NCG200547_Application_20240118

FOR AGENCY USE ONLY
NCG20Q5 LI'_2 i7
Assignedto: 13- CcOV,
ARID FRO MRO RRO WARO WIRO WSRO �CI•
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Division of Energy, Mineral, and Land Resources Land Quality Section /r.8,,,
National Pollutant Discharge Elimination System ivafey�
NCG200000 Notice of Intent egg!
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 5093[Scrap Metal Recycling—except as specified below]and liked activities deemed
by DEMLR to be similar in the process, or the exposure of raw materials, intermediate products,final products, by-
products,or waste materials. The following activities are excluded from coverage under this General Permit:
Portions of SIC 5093[Automobile Wrecking for Scrap, and Non-Metal Scrap Recycling], and SIC 5015[Used Motor
Vehicle Part]. 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 resp„ erson assigned in Item(7) below:
Foss Recycling, Inc. Nathan Pipkin,.,,
Street address: City: State Zip Code:
7037 Highway 70 West La Grange NC 2,8551
Telephone number, "` Email address.
866-534-5866 npipkin@fossrecycl ing:com
Type of Orrership.
Governm w
-
®County ®Federal ElMunlapal ®State
Non-government
0Business (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:
Foss Recycling, Inc. Ben Gomez
Street address: City: State: Zip Code:
1638 US 70 West Mebane NC 27302
Parcel Identification Number(PIN): County:
9805132544 Alamance
Telephone number: Email address:
434-665-2400 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
5093 1 ®New ®Proposed DExisting March2016
Latitude of entrance: Longitude of entrance:
36"05'39.68" N -79°20'03.60"W
Brief description of the types of industrial activities and products manufactured at this facility:
Local reaideres sefl vanous types of fenois and npMerreus soap metal to me f ioNty.l facility tom riy atones Neee materials until Uansponin,trern to one of Ueir we eom soap metal yaMs for sale.
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
0 N/A
Page 1 of 5

it
Check all activities conducted at this facility
0 Outdoor stockpiling of materials ❑ Transport of materials by a conveyor or front-end
❑-Processing—cutting,grinding,ausFiing, baling, Wider
separation, etc. ❑ Vehicle and equipment maintenance
❑ Storage of materials in above-ground tanks ❑ Vehicle or equipment washing
O Material loading and unloading O Vehicle and equipment fueling
3. Consultant(if applicable):
Name of consultant: Consulting firm:
Cameron Moore Mid-Atlantic Associates, Inc.
Street address: City: State: Zip Code:
409 Rogers View Court Raleigh NC 27610
Telephone number: Email address:
[phone] [e-mail]
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4. Clutfall(s)At least one outfall is required to be eligible for coverage.
3-4 digit identifier: Name of receiving water: Classification: ElThis water is impaired.
001 Back Creek Ws-V,NSW ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
36'05'38.33" N 790 20'03.84" N
Brief description of the industrial activitiesixfiya§4 - Mon
AST storage,weighing scales scrap _m s o g g offices ,
Do Vehicle Maintenance Activiti eeur in t d ga of t o �, e 0 No
^�s- a�=
If yes, how many gallon motor oil ar , ear th a,a ed o�t�f a*calentl !Y y
r ..' .
MAN BE,liv
' :
3-4 digit id tifier:. . Na rifrece rS wa� Class'rc �o C�s�va er is impai
a cgphedAasaTMDL.
Latitude of outfall ke Longita of outfall:
I' f0z'4 j
a�.
0,14 r p r- a;3`%-gvx �
Brief description ofthe industrial activities that drairi to this outfall "
t lip'
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 4 ®Yes ®No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
j
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i
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 eadh month when averaged over the calendar year?
f
i
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.
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Page 2 of 5
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5. Other Facility Conditions (check all that apply and explain accordingly):
❑This facility has other NPDES permits.
If—cc�ked,Iist the permit numbers or all current NPDES permits:
i
I
0 This facility has Non-Discharge permits(e.g. recycle permit).
If checked,list the permit numbers for all current Non-Discharge permits:
0 This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
All non-ferrous metal, batteries, sealed units,etc.are kept on pallets, indoors until transported off the facility.
O This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked, please list the date the SWPPP was implemented:
October2017
❑This facility stores hazardous waste in the 100-year floodplain. I
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 Facif
tf ch eked,in �catg t
Kilograms of waste generated Ty )to1 iaiaste z '
3
How material is stor "* _' - , W�h,pylx trial is
¢¢ d: y
Number ante shi menr N" tt�nsport M .
Transport/di§pbsaivendorEPA16 3`r:<, - VenftAraddress:
❑This facity s"vloc ted•oY'n a LB-?ro wn0.fieI o upe� v.kYL'Y kg «
n` =site k'
If checked briefly describe the site conditions
it
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
0 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
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Page 3 of 5
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7. Applicant Certification:
_ North_Carolina.General-Statute-143-215bB(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:
91 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.
dThe 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.
CAI will abide by all conditions of the NCG200000 permit. I understand that coverage under this permit will constitute the
dpermit requirements for the discharge(s)and is enforceable in the same manner as an individual permit.
I hereby request coverage under thel NCG200000 General Permit.
Printed Name of Applicant:
Title:
(Signature o plicant) r (Date Signed)' Sw
Mail the entire package to., DEMLR—S or m water Pr6gram ��.n_3 t (�
r
,.D partment of Environmental Quality , AA
& 1612 MailEService Center
Raleigh, NC 27699-1612 u y
IILiv ?1"Rif L. „!' C}€
Page 4 of 5

