NCG030751_Application_20241024

WithersRavenel
our Peopte.Your Success.
September 19, 2024
Ms.Tara Lane
DuBose Strapping, Inc.
906 Industrial Drive
Clinton, NC 28328
RE: Notice of Intent
General Permit NCG030000
Dear Ms. Lane:
Attached are two copies of the Notice of Intent to discharge stormwater at the Dubose
Strapping complex in Clinton (Sampson County), North Carolina. Please have Mr. Brent Parrish
sign and date page 4 of 5 of the application. Please keep one copy of the Notice of Intent on file
at DuBose Strapping. Attach a check for $120 made out to NCDEQ to the other copy, then send
the application along with the check to the following address:
DEMLR - Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Someone from DEMLR will likely contact you with a date on which they would like to visit
DuBose. Please let me know the date and time when they plan to make a site visit, and I will
accompany them during the walkthrough.
Sincerely,
WithersRavenel
Edmund Woloszyn,Jr., R.E.M.
Director of Geosciences
115 MacKenan Drive I Cary. NC 27511
t: 919.469.3340 1 f: 919.467.6008 1 www.withersravenel.com I License No. F-1479
Asheville 1 Cary 1 Charlotte I Greensboro I Pittsboro 1 Powells Point I Raleigh 'I Southern Pines I Wilmington

. • /�PGeo1r2l� l0/yr�/
FOR AGENCY USE ONLY
NCG03____
Assigned to: A. C06K
ARO /FR MRO RRO WARO WIRO WSRO
�/ Division of Energy, Mineral, and land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCGO300O0 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC335[Rolling, Drawingjand 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], SIC 37[Transportation Equipment], and SIC 38[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:
DuBose Strapping, Inc . Brent Parrish
Street address: City: State: Zip Code:
906 Industrial Drive Clinton NC 28328
Telephone number: Email address:
910-390-1020 bparrish@dubosestrapping . com
Type of Ownership:
Government
❑ County ❑ Federal ❑ Municipal ❑State
Non-government
® 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:
DuBose Strapping, Inc. Tara Lane
Street address: City: State: Zip Code:
906 Industrial Drive Clinton NC 28328
Parcel Identification Number(PIN): County:
12107748019 and 12011456602 Sampson
Telephone number: Email address:
910-590-1020 tlane dubosestra in . com
4-It SIC code: Facility is: Date operation is to begin or began:
�� ❑ New ❑ Proposed 13Existing 1 1990
Latitude of entrance: 35 . 019594 N Longitude of entrance: 78 334297 W
Brief description of the types of industrial activities and products manufactured at this facility:
Primary Manufacturing Operation : Manufacture Steel Banding
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
® N/A
Page 1 of 5

3. Consultant(if applicable):
Name of consultant: Consulting firm:
Edmund Woloszyn, Jr. WithersRavenel
Street address: City: State: Zip Code:
115 MacKenan Drive Cary NC 27511
Telephone number: Email address:
O: 919-238-0477 M: 919-218-7790 ewoloszyn@withersravenel . 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 Filliams Old Mill Br C, SW ❑This watershed has aTMDL
Latitude of outfall: 35 . 017083 N Longitude of outfall: 78 . 337326 W
Brief description of the industrial activities that drain to this outfall: None . Primarily lawn and parkin
3-4 digit identifier: Name of receiving water: Classification: El This water is impaired.
002 Williams Old Mill Br . C, SW — El This watershed has aTMDL.
Latitude of outfall: Longitude of outfall:
35 . 020111 N 78 . 337510 W
Brief description of the industrial activities that drain to this outfall: Storage of dumpsters
wood pallets, shiippincr docks, and storaQe of manufacturinct ecruilpment .
3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired.
003 Williams Old Mill Br C, SW ❑ThiswatershedhasaTMDL
Latitude of outfall: 35 . 022115 N Longitude of outfall: 78 . 337329 W
Brief description of the industrial activities that drain to this outfall:S to rage of.*Ma pallets, shipping
docks, dumpsters
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 NO].
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-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:
<220 pound (100 kilograms) Lead (D008)
Haw material is stored: Where material is stored:
55-gallon" drums Separate storage shed
Number of waste shipments per year: Name of transport/disposal vendor:Saf ety-Kleen Syst ms/
Twice a year Clean Harbors Lone Mountain LLC
Transport/disposal vendor EPA ID: Vendoraddress: Disposal vendor
TXR000081205 / MA.D039322250 4035;3 S. County Road 236
❑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):
® Check for$120 made payable to NCDEQ
® Copy of most recent Annual Report to the NC Secretary of State(if applicable)
®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 industrial process 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 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.
® 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.
® 1 hereby request coverage under the NCG030000 General Permit.
Printed Name of Applicant: Brent Parrish
Title: Vice President of Manufacturing
(Signature of Applicant) (Dat 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.
_t. ❑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 5of5

