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Home My WebLink AboutNCG030747_Application_20240226 FOR AGENCY USE ONLY r� NCG03 a j / + Assigned to: ov/ FB ARO FRO MR RRO WARO WIRO WSRO Division of Energy, Mineral, and Land Resources Land Quality Section 9� National Pollutant Discharge Elimination System NCG030000 Notice of Intent This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard Industrial Classifications: SIC 335[Rolling, Drawing, and Extruding of Nonferrous Metals], SIC 3398[Metal Heat Treating], SIC 34[Fabricated Metal Products], SIC 35[Industrial and Commercial Machinery],SIC 36[Electronic and Other Electrical Equipment], SIC37[Transportation Equipment], and SIC38[Measuring,Analyzing, and Controlling Instruments]. 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: General Motors LLC Chad Allman Street address: City: State: Zip Code: 4280 Defender Way NW Concord NC 28027 Telephone number: Email address: 260-519-1120 chad.allman@gm.com Type of Ownership: Government ❑County ❑Federal ❑Municipal ❑State Non-government 9 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: GMD Manufacturing and Customer Innovation Center Jana Fattic Street address: City: State: Zip Code: 4280 Defender Way NW Concord NC 28027 Parcel Identification Number(PIN): County: Cabarrus Telephone number: Email address: 364-203-0374 jana.fattic@gm.com 4-digit SIC code: Facility is: Date operation is to begin or began: 3711 1 VNew ❑ Proposed ❑ Existing 1 05/01/2024 Latitude of entrance: Longitude of entrance: 35021'39.7"N 80041'55.2"W Brief description of the types of industrial activities and products manufactured at this facility: Vehicle assembly including fueling and equipment washing If the stormwater discharges to a municipal separate storm sewer system(MS4), name the operator of the MS4: ❑ N/A City of Concord Page 1 of 5 3. Consultant(if applicable): Name of consultant: Consulting firm: Street address: City: State: Zip Code: Telephone number: Email address: 4. Outfall(s) (at least one outfall is required to be eligible for coverage): 3 4 digit identifier: Name of receiving water: Classification: B This water is impaired. 001 Rock River C ❑This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 35021'32.6"N 80042'10.6"W Brief description of the industrial activities that drain to this outfall: roof runoff, fuel filling, dynamic vehicle testing (DVT) 3-4 digit identifier: Name of receiving water: Classification: 0 This water is impaired. 002 Rock River C ❑This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 35021'36.3"N 80041'52.3"W Brief description of the industrial activities that drain to this outfall: roof runoff, dynamic vehicle testing (DVT), vehicle parking and washing 3-4 digit identifier: Name of receiving water: Classification: El 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: 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: 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: 0 This facility uses best management practices or structural stormwater control measures. If checked, briefly describe the practices/measures and show on site diagram: Good housekeeping,routine inspections,written procedures,canopy covers and double-walled tanks for fuel storage ❑This facility has a Stormwater Pollution Prevention Plan(SWPPP). If checked, please list the date the SWPPP was implemented: To be developed ❑This facility stores hazardous waste in the 100-year floodplain. If checked, describe how the area is protected from flooding: 0 This facility is a(mark all that apply) 0 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: <100 (VSQG) Universal waste batteries,aerosol cans, unused/unwanted product How material is stored: Where material is stored: in compatible containers boxes, buckets, drums indoors Number of waste shipments per year: Name of transport/disposal vendor: 2 varies by wastestream 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): 0 Check for$120 made payable to NCDEQ 0 Copy of most recent Annual Report to the NC Secretary of State(if applicable) 0 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 0 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: 0 1 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. Cd 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. 42 1 will abide by all conditions of the NCG030000 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. ♦a 1 hereby request coverage under the NCG030000 General Permit. Printed Name of Applicant: Chad Allman Title: Plant Manager IIr?4LL( (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: 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 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: Page 5 of 5 f . LIMITED LIABILITY COMPANY ANNUAL REPORT ,I�ou —NAME-OF-LIMITED-I:[A81LITY-COMPANY:—General 0 OrS L Filing Office Use Only SECRETARY OF STATE ID NUMBER: .1120318 STATE OF FORMATION: DE E-Filed Annual Report 1120318 CA202309508569 REPORT FOR THE CALENDAR YEAR: 2022 4/5/2023 03:40 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: 2. PRINCIPAL OFFICE PHONE NUMBER: 3136651719 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS 300 Renaissance Center 300 Renaissance Center Detroit,MI 48265 Detroit,MI 48265 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: CRAIG B GLIDDEN NAME: PAUL JACOBSON NAME: MARK L REUSS TITLE: Secretary TITLE: Manager TITLE: Manager ADDRESS: ADDRESS: ADDRESS: 300 Renaissance Center 300 Renaissance Center 300 Renaissance Center Detroit,MI 48265 Detroit, MI 48265 Detroit,MI 48265 SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a personibusiness entity. CRAIG B GLIDDEN 4/5/2023 SIGNATURE DATE Farm must be signed by a Company Official listed under Section C of This form. CRAIG B GLIDDEN Secretary Print or Type Name of Company Official Print or Type Title of Company Official This`Annual-An been filed electronically.— --- MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525 GMD Manufacturing and Customer Innovation Center Site Diagram _ a � _ _ r _ r = _^ —� I _ i ' _ - = fl i \ur '' lli r 'r`I^ 4 r' l J�+q +!0!urw.� «« ��.� ��'�,f1�y.�! �� "_—'_._`:11.,. � — � Y:;�.��.�...�..�•,� ^...:.'� � r�ll � 2 j f :`1 a�ef' �1 r -------- - - ------- `-�,, VHucle Assembly BuJEop mil- I �1 14 ' 1, ji x Basin 2 I kr Rner VM1cM<test Couna ////.1 , ti +1' TIWIWTto -/% R.i..n11 � '�• for Ouw,IBVII m /'I s �11 \•s Yeale va.y Is COVanae1 armns to>amt� 1 (- 1 ,� � � .f ' \_ �. . I ✓ �\ram = Drains to Basin 1 = Drains to Basin 2 = Impervious areas =Approx. property line (leased property) GMD Manufacturing and Customer Innovation Center Drainage Outlet Map R9CRYIRYlR r. r t 'l 11 GRSJv56c'PATH _ � _ _ ` pRA.WAgE PATH F. 0 GMD Manufacturing and Customer Innovation Center Northern Portion of USGS 7.5-Minute Harrisburg, NC Topo Quadrangle 14 -- _ . ka . -Ernpre Beauty �; -- Sfiod-Concord Keasler Lake Dite r 000000 0000 C `O d F'n p 9 C, (/y _ ,LPG,- (