturbing activity has been undertaken, as is required by Title 15A
NCAC 4B .0129.
Please be aware that your project will be covered by the enclosed N13DES Construction
Storrrtwater General Permit NCG010000. Please become familiar with all the requirements and
conditions of this permit in order to achieve compliance.
Title 15A NCAC 413 .0118(a) requires that a copy or the approved erosion control plan be on file
at the job site. Also, this letter gives the notice required by G.S. 113A-61.1(a) of our right of
periodic inspection to insure compliance with the approved plan.
State of North Carolina I Environmental Quality I Energy, Mineral, and Land Resources
Raleigh Regional Office 1 1628 Mail Service Center I Raleigh, NC 27609
9t9 7914200
,r
Letter of Approval
Eagle Rock Concrete
January 27, 2017
Page 2of3
North Carolina's Sedimentation Pollution Control Act is performance -oriented, requiring
protection of 'existing natural resources and adjoining properties. If, following the
commencement of this project, the erosion and sedimentation control plan is inadequate to meet
the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina General
Statute 113A-51 through 66), this office may require revisions to the plan and implementation of
the revisions to insure compliance with the Act.
Acceptance and approval of this plan is conditioned upon your compliance with Federal and
State water quality laws, regulations, and rules. In addition, local city or county ordinances or
rules may also apply to this land -disturbing activity. This approval does not supersede any other
permit or approval.
Please note that this approval is based in part on the accuracy of the information provided in the
Financial Responsibility Form, which you provided. You arc requested to file an amended form
if there is any change in the information included on the form. In addition, it would be helpful if
you notify this office of the proposed starting date for this project. Please notify us if you plan to
have a preconstruction conference.
Your cooperation is appreciated.
S , cerely,
Sediment Education Specialist
DEMLR
Enclosures: Certificate of Approval
NPDES Permit
cc: Ryan Fisher, Withers Ravenel
Gabi Jones, DEMLR — electronic copy
DEMLR — Raleigh Regional Office File
RaV iswLl 081—IN 12
Y
Letter of Approval
Eagle Rock Concrete
January 27, 2017
Page 3 of 3
MODIFICATIONS REQUIRED FOR APPROVAL
Project Name: EAGLE ROCK CONCRETE PLANT
Project ID: FRANK-2017-019
County: Franklin
1. The construction entrance shall be at least 100 feet in length and consist of washed stone 2-3 inches
in diameter. (GS 113A-57(3), 15A NCAC 04B .0105)
2. Clearly show the limits of disturbance using a consistent linetype throughout the project, and include
all proposed erosion and sedimentation control measures within the defined limits. The limits along the
access road are unclear. (GS 113A-57(3), 15A NCAC 04B .0105; 15A NCAC 04B ,0106(5), NCG01
Section IIB(L) (c-e))
3. Revise the construction sequence to include a paragraph. pertaining to the self -inspection
requirements. A note should also be included to indicate contact must be made with Raleigh Regional
Office (919-791-4200) for notification of project start date and pre -construction conference meeting.
(GS 113A-54.1.(a)(e), 15A NCAC .0131 (3)(a-f))
4. The sediment basin and temporary diversions should receive seed and mulch immediately after
construction. Include a note on the plan indicating such. Specify any areas that may require soil
stabilization within 7 days. (GS 113A-57(2))
5, Provide 1 copy of revised plan sheets showing the modifications required for approval, and highlight
or bubble the revisions for reference.
kv isc'd flSl?201 2
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
January 27, 2017
LETTER OF APPROVAL WITH MODIFICATIONS
Eagle Rock Concrete
Attn: Adam Loftin
8310 Bandford Way
Raleigh, NC 276.15
RE: Project Name: EAGLE ROCK CONCRETE PLANT
Acres Approved: 4.29
Project ID: FRANK-2017-019
County: Franklin, City: Franklinton
Address: 2095 US 1 Hwy.
River Basin: Neuse
Stream Classification: Other
Submitted. by: Ryan Fisher
Date Received by LQS: December 28, 2016
Plan Type: Institutional
Dear Mr. Loftin:
ROY COOPER
Governor
MICHAEL S. REGAN
Secre(ary
TRACY DAVIS
Director
This office has reviewed the subject erosion and sedimentation control plan. We find the plan to
be acceptable and hereby issue this Letter of Approval. The enclosed Certificate of Approval
must be posted at the job site: This plan approval shall expire three (3) years following the date
of approval, if no land -disturbing activity has been undertaken, as is required by Title 15A
NCAC 4B .0129.
