NCG500163_COMPLETE FILE - HISTORICAL_20150123

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January 23, 2015
Via FedEx Standard Overnight
Tracking No. 7726 8628 0058
Mr. Charles H. Weaver
North Carolina Department of
Environment and Natural Resources
Division of Water Quality / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617 FFEB
Re: CEMEX, Inc. 0 5 2055
Castle Rayne Terminal
NPDES Permit NCG500163 _
Notice of Renewal Intent
Effective Date: August 1, 2012
Expiration Date: July 31, 2015
Dear Mr. Weaver:
You will find attached the original and one copy of the Notice of Renewal Intent for the
above -referenced facility, which has been signed by the authorized representative. Also
included is a site map, denoting the pathway of the discharge.
If you need anything else, please call me at [phone].
Sincerely,
Kathy Sharp'
Environmental Manager
6212 Cement Plant Road, Knoxville, TN 37924. USA, [phone], [phone]

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NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
NOTICE OF RENEWAL INTENT
Application for renewal of existing coverage under General Permit NCG500000
Existing Certificate of Coverage (CoC): NCG500163
(Please print or type)
1) Mailing address' of facility owner/operator:
Company Name CEMEX, Inc.
Owner Name CFNIFX. Inc.
Street Address 6212 Cement Plant Road
City Knoxville State TN ZIP Code 37924
Telephone Number(865) 541.-5514 Fax: [phone]
Email address kath;.sharpReemex.com
Address to which all permit correspondence should be mailed
2) Location of facility producing discharge:
Facility Name CEMEX, Inc. Castle Hayne Terminal
Facility Contact Allen Ponder
Street Address 6411 Ideal Cement Road
City Castle Havre State NC ZIP Code 28429
County New Hanover
Telephone Number910-675-0014 —Fax: [phone]
Email address allen..onde ?cemex.com
3) Description of Discharge:
a) Is the discharge directly to the receiving stream? ❑ Yes ❑x No
(If no, submit a site map with the pathway to the potential receiving waters clearly marked. This includes tracing the pathway of the
storm sewer to the discharge point, if the storm sewer is the only viable means of discharge.)
b) Number of discharge outfalls (ditches, pipes, channels, etc. that convey wastewater from the property):
1
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
MNon-contact cooling water
❑ Boiler Blowdown
Outfall(s) #:001
Outfall (s) #:
Page 1 of 3

NCG500000 renewal application
❑ Cooling Tower Blowdown
Outfall (s) #:
❑ Condensate
Outfall (s) #
❑ Other
Outfall (s) #
(Please describe "Other")
d) Volume of discharge per each discharge point Gn GPD)
#001:100.000 #002: #003: #004
4) Please check the type of chemical [s] added to the wastewater for treatment, per each separate discharge
point Gf applicable, use separate sheet)
❑ Chlorine ❑ Biocides ❑ Corrosion inhibitors Algaecide ❑ Other
El None
5) If any box in item (4) above [other than None] was checked, a completed Biocide 101 Form and
manufacturers' information on the additive must be submitted to the following address for approval:
NC DENR / DWQ / Environmental Sciences Section
Aquatic Toxicology Unit
1621 Mail Service Center
Raleigh, NC 27699-1621
6) Is there any type of treatment being provided to the wastewater before discharge (i.e., retention ponds,
settling ponds, etc.)? ❑ Yes FX1 No
(If yes, please include design specifics (i.e., design. volume, retention time, surface area, etc.) with submittal package. Existing
treatment facilities should be described in detail. )
7) Discharge Frequency:
a) The discharge is: ❑X Continuous ❑ Intermittent ❑ Seasonal*
i) If the discharge is intermittent, describe when the discharge will occur:
ii) *Check the month(s) the discharge occurs ❑ Jan ❑ Feb ❑ Mar. ❑ Apr ❑ May ❑ Jun ❑ Jill
❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. ❑ Dec.
b) How many days per week is there a discharge? _ 7
c) Please check the days discharge occurs: ❑ Sat. ❑ Sun. ❑ Mon. ❑ Tue. ❑ Wed. ❑ Thu. ❑ Fri.
Additional Application Requirements:
The following information must be included in duplicate [original + 1. copy] with this application or it will
be returned as incomplete.
➢ Site map. If the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
Page 2 of 3

NCG500000 renewal application
➢ Authorization for representatives. If this application will be submitted by a consulting engineer
(or engineering firm), include documentation from the Permittee showing that the consultant
submitting the application has been designated an Authorized Representative of the applicant.
Certification
1 certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Humberto H. Garza
Title: Vice President Loeistics —
(Signature of.
North Carolina General Statute 143-215.6 b (0 provides that:
a l 12-6 11.-
(Date Signed)
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document
fled or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or moniloring device or method required to be operated or maintained under
Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by
a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine
of not more than $25.000 or imprisonment not more than 5 years, or both, for a similar offense.)
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Mail the original and one copy of the entire package to:
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1.617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 3 of 3

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