NCG210511_Application_20230811

FOR AGENCY USE ONLY
NCG21 n 5
Assigng{itQ:
ARO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG210000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC24(Timber Products, including Wood Chip Mills—except as specified below)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:SIC 2434(Wood Kitchen Cabinets),SIC 2491[Wood Preserving], and SIC 2411 (Logging). 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:
Longleaf Truss and Building LLC Chad D.Miller
Street address: City: State: Zip Code:
PO Box 225 West End NC 27376
Telephone number: Email address:
910-6734711 [e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑State
Non-government
I]Business(If ownership is business,a copy of NCSOS report must be included with this application)
❑1 ndividual
2. Industrial Facility(facility being permitted):
Facility name: Facility environmental contact:
LongLeaf Truss Chad Miller
Street address: City: State: Zip Code:
4476 Hwy 211 W West End NC 27376
Parcel Identification Number(PIN): County:
852407592821 and 852400594923 Moore
Telephone number: Email address:
910-6734711 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
2439 1 []New ❑Proposed Ej Existing Before 2000
Latitude of entrance: Longitude of entrance:
35d 15m 32s 079d 35m 05s
Brief description of the types of industrial activities and products manufactured at this facility:
Manufactures wood trusses for residential and commercial construction.
This facility will produceWood Pellets: ❑Yes El No
It 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 applicable):
Name of consultant: Consulting firm:
Jim Frei Stormwater Services Group LLC
Street address: City: State: Zip Code:
8916 Oregon Inlet Ct Raleigh NC 27603
Telephone number: Email address:
919-661-9954 [e-mail]
4. Outfall(s)At least one outfall is required to be eligible for coverage.
3-4 digit identifier: Name of receiving water: I Classification: O This water is impaired.
001 UT to Jackson Creek(AU 14-2-5) WS-Il, HQW ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35d 15m 31.3s 079d 35m 07.3s
Brief description of the industrial activities that drain to this outfall:
Exposed storage of dimensional lumber prior to cutting and assembling into wood trusses.
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes E)No
averaged over the calendar year?If yes,how many gallons of new motor oil are used each month when
3-4 digit identifier: Name of receiving water: Classification: O This water is impaired.
002 UT to Jackson Creek(AU 14-2-5) WS-II, HQW ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35d 15m 32.6s 079d 35m 04.5s
Brief description of the industrial activities that drain to this outfall:
Exposed storage of finished wood trusses,one roll-off trash container.
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.
003 UT to Jackson Creek(AU 14-2-5) WS-II, HQW ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35d 15m 34.5s 079d 35m 11.0s
Brief description of the industrial activities that drain to this outfall:
Exposed storage of dimensional lumber and finished wood trusses,two ASTs containing diesel fuel for on-site mobile equipment
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes ID 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?
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:
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:
Not at this time. May consider linear retention basin to eliminate swale.
❑This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented:
Under development by Consultant,to be effective 08130/2023.
❑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
❑ 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
n/a
6. Required Items (Application will be returned unless ail 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)
❑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 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 143-215.6B(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:
❑+ 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 NCG210000 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 NCG210000 General Permit.
Printed Name of Applicant: Chad D. Miller
Title: CEO
U'll-4
(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: his 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: Nf receiving water: Classification: This water is impaired.
❑T
ame o his 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

SOSro:2570041
Date Filed:2/61202310:31:00 AM
State of North Carolina Elaine F.Marshall
Department-of the Secretary of Stat-—North Carolina Secretary of-State—
C2023 036 00726
Limited Liability Company
ARTICLES OF ORGANIZATION
Pursuant to§57D-2-20 of the General Statutes of North Carolina,the undersigned does hereby submit these Articles
of Orgauization'for the purpose of forming a'hibited liability'company.
1. The name of the limited liability company is: Longleaf Truss and Building LLC
1(See Item lof the Instructions for appropnote entity designation)
2. The name and address of each person executing these articles of organization is as follows: (State whether each
person is executing these articles of organization in the capaciiy of a member,organizer or both by checking
all applicable bones.)Note: This document must be signed by all persons listed. : 7
Name ' -Business Address,- -Capacity
Chad Dustin Miller -502 Finley St N Wilkesboro NC,28659-3236 United States QMember E]Organizer
Stephanie Marie Presley -502 Finley St N Wilkesboro NC 28659-3236 United States ❑Member EOrganizer
F�Membcr DOrganizer
3. The name of the initial registered agent is:Chad Dustin Miller
4. The street address and county of the initial registered agent office of the limited liability company is:
Number and Street 502 Finley St
City N Wilkesboro State:NC ZipCode: 28659-323tounty: Wilkes
5. The mailing address,if different from the street address, of the initial registered agent office is:
Number and Street
City State:NC Zip Code: County:
6. Principal office information: (Select either a orb.)
a. OThe limited liability company has a principal office.
The principal office telephone number.
The street address and county of the principal office of the limited liability company is: ,
,
Number and Street:
City: State:_ Zip Code County:
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 Raleigh,NC 27626-0622
(Revised'August. 2017) form L-01

