NCG140085_COMPLETE FILE - HISTORICAL_20170630

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v oobo
DOC TYPE
[9,-HISTORICAL FILE
Cl MONITORING REPORTS
DOC DATE
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YYYYMM DD

Compliance Inspection Report
Permit: NCG140085 Effective: 07/01/16 Expiration: 06/30/17 owner: Chandler Concrete/Piedmont Inc
SOC: Effective: Expiration: Facility: Chandler Concrete Co- Asheboro Pit #108
County: Randolph 205 W Academy St
Region: Winston-Salem
Asheboro NC 27204
Contact Person: Kenneth E Waegede Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 08/25/2016 Entry Time: 02:05PM Exit Time: 04:10PM
Primary Inspector: Ryan Swaim Phone: [phone]
Secondary Inspectors}:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Ready Mix Concrete Stormwater/VVaslewater Discharge COC
Facility Status: Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

Permit: NCG140085 Owner • Facility: Chandler Concrete)P ied mont Inc
Inspection pate: 0812512016 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Environmental
Quality
September 2, 2016
KENNETH WAEGERLE—CORPORATE EHS MANAGER
CHANDLER CONCRETE PIEDMONT, INC.
ASHEBORO PLANT 108
PO Box 131
BURLINGTON, NC 27216
Dear Permittee:
PAT McCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Subject: Multimedia Compliance Inspection
Chandler Concrete Piedmont, Inc.
Asheboro Plant 108
Randolph County
Department of Environmental Quality staff from the Winston-Salem Regional Office conducted a
multimedia compliance inspection of Chandler Concrete Piedmont Inc. Asheboro Plant 108 on August
24, 2016 for permits and programs administered by the following Divisions:
Division of Air
Division of Energy,
Division of Water
Division of Waste
Quality
Mineral, and Land
Resources
Management
Resources
We -appreciate your cooperation during the inspection and hope that you have enjoyed the benefit of our
initiative to provide a single inspector capable of handling multiple areas of environmental compliance at
your facility. The results of each applicable inspection and any associated response actions or necessary
corrective measures are detailed in the inspection letters/reports attached to this transmittal sheet. If a
Division report is not attached, you may assume compliance with that particular Division's rules and
regulations at the time of inspection.
If you have any questions regarding this multimedia inspection, please contact Ryan Swaim at (336) 776-
9659 or ryan.swaimCncdenr.gov. Thank you for your cooperation.
encl: Air Quality Inspection Report `
Stormwater Inspection Report
cc: DAQ WSRO Files
DEMLR WSRO Files
DWR WSRO Files
DWM WSRO Files
State of North Carolina I Environmental Quality
Winston-Salem Regional office 1 450 West Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105-7407
336 T76 9800 T 1 336T76 9797 F
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NORTH CAROLINA DIVISION OF
Winston-Salem Regional Office
AIR QUALITY
Chandler Concrete/Piedmont, Inc. - Asheboro
Plant 108
Inspection Report
NC Facility ID 7600025
Date: 08/24/2016
Coun /FIPS: Randol h/151
Facility Data
Permit Data
Chandler Concrete/Piedmont, Inc. - Asheboro Plant 108
Permit NIA
205 West Academy Street
Issued NIA
Asheboro, NC 27203
Expires NIA
Lat: 35d 42.1990m Long: 79d 48.9780m
Classification NIA
SIC: 3273 / Ready -Mixed Concrete
Permit Status NIA
NAICS: 32732 / Ready -Mix Concrete Manufacturing
Current Permit Application(s) None
Program Applicability
Contact Data
Facility Contact
Authorized Contact
Technical Contact
SIP
Everett Davis
Kenneth Waegerle
Kenneth Waegerle
Plant Manager
Corporate EHS
Corporate EHS
[phone]
Manager
Manager
336 226-1181
336 226-1181
Compliance Data
Comments:
Inspection Date 08/24/2016
Inspector's Name Ryan Swaim
Inspector's Signature: �lpL����
Operating Status Operating
Compliance Code Compliance - inspection
C-,
of
Action Code FCE
Ora Inspection Result Compliance
Date Signature:
RS
-Site
Total Actual emissions in TONS/YEAR:
TSP
S02
NOX
VOC
CO
PM10
* HAP
2014
0.2990
---
0.0200
---
0.0200
0.1440
0.7740
2010
0.2680
---
0.0100
---
0.0100
0.1230
0.0700
* Highest HAP Emitted (in ounds
Five Year Violation History: None
Date Letter Type Rule Violated Violation Resolution Date
Performed Stack Tests since last FCE: None
Date Test Results Test Method(s) Source(s) Tested

