NCG130114_Application_20230711

RECEIVED
{
FOR AGENCY USE ONLY ,�'. �� z 0,;223
NCG13 0 1 1 1
Assigned to: . Co-U y� OEM-StarrrwalerPNgrelp
ARO FRO RO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG130000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities classified as:the wholesale
trade of non-metal waste and scrap (hereafter referred to as the non-metal waste recycling industry)a Portion of
Standard Industrial Classification Code(SIC)5093 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.
The following activities are specifically excluded from coverage under this General Permit:facilities primarily
engaged in the wholesale trade of metal waste&scrap, iron&steel scrap, and nonferrous metal scrap;facilities
primarily engaged in waste oil recycling;and facilities primarily engaged in automobile wrecking scrap. 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:
Yelton Contracting of North Carolina, LLC Scott Yelton
Street address: City: State: Zip Code:
401 Old Hebron Rd Charlotte NC 28273
Telephone number: Email address:
405-406-8277 [e-mail]
Type of Ownership:
Government
El County ❑Federal ❑Municipal ❑State
Non-government
El Business(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:
Carolina Asphalt Shingle Recycling Services Scott Yelton
Street address: City: State: Zip Code:
401 Old Hebron Rd Charlotte NC 28273
Parcel Identification Number(PIN): County:
20517112/20517113/20517107 Mecklenburg
Telephone number: Email address:
405-406-8277 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
5093 ❑New ❑Proposed ♦]Existing May, 1 2022
Latitude of entrance: I Longitude of entrance:
35.13044874009013 80.886589228317
Page 1 of 5

Brief clescriptLon of the types of industrial activities and products manufactured at this facility:
Recycling of Post Consumer Asphalt Shingles
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
O N/A
3. Consultant(if applicable):
Name of consultant: Consulting firm:
Street address: City: State: Zip 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 Kings Branch/Sugar Watershed C. ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35.13097587490923 -80.88497980312519
Brief description of the industrial activities that drain to this outfall:
Recyling of Asphalt Shingles
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes El No
If yes, how many gallons of new motor oil are used eacfi:monfMwhen averaged over tfie calendar year?
3-4 digit identifier: Name of receiving-water - -- Classification:_ __� ❑This water,is impaired._
002 Kings Branch/Sugar watershed ❑This watershed has'a TMDL.
Latitude of outfall: _--''a Longitude.of outfall
35.132257698846075 _ `-80.8849767638502
Brief description of the industrial activities that drain to this outfalll
Recycling of Asphalt Shingles 1 F
Do Vehicle Maintenance Activities occur in the'drainage areaiof-thi`s'outfall?
"LL' ❑Yes E l 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 Kings Branch/Sugar Watershed (Z, ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall: _
35.13239051780778 -80.88687624535535
Brief description of the industrial activities that drain to this outfall:
Recycling of Asphalt Shingles
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?
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-i[check-alL that-appLy_and_explailLaecordingly):
❑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:
M This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
Watershed from discharge 002, and 003 to sediment pond on NE corner of parcel
❑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_wa'ste:
How material is stored., Where material isstored: 5
Number of waste shipments:peryear.--- ' ', Name oftransport/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):
13 Check for$100 made payable to NCDEQ
El Copy of most recent Annual Report to the NC Secretary of State
El This completed application and any supporting documentation
13 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 prop lines
Copy of countyerty map or USGS quad sheet with the location of the facility clearly marked
Page 3 of 5

ApplicantCer ification-
North Carolina General Statute 143-215.613(1)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:
El 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.
Ell 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.
El I will abide by all conditions of the NCG130000 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.
El I hereby request coverage under the NCG130000 General Permit.
Printed Name of Applicant: Scott Yelton ,�p��o Co n'* ! k {� S �� to,L
Title: Managing Member
(Signature of Applicant) ` - (Date-Signed)
Mail the entire,package to: DEMLR Stormwater Program
_,Department of Environmental Quality
1612 Mad Seroice;Center `
" — Raleigh, NC 276994612"T
Page 4 of 5

