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NCG100242 - Sam Auto Salvage, Inc.
ANTURa Division of Energy, Mineral and Land Resources � ��� NCDENRNational t C-NADEPARTMEtlrOF FJJvIRONMF AND NRU RESOURCES Land Quality Section Pollutant Discharge Elimination System NCG100000 RF-CEIVED NOTICE OF INTENT JUL 27 2017 NO - FOR AGENCY USE ONLY Date Received Year Month Da Certificate ofCoveragg NICIGI 1 10 Check # to Penna Asst ed to DLA National Pollutant Discharge Elimination System application for coverage under General Permit NCG100000: ti NkL/ANO QOALITY tt( ��yR FE—M, i1'17TNG STORMWATER DISCHARGES associate with activities classified as: SIC (Standard Industrial Classification) 5015 Used Motor Vehicle Parts SIC 5093 Automobile Wrecking for Scrap, (except as specified below) The following activities are specifically excluded from coverage under this General Permit: Establishments primarily engaged in the wholesale trade of metal waste and scrap, iron and steel scrap, and nonferrous metal scrap (hereafter referred to as the metal waste recycling Industry) I For questions, please contact the DEMLR Regional Office for your area. See page 4. (Please print or type) 1) Mailing address of owner/operator Name al LL— v �7 Jc+ Street Address % Gk 1 City &I State NC. ZIP Code Telephone No Q 3G u - '� � w Fax: 'Z1 9169 - 5 q 2- f 2) Location of facility producing disc4arge: Facility Name -'Dcvi.A. HyT v 3c,-iti Facility Contact r " w Street Address City County � Telephone No. t -�C(0- Email Saw'G.ub," a aAa' 0, State ('' ZIP Code 3) Physical Location Information: S'ty - Aa G © I —go /50 � 7 � v Please provide a narrative description of how to get to the facility ise street na as, state oad numbers, and distance and direction from a roadway intersection). , - cM C✓/�� , /u� e v ZW cwt �2� Crr>.tn i GLA I7L{( .rcc(.�ti/✓L i, 1 i FF C VL /PJu r`rQ' t (A copy of a county map or USGS quad sheet wth facility clearly located must be submitted Neth th19 application ) 4) Latitude :35 /3 -L-Z.671/ Longitude e n 0 -53 / Z..3 / (A.) (deg, min, sec) 5) This NPDES Permit Application applies to which of the following: El New or Proposed Facility Date operation is to begin E/Existing Page 1 of 4 SWU-225-071408 Last revised 6/24/14 glA' NCG100000 N.O.I. 6) Standard Industrial Classification: Provide the 4 -digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility — — r O SIC Code: 5 q '� �. 7) Provide a brief narrative d cription of a types of industrial ac ivities and products manufa tured at this facility: (�i� stu avi G - ��ii G�k�c c_7 L 17 8) Discharge points / Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? S— What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? Receiving water classification- C c Is this a 303(d) listed stream? G' Hasa TMDL been approved for this watershed? G� If the site stormwater discharges to a separate storm sewer system, n me the operator of the separate storm sewer system (e.g City of Raleigh municipal storm sewer). 41ZX 9) Does this facility have any other NPDES permits? L� No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility. 10) Does this facility have any Non -Discharge permits (ex: recycle permit)? ❑ No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility, 11) Does this facility employ any best management practices for stormwater control? ❑No EV es (Show structural BMPs on the site diagram ) If yes, please briefl� deiyibe. J _ _ i 12) Does this facility have a Stormwater Pollution Prevention Plan? EINo ❑ Yes If yes, when was it implemented? 13) Hazardous Waste: a) Is this facility�a Hazardous Waste Treatment, Storage, or Disposal Facility? El No L?I Yes 3 b) Is this facility a Small Quantity Generator (less than 1000 kg of hazardous waste generated per month) of hazardous waste? El No Lg-Yes Page 2 of 4 SWU-225-071408 Last revised 6/24/14 NCG100000 N.O.I. c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? o ❑ Yes d) Is hazardous waste stored in the 100 -year flood plain? ER No ❑ Yes If yes, include information to demonstrate protection from flooding e) If you answered yes to questions D. or c. Type(s) of waste i I c, y-1 ( How Is material stored. C/o s CCA Where is material stored: ovi �ctc How many disposal shipments per year: Name of transport / disposal vendor. Vendor address, /S ?-:� S E LJo= 14) Certification: North Carolina General Statute 143-216.613(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, or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article, or who falsifies, tampers voth, or knovongly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000) I hereby request coverage under the referenced General 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 certify that I am familiar with the information contained In this application and that to the best of my knowledge and belief such Information is true, complete, and accurate Printed Name of Person Signing. 6" e, Title. Aylzak & /- (Signature (Signature of Applicant) '716117 (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR Page 3 of 4 SWU-225-071408 Last revised 6/24/14 ® OUTFALL TOTAL OF 3 OUTFALLS Polaris 3G Map — Mecklenburg County, North Carolina nnf,o PrinfnAm 7i91')r1-17 -1 7. f A.AO nn ." ii % r t le 1�t 5 .,.iL----.•r .f ,r/ --4 • �� Y '.... - ___ - - -- - •' ---. .. _. _.... , �. -r.w +r+ ,.- i } �� I s�yA��� 1''R\ /jam '� � �� � � �+� ` � �_� +� - .rr r4%'a .�f• n'� . ,�"s�.v„�.�,,-=^_'y��^•,�j� - �r -/ �.i1 .r' i`l J ,i �•� ;'-...r'----`^"'� �.�"".'.' Y'rt/.'�Ij�f "+.;,moi?-" ~'�x,� t^ `z T;t`� `• "�!'Y, f i �_r -C 'r `,� E �`. J _ ,4 ,,.� � {�_ {j � IVf I t}+.�, '•yam 6�. ry . 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';"O('`�f `rf��%1'`'ir`fj-/__ �.' rr�Com--.,.`1t.—.��„.�0 ? \ 't)S, This ; This map or report Is prepared for the Inventory of real property within Mecklenburg County and Is compiled from recorded deeds, plats, tax maps, surveys, plantmetrlc maps, and other public records and data Users of this map or report are hereby notified that the aforementioned public primary Information sources should be consulted for venficatlon Mecklenburg County and Its mapping contractors assume no legal responsibility for the Information contained herein Polaris 3G Map — Mecklenburg County, North Carolina Date Printed: 7/6/2017 12:54:00 F .`^,r"{ k NY T 74 Nl Y .� :.^^� r M1� �'L"�q ,� p • F'� 4x � yy'i � -�''"� .f 0' ^ i . ^..'°h I �: •.�� v NO V fir S` m- ifirity It -a % q15 0.3 0 6=Miles^ # h I I 1 I I I i_ R9 S �� This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, planimetric maps, and other public records and data Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecklenburg County and its mapping contractors assume no legal responsibility for the information contained herein.