NCG100213_COMPLETE FILE - HISTORICAL_20160114

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
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DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF -
RESCISSION
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NORTH CAROLINA DEPARTMENT OF
ENVIRONMENTAL QUALITY
INVOICE
Annual Permit Fee
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Open
This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with
your permit. It is required of any person holding a permit for any time during the annual fee period, regardless of the facility's
operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid
permit is a violation and is subject to a $10,000 per day fine. If the permit is revoked and you later decide a permit is
needed, you must reapply, with the understanding the permit request may be denied due to changes in environmental,
regulatory, or modeling conditions.
Invoice Number: 2016PR000939 Annual Fee Period: 2016-03-01 to 2017-02-28
Permit Number: NCGl00213 1 _' � � Invoice Date: 02/02/2016
Davidson County q3f1!`] ���///
Due Dn-c: 03rn3r2016
Lilly's Recycling & Auto Salvage LLC
Brenda Lilly +) _ 5 Annual Fee: $100,00
Lilly's Recycling & Auto Salvage LLC pq
I t
125 Transit Ave 1N I XI•E 2.74 DE. 1270" 0082/23f16
Thomasville, NC 27360 _ r RETURN VACANT
= E N D E R
Notes:
BC: 27699161299 *2180-06461-23-21
1" You may pay either bycheck/money order ORbyelectronic t {rll{{4f rrtjrrl{rsrilil�lrirllill]1r11t1{t{riir114rF11rErr{rtrlll
2. If payment is by check/money order, please remit payment to:
NCDEQ - Division of Energy, Mineral and Land Resources
Attn: 5tormwater Billing
1612 Mail Service Center
Raleigh, NC 27699-1612
3. If payment is electronic, see http://portal.ncdenr,org/web/wq/hot-topicstepayment for additional details. See
hitp:/iportal.ncdenr.org/web/wq/el)avment to pay electronically. Only eCheck transactions are allowed at this time. Credit card
transactions are not accepted.
4. Please include your Permit Number and Invoice Number on all correspondence.
5. A $25.00 processing fee will be charged for returned checks in accordance with North Carolina General Statute 25-3-512.
6. Non -Payment of this fee by the payment due date will initiate the permit revocation process.
7. Should you have any questions regarding this invoice, please contact the Annual Administering and Compliance Fee
Coordinator at 919-707-9220.
(Return This Portion With Check)
ANNUAL PERMIT INVOICE
Invoice Number: 2016PR000939
Permit Number: NCG100213
Davidson County
Lilly's Recycling & Auto Salvage LLC
Brenda Lilly
Lilly's Recycling & Auto Salvage LLC
125 Transit Ave
Thomasville, NC 27360
III 1'III Ill II II Ill 11411IIII IIIN
* 2 0 1 6 P R 0 0 0 9 3 9
Open
Annual Fee Period: 2016-03-01 to 2017-02-28
Invoice Date: 212/2016
Due Date: 3/3/2016
Annual Fee: $100.00
Check Number:

3/6/2017
Corporations Division
North Carolina
Elaine F. Marshall DEPARTMENT of THE
Secretary SECRETARY of STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone]
Filings For: Lilly's Recycling and Auto Salvage, LLC
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Date Filed
Document Id
Event
1113ocument Type
®
10119/2010
C201028100102
Creation Filing
Articles of Organization Limited Liability
®
11/18/2011
CA201110301977
Annual Report
®
4/10/2012
CA201210101873
Annual Report
Annual Report LLC
®
3/20/2013
CA201307900753
Annual Report
Annual Report LLC
®
4/1/2014
CA201409101459
Annual Report
Annual Report LLC
®
10129/2015
C201530204017
INoticeAnnual Report
ADM Notice
®
11141201E
IC201601402814
I Destruction Filing
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https:/Mrww.sosnc.gov/SearcWlings/9612935 111

