NCG081026_Application_20220728

RECEIVED
FOR AGENCY USE QNLY
NCG08 1
Assigned to:
ARO FRO Tv1R0) RRO WARO WIRO WSRO DEMLR-Stormwater Program
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCGO8000O Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 40 [Railroad Transportation], SIC41 [Local and Suburban Transit and Interurban
Highway Passenger Transportation], SIC42 (Motor Freight Transportation and Warehousing — except for SIC
4221-42251, SIC 43 [United States Postal Services], SIC 5171 [Petroleum Bulk Stations and Terminals —when total
petroleum site storage capacity is less than 1 million gallons]. The following activities are also included. other
industrial actives where the vehicle maintenance area(s) are the only area requiring permitting, Stormwater
discharges from oil water separators and/or from secondary containment structures associated with petroleum
storage facilities with less than 1 million gallons of total petroleum site storage capacity. 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 Dermit corresnandenrp will hp ,, Sao tt•
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
Brenntag Mid -South Inc.
Dennis Martin
Street address:
City:
State:
Zip Code:
11750 Fruehauf Drive
Charlotte
NC
28273
Telephone number:
Email address:
980 500 3857
dmartin Brennta .com
Type of Ownership:
Government
©County OFederal OMunicipal OState
Non -government
OBusiness (If ownership is business, a copy of NCSOS report
must be included with this application)
0 Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Brenntag Charlotte
Dennis Martin
Street address:
City:
State:
Zip Code:
11750 Fruehauf Drive
Charlotte
NC
28273
Parcel Identification Number (PIN):
County:
20116123
Mecklenburg
Telephone number:
Email address:
980 500 3857
dmartin Brenntag.com
4-digit SIC code:
Facility is:
1
Date operation is to begin or began:
4226
E3 New 13 Proposed 0 Existing
1980s (Worth Chemical Corp)
Latitude of entrance:
Longitude of entrance:
35.125839
-80.958155
Page 1 of 5

Brief description of the types of industrial activities and products manufactured at this facility:
Wet and Dry Chemical Distribution, Includes Petroleum based solvents, Acids and Bases.
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
❑ N/A
3. Consultant (if aoolicablei-
Name of consultant:
Consulting firm:
William Harshaw
Linebach Funkhouser Inc
Street address:
City:
State:
Zip Code:
114 Fairfax Ave
Louisville
KY
40207
Telephone number:
Email address:
502 649 4271
[e-mail]
4. Outfall(s) At least one outfall is required to hp aliaihla fir
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
001
Unamed Trib of Steele Creek
C
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.126018
-80.957917
Brief description of the industrial activities that drain to this outfall:
Truck Scale, Outdoor 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.
002
Unamed Trib of Steele Creek
C
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.125864
-80.959275
Brief description of the industrial activities that drain to this outfall:
Truck loading Docks drains, parking lots, Roof Drains
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? E3 Yes [3 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.
003 Unamed Tdb of Steele Creek C 1 ❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of
Brief description of the industrial activities that drain to this outfall:
Outdoor Storage, Roof Drains.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? E3 Yes 0 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfaIIs must be listed and at least one outfall is required. Additional outfalIs maybe 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 aooly and exnlain arrnrAinvlvi
❑ 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:
Water is checked for pH and sheen prior to release.
0 This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
6/17122
❑ 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)
0 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:
Approx 2700 (average of Jan -Dec 2021 data)
Varies
How material is stored:
Where material is stored:
Containerized in drums, IBC totes
Dedicated hazardous waste storage area in warehouse
Number of waste shipments peryear:
Name of transport/disposal vendor:
Varies
EcoFlo
Transport/disposal vendor EPA ID:
Vendor address:
NCD980842132 12750
PATTERSON STREET, GREENSBORO, NC, 27407
❑ 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
❑+ 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 143-215.6B (i) provides that: Any person who knowingly makes any fake statemeM,
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 pass 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
0 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.
O The information submitted in this NO1 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 1 will abide by all conditions of the NCG080000 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.
1 hereby request coverage under the NCG080000 General Permit.
Printed Name of Applicant: Dennis Martin
Title: Operations Manager
(Signature of Applicant)
Mail the entire package to:
(Date Signed)
DEM LR — 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.
004
Unamed Trio of Steele Creek
C
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.125749
-80.960888
Brief description of the industrial activities that drain to this outfall:
Off site drainage, Retention Pond is drained to this outfall after testing for sheen and pH
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? 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 outfaIt:
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?
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
I

to BUSINESS CORPORATION ANNUAL REPORT
venm22
NAME OF BUSINESS CORPORATION: Brenntag Mid -South, Inc.
SECRETARY OF STATE ID NUMBER: 0604990
REPORT FOR THE FISCAL YEAR END: 12/31/2021
SECTION A: REGISTERED AGENT'S INFORMATION
STATE OF FORMATION: KY
AMENDING DOC ID
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
0604990
CA2022C6102249
3/2/2022 10:30
Q Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417 Wake County
SECTION B: PRINCIPAL OFFICE INFORMATION
160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
1. DESCRIPTION OF NATURE OF BUSINESS: Chemical Distribution
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
1405 Highway 136 West 1405 Highway 136 West
Henderson, KY 42420
Henderson, KY 42420
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: OFFICERS (Enter additional officers in Section E.)
NAME: Gil Steadman NAME: Reeve, Leslie NAME:
Robert Winslow
TITLE: President
ADDRESS:
TITLE: Secretary TITLE: Tax Officer
ADDRESS:
ADDRESS:
1405 Highway 136 West 1405 Highway 136 West 5083 Pottsville Pike
Henderson, KY 42420 Henderson, KY 42420 Reading, PA 19605
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entity.
Kobert Winslow 3/2/2022
o17I iuZ DATE
Form must be signed by an officer fisted under Section C of this form.
Robert Winslow Tax Officer
or Type Name of Officer
Print or Type Title of Officer
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

SECTION E: ADDITIONAL OFFICERS
NAME: Robert Winslow NAME:
TITLE: TreaSUrer TITLE:
ADDRESS: ADDRESS:
5083 Pottsville Pike
Reading, PA 19605
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TITLE:
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LEGEND
�N
:SB•M: S
MILS
4F:p CNO 2p:V Mti PATC .M
uDECL—I:pN A, CENTEF 0= SKIT
CHARLOTTE WEST, NC.
2019
7.5 MINUTE SERIES
(TOPOGRAPHIC)
i NORTn caealNa
NuaOFnNCi[ LccanaN
SITE LOCATION MAP
DATE 07A05l32
FIGURE
'
133-22
BRENNTAG MID SOUTH
11750 FRUEHAUF DRIVE
CHARLOTTE,
MECKLENBURG COUNTY,
NORTH CAROLINA
OMNM BY: MKA
SCALE 1:24,000
Linebach.Funkhouser,Inc.
ENVIRONMENTAL COMPU4Na & CCNHSULTING
CONTOUR INTERVAL 10 FEET
NATIONAL GEODETIC VERTICAL DATUM OF 1929

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LEGEND
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Linebach - Funkhovwr, Inc.

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