NCG160042_Contact Updates_20210422

McCoy, Suzanne
From: Parker Alvis <[e-mail]>
Sent: Thursday, April 22, 2021 2:23 PM
To: McCoy, Suzanne
Subject: [External] APAC Atlantic Permit Summary Update Requests
Attachments: Plant 4 - Update Requested.pdf, Plant 5 - Update Requested.pdf, Plant 8 - Update
Requested.pdf, Plant 9 - Update Requested.pdf, Plant 10 - Update Requested.pdf,
Plant 11 - Update Requested.pdf, Plant 13 - Update Requested.pdf; Plant 15 - Update
Requested.pdf, Plant 40 - Update Requested.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.<mailto:[e-mail]>
Hey Suzanne,
I have attached the update requests for the permit summaries associated with APAC Atlantic stormwater. Let me know
if this works or if you need anything else. Thanks!
Parker Alvis

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NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Number: NCG160122 Permit Status: Active
Permit Type: Asohalt Paving Mixture Stormwater Discharge COC
Facility Name: Apac Atlantic Inc - Jamestown Plant (42510)
Facility Addressl: 5730 Riverdale Rd
Facility Address2:
City, State & Zip: Jamestown, NC 27282
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership"Form
Owner Name: APAC Atlantic Inc - Thomoson-Arthur Div
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Clarence 0 Brickev Title:
Addressl: 300 Benbow Rd
Address2:
City, State & Zip: Greensboro, NC 27420
Work Phone: [phone] Fax: [phone]
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: August
Invoice Number Invoice Date
Owner Contact Person(s)
Contact Name Title
r—lartock o 13)-k"11 (its
Contact
Contact Name Title
WdPFOWU
Permit Contact
Invoice Due Date Invoice Amount Invoice Status
Address Phone Fax
360 Benue /Zel
(7ntnSb6ra 7uc z?g7o 33� °BIZ 6�m�
Address T3*3O
Email
Phone Fax Email
0944
Contact Name Title Address Phone Fax Email
Rick Holland ��bvli �L/aG 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
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NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DCMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving. Rick Holland j7�G/"f
27420 com
Person(s) with Delegated Signatory Authority.
Type y Contact Name Title Address / I Phone Fax Email /
Person(s) with Electronic Signature Authority
Woe Contact Name Title Address Phone Fax Email
T5h LliwGur 2161 G.nIK lalvd
&O,ft A16 7-7,TAe 91 °I zoI S7S1 jalunlxtr@ei�-iw�
Outfalls
Outfall #: 001 Outfall Description: 12-Inch Diameter Corrugated Metal Pipe
Outfall Lattitude: 35.962220 Outfall Longitude:-79.921390
Stormwater: 100 % Industrial: 0
Basin Waterbody Name
Cape Fear Copper Branch (Cooper Branch)
Outfall #: 002 Outfall Description: Asphalt Trench Under Fence
Outfall Lattitude: 35.963060 Outfall Longitude:-79.921390
% Stormwater: 100 % Industrial:
Basin
Cape Fear
Waterbody Name
Copper Branch (Cooper Branch)
Represented by Outfall:
Stream
Index Number
17-6-(2)
Waterbody
Classification
WS-IV;CA:*
Represented by Outfall:
Stream Waterbody
Index Number Classification
17-6-(2) WS-IV;CA:*
F')oo 2

11
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Number:
NCG160123 Permit Status: Active
Permit Type:
Asphalt Paving Mixture Stormwater Discharge COC
Facility Name:
APAC Atlantic Inc - Plant (424111
Facility Addressl:
850 Marietta Dr
Facility Address2:
City, State & Zip:
Greensboro, NC 27420
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership"Form)
Owner Name:
APAC Atlantic Inc - Thompson -Arthur Div
Owner Type:
Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation:
Clarence 0 Brickev Title:
Addressl:
300 Benbow Rd 0U,('j—
Address2:
City, State & Zip:
Greensboro, NC 27420
Work Phone:
336-412-6865 Fax: [phone]
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: August
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Clartnu o BricYty, f7w�w 3)0 FLnwvv Rel 336. 41Z• OW
6rUY%5b&M A/C Z34Z6
Facility Contact Person(s)
Contact Name Title Address K50 dtdr'iclkt .Ar Phone Fax Email
$tdr,Ll� 9wezdiu s �Qllecd p&AGg•
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Rick Holland PIPAr ftj"u,f,,- 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
27420 com
4/19/2021 r^agc= i

