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Home My WebLink AboutNCG140232_COMPLETE FILE - HISTORICAL_20170627STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. iV ly o a 3a DOC TYPE HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ Q 10 1 % t � a -) YYYYMMDD A7 119� �....... NCDENR Division of Energy, Mineral and Land Resources Land Quality Section I Stormwater Permitting Program National Pollutant Discharge Elimination System (NPDES) PERMIT OWNER AFFILIATION DESIGNATION FORM (individual Legally Responsible for Permit) FOR AGFNCY USE ONLY Dace Rzmvcd Year Matr¢h Day if NO CHANGE in company or facility ownership or name has occurred. If a Name Change and/or Ownership Transfer at the facilo 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 Affihation") applies Individual Permit RWIL�qff v:C 2) Facility Information Facility name Company/Owner Organization Facility address (or) Certificate of Coverage lN; �, !G I 1 4 - -- - -- Various C;bndler C'aucrete / Piedmont, Inc. Address City State Zip To find the current legally responsible person associated with your permit, go to this website http //portal ncdenr or !dwweb/fr/sw-permit,-contacts and run the Permit Contact Summary Report 3) OLD OWNER AFFILIATION that should be removed Previous legally responsible individual #times i. Woody First MI last 4) NEW OWNER AFFILIATION (Legally responsible for the permit). Person legally responsible for this permit Kenneth E Waegerle First tvit Last Tate Mailing Address l lc 6—I� d0Berlin on,S1C 172 to�00 1 �jCity State Zip 'Li111 "I (336 )71_F-11R1 ken_wae�rleQchandlercnncrpte_Coiri �� [ Telephone E-mail Address f1 ll VV 1 �J r 336 )S7t3_a557 JNERAFFItL � O " ] � f� j Fax Number 1 q ()y hc��t� Pagelof2 ay1014 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" mean? 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, PERMITTEE CERTIFICATION 1, 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 Tune 22.2017 Sign Date PLEASE SEND THE COMPLETED FORM TO Division of Energy, Mineral and Land Resources Stormwater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 For more information or staff contacts, please visit our website htt J/ ortal ncdenr or web/lr/stormwater Page 2 of 2 SWU-0WNERAFFIL-22MaY204 4 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 1 • • NCDENR NORTH t:AROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES July 26, 1999 JAMES WOODY CHANDLER CONCRETE CO INC - PLT 103 P O BOX 131 BURLINGTON NC 27216 Subject Reissue - NPDES Stormwater Permit Chandler Concrete Co Inc - Plt 103 COC Number NCG140232 Guilford County Dear Permiuee In response to your renewal application for continued coverage 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 kev 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 Bill Mills of the Central Office Stormwater and General Permits Unit at (919) 733 5083 ext 548 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 919 733 5083 Fax 919 733 9919 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 NCG140232 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 INC - PLT 103 is herebv 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 INC - PLT 103 114 NORTH CHIMNEY ROCK RD GREENSBORO GUILFORD COUNTY to receiving waters designated as a UT of Horsepen Creek in the Cape Fear River Basin in atc.ordanc.e 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 1999 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 Water Quality James B Hunt, Jr, Governor Jonathan B Howes, Secretary A Preston Howard, Jr, P E , Director Mr James J Woody Central Concrete Company P O Box 131 Burlington, NC 27216 Dear Mr James J Woody November 27, 1996 Subject General Permit No NCG140000 Central Concrete Company COC NCG140232 Guilford County In accordance with your application for a stormwater discharge pernut received on June 4, 1996, we are forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit This peanut 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 Carolina 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 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 Water Quality The Division of Water Quality 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 Water Quality or permits required by the Division of Laird Reso s, 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 Bill Mills at telephone number 919/733- 5083, extension 548 cc Winston-Salem Regional Office Mr Roger O Pfaff, P E , EPA Sin"ff UK UiGNED , t BRADLEI( BENdh ET] A Preston Howard, Jr P E P O Box 29535 Raleigh North Carolina 27626 0535 An Equal Opportunity Affirmative Action Employer Telephone 919-733-7015 FAX 919 733-2496 501/6 recycled/10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO NCG140000 CERTIFICATE OFCOVERAGE NO NCG140232 STORMWATER DISCHARGES NATIONAL PQLLUTANT 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 Central Concrete Company is hereby authonzed to discharge stormwater and nnse waters from a facility located at Chandler Concrete Company 114 North Chimney Rock Road Greensboro Guilford County to receiving waters designated as an unnamed tributary to Horsepen Creek in the Cape Fear River Basin in accordance with the effluent lttrutations, monitoring requirements, and other conditions set forth in Parts I II III and 1V of General Pertrut No NCG140000 as attached This Certificate of Coverage shall become effective November 27, 1996 This Certificate of Coverage shall remain in effect for the duration of the General Permit Signed this day November 27 1996 ORIGINAL SIGNED BY BRADI !r Y $Er 1NE- i A Preston Howard Jr, P E Director Division of Water Quality By Authority of the Environmental Management Commission rz,, �� z xv 1) 4S 940 1 �) ®r, i( rN �ri�o a• n f 0 I&MIINNI �i`R g IN] v FACILITY CP.m�Iat �anc�re - 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