NCG200536_Application_20210702

M P11-d
N Zoo 5 3 Co FOR AGENCY USE ONLY
Date Received
Year Month Da
Division of Energy, Mineral, and Land Resources
Land Quality Section Certificate of Covffage
- National Pollutant Discharge Elimination System N Cb� # Amount
Environmental
Quatlty. NCG200000 A>F
NOTICE OF INTENT f
National Pollutant Discharge
Elimination System application for coverage under Gene l=1
NCG200000 for STORMWATER DISCHARGES associated with activities classified as: JUN 29 2021
SIC 5093
Scrap Metal Recycling (except as specified below) I)ENR-LAND QUALITY
STORMUIIA?'ER P 7RNI1TT(i
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 materials.
The following activities
are excluded from coverage under this General Permit:
•
Automobile Wrecking for Scrap (a portion of SIC 5093)
•
Non -Metal Scrap Recycling (a portion of SIC 5093)
•
Used Motor Vehicle Parts (SIC 5015)
(Please print or type)
1) Mailing address of the a. (address to which official permit correspondence will be mailed):
Name
^ownerloperator
t�.1ti
Owner Contact
Street Address
15 l�G&Cj t\S cyo l Rc
City
• ko State L ZIP Code ? � 2SJ.
21A N
Telephone No.
1-21 Fax:
E-mail Address
Gx` ,Ao ceL,_O o cta�, U ckY,'" . t, (-a f'A
2) Location of the facility producing the discharge:
Facility Name
NCNC- �Dc iS
Facility Contact
Street Address
A 'J ►jGN-o(K\5 CX �r 'OA
City
State tQ)(_ ZIP Code ? 11 4,
County
V\e• N Q4
Telephone No.
}{YA'21y\ T t})' Fax: l�
Email
Q: N&'f : r-"A0 GV\k 1. CGVA
3) Physical Location Information:
Please provide a description of how to get to the facility (use street names, state road numbers, and distance _
and direction from a roadway intersection . Com' N J- iOT'1 1 � . r ti1� ae,:- 00c"'Ldt 4 �t,�;wl �-
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.) WA-,\x dj t �-j
4) Latitude �m-- \S �T Longitude %C) �h\\ (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility* Date operation is to begin
,2T 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
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NCG200000 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: 5 c> (?3
7) Services and Activities
a) Provide a brief description of the types of industrial activities and products manufactured at this
facility: (Include a site diagram of the process areas and location of activities present at this facility.)
b} Check activities conducted at this facility.
tdoor stockpiling of materials
Processing — cutting, grinding,
crushing, baling, separation, etc.
❑ Storage of materials in above-
ground tanks
Material loading and unloading
8) Discharge points 1 Receiving waters:
❑ Transport of materials by a conveyor
or front-end loader
❑ Vehicle and equipment maintenance
❑ Vehicle or equipment washing
❑ Vehicle and equipment fueling
How many discharge points (ditches, pipes, channels, curb and gutter, swales, etc.) convey stormwater from
the property? '.1
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? N
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). CfCx0,t
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. Oil
Latitude (degrees/minutes/seconds): `,% N
Longitude (degrees/minutes/seconds): - 0,y5\1 W
Stormwater Outfall No.
Latitude (degrees/minuteslseconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No.
Latitude (degrees/minuteslseconds): 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 5
5WU-23"12815 Last revised 01/28/15

NCG200000 N.O.I.
Is
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
9) Does this facility:
a) Have an untreated wastewater discharge? No ❑ Yes
b) Have a treated wastewater discharge? No El Yes
If yes, fist the permit number.
c) Have a wastewater discharge from a recycle system?
If yes, list the permit number,/'
d) Have a non -discharge permit? P No ❑ Yes
If yes, list the permit number.
/No ❑ Yes
e) Discharge wastewater to a municipal wastewater collection system?
If yes, list the municipality and permit number
No ❑ Yes
Note: Stormwater discharge permit NCG200000 does not authorize the discharge of any wastewater.
If this site discharges wastewater, you must obtain the appropriate wastewater discharge
permit in addition to coverage for stormwater discharges under NCG200000.
10) Does this facility employ any best management practices for stormwater control?
X'No ❑ Yes (Show any structural BMP's on the site diagram)
If yes, please briefly describe:
11) Does this facility have a Stormwater Pollution Prevention Plan?
4 No ❑ Yes
If yes, when was it implemented?
12) Are vehicle/equipment maintenance activities occurring at this facility?
❑ No ❑ Yes
13) 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?
''N �o ElYes
d) Is hazardous waste stored in the 100-year flood plain?
❑ No ❑ Yes If yes, include information to demonstrate protection from flooding.
Page 3 of 5
SWU-235-012815 Last revised 01/28/15

NCG200000 N.O.I.
e) 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 1 disposal vendor:
Vendor address:
14) Certification:
North Carolina General Statute 143-215.68 (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: Uy�" GAS �Y e
Title:
(Signature of plicant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDEQ
Page 4 of 5
SWU-235-012815 last revised 01/28115

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Map Locator I USGS Str]re
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USGS Store
4715 Nations Crossing Rd. Charlotte, North Carolina, 28217
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