NCG160109_COMPLETE FILE - HISTORICAL_20140512

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
C HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ olbD
YYYYM M D D

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REGE,vev
May 161r,�4
OENR'A ERPERM�ING
g10RMW
May 12, 2014
Mr. Bradley Bennett
NCDENR
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Dear Mr. Bennett;
Enclosed, please find a completed PERMIT NAME/OWNERSHIP CHANGE FORM, for our Westgate
Asphalt plant, COC# NCG 160109.
The form updates company name change, facility name, facility address, facility contact and permit
contact names and numbers.
Should additional information be required, I can be reached at email:
[e-mail], or cell phone number 919 868 7377.
Res ectfully,
Donald Schell
Plant Manager
FSC 11, LLC dba Fred Smith Company.

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®
Division of Energy, Mineral & Land Resources
_�►
Land Quality Section/Stormwater Permitting
NCDEN®
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Dale Received
Year
Month
I Da
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C S 10 N I C I G! G
11. Permit status prior to requested change.
a. Permit issued to (company name): C , C . PtAR46 U+`, l DEW
b. Person legally responsible for permit: -jd.(UC �� ►7✓y
161�1
q
Mai
�ENR P�RPERM fiM�
S�CRMw
c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
First MI Last'
Title
Po'Sax 3/169
Permit Holder Mailing Address
KA (-e/ w /V C, -)96
City State Zip
(qlr9) ?,%3 S?OD ( )
Phone Fax
Gool I s��Ar R� .
Address
Piac�r�rl Nrr
City State Zip
First / MI / Last Phone
Ill. 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:
Title
Permit Holder Mailing Address
City State Zip
l"11e'i )�di S7�[�'ii53iv-i/�t%S��t'f�Cim.�ttot�.r\ft
Phone F6mad Address
d. Facility name (discharge): )W-C t=- tA7TdA CT PCAA'b
e. Facility address: GOD/ lwe-s 6F�%e ki
Add/}'ess
City slate Zip
f. Facility contact person: ,I Q(&E /f
First MI Last
6! 4 q'7'? q
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

O�x

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact:
First �( MI Last
-ftv7t)7
Title
U i u— c� .
Mailing Address
9A(C1G,q NL -27t Q-)
City State Zip
`0 137 IIonaJ d .5elQd� p find s .,
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ 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.
.......................................................................................................................
'File 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, , 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.
Signature Date
APPLICANT CERTIFICATION
1, attest that this application fora name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand hat if all equired parts of this application are not
completed and that if all required supporting infort tion is no included, this application package will be
returned as incomplete. G (/
3r UV
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

WA 77 /y Michael F. Easley, Governor
�O (r William G. Ross Jr., Secretary
co r North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
July 15, 2005
Mr. Michael D. Mangum
CC Mangum Company, LLC
PO Box 31768
Raleigh, NC 27622
Dear Mr. Mangum:
Subject: NPDES General Permit NCG160000
Certificate of Coverage NCG160109
CC Mangum Company, LLC-Plant #1
Formerly The Mangum Group
Wake County
Division personnel have reviewed and approved your request to change your name under the General Permit;
received on July 1, 2005.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is 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, please contact the Stormwater Permitting Unit at [phone], extension 502.
Sincerely,
ORJGINAL SIGNED BY
BRADLEY BENNETT
Alan W. Klimek P. E.
cc: DWQ Central Files
Raleigh Regional Office, Water Quality Section
,Stormwater Permitting Unit i
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North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enrstate.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50 % Recycled/l0% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160109
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,
CC Mangum Company, LLC
is hereby authorized to discharge stormwater from a facility located at
CC Mangum Company -Asphalt Plant #1
6001 WESTGATE ROAD
RALEIGH
WAKE COUNTY
to receiving waters designated as an unnamed tributary to Sycamore Creek, a class B NSW water in the Neuse River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
II, III, IV, V, and VI of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective July 15, 2005.
This Certificate of Coverage shall remain in effect for, the duratioaof the General Permit.
Signed this day July 15, 2005. ORIGINAL SIGNED BY
BRADLEY BENNETT
Alan W. Klimek"; Direct6r "
Division of Water Quality
By Authority of the Environmental Management Commission

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ROAD CLASSIFICATION v
Primary highway, Light duty road, hard or 2F%,
hard surface-.... .......... . improved surface
Secondary highway,
hard surface ...................._ —��.. Unimproved road _.--.---:--
Interstate Route U. S, Route Siate Route
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July 15, 2005
Nlr. Michael D. i langum
CC N-iangum Company, IJ-C
PO Box 31768
Raleigh, NC 27622
Dear Mr. Mangum:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Wutcr Quality
Subject: NPDES General Permit NCG160000
Certificate of Coverage NCG160109
CC Mangum Company, 1-LC-Plant #1
Formerly `Che Mangum Group
Wake County
Division personnel have reviewed and approved your request to change your name under the General Permit,
received on July 1, 2005.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General,
Permit remain unchanged and in full effect. This revised Certificate of Coverage is 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, please contact the Stormwatcr Permitting Unit at [phone], extension 502.
Sincerely; ,
ORIGINAL SIGNED By
BRADI_PY RFNN
Alan W. Klimek FL^.
CC: D\WQ Central Piles
Raleigh Regional Office, Water Quality Section
Stormwater Permitting Unit
NoRhCarolina
,Ankrml/y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699.1617 Phone [phone] Customer Service
Internet: h2o.enrstate.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone] I-877-623-6748
An Equal Opportunity/Affirmative Action Employer — 500/6 Recycled/10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160109
SI'ORMWATER DISCHARGES
NATIONAL POLLUTANT' DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215. I, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
CC Mangum Company, LLC
is hereby authorized to discharge stormwater from a facility located at
CC Mangum Company -Asphalt Plant #1
6001 WESTGATE ROAD
RALEIGH
WAKE COUNTY
to receiving waters designated as an unnamed tributary to Sycamore Creek, a class B NSW water in the Neuse River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,
II, 111, IV, V, and VI of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective July 15, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 15, 2005.
ORIGINAL SIGNED By
BRADLEY BENNETT ;
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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ROAD CLASSIFICATION v
Primary highway, Light -duty road, hard or �r'c
hard surface _..._._ improved surface
Secondary highway,
hard surface, Unimproved roar
Interstate Route U. S. Route State Route