Emission Sources:
Emission Source I Control System
Emission Source Description Control System Description
One ready -mix concrete
batch plant (100 cubic yards per hour
capacity), consisting
of:
Bagfilter (250 square feet of
ES-1
Cement Storage Silo
CD-1 I
filter area), in parallel with
CD-3
Bagfilter (1,490 square feet of
filter area)
Bagfilter (250 square feet of
ES-2
Flyash Storage Silo
CD-2
filter area), in parallel with
CD-3 I
Bagfilter (1,490 square feet ofj
_
—
filter area)
ES-3
_ _Weigh Hopper
CD-3
Bagfilter '
et of filter
(1,490 square feet
ES-4
E_ Truck Loading Operation
area
Natural Gas -fired Boiler (0.5 Nl'ibLBtu/hr.)
f NIA —�
NIA
IES-2
Six (6) Inorganic Chemical Additive Storage
Tanks
NIA
NIA
Introduction .
On August 24, 2016, Ryan Swaim Multimedia Inspector for the Winston-Salem Regional Office
contacted Ken Waegerle, Corporate EHS Manager at Chandler Concrete/Piedmont, Inc. - Asheboro Plant
108 and conducted a Multimedia compliance inspection. The authorized, invoice, and technical contacts
for the facility have not changed. The plant's operations are normally open 8 hours per day, 5 days per
week, for 52 weeks per year but do fluctuate depending on market demand. The facility was last
inspected on July 7, 2015 by Robert Barker, Environmental Engineer, of the DAQ and was found to be
operating in compliance at that time.
Safe
The protective equipment required at the facility is safety glasses, safety shoes, hardhat, and a hi-vis
safety vest.
A plicable Regulations
Applicable regulations are 2D .0503, 2D .0515, 2D .0516, 2D .0521, 2D .0535, 2D .0540, 2D .0611 and
2D .1806. This facility is not subject to RMP requirements of the 1 12(r) program since it does not use or
store any of the regulated chemicals in quantities above the threshold levels in the rule. It should be noted
that the facility is subject to the General Duty clause of the Section 112(r) program.
Discussion
The concrete batch plant was not in operation during the inspection. The plant consists of a cement
storage silo (ES-1), a flyash storage silo (ES-2), a weigh hopper (ES-3), and a truck loading operation
(ES-4). The facility receives cement by railcars and the flyash by trucks. The cement silo and flyash silo
are controlled by bagfilters (CD-1 and CD-2, respectively). Cement is gravity fed from the silo into the
weigh hopper located directly below it. Flyash is auger fed into the weigh hopper. The weigh hopper
loads into the truck loading operation located directly below it. The weigh hopper and truck loading
operation are controlled by a central dust collection bagfilter (CD-3). This control device also draws off
of both silos in parallel with bagfilters CD-1 and CD-2. Aggregate is fed via conveyor from a four

compartment storage bin directly to the truck loading operation. Water and admixtures are also added
directly into the mixing truck.
The facility also operates a natural gas -fired boiler (IES-1) and six (6) inorganic chemical additive storage
tanks (IES-2). These sources were observed on -site during the inspection.
Applicable Regulations
15A NCAC 2D .0503 particulate control requirements. The exempt Natural Gas -fired Boiler (IES-1) is
subject to this regulation, which limits sulfur dioxide emissions to 2.3 lbs./NIMBtu. The actual SO2
emission rate is less than the allowable emission rate and (IES-1) is considered an exempt source
therefore, compliance is demonstrated.
15A NCAC 2D .0515 particulate control requirement. This condition sets the maximum allowable
particulate emissions using the following equations:
E = 4.10 * (P) 0,67 for P <= 30 tons/hr., or
E = 55 * (P) 0-" - 40 for P >30 tons/hr.
According to Permit Review RIO, the facility can comply with this regulation when the Bagfilters (CD-1,
CD-2, and CD-3) are installed and properly operated and maintained on the Cement Storage Silo (ES-1),
Flyash Storage Silo (ES-2), Weigh Hopper (ES-3) and Truck Loading Operation (ES-4) indicating likely
compliance with this regulation.
15A NCAC 2D .0516 sulfur dioxide control requirement. This condition sets the maximum allowable
sulfur dioxide emissions rate to be no more than 2.3 pounds per million Btu heat input. Permit Review
RIO states that the actual S02 emission rate was zero. Compliance with this requirement is indicated.
15A NCAC 2D .0521 visible emissions control requirement. This facility is limited to 20% opacity
visible emissions, for sources manufactured after July 1, 1971, when averaged over a six -minute period.
No visible emissions were observed during this inspection. Compliance with this requirement is
indicated.
15A NCAC 2D. 0535 which requires the facility to notify the DAQ of any malfunctions associated with a
source causing an excess of emissions lasting more than four hours. Mr. Waegerle stated there have been
no such incidents since the prior inspection. Compliance with this requirement is indicated.
15A NCAC 2D .0540 fugitive dust control requirement. No fugitive dust was observed traveling beyond
the property boundaries during this inspection. According to the DAQ IBEAIM database, no complaints
have been received regarding fugitive dust emissions at this facility. Compliance with this requirement is
indicated.
Facility Wide Emissions
Facility wide actual emissions, as reported by this facility for CY 2005 and CY 2010, are located in the
report header.
Compliance History for the last five years
No NOV's have been issued to the facility in the last five years.
MALT and GACT Applicability Determination
The facility does not currently appear to be subject to any MACTs or GACTs at this time.

Permit Issues
There do not appear to be any permit issues at this time.
Conclusion
Based on review of the records and visual observations, the facility appeared to be operating in
compliance with Air Quality standards and regulations at the time of this inspection.

Compliance Inspection Report
Permit: NCG140085 Effective: 07/01/16 Expiration:. 06/30/17 owner: Chandler ConcretelPiedmont Inc
SOC: Effective: Expiration: Facility: Chandler Concrete Co- Asheboro Plt #108
County: Randolph 205 W Academy St
Region: Winston-Salem
Asheboro NC 27204
Contact Person: Kenneth E Waegerle Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 08/24/2016
Primary Inspector: Ryan Swaim
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 02:05PM Exit Time: 04:10PM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Ready Mix Concrete Stormwater/ Waslewater Discharge COC
Facility Status: ® Compliant F1 Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

Permit: NCG140085 Owner - Facility: Chandler Concrete/Piedmont Inc
Inspection Date: 0812412016 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: NCG140085 Owner - Facility: Chandler Concrete/Piedmont Inc
Inspection Date: 08124=16 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Analytical Monitorin
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Yes No NA NE
Comment: Ken Waeperly stated that there had not been anv rain events that aualified for sampling within
2016 at time of inspection
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ® ❑ ❑ ❑
# Were all outfalls observed during the inspection? ® ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ® ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ ❑ ❑
Comment: All outfalls were observed and the site appeared to be in good condition considering house
keeping and the like.
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Yes No NA NE
❑ ® ❑ ❑
Comment: Ken Waggerly stated that there had not been any rain events thatqualified for samplincl within
2016 at time of inspection.
Stormwater Pollution Prevention Plan
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Yes No NA NE
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Page: 3

permit. NCG140085 Owner - Facility: Chandler Concrete/Piedmont Inc
Inspection Hate: 08/24/2016 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: SPPP was Current signed and well organized to mirror the general ermit checklist.
Yes No NA NE
® ❑ ❑ ❑
Page: 4