North Carolina
Beverly Eaves Perdue
Governor
cja
RCDEHR
Department of Environment and Natural
Division of Water Quality
Coleen H. Sullins
Director
March 14, 2011
Ms. 13renda Lilly
L llly's Recycling and Auto Salvage, LLC
125 `transit Avenue
Thomasville, NC 27360
Dear Ms. Lilly:
Resources
Subject: General Permit No. NCG 100000
Dee Freeman
Secretary
Lilly's Recycling and Auto Salvage, I- LC
COC NCG100213
Davidson County
In accordance with your application for a discharge permit received on March 3, 2011. we
are forwarding herewith the subject certificate of coverage to discharge under the subject state —
NPDE.S general permit. This permit is issued pursuant to the requirements of North Carolina
General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the
US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of'coverage is not transferable except after notice to
the Division of Water Quality. The Division of Water Quality may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land Resources,
Coastal Area Management Act or any other federal or local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Robert Patterson at
telephone number [phone], or at [e-mail].
Since00GINALSIGNED Bl
- KEN PICKLE
fo,• Coleen H. Sullins
cc: Winston Salem Regional Office, Corey 13asinger
Central Files
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch
1617 Mai! Service Center, Raleigh, North Carolina 27699-1617 UnC
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Nor thCarol ina
Phone: 9IM07-63001 FAX: [phone] Customer Service: 1-877-623-6748 NaturallyInternet: www.ncwaterquality.org
An Equal Opportunity L Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG100000
CERTIFICATE OF COVERAGE No. NCGl00213
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Lilly's Recycling and Auto Salvage, LLC
is hereby authorized to discharge stormwater from a facility located at
Lilly's Recycling and Auto Salvage, LLC
125 Transit Avenue
Thomasville
Davidson County
to receiving waters designated as an UT to Kennedy Mill Creek, a class C water in the Yadkin —
Pee Dee River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG 100000 as
attached.
This certificate of coverage shall become effective March 14, 2011.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 14`h day of March, 2011.
ORIGINAL SIGNED Bl
KEN PICKLE
for Coleen H. Sullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission

0
A "
NCDENR
,1,-urH C+R — C'rww Kw a-
NVVJ N.F.NT 44n ti4 . wnw rrn
NOTICE OF INTENT
Division of Water Quality / Surface Water Protection
Section
National Pollutant Discharge Elimination System
NCG100000
FOR AGENCY USH ONLY
Date Received
Year
Month
Da
Certificate ofCoverage
Check #
Amount
O O
Pernut Ass' ned to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG700000:
STORMWATER DISCHARGES associated with activities classified as: PMAR
SIC (Standard Industrial Classification) 5015 Used Motor Vehicle PartsSIC 5093 Automobile Wrecking for Scrap, (except as specified below) 3 20 11
The following activities are specifically excluded from coverage under this General
• Establishments primarily engaged in the wholesale trade of metal waste and scrap, iro
nonferrous metal scrap (hereafter referred to as the metal waste recycling industry)
ti For questions, please contact the DWO Regional Office for your area. See page 4.
1) Mailing address of owner/operator
Name � +
Street Address a
City a
Telephone No. 33
(Please print or type)
address to which all oermit correspondence will be mailed):
%- Ado �alyQac� - ,4, 4111,
u [ 7[ a State CC_ ZIP Code � 0 ?,3 G b
q- l �$ Fax: _ _ 33 4- 413 `/- ly b
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Email
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (usA street names, state road numbers, and
distance and direction from a roadway i tersection). rn 414 " 8S- I'Vtk F)0-416n 0 4, dY
o 94vq 12 15,(- I -A le! - tfrN . pr) ``fi'
(A copy of a county map or USGS quad sheet with facility clearly located must be submitted with this application.)
4) Latitude Longitude -7 {deg, min, sec)
5) This NP ES Permit Application applies to which of the following:
New or Proposed Facility Date operation is to begin _ I I - Of - 1?0 1 U
❑ Existing
Page 1 of 4
SWU-225-071408 Last revised 7/14/08

