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NCG200535_Application_20210625
� FOR AGENCY USE ONLY Nct;2,00S� NCG20____ Assigned to: ARO FRO MRO WARO WI O WSRO Division of Energy, Mineral, and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCG20O000 Notice of Intent: This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard Industrial Classifications: SICS093 [Scrap Metal Recycling — except as specified below] and liked activities deemed by DEMLR to be similar in the process, or the exposure of raw materials, intermediate products, final products, by- products, or waste materials. The following activities are excluded from coverage under this General Permit: Portions of SIC 5093 [Automobile Wrecking for Scrap, and Non -Metal Scrap Recycling], and SIC5015 [Used Motor Vehicle Part]. You can find information on the DEMLR Storm water Program at deq.nc.gov/SW. Directions: Print or type all entries on this application. Send the original, signed application with all required items listed in Item (6) below to: NCDEMLR Stormwater Program,1612 MSC, Raleigh, NC 27699-1612. The submission of this application does not guarantee coverage under the General Permit. Prior to coverage under this General Permit a site inspection will be conducted. 1. Owner/Operator (to whom all permit correspondence will be mailed): Name of legal organizational entity: Legally responsible personas signed in Item (7) below: Cardinal Metals, LLC Randall Baisden Street address: City: State: Zip Code: 2439 N Fayetteville St. Asheboro INC 127203 Telephone number:. Email address: 336 880-4388 Cardinalmetalsusa@gmail.com Type of Ownership: Government ®County ©Federal ®Municipal ®State Non -government 0 Business (If ownership is business, a copy of NCSOS report must be included with this application) D individual 2. Industrial Facility (facility being permitted): Facility name: Facility environmental contact: Cardinal Metals, LLC Randall Baisden Street address: City: State: Zip Code: �NC 127203 2439 N Fayetteville St. Asheboro Parcel Identification Number (PIN): County: 7753969771 Randolph Telephone number: Email address: icardinalmetalsusa@gmail.com 336 629-5865 4-digit SIC code: Facility is: Date operation is to begin or began: 5093 E]New ®Proposed ®Existing October Ist, 2020 Latitude of entrance: Longitude of entrance: �79048'30.39 35046'20.37" Brief description of the types of industrial activities and products manufactured at this facility: This facility purchases and sells scrap metal. If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4: ❑ N/A City of Asheboro municipal storm sewers. Page 1 of 5 Check all activities conducted at this facility 0 Outdoor stockpiling of materials 0 Transport of materials by a conveyor or front-end ® Processing —cutting, grinding, crushing, baling, loader separation, etc. ® Vehicle and equipment maintenance 0 Storage of materials in above -ground tanks © Vehicle or equipment washing El Material loading and unloading l] Vehicle and equipment fueling 3. Consultant (if aoDlicable): Name of consultant: Consulting firm: Zachary A. Watson Industrial Environmental Consultants Street address: City: State: �TN Zip Code: 2603 Fessey Park Rd., Ste. 102 Nashville k7204 Telephone number: Email address: 615 730-5059 Zach@indenvconsultants.com 4. Outfall(s) At least one outfall is reauired to be eliEible for coveraEe. 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired. 001 City of Asheboro municipal storm sewer storm water © This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 35046" 8.76" 79048'29.69" Brief description of the industrial activities that drain to this outfall: Scrap metal storage. Do Vehicle Maintenance Activities occur in the drainage area of this outfall? E]Yes El No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ElThis water is impaired. 002 ICIty of Asheboro municipal storm sewer storm water ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 35046'19.49" 79048129.74" Brief description of the industrial activities that drain to this outfall: Scrap metal storage. o Vehicle Maintenance Activities occur in the drainage area of this outfall? ElYes E] No yes, how many gallons of new motor oil are used each month when averaged over the calendar year? rfii 3-4 digit identifier: Name of receiving water: Classification: © This water is impaired. © This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? El Yes F-1 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section "Additional Outfalls" found on the last page of this N01. Page 2 of 5 5. Other Facility Conditions (check all that apply and explain accordingly): ❑ This facility has other NPDES permits. If checked, list the permit numbers for all current NPDES permits: ❑ This facility has Non -Discharge permits (e.g. recycle permit). If checked, list the permit numbers for all current Non -Discharge permits: El This facility uses best management practices or structural stormwater control measures. If checked, briefly describe the practices/measures and show on site diagram: Scrap material containment areas, erosion control, hay bales, silk fenses, etc. ❑ This facility has a Stormwater Pollution Prevention Plan (SWPPP). If checked, please list the date the SWPPP was implemented: ❑ This facility stores hazardous waste in the 100-year floodplain. If