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for vour permit as of 4/19/2021.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Rick Holland f7j&nr rnetnoL661r 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
27420 1 coo
Person(s) with Delegated Signatory Authority
Type Contact Name Title Address Phone Fax
ri c K }{t lland
Person(s) with Electronic Signature Authority
Type Contact Name Title Address
Phone Fax Email
Tath iT>wt ar 2io ► C-tcd-anrcuJ Qv6t & GI
'� j elunha r ®ei Z. �--
#� 7ilwv�sv�
�
qlq-tor- 6161
Outfalls
Outfall #: 001
Outfall Description: Ditch Under Fence to Quarry
Outfall Lattitude:
36.058890 Outfall Longitude:-79.928060
Represented by Outfall:
O/a Stormwater:
100 %Industrial: 0
Stream Waterbody
Basin
Waterbody Name
Index Number Classification
Cape Fear
Long Branch
17-2-1-(1) WS-IV:*
Outfall #: 002
Outfall Description: 8-Inch Pipe to Rio Rao Ditch Under Fence
Outfall Lattitude:
36.060280 Outfall Longitude:-79.926940
Represented by Outfall:
Stormwater:
100 % Industrial:
Stream Waterbody
Basin
Waterbody Name
Index Number Classification
Cape Fear
Long Branch
17-2-1-(1) WS-IV:*
Outfall #: 003 Outfall Description: Rip Rap Ditch
Outfall Lattitude: 36.060000 Outfall Longitude:-79,926110
Stormwater: 100 % Industrial:
Basin Waterbody Name
Cape Fear Long Branch
Represented by Outfall:
Stream
Index Number
17-2-1-(1)
Waterbody
Classification
WS-IV:*
{3.)el 712t Ia(!(, 2

13
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Number:
NCG160175 Permit Status: Active
Permit Type:
Asphalt Paving Mixture Stormwater Discharge COC
Facility Name:
APAC Atlantic Inc - Mocksville
Facility Addressl:
123 Vulcan Trl
Facility Address2:
City, State & Zip:
Mocksville, NC 27028
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership"form
Owner Name:
APAC Atlantic Inc -.Thompson-Arthur Div
Owner Type:
Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation:
Clarence 0 Brickev Title:
Addressl:
300 Benbow Rd OI/lfli/r
Address2:
City, State & Zip:
Greensboro. NC 27420
Work Phone:
336-412-6865 Fax: [phone]
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: September
Invoice Number
Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title
Address
Phone Fax
Email
Glarrn(t GArkv-3. , Owv4r
3Qo Sulbrr,a
eirrAnsbrtio AtC Z74U
33(a'4'IZ-tog- 5
Facility Contact Person(s)
Contact Name Title
Address IZ3 t1ulrh6, -rmi I
Phone Fax
Email
AUc.l"Ad
ltCmoll_
Afif l..091 Y%645oci Phhrrc viAid
27y tic- Z7aZR
a3te 9.4U Sust
Wolf
Permit Contact Person(s)
Contact Name Title
Address
Phone Fax
Email
Rick Holland flaw mariazi,/
300 S Benbow Rd, Greensboro, NC
336-412-6908
rholland@wvpaving.
_
0_ 27420
corn
4 1JI2021 ;'aye

