NCG070222_Application_20200302

NCf-01D222
FOR AGENCY USE ONLY
Date Received
Ycar Month Day
Division of Energy, Mineral and Land Resources 7,0?,0 03 02 i°r''_�F//✓)
Land Quality Section Certificate of Coverage
N C Glo170,
National Pollutant Discharge Elimination System Check# Amount
Environmental 22,21 S 100
Quality NCG070000 Permit 9 -S.Assigned to
d
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG070000: RECEIVED
STORMWATER DISCHARGES associated with activities classified as: NIA 2 2020 A0-0
SIC'32 Stone, Clay, Glass, and Concrete Products (except as specified below)
SIC* N/A Like activities deemed by DEMLR to be similar in the process and/or thQ.$DENR LAN LITY
.u��eft'F' . HITTING
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit.
SIC* 3273 Ready-Mixed Concrete RECEIVED
*Standard Industrial Classification Code FEB 2 6 2020
DENR-LAND QUALITY
(Please print or type) STORMWATER PERMITTING
1) Mailing address of owner/operator(address to which all permit correspondence will be mailed):
Name ITt)CKALL Ototkcr5) IJL
Street Address , ZS River- >2i J
City j ok,,r 1 S 1c�►►4 State 5 ZIP Code 2'Ncs
Telephone No. _L 2O Fax:
E-mail Address �/,,-� ! 5rla �e cal, Co-r ..
2) Location of facility producing discharge:
Facility Name ` 5CJ(.AJ l P 0 \ C4j, L`-C
Facility Contact *pvi,1 5crir I 1
Contact E-mail xev,rt c a e ctArtA-Ck ,fir
Street Address 730 q lEtk
City ry►ce- State A)C ZIP Code 2'?7)
County r)41CI p l 1
Telephone No,. ')3 z 973-YZO3 Fax:
3) Physical Location Information:
Please provide a narrative description of how to get to the facility(useesstree nam state�Qad numbers, and
distance and direction from a r adw,a�i nters tin). iV/ /9 /e 'r 4 .c J
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) Latitude 3S, 9 N
0 Longitude 32•f lV (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
w or Proposed Facility Date operation is to begin
Existing
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SWU-222-071408 Last Revised 6/24/14

NCG070000 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: S 0 3 Z
7) Provide a brief narrative� descri d_o(� y of the types of�'ndu triaall activities andn roduc nufactured at
this facility: t ri°. (�C1\UCA e C;scr e ►by,�e / „rt 1
8) Discharge points/ Receiving waters:
How many discharge points (ditches, pipes, channels, etc.)convey stormwater from the property?
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.
Latitude (degrees/minutes/seconds): 3) S(I �( N
Longitude (degrees/minutes/seconds): (7Za 04' ZA' W
Stormwater Outfall No. 7
Latitude (degrees/minutes/seconds): 3V N f 01 N
Longitude (degrees/minutes/seconds): 61 n oa N
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) Receiving waters:
What is the name of the 12,4yorb ies p��r(r eek,tream, river, lake, etc.)that the facility stormwater
1-�
discharges end up in? l G b
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SWU-222-071408 Last Revised 6/24/14

✓ `
NCG070000 N.O.I.
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). ii A
10) Do this facilityhave anyother NPDES permits? /
No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Doe 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:
12) Does this facility employ any best management practices for stormwater control?
iNo
❑ Yes
If yes, please briefly describe:
13) Does this facility have a Stormwater Pollution Prevention Plan?
dNo
❑ Yes
If yes, when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
12(No ❑ Yes
15) Hazardous Waste:
a) Is�t is facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
M No ❑ Yes
b) Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous waste generated per month)of
ihas rdous waste?
LIJ No ❑ Yes
c) Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste generated per month)of zN
rdous waste?
o ❑ Yes
d) 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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NCG070000 N.O.I.
16) Certification:
North Carolina General Statute 143-215.6 b (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
[Environmental Management]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: I,i )(lie))P Q
Title: O0t4/.r
(Signature of Appli nt) (Date Signed)
Notice of Intent must be accompanied by a check or money order for$100.00 made payable to NCDEQ
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SWU-222-071408 Last Revised 6/24/14

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2/17/2020 Spruce Pine Topo Map,Mitchell County NC(Spruce Pine Area)
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Spruce Pine Topo Map in Mitchell
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NCG070000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
C7 Check for$100 made payable to NCDEQ
❑ 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:
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 the issuance of an NPDES permit.
For questions,please contact the DEMLR Central Office or Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office [phone] bail 1 . `*
Fayetteville Office [phone]
Mooresville Office [phone] _���---' '�� �'• � '��~'° -
Raleigh Office [phone]
Washington Office ...[phone]
Wilmington Office [phone] 6 = air
Winston-Salem [phone] F' e�tille�l ��
Central Office [phone] +.,';�
/Wilington
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SWU-222-071408 Last Revised 6/24/14

North Carolina Secretary of State Search Results Page 1 of
• 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
Rockall Products LLC
Information
Sosld: 1956844
Status: Current-Active
Date Formed: 3/2/2020
Citizenship: Foreign
State of Incorporation: NJ
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Schofield, Nicholas
Addresses
Principal Office Mailing Reg Office Reg Mailing
115 Foothill Rd 625 River Rd 65 New Jersey Ave 65 New Jersey Ave
Bound Brook, NJ 08805 Johns Island, SC. 29455 Asheville, NC 28806 Asheville, NC 28806
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
https://www.sosnc.gov/online_services/search/Business_Registration_Results 3/2/2020

° � .t.,
fNORTH CAROLINA
, is .$: Department of the Secretary of State
CERTIFICATE OF AUTHORITY
1, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby certify
that
ROCKALL PRODUCTS LLC
having filed on this date an application conforming to the requirements of the General
Statutes of North Carolina, a copy of which is hereto attached, is hereby granted
authority to transact business in the State ofNorth Carolina.
•
•
•
- ikpxR FN ..� .l] IN WITNESS WHEREOF,I have hereunto set
ii < at�t k'•.,�,f'4i;• I� : my hand and affixed my official seal at the City
�, • t r� yak 1 .
w •#•, ;. 1, of Raleigh, this 2nd day of March, 2020.
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Scan to verily online.
Document Id:C202006100642 Secretary of State
Verify this certificate online at http://www.sosnc.gov/verification