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HomeMy WebLinkAboutNCG130113_Application_20221129FOR AGENCY USE ONLY NCG13 Q I 13 Assigned to: !:a). Cdo� ARO FRO MRO RRO WARO WIRO SRO RECEIVED "LR-Stormwater Program Division of Energy, Mineral, and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCG130000 Notice of Intent This General Permit covers STORMWATER 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, INC 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 mai Name of legal organizational entity: Legally Tr Street address:`'"F City: I LP 0 1 V V Lane er+ Telephone nu ber. Email addr 33(6' S-I'1-7u to to rn+c Type of Ownership: Government ®County ❑Federal ❑Municipal El State ble person as sigi a Noble in Item (7) below. L Nong�overnment j;tiusiness (If ownership is business, a copy of NCSOS report must be included with this application) 2. Industrial Facility (facility being permitted): Com Facility name: 1� _Tru�ILwa �pt gp __ Facility environmental contact: T&C P /UoSt it- 9od et et address: J r it Cit : e soles ate: Zip NL 2�k Parcel Identificati n Numb (PIN): County: ASkQ Telephone number: - lniv Email address: YY1i L I c e (Ive•COM 4-di it SIC code: Facility is: , Date operation is to begin or began: O� ❑New ❑Proposed Existing Latitude of entrance: 3 (,o•35IvP(4 _ Longit de of entrance: - I. 3 I4 _ Page 1 of 5 Brief description of the types of industrial activities and products manufactured at this facility: Grades. /G .. U&26 , dun�o Mtcic teauEtiq If the stormwa er discharges to a rMunicipal separate storm sewer sy em (MS4), name the operator of the MS4: 2'N/A 3. Consultant (if aoDlicable): 1JIN Name of consultant: Consulting firm: Street address: City: State: Zip Code: Telephone number: Email address: 4. Outfall(s) At least one outfall is reauired to be eligible for coverage. 3-4 digit identifier: Name of receiving water: Classification: El This water is impaired. C� ❑ 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 ©'ITo If yes, how many gallons of new motor oil'are used each montl 'when averaged over•the calendar year?r ': j 3-4 digit identifier: Name of. receiving water: Classification:- , ❑ This water is impaired,, .kr - at ❑ This watershed In Latitude of outfall:, Longitude of outfall• Brief description`df'the industrial activities that drain to this`ouffall Do Vehicle `Nlainten"ante Ac`tivitie"s oc'nVin" the`dreinage area°of fhis`ouffall? ' P _ Yes © No If es, how man y y gallons new motdr oil are used each month When averaged over�tfie 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? El 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,. n+ _ If.checked, indicate: Kilograms of waste generated each.month: Type(s) of.waste ' How material is stored Where material is"stored Number oaf vaaste sl ipments'p"er year:, Name of transport/disposal vendor: n Transport/disposal vendor EPMD: i Vendor address: ❑ This facility is' located ori•a Br; ownfield'or Superfund site ` If checked, briefly describe the site conditions ,. " r 6. Required Items (Application will be returned unless all of the following items have been included): EYCheck for $100 made payable to NCDEQ Ptopy of most recent Annual Report to the NC Secretary of State 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 C� Copy of county map or USGS quad sheet with the location of the facility clearly marked Page 3 of 5 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: 2I 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. R'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. i3'I 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. EfI hereby request coverage under the NCG130000 General Permit. Printed Name of Applicant: / 2211 L. /ljabl2Z� Title: Q%t)/�I P / I �✓�-�UeL y k (Signature of Applicant) Mail the entire,pack ge to; DEMLR—Stormwater-Program , r' '"'-,z- ". -N;�` ,,'' ,;;,,.,Department[ofEnvironmentaFQuality �r�.r 1612 Mail Servide�Center -�-" ^° Raleigh, NC 27699 1612-"'" - L-` Page 4 of 5 11/18/22, 12:17 PM Ashe County GIS Website ASHE COUNTY GOVERNMENT Results L Results List + Details Parcels • Tax Bill (./assets/Ashe(I id=12310127) • Property Recon (hops://gis.asN id=12310127) • Google Maps Parcel 12310' Number: ("Pan id=123 Property Address: Land Units: 6.275 Neighborhood: OBID: Fire District: WEST Legal Description: 6.275 A FROM DON Owner: NOBLETT MILA M E 160 IVY LN FLEETWOOD. NC 2 County Home Page (hltp:llwwwAshecount) https://gis.ashewuntygov.com/maps/ 111 v . 1 -_ �.�•_ ._ Fes. - v i• ti.y �. _� ;r. 11118122. 12:21 PM Ashe County GIS Website ASHE COUNTY GOVERNMENT Y, m� Results L� Results List Details Parcels • Tax Bill (dassets/Ashe id=12310127) • Property Recc (hdpsJ/gis.ast id=12310127) • Google Maps Parcel (hltpsJ Number: id=123 Property Address: Land units: 62751 Neighborhood: OBIDS Fire District: WEST Legal Dssoriptim: 6.275 A FROM DON Owmr. NOBLETT MILA M D 1601W LN FLEETWOOD. NC 2i County Nome Page (httpdhw .asheeountl k..� # - r*: httpsJ/gls.eshecountygov.CDWmeps/ i 1 11118122, 12:22 PM Ashe County GIS Website ASHE COUNTY GOVERNMENT Results Results List I N Details Parcels • Tax Bill (./assets/Ashell id=12310127) • Property Recon (https:/Igis.ashs id=12310127) • Google Maps Parcel 12310 Number: (https. id=123 Property Address: Land Units: 6.275, Neighborhood: OBID: Fire District: WEST Legal Description: 6.275 A FROM DON Owner: NOBLETT MILA M C 1601VY LN FLEETWOOD. NC 2 County Home Page (http://www.ashecount) S � f q s i L—v, https://gis.ashecountygov.com/maps/ 1/1 y 66 , a i! a y.01 , d • dt O l n(l�. BUSINESS CORPORATION ANNUAL REPORT 1/6/2022 NAME OF BUSINESS CORPORATION: Mila's Trucking Company, Inc. SECRETARY OF STATE ID NUMBER: 0658370 STATE OF FORMATION: NC REPORT FOR THE FISCAL YEAR END: 12/31 /2021 SECTION A: 1. NAME OF REGISTERED AGENT: Noblett, Mila 2. SIGNATURE OF THE NEW REGISTERED AGENT: E - Filed Annual Report 0658370 CA202211700479 4/27/2022 08:00 ❑X Changes 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 Ashe County Fleetwood, NC 28626 SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: Trucking 2. PRINCIPAL OFFICE PHONE NUMBER: (336) 877-5701 x 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS 160 Ivy Lane 160 Ivy Lane Fleetwood, NC 28626 Fleetwood, NC 28626 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: Mila M Noblett TITLE:, President ADDRESS: 160 Ivy Lane Fleetwood, NC 28626 NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity Mlla M Noblett 4/27/2022 SIGNATURE DATE Form must be signed by an officer listed under Section C of this form. Mila M Noblett President 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 27626-0526