NCG140065_COMPLETE FILE - HISTORICAL_20170630

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v���y bU��
DOC TYPE
VHISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑
YYYYMMDD

Compliance Inspection Report
Permit: NCG140065 Effective: 07/01/16 Expiration: 06130/17 Owner : Concrete Supply Co LLC
SOC: Effective: Expiration: Facility: Concrete Supply Co - Boeing Dr Plant
County: Guilford 7620 Boeing Dr
Region: Winston-Salem
Greensboro NC 27409
Contact Person: Johnie Alexander Title: Phone: [phone] Ext.2071
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 08/1112016
Primary Inspector: Sue L Homewood
Secondary Inspector(s):
Entry Time: 09:OOAM
Certification:
Exit Time: 10:OOAM
Phone:
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Ready Mix Concrete StormwaterfWastewