NCG140452_COMPLETE FILE - HISTORICAL_20170801

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/l/ Cc, �C�(�j Z
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DUC DATE
❑ 2011 0 �D )
YYYYMMDD

Energy. Mineral &
Land Resources
ENVIRONMENTAL QVALITY
August 1, 2017
Concrete Service Company Inc
Attn: Richard Allen
130 Builders Blvd
Fayetteville, NC 28301
ROY COOPER
Governor
MICHAEL S, REGAN
Secrrlary
Subject: NPDES Stormwater Permit Coverage Renewal COC #NCG140452
Dear Permittee:
TRACY DAVIS
Dipwror
For coverage under Stormwater General Permit NCG140000, the Division of Energy,
Mineral, and Land Resources (DEMLR) is forwarding herewith the reissued Certificate of
Coverage (CDC). 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 October 15, 2007 (or as
subsequently amended.) A new Certificate of Coverage (CCIC) is included with this
letter.
You must print a copy of the new NCG140000 General Permit from our website here:
permitsfstormwater- e� rmits/npdes-industrial-sw. 1n addition to the full -permit, the 2017
print package on the website includes revised Discharge Monitoring Report (DMR) forms,
Annual Discharge Monitoring Report forms, and Qualitative Monitoring Report Forms.
The General Permit authorizes discharges of stormwater and wastewater (if applicable),
and it specifies your obligations with respect to discharge controls, management,
monitoring, and record keeping. Please review the new permit to familiarize yourself with
all changes in the reissued permit. Significant changes to the General Permit are
outlined in the Technical Bulletin, which is also available on the website above. Your
facility has six months from receipt of the permit to update your Stormwater Pollution
Prevention Plan (SPPP) to reflect any new permit requirements.
!`f Nothing Compares.--,,..
SStatr of North Carolina I > nvironmeniai Quality I energy. Mineral and Land Resources
512 N. Salisbury Street 1 1512 Mail Service Center I Raleigh, North Carolina ZY699.1612
919 707 9200

How does the new General Permit affect Tier Status?
The first sample period of your permit begins August 1, 2017. Tier 3 actions in Part IV of
your permit are triggered by benchmark exceedances on four occasions beginning on the
effective date of this permit and do not count prior exceedances. Likewise, Tier 2 actions
are triggered by two consecutive benchmark exceedances beginning on the effective date
of this permit and'do not count prior exceedances. Howeverif your facility is already in
Tier 2 (monitoring stormwater discharges monthly) or Tier 3, you must continue monthly
monitoring until relieved through conditions of the permit or by DEMLR staff approval.
When does electronic DMR reporting start?
We are setting up our database with final permit parameters and the outfalls that
permittees submitted on-line. All NCG14 Permittees will receive notification when our
eDMR system is ready for these permittees to register and begin reporting
monitoring data electronically. If you have any questions about the status, please
contact Bethany Georgoulias at [phone] or Robert Patterson at [phone]. If
you did not submit outfall information already, we have included a form for you to return
to us. (Note: NO FORM IS ATTACHED if we already have your outfall information.)
Your coverage under the General Permit is transferable only through the specific action of
DEM LR. This permit does not affect the legal requirements to obtain other permits which
may be required by the N.C. Department of Environmental Quality (DEQ), nor does it
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 the DEMLR
Stormwater Permitting Program at [phone].
cc: Stormwater Program files
Sincerely,
T6� �/irsa�r
for Tracy E. Davis, P.E., C.P.M.
-5�Nothing Compares--,-,_
State of North Cvofsna I Environmental Quality I Energy, Mineral and Land Resources
512 N. Salls" Street I Ibl2 Ntall Service Center I Raleigh, North Carolina 27h99.1a12
911) T07 9200

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
STORMWATER AND WASTEWATER DISCHARGES
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,
Concrete Service Company Inc
is hereby authorized to operate approved wastewater treatment system(s) and discharge
stormwater and/or wastewater, as approved in the original permit/application or
subsequent permit modification, from a facility located at:'
Concrete Service Company
229 Lee Paving Dr
Aberdeen
Moore County
to receiving waters designated as Quewhiffle Creek, class C waters in the Lumber River
Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1,.11,1I1, IV, and V of General Permit No. NCG140000 as
attached.
This Certificate of Coverage (COC) shall become effective August 1, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 1, 2017.
roil v a.
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

Central Files: APS — SWP
2/2712017
Permit Number NCG140452
Permit Tracking Slip
Program Category
Status Project Type
NPDES SW
Active New Project
Permit Type
Version Permit Classification
Ready Mix Concrete Slormwater/Wastewater Discharge COC
1.00 CDC
Primary Reviewer
Permit Contact Affiliation
dck.riddle
Coastal SWRule
RECEIVED
FEB 27 Zv f {
Permitted Flow
CENTRAL FILES
DWR SECTION
Facility
Facility Name
MajorlMinor Region
Concrete Service Company
Minor Fayetteville
Location Address
County
229 Lee Paving Dr
Moore
Facility Contact Affiliation
Aberdeen NC 28315
Winnie Jenklns
1 dlr envir safety
PO Drawer 1867
Owner
Fayetteville NC 28302
Owner Name
Owner Type
Concrete Service Company Inc
Non -Government
Owner Affiliation
Richard Allen Jr.
130 Builders Blvd
Dates/Events
Fayetteville NC 28301
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice
Issue Effective Expiration
2/24/2017 2/1712017 2123/2017
2/24/2017 2/24/2017 6/30/2017
Regulated Activities
RB ueSted /Received Events
Concrete drum washout
RO staff report received 2123/17
External vehicle and equipment cleaning
RO staff report requested 2/23117
Ready mixed concrete - stormwater discharges
Ready mixed concrete production
Ready mixed recycle system overflow
Ready mixed stockpile welting
Outfall 001
Waterbody Name
Streamindex Number
Current Class Subbasin
Quewhiffle Creek
14-2-14
C 03-07-50

Energy, Mineral
and Land Resources
UNWRONMENTAL OUALITV
February 24, 2017
Mr. Richard R. Alien, Jr.
Concrete Service Co., Inc.
PO Drawer 1867
Fayetteville, NC 28302
ROY COOPER
Governor
MICHAEL S. REGAN
Secrefary
TRACY DAVIS
Uir'ecror
Subject: General Permit No. NCG 140000
Concrete Service Company
COC No. NCG140452
Moore County
Dear Mr. Allen:
In accordance with your application for a discharge permit received on February 17,
2017, we are forwarding herewith the subject certificate of coverage (COC) 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 note that groundwater standards in 1 SA NCAC 02L and 02T regulations must
also be met for closed -loop recycle systems or any discharges to groundwater.
Please note that this COC does not cover discharges from the irrigation of raw
material stockpiles, a wastewater, from this site. This condition is a result of the
information presented in your application.
Please take notice that this certificate of coverage is not transferable except upon
approval of the Division of Energy, Mineral, and Land Resources. The Division of Energy,
Mineral, and Land Resources 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, Mineral, and Land Resources, the
Division of Water Resources, or permits required by the Coastal Area Management Act or
any other federal or local governmental permit that may be required.
Please note that permit requirements in Part II, Section A, numbers 1-5, and Part I1,
Section B, number 1 are no longer valid per NC Session Law 2011-394. However, note that
Part II, Section A, number 6, and Part I1, Section B, numbers 2-10 are unaffected by this
Session Law. Those Sections will remain in effect for the duration of this permit term.
Please be reminded that your facility MUSt notify the appropriate DEMLR Regional Office at
least 72 hours in advance of operation of your wastewater treatment facility.
State of North Carolina I Environmental Quality j Energy, Mineral and land Resources
1612 Mail Service Center j 512 North Salisbury street I Raleigh, NC 27699.1612
919 707 9200 T

