HomeMy WebLinkAboutNCG070218_Application_20190416NCGv7a2Jg
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG070000
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
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Certificate ofCovera Fe
NC
Check #
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Pennit Assi mad to
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG070000:
STORMWATER DISCHARGES associated with activities classified as:
Wi12�
SIC' 32 Stone, Clay, Glass, and Concrete Products (except as specified below)
SIC* N/A 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:
SIC' 3273 Ready -Mixed Concrete
Standard Industrial Classification Code APR 16 2011
DENR-LAND QUALIV
(Please print or type)
?TORMWATER PERMI I (ING
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
E-mail Address
V\,, \ahkAaXe, State N4C ZIP Code -:gg
`ll k 39 6 -'" 6 L- (r Fax: ri l c-
2) Location of facility producing discharge:
Facility Name ?eWan r e cs i wtk-s\-c \n&V�s-kyics �rocess�n
Facility Contacte.c
Contact E-mail a \A c3 r, o- cNo,,c e We S , cvy)a C�r,rr1
Street Address N 1 ; ls,l' tY+dtv+1� G cCeS
City n lmy-N State N CG ZIP Code a4614,C)1
County fAew w.rtiC�,,iCX-
Telephone No. 3 \ c1 3,16 a 9 $U (.r Fax: n I a;,
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). V0,6is \,o ` A a n hack \Ok ni
Sh 4 i wa—,h b e s oa Cr-a-n e_ -
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) Latitude Longitude (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
❑Q'Fxisting
Page 1 of 4
SWU-222-071408 Last Revised 6/24/14
NCG070000 N.O.I.
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code:
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Odd ®n-�o v1 Y c e
rr.ake,e,&-\. Re(,Ac" Y-o6K ',s 4�'�ee�n Sol r-e.�kse
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property?
List discharge points (outfalls) that convey discharge from the site (both on -site and off -site) and location
coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? _(61swop,,
Page 2 of 4
SWU-222-071408 Last Revised 6/24/14
`[OiduiZiIiZ11MO]"
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
10) Does this facility have any other NPDES permits?
MmNo
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
13/No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility.
12) noes this facility employ any best management practices for stormwater control?
L_J No
❑ Yes
If yes, please briefly describe:-%er1u0�;
13) Does this facility have a Stormwater Pollution Prevention Plan?
ONo
❑ Yes
If yes, when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
W(No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
5/No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
dNo ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
IS?rNo ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor: _
Vendor address:
Page 3 of 4
SWU-222-071408 Last Revised 6/24/14
NCG070000 N.O.I.
16) Certification:
North Carolina General Statute 143-215.6 b (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; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General 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 certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: L.kuvl e Pc, n
Title: rAAV%',nia, ,,A%VQ-, A-Si5 -
f rI l ., C, I
(Date Signed)
Notice or Intent must be accompanied by a check or money order for $100.00 made payable to NCDEQ
Page 4of4
SWU-222-071408 Last Revised 6/24/14
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
Z' Check for $100 made payable to NCDEQ
L� This completed application and all supporting documents
Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
DEMUR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The suhinissiun of this ducuineni dues nut guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ...... (828) 296 4500
Fayetteville Office ... (910) 433-3300
Mooresville Office ... (704) 663-1699
Raleigh Office ........ (919) 791-4200
Washington Office ...(252) 946-6481
Wilmington Office ... (910) 796-7215
Winston-Salem ...... (336) 771-5000
Central Office ......... (919) 807-6300
Page 5 of 4
SWU-222-071408 Last Revised 6/24/14
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DIRECTIONS
Waste Industries - Recycling Center - 3618 LDS Hwy 421 N, Wilmington ...
https:/Avww_yelp_ cornlb!Vwaste-industries-wilmington
Waste Industries in Wilmington, reviews 6y real people. Yelp is a fun and ___ 361 BUS Hwy 421 N __.
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North Carolina Secretary of State Search Results
Page 1 of 1
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Business Corporation
Legal Name
Pelton Aggregates Incorporated
Information
Sosid: 1664433
Status: Current -Active
Annual Report Status: Current
Citizenship. Domestic,
Dale Formed: 2/9/2018
Fiscal Month: December
Registered Agent: Patton, Scott
Addresses
Mailing
3412 L eonard Rd
Knightdale, NC 27545
Officers
Vice President
Scott Patton
3412 Leonard Road
Knightdale NC 27545
Stock
Class: Common
Shares: 100
No Par Value: Yes
Principal Office
3412 L eonard Rd
Knightdale, NC 27545
President
Gerard Pelletier
341 Serenity Pointe Dr
Selma NC 27576
Reg Office
3412 L eonard Rd
Knightdale, NC 27545
Reg Mailing
3412 L eonard Rd
Knightdale, NC 27545
https://www.sosnc.gov/online_services/search/Business Re2istration_Results 4/18/2019