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NCG210513_Application_20240410
402 Capel Street • Biscoe, NC 27209 Office(910)428-2368 • Fax(910)428-9196• Toll Free(877)428-2368 March 27, 2024 CERTIFIED MAIL RETURN RECEIPT REQUESTED 7020 2450 00016459 7031 NCDEMLR Stormwater Program 1623 Mail Service Center Raleigh,NC 27699-1612 RE: Notice of Intent—Industrial Stormwater General Permit NCG210000 Tough By Nature—Laserwood Plant 402 Capel Street,Biscoe,NC To Whom It May Concern: Please find enclosed one (1) copy of the above referenced Notice of Intent requesting coverage under NC General Permit NCG210000 for the Tough By Nature — Laserwood Plant located in Biscoe, NC. The application also includes a topographic map, a detailed map of the facility including delineated stormwater drainage areas and outfall locations, a copy of the most recent Annual Report to the NC Secretary of State, and a check for $120 to cover the required application fee. If there are any questions regarding the application, or to schedule an inspection of the facility, please contact me at (910) 572-7345 or Steven Gerrald of Leaf Environmental & Engineering, P.C. at (919) 484-8536. Sincerely, TOU9Y BY NATURE LLC Justin McBride Human Resources & Safety Manager Attachments cc: Leaf Environmental&Engineering,P.C. FOR AGENCY USE ONLY NCG21_0,5 1 3 Assign o: 9i. C061 k, ARO UR MRO RRO WARO WIRO WSRO Division of Energy, Mineral, and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCG210000 Notice of Intent This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard Industrial Classifications: SIC 24[Timber Products, including Wood Chip Mills—except as specified below]and like activities deemed by DEMLR to be similar in the process and/or the exposure of raw materials, products by- products, or waste materials. The following activities are specifically excluded from coverage under this General Permit:SIC 2434[Wood Kitchen Cabinets],SIC2491[Wood Preserving], and SIC2411[Logging]. 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: Tough By Nature LLC Robert B. Jordan IV Street address: City: State: Zip Code: 1939 NC Hwy 109 S Mt Gilead NC 27306 Telephone number: Email address: (910) 439-6121 Type of Ownership:-' Government ❑County ❑.Federal ❑Municipal ❑State Non-government W 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: Laserwood Plant Justin McBride Street address: City: State: Zip Code: 402 Capel Street Biscoe INC 27209 Parcel Identification Number(PIN): County: 756811658412 Montgomery Telephone number: Email address: (910) 572-7345 jmcbdde@Jordan-fab.com 4-digit SIC code: Facility is: Date operation is to begin or began: 2421 1 ❑ New ❑ Proposed d Existing Latitude of entrance: Longitude of entrance: 35.354607 -79.782209 Brief description of the types of industrial activities and products manufactured at this facility: Manufacture of wooden kiln sticks used in the lumber industry This facility will produce Wood Pellets: ❑Yes YNo If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4: ® N/A Page 3 of 5 3. Consultant(if applicable): Name of consultant: Consulting firm: Steven Gerrald Leaf Environmental & Engineering, P.C. Street address: City: State: Zip Code: 1426 East NC Highway 54, Suite C Durham NC 27713 Telephone number: Email address: (919)484-8536 steven@leafenviro.com 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 Hickory Branch C ❑This watershed has a rMDL Latitude of outfall: Longitude of outfall: 35.35686 -79.78338 Brief description of the industrial activities that drain to this outfall: Materials handling &storage Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes m 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. 002 Hickory Branch C ❑This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 35.35708 -79.78284 Brief description of the industrial activities that drain to this outfall: Materials handling 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: is water is impaired. 003 1 Hickory Branch C ❑This watershed has a TMDL Latitude of outfall: Longitude of outfall: 35.35728 -79.78236 Brief description of the industrial activities that drain to this outfall: Materials handling &storage Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes 9 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. 004 1 Hickory Branch C ❑This watershed has a TMDL. Latitude of outfall: Longitude of outfall: 35.35401 -79.78133 Brief description of the industrial activities that drain to this outfall: Materials Handling Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑Yes 10 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: ❑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-yearfloodplain. 