NCG130112_Application_20221129

or:
FOR AGEN Y US�j ONLY
NCG13Q� < �J
Assigned to: 1 a a n
ARO FRO MRO RRO WARO WIRO RO DEMLRStotmWaterPro..
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG130000 Notice of Intent
This General Permit covers 5TORMWATER 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) S093 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):
N e o I gal organizational entity:
Legally responsible person as signed in Item (7) below:
l¢-�-f-
Street address:
City: /
Stater
Zip'Code:
�t
�uY�✓cocL
,C.-
at'
Telephone umb r:
Email address;
Type of Ownership:
Government
❑County OFederal ©Municipal ©State
Non -government
❑ Business (If ownership is business, a copy of NCSOS report
must be included with this application)
dividual
2. Industrial Facility (facility being permitted):
Facil'ty na
Facility environmental contact:
T'a r I.106 te,}#
Street address:
l✓w
�
Ci
State:
. C.
Zip Code:
6z6
Parce dentification Nur (PIN):
; e
County:
7.3 la
Telephone number: n
36`
✓
�f72,
/
(j
Email address:
�G /� e. J W_ 'eon
4-di it SIC cco e: Fa '
19
s��
© Proposed
[24isting
Date operation is to b in or began:
Latit de of entrance:
lo. ylolo
Longitude of entrance:
= 81 •5 10,2517
Page 1 of S

Brief descri tion of the types of in ustrial activities and products manufactured at this facility:
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
❑ N/A
3. Consultant (if aoolicable):
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.
❑ 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 es, how man _._.__ ',_
y y gallons of new motor gill ere:used eachmonth�when.averaged over the calendaryear7
3-4 digit identifier:
(Name of receiving water. �,;
Classification:-,
❑ This Waterpis impaimd.a
❑This watershed hasaTMDL.
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 M<o
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):
❑ 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:
❑ This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
❑ 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.mbnth:
_
Type(s) of waste:
How material is stored , '
Where material Is'stored:
Number ofsteshipmentsperycar:"' :`- -' a
eat
Nameabftransport/disposalvendorr"'.
�
Transport/disposal vendor EPAID:
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
F1
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 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 143-215.613 (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:
❑ 1 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.
❑ 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.
❑ 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 same manner as an individual permit.
❑ I hereby request coverage under the NCG130000 General Permit. /
Printed Name of Applicant: �,)CcG�r ( Iz/
Title:
azure of Applicant) (Date Signed)
Mail the entire,package to: DEMLR Stormwater.Program . - £
„ Department of Environmental Quality 0,
Q 1612MailServiceCenter
Raleigh, NC 27699 1612'
F
Page 4 of 5

Additional Outfalls
34 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.
i4'. '
❑ This watershed"has aTMDL.
Latitude of outfall: _,'�"
Longitude of outfall
Brief description=of the'industrial activities that drain to this outfall: ,
k
Do Vehicle'MainterianWIActivitles occur in the drainage area of this outfall?',^ 11Yes ©No
If yes, how many gallons of new motor oil are used each' when averaged over the
th
.,
calendaryear? 0 `
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

n!:�'-
LIMITED LIABILITY COMPANY ANNUAL REPORT
s
tonon
NAME OF LIMITED LIABILITY COMPANY: Noblett. LLC
SECRETARY OF STATE ID NUMBER: 0754408 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2021
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Noblett,Mila
E - Filed Annual
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 ivy lane
160 ivy lane
fleetwood, NC 28626-9774 Ashe County fleetwood, NC 28626-9774
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: holding Company
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
160 ivv lane
5. PRINCIPAL OFFICE MAILING ADDRESS
160 ivy lane
fleetwood, NC 28626-9774 fleetwood, NC 28626-9774
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: Mila Noblett
NAME:
TITLE: Manager TITLE:
ADDRESS: ADDRESS:
160 Ivy Lane
Fleetwood, NC 28626
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Mila Noblett 4/19/2021
SIGNATURE — - DATE
Form must be signed by a Company Official listed under Section C of This form.
Mila Noblett Manager
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

11/18l22, 1:20 PM
Ashe County GIs Website
ASHE COUNTY
GOVERNMENT
F
Results L>
Results Ust
Details
Parcels
• Tax Bill
(./assets/Ashe/g
id=15231001) I
• Property Recorl
(https://gis.ashe=
id=15231001)
• Google Maps
Parcel
Number:
d=1
id=152.
Property
I
417 W�
Address:
i
Land Units:
26.512;
Neighborhood:
PINE S
Fire District:
FLEET
Legal Description:
28.512 AC
I
Owner:
NOBLETT LLC
1601W LN
FLEETWOOD. NC 2E
Scale: 1 inch = P,reet
1:-81.509 Lat: JR.325
1:81°30'31• 36*19'3
County Home Page (http:/lwww.ashecountl
https://gis.ashewuntygov,wm/maps/ 1/1

11118/22, 1:22 PM
Ashe County GIS Website
ASHE COUNTY
GOVERNMENT
Results La
Results List
Details
Parcels
• Tax Bill
(Jassets/Ashefl
id=15231001)
• Property Record
(https:/Igis.ashe
id=15231001)
• Google Maps
Parcel (ht4rt
Number: id-i'
Property 417
Address:
Land Unite: 28.51
Neighborhood: PINE
Fire District: FLEE
Legal Description:
28.512 AC
Owner:
NOBLETT LLC
160 IVY LN
FLEETWOOD. NC
County Home Page (http://www.ashecwntt
https:llgis.ashecountygov.com/maps; 1/1