NCG190118_Application_20200820

Date Received
BC.- Division of Energy, Mineral and Land Resources 1JQ'�[►j:
Land Quality Section FOR AGENCY USE ONLY
Year Month Da
Certificate of Covera e
National Pollutant Discharge Elimination System i� M11170[10t�f
g y Check# Amount
Environmental finilli
Quality NCG190000 Permit Assi ed to
EnIMEMPIMINI
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General P � �� G
NCG190000: Ft_,.E
STORMWATER DISCHARGES associated with activities classified as: AUG 20 2020
SIC*(Standard Industrial Classification) 373 Ship and Boat Building and Repairing
SIC*4493 Marinas DENR-LAND QUALITY
STORMWATER PERMITTING
*Standard Industrial Classification Code
1
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): Z
Name Caldwell Marine Designs n
Owner Contact Pete Caldwell gj d
CD
Street Address 1151 Page Road
City Washington State NC ZIP Code 27889 ggn °,
Telephone No. 252 917-3673 Fax: C =
E-mail Address [e-mail] OCD M,
o' co °
2) Location of facility producing discharge: 2
tv �
CD
Facility Name Caldwell Marine Designs
Facility Contact Pete Caldwell
Street Address 1151 Page Road c- A
City Washington State NC ZIP Code 27889 0 Co
County Beaufort 4.
Telephone No. 252 917-3673 Fax:
Email [e-mail]
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 1-95 take US-264 E for approximately 63 miles.Turn left onto Leggett Rd.
Continue on Legett Road for 1 mile,then turn left onto Page Road.The facility will be on the right in approximately 0.5 miles.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 35.36,10.638 N Longitude 77.5.20.0328 W (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility* Date operation is to begin
E Existing
*If this new or proposed facility in one of the 20 coastal counties,you must contact the appropriate Regional
Office(see page 4)to determine if a State Stormwater Permit is also needed prior to construction.
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NCG190000 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: 4 4 9 3
7) Services and Activities
a) Provide a brief narrative description of the types of industrial activities and products
manufactured at this facility: (Include a site diagram showing the process areas and location of
activities present at this facility.)Manufacturing and assembly of power boats and power boat repair.
b) Check all services and activities offered or allowed at this facility
❑ Transient Slips 0 Engine Repair
❑ Permanent Slips ❑ Dump Station
❑ Lodging ❑ Haul Out
O Restrooms ❑ Pump Out
❑ Restaurant El Fueling
❑ Retail Store ❑ Boat Ramp
❑ Boat Sales ❑ Boat Hand Washing
• Trash Collection ❑ Vehicle/Equipment Washing
❑ Recycling ❑ Boat Pressure Washing
❑ Fish Cleaning Area ✓❑ Sanding
❑ Charter ✓❑ Sand Blasting
❑ Live Aboard ✓❑ Painting
❑✓ Dry Boat Storage ✓❑ Boat Building
8) Discharge points/Receiving waters:
How many discharge points (ditches, pipes,channels, boat ramps, lift wells, etc.)convey stormwater from the
property? 3
What is the name of the body or bodies of water(creek, stream, river,lake, etc.)that the facility stormwater
discharges end up in? Mitchell Branch
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 Washington municipal storm conveyance
Receiving water classification (if known):
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): 35/36/12.3 N
Longitude(degrees/minutes/seconds): 77/05/23.4 W
Stormwater Outfall No. 002
Latitude(degrees/minutes/seconds): 35/36n3.3 N
Longitude(degrees/minutes/seconds): 77/05/16.9 W
Stormwater Outfall No. 003
Latitude (degrees/minutes/seconds): 35/36/12.8 N
Longitude(degrees/minutes/seconds): 77/05/19.2 W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
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NCG190000 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
Stormwater Outfall No.
Latitude(degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
9) Does this facility
a) Have an untreated wastewater discharge? a No ❑ Yes
b) Have a treated wastewater discharge? I No ❑ Yes
If yes, list the permit number.
c) Have a wastewater discharge from a recycle system? I No ❑ Yes
If yes, list the permit number.
d) Have a non-discharge permit? I No ❑ Yes
If yes, list the permit number.
e) Discharge wastewater to a municipal wastewater collection system? I No ❑ Yes
If yes, list the municipality and permit number
k Note: Stormwater discharge permit NCG190000 does not authorize the discharge of any wastewater.
If this site discharges wastewater,you must obtain the appropriate wastewater discharge
permit in addition to coverage for stormwater discharges under NCG190000.
10) Does this facility employ any best management practices for stormwater control?
❑ No I Yes (Show any structural BMP's on the site diagram.)
If yes, please briefly describe: Stormwater retention pond.
11) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No PI Yes
If yes,when was it implemented? July 2020
12) Does this facility use solvents on-site?
❑ No 1 Yes
If yes, does this facility have and implement a Solvent Management Plan? ❑ No IN Yes
13) Are vehicle/equipment maintenance activities occurring at this facility(ex.fueling,washing, repair, etc.)?
No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
I No ❑ Yes
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NCG190000 N.O.I.
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?
I No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
I No El 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 143-215.6 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: C. L.
AD(-0-e-
Title. --- I/h\Q i/ / fit 0
•
lnaturApplicant) (Date Sign141jL0
Notice of Intent must be accompanied by a check or money order for$100.00 made payable to:
NCDEQ
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NCG190000 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
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 which drainage areas), (d) runoff conveyance structures, (e)areas where materials and/or
boats are stored, (f) impervious areas, (g)site property lines, (h)boat maintenance, blasting, painting and
washing areas,and (i)location of services and activities listed in 7b.
❑ Copy of county map or USGS quad sheet(preferred)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 Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office [phone] ,�� Ry
Fayetteville Office [phone] 0.
Mooresville Office [phone] J � laia,
Raleigh Office [phone] �. �� 'lle �, 11!'�"1it;= 111
Washington Office ...[phone] -- *!�
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Wilmington Office [phone] "F. II
p: c. r�'d?
Winston-Salem [phone]
Central Office [phone] J,
ngton
Page 5 of 5
SWU-234-052109 Last revised 6/24/14

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LEGEND
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Limited Liability Company
Legal Name
Caldwell Marine Designs, LLC
Information
Sosld: 1734668
Status: Current-Active 0
Date Formed: 8/2/2018
Citizenship: Domestic
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Caldwell, Jennifer
Addresses
Mailing Principal Office Reg Office
1151 page rd 1151 page rd 1151 Page rd
washington, NC 27889 washington, NC• 27889 Washington, NC 27889
Reg Mailing
1151 Page rd
Washington, NC 27889
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
President
Peter Nicholas Caldwell
1151 page rd
washington NC 27889
https://www.sosnc.gov/online_services/search/Business_Registration_Results 8/26/2020