13
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Rick Holland Pj&Af"Maj-j&-(q. W 300 S Benbow Rd, Greensboro, NC 336-412-69 08 rholland@wvpaving.
Person(s) with Electronic Signature Authority
Tvoe Contact Name Title Address Phone Fax Email
Josh ,Dunbar Z/61 Owdericey Ccrlht t3" lea jdunbare ei
Ono .4WVi'Tsvi Ht NC 7-7suo
al �-20l-5151
Outfalls
Outfall #: 001 Outfall Description: 3-Foot Diameter Corrugated Steel Pipe
Outfall Lattitude: 35.969720 Outfall Longitude:-80.524440 Represented by Outfall:
Stormwater: 100 %Industrial:
Stream Waterbody
Basin Waterbody Name Index Number Classification
Yadkin Cedar Creek 12-102-13-(2) C

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Number:
NCG160126 Permit Status: Active
Permit Type:
Asphalt Paving Mixture Stormwater Discharoe COC
Facility Name:
Aoac Atlantic Inc - Stokesdale Plant (42415)
Facility Addressi:
6815 Hwy 158
Facility Address2:
City, State & Zip:
Stokesdale, NC 27357
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership"Form)
Owner Name:
APAC Atlantic Inc - Thompson -Arthur Div
Owner Type:
Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation:
Clarence 0 Brickev Title:
Addressl:
300 Benbow Rd DI I,nt�
Address2:
W
City, State & Zip:
Greensboro, NC 27420
Work Phone:
336-412-6865 Fax: [phone]
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: August
Invoice Number
Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title
Clorcncc o Bric" , oAvq -
Facility Contact Person(s)
Address
3w &nbow gel
hrounsi7wo NC 7914ZO
Phone Fax
33co-ft (. vP5
Email
Contact Name Title Addres Phon Fax Email
Permit Contact
Contact Name Title Address Phone Fax Email
Rick Holland 91a4l►t M"&gW 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
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15
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Rick Holland 1J(f iYl gy1Q 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
�/ 97d7n rnm .
Zrc,- Hallard
Person(s) with Electronic Signature Authority
Type Contact Name Title Address Phone Fax Email
Tosh Dunbar- 7JOICV death slvej 4740 %-
7*gVJ`�9 jdt4n6arOei Z• tawn
,tlan-is OUL ntc z75-6o 011 q - Z01- 5151
Outfa I Is
Outfall #: 001 Outfall Description: 2-Foot Diameter Concrete Pipe
Outfall Lattitude: 36.238890 Outfall Longitude:-79.933060
Stormwater: 100 % Industrial:
Basin Waterbody Name
Cape Fear HAW RIVER
Represented by Outfall:
Stream
Index Number
16-(1)
Waterbody
Classification
WS-V;NSW
4/ i-W 20 1 ?a<let. 2

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 3/30/2021.
Permit Number: NCG160157 Permit Status: Active
Permit Type: Asphalt Paving Mixture Stormwater Discharge COC
Facility Name: APAC Atlantic Inc - Kernersville Plant (42404)
Facility Addressl: 2863 Hwy 66
Facility Addressl:
City, State & Zip: Kernersville. NC 27284
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership"form
)
Owner Name: APAC Atlantic Inc - Thompson -Arthur Div
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Clarence 0 Brickev Title:
Addressl: 300 Benbow Rd
Addressl: Vv
City, State & Zip: Greensboro, NC 27420
Work Phone: [phone] Fax: [phone]
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: May
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Clarence o 13ry-AGUj, Op4y'v 300 gernbow )?ad
6rawsbc:40 tic 2-faZG
Facility Contact Person(s)
Contact Name Title Address Z gS-r'I HwJ G GS Phone Fax 330- Email
Rck-Huffmrd— V$5- 35vo rh�aviag,.
�,_-r"..L�l, F�/d:n(" r.M.,, bi�� v..,..:.-...: ��, n�! 2�7.1�i .zzf..-Tt/e fa-�.{�Y7 aBin_
Permit Contact
Contact Name Title Address Phone Fax Email
Rick Holland na lf- m&nafer 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
»a�n mm
3/3Q/2021 Page t

