NCG060440_Application_20221026

RECEIVE®
FOR AGENCY USE ONLY
NCG060ta' W
Assignedto: I C RSO
ARO FRO MRO FRO ARO WIRO WSRO 0EMLR-Stormwaterprogram
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG060000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
industrial Classifications: SIC 20 [Food and Kindred Products], SIC 21 [Tobacco Products], SIC 283 [Drugs], SIC 284
[Soaps, Detergents, & Cleaning Preparations, Perfumes, Cosmetics, & Other Toilet Preparations], SIC422 (Public
Warehousing and Storage — except for 4226]. 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:
ArrMaz Products Inc.
Jason Brannen
Street address:
City:
State:
Zip Code:
4800 State Road 60 East
Mulberry
Florida
33860
Telephone number:
Email address:
[phone]
[e-mail]
Type of Ownership: .
Government
[3County ®Federal dvlunicipal E3State
Non -government
0Business (If ownership is business, a copy of NCSOS report must be included with this application)
Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
ArrMaz Vanceboro Facility
Allen Buck
Street address:
City:
State:
Zip Code:
110 Rance Buck Road
Vanceboro
North Carolina
128586
Parcel Identification Number (PIN):
County:
1-043-135
Craven
Telephone number:
Email address:
[phone]
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
2869
1 i3 New E3 Proposed ©Existing
1992
Latitude of entrance:
Longitude of entrance:
35.348831
-77.151804
Brief description of the types of industrial activities and products manufactured at this facility:
Blending and distribution of various types of chemicals.
This facility processes meat: [3 Yes El No
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
0 N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Darren Digby
Ramboll US Consulting
Street address:
City:
State:
Zip Code:
8235 YMCA Plaza Drive, Suite 300
Baton Rouge
Louisiana
70810
Telephone number:
Email address:
[phone]
[e-mail]
4. Outfall(s)_At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
Cl This water is impaired.
002
Palmetto Swamp
Stormwater
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.349370
-77.151318
Brief description of the industrial activities that drain to this outfall:
Rail car loading/unloading of raw materials.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? Dyes ©No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
N/A
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? O 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? ❑ 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):
O This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
NCG500571
❑ 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:
Best management practices include: good housekeeping, preventative maintenance, erosion and sediment control, inspection program, and employee training.
O This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
September 2022
❑ This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
O This facility is a (mark all that apply)
El 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:
<100
RCRA Very Small Quantity Generator
How material is stored:
Where material is stored:
Containers
In secondary containment
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
❑+
Copy of most recent Annual Report to the NC Secretary of State
O
This completed application and any supporting documentation
O
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
O
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 143-215.66 (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 responsible for gathering the
information.
O I will abide by all conditions of the NCG060000 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 1 hereby request coverage under the NCG060000 General Permit.
Printed Name of Applicant: Jason Brannen
Title: EHS Director
(Signature pplica ) (Date Signed)
Mail the entire package to: DEMUR —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? 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.
❑ 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? O 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? ❑ Yes O 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 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 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

0 BUSINESS CORPORATION ANNUAL REPORT
uw2D22
NAME OF BUSINESS CORPORATION: ArrMaz Products Inc.
SECRETARY OF STATE ID NUMBER:-2010816 STATE OF FORMATION: DE
REPORT FOR THE FISCAL YEAR END: 12/31 /2021
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: CT Corporation System
E - Filed Annual Report
2010816
CA202209807668
4/812022 04:46
OX Changes
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
Raleigh, NC 27615 Wake County
SECTION B: PRINCIPAL OFFICE INFORMATION,
160 Mine Lake Ct Ste 200
Raleigh, NC 27615
1. DESCRIPTION OF NATURE OF BUSINESS: Manufacture and distribution Of chemicals, and Other lawful business
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
4800 State Road 60 East
5. PRINCIPAL OFFICE MAILING ADDRESS
4800 State Road 60 East
Mulberry, FL 33860 Mulberry, FL 33860
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: Vivien Marchand NAME: Dnri I Mnncttr Ratka NAME: Finanital Katz
TITLE: Treasurer TITLE: Sari TITLE: President
ADDRESS:
ADDRESS:
420, rue d'Estienne d'Orves 900 First Avenue
Colombes, France 92700 King of Prussia, PA 19406
ADDRESS:
4800 State Road 60 East
Mulberry, FL 33860
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entllvori L Mansur Ratka 4/8/2022
SIGNATURE
Form must be signed by an officer listed under Section C of this form.
DATE
Dori L Mansur Ratka Secretary
Print or Type Name of Officer Print or Type Title of Officer
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

SECTION E: ADDITIONAL OFFICERS
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
Name:
TITLE:
TITLE:
ADDRESS:
ADDRESS:
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:

