NCG100254_Application_20220309

FOR AGENCY USE ONLY
NCG10 Q Z
Assigned to: ntaal RECF_IVED
ARO FRO n RRO WARO WIRO WSRO
MAR 0 9 2022
Division of Energy, Mineral, and Land Resources Land QualUpLIT,
National Pollutant Discharge Elimination SysteT( RMWATERPERMITTING
NCGl00000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 5015 [Used Motor Vehicle Parts] and SIC 5093 [Automobile Wrecking for Scrap —
except for facilities primarily engaged in the wholesale trade of metal & scrap, iron & steel scrap, and nonferrous
metal scrap]. 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:
Car G,c dr+
Ncr�Lu' Sew✓..n
Street address:
U 6a, .%066r C
City:
Tat I,>iS✓;(if
State:
►JL
Zip Code:
2,8681
Telephone number:
336 y '9-31-0q
Email address:
cSv�vviwr� c rru�.� �•r»
Type of Ownership:
Government
13County [3Federal [3Municipal OState
Non -government
®business (if ownership is business, a copy of NCSOS report must be included with this application)
I3Individual
2. Industrial Faculty (facility being permitted):
Facility name:
Cogs vri
Facility environmental contact:
N"t.r Su„,.a0.�•
Street address:
26 &a,r ^cicr3 L,-•
City:
State:
N L
Zip Code:
t%6SI
Parcel Identification Number (PIN):
County:
f1L<- xws<</
Telephone number:
334 CI 3 + 3 1-0 cl
Email address:
&J w %a an i eve nWA • wr-
4-digit SIC code:
Facility is:
Date operation is to begin or began:
5 o 15
[3New [3Proposed ErlGisting
Latitude of entrance:
Longitude of entrance:
35.91""Ir(
—81.It/ i-9
Brief description of the types of industrial activities and products manufactured at this facility:
C ie� (C 0 C�e_roAo Co✓f I's a u 1t Cad
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
Q-N/A
Page 1 of 5

u

3. Consultant (if applicable):
4.
Name of consultant:
Consulting firm:
Street address:
City:
State:
Zip Code:
Telephone number:
Email address:
uutrautsf At least one ourrau is requirea To De eugiDie Tor coverage.
3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired.
r-5 o k I CA I o-JC C fGc k I L 1 ❑ This watershed has a TMDL
Latitude of outfalI: — Longitude of outfall:
35 . 41 - I . ( 64
Brief des�ptl n f the industrial activities that drain to this outfall:
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:
3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired.
❑ This watershed hasa TMDL
Latitude of outfall:
Brief description of the industrial activities
to
Longitude of outfall:
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:
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:
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:
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

S. 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:
CKhis facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
oil u b e- t;� c. •• K G.r cep I a Lew r .•�
❑ 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):
❑ Check for $100 made payable to NCDEQ
❑ Copy of most recent Annual Report to the NC Secretary of State
❑ 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 materials are stored
g) impervious areas
h) 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 143-215.60 (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:
Erl 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.
fa -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.
[3I will abide by all conditions of the NCG100000 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.
M hereby request coverage under the NCG100000 General Permit.
Printed Name of Applicant: f c, j w
Title: LYW 1ls.4'-
,Al�,ajl fVWVC�3/3/2o22-
(Signature of Applicant) (Date Signed)
Mail the entire package to: DEMIR— Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
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:
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:
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:
3-4 digit identifier: Name of receiving water: I Classification: ❑ This water is impaired.
❑ This watershed has a TMDL
Latitude of outfall: I Longitude of outfall:
Brief description of the industrial activities that
n to
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:
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:
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:
Page 5 of 5

Owner NASRAWIN MARTEN CHAZIE
Mailing Address: 2925 JUNIPER DRIVE
BURUNGTON, NC 27215
Physical Address: 26 SAUNDERS LN
Parcel ID: 0008267
PIN: 3769453704
Deed Reference: 0630 0091
Acreage: 4.3
Fire District CITY OF TAYLORSVILLE
Structure Value: 95521
Land Value: 54750
Miss Value: 0
Fair Market Value 150271
Tax Value: 150271
Account#: 934335B
Alexander County
Alexan der county
awmes no legal responsibility
f"the Information
contained on this map.
March 3, 2022

State of North Carolina
Department of the Secretary of State
ARTICLES OF INCORPORATION
SOSID: 1941750
Date Filed: 1/27/2020 10:01:00 AM
Elaine F. Marshall
North Carolina Secretary of State
C2020 017 00802
Pursuant to §55-2-02 of the General Statutes of North Carolina, the undersigned does hereby submit these Articles of
Incorporation for the purpose of forming a business corporation.
1. The name of the corporation is: C O r� s5X P©r T 1 h C
2. The number of shares the corporation is authorized to issue is: 1660
3. These shares shall be: (check either a or b)
a. a All bf one class, designated as common stock; or
b. 7 Divided into classes or series within a class as provided in the attached schedule,
with the information required by N.C.G.S. Section 55-6-01.
4. The name of the initial registered agent is: 7) d deo i% U U) W Ca ► 7
5. The North Carolina street address and county of the initial registered office of the corporation is:
Number and Street
City T't k l r7 r!S b 1 N State NC Zip Code d County f�[ eirG 19�E t/
6. The mailing address, if different from the street address, of the initial registered office is:
Number and Street
City State NC Zip Code . County
7. Principal office information: (must select either a or b.)
a.The corporation has a principal office.
The principal office telephone number: 33 to — � 33 — < p Q O
The street address and county of the principal office of the corporation is:
Number and Street a E 5a U h d' ,W
1 P
CityState A_Zip Code.�(iCounty lPNrtecM F'�
The mailing address, if different from the street address, of the principal office of the corporation is:
Number and Street
City State Zip Code County
b. 0 The corporation does not have a principal office.
BUSINESS REGISTRATION DIVISION P. O. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form B-01)

8. Any other provisions, which the corporation elects to include, i.e., the purpose of the corporation, are attached.
9. The name and address of each incorporator is as follows;
Name Address
n//dt �rsGlt�l()m6� �6cp
10. (Optional): Listing of Company Officers (See instructions on why this is important)
�cellaa15
Name
Address
Title
rlesidezi
BUr(<<34oN rJvc a%d 15
11. (Optional): Please provide a business e-mail addr Privacy Redaction
The Secretary of State's Office will e-mail the bu I a
document is filed. The e-mail provided will not be viewable on the website. For more information on why this
service is being offered, please see the instructions for this document.
12. These articles will be effective upon filing, unless a future date is specified:
This the day of 20
rmrs ;E)(Ect/l leC
/f d S(AW'W cam_
Signature
AlOde/ Sunrtudin / lncorPormjai
Type or Print Name and Title
NOTES:
1. Filing fee is S12S. This document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P. 0. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form B-01)

E8
82
7 A, Saunders Lane