NCG160192_COMPLETE FILE - HISTORICAL_20181207

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
Nc-6 16o lqZ
I
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑
YYYYMMDD

Division of Energy, Mineral & Land Resources
+' Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
Environmental
Quality RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Please fill out and return this form if you no longer need to maintain your NPDES stormwater perRit. F Co F sV D
1) Enter the permit number to which this request applies: NEC 07 1013
Individual Permit (or) Certificate of Coverage nr-hlD_1 antr n"dALITY
N I C I S N I C I G 1 6 OT()Fk.M,g\1�2t i'ERIjiTI'ING
2) Owner/Facility Information: 'Finel correspondence will be mailed to the address Hated below
Owner/Facility Name Rogers Group Inc. - Burnsville Asphalt
Facility Contact
Street Address
City
County
Telephone No.
Van Medlock
421 Great Circle Road
Nashville
Davidson
615 780.5781
State TN ZIP Code 37228
E-mail Address [e-mail]
Fax: [phone]
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
❑ Facility closed or is closing on . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to
on . 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: Facility terminated lease with property owner (Trittico Investments, LLC) on December 31, 2017.
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, complete and accurate.
Signature -- L`� . ,.. -
�f Van Medlock
Print or type name of person signing above
Please return this completed rescission request form to:
Date 121511$
Director of Environmental Services
Title
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised 2018]an10

ROGERS
GROUP.
December 5, 2018
Ms. Laura Alexander
DEMLR — Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Re: Rogers Group Inc.
Burnsville Asphalt — NCG160192
Rescission Request Form
Dear Ms. Alexander:
OE 07 2013
DENR-LAND QUALM(
STORMWATER PERI~, IT11NG
Rogers Group Inc. (RGI) is submitting is submitting a Rescission Request Form for the above
reference facility. RGI terminated the lease with the property owner on December 31, 2017. The
asphalt plant equipment has been sold from this location.
If you have any questions concerning this correspondence, please contact me by email at
[e-mail] or by phone at [phone].
Sincerely,
Alisa Hatmaker
Environmental Manager
Rogers Group Inc.
Attachments
421 Great Circle Road phone [phone]
Nashville, TN 37228 rogersgroupinc.com

-,.-. FA
NC®EHR
North Carolina Department of Environment and Natura
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 22, 2011
Mr. Van D. Medlock
Environmental Manager
Rogers Group, Inc.
421 Great Circle Road
Nashville, TN 37228
Resources
Dee Freeman
Secretary
Subject: NPDES General Permit NCG 160000
Certificate of Coverage NCG 160192
Rogers Group, Inc.
Formerly Carolina Material sales Joint
Venture, LLC
Yancey County
Dear Mr. Medlock:
On January 27, 2011, Division personnel received your request to revise your stormwater permit
Certificate of Coverage to accurately reflect your new company and facility name.
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 919-807-6300.
Sincerely,
ORIGINAL. SIGNED Bl
KEN PICKLE
for Colleen H. Sullins
cc: DWQ Central Files
Washirrgi+�rr Regional Office
ids ��'" �� Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Magi Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: [phone] FAX: 91M07-64941 Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
NorthCarolina
;Vatura!!y
An Equal Opportunity 1 Affirmative Action Employer

ti
STATE OF•NORTI-I CAROLINA
DEPARTMENT OF ENVIRONMENT AND NA"fURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160192
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 Carofina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Rogers Group, Inc.
is hereby authorized to discharge stornnvater from a facility located at
Rogers Group
I OMC Drive
Burnsville
Yancey County
to receiving waters designated as Little Crabtree Creek, a class C; Tr water, in the French Broad River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, 1I, III, IV, V and VI of General Permit No. NCG 160000 as attached.
This certificate of coverage shall become effective March 22, 2011.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 22, 2011.
ORIGINAL SIGNED B)
KEN PICKLE
for COleen 11. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

