NCG100255_Application_20220927

RECEIVED
FOR AGENCY US ONLY
NCG10Q�5 Q
Assigned to: RSOA)
ARID FRO MRO RO WARO WIRO WSRO
iUt_ 9 iC�J
DEW-Stormwater Program
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG100000 Notice of Intent
This General Permit covers STORMWA TER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 5015 [Used Motor Vehicle Parts] and SIC 5093 [Automobile Wrecking for Scrap —
except for facilities primarily engaged in the wholesale trade of metal & scrap, iron & steel scrap, and nonferrous
metal scrap]. 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
Name of legal organizational entity:
Nelson Towing and Auto Parts LLC
Street address:
1036 Harvest St
Telephone number:
919.612.7069
Type of Ownership:.
Government
nce will be mailed):
Legally responsible person as signed in Item (7) below:
CtyCode:
Durhara�:. ...m.. .snwn� .. nd
I3County.: (]Federal.'. ❑Municipal ❑State NM
Non -government
[3eusiness (If ownership is business, a copy of NCSOS report must be included with this a
Individual
2. Industrial Facility (facility being permitted):
acility name:
Facility environmental contact:
``__ ''
o ow.e oJtTs �Lc
Street address: UCity:
103 S;
Pu'r
State:
Zip Code:
2 0�l
o rjesF .
OLYVXNG
Parcel Identification Number (PIN):
Cou
U(
Telephone number:
Tl - l;,-7060'
''II
Email address:W,Co
V1E�SOy+O"n C%OU1�0R
4-digit SIC code:
Facility is: 1
Date o ration is to be in or began:
i3New E3Proposed E1 Existing
0gr �O;
Latitude of entrance:
%. 6110
Longitude of entrance:
-� . t,
Brief description of the pes of industrial activities and products manufactured at this facility:
G �r04
If the stormw ter discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
❑ N/A
Page 1 of 5

c
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 elieible for coveraee.
3-4 digit identifier:
Name of receiving water:
Classification:
O 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:
3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired.
❑ This watershed has a TMDL.
Latitude of outfall: I Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
3-4 digit identifier: IName ofreeeiving water:
e❑
Classification!
❑ This water is impaired.
This watershed has a TMDL.
Latitude of ou
Longitude of outfall:
Brief des j lion of th IF al activities that draintothis outfall:
7
3-4 digit id if er- I Name of receiving water: Classification. is 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:
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:
3-4 digit identifier:
Name of receiving water:
Classification:
C3 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:
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 N01.
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:
❑ 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
6 �If checked,'indicate:� x •,:
Kilograms of waste generated eachnson'th ;
Type(s) of.wste
How material i�sxs�t,.op
Where material isstoredi'�'
Number of 'aste shipmentsperyear
Name of transport/disposal vendor'
�._ t
Transport/disposal vendorEPAID
Vendoraddress:
'
❑ This facilityis'locatedoriaerownfield�or5uperiundsite'"""
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
O Copy of most recent Annual Report to the NC Secretary of State
I] 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 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 143-215.6g (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.
❑ 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.
❑ 1 will abide by all conditions of the NCG100000 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 NCG100000 General Permit.
Printed Name of Applicant: ���51 f 1 k i i g
Title: GGO T
4l�" P i Li II .�J �� _ •
'� 3(Date
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:
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:
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:
3-4digitidentifier: Name:ofrecerving'water
"`i
Classification ,'
�'fOThiswaterasimpah.A.,
�<
+rt ^u
I
f _
,�❑ Thls,watershed
kas,MTMDL.
Latitude of outfall-
Brief descri tkn'of,the:incl�lactif(Iti thjatdramtbthisoutfalll
3-4 digit ide[1tifier:
31. I,l fli'I
Nam of receiving' water:
?!"f= 4t l i5 "may' ,�'!I?1d,4°� t.l
Classifi etipn:
;t�":9'II, g"
�,
O
,Tfyfs`vUaYer is impaired.
-
ThiswatershedhasaTMDL.
Latitude of outfall: �� _ :
`Longitude of outfall tee: -=--
Brief description of the industrial activities that drain to this outfall:
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:
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:
Page 5 of 5

