NCG060448_Application_20231229

FOR AGENCY USE ONLY _
1MG06
Assigned to: 5. COOK
ARO FRO MRO RO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG060000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC20[Food and Kindred Products],SIC21[Tobacco Products],SIC283[Drugs],SIC284
[Soaps, Detergents, & Cleaning Preparations;Perfumes, Cosmetics,& Other Toile t Preparations],SIC422[Public
Warehousing and Storage—exceptfor42261. 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,1622 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:
Prime Now LLC Paul Wilson, NA Environmental Leader-Last Mile
Street address: -City:--,--_ -----="`' State.--- ram-Zip Code:
PO Box 80842,ATTN: NA Env. Dept.•''=>` - - Seattle;- - • WA, .,.� 98108
Telephone number: Email address:-
1(800)575-0171 ---".r' paulnvil@amazoacdm i
n
Type of Ownership:
Government
❑County� ❑Federal-'`�IMl niapal ❑State
1 r _
Non-government�'----
El Business(If ownership is business,a copy of NCSOS report must be included with this application)'" N
❑Individual
2. Industrial Facility(facility being permitted):
Facility name: Facility environmental contact:
Prime Now LLC-UNC2 Patricia Sullivan, Regional Environmental Manager
Street address: City: State: Zip Code:
1590 Wolfpack Lane Raleigh NC 27609
Parcel Identification Number(PIN): County:
1715456152 Wake
Telephone number: Email address:
1(800)575-0171 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
4225 - []New ❑Proposed'DEzi`sting 10/24/2019 ---
Latitude of entrance: Longitude of entrance:
35.823953 -78.613773
Brief description of the types of industrial activities and products manufactured at this facility:
Facility serves as a distribution warehouse of consumer goods.
This facility processes meat:❑Yes 121 No
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
❑ N/A
Page 1 of 5

e151id 191I?MUUO)S-�jp!-ij
816z 6 c 030
3. Consultant(if applicable): AA G03
Name of consultant: Consulting firm:
Madison Shoemaker ERM
Street address: City: State: Zip Code:
300 W Summit Ave#330 Charlotte NC 28208
Telephone number: Email address:
[phone] [e-mail]
4. Outfall(s)At least one outfall is required to be eligible for coverage.
3-4 digit identifier: Name of receiving water: Classification: ❑O This water is impaired.
001 Crabtree Creek C, NSW ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35.824653 -78.612862
Brief description of the industrial activities that drain to this outfall:
Loading/unloading of goods for warehousing,equipment fueling,washing, and maintenance,and waste storage.
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?
Less than 55 gallons per month
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 calendaryear?
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?
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 accordingly):
0 This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
NCGNE1142
❑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:
Indoor storage,covered waste containers,inspections, housekeeping,training, preventative maintenance
I]This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented:
12/8/2023
❑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
O Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked,indicate:
Kilograms of waste generated each month: Type(s)of waste:
816 >owm nmre �m BwxM e5®w: onama c m.n.nnm. a e.mn a m.Am
How material is stored: Where material is stored:
Barrels,drums or on pallets Material is stored indoors via a locked/caged waste storage area
Number of waste shipments per year: Name of transport/disposal vendor:
24 US Ecology Atlanta(Transport),US ECOLOGY SULLIGENT,INC(Disposal)
Transport/disposal vendor EPA ID: Vendor address:
GAR000039776(Transport),ALD983177015(Disposal) SMF~lnE, lBIWAtN ,GA311338jmmro �5132 H"17Sutllpa,l,A35588(Depoas)
❑This facility is located on a Brownfield orSuperfund site
If checked, briefly describe the site conditions
6. Re uired ItemS(Application will be returned unless all of the following items have been included):
O Check for$100 made payable to NCDEQ
0 Copy of most recent Annual Report to the NC Secretary of State
I7 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
❑+ 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:
l 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 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 NCG060000 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.
❑O I hereby request coverage under the NCG060000 General Permit.
Printed Name of Applicant: Paul Wilson
Title: NA Environmental Leader-Last Mile
WW(��6
(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: ❑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: 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?
Page 5 of 5

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Figure 1
Site Locadon Map
Site UNC2
1590 NklHpack Ln
o' Raleigh,NC 27609
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f Dmircge Area
w a!M v Moblb ruelrg Area
rdti ' 8 ImpervmuS Area
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Detention sadn
Amamn leased MuMa,
r:Sae BouMan/Nob.
1.Leased ode area is app..l A earns
i 2.Leased impervious area i.appmx.1.5 acres.
\ Saalpk Point 01 / a 3.Undergound piping connediom are assumed
and Mold not be noMmned
4.Underground piping Mmeyo stormy ho m
Drainage Area 1 the detention basin on the south dde of the
G Fkz Delivery greater property,Mich eventua/y discharges to
Wadin Parkin Area c.umtn creak
f,n. g/ g A S.Avadable topographic sfommtion s not
acMmtetsa ode"led
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6.twit kits am basted near areas of iMustdel
7.See Plan for dalado on authonzad NSWDs.
f 'y F' 3
' SlSiteOvervkw Map
} .•�-• a ," . +. Site UNC2
,y 1590 WaRpack Ln
Raleigh NC 27609
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Parking Area j..
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Outfall 001(underground)
Coordinates:35824659 -78.612882
Legend
X
Dumpste s -General Location
A
❑ Emergency Generator(Diesel)
w.w.
'"� ✓ ' ` ,' - wdy. Hydraulic Compactor
Drainage Area 1 T outfall
[Shipping Dock Area ,�., 'i a/ •^' ' er, 7 ♦ Sample Point
Shi
❑ Storm Drain
'� .. 47"
e —21f Intermediate Contours
IOFr Index Contours
Surface How Direction
Underground Stormw ter Piping
i
Budding/Covered Structure
Drainage Area
While Fueling Area
�5- Impervious Area
FleI
Loa m
Delivery r' Amazon Leased Boundary
Loa j ding/Panting Area
Site Boundary
+,•w'�•w,i Sample Point 01 ,
Amazon UNC2
Grocery Fulfillment
Center
1.Lea;
1.Leased sae eves is approx. acres.
2.Leased inpervbua area L tons
p, . acres.
3.Underground piping mnnecibns am assumed
and cauU rat be confirmed.
b.Underground piping mn storm water to
the detention basin on its south side of Me Figure
greater properly which eventually discharges to Drainage Area Site Map
Crabtree Creek.
S.Avaibbb topographic information is not
Site UNC2
accurate a0er sae development. 1590 WoRpack Ln
6.Spin kas are braded near areas of industrial Raleigh,NC 27609
o m too activaba.
7.Sea Plan for detail on autMrued N51NDa.
mE M

