NCG030688 - Legrand NOI

NCDENR
Nc- CAR- DERARTMENT of
ENVIRONMENTAND NATURAL RESOURCES
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG0300 f ECEI��D
NOV 2 7 2017
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate of Covera e
N C G 0 3
C 4 olIDt
Penmt Assn ed to
wk,50 b ee
NOTICE OF INTENT O� X11'
National Pollutant Discharge Elimination System application for co&W der General Permit
NCG630000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) 335 Rolling, Drawing, and 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
SIC 38 Measuring, Analyzing, and Controlling Instruments
Wi'
rt For questions, please contact the DEMLR Regional Office for your area. See page 4.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name a w
Street Address A 6tj Lavtdl�- ac
City (' 'I (-1uv4 State 06 ZIP Code ,66 0i
Telephone No. -bj rb 3 (6(6q Fax: OaO 3W5-- 6fGt ;7
2) Location of facility producing discharge:
Facility Name &ew"%.4
Facility Contact
Street Address q�5 �l Lr�tcl- K
City State NG 'ZIP Code
County 'Or Q_
Telephone No. Fax: 09,0
Email ciwfifv�Q�2tr. ;�Ioyley G FZ9va .c�S
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection) 10 k IV y 311 9WO -1 -CuVA 9G4T 011) �
"t
k T06 606 eJ YKF 916fir AS vau PASS RwQx ss t1 W04 rw s-rcELfd
(A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application )
4) Latitude 35, 1 K500 Longitude — 181, 3621 A (deg, min, sec)
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NCG030000 N.O.I.
5) This NPDES Permit Application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
Existing
6) Standard Industrial Classification:
Provide the 4 -digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility.
SIC Code: 3 3
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
thisfacility: ASs .f01y df Sky Odic Cc4iev . Asew-401s LI &POL-4, �w'�U� &y4s_
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 3 6 Damn gF414S
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? RAE CAM P60S RO&SEPOItO C96 -M P6VS IM10 (QVC GftC1109y
Receiving water classification. OIA
Is this a 303(d) listed stream? Has a TMDL been approved for this watershed?
WIA-
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). OIN f3� k�1C1�1
9) Does this facility have any other NPDES permits?
%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)?
'9 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?
'4 No
❑ Yes (Show any structural BMPs on the site diagram.)
If yes, please briefly describe.
12) Does this facility have a Stormwater Pollution Prevention Plan?
% No
❑ Yes
If yes, when was it implemented?
13) Are vehicle maintenance activities occurring at this facility?
1Z No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
SW U-218-071408
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Last revised 7/2/14

NCG030000 N.O.I.
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
�4 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
154 No ❑ Yes
d) Is hazardous waste stored in the 100 -year flood plain?
U6- No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored
Where Is material stored:
How many disposal shipments per year
Name of transport / disposal vendor _
Vendor address:
15) Certification:
North Carolina General Statute 143-215.66 (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 with, or knowingly 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: LRO ItoOU�sW wOv4��1
Title: t taalIf4 $vseu' Gtr Rroi0- ScFn 'els o
(Signa re of Applicant)
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to:
NCDENR
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NCG030000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
1A Check for $100 made payable to NCDENR.
$4 This completed application and all supporting documents.
fj� A site diagram showing, at a minimum, (existing or proposed).
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored,
(f) impervious areas, (g) site property lines
Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee coverage under the General Permit.
For questions, please contact the DEMILR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office . .
[phone]
Fayetteville Office .
[phone]
Mooresville Office..
[phone]
Raleigh Office ...
[phone]
Washington Office
[phone]
Wilmington Office
[phone]
Winston-Salem ....
[phone]
Central Office .
[phone]
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SWU-218-071408 Last revised 7/2/14

