NCG020152_COMPLETE FILE - HISTORICAL_20140530

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV Cc, Da O
DOC TYPE
O�HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ � � � N v J 3 �
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Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
0 fR 5 •ONLY
Data Rcooivod
wit
Month
Day
I. Please enter the permit number for which the change is requested_ .
NPDES Permit
(or) Certificate of Coverage
a
M NO 10 12 1 Oj 1 5 2
II. Permit status prior to requested change.
a. Permit issued to (company name):
Martin Marietta Materials
b. Person legally responsible for permit:
R Paxton Badham
First Ml lrRst
VP Landl nxirenment
Frith .
-
- __ _
-��--°F`.+CS7!?y4"+orf.fn^mrs�SA9•!'+-!s�a•T
_ - i'n:,p
Parmit Holder Wiltn6 AtE[)rd�u
Raleigh NC_ 27622-0013
—
City Slow Zip
704- 09-1475 (919-510-0739
Phone Pax
c. Facility name (discharge):
Jamestown Quar
d. Facility address:
5725 Riverdale Drive
Address
Jamestown NC 27282
City statc Zip
c. Facility contact person:
Jay Nivens (704-4)J9-1475
First / MI / Last Phone
III. Please provide the following for the requested change (revised hermit).
a. Request for change is a result of:
C7 Change in ownership of' the facility
Name change of the facility or owner
If other ploase explain:
b. Permit issued to (company name):
Martin Marietta Materials
c. Person legally responsible for permit:
John J riberi
First M1 Lnat
President MIdAflanti2 Divlsi2
Tiilo
2710 Mcliff Road
Permit Holder Mailing Addr�is
Raleigh NC 27607
City State Zip
_(9199-M3-4668 [e-mail]
Phone E-mail Address
d. Facility name (discharge):
Jamestown Quarry
e. Facility address:
5725 Riverdale Drive
Address
Jamestown NC 27282
City State Zip
f. ' Facility contact person:
Jay _ Niyens
First M= Last
(704-409-1475 [e-mail]
Phone E-mail Address
kwised 2412Apr23

ti
NPOES PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2 of 2
IV. Kermit conWet information (if different from the person legally responsible for tire permit)
pen* contact: Jay Nlvens
First MI Last
Sr. Environmental Ein inter _
Title
8701 Red Oak Blvd.
Mailing Address
Charlotte NC 28217
city state 'Lip
`1 704-409-1475 [e-mail]
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V Will the permitted facility continue to conduct the Hattne industrial activities conducted prior
to this ownership or mane change?
Yes
No (picn6e explaia)
V1. Required Items: THIS APPLICATION WILL RE RETURNEDUNPROCESSLI) IF ITEMS
ARE INCOMPLETE OR MISSING:
This completed application is required for both name change and/or ownership change
requests.
Q Legal docume;ntatiou of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of salt:) is required for an ownership change request. Articles of incorporation fire
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the; new applicant in the case of an ownership change request, For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change);
1, __, attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application tire not
completed and that if all required supporting information is not included, this application package: will be
returned as incomplete.
. Signaturt: Date
APPLICANT CERTIFICATION
1, I'll—, attest that this application for a name/ownership change has boen reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
a A O r 5
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revi&ed 7f2008

Nis. Stephanie Graham
Martin Marietta Materials Inc
P.O. Box 18565
Greensboro, NC 27419
Subject:
Dear Ms. Graham;
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
June 16, 2008
Representative Outfail Status (ROS) Approval
Permit No. NCG020152 - Jamestown Quarry
Guilford County
Coleen H. Sullins, Director
Division of Water Quality
The Winston-Salem Regional Office staff reviewed your request for a determination that Stormwater
Discharge Outfall (SDO) 001 for Land Disturbance and Process Areas be granted representative outfall
status. Based on the information and map provided, and our site visit on June 5, 2008 by Steve Tedder,
Rose Pruitt, and George Smith, all of this office, we are making the following ROS determination.
In accordance with 40 CFR § 122.2 1 (g)(7), you are authorized to sample outfall number 001 as a
representative outfall. This approval is effective with the next sampling event. We also want to remind
you that the permit still requires Qualitative Monitoring be performed at all SDOs, regardless of
representative outfall status.
Please armend this letter to vour Stormwater Permit to document that representative outfall status has
been approved. IF changes in drainage areas, structures, processes, storage practices, or other activities
occur that significantly alter the basis of this approval, notify this office for an updated ROS
determination. ll you have any questions or comments concerning this letter, please contact George
Smith; or me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
ATTACHMENT
cc: Central Office/Stornlwater Permitting Unit
SWP Central Files
WSRO File one
No hCarohna
Aatrrrally
North Carolina Division of Water Quality 585 Waughtown Street Phone [phone] Customer Service
Winston-Salem Regional office Winston-Salem, NC 27107 Fax [phone]
]ntcmct: www.ncwaterqualitv.or�
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Michael F. Easley, Governor
A
February 7, 2005
Donald M Moe
Martin Marietta Materials Inc
PO Box 30013
Raleigh, NC 276220013
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W, Klimek, P.E. Director
Division of Wa1cr Quality
Subject: NPDES Stormwater Permit Coverage Renewal
Martin Marietta -Jamestown
COC Number NCG020152
Guilford County
Dear Permittee:
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 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 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 Aisha Lau of the Central Office Stormwater Permitting
Unit at [phone], ext.578.
Sincerelv,I
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
One
No thC.wolina
�Vafurall�
North Carolina Division of Water Quality 1617 Mail Smice Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.nc.uslsulstormwater.html 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020152
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,
Martin Marietta Materials Inc
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
Martin Marietta -Jamestown
5745 Riverdale Dr
Jamestown
Guilford County
to receiving waters designated as Copper Branch (Cooper Branch), a class WS-IV:* stream in the Cape
Fear 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

_ .-4.State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
December 17, 1999
ROBERT R. WINCHES`TER
MARTIN MARIETTA - JAMESTOWN
5600 77 CENTER DRIVE, STE. 100
CHARLOTTE, NC 28217
1 ?WA
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Stormwater Permit
Martin Marietta - Jamestown
COC Number NCG020152
Guilford County
Dear Permittee:
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. 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 NCG020000
* Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* A copy of a Technical Bulletin on this permit which outlines permit components and
addresses frequently asked questions
* A Certificate of Coverage for your facility
* DWQ fee schedule
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.
Please note that in 1998 Senate Bill 1366 established changes to the permit fee structure for DWQ permits effective
January 1, 1999. This change requires that you pay an annual fee to assure continued coverage under this permit.
You will be invoiced for this fee beginning next year. A copy of the current fee schedule is included with this letter.
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,
Ley
for Kerr T. Stevens
Director, Division of Water Quality
cc: Central Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020I52
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,
MARTIN MARIETTA
is hereby authorized to discharge stormwater and to operate or continue operation of treatment systems and
discharges associated with mine dewatering and process wastewater from a facility located at
MARTIN MARIETTA - JAMESTOWN
5745 RIVERDALE DRIVE
JAMESTOWN
GUILFORD COUNTY
to receiving waters designated as Copper Branch and Deep River in the Cape Fear 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. NCG020000 as attached.
This certificate of coverage shall become effective December 17, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 17, 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission