NCG110162_Application_20210112

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Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
Quality NCG110000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
I Month
T Da
0Z(
1 Of
1 (Z
Certificate ofCovera e
NICIGI 1111011 161Z
Check # I Amount
.75 bs iRG&
Permit Assi ned to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG110000:
STORMWATER DISCHARGES associated with activities classified as:
Treatment Works treating domestic sewage or any other sewage sludge or wastewater treatment
device or system, used in the storage, treatment, recycling, and reclamation of municipal or
domestic sewage, with a design flow of 1.0 million gallons per day or more, or required to have an
approved pretreatment program under Title 40 Code of Federal Regulations (CFR) Part 403,
including lands dedicated to the disposal of sewage sludge that is located within the confines of
the facility; and like activities deemed by DEMLR to be similar in the process and/or the exposure
of raw materials, products, by-products, or waste materials.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name Francisco Cardenas
Street Address
City
Telephone No.
E-mail Address
250 Gellhorn Drive
Houston State Tx ZIP Code 77013
281 782-1180 Fax:
[e-mail]
2) Location of facility producing discharge:
Facility Name Liquid Environmental Solutions
Facility Contact Jack Wells
Contact E-mail [e-mail]
Street Address 4826 Worth Place
City Charlotte State NC ZIP Code 28216
County Mecklenburg
Telephone No. 866 694-7327 Fax:
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 NC-16 North, turn right onto Lawton Road, then left
onto Worth Place. and 4826 Worth Place is on the riaht.
(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 35' 16' 37.6752" IN
Longitude -80° 52' 58.02s" W
(degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility
❑✓ Existing
Date operation is to begin
Page 1 of 4
SWU-226-071408 Last Revised 6/24/14
FA.V;_' D

NCG110000 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 9 5 3
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: Liquid Environmental Solutions is a grease trap waste treatment facility for non -hazardous liquid waste received from
various clients from the Charlotte Metropolitan area. The primary non -hazardous waste stream accepted at the facility include grease trap waste, oily wastewater, and
organic wastewater. LES processes these wastes by removing oils and solids, and discharges the processed wastewater to the sanitary sewer system.
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
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): 35016' 35.6988"
N
Longitude (degrees/minutes/seconds): 80°52' 58.1196"
W W
Stormwater Outfall No. 2
Latitude (degrees/minutes/seconds): 35 ° 16' 35.4144"
N
Longitude (degrees/minutes/seconds): 80 ° 52' 57.774"
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
Page 2 of 4
SWU-226-071408 Last Revised 6/24/14

NCG110000 N.O.I.
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? Irwin Creek (A topographic map showing the facility's location in relation to Irwin Creek is included)
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 CharlotteMs4
10) Does this facility have any other NPDES permits?
11 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)?
11 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
4 Yes
If yes, please briefly describe: The laclllty has Implemented control measures and BMPs to minimize, reduce, or
eliminate (to the extent achievable) stormwater pollutants. All BMPs have been included as an attachment and can also be
found in Appendix 8 in the facility's Stormwater Plan.
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
4 Yes
If yes, when was it implemented? December, 2020
14) Are vehicle maintenance activities occurring at this facility?
4 No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
11 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
4 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
11 No ❑ Yes
Page 3 of 4
SWU-226-071408 Last Revised 6/24/14

NCG110000 N.O.I.
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:
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: .lackwells
Title: Plant Supervisor
Q'mrLX ��—
(Signatur of Applicant)
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDEQ
Page 4 of 4
SWU-226-071408 Last Revised 6/24/14

Envirosure.,C.
Attachment 2
Facility Site Map
Phoenix Office: 1018E.Guadalupe Road, Tempe, AZ85283 I Office: 80.784.4621 I FaxA80.784.2207
Denver Office: 3457 Ringsby Court Unit 351, Denver, CO $0216 1 Office: 303,945AS90
www.pnvirnsure.com I sopport@envirosure,corn

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
Liquid Environmental Solutions of Georgia, LLC
Information
Sosld: 1440562
Status: Current -Active O
Date Formed: 4/20/2015
Citizenship: Foreign
State of Incorporation: DE
Annual Report Due Date: April 15th
Registered Agent: Corporation Service Company
Addresses
Reg Office
2626 Glenwood Ave Ste 550
Raleigh, NC 27608
Principal Office
7651 Esters Blvd, Suite 200
Irving, TX 75063
Company Officials
Reg Mailing
2626 Glenwood Ave Ste 550
Raleigh, NC 27608
Mailing
7651 Esters Blvd, Suite 200
Irving, TX 75063
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Administrative Member Member
Matthew King Liquid Environmental Solutions Corporation
7651 Esters Blvd, Suite 200 7651 Esters Blvd, Suite 200
Irving TX 75063 Irving TX 75063
https://www.sosnc.gov/online_services/search/Business_Registration_Results 1/13/2021

