NCG030749_Application_20240812

FOR AGENCY USE ONLY /
NCG030_:1 1�-9
Assigned to:
ARO FRO MRO O WARO WIRO WSRO `FO
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Division of Energy, Mineral, and Land Resources Land Quality Section
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 3S[Industrial and Commercial Machinery],SIC 36[Electronic
and Other Electrical Equipment], SIC 37[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:
PCX CanpoWjan 1A6\d1 Gary Pollock
Street address: City: State: Zip Code:
33 Pony Farm Road Clayton NC 27520
Telephone number: Email address:
919-247-8540 [e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑State
Non-government
El 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:
PCX Corp.Clayton Facility Doug May
Street address: City: State: Zip Code:
33 Pony Farm Road Clayton NC 27520
Parcel Identification Number(PIN): County:
167800-10-7381 Johnston
Telephone number: Email address:
919-219-3049 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
3448 1 ❑New ❑Proposed 0 Existing 1993
Latitude of entrance: Longitude of entrance:
35°37 6.340-N I 78.25 18.855'W
Brief description of the types of industrial activities and products manufactured at this facility:
This facility creates prefabricated metal structures.Includes welding,sandblasting,metal cleaning,and spray painting
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
O N/A Clayton
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3. Consultant(if applicable):
Name of consultant: Consulting firm:
Kristine Kowalski Brown and Caldwell
Street address: City: State: Zip Code:
301 Bendix Road Virginia Beach VA 23452
Telephone number: Email address:
757-518-2440 [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: 0 This water is impaired.
001 Cooper Branch-Swift Creek-Neuse River C;NSW 0 This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
3513T2.798"N 78'25'22.357"W
Brief description of the industrial activities that drain to this outfalk
Finished product storage,sandblasting,minimal metal cutting,fueling activities
3-4 digit identifier: Name of receiving water: Classification: 0 This water is impaired.
002 Cooper Branch-Swift Creek-Neuse River C;NSW I7 This watershed has a TMDL
Latitude of outfall: Longitude of outfall:
35°37'1.437' -78'25'18.908"
Brief description of the industrial activities that drain to this outfall:
Loading activities
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
NA ❑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:
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:
Sweeping outdoor areas throughout the day,daily visual Inspections,drip pans
0 This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked, please list the date the SWPPP was implemented:
May 17,2024
❑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:
Ranges from approximately 91 kg to 381 kg F003,F005,13001,D005,D006,D007,0008,D035
How material is stored: Where material is stored:
Metal drums Next to work stations Inside the building
Number of waste shipments per year: Name of transport/disposal vendor:
7 Veolia Environmental Services
Transport/disposal vendor EPA ID: Vendor address:
NCD986166338 2176 Will Suitt Road,Creedmoor,NC 27522
❑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$100 made payable to NCDEQ
❑Copy of most recent Annual Report to the NC Secretary of State(if applicable)
0 This completed application and any supporting documentation
O 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:
No-rt a roIina General Statute 143=Z15.6B(i prow es that: Any person who—kno�y ma ee�fa Ise 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($30,000).
Under penalty of law,I certify that:
ICI am the person responsible for the permitted industrial activity,for satisfying the requirements of this permit,and for any
�fcivil or criminal penalties incurred due to violations of this permit.
M"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.
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.
53"1 hereby request coverage under the NCG030000 General Permit.
Printed Name of Applicant: Gary Pollock
Title: Director PCX Modular Solutions
&'t4( 164X(� 2� �; -7
(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

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Site Boundary
BrOwnAND Notes:Locations displayed are approximate. N Figure 2
Caldwell Na• SpatialmNAD 1%Me:
e: 1963 Sb eRa a l4ortki Camlim FIPS 3300 Fee
o zs so 3 350 PCX Clayton SWPPP Site Map
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