HomeMy WebLinkAboutNCG200546_Application_20230508RECEIVED
FOR AGENCY USE ONLY MAY 0
NCG20 0 58 2023
Assignedto: b, C00 DEMO-Stormwater Proram
ARO FRO MR RRO WARO WIRO WSRO g
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG200000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 5093 [Scrap Metal Recycling — except as specified below] and liked activities deemed
by DEMLR to be similar in the process, or the exposure of raw materials, intermediate products, final products, by-
products, or waste materials. The following activities are excluded from coverage under this General Permit:
Portions of SIC 5093 [Automobile Wrecking for Scrap, and Non -Metal Scrap Recycling], and SIC 5015 [Used Motor
Vehicle Part]. 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:
Green Tech Solution Inc.
Chrissy Perez
Street address:
City:
State:
Zip Code:
2803 Bravo Place
Monroe
NC
28110
Telephone number:
Email address:
704-218-9476
gts_01 @greentechsolutioninc.com
Type of Ownership:
Government
E3County I31'ederal E3Municipal [3State
Non -government
0 Business (If ownership is business, a copy of NCSOS report
must be included with this application)
D Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
Green Tech Solution Inc.
Chrissy Perez
Street address:
City:
State:
Zip Code:
2803 Bravo Place
Monroe
NC
28110
Parcel Identification Number (PIN):
County:
09112001A
Union
Telephone number:
Email address:
704-218-9476
1gts�_01@greentechsolutioninc.com
4-digit SIC code:
Facility is:
1
Date operation is to begin or began:
5093
MNew E3Proposed DExisting
4/20123
Latitude of entrance:
Longitude of entrance:
34.996117
-80.499429
Brief description of the types of industrial activities and products manufactured at this facility:
Electronics (e-waste) sorting, components separating, baling, and recycling
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
Check all activities conducted at this facility
0 Outdoor stockpiling of materials
O Transport of materials by a conveyor or front-end
D Processing — cutting, grinding, crushing, baling,
loader
separation, etc.
O Vehicle and equipment maintenance
0 Storage of materials in above -ground tanks
❑ Vehicle or equipment washing
0 Material loading and unloading
❑ Vehicle and equipment fueling
3. Consultant (if applicable):
Name of consultant:
Consulting firm:
Jason Winningham
Barge Design Solutions, Inc.
Street address:
City:
State:
Zip Code:
615 3rd Avenue South, Suite 700
Nashville
TN
37210
Telephone number:
Email address:
615-988-2857
jason.winningham@bargedesign.com
4. Outfall(s) At least one outfall is required to be eligible for coverage.
3-4 digit identifier:
Name of receiving water:
Classification:
El This water is impaired.
001
1 LIT to Richardson Creek
1 ❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
34.997890
-80.499558
Brief description of the industrial activities that drain to this outfall:
loading/unloading, sorting, transport of a -waste and associated components.
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?
34 digit identifier:
Name of receiving water:
Classification:
O This water is impaired.
002
1 LIT to Richardson Creek
❑ This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
34.997299
-80.500357
Brief description of the industrial activities that drain to this outfall:
loading/unloading, sorting, transport of a -waste and associated components.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? O 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:
Cl 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 accordinalv):
❑ 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:
Good Housekeeping, Spill PmendondiResponse, E&S Measures (ex.: 80t fa)0e, vegs1sdke bLd1M), Vnuel Inspec s, RuzN Management (ex.: fltering and dversion practice - Good ).
O This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
April 20, 2023
❑ 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):
❑ Check for $100 made payable to NCDEQ
0 Copy of most recent Annual Report to the NC Secretary of State (if applicable)
O This completed application and any supporting documentation
0 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 143-215.6B (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:
0 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.
0 1 will abide by all conditions of the NCG200000 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.
0 1 hereby request coverage under the NCG200000 General Permit.
Printed Name of Applicant: Chrissy Perez
Title:
(Signature of cant)
Mail the entire package to: DEMLR —Stormwater Program
4-20-2023
(Date Signed)
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? E3 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 E3 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 13 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 0 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
11612N2
NAME OF BUSINESS CORPORATION: Green Tech Solution Inc.
SECRETARY OF STATE ID NUMBER: 1185998 STATE OF FORMATION: NC
REPORT FOR THE FISCAL YEAR END: 12/31 /2021
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Yang, Richard
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
1185998
CA202229301210
10/20/2022 12:30
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE. STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
1115 Baron Rd
Waxhaw, NC 28173 Union County
SECTION B: PRINCIPAL. OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Recycling
1115 Baron Rd
Waxhaw, NC 28173
2. PRINCIPAL. OFFICE PHONE NUMBER:. (704)_695-0923- 3. RI -NCI -PAL -OFFICE -EMAIL: -Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
5. PRINCIPAL OFFICE MAILING ADDRESS
2803 Bravo Place 2803 Bravo PI.
Monroe, NC 28110 Monroe, NC 28110
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: Meizhu Zhou NAME:
TITLE: Chief Executive Officer TITLE:
ADDRESS:
1115 Baron Rd
Waxhaw, NC 28173
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
ent&izhu Zhou 10/20/2022
Form must be signed by an officer listed under Section C of this form.
Meizhu Zhou Chief Executive 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, NC 2762MS25
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