The mailing address,if different from the street address, of the principal office of the company is:
Number and Street:
City: State: Zip Code: County:
b. The limited liability company does not have a principal office.
7. Any other provisions which the limited liability company elects to include(e.g„the purpose of the entity)are
attached
8. (Optional):Listing of Company Officials(See instructions on the importance of listing the company officials in the
creation document.
Name Title Business Address
Chad Dustin Miller , hiefExecutive Officer 02 Finley St.N,Wilkesboro NC,,
9. (Optional): Please provide a business e-mail address:Priva Reduction
The Secretary of State's Office will e-mail the business automatica2ll3y, 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.
10. These,articles will be effective upon filing,unless a future date is specified:
This is the 5th day of February ,2023
Chad Dustin Miller
Signature
Chad Dustin Miller Member/Organizer
Type or Print Name and Title
The below space to be used if more than one organizer or member is listed in Item#2 above.
Stephanie Marie Presley
Signature 'Signature -
Stephanie Marie Presley Member/Organizer
Type or Print Name and Title Type or Print Name and Title
NOTE:
I. Filing fee is$125. This document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 Raleigh,NC 27626-0622
Fo
(Revised August 2017) rm 1r01

(Continued) Incorporators/Organizers - Longleaf Truss and Building LLC
Stephanie Marie Presley - 502 Finley St N Wilkesboro NC 28659-3236 United States Signature: Stephanie Marie
Presley -Member/Organizer

WOODS WOODS
.........................
SWAGE.:.::..::..:::...:.- WOODS
SDO- - — - - -i 003 — —
DA = 28,000 sf
W = Imp = 3edo WADS _.PROPERTY _LINE
WOODS
J ................................ )„u �
�I .«.... Il. ........... .... . r..... ....� r..:... T ..........
GRASS FIELD uAS -1WOODS l I
o ? PRE-CUT AST-2 FINISHEDLd
LUMBER
'
al I STORAGE ` TRUSSES Z_
W SAND $URFACE LAYDOWN
Z , 3 YARD ; YARD � I
SAND SURFACE I ` I BLCK'.4 y/ GRASS FIELD
PRE-CUT BLDG 3 ....1- �
W
E STORAGE ,BRASH
1' IN W
! II t BLnG2 1 _,. Q w PROPERTY OF
j ROLLING ` 4 aL EIFORT PLACE LLC
;:
a33 W LOADER ROLLING
.............BCIICY LDADER FINISHED
=�3 SAND w6ACE TRUSSES U
WOODS N LAYDOWN 7
YARD
it .''• . I Employee GRASS FIELD
Septic LPnrking j II -�•--- : ��
•� j Field `
u Auman Lake I I Enploj ee I I \\ \
ParklnQ
woans '-- _ _'` MAP 2 - FACILITY SITE PLAN
SDO-001 dNelopedjor
DA = 38,700 sf LONGLEAF TRUSS
°, SDO-002 ```\ G El RQ DO SID\ ITCH 'NI•DEestEned,North Carolina
Imp = 7 /o DA = 33,000 sf - ' - -
�� �_ Aip n,l:sAIIf.USP I@J w.w.aa:Ss P.d
` 03uds,AP P.d
Imp = 5% woans SwSG

i
s,
j
•R
a t
t
ZION GROVE,NC (1981)QUADRANGLE
MAP 1-SITE LOCATION MAP
LongLeaf Truss Stormwater Pollution Prevention Plan
NPDES Permit NCG210000 Page 4