NCG070219_Application_20190613

f\Y-Go'7 o a P
Division of Energy, Mineral and Land Resources
.r KLand Quality Section , 0 National Pollutant Discharge Elimination System
Environmental
Quality NCG070000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Yc:u
Month
Da
20l
O
I->i
Certificate of coverage
NICIG101 71 tl [ IR
Check # 1 Amount
bg Itlov
Pcrmit Assi * cd to
g. $ •c ta.-./
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG070000:
STORMWATER DISCHARGES associated with activities classified as:
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
(Please print or type)
RF , F1VFD
JUN 13 2019
��
DENR-LAND QUALITY
STORIAVVX'FR PERMITTING
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name
Street Address
City
Telephone No.
E-mail Address
2) Location of facility producing discharge:
Facility Name
Facility Contact
Contact E-mail
Street Address
City
County
Telephone No.
State tic, zlr uoae z4,ts e__
Fax: Z� • QS74,
ter; �r State AjC_,_ ZIP Code
- O j Fax: SZji - S r; . 0161 G,
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 dire tion from a roadway intersection). L- `7 O
(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 3 ' 461 M Longitude " -i` 11 (degrees, minutes, seconds) IZ 4 7 1
5) This NPDES Permit Application applies to which of the following : b?4 (,0 ctsi
❑ New or Proposed Facility Date operation is to begin
f]"'Existing
Page 1 of 4
SWU-222-071408 Last Revised 6/24/14

NCG070000 N.O.I.
f_.) Standard industrial C'lassifir-ation:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 5 z
7) Provide a brief narrative description of the t pes of ind}�strij I ctiviti s an pr uc anufac ured at
this facility: AF�w t 1 n� uc'Ut r
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): M b.% N
Longitude (degrees/minutes/seconds): '�� Inc • Z' 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 (degreeslminutes/seconds):
N
Longitude (degrees/minutes/seconds):
W
9) Receiving waters:
What is the name of the body or bodies f
at�er reek, streom, river, lake, etc.) ha he facility stormwater
discharges end up in? _LA U Y /P`�i¢l
► � Pb &A - -La,. t�i ;,
Page 2 of 4
SWU-222-071408 Last Revised 6/24/14

NCG070000 N.O.I.
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?
No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
1) Does this facility have any pion -Discharge permits (ex: recycle permits)?
�No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
El o
Yes
If yes, please bri fl describe:
13) Does this facility have a Stormwater Pollution Prevention Plan?
No
❑ Yes
If yes, when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
XNo ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
10"N o ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
haza ous waste?
No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
I IpL41 VVUJ VYaJLe:
o ❑ 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 44
SWU-222-071408 Last Revised 6/24/14

NCG070000 N.O.I.
161 Certification:
North Carolina General Statute 143-215.6 b (1) 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
rEnvironmental Managementl Commission imolementing this Article shall be Guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($16,000).
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, co lete, and accurate.
Printed Nam�°f Pe�r�f°n gning: Ntr r � J� J
Title: l /� �-e'✓� ,. /
(Signature of App icaYtt)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDEQ
JUN 13 2019
DENR-LAND QUALITY
STORMb'VATER PERMITTING
Page 4 of 4
SWU-222-071408 Last Revised 6/24/14

7--7
40*
4eO
fAlk -
https://www.webgis.net/nc/McDowell/

6/10/2019 _ McDowell County NC WebbGG1S
t : AIgmi T'1,
i k
,KR' ti
r:
` t " ram,
J• ¢' :tip y ." `•... �{
I'M�
� } f � • � � "" �' � { Ct Ls� tip. 'r Y {Pr...w L
4
• �r fV * - _ - gyp* 7 •�' e� s� � r 0 ..
1 ij: ^.�; 4,P.. ,fir` Y• `'"_
1
r �
-1 Om
v , W
ip {F r
kL
A,,• N: 712352, E: 1075002
P Lat: 35°40' 02.7", Lng 82'06'
f _aM
https://www.webgis.net/tic/McDowell/

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
Smoky Mountain Natural Stone Company
Information
Sosid: 1301379
Status: Current -Active
Annual Report Status: Current
Citizenship: Domestic
Date Formed: 2/11/2013
Fiscal Month: December
Registered Agent: Waycaster, Nick B., Jr.
Addresses
Mailing
5643 US 70
Marion, NC 28752
Officers
Secretary
Shelby Kelleher
5643 US 70 W
Marion NC 28752
Stock
Class: Common
Shares: 1000
No Par Value: Yes
Principal Office
5643 US 70
Marion, NC 28752
Vice President
Shelby Kelleher
5643 US 70 W
Marion NC 28752
Reg Office
5643 US 70
Marion, NC 28752
President
Nick Waycaster
5643 US 70 W
Marion NC 28752
Reg Mailing
PO Box 1210
Marion, NC 28752
https://www.sosne.gov/online services/searchBusiness Registration_Results 6/18/2019