NCG100257_Application_20240214

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FOR AGENCY USE ONLY ! i
NCG10 O Z 51
Assigned to: CaCK FcrQ 1 , 4Q 4C)
ARO FRO MRO RRO WARO WIRO WSR
Division of Energy, Mineral, and Land Resources Land Quality SecYlj o9�a7
National Pollutant Discharge Elimination System
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: Leg Ily responsible person as signed in Item(7)below:
l
Street address: -City: V State: Zip Code:
Telephone number: E/m�ail—address:
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑State
Non-government
Q'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: Facilit environm tal contact:
¢ \ Ott,
Street address: City: State: Zip Code:
2 44e'rl Insi tf 27�9�
Parcel Identification Number(PIN): Co ty:
I-3 o- - w3 v
Telephone number: Email ddresj:
2 g D S Q wt 1L 1,rowi
4-digit SIC code: Facility is: Date operation s to begin or began:
❑ New ❑ Proposed 19 Existing I MA, Z013
Latitude of entrance: 35 c C o Longitude of entrant _'KO, 211
Brief description of the types of industrial activities and products manufactured at this facility:
If the Stormwater discharges to a municipal separate storm sewer system(MS4), name the operator of the MS4:
❑ N/A
Page 1 of 5

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3. Consultant(if applicable):
Name of consultant: Consulting firm:
Street address: - City: State: Zip Code:
Telephone number: Email address:
_-4. -OutfaII(s)-At-least one outfall is required to be eligible for coverage.___
3.4 digit identifier: Name of receiving water: Classificati l/ ©This water is impaired.
2 1 ❑This watershed has a TMDL.
Latitude3 of outfall: (J
Longitude of of all; 2! 13 g
�Lt
Brief description
es ription of the industrial act ivitie£that drain to this outfall:
Un �
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 wateris impaved:
❑This watershed has a TMDL.
Latitude of outfall Longitude of outfall: - '-
Brief description of the,industnal activities that drainto,this outfall:
3-4 digit identifier.- ' .Name'ofreceiving water!. 'Classification: _ This water is impaired.
•❑This watershed has a TMDL
Latitude of outfall: Longitude of outfall:ll-',
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 N01.
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:
Cl 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: - -- -
❑This facility has a Stormwater Pollution Prevention 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 - _
-_If checked,indicate:,
Kilograms of waste generated each month: Type(s)of waste.
y 3 e t r
How material is stored ;r Where material isstored:
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 Supe6nd site' ' ;T
µ'ti1 h Y..�._..
If checked,briefly describe the site conditions
6. Required Items (Application will be returned unless all of the following items have been included):
0-Check for$120 made payable to NCDEQ
[�VCopy 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
B 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 143-215.68(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:
E 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.
Z?r 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.
el 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.
1991 hereby request coverage under the NC�Gl00000 General Permit.
Printed Name of Applicant:
Title: /t /f��AdgAc�—
` a2rV��4- / x
(Signs ureofApplicant) "' (Date Signed) ,<
y,
Mail the entire.package to: DEMLR S'torinwater Program
Department of Environmental Quality
1612 Mail Service CeIt
nter
Raleigh, NC 27699 16ff 4t'
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:
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:
3-4 digit identifier: Name of receiyirig water:- Classification: '❑This.water.is.irripaireJ.
.❑This watershed,has,a.TMDL.
Latitude of outfall: Longitude of'outfall:
description of the industrial.activitiesth'at drain to this outfall
Brief desc ,
3-4 digit identifier: Name-of receiving water: Classiflcation: ❑This water is impaired.
.�d;O'This watershed has a TMDL.
Latitude of outfall: Longitude of odtfail:.
14
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:
Page-5 of-5

NORTH CAROLINA
Department of the Secretary of State
To all whom these presents shall come, Greetings:
I, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby certify
the following and hereto attached to be a true copy of
ARTICLES OF INCORPORATION
OF
AMK AUTO PARTS SALES & SERVICE, INC
the original of which was filed in this office on the 24th day of May,2013.
J aV R IN WITNESS WHEREOF,I have hereunto set my
hand and affixed my official seal at the City of
O Raleigh, this 24th day of May,2013.
�Cp� �g Scan[o ver fy online.
Certification#C201314307531-1 Reference#C201314307531-1 Page: l of 2 Seeretarof State
Verify this certificate online at www.secretary.state.nc.us/verification

C201314307531
SOSID: 1319794
Date Filed:5l24/2013 11:15:00 AM
Elaine F.Marshall
North Carolina Secretary of State
STATE OF NORTH CAROLINA C201314307531
DEPARTMENT OF THE SECRETARY OF STATE J
ARTICLES OF INCORPORATION
Pursuant to§55-2-02 of the General Statutes of North Carolina,the undersigned does hereby submit these
Articles of Incorporation for the purpose of forming a business corporation.
I. The name of the corporation is: AMK AUTO PARTS SALES&SERVICE, Inc
2. The Number of shares the corporation is authorized to issue is: 100,000
These Shares shall be all of one class,designated as common stock.
3. The Street address and county of the initial registered office of the corporation is:
4576 Fairport CT,
High Point NC 27265
Guilford County
4. The mailing address of the initial registered office is:
P.0 BOX 12566
Winston Salem NC 27117
Forsyth County
I .
5. The name of the initial registered agent is: CHAUDHRY TARIQ MAHMOOD IIINJRA
6. The Street address and mailing address of the principal office of the corporation is:
4576 Fairport CT
High Point NC 27265
Guilford County
7. The name and address of the each incorporator is as follows:
CHAUDHRY TARIQ MAHMOOD HINJRA CHAUDHRY ZAHID WARRAICH ALI ADNAN TARIQ
409 Barnes Road 4576 Fairport CT, 4576 Fairport CT,
Winston Salem NC 27107 High Point NC 27265 High Point NC 27265
Forsyth County Guilford County Guilford County
8. These articles are to be effective on UPON FILING.
This the 20`h da''of the May 2013
CHAUDHRY TARIQ MAHM006 HINJRA� /
Incorporator
CertincationN C201314307531-I ReferenceN C201314307531-Page:2 of 2

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Davidson County GIST
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map
Parcel Number: 1132500000030 Land Units: 17.21 AC
Pin Id : 6746-01-05-7224 Deed Book: 2104 Pg: 1468
T&Z IN VESTMENTS LLC
Owner: 425 JOHN WARD RD Deed Date: 05/31/2013
LEXINGTON NC 27295
Property Address: 425 JOHN WARD RD Account Number: 9206993
Township: 11 Exempt Code:
Building Value: $409,830 Other Building Value: 584;950
Land Value: $202,660 Market Value: $697,440
Assessed Value: $697,440 Deferred Value: $0