AQ_F_0400047_20221215_PRMT_PmtApp

Jason Conner
HEDRICK VP—Land Management
INDUSTRIES
RECEIVED
December 12, 2022 DEC 15 2022
Heather Carter p(
Air Quality DEQ-FAYETTEVILLERE�NALOFF
Systel Building
225 Green Street,Ste 714
Fayetteville, NC 28301
i
Permit: Lilesville Plant ID#0400047
Certified Mail: 70153010000192896664
Dear Heather:
I would like to renew our air permit 09572 in Anson County. The plant did not operate in 2021.
Sincerely,
Jason Conner
VP Land Management
Office:828.686.3844
Cell:828.712.9009
jconnerPhedrickind.com
www.hedrickind.com

FORM A
GENERAL FACILITY INFORMATION
REVISED 09/22/16 NCDEQ/Division of Air Quality-Application for Air Permit to Construct/Operate A
NOTE-APPLICATION WILL NOT BE PROCESSED WITHOUT THE FOLLOWING:
Local Zoning Consistency Determination
❑ ❑ Appropriate Number of Copies of Application Application Fee(please check one option below)
(new or modification only)
❑ Responsible Official/Authorized Contact Signature ❑ P.E.Seal(if required) Not Required ❑ePayment ❑ Check Enclosed
GENERAL INFORMATION
Legal Corporate/Owner Name: BV Hedrick Gravel and Sand Company
Site Name: Lilesville Plant
Site Address(911 Address)Line 1: 403 Gravel Plant Road
Site Address Line 2:
City: Lilesville State: NC
Zip Code: 28091 1 County: Anson
CONTACT INFORMATION
Responsible Official/Authorized Contact: Invoice Contact:
Name/Title: Jason Conner/VP Name/Title: Jason Conner/VP
Mailing Address Line 1: PO Box 425 Mailing Address Line 1: PO Box 425
Mailing Address Line 2: Mailing Address Line 2:
City: Swannanoa State: NC Zip Code: 28778 City: Swannanoa State: NC Zip Code: 28778
Primary Phone No.: 828-686-3844 Fax No.: Primary Phone No.: 828-686-3844 Fax No.:
Secondary Phone No.: 828-712-9009 Secondary Phone No.:
Email Address: jconner hedrickind.com Email Address: jconner0hedrickind.com
Facility/Inspection Contact: Permit/Technical Contact:
Name/Title: Jason Conner/VP Name/Title: Jason Conner/ VP
Mailing Address Line 1: PO Box 425 Mailing Address Line 1: PO Box 425
Mailing Address Line 2: Mailing Address Line 2:
City: Swannanoa State: NC Zip Code: 28778 City: Swannanoa State: NC Zip Code: 28778
Primary Phone No.: 828-686-3844 Fax No.: Primary Phone No.: 828-686-3844 Fax No.:
Secondary Phone No.: Secondary Phone No.:
Email Address: jconnerCcDhedrickind.com Email Address: jconnerCcDhedrickind.com
APPLICATION IS BEING MADE FOR
LJ New Non-permitted Facility/Greenfield El Modification of Facility(permitted) ❑ Renewal Title V Renewal Non-Title V
❑Name Change ❑ Ownership Change ❑ Administrative Amendment ❑Renewal with Modification
FACILITY CLASSIFICATION AFTER APPLICATION(Check Only One)
General Small U Prohibitory Small LJ Synthetic Minor LJ Title V
FACILITY(Plant Site)INFORMATION
Describe nature of plant site operation: Crush,Convey,and Screen construction aggregate
Facility ID No.0400047
Primary SIC/NAICS Code: 1423 Current/Previous Air Permit No.09572 Expiration Date:05/31/2023
Facility Coordinates: Latitude: Longitude:
Does this application contain ***If yes,please contact the DAQ Regional Office prior to submitting this
confidential data? ❑ YES 0 NO application.*** (See Instructions)
PERSON OR FIRM THAT PREPARED APPLICATION
Person Name: Jason Conner Firm Name:
Mailing Address Line 1: PO Box 425 Mailing Address Line 2:
City:Swannanoa State: NC Zip Code: County:
Phone No.: 828-686-3844 Fax No.: Email Address:
SIGNATURE OF RESPONSIBLE OFFICIAL/AUTHORIZED CONTACT
Name(typed): Jason Conner Title: Vice President
X Signature(Blue In ): Date:
Attach Additional Sheets As Necessary Page 1 of 2

