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Home My WebLink AboutNCG160238_Application_20210222%CCU (I�, o v69 Division of Energy, Mineral, and Land Resources Land Quality Section National Pollutant Discharge Elimination System Environmental Quality NCG160000 NOTICE OF INTENT FOR AGENCY USE ONLY Date Received Year I Month I Da ZvZI I o2 ZZ Certificate ofCovera e N C G 1 r, I'D23g Check # I Amount i 54 S (oo Permit Assigned to M - Me to National Pollutant Discharge Elimination System application for coverage under General Permit NCG160000 for STORMWATER DISCHARGES associated with activities classified as: J A P-o SIC 2951 The manufacture of Asphalt Paving Mixtures and Blocks, RECEIVED And, Like activities deemed by DEMLR to be similar in the process, or the exposure of raw materials, intermediate products, final products, by-products, or waste mW061V 2021 (Please print or type) -'-,'s; ,L*1'.QUALIT' :i,91,"' AfFir', rERivli T INv 1) Mailing address of the owner/operator (address to which official permit correspondence will be mailed): Name Madison Asphalt, LLC Owner Contact Tommy James Reed Street Address 3864 HWY 25/70 City Marshall State NC ZIP Code 28753 Telephone No. 828 649-0077 Fax: N/A E-mail Address tommyfbpaving@yahoo.com 2) Location of the facility producing the discharge: Facility Name Facility Contact Street Address City County Telephone No. Email Madison Asphalt, LLC Tommy James Reed 3807 HWY 25170 Marshall Madison 828 649-0077 tommyfbpaving@yahoo.com 3) Physical Location Information: State NC ZIP Code 28753 Fax: N/A 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 intersection of HWY 25/70 at Jupiter Road, head North approximately 4.5 miles to the quarry entrance on the left (McCrary Stone). (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 35,47',23" N Longitude 82,39',31" w (degrees, minutes, seconds) 5) This NPDES Permit Application applies to which of the following : ❑✓ New or Proposed Facility* Date operation is to begin 05/01/2021 ❑ Existing *If this new or proposed facility is located in one of the 20 coastal counties, please contact the appropriate DEMLR Regional Office (see page 4) to determine if a State Stormwater Permit is required prior to construction. Page 1 of 5 SWU-231-030909 Last revised 9110/14 f`ii, [SICIP-1iI111111 i.0% Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 2 9 5 1 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.) The production of hot asphalt plant mix for paving projects and the recycling of asphalt products. b) Check all activities conducted at this facility. Outdoor stockpiling of materials Storage of raw materials 0 Storage of materials in above- ground tanks ❑✓ Material Loading and Unloading Transport of materials by a conveyor or front-end loader 0 Vehicle and equipment maintenance R Vehicle or Equipment Washing E] Vehicle and equipment fueling How many discharge points (ditches, pipes, channels, curb and gutter, swales, etc.) convey stormwater from the property? One ditch system and one permanent storwater basin which feeds an outlet structure to a sampling structure to an outfall into the ditch system What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? The French Broad River 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). NIA 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. 1 Latitude (degrees/minutes/seconds): 35147'122" N Longitude (degrees/minutes/seconds): 82/39733" 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. only Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Page 2 of 5 SWU-234-030909 Last revised 09/10/14 I UOICAT, 'i C 1" 1- 11 el I P Stormwater Outfall No. Latitude (degrees/minutes/seconds): Longitude (degrees/minutes/seconds): a 9) Does this facility a) Have an untreated wastewater discharge? 0 No ❑ Yes b) Have a treated wastewater discharge? 11 No ❑ Yes If yes, list the permit number. c) Have a wastewater discharge from a recycle system? 0 No If yes, list the permit number. d) Have a non -discharge permit? 0 No ❑ Yes If yes, list the permit number. ❑ Yes e) Discharge wastewater to a municipal wastewater collection system? No ❑ Yes If yes, list the municipality and permit number Note: Stormwater discharge permit NCG160000 does not authorize the discharge of any wastewater. If this site discharges wastewater, you must r• the appropriate wastewater discharge permit in addition to coverage "• • discharges •. NCG160000. 10) Does this facility employ any best management practices for stormwater control? ❑ No 0 Yes (Show any structural BMP's on the site diagram.) If yes, please briefly describe: Permanent starmwater basin with infiltration trench Ditch lined with check dams 11) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No 11 Yes If yes, when was it implemented? currently in Development 12) Are vehicle/equipment maintenance activities occurring at this facility? ❑ No 0 Yes M., r.7 MYM- a) Is this 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 hazardous waste? 0 No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? M No ❑ Yes d) Is hazardous waste stored in the 100-year flood plain? 01 No ❑ 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: Page 3 of 5 SWU-234-030909 Last revised 09/10/14 Where is material stored: How many disposal shipments per year: Name of transport / disposal vendor: _ Vendor address: 14) Certification: 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: Tommy James Reed Title: Vice President A - cf -;2-1 (Date Signed) 1 ` R Page 4 of 5 SWU-234-030909 Last revised 09/10/14 NCG160000 N.O.I. Final Checklist This application will be returned as incomplete unless all of the following items have been included. Please do not ask us to "hold" an incomplete application in anticipation of a check under separate cover. ❑ Check for $100 made payable to NCDEQ ❑ This completed application signed by the applicant, and all supporting documents ❑ 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 are stored, (f) impervious areas, (g) site property lines, (h) vehicle and equipment maintenance, blasting, painting, and washing areas, and (i) location of activities listed in 7b. ❑ Copy of county map or USGS quad sheet (preferred) with location of facility clearly marked on map Please mail the entire package to: DEMLR - Stormwater Program Dept. of Environmental Quality 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Please note: The submission of this document does not guarantee the issuance of NPDES permit coverage. For questions, please contact the DEMLR Regional Office for your area. To visit our website please go to http.11portaLncdenr.or_g/weblir/stormwater DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office... (252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 707-9220 Page 5 of 5 SWU-234-030909 Last revised 09/10/14 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 Madison Asphalt LLC Information Sosld: 1788723 Status: Current -Active O Date Formed: 1/7/2019 Citizenship: Domestic Annual Report Due Date: April 15th CurrentAnnual Report Status: Registered Agent: Reed, Regina A Addresses Mailing Principal Office Reg Office Reg Mailing 3684 Hwy 25/70 3684 Hwy 25/70 3684 Hwy 25/70 3684 Hwy 25/70 Marshall, NC 28753 Marshall, NC 28753 Marshall, NC 28753 Marshall, NC 28753 Company Officials All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20. Member Managing Member Member Donald Reed 3684 Hwy 25/70 Marshall NC 28753 Regina Reed 3684 Hwy 25/70 Marshall NC 28753 Tommy Reed 725 Bee Tree Rd Marshall NC 28753 https://www.sosnc.gov/online_services/search/Business_Registration_Results 2/24/2021