r
If you have any questions concerning this permit, please contact Robert Patterson
at telephone number [phone].
Sincerely,
W
for Tracy E. Davis, P.E., CPM
cc: Fayetteville Regional Office
Central Files
Stolmwater Permitting Unit Files
Jon Risgaard, DWQ, APS, Land Application Unit
State of l' o Cwolim 4 En%iowwW Qualityy EnesV, Mineral mdLand Resouszes
1612.%U Semiee Center 1512 vot&SakdnvyStteet I Raleilh, M 27699.1612
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140452
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,
Concrete Services Co., Inc.
is hereby authorized to discharge stormwater (excluding discharge from the wetting of raw
material stockpiles) from a facility located at
Concrete Services Company
229 Lee Paving Drive
Aberdeen
Moore County
to receiving waters designated as an UT to Quewhiffle Creek, a class C water in the Lumber
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1,11, III, IV, V, and VI of General Permit No. NCG140000 as
attached.
This certificate of coverage shall become effective February 24, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 24, 2017.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

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FOR
Division of Energy, Mineral and Land Resources
Land Quality Section
NCDENRNational
Pollutant Discharge Elimination System
NORTH CAR mA DC TMCRT of
finnnon.+c�T u+o A<dir..� �sa+ReX:
NCG140000
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code: 3273 and like activities - Ready Mixed Concrete
This NO[ maybe an application to discharge process wastewater. NCG140000 contains effluent limitations
for process wastewater discharges. Wastewater discharges must meet the requirements of these
effluent limitations. An exceedance of any of these limitations will result In a violation of the permit
conditions.
For questions, please contact the DEMLR Central Office or Regional Office In your area. (See page 6)
1) Mailing address of owner/operator (official address to which all permit correspondence will be
mailed): (Please print or type all entries in this application form.)
Legal Owner Name Concrete Service Co.. Inc.
(Please attach the most recent Annual Report to the NC Secretary of state showing the current legal name. Alternatively this
permit can be given to an Individual.) Attachment A
Signee's Name (as signed for in question 29 below) Richard R Allen, Jr.
Street Address P.O. Drawer 18671 130 Builders Boulevard
City Fayetteville State NC ZIP Code 28302
Telephone No. [phone] Email
Alternate Contact Name Winnie Jenkins Email (if different) [e-mail]
Alternate Contact Telephone (if different)
2) Location of facility producing discharge:
Facility Name Concrete Service Company
Facility Contact Winnie Jenkins
Street Address 229 Lee Pavina Drive
City Aberdeen State NC ZIP Code 28314
County Moore
Telephone No. [phone] Fax: [phone]
3) Physical location Information:
Please provide narrative directions to the facility (use street names, state road numbers, and distance and
direction from a roadway intersection). Traveling Highway US-1 South, turn left onto Highway US-501 at the
traffic li ht. Take the fir t left onto Highway NC-211 and travel for approximately 1.6 miles. Turn right onto
Locket/ Drive and take slight right onto Lee Paving Drive. Arrive at 229 Lee Pavina Drive, Aberdeen, North
(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 35'07'04.82"N Longitude-79024'21.29"W (deg, min, sec)
5) This NPDES Permit Application applies to the following (check all that apply):
X New or Proposed Facility Date operation is to begin February 2017
❑ Existing Facility Permit 4
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NCG140000 N.O.I.
6) Consultant's application Information:
Consultant:
Consulting Firm:_
Mailing Address:
City: Raleigh
State: North Carolina Zip Code:
Phone:( 919 250-9918 Fax:( 919 )
Email:
(Optional)
Staple Business Card Here:
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary
Industrial activity at this facility:
SIC Code: 3 2 7 3
8) Provide a brief description of the types of Industrial activities and products produced at this facility:
(Attach a site diagram showing the process areas present at this facility.)
Ready Mix Concrete Plant. Industrial activities will include concrete production, truck rinsing/washing, mixing
drum cleanout and aggregate wetting activities
S ormwa er Discharge, Wastewater Ire men DI ch r e and Permitting Inform ion
9) Discharge points / Receiving waters:
Number of discharge points (ditches, pipes, channels, etc.) that convey stormwater and/or wastewater from
the property:
Stormwater-only: 1 Wastewater -only: 0 Wastewater Commingled with Stormwater: -
For new facilities: Expected date of commencement of discharge: February 2Q17
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges and up in? Unnamed tributary to Quewhiffle Creek, located approximately 4.0 0
feet south of Potential Ou fall 001
Receiving water classification(s), if known: Class C
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). No discharges to separate storm sewer s ems_
Will this facility discharge wastewaterto SA (Shellfishing) waters? ❑ Yes X No
Note: Discharge of process wastewater to receiving waters classified as WS41 to WS-V or SA must
be approved by the N.C. Division of Water Resources, Public Water Supply Section. If DWR
does not approve, coverage under NCG140000 cannot be granted. No newdischarges of
process wastewater are permitted In receiving waters classified as WS-1 or freshwater ORW.
10) Each applicant shall provide the following Information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibly show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Stormwater/wastewater treatment structures
o Location of numbered stormwater/wastewater outfalls (corresponding to which drainage areas)
o Runoff conveyance structures
o Areas and acreage where materials are stored
o Impervious area acreages
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NCG140000 N.O.I.
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
o Site property lines, North Arrow, and bar scale
o If applicable, the 100-year floodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities' wastewater or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
o Site location (insert)
Site plans shall be LC 6"
• Line drawing and description: A line drawing of the water flow through the facility. A pictorial description
of the nature and amount of any sources of water and any collection and treatment measures. Refer to Site
Plan provided in Appendix C. Incoming trucks fill the clean water tanks at one of two water spigots along
the eastern portion of the site. After loading, trucks are then rinsed using electronically -activated overhead
racks, with discharges from these activities directed into the four -stage sedimentation basin and ultimately
recycled back into the batch plant operations. A separate overhead rack is then used to add water to the
mixing drums for slump control (if necessary) with no discharges associated with these activities. Upon
return to the site, truck washing and mixing drum cleanout activities are conducted immediately adjacent to
the four -stage sedimentation basin, with discharges associated with these activities ultimately recycled back
into the batch plant operations. Aggregate wetting activities are conducted on the western portion of the
Site, with runoff from these activities either evaporating or infiltrating the site soils prior to entering the
retention pond on the southern portion of the site.
A narrative description and Identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by discharge.
Processes, operations, or production areas may be described in general terms (e.g. "ash silo"). As indicated
above, process wastewater associated with the vehicle washing and mixing drum cleanout activities is
directed into the four -stage sedimentation basin and ultimately recycled back into batch plant operations.
Wastewater associated with aggregate wetting activities either evaporates or infiltrates the site soils prior