GIS Assessment Report
Page 2 of 2
6 43
14ANUFAC T URINIG
C 82
MULTI -USE OFFICE
D 82
MULTI-USEOFFICE
E RPI
PORCH -OPEN!
F 85
ENCLOSURE
G 84
F,1ULTI-USE STORAGE
H SS1
SPRINK SYSVVET PIPE
I SS1
SPRINK SYSMET PIPE
J SS1
SPRINK SYS)WET PIPE
K SS1
SPRINK S'(SWET PIPE
L SS1
SPRINK SYSNt'ET PIPE
M PA1C
PAVING -ASPHALT PARK
221
28(
V
2:
38
22
300
Parcel ID 279316941469 Card 1 Footprint Structure Codes Download Sketch
* The square footage of houses having excessive cathedral ceiling areas may exceed actual square footage This is considered in the final reconciliation
of value Independent venfication of all data in this report is recommended
This map/report product was prepared from the Catawba County, NC Geospatial Information Services Catawba County has made substantial efforts to ensure the
accuracy of location and labeling information contained on this map or data on this report Catawba County promotes and recommends the independent verification of
any data contained on this map/report product by the user The County of Catawba, its employees, agents, and personnel, disclaim, and shall not be held liable for any
and all damages, loss or liability, whether direct, indirect or consequential which arises or may anse from this map/report product or the use thereof by any person or
entity
© 2017, Catawba County Government, North Carolina All rights reserved
http://gis.catawbacountync.gov/nomap/assessment report.php?key=279316941469&card=1 11/2/2017

CATAWBA Geospatial
Information Services
N
W+E
Real Estate Search
S
Parcel: 279316941469, 925 OLD LENOIR RD NW HICKORY, 28601
Owners: LASTAR HICKORY PROPERTIES LLC,
Owner Address: 3555 KETTERING BLVD
Values - Building(s): $554,700, Land: $129,100, Total: $683,800
_1 2
17
f`1Gra' a r
`} r if 1 V r
_ � 7
I:I i
1 in=200ft
This map/report product was prepared from the Catawba County, NC Geospatial Information Services Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report. Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user The County of Catawba, its employees, agents, and
personnel, disclaim, and shall not be held liable for any and all damages, loss or liability, whether direct, indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity
Copyright 2014 Catawba County NC
11/02/2017

GIS Assessment Report
Page 1 of 2
Assessment Report - Catawba County NC as of January current year
Property Assessment Information:
Revaluation Date: January 1, 2015
Card 1 of 1 Class I
Next Previous Card
Parcel Information:
Owner Information:
Parcel ID 279316941469
Name LASTAR HICKORY PROPERTIES LLC
Property Address: 925 OLD LENOIR RD
Name2
NW
Address- 3555 KETTERING BLVD
LRK(REID) 38157
City/State/Zip DAYTON, OH 45439-2014
Assessment Information:
Market Building(s) Value $554,700
Market Land Value $129,100
Total Market Value $683,800
Use Total Value $0
Sales Data:
Date Type
Price Source
Validity
2007-02-05 LAND & BLDG
$1,000,000 BUYER
VALID SALE
Property Factors:
Topography Utilities
Street or Road
LEVEL ALL PUBLIC
PAVED
Building Permit Data:
Issue Date Number
Amount Purpose
Notes:
Note1 QUIKTRON
General Building Data
Building # 1 Units 1
Type MANUF PROCESSNG
Ident Units: 1 Year Built 1974
Interior -Exterior Description
Levels Use Type
Ht Walls
Construction
Heating
Air Size
Cond
01 to 01 MANUFACTURING
16 BRK/CONC BLK
FIRE RESIST
HOT
CENTRAL 22568
AIR
01 to 01 MANUFACTURING
20 BRK/CONC.BLK
FIRE RESIST
HOT
CENTRAL 28000
AIR
E1 to E1 ENCLOSURE
10 ENCLOSURE
WOOD FRAME
HOT
CENTRAL 3870
AIR
01 to 01 MULTI -USE
10 BRICK/STUCCO
FIRE RESIST
HOT
CENTRAL 1500
OFFIC
AIR
B1 to 131 MULTI -USE
9 BRICKISTUCCO
FIRE RESIST
HOT
CENTRAL 2240
STORA
AIR
01 to 01 MULTI -USE
10 BRICK/STUCCO
FIRE RESIST.
HOT
CENTRAL 2240
OFFIC
AIR
Last Update 2016-03-28
http://gis.catawbacountync.gov/nomap/assessment report.php?key=279316941469&card=1 11/2/2017