NCG090035_Application_20240327

FOR AGENCY USE ONLY P-mvej 31Z
NCG09 Q Q 3 .5
Assigned to: C)OOO"
ARO FRO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG090000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC28S(Paints, Varnishes, Lacquers, Enamels, and Allied Products. 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:
Coatings &Adhesives Corporation Richard Pasin
Street address: City: State: Zip Code:
1901 Popular St NE Leland NC 28451
Telephone number: Email address:
910-371-3184 [e-mail]
Type of Ownership:
Government
❑ County ❑ Federal ❑Municipal ❑State
Non-government
IR 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:
Coatings &Adhesives Corporation Matt Fail
Street address: City: State: Zip Code:
4235 US-421 Currie NC 28435
Parcel Identification Number(PIN): County:
2293-04-4487-0000 and 2293-04-2802-0000 Pender
Telephone number: 910-371-3184 Email address: [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
2851 1 ® New ❑ Proposed ❑ Existing Summer 2024
Latitude of entrance: 34.391667 Longitude of entrance: -78.035833
Brief description of the types of industrial activities and products manufactured at this facility:
Energy-curable coatings
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the M54:
® N/A
Page 1 of 5

3. Consultant(if applicable):
Name of consultant: Consulting firm:
Julie Johnson AECOM Technical Services of North Carolina, Inc.
Street address: City: State: I Zip Code:
5438 Wade Park Blvd., Suite 200 Raleigh NC 27607
Telephone number: 312-259-6462 Email address: [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: El This water is impaired.
001 Mill Creek,which discharges to Long Creek Good ❑This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
34.391389 -78.035556
Brief description of the industrial activities that drain to this outfall:
Materials loading/unloading activities and uncovered dumpsters.
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 each month when averaged over the calendar year?
3-4 N�titidentifier: 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:
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 each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired.
[3 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 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 ❑ 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 NOI.
Page 2 of 5

5. 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: N/A
❑This facility has Non-Discharge permits(e.g.recycle permit).
If checked,list the permit numbers for all current Non-Discharge permits: N/A
®This facility uses best management practices or structural stormwater control measures.
If checked,briefly describe the practices/measures and show on site diagram:
BMPs will be developed and implemented prior to initiating industrial activities.
❑This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented:
SWPPP is currently under development and will be in place prior to operation.
❑This facility stores hazardous waste in the 100-year floodplain.
If checked,describe how the area is protected from flooding: N/A
®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:
TBD TBD
How material is stored: Where material is stored:
US DOT-approved containers Inside the building
Number of waste shipments per year: Name of transport/disposal vendor:
TBD TBD
Transport/disposal vendor EPA ID: Vendor address:
TBD TBD
❑This facility is located on a Brownfield or Superfund site
If checked,briefly describe the site conditions N/A v.
6. Required Items (Application will be returned unless all of the following items have been included):
® 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 143-215.6B(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:
® 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.
® I will abide by all conditions of the NCG090000 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.
® I hereby request coverage under the NCG090000 General Permit.
Printed Name of Applicant: Richard Pasin
Title:President
(L 3 Zt Pzej
(Signature of Applicant) (Datk Sig ed)
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4 of 5

BUSINESS CORPORATION ANNUAL REPORT
NAME OF BUSINESS CORPORATION: Coatings and Adhesives Corporation
0253333 Filing Gila Use Only
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: NC E-Filed Annual Report
0253333
REPORT FOR THE FISCAL YEAR END: 9/30/2023 CA202407105117
3/11/2024 03:45
SECTION A: REGISTERED AGENT'S INFORMATION FX� Changes
1.NAME OF REGISTERED AGENT: Saffo,Anthony A
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
5900B Oleander Dr 5900E Oleander Dr
Wilmington, NC 28403 New Hanover County Wilmington, NC 28403
SECTION B: PRINCIPAL OFFICE INFORMATION
1.DESCRIPTION OF NATURE OF BUSINESS`. Manufacture and distribution of waterbased and UV/EB coatings and specialty adhesives
2.PRINCIPAL OFFICE PHONE NUMBER: [phone] xo 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
1901 Popular Street NE PO Box 1080
Leland, NC 28451 Leland, NC 28451
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: Christopher Pasin NAME: Richard Pasin NAME: George Barnabas Frederick
TITLE: Secretary TITLE: President TITLE: Chief Financial Officer
ADDRESS: ADDRESS: ADDRESS:
PO Box 1080— _-- 109 Windlass Drive -- .-- -- P.O. Box 1080
Leland, NC 28451 Wilmington,NC 28409 Leland, NC 28451
SECTION D:CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
ent y
George Barnabas Frederick 3/11/2024
SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
George Barnabas Frederick Chief Financial Officer
Print or Type Name of Officer Print or Type Tide of Officer
_ __This Annual Report has been filed electronically.
MAIE TOcretary:Se of State, Business Registration Division,Post Offce Box 29525,Raleigh,NC 276260525

CATiNGS PDHE51VES 1901 Popular St. N.E., Route 74/76, P.O. Box 1080, Leland, NC 28451
WWII [phone], fax[phone] www.cacoatings.com
9tORPORATiON
Via Federal Express and Email
March 21, 2024
NCDEMLR Stormwater Program
North Carolina Department of Environmental Quality
1612 Mail Service Center(MSC)
Raleigh, North Carolina 27699-1612
RE: NPDES NCGO90000 Notice of Intent
Coatings &Adhesives Corporation
4235 US-421
Currie, Pander County, North Carolina
To Whom It May Concern:
Coatings & Adhesives Corporation (Coatings) recently acquired a facility located at 4235 US-421 in
Currie, North Carolina. Plans for installation of manufacturing equipment are currently under
development. Coatings anticipates that industrial activities at the proposed facility will commence during
summer 2024.
Coatings' Currie site will manufacture energy-curable coatings and water-based adhesives and will
operate under SIC code 2851, Paints and Allied Products. Coatings intends that manufacturing
processes and storage activities will be conducted within the building envelope. Potential sources of
discharge to stormwater outside the building may include the following:
• Materials loading/unloading activities; and
• Uncovered dumpsters.
Enclosed is a Notice of Intent (NOI) submittal requesting coverage under Permit NCG090000. The
submittal includes:
• The completed and signed NOI form;
• The requisite check in the amount of$120;
• A site diagram detailing information required on the NOI form;
• A copy of the relevant USGS quad sheet with the location of the facility marked; and
• A copy of the most recent Annual Report submitted to the North Carolina Secretary of State.
Coatings understands that the Currie facility will not be required to conduct analytical activities. The
proposed facility will not perform vehicle maintenance onsite or use more than an average of 55 gallons
of new motor oil and/or hydraulic oil monthly.

%ORPORA�TION
NGS 6 A 1901 Popular St. N.E., Route 74176, P.O. Box 1080, Leland, NC 28451
[phone],fax[phone] www.cacoatings.com
If you have any questions, please do not hesitate to contact me at(910)619-8199.
Respectfully submitted,
Coatings &Adhesives Corpora 'on
Matt Fail
Plant Engineer
Enclosure
cc: Julie S. Johnson—AECOM Technical Services of North Carolina, Inc.

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