Additional OutfaU
3-4 diAidentifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
LatituLongitude ofoutfall:
Brief df th industrial activities that drain to this outfall:
Do Venance ctivities occur in the drainage area of this outfall? ❑Yes ❑No
If yes, allons o ew motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of eceiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
Brief description of the industrial acti\Whe
drain to this outfall:
Do Vehicle Maintenance Activities ocdrainage area of this outfall? ❑Yes ❑No
If yes, howmanygallonsof newmotosed each month when averaged over the calendar year?
3-4 digit identifier. Name of receiving water `—" "`'-Classifications" 0-This water is impaired.
13 This watershed-hisa'fTMDL.
Latitude of outfall: _ - Longitude of outfall:
Brief descriptionof-the industrial activities that drain fhis outfalL q[1
Do Vehicle Maintenance Activities occur in the drainagea'ea of thisoutfa - ❑Ye's ❑No
If yes,how many gallons of new.motor oil are used each'm -tWwhen aver.year?3-4 digit identifier: Name of receiving water: Classi station: ater is impaired.
atershed has a TMDL.
Latitude of outfall: Longitu 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 El Yes El No
If yes,how many gallons of new motor oil are used each month when avera d 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 calen r year?
Page 5 of 5

NORTH CAROLINA
a Department of the Secretary of State
CERTIFICATE OF EXISTENCE
(Limited Liability Company)
I, ELAINE F. MARSHALL, Secretary of State of the State of North Carolina, do
hereby certify that
YELTON CONTRACTING OF NORTH CAROLINA LLC
is a limited liability company duly formed, and existing under the laws of the State
of North Carolina, having been formed on 5th day of March, 2019
I FURTHER certify that, as of the date of this certificate, (i) the said limited
liability company is not dissolved under the terms of its articles of organization, (ii) the
said limited liability company s articles of organization are not suspended for failure to
comply with the Revenue Act of the State of North Carolina, (iii) that said limited
liability company is not administratively dissolved for failure to comply with the
provisions of the North Carolina Limited Liability Company Act, (iv) that this office has
not filed any decree of judicial dissolution, articles of dissolution, articles of merger, or
articles of conversion for said limited liability company.
IN WITNESS WHEREOF, I have hereunto set
oEp"mm^'Fivp L7 t] my hand and affixed my official seal at the City
J�
of Raleigh, this 8th day of June, 2023.
Scan to verify online.
Certification# 117079047-1 Reference#20218431- Page: 1 of 1 Secretary of State
Verify this certificate online at https://www.sosnc.gov/verification

Q
LIMITED
LIABILITY COMPANY ANNUAL REPORT
-.0
Il612022
NAME OF LIMITED LIABILITY COMPANY: Yelton Contracting Of North Carolina LLC
Filing Office Use Only
SECRETARY OF STATE ID NUMBER: 1813978 STATE OF FORMATION: NC E-Filed Annual Report
1813978
CA202302402384
REPORT FOR THE CALENDAR YEAR: 2023 1/24/2023 12:30
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: Williams Sean
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
401 old Hebron Rd 401 old Hebron Rd
Charlotte, NC 28273 Mecklenburg County Charlotte, NC 28273
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: General Contracting
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
401 OLD HEBRON RD 401 OLD HEBRON RD
Charlotte,NC 28277 Charlotte, NC 28277
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: Scott Yelton NAME: NAME:
TITLE: Managing Member TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
401 Old Hebron Road
Charlotte, NC 28273
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Scott Yelton 1/24/2023
SIGNATURE DATE
Form must be signed by a Company Official listed under Section C of This form.
Scott Yelton Managing Member
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

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Date Printed: 6/12/2023 1: 1:07 PM
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This map or report is prepared for the inventory of real property within Mecklenburg Courtyard is compiled from recorded deeds,plats,tax,maps,surveys,planimetric maps,and other public records and data.
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecklenburg County and its mapping contractors assu ne no legal
responsibility for the information contained herein.