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HomeMy WebLinkAboutNCG100249_Application_20190422Division of Energy, Mineral and Land Resources Land Quality Section National Pollutant Discharge Elimination System Environmental NCG100000 Quality NOTICE OF INTENT NCGlooz4q FOR AGENCY USE ONLY Date Received Year Month Da �a Certificate of Covera e N C G 1 0 U 2 Check # 1 Amount 1 p0 Pennit Assigned to S • `.i CACI &V National Pollutant Discharge Elimination System application for coverage under General Permit NCG100000: STORMWATER DISCHARGES associated with activities classified as: SIC (Standard Industrial Classification) 5015 Used Motor Vehicle Parts s O P I/ SIC 5093 Automobile Wrecking for Scrap, (except as specified below) The following activities are specifically excluded from coverage under this General Perr�0 �9 • Establishments primarily engaged in the wholesale trade of metal waste and scrap, iron and sand imiferruus metal scrap (lieiediter referred to as [lie metal waste recyulliig hidustry) 0 ( 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 /,4 r'Ar1W.� A/Z Street Address City Telephone No. e- 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No Email 3) Physical Location Information: State AIC-- ZIP Code Fax: Please provide a narrative description of how to get to th facility (use strenames, State road numbers, and distance and direction from a roadway intersection). N��4 �G, et -Se (A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application.) 4) Latitude 3 -T° 313 v6Oa Longitude - 'IV 7494 4 Z`4�;7 (deg, min, sec) 5) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility V Existing Date operation is to begin 0 9 01- IWf� Page 1 of 4 SWU-225-071408 Last revised 6/24114 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 SIC Code: _'5 0 f 7) Provide a brief narrative d scription of the types of thisfacility: bisw, 41�n� Ve�A�ci�� 8) Discharge points / Receiving waters: I activities and products manufactured at ' Tr o c W-,% How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? Q What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges and up in? �— Receiving water classification: r— Is Lhis a 303(d) listed sl.reain? —' I las a TMDL been approved fur this watershed? 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). 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): A1114 N Longitude (degrees/minutes/seconds): All W Stormwater Outfall No. //// Latitude (degrees/minutes/seconds): 7A�J� N Longitude (degrees/minutes/seconds): A11.4 W Stormwater Outfall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): All# W Stormwater Outfall No. jj Latitude (degrees/minutes/seconds): 144 N Longitude (degrees/minutes/seconds): W Stormwater Outfall No. �j/ Latitude (degrees/minutes/seconds): A11 N Longitude (degrees/minutes/seconds): All H W Stormwater Outfall No. Latitude (degrees/minutes/seconds): Alld N Longitude (degrees/minutes/seconds): WIN W Stormwater Outfall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): All W Page 2 of 4 SWU-225-071408 Last revised 6/24/14 NCG100000 N.O.I. 9) Does this facility have any other NPDES permits? 0 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)? IJ 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? M No ❑ Yes (Show structural BMPs on the sito diagram.) If yes, please briefly describe: 12) Does this facility have a Stormwater Pollution Prevention Plan? X No n Yes If yes, when was it implemented? 13) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ No 11 Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? V No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? IX No ❑ Yes d) Is hazardous waste stored in the 100-year flood plain? No ❑ Yes If yes, include information to demonstrate protection from flooding. YV 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: Page 3 of 4 SWU-225-071408 Last revised 6/24114 NCG100000 N.O.I. 14) Certification: North Carolina General Statute 143-215.613(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 rulc 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 V ial I al ri far nillai wllli ll ie n rfurl riatlul i uordall ied u 1 th is appllualiuu al id ll iat to the hest or i ny knowledge and belief such information is true, complete, arid accurate. Printed Name of Person Signing: �l�4r �i,//, Title:h�� (Signature of Applicant) Z/t Wy- �g (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDEQ OR Sro�fiNR4R�?�19 M/TYING Page 4 of 4 SWU-225-071408 Last revised 6/24/14 NCG100000 N.O.I. Final Checklist This application will be returned as incomplete unless all of the following items have been included: ^/ Check for $100 rnade payable to NCDEQ U� This completed application and all supporting documents 4d 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 location of facility clearly marked on map Mail the entire package to: DEMLR -- Stormwater Program Dept. of Environmental Quality 1612 Mail 5ai viva Cai dar Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee coverage under the NPDES General Permit. For questions, please contact the DEMLR 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-225-071408 Last revised 6/24/14 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 Auto Max Corporation Information Sosld: 1779940 Status: Current -Active Annual Report Status: Current Citizenship: Domestic Date Formed: 12/10/2018 FiscaL Month: December Registered Agent: Stassenko, Nikolai Addresses Mailing 3220 E Independence Blvd Charlotte, NC 28205 Officers Stock Class: Common Shares: 100000 No Par VaLue: Yes Principal Office Reg Office Reg Mailing 3220 E Independence Blvd 3220 E Independence Blvd 3220 E Independence Blvd Charlotte, NC 28205 Charlotte, NC 28205 Charlotte, NC 28205 https://www.sosne.gov/online_services/search/Business_Registration Results 4/26/2019 Polaris 3G Map — Mecklenbui-g County, North C-n-olikla CarParts NC ante Printed- 418121019 10:39:56 AM A� VL NO Ott dL �41 WL r Stormwater sheet flow (no clearly defined outfalls) 'A M, a MPS, arl Mer pubic muordsz-nil Bata. hears d4ft's map or mepena—e P-arE-bynV,;rcjnatne sources to coiaiLad, Tor ov�-Tcatcn. 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