NCG140193_COMPLETE FILE - HISTORICAL_20170828

STURMWATER DIVISION CODINGSHEET
RESCISSIONS .
PERMIT NO.
DOC TYPE
N � � Ili o I �3
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ 3 D
YYYYMMDD

ROY COOPER
Governor
y. a
MICHAEL S. REGAN
Secretary
Energy. Mineral & August 24, 2017 TRACY DAVIS
Land Resources Director
ENVIRONMENTAL QUALITY
Mr. Johnie Alexander
Concrete Supply Company, LLC
Route 4 Box 110, Hwy 74 West
Wadesboro, NC 28170
Subject: Rescission of NPDES Stormwater Permit
/t/i�, Certificate of Coverage Number NCG140193
C�4UG 28 ?pAnson County
C`/vT !%
Dear Mr. Alexander: CW,q �C
�y
The Division of Energy, Mineral and Land Resources received your request to rescind your
coverage under Certificate of Coverage Number NCG140193. In accordance with your request,
Certificate of Coverage Number NCG140193 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of
stormwater to waters of the State without valid coverage under an NPDES permit is against
federal and state laws and could result in fines. If something changes and your facility would
again require stormwater or wastewater discharge permit coverage, you should notify this office
immediately. We will be happy to assist you in assuring the proper permit coverage.
If the facility is in the process of being sold, you will be performing a public service if you would
inform the new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact us at 919-707-9200, or the Stormwater
staff in our Fayetteville Regional Office, [phone].
cc: Fayetteville Regional Office
Stormwater Permitting Program
Central Files
Sincerely,
for Tracy E. Davis, PE, PM, Director
Division of Energy, Mineral and Land Resources
Nothing Compares--.
State of North Carolina I Environmental quality I Energy, Mineral and Land Resources
512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh. North Carolina 27699-1612
919 707 9200

NCDENR
Na GJ+ — Drnvt - e
ENVY o—c- — N� R�n
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
MH
FOR AGENCY USE ONLY
Oate Received
Year
Month
Da
RECEIVED
JUL 2 7 2017
Please fill out and return this form if you no longer need to maintain your NPDES sto " `- UALITy
R P'EIRMITTING
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N]_C_l S_1 I I I I I IvC I G1y0 111 IT I A
2) Owner/Facility Information:
Owner/Facility
* Final correspondence will be mailed to the address noted below
Cr( k S,A/ Co LZ_ -
Facility Contact _] O k4 rc ► ( G-que
Street Address 'r t-/ 11 « - ` L
City 4 5 ,-v State Al L ZIP Code 00
County n moo+^ E-mail Address ,-% . /'-;K. %✓ CpN crc ��°�
Telephone No. r)-Y - `3 o Fax: -3 0 y G 5�
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
S-Tar aal 3
Facility closed or is closing on r . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to on 7­7 . If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, co lete and accurate.
Signature r Date
e7b KG
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
1612 Mail Service Center, Raleigh, North Carolina 27699.1612
Phone: [phone] FAX: [phone]
An Equal Opportunity 1 Affirmative Action Employer

Alexander, Laura
From: Alexander, Laura
Sent: Friday, August 18, 2017 11:40 AM
To: Lawyer, Mike
Subject: RE: NCG140193 Rescission Request
Great, thanks.
From: Lawyer, Mike
Sent: Friday, August 18, 2017 11:20 AM
To: Alexander, Laura <[e-mail]>
Cc: [e-mail]
Subject: RE: NCG140193 Rescission Request
La ura,
I am familiar with this facility. It has been inactive for many years. I spoke with Johnie Alexander with Concrete Supply
Company yesterday to verify that there are no products or materials remaining onsite and no plans to resume
operations, which he confirmed. The FRO recommends proceeding with rescission of permit coverage. Please provide
our office with a copy of the rescission letter once issued.
Thanks,
Mike
Michael Lawyer, CPSWQ
Environmental Program Consultant
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
910 433-3394 office
mike. lawyerbncdenrcov
225 Green Street, Suite 714
Fayetteville, NC 28301
Nothing Compares
C.--
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Alexander, Laura
Sent: Wednesday, August 09, 2017 10:48 AM
To: Lawyer, Mike <[e-mail]>
Subject: NCG140193 Rescission Request
Good Morning Mike,
Please see rescission request for facility in Anson county.

