NCG160226_COMPLETE FILE - HISTORICAL_20180226

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
Iv C& I I pb ao
DOC TYPE
P'-'HISTORICALFILE
❑ MONITORING REPORTS
DOC DATE
❑ j C9 / � o a
YYYYMMDD

Permit Number NCG160226
Central Files: APS _ SWP
2/26/2018
Permit Tracking Slip
Program Category
Status Project Type
NPDES SW
Active New Project
Permit Type
Version Permit Classification
Asphalt Paving Mixture Stormwater Discharge COC
1.00 COC
Primary Reviewer
Permit Contact Affiliation
rick.riddle
RECEIVED
Coastal SWRule
FEB 2 6 2018
Permitted Flow
CENTRAL FILES
DWR SECTION
Facility
Facility Name
MajorlMinor Region
Blythe Brothers Asphalt Co„ LLC - North Plant
Minor Mooresville
Location Address
County
9501 Old Statesville Rd
Mecklenburg
Facility Contact Affiliation
Charlotte NC 28269
Alec Blythe
1415 E Westinghouse Blvd
Owner
Charlotte NC 28273
Owner Nam
Owner Type
Blythe Brothers Asphalt Company L L C
Non -Government
Owner Affiliation
Franklin W. Blythe
Owner
1415 E Westinghouse Blvd
DateslEvents
Chariotte NC 28273
Scheduled
Orig Issue App Received Draft Initiated
Issuance Public Notice
Issue Effective Expiration
2/2112018 1/2/2018 1129/2018
2/21/2018 2/21/2018 913012019
Regulated Activities
Requested /Received Events
Asphalt paving mixture production
RO staff report requested
1/29/18
RO staff report received
2/21/18
Outfall 001
Waterbody Name
Streamindex Number
Current Class Subbasin
Dixon Branch
11-120-1
C 03-08-34

Permit Number NCG160226
Program Category
NPDES SW
Permit Type
Asphalt Paving Mixture Stormwater Discharge COC
Primary Reviewer
rick.riddle
Coastal SWRule
Permitted Flow
Facility
Central Files: APS _ SWP _
2/21 /2018
Permit Tracking Slip
Status Project Type
In draft New Project
Version Permit Classification
COC
Permit Contact Affiliation
Facility Name Major/Minor Region
Blythe Brothers Asphalt Co., LLC - North Plant Minor Mooresville
Location Address County
9501 Old Statesville Rd Mecklenburg
Facility Contact Affiliation
Charlotte NC 28269 Alec Blythe
1415 E Westinghouse Blvd
Owner Charlotte NC 28273
Owner Name Owner Type
Blythe Brothers Asphalt Company L L C Non -Government
Owner Affiliation
Franklin W. Blythe
Owner
1415 E Westinghouse Blvd
Dates/Events Charlotte NC 28273
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
1/2/2018 1 /29/2018
Regulated Activities Requested /Received Events
Asphalt paving mixture production RO staff report requested 1/29/18
RO staff report received 2121/18
Outfall 001
Waterbody Name Streamindex Number Current Class Subbasin
Dixon Branch 11-120-1 C 03-08-34

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Alec Blythe
Blythe Brothers Asphalt Co., LLC
1415 E. Westinghouse Blvd.
Charlotte, NC 28273
Dear Mr. Blythe:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
WILLIAM E. (TOBY) VINSON, JR.
Interim Director
February 21, 2018
Subject: General Permit No. NCG 160000
Blythe Brothers Asphalt Co., LLC
COC NCG160226
Mecklenburg County
In accordance with your application for a discharge permit received on January 02, 2018, 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-
215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection
Agency dated October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Energy, Mineral, and Land Resources. 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 the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
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 Richard Riddle at telephone number
[phone].
Sincerely,
for illiam E. Vinson, Jr., PE, CPESC, CPM,
Interim Director Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office
Central Files
Stormwater Permitting Program Files
Mecklenburg,County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202
Nothing Compares..
State of North Carolina I Environmental Quality I Energy. Mineral and Land Resources
512 N. Salisbury Street 11612 Mail Service Center I Raleigh. North Carolina 27699-1612
919 707 9200

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160226
STORMWATER 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,
Blythe Brothers Asphalt Co., LLC
is hereby authorized to discharge stormwater from a facility located at
Blythe Brothers Asphalt Co., LLC
1415 E Westinghouse Blvd.
Charlotte
Mecklenburg County
to receiving waters designated as Dixon Branch, a class C water in the Catawba River Basin, in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III, and IV of General Permit No. NCG 160000 as attached. ,
This certificate of coverage shall become effective February 21, 2018.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 21, 2018.
for William E. (Toby) Vinson,, PE, CPESC, CPM, Interim Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

