NCG070228_Application_20220819

FOR AGENCY USE ONLY
NCG07 d 1=2—'K
Assigned to: g �%Sofi
ARO FRO MRO RRO WARO WIR WSRO
RECEIVED
AUG 1 J" 2P771
DENR-LAND QUALITY
Division of Energy, Mineral, and Land Resources Land Qua ii Fa RvIITTING
National Pollutant Discharge Elimination System
NCGO70000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 32 [Stone, Clay, Glass and Concrete Products], and like activities deemed by DEMLR
to be similar in the process and/or the exposure of raw materials, products, by-products, or waste materials. SIC
3273 [Ready -Mixed Concrete] is specifically excluded from coverage under this General Permit and is instead
covered under NCG140000. 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:
Street address:
City:
State:
Zip Code:
Telephone number:
Email address:
Type of Ownership:
Government
E3County ©Federal ❑Municipal ❑State
Non -government
I] Business (If ownership is business, a copy of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facilitv (facility being oermitted):
Facility name:
Pavina. In
Facility environmental contact:
Ronny
Street address:
2710 N. Kerr Avenue
City:
Wilminaton
State:
Zip Code:
Parcel Identification Number (PIN):
County:
Telephone number:
Email address:
4-digit SIC code: Facility is:
❑ New ❑ Proposed 0 Existing
Date operation is to begin or began:
Latitude of entrance:
longitude of entrance:
Brief description of the types of industrial activities and products manufactured at this facility:
Eauipment Y rd & Recyclina
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
O N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Street address:
City:
State:
Zip Code:
Telephone number:
Email address:
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
--CO
❑This water is impaired.
001
This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
341720
775345
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?
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

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:
El 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
I7
Copy of most recent Annual Report to the NC Secretary of State
O This completed application and any supporting documentation
O
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
El 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 (1) 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.
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.
O I will abide by all conditions of the NCG070000 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.
0 I hereby request coverage under the NCG070000 General Permit.
Printed Name of Applicant: Ronnv L. Norris
Title: Owner / President
X4'� zIn L--
08/16/2022
(Sig4atIre of A licant (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? ® Yes 13 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.
O 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 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 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?
Page 5 of 5

n(1`1 BUSINESS CORPORATION ANNUAL REPORT
IN2022
NAME OF BUSINESS CORPORATION: Norris Construction Grading & Paving, Inc.
SECRETARY OF STATE ID NUMBER: 0104489 STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END: 4/30/2021
SECTION A:
1. NAME OF REGISTERED AGENT: NORRIS, RONNY L
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
0104489
CA202210701487
4117@022 01:15
❑X Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2710 N. Kerr Ave
Wilmington, NC 28405-8673 New Hanover County
SECTION B: PRINCIPAL OFFICE INFORMATION
120 Mariners
Rocky Point, NC 28457
1. DESCRIPTION OF NATURE OF BUSINESS: Grading and Paving
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
2710 N. Kerr Ave
5. PRINCIPAL OFFICE MAILING ADDRESS
120 Mariner
Wilmington, NC 28405-8673 Rocky Point, NC 28457
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: RONNY L NORRIS
TITLE: President
ADDRESS:
NAME: Laurie Ann Hickson NAME:
TITLE: Corporate Secretary TITLE:
ADDRESS:
2710 N. Kerr Ave 120 Mariners Cay
Wilmington, NC 28405 Rocky Point, NC 28457
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
en illy, Ann Hickson 4/17/2022
SIGNATURE
Form must be signed by an officer listed under Section C of this form.
Laurie Ann Hickson
Print or Type Name of Officer
Corporate Secretary
Print or Type Tide of Officer
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

Norris Construction - 2710 North Kerr Avenue
NORT h kER/Z AVENUE
2737 NORTH
KERR AVENUE
roads
parcels
2700 NORTH
KERR AVENUE
LEGEND
SITE PROPERTY LINE/OUTLINE
OF DRAINAGE AREA
- STORMWATER PIPE
0 CATCH BASIN
OUTLINE OF IMPERVIOUS
AREA
m
STORMWATER
OUTFALL(RUNS
INTO DITCH ON
PROPERTY SIDE OF
THE ROAD)
STORAGE AREA OF
RECYCLED CONCRETE AND
ASPHALT
SCALE:1:1,000
WILMINGTON, NC 28401
I