I ♦L-%JL_f V L.Lj
APR 15 2014
CENTRAL FILES
DWQIBOG
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140193
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,
Concrete Supply Co., LLC
is hereby authorized to discharge process wastewater and stormwater from a facility located at
Concrete Supply Co. — Wadesboro Plant
1295 Hwy 74 West
Wadesboro
Anson County
to receiving waters designated as Culpepper 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 1, 1I, III, IV, V, and VI of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective April 14, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 14, 2014
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

�A'A Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NCDENR
"°^"'G"q"y'°�" PERMIT NAMEIOWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Cate Received
Year
I Month
I Day
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I G I S 10 N I C 10 1 1 14 10 1 1 19 13
U. Permit status prior to requested change.
a. Permit issued to (company name): CEMEX Construction Materials Atlantic, LLC
b. Person legally responsible for permit: Larry T McSwain
First MI bast
c. Facility name (discharge):
d. Facility address:
VP/GM Carolinas
Title
101 Youne Court
Permit Holder Mailing Address
Greenville SC 29615
City State Zip
[phone] [phone]
Phone Fax
CEMEX — Wadesboro
Rt. 4 Box 110 Hwy. 74 West
Address
Wadesboro NC 28170
City State Zip
e. Facility contact person: Johnny M Tapia [phone]
First / MI / Last
Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
P=@1§GWff=N
OCT l 7 2013
0
d. Facility name (discharge):
Facility address:
£ facility contact person:
Concrete Supply Co., LLC
Henry
Batten
First
MI Last
President
Title
P.O. Box 5247
Permit Holder Mailing Address
Charlotte
NC 28299
City
State Zip
[phone]
[e-mail]
Phone
E-mail Address f
Wadesboro
Rt. 4 Box 110 Hwy. 74 West 12 R 5 14 w 1 `l H1
Address
Wadesboro
NC 28170
City
State Zip
Johnie
AIexander
First
W Last
Johnie. Alexander@ConcreteSupplyCo.
[phone]
com

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM,
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Johnie Alexander
First MI Last
Environmental Manager
Title
P.O Box 5247
Mailing Address
Charlotte NC 28299
City State Zip
704 372-2930 [e-mail]
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior to
this ownership or name change?
x Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
X This completed application is required for both name change and/or ownership change requests.
X Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or
a bill of sale) is required for an ownership change request. Articles of incorporation are not
sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and the
new applicant in the case of an ownership change request. For a name change request, the signed Applicant's
Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Larry McSwain, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
S nat LWe . Date
APPLICANT CERTIFICATION
I, Henry Batten, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete"
.27-za73
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Johnie Alexander
Concrete Supply Co., LLC
P.O. Box 5247
Charlotte, NC 28299
Dear Mr. Alexander:
John E. Skvarla, III
Secretary
April 14, 2014
Subject: NPDES General Permit NCG140000
Certificates of Coverage -Multiple
Concrete Supply Co., LLC
Formerly CEMEX Construction Materials Atlantic, LLC
Counties - Multiple
Division personnel received your request to revise your stormwater permit Certificates of Coverage
to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificates of Coverage for the 17 facilities that changed
ownership from CEMEX Construction Materials Atlantic, LLC to Concrete Supply Co., LLC. The
terms and conditions contained in the General Permit remain unchanged and in full effect. These
revised Certificates of Coverage are issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at [phone].
Sincerely,
ORIGINAL SIGNED Et
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville RO, Z. Khan
Winston-Salem RO, M. Gantt
Fayetteville RO, B. Cole
Asheville RO, L. Herbert
Raleigh RO, J. Holley
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919.707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: httg:llportal.ncdenr.org/web/Ir/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Deborah Reese, DEMLR Budget Office -- please update billing info
Stormwater Permitting Program Files
Central Files
Mecklenburg County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202
Wake County Environmental Services, Attn: Eric Green, P.O. Box 550, Raleigh, NC 27602