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HomeMy WebLinkAboutNCG210501_Application_20220608FOR AGENCY USEi ONLY NCG21�j30 1 Assigned to: 1 - CAWO ARO FRO MRO RRO WARO WIRO WSRO RECEIVE® DEMLR-Stogwater program Division of Energy, Mineral, and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCG210000 Notice of Intent This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard Industrial Classifications: SIC24 [Timber Products, including Wood Chip Mills — except as specified below] and like activities deemed by DEMLR to be similar in the process and/or the exposure of raw materials, products by- products, or waste materials. The following activities are specifically excluded from coverage under this General Permit: SIC2434 [Wood Kitchen Cabinets], SIC2491 [Wood Preserving], and SIC2411 [Logging]. You can 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: NCDEMLR 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: Wilmington Equipment Services Company, LLC. William Holland Street address: City: City: State: Zip Code: 719 Pine Grove Drive NC 28409 Telephone number: (910) 264-5441 Email address: wescoilm@gmail.com Type of Ownership: Government ❑County ❑Federal ❑Municipal ❑State Non -government Business (If ownership is business, a copy of NCSOS report must be included with this application) ❑Individual 2. Industrial Facility (facility being permitted): Facility name: I' I r S � �aL Facility environmental contact: Wes Turbeville Street address: 3415 Blue Clay Road City: Castle Hayne State: NC Zip Code: 28429 Parcel Identification Number (PIN): R02600-001-001-000 County: New Hanover County Telephone number: (910) 233-7021 Email address: wesooilm@gmail.com 4-digit SIC code: Facility is: Date operation is to begin or began: 24 1 1 ❑New ❑Proposed IfExisting 06/01/2022 Latitude of entrance: Longitude of entrance: 34.305122 -77.903120 Brief description of the types of industrial activities and products manufactured at this facility: Processing land clearing debris into mulch. This facility will produce Wood Pellets: ❑Yes RINo If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4: IldN/A Page 1 of 5 3. Consultant (if applicable): Name of consultant: 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. 1 Unnamed Triibutary of Ness Creek C ❑This watershed has a TMDL. Latitude of outfall: 34 305746 Longitude of outfall: _77 904035 Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes GfNo 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? 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 NOI. Page 2 of 5 S. Other Facility Conditions (check all that apply and explain accordingly): if This facility has other NPDES permits. If checked, list the permit numbers for all current NPDES permits: Errosion and sedimate control NCG010000 ❑ This facility has Non -Discharge permits (e.g. recycle permit). If checked, list the permit numbers for all current Non -Discharge permits: This facility uses best management practices or structural stormwater control measures. If checked, briefly describe the practices/measures and show on site diagram: Refer to erossion control plan ❑ This facility has a Stormwater Pollution Prevention Plan (SWPPP). If checked, please list the date the SWPPP was implemented: ❑ 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 ❑ 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 NCDEQ ❑ Copy of most recent Annual Report to the NC Secretary of State (if applicable) ❑ This completed application and any supporting documentation ❑ 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 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 143-215.6B (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: i rl am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any civil or criminal penalties incurred due to violations of this permit. lidThe information submitted in this N01 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. 12JI will abide by all conditions of the NOG210000 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. lidI hereby request coverage under the NCG210000 General Permit. Printed Name of Applicant: William Holland Title: Owner Verified by pdFJler I gal 4, (Signature of Appli A%1/2,'., 06/03/2022 (Date Signed) 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 i❑ 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? Page 5 of 5 0 LIMITED LIABILITY COMPANY ANNUAL REPORT r/6nm NAME OF LIMITED LIABILITY COMPANY: Wilmington Equipment Services Company, LLC SECRETARY OF STATE ID NUMBER: 1771094 STATE OF FORMATION: NC REPORT FOR THE CALENDAR YEAR: 2022 AMENDING DOC ID SECTION A: REGISTERED AGENT'S INFORMATION 1. NAME OF REGISTERED AGENT: Holland, William E, II 2. SIGNATURE OF THE NEW REGISTERED AGENT: E- Filed Annual Report 1771094 CA202201400157 1/14/2022 09:30 KK@4-1014L4;3iI�7�F9��1i[G rl=Fi1���1CII!J�'id 3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 7049 Masonboro Sound Rd Num B 7049 Masonboro Sound Rd Num B Wilmington, NC 28409 New Hanover County Wilmington, NC 28409 SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: 2. PRINCIPAL OFFICE PHONE NUMBER: (910) 264_5441 4. PRINCIPAL OFFICE STREET ADDRESS 7049 Masonboro Sound Rd Num B Wilmington, NC 28409 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 5. PRINCIPAL OFFICE MAILING ADDRESS 7049 Masonboro Sound Rd Num B Wilmington, NC 28409 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: COMPANY OFFICIALS (Enter additional company officials in Section E.) NAME: William E Holland, 11 NAME: TITLE: Managing Member TITLE: ADDRESS: 7049 Masonboro Sound Rd Num B ADDRESS: NAME: TITLE: ADDRESS: Wilmington, NC 28409 SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. William E Holland II 1/14/2022 SIGNATURE DATE Form must be signed by a Company Official listed under Section C of This form. William E Holland II Managing Member Print or Type Name of Company Official Print or Type Title of Company Official This Annual Report has been filed electronically. MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525