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HomeMy WebLinkAboutNCG060442_Application_20221228FOR AGENCY USE ONLY NCG06 D Ik )k 9-- Assigned to: L4010*1 ARO FRO RO RRO WARO WIRO WSRO Division of Energy, Mineral, and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCGO60000 Notice of Intent This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard Industrial Classifications: SIC20 [Food and Kindred Products], SIC21 [Tobacco Products], SIC283 [Drugs], SIC284 [Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations], SIC422 (Public Warehousing and Storage — except for 4226]. 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: BestCo LLC Tim Condron Street address: City: State: Zip Code: 288 Mazeppa Road Mooresville NC 28115 Telephone number: Email address: 704-664-4300 tcondron@bestco.com Type of Ownership: Government ' ❑County ❑Federal DAunicipal ❑State' Non -government r El Business (If ownership is business, a copy of NCSOS report must be included with this application) y ❑Individual 2. Industrial Facility (facility being permitted): Facility name: Facility environmental contact: BestCo LLC Pamela Gihrin , Senior Environmental, Health & Safety Manager Street address: City: State: Zip Code: 288 MAZEPPA RD MOORESVILLE NC 28115 Parcel Identification Number (PIN): County: 4668340373.000 IREDELL Telephone number: Email address: 704-664-4300 pgihring0l@bestco.com 4-digit SIC code: Facility is: Date operation is to begin or began: 2064. 2833, 2834 1 ❑ New ❑ Proposed 0 Existing 1987 Latitude of entrance: Longitude of entrance: 35037'1.03"N -80048'30.19"W Brief description of the types of industrial activities and products manufactured at this facility: Manufacturing of nutraceutical (medicinal & botanical) products, pharmaceutical preparations, and non -chocolate confectioneries. This facility processes meat: ❑ Yes 0 No 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: James W. Willard It INENCO, INC. Street address: City: State: Zip Code: 132 W. STATESVILLE AVE MOORESVILLE NC 28115 Telephone number: Email address: 704-662-8192 J W W2@INENCOINC.COM 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 UT to Back Creek WS-II;HQW ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 35" 37' 3.2" -80" 48' 20.0" Brief description of the industrial activities that drain to this outfall: Loading/unloading, material storage and transfer, employee parking Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 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: 1 Name of receiving water: Classification: ❑ This water is impaired. 002 UT to Back Creek WS-II;HQW ❑ This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 35" 36' 50.5" -80" 48' 20.2" Brief description of the industrial activities that drain to this outfall: Loading/unloading, material storage and transfer, employee parking 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: 1 Classification: ❑ This water is impaired. 003 UT to Back Creek WS-II;HQW ❑ This watershed has a TMDL Latitude of outfall: Longitude of outfall: 35" 36' 50.8" -80" 48' 28.9" Brief description of the industrial activities that drain to this outfall: Loading/unloading, material storage and transfer, employee parking 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? ❑ 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 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: O This facility uses best management practices or structural stormwater control measures. If checked, briefly describe the practices/measures and show on site diagram: Bio-rentention basin prior to Outfall 001 and detention basins prior to outfalls 002 and 003. 0 This facility has a Stormwater Pollution Prevention Plan (SWPPP). If checked, please list the date the SWPPP was implemented: SWPPP is being developed. ❑ This facility stores hazardous waste in the 100-year floodplain. If checked, describe how the area is protected from flooding: O This facility is a (mark all that apply) 0 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: 1780 Solvents used in lab, waste ink, wastewater treatment corrosives How material is stored: Where material is stored: In appropriate DOT / RCRA containers Inside the facility in OC lab and hazardous waste storage area Number of waste shipments per year: Name of transport/disposal vendor: 18 to 20 Safety Kleen / Clean Harbors Transport/disposal vendor EPA ID: Vendor address: KYD053348108 / NCD000648451 2320 Y.dk,n Ave, Ch.ftft , NC 2820512N We ,.gto I usU al 0 i , Rei&,11e, NC 273M ❑ 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 0 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 O 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 143-21S.6B (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] 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. 0 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. I] I will abide by all conditions of the NCG060000 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. O I hereby request coverage under the NCG060000 General Permit. Printed Name of Applicant: Tim Condron Title: President (Signature of Applicant) (Date Signed) Mail the entire package to: DEMLR— StormwaterProgram Department of Environmental Quality 1612 Mail Service Center' Raleigh, NC 27699-1612 .. + :9i✓ Page 4 of 5 ;r'`M LIMITED LIABILITY COMPANY ANNUAL REPORT uenon NAME OF LIMITED LIABILITY COMPANY: BestCO LLC SECRETARY OF STATE ID NUMBER: 1657399 STATE OF FORMATION: DE REPORT FOR THE CALENDAR YEAR: 2021 SECTION A: REGISTERED AGENT'S INFORMATION 1. NAME OF REGISTERED AGENT: CT Corporation System 2. SIGNATURE OF THE NEW REGISTERED AGENT: E - Filed Annual Report 1657399 CA202211003979 4/20/2022 03:00 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: Manufacturing Cough lozenges and nutraceutical Supplements 2. PRINCIPAL OFFICE PHONE NUMBER: (704) 361-9688 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS '288 Mazeppa Road P.O. Box 329 Mooresville, NC 28115 Mooresville, NC 28115 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: Tint Condron NAME: ,John Dahldorf NAME: Carlyn Solomon TITLE: President TITLE: Chief Financial Officer ADDRESS: ADDRESS: TITLE: Chief Executive Officer ADDRESS: 288 Mazeppa Road 2200 Delaware Avenue 2200 Delaware Avenue Mooresville, NC 28115 Santa Cruz, CA 95060 Santa Cruz, CA 95060 SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. Scott Wattenberg 4/20/2022 SIGNATURE DATE Form must be signed by a Company Official listed under Section C of This form. Scott Wattenberg Treasurer Print or Type Name of Company Official Print or Type Title of Company Official SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200.00 MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525 SECTION E: ADDITIONAL COMPANY OFFICIALS NAME: Scott Wattenberg NAME: Amy Rockwell NAME: Andrew B Hochman TITLE: Treasurer TITLE: Secretary TITLE: Assistant Secretary ADDRESS: ADDRESS: ADDRESS: 288 Mazeppa Road 272 E Deerpath 272 E Deerpath Mooresville, NC 28115 Lake Forest, IL 60045 Lake Forest, IL 60045 NAME: Mark Knight NAME: TITLE: Vice President TITLE: ADDRESS: ADDRESS: 288 Mazeppa Rd Mooresville, NC 28115 NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: NAME: TITLE: ADDRESS: Name: TITLE: ADDRESS: NAME: TITLE: ADDRESS: FIGURE 1 USGS 7.5 MIN TOPOGRAPHY SITE LOCATION MAP BestCo, LLC 288 Mazeppa Road Mooresville, North Carolina 28111 k, BestCo, LLC l w- r • � -r- BestCo, LLC Stortnwater Discharge Outfall Location 001 Latitude: 35° 37' 03.2" Longitude. -80° 48' 20.0" Stormwater Discharge Outfall Location 002: Latitude: 35° 36' 50.5" Longitude: -80° 48' 20.2" Stormwater Discharge Outfall Location 003: Latitude: 35° 36' 50.8" Longitude: -80° 48' 28.9" Receiving Stream: Unnamed Tributary to Back Creek Back Creek is a Class WS-II;HQW water identified by Stream Index At 12-108-21-1-(0.5), located in the Yadkin -Pee Dee River Basin 10-Digit HUC Watershed 0304010205. 10-Digit Name: Second Creek; I2-digit HUC Subwatershed 030401020501, 12-Digit Name: Sills Creek -Back Creek According to the NC Integrated Report (303(d) List), Back Creek is not listed as an Impaired Water. 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