NCG060405_Application_20200212

FOR AGENCY USE ONLY
Date Received
Division of Energy, Mineral and Land Resources Year Month Day
Land Quality Section Zo2o Certificate
Coverage OZ t
National Pollutant Discharge Elimination System NICIGIoe I I I
Check
Environmental Da I# �*100 Amount
Quality NCG060000
Permit Assigned to
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG060000: RECEIVED
STORMWATER DISCHARGES associated with activities classified as:
SIC(Standard Industrial Classification)20 Food and Kindred Products FEB 12 2020
SIC 21 Tobacco Products DENR-LAND QUALITY
SIC 283 Drugs �,
SIC 284 Soaps, Detergents, &Cleaning Preparations; Perfumes, Cosmetics, &Ot�ie9Yat gra NG
SIC 422 Public Warehousing and Storage(except 4226)
_l For questions,please contact the DEMLR Regional Office for your area. See page 4.
Do Not use this NO!for renewals.
(Please print or type)
1) Mailing address of owner/operator(address to which all permit correspondence will be mailed):
Name SC Johnson Professional
Street Address 1100 S.NC-Highway 27
City Stanley State NC ZIP Code 28164
Telephone No. 704 263-6602 Fax:
2) Location of facility producing discharge:
Facility Name SC Johnson Professional
Facility Contact Ketan Trivedi
Facility Address 1100 S.NC-Highway 27
Facility City Stanley State NC ZIP Code 28164
Facility County Gaston
Telephone No. 704 263-6602 Fax:
Email Kt+a n.tr;vcr..c( L 5C3 . Covr)
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 onto NC-273 and head north.Turn left onto Rankin Ave.
Turn Right onto S Hawthorne Street.Turn left onto NC-27 and in 4.3 miles the facility will be on your left.
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.)
4) Latitude 35,20,29.85 Longitude 81,4,45.36 (deg, min,sec)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
❑✓ Existing
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NCG060000 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: 2 8 4 1
7) Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured
at this facility: Manufactures personal care products(soaps,hand cleaners,shampoos,and body washes)and industrial floor care products(stripper,cleaner,and floor finish).
b) Check all activities occurring at this facility:
❑ use or process meats ❑ use or process animal fats/byproducts
8) Discharge points/Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
What is the name of the body or bodies of water(creek, stream, river, lake, etc.)that the facility stormwater
discharges end up in? South Stanley Creek
Receiving water classification: ws-iv
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 Stanley
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): 35/20/30.17 N
Longitude (degrees/minutes/seconds): 81/4/47.80
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. only
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No. only
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
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NCG060000 N.O.I.
9) Does this facility have any other NPDES permits?
e No
El 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)?
I 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
11 Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe: Canopy coverage over used drums,inspections for good housekeeping,and secondary containment
around tank farm
12) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
▪ Yes
If yes, when was it implemented? September2019
13) Are vehicle maintenance activities occurring at this facility?
e No ❑ 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?
e 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?
IP 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:
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NCG060000 N.O.I.
15) Certification:
North Carolina General Statute 143-215.6E (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.
Printed Name of Person Signing: John Campbell
Title: Vice President of Operations
Ooil///c)-(.2c.2.0
( 9 P
Si ure of A „cant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for$100.00, made payable
to: NCDEQ. Do not send the check or money order separately.
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NCG060000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
Et Check for$100 made payable to NCDEQ. Must be included with this application (not sent separately).
This completed application and all supporting documents.
E1 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,
loaded, and unloaded, (f) impervious areas, (g) site property lines.
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
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] - rJ'4►�
Raleigh Office [phone] "f>
g Asheville
Olt
Washington Office ...[phone]A
Wilmington Office [phone]
Winston-Salem [phone] F°'t' ! ''
Central Office [phone]
,,110114ington
Page 5 of 5
SWU-221 Last revised 6/24/14

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USGS 7.5-minute FIGURE 1
Topographic Series TOPOGRAPHIC LOCATION MAP
Mount Holly, North Carolina, 2013 SC JOHNSON PROFESSIONAL
1100 S.NC-HIGHWAY 27
STANLEY,NORTH CAROLINA
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SCJohnson
PROFESSIONAL
A family company's
February 10, 2020
DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Subject: Notice of Intent Application — NCG060000
S.C. Johnson Professional
To whom it may concern:
S.C. Johnson Professional located at 1100 South NC highway 27 in Stanley, North Carolina is
submitting the attached Notice of Intent (NOI) to request coverage of the National Pollutant
Discharge Elimination System Stormwater Discharges associated with activities classified as Food
and Kindred Products (NCG060000).
Included with this NOI is an application fee of$100, site diagram, and USGS Quad sheet with the
location of the facility.
If you have any questions, please contact our Technical Point of Contact, Ketan Trivedi at (704)
263-6602.
Sincerely,
)r4CvAl"
John Campbell
Vice-President of Operations.
RETHINKING THE PROFESSIONAL EXPERIENCE

North Carolina Secretary of State Search Results Page 1 of 1
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Business Corporation
Legal Name
SC Johnson Professional USA, Inc.
Prey Legal Name
DEB SBS, INC.
Prey Legal Name
Deb USA, Inc.
Prey Legal Name
DEBUS, INC.
Prey Legal Name
SBS HOLDINGS, INC.
Information
Sosld: 0459628
Status: Current-Active
Annual Report Status: Current
Citizenship: Foreign
Date Formed: 5/19/1998
Fiscal Month: December
State of Incorporation:
DE
Registered Agent: Corporation Service Company .
Addresses
Reg Office Reg Mailing Mailing
2626 Glenwood Avenue, Suite 550 2626 Glenwood Avenue, Suite 550 2815 Coliseum Centre Drive Suite 600
Raleigh, NC 27608 Raleigh, NC 27608 • Charlotte, NC 28217-0144
Principal Office
2815 Coliseum Centre Drive Suite 600
Charlotte, NC 28217-0144
Officers
Treasurer Secretary President
Steve Havala Steve Havala Nick Matterson
2815 Coliseum Centre Drive Suite 600 2815 Coliseum Centre Drive Suite 600 2815 Coliseum Centre Drive Suite 600
Charlotte NC 28217 Charlotte NC 28217 •
Charlotte NC 28217
Stock
https://www.sosnc.gov/online_services/search/Business Registration_Results 2/18/2020