NCG070230_Application_20230123

NC ""t of Environmental Quality
FOR AGEN Y USE ONLY
NCG07 0 7- 3 0
Assigned to: —F C k
ARO FRO MRO ffWARO WIRO WSRO
JAN 2 3 20L
Raleigh Regional Office
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG070000 Notice of Intent
This General Permit covers STORMWA TER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 32 [Stone, Clay, Glass and Concrete Products], and like activities deemed by DEMLR
to be similar in the process and/or the exposure of raw materials, products, by-products, or waste materials. SIC
3273 [Ready -Mixed Concrete] is specifically excluded from coverage under this General Permit and is instead
covered under NCG140000. 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:
Cast Stone Systems, Inc.
Thomas E. Echols, Jr.
Street address:
City:
State:
Zip Code:
532 N. Main Street
Warrenton
INC
27589
Telephone number:
Email address:
252-257-1599
[e-mail]
Type of Ownership:
Government
[3County ©Federal I3Municipal 13State
Non -government
1313usiness (If ownership is business, a copy of NCSOS report must be included with this application)
Olndividual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Cast Stone Systems, Inc.
Thomas E. Echols, Jr.
Street address:
City:
State:
Zip Code:
532 N. Main Street
Warrenton
NC
27589
Parcel Identification Number (PIN):
County:
2946985825
Warren
Telephone number:
Email address:
252-257-1599
[e-mail]
4-digit SIC code:
Facility is: Date operation is to begin or began:
3272
13 New 17 Proposed 13 Existing 07/01/1998
Latitude of entrance:
Longitude of entrance:
N 36.405708°
W-78.153898'
Brief description of the types of industrial activities and products manufactured at this facility:
Manufacturing of cast stone products
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the M54:
El N/A
Page 1 of 5

3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Cameron D. Moore, P.G.
Mid -Atlantic Associates, Inc.
Street address:
City:
State:
Zip Code:
409 Rogers View Court
Raleigh
NC
27610
Telephone number:
Email address:
919-250-9918
[e-mail]
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
Possumquarter Creek
Class C
❑ This watershed has a TMDL
Latitude of outfall:
Longitude of outfall:
N 36.406801 °
W-78.1531130
Brief description of the industrial activities that drain to this outfall:
Employee parking and storage of finished concrete products.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes M 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:
0 This water is impaired.
002
1 Possumquarter Creek
Class C
1 ❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
N 36.4071946
W-78.152722°
Brief description of the industrial activities that drain to this outfall:
Drains areas associated with storage of raw materials (sand), finished products, and product wash down area.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes O 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.
003
Possumquarter Creek
Class C
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
N 36.408692'
W-78.153321°
Brief description of the industrial activities that drain to this outfall:
Drains an area formerly used as a loading dock.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes [3 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? 0 Yes 0 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:
❑ 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
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 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):
O Check for $100 made payable to NCDEQ
O 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 143-215.68 (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 ($50,000).
U der 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.
WThe 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.
)61 will abide by all conditions of the NCG070000 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 NCG070000 General Permit.
Printed Name of Applicant: r nOmA S E UC4+O (^ J r.
Title: -f'r'ex, cI 2,-�
(Sig tureofApplicant) r (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

BUSINESS CORPORATION ANNUAL REPORT
usnon
NAME OF BUSINESS CORPORATION: Cast Stone Systems, Inc.
SECRETARY OF STATE ID NUMBER: 0472959 STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END: 12/31/2021
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Echols, Thomas E, Jr
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed AnnualReport
0472959
CA202229701773
10/24/2022 05:00 .
R Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
532 North Main St
Warrenton, NC 27589 Warren County
SECTION B: PRINCIPAL, OFFICE INFORMATION
532 Noith Main St.
Warrenton, NC 27589
1. DESCRIPTION OF NATURE OF BUSINESS: Manufacturing
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction -
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
532 N Main St 532 N Main St
Warrenton, NC 27589 Warrenton, NC 27589
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: OFFICERS (Enter additional officers in Section E.)
NAME: Thomas E. Echols, Jr. NAME: NAME:
TITLE: President TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
PO Box 691
Warrenton„ NC 27589
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirely by a persontbusiness
entl_N
rnomas E. Echols Jr. 10/24/2022
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Thomas E. Echols Jr.
President
Print or Type Name of OfficerPrint or Type Title of Officer
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NO Z7626-0525

REFERENCES: SCALE=1:12,000
1. WARRENTON, NO DIGITAL RASTER GRAPHICS, USGS,
SCANNED 1:24,000-SCALE WAR
TOPOGRAPHIICC MAPS, PUBLISHED 2 22EUSGS. COUNTY, NO,
0 500 1,000 2,000
2. PROPERTY BOUNDARY FROM WARREN COUNTY GIS. moommFeet
3. INSET MAP DATA DOWNLOADED FROM ARCGIS ONLINE.
DRAWING 1
DRAWN,=
BY:
DATE:
JANUARY 2023
TOPOGRAPHIC SITE MAP
DRAFT
JOB NO:
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CAST STONE SYSTEMS, INC
CHECK:
CMM
022R4155.20
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532 N. MAIN STREET
ENG.
GIS NO:
WARRENTON, NORTH CAROLINA
CHECK:
07G-022R4155.20-01

REFERENCES:
SCALE = 1:2,400
1. 2021 AERIAL IMAGERY FROM NC
ONEMAP.
2. WARREN COUNTY GIS.
0 200
400
800
3. MID -ATLANTIC FIELD NOTES.
Feet
DRAWN 41 .
DATE:
Mid Atlantic
DRAWING 2
SITE MAP
CAST STONE SYSTEMS, INC.
532 N. MAIN STREET
WARRENTON, NORTH CAROLINA
BY
JANUARY 2023
DRAFT CMM
CHECK:
JOB NO:
022R4155.20
ENG.
CHECK:
GIS NO:
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APPROVAL: Dmm
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APPROVED BY: DWG N0: 3
REFERENCE: WARREN COUNTY GIS, 2021 AERIAL IMAGERY FROM NCONEMAP. MID -ATLANTIC FIELD NOTES