Permit: NCG140085
Inspection Date: 0812512016
Analytical Monitorinq
Has the facility conducted its Analytical monitoring?
Owner - Facility: Chandler ConcretelPiedmont Inc
Inspection Type : Compliance Evaluation Reason for Visit: Routine
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Yes No NA NE
❑®❑❑
❑ ®❑ ❑
Comment: Ken Waecerly stated that there had not been anv rain events that aualified for samolina within
2016 at time of inspection
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑
# Were all outfalls observed during the inspection? ❑ ❑ ❑
# If the facility has representative oulfall status, is it properly documented by the Division? ❑ ❑ ® ❑
# Has the facility evaluated all illicit (non stormwater) discharges? Cl ❑ ❑
Comment: All outfalls were observed and the site appeared to be in good condition considering house
keeping and the like.
Qualitative Monitorinq '
Has the facility conducted its Qualitative Monitoring semi-annually?
Yes No NA NE
❑ Q ❑ ❑
Comment: Ken Waegerlystated that there had not been any rain events that qualified for sampling within
2016_at time of inspection.
Stormwater Pollution Prevention Plan
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Yes No NA NE
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Page: 3

Permit: NCG140085
Inspection Date: 0812512016
5tormwater Pollution Prevention Plan
Owner - Facility: Chandler Concrete/Piedmont Inc
Inspection Type : Compliance Evaluation Reason for Visit: Routine
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: SPPP was current signed and well organized to mirror the general permit checklist.
Yes No NA NE
® ❑ ❑ ❑
Page: 4

y � •
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 25, 2011
Mr. Thomas E. Chandler, Jr.
Chandler Concrete Company, Inc.
P.O. Box 131
Burlington, NC 27216
Subject: General Stormwater Permit Inspection
Chandler Concrete — Asheboro Facility — Plant 9 108
Certificate of Coverage No. NCG140085
Randolph County
Dear Mr. Chandler:
On July 20, 2011, Mike Mickey of this office met with Everett. Davis to perform a General
Stormwater Permit Inspection at the Chandler Concrete facility in Asheboro, NC. The inspection
found the facility to be in compliance with the state issued stormwater permit. This inspection
evaluated the five (5) areas designated on the attached inspection form. Observations from each
area are addressed below:
1. Permit
Chandler Concrete holds Certificate of Coverage ff NCG140085 for the discharge of stormwater and
process wastewater from the Asheboro plant site. This permit expired back on July 31, 2009.
Renewal forms are attached. Please complete and submit to our Stormwater Permitting Unit in
Raleigh as the new General Permit will be mailed out shortly. This permit contains numerous
revisions, some of which include, 1) increased monitoring frequencies, 2) changes in parameters
sampled (TPH instead of Oil & Grease) and 3) benchmark levels with tiered responses.
2. Records/Reports
Part II, Section A of the permit requires the development of a Stormwater Pollution Prevention Plan
(SPPP). A copy of the SPPP was reviewed during the inspection. This plan was found to be
thorough and complete and addressed all items as outlined by the permit. The SPPP was revised
last in 2009.
3. Facility Site Review
Observations at the site found the facility to be clean and well managed. The only concern noted
involved the inoperable carbon dioxide pump used for pH adjustment. Hopefully, this unit can be
placed back in service shortly. In regards to secondary containment, two structures were observed,
one for add mixture tanks and one for the diesel tank. Stormwater must be pumped out of the add
mix structure. The diesel containment structure has a release valve with a removable handle.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1.877-623-6748
Internet www.ncwatesguality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
Naturally

