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HomeMy WebLinkAboutNCG060457_Application_20250109FOR AGENCY USE ONLY NCG06 O Assigned to: ARO FRO MRO RRO WARO WI WSRO Division of Energy, Mineral, and Land Resources Land Qua!"c4gn/ National Pollutant Discharge Elimination System l` ll.•�� V�® NCG060000 Notice of Intent JQN09«c� This General Permit covers STORMWATER DISCHARGES associated with activities mg Standard Industrial Classifications: SIC20 [Food and Kindred Products], SIC21 [Tobacco Products], SIC It]�/�� 284 (Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations], SIC 422 ,844] Warehousing and Storage — except for 4226]. You can find information on the DEMLR Stormwater 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 Stormwater 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: Pluto Labs Mark Haroldson Street address: City: State: Zip Code: 3132 Kitty Hawk Road Wilmington NC 28405 Telephone number: Email address: 910-512-0658 mark@plutolabs.us Type of Ownership: Government ❑ County ❑ 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: Pluto Labs Mark Haroldson Street address: City: State: Zip Code: 3132 Kitty Hawk Road Wilmington NC 28405 Parcel Identification Number (PIN): County: R03400-001-039-000 New Hanover Telephone number: Email address: 910-512-0658 mark@plutolabs.us 4-digit SIC code: Facility is: Date operation is to begin or began: 2833 ❑ New ❑ Proposed 0 Existing I Latitude of entrance: Longitude of entrance: 34.294133 -77.904829 Brief description of the types of industrial activities and products manufactured at this facility: Hemp oil manufacturing and distilling This facility processes meat: ❑ Yes 2 No If the stormwater discharges to a municipal separate storm sewer system (MS4), name the operator of the MS4: AN/A Page 1 of 5 3. Consultant (if applicable): 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 eligible for coverage. 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired. 001 Smith Creek QSW ❑ This watershed has a TMDL Latitude of outfall: Longitude of outfall: 34.2940997 -77.9049633 Brief description of the industrial activities that drain to this outfall: Employee Parking Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes 2 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is Impaired. 002 1 Smith Creek QSW ❑ This watershed has a TMDL Latitude of outfall: Longitude of outfall: 34.2939750 -77.5047735 Brief description of the industrial activities that drain to this outfall: NIA Do Vehicle Maintenance Activities occur in the drainage area of this outfali? ❑ Yes 12 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is impaired. 003 1 Smith Creek QSW ❑ This watershed has a TMDL Latitude of outfall: Longitude of outfall: 34.2932275 -77.9050780 Brief description of the industrial activities that drain to this outfall: Raw material unloading, solvent storage Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes 2 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? 3-4 digit identifier: Name of receiving water: Classification: ❑ This water is Impaired. 004 Smith Creek QSW ❑ This watershed has a TMDL Latitude of outfall: Longitude of outfall: 34.293146 -77.905059 Brief description of the industrial activities that drain to this outfall: NIA Do Vehicle Maintenance Activities occur In the drainage area of this outfall? ❑ Yes 0 No If yes, how many gallons of new motor oil are used each month when averaged over the calendar year? All outfalls must be listed and at least one outfall is required. Additional outfails may be added in the section "Additional Outfalls" found on the last page of this NOI. Page 2of5 S. Other Facility Conditions (check all that apply and explain accordingly): O This facility has other NPDES permits. if checked, list the permit numbers for all current NPDES permits: ❑ 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: Good housekeeping, tote inspection program, employee training, unloading procedures, spill procedures 0 This facility has a Stormwater Pollution Prevention Plan (SWPPP). If checked, please list the date the SWPPP was implemented: SWPPP being drafted ❑ This facility stores hazardous waste in the 100-year floodplain. If checked, describe how the area is protected from flooding: O This facility is a (mark all that apply) ❑ Hazardous Waste Generation Facility O Hazardous Waste Treatment Facility ❑ Hazardous Waste Storage Facility O 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: ❑ 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 $120 made payable to NCDEQ 0 Copy of most recent Annual Report to the NC Secretary of State 42 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 2 Copy of county map or USGS quad sheet with the location of the facility clearly marked Page 3of5 7. Applicant Certification: North Carolina General Statute 143-215.68 (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 Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: XI 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. ,KThe information submitted in this N01 is, to the best of my knowledge and belief, true, accurate, and complete based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information. 161 will abide by all conditions of the NOG060000 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. 41 hereby request coverage under the NCG06000000 General Permit. Printed Name of Applicant: !y \Ay� r , qro I d S on RECEIVED Title: (J /^� EO JAN 24 2025 DEMUR (Signature of Applicant) (Date Signed) Mail the entire package to: DEMLR—Stormwater Program Department of Environmental Quality 1612 Mail Service Center Raleigh, NC 27699-1612 Page 4 of 5 SOSID: 2011819 Date Filed: 5/8/2024 LIMITED LIABILITY COMPANY ANNUAL REPORT Elaine F. Marshall North Carolina Secretary of State u�ou CA2022 272 00745 NAME OF LIMITED LIABILITY COMPANY: Pluto Labs, L.L.C. SECRETARY OF STATE ID NUMBER: 2011819 STATE OF FORMATION: NC REPORT FOR THE CALENDAR YEAR: SECTION A. 1. NAME OF REGISTERED AGENT: 2024 (]i0 )RMATION ❑M ®Charges Mark Haroldson 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 3132 Kitty Hawk Road 3132 Kitty Hawk Road Wilmington, NC 28405 New Hanover Wilmington, NC 28405 New Hanover SECTION B: PRINCIPAL OFFICE INFORMATION 1. DESCRIPTION OF NATURE OF BUSINESS: 2. PRINCIPAL OFFICE PHONE NUMBER: (910) 612-0658 3. PRINCIPAL OFFICE I Privacy Redaction 4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE 3132 Kitty Hawk Road 3132 Kitty Hawk Road yr Wilmington, NC 28405 New Hanover Wilmington, NC 28405 New Hanover 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: Mark Haroldson NAME: TITLE: Owner Manager TITLE: ADDRESS: 3132 Kitty Hawk Road Wilmington, NC 28405 New Hanover ADDRESS: NAME: TITLE: ADDRESS: SECTION D: TION OF ANNUAL REPORT. Section D must be completed in Its entirety by a personibusiiess entity. la* J" lq/np MNATURE DATE -- Form must be signed by a Company Oftial Bated under Section C of This form. Mark Haroldson Owner Manager Print or Type Name of Company Official Print or Type TWe of Ccmpany of wal SUBMIT THIS ANNUAL REPORT WITH THE REQUIRED FILING FEE OF $200 LWIL TO: Secretary of State. Business Re&tradon DWislon. Post Oflice sox 29525. Raleigh. NC V626-0525 County Map 10/15/2024, 5:25:23 PM 1:442,859 0 1, 6 12 mi �4 5 r�i�i� 0 5 10 20 km Map data ® OpenStr.W, conhibut., Micraaaft. Fecobook, Inc. and its affiliates, Esn Community Maps contributors. Map layer by Esn, New Naamer County, NC SITE DIAGRAM y • k4r; R • i rri T El m` a c (9 Y Y a` Y; G ♦ e� y4". j . YI• •j T a C O 0 Raw Material Unloading Solvent Storage Dumpster Storage Impervious Area Employee Parking Property Line Outfall #4 Water Storage