NC0089087_January 2015 DMR_20170817

CW
ErgonAsphalt
® & Emulsions, Inc.
a company that works -
CERTIFIED MAIL: 7016 3010 0000 2774 3995
August 17, 2017
ATTN: Brianna Young
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Ergon Asphalt & Emulsion, Inc. —Wilson (NC0089087)
January 2015 DMR
To Whom it May Concern:
Ergon, Inc
P 0 Box 1639
Jackson, MS
39215-1639 USA
601-933-3000
ergon corn
RECEIVED/NCDEQ/DW,R
AUG 2.3 2017
Water Quaij,�
Permitting sect,,,
Please find enclosed the DMR for January 2015 for Ergon Asphalt & Emulsions, Inc. —Wilson as
requested.
If you have any questions or require any additional information please contact me at the information
listed below.
Sincerely,
Ergon Asphalt & Emulsions, Inc.
Jake eihaus
Environmental Manager
Office: 601-933-3123
Fax: [phone]
Mobile: [phone]
[e-mail]
Enclosures: January 2015 DMR
CC: Sean Randall, EAE —Wilson

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirement
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment Any information shall be provided orally within 24 hours from the time the permittee became aware
of the circumstances A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to
be made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted
Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
violations "
Brad Dixon
Permittee (Please print or type)
*Delegation of signature authority on- file
Signature of Permittee*** Date
(Required unless submitted electronically)
2520 Wilco Blvd South Wilson Nc 27893 [phone] brad dixon a@ergon com 6-30-2018
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
Certification No.
Certification No
Certification No
Certification No
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface Water
Protection Section's web site at h2o.enr state nc us/was and linking to the unit's information pages
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data
* No Flow/Discharge From Site- Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G 0204
* * Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D)
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