Please be aware that your project will be covered by the enclosed NPDES Construction
Stormwater General Permit NCG010000. Please become familiar with all the requirements and
conditions of this permit in order to achieve compliance.
Title 15A NCAC 4B .0118(a) requires that a copy of the approved erosion control plan be on file
at the job site. Also, this letter gives the notice required by G.S. 113A-61.1(a) of our right of
periodic inspection to insure compliance with the approved plan.
State of North Carolina I Environmental Quality I Energy, Mineral, and Land Resources
Raleigh Regional Office 1 1628 Mail Service Center I Raleigh, NC 27609
919 7914200
Letter of Approval
Eagle Rock Concrete
January 27, 201.7
Page 2 of 3
North Carolina's Sedimentation Pollution Control Act is performance -oriented, requiring
protection of existing natural resources and adjoining properties. If, following the
commencement of this project, the erosion and sedimentation control plan is inadequate to meet
the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina General
Statute 1 13A-51 through hh), this office may require revisions to the plan and implementation of
the revisions to insure compliance with the Act.
Acceptance and approval of this plan is conditioned upon your compliance with Federal and
State water quality laws, regulations, and rules. in addition, local city or county ordinances or
rules may also apply to this land -disturbing activity, This approval does not supersede any other
permit or approval.
Please note that this approval is based in part on the accuracy of the information provided in the
Financial Responsibility Form, which you provided. You are requested to- file an amended form
if there is any change in the information included on the form. In addition, it would be helpful if
you notify this office of the proposed starting date for this project. Please notify us if you plan to
have a prcconstruction conference.
Your cooperation is appreciated.
S' cerely,
i
Evangel Lowef -J obsC
g Y�
Sediment Education Specialist
DEMLR
Enclosures: Certificate of Approval
NPDES Permit
cc: Ryan Fisher, Withers Ravenel
Gabi Jones, DEMLR — electronic copy
DEMLR — Raleigh Regional Office File
ROVisal (IN 17201 2
Letter of Approval
Eagle Rock Concrete
January 27, 2017
Page 3 of 3
MODIFICATIONS REQUIRED FOR APPROVAL
Project Name: EAGLE ROCK CONCRETE PLANT
Project ID: FRANK-20.17-019
County: Franklin
1. The construction entrance shall be at least 100 feet in length and consist of washed stone 2-3 inches
in diameter. (GS 113A-57(3), 15A NCAC 04B .0105)
2. Clearly show the limits of disturbance using a consistent linetype throughout the project, and include
all proposed erosion and sedimentation control measures within the defined limits. The limits along the
access road are unclear. (GS 1.13A-57(3), 15A NCAC 04B .0105; 15A NCAC 04B .0106(5), NCGO1
Section IIB (l) (c-e))
3. Revise the construction sequence to include a paragraph. pertaining to the self -inspection
requirements. A note should also be included to indicate contact must be made with Raleigh Regional
Office (919-791-4200) for notification of project start date and pre -construction conference meeting.
(GS 113A-54.1(a)(e), 15A NCAC .0131 (3)(a-f))
4. The sediment basin and temporary diversions should receive seed and mulch immediately after
construction. Include a note on the plan indicating such. Specify any areas that may require soil
stabilization within 7 days. (GS 113A-57(2))
5. Provide I copy of revised plan sheets showing the modifications required for approval, and -highlight
or bubble the revisions for reference.
RuriSUd OK1-201?
i
��
Ne`®EN.R
_ • c -: r�.. ?_�...-tit.
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
L (.Ll n1 i`\"')' 112 Ohl
I I7.alu K�ccntd
I ti' ar
M1funlli i Da,
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�W anent
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N.CG 140000
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code: 3273 and like activities - Ready Mixed Concrete
This NOI may be an application to discharge process wastewater. NCG140000 contains effluent limitations for
process wastewater discharges. Wastewater discharges must meet the requirements of these effluent
limitations. An exceedence of any of these limitations will result in a violation of the permit conditions.
For questions, please contact the DEMLR Central Office or Regional Office in your area. (See page SJ
(Please print or type)
1) Mailing address of ownerloperator (official address to which all permit_ correspondence will be
mailed): (Please print or type all entries in this application form.)
