NCG100256_Application_20240125

FOR AGENCY US ONLY
NCG10.015 _
Assigned to: C0�11/
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ARO FRO MRO RRO WARO WIR WSR
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
Pi o
NCG100000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 5015[Used Motor Vehicle Parts]and SIC 5093[Automobile Wrecking for Scrap—
except for facilities primarily engaged in the wholesale trade of metal&scrap, iron&steel scrap, and nonferrous
metal scrap]. 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:
Cardinal Metals, LLC Randal Baisden
Street address: City: State: Zi Code:
5149 Randleman Road Greensboro NC N406
Telephone number: Email address:
336-800-4388 [e-mail]
Type of Ownership:
Government
❑County; ❑Federal ❑Municipal ❑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:
Cardinal Metals, LLC Randal Baisden
Street address: City: State: Zi Code:
5149 Randleman Road Greensboro NC 2�406
Parcel Identification Number(PIN): County:
7759-94-6475 Guilford
Telephone number: Email address:
336-880-4388 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
5093 ® New ❑ Proposed ❑ Existing
Latitude of entrance: Longitude of entrance:
35.930127 -79.812849
Brief description of the types of industrial activities and products manufactured at this facility:
This facility purchases, decommission, and sells scrap vehicles and other scrap metal.
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 applica ble):
Name of consultant: - - - - ---Consulting firm:--_ __ _
J. Claiborne Thornton, III Industrial Environmental Consultants- --- - - ---
Street address: City: State: Zip Code:
2603 Fessey Park Rd, Ste. 102 Nashville I TN 37204
Telebl one`riumben Email address;
615-730-5059 [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: 1
9 This water is impaired.
001 Polecat Creek C ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35.929940 -79.811855
Brief description of the industrial activities that drain to this outfall:
Parking and scrap storage
3-4 digit identifier Narne 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:
_ mz ¢.
-- - - - - - - - -- -----
3-4 digit identifier: Name of rec'eiVing water Classification. O This water is impaired.
El This watershed has a TMDL.
Latitude of outfall:.,,,? `_' Longitude of outfall
Brief description of the industrial activities that drain fo this outfall "
3-4 digit identifier: Name of receiving water: - Classification: ;,D 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:
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):
❑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:
❑Tnisf-acllity hat a StormiWatfif Pollution Pfevention Plan(SWPPP).
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:
❑This facility is a(mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility, m.
If checked,indicate n `k
Kilograms of waste generated each month: Types)of waste
_ ..i.' r[ Y r
How material is stored Where material is stared:
Number 0f,wasteshi menu`e'r ear.^-' ° . Na"me oft ort/dis osalvend0r:`
P s.r � y � P P
.., .
»
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):
fjt) Check for$120 made payable to NCDEQ
❑ Copy of most recent Annual Report to the NC Secretary of State
®This completed application and any supporting documentation
® 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 143-215.6E(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:
5d 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.
®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.
® 1 will abide by all conditions of the NCG100000 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.
® 1 hereby request coverage under the NCG100000 General Permit.
Printed Name of Applicant: Randal BaiSden
Title: Owner
(Signal a of Applican (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 - — 77
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaifed;--�
❑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.
El This watershed has a TMDL.
6dtjtude of gytfall: 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:
s
3-4 digit identifier: Name of receiving water. Classification O This_water.is impaled:
❑This•watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
l; -
s k
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:
3A 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