NCG070225_Application_20200915

C&-0 • 2Z5
FOR AGENCY NCY(ISE ONLY
bate Received
monthDivision of Energy, Mineral and Land Resources I 0 VCR
Land Quality Section tsT �;3 ��v
• National Pollutant Discharge Elimination System
Environmental
Quality NCG070000 Pewit AAA. .,toary
NOTICE OF INTENT
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 RECEIVE D
The following activities are specifically excluded from coverage under this General PermttSEp 1 5 2020
SIC'3273 Ready-Mixed Concrete CC
DENR-LAND QUALITY
'Standard Industrial Classification Code STORMWATER PERMITTING
(Please print or type)
1) Mailing address of owner/operator(address to which all permit correspondence will be mailed):
Name t.1(5}it uiLk + ?(4ss cif) 4 Sit ---
Street Address /C(g
City 1 LTt fifl if � State ZIP Code 2-.132Meo
Telephone No. f (9?,(f 47'5-.5 Fax: 3� /
E-mail Address yfi t�g S~ t'G *
L�
2) Location of facility producing discharge:t /1/ ft .!,I� !!. e
Facility Name ,t,+.�'S'�Z HA MA. 4 C /4.5.5 tt. Ii1A,iet1!C,,t tAert arten Gt J tS
Facility Contact OM' J
Contact E-mail GG(aSo - 4 "q� ,�'t`S41C,• C.cxt✓
Street Address i?aa5 7O t' Oita Wag &Ice
City M►cJEan d I _ State Act,. ZIP Code ?Q'1D"7
County ('Gt, tBr✓k
Telephone No. "1D 010 Fax:
3) Physical Location Information:
Please provide a narrative description of how to get to the facility(use street names state roa nu )ers,and
distanic!_aipplirenefrom roadway intersec io ). US ' i
(A copy or a county map or USG� quad shunt with r#tciiit early located on the map Is required to be si milted with this application)
4) Latitude 3S. .13 tX Longitude "' v • 52 (degrees,minutes,seconds)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
`Existing
Page 1 of 4
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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: —I Li-
7) Provide a brief narrative des Option of a types of I dustri aj activitles and produc,s manufactured at
this facility: �-- i
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):35: ?.3 DO N
Longitude(degrees/minutes/seconds): — v. SQL 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.
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude(degrees/minutes/seconds):_ N
Longitude(degrees/minutes/seconds): W
8) Receiving waters:
What is the name of the body or both ss of water(creek,st(eaam, vor,lake,etc.)that the facility stormwater
discharges end up in? )'�Qf'�Q) _ cree_3- y _
Page2of4
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). 4'"\ .Q.
10) Does this facility have any other NPDES permits?
Y',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
❑ Yes
If yes, please briefly describe:
13) Does this facility have a Stormwater Pollution Prevention Plan?
No
O Yes
If yes,when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
7--1.No 0 Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment,Storage,or Disposal Facility?
.,-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 0 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:
Page 3 of 4
SWU-222-071408 Last Revised 6/24/14

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 P. son Signing: { aSI �•
Title:
(Skfrietdro of A tticent) ( ato Sign'd)
Notice of Intent must be accompanied by a check or money order for$100.00 made payable to NCDEQ
Page 4 of 4
SWU-222-071488 Last Revised 6124/14

NCG070000 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
O Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mall the entire package to:
DEMLR-Stormwater Program
Dept.of Environmental Quality
1612 Mall 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. �)
DF.MLR RepIonat Office Contact information:
Asheville Office [phone] 1,
Fayetteville Office, [phone]
Mooresville Office [phone] A
Raleigh Office [phone] Attx6vino
Washington Office ...[phone] �' Mofl� ���lt�
Wilmington Office [phone]
��4yett t4a
Winston-Salem [phone]
Central Office [phone]
Page 5 of 4
SWU.222.071408 Last Revised 6/24/14

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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
Business Corporation
Legal Name
Majestic Marble and Glass Company
Information
Sosld: 0336023
Status: Current-Active 0
Date Formed: 1/1/1994
Citizenship: Domestic
Fiscal Month: December
Annual Report Due Date: April 15th
Registered Agent: Byers, Scott A.
Addresses
Principal Office Reg Office Mailing Reg Mailing
106 Jeffrey Way 106 Jeffrey Way P 0 Box 729 PO Box 729
Youngsville, NC 27596 Youngsville, NC 27596-9409 Youngsville, NC 27596 Youngsville, NC 27596
Officers
President & CEO/Chairman COO & Secretary CFO & Treasurer
Scott A. Byers Frank Muraca Dan Wascher
106 Jeffrey Way 117 Franklin Park Drive 106 Jeffrey Way
Youngsville NC 27596 Youngsville NC 27596-9409 Youngsville NC 27596
Stock
Class: COMMON
Shares: 100000
No Par Value: Yes
https://www.sosnc.gov/online_services/search/Business_Registration_Results 9/15/2020