NCG200489_COMPLETE FILE - HISTORICAL_20140127

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
u�4-HISTORICAL FILE
❑ MONITORING REPORTS
HOC DATE
�l
YYYYMMDD

.r
NCDENR
envigonn--N- F;.S -
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
I Month
I Day
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N S 01 C G 2 1 0 0 1 4 8 9
1I. Permit statest rior• to requested change.
a. Permit issued to (company name): Sadler Salvage Yard LLC
b. Person legally responsible for permit: -- Frank G Sadler
First Nil La_tit
Owner
"ride
_ PO Box 151
Pcrrnit Holder Mailing Address
Brodnax VA 23920
Cite State 'Lip
[phone] ( )
Phone Fax
c. Facility name (discharge): _ Sadler Salvage Yard
d. Facility address: 800 JP Taylor Rd
Address
Henderson NC 27537
City State zip
e. Facility contact person: Frank G. Sadler [phone]
First / MI / Last Phone
III
Please provide the following for the requester) change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain: Owner name change since first issuance
b. Permit issued to (company name): Sadler Salvage Yard Inc.
c. Person legally responsible for permit: Frank G Sadler, Jr.
First Nil Last
Director
Title
PO Box 151
Permit Molder Mailing Address
Brodnax VA 23920
City -
State Zip
[phone]
not applicable
Phone
E-mail Address
d. Facility name (discharge):
Sadler Salvage Yard
e. Facility address:
800 JP Taylor Rd
Address
Henderson
NC 27537
City
State Zip
f. facility contact person:
Frank
G Sadler, Jr.
First
Nil Last
[phone]
not applicable
Phone
F.-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised ,fan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
.�' Page 2 of 2
Permit contact: Frank G Sadler, Jr.
First N41 Last
Director
Title
PO Box 151
Mailing Address
Brodnax VA 23920
City State "Lip
[phone] not applicable
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
V1. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ regal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the pen -nit holder prior to the change; and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Frank G. Sadler, Jr., attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting inforination is not included, this application
package will be returned as incomplete.
!;*,nature
APPLICANT CERTIFICATION
�p r / 1
Date
1, Frank G. Sadler, Jr., attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
�7"�/7
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEiNILR has the follosving, contact information in our hcrmiI Datah:ISC for Four permit as of 5120/2414.
Permit Number:
NCG200489
Permit Type:
Wholesale Trade of Metal Waste and Scrap Stormwater aischar" COC
Facility Name:
Sadler Salvage Yard
Facility Addressl:
800 ]P Taylor Rd
Facility Addressl:
City, State & Zip:
Henderson, NC 27537
Owner Information Details:
MUST submit a Change of Name/ownership form to DEMLR to make any changes to this Owner information.
See "Miscellaneous Forms" at htt ortalmcdenr.or web Ir n es-stormwater _
Owner Name: Sadlef Salvaae Sadler Salvage Yard, Inc.
Owner Type: Nan -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible,corporate of icer/princlPle executive officer or ranking elected official/general partner or proprietor; .
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Franr,m, d'eF Frank G. Sadler, Jr. Title: ear Director
Addressl: PO Box 151
Addressl:
City, State & Zip: Brodnax, VA 2a924
Work Phone: [phone] Fax:
Email Address:
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Facility Contact Person(s) h ;
Contact Name Title Address Phone Fax Email
FFaRk G SadleF eyoneF Director 800 ]P Taylor Rd, Henderson, NC 27537 252-430-6663
Frank G. Sadler, Jr.
Permit Contact Persons'
Contact Name Title Address Phone Fax Email
5/20/2014 Page

® Stantec RECEIVED Transmittal
Stantec Consulting Services Inc.
150 Riverside Parkway, Suite 301
Fredericksburg VA 22406-1094
Tel: [phone]
Fax: [phone]
JUN 18 2014
DENR-LAND QUALITY
STORMWATER PERMITTING
To:
Mr. Bradley Bennett, Supervisor
From:
Jeff Hancock, Senior Engineer
Company:
Stormwater Permitting Program
❑
For Your Information
Address:
NCDENR -- Division of Energy,
Il
For Your Approval
Mineral, and Land Resources
R1
For Your Review
1612 Mail Service Center
R1
As Requested
Raleigh, NC 27699-1612
Phone:
[phone]
Date:
June 16, 2014
File:
Delivery:
FedEx
Reference: NPDES Industrial Stormwater Permit Renewal, Certificate of Coverage #NCG200489
Attachment:
Copies
Doc Date
Pages
Description
1
5/15/2014
1
Copy of Renewal Notification from NCDENR
1
5/20/2014
1
NPDES Stormwater Permit Contacts Summary
1
6/14/2014
2
Permit Name Change/Ownership Change Form
Attached please find original copies of the forms listed above. These are being submitted to initiate
renewal of Certificate of Coverage #NGC200489 for Sadler Salvage Yard. Since initial certificate
coverage, the name of the owning entity has changed and the name and title of fhe facility
contact needs to be updated.
STANTEC CONSULTING SERVICES INC.
Jef Han Eck, P.E.
Senior Engineer
Phone: [phone]
Fax: [phone]
[e-mail]
c. Frank G. Sadler, Jr. - Sadler Salvage Yard
Design with community in mind
N c:\users\}thancock\desktop\scdler sclvoge\nc2pi4VransrniiYal_ncdenr_6-16-14.ducx

r A ,
_NCDE ,
North Carolina De 'artmen't of Environment and' Natural lRes'
ources
Pal McCrory
Governor
May 15, 2014
Sadler Salvage Yard
Atttn-- Frank G. Sadler, Jr, owner
PO Box 151
Brodnaa, VA 23920
�_ r—,:,Sub;}.ect�.-.NBDES.J�d�sl�c�zauvvater-:P�r!i�
Certificate of Coverage #NCG200489
Dear Permittee;
John E. Skvada, III
Secretary.
Your stannwa.ter permit will expire on Dec. 31, 2014. no N.C. Division of Energy, Mineral and Land
1,esources' now offers online renewal ofNPJ7ES st:orrrawater permits.
To begin the renewal process, Please visit tv}irw.swp and complete the online form no later than
Juiae 20, 2014, To complete the online form, you will need your facility's cer i1'icate of covQ age nuuaber,-which
is shown above in the subject line of this letter.
Discharge of stox�twater without coverage under a valid stonnw' ater NPDLS permit constitutes a violation of
N.C. Generat Statute 143-215.1 and may result in the as:Ossment of civil penalties of upy to $25,000 per day. '
1_i'you have questions or are unable to complete the bnluie're.newal fox , please contact Stormwvater Permitting
Progi`am staff at 919-707-9220,
Sincerely,
ova'
Bradley Bennett, Supervisor,
Stoimwater Permitting Program
Division ofEneru Miueral au.d Land Xcsources, NCDENR .
Cc: Central Files
SPU Files
�GdreLtr„ gDv�
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: 9119a7-63631 Internet: www,ncden r gov
-An Equsl Opperlurniiy %Affitmslive kbn Employer- Meda in pert by recycled paper

I � 4 I Division of Energy, Mineral & Land Resources
I,-
'-
p � Land Quality Section/Stormwater Permitting
MCDENK National Pollutant Discharge Elimination System
l� 1hJ�ln. Gwour.n Ckn.wiw<.rt O�
tx�aaxwr.rt .+,o �iwn,w Resw�ces PERMIT NAME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
FOR AGENCY USE ONLY
Date Received
Year
I Month
NPDES Permit
(or) Certificate of Coverage
2 0 0 1 4 1 8 9
1I. Permit status IlLjor to requested change.
a.
Permit issued to (company name):
% Sadler Salvage Yard LLC .'
b.
Person legally responsible for permit;
Frank G Sadler
First MI Last
Owner
Title
PO Box 151
Permit Holler Mailing Address
Brodnax VA 23920
City State Zip
[phone] )
Phone Fax
c.
Facility name (discharge):
Sadler Salva %e Yard
d.
Facility address:
_ 800 JP Taylor Rd
Address
Henderson NC 27537
City Slate Zip
e.
Facility contact person:
Frank G. Sadler [phone]
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a.
Request for change is a result of:
❑ Change in ownership of the facility
® Name change of the facility or owner
If other• please explain: Owner name change since first issuance
b:
Permit issued to (company name):
' Sadler Sa16c Yard Inc. "
c.
<Persoa legally responsible for permit:
Frank G Sadler, Jr.
First M1 Last
Director
Title
PO Box 151
Permit Holder Mailing Address
Brodnax VA 23920
City Slate Zip
[phone] not ap licable _
Phone E-maii Address
d.
Facility name (discharge):
ySadlcr Salvage Yard ✓
e.
Facility address:
_
800 JP Taylor Rd ✓
Address
Flenderson NC 27537
City State Zip /
f.
Tacility contact person:
Frank G Sadler, Jr.
First MI Last
[phone], not applicable
Phone - E-mail Address
TV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