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Envirosure.LC.
Attachment 3
Topographic Map
Phoenix Office: 1018 E. 'Guadalupe Road, Tempe, AZ 85283 1 Office: 480.784 A621 I Fax: [phone]
Denver Office: 3457 Ringsby Court Unit 351, Denver, CO $0216 1 Office: 303.945A590
www.pnvirosure'com I support@eryvirosure,com

LIQUID ENVIRONMENTAL SOLUTIONS
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.� Nearest Navigable
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a" US: Irwin Creek
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Liquid Environmental Solutions
Charlotte, North Carolina
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Source (Aerial Photo): Google Earth Pro
Source (Topographic Map): EPA WATERS GeoViewer
Accessed: December 2020
*Note: The facility discharges to the City of Charlotte MS4, which is permitted to discharge to the receiving waters of
the State within the Catawba and Yadkin -Pee Dee River Basins. The proximity of the facility to the Irwin Creek
(nearest navigable water course fi retention efforts were to fail) is shown on the map above.

�'A Envirosure.k.
Attachment 4
County Map
Phoenix Office: 1018 E. Guadalupe Road, TernpeAZ 85283 1 OfficeA80.784A621 I Pax: 480.784.2207
Denver Office: 3457 Ringsby Court unit 351, Denver, CO $0216 1 Office: 303.945.4590
www.pnvirosure.com I [e-mail]

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Attachment 5
Best Measurement Practices (BMPs)
Phoenix Office: 10181. Guadalupe Road, Tempe, AZ 85283 1 Office: 480.784.46211 Fax.- 480.784.2207
Denver Office: 3457 Ringsby Court Unit 351, Denver, CO 80216 1 Office: 303,945A590
www.envitosure,com I [e-mail]

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E nvi rosureLLC.
Attachment 6
$100 Permit Application Fee
Phoenix Office: 1019 E. Guadalupe Road, Tempe, AZ 85283 1 Office: 480.784 A621 I Fax- 480.784.2207
Denver Office: 3457 ftingsby Court Unit 351, Denver, CO 80216 1 Office: 303,945A590
www,envirosure-corn I support@envirosure,com

E n v i ro s u reLLC
December 29, 2020
DEMLR — Stormwater Program'
Dept. of Environmental Quality -�`" F s
1612 Mail Service Center r
Raleigh, NC 27699-1612 JAN 1� 2021
DENR-LAND QUALITY
STORMWATERPERMITTING
SUBJECT: NOTICE OF INTENT - NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
APPLICATION FOR COVERAGE UNDER GENERAL PERMIT NCG110000:
Dear Sir or Madam:
Please find the attached NOI and all applicable documents for the Liquid Environmental Solutions facility located at
4826 Worth Place, Charlotte, NC 28216. This NOI is being submitted by Envirosure LLC on behalf of Liquid
Environmental Solutions.
The facility has prepared a Stormwater Pollution Prevention Plan (SWPPP) pursuant to the requirements of General
Permit NCG110000.
If you have any questions or need additional information, please contact me at your earliest convenience.
Sincerely,
Howard Whipple
Environmental Scientist
[e-mail]
[phone]
Enclosed
Attachment 1:
General Permit NCG110000 N01
Attachment 2:
Facility Site Map
Attachment 3:
Topographic Map
Attachment 4:
County Map
Attachment 5:
Best Measurements Practices (BMPs)
Attachment 6:
$100 Permit Application Fee
Phoenix Office: 1019 E. Guadalupe Road, Tempe, AZ 852811 Office; 480.784.4621 I Fax:480.784,2207
Denver Office: 3457 Rfngsby Court Unit 351, Denver, CO 802161 Office: 303.945.4590
www.ewrosu€e.com 1 [e-mail]

roll Envirosure.k.
Attachment 1
General Permit NCG1 10000 NOI
Phoenix Office. 1018 E. Guadalupe Road, Tempe, AZ $5283 1 Office: 480.784A621 I Fax: [phone]
Denver Office: 3457 Ringsby Court Unit 351, Denver, CO 80216 1 Office: 303,945AS90
www.envaosure.com I [e-mail]

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