NCG050460_Application_20220831

RECEIVED
FOR AGENCY I SEONLY AUG 31 20?2
NCG05 Q L� _ S 0�1 DENR-LAND QUALITY
Assigned to: STORMWATERPEROTTNG
ARO FRO MRO RRO WARD WIRO SRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG050000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 23 [Apparel and Other Finished Products Mode from Fabrics and Similar Materials],
SIC 265 [Paperboard Containers and Boxes], SIC267 [Converted Paper and Paperboard Products], SIC 27 [Printing,
Publishing and Allied Industries], SIC 30 [Rubber and Miscellaneous Products —except as specified below], SIC 31
[Leather and Leather Products — except as specified below], and SIC 39 [Miscellaneous Manufacturing Industries],
and other like activities deemed by DEMLR to be similar in the process and/or the exposure of raw materials,
products, by-products, or waste materials. SIC301 [Tires and Inner Tubes] and SIC311 [Leather Tanning and
Finishing] are specifically excluded from coverage under this General Permit. 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 assigned in Item (7) below:
Technimark LLC -
Henry Delk, Safety Manager
Street address:
City:
State:
Zip Code:
180 Commerce Place
Asheboro
NC
27203
Telephone number:
Email address:
[phone]
[e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑State
Non -government
❑ Business (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:
Technimark - Plant 4
Tenesa Hurley
Street address:
City:
State:
Zip Code:
312 Commerce Place
Asheboro
NC
27203
Parcel Identification Number (PIN):
County:
7753892598
Randolph
Telephone number:
Email address:
336-498-4171
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
3089
❑ New ❑ Proposed ❑ Existing
October 2022
Latitude of entrance:
Longitude of entrance:
35.778464
-79.813197
Page 1 of 5

7. Applicant Certification:
North Carolina General Statute 143-215.613 (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:
❑+ 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 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.
O 1 will abide by all conditions of the NCG050000 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] I hereby request coverage under the NCGO50000 General Permit.
Printed Name of Applicant: L"rj i, Inks l
Title: En1v1(-6,V nik" ern%'tu waD S/Z"7i) M4j)dc1O
(Signature of Applicant) (Date Signed)` ?c1,xS
Mail the entire package to DEMLR— Stormwater Program ; "1
e" Department of Environmental Quality ;f
,
'"Y 1612 Mail Service Center
s = Raleigh, NC"27699-1612
.� ifx 31 i,; �s; "�i"e' ai)ti i �Le -.. ".�•f
Page 4 of 5

+4 LIMITED LIABILITY COMPANY ANNUAL REPORT
usnou
NAME OF LIMITED LIABILITY COMPANY: Technimark LLC
SECRETARY OF STATE ID NUMBER: 0267328 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 2022 AMENDING DOG ID
SECTION A:
1. NAME OF REGISTERED AGENT: CT Corporation System
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
0267328
CA202205500278
2/24/2022 08:45
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: Plastic Inlectlon molding
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
180 Commerce Place
NC 27203
5. PRINCIPAL OFFICE MAILING ADDRESS
180 Commerce Place
MO 27203
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: Technimark LLC NAME:
TITLE: Member TITLE:
ADDRESS:
180 Commerce Place
Asheboro, NC 27203
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Technimark LLC, by COLLIN GILES POA 2/24/2022
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Technimark LLC, by COLLIN GILES POA Member
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, NO 27626-0525

N
1. RANDLEMAN, NC DIGITAL RASTER GRAPHICS,
USGS. SCANNED FROM1:24.000SCALE RANDLEMAN, NC TOPOGRAPHIC SCALE: 1:12,000
MAPS, PUBLISHED 2013. USGS.
2. INSET MAP DIGITAL DATA FROM 2002 NATIONAL TRANSPORTATION ATLAS, Feet
BUREAU OF TRANSPORTATION STATISTICS, WASHINGTON. D.C. O 1,000 2,000
3. PROPERTY BOUNDARY DATA FROM RANDOLPH COUNTY GIS.
DRAWN DATE:
TOPOGRAPHIC SITE MAP BY: RDC SEPTEMBER 202
Boyer Enterprises East LlC TECHNIMARK, LLC - PLANT 4 DRAFT (� JOB NO:
�. 312 COMMERCE PLACE CHECK: U 02
ENE. GIS NO:
ASHEBORO, NORTH CAROLINA
CHECK: osc-Rzs47.oza

---- --------- - - — ----------------------------- — Outfall-3------------- —---------
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LEGEND
Property Boundary
Drainage
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OAST
O Spill Kit
■ Municipal Waste
® General Refuse Dumpste
Undeveloped
---- Fence
■
Transformer
■ Generator
Rock
Outfall 2
-79.812577 W
35.778831 N
Property
21.58 Acres
1,187 Sq. Ft. of Buildings
1.62 Acre Impervious, 7%
22.7 Acres Pervious, 93%
80.779739 W (Center of Parcel)
34,704817 N (Center of Parcel)
TANKS
1—Diesel Fuel AST, 1,000-gallons
2— Mineral Oil Transformers, - 486-525
PBoyer Enterprises East, LLC
e
SITE PLAN
TECHNIMARK, LLC - PLANT 4
312 COMMERCE PLACE
ASHEBORO, NORTH CAROLINA
Drawing By: PWS
Date: SEPTEMBER 2022
Draft Check: KB
Job No.: 01
Engineer Check:
CADD No.: N/A
Approved By: Pl��
Drawing No.: 2

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Boyer Enterprises East, LLC
AERIAL PHOTOGRAPH
TECHNIMARK LLC — Plant 4
312 COMMERCE PL
ASHEBORO, NC 27203
Drawing By: PWS
Date: September 2022
Draft Check: KB
Job No.: 01-2022
Engineer Check: NA
CADD No: NA
Approved By:
Drawing No.:3