NCG190122_Application_20211122

RECEIVED
FOR AGENCY USE ONLY !r Vv 2 2 2�21
NCG19 d 1 Z 2
Assigned to: SON DENR-LAND QUA[ 17, Y
ARO FRO MRO RRO WAR WIRO WSRO STORMVWATER PERMITTING
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG190000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 373 (Ship and Boat Building and Repairing) and SIC 4493 (Marinas). 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 mailedl:
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
Winter Custom Yachts
Timothy C Winters
Street address:
City:
State:
Zip Code:
270 Hogans Rd
Hubert
NC
28539
Telephone number:
Email address:
910-325-7583
[e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Municipal
❑5tate
Non -government
ElBusiness (If ownership is business, a copy of ",a5 5 report must be included with this application)
Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Swans Point
Gabby Mulholland
Street address:
City:
State:
Zip Code:
270 Hogans Rd
Hubert
NC
28539
Parcel Identification Number (PIN):
County:
1316-56
Onslow
Telephone number:
Email address:
910-325-7583
[e-mail]
4-digit SIC code:
Facility is: Date operation is to begin or began:
1
4493
❑New ❑Proposed ElExisting
Latitude of entrance:
Longitude of entrance:
34.39.1
-77.11.10
Brief description of the types of industrial activities and products manufactured at this facility:
Marina & Boat Building; previous permit SW8 980346 additional SIC codes 3732
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
❑ N/A
Page 1 of 5

Check all that are offered or allowed at this facility:
❑ Lodging
❑ Trash Collections
❑ Dump Station
O Sanding
❑ Restrooms
❑ Recycling
0 Haul Out
❑ Sand Blasting
❑ Restaurant
❑ Fish Cleaning Area
❑ Pump Out
0 Painting
❑ Vehicle/Equipment Washing
❑ Charter
❑ Fueling
0 Boat Building
O Boat Pressure Washing
❑ Live Aboard
❑ Boat Ramp .
❑ Transient Slips
❑ Retail Store
0 Dry Boat Storage
❑ Boat Hand Washing
❑ Boat Sales
0 Engine Repair
❑ Permanent Slips
3. Consultant (if applicable):
4.
Name of consultant
Consulting firm:
Street address:
City:
State:
Zip Code:
Telephone number:
Email address:
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 1 Goose Creek
Basin/Channel
O This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
34.38.47
77.10.51
Brief description of the industrial activities that drain to this outfall:
Storage and Pressure Washing
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 13 Yes 0 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? 0 Yes D 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 outfalis 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):
❑ 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:
O This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Currently putting together BMP's. We currently have a deemed recycled system; solvent plan in development
O This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
Currently putting together SWPP; solvent plan development - no hazardous waste
❑ 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):
O Check for $100 made payable to NCDEQ
O Copy of most recent Annual Report to the NC Secretary of State
O This completed application and any supporting documentation
l7 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
a 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 ($50,000).
Under penalty of law, I certify that:
O I 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.
El The 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.
0 I will abide by all conditions of the NCG190000 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.
0 I hereby request coverage under the NCG190000 General Permit.
Printed Name of Applicant: Timothy C Winters
Title: President, Winter Custom Yachts
11/12/2021 a,__,
(Signature of Applicant) (Date Signed)
Mail the entire package to: DEMIR — 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
0 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 are of this outfall? 0 Yes 0 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
O 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 are of this outfall? ❑ Yes 0 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:
13 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 are of this outfall? 0 Yes 0 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:
O 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 are of this outfall? 0 Yes 0 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
O 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 are of this outfall? 0 Yes 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

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El

r BUSINESS CORPORATION ANNUAL REPORT
tawv7
NAME OF BUSINESS CORPORATION: WIIVTER CUSTOM YACHTS INC
SECRETARY OF STATE ID NUMBER: OSW91 STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END: 12/31 /2020
SECTION A REGISTERED AGENTS INFORMATION
1. NAME OF REGISTERED AGENT: Winters, Timothy C
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Filed Annual Report
IJ changes
SIGNATURE CONSTRUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
270 Hogans Road
Hubert, NC 28539 Onslow County
SECTION B: PRINCIPAL OFFICE INFORMATION
270 Hogans Road
Hubert, NC 28539
1. DESCRIPTION OF NATURE OF BUSINESS: Boat Manufacturing
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4, PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
270 Hogans Road 270 Hogans Road
Hubert, NC 28539
Hubert, NC 28539
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: Timothy Cleveland Winters NAME: Katelyn E Miller NAME:
TITLE: President TITLE: Vice President TITLE:
ADDRESS:
ADDRESS:
270 Hogans Road 270 Hogans Road
Hubert, NC 28539 Hubert, NC 28539
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT_ Section D must be completed in Its entirety by a personlbusiness
entKatelyn E Miller 2/16/2021
SIGNATURE DATE
Fonn nest be signed by an officer IEted undar Section C of thin form.
Katelyn E Miller Vice President
PdntorType Name oro firer Pdmor type True of Olficer
This Annual Report hes been filed electronically.
MAIL TO: Secretary of State, Business Regbdmtion Division, Post Office Box 2ffak Ralalgh, NC 276290M

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