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HomeMy WebLinkAboutNCG060393_Application_20190422N C&0(a03°t� Division of Energy, Mineral and Land Resources Land Quality Section National Pollutant Discharge Elimination System v/vtrtlC NCG060000 n�t�r'ty NOTICE OF INTENT FOR AGENCY USE ONLY Date Received Year Month I Da &40 011zZ Certificate ofCovera e N I C I G1 0 1 10 IS1011 IS Check # Amount 2 S2-7 too— Pemut Assigned to National Pollutant Discharge Elimination System application for coverage under General Pit NCG060000: STORMWATER DISCHARGES associated with activities classified as:SIC SIC 2tanda IndustrialClassification)rf"cation) 20 Food and Kindred Products 1Tobacco Productsld�` 4� SIC 283 Drugs �Q�q SIC 284 Scraps, Deleigonts, & CleanIng llwparatluns, Perrumes, Cosrneilcs, & Oilier Tulle tom,' ailuris °y�1 SIC 422 Public Warehousing and Storage (except 4226) /4/0 For questions, please contact the DEMLR Regional Office for your area. See page 4. Do Not use this NOl for renewals. (Please print or type) 1) Mailing address of owner/operator (address to which all permit correspondence will be mailed): Nome k U Street Address 3 tC Cityp Telephone No. r0L")%\ r State N 7 A -7 _K ab-7 Fax: 2) Location of facility producing discharge: Facility Name q0-M C-e Facility Contact 77►1.t r- i�rn tag^ Facility Address Facility City Facility County Telephone No. Email ay ZIP Code a 5 a State K I c- ZIP Code Ohcc,e. e- c\ e C e>"A V 4 S �7o u1 ` - Gl Fax: u\tr � �u+rtlr=tiG 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). k-k-'VJ K \ 3 (A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.) 4) Latitude 35-`i Sa-(0k Longitude "7 7•(a E5 (o L (deg, min, sec) 5) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility Eg,txisting Date operation is to begin SWU-221 Page 1 of 4 Last revised 6/24114 NCG060000 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: �_ l'D 7) Activities a) Provide a brief narrative description of the types of industrial activities and products manufactured atthisfacility: �)G��� rc��i� ��r e� i�S �e S)oteA-0 t b) Check all activities occurring at this facility: ❑ use or process meats ❑ use or process animal fats/byproducts A) Discharge paints / Receiving water% - How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? Receiving water classification: Is this a 303(d) listed stream? Has a TMDL been approved for this watershed? 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). 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. oZ Latitude (degrees/minutes/seconds):.N Longitude (degrees/minutes/seconds): Al W Stormwater Outfall No. Latitude (degrees/minutes/seconds): SG� S \ ��� N Longitude (degrees/minutes/seconds): —77, (4A6 t3 �F W Stormwater Outfall No. LA Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): ­77w(oi(o7SJ W Stormwater Outfall No. Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Stormwater Outfall No. only Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Stormwater Outfall No. only Latitude (degrees/minutes/seconds): N Longitude (degrees/minutes/seconds): W Page 2 of 4 SWU-221 Last revised 6/24/14 NCG060000 N.O.I. 9) Does this facility have any other NPDES permits? 2-'No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: 10) Does this facility have any Non -Discharge permits (ex: recycle permit)? L�1 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? R'No ❑ Yes (Show any structural BMPs on the site diagram.) If yes, please briefly describe: 12) Does this facility have a Stormwater Pollution Prevention Plan? B'No ❑ Yes If yes, when was it implemented? 13) Are vehicle maintenance activities occurring at this facility? ZNo ❑ Yes 14) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? CSNo El Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? ZNo ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of haz ous waste? No El Yes d) Is hh zardous waste stored in the 100-year flood plain? L� 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 / disposal vendor: Vendor address: Page 3 of 4 SWU-221 Last revised 6124/14 NCG060000 N.O.I. 15) Certification: North Carolina General Statute 143-215.613 (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:���:`c� Title: '&'e- � -_---- 4. I S --1 C-� (SigrXure of Applicant) (Date Signed) This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to: NCDEQ. Do not send the check or money order separately. Page 4 of 4 SWU-221 Last revised 6/24/14 NCG060000 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. Must be included with this application (not sent separately). This completed application and all supporting documents. I� 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, loaded, and unloaded, (f) impervious areas, (g) site property lines. CY Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map. Mail the entire package to: DEMLR - Storrnwater Program Dept. of Environmental Quality 1612 Mail Service Center Raleigh, North Carolina 27699-1012 Note The submission of this document does not guarantee coverage under the General Permit. For questions, please contact the DEMLR Regional Office for your area. DEMLR Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 77'1-5000 Central Office .........(919) 807-6300 Page 5 of 4 SWU-221 Last revised 6/24/14 Kir Kun9o�ld Blvd' < < :i: - -- r _ _ _ ` • ,�-- Kirigola:Blvd `o Muhl- 6 a 0 Ir i 1 I 310 Kingold Boulevard 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 Limited Liability Company Legal Name YAMCO, L.L.C. Prev Legal Name Aseptic Technologies, L.L.C. Information Sosld: 0738329 Status: Current -Active Annual Report Status: Current Citizenship: Domestic [late Formed- 8/11/2004 Registered Agent: Ham, Bobby G. Addresses Principal Office 310 Kingold Blvd Snow Hill, NC 28580-8964 Company Officials Reg Office Reg Mailing Mailing 310 Kingold Blvd 310 Kingold Blvd 963 Hwy 258 South Snow Hill, NC 28580-8964 Snow Hill, NC 28580-8964 Snow Hill, NC 28580-8964 All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20. Manager Bobby Ham 963 Hwy 258 South Snow Hill NC 28580 https://www.sosnc.gov/online services/search/Business Registration_Results 4/26/2019