-80.805 35.361 Degrees
0.2mi

A,LTT4WA
Division of Energy, Mineral, and Land Resources
Land Quality Section
NCDENRNational
Pollutant Discharge Elimination System
Na.t. CN+ou... perr.rt�wr av
Emnr+onr.[n-r u.o NaurtK Reoupc[s
NCG 160000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Month
Dav
CertificateefCevcru e
N .
Che
oust
Pcnni[ Assi n d ki
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG160000 for STORMWATER DISCHARGES associated with activities classified as: RECEIVED
SIC 2951 The manufacture of Asphalt Paving Mixtures and Blocks, JAN O
And, Like activities deemed by DEMLR to be similar in the process, or the exposure of raw
materials, intermediate products, final products, by-products, or waste materiDVVF;OW QUALITY
'a'ro N WAtEA PERMITTING
(Please print or type)
1) Mailing address of the ownerloperator (address to which official permit correspondence will be mailed):
Name BLYTHE BROTHERS ASPHALT CO. LLC
Owner Contact ALEC BLYTHE
Street Address 1415 E. WESTINGHOUSE BLVD
City CHARLOTTE State NC ZIP Code 28273
Telephone No, 704 588 - 0023 EXT 235­ Fax: 704 588 - 9935
E-mail Address [e-mail]
2) Location of the facility producing the discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Email
BLYTHE BROTHERS ASPHALT CO. LLC - NORTH PLANT
ALEC BLYTHE
9501 OLD STATESVILLE ROAD
CHARLOTTE
MECKLENBURG
704 588 - 0023 EXT 235
[e-mail]
3) Physical Location Information:
State NC ZIP Code 28269
Fax: 704 588 - 9935
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway Intersection). From the intersection of Reames Road and Hwy 115, go North 0.44 miles.
Facility will be on the left at 9501 Old Statesville Road. Alternatively, from 1.485, take NC -115 South approximately 1 mile and facility will be on the right.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 350 21' 04.67" N Longitude 80' 49' 28.84" W (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following
❑ New or Proposed Facility` Date operation is to begin
❑x Existing
'If this new or proposed facility is located in one of the 20 coastal counties, please contact the appropriate DEMLR Regional
Office (see page 4) to determine if a State Stormwater Permit is required prior to construction.
Page 1 of 4
SWU-231-030909 417

M1
IZKell:11I1IfI+1►tell I
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 2 9 5 1
7) Services and Activities
a) Provide a brief narrative description of the types of industrial activities and products
manufactured at this facility: (Include a site diagram showing the process areas and location of
activities present at this facility.) Manufacturing of hot mix asphalt.
b) Check all activities conducted at this facility.
❑� Outdoor stockpiling of materials
❑ Storage of raw materials
❑ Storage of materials in above-
ground tanks
❑✓ Material Loading and Unloading
8) Discharge points 1 Receiving waters:
❑✓ Transport of materials by a conveyor
or front-end loader
❑ Vehicle and equipment maintenance
❑ Vehicle or Equipment Washing
[D Vehicle and equipment fueling
How many discharge points (ditches, pipes, channels, curb and gutter, swales, etc.) convey stormwater from
the property? 2
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Dixon Branch
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
Receiving water classification (if known): C
9) Does this facility
a) Have an untreated wastewater discharge? N No ❑ Yes
b) Have a treated wastewater discharge? N No ❑ Yes
If yes, list the permit number.
c) Have a wastewater discharge from a recycle system? N No ❑ Yes
If yes, list the permit number.
d) Have a non -discharge permit? ❑X No ❑ Yes
If yes, list the permit number.
e) Discharge wastewater to a municipal wastewater collection system?
If yes, list the municipality and permit number
N No ❑ Yes
Note: Stormwater discharge permit NCG160000 does not authorize the discharge of any wastewater.
If this site discharges wastewater, you must obtain the appropriate wastewater discharge
permit in addition to coverage for stormwater discharges under NCG160000.
10) Does this facility employ any best management practices for stormwater control?
❑ No X❑ Yes (Show any structural BMFs on the site diagram.)
If yes, please briefly describe: Detention pond at Outfall 2 (SDO-002) and Detention pond to be converted to sand
filter at Outfall 1 (SDO-0011.
S W U-234-030909
Page 2 of 4
Last revised 09/10/14