State,of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Joseph L Etheridge
C C Mangum Inc -Westgate Plant
P.O. Box 31768
Raleigh, NC 27622
®1="�F=1
January 5, 1996
Subject: General Permit No. NCG 160000
C C Mangum Inc -Westgate Plant
COC NCG 160109
Wake County
Dear Joseph L Etheridge:
In accordance with your application for discharge permit received on November 21, 1995, we arel'
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general
permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and
the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal
Area Management Act or any other Federal or Local governmental permit that may be required.
If you have any question concerning this permit, please contact MR. ANTONIO EVANS at telephone
number 919/733-5083.
Sincerely, ORGINPLSIGNEDW
BRADLEY BENNETT
A. Preston Howard, Jr. P.E.
cc: Raleigh Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160109
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,
C.C. Mangum. Inc.
is hereby authorized to discharge stormwater from a facility located at
C.C. Mangum, Inc.
6001 Westgate Road
Raleigh, NC
Wake County
to receiving waters designated as an unnamed tributary to Sycamore Creek, Class B NSW in the Neuse River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective January 5, 1996.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 5, 1996.
OwG;"& SIGNL-D BY
BRADIEY BENtIETT
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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ROAD CLASSIFICATION v
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FACILITY: CC, M pO �S U rn> _LnC ,
COUNTY: U) Q �e�
NPDES: 1\) C-G I (-o () 10 r)
MAP#: D �)'3 N C,
DSN FLOW:
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SUB BASIN:
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LATITUDE: 3S 5 % 08
LONGITUDE: % L/ 5 O y
RECEIVING STREAM: WT Sc3 C 0, M 0 � e. C'"k
STREAM CLASS:
DISCHARGE CLASS:
EXPIRATION DATE:
13 N s W
STORMWATER
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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Mr. C. Jackie Williams, Jr.
Mangum Asphalt Services LLC
Post Office Box 31768
Raleigh, North Carolina 27622
Dear Mr. Williams:
ern
NCDENR
October 10, 1999
Subject: Permit Modification -Name Change
General Permit No. NCG160000
Cent. of Coverage NCG 160109
(formerly C.C. Mangum, Inc.-Weastgate Plant.)
Wake County
In accordance with your request received on December 16, 1998, the Division is forwarding the subject
permit. The changes in this permit are in regard only to the name of the facility. All other terms and conditions.
in the original permit remain unchanged and in full effect. This permit modification is issued pursuant to the
requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated December 6, 1983.
This permit does not affect the legal requirements to obtain other permits which may be required biy the
Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act
or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Vanessa Wiggins at telephone number
919/733-5083 ext.520.
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Kerr T. Stevens
cc: Raleigh Regional Office
Central Files
Point Source Compliance & Enforcement Unit
C-Stormsduter & Genecal'Pe mmiFs-Uni7
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE NO. NCG160109
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,
Mangum Asphalt Services LLC
Is hereby authorized to discharge storrmwater from a facility located at
Mangum Asphalt Services LLC
6001 Westgate Road
Raleigh, North Carolina
Wake County
To receiving waters designated as an unnamed tributary to Sycamore Creek, a Class B NSW in the Neuse
River Basin
In accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts
I, II, 111 and IV of General Permit No. NCG 160000 as attached.
This certificate of coverage shall become effective December 10, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 10, 1999.
ORIGINAL IGMEDSy
Kerr T. Stevens, Director
Division of Environmental Management
By Authority of Environmental Management Commission

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
C.J. WILLIAMS, JR.
MANGUM ASPHALT SERVICES, LLC
P.O. BOX 31768
RALEIGH, NC 27622
Dear Permittee:
1�
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 27,1999
Subject: Reissue - NPDES Stormwater Permit
Mangum Asphalt Services. LLC
COC Number NCG160109
Wake County
?^. •esponse to your renewal application for continued coverage under general permit NCG 160000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
* A copy of general stormwater permit NCG 160000
* A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to
certify that you have developed and implemented the SPPP as per the conditions of the permit. This form
must be completed and returned to the Division within 30 days of receipt of this letter.
DO NOT SEND the SPPP with the signed form.
* Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* A copy of a Technical Bulletin for the general permit which outlines changes in the permit, key requirements,
and addresses frequently asked questions
* A Certificate of Coverage
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other Permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state. or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Tony Evans of the Central Office Stormwater
and General Permits Unit at [phone], ext. 584
Sincerely,
for Kerr T. Stevens
cc: Central Files
Stormwater and General permits Unit Files
Raleigh Regional Off -ice
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160109
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,
MANGUM ASPHALT SERVICES, LLC
is hereby authorized to discharge stormwater from a facility located at
MANGUM ASPHALT SERVICES, LLC
6001 WESTGATE RD
RALEIGH
WAKE COUNTY
to receiving waters designated as a UT of Sycamore Creek in the Neuse River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, IL III.
IV, V. and VI of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 27, 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission