NCG020599_COMPLETE FILE - HISTORICAL_20100212

- STORMWATER- DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO..
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5( COMPLETE FILE- HISTORICAL
DATE OF
RESCISSION
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Beverly Eaves Perdue
Governor
rcanaau Hnarews
Triple A Preserve Inc.
2042 Buie Philadelphus Road
Red Springs, NC 28377
NC® NR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
February 12, 2010
Dee Freeman
Se�c�retary DE 1R_FR
MAR 0 3 2010
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Subject: Rescission of NPDES General Permit
Certificate of Coverage Number NCG020599
Randall F Andrews - Triple A Preserve Inc - 41 Deep Branch
On 7/20/2009, the Division of Water Quality received your request to rescind you coverage under Certificate of Coverage
Number NCG020599. In accordance with your request, Certificate of Coverage Number NCG020599 is rescinded
effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stonnwater to waters of the State
without valid coverage under an NPDES permit will subject the responsible party to a civil penalty of up to $25,000 per
day. It is the intention of DWQ that enforcement proceedings will occur for persons that have voluntarily relinquished
permit coverage when, in fact, continuing permit coverage was necessary. If, in retrospect, you feel the site still requires
permit coverage, you should notify this office immediately. Fmthernlore, if in the future you wish to again discharge to
the State's surface waters, you must first apply for and receive a new NPDES permit.
If the facility is in the process of being sold, you will be performing a public service if you would inform the new or
Prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact Sarah Young at [phone], or the Water Quality staff in our
Fayetteville Regional Office at 910-433-3300.
Sincerely,
Coleen 1-1. Sullins
cc: Fayetteville Regional Office
Stornrwzter Permitting Unit
DWQ Central Files - w/attachments
Fran McPherson, DWQ Budget Office
Wetlands and Stormwater Branch
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: 919-807£4941 Customer Service: 1-877-623-6748
Internet: wm.ncwaterquality.org
An Equal opportunity) Affirmative Action Employer
Nne
orthCarolina
Naturml&

f WATp
Permit Rescission Request Norm
National Pollutant Discharge Elimination System
General Permit NCGO20000
Cer ificate of Coverage Number
NCG020599
Please fill out and return this form only if you no longer need to maintain your NPDES stormwater permit. If permit
renewal is required, fill out Side One.
The following is the information currently in our database for your facility. Please review this information carefully and
make all corrections as necessary in the space provided to the right of the current information.
Owner Affiliation Information:
Owner / Organization Name:
Owner Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
''Rescission Correspondence will be mailed to the owner address
Randall F Andrews
Randall F Andrews
2042 Buie Philadelphus Rd
Red Springs, NC 28377
910-843-2121 Ext.23
910-843-5789
[e-mail]
Facility/Permit Contact Information
Facility Name: Triple A Preserve Inc - #1 Deep Branch
Facility Physical Address: 2012 Buie Philadelphus Rd
Red Springs, NC 28377
Facility Contact:
Randall F Andrews
Mailing Address:
2042 Buie Philadelphus Rd
Red Springs,NC 28377
Phone Number:
910-843-2121 Ext.23
Fax Number:
910-843-5789
E-mail address:
[e-mail]
1;. � �. 1 � - ,n� •.
Reason for rescission request (This is required information. Attach separate sheet if necessary):
Triple A Preserve 111 does not discharge any storm wateror waste water. We thought
that we needed a neripy.tt hut —fefll—that we do not.
REQUEST AND CERTIFICATION
I, as an authorized representative, hereby request rescission of certificate of coverage NCG020S99 under NPDES
Stormwater General Permit NCGO20000 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.
/ r
Signature �l t cTyG� v� �, � L('( Lt�'.>Date 7-14-09
Randall F. Andrews President
Print or type name of person signing above Title
Please return this completed rescission request form to: SW General Permit Coverage Rescission
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Randall F Andrews
2042 Buie Philadelphus Rd
Red Springs, NC 28377
Dear Permittee:
Michael F. Hasley, Governor \
William G. Ross Jr., Secretary V
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.H. Director
Division of Water Quality
February 7, 200�) 6- u0
f'ED 2 12005
F-)vf Q
Subject: NPDES Stormwater Permit Coverage Renewal
Triple A Preserve Inc - k1 Deep Branch
COC Number NCG020599
Robeson County
In response to your renewal application for continued coverage under general permit NCG020000 the Division of Water
Quality (DWQ) is forwarding herewith the reissued stormwater general permit. Please review the new permit to familiarize
yourself with the changes in the reissued permit. The general permit authorizes discharges of stormwater and some types of
wastewater. You must meet the provisions of the permit for the types of discharges present at your facility. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the slate of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of General Stormwater Permit NCG020000
• A copy of a Technical Bulletin for the general permit
• Five copies of Discharge Monitoring Report (DMR) Forms - wastewater and stormwater
• Five copies of Qualitative Monitoring Report Form
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 Jonathan Diggs of the Central Office Stormwater
Permitting Unit at [phone], ext.537.
Sincerely,
for O
cc: Central Files -
Stormwater & General Permits Unit Files
Fayetteville Regional Office
One
NthCarolina
Nnkrrn!/Y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.encstate.ne.us/su/stonnwatechtml 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50%, Recycled110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020599
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,
is hereby authorized to discharge stormwater and to operate treatment systems and discharges associated
with mine dewatering wastewater and process wastewater from a facility located at
Triple A Preserve Inc - #1 Deep Branch
2042 Buie Philadelphus Rd
Red Springs
Robeson County
to receiving waters designated as Raft Swamp, a class WS-IV;Sw stream in the Lumber 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. NCG020000 as attached.
This certificate of coverage shall become effective February 7, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 7, 2005
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
Mr. Randall Andrews
Triple A Preserve, Inc.
2042 Buie Philadelphus Rd.
Red Springs, North Carolina 28377
Dear Mr. Andrews:
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 12, 2002
Subject: General Permit No. NCG020000
COC NCG020599
Mine No. I, Deep Branch
Red Springs (Robeson County)
In accordance with your application for discharge permit received on May 13, 2002 we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute
143-215 .l and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated May 9, 1994 (or as subsequently amended).
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 Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Ms. Delonda Alexander at
telephone number 919/733-5083 ext. 584.
cc: Fayetteville Regional Office
Central Files
Stormwater and General Permits Unit Files
Sincerely,
VVILMI [VILLS
Alan W. Klimek, P.E.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
An Equal Opportunity Affirmative Action Employer
Telephone [phone] FAX [phone]
50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020599
STORMWATER, MINE DEWATERING, AND/OR OVERFLOW FROM
PROCESS WATER RECYCLE SYSTEMS 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,
TRIPLE A PRESERVE, INC.
is hereby authorized to discharge stormwater and mine dewatering from a facility located at
Triple A Preserve Mine No. I (Deep Branch)
2042 Buie Philadelphus Rd.
Red Springs, North Carolina
Robeson County
to receiving waters designated as Raft Swamp, class WS-IV Sw waters, in the Lumber River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, VI and
VII of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective July 12, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 12, 2002.
.i n —
- NVII-010C•itiULS
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Triple A Preserve Mine No. 1
Latitude: 34° 40' 06"
Longitude: 79a 04' 04"
t
USGS Quad #: 122Ne (NW Lumberton)
2042 Buie Philadelphus Rd.
River Basin #: 03-07-52 (Lumber)
Red Springs, Robeson County
Receiving Stream: Raft Swamp
Stream class: wS-av sw
NCG020599