NCG030741_Application_20230710

FOR AGENCY USE ONLY DVE
NCG03 �3
Assignedto: e (� JUL 10 2023
ARO FRO MRO R WARO WIRO WSRO
�.O,R-Stormwater Program
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG030000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC335(Rolling, Drawing, and Extruding of Nonferrous Metals], SIC3398[Metal Heat
Treating], SIC 34 [Fabricated Metal Products], SIC 35 [Industrial and Commercial Machinery], SIC 36 [Electronic
and Other Electrical Equipment], SIC37 [Transportation Equipment], and SIC38 [Measuring, Analyzing, and
Controlling Instruments]. 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:
PowerSecure, Inc.
Scotty Moates
Street address:
City:
State:
Zip Code:
4068 Stirrup Creek Drive
Durham
NC
27703
Telephone number:
Email address:
205.639.2838
[e-mail]
Type of Ownership:
Government
®County ®Federal OMunicipal ®State
Non -government
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:
PowerSecure - Warehouse C
Scott Linthacum
Street address:
City:
State:
Zip Code:
4001 Stirrup Creek Drive
Durham
NC
27703
Parcel Identification Number (PIN):
County:
0748-59-36-4551
Durham
Telephone number:
Email address:
919 630-2271
1 scott.linthacum owersecure.com
4-digit SIC code:
Facility is:
Date operation is to begin or began:
3621
[3 New ® Proposed 0 Existing
Latitude of entrance:
Longitude of entrance:
35° 55' 04" 35.917778
78° 50' 50" 78.847222
Brief description of the types of industrial activities and products manufactured at this facility:
The facility assembles diesel generator power units and conducts limited diesel engine testing.
If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4:
❑ N/A
Page 1 of 5

3. Consultant (if aoolicable):
4.
Name of consultant:
Consulting firm:
Chris Bagley
S nTerra Corporation
Street address:
City:
State:
Zip Code:
511 Kiesler Drive, Ste 102
Cary
I NC
27518
Telephone number:
Email address:
336-459-9072
[e-mail]
uuuan(s) tat least one outtae is required to be eligible for coverage):
3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired.
001 Stirrup Iron Creek C; NSW O This watershed has a TMDL
Latitude of outfall: Longitude of outfall:
35° 55' 09" 35.919167 78" 50' 49" 78.846944
Brief description of the industrial activities that drain to this outfall:
Metal parts storage
3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired.
002 Stirrup Iron Creek C; N 11 1 O This watershed has a TMDL
Latitude of outfall: Longitude of outfall:
5° 55' 09" 35.919167 78" 50' 48" 78.846667
Brief description of the industrial activities that drain to this outfall:
Metal parts storage, diesel fuel above -ground storage tank location, diesel engine testing
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:
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:
3-4 digit identifier: I Name of receiving water: I Classification: 1 ❑ This water is impaired.
outfall: I Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
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 NOL
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:
❑O This facility has a Stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
July 11, 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):
O Check for $100 made payable to NCDEQ
O
Copy of most recent Annual Report to the NC Secretary of State (if applicable)
O This completed application and any supporting documentation
I]
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
❑ 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:
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.
El 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 I will abide by all conditions of the NCG030000 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.
17 I hereby request coverage under the NCG030000 General Permit.
Printed Name of Applicant: Scotty Moates
Title: Environmental Permitting and Compliance Manager
(Signature of Applicant)
Mail the entire package to:
06/30/23
(Date Signed)
DEM LR — Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4 of 5

Additional Outfatls
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:
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:
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:
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:
3-4 digit identifier:
Name of receiving water:
Classification:
is 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:
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:
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:
Page 5 of 5

NOTES:
1. TOPOGRAPHIC MAP SOURCE: 2019 USGS TOPOGRAPHIC MAP,
SOUTHEAST DURHAM, NC QUADRANGLE, OBTAINED FROM THE
USGS NATIONAL MAP AT https://e .U$gs.9
FIGURE
TOPOGRAPHIC MAP
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DURHAM, NORTH CAROLINA
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BUSINESS CORPORATION ANNUAL REPORT
k, _.%
I16rlO13
NAME OF BUSINESS CORPORATION: PowerSecure, Inc.
SECRETARY OF STATE ID NUMBER: 0649074 STATE OF FORMATION: DE
REPORT FOR THE FISCAL YEAR END: 12/31/2022
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Corporation Service Company
2. SIGNATURE OF THE NEW REGISTERED AGENT:
E - Filed Annual Report
0649074
CA202306900066
3/10/2023 01:25
�X Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
2626 Glenwood Avenue, Suite 550
Raleigh, NC 27608 Wake County
SECTION B:
2626 Glenwood Avenue, Suite 550
Raleigh, NC 27608
1. DESCRIPTION OF NATURE OF BUSINESS: Energy Innovation Company
2. PRINCIPAL OFFICE PHONE NUMBER: 9194532151
4. PRINCIPAL OFFICE STREET ADDRESS
4068 Stirrup Creek Drive
Durham, NC 27703
3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
5. PRINCIPAL OFFICE MAILING ADDRESS
4068 Stirrup Creek Drive
Durham, NC 27703
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: John L Pemberton NAME: CATHY E STEVENS
TITLE: Secretary TITLE: Treasurer
ADDRESS:
ADDRESS:
NAME: JAMES G SMITH
TITLE: Senior Vice President
ADDRESS:
241 Ralph McGill Boulevard 4068 Stirrup Creek Drive 4068 STIRRUP CREEK DR
Atlanta, GA 30308 Durham, NC 27703 DURHAM, NC 27703
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entity
L Pemberton 3/10/2023
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
John L Pemberton Secretary
Print or Type Name of Officer Print or Type Tille of Officer
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525