NCG030713_Application_20191210

Environmental
Quality
NOTICE OF INTENT
Division of Energy', Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG030000
N3C&-O 3 0-I [3
FOR AGENCY USE ONLY
Date Received
Year
I Month
Da
Zot�
a
Certificate of Coverage
N C G 0 3
Check #
I Amount
It I 60
lov
Permit Assigned to
Mob
National Pollutant Discharge Elimination System application for coverage under Genre rI��11
NCG030000: tJ
STORMWATER DISCHARGES associated with activities classified as:
JUL 0 8 ^019
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of,N A"QIPI AEt.ITY
SIC 3398 Metal Heat Treating �j�T IMWATER PERMITTING
SIC 34 Fabricated Metal Products RECEIVED
SIC 35 Industrial and Commercial Machinery
SIC 36 Electronic and Other Electrical Equipment DEC 10 2019
SIC 37 Transportation Equipment DENR-LAND
SIC 38 Measuring, Analyzing, and Controlling Instruments STORMAATER PERMIT QUALITY
YW� I 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 &eo(2r"
Street Address t-at-1 'k ok
City acrl off e State OC., ZIP Code 17
Telephone No. 41y6 _ _ 976 Fax: 7o t/ -YM
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Email
3) Physical Location Information:
Please provide a narrative description of how to get to t . facility (use street names,lsLttatj road numbers, and
distance and direction from a roadway intersection).�Q1t�4� rtP�' ��!P ellit,.C�!P.c�
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35''° 1 q cga()
Longitude — 0o°yd �/ (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
New or Proposed Facility Date operation is to begin
K 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. n
SIC Code: 3 _!
7) Provide a brief narrative description�o�f the, �/pes of industrial activities and prgducts manufactured at
this.facility: Rae^f)PS y( r�.:Strfati�rfP, �.rtf� �er}E�Pr-i�p S �►ir�c�d+"1
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? _
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in?
Receiving water classification:
Is this a 303(d) listed stream? Has a TMDL been approved for this watershed?
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).
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.yyLn,,p
Latitude (degrees/minutes/seconds): N r
Longitude (degrees/minutes/seconds). W v
Stormwater Outfall No. (W,
nA
Latitude (degrees/minutes/seconds): N See. (C
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No. 603 .��e C- Latitude (degrees/minutes/seconds): N I q� 1
Longitude (degrees/minutes/seconds): W ��jj
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?
XNo
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
If
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NCG030000 N.O.I.
10) Does this facility have any Non -Discharge permits (ex: recycle permit)?
ANo
❑ 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?
�KNo
❑ Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe:
12) Does this facility have a Stormwater Pollution Prevention Plan?
No
❑ Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
�( No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
xNo ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
XNo ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
ANo ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
ANo ❑ 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 143-215.66 (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 Nam of Person Signing: (5h' keti A, Ooedc4—
Title: --,Pj/J eTZ,,. PCIAI q-er-
a OC
(Signature of Ap licant) (Da4 Sig ed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDEQ
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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 areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines.
ACopy 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
Dept. of 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]
Fayetteville Office
... [phone]
Mooresville Office
... [phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office
... [phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Wilmington
ngton
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Charlotte, NC 28217
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North Carolina Secretary of State Search Results
Page 1 of 1
• 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
Business Corporation
Legal Name
Banner Service Corporation
Information
Sosld: 0811404
Status: Current -Active
Annual Report Status: Current
Citizenship: Foreign
Date Formed: 11/4/2005
Fiscal Month: December
State of Incorporation:
IL
Registered Agent: Corporation Service Company
Addresses
Reg Office Reg Mailing Mailing
2626 Glenwood Avenue, Suite 550 2626 Glenwood Avenue, Suite 550 494 East Lies Road
Raleigh, NC 27608 Raleigh, NC 27608 Carol Stream, IL 60188-9425
Principal Office
494 East Lies Road
Carol Stream, IL 60188-9425
Officers
Secretary
Michael J Piotrowski
206 Caledonian Ave
Sugar Grove IL 60554
Stock
President
Mark A Redding
1541 Kathryn Lane
Lake Forest IL 60045
https://www.sosnc.gov/online_services/search/Business_Registration_Results 12/11/2019