NCG030708_Application_20191011

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FOR AGENCY USE ONLY
Division of Energy, Mineral and Land Resources Date Received
Year Month Day
r Land Quality Section 2.ot61 10 It
National Pollutant Discharge Elimination System Certificate ofCoverage
NI cIGI o 13 I n I-1 lolg W512a
Check# Amount
Environmental NCG030000 satz(q IRO
Quality Permit Assigned to
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NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG030000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification)335 Rolling, Drawing, and Extruding of Nonferrous Metals
SIC 3398 Metal Heat Treating
SIC 34 Fabricated Metal Products RE PI\f fl
SIC 35 Industrial and Commercial Machinery
SIC 36 Electronic and Other Electrical Equipment OCT 1 1 2019
SIC 37 Transportation Equipment
SIC 38 Measuring, Analyzing, and Controlling Instruments DENR-LAND QUALITY
STORMWATER PERMITTING
For questions,please contact the DEMLR Regional Office for your area. See page 4.
(Please print or type)
1) Mailing address of owner/operator(address to which all permit correspondence will be mailed):
Name Environmental Air Systems
Street Address 250 Swathmore Ave.
City High Point State NC ZIP Code 27263
Telephone No. 336 861-0047 Fax: [phone]
2) Location of facility producing discharge:
Facility Name Environmental Air Systems
Facility Contact Allan Absher
Street Address 250 Swathmore Ave
City High Point State NC ZIP Code 27263
County Guilford
Telephone No. 336 861-0047 Fax: [phone]
Email [e-mail]
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). From 1-85, exit north to N. Main St,turn west at Garner Place,
then north on Archdale Road,then turn west at Swathmore Ave.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35°55' 10.92"N Longitude 79°59'21.1776"W (deg, min,sec)
5) This NPDES Permit Application applies to which of the following:
❑✓ New or Proposed Facility Date operation is to begin 10/2018
❑ Existing
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NCG030000 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:3 5 8 5
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: The facility manufactures custom HVAC systems for industrial and medical facilities.
8) Discharge points/Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 3
What is the name of the body or bodies of water(creek, stream, river, lake, etc.)that the facility stormwater
discharges end up in? unnamed tributary to Muddy Creek
Receiving water classification: c
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? Yes-Nutrients 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). city of High Point
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. 1
Latitude (degrees/minutes/seconds): 35*55'9.588" N
Longitude (degrees/minutes/seconds): 79*59'24.216" W
Stormwater Outfall No. 2
Latitude (degrees/minutes/seconds): 35*55.9282' N
Longitude(degrees/minutes/seconds): 79°59'15.828" W
Stormwater Outfall No. 3
Latitude (degrees/minutes/seconds): 35°55'17.0868" N
Longitude(degrees/minutes/seconds): 79°59'21.84" 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) Does this facility have any other NPDES permits?
No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
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NCG030000 N.O.I.
10) Does this facility have any Non-Discharge permits(ex: recycle permit)?
No
❑ Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facility:
11) Does this facility employ any best management practices for stormwater control?
❑ No
I Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: Good housekeeping, regular site inspections
12) Does this facility have a Stormwater Pollution Prevention Plan?
I No
❑ Yes
If yes, when was it implemented?
13)Are vehicle maintenance activities occurring at this facility?
d No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
INo ❑ Yes
b) Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
I No ❑ Yes
c) Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
I No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) 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:
15) 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; 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
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NCG030000 N.O.I.
operated or maintained under this Article or rules of the 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: 1/4Ai ,4hkii
Title: Inc Kes4:de 6-P44.44-1 04.47v.41 kiL b'U 4,ivu 144(.-lord/l
/a/0-o/F
(Signature of Applicant) (Date Signed)
•
This Notice of Intent must be accompanied by a check or money order for$100.00, made payable to:
NCDEQ
RECFI\/FD
OCT 11 '2019
DENR-LAND QUALITY
STORMWATER PERMITTING
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SWU-218-071408 Last revised 7/2/14

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NCG030000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for$100 made payable to NCDEQ.
❑ This completed application and all supporting documents.
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage arear(id)"runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site prop y inter
❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
DEMLR-Stormwater Program
liglirtf Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions,please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office [phone] tonisotcp z
„y;
Fayetteville Office [phone] - vh/
Mooresville Office [phone] . + • ► ` �41
Raleigh Office [phone] i —' ^� `4
NSioo'resrle
Washington Office ...[phone] '
Wilmington Office [phone]
Winston-Salem [phone] F en T.
Central Office [phone] �;' ��"
yVllii ngton
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10/11/2019 North Carolina Secretary of State Search Results
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online • Add Entity to My
Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print an Amended a Annual Report form
Limited Liability Company
Legal Name
Environmental Air Systems, LLC
Prey Legal Name
EAS Holdings, LLC
Information
Sosld: 1224823
Status: Current-Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 10/7/2011
Registered Agent: CT Corporation System
Addresses
Reg Office Reg Mailing Mailing Principal Office
160 Mine Lake Ct Ste 200 160 Mine Lake Ct Ste 200 521 Banner Avenue 521 Banner Avenue
Raleigh, NC 27615-6417 Raleigh, NC 27615-6417 Greensboro, NC 77401 Greensboro, NC 77401
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Vice President Chief Executive Officer Vice President Assistant Treasurer
Allen Absher James Bullock , Jr. William Bullock Jay Burgess
521 Banner Avenue 521 Banner Avenue 521 Banner Avenue 675 Bering Drive, Suite400
Greensboro NC 77401 Greensboro NC 77401 Greensboro NC 77401 Houston TX 77057
Vice President Managing Member Vice President President
Jay Burgess CSUSA (10), LLC Karl Daeke Brian Evans
675 Bering Drive, Suite400 675 Bering Drive, Suite 400 521 Banner Avenue 521 Banner Avenue
Houston TX 77057 Houston TX 77057 Greensboro NC 77401 Greensboro NC 77401
Vice President Assistant Treasurer Chief Financial Officer Vice President
Byran Farris Byran Farris James Freeman Howell Monroe Gentry
675 Bering Drive, Suite400 675 Bering Drive, Suite400 521 Banner Avenue, 521 Banner Avenue
Houston TX 77057 Houston TX 77057 Greensboro NC 77401 Greensboro NC 77401
https://www.sosnc.gov/online_services/search/Business_Registration_Results 1/2

10/11/2019 North Carolina Secretary of State Search Results
Vice President Assistant Secretary Vice President
William George William George Laura Howell
675 Bering Drive, Suite 400 675 Bering Drive, Suite 400 675 Bering Drive, Suite400
Houston TX 77057 Houston TX 77057 Houston TX 77057
https://www.sosnc.gov/online_services/search/Business_Registration_Results 2/2