NCG150069_Application_20220707

FOR AGENCY USE ONLY RECEIVED
NCG1500go(
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Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG150000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 4512 and 4513 [Air Courier] and SIC 4522 [Air Transportation, non-scheduled].
The following activities are also covered: airports, flying fields, except those maintained by aviation clubs, and
airport terminal services including: air traffic control, except government; aircraft storage at airports; aircraft
upholstery repair; airfreight handling at airports; airport hanger rental; airport leasing, if operating airport; airport
terminal services; and hanger operations; and airport and aircraft service and maintenance including: aircraft
cleaning and janitorial service; aircraft servicing/repairing, except on a factory basis; vehicle maintenance shops
(including vehicle and equipment rehabilitation mechanical repairs, painting, fueling, lubrication); and material
handling facilities. 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:
Retail Business Services LLC
Cathleen Barmoy
Street address:
City:
State:
Zip Code:
2110 Executive Drive
Salisbury
NC
28147
Telephone number:
Email address:
304-268-4162
cbarmo RetailBusinessServices.com
Type of Ownership:
Government
OCounty (3Federal [3Municipal 13State
Non -government
0Business (If ownership is business, a copy of NCSOS report must be included with this application)
Olndividual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
FIBS Hanger - Rowan County Airport
Cathleen Barmoy
Street address:
City:
State:
Zip Code:
3830 Airport Loop
Salisbury
NC
28147
Parcel Identification Number (PIN):
County:
5649-04-71-7933
Rowan
Telephone number:
Email address:
304-268-4162
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
581
M New 13 Proposed 13 Existing
6/7/2022
atitude of entrance:
f
Longitude of entrance:
5.637438
-80.518852
Page 1 of 5

Brief description of the types of industrial activities and products manufactured at this facility:
Aircraft maintenance, storage and fueling
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
0 N/A
Check all services and activities offered or allowed at this facility
❑ Scheduled air transportation
❑ Air Courier
0 Non-scheduled air transportation
❑ Airport terminal services
0 Aircraft storage
❑ Aircraft upholstery services
❑ Airfreight handling
❑ Airport hangar rental
❑ Airport leasing
0 Aircraft services and maintenance
O Aircraft cleaning and janitorial services
❑ Aircraft/vehicle rehabilitation
0 Aircraft/vehicle maintenance
0 Aircraft/vehicle fueling
O Aircraft/vehicle lubrication
❑ Aircraft/vehicle painting
0 Aircraft/vehicle mechanical repair
❑ Material handling facilities
3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Daniel Drennan
Groundwater & Environmental Services, Inc.
Street address:
City:
State:
Zip Code:
1350 Blair Drive Suite H-2
Odenton
MD
21113
Telephone number:
Email address:
800-220-3606
[e-mail]
4. Outfall(5) At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
1
Classification:
0 This water is impaired.
001
Grants Creek
C
0 This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.637502
-80.519477
Brief description of the industrial activities that drain to this outfall:
Airport fueling and fuel storage
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? Dyes O 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 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? D Yes D 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):
O This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
NCG150057
❑ 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:
Duubk wi hunk sweet overgwv arolackoR Was, ocava on mnpNa W. ana greJw to nest rwkun mb Wag area, iM.M Yel Nel nozzla me t resit able spar kits, ao offii d rmee Wwr aM raising k, se,ski
❑ 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:
0 This facility is a (mark all that apply)
O 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:
3.2
used oil and fuel
How material is stored:
Where material is stored:
55 gallon drum on containment skid
inside hanger
Number of waste shipments per year:
Name of transport/disposal vendor:
0.5
Noble Oil Services
Transport/disposal vendor EPA ID:
Vendor address:
NCD9861-72476
1229 Hummel Ross Rd, Hopewell VA 23860
❑ 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
0
Copy of most recent Annual Report to the NC Secretary of State
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 process industrial 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 143-215.68 (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 ... 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:
© 1 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.
O 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.
0 1 will abide by all conditions of the NCG150000 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 hereby request coverage under the NCG150000 General Permit.
Printed Name of Applicant: Cathleen E. Barmoy
Title: Environmental
a2+hLB4_ 06/22/2022
(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 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? 0 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? 0 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? ❑ 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? ❑ 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? ❑ 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

0 LIMITED LIABILITY COMPANY ANNUAL REPORT
INU22
NAME OF LIMITED LIABILITY COMPANY: Retail Business Services LLC
SECRETARY OF STATE ID NUMBER: 1182611 STATE OF FORMATION: DE
REPORT FOR THE CALENDAR YEAR: 2022
SECTION A. REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Corporation Service Company
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
1182611
CA202209506504
4/5/2022 01:45
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2626 Glenwood Aven
2626 Glenwood Avenue„ Suite 550
Raleigh, NC 27608 Wake County Raleigh, NC 27608
SECTION B:
1. DESCRIPTION OF NATURE OF BUSINESS: Retail Grocery
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
2110 Executive Drive 2110 Executive Drive
Salisbury, NC 28147-9007 Salisbury, NC 28147-9007
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: Roger Wheeler NAME: Kimberly Lyda NAME:
TITLE: Manager TITLE: Manager TITLE:
ADDRESS:
2110 Executive Drive
ADDRESS:
2110 Executive Drive
ADDRESS:
Salisbury, NC 28147 Salisbury, NC 28147
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in Its entirety by a person/business entity.
Kimberly Lyda 4/5/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Kimberly Lyda Manager
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 DIV61en, Post Office Box 29525, Raleigh, NC 27626-0525

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Source:
USGS 7.5 Minute Series
Topographic Quadrangle, 1987
Rowan Mills, North Carolina
Contour Interval = 10'
Site Location Map
Retail Business Services
3830 Airport Loop
Salisbury, North Carolina
■ North Carolina
Drawn Date
E.V. 06/22/22
Designed Figure
N
Approved
Quadrangle Location