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HomeMy WebLinkAboutNCG070218_Application_20190416NCGv7a2Jg Division of Energy, Mineral and Land Resources Land Quality Section National Pollutant Discharge Elimination System NCG070000 FOR AGENCY USE ONLY Date Received Year Month Da o I Certificate ofCovera Fe NC Check # Amomt (v )ao— Pennit Assi mad to NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit NCG070000: STORMWATER DISCHARGES associated with activities classified as: Wi12� SIC' 32 Stone, Clay, Glass, and Concrete Products (except as specified below) SIC* N/A 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' 3273 Ready -Mixed Concrete Standard Industrial Classification Code APR 16 2011 DENR-LAND QUALIV (Please print or type) ?TORMWATER PERMI I (ING 1) Mailing address of owner/operator (address to which all permit correspondence will be mailed): Name Street Address City Telephone No. E-mail Address V\,, \ahkAaXe, State N4C ZIP Code -:gg `ll k 39 6 -'" 6 L- (r Fax: ri l c- 2) Location of facility producing discharge: Facility Name ?eWan r e cs i wtk-s\-c \n&V�s-kyics �rocess�n Facility Contacte.c Contact E-mail a \A c3 r, o- cNo,,c e We S , cvy)a C�r,rr1 Street Address N 1 ; ls,l' tY+dtv+1� G cCeS City n lmy-N State N CG ZIP Code a4614,C)1 County fAew w.rtiC�,,iCX- Telephone No. 3 \ c1 3,16 a 9 $U (.r Fax: n I a;, 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). V0,6is \,o ` A a n hack \Ok ni Sh 4 i wa—,h b e s oa Cr-a-n e_ - (A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application) 4) Latitude Longitude (degrees, minutes, seconds) 5) This NPDES Permit Application applies to which of the following : ❑ New or Proposed Facility Date operation is to begin ❑Q'Fxisting Page 1 of 4 SWU-222-071408 Last Revised 6/24/14 NCG070000 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 SIC Code: 7) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: Odd ®n-�o v1 Y c e rr.ake,e,&-\. Re(,Ac" Y-o6K ',s 4�'�ee�n Sol r-e.�kse 8) Discharge points / Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? List discharge points (outfalls) that convey discharge from the site (both on -site and off -site) and location coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan. Stormwater Outfall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Stormwater Outfall No Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Stormwater Outfall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Stormwater Outfall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Stormwater Outfall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Stormwater Outfall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W 9) Receiving waters: What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? _(61swop,, Page 2 of 4 SWU-222-071408 Last Revised 6/24/14 `[OiduiZiIiZ11MO]" 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). 10) Does this facility have any other NPDES permits? MmNo ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? 13/No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility. 12) noes this facility employ any best management practices for stormwater control? L_J No ❑ Yes If yes, please briefly describe:-%er1u0�; 13) Does this facility have a Stormwater Pollution Prevention Plan? ONo ❑ Yes If yes, when was it implemented? 14) Are vehicle maintenance activities occurring at this facility? W(No ❑ Yes 15) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? 5/No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? dNo ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? IS?rNo ❑ Yes d) 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: Page 3 of 4 SWU-222-071408 Last Revised 6/24/14 NCG070000 N.O.I. 16) Certification: North Carolina General Statute 143-215.6 b (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 [Environmental Management] 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: L.kuvl e Pc, n Title: rAAV%',nia, ,,A%VQ-, A-Si5 - f rI l ., C, I (Date Signed) Notice or Intent must be accompanied by a check or money order for $100.00 made payable to NCDEQ Page 4of4 SWU-222-071408 Last Revised 6/24/14 Final Checklist This application will be returned as incomplete unless all of the following items have been included: Z' Check for $100 made payable to NCDEQ L� This completed application and all supporting documents Copy of county map or USGS quad sheet with location of facility clearly marked on map Mail the entire package to: DEMUR - Stormwater Program Dept. of Environmental Quality 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The suhinissiun of this ducuineni dues nut guarantee the issuance of an NPDES permit. For questions, please contact the DEMLR Central Office or Regional Office for your area. DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296 4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office ......... (919) 807-6300 Page 5 of 4 SWU-222-071408 Last Revised 6/24/14 Two Men and A Truck 19 19 General ShaCe BLck A INAV S1000 9 S T Wooten Colony Tire and Service C n p r.-,r Quarles Fleet Fueling Live Wire Powder Coating So NCO �o- BFPE International 3618 US-421 Wilmington, NC 28401 At this address First Team Auction rno DIRECTIONS Waste Industries - Recycling Center - 3618 LDS Hwy 421 N, Wilmington ... https:/Avww_yelp_ cornlb!Vwaste-industries-wilmington Waste Industries in Wilmington, reviews 6y real people. Yelp is a fun and ___ 361 BUS Hwy 421 N __. Photo of Waste Industries-1M'urilmington, NC, United 'States. LocciccA un A'1-,S -Pv,-? -- Two Men and A Truck � 9 General Shale Brick 1a ,�11 S0,C`• S T Wooten Q Tony Tire and Service Cale Fear Quarles Fleet Fueling `ii Live Wire § Powder Coating dry; ¢fY°. P 4n xr,iJtiK-. S. 90 BFPE International Q 0 Map data C2019 Gobgle 3612 US-421 DY'NO-o3a) A AAre.S 4V Wilmington, Nt; 28401 oReCMNS At llrs address Coastal Commodities 9� See results about Wilmington Materials (Professional services in N 3612 US-421, Wilmington, NC 26401 AHC 4rKERk AVE GORDON RD M. PLACE OIL, 4Al�t b jti y / r . Rnils�VA � L, \ 1 i.. i 1 L NO ;; ,. �.` i+PjFiC �MWA`�'? ' A North Carolina Secretary of State Search Results Page 1 of 1 • File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online • Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print an Amended a Annual Report form Business Corporation Legal Name Pelton Aggregates Incorporated Information Sosid: 1664433 Status: Current -Active Annual Report Status: Current Citizenship. Domestic, Dale Formed: 2/9/2018 Fiscal Month: December Registered Agent: Patton, Scott Addresses Mailing 3412 L eonard Rd Knightdale, NC 27545 Officers Vice President Scott Patton 3412 Leonard Road Knightdale NC 27545 Stock Class: Common Shares: 100 No Par Value: Yes Principal Office 3412 L eonard Rd Knightdale, NC 27545 President Gerard Pelletier 341 Serenity Pointe Dr Selma NC 27576 Reg Office 3412 L eonard Rd Knightdale, NC 27545 Reg Mailing 3412 L eonard Rd Knightdale, NC 27545 https://www.sosnc.gov/online_services/search/Business Re2istration_Results 4/18/2019