a f2 FORMA (continued, page 2 o )
GENERAL FACILITY INFORMATION
REVISED 09/22/16 NCDEQ/Division of Air Quality-Application for Air Permit to Construct/Operate A
SECTION AA1 -APPLICATION FOR NON-TITLE V PERMIT RENEWAL
BV Hedrick Gravel and Sand (Company Name)hereby formally requests renewal of Air Permit No. 5611
There have been no modifications to the originally permitted facility or the operations therein that would require an air permit since the last permit was issued.
Is your facility subject to 40 CFR Part 68"Prevnetion of Accidental Releases"-Section 112(r)of the Clean Air Act? ❑ YES Q NO
If yes,have you already submitted a Risk Manage Plan(RMP)to EPA? ❑ YES ❑ NO Date Submitted:
Did you attach a current emissions inventory? ❑ YES ❑✓ NO
If no,did you submit the inventory via AERO or by mail? ❑✓ Via AERO ❑ Mailed Date Mailed:
SECTION AA2-APPLICATION FOR TITLE V PERMIT RENEWAL
In accordance with the provisions of Title 15A 20.0513,the responsible official of (Company Name)
hereby formally requests renewal of Air Permit No. (Air Permit No.)and further certifies that:
(1) The current air quality permit identifies and describes all emissions units at the above subject facility,except where such units are exempted under the
North Carolina Title V regulations at 15A NCAC 2Q.0500;
(2) The current air quality permit cits all applicable requirements and provides the method or methods for determing compliance with the applicable
requirements;
(3) The facility is currently in compliance,and shall continue to comply,with all applicable requiremetns. (Note: As provided under 15A NCAC 2Q.0512
compliance with the conditions of the permit shall be deemed compliance with the applicable requirements specifically identified in the permit);
(4) For applicable requirements that become effective during the term of the renewed permit that the facility shall comply on a timely basis;
(5) The facility shall fulfill applicable enhanced monitoring requirements and submit a compliance certification as required by 40 CFR Part 64.
The responsible official(signature on page 1)certifies under the penalty of law that all information and statements provided above,based on information and belief
formed after reasonable inquiry,are true,accurate,and complete.
SECTION AA3-APPLICATION FOR NAME CHANGE
New Facility Name:
Former Facility Name:
An official facility name change is requested as described above for the air permit mentioned on page 1 of this form. Complete the other sections if there have been
modifications to the originally premitted facility that would requie an air quality permit since the last permit was issued and if ther has been an ownership change
associated with this name change.
SECTION AA4-APPLICATION FOR AN OWNERSHIP CHANGE
By this application we hereby request transfer of Air Quality Permit No. from the former owner to the new owner as described below.
The transfer of permit responsibility,coverage and liability shall be effective (immediately or insert date.) The legal ownership of the
facility described on page 1 of this form has been or will be transferred on (date). There have been no modifications to the originally
permitted facility that would require an air quality permit since the last permit was issued.
Signature of New(Buyer)Responsible Official/Authorized Contact(as typed on page 1):
X Signature(Blue Ink):
Date:
New Facility Name:
Former Facility Name:
Signature of Former(Seller)Responsible Official/Authorized Contact:
Name(typed or print):
Title:
X Signature(Blue Ink):
Date:
Former Legal Corporate/Owner Name:
In lieu of the seller's signature on this form,a letter may be submitted with the seller's signature indicating the ownership change
SECTION AA5-APPLICATION FOR ADMINISTRATIVE AMENDMENT
Describe the requested administrative amendment here(attach additional documents as necessary):
Attach Additional Sheets As Necessary Page 2 of 2