NCG081013_NOI_20220111

FOR AGENCY USE ONLY
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NCG08 1 -0 L 3 JAN 40 P021
Assigned to: Cn l4-soyi OENR 1ANb
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Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG080000 Notice of Intent
This General Permit covers STORMWA TER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC40 [Railroad Transportation], SIC41 [Local and Suburban Transit and Interurban
Highway Passenger Transportation], SIC 42 (Motor Freight Transportation and Warehousing — except for SIC
4221-42251, SIC 43 [United States Postal Services], SIC5171 [Petroleum Bulk Stations and Terminals — when total
petroleum site storage capacity is less than 1 million gallons]. The following activities are also Included: other
industrial actives where the vehicle maintenance area(s) are the only area requiring permitting; stormwater
discharges from oil waterseparators and/or from secondary containment structures associated with petroleum
storage facilities with less than 1 million gallons of total petroleum site storage capacity. You con find information
on the DEMLR Stormwater Program at deq. nc. gov/SW
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (6) below to: NCDEMIR stormwater Program,1612 MSC, Raleigh, NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
CORMETECH, Inc.
Mike Mattes, CEO
Street address:
City:
State:
Zip Code:
11707 Steele Creek Road
Charlotte
NC
28273
Telephone number:
Email address:
980-722-1811
[e-mail]
Type of Ownership:
Government
OCounty OFederal [3Municipal 13State
Non -government
0Business (If ownership is business, a copy of NCSOS report must be included with this application)
Individua I
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
CORMETECH, Inc.
Lanette Plyler, EHS Director
Street address:
City:
State:
Zip Code:
11707 Steele Creek Road
Charlotte
NC
28273
Parcel Identification Number (PIN):
County:
Parcel #20115103
Mecklenburg
Telephone number:
Email address:
980-722-1811I
I. i ler cormetech.com
4-digit SIC code:
Facility is: Date operation is to begin or began:
4226
1 13 New [3 Proposed M Existing October 2010
Latitude of entrance:
Longitude of entrance:
35Degrees07'57"N
1 80 rees58'43"W
Page 1 of 5

Brief description of the types of industrial activities and products manufactured at this facility:
Corporate offices, minor chemical storage, and SCR Catalyst storage and shipping/receiving
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
❑ N/A Mecklenburg County
3. Consultant (if applicable):
Name of consultant:
Not Applicable
Consulting firm:
Street address:
City:
State:
Zip Code:
Telephone number:
Email address:
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
❑This water is impaired.
001
Neal Branch
Class C
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
351Dagrees07'52.11"N
80Degress58'31.99"W
Brief description of the industrial activities that drain to this outfall:
Chemical and SCR Catalyst Module Storage
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? Dyes EINo
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
002
1 Steele Creek
Class C
1 ❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
3513egrees07'56.65"N
80Degrees59"35.27"W
Brief description of the industrial activities that drain to this outfall:
None
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes M No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
1
Name of receiving water:
Classification:
❑ This water is impaired.
003
Steele Creek
Class C
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35 rees07'57.51"N
80 rees58'43.46"W
Brief description of the industrial activities that drain to this outfall:
SCR Catalyst Storage and Loading/Unloading for Shipping/Receiving
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? Dyes EINo
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls" found on the last page of this NO1.
Page 2 of 5

S. Other Facility Conditions (check all that apply and explain accordingly):
❑ This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
❑ This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
0 This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Sweeping and cleaning of yard areas used for loading/unloading of SCR Catalyst
13 This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
December 10, 2012
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑ This facility is a (mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
13 Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
Kilograms of waste generated each month:
Type(s) of waste:
How material is stored:
Where material is stored:
Number of waste shipments per year:
Name of transport/disposal vendor:
Transport/disposal vendor EPA ID:
Vendor address:
❑ This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
6. Required Items (Application will be returned unless all of the following items have been included):
Check for $100 made payable to NCDE4
Copy of most recent Annual Report to the NC Secretary of State
ff This completed application and any supporting documentation
B'A site diagram showing, at a minimum, existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where industrial process materials are stored
g) impervious areas
h) site property lines
Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 3 of 5

7. Applicant 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... shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
�wd or criminal penalties incurred due to violations of this permit.
he information submitted in this NOI is, to the best of my knowledge and belief, true, accurate, and complete based on
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
information.
Sd I will abide by all conditions of the NCG0800D0 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.
tl0 1 hereby request coverage under the NCGO800DO General Permit.
Printed Name of Applicant: Mike Mattes
Title: CEO
(Signature of Applicant) (Date Sig d)
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4 of 5

Additional Outfalls
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? Dyes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5

a
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BUSINESS CORPORATION ANNUAL REPORT
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NAME OF BUSINESS CORPORATION: COrmetech, Inc.
0248932
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: DE
Filing ce Use Only
E - Filed Annual
REPORT FOR THE FISCAL YEAR END: 12/31/2019
Report
0248932
SECTION A: REGISTERED AGENT'S INFORMATION
❑X Changes
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200
Raleigh, NC 27615 Wake County Raleigh, NC 27615
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Manufacturing & Sates
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
11707 Steele Creek Rd, Mecklenburg County 11707 Steele Creek Rd
Charlotte, NC 28273 Charlotte, NC 28273
6. Select one of the following If applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
The company is a service -disabled veteran -owned small business
SECTION C: OFFICERS (Enter additional officers in Section E.)
NAME: Chris DifranceSco NAME: Scott Pritchard
TITLE: Vice President TITLE: Vice President
ADDRESS:
5000 International Dr
Durham, NC 27712-8911
ADDRESS:
5000 International Dr
NAME: -Scott Daugherty
TITLE: Vice President
ADDRESS:
5000 International Dr
Durham, NC 27712-8911 Durham, NC 27712
SECTION D: CERTIFICATION OF ANNUAL REPORT Section D must be completed in its entirety by a person/business
entity.
Mark Vasco 4/6/2021
DATE
Forth must be signed by an officer listed under Section C of this farm.
Mark Vasco General Counsel
Print or Type Name of Officer Print or Type TWO of Officer
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

SECTION E: ADDITIONAL OFFICERS
NAME: Michael Mattes
TITLE: president
ADDRESS:
11707 Steele Creek Rd
NAME: Mark Vasco NAME:
TITLE: General Counsel TITLE:
ADDRESS: ADDRESS:
11707 Steele Creek Road
Charlotte, NC 28273
Charlotte, NC 28273
NAME:
NAME: NAME:
TITLE:
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ADDRESS:
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NAME:
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FIGURE 2 - FACILITY OUTFALLS AND FLOW
003
r
002
KEY
WATER FLOW -►
STORM DRAIN 0

FIGURE 1— GENERAL LOCATION MAP
1:24,000
Charlotte West
7.5-minute Quadrangle
Index map