HomeMy WebLinkAboutNCG070234_Application_20230801 bcr=�� � N� a3oc�3
' FOR AGENCY SE ONLY
NCG07 Q �. 0 .[[ �Uii 0 L02�
Assigned to: fir\
ARO FRO MRO RRO WARD Tll WSRO DEMLR Stow rProgram
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG0700O0 Notice of Intent
This General Permit covers STORMWATER 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:
Coastal Cement, LLC Zachary Askins
Street address: City: State: Zip Code:
P.O. Box 160 Lake City SC 29560
Telephone number: Email address:
843-992-7170 zach@coastalcementlic.com
Type of Ownership:
Government
❑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:
Coastal Cement, LLC Scott Askins,VP
Street address: City: State: Zip Code:
2295 Burnett Blvd. Wilmington NC 28401
Parcel Identification Number(PIN): County:
New Hanover
Telephone number: Email address:
843-992-7170 zach@coastalcementllc.com
4-digit SIC code: Facility is: Date operation is to begin or began:
3272 1 ❑New ❑Proposed El Existing
Latitude of entrance: Longitude of entrance:
34° 11' 42" -770 56' 51 "
Brief description of the types of industrial activities and products manufactured at this facility:
Bagged concrete is transported to and unloaded on site,bags are opened and put into conveyor/hopper and loaded into transport trucks for distribution.
If the stormwater discharges to a municipal separate storm sewer system(MS4), name the operator of the MS4:
13 N/A
Page 1 of 5
3. Consultant(if applicable):
Name of consultant: Consulting firm:
J. Phillip Norris, P.E. Norris&Tunstall Consulting Engineers P.C.
Street address: City: State: Zip Code:
1429 Ash-Little River Rd. NW Ash NC 28420
Telephone number: Email address:
910-287-5900 pnords@ntengineers.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 Cape Fear ❑ This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
34° 11' 48" -77° 56' 47"
Brief description of the industrial activities that drain to this outfall:
Transfer of concrete from bags to trucks.
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?
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?
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: O 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?
All outfalis must be listed and at least one outfall is required.Additional outfalis 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: N/A
❑This facility has Non-Discharge permits(e.g.recycle permit).
If checked,list the permit numbers for all current Non-Discharge permits: N/A
❑This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram: N/A
❑This facility has a Stormwater Pollution Prevention Plan(SWPPP). N/A
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: N/A
❑This facility is a(mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility N/A
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked,indicate:
Kilograms of waste generated each month: Type(s)of waste:
N/A N/A
How material is stored: Where material is stored:
N/A N/A
Number of waste shipments per year: Name of transport/disposal vendor:
N/A N/A
Transport/disposalvendorEPAID: Vendor address:
N/A N/A
❑This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions N/A
6. Required Items(Application will be returned unless all of the following items have been included):
0 Check for$100 made payable to NCDEQ
D Copy of most recent Annual Report to the NC Secretary of State
❑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 143-215.6E(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:
O 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 N01 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 1 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.
El I hereby request coverage under the NCG07000O General Permit.
Printed Nae of Applicant: Zu���� ` Kt#4 S
Title: 1116,w? � r
(Signally 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
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• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online
Add Entity to My Email Notification List • View Filings • Print a Pre-Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
CEMENT USA LLC
Information
Sosld: 2502220
Status: Current-Active O
Date Formed: 10/7/2022
Citizenship: Domestic
Annual Report Due Date: April 15th
Currentgnnual Report Status:
Registered Agent: SANCHEZ, JUAN
Addresses
Principal Office Reg Office Reg Mailing
4191 FAYETTEVILLE RD 4191 FAYETTEVILLE RD 4191 FAYETTEVILLE RD
RALEIGH, NC 27603-3605 RALEIGH, NC 27603-3605 RALEIGH, NC 27603-3605
Mailing
PO Box 160
Lake City, SC 29560-0160
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Vice President President
SCOTT ASKINS JUAN SANCHEZ
710 LANCELOT WAY 4191 FAYETTEVILLE RD
LAKE CITY SC 29560-4011 RALEIGH NC 27603-3605
SOSID:2668176
Date Filed:7/14/2023 12:23:00 PM
State of North Carolina Elaine F.Marshall
Department of the Secretary of State North Carolina Secretary of State
C2023 187 01607
t.�
APPLICATION FOR CERTIFICATE OF AUTHORITY
FOR LIMITED LIABILITY COMPANY
Pursuant to §57D-7-03 of the General Statutes of North Carolina,the undersigned limited liability company hereby applies for a
Certificate of Authority to transact business in the State of North Carolina,and for that purpose submits the following:
1. The name of the limited liability company is COASTAL CEMENT LLC
and if the limited liability company name is unavailable for use in the State of North Carolina,the name the limited
liability company wishes to use is
2. The state or country under whose laws the limited liability company was formed is SC,United States
3. Principal office information: (Select either a or b) .
a. ❑The limited liability company has a principal office.
The principal office telephone number:(843) 992-7170
The street address and county of the principal office of the limited liability company is:
Number and Street:2295 BURNETT BLVD
City:WILMINGTON State:NC Zip Code:28401-7001 County: NEW HANOVER
The mailing address,if different from the street address,of the principal office of the corporation is:
Number and Street:
City: State:_ Zip Code: County:
b. ❑The limited liability company does not have a principal office.
