NCG140089_COMPLETE FILE - HISTORICAL_20170627

PERMIT NO.
DOC TYPE
Q�I l
STORMWATER DIVISION CODING
NCG PERMITS
❑ HISTORICAL FILE
❑ MONITORING REPORTS
YYYYMMDD

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NCDENR
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Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(individual Legally Responsible for Permit)
FOR AGENCY USE ONLY
Due Received
Peer
MonthDay
if NO CHANGE in company or facility ownership or name has occurred
If a Name Change andlor Ownership Transfer at the facility has prompted this change, do
NOT use this form You must fill out the Name -Ownership Change Form and provide all
necessary supporting documentation instead
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner
Affiliation") applies
Individual Permit
KN§s=
2) Facility Information
Facility narne
Company/Owner Organization
Facility address
for) Certificate of Coverage
IVG 1 1 4 - -- - --
Various
Chandlitr Concrete Co., Tnc_
Vanous
Address
City State Zip
To find the current legally responsible person associated with your permit, go to this webslte
http //portal nedenr orc/web/lr/sw-permit-contacts and run the Permit Contact Summary Report
3) PJLD OWNER AFFILIATION that should be removed
Previous legally responsible individual James M _ woody
s
UAst
4) NEW OWNER AFFYLIATION (Legally responsible for the permit)
Person legally responsible for this permit" IT0'0( U �
�CqOOO O &Iqotoc YiC6lq03��O
G- �-?l Cglqooq j
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Kenneth E Waegerle
First Mf Last
Mailmg Address
urli ,mop. NC 17216 _
City State Zip
(31fi )226-1181 ken _waegerle@c14anti3erennerete_Com
Telephone E-mail Address
336 )570-0557
Fax Number
Page 1 of 2
SWU-OWNERAFF

NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
5) Reason for this change
A result of
If other please explain
What does "legally responsible person" mean9
That person is either.
® Employee or management change
❑ inappropriate or incorrect designation before
❑ Other
• the responsible corporate officer (for a corporation),
• the principle executive officer or ranking elected official (for a municipality,
State, Federal, or other public agency),
• the general partner or proprietor (for a partnership or sole proprietorship),
• or the duly authorized representative of that person above
The certification below must be completed and signed by the permit
holder.
PEP"TTEE CERTIFICATION
1, „Kenneth E. Waegerle , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge I understand that if all required parts of this form are not completed, this change may not be
processed
Date
PLEASE SEND THE COMPLETED FORM TO
Division of Energy, Mineral and Land Resources
Stormwater Perini tmg Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please visit our website
httn //portal ncdenr oWwebAr/stormwater
Page 2 of 2
SWU-OWNFRAF FI1.-22M8y2014

1
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
JAMES WOODY
CHANDLER CONCRETE CO - PLT 601
P O BOX I31
BURLINGTON NC 27216
Dear Permittee
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAi_ RESOURCES
July 26 1999
Subject Reissue - NPDES Stormwater Permit
Chandler Concrete Co - Pit 601
COC Number NCG140089
Alamance County
In response to your renewal application for continued coxerage under general permit NCG140000, 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 NCG140000
* 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
Winston-Salem Regional Office
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 NCG140000
CERTIFICATE OF COVERAGE No NCG140089
STORMWATER AND PROCESS WASTEWATER 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,
CHANDLER CONCRETE CO - PLT 601
is hereby authorized to operate a process wastewater treatment system and is hereby authorized to discharge process
wastewater and stormwater from a facility located at
CHANDLER CONCRETE CO - PLT 601
102 NORTH WORTH STREET
BURLINGTON
ALAMANCE COUNTY
to receiving waters designated as a UT of Service Creek in the Cape Fear 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 NCG140000 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 26 I999
for Kerr T Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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
James Woody
Chandler Concrete Co
P O Drawer 1239
Burlington, NC 27216
Dear James Woody
February 24, 1995
N9�A
C)EHNR
Sub)ect General Permit No NCG 140000
Chandler Concrete Co
COC NCG140089
Alamance County
In accordance with your application for a stormwater discharge permit received on November 29, 1994, we
are forwarding herewith 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
The stormwater permit you are receiving, NCG 140000, does not permit wasting concrete, dumping excess
concrete, directly into storm sewer outfalls or into waters of the state Any facility which either dumps excess
concrete or washes excess concrete into storm sewers or waters of the state will be operating in direct violation to
both the terms of this permit and the North Carolma General Statutes Such a discharge shall be considered an
illegal discharge and may subject the owner to enforcement actions in accordance with North Carolina General
Statutes 143-215 6A
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to
you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt
of this letter This request must be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings Post Office Drawer 27447,
Raleigh, North Carolina 27611-7447 Unless such demand is made, this decision shall be final and binding
Please take notice that this certificate of coverage is not transferable Part II, B 2 addresses the
requirements to be followed in case of change in ownership -or control of this discharge
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, extension 584
Sincerely,
Original Stgned By
Coleen H Sullins
A Preston Howard, Jr P E
cc Winston-Salem Regional Office
Mr Roosevelt Childress, EPA
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 NCG140000
CERTIFICATE OF COVERAGE No. NCG140089
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,
Chandler Concrete Co , Inc
is hereby authonzed to discharge stormwater from a facility located at
Chandler Concrete Co , Inc
102 North Worth Street
Burlington, NC
Alamance County
to receiving waters designated as an unnamed tributary to Service Creek in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, I1, III
and IV of General Permit No NCG 140000 as attached
This certificate of coverage shall become effective February 24, 1995
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day February 24, 1995
o!'g,n:i C;�Tlt3 1 : f
A Preston Howard, Jr , P E , Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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FACILITY Cj)onAlP(- 0-60 CtQ, CO;10c
COUNTY R to mo n cz
NPDES 1� Cr. i ci 0C],89
MAP# CD i SW
DSN FLOW N/A
�U5-$F)SiN' a3 --0(o ©�
LATITUDES o y it
LONGITUDE �19 ° �� O Co ('
RECEIVING STREAM ll iM
STREAM CLASS C NSW
DISCHARGE CLASS storm Woi-Zr
EXPIRATION DATE ril 31111