Chandler Concrete Company
Page #2
4. Effluent/Receiving Waters
The SPPP site map identified one stormwater/wastewater outfall for the facility located along the
railroad tracks. Process wastewater associated with raw material stockpile wetting discharges
directly to this ditch. Wastewater from mixing drum cleanout and vehicle rinsing is routed through
a series of settling pits that also discharges into the railroad ditch. This water can be recycled for
use in mixing drum cleanout and vehicle rinsing. The pH of recycle pit wastewater can be adjusted
with carbon dioxide prior to overflowing into the railroad ditch. At the time of the inspection the
pump for the pH adjustment was out of service for repair. Stormwater from the property eventually
reaches an unnamed tributary to Cedar Fork Creek, Class "C" Waters in the Yadkin -Pee Dee River
Basin.
5. Monitoring Program
Part II, Section B of the previous permit requires the collection of annual analytical samples of
stormwater runoff from the site. Part 11, Section C of the previous permit requires the collection of
annual analytical samples of the following process wastewaters generated at the site: 1) vehicle and
equipment cleaning, 2) recycle system overflow, 3) raw material stockpile wetting and, 4) mixing
drum cleanout. Samples were last collected on May 17, 2011. As you are aware, all analytical
monitoring results must be submitted to the Division no later than 30 days from the date the facility
receives the sampling data from the laboratory.
The monitoring requirement (Table 3) specific for on -site vehicle maintenance is required since the
facility uses more than 55 gallons of new motor oil when averaged over the calendar year.
Part II, Section F of the permit requires that qualitative (visual) monitoring be performed and
documented semi-annually of the combined stormwater/process wastewater discharge. This
monitoring was last performed on 5/17/11 and coincided with the analytical sampling. Qualitative
records do not need to be submitted to the Division, however, the records must be kept on file at the
facility for a period of five years.
Your efforts to comply with the stormwater permit are appreciated. If you have any questions
concerning this letter, please contact Mike Mickey or me at [phone].
Sincerely,
W. Corey Basinger
Water Quality Regional Supervisor
Surface Water Protection Section
cc: Central Files — SWP
/WSRO

k
Permit: NCG140085 Owner - Facility: Chandler Concrete Co Inc
Inspection Date: 07/20/2011 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes
No
NA NE
Does the site have a Stormwater Pollution Prevention Plan?
■
❑
❑ ❑
# Does the Plan include a Genera! Location (USGS) map?
■
❑
Cl ❑
# Does the Plan include a "Narrative Description of Practices"?
■
Cl
❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
®❑
❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
®❑
❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
®❑
❑ ❑
# Does the facility provide all necessary secondary containment?
0
❑
❑ ❑
# Does the Plan include a BMP summary?
®❑
❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
❑
❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
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❑ ❑
# Does the facility provide and document Employee Training?
®❑
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# Does the Plan include a list of Responsible Party(s)?
■
Cl
❑ ❑
# Is the Plan reviewed and updated annually?
■
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# Does the Plan include a Stormwater Facility Inspection Program?
®❑
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Has the Stormwater Pollution Prevention Plan been implemented?
■
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Comment: A copy of the SPPP was available for review. The plan appeared
adequate and was last updated in 2009. The facility has two containment structures,
one for a diesel tank and one for the add mixture tanks. Stormwater and process
wastewater from the site are discharged into the side ditch along the railroad tracks. It
was noted that carbon dioxide pump for pH adjustment was inoperable.
Qualitative Monitoring
Tes NO NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ■ ❑ ❑ ❑
Comment: The last qualitative monitoring event occurred on May 17, 2011.
Analytical Monitoring
Yes No NA NE
Has the facility conducted its Analytical monitoring? ®❑ ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ■ ❑ ❑ ❑
Comment: Analytical monitoring last occurred on 5117/11.
Permit and Outfalls
Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ©❑ ❑ ❑
# Were all outfalls observed during the inspection? 0000
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ■ ❑
Page: 3

Permit: NCG140085 Owner - Facility: Chandler Concrete Co Inc
Inspection Date: 07120/2011 Inspection Type: Compliance Evaluation
# Has the facility evaluated all illicit (non stormwater) discharges?
Reason for Visit: Routine
Comment: Wastewater in the railroad side ditch was observed to be clear, however,
excessive algae growth was noted. Stormwater from the site eventually reaches Cedar
Fork Creek, Class "C" waters in the Yadkin -Pee Dee River Basin.
❑❑❑e
Page: 4

Form Approved
0v1B No2040-0057
�e
Approval Expires
8-3 t-98
United States Environmental Protection Agency, Washington. D.C., 20460
Section A: National Data Svstem Coding
Transaction Code NPDES No. Yr/Mo/Day Inspection Type Inspector FacilitvTvpe
N 5 NCG140085 11-07-20 C S 2
Facility Evaluation Rating BI QA ..Reserved...........
1 N N
Section B: Facility Data
Name and Location of Facility Inspected:
Entry Time:
Permit Effective
0930 hrs.
Date: Aug 1, 2004
Chandler Concrete — Plant 4108
205 West Academy Street
Asheboro, NC 27028
Exit Time:
Permit Expiration
1000 hrs.
Date: July 31, 2009
Name(s) of On -Site Representative(s): Title(s): Phone No(s):
Mr. Everett Davis Plant Manager [phone]
Name, Address of Responsible Official:
Title: President
Mr. Thomas E. Chandler, Jr.
Phone No.
Contacted? No
Chandler Concrete Company, Inc.
Office: [phone]
P.O. Box 131
Burlington, NC 27216
Section C: Areas Evaluated During Inspection (check only those areas evaluated)
Permit NA Flow Measurement NA Operations/Maintenance NA Sewer Overflow
Records/Reports Monitoring Program NA Sludge Hand IinglDisposal NA Pollution Prevention
Facility Site Review NA Compliance Schedules NA Pretreatment
EffluentlReceiving Waters NA Laboratory Stormwater
Section D: Summary of Findings/Comments
See the cover letter and attached inspection form for specific comments.
Name(s) and Sigpature(s) of inspectors:
Agency/Office/Telephone:
Date:
DWQ / WSRO / [phone]
a i
Signature of Reviewer:
Agency/Office:
Date:
DWQ I WSRO / [phone]
EPA Form 3560-3 (Rev 9-94)

oFwtirp4 Permit Coverage
Renewal Application Form
° T National Pollutant Discharge Elimination System Certificate of Coverage Number
Stormwater General Permit NCGO80000 NCG140085
Please complete the information in the space provided and return the completed renewal form to the address indicated
below.
Owner Information
Owner / Organization Name:
Owner Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Facility Information
Facility Name:
Facility Physical Address:
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Permit Information
Permit Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Discharge Information
Receiving Stream:
Stream Class:
Basin:
Sub -Basin:
Number of Outfalls:
* Address to which permit correspondence w111 be mailed
FaciIity /Activity Changes Please describe below any changes to your facility or activities since issuance of your permit. Attached a
separate sheet if necessary.
CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief
such information is true, complete and accurate.
Signature
Date
Print or type name of person signing above
Title
SW General Permit Coverage Renewal
Please return this completed application form to: Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

�afViAT,,c Permit Coverage
y Renewal Application Form
aY National Pollutant Discharge Elimination System Certificate of Coverage Number
Stormwater General Permit NCGO80000 NCG140085
Please complete the information in the space provided and return the completed renewal form to the address indicated
below.
Owner Information * Address to which permit correspondence will he marled
Owner / Organization Name:
Owner Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Facifi Information
Facility Name:
Facility Physical Address:
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Permit Information
Permit Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Discharge Information
Receiving Stream:
Stream Class:
Basin:
Sub -Basin:
Number of Outfalls:
Facility/ActivityFacility/Activity Chan es Please describe below any changes to your facility or activities since issuance of your permit. Attached a
separate sheet if necessary.
CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief
such information is true, complete and accurate.
Signature
Date
Print or type name of person signing above
Title
Please return this completed application farm to: SW General Permit Coverage RenewalStormwater Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

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