to entering the retention pond on the southern portion of the site.
11) Does the applicant have any unresolved Notice of Violations (NOVs)?
X No ❑ Yes
Wastewater:
12) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater
Generate
Discharge
Sent to WW
Treatment
System
Vehicle and equipment cleaning VE
X
❑
❑
Wetting of raw material stockpiles RM
X
❑
❑
Mixingdrum cleaning MD
X
❑
❑
Further explanation, if necessary: See above description of wastewater sources/effluent.
13) Will your facility spray -down or actively wet aggregate piles?
❑ No X Yes
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NCG140000 N.O.I.
14) Does the facility use any of the following on site?
❑ Phosphorus -containing Detergents X Non -Phosphorus -containing Detergents
❑ Brighteners ❑ Other Cleaning Agents ❑ Other:
15) Are wastewater treatment facilities planned in the 100-year flood plain?
X No ❑ Yes
16) Does your facility use or plan to use a recycle system, or recycle components In your treatment system?
X Yes ❑ No
If yes, what size storm event is the system designed to hold before overflowing? (for example, 10-yr, 24-hr)
25 year, 24-hr rainfall event
17) Will your facility build a closed -loop recycle system that meets design requirements In 15A NCAC 02T
.1000 and hold your facilities' working volume'?
X Yes ❑ No
Will your facility discharge wastewater to surface waters?
❑ Yes X No
If the facility's treatment system meets the design requirements of 15A NCACO2T .1000 (Including holding
the 25-year, 24-hour storm plus one foot of freeboard), holds the working volume of your site, and does
not discharge wastewater to surface waters, you may not be required to obtain an NPDES permit for
wastewater discharges. If you believe this is the case, please contact DEMLR's Aquifer Protection Section
Land Application Unit Central Office Supervisor or staff (1636 Mail Service Center, Raleigh, NC 27699-1636)
for more information on obtaining the necessary permits or approvals. If you will discharge wastewater or
stormwater to surface waters, please continue to apply for a permit to discharge associated with ready -mixed
concrete or like operations under NCG140000. For further questions, please contact DEMLR's Stormwater
Permitting Unit Staff.
18) A wastewater treatment alternatives review is required by 15A NCAC 2f-i.0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? X VE X RM X MD
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one -mile radius? .....................................❑ Yes ❑ No NIA
(1) if Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... ❑ Yes ❑ No NIA
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?' Wastewater from truck wag
and mixing drum cleanout is directed into a four -stage sedimentation basin and recycled back
into batch plant operations. Wastewater frQm_aggreciate wetting activities either infiltrates the
site soils or evaporates prior to entering the retention pond on the southern portion of the site
i.e. no discharges of wastewater from the siteL Given the on -site controls and _BM_ Ps currently
in place, it would not be feasible to connect to the Wastewater Treatment Plant _
1 See DWQ's Aquifer Protection Section Land Application Unit's Water Balance Calculation Policy for more information, on DWQ LAU's
website htti?, portal.ncdenr.org/wablwa/aps/lau/policies for more information,
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NCG140000 N.O.I.
c) Closed -loop Recycle System (must meet design requirements of 15A NCAC 2T .1000):
Are you already proposing a closed -loop recycle system (CLRS)? X Yes
(1) If Yes, contact DEMLR's Aquifer Protection Section's Land Application Unit
(2) If No, is this option technologically feasible (possible)? Why or why not?"
(3) If No, is it feasible to build a CLRS on your site? Why or why not?"
1011111ki.
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?'
d) Surface or Subsurface Disposal System (e.g., spray Irrigation):
i) Is a surface or subsurface disposal technologically feasible (possible)? ................. ❑Yes ❑No NIA
Why or Why not?
ii) Is a surface or subsurface disposal system feasible to implement?*........................❑Yes ❑No NIA
Why or Why nor?
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct discharge
to surface waters?' Wastewater from truck washing and mixing drum cleanout activities is directed into
a four -stage sedimentation basin and recycled back into batch plant operations. Wastewater from
aagregate wetting activities either evaporates or infiltrates the site soils prior to entering the on -site
retention pond (i.e. no discharges of wastewater from the sile)
e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?` ❑Yes ❑No NIA
0 If No, contact DEMLR's Land Application Unit to determine permitting requirements.
f) If this review Included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non -discharge options feasible? ..............❑ Yes X No
'You maybe asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
Stormwater:
19) Does this facility employ any best management practices for Stormwater control? ❑ No X Yes
If yes, please briefly describe: Site grading directs stormwater to an on -site retention pond. Several additional
BMPs are employed at the site and can be provided upon request. General good housekeeping/preventative
maintenance programs will also be implemented throughout the facility
20) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No X Yes
If yes, when was it implemented? Stormwater Pollution Prevention Plan currently under preparation and will be
compl eted/im pie mented in February 2017
21) Are vehicle maintenance activities (VMA) occurring or planned at this facility? X No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? ❑ No ❑ Yes
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NCG140000 N.O.I.
0 her/Perm! in
22) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
X No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility:
23) Is your facility subject to Phase ll Post -Construction Area? ❑ Yes X No
If yes, who is the permitting authority?
24) Is your facility located in one of the 20 Coastal Counties? ❑ Yes X No
Is your facility adding more than 10,000 ft2 of built -upon area or CAMA Major Permit? ❑ Yes ❑ No
25) Is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate plies,
drum rinse -out, or vehicle and equipment cleaning to a stormwater BMP? X No ❑ Yes
If yes, please attach your approval from the permitting authority to do so.
26) Does this facility have any other NPDES permits? X No ❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
27) Does this facility have any Non -Discharge permits (ex: recycle permits)? X No ❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
28) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
d)
X No ❑ Yes
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor:
Vendor address:
Final Checklist
This application will be returned as incomplete unless all of the following Items have been Included:
❑ Check for $100 made payable to NCDENR.
❑ This completed application and all supporting documentation. See Question 10.
❑ If an Erosion & Sedimentation Control (E&SC) Plan Is required from Division of Land Resources (DLR)
or local designee: documentation verifying applicant has developed and submitted that Plan to the
governing agency (required per 15A NCAC 02H .0138).
❑ Two (2) site plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
outfalls. See Question i0.
❑ A county map or USGS quad sheet with location of facility clearly marked.
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NCG140000 N.O.I.
29) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
Certification: North Carolina General Statute 143-215.6 B(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.
-'A . I I A I s_ I --
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR
Page 7 of 7
SWU-229-07122011 Last revised 7/2/14

NCG140000 N.O.I.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 8 of 7
SWU-229-07122011 Last revised 712114

A I I F%%FI IItI I —I\ I r&
ANNUAL REPORT TO THE NC
SECRETARY OF STATE
Atlantic
£np"n]"a X 3111w lanf

pa
'o ofol
00

nt,-
T f BUSINESS CORPORATION ANNUAL REPORT
NAME OF BUSINESS CORPORATION: CONCRETE SERVICE CO., INC.
SECRETARY OF STATE 1D NUMBER: 0350187
REPORT FOR THE FISCAL YEAR END: 12/31/2015
•13r-VzT*T&-i t=1 0 =I imxcl 4 z III•,
1. NAME OF REGISTERED AGENT: Allen Jr, Richard R
2. SIGNATURE OF THE NEW REGISTERED AGENT:
STATE OF FORMATION: NC
E-Filed Annual Report
0350187
CA2016237011009
6/2412016 07:46
El Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED OFFICE STREET ADDRESS & COUNTY 4. REGISTERED OFFICE MAILING ADDRESS
1108 Ramsey St
Fayetteville, NC 28301-4746 All Count
SECTION B: PRINCIPAL OFFICE INFORMATION
PO Drawer 1867
Fayetteville, NC 28302-1867
1. DESCRIPTION OF NATURE OF BUSINESS: Ready Mix Concrete
2. PRINCIPAL OFFICE PHONE NUMBER: 910 323-8509 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS & COUNTY 5. PRINCIPAL OFFICE MAILING ADDRESS
1108 Ramsey St
Fayetteville, NC 28301-4746
SECTION C: OFFICERS (Enter additional officers in Section E.)
NAME: Richard R. Allen . Jr.
TITLE: President
ADDRESS:
P.O. Drawer 1867
Fayetteville, NC 28302
PO Drawer 1867
Fayetteville, NC 28302-1867
NAME: Jerry T King NAME: Keith T McFayden
TITLE: Vice President TITLE: Secretary
ADDRESS:
PO Drawer 1867
Fayetteville, NC 28302
ADDRESS:
PO Drawer 1867
Fayetteville, NC 28302
SECTION D: CgRTIFICATION OF ANNUAL REPORT, Section D must be completed in its entirety by a person/business entity.
Richard R. Allen , Jr.
SIGNATURE
Form must be signed by an officer [sled under Section C of this form,
Richard R. Allen , Jr.
Print or Type Name of Officer
This Annual Report has been filed electronically.
8/24/2016
President
DATE
Print or Type Title of Officer
MAIL TO: Secretary of State, Corporations Division, Post Office Box 29525, Raleigh, NC 27626-0525

ATTACHMENT B
i-f•TIOIc3lf-lulwl h d =1 ►►i I_I
_ atlantic
F."A66,Iola FRO" f"Sm ! ict.,U* s

H
of
4

a
IN
REFERENCES:
1. SOUTHERN PINES, NC & PINEBLUFF, NC DIGITAL RASTER GRAPHICS,
USGS. SCANNED FROM1:24,000-SCALE SOUTHERN PINES, NC & PINEBLUFF, NC SCALE: 1:12,000
TOPOGRAPHIC MAPS, PUBLISHED 2013, USGS.
2, INSET MAP DIGITAL DATA FROM 2002 NATIONAL TRANSPORTATION ATLAS, Feet
BUREAU OF TRANSPORTATION STATISTICS, WASHINGTON. D.C. 0 1,000 2,000
3, PROPERTY BOUNDARY DATA FROM WAKE COUNTY GIS,
DRAWN DATE:
TOPOGRAPHIC SITE MAP BY: FEBRUARY 2017
DRAFT JOB NO:
M
Ift Mid Atlantic CONCRETE SERVICE COMPANY CHECK: 00OR1944.07
Enginacrin=a Envlronmanml Solud— 229 LEE PAVING DRIVE ENG. GIS NO:
ABERDEEN. NORTH CAROLINA CHECK: 04G-R1944,07-1
APPROVAL DWG NO: 1.1

Al i-At;HMtN I U
SITE PLAN
r us Atlantic
Fut+nopriuj 6 Fnrironm�neMl SaEuUaat

""
SITE MAP XE DATE: FEBRUARY 2017
CONCRETE SERVICE COMPANY ORAFTINC CHECK gy; JOB N0: 000R1944.07
Mid Atlantic 229 LEE PAVING DRIVE ENGINEER CHECK
Enpn—ing ! E-ftomtnul Solupona ABERDEEN, NORTH CAROLINA Br: CAD # 01-194401-07
►PPROVEO aDWG NO: 1
:
REFERENCE: 40 SITE SOLUTIONS MAP DATED APRIL 2015; MID -ATLANTIC FtELO NOTES (FEBRUARY 2017)

Mid Atlantic
Enginooring 8 Environmuntii Solutions
February 13, 2017
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: CONCRETE SERVICE COMPANY, INC.
229 LEE PAVING DRIVE
ABERDEEN, MOORE COUNTY, NORTH CAROLINA
MID -ATLANTIC PROJECT NO.000R1944.07
To Whom it May Concern:
409 RogrrnVinw Court
Rainigh. NC 276 i 0
office 919 M.9918
lac-sim ht 91925099SO
MAAONLI NE.COM
Mid -Atlantic Associates, Inc. (Mid -Atlantic), on behalf of Concrete Service Company, Inc., is
pleased to submit the attached Notice of Intent (NOI) for the ready mix concrete facility located
at 229 Lee Paving Drive in Aberdeen, North Carolina. We appreciate the opportunity to submit
this information. If you have any questions or need additional information, please do not
hesitate to call us at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Charles B. Hoffman, P.G.
Project Geologist
Attachment: Notice of Intent
Attachment A — Annual Report to the' NC Secretary of State
Attachment B — Topographic Site Map
Attachment C — Site Plans
cc: Ms. Winnie Jenkins, Concrete Service Company, Inc.
EXPEREEINCW CUSTOMER FOCUSED INNOVATIVE

NOTICE OF INTENT
In Mid Atlantic
Cnsmov? ing Y Enrlrcnn,mnW 5Q1uxlronx

Af.
4PY"
0

D.I . ALLEN � SON, INC. Drawer 1867 • Fayetteville, NC 28302
A.
4195 NCDENR-DIVISION OF ENERGY 02/13/17 101658
Inv Date Invoice # P/O # Description Amount Discount Net Amount
----------------------------------
02/13/17 021317 CSCS # 4 100.00 0.00 100.00
100.00 0.00 100.00
::514u4 5�-
FIRST CITIZENS SANK
�D.R. ALLEN & SON, INC. Fayetteville, NC
�' 66-301531
No.
Drawer 1867 . Fayeteville, NC 28302
101658
02/13/17 *******100.00
p A Y One Hundred and 00/100 Dollars
TOTHE NCDENR-DIVISION OF ENERGY
ORDER ATTN: STORMWATER BILLING
OF 1612 MAIL SERVICE CENTER 1,
RALETGH, NC 27699-1612