Legal Owner Name Eagle Rock Concrete. LLC
(Please attach the most recent Annual Report to the NC Secretary of State showing the current legal name. Alternatively this
permit can be given to an individual.)
Signee's Name (as signed for in question 29 below) Adam Loftin
Street Address 8310 Bandford Way
City Raleigh
Telephone No. (919) 781-3744
Alternate Contact Name
Alternate Contact Telephone (if different)
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
State NC ZIP Code 27615
Email adam@eaglerockconcrete.com
Email (if different)
Eagle Rock Concrete - Franklinton
Lyman Austin
2095 US Highway 1
Franklinton State NC ZIP Code 27525
Franklin
(919) 781-3744
3) Physical location information:
Fax: NIA
Please provide narrative directions to the facility (use street names, state road numbers, and distance and
direction from a roadway intersection). Facility is located on the west side of US Highway 1, approximately
2,500 feet north of the intersection of US Highway 1 and SR 1133 toward SR 1127.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 36.067025°
Longitude -78.486410°
(deg, min, sec)
5) This NPDES Permit Application applies to the following (check all that apply):
❑� New or Proposed Facility Date operation is to begin April 1, 2017
[] Existing Facility Permit #
Page 1 of 7
SWU-229-11032011 Last revised 712114
NCG140000 N.O.I.
6) Consultant's application information:
Consultant: Ryan Fisher, PE
Consulting Firm: WithersRavenel, Inc,
Mailing Address: 137 S. Wilmington St., Suite 200
City: Raleigh
State: NC Zip Code: 27601
Phone: ( 919 ) 535-5175 Fax: (919 ) 467-BDGB
Email: rfisher@vvithersravenel.com
(Optional)
Staple Business Card Here:
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary
industrial activity at this facility:
SIC Code: 3 2 7 3
6) Provide a brief description of the types of industrial activities and products produced at this facility.
(Attach a site diagram showing the process areas present at this facility.)
Production of ready -mix concrete and outside storage of aggregate.
Stormwater Dischar a Wastewater Treatment & Dischar a and Permitting information
9) Discharge points / Receiving waters:
Number of discharge points (ditches, pipes, channels, etc.) that convey stormwater and/or wastewater from
the property:
,Stormwater-only, Wastewater -only: Wastewater Commingled with Stormwater:
For new facilities: Expected date of commencement of discharge: April 2017
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges end up in? Unnamed tributary o+cedar Creek (Tar -Pam River Basin)
Receiving water classification(s), if known: C: NSW
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
Will this facility discharge wastewater to SA (Shellfishing) waters? ❑ Yes 8 No
Note: Discharge of process wastewater to receiving waters classified as WS-II to WS-V or SA must
be approved by the N.C. Division of Water Resources, Public Water Supply Section. If DWR
does not approve, coverage under NCG140000 cannot be granted. No new discharges of
process wastewater are permitted in receiving waters classified as WS-1 or freshwater ORW.
10) Each applicant shall provide the following information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibly show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Storm water/wastewater treatment structures
o Location of numbered stormwater/wastewater outfalls (corresponding to which drainage areas)
o Runoff conveyance structures
o Areas and acreage where materials are stored
o Impervious area acreages
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
o Site property lines, North Arrow, and bar scale
Page 2 of 7
SWu-229-07122011 Last revised 712114
NCG140000 N.O.I.
o If applicable, the t00-yearfloodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities' wastewater or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
a Site location (insert)
Site plans shalt be 24" x 36" in size.
• Line drawing and descriptlon: Aline drawing of the water flow through the facility. A pictorial
description of the nature and amount of any sources of water and any collection and treatment measures.
• A' narrative description and identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by
discharge. Processes, operations, or production areas may be described in general terms (e.g. `ash
silo").
11) Does the applicant have any unresolved Notice of Violations (NOVs)?
✓❑ No []Yes
Wastewater.,
12) What types of wastewater does your facility generate or discharge?
Type of Authorized -Wastewater
Generate
Discharge
Sent to WW
Treatment,
System , ...
Vehicle and equipment cleaning VE
✓
✓
Wetting of raw material stockpiles(RIM)
✓
✓
Mixing drum cleaning (MD)__ _
✓
❑✓
Further explanation, if necessary:
13) Will your facility spray -down or actively wet aggregate piles?
