NCG030721_Application_20210625

FOR AGENCY USE ONLY
NCG03
Assigned to: e`
ARO FRO MRO WARO WIRO SRO
N C&O SO 7 Z_1
i21-10
ECENED
JU11' 23 2021
I)ENR-LAND QUALITY
'-T R. ^QATER PERMITTING
Division of Energy, Mineral, and Land Resources Land Quality SQec ion
National Pollutant Discharge Elimination System
NCG030000 Notice of Intent
This General Permit covers STORMWA TER DISCHARGES associated with activities under the following Standard
Industrial Classifications: SIC 335 [Rolling, Drawing, and Extruding of Nonferrous Metals], SIC 3398 [Metal Heat
Treating], SIC 34 [Fabricated Metal Products], SIC 35 [Industrial and Commercial Machinery], SIC 36 [Electronic
and Other Electrical Equipment], SIC 37 [Transportation Equipment], and SIC 38 [Measuring, Analyzing, and
Controlling Instruments]. You can find information on the DEMLR Storm water Program at deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original, signed application with all required
items listed in Item (6) below to: NCDEMLR Storrnwater Program,1612 MSC, Raleigh, NC 27699-1612. The
submission of this application does not guarantee coverage under the general permit. Prior to coverage under this
General Permit a site inspection will be conducted.
1. Owner/Operator (to whom all permit correspondence will be mailed):
Name of legal organizational entity:
Legally responsible person as signed in Item (7) below:
Southwire Company LLC
Josh Perry
Street address:
City:
State:
Zip Code:
One Southwire Drive
Carrollton
GA
30119
Telephone number:
Email address:
919-900-0893
1 Josh.Pe @southwire.corn
Type of Ownership:
Government
❑County El Federal ❑Municipal ❑State
Non -government
0 Business (If ownership is business, a copy of NCSOS report
must be included with this application)
❑ Individual
2. Industrial Facility (facility being permitted):
Facility name:
Facility environmental contact:
DCN Cables, A Southwire Company
Kenneth Playford
Street address:
City:
State:
Zip Code:
130 Mosswood Blvd.
Youn sviile
NC
27596
Parcel Identification Number (PIN):
County:
030698
Franklin
Telephone number:
Email address:
4702309903
Kenneth.pla)[e-mail]
4-digit SIC code:
Facility is:
1
Date operation is to begin or began:
3351
© New ❑ Proposed 0 Existing
Latitude of entrance:
1
Longitude of entrance:
36 02'00" N
78 29'54"W
Brief description of the types of industrial activities and products
manufactured at this facility;
Assemble power cables primarily for data centers
If the stormwater discharges to a municipal separate storm sewer
system (MS4), name the operator of the MS4:
El N/A
Page 1 of 5

3. Consultant (if aDDlicable):
Name of consultant:
Consulting firm:
Street address:
City:
State:
Zip Code:
Telephone number:
Email address:
4. Outfall(s) (at least one outfall is required to be elieible for coveraeel:
3-4 digit identifier:
Name of receiving water:
1
Classification:
© This water is impaired.
001
Richland Creek
Intermittent stream
0 This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
36.032
-78.497
Brief description of the industrial activities that drain to this outfall:
Storage of Carboard, wood, metal scrap waste.
3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired.
© This watershed has a TMDL.
Latitude of outfall; Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
3-4 digit identifier:
Narne of receiving water:
Classification:
0 This water is impaired.
0 This watershed has a TMDL.
Latitude of outfall:
Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
3-4 digit identifier: Name of receiving water: Classification: CI This water is impaired.
© This watershed has a TMDL.
Latitude of outfall: Longitude,of outfall:
Brief description of the industrial activities that drain to this outfall:
3-4 digit identifier: Name of receiving water: Classification: 0 This water is impaired.
© This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls" found on the last: page of this NO].
Page 2 of 5

5. other Facility Conditions (check all that apply and explain accordingly):
0 This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
0 This facility has Non -Discharge permits (e.g. recycle permit).
If checked, list the permit numbers for all current Non -Discharge permits:
0 This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
SWPPP
0 This facility has a stormwater Pollution Prevention Plan (SWPPP).
If checked, please list the date the SWPPP was implemented:
6.10.2021
0 This facility stores hazardous waste in the 100-yearfloodplain.
If checked, describe how the area is protected from flooding:
❑ This facility is a (mark all that apply)
0 Hazardous Waste Generation Facility
0 Hazardous Waste Treatment Facility
0 Hazardous Waste Storage Facility
© Hazardous Waste Disposal Facility
If checked,
indicate:
Kilograms of waste generated each month:
Type(s) of waste:
How material is stored;
Where material is stored:
Number of waste shipments per year:
Name of transport/disposal vendor:
Transport/disposal vendor EPA ID:
Vendor address:
0 This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
6. Required Items (Application will be returned unless all of the following items have been included):
0 Check for $100 made payable to NCDEQ
0 Copy of most recent Annual Report to the NC Secretary of State (if applicable)
0 This completed application and any supporting documentation
0 A site diagram showing, at a minimum, existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where industrial process materials are stored
g) impervious areas
h) site property lines
0 Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 3 of 5

7. Applicant Certification:
North Carolina General Statute 143-215.66 (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.. . shall be guilty of a Glass 2 misdemeanor which may include a fine not
to exceed ten thousand dollars ($30,000).
Under penalty of law, I certify that:
0 I am the person responsible for the permitted industrial activity, for satisfying the requirements of this permit, and for any
civil or criminal penalties incurred due to violations of this permit.
21 The information submitted in this NO is, to the best of my knowledge and belief, true, accurate, and complete based un
my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the
Information.
© I will abide by all conditions of the NCG030000 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.
0 l hereby request coverage under the NCG030000 General Permit.
Printed Name of Applicant: Josh Perry
Tltle= Facility Operations Manager
& A Z
(Signs of scant) (Date Signed)
Mail the entire package! to: DEMI.R—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 4of6

aLIMITED LIABILITY COMPANY ANNUAL REPORT
1012017
NAME OF LIMITED LIABILITY COMPANY: Southwire Company, LLC
knit OlAce USO Only
SECRETARY OF STATE ID NUMBER: 1375971 STATE OF FORMATION: DE E - Filed Annual Report
1375971
REPORT FOR THE CALENDAR YEAR: CA202114500
2 Q21 512512021 08:45 45
SECTION A: REGISTERED AGENT'S INFORMATION Changes
1. NAME OF REGISTERED AGENT: National Registered Agents, Inc.
2. SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
160 Mine Lake Ct Ste 200
160 Mine Lake Ct 5te 200
Raleigh, NC 27615-6417 Wake County Raleigh, NC 27615-6417
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Manufacturing
2. PRINCIPAL OFFICE PHONE NUMBER: (770) 832_6749 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS
One Southwire Drive
S. PRINCIPAL OFFICE MAILING ADDRESS
One Southwire Drive
Carrollton, GA 30119-4400 Carrollton, GA 30119-4400
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: J. Guyton Cochran , Jr.
TITLE: Chief Accounting Officer
ADDRESS:
1 Southwire Drive
Carrollton, GA 30119
NAME:
TITLE:
ADDRESS:
NAME:
TITLE:
ADDRESS:
SECTION D; CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a persontbusiness entity,
J. Guyton Cochran Jr. 5/25/2021
SIGNATURE DATE
Form must be signed by a Company Official listed under Seclion C of This form.
J. Guyton Cochran Jr. Chief Accounting Officer
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically -
MAIL TO: Secretary of State, Business Registration Division, Past Office Box 29525, Raleigh, NC 27626-0525