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HomeMy WebLinkAboutNCG050462_Application_20230111FOR AGENCY USE ONLY NCG05la Ik_ 6 ;L Assigned to: CO 0 ARO FRO to) RO RRO WARO WIRO WSRO Division of Energy, Mineral, and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCG050000 Notice of Intent This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard Industrial Classifications: SIC 23 [Apparel and Other Finished Products Made from Fabrics and Similar Materials], SIC265 [Paperboard Containers and Boxes], SIC 267 [Converted Paper and Paperboard Products], SIC27 [Printing, Publishing and Allied Industries], SIC 30 [Rubber and Miscellaneous Products — except as specified below], SIC31 [Leather and Leather Products— except as specified below], and SIC 39 [Miscellaneous Manufacturing Industries], and other like activities deemed by DEMLR to be similar in the process and/or the exposure of raw materials, products, by-products, or waste materials. SIC301 [Tires and Inner Tubes] and SIC311 [Leather Tanning and Finishing] are specifically excluded from coverage under this General Permit. 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: Amazon.com Services LLC Vimal Vijaykumar Street address: City: State: Zip Code: PO Box 80842 Seattle WA 98108 Telephone number: Email address: (484) 252-1748 vvvijayk@amazon.com Type of Ownership: Government ❑County El Federal ❑Municipal ❑State - Non -government OBusiness (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: Amazon.com Services LLC - AKH4 Prachi Kalla Street address: City: State: Zip Code: 525 Scalybark Rd Gastonia NC 28054 Parcel Identification Number (PIN): County: 3565488630 Gaston Telephone number: Email address: (484) 356-4705 kallap@amazon.com 4-digit SIC code: Facilityis: Date operation is to begin or began: 2759 0 New ❑ Proposed ❑ Existing 10/23/2022 Latitude of entrance: Longitude of entrance: 35°16'04.5"N 81 °07'37.4"W Page 1 of 5 Brief description of the types of industrial activities and products manufactured at this facility: This facility is a general storage and warehousing facility that also conducts apparel/merchandise printing operations. If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4: ❑ N/A Two Rivers Utilities 3. Consultant (if applicable): 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. 001 Duharts Creek & MS4 C; NSW ❑ This watershed has a TMDL Latitude of outfall: Longitude of outfall: 35° 15'53.0"N 81 °07'45.9"W Brief description of the industrial activities that drain to this outfall: A diesel fueled AST Generator, loading and unloading area, utility owned Transformer, and a hydraulic Auger & Compactor are located within the drainage area that goes to outfall 001. Do Vehicle Maintenance Activities occur in the drainage area 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: ❑This water is impaired. 002 Duharts Creek & MS4 C ❑ This watershed has a TMDL Latitude of outfall: Longitude of outfall: 35°16'05.2"N 81°07'43.4"W Brief description of the industrial activities that drain to this outfall: No industrial activities. Do Vehicle Maintenance Activities occur in the drainage area 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? 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: O This facility uses best management practices or structural stormwater control measures. If checked, briefly describe the practices/measures and show on site diagram: Indoor storage, coveretl loading areas, covered durb sters, inspMiorn, good housekeeping, preventative meintenanoe, spill prevention, training, detention basin, fueling of diesel AST. El This facility has a Stormwater Pollution Prevention Plan (SWPPP). If checked, please list the date the SWPPP was implemented: 7/7/2022 ❑ This facility stores hazardous waste in the 100-year floodplain. If checked, describe how the area is protected from flooding: f7 This facility is a (mark all that apply) ❑O 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: TBD; site not operational yet M.e,al West. S10.1 ok ..umerpmd.ii waste raven.' lvoiuryflammebl.sa,e s.nosrv.s How material