NCG140091_COMPLETE FILE - HISTORICAL_20170627

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV CiC� J�-% 0011
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� HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ ab � i � � a�.
YYYYMMDD

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'NCDENR
DEMAT"Dffa
Division of Energy, Mineral and'Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Indiijidual Legally Responsible for Permit)
FOR AGENCY USE ONLY
Dace Received
Year Month N
if NO CHANGE in company or facility ownership or name has occurred.
If a Name Change, and/or. Ownership Transfer at the facility has prompted this, change,'.do
NOT use this form: You must fill out.1he Name -Ownership Change f ib4 r and provide all
necessary supporting documentation instead.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner
Aifiliation ").applies:
Indiviiival Permit
L 1511
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) Certificate of Coverage
0' r
Vaxious_
C-Undler CoiiCrete Co., Inc -
Various -„
Address
C ity State Zip
To fine] the current legally.Tesponsible person associated with your permit,.go to this.website:
httpa/portal.ncdenr.org/web/lr"Isw-permit=contacts and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Imes J. WQody
First Ml Last
4) NEW OWNER AFFILIATION (Legally responsible for the permit):
Person legally responsible for this permit: C1`01°(
&1.qojoo hc6-1g03��o
G-l�o�S/ Cglgooq
Cr 1 00. q hC6-1 V o a-10
� 1 00
C-1Do
Kenneth E. Waegerle
First MI Last
Corporate EH5 Manager_
Title
Mailing Address
Burlington. N 17216
City State zip
coM
Telephone E-mail Address
{ 336 )570-0557
Fax Number
Page 1 of 2
SWU-OWNERAFFIL

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:
❑x 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; orother 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:
I, Kenneih E. Waegerle , attest that this application for this change in Owner Affiliation
(person legally responsible f& the. permit) has been reviewed and is accurate and complete to the best of my
knowledge. I imderstand that if all required parts of this form are not completed, this change may not be
processed.
june.27,2417
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:
httn:Hl ortal _ncdenr.orgfweb/lr/stormwater
Page 2 of 2
SM-O WNERAFFlL-22M ay2014

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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. 607
P.O. BOX 131
BURLINGTON, NC 27216
Dear Permittee:
1••
NCDENR
NORTH CAROL-INA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 26, 1999
Subject: Reissue - NPDES Stormwater Permit
Chandler Concrete Co - Pit. 607
COC Number NCG 140091
Person County
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 followinc 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
modificationy 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
Raleigh 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. NCG140091
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. 607
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. 607
121 BURCH AVE
ROXBORO
PERSON COUNTY
to receiving waters designated as Marlowe Creek in the Roanoke 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, 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

P
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
February 24, 1995
James Woody
Chandler Concrete Co
P.O. Drawer 1239
Burlington, NC 27216
Subject: General Permit No. NCG 140000
Chandler Concrete Co
COC NCG 140091
Person County .
Dear James Woody :
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, NCG140000, 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 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 Sigred By
coleen H. sullins
A. Preston Howard, Jr. P.E.
cc: Raleigh 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

J
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG140000
ERTIFICATE QF COVERAGE No. NCG140091
STORMWATER DISCHARGES
NATIQNAL 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 authorized to discharge stonnwater from a facility located at
Chandler Concrete Co., Inc.
121 Burch Avenue
Roxboro, NC
Person County
to receiving waters designated as Marlowe Creek in the Roanoke River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG140000 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.
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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FACILITY: aooJ ( e-r w
COUNTY: PPJsoc)
NPDES: N CG L q OO S
MAP#: BO-3 0t,
DSN FLOW: N/6
<sLk -BASIN : O
LATITUDE: '� G o �' U 03 r�
! r LONGITUDE: F7 S SS
1
RECEIVING STREAM: HGl r 0 c— C
STREAM CLASS: C
DISCHARGE CLASS: S-.of-m WCA-Rr
EXPIRATION DATE: , 131,I q l