HomeMy WebLinkAboutNCG081036_Application_20230417RECEIVED
FOR AGENtU E ONLY APR -' 7 Z073
NCGo8 1 M&R-Stormwaterprogram
Assigned to: le
ARO FRO O RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCGO80000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 40 [Railroad Transportation], SIC 41 [Local and Suburban Transit and Interurban
Highway Passenger Transportation], SIC 42 [Motor Freight Transportation and Warehousing — except for SIC
4211-4225], SIC 43 [United States Postal Services], SIC 5171 [Petroleum Bulk Stations and Terminals — when total
petroleum site storage capacity is less than 1 million gallons]. The following activities are also included. other
industrial actives where the vehicle maintenance area(s) are the only area requiring permitting; stormwater
discharges from oil water separators and/or from secondary containment structures associated with petroleum
storage facilities with less than 1 million gallons of total petroleum site storage capacity. 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:
AAA Cooper Transportation, Inc.
Marie Welch
Street address:
City:
State:
Zip Code:
1751 Kinsey Road
Dothan
AL
36303
Telephone number:
Email address:
334-836-8240
marie.welch@aaacooper.com
Type of Ownership:
Government
❑County ❑Federal ❑Municipal
❑State
Non -government
ElBusiness (If ownership is business, a copy
of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
AAA Cooper Transportation - Conover NC
Jeffery Davis
Street address:
City:
State:
Zip Code:
1000 Conover Boulevard East
Conover
NC
28613
Parcel Identification Number (PIN):
County:
374107570648
Catawba
Telephone number:
Email address:
jeffery.davis@aaacooper.com
4-digit SIC code:
Facility is:
1
Date operation is to begin or began:
4213
❑ New ❑ Proposed I] Existing
2/14/2022
Latitude of entrance:
Longitude of entrance:
35.702708
-81,20665
Page 1 of 5
Brief description of the types of industrial activities and products manufactured at this facility:
Trucking and storage services
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
❑ N/A City of Conover, North Carolina MS4 Permit Number NCS000431
3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Phillip Brian Gamer, P.E.
Apex Companies, LLC
Street address:
City:
State:
Zip Code:
1990 Vaughn Rd, 300 Barrett Summit, Ste 310
Kennesaw
GA
30144
Telephone number:
Email address:
205-410-1809
brian.garner@apexcos.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.
1
001
McLin Creek
C
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
35.701219
-81.206333
Brief description of the industrial activities that drain to this outfall:
Runoff from Office building, warehouse, and parking lot, vehicle maintenance activities
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 17 Yes ❑ No
If yes, how many gallons of new motor oil are.used each month when Tveraged over the calendar year? _
2 gallons — —
3-4 digit identifier:
. Name of receiving water:
Classification:.
❑ This.water.'is impaired.
I
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall: _
—_
Brief description of the industrial activities that drain-6 this outfall-
Do Vehicle Maintenahce 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 overthe 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
5. 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:
l This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
❑O 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:, y
Kilograms of waste generated each month:
Types) of -waste: -_
How material is stored: ' ' {
Where material is stored: 4.
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):
❑ Check for $100 made payable to NCDEQ
El
Copy of most recent Annual Report to the NC Secretary of State
0 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 ($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.
❑O 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 for gathering the
information.
O I will abide by all conditions of the NCG080000 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 NCG080000 General Permit.
Printed Name of Applicant: Marie Welch
Title: Environmental Compliance Supervisor
-W ML(. Wjic l q - it — .-u a3
(Signature of Applicant) (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? ❑ Yes ❑ No
If yes, how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5
BUSINESS CORPORATION ANNUAL REPORT
116ftg3E
NAME OF BUSINESS CORPORATION: AAA Cooper Transportation, Inc.
0145381 sung W� Only
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: AL E - Filed Annual Report
0145381
REPORT FOR THE FISCAL YEAR END: 12/31 /2022 CA202303903055
2/8/2023 03:30
SECTION A: REGISTERED AGENT'S INFORMATION rX7 Changes
1. NAME OF REGISTERED AGENT: Registered Agent Solutions, Inc.
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
176 Mine Lake Court, Suite 100 176 Mine Lake Court, Suite 100
Raleigh, NC 27615-6417 Wake County Raleigh, NC 27615-6417
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Freight transportation
2. PRINCIPAL OFFICE PHONE NUMBER: (334) 793-2284 x8656 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
1751 Kinsey Rd Attn: Tax Dept., PO Box 6827
Dothan, AL 36303-5877-- — Dothan, AL 36302-6827
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: Michelle K. Lewis
TITLE: Chief Financial Officer
ADDRESS: 1751 Kinsey Road
PO Box 6827
Dothan, AL 36302
NAME: Reid B Dove
NAME: Wilburn C Prickett
TITLE: Chief Executive Officer TITLE: President
ADDRESS:
ADDRESS:
1751 Kinsey Rd 1751 Kinsey Road
Dothan, AL 36303 Dothan, AL 36303
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a personibusiness
ent Nlchelle K Lewis 2/8/2023
IVI SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Michelle K Lewis
Chief Financial Officer
Print or Type Name of Officer Print 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 27626-0525
North Carolina Department of The Secretary of State
Invoice Number: 19479085
Billine Information
AAA Cooper Transportation, Inc.
Attn: Tax Dept.
PO Box 6827
Dothan, AL 36302-6827
Contact: AAA Cooper Transportation, Inc.
Invoiced Items
Certificate Customer
Number Reference
Online Annual Report AAA Cooper Transportation, Inc.
1210 0511 435900061 115366310
Electronic Transaction Fee
2120 0502 437993 115366311
Payment Details
Credit: Cart for $21.00, Visa Acct 8009, TMd:
Make check payable to:
Invoice Number: 19479085
Customer Id Number: 200178721
Invoice Date: 2/8/2023
Account Type: Payment upon Delivery
Ship Via: Online
Item Sub Amount
Qty Pages Cost Total Due
1 $18.00 $18.00 Paid
1 $3.00 $3.00 Paid
1 $21.00 $21.00 Payment
$0.00
Include Invoice Number on all remitance and send to:
NC Secretary of State Secretary of State
Online Payment: p ' '!Y PO Box 29622
https://www.sosnc.gov/payinvoice Raleigh, NC 27626
Scan to pay online.
For information regarding your filing contact:
Customer Service at (919) 814-5400 or toll free at (888) 246-7636
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 fall.
There will be a $35.00 processing fee for all returned checks and ACH returns.
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SITE LOCATION
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OUTFACE TO MCLIN CREEK
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Data Sources: US Geological Survey (Elevation Products
Checked By:
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SITE LOCATION MAP - SWPPP
Figure
Created By:
CW
AAA COOPER TRANSPORTATION
i000 CONOVER BOULEVARD EAST,
Scale:
1 " = 2,000 FT
CONOVER, NORTH CAROLINA
SITE LOCATION
APEX
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