NCG081053_Application_20240304

FOR AGENCY USE ONLY RECEIVED
NCGO8 ( © S 3
Assigned to: <3-Cco ' MAR 12024
ARO FRO MRO QRO WARO WIRO WSRO
DEMLR-Stormwater Program
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCGO80000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 40[Railroad Transportation],SIC 41[Local and Suburban Transit and Interurban
Highway Passenger Transportation],SIC 42[Motor Freight Transportation and Warehousing—except for SIC
4221-4225],SIC 43[United States Postal Services],SIC5171[Petroleum Bulk Stations and Terminals—when total
petroleum site storage capacity is less than 1 million gallons]. The following activities are also included:other
industrial actives where the vehicle maintenance area(s)are the only area requiring permitting;stormwater
discharges from oil water separators and/or from secondary containment structures associated with petroleum
storage facilities with less than 1 million gallons of total petroleum site storage capacity. 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:
Meridian Waste North Carolina, LLC Patrick Messinger
Street address: City: State: Zip Code:
103 Rupert Road Raleigh NC 27603
Telephone number: Email address:
[phone] [e-mail]
Type of Ownership:
Government
OCounty OFederal OMunicipal OState
Non-government
I3Business(If ownership is business,a copy of NCSOS report must be included with this application)
O Individual
2. Industrial Facility(facility being permitted):
Facility name: Facility environmental contact:
North Carolina Hauling 103 Rupert Road) Patrick Messinger
Street address: City: State: Zip Code:
103 Rupert Road Raleigh NC 27603
Parcel Identification Number(PIN): County:
0791958686 Wake
Telephone number: Email address:
919)832-8234 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
4212 O New O Proposed O Existing 2023
Latitude of entrance: Longitude of entrance:
35.715907°N -78.663900°W
Page 1 of 5

Brief description of the types of industrial activities and products manufactured at this facility:
Vehicle/equipment fueling
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
O N/A
3. Consultant(if applicable):
Name of consultant: Consulting firm:
Dave Sanders Hodges, Harbin,Newberry and Tribble, Inc.
Street address: City: State: Zip Code:
3920 Arkwright Rd.,STE 101 Macon GA 131210
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: ❑This water is impaired.
001 1 Unnamed tributary of Swift Creek WS-III;NSW p This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35.7157326° -78.6637644°
Brief description of the industrial activities that drain to this outfall:
Vehicle/equipment fueling
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? 0 Yes El 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 0 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? D Yes 0 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 NOL
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:
El This facility uses best management practices or structural stormwater control measures.
If checked,briefly describe the practices/measures and show on site diagram:
Secondary containment, inspections
❑+ This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked, please list the date the SWPPP was implemented:
February 2024
❑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:
How material is stored: Where material is stored:
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 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):
O Check for$100 made payable to NCDEQ
0 Copy of most recent Annual Report to the NC Secretary of State
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
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:
0 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 I will abide by all conditions of the NCG080000 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 NCG080000 General Permit.
Printed Name of Applicant: Partick Messinger
Title: Area President
27�m-
(Signature ofApplicant) (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? 13 Yes 0 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? 0 Yes 0 No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
34 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? 0 Yes El 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? 0 Yes E3 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? O Yes E3 No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 5 of 5

LIMITED LIABILITY COMPANY ANNUAL REPORT
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NAME OF LIMITED LIABILITY COMPANY: Meridian Waste North Carolina, LLC
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SECRETARY OF STATE ID NUMBER: 1878618 STATE OF FORMATION: NC E-Filed Annual Report
1878618
REPORT FOR THE CALENDAR YEAR: 2023 cA2D2 5
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SECTION A: REGISTERED AGENTS INFORMATION Changes
1.NAME OF REGISTERED AGENT: Capitol Corporate Services, Inc.
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
176 Mine Lake CT Ste 100 176 Mine Lake CT Ste 100
Raleigh,NC 27615 Wake County Raleigh,NC 27615
SECTION B:PRINCIPAL OFFICE INFORMATION.
1.DESCRIPTION OF NATURE OF BUSINESS: Waste Management
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
5925 Camegie Boulevard,Suite 370 5925 Carnegie Boulevard,Suite 370
Charlotte,NC 282094658 Charlotte,NC 28209-4658
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.)
'I
NAME: Walter H. Hall , Jr. NAME: David Lavender NAME: Mary O'Brien
TITLE: Chief Executive Officer TITLE: Chief Operating Officer TITLE: Secretary
ADDRESS: ADDRESS: ADDRESS:
5925 Carnegie Blvd,Ste 370 5925 Carnegie Blvd,Ste 370 5925 Carnegie Blvd,Ste 370
Charlotte,NC 28209-4658 Charlotte,NC 28209-4658 Charlotte,NC 28209-4658
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Mary O'Brien 4/9/2023
SIGNATURE DATE
Form must be signed by a Company Official fisted under Section C of This form.
Mary O'Brien Secretary
Prod or Type Name of Company Official Prim or Type Tole of Company Official
This Annual Report has been filed electronically.
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27628-0525

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103 Rupert Rd Location Map DrCWMER:
This dmving and the infonnaWn contained herein is for general
North Carolina Hauling 103 Rupert Rd �"d �n�oe(s)The soiree and accuracy of the
Meridian Waste North Carolina, LLC a t•ma 1,= Ws)has not bAYe^edwHHW and therefore the drawing isnot HODGES, HARBIN,
Intended for use as a engineering drawhg or for design purposes, NEWBERRY&TRI BBLE.INC.
Wake County, North Carolina I!!!T� Tee DISCLAIMER Co—&-gEaK'-
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Drainage Area/Outfall Summary
Drainage Area Acres Impervious Surface% I Outfall Lat Long
1 1.3 25% 1 001 35.7157 -78.6638
DISCLAIMER: L
Map 0 25 50 This drawing and the infonnadon contained herein Is for general
North Carolina Hauling (103 Rupert) l presentation by various cenly and ise compilation of shapeflle(h
Feet p by rce(s). The source and accuraq of the
Meridian Waste North Carolina LLC 1 inch equals 50 Feet flie(s)has not been verified by HHNT and therefore the drawing is not
r Intended for use as a engineering drawing or for design purposes.
Wake County, North Carolina
2212024