NCG081027_Application_07282022

RECEIVED
FOR AGENCY USE ONLY JUL AN
NCG08 1 0 11 pp
Assigned to: sos • � j
ARO FRO MRO RRO A WIRO WSRO DEMLRStormwaterProgram
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCGO80000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC40 (Railroad Transportation), SIC 41 [Local and Suburban Transit and Interurban
Highway Passenger Transportation], SIC 42 (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 permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
Waste Industries, LLC
Michael Kavanaugh
Street address:
City:
State:
Zip Code:
3301 Benson Drive, Suite 301
Raleigh
NC
27609
Telephone number:
Email address:
[phone]
[e-mail]
Type of Ownership:
Government
-
(3County OFederal E3Municipal 13State
Non -government
ElBusiness (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:
GFL Greenville Hauling Facility
Joseph Santangelo
Street address:
City:
State:
Zip Code:
415 Staten Rd
Greenville
NC
27834
Parcel Identification Number (PIN):
County:
36609,36610
Pitt
Telephone number:
Email address:
252) 752-1997
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
4212
1 ONew E3Proposed [3Existing
-1990
Latitude of entrance:
Longitude of entrance:
N35"39'04.12"
W77°21'23.51"
Page 1 of S

Brief description of the types of industrial activities and products manufactured at this facility:
Container storage, truck washing, truck fueling, truck maintenance.
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the M54:
❑ N/A
3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Travis Martinez
Golder Associates NC, Inc.
Street address:
City:
State:
Zip Code:
5 B Oak Brach Drive
Greensboro
NC
27407
Telephone number:
Email address:
[phone]
[e-mail]
4. Outfail(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.
1
SDO-01
Parker Creek
C
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
N35"39'11.30"
W77°21'26.64"
Brief description of the industrial activities that drain to this outfall:
Container storage, truck maintenance and fueling.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes 17 No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?'
More than 55.
3-4 digit identifier:
Name of receiving water:
Classifiication:
❑ 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? O Yes E3 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 outfalis may be added in the section
"Additional Outfalis" found on the last page of this NO].
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:
❑ 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:
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):
0 Check for $100 made payable to NCDEQ
0 Copy of most recent Annual Report to the NC Secretary of State
O 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 143-215.68 (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:
Ef I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
,.J civil or criminal penalties incurred due to violations of this permit.
L7 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.
EfI 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.
el I hereby request coverage under the NCG080000 General Permit.
Printed Name of Applicant: Michael Kavanaugh
Title: General
hl-", "
(Signature ofAppli nt)
Mail the entire package to: DEMLR — Stormwater Program
2 O��
(Date igned)
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 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 receivi
-
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?
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

r ---
:'ii' �� LIMITED LIABILITY COMPANY ANNUAL REPORT
116IM22
NAME OF LIMITED LIABILITY COMPANY: Waste Industries, LLC
Fling Officc Use only
SECRETARY OF STATE ID NUMBER: 0565738 STATE OF FORMATION: NC E - Filed Annual Report
0565738
AMENDING DOC ID CA2M06303714
REPORT FOR THE CALENDAR YEAR:
2022 3/4/2022 02:15
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
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
160 Mine Lake Ct Ste 200
Raleigh, NC 27615 Wake County Raleigh, NC 27615
SECTION B:.PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Waste Management
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy .Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
3301 Benson Drive, Suite 601 3301 Benson Drive
NC 27609
Raleigh, NC 27609
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: Waste Industries USA, LLC NAME: Waste Industries USA, LLC NAME:
TITLE: Manager TITLE: Member
ADDRESS:
3301 Benson Drive Ste. 601
ADDRESS:
3301 Benson Drive Ste. 601
TITLE:
ADDRESS:
Raleigh, NC 27609 Raleigh, NC 27609
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Waste Industries USA, LLC, by Natalie Pickens® POA 3/4/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Waste Industries USA, LLC, by Natalie Pickens® POA 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 Division, Post Office Box 29525, Raleigh, NC 2762"525

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REFERENCE
BASE MAP CONSISTS OF 7.5-MINUTE USGS TOPOGRAPHIC
QUADRANGLE NAMED GREENVILLE, NORTH CAROLINA,
DATED 2019.
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CONSUETANT
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SCALE FEET
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GREENVILLE, NORTH CAROLINA
TI LE
SITE LOCATION MAP
PROJECT NO. RE,'.
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LEGEND
REFERENCE
STORAGE TANK INVENTORY
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PROPERTY BOUNDARY
1.
PROPERTY BOUNDARY TAKEN FROM PITT COUNW NC G.L&
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TANK IDENTIFKGATION
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AERIAL IMAGE TAKEN FROM GOGGLE EARTH PRO ON OSID& W,
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FLOW DIRECTION
3.
TOPOGRAPHIC CONTOURS TAKEN FROM NC ONEMAP(]O1SX NORTH
CAROLINA DEPARTMENT OF INFORMATION TECHNOLOGY,
NMGALLCN DIESEL ENGINE OIL
(91—u.au LIBEDOIL
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GOVERNMENT DATA ANALYTICS CENTER, CENTER FOR GEOGRAPHIC
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OUTFALL
INFORMATION AND ANALYSIS. AVAILABLE AT
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OUTFACE INFORMATION
OUTFALL
TOTAL ESTIMATED DRAINAGE AREA
ESTIMATED IMPERVIOUS AREA
NUMBER
SDOLi
].M ACRES
5%