4. The name of the registered agent in the State of North Carolina is:ZACHARY CASTANO
5. The street address and county of the registered agent's office in the State of North Carolina is:
Number and street:1308 LT CONGLETON RD
City:WILMINGTON State: NC Zip Code:28409 County: NEW HANOVER
6. The North Carolina mailing address, if different from the street address, of the registered agent's office in the State of North
Carolina is:
Number and Street 2295 BURNETT BLVD
City W11MINGTON State: NC Zip Code:28401-7001 County: NEW HANOVER
13USlNESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH,NC 27626-0622
(Revised July 2017) (Form L-09)
APPLICATION FOR CERTIFICATE OF AUTHORITY
Page 2
7. The names,titles,and usual business addresses of the current company officials of the limited liability company are:
(use attachment if necessary) (This document must be signed by a person listed in item 7.)
Name Me Business Address
ZACHARY ASKINS Authorized 710 LANCELOT WAY LAKE CITY SC,29560-4011
Representative United States
8. Attached is a certificate of existence(or document of similar import),duly authenticated by the secretary of state or other official
having custody of limited liability company records in the state or country of formation. The Certificate of Existence must be
less than six months old. A photocopy of the certification cannot be accented.
9. if the limited liability company is required to use a fictitious name in order to transact business in this State,a copy of the
resolution of its managers adopting the fictitious name is attached.
10. (Optional):Please provide a business e-mail address:Privacy Redaction
The Secretary of State's Office will e-mail the business automatically at the address provided above at no cost when a document
is filed. The e-mail provided will not be viewable on the website. For more information on why this service is offered,please see
the instructions for this document.
11.This application will be effective upon filing,unless a delayed date and/or time is specified:
This the6th day of July 2023
COASTAL CEMENT LLC
Name ofLimited Liability Company
ZACHARY ASKINS
Signature of Company Official
ZACHARY ASKINS Manager
Type or Print Name and Title
Notes:
1. Filing fee is$250. This document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH,NC 27626-0622
(Revised July 2017) (Form L-09)
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` - The State of South Carolina
: jSJ,rya ter'.{,
:_ Office of Secretary of State Mark Hammond =_
r' Certificate of Existence =
-
'__ I Mark Hammond Secrete of State of South Carolina Hereby Certify that: _N
� 1 Secretary Y fY --
COASTAL CEMENT LLC, a limited liability company duly organized under the laws of
the State of South Carolina on April 25th, 2018, with a duration that is at will, has as of
this date filed all reports due this office, paid all fees, taxes and penalties owed to the l
•I
State, that the Secretary of State has not mailed notice to the company that it is ==
subject to being dissolved by administrative action pursuant to S.C. Code Ann. §33-
44-809, and that the company has not filed articles of termination as of the date `=<#
hereof.
EEC
_ Given under my Hand and the Great Seal =:
`= of the State of South Carolina this 16th day �<
`===° of June, 2023.
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—Mazkammon ; ecretary of State
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RECEIVED J. Phillip Norris, P.E.
NORRIS & TUNSTALL aos UZI John S. Tunstall, P.E.
CONSULTING ENGINEERS P.C. T. Jason Clark, P.E.
StQMWA1FMM Joseph K. Bland, P.E.
ljEl�- Robbie P. Hennelly, E.I.
2602 Iron Gate Drive, Suite 102•Wilmington, NC 28412• Phone(910)343-9653• Fax(910)343-9604
1429 Ash Little River Road NW•Ash, NC 28420-1715•Phone(910)287-5900• Fax(910)287-5902
LETTER OF TRANSMITTAL
To: Date: July 24, 2023 Job No.
DEMLR Stormwater Program, 23063
512 N Salisbury St, 61h floor, subject• Coastal Cement LLC
Raleigh, NC 27604
WE ARE SENDING YOU VIA Federal Express FAX TRANSMITTAL: NUMBER OF PAGES
❑ ATTACHED ❑ UNDER SEPARATE COVER INCLUDING THIS TRANSMITTAL
❑ SHOP DRAWINGS ❑ PRINTS ❑ CERTIFICATION
❑ SPECIFICATIONS ❑ DISKS ❑ COPY OF LETTER Call 910-343-9653 if you have any difficulty
❑ receiving this message.
COPIES DATE NO. DESCRIPTION
07-18-23 $100.00 Review Fee (Norris Check#2702)
07-18-23 Original NCG070000 Notice of Intent
07-18-23 NCSOS Documentation
07-18-23 USGS Site location Map
07-24-23 Site Plan
❑ AS REQUESTED ® FOR REVIEW AND COMMENT ❑ FOR APPROVAL
❑ FOR YOUR USE ❑ FORBIDS DUE ❑ YOUR PRINTS LOANED TO US
REMARKS:
CC: Zachary Askins SIGNED J. Phillip Norris, P.E.
CONFIDENTIAL AND PRIVILEGED: Information contained in this document is privileged and confidential, intended for the sole use of the addressee.
If you are not the addressee or the person responsible for delivering it to the addressee you are hereby notified that any dissemination,distribution or
copying of this document is strictly prohibited. If you have received this document in error, please immediately notify the sender and return to the
address above.