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NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 3/30/2021.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Rick Holland Paor (nO+jC(gxr— 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
7 974M 11 _ corn C
Person(s) with Delegated Signatory Authority
Type Contact Name Title Address Phone Fax Email
Fir,1L AG I lanc(
Person(s) with Electronic Signature Authority
Type Contact Name Title Address Phone Fax Email
Posh Dttnbar Ot�Ijat�ud � qIq-201-5151 jdwlbu' cJeil.covh
Arrisyi Ild Ale. 7?S (tO
Outfa lls
Outfall #: 001 Outfall Description: Rip Rao Depression Exiting Pond
Outfall Lattitude: 36,023890 Outfall Longitude:-80.055560 Represented by Outfall:
Stormwater: 100 % Industrial:
Basin
Yadkin
Rich Fork
Name
Outfall #: 002 Outfall Description: 6-Inch PVC Pine
Outfall Lattitude: 36.023610 Outfall Longitude:-80.055560
a/o Stormwater: 100 % Industrial:
Basin
Yadkin
Waterbody Name
Rich Fork
Outfall #: 003 Outfall Description: Runoff Ditch into Woods
Outfall Lattitude: 36.024720 Outfall Longitude:-80.056670
°/u Stormwater: 100 % Industrial:
Basin
Yadkin
Waterbody Name
Rich Fork
Stream
Index Number
12-119-7
Waterbody
Classification
Represented by Outfall:
Stream
Index Number
12-119-7
C
Waterbody
Classification
Represented by Outfall:
C
Stream Waterbody
Index Number Classification
12-119-7 C

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NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/1912021.
Permit Number: NCG160042 Permit Status: Active
Permit Type: Asohalt Paving Mixture Stormwater Discharge COC
Facility Name: Plant #40 - Winston-Salem
Facility Addressl: 4130 N Glen Ave
Facility Address2:
City, State & Zip: Winston Salem, NC 27115
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for 'Change of Name/Ownership"Form)
Owner Name: APAC Atlantic Inc - Thompson -Arthur Div
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor,
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Clarence O Brickev Title:
Addressl: 300 Benbow Rd
Address2:
City, State & Zip: Greensboro, NC 27420
Work Phone: [phone] Fax: [phone]
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: Au ust
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Clar�na 0 $rfCKet� 3oo-8anbaw d 33c,
Gfttnsknra A%C 27N2A
Facility Contact Person(s)
Contact Name Title Address 'A130 A,4k 64nn fhc Phone Fax Email
iiMiiodafid- oi�R'df6r oc6;r>LC -W
Takla zear)n r l7/6t it ximf fl iA ntb S /ew k z7/a- 33(a 7O/�4117-2 c
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Rick Holland P)alfWGrtalry- 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
27420 com

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NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Rick Holland 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
Type Contact Name
,Z,cK !fa/land
Person(s) with Electronic Signature Authority
Type Contact Name Title Address Phone Fax Email
Jc5h Pmhar VC11 6*t e" 5rlll-egklot co Jda►,baraeiZ.&,m
Al"iso/6 NC zn-lec) '1J9 Zcl 37/s-I
Outfalls
Outfall #: 001 Outfall Description: Unknown
Outfall Lattitude: 36.146110 Outfall Longitude:-80.228330 Represented by Outfall:
% Stormwater: 100 "/o Industrial: 0
Basin
Yadkin
Leak Fork
Name
Stream
Index Number
12-94-7-4
Waterbody
Classification
C
•4i19'2t;2I page° 2

M
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Number: NCG160158 Permit Status: Active
Permit Type: Asphalt Paving Mixture Stormwater Discharge COC
Facility Name: APAC Atlantic Inc - North Quarry Plant (42403)
Facility Addressl: 4515 N Patterson Ave
Facility Address2:
City, State & Zip: Winston Salem, NC 27105
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(C/. Here for "Change of Name/Ownership"Form
)
Owner Name: APAC Atlantic Inc - Thompson -Arthur Div
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation:
Clarence 0Brickev Title: oi/t%i�'vr
Addressl:
300 Benbow Rd
Address2:
City, State & Zip:
Greensboro, NC 27420
Work Phone:
336-412-6865 Fax: [phone]
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: September
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
C/arcnCt 0 sr-ir-p�� Owru*- 300 3enbow 94
--J I 6ru.hsbcw NC23'a26 B3tn-utZ-b8�3
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Rick Holland /?/4n/ 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
Permit Contact
Contact Name Title Address y(e'?SAiwt, A-htrsm Phone Fax a3V-fW-Email
�� 7lCrnl- w yiCsq 9gg rn1 krJyollaitd@wwpaaiag-
Jncn,St.r'}a� Marc n ;?620. n;rrskn-Tg/a NC 3;las 33b-14�i"RWg 60=1
471262< �ilgo