• t 1.7.
ROY COOPER
.4�
co,e,„of
.f.
MICHAEL S. REGAN
secretary
TRACY DAVIS
Energy, Mineral rr„error
and Land Resources
ENVIRONMENTAL QUALITY
February 24, 2017
Mr. Richard R. Allen, Jr.
Concrete Service Co., Inc.
PO Drawer 1867
Fayetteville, NC 28302
Subject: General Permit No._NCG140000 --
Concrete Service Company
COC No. NCGi40452
Moore County F E B 2 8 2017
Dear Mr. Allen: { ,
In accordance with your application for a discharge permit received on February 17,
2017, we are forwarding herewith the subject certificate of coverage (COC) 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 note that groundwater standards'in 15A NCAC 02L and 02T regulations must
also be met for closed -loop recycle systems or any discharges to groundwater.
Please note that this COC does not cover discharges from the irrigation of raw
material stockpiles, a wastewater, from this site. This condition is a, result of the
information presented in your application.
Please take notice that this certificate of coverage is not transferable except upon
approval of the Division of Energy, Mineral, and Land Resources. The Division of Energy,
Mineral, and Land Resources 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, Mineral, and Land Resources, the
Division of Water Resources, or permits required by the Coastal Area Management Act or
any other federal or local governmental permit that may be required.
Please note that permit requirements in Part 1�, Section A, numbers 1-5, and Part II,
Section B, number I are no longer valid per NC Session Law 2011-394. However, note that
Part II, Section A, number 6, and Part II, Section B, numbers 2-10 are unaffected by this
Session Law. Those sections will remain in effect for the duration of this permit term.
Please be reminded that your facility must notify the appropriate DEMLR Regional Office at
least 72 hours in advance of operation of your wastewater treatment facility.
State of North Carolina I Environmental Quality I Energy, Mineral and Lend Resources
1612 Mail Serviee Center 1 512 North Salisbury Street I Raleigh, NC 27699.1612
919 707 9200 T

1
If you have any questions concerning this permit, please contact Robert Patterson
at telephone number [phone].
Sincerely,
':).RiGINAL SIGNED BY
MICHEAL F RANDALL
for Tracy E. Davis, P.E., CPM
cc: Fayetteville Regional Office
Central Files
Stormwater Permitting Unit Files
Jon Risgaard, DWQ, APS, Land Application Unit
State of Norm Carolico 1 En%*m=enW QwRyj F.nerSy, EVtwW aa4Wd Rnmxm
WOW Senice OwW 1 512 NW6 SWW uyStreet ! RaleiA W. r699.1612
9197079200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140452
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,
Concrete Services Co., Inc.
is hereby authorized to discharge stormwater (excluding discharge from the wetting of raw
material stockpiles) from a facility located at
Concrete Services Company
229 Lee Paving Drive
Aberdeen
Moore County
to receiving waters designated as an UT to Quewhiffle Creek, a class C water in the Lumber
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, 1I, III, IV, V, and VI of General Permit No. NCG140000 as
attached.
This certificate of coverage shall become effective February 24, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 24, 2017.
ORIGINAL SIGNED BY
MICHEAL F RANDALL
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

Ad L
AI
;s"
Dnurete aervice an
imcrata Service Cnmna
Mullty Localou

Patterson, Robert D
From: Lawyer, Mike
Sent: Thursday, February 23, 2017 3:02 PM
To: Patterson, Robert D
Subject: RE: NCG140452 - Concrete Service Co.
Hey Robert. I was able to review the subject NOi today and I also spoke with Winnie Jenkins (facility contact) about some
of the information contained in their NO1. Everything looks good to me. Please proceed with issuance of permit coverage
and please provide me with a copy of the COC once issued.
Thanks,
Mike
Michael Lawyer, CPSWQ
Environmental Program Consultant
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
910 433-3394 office
mike.lawyer(Wricdenr.gov
225 Green Street, Suite 714
Fayetteville, NC 28301
fm- -,--' Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Patterson, Robert D
Sent: Thursday, February 23, 2017 10:03 AM
To: Lawyer, Mike <[e-mail]>
Subject: NCG140452 - Concrete Service Co.
Dear Mike,
Hope you are doing well!
Please review the attached NO1 application and let me know of any recommendations for the permit. This is for sw only,
no ww. They stated there will be a closed -loop recycle system sized for the 25-yr event for all ww.
COC # Facility Location City/County
NCG140452 Concrete Service Company F229 Lee Paving Drive Aberdeen / Moore
1

Thanks so much for your help. If you need any more info, give me an email or call. If you could send me a
recommendation for the permit by 3/23/2017 so I can issue their COC, I'd greatly appreciate it.
Have a great dayl
Robert D. Patterson, PE
Stormwater Engineer
NCDEQ I DEMLR I Stormwater Permitting
919-807-6369 1 Robert.Patterson(@ncdenr.gov
512 N. Salisbury St. 11612 MSC I Raleigh, NC 27699-1612
http:////portal.ncdenr.orp/web/ir/stormwater
Email correspondence to and from this address is subject to the North Carolina Public Records Low and may be disclosed to third parties.

Division of Energy, Mineral and Land Resources
��. Land Quality Section
NCDENRNational Pollutant Discharge Elimination System
r'.RG—W -D H"w I'tcs RCES
NCG 140000
N911C9 QFINTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities'classifled as:
SIC (Standard industrial Classification) Code: 3273 and like activities - Ready Mixed Concrete
This NOI may be an application to discharge process wastewater. NCG140000 contains effluent limitations
for process wastewater discharges. Wastewater discharges must meet the requirements of these
effluent limitations. An exceedance of any of these limitations will result in a violation of the permit
conditions.
For questions, please contact the DEMLR Central Office or Regional Office in your area. (See page 6)
1) Mailing address of owner/operator (offic,)@I addrgsg to which all permit correspondence will be
maned}: (Please print or type all entries in this application form.)
Legal Owner Name Concrete-S-ervice Co., fiic
(Please attach the most recent Annual Report to the AiC Secretary of State showing the current legal name. Alternatively this
permit can be given to an individual.) Attachment A
Signee's Name (as signed for in question,29 below) Richigrd R Allen. Jr.
Street Address P-Drawer 7 / 130 BUilders B! v r
City Fayettevillg State !yCZIP Code 28302
Telephone No. _(910) 323-9198 Email
Alternate Contact Name Winnie Jenkins Email (if different) inni ienkin f bl ck.com
Alternate Contact Telephone (if different)
2) Location of facility producing discharge:
Facility Name Qgflelttte ServiQe Company
Facility Contact Wignie Jenkins
Street Address 229 Lee Paving Drive
City Aberdeen State NC ZIP Code 28314
County Moore
Telephone No. (910) 3 3-9198 Fax: (210). f13-2250
3) Physical location information:
Please provide narrative directions to the facility (use street names, state road numbers, and distance and
direction from a roadway intersection). Traveling Highwgy US_1_South-turn_left _onto Highway US-501 at the
traffic li h . Take h first left onto Hi hw N -211 and traygl f approximately 1. iles. Turn right gnto
Lggkgy Q[iZg gnd take slighlright onto Lee PavingDrive-'ArrivePavingv A r n North
Carolina.
(A copy of a county map or USGS quad sheet Huth facility clearly located on the map is a required part of phis application.)
4) Latitude _ _35'07'04.82" N I Longitude 7914'21.29"W _ (deg, min, sec)
5) This NPDES Permit Application applies to the following (check all that apply):
x New or Proposed Facility Date operation is to begin February 2017
❑ Existing Facility Permit #
Page 1 of 7
SW U•229.1103201 1 ( Last revised 712114

