NCG020187_COMPLETE FILE - HISTORICAL_20140530

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
7
/V CCo
DOC TYPE
CX HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ Q bIy o � 3
YYYYMMDD

MCDEN.R
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Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
PERMIT NAMEIOWNERSHIP CHANGE FORM
I. Please oritor the permit number for which the change is requested.
FOF� AOEN � C�J�
Year
I Month Da
NPDES Permit
(oe) Certificate of Coverage
0 2 Q 1 8 7
II, Permit status prior to requested change.
a.
Permit issued to (company name-
l ( p y ):
Martin Marl�tta Materials
b.
Person legally responsible for permit:
R Paxjon.�— R�Badham
First MI' Lust
VP Land/Environment
Title
PO 86x 30013
Rerinit Holder Mailing Address
Raleigh NC 2Z6.22-4013
City state, Zip
�704-109-1475 (919-§10-0739
Phone Fax
c.
Facility name (discharge):
Central Rock Quarry-
d.
Facility address:
3957 Liberty'Road
Address
Greensboro NC 27406
City State Zip
e.
Facility contact person:
Jay Nivens 04- 9-1475
First / MI / Last Phone
111, Please provide the following for the requested
change (revised permlt).
a.
bequest for change is a result of:
❑ Change in ownership of the facility
0 Name change of the facility or owner
If other please explain:
b.
Permit issued to (company name):
Martin Marietta Materials
c.
Person legally responsible for permit:
John J Tlberi
First Ml Last
President Mid -Atlantic Division
Title .
2710 Wycliff Road
t'errnit Holder Mailing Address
Raleigh NC 27607
City state Zip
(919-M3-4668 [e-mail]
_ _......__._.E-mail
Phone Address
d.
Facility name (discharge):
Central Rock Quarry
e.
Facility address:
3957 Liberty Road^
T^^ � Address
Greensboro NC 27406
City Statc Zip
f.
Facility contact person:
,lay INivens
. ._. . .,_-----
First Mt Last
( 704-109-1475 [e-mail]
Phone E-mail Address
Resviaad 2012Apr23

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Jay Nivens
First MI fist
Sr. Environmental Engineer
-- -- Title
8701 Red (yak Blvd.
M:►iling Address
Charlotte NC 28217
City State Zip
( 704- 09-1475 jay.ni'[e-mail]
Phone t?-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
Yes
❑ No (please explain) _
Vl Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE -INCOMPLETE OR MISSING::
® 'rhis completed application is required for both name change and/or ownership change
requests.
❑ ,Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or it bill of sale) is re aired far an ownership change request. Articles of incorporation are
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. Fur a name. change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CEi,RTIIaICATION (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 are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
1, '"r"""" , 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 pails of thi; application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
/ 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
Revised 7/2008

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Waler Quality
February 7, 2005
Donald M Moe
Martin Marietta Materials Inc
PO Box 30013
Raleigh, NC 276220013
Subject: NPDES Stormwater Permit Coverage Renewal
Martin Marietta -Buchanan
COC Number NCG020187
Guilford County
Dear Permitlee:
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 Bethany Georgoulias of the Central Office Stormwater
Permitting Unit at [phone], ext.529.
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
NonrthCarolina
lVaturrally
North Carolina Division of Water Quality 1617 Mail Service 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. NCG020187
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 -Buchanan
3957 Duluth Loop Rd
Greensboro
Guilford County
to receiving waters designated as tittle Alamance Creek (Guilford County), a class WS-IV;NSW stream in
the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, 111, 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

00'
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
STEPHEN P. ZELNAK
MARTIN MARIETTA - BUCHANAN
A.O. BOX 30013
RALEIGH, NC 27622
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Stormwater Permit
Martin Marietta - Buchanan
COC Number NCG020187
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,
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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4
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020187
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215. I, 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 - BUCHANAN
3957 DULUTH LOOP RD
GREENSBORO
GUILFORD COUNTY
to receiving waters designated as Little Alamance Creek in the Cape Fear River Basin in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 1I,11I, 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