NCG130107_Application_20220517

FOR AGENCY USE ONLY
NCG13 0 I O
Assignedto: J/
RECEIVED
MAY 17 2p?7
ARO FRO �7 RRO WARD WIRO WSRO DENR-LANDQUALITY
STORMWATER PERMIT I ING
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG130000 Notice of Intent
This General Permit covers STORMWA TER DISCHARGES associated with activities classified as: the wholesale
trade of non-metal waste and scrap (hereafter referred to as the non-metal waste recycling industry) a Portion of
Standard Industrial Classification Code (SIC) 5093 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: facilities primarily
engaged in the wholesale trade of metal waste & scrap, iron & steel scrap, and nonferrous metal scrap; facilities
primarily engaged in waste oil recycling; and facilities primarily engaged in automobile wrecking scrap. 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:
Norwood Trucking and Grading, Inc.
Larry Norwood
Street address:
City:
State:
Zip Code:
5112 Davis Road
Waxhaw
INC
28173
Telephone number:
-
Email address:
704-507-0525
[e-mail]
Type of Ownership:
Government
❑County ©Federal [;(Municipal []State
Non -government
[]Business (if ownership is business, a copy of WS_C) _, report must be included with this application)
(Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Norwood Trucking and Grading, Inc.
Angie Wortman
Street address:
City:
State:
Zip Code:
4800 Rehobeth Road
Waxhaw
NC
28173
Parcel Identification Number (PIN):
County:
05114001C & 05114001E
Union
Telephone number:
Email address:
704-507-0525
[e-mail]
4-digit SIC code:
Facility is:
I Date operation is to begin or began:
3272
[3New OProposed QExisting
Approximately2015
Latitude of entrance:
Longitude of entrance:
34.914509
-80.754823
Page 1 of 5

Brief description of the types of industrial activities and.products manufactured at this facility:
Recycling concrete Into aggregate
If thestormwater discharges to amunicipal separate storm sewer system (M34), name the operator of the MS4:
El N/A .
3. Consultant (it applicable):
Name of consultant:
Consulting firm:
Richard Harmon
Harmon Environmental, PA
Street address:
City:
Statei
Zip Code!
615 Bruce Thomas Road:
Monroe.
NC.
28112
Telephone number:
Email address;
704-292-4527
[e-mail]
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-4 digit Identifier:
Name of receiving Waters
Classification:
❑ This water is Impaired.
001
11 Rone Branch - Catawba River
C , _ _
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
34.914693
-80.755B25
Brief description of the Industrial activities that drain to this 'outfall:
recycling concrete into aggregate
Do Vehicle Maintenance Activities occur in the -drainage area of this outfall? { 'Yes 0 No
If yes, how many gallons of new motor oil=a�e used°each m4n"th`when averagedaver ttie calenda y"earn 7 z
-r
3.4 digit identifier•.
Name-bf receiving wate �.
Classiffwtjon �
O Thiswater'is inpaif4d:,
002
Rone -Catawba tfvsr.
C
❑This Wifeished hasa TMDL.
Branch
;%
Latitude of outfall; >.,
Cbngiude'ofoutfall: ;0`
34.914437<��
Brief descnpticih of the industrial activities that cl6ifi to thisodtfail� " `
recycling concrete into aggregate :-
Do Vehicle occur In the drainage area ofthis outfall? _An., [3 Ye's 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;
(Jame of receiving; water:
Classification:.
❑This water is impaired.
❑ This watershed has aTMDL.
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? E3 Yes © No
If yes, how eranygallons 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.maybe added In the section
"Additional O'Utfalls" found on the last page of this,1401.
Page 2 of 5