m
f\rP17ES PERMIT NAME/O.WNERSI-IIP ChIANGF FORM
Page 2 of 2
.Permit cont4ct.. Frank G Sadler, Jr.
First Nil Last
Director .
Title
PO Box I51— ;
Mailing Address
Brodnax VA 23920
City State Lip
[phone] not applicable
Plione E-mail Address
V. Will the permitted facility continue to conduct the saute industrial activities conducted prior
to this ownership or name change?
® Yes
�] No (please explain)
Vl Required Items. THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE I.NCOMPLETE OR MISSING:
[j This completed application is required for both name change and/or- ownership change
requests.
[] Legal documentation of the transfer of ownership (such as relevant ptiges of a contract deed,
or a bill of stile) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
....................................................................................................................
The certifications below must be completed and signed by Ljoth the permit holder prior to the change, and
the new applicant in the case of an ownership change rcgnest. For a name change request, the signed
Applicant's Certification is sufficient:
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, EEan,le G Sadler, Jr.., attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the Kest of fay knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be i fiirnt:d as incomplete,
Signature
APPLICANT CERTIFICATION
-- Cam- - - - - - -- - -
Date
I, )"rank Q,. Sadler Jr., attest that this application for a name/ownership change has been reviewed find is
accurate and complete to the best of my knowledge, I understand that if all required parts, of this
application are riot cornploted and that if all required suppoilhig information is not included, this application
package will be roturned its incomplete.
Signature Date
.. ............. I..................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stounwater Permitting ProgrArn
1612 Mail Service Cehter
Raleigh, North Carolina 27699-1612
hamsod im 27, 2014

I
NC Division of Energy, Mineral and Rand Resources
NPDES Stormwater Permit Contacts Summary
NC DEM LR has the foilawine contact information in our Permit Database for vour permit as of 5/20/2014
Permit Numbor.: NCG200489
Permit Type: Whqjt1ftW-T4 of Metal W89P.3md 59rao 5tormwater Qi}charae CQ
Futility Name: Slidler SalvageYard
Fpcllity Addressl: fQ0112- Tgy1gr Rd
Fatiiity Atidresyy:
City, State 14 ZIP: dendgaga, N
wngr Information Retails:
Owner Name: Sadler Salvage Yard, Inc.
Owner Type, Noc-Government Owner Type Groups 0 aniaw
,�: - *** egaliy R�spansible fat'rPermit�'r'x* � .
r
L r. `a�� ice' oi:any.ot�erperson,with Getegat�d sigrjatnry,autiharity;horr;the lcgaiiy rCspOrtsibic per8on.) { :''- - r.' -
OwnerARiiiation: Frank G. Sadler, Jr. Title: s Director
Addrossi: P'Q Box 151
Addrossi:
City, State tlr Zip: Brodnax, VA 23920
Work Phone: [phone] Fax:
Pmail Address:
Contact Name Address ebone f" EMU
Foci{ ty ntacti�t?erscj TP( ,i �- ,k,� -MOM
CgplaName I11g Address EiA, ♦?mall
k GSadie O"me Director 800 JP Taylor Rd, Henderson, NC 27537 252-430-6663
Frank G. Sadler, Jr.
Contact Name MU,
Address Phone E". i;Ji?:ill
5/20/2DlZ
Page