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): R1 Check for$120 made payable to NCDEQ 0 Copy of most recent Annual Report to the NC Secretary of State(if applicable) This completed application and any supporting documentation 2 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 m 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: d 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 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. d I will abide by all conditions of the NCG210000 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 NCG210000 General Permit. Printed Name of Applicant: Robert B. Jordan IV Title: Member (Signature of Applicant) (Date Signed)' Mail the entire package to: DEMUR—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: water is impaired. 005 Hickory Branch C ❑This watershed has a TMDL Latitude of outfall: Longitude of outfall: 35.35772 -79.78008 Brief description of the industrial activities that drain to this outfall: No exposure to industrial activities Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes 9 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? 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 overthe 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? 3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired. ❑This watershed has aTMDL 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? Page 5 of 5 o Subst oil U �J. T BOO • I .- W En Fy En • ` • fit\ aim • N • U - -� 1331 we. • I W 13 Z kwz W — w 6 Q ' East Main Z N � �. s (Sign :r .I ! WW � � 1qc • ;577 i i55 � f SIt2 . . . ; 503 6 Val ye. � 1 l . • '. .. Ghapel 6 ' �1 .� i • • ...� /" . • S nn . .. • I PROJECT NO.: _ �.c� • . � • � j5 j [ • • I 273923 �..yj i._ i j i • , : • • f�. ' DATE: \ "/f �',�• �- ,I MAR. 2024 1'� • • 'a ' • SOUthsWe I DRAWN BY: LLLJJJ 4 ( CGP ead APPROVED BY: t 14Oj1A .•• • 1 SRG t i • 1,'1M11 600`~ 7 . f a. • •. • "•• • FILE: ` • • ' • 1 TBN/SWPPP 7 " Y f`• /G0 . •-. _ _ SCASESHOWN _ -----_— NOTES: 400 L � CP ercatorProjection 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 1.1 1.2 1.3 1.4k® GS84 ■ TM Zone 17S z 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8mi 860 ♦ CALTOPO Scale 2.12000 1 inch = 1000 feet ■ FIGURE 1: SITE LOCATION MAP TOUGH BY NATURE - LASERWOOD PLANT 402 CAPEL STREET BISCOE, MONTGOMERY COUNTY, NC 27209 KEY OO MATERIALS STORAGE — METAL EQUIPMENT N 0 MATERIALS STORAGE — WOOD OO WOOD CHIP/SAWDUST TRAILER L❑ADING ® TRAILER STORAGE 8 WATER TANK © CHILLER/COOLING TOWER O PROPANE TANK Oe LOADING DOCKS OO OPEN TOP RECYCLING BIN O POLE—MOUNT TRANSFORMER [T] PAD—MOUNT TRANSFORMER STORM DRAIN STORMWATER RUNOFF FLOW DIRECTI❑N SURFACE SWALE ---- UNDERGROUND PIPE — — PROPERTY BOUNDARY FENCE DRAINAGE AREA BOUNDARY Flaw L__L cent OBTFAI.L 005 erty -- 78008 Gate Mill St I OUTFALL OM O 35.357eB, / Grass Asphalt 6 I —7%76MOUTFALL �— IGrass 35.35703,OOe }I —79.79e94 Grass\ DA3 © } \\ Grass © Gross O OLRFAI.L OM � —79.78338 \ \ Gate O\ Asphalt O I s wl� DA2 0 rass © 3 � \\ Grass o I z o'A i DA5 }IID Grass f (NO INDUST IAL 1 DAI ® ACTIVITY) ® i O To Asphalt HICKORY BRANCH Gate _` I ® / � AsPralt I Faduty I \O Grass I Grass No 1 Industrial I I Activity I '� �/ © \ DA4 1 II I �CNo 4p�/ I lodustrlal \ I _ Activity RO lM MMAL STORM SEVEM I 79.778133 I _ - _ - - J FIGURE 2: POTENTIAL POLLUTANT PROJECT NO. : 273923 SOURCE LOCATION MAP LEAF ENVIRONMENTAL DATE: MARCH 2O24 S, ENGINEERING, P.C. DRAWN BY: CGP SCALE: 1 " = 150' TOUGH BY NATURE LLC - LASERWOOD PLANT 1426 E. NC HWY 54, HTE C APPROVED BY: SRG 402 CAPEL STREET DURHAM, NC 27713 FILE: TBN/SWPPP BISCOE, MONTGOMERY COUNTY, NC 27209 0e`'�`p°r?�� LIMITED LIABILITY COMPANY ANNUAL REPORT �� : -- - -- u®nm NAME OF LIMITED LIABILITY COMPANY: Tough by Nature, LLC Flung Offlce Use Only SECRETARY OF STATE ID NUMBER: .1949744 STATE OF FORMATION: NC E-Filed Annual Report 1949744 REPORT FOR THE CALENDAR YEAR: CA2023o200 2023 1/20/2023 08:45:45 SECTION A: REGISTERED AGENT'S INFORMATION Changes 1. NAME OF REGISTERED AGENT: Jordan, Robert B. , IV 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 1939 Hwy 109 S 1939 Hwy 109 S Mount Gilead, NC 27306 Montgomery County Mount Gilead, NC 27306 SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: Value added lumber product development 2. PRINCIPAL OFFICE PHONE NUMBER: (910) 439-6121 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction 4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS 1939 NC Hwy 109 S PO Box 98 Mt Gilead, NC 27306 Mt Gilead, NC 27306 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: Robert B Jordan , IV NAME: NAME: TITLE: Member TITLE: TITLE: ADDRESS: ADDRESS: ADDRESS: PO Box 98 Mt Gilead,NC 27306 SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity. Robert B Jordan IV 1/20/2023 SIGNATURE DATE Form must be signed by a Company Official listed under Section C of This form. Robert B Jordan-IV Member Print or Type Name of Company Official Print or Type Title of Company Official This Annual Report has been filed electronically. MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NO 27626-0525