NCG160000 N.O.I.
11) Does this facility have a Stormwater Pollution Prevention Plan?
IN No ❑ Yes However, the facility is in the process of developing an SPPP.
If yes, when was it implemented?
12) Are vehicle/equipment maintenance activities occurring at this facility?
® No ❑ Yes
13) Hazardous Waste:
a) is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
® No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
IN No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
® No ❑ Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information;
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor: _
Vendor address:
14) Certification:
North Carolina General Statute 143-215.6E (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit. I 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: F. W. BLYTHE
Title: MEMBER MANAGER
9, �A%t ALA-s-Y
(Signature of Applicant) (Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Page 3 of 4
SWU-234-030909 Last revised 09/10/14

NCG160000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included.
Please do not ask us to "hold" an incomplete application in anticipation of a check under separate cover.
❑� Check for $100 made payable to NCDENR
✓❑ This completed application signed by the applicant, and all supporting documents
✓C I A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
(corresponding to which drainage areas), (d) runoff conveyance structures, (e) areas where materials are
stored, (f) impervious areas, (g) site property lines, (h) vehicle and equipment maintenance, blasting,
painting, and washing areas, and (i) location of activities listed in 7b.
0 Copy of county map or USGS quad sheet (preferred) with location of facility clearly marked on map
Please mail the entire package to:
Stormwater Permitting Program
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Please note:
The submission of this document does not guarantee the issuance of NPDES permit coverage.
For questions, please contact the DEMLR Regional Office for your area.
To visit our website please go to http://portal.ncdenr.orgAgeblirlstormwater
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office
... [phone]
Mooresville Office
... [phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office
... [phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 4 of 4
SWU-234-030909 Last revised 09/10/14

December 20, 2017
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
RE: Notice of Intent for NCG160000.
Dear Stormwater Permitting Unit,
RECEIVED
JA N 02 2018
DENR-LAND QOALITy
STORMWATER PERMITTING
Please find enclosed the completed Notice of Intent (NOI) to discharge stormwater
under NPDES General Permit NCG160000 for Blythe Brothers Asphalt Company L.L.C.
Included is a check made payable to NCDEQ in the amount of $100 for the permit fee,
site plan map of the facility, and a copy of a portion of USGS 7.5 minute quad showing
the location of the facility.
If you have any questions or require additional information on the enclosed NOI, please
contact me.
Sincerely,
I J-�� /�r
Alec Blythe
Project Manager
Blythe Brothers Asphalt Company L.L.C.
Enclosures: Check for $100 made payable to NCDEQ
NOI for NPDES General Stormwater Permit NCG160000
Site Plan
USGS Map showing facility location

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USGS 7.5 MIN TOPOGRAPHY SITE LOCATION MAPRECEIV
Blythe Brothers Asphalt Company L.L.C. ,BAN 02 Z
9501 Old Statesville Road
Charlotte, North Carolina 28269 DENR-LAND QUA[ ITY
STORMWATER PERMITTING_
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Blythe Brothers Asphalt Company L.L.C.
Stormwater Discharge Outfall Location SDO-001: Latitude: 35° 21' 3.7" Longitude: -80' 49' 35.0•'
StormWater Discharge Outfall Location SDO-002: Latitude: 35' 21' 6.6" Longitude: -80' 49' 40.8•'
Receiving Stream: Unnamed Tributary to Dixon Branch
Dixon Branch is a Class C water identified by Stream Index 9 11-120-1, located in the Catawba River Basin
10-Digit HUC Watershed 03050101 14, Mountain Island Lake -Catawba River-, 12-digit HUC 5ubwatershed 030501011403, Long Creek,
According to the 2014 NC Integrated Report (303(d) List), Dixon Branch is not listed as an Impaired Water.

PARK STERLING BANK 88�072
BLITHE BROTHERS ASPHALT CO, LLC 526.35
1415 E WESTINdkOUSE BLVD
r CHARLOTTE, NC 28273
Pay:**************************************:**One ,hundred dollars -and no cents
DATE CHECK NO. AMOUNT
December 21, 2017 52635 $********100,00
PAY NCDENR-DIVISION OF WATER VOID AFTER 90DAYS
TO THE
ORDDERER NCDEQ-.DIV.OF ENERGY,MINERAL,LAND
OF 1612 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617

CO, LLC 52635
CHARLOTTE, NC 28273
DATE INVOICE DESCRIPTION I GROSS AMOUNT ADJUSTMENT NET AMOUNT
12-20-17 122017 y 17800 100.00 ,00`.100.00
hffy(6 0-
RECE va)
JAN 02
ORINRUND DUALITY
CHECK DATE I I CHECK NUMBER TOTALS
100.00 A 10.0.00

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