NCG080985_Application_20200117

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Date Received
Division of Energy, Mineral and Land Resources Year Month na\
Land Quality Section Zdly oc t�
National Pollutant Discharge Elimination System 1yIc'Ic;l olxl``r`i"ols1 `"`r"``
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Environmental 1CG080000 15'f143 *too
Quality Permit A,.w_ned to
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NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG080000:
STORMWATER DISCHARGES from Vehicle Maintenance Areas (including vehicle rehabilitation,
mechanical repairs, painting, fueling, lubrication, and equipment cleaning operations areas)associated
with activities classified as:
SIC 40 (Standard Industrial Classification) Railroad Transportation �� �
SIC 41 Local and Suburban Transit and Interurban Highway Passenger Transpor�a�i
SIC 42 Motor Freight Transportation and Warehousing (except SIC 4221-4225) JAN 17 2020
SIC 43 United States Postal Service
DENR-LAND QUALITY
The following activities are also included: STORMWATER PERMITTING
• Other industrial activities where the vehicle maintenance area(s) is the only area requiring permitting
• Petroleum Bulk Stations and Terminals (SIC 5171)with total petroleum site storage capacity of less than 1
million gallons
• Stormwater discharges from oil water separators and/or from secondary containment structures
associated with petroleum storage facilities with less than 1 million gallons of total petroleum site storage
capacity.
• Discharges associated with vehicle maintenance operations at activities, which are otherwise designated
on a case-by-case basis for 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 correspondence will be mailed):
Name STAT Incorporated
Street Address 2550 Hickory Boulevard
City Lenoir State NC ZIP Code 28645
Telephone No. 828 396-2304 Fax: 828 396-2253
2) Location of facility producing discharge:
Facility Name STAT Industrial Recycling
Facility Contact Chad Sparks
Street Address 2550 Hickory Boulevard
City Lenoir State NC ZIP Code 28645
County Caldwell County
Telephone No. 828 396-2304 Fax: 828 396-2253
Email chadsparks@statinc net

NCG080000 N.O.I.
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). South of Lenoir NC on Hickory Blvd.(US Hwy 321)
between Fairground Rd.and Meadowview Place.Adjacent the Caldwell County fairgrounds
(A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application)
4) Latitude 35867409 Longitude 81.498857 (deg, min, sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
I Existing
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: 4 2 2 6
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
facility: Storage and maintenance of over the road tractor trailers including lubrication and oil changes.Fueling and washing occur on-site.
Diesel and waste oil are stored in aboveground tanks.Recycling of paper,plastic and polystyrene foam occur on site
8) Discharge points I Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 4
What is the name of the body or bodies of water(creek, stream, river, lake, etc.)that the facility stormwater
discharges end up in? Gunpowder Creek
Receiving water classification: c-fishable+swimmable
Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No
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 Lenoir
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. 001
Latitude (degrees/minutes/seconds): 35.51'51.4 N
Longitude (degrees/minutes/seconds): 81'29'53.8 W
Stormwater Outfall No. 002
Latitude (degrees/minutes/seconds): 35 51•56.8 N
Longitude (degrees/minutes/seconds): 81 29'58.4 W
Stormwater Outfall No. 003
Latitude (degrees/minutes/seconds): 35 515s.s N
Longitude (degrees/minutes/seconds): 81 29'59.0 W
Stormwater Outfall No. 004
Latitude (degrees/minutes/seconds): 35 52'02.3 N
Longitude (degrees/minutes/seconds): 81 30'01 0 W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W

NCG080000 N.O.I.
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?
I No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Does this facility have any Non-Discharge permits (ex: recycle permit)?
PI 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
❑ 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
I Yes
If yes, when was it implemented? 2019
13) Are vehicle maintenance activities occurring at this facility?
❑ No I Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
I No ❑ 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(1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
❑ No I Yes
d) Is hazardous waste stored in the 100-year flood plain?
Pi 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: Hazardous waste D001 -D021
How is material stored: separate storage rooms
Where is material stored: inside
How many disposal shipments per year: 12-16

NCG080000 N.O.I.
Name of transport/disposal vendor: STAT Inc.. Ecoflo, Tradebe, US Ecology
Vendor address: Lenoir.NC Greensboro,NC Millington.TN Canton.OH (respectively)
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
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.
Printe• ame of Person Signing: Garry Sparks
1Title:
--- .ident, /-ly- 20ZU
(Si•-.fur Applic (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDEQ

NCG080000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for S100 made payable to NCDEQ
O This completed application and all supporting documents
El 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.
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on 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 NPDES 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] 1- ' Or .+t►
Raleigh Office [phone]et.-- !' 1
Washington Office ...[phone] ;.��, '`'} ?�
Wilmington Office [phone] .�
Winston-Salem [phone] F •
J,
Central Office [phone]

North Carolina Secretary of State Search Results Page 1 of 1
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Business Corporation
Legal Name
Stat, Inc.
Information
Sosld: 0277795
Status: Current-Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 11/2/1990
Fiscal Month: December
Registered Agent: Sparks, Garry L
Addresses
Principal Office Reg Office Mailing Reg Mailing
2550 Hickory Blvd. 3062 Eli Lane P 0 Box 1443 P 0 Box 1443
Lenoir, NC 28645-8980 Hudson, NC 28638-9012 Lenoir, NC 28645-1443 Lenoir, NC 28645-1443
Officers
President
Garry L Sparks
3220 Taylorville Rd.
Lenoir NC 28645
Stock
Class: COMMON
Shares: 100000
Par Value 0
https://www.sosnc.gov/online_services/search/Business Registration Results 1/21/2020