LIMITED LIABILITY COMPANY ANNUAL REPORT
maov
NAME OF LIMITED LIABILITY COMPANY: ArnaZon.corn Services LLC
Ring Office Use Only
SECRETARY OF STATE ID NUMBER: 1938649 STATE OF FORMATION: DE E - Filed Annual
REPORT FOR THE CALENDAR YEAR: 2021 Report
1938649
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: Corporation Service Company
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
2626 Glenwood Ave Ste 550 2626 Glenwood Ave Ste 550
Raleigh, NC 27608 Wake County Raleigh, NC 27608
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Fulfillment Center and customer Service holding Company
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
410 Terry Ave N 410 Terry Ave N
Seattle,WA 98109 Seattle,WA 98109
6.Select one of the following if applicable.(Optional see instructions)
The company is a veteran-owned small business �. Q
❑ The company is a service-disabled veteran-owned small business 1013
SECTION C: COMPANY OFFICIALS(Enter additional company officials in Section E.)
NAME: MICHAEL D. DEAL NAME: NAME:
TITLE: Manager TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
410 TERRY AVE N
SEATTLE,WA 98109
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
MICHAEL D. DEAL 4/2/2021
SIGNATURE DATE
Form must be signed by a Company Official fisted under Section C of This form.
MICHAEL D. DEAL Manager
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

Ur' 'yy LIMITED LIABILITY COMPANY ANNUAL REPORT
1., f_`Ir
�, .
—_11W2022 _
NAME OF LIMITED LIABILITY COMPANY: Prime NOW LLC
Fling Office use Only
SECRETARY OF STATE ID NUMBER: 1575534 STATE OF FORMATION: DE E-Filed Annual Report
1575534
REPORT FOR THE CALENDAR YEAR: CA
2�22 690 2/10/2023 03:4223U4102
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: Corporation Service Company
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
2626 Glenwood Avenue, 2626 Glenwood Avenue„Suite 550
Raleigh,NC 27608 Wake County Raleigh,NC 27608
SECTION B: PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS: Retail Sales
2.PRINCIPAL OFFICE PHONE NUMBER: 2062664994 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
410 Terry Avenue North 410 Terry Avenue North
Seattle,WA 98109 Seattle,WA 98109
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: Michael Deal NAME: Alex Urankar NAME:
TITLE: Manager TITLE: Manager TITLE:
ADDRESS: ADDRESS: ADDRESS:
410 Terry Avenue North 410 Terry Avenue North
Seattle,WA 98109 Seattle,WA 98109
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a personibusiness entity.
Alex Urankar 2/10/2023
SIGNATURE DATE
Form must be signed by a Company Official fisted under Section C of This form.
Alex Urankar Manager
Print or Type Name of Company Official Print or Type Tille of Company Official
This Annual Report has been filed electronically.
MAIL TO:Secretary of State, Business Registration Division,Port Office Box 29525,Raleigh,NO 27626-0525

FOR AGENCY USE ONLY
NCG06____
Assigned to:
ARO FRO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG060000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC20[Food and Kindred Products], SIC21[Tobacco Products], SIC283[Drugs], SIC284
[Soaps, Detergents, &Cleaning Preparations;Perfumes, Cosmetics, & Other Toilet Preparations], SIC422[Public
Warehousing and Storage—except for 4226]. 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 assigned in Item(7) below:
Prime Now LLC Paul Wilson, NA Environmental Leader-Last Mile
Street address: City: State: Zip Code:
PO Box 80842,ATTN: NA Env. Dept Seattle WA 98108
Telephone number: Email address:
1(800)575-0171 [e-mail]
Type of Ownership:
Government
❑County []Federal I]vtunicipal []State
Non-government
OBusiness(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:
Prime Now LLC-UNC2 Patricia Sullivan, Regional Environmental Manager
Street address: City: State: Zip Code:
1590 Wolfpack Lane Raleigh NC 27609
Parcel Identification Number(PIN): County:
1715456152 Wake
Telephone number: Email address:
1(800)575-0171 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
4225 1 ❑New ❑Proposed (]Existing 10/24/2019
Latitude of entrance: Longitude of entrance:
35.823953 -78.613773
Brief description of the types of industrial activities and products manufactured at this facility:
Facility serves as a distribution warehouse of consumer goods.
This facility processes meat: ❑Yes 17 No
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