NCG140000 N.O.I.
6) Consultant's application information:
Consultant: _S
Consulting Firm. -
Mailing Address: ___4j
City: Raleigh
State: North Carolina_ zip Code:
Phone:( 919 1 250-9918 Fax:( 919 )
Email: choffmanC}maaonline_com_.........__...... ....._.--..----...........
(Optional)
Staple Business Card Here:
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary
industrial activity at this facility:
SIC Code: 3 2 7
8) Provide a brief description of the types of Industrial activities and products produced at this facility:
(Attach a site diagram showing the process areas present at this facility.)
Regdv Mix Qgncrgte PlaM.-Industrial activities will include n r to production.i mixin
drum _clearto# and aggregate wetting _activitias
Stormwater Dh r j2. WAstewar T—matmgnt & 9Airft@MWfje i In Inf rm i n
9) Discharge points / Receiving waters:
Number of discharge points (ditches, pipes, channels, etc.) that convey stormwater and/or wastewater from
the property:
Stormwater-only: f Wastewater -only:. 0 Wastewater Commingled with Stormwater:, Q�
For new facilities: Expected date of commencement of discharge: February 2017
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges end up in? Unnamed -tributary to Quewh000 Creek,_located aggWxi,mately 4,000
i t Oulfall 001
Receiving water classification(s), if known: Class
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). No dischaMesr rm seVer m _
Will this facility discharge wastewater to SA (Shellfishing) waters? 0 Yes x No
Note: Discharge of process wastewater to receiving waters classified as WS-II to WS-V or SA must
be approved by the N.C. Division of Water Resources, Public Water Supply Section. it DWR
does not approve, coverage under NCG140000 cannot be granted. None discharges of
process wastewater are permitted In receiving waters classified as WS-1 or freshwater ORW.
10) Each applicant shall provide the following information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or site with numbered outfaits which indicate stormwater and
wastewater "falls. The plans shall legibly show. at a minimum, (existing or proposed):
* Outline of drainage areas with topographical lines and features
* Storm wate r/wastewate r treatment structures
o Location of numbered stormwater/wastewater outfalis (corresponding to which drainage areas)
o Runoff conveyance structures
o Areas and acreage where materials are stored
* Impervious area acreages
Page 2of7
SWU-229.07122011 Last revised 712114

NCG140000 N.O.I.
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
o Site property lines, North Arrow, and bar scale
a It applicable, the 100-year floodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities' wastewater or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
o Site location (insert)
&Le i2lans shall be g4" x 36" In size.
• Line drawing and description: A line drawing of the water flow through the facility. A pictorial description
of the nature and amount of any sources of water and any collection and treatment measures. Refer to Site
Plan provided in Appendix C. Incoming trucks fill the clean water tanks at one of two water spigots along
the eastern portion of the site. After loading, trucks are then rinsed using electronically -activated overhead
racks, with discharges from these activities directed into the four -stage sedimentation basin and ultimately
recycled back into the batch plant operations. A separate overhead rack is then used to add water to the
mixing drums for slump control (if necessary) with no discharges associated with these activities. Upon
return to the site, truck washing and mixing drum cleanout activities are conducted immediately adjacent to
the four -stage sedimentation basin, with discharges associated with these activities ultimately recycled back
into the batch plant operations. Aggregate wetting activities are conducted on the western portion of the
site, with runoff from these activities either evaporating or infiltrating the site soils prior to entering the
retention pond on the southern portion of the site.
• A narrative description and identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), 'including the ultimate disposal of any solid or fluid wastes other than by discharge.
Processes, operations, or production areas may be described in general terms (e.g. "ash silo"). As indicated
above, process wastewater associated with the vehicle washing and mixing drum cleanout activities is
directed into the four -stage sedimentation basin and ultimately recycled back into batch plant operations.
Wastewater associated with, aggregate wetting activities either evaporates or infiltrates the site soils prior
to entering the retention pond on the southern portion of the Site.
11) Does the applicant have any unresolved Notice of Violations (NOVs)?
X No ❑ Yes
Wastewater:
12) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater
Generate
Discharge
Sent to WW
Treatment
System.
Vehicle and equipment cleaning VE
X
❑
❑
Wettina of raw material stockpiles RM
X
❑
❑
Mixing drum cleaning (MD)
X
❑
❑
Further explanation, if necessary: See abgve descri�i n of wastewater sources/effluent.
13) Will your facility spray -down or actively wet aggregate plies?
0 No X Yes
Page 3 of 7
SWU-229.07122011 Last revised 7/2/14

NCG140000 N.o.l.
14) Does the facility use any of the following on site?
❑ Phosphorus -containing Detergents
❑ Brighteners ❑ Other Cleaning Agents
X Non -Phosphorus -containing Detergents
❑ Other:
15) Are wastewater treatment facilities planned In the 100-year flood plain?
X No ❑ Yes
16) Does your facility use or plan to use a recycle system, or recycle components in your treatment system?
X Yes ❑ No
If yes, what size storm event is the system designed to hold before overflowing? (for example, 10-yr, 24-hr)
25 _ year, 24-hr rainfall event
17) Will your facility build a closed -loop recycle system that meets design requirements in 16A NCAC 02T
.1000 and hold your facilities' working volume'?
X Yes ❑ No
Will your facility discharge wastewater to>'turfagg WA tg ?
❑ Yes X No
It the facility's treatment system meets the design requirements of 15A NCACO2T .1000 (including holding
the 25-year, 24-hour storm plus one foot of freeboard), holds the working volume of your site, and does
not discharge wastewater to surface waters, you may not be required to obtain an NPOES permit for
wastewater discharges. If you believe this is the case, please contact DEMLR's Aquifer Protection Section
Land Application Unit Central Office Supervisor or staff (1636 Mail Service Center, Raleigh, NC 27699-1636)
for more information on obtaining the necessary permits or approvals. If you will discharge wastewater or
stormwater to surface waters, please continue to apply for a permit to discharge associated with ready -mixed
concrete or like operations under NCG140000. For further questions, please contact DEMLR's Stormwater
Permitting Unit Staff.
18) A wastewater treatment alternatives review is required by 15A NCAC 2H.0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? X VE X RM X MD
b) Connection to a Municipal or Regional Sewer Collection System:
Are there existing sewer lines within a one -mile radius? ...... ....... ........................ ❑ Yes ❑ No NIA
(1) if Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... ❑ Yes ❑ No N/A
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?` Wastewater from truck washing
d mixing drum cleanout is directed into four-stace sedimenjalion basin and r
h plgnl ol?eratjons. Wastewater r ivi i h r infillraleg
site soils or evaggrates prior 19 entering he retention pond on the southern porlign 9f thoi
(i.e. no dischaEges gf ViggtgwaterrGiven h on- ilg conl[gls and BMPA curcently
in place. it would not be feasible to connect to the Wastewater Treatment_ Plant
� See DWQ's Aquifer Protection Section Land Application Unit's Water Balance Calculation Policy for more information, on DWQ LAU's
websito Nix. loortat.ncdenr-ora reblwalaosrlauigolicieq for more information.
Page 4 of 7
5WU-229.07122011 Last revised 712114