Georgoulias, Bethany_
From: Bennett, Bradley
Sent: Monday, June 16, 2014 3:46 PM
To: Georgoulias, Bethany; Munger, Bridget
Subject: FW: Registration Statement for Renewal of NCG200489 Sadler Salvage Yard.
Attachments: image001.jpg; 201405201448.pdf, NCG200489 Renewal Info rmation.pdf, NCG200489
-Perm it_Name_Ownership_Chang e_Form_06-16-14.pdf
Permit changes
Bradley Bennett
Stormwater Program Phone: [phone]
NC Division of Energy, Mineral & Land Resources Fax: [phone]
1617 Mail Service Center Email: [e-mail]
Raleigh, NC 27699-1617
Email correspondence to and from this address may be subject to public records laws
From: Hancock, Jeff ([e-mail]
Sent: Monday, June 16, 2014 3:32 PM
To: Bennett, Bradley
Subject: RE: Registration Statement for Renewal of NCG200489 Sadler Salvage Yard.
Mr. Bradley:
Attached please find a mark-up of the NPDES Stormwater Permit Contacts Summary for Certificate of Coverage
NCG200489 issued to Sadler Salvage Yard LLC. Also attached is a completed and signed Permit Dame/Ownership
Change Form for the same facility. A copy of the renewal notification is also attached for reference. The originals are
also'being posted to your attention.
Since the certificate of coverage was originally issued, the name of the owning entity has changed to Sadler Salvage Yard
Inc.. The name of person responsible for the permit is "Frank G. Sadler, Jr." and his title is "Director".
I hope these items are sufficient to initiate the Notice of Intent to continue discharging stormwater related with
industrial activities under the NCG20 general permit for the facility.
Please do not hesitate to contact Mr. Sadler or me with any questions or comments regarding this matter. We
appreciate your assistance with this matter.
Regards,
Jeff Hancock, P.E.
Senior Engineer
Stantec, formerly WEG
150 Riverside Parkway, Suite 301
Fredericksburg VA 22406-1094
Phone: [phone]
Cell: [phone]

Fax: [phone]
[e-mail]<mailto:[e-mail]>
[Stantec]<http://www.stantec.com/>
Williamsburg Environmental Group is now part of the Stantec Family.
The content of this email is the confidential property of Stantec and should not be copied, modified, retransmitted, or
used for any purpose except with Stantec's written authorization. If you are not the intended recipient, please delete all
copies and notify us immediately.
u Please consider the environment before painting this email.
From: Hancock, Jeff
Sent: Wednesday, June 04, 2014 10:20 AM
To: 'Bennett, Bradley'
Subject: RE: Registration Statement for Renewal of NCG200489 Sadler Salvage Yard.
Mr. Bennett:
If Mr. Sadler changed the corporation from "Sadler Salvage Yard LLC" to "Sadler Salvage Yard Inc.", I presume we need
to revise that on the Permit Contacts Summary?
Also, he is now legally listed as "Director" instead of "Owner", and the formal legal name used for incorporation is
"Frank G. Sadler, Jr."
Is it sufficient to strikeout and redline the Permit Contacts Summary you provided with his signature and date (see
attached unsigned example); or do we need to submit a formal "Permit Name/Ownership Change Form" to reflect the
changes noted above (also attached)?
Thanks,
J6ff Hancock, P.E.
denlor Engineer
Stantec, formerly WAG
150 Riverside Parkway, Suite 301
Fredericksburg VA 22406-1094
Phonig; (540) 785�5544
Cell: [phone]

