NCG190117_Application_20200728

r
NC&Igo ll1
FOR AGENCY USE ONLY
•Date Received
Year Month Day
Division of Energy, Mineral and Land Resources
Land Quality Section Certificate of Covera e
e Elimination System NICIGIt I I I I
National Pollutant Discharge Y Check tt Amount
Environmental in 4 4 too
Quality NCG190000 Permit Assigned to
was
NOTICE OF INTENT RECEIVED
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG190000: JUL 2 8 2020
STORMWATER DISCHARGES associated with activities classified as: DENR-LAND QUALITY
SIC*(Standard Industrial Classification) 373 Ship and Boat Building and RepairinTORMWATER PERMITTING
SIC*4493 Marinas
*Standard Industrial Classification Code
1
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 ZiavviWzS 0 i bac(ch
Owner Contact \Q-►-t k.A*1 }�
Street Address LiZ.
City ( NC
Jte(Ct ht State ).1 L ZIP Code flat7,y
Telephone No. 239 Zo1 -s4 S3 Fax:
E-mail Address t1tlbntdm n0+ "atonrck ', !y.*tAi • (_Orr
2) Location of facility producing discharge: _ /
Facility Name AferJr s at,.(y�i
Facility Contact 1'LJA-77 4,r4
Street Address Z L.J, .62vt1. "$r
City State 11/!' ZIP Code Z rl g 5 2
County
Telephone No. )3`/ yd fj Fax: -�
Email /N'N S ex; biyY ,S e6.7
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).
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude N Longitude W (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility* Date operation is to begin
2/Existing
*If this new or proposed facility in one of the 20 coastal counties,you must contact the appropriate Regional
Office(see page 4)to determine if a State Stormwater Permit is also needed prior to construction.
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NCG190000 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: 11 1
7) Services and Activities
a) Provide a brief narrative description of the types of industrial activities and products
manufactured at this facility: (Include a site diagf am showing the process areas and location of
activities present at this facility.) Qti-f'&7'
b) Check all services and activities offered or allowed at this facili
❑ Transient Slips Engine Repair
❑ Permanent Slips ❑ Dump Station
❑ Lodging ❑ Haul Out
❑ Restrooms ❑ Pump Out
❑ Restaurant ❑ Fueling
❑ Retail Store Vr,Boat Ramp
❑ Boat Sales Boat Hand Washing
❑ Trash Collection ❑ Vehicle/Equipment Washing
❑ Recycling ❑ Boat Pressure Washing
❑ Fish Cleaning Area ❑ Sanding
❑ Charter ❑ Sand Blasting
❑/Live Aboard ❑ Painting
0 Dry Boat Storage ❑ Boat Building
8) Discharge points/Receiving waters:
How many discharge points (ditches, pipes,,phannels, boat ramps, lift w Ils, etc.)convey stormwater from the
property? Z g4►-`p3 tau yfr1 O(S e-r 0"- � cj �-er,
What is the name of the body Rr bod gs of water creek, stream, river, lake, etc.)that the facility stormwater
discharges end up in? Pew,h•^6� re-a_
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).
Receiving water classification (if known):
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
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0
NCG190000 N.O.I.
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) Does this facility 1
a) Have an untreated wastewater discharge?/
67 No ❑ Yes
b) Have a treated wastewater discharge? NJ No ❑ Yes
If yes, list the permit number.
c) Have a wastewater discharge from a recycle system? ' No ❑ Yes
If yes, list the permit number.
d) Have a non-discharge permit? 'No ❑ Yes
If yes, list the permit number.
e) Discharge wastewater to a municipal wastewater collection system? 'No ❑ Yes
If yes, list the municipality and permit number
lIirli_--, Note: Stormwater discharge permit NCG190000 does not authorize the discharge of any wastewater.
If this site discharges wastewater, you must obtain the appropriate wastewater discharge
permit in addition to coverage for stormwater discharges under NCG190000.
10) Does this facility employ any best management practices for stormwater control?
IF(No ❑ Yes (Show any structural BMP's on the site diagram.)
If yes, please briefly describe:
11) Does this facility have a Stormwater Pollution Prevention Plan?
f(No ❑ Yes
If yes, when was it implemented?
12) Doesr this facility use solvents on-site?
Q No ❑ Yes
If yes, does this facility have and implement a Solvent Management Plan? ErNo ❑ Yes
13) Are vehicle/equipment maintenance activities occurring at this facility(ex.fueling,washing, repair, etc.)?
❑ No ErYes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
EJNo ❑ Yes
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NCG190000 N.O.I.
b) Is this facility a Small Quantity Generator(less than 1000 kg. of hazardous waste generated per month)of
hazardous waste?
�No ❑ Yes
c) Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste generated per month)of
hazardous waste?
0 No ❑ Yes
d) Is_ hardous waste stored in the 100-year flood plain?
Zit 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 I disposal vendor:
Vendor address:
15) 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,e and accurate.
Printed Name of Person Signing: 4I4-f Iv I/7
Title: a//✓-t AriVerJ,91-4145 71-6r --5
(Signature of Applicant) (Date Signed)
Notice of Intent must be accompanied by a check or money order for$100.00 made payable to:
NCDEQ
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•
NCG190000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for$100 made payable to NCDEQ
❑ 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 which drainage areas), (d)runoff conveyance structures, (e)areas where materials and/or
boats are stored, (f) impervious areas, (g)site property lines, (h) boat maintenance, blasting, painting and
washing areas, and (i) location of services and activities listed in 7b.
❑ Copy of county map or USGS quad sheet(preferred)with location of facility clearly marked on map
Mail the entire package to:
DEMLR-Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions,please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
v\t
Asheville Office [phone]
U
Fayetteville Office [phone] . ";- r to
Mooresville Office [phone] ". 7 '
Raleigh Office [phone] h i`e wroor syHse/
Washington Office ...[phone]
Wilmington Office [phone] - F IN
Winston-Salem [phone]
Central Office [phone]
TWiltiOngtor,
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SWU-234-052109 Last revised 6/24/14

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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 •
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an Amended a Annual Report form
Limited Liability Company
Legal Name
Innerbanks Outboards, LLC
Information
Sosld: 1388105
Status: Current-Active O
Date Formed: 7/2/2014
Citizenship: Domestic
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: White, Coleen Margaret
Addresses
Mailing Principal Office Reg Office
2142 NC Highway 45 N 2142 NC Highway 45 N 2142 NC Highway 45 N
Colerain, NC 27924 Colerain, NC 27924 Colerain, NC 27924-8836
Reg Mailing
2142 NC Highway 45 N
Colerain, NC 27924-8836
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Managing Member President
Coleen Margaret White Matthew Sutton White
2142 NC Highway 45 N 2142 NC Highway 45 N
Colerain NC 27924 Colerain NC 27924
https://www.sosnc.gov/online_services/search/Business_RegistrationResults 7/29/2020