S. Other Facility Conditions (check all that apply and explain accordingly):
Q This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
E 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;
0 This facility has StormwaterPollution Prevention Plan (SW PPP):
If checked, please list the date the SWPPP was.implementedt
Currently tieing developed"
0 This facility stores hazardous waste in the 10o•year floodplain.
If checked, describe how the area is protected from flooding:
❑ This facilityis a (mark all that apply)
O Hazardous Waste Generation Facility
Hazardous WasteTreatment Facility
El Hazardous Waste Storage Fadlity
❑ Hazardous Waste Disposal Facility
Ifchecked
indicate :r'' , •.
Kilograms of waste generated each.mbnth
Types) of waste ' ,
..M�. .e
.':
How material is stored r
Where fytaterial is stored:
+}'
E $ Y
Y
Number......
of:waste shipments;per year,"
Name of-transport/disposal vendor
a "•µ.
E
sm
<
r
Transport/disposal vendor EPA ID
Vendor address:
❑ This facility is`Iocated on a BrownBeid'orSuperfund site
if checked,, briefly describe the site conditions
&.. Required Items (Application will be returned unless ail of the, following,ltems have been included):
•
heck for $100 made payable to NCDEQ
•
Copy of most recent Annual Report to the NC Secretary of State
D This completed.applicatioh and any supporting documentation -
O
Asite diagram showing, at a minimum, existing and proposed:
a)
,outline of drainage areas
b)
surfacewaters
c)
stormwater management structures
d)
location of stormwater outfalis corresponding to the drainage areas
e)
runoff conveyance features
f)
areas where Industrial process -.materials are stored ..
g)
impervious areas
h
site property lines
0
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:
El 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.
0 The 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 responsibiefor gathering the
information.
O 1 will abide by all conditions of the NCG130000 permit. I understand that coverage under this permit will constitute the
permit requirements for the discharge(s) and is enforceable in the some manner as an individual permit.
0 1 hereby request coverage under the NCG 130WO General Permit.
Printed Name of Applicant:
Title:
(Suture of Applicant) (bate Signet c
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.
❑ This watershed hates 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:
0 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? E Yes E3 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 receivindWater." "a"
tal' ilfication .
[] This water" is in plerIed!
` t
._
�❑aThiswatershed'hai,a�TMDI.
Latitude. of outfall:
;Longitude of outfall
r
Brief descriptionzofthe industrial activities that lrainto this autfalt -
,
Do Vehicle MamtenanceAcfivitiesoccurinthedrainageareaofthis`outfall?,;'
= z 1 _,•, Mti ©No
If yes, how many gallons of new motor oil are used each m6nKwhen averaged over the plendaryear? c'
3-4 digit identifier:
Name of receiving water.
Classification.."f, ❑ This water is Impaired.
❑This watershedhas 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 i1 No
If yes, how -many gallons of'new motor oilare used: each month when averaged over the calendar year?
374 digit Identifier:
Name of receiving water:
Classification:
13 This Water Is Impaired.
❑ This watershed has a`TMDL .
Latitude of outfall:
Longitudeof:outfalli
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

APPROXIMATE SCALE IN. FEET
I
0 2000 __. ..... . 4000:
SOURCE: TOPOI 2003 NATIONAL GEOGRAPHIC
HARMON ENVIRONMENTAL, PA F16UREI =
615 BRUCE THOMAS ROAD SITE LOCATION MAP
MONROE, NORTH CAROLINA TRUCKING AND GRADING, INC. a;
704-292-4527 4800 REHOBETH ROAD
hnrmnnAm%A nnmPntnI rnm WAXHAW, NORTH-CAROLINA '

t BUSINESS CORPORATION ANNUAL REPORT
NAME OF BUSINESS'CORPORATION: Norwood Trueldng & Grading, Inc.
SECRETARY OF STATE 10 NUMBER: 0495771 STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR 12/31/2020
SECTION. A. REGISTERED AGENTS INFORMATION
1. NAME. OF REGISTERED AGENT: Norwood, Larry, Jr.
2. SIGNATUREOF THE NEW REGISTERED AGENT:
Report
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
-3. REGISTERED AGENT OFFICE.STREET ADDRESS e. COUNTY ,4. REGISTERED AGENT OFFICE MAILING ADDRESS
511.2-.Davis 'Road' PO Box,247
Waxhaw, NC 28173 Union County Waxhaw, NC 28173
SECTION Bt PRINCIPAL OFFICE INFORMATION
1, DESCRIPTION OF NATURE OF BUSINESS: Trucking 8& Grading
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3..PRINCIPALOFFICE EMAIL: Privacy Redaction
4 PRINCIPAL OFFICE STREETADDRESS_
5. PRINCIPAL OFFICE MAILING:ADDRESS
5112 Davis Road PO Box 247
Waxhaw, NC28173 Waxhaw, NC 28173
B. Select one of the following If applicable. (Optional see Instructions)
The company is a veteran -owned small business
The company is a servlf;04sabied veteran -owned small business
SECTION b: OFFICERS (Enter additional officers in Section E.);
NAME: Larry Norwood
TITLE 'President '
ADDRESS:
NAME: Angie Wortman Norwood
TITLE: Secretary
ADDRESS:
NAME:
TINE
ADDRESS:
PO Box 247 PO Box 247
Waxhaw, NC28173 Waxhaw, NC28173
SECTION 0: CERTIFICATION OF ANNUAL REPORT, Section D must be completed in its entirety by a.persgn1business
end
R.
ngie Wortman Norwood 2/17/2021
SIGNATURE - ... DATE
Foun raust be sinned tv an officer Bsled underSedionC of this form:
Angie Wortman Norwood Secretary
Print or Type Name of Officer - Print orType Title of Officer
ThisAnnualReport has been filed electronically,
MAIL TO:Seeretaryof Stela, Boslness Registration Or✓ismn, Post Office Box 29525,;Ratagh,NC2MSoS25