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
December 7, 2012
Mr. Frank G. Sadler, Jr.
Sadler Salvage Yard, LLC
P.O. Box 151
Brodnax, VA 23920
Subject: General Permit No. NCG200000
Sadler Salvage Yard
COC NCG200489
Vance County
Dear Mr. Sadler:
Dee Freeman
Secretary
In accordance with your application for a discharge permit received on October 30, 2012, we
are forwarding herewith the subject certificate of coverage to discharge under the subject state -
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US
Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
Per the requirements of the Tar -Pamlico Riparian Buffer Rule, all stormwater drainage to
stream buffers, from portions of this site that have been constructed after January 1, 2000, must be
discharged through a correctly designed level spreader or another device that meets diffuse flow
requirements per 15A NCAC 213.0259. Diffuse flow requirements are described in Chapter 8 of the
North Carolina Stormwater BMP Manual, available at:
http:Uporta1.ncdenr.org/web/wq/ws/su/bmp-manual.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land Resources,
Coastal Area Management Act or any other federal or local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Robert Patterson at
telephone number [phone], or at [e-mail].
Sincerely,
ORIGINAL SIGNED M
for Cha%s Mitl, P.E.
Wetlands and Stormwater Branch
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone [phone] FAX: [phone]
Internet: www.ncwaterquality.org
An Equal Opporlunily 4 Affirmative Action Employer
cc: Danny Smith - Raleigh Regional Office
Central Files
Stormwater Permitting Unit Files
NorthCarolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG200000
CERTIFICATE OF COVERAGE No. NCG200489
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-21 S.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Sadler Salvage Yard, LLC
is hereby authorized to discharge stormwater from a facility located at
Sadler Salvage Yard
800 J.P. Taylor Rd.
Henderson
Vance County
to receiving waters designated as an UT to Sandy Creek, a class C; NSW:+ water in the Tar -
Pamlico River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, I1, 1I1, IV, V, and VI of General Permit No. NCG200000 as
attached.
This certificate of coverage shall become effective December 7, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 7, 2012.
ORIGINAL SIGNED B)
KEN PICKLE
for Charles Wakild, P.E., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

NCG200489
Map Scale 124, 000
Sadler Salvage Yard, LLC
Sadler Salvage Yard
Latitude: 361 17' 47" N
Longitude: 781 24' 09" W
County: Vance
Receiving Stream: UT to Sandy Creek
Stream Index No): 28-78-1-(i)
Stream Class: C; NSW: +
Pinar Racin• Tar - Pnmlirn
b , �
Facility Location

Patterson, Robert
From: Patterson, Robert
Sent: Monday, November05, 2012 9:34AM Ne R->:SPo�vx� F2o�+1 21C0 $y "All
15S Ltd
To: Smith, Danny
Subject: NCG200489 - Sadler Salvage Yard
Attachments: NOI.pdf
Danny,
Please see NOI attached.
We have received an application for coverage of an existing salvage facility under NCG 20. The facility drains to an UT to
Sandy Creek (class C, NSW: +) in Henderson (Vance County). They have vehicle maintenance, but no haz. waste. Does
the RRO have any concerns about issuing this facility a COC for this general permit?
Thanks
Robert D. Patterson, PE
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting
1617 Mail Service Center, Raleigh, NC 27699-1617 Mail 1 512 N. Salisbury St, 91h Floor, Raleigh, NC 27604 Location &, Parcels
[phone] Phone [phone] Fax I Robert. Pattersonrt,ncdenngov Email I http://portal,ncdenr.ore/web/wq/ws/su Website
j.A Before printing this email, please consider your budget and the environment.
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties unless the content is
exempt by statute or other regulation,
1