NCG140000 N.O.I.
c) Closed -loop Recycle System (must meet design requirements of 15A NCAC 2T .1000):
Are you already proposing a closed -loop recycle system (CLRS)? X Yes
(1) If Yes, contact DEMLR's Aquifer Protection Section's Land Application Unit
(2) If No, is this option technologically feasible (possible)? Why or why not?`
(3) If No, is it feasible to build a CLRS on your site? Why or why not?'
❑ No
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?'
d) Surface or Subsurface Disposal System (e.g., spray irrigation):
i) Is a surface or subsurface disposal technologically feasible (possible)? ................. ❑Yes ❑No NIA
Why or Why Trot?
ii) Is a surface or subsurface disposal system feasible to implement?*........................❑Yes ❑No NIA
Why or Why not?
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct discharge
to surface waters?' Wastewater from truck washing and mixing drum cleanout activities is directed into
four -stage ggdimentation b sin nd re cl k in o ch lan erati ns. W ater from
gcreoate wetting activities either evaporates or infiltrates the site soils prior to entering the on -site
Igrttictn pgnt (i.e. no discharges of wastewater from the site)
e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?' ❑Yes ONo N/A
i) If No, contact DEMLR's Land Application Unit to determine permitting requirements.
f) If this review included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non -discharge options feasible? ..............❑ Yes X No
You may be asked to provide further information to support your answers to these questions alter the initial review
Feasibility should take into account initial and recurring costs.
19) floes this facility employ any best management practices for Stormwater control? ❑ No X Yes
If yes, please briefly describe: Site grading directs stormwater to an on -site retention pond. Several additional
SMPs are eml2loygdi nprovided u2grLMuest. GeneralhousekgMjag&evenjgjive
maintenance r r ms will alsimnlementedthroughout hfacility
20) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No X Yes
It yes, when was it implemented? Stormwaler_ Pollution_ Prevention Plan currently under preparation and will bg
co n.pletedhmplemgnted in February 2017_
21) Are vehicle maintenance activities (VMA) occurring or planned at this facility? X No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? - ❑ No ❑ Yes
Page 5 of 7
SW U•229•07122DI 1 Last revised 712114

NCG140000 N.O.I.
Other/permlttlrra:
22) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
X No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility:
23) Is your facility subject to Phase it Post -Construction Area? ❑ Yes
If yes, who is the permitting authority?
X No
24) Is your facility located in one of the 20 Coastal Counties? ❑ Yes X No
Is your facility adding more than 10,000 ft2 of built -upon area or CAMA Major Permit? ❑ Yes 0 No
25) Is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate piles,
drum rinse -out, or vehicle and equipment cleaning to a stormwater BMP? X No ❑ Yes
If yes, please attach your approval from the permitting authority to do so.
26) Does this facility have any other NPDES permits? X No ❑ Yes
If yes, list the permit numbers for all current NPOES permits for this facility:
27) Does this facility have any Non -Discharge permits (ex: recycle permits)? X No ❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
28) Ha=ardIOUS Waste.
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of
hazardous waste?
d)
X No ❑ Yes
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:
Final Checklist
This application will be returned as incomplete unless all of the following items have been Included:
❑ Check for $100 made payable to NCDENR.
❑ This completed application and all supporting documentation. See Question 10.
❑ If an Erosion & Sedimentation Control (E&SC) Plan Is required from Division of Land Resources (DLR)
or local designee: documentation verifying applicant has developed and submitted that Plan to the
governing agency (required per 15A NCAC 02H .0138).
❑ Two (2) she plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
outfalls. See Question 10.
❑ A county map or USGS quad sheet with location of facility clearly marked.
Page 6of7
SW LI-229.0712201 1 Last revised 712114

NCG140000 N.O.I.
c) Closed -loop Recycle System (must meet design requirements of 15A NCAC 2T .1000):
Are you already proposing a closed -loop recycle system (CLRS)? X Yes
(1) If Yes, contact DEMLR's Aquifer Protection Section's Land Application Unit
(2) If No, is this option technologically feasible (possible)? Why or why not?'
© No
(3) If No, is it feasible to build a CLRS on your site? Why or why not?`
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?'
d) Surface or Subsurface Disposal System (e.g., spray irrigation):
1) Is a surface or subsurface disposal technologically feasible (possible)? ................. ❑Yes ❑No NIA
Why or Why not?
ii) . Is a surface or subsurface disposal system feasible to implement?' ..................
Why or Why not?
..❑Yes ❑No N/A
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct discharge
to surface waters?' Wastewater from truck wpshing gndmixing rum cleanout act[vitlAsis directed
a four -stage ime ion basin and recycled k into batch giant o erations. Wastewater from
aggregatewetting acti' ie i h r 9v@Dorgjgg gr' ilg §gilg Drior to gntering the on -sit
retention aondli.e. no-dcharges of wastewater from the sited
e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?' ❑Yes 0No NIA
0 if No, contact DEMLR's land Application Unit to determine permitting requirements.
f) If this review included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non -discharge options feasible? ..............❑ Yes X No
` You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
19) Does this facility employ any best management practices for Stormwater control? ❑ No X Yes
If yes, please briefly describe: Site_ grading directs stormwater_to _an_on-site retention pand.�yjeral additional
BMPs are employedh ite and caft-D12rOvided ugon Mve8t, General good housakeepingtoreventalive
maintenance programs will also be Implemented throughout _the facility
20) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No X Yes
If yes, when was it implemented? Stormwater Pollution Prevention Plan currently under preparation and will be
owlel2d implemented in February 2017
21) Are vehicle maintenance activities (VMA) occurring or planned at this facility? X No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? ❑ No ❑ Yes
Page 5 of 7
SW U-229.07122011 Last revised 712114

NCG140000 N.O.I.
Q t
22) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
X No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility:
23) Is your facility subject to Phase II Post -Construction Area? ❑ Yes X No
If yes, who is the permitting authority?
24) Is your facility located In one of the 20 Coastal Counties? ❑ Yes X No
Is your facility adding more than 10,000 W of built -upon area or CAMA Major Permit? ❑ Yes ❑ No
25) Is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate plies,
drum rinse -out, or vehicle and equipment cleaning to a stormwater BMP? X No ❑ Yes
If yes, please attach your approval from the permitting authority to do so.
26) Does this facility have any other NPDES permits? X No ❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
27) Does this facility have any Non -Discharge permits (ex: recycle permits)? X No ❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
28) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
d)
X No ❑ Yes
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor:
Vendor address:
Final Checklist
This application will be returned as Incomplete unless all of the following Items have been Included:
❑ Check for $100 made payable to NCDENR.
❑ This completed application and all supporting documentation. See Question 10.
❑ If an Erosion & Sedimentation Control (E&SC) Plan Is required from Division of Land Resources (DLR)
or local designee: documentation verifying applicant has developed and submitted that Plan to the
governing agency (required per 15A NCAC 02H .0138).
❑ Two (2) site plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
outfalls. See Question 10.
❑ A county map or USGS quad sheet with location of facility dearly marked.
Page 6 of 7
SWU 229.0712201 t Last revised 712l14

