NCG160186_COMPLETE FILE - HISTORICAL_20160226 (2)

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STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
DOC TYPE
COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ � 0) / 0 )' a- b
YYYYMMDD

I
Energy, Mineral ovj
and Lund Resources
E.NVI RON MEN rAL QUALITY
February 26,2016
Mr. Steven Ashworth
Adams Construction Company— Woodsdale Plant
225 Gypsum Road
Danville, VA 24541
PAT MCCRORY
Gnrernnr
DONALD R. VAN DER VAART
Subject: Requested rescission of stormwater permit coverage under ,�Cl
❑ Rescission request denied. Reason:
request approved, effective immediately Permit covera e d d
cer,,
TRACY DAVIS
❑
g resc e on the folluwmg oasts:
You reported that you have ceased all regulated activity and sold the facility.
❑
You reported that although you retain ownership or control of the facility, you have ceased all regulated
activity, and there are no materials remaining on site that may resent a risk of stormwater pollution.
❑
You reported that continued permit coverage is not required because the site activities are not regulated
b
the NPDES stormwater permitting prorani.
C
Note other basis: Q5 i r7f 1
p pt
❑ DEMLR Regional Office (RO) inspection and concurrence
G✓No RO inspection. We are relying on your representation that a permit is no longer required.
I
Discharging regulated industrial stormwater, discharging wastewater, or operating a treatment facility
without a valid NPDES permit will subject the responsible party to a civil penalty of up to $25,000 per
day. •rhe Division may pursue enforcement action on persons that have voluntarily relinquished permit
coverage when continuing permit coverage was necessary. If in the future you wish to again discharge to
the State's surface waters, you must first apply for and receive new coverage under an NPDES permit.
If you have questions about our determinations above, please contact the DEMLR Regional Office
(copied below), or Laura �/�rznW4,- in the Raleigh Central Office �at (919) 80,7-6368.
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Sincerely,'
o
u.l• y`"�
d�lz
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'f, c'
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for Tracy E. Davis, P.E., CPM, Director
B.
t RPI'
Division of Energy, Mineral, and Land Resources
,J
Stormwater Permitting Program files — with attachments
DWR Central Files
DEMLR Budget Office, Deborah Reese
p
(rescissions only)
DEMLR ,Q�/yojq( Regional Office, ✓e�^ ��m�fa_�
�,
";:�--571
Slate of Non], Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 i 12 Nonh Salisbury Sveel J Raleigh, Nonh Carolina 27699-1617
919 707 9220 'r

ADivision of Energy, Mineral &Land Resources
� Land Quality Section/Stormwater Permitting Program
NCDENRNational Pollutant Discharge Elimination System
RESCISSION REQUEST FORM /lerrz/
n._ 7-
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 permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate'of Coverage
N C S N C G 1 6 0 1 8 6
2) Owner/Facility Information: • Final correspondence will be mailed to the address noted below
Owner/Facility Name Adams Construction Company / Woodsdale Plant
Facility Contact Steven Ashworth
Street Address Facility: 5280 Woodsdale Rd. Mailing: 225 Gypsum Road, Danville, VA 24541
City Roxboro State INC ZIP Code i
County Person E-mail Address sashworth@adamspaving.c
Telephone No. _434_ _791-4480 Fax: [phone]
3) Reason for rescission request (This is reauired information. Attach separate sheet if necessary):
0 Facility closed or is closing on f 11Y30/15 . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to Y= '. '-`; on i — , 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.
0 Other: Facility will be relocated to Farmville VA
4) Certification:
1, 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.
Steven Ashworth
Print or type name of person signing above
Date 12/2/15
EHS Manager
Title
i
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
1612 Mail Service Center. Raleigh, North Carolina 27699-1612 er+
Phone; 919-807-63001 FAX: [phone] OPEC 08 2015
An Equal Opportunity 1 Affirmative Action Employer