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ENV. ON CALL SCALE:I mh-1000 k.
2024 USGS SITE LOCATION MAP
WithersRavenel
906 i .stdal Dr,,
�.:..... t _N tnCaroyna28328 FIGURE 1
Sampson County

\tNOA>O,Bwb4pyOn(r•3WNFm9eKP�\Nacre-11"vrb.Fyux ROXG.SO Re+,Ntrvk i,�,Y,V.Sageni4nl],]OR093a:PPMnvFlii - .,,�-_ ,�
DRAINAGE AREA TOTAL AREA IS FT) IMPERVIOUS AREA (SQFT)
1 898,000 166,500
2 691,000 318,000 "
3 492,000 208,000 s
X
+4
L AIDING
DOCKS
LEGEND
J�
N2013 SAMPSON COUNTY TOPOGRAPHY ISOCONTOURS
(2-FT INTERVALS)
NDRAINAGE AREA BOUNDARY � ti,
F1 IMPERVIOUSAREAS
I T OPEN DRAINAGE DITCH-ARROW INDICATES FLOW
T y! DIRECTION On
x a '
pYy
f T BURIED CORRUGATED PLASTIC PIPE-ARROW INDICATES NORT{{ Pt
T yJ FLOW DIRECTION BLVpC
r.
OUTFACE LOCATION .d
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NOTES: 7
-1.)2024 AERIAL OBTAINED FROM MICROSOFT BING IMAGERY.
1� DUBOSE STRAPPING ; '``�
1/ ENV. ON CALL
WlthersRaVenel 2024 i SITE MAP °'w �1nC nr\
i,,...,,:al Drive I Clinton,North Carolina 283281 Sampwn County FIGURE 2

`t' BUSINESS CORPORATION ANNUAL REPORT
,'J, . .
1/6/2022
-NAME-OF-BUSINESS CORPORATION:— - Dubose_Strapping,-Inc.
0276983 Filing Offi.Use Only
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: NC E-Filed Annual Report
0276983
REPORT FOR THE FISCAL YEAR END: 12/31/2023 CA202406100595
3/1/2024 09:30
SECTION A: REGISTERED AGENT'S INFORMATION ❑X Changes
1. NAME OF REGISTERED AGENT: Dubose, Charles H. , Jr.
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
906 Industrial Dr. 906 Industrial Dr.
Clinton, NC 28328 Sampson County Clinton, NC 28328
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Manufacturing
2. PRINCIPAL OFFICE PHONE NUMBER: (91 0) 590-1020 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
906 Industrial Dr. 906 Industrial Dr.
Clinton, NC 28328 Clinton, NC 28328
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: Charles H Dubose , Jr NAME: NAME:
TITLE: President TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
--PO Box 819 — --—� ---- — — —
Clinton, NC 28328-0819
SECTION D: CERTIFICATION OF ANNUAL REPORT Section D must be completed in its entirety by a person/business
enb.�r.arles H Dubose Jr 3/1/2024
c h SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Charles H Dubose Jr President
Print or Type Name of Officer Print or Type Tftle of Officer
This Annual Report has been filed electronically.
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525.Raleigh,NC 27626-0525