NCGl00000 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 O —9_3
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this facility: rl a G —
s o .F
- guTD ,E7.tr.� S'v1d . - --
,Z) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? -2-1-
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? .e d �, n � /I „ ....
�..
Receiving water classification:
Is this a 303(d) listed stream? "� Has a TMDL been approved for this watershed? era
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). 7
9) Does this facility have any other NPDES permits?
Q No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
10) Do% 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?
❑l No
O Yes (Show structural BMPs on the site diagram.)
If yes, please briefly describe: c
12) Does this facility have a Stormwater Pollution Prevention Plan?
El Ze1�s
If yes, when was it implemented?
13) Hazardous Waste:
a) ZO
facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
I(d" No ❑ Yes
Page 2 of 4
SWU-225-071408 Last revised 7/14/08

NCGI o000o N.O.I.
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
Q No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
i 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 shipn
Name of transport / disposdi vur iuui .
Vendor address:
14) Certification:
North Carolina General Statute 143-215.6B(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:k,�lr�,
Title: ("s a—
aw
(Signature of Applic (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Page 3of4
5WU-225-071408 Last revised 7/14108

NCG100000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following Items have been included:
/j Check for $100 made payable to NCDENR
This completed application and all supporting documents
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:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee coverage under the NPDES General Permit.
For questions, please contact the DWQ Regional Office for your area.
DWO Re Tonal Office Contact information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 4of4
S W U-225-071408
Last revised 7/14/08

Patterson, Robert
From: Carter, Jenifer [e-mail]]
Sent: Monday, March 14, 2011 9:24 AM
To: Robert Patterson
Cc: Basinger, Corey
Subject: RE: NCGl00213 - Lilly's Recycling & Auto Salvage, LLC - Davidson Co.
I required them to submit the NO1 after a recent site visit. Please process accordingly. Thank you!
Jenifer Carter
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NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Basinger, Corey
Sent: Monday, March 14, 2011 8:20 AM
To: Carter, Jenifer
Subject: FW: NCGl00213 - Lilly's Recycling & Auto Salvage, LLC - Davidson Co.
Jen,
Please respond back to Robert on this one.
Thanks.
CB
Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
Corey. [e-mail]
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.

From: Patterson, Robert
Sent: Monday, March 14, 2011 8:12 AM
To: Basinger, Corey
Subject: NCG100213 - Lilly's Recycling & Auto Salvage, LLC - Davidson Co.
Corey,
Please see NOI attached.
We have received an application for coverage of a new facility under NCG 10 from Lilly's Recycling & Auto Salvage, LLC.
The facility drains to an UT to Kennedy Mill Creek (class C) in Thomasville (Davidson County). No haz waste. Does the
WSRO have any concerns about issuing this facility a COC for this general permit?
Thanks!
Robert. D. PaLler-son, PE
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting
1617 Mail Service Center, Raleigh, NC 27699-1617 (M;611
512 N. Salisbury St, Raleigh, NC 27604 1 92h Floor (Location & llarccls)
[phone] Phone [phone] F�.ts I Robert. Pattersoncrncdenr. rov Errt�til
Website: http://Portal.nedenr.org/web/\&,glws/su
ABefore printing this email, please consider your budget and the environment.
If you must print, please print only what you need and save ink with the free Eco-Font.
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.
Robert. D. Patterson, PE
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting
1617 Mail Service Center, Raleigh, NC 27699-1617 (Mail)
512 N. Salisbury St, Raleigh, NC 27604 1 91h Floor (I.o(;ation & Parcets)
[phone] Phone [phone] E;aa I Robert. Patterson u,ncdcnr.gov Enuiil
Website: http://portal.ncdenr.org/web/tvq/ws/su
t..A Before printing this email, please consider your budget and the environment.
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.