is stored: Where material is stored: 55 gallon poly drum or 55 gallon steel drum depending on waste Secured hazardous waste storage area on spill containments pallets inside warehouse. Number of waste shipments per year: Name of transport/disposal vendor: Varies; is based on frequency which damaged goods are received. US Ecology Transport/disposal vendor EPA ID: Vendor address: NCTF00000067 1101 S. Capitol Blvd, Suite 1000, Boise, Idaho 83702 ❑ 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 ❑+ 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 143-215.6B (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 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. ❑O 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. 0 1 will abide by all conditions of the NCG050000 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. O I hereby request coverage under the NCG050000 General Permit. Printed Name of Applicant: Vimal Vijaykumar Title: Business Environmental Leader a (Signatui,KofApplicant) (Date Signed) Mail the entire package to: DEMLR —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? © 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 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? E3 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. Ell 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? © 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 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 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 LIMITED LIABILITY COMPANY ANNUAL REPORT ,t. . 116I2W2 NAME OF LIMITED LIABILITY COMPANY: Amazon.corn Services LLC SECRETARY OF STATE ID NUMBER: 1938649 STATE OF FORMATION: DE REPORT FOR THE CALENDAR YEAR: 2022 SECTION A: REGISTERED AGENT'S INFORMATION 1. NAME OF REGISTERED AGENT: Corporation Service Company 2. SIGNATURE OF THE NEW REGISTERED AGENT: E - Filed Annual Report 1938649 CA202209606968 4/6/2022 04:31 Changes SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 2626 Glenwood Ave Ste 550 2626 Glenwood Ave Ste 550 Raleigh, NC 27608 Wake County Raleigh, NC 27608 SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: Fulfillment Center and customer Service holding company 2. PRINCIPAL OFFICE PHONE NUMBER: (206) 266-1000 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS 410 Terry Ave N 410 Terry Ave N Seattle, WA 98109 Seattle, WA 98109 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: Michael D Deal NAME: NAME: TITLE: Manager TITLE: ADDRESS: 410 Terry Ave N Seattle, WA 98109 ADDRESS: TITLE: ADDRESS: SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. Michael D Deal 4/6/2022 SIGNATURE Form must be signed by a Company Official listed under Section C of This form. DATE Michael D Deal 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 ^-_ Aborrleen Blvd Outlall 002 "°'" /.17 Y a` DntnegeAna2 ♦o- Y Parking Area t Trailer Parking Area i Shipping Doek�s. Area -_ _._._. Amazon AKH4 Fullfillment Center t a Downtlen Basin 1 - — Trader Parking Area Sample Point 01 Dow 007 Drainage Alea.11 1 Employee Parking Area i ti. � s AI ai"Yt snm, C KH4fmnan I ,end Catch Basin Manhole • Stomemater Outlet IF Oulfell Sample Point ■ Inlet ® Emergency Generator (Diesel) ■ Hydraulic Auger ■ Hydraulic Compactor ■ Transformer 77Storm Drain Underground Piping Surface Flow Direction Rivedne Detention Basin Q Fire Pump Room (Electric) Underground Detention Basin ® Rip Rap Freshwater Pond Wetlands Area Impervious Area Building it Drainage Area L„a Site Boundary Notes: Facility S¢e 28.1 Acres Irepeneo sArea 16.e Acres Impervious areas may include small areas of vegetative rover. o 120 2m are 4 Figure 2 Drainage Area Site Map Site AKH4 525 Scalybark Rd Gastonia, NC EnlreeaxW Raw—Nlewaesesa ���ERM n r i r. @�i,w. m3 � IamecMle i &rttal Mlls r AKH4 p cnanam - Ezs1 tt , _ Gulania ." N ' Legend myre s .. _ r •� .. ,..,.., „or i�ra Site Boundary . � s v y, r.. � �rnu °� • t. r x � e .,M y in a rv, .. .finer G " Rsk P.k _ t o � ` x tt Feel � n r Figure 7 General Location Map Site AKH4 525 Scalybark Rd Gastonia, NG Eeviml—e IR-1 M111r m ` . ..w —meel