NCG030733_Application_20221018

RECEIVED
FOR AGENCY USE ONLY
N C G 0 3 rO 3 3
Assigned to: ( r\
ARO FRO RO RRO WARD WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCGO3000O Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 335 [Rolling, Drawing, and Extruding of Nonferrous Metals], SIC3398 [Metal Heat
Treating], SIC34 [Fabricated Metal Products], SIC35 [Industrial and Commercial Machinery], SIC 36 [Electronic
and Other Electrical Equipment], SIC 37 [Transportation Equipment], and SIC 38 [Measuring, Analyzing, and
Controlling Instruments]. 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:
Technibilt, LTD -DBA Wanzl
Kelli Daniels EHS Manager)
Street address:
City:
State:
Zip Code:
700 Technibilt Drive
Newton
NC
28658
Telephone number:
Email address:
828-464-7388
[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)
El individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Technibilt,LTD
Kell! Daniels
Street address:
City:
State:
Zip Code:
700 Technibilt Drive
Newton
NC
28658
Parcel Identification Number (PIN):
County:
364913149962
Newton
Telephone number:
Email address:
828-464-7388
[e-mail]
4-digit SIC code:
Facility is:
Date operation is to begin or began:
3496
1 ❑ New ❑ Proposed El Existing
Latitude of entrance:
Longitude of entrance:
1
35.638136
-81.223361
Brief description of the types of industrial activities and products manufactured at this facility:
building of metal shopping carts and powder coat of them.
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
❑ N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Street address:
City:
State: 7ip
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
S re Creek
Stream
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
35641714
-81.212447
Brief description of the industrial activities that drain to this outfall:
Metal Fabrication and powder coat
3-4 digit identifier:
Name of receiving water:
Classification:
❑ This water is impaired.
002
1 S mre Creek
Stream
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
35637373
-812199554
Brief description of the industrial activities that drain to this outfall:
Metal Fabrication and powder coat
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:
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 FacilitV Conditions (check all that apply and explain accordinelv):
l This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
NC0036196
❑ 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:
In process expected completion November 2022
❑ 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:
1 Okg a month
Aresol cans punctured waste
How material is stored:
Where material is stored:
55 gallon drum
Waste water Management
Number of waste shipments per year:
Name of transport/disposal vendor:
1 to 2 per year within 180 days
A&D ENVR service
Transport/disposal vendor EPA ID:
Vendor address:
NCD986892221
2718 Uwhanie RD Archdeale NC27253
❑ 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 followine items have been included):
❑ Check for $100 made payable to NCDEQ
❑+ Copy of most recent Annual Report to the INC Secretary of State (if applicable)
❑ 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 industrial process 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 143-215.6E (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:
❑ 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 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 forgathering the
information.
O I will abide by all conditions of the NCG030000 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 hereby request coverage under the NCG030000 General Permit.
Printed Name of Applicant: Kelli Daniels
Title: Environmental, Health and Safety Manager
..CD l3
(Sig tureof plicant) (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

1 ! ' BUSINESS CORPORATION ANNUAL REPORT
0
„6aDU
NAME OF BUSINESS CORPORATION: Technibilt, Ltd.
SECRETARY OF STATE ID NUMBER: 0272465 STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END: 12/31 /2021
E - Filed Annual Report
0272465
CA202211900059
4/29/2022 04:30
SECTION A: REGISTERED AGENT'S INFORMATION I ® Changes
1. NAME OF REGISTERED AGENT: Corporation Service Company
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
2626 Glenwood Avenue Suite 550 2626 Glenwood Avenue Suite 550
Raleigh, NC 27608 Wake County
Raleigh, NC 27608
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: MANUFACTURER OF SHOPPING CARTS; WIRE GOODS DISTRIBUTOR
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
700 Technibilt Drive
Newton, NC 28658
700 Technibilt Drive
Newton, NC 28658
6. Select one of the following if applicable. (Optional see Instructions)
1:1 The company is a veteran -owned small business
FIThe company is a service -disabled veteran -owned small business
SECTION C: OFFICERS (Enter additional officers in Section E.)
NAME: Ben Hinnen
TITLE: Procirlont
ADDRESS:
700 Technibilt Drive
NEWTON, NC 28658
NAME: Lynda Farrell
TITLE: Secretary
ADDRESS:
700 Technibilt Drive
Newton, NC 28658
NAME: Lynda Farrell
TITLE: Treasurer
ADDRESS:
700 TECHNIBILT DRIVE
NEWTON, NC 28658
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
en1ynda
Farrell 4/29/2022
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Lynda Farrell Secretary
Print or Type Name of Officer Print or Type Title of Officer
This Annual Report has been fled electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh. NC 27626-0525

W
MO.
TZ
Plant t is main plant. Plant 3 referbishment plant and plant 2 offices and assembly only.

e
i
,
V.
J �f+Y'L p h 'J
�y f �n
f.M1L 1�S�Y
- ..
,Y
'M.I
•.

Plant 1 is main plant. Plant 3 referbishment plant and plant 2 offices and assembly only.