checked, describe how the area is protected from flooding: ❑ This facility is a (mark all that apply) ❑ Hazardous Waste Generation Facility ❑ Hazardous Waste Treatment Facility ❑ Hazardous Waste Storage Facility ❑ Hazardous Waste Disposal Facility If checked, indicate: Kilograms of waste generated each month: Type(s) of waste: How material is stored: Where material is stored: Number of waste shipments per year: Name of transport/disposal vendor: Transport/disposal vendor EPA ID: Vendor address: ❑ This facility is located on a Brownfield or Superfund site If checked, briefly describe the site conditions 6. Required Items (Application will be returned unless all of the following items have been included): 13 Check for $100 made payable to NCDEQ ❑ Copy of most recent Annual Report to the NC Secretary of State (if applicable) 0 This completed application and any supporting documentation A site diagram showing, at a minimum, existing and proposed: a) outline of drainage areas b) surface waters c) stormwater management structures d) location of stormwater outfalls corresponding to the drainage areas e) runoff conveyance features f) areas where industrial process materials are stored g) impervious areas _hj site property lines Copy of county map or USGS quad sheet with the location of the facility clearly marked Page 3 of 5 7. Applicant Certification: North Carolina General Statute 143-215.613 (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 ... shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: I] I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any civil or criminal penalties incurred due to violations of this permit, El The information submitted in this N01 is, to the best of my knowledge and belief, true, accurate, and complete based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information. 17 I will abide by all conditions of the NCG200000 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. El I hereby request coverage under the NCG200000 General permit. Printed Name of Applicant: Randall Baisden Title: Owner (kV I-/ � 4 �- colIQ)Q� (Signature of Applicant) {Date Signed) Mail the entire package to: DEMLR — Stormwater Program Department of Environmental Quality 1612 Mail Service Center Raleigh, NC 27699-1612 Page 4 of S Additional Outfalls 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired. ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? O Yes 0 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired. ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑ 1 his water is impaired. ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ® Yes 0 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired. ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall: Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired. ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: Brief description of the industrial activities that drain to this outfall• Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 0 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? Page 5 of 5 4, Ing, WAY w, - - o m Fj ice' II. I ILI gpG�E57 ae Rv, WAO !A OR TL ",UMME FIL €k f1_mcs;dl. P _ - � -. IF 1 ,, iy Hr cawx aoa^ 4, i' reR1eno� oe 7-1 I / - ' r 5 7 c K �1 _. - - NO - - --Nor[ir. _ 3' r gy�►hhebo D F 4NPIt ALT 1 - - __ . C • — . __ - ., _ t }F _ tip.,%/' • INDUSTRIAL <1 iec,CON,ULTANTS ENVIRONMENTAL N0.5aV4LE TENM1ESSEE 3i30< ", i3o.`. USGS MAPS ASHEBORO, NORTH CAROLINA CARDINAL METALS, LLC 2439 N FAYFTTFVILLE STREET ASHEBORO, NORTH CAROLINA 27203 LAT 35' 47' 12.588" N LONG -79° 48' 38,088" W SCALE: 9" 2000' EXHIBIT 2 N A ((V%3i"�,l LIMITED LIABILITY COMPANY ANNUAL REPORT 1012017 NAME OF LIMITED LIABILITY COMPANY: Cardinal Metals LLC SECRETARY OF STATE ID NUMBER: 1767422 STATE OF FORMATION: NO REPORT FOR THE CALENDAR YEAR: gn9n SECTION A: REGISTERED AGENT'S INFORMATION 1. NAME OF REGISTERED AGENT: RAh-,d Pn Rmnrial[ I 2. SIGNATURE OF THE NEW REGISTERED AGENT: E - Filed Annual Report 1767422 GA202016702029 6/15/2020 04:45 ❑ Changes SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT 3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS 19 Chestnut St. 19 Chestnut St. Thomasville, NC 27360 Davidson County.Thomasville, NC 27360 SECTION B: PRINCIPAL OFFICE INFORMATION 1. nFSCRIPTION OF NATt1RE OF BI)SINESS: Scrap Metal Recycling 2. PRINCIPAL OFFICE PHONE NUMBER: (336) 689-1726 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 876 Pauls Airport Rd Thomasville, NC 27360 5. PRINCIPAL OFFICE MAILING ADDRESS 876 Pauls Airport Rd Thomasville, NC 27360 6. Select one of the following if applicable. (Optional see instructions) ❑ The company is a veteran -owned small business ❑ The company is a service -disabled veteran -awned small business SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.) NAME: Randall L. Baisden TITLE. Managing Member ADDRESS: 19 Chestnut St Thomasville, NC 27360 NAME: NAME: TITLE: TITLE: ADDRESS: ADDRESS: SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. Randall L. Baisden 6/15/2020 SIGNATURE DATE Form must be signed by a Company Official listed under Section C of This form. Randall L. Baisden Managing Member Print or Type Name of Company Official Print or Type Title of Company Official This Annual Report has been filed electronically. MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525