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Rick Holland., j7/ttit�- �t.(p�.a,go.- 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland @wvpaving.
O 27420 com I
with
Tvoe
Title // Address
Person(s) with Electronic Signature Authority
Phone (/ Fax Email
Type Contact Name Title Address Phone Fax Email
J�Sh J)unhw Uol Oaks O&Lfre glVd 4r""''
Nfiyyisvrltc NC Z�S(,D `l�9 Z13d s/s I
Outfa lls
Outfall #: 001
Outfall Lattitude:
Stormwater:
Basin
Yadkin
Outfall Description: 3-Foot Diameter Corrugated Steel Pipe
36.180280 Outfall Longitude:-80.265830
100 % Industrial:
Waterbody Name
Mill Creek
Represented by Outfall:
Stream
Index Number
12-94-7
Waterbody
Classification
,1,'19j2(11 ^-qr' 7

I
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your nermit as of 4/19/2021.
Permit Number:
NCG160121 Permit Status: Active
Permit Type:
Asohalt Paving Mixture Stormwater Discharge COC
Facility Name:
Aoac Atlantic Inc - Burlington Plant (42508)
Facility Addressl:
1858 Huffman Mill Rd
Facility Address2:
City, State & Zip:
Burlington, NC 27216
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for 'Change of Name/Ownership"Form
Owner Name:
APAC Atlantic Inc - Thomoson-Arthur Div
Owner Type:
Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation:
Clarence O Brickev Title: 0
wn<4/-
Addressl:
300 Benbow Rd
Address2:
City, State & Zip:
Greensboro, NC 27420
Work Phone:
336-412-6865 Fax: [phone]
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: August
Invoice Number
Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
30() 6fnlo0w 33tv-N I - togu 5
CiarGIC-C, 0- &n'U" , alter C 1-mrlsloo✓O, A/C n42O
Facility Contact Person(s)
Contact Name Title
Addressg%fManPhone
Fax
Email
R*l*—Welland PLMI,'fr
imHand�w awo9
"briS Tlaharlut Fortrha#i
Sze j3ieh 212No 33ta-5sf+
51gg
coo
Permit Contact Person(s)
rA)!
Contact Name Title
Address Phone
Fax
Email
Rick Holland Vyi� 1,
300 S Benbow Rd, Greensboro, NC 336-412-6908
rholland@wvpaving.
27420
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NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Billing Contact(s)
Contact Name Title Address Phone Fax Email
Rick Holland p(ay}f— rylq yta ly tU— 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
1747n i rnm
Person(s) with Delegate Signatory Authority
Tyoe Contact Name Title Address Phon j Fax Email
121'(k h-011 a,11CC. t rri r� Stu y e,—
Person(s) with Electronic Signature Authority
Tyoe Contact Name Title Address Phone Fax Email
7101 clae-w (ePft j3►vd..
Tosk) Ow1196(,r .AZoo . ql q-ZD 1- 5151 dwilxu cJ
VVIn/YI.<t1 l Lr . Al C 7,76)ofl 1-1 /. col
Outfalls
Outfall #: 001 Outfall Description: 3-Inch PVC Pipe
Outfall Lattitude: 36.047220 Outfall Longitude:-79.511110 Represented by Outfall:
Stormwater: 100 % Industrial: 0
Basin Waterbody Name
Cape Fear Back Creek (Little Creek)
Outfall #: 003 Outfall Description: 12 Inch Corrugated Plastic Pipe
Outfall Lattitude: 36.048890 Outfall Longitude:-79.510280
Stormwater: 100 % Industrial:
Basin
Cape Fear
Waterbody Name
Back Creek (Little Creek)
Outfall #: 004 Outfall Description: 3-Inch PVC Pipe
Outfall Lattitude: 36.046940 Outfall Longitude:-79.510830
Stormwater: 100 °/a Industrial:
Basin
Cape Fear
Waterbody Name
Back Creek (Little Creek)
Stream Waterbody
Index Number Classification
16-19-5
Represented by Outfall:
Stream
Index Number
16-19-5
WS-V;NSW
Waterbody
Classification
Represented by Outfall:
WS-V;NSW
Stream Waterbody
Index Number Classification
16-19-5 WS-V;NSW
=y I'ri7�1. Page 2