NCG 140000 N.O.I.
29) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows
(1) For a corporation: by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), it
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official,
Certification: North Carolina General Statute 143.215.6 B(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 snakes 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 Managementf 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 P rson Signing: t G�G�d rR Sr.
Title:
4i5�:Z21
c�% I3 r1
{Signature of Applicant) (Date Signed)
Notice of Intent trust be accompanied by a check or money order for $100.00 made payable to: NCDENR
Page 7 of 7
5W U•229.07122011 Last revised 7/2114

NCG140000 N.0.4.
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Nag
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Realonal 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 8 of 7
swu-229-0712201 1 Last revised 712114

t1�L•L�J.IJ,14:I
ANNUAL REPORT TO THE NC
SECRETARY OF STATE
Atlantic

n',w1:1ri BUSINES CORPORATION ANNUAL REPORT
7,. m
NAME OF BUSINESS CORPORATION; CONCRETE SERVICE CO., INC. n.
ale
K..
Fing Office U iC Only
SECRETARY OF STATE ID NUMBER: 0350187 STATE OF FORMATION: N .
E-Filed Annual Raport
w f 0350187
REPORT FOR THE FISCAL YEAR END: 12/31015 .; i CA20f823700009
' 8/2412018 07:45
SECTION A: @EMSTERED AUNT CATION �.y mo 4, Changes
1. NAME OF REGISTERED AGENT: Allen Jr, Richard IR',..
2. SIGNATURE OF THE NEW REGISTERED AGENT:
3. REGISTERED OFFICE STREET ADDRESS A COUNTY.'
1108 Ramsey St
Fayetteville, NC 28301-4746 All County
SECTION 8: PRINCIPAL QEEICE INEQRMATIQN
1. DESCRIPTION OF NATURE OF BUSINESS
- Rr. ...
CONSTITUTES CONSENT TO THE APPOINTMENT
4. REGISTERED OFFICE MAILING ADDRESS
Fayetteville,"Ake 28302-1867
Mix Concrete
2. PRINCIPAL OFFICE PHONE. UMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS & COUNTY 5. PRINCIPAL OFFICE MAILING ADDRESS
1108 Ramsey St PO Drawer 1867
Fayetteville, NC 28301-4746 Fayetteville, NC 28302-1867
SECTION C; OFFICERS (Enter additional o�icers in Section E.)
NAME: Richard R. Allen, Jr. -NAME: Jerry T King NAME: Keith T McFayde'n
TITLE; President ^^ TITLE: Vice President 111410F TITLE: Secretary
ADDRESS: ADDRESS: f:il" ADDRESS:
P.O. Drawer 1867 PO Drawer 1867 . s PO Drawer 1867
Fayetteville, NC 28302 Fayetteville, NG"28302 Fayetteville, NC 28302
s
SECTION D: SEBTIEICATIQ.d_417 ANNUAL REPORT, Section D must be completed in its entirety by a person/business entity.
Richard R. Allen , Jr:
SIGNATURE
Form rnust be signed by an officer fisted under Seclione-f this form.
Richard R. Allen , Jr.
Print or Type Name of Officer
This Annual Report has been filed aloctronicslly.
MAIL TO: Secretary of ,State. Curparations Division, PONI Office Box 29525, Raleigh, NC 27828.0525

ATTACHMENT B
TOPOGRAPHIC SITE MAP
antic
,a., lo,

1pr� -- ­- - --- - -- - -- -- - - - ---- ---- --- — . . .. ... . ........ ................
0�4
411
J"
211
N
PAR v%'1"
_4
44 50
kN()Y SPRINGS RD
45C)
... .......
LEE
SITE-ARNETT
J /4
YOKE
L
400,
AREA SHOWN
CONTOUR INTERVAL = 10 FEET - - WITHIN MOORE COUNTY EsoN
Z-FERENCES:
i, SOUTHERN PINES, NC & PINEBLUFF, NC DIGITAL RASTER GRAPHICS,
uSGS. SCANNED FROM i 14,000-SCALE SOUTHERN PINES, NC & PINEBLUFF, NC SCALE. 1:12,000
TOPOGRAPHIC MAPS, PUBLISHED 2013, LISGS, . yo' .1 k('4
2. INSET MAP DIGITAL DATA FROM 2002 NA71ONAL.TRANSPORTATION ATLAS. -04'� Feet
BUREAU OF TRANSPORTATION STATISTICS: WAtHINGTON, D.C. 1,000 2,000
3. PROPERTY BOUNDARY DATA FROM WAKEZOUNITY GIS. 0
-- - — ------- - — . . . ....... .. ...... .. ___ . .. .. .... ..
DRAWN DATE:
BY:
FEBRUARY 2017
TOPOGRAPHIC SITE MAP �k.WRAFT JOB NO:
Mid Atlantic CONCRETE SERVICE COMPANY 'CNECK: 0{10R 1944.07
229 LEE PAVING DRIVE END 513 NO:
ABERDEEN, NORTH CAROLINA CHE 04G-R1944.07-1
APPROW I DWG NO: 1.1

ATTACHMENT C
�3YlW .Y
►tlantic
�:-I-1 V,I�i,w

�s t//�� DATEai4FEBRUARY 2017
G1,nt{~ ABERDE EE POAV NG D IVE BNRC VEER CHECK CAT) 01 �1l1O440 4G.07
1—b7
svA !ROVED
DWG N0: 1
REFERENCE: 4D SITE SOLUTIONS MAP DATED APRIL 2015; MID —ATLANTIC FIELD NOTES (FEBRUARY 2017)

Mid Atlantic
�n$,nncrina d [nvi►nnn�nn�al 5�luison,
,
February 13, 2017
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: CONCRETE SERVICE COMPANY, INC.
229 LEE PAVING DRIVE
ABERDEEN, MOORE COUNTY, NORTH CAROLINA
MID -ATLANTIC PROJECT NO.000R1944.07
To Whom it May Concern:
Mid -Atlantic Associates, Inc. (Mid -Atlantic), on behalf of Concrete Service Company, Inc., is
pleased to submit the attached Notice of Intent (N41) for the ready mix concrete facility located
at 229 Lee Paving Drive in Aberdeen, North Carolina. We appreciate the opportunity to submit
this information. If you have any questions or need additional information, please do not
hesitate to call us at 919-250-9918,
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Charles B. Hoffman, P.G.
Project Geologist
Attachment-. Notice of Intent
Attachment A — Annual Report to the NC Secretary of State
Attachment B — Topographic Site Map
Attachment C -- Site Plans
cc: Ms. Winnie Jenkins, Concrete Service Company, Inc.