❑ No ❑✓ Yes
14) Does the facility use any of the following on site?
❑Phosphorus -containing Detergents QNon-Phosphorus-containing Detergents
❑Brighteners ❑Other Cleaning Agents ❑Other:
15) Are wastewater treatment facilities planned in the 100-year flood plain?
0 No []Yes
16) Does your facility use or plan to use a recycle system, or recycle components in your treatment system?
❑ Yes ❑✓ No
If yes, what size storm event is the system designed to hold before overflowing? (for example, 10-yr, 24-hr)
NIA year, 24-hr rainfall event
Page 3 of 7
SWU-229-07122011 Last revised 712/14
NCG140000 N.O.I.
I 17) Will your facility build a closed -loop recycle system that meets design requirements in 15A NCAC 02T
.1000 and hold your facilities' working volume'?
❑ Yes ❑✓ No
Will your facility discharge wastewater to surface waters?
❑✓ Yes ❑ No
If the facility's treatment system meets the design requirements of 15A NCACO2T .1000 (including
holding the 25 year, 24-hour storm plus one foot of freeboard), holds the working volume of your site,
and does not discharge wastewater to surface waters, you may not be required to obtain an NPDES
permit for wastewater discharges. if you believe this is the case, please contact DEMLR's Aquifer
Protection Section Land Application Unit Central Office Supervisor or staff (1636 Mail Service Center,
Raleigh, NC 27699-1636) for more information on obtaining the necessary permits or approvals. If you will
discharge wastewater or sormwater to surface waters, please continue to apply for a permit to discharge
associated with ready -mixed concrete or like operations under NCG140000. For further questions, please
contact DEMLR's Stormwater Permitting Unit Staff.
18) A wastewater treatment altematives review is required by 15A NCAC 2H.0105 (c)(2) for any new or
expanding water pollution control facility s discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? ❑✓ VE ❑✓ RM ✓❑MD
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one -mile radius? ..................................... QYes ❑ No
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... ✓❑ Yes ❑ No
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?" The silo will commingle stormwater and
wastewater and will net require connecton to any adjacent sewer collection systems. Also, the closest sewer system Is a pressurized force main
(based on our research) and would require a pumping system to convey wastewater into the One, which would be prehib iffye.
c) Closed -loop Recycle System (must meet design requirements of 15A NCAC 2T .1000):
i) Are you already proposing a closed -loop recycle system (CLRS)? ❑ Yes Q No
(1) If Yes, contact DEMLR's Aquifer Protection Section's Land Application Unit
(2) If No, is this option technologically feasible (possible)? Why or why not?" Building a CLRS is feasible, bulls
not selected by Eagle Rode Concrete dun to dha cast prohibitive nature of the device.
(3) If No, is it feasible to build a CLRS on your site? Why or why not?' n is feasible, b ut not selected due to the
additional costs required to construct and maintain a CLRS.
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?' A direr —face
water discharge was seledad due to the distance between Ile industrial adivity, the stomwater pond, and the nearest surface water (approx. 500 LF).
d) Surface or Subsurface Disposal System (e.g., spray irrigation):
i) is a surface or subsurface disposal technologically feasible (possible)? ...................❑Yes ❑✓ No
1 See DWQ's Aquifer Protection Section Land Application Unit's Water Balance Calculation Policy for more information, an DWQ IAU's
website ht :I! orial. ncdenr.orqMebANq1aPs4au/cdici es for more information. -
Page 4 of 7
SW U-229-07122011 Last revised 712114
NCG 140000 N.O.I.
Why or Why not? Irrigation of wastewater is not possible due to the size of the site and ongoing activities that are adjacent to the site.
ii) Is a surface or subsurface disposal system feasible to implement?* .......................... ❑ Yes Q No
Why or Why not? surface or subsurface disposed is not feasible due to the size of area needed and the ongoing activitles that are adjacent to the
sits
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?' Direct discharge to surface waters is more feasible than subsurface/surface discharge due to the topography
ana a,dstrig CwMbons of thu site to allow for surface drainage to a stormwator pond for commingling.
e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?`.. QYes ❑ No
i) if No, contact DEMLR's Land Application Unit to determine permitting requirements.
f) If this review included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non -discharge options feasible? ............. Oyes ❑✓ No
You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
5tormwater.
