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HomeMy WebLinkAboutNCG210502_Application_20221005FOR AGENCY USE ONLY NCG21 Q 5 0 2, Assigned to: 48 • U&so�j ARO FRO MRO RRO WARD WIRO WSRO RECEIVED Division of Energy, Mineral, and Land Resources land Quality Section National Pollutant Discharge Elimination System DEMLR-StormwaterPfogram NCG210000 Notice of Intent This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard industrial Classifications: SIC 24 (Timber Products, including Wood Chip Mills — except as specified below) and like activities deemed by DEMLR to be similar in the process and/or the exposure of raw materials, products by - pro s are specifically excluded from coverage under this General Per (Wood Preserving), and SIC 2411 [Logging]. You can find info C ( 1eq.nc.gov/SW. Din o� ion. Send the original, signed application with all required iten rater Program,1612 MSC, Raleigh, NC 27699-1612. The submissio un> aNN„MaL,VII Svc, nvrsuararnae 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: Get Right Enterprises, LLC William Southworth Alexander Street address: City: State: Zip Code: PO Box 296 Holly Ridge NC 28445 Telephone number: Email address: 910-264-6782 getri htenterprisesllc@gmail.00m Type of Ownership: Government ❑County ❑Federal OMunicipal ❑State Non -government El Business (If ownership is business, a copy of NCSOS report must be included with this application) E3lndividual 2. Industrial Facility (facility being permitted): facility name: Faci4ity erwwonmerriai contact: Get Right Investment William Alexander Street address: City: State: Zip Code: 850 Hwy 17 N Holley Ridge INC 28445 Parcel Identification Number (PIN): County: 424701077728 Onslow Telephone number: Email address: 910-264-6782 getrightenterprises@gmail.com 4-digit SIC code: Facility is: Date operation is to begin or began: 24 © New ❑ Proposed D Existing 1012312022 Latitude of entrance: Longitude of entrance: 34 •S0slctl- I 19.SMSD Brief description of the types of industrial activities and products manufactured at this facility: Mulch This facility will produce Wood Pellets: 17Yes ONo It the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4: El 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: ❑This water is impaired. 001 Rock Fish Creek CSW ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 34.502670 77.534667 Brief description of the industrial activities that drain to this outfall: Mulching 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 aTMDL. 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 manygallons 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 Elmo 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: Irrosion Control NCG01 ❑ 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: SW8 ❑ This facility has a Stormwater Pollution Prevention Plan (SWPPP). If checked, please list the date the SW PPP was implemented: NO ❑ 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 FadVity ❑ 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 orSuperfund site If checked, briefly describe the site conditions 6. Required Items (Application will be returned unless all of the following items have been included): El Check for $100 made payable to NCDEQ El Copy of most recent Annual Report to the NC Secretary of State (if applicable) 0 This completed application and any supporting documentation EI 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 ❑ 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 143-215.613(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,1 certifythat: m 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. ❑ The information submitted in this NOf is, to the best of my knowledge and beffef, 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 Iry all conditions of the NCG21UMD permit. I understand that coverage underthis permftwill 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 NCG210000 General Permit. Printed Name of Applicant: William Southworth Alexander Title: President /jz y 09/27/2022 ( i�ur o Applicai t) V(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 ❑ 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? 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? OYes ❑ No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? Page 5 of 5 0 LIMITED LIABILITY COMPANY ANNUAL REPORT 1/6/2022 NAME OF LIMITED LIABILITY COMPANY: Get Right Enterprises, LLC SECRETARY OF STATE ID NUMBER: 1642952 STATE OF FORMATION: NC E- Filed Annual Report 1642952 REPORT FOR THE CALENDAR YEAR: 2022 CA 41112022 2 466 SECTION A: REGISTERED AGENT'S INFORMATION Changes 1. NAME OF REGISTERED AGENT: Alexander, William Southworth 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 103 Ashley King Rd P.O. Box 296 Holly Ridge, NC 28445 Onslow County Holly Ridge, NC 28445 SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: Get Right Enterprises LLC 2. PRINCIPAL OFFICE PHONE NUMBER: (91 O) 264-6782 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS 103 Ashley King Rd PO Box 296 Holly Ridge, NC 28445 Holly Ridge, NC 28445 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: William Southworth Alexander NAME: TITLE: President ADDRESS: 1101:no WZ TITLE: ADDRESS: NAME: TITLE: ADDRESS: Holly Ridge, NC 28445 SECTION 0. CERTIFICATION OFANNUAL REPORT. Section 0 must be completed in Us entirety by a personlbusiness entity. William Southworth Alexander 4/1/2022 S46RATURE GATE Form must be signed by a Company Official listed under Section C of This form. William Southworth Alexander President Print or Type Name of Company Official Print or Type Tille of Company This Annual Report has been filed electronically. 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