• III
DEC-72012
NC®ENR
North Carolina Department of Environment and Natural Res urces I— E— R —
Division of Water Quality Raleighigh Regi
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
Decem her 5. 2012
Douglas M. Dawson
Piedmnt Asphalt. LLC
PO Box 11328
Danville, VA 24543
Subject: NPDES General Permit NCG 160000
Certificate of Coverage NCG 160186
Piedmont Asphalt, LLC — Woodsdale
Plant
Formerly W.L Construction R Paving.
Inc— Woodsdale Plant #4318
Person County
Dear Mr. Dawson:
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 terns and 'conditions contained in the
General Permit remain unchanged and in full effect. This revised Certificate 6f 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 B)
KEN PICKLE
for Charles Wakild, P.E.
cc: Raleigh Regional Office
Central Files
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 9IM07-63001 FAX: 91M07.64941 Customer Service: 1-877-623-6748
Internet: www.ncwaterqualiry.org
An Equal Opportunity 1 Affirmative Action Employer
None
rth Carolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160IN6
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
I
In compliance with the provision of North Carolina General Statute 143-215 �'11, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,
and the Federal Water Pollution Control Act, as amended,
Piedmont Asphalt, LLC
is hereby authorized to discharge stormwater from a facility located at
Peedmont Asphalt, LLC — Woodsdale Plant [
5280 Woodsdale Rd
Roxboro
Person County
to receiving waters designated as I Tyco River, a class C. waters in the Roxboro[ River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, 111, IV,
V and VI of General Permit No. NCG 160000 as attached.
This certificate of coverage shall become effective December 5, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 5, 2012.
for
ORIGINAL SIGNED 8)
KEN PICKLE
Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)) �A1V 2 1 Calendar Year 2013 ' J 4
General Permit No. NCG160000 I L-_ I
Certificate of Coverage No. NCG16F6"JE®©❑
This monitoring report summary is due to the OWO Regional Office no later�than 30 days from the date
the facility receives laboratory sampling results from the final sample of thel calendar year.
Facility Name: Piedmont Asphalt,-LLC - Woodsdale Plant
County: Person —
Phone Number: (336 ) 388-9581 Total no. of SDOs monitored
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No�/
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No Cry
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency El
Received approval from DWQ to reduce monitoring frequency El
Other _ 0
Outfall 1
Total Rainfall,
inches
00530
-- -
00400
Vehicle
Maintenance
Activities
-
TSS, mg/L
pH, s.u.
Method 1664A
(SGTI,HEM)
Non -Polar O&G/
Total Petroleum
Hydrocarbons,
m d/L
New Motor Oil
Usage,
gal/month
Benchmark
N/A
100
6.(0-µ9.0
15
N/A
Date Sample Collected
P
mo/dd/yr
1..�'4 i a,.L...N.y .�
tti. awe �Y ._ [4. _V'-b
i'. d✓. l'w_:'f !Y
.. .b d 1. 1 ati�.i. n
A� — '.•'iC4 1:
04/29/2013
0.41
25.3
6.3
ND
0.62
7 4
6 4
Nn�
i„ Last Revised 7-1-2010

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature
Date IIIS/?_olj'
Mail Annual DMR Summary Reports to:
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
�1SHEVILLC REGIONAL OGFILI FA,
2090 US Highway 70
iSwannanoa, NC 28778
[phone]
t
3S00 Barrett Drive
Raleigh, NC 27609
[phone]
ON SALEM REGIONAL;
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
943 Washington Square Mall
Washington, NC 27889
[phone]
CENTRAL OFFI(;N
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
MOORESVILI LRFGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville. NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington. NC 28405-2845
[phone]
-�'-"To preserve. prole:!
j}. and enhance
A!or(h caro Ma's wale,:..
Last Revised 7-1-2010

STORMWATER DISCHARGE OUTFALL
ANNUAL SUMMARY DATA MONITORING REPORT
Calendar Year jpll
General Permit No. NCG160000
Certificate of Coverage No. NCG16U[i]W®❑
E
NOV 19=
I1 2012
NC D
This monitoring report summary is due to the DWO Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: RcdrnonT Asptc. i� LL_C - Wood,da P/o.,><
County: Persor,
Phone Number:
Outfall No. I —
Total no. of SDOs monitored
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?,
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other n
Yes ❑ No (2-
Yes ❑ No [�J—
Outfall
Total Rainfall, Inches
00530
00400
00556
TSS, mg/L
pH, s.u. I
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 — 9.0
15
Date Sample Collected,
mo/dd/yr
5.
US
7
G
414)
i
I
SW U-25ONCG16-051709

Additional Outfall Attachment
Outfall No.
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWO to reduce monitoring frequency ❑
Other ❑
Outfall
Total Rainfall, inches
00530
00400
00556
TSS, mg/L.
pH, S.6.
Total Petroleum
Hydrocarbons, mg/L
Benchmark
N/A
100
6.0 - 9.0
15
Date Sample Collected,
moldd/yr
r , -
S W U-250NCG 16-051709

I'(
"1 certify, under penalty of law, that this documdr&and all'attachments.were prepared..under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information; the information. submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware thattFiere are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Sign-,
Date
Mail Annual DMR Summary Reports to:
DWO Reolonal Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
646-6481
Wilmington Office ...
[phone] -
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
2090 US Highway 70
Swannanoa; NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
ZZ3 cireen Street . 61
Syste:!Building 'Suite 714'`'
Fayetteville; NG28301=5043
[phone]
Washington, NC 27889
[phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
301 !
xesville, NC 28115
[phone]
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
W
7o prewrve, prolen i
andeneanee
rJo!ih
SW U-250NCG I6.051709