From: Cook, Brittany <[e-mail]>
Sent: Monday, January 8, 2024 2:39 PM
To: npipkin—fossrecycling_com <[e-mail]>
Cc: Cameron Moore <[e-mail]>
Subject: NPDES Stormwater General Permit**INFO REQUEST**
Good afternoon Nathan,
My name is Brittany Cook and I am the General Permit Coordinator for NPDES Stormwater
Program at NC DEQ. On 1/5/24 we received an application for coverage under General Permit
NCG200000 for J&E Salvage/Foss Recycling, Inc. on 2014 Blue Creek Road in Jacksonville.
The passing of the NC State budget included updated fee adjustments for 2023. This is
retroactive to 10/3/23 so all General Permit applications received on or after 10/3/23 must be
accompanied by a $120 check.
In order to process the application for the Oxford Landfill, please mail a $120 check made
payable to NC DEQ to: 1612 MCS, Raleigh NC 27699-1612.
The $100 we received will be returned to you upon receiving the appropriate check. Please let
me know if you have any questions,
Mrs.Brittany Cook
NPDES Stormwater General Permit Coordinator
Stormwater Program,Division of Energy, Mineral, and Land Resources
N.C. Department of Environmental Quality
Phone. [phone]
Email: [e-mail]
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ALAMANCE COUNTY, N.C. � 4 '-
CONTOUR INTERVALL=10 FEET
-- -REFERENCES: - - - -- -
1.MEBANE,NC DIGITAL RASTER GRAPHICS,USGS, SCALE =1:8,000
SCANNED FROM 1:24,000-SCALE ALAMANCE COUNTY,NC
TOPOGRAPHIC MAPS,PUBLISHED 2022,USGS. 0 340 680 1,360
2.PROPERTY BOUNDARY FROM ALAMANCE COUNTY GIB. Fee{
3.INSET MAP DATA DOWNLOADED FROM ARCGIS ONLINE.
DRAWN „y�r��i- DATE:
BY; /% JANUARY 2023
TOPOGRAPHIC SITE MAP DRAFT JOB NO:
Reid Atlantic FOSS RECYCLING CHECK: CMM 022R4136.00
1638 US-70 WEST ENG. GIS NO:
MEBANE, NORTH CAROLINA CHECK: 07G-022R4136.00-01
APPROVAL: DMM DWG NO: 1

r TREE LINE
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SHREDDED STEEL UNPREPARED
MISCELLANEOUS
cF SCRAP
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1 ALUMINUM
ALUMINUM BREAKAGE
ALUMINUM CAN STORAGE
ALUMINUM STORAGE TIRE AND RIM STORAGE
CONTAINER
250—GALLON STAINLESS STEEL
KEROSENE AST STORAGE CONTAINER
#1 STEEL
550—GALLON
DIESEL AST
NON—FERROUS METAL STORAGE _
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BATTERY STORAGE
FX z
GENERAL REFUSE DUMPSTER
I PARKING
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SOSID: 0307461
BUSINESS CORPORATION ANNUAL REPO Date Filed:Elaine F. Marshallarshall
0
North Carolina Secretary of State
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NAME"OFBUSINESS-CORPORATION; Foss-Recycling,—IRC: - --- -CA-2022-124-00509-
. SECRETARY OF STATE ID NUMBER: 0307461 STATE OF FORMATION: NC Filing Office Use Only
REPORT FOR THE FISCAL YEAR END: 06/30/2021
1; Yy.
SECTION A: REGISTERED AGENTS INFORMATION
M4 ❑X Changes
1. NAME OF REGISTERED AGENT: Jimmie Carr Foss , Jr
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
7037 Hwy 70 West 7037 Hwy 70 West
La Grange, NC 28551 Lenoir La Grange, NC 28551
SECTION B:PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Recycling
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL Privacy Redaction
O'. .
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
7037 Hwy 70 West 7037 Hwy 70 West
La Grange,NC 28551 La Grange,NC 28551
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: Jimmie C Foss , Jr NAME: Stephen S. Foss NAME:
TITLE: President TITLE: Secretary TITLE:
ADDRESS: ADDRESS: ADDRESS:
7037 Hwy 70 West 7037 Hwy 70 West
La Grange, NC 28551 LaGrange, NC 28551
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
entity. a
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Stephen S. Foss Secretary
Print or Type Name of Officer Print or Type Title of Officer
SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF$25
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