19) Does this facility employ any best management practices for Stormwatercontrol? El No ❑✓ Yes
If yes, please briefly describe: One (t) stDnnwater wet pond is pmposed to treat and dischatgo to the unnamed tributary of Cedar Creek,
20) Does this facility have a Stormwater Pollution Prevention Plan? ❑✓ No ❑ Yes
If yes, when was it implemented? A SWPPP -Ube cveated prior to ptarit operation in December 2016.
21) Are vehicle maintenance activities (VMA) occurring or planned at this facility? 0 No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? 0 No ❑ Yes
Other/Permitting:
22) Does this facility have a Division of land Resources Erosion & Sedimentation Control (E&SC) Permit?
❑✓ No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility: Approval will ec sontonccrccomed.
23) Is your facility subject to Phase II Post -Construction Area? ❑ Yes
If yes, who is the permitting authority?
❑✓ No
24) Is your facility located in one of the 20 Coastal Counties? [:]Yes ❑✓ No
Is your facility adding more than 10,000 ft2 of built -upon area or CAMA Major Permit?❑ Yes ❑✓ No
Page 5 of 7
SWU-229-07122011 last revised M14
NCG140000 N.O.I.
25) Is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate piles,
drum rinse -out, or vehicle and equipment cleaning to a stormwater BMP? ❑ No Yes
If yes, please attach your approval from the permitting authority to do so_
26) Does this facility have any other NPDES permits? Q✓ No Flyes
If yes, list the permit numbers for all current NPDES permits for this facility:
27) Does this facility have any Non -Discharge permits (ex: recycle permits)? ✓0 No ❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
28) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
Z No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
✓]No QYes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
Q✓ No ❑ Yes
d) Type(s) of waste:
How is material stored: NIA
Where is material stored: wA
How many disposal shipments per year: NIA
Name of transport 1 disposal vendor: NIA
Vendor address: NIA
Final Checklist
This application will be returned as incomplete unless all of the following Items have been included-
O✓ Check for $100 made payable to NCDENR.
' ❑✓ This completed application and all supporting documentation. See Question 10.
FV If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR)
or local designee: documentation verifying applicant has developed and submitted that Plan to the
governing agency (required per 15A NCAC 02H .0138).
�✓ Two (2) site plans depicting the site plan with numbered oulfalls which indicate stormwater and wastewater
outfalls. See Question 10.
❑✓ A county map or USGS quad sheet with location of facility clearly marked.
29) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sates or expenditures exceeding 25 million (in second quarter 1980 dollars), if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sale proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
Page 6 of 7
SWU-229-07122011 Last revised7014
NCG140000 N.0.1.
Certification: North Carolina General Statute 143-215.6 B(l) 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 10 be operated or maintained under this Article or rules of the [Environmental
Wmagement] Commission Implementing this Article shall be guilty of a Class 2 misdemeanor which may Include a fine not to exceed ten
thousand dollars (310,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual
permit.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge
and belief such information is true, complete, and accurate..
Printed Name /of Person Signing.
Title;..,�_et...20. _ - --
(Signature of
" As - —
(Date 944d7
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR
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
Nate
The submission of this document does not guarantee the Issuance of an NPDES permit.
For questions, pie contact the VENLR Regional Office for your area.
DEMLFt Ftealonal Office Contact Ikon:
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 7 of 7
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140 WithersRavenel
Our People. Your Success,
137 S Wilmington Street, Suite 200
Raleigh, North Carolina 27601
t: 919.469.3340 1 f: 919.467,6008
TO: NCDEQ
512 N. Salisbury St. - Archdale Building - 9`h Floor
Raleigh, NC 27604
WE ARE SENDING YOU ❑x Attached
THE FOLLOWING ITEMS ❑ Shop Drawings
❑ Copy of Letter
Letter of Transmittal
0111/30/2017`o`.
02160479.00
Bethany Georgoulias
'7:"
Eagle Rock Concrete Plant - Franklin County
❑ Under Separate Cover via
❑ Prints ❑x Plans ❑ Samples
❑ Change Order ❑ Diskette ❑ Other
❑ Specifications
1
$100 Application Fee Check
2
2406 Site Plans
2
NCG140000 NOI Application(r�-;�,.,
2
USGS Map
2
Erosion Control Approval Letter 2017
THESE ARE TRANSMITTED as checked below:
❑x For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑ Other
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
COPY TO: WR File SIGNED: n shed
If enclosures are not as noted, kindly notify ueat one