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HomeMy WebLinkAboutNCG210496_Application_20210503Division of Energy, Mineral and Land Resources Stormwater Permitting Program j.rip, National Pollutant Discharge Elimination System Environmental NCG210000 Quality NOTICE OF INTENT FOR AGENCY USE ONLY Date Received Year Month Da Certificate of Coverage NCG21 Check # Amount Permit Assigned to National Pollutant Discharge Elimination System application for coverage under General Permit NCG210000: For STORMWATER DISCHARGES associated with activities classified as: SIC` 24 Timber Products (except as specified below), including Wood Chip MiII ECjec IVED And, Like activities deemed by DEMLR to be similar in the process and/or the eXD ur6 f materials, products, by-products, or waste materials. rr����l! The following activities are specifically excluded from coverage under this General PbfiWij:LAND ALIT' • Wood Kitchen Cabinets (SIC 2434) STOW\NATERPERMITTING • Wood Preserving (SIC 2491) • Logging (SIC 2411) Standard Industrial Classification Code (Please print or type) 1) Mailing address of owner/operator (address to which official permit correspondence will be mailed): Name 2901 N. Kerr Avenue, LLC Owner Contact (a person) Jason Thompson Street Address 606 Sunnyvale Drive City Wilmington State NC ZIP Code 28412 Telephone No. 910 793-1460 Fax: 910 793-6227 E-mail Address ayesha@tubgrinding.com 2) Location of facility producing discharge: Facility Name American Property Experts Facility Contact (a person) Ayesha Waggaman, CFO Contact E-mail ayesha@tubgrinding.com Street Address 2831 N. Kerr Avenue City Wilmington State NC ZIP Code 28405 County New Hanover County Telephone No. 910 793-1460 Fax: 910 793-6227 3) Permit Contact Permit Contact (a person) Ayesha Waggaman Contact E-mail ayesha@tubgrinding.com Contact phone number 910-793-1460 (office) 4) Physical Location Information: 910-231-9756 (mobile 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). (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) 5) Latitude Longitude (degrees, minutes, seconds) Page 1 of 5 SWU-236-080113 Last revised 7/2/14 NCG210000 N.O.I. 6) This NPDES Permit Application applies to which of the following : ❑ New or Proposed Facility Date operation is to begin Existing 7) Standard Industrial Classification (SIC): Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: _ 8) Provide a brief narrative descriptioR of he types of industrial activities and products manufactured at this facility:t'Q�V�, �i IS .cAr knick ® nn 'A arl s�1i1 r 9) 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): t N Longitude (degrees/minutes/seconds): ® 1 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 2of5 SWU-236-080113 Last revised 7/2/14 NCG210000 N.O.I. Stormwater Outfall No. Latitude (degrees/minutes/seconds): _ Longitude (degrees/minutes/seconds): 10) Receiving waters: What is the name of the body or bodies discharges end up in? unnme 2 1►A stream, river, lake, etc.) that the facility s 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). 11) Does this facility have any other water quality permits? ❑ No ❑ Yes If yes, list the permit numbers for all current water quality permits for this facility: 12) Does this facility have any Non -Discharge permits (ex: recycle permits)? X No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: 13) Does this facility employ any best management practices for stormwater control? ❑ No N...... M 14) Does this facility have a Stormwater Pollution Prevention Plan? )( No ❑ Yes If yes, when was it implemented? 15) Does this facility have exposed accumulations of sawdust, bark, mulch, wood chips, or similar size woody material on -site for longer than seven (7) days? (Exposed directly to rainfall or to run-on from other areas of the facility.) ❑ No X Yes 16) Are vehicle maintenance activities occurring at this facility? No ❑ Yes 17) 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? 11 No ❑ Yes Page 3of5 SWU-236-080113 Last revised 7/2/14 NCG210000 N.O.I. c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? 10 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: 18) 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: Title: LM I of (Date Aned) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDEQ Page 4 of 5 SWU-236-080113 Last revised 7/2/14 NCG210000 N.O.I. Final ('har41ic4 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 ❑ 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 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. To visit our website, go to httpJ/portal.ncdenr.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) 807-6300 Page 5 of 5 SWU-236-080113 Last revised 712/14 • 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 2901 North Kerr Avenue, LLC Information Sosld: 1854899 Status: Current -Active O Date Formed: 6/12/2019 Citizenship: Domestic Annual Report Due Date: April 15th CurrentgnnuaL Report Status: Registered Agent: Thompson, Jason R. Addresses Mailing 606 Sunnyvale Drive Wilmington, NC 28412 Company Officials Principal Office Reg Office Reg Mailing 606 Sunnyvale Drive 606 Sunnyvale Drive 606 Sunnyvale Drive Wilmington, NC 28412 Wilmington, NC 28412 Wilmington, NC 28412 All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20. President Jason R Thompson 606 Sunnyvale Drive Wilmington, NC 28412 Wilmington NC 28412