'y.Qc�-�,aw� �cA +��z �l � ��,

SOSID: 1885475
Date Filed: 8/18/2021 1:31:00 PM
Effective: 6/15/2021
State of North Carolina Elaine R Marshall
North Carolina Secretary of State
Department of the Secretary of State C2021 230 00885
APPLICATION FOR REINSTATEMENT FOLLOWING ADMINISTRATIVE DISSOLUTION OF
I ILIMITED LIABILITY COMPANY
Pursuattl to §57D-6-06(c) of the North Carolina General Statutes, the undersigned limited liability company hereby submits this
Applit`catiottfor Reinstatement Following Administrative Dissolution:
1. The name of the applicant limited liability company is: Nelson Towing and Auto Parts LLC
2. The effective date of the administrative dissolution of the applicant limited liability company was: 06/15/2021
3. The ground or grounds for administrative dissolution of the applicant limited liability company as stated in its Certificate of
Dissolution was or were: Failure to file Annual Reports
4. Complete either (a) or (b) as appropriate:
(a) The grounds stated above for the administrative dissolution of the applicant Limited Liability Company did not exist.
(Insert brief explanation.)
(b) The grounds stated above for the administrative dissolution of the applicant Limited Liability Company have been
eliminated. (Insert brief explanation.) All Past due annual reports have been filed and fees have been
5. Enclosed is a fee of $100.00 as required by §57D-1-22(18) of the North Carolina General Statutes.
This the 12 day of August 2021
Nelson Towing and Auto Parts LLC
Name of Limited
Liability Company
_ �Q�IL (!�L02lA�Lt�46
Signature
Nelson Cabrera Banegas - President
Type or Print Name and Title
Notes:
1. Filing fee for this Application for Reinstatement is $] 00.00, payable by check made to the order of the Secretary of State.
2. This Application must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P.O. BOX 29622 RALEIGH, NC 27626-0622
(Revised July 2017) (Form L-08)

SOSID: 1885475
Date Filed: 8/18/2021
LIMITED LIABILITY COMPANY ANNUAL REPORT Elaine F. Marshall
North Carolina Secretary of State
0 CA2021 230 00887
NAME OF LIMITED LIABILITY COMPANY: Nelson Towing and Auto PartS L.L.L.
SECRETARY OF STATE ID NUMBER: 1885475 STATE OF FORMATION: NC Filing MWse 00Y
REPORT FOR THE CALENDAR YEAR: 2021 & 2020
SECTION A: REGISTERED AGENTS INFORMATION ®Changes
NO
1. NAME OF REGISTERED AGENT: BETTY YAMILETH ZLINIGA
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Yawideth
rHE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
1036 Harvest St
1036 Harvest St
Durham, NC 27704 Durham Durham, NC 27704 Durham
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Towing and Auto Parts
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: [e-mail]
4. PRINCIPAL OFFICE STREET ADDRESS
1036 Harvest St
S. PRINCIPAL OFFICE MAILING ADDRESS '
1036 Harvest St
Durham, NC 27704 Durham Durham, NC 27704 Durham
S. 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: Nelson Cabrera Banegas NAME: Bem, Yamileth Zuniga NAME:
TITLE: President
ADDRESS:
TITLE: CEO
ADDRESS:
1036 Harvest St 1036 Harvest St
Durham, NC 27704 Durham Durham, NC27704 Durham
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirely by a personibusiness entity.
/V2r6BiL l a.4'0 Z 08/12/2021
SIGNATURE
Fan must be signed lays Company OfSdat listed underSecbm C of This form.
Nelson Cabrera Banegas President
Print"Type Name of Company Olgdal Print a Type Title of Company Official
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200
MAIL TO: Secretary of State, Business Regishallon Division, Post Office Bm 29525, Raleigh, NC 27626-0525

7/11/22, 1:45 PM Mail - Nelson Cabrera - Outlook
https:llouflook.l ive.mmlmail/Ofinbox/id/AQQkADAwATMwMA[tZDZmMyOwMjNmLTAwAiOwMAoAEADfXEfxhr52S r5BQHe3N GfsfsxslAQMkADAwATM... 1 /1

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""" °� North Carolina Department of The Secretary of State
s� _ � Invoice Number: 18903367
Billin¢ Information Invoice Number: 18903367
Nelson Towing and Auto Parts LLC
Customer Id Number: 201475222
1036 Harvest St
Invoice Date: 7/13/2022
Durham, NC 27704
Account Type: Payment upon Delivery
Contact: Nelson Towing and Auto Parts LLC
Ship Via: Online
Invoiced Items
Certificate Customer
Item Sub Amount
Description Number Reference
Qty Pages Cost Total Due
Online Annual Report LLC Nelson Towing and Auto Parts LLC
1210 0511 435900061 113947253
1 $200.00 $200.00 Paid
Electronic Transaction Fee
2120 0502 437993 113947254
1 $3.00 $3.00 Paid
Payment Details
Credit: Carl for $203.00, Visa Aect XXXXXXXXXXXXXX7203, TXld:
1 $203.00 $203.00 Payment
$0.00
Make check payable to: E% = Include Invoice Number on all remitance and send to:
NC Secretaryof State 1 Secretary of State
Online Payment: p PO Box 29622
https://www.sosnc.gov/payinvoiRaleigh, NC 27626
ce Sean to pay online.
For information regarding your filing contact:
Customer Service at [phone] or toll free at [phone]
Notice: To avoid an additional assessment of a one-time 10% late penalty and interest of 5% per annum, as
mandated by G.S. 147-86.23, the invoice must be paid in full.
There will be a $35.00 processing fee for all returned checks and ACH returns.