North Carolina Department of the Secretary of State
Elaine F. Marshall, Secretary
BELOW IS THE CHECK LIST FOR BUSINESS CORPORATION ANNUAL REPORT. Please take a few minutes and read the
information provided. The Business Corporation's Annual Report is due by the 15th of the 4th month after the end of the
Business Corporation's fiscal year, with the filing fee of $20 00 if filed online if filed in paper form the fee is $25.00.
Each Business Corporation filing an annual report with the North Carolina Department of Secretary of State must
provide the following information:
1. NAME OF BUSINESS CORPORATION
2. STATE OF FORMATION
3. ANNUAL REPORT FILING YEAR
4. THE REGISTERED AGENT STREET ADDRESS AND MAILING ADDRESS IF DIFFERENT
5. THE REGISTERED AGENT'S NAME AND SIGNATURE IF CHANGED
6. THE PRINCIPAL OFFICE ADDRESS, COUNTY AND TELEPHONE NUMBER
7. THE NAMES, TITLES AND BUSINESS ADDRESS OF THE PRINCIPAL OFFICERS
fi. A BRIEF DESCRIPTION OF THE NATURE OF BUSINESS
IF THE INFORMATION REQUIRED TO BE ENTERED IN SECTION A THROUGH SECTION C HAS NOT CHANGED SINCE THE
RECENTLY FILED ANNUAL REPORT, COMPLETE HEADER SECTION AND SECTION D TO CERTIFY THE ANNUAL REPORT
SECTION A: REGISTERED AGENT'S INFORMATION
1. The name of the registered agent must be typed or printed.
2. If the registered agent has changed, the new registered agent MUST SIGN CONSENT to the appointment in the space provided. If the registered agent's
name has changed due to manage, or by any other legal means, the business corporation must indicate such change in the space provided and have the
agent sign consent to the appointment under their new name. If the new registered agent is a business entity, then the appropriate representative of that
entity most sign and print their time and title. The registered agent must reside in NC.
3. If the street address of the registered office has changed, indicate the change. The address of the registered office must be a Street Address and NOT a
Post Office Box Address. The street address of the registered office must be a North Carolina address.
4. If the mailing address of the registered office has changed it should be indicated in this item. The registered office's mailing address may be a Post Office
Box. The registered office mailing address must be NORTH CAROLINA ADDRESS.
SECTION B: PRINCIPAL OFFICE INFORMATION
1. Provide a brief description of the nature of the Business Corporation's business.
2. Enter the principal office telephone number.
3. Enter the principal office &mail address.
4. The principal office address should reveal the Business Corporation's physical location. The principal office street address must be a street address and
NOT a Post Office Box Address.
5. The principal office mailing address may be a Post Office Box.
6. You may voluntarily report whether the company qualifies as a service -disabled veteran -owned or veteran -owned small business. The annual net receipts
cannot exceed one million dollars ($1,000,000) to report as either veteran -owned small business designation.. Choose the designation of a service -disabled
veteran -owned small business if one or more service -disabled veterans owns more than 50% of the business. Choose the designation of veteran -owned small
business if one or more veteran owns more than 50%of the business. For further definitions see N.C.G.S. §55-1-40; §57D-1-03; or §59-32.
SECTION C: OFFICERS
Provide the names and addresses of each officer. Use Section E or a plain 8 1/2 X 11 sheet of paper if more space is needed. A person listed in this section
most sign the annual report and is then authorized to sign on other documents filed with this office.
SECTION D: CERTIFICATION OF ANNUAL REPORT
Check the annual report carefully to ensure all information required for filing has been provided. Only an officer listed on this report or past completed and
filed report may sign. Complete the signature, date, title and typed or printed name in the space provided on the form to certify that the information is accurate
and current. if the Officer of the business corporation is another business entity then the appropriate representative of that business entity must certify the
annual report
SECTION E: ADDITIONAL OFFICERS
Provide the names and addresses of each additional officer. A person listed in this section is then authorized to sign on other documents filed with this
office.
Mail the annual report to: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525. For information or assistance, contact
the Business Registration Division at [phone] or Toll Free 1-888-246-7636. The url address is httn://www.sosne.gov. (Revised 1012017)

r o
1
O
6go'hu mooevxN Ear uwex�q,e m,ou voegxenlzewu,Tlmnmaonne'� uaii raabu Edam INO :83NOIS30 LZOZILML 0

t
S
y,� =r '• f .n .'� yip �.
I. .
6
^X �o
E�
Aft
n
,
��c
'Y
roz< roll
Toce rots roz1
h 2,- ^r raor tD1a rota ``
PP C" BOAHi
` RLdI lOW ) -
Ins iD05 TANNER
yw" TOTE TRUCK
r $NMkGE TODL roL' ULOOAUN(V
MMING
1 COD] r011 r018 AREA �OUTFALL
' LW0 i010 T41]
8
i0L9 rt 1E
OfFICE
- l PRODUCTION
euaowG
- ww
Qi
RANCE SUCK ROAD
r.
\PRCPERTY BOUNDARY (APPROXIMATE)
SURFACE STORMWATER FLOW
SPILL KIT
OUTFALL
!f
F,
0
A r '.•1.eBJlL US CONSULTING. INC
ARRMAZ PRODUCTS, LLC aPRM&i11 �ou•ex.
110 RANRTH CAROOAO
VhNLEB I"S RANCE BUCK ROAD