il
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DEMLR has the followine information in our Permit Database for your permit as of 4/19/2021.
Permit Number: NCG160111 Permit Status: Active
Permit Type: Asphalt Paving Mixture Stormwater Discharge COC
Facility Name: APAC Atlantic Inc - Randleman Plant (42409)
Facility Addressl: 2805 Hooewood Rd
Facility Address2:
City, State & Zip: Randleman, NC 27317
Owner Information Details:
MUST submit a Change of Name/Ownership form to DEMLR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownership"form)
Owner Name: APAC Atlantic Inc - Thomoson-Arthur Div
Owner Type: Non -Government Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation:
Clarence 0 Brickev
Title:
Addressl:
300 Benbow Rd
0wr),w
Address2:
City, State & Zip:
Greensboro, NC 27420
Work Phone:
336-412-6865
Fax: [phone]
Email Address:
*** Permit Annual Fee Billing ***
Billing Month: August
Invoice Number Invoice Date Invoice Due Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title
Clartnu Bfic",tlww.r
Contact
Address
Soo S er%be"1
07ru-mbom t4C 271420
Phone Fax
33(0 - 412- wes-
Email
Contact Name Title Address Zfp %' fbftr,.d P-d Phone Fax Email
Rltdt await % y-..� ud"A B rA)z0d@AVa)—a"
Y1%.11 Ae ll Dhn}feRMOM &420 17..,.116ninv. Ate. 7}R14 ZRI.,-L37. 0941'3 em
Permit Contact Person(s)
Contact Name Title Address Phone Fax Email
Rick Holland Pl �.f'1 r j� J� 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
G_- 27420 corn
4 19/2021 -;re°

0
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Summary
NC DGMLR has the following information in our Permit Database for your permit as of 4/19/2021.
Permit Billing Contact(s)
Contact NameTitle Address Phone Fax Email
Rick Holland 17 (Lt_f- MA^aCvr 300 S Benbow Rd, Greensboro, NC 336-412-6908 rholland@wvpaving.
O _ 27420 corn
Person(s) with Delegated Signatory Authoi
Type Contact Name Title Address
zcx tiollavtcA
Person(s) with Electronic Signature Authority
Fax Email
Type Contact Name Title Address Phone Fax Email
ft6h Dunbar- Z161 Ctattway Cathz i;hra jclunbar@GiZ•car+-�
zoo .U�r.i3'vAL Ne gl9-Zo(-5151
Outfalls
Outfall #: 001 Outfall Description: 3-Inch Diameter PVC Pipe
Outfall Lattitude: 35.768330 Outfall Longitude:-79.826390 Represented by Outfall:
% Stormwater: 100 % Industrial:
Basin
Yadkin
Waterbody Name
Back Creek
Outfall #: 002 Outfall Description: 3-Inch Diameter PVC Pipe
Outfall Lattitude: 35.768330 Outfall Longitude:-79.827500
Stormwater: 100 % Industrial:
Basin
Yadkin
Waterbody Name
Back Creek
Stream
Index Number
13-2-3-3-(0.3)
Waterbody
Classification
WS-II;HQW
Represented by Outfall:
Stream
Index Number
13-2-3-3-(0.3)
Waterbody
Classification
WS-II;HQW