d.24. 2012, 12:43PM WIL'LIAMSBURG ENVIRONMfNTAL,GROUP
'NCDENR
� HORn+-GtmiKai ori:uai�sr� or
• fi�!Mnd�r!CM /M! MW1pit. 1[rn�w;'rr
Division of Water Quality
National Pollutant Discharge Elimination System
NCG2000QO
r•0R'A6%NCY (156ONLY
'Yc '_Ntwilli'
..� %
.etilir d rCovee
Check N
TA=64M
4 rmil /I.sYi qed 1p .
fa o,,,,. .
. a I
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for -coverage under.Generai Permit NCG200000:
STORMWATER DISCHARGES associated with activities classified as:
SIC* 5093, Scrap Metal Recycling (except as specified below)
SIC* NIA Like activities deemed by DWQ to be similar in the process and/or the exposure of raw materials,
products, by-products, or waste materials
The following activities are specifically excluder! from coverage under this, General Permit:
Automobile Wrecl'ing:foi';Scrap:fSlCS093}
Non -Metal SeraIp;.;. ,.Recyclin (SIC so3y:
Used Motor Vehicle Pails (SIC' S0'l5) * Standard Industrial Classification Code
1} Mailing address` of ownerlopoiator: (address to which all permit correspondence.will be mailed):
Name Sadler Salvage Yard, LLC (ATTN: Mr. Frank G. Sadler, Jr.)
Street Address P.O. Box 151
City Brodnax StateVA ZIP Code 23920
Telephone No. [phone] Fax: not applicable (NIA) _
E-mail Address NIA
2) Location of facility producing discharge:
Facility Name Sadler Salvage Yard
Facility Contact W. Frank G. Sadler, Jr.
Contact E-mail N/A: _ _
Street Address 800 J.P. Taylor Rd.
City Henderson_ State NC ZIP Code 27537.
County Vance _
Telephone No. [phone] Fax: _ _ NIA _
3) Physical Location Information:
Narrative description of how to get,to the facility (use street names, state road numbers, and distance and direction
from a roadway intersection). From US 1 North towards Henderson, NC: take_ US 1 Business Eas' /Raleigh Road; cum right
onto J.P. Taylor Road; destination will be on the left (see attached map -
(A copy of a county map or USG quad sheet with facility clearly located on the map is required to be submitted with
this application)"7-
4) Latitude 360 17' 46.73" N Longitude . 78" 24' 08.53" W (degrees; minutes, secon s};, -� �_' •J �= =•, ��;
5) This NPOES'Permit Applicatlon,applies'to which of the following :
❑ New or Proposed Facility
✓ Existing
6}; Standard Industrial Classification:
Date operation is to begin _-
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary Industrial activity at
this facility:
SIC Code:: 5.. 0 9.- -.3.
7) Provide a brief description of the types of industriai'activities and products produced at this facility:
Collect scrap metal for recycling; materials are collected and`te'mporarily stored on -site for separation and transportation to
material recovery facility; primarily non -automotive metal scrap, although some automotives are accepted and processed
Page 1 of 3
SWU-235-1 1.16.09

Oc' - 24. 2012 12:43PM' WILLIAMSBURG ENVIRONMENTAL HOP'. No`.0510.; '.�P: '1
NCG200000 N.O.Ir
8) Dischar`ge points:
Flow many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? F- _
Receiving water 'classification.(if known): C;NSW:+;ORW-
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? Unnerved tributary to Sandy Creek above Roland_ Pond; Index Number 28-78-1-(1) _
Receiving water classification (if known): C;NSW:+;0RW
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). N/A..
10) Does this,facility havdi'any other NPDES permits?
✓ No
o Yes -- - -- -- -- - If yes, list the permit numbers forvall current NPDES. permits for this facility: NIA
11) Does this facility. have any Non -Discharge permits (ex: recycle permits)?,
✓; No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: NIA -
12) Does.this facility employ any best management practices for stormwater control?
❑ No
✓ Yes
If yes, please briefly, describe: Recover some materials under roof to limit exposure; store some materials under roof
to lin it exposure; spill clean-up; vegetated'filter strip
13) Does'this facility have a Stormwater Pollution Prevention Plan?
✓ No
0 Yes
vif yes, when was it implemented? NIA _
14) Are vehicle malntenance activities occurring at this;facihty?
❑ No
Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage; or Disposal Facility?
✓ No
o Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
✓ No
❑ Yes
c) Is this facility. a Large Quantity Generator (1 000 kg
hazardous waste?
✓ No
❑ Yes
or more of hazardous waste generated per month) of
d) If you answered yes'to questions b. or c., please provide the following information:
Page 2 of 3
SVVLJ-235-1 1.16.09

Oct,24. 2012 12:44PM WILLIAMSBORG ENVIRONMENTAL GROUP No. 0510
NCG200000 N.O.I.
Type(s) of waste: N/A
How is material stored: N/A
Where is material stored: N/A
How many disposal shipments per year: NIA
Name of transport I disposal vendor: NIA
Vendor address: NIA
16) Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, of 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 impiementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars (y10,000).
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: _Frank G. Sadler, Jr.
Title:
(gignature of Applicant) If
Final Checklist
4 n - 3( 5--
(Date Signed)
This application will be returned as incomplete unless all of the following items have been included:
C1 Check for $100 made payable to NC DENR
y" 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: Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office..,
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 3 of 3
SWU-236-1 1,16.09

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