W A a
Michael F. Easley, Governor
G William G. Ross Jr„ Secretary
North Carolina Department of Environment and Natural Resources
�I
Coleen H, Sullins, Director
Division of Water Quality
December 19, 2008
Mr. Saln Young
Carolina Material Sales Joint Venture, LLC
PO Box 547
Mountain Home, North Carolina 28758
Subject: General Permit No. NCG160000
Carolina Material Sales Joint Venture, LLC
COC NCG160192
Yancey County
Dear Mr. Young:
In accordance with your application for a discharge pen -nit received on October 28, 2008,
we are 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 October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to
the Division of Water Quality. The Division of Water Quality may require modification or
revocation and reissuance of the certificate of coverage.
This pen -nit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or pen -nits 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 Cory Larsen at telephone number
[phone].
Sincerely,
for Coleen H. llins
cc: Asheville Regional Office, Roger Edwards
Central Files
SPU Files
NonehCarolina
Nalmnally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.newalerauality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal OpportunitylAflirmative Action Employer —100% Recycled130% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG I60000
CERTIFICATE OF COVERAGE No. NCG160192
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,
Carolina Material Sales Joint Venture, LLC
is hereby authorized to discharge stormwater from a facility located at
Carolina Material Sales Joint Venture, LLC
OMC Drive
Burnsville
Yancey County
to.receiving waters designated as Little Crabtree Creek, a class C; Tr water in the French Broad
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts.I, II, 1II, IV, V, and VI of General Permit No. NCG160000 as
attached.
This certificate of coverage shall become effective December 19, 2008.
This Certificate of Coverage shall remain in effect for.the duration of the General Permit.
Signed this 19`h day of December, 2008.
for Coleen H. Sullins., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

LOCATION MAP:
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Carolina Material Sales 3olnt Venture, LLC
rolina Material Sales Joint Venture,.
rolina Material Sales Joint Venture,,
Lab bade: 351154' 47.8" N
Longitude: 8211 16'36.7" W
County: Yancey
Receiving Stream: Little Crabtree Creek
Stream Class: C; Tr
Sub -basin: 04-03-06 (French Broad River Basin)
Facility Location

ARO Input Requested
Subject: ARO Input Requested
From: Cory Larsen <Cory.Larsen@ncmai].net>
Date:.Tue, 04 Nov 2008 08:36:55 -0500
To: [e-mail]
Morning Starr,
I received an NOI from *Carolina Material Sales Joint Venture, LLC* in Yancey county
(Burnsville) under general permit NCG16. The site discharges stormwater to Little
Crabtree Creek (C; Tr). I've attached the location map and NOI for your review.
Does your regional office have any concerns about issuing a COC for this facility?
I'll move forward if there are no objections within 30 days. Thank you.
Cory Larsen Environmental Engineer NCDENR I DWQ I Stormwater Permitting Unit 1617
Mail Service Center, Raleigh, NC 27699-1617 512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone] Fax: [phone]
11-04-2008.pdf Content -Type: application/pdf
Content -Encoding: base64
1 of 1 12/19/2008 1032 AM

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Carolina Material Sales Joint Venture,. LLC
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Carolina Material Sales Joint Venture,
Carolina Material Sales Joint Venture,
Latitude: 350 54' 47.8" N
Longitude: 820 16' 36.7 W
County: Yancey
Receiving Stream: Little Crabtree Creek
Stream Class: C; Tr
Sub -basin: 04-03-06 (French Broad River Basin)
Facility Location

A4 ; Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NC®ENR
Nor- C-Oo— L) P—NCNr aF
E_.O..Er.T --0 NwR11 ftes -ces _ _ CG 60000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Mo th Day
Certificate of Coverage
Check a
Amount
P[S'IIll[ ASSiKnelt to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG160000:
STORMWATER DISCHARGES associated with activities classified as:
SIC' 2951 Asphalt Paving Mixtures and Blocks'; 1
Standard Industrial Classification Code
Note: Portable hot mix asphalt facilities may begin operation upon submittal of a Notice of Intent (NOI)�Cand
implementation of a stormwater pollution prevention plan. Portable plants are defined as a temporary. plant
installation for the purpose of dedicating at least 75% of all materials to a specific job or a plant wch
continuously occupies a site for a period of six months or less. New permanent installations are required" 0
submit a NOI 90 days prior to beginning industrial activities. t�
(Please print or type)
1) Mailing address of owner/operator:
Name OA A M4TEXe/A,C JA1�S ✓®/rvT` �ft�T
Street Address ,7 S/
City DUAJTg /A/ M;F , State N C ZIP Code Q?177
Telephone No. _ J�Z -771 X I Fax:. $ 6Q7 • OZ`7
Address to which all permit corrospondence will be mailed
2)
Location of facility producing discharge:
Facility Name CA ML}TO21;4� �A[,E5 , ,q;AfT _VgiJ-�)z£ L ko
Facility Contact ZW-yl %JQUA.Y9
Street Address Q C `D rVE-
City 0rz1".5UliLe, State /\.�-_ ZIP Code Z 87/
County \ A aJC£
Telephone No. 7�j_�_1!, X • { Fax: $Z(�Z •9Z Ca7
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state roa�umbers, and
distance and direction from a roadway irKersection).Tnti dDAJ OlKC _brZ/Vt 1e-CAC f ct 1E
r� DoPzn}5 Ur (ern, ACiZC55 �b"knrA 91EM Eau -
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) This NPDES Permit Application applies to which of the following :
A New or Proposed Facility Date operation is to begin "4.ck
❑ Existing
5) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 11? e? •S /
Page 1 of 3
SWU-231-101701

NCG160000 N.O.I.
6) Provide a briefs narrativeescriptiq�p f the types of industrial activities and products manufactured at
this facility: A5phQ IT _- . - - �i-'rAA +
7) Discharge points I Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? O f?A-e7T�F ' [ Qjj�£�
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).
8) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
9) Does this facility have any Non -Discharge permits (ex: recycle permits)?
No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
10) Does this facility employ any best management practices for stormwater control?
❑ No
9 Yes
if yes, please briefly describe: A 5 5 f D _5 tOA L f
11) Does this facility have a Stormwater Pollution Prevention Plan?
K No
❑ Yes
If yes, when was it implemented?
12) Does this facility employ wet scrubbers for air particulate removal?
9 No ❑ Yes
13) Are vehicle maintenance activities occurring at this facility?
0 No ❑ Yes
14) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
I9 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
l? No ❑ Yes
Page 2 of 3
s W U-231-101701

NCG160000 N.Q.I.
d) 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 1 disposal vendor:
Vendor address:
15) Certification:
North Carolina General Statute 143-215.6 b (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 Article 21 or
regulations of the Environmental Management Commission implementing that Article, or who falsifies,
tampers with or knowingly renders inaccurate any recording or monitoring device or method required to
be operated or maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to
exceed $10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or
both, for a similar offense.)
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person SigningUEL_ ,y- yout4L-t
Title: M OMSEM
(Signature of Applicant)
10. 10 • D$
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCIDENR
Final rhPrkligt
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
This completed application and all supporting documents
l_e Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
Page 3 of 3
S W U-231-101701

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Name: BURNSVILLE Location: 035' 54'47.8" N 082' 16'36.7" W
Date: 10/81108 Caption: Carolina Material Sales Joint Venture, LLC
Scale: 1 inch equals 1333 feet Asphalt Plant Site, Burnsville, NC

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Date: 10/211108 Caption: Carolina Material Sales Joint Venture, LLC
Scale: 1 inch equals 500 feet Asphalt Plant Site, Burnsville, NC

FREEMAN ENVIRONMENTAL CONSULTING LLC
TOM D. FREEMAN
828-765-1515
411 LOWER HANGING ROCK RD.
SPRUCE PINE, NC 28777-5342
06-07
1173
DATE /K�/"�" "/ ` w� 66-191530 NC
2900
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