NCG200537_Application_20210817

FOR AGENCY USE ONLY
NCG20 _Q5 3
Assigned to: A. L%X'-45 RECEIVED
ECEIVED
ARO FRO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Se'
National Pollutant Discharge Elimination Sy ofWo *A11=RPERMITTING
NCG200000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 5093 [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 SIC 5015 [Used Motor
Vehicle Part]. You can find information on the DEMLR Stormwater 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 person as signed in Item (7) below:
L. Gordon Iron & Metal
Scott Powell
Street address:
City:
State:
Zip Code:
1300 Salisbury Rd
Statesville
INC
128625
Telephone number, ''
Email address:
(704) 873-9
[e-mail]
Type of Ownership tom''
Government
®County ®Federal ®Municipal ®State
Non -government
0 Business (If ownership is business, a copy of NCSOS report must be included with this application)
® Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
".!ayberry Recycling Investments LLC
Bradley Poplin
Street address:
City:
State:
Zip Code:
1688 Sparger Road
Mt. Airy
�NC �27030
Parcel Identification Number (PIN):
County:
5001-00-18-8387
Surry
Telephone number:
Email address:
704 873-9004
ISP1 [e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
5093
1 ®New pProposed ElExisting
7/15/2021
Latitude of entrance:
Longitude of entrance:
36.536483
-80.696423
Brief description of the types of industrial activities and products manufactured at this facility:
Metal recycling of post consumer and industrial goods
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
El N/A
Page 1 of 5

Check all activities conducted at this facility
0 Outdoor stockpiling of materials
El Transport of materials by a conveyor or front-end
El Processing — cutting, grinding, crushing, baling,
loader
separation, etc.
El Vehicle and equipment maintenance
❑ Storage of materials in above -ground tanks
❑ Vehicle or equipment washing
13 Material loading and unloading
E] Vehicle and equipment fueling
3. Consultant (if applicable):
Name of consultant:
Consulting firm:
John Thornton
Industrial Environmental Consultants, LLC
Street address:
City:
State:
Zip Code:
2603 Fessey Park Road
Nashville
TN
37204
Telephone number:
Email address:
615.730.5059
[e-mail]
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
001
Benson Creek
Unknown
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
36.536754
-80.693964
Brief description of the industrial activities that drain to this outfall:
Metal recycling related activities
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ElYes ® No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Ukn
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? 13 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? ® Yes ® 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 NOI.
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:
0 This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
❑ 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:
x
Number o#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):
0
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
0
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
h)
site property lines
0
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 143-215.66 (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:
El 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.
I] The information submitted in this NOI 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.
El 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.
17 I hereby request coverage under the NCG200000 General Permit.
Printed Name of Applicant: Scott Powell
Title: %401r4- hC4T1
Page 4 of 5

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? ® Yes E3 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? ® Yes ® 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 ha5,a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall
Do Vehicle,Ma,IntpnanGe Activities occur in the drainage area of this outfall? O Yes ® 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? 13 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? ® Yes ® No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5

SOSID: 1271988
Date Filed: 1/26/2021 11:59:00 PM
4M Elaine F. Marshall
LIMITED LIABILITY COMPANY ANNUAL R North CIarolinaSecretary of State
CA2021 026 01658
10/2017
NAME OF LIMITED LIABILITY COMPANY: Mayberry Recycling Investment, LLC
SECRETARY OF STATE ID NUMBER: 1271988 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2021 0
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Larry Gillen
2. SIGNATURE OF THE NEW REGISTERED AGENT:
®Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
4716 Hilltop Road 4716 Hilltop Road
Greensboro, NC 27407 Guilford Greensboro, NC 2/407 Guilford
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Metals Recycling
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS NO
1300 Salisbury Road
Statesville, NC 28625 Iredell
P.O. Box 1 192
Statesville, NC 28687 Iredell
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 -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: LOUTS J. Gordon
TITLE: Mana4er
ADDRESS:
NAME: Griffin Gordon Recycling, LLC NAME:
TITLE: Member TITLE.
P.O. Box 1192 P.O. Box 1192
Statesville, NC 28687 Iredell Statesville, NC 28687 Iredell
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Z
SIGNATURE DATE
Form must be signed by a Co pany Official listed under Section C of This form.
///.
�I,
Print or Type Name of Company Official Pnnf or Type Title of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

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CONSULTANTS 1688 SPARGER ROAD N
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LONG. 80' 41' 57.92" W
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