NCG070223_Application_20200324

Nc&-o-to 2-2,3
{: Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
,Environmental
Quality NCG070000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
I Da
Certificate fCOVerB e
N
Check #
Amount
l0
♦ le
Permit Assi ed to
9.
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG070000:
STORMWATER DISCHARGES associated with activities classified as:
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 the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General Permit:
SIC' 3273 Ready -Mixed Concrete
* Standard Industrial Classification Code RECEIVED
14AR 2 4.2020
(Please print or type) DENR-; "ADQUALITY
1) Mailing address of owner/operator (address to which all permit correspondence will Ibe'mailed lc r`+f ,"JG
Name
1l
Street Address
'Zc
City
Telephone No.
I
E-mail Address
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
3) Physical Location Information:
S/
State146_ZIP Code
Fax:
State Zip Code
Fax:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadwav interser:tinn) 1 ntw. 4.w..... �� _
(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 Longitude (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the followincl :
❑ New or Proposed Facility
Existing
Date operation is to begin U t r>6z 4 ,
SWU-222-071408
Page 1 of 4
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:
7) Provide a brief nary tive descri tion of the types of industrial activities and products manufactured at
this facility: W.%VE2 _V nr U_ •'e • w . _ _ . � . _ -
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 4
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 not at this information is specified on the site plan.
MAr
Stormwater Outfall No. J `
Latitude (degrees/minutes/seconds): IRS • -1 15(p3Z N
Longitude (degrees/minutes/seconds):82.21,1 T� n W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): �►lj •'? N
Longitude (degrees/minutes/seconds):62 .27 %S W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds):39 N
Longitude (degrees/minutes/seconds): $Z • *
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): 3S. 9 1 S N
Longitude (degrees/minutes/seconds): 67. 1t 42w
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 body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? %►VT� a'TOLa6U-r tT_G_C_ w .•, ��_ . .
SWU-222-071408 Page 2 of 4
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).
10) Does this facility have any other NPDES permits?
M No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
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:
12) Does this facility employ any best management practices for stormwater control?
❑ No
I2f Yes
If yes, please briefly describe: 'C1•t1 .IG K lbro
13) Does this facility have a Stormwater Pollution Prevention Plan?
NrNo
❑ Yes
If yes, when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
F9 No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
if No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
Rf No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
@i No ❑ 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:
SWU-222-071408 Page 3 of 4
Last Revised 6/24114

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: ►/�� E L Yp(,t 646M
Title: M QhA VLC.1W
(Signature of
3 • I&I - ZflZfl
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDEQ
SWU-222-071408 Page 4 of 4
Last Revised 6/24/14

NCG070000 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
lr This completed application and all supporting documents
130 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
Dote
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Central Office or Reai
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ....
Central Office ......
.. [phone]
...[phone]
Office for your area.
SWU-222-071408 Page 5 of 4
Last Revised 6/24/14

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
Limited Liability Company
Legal Name
Trittico Investments, LLC
Information
SOsld: 0901056
Status: Current -Active
Date Formed: 2/28/2007
Citizenship: Domestic
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Young, Samuel K
Addresses
Mailing
209 Laurel Street
Burnsville, NC 28714-2721
Reg Mailing
209 Laurel Street
Burnsville, NC 28714-2721
Company Officials
Principal Office
209 Laurel Street
Burnsville, NC 28714-2721
Reg Office
209 Laurel Street
Burnsville, NC 28714-2721
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager
Samuel K Young
209 Laurel St
Burnsville NC 28714
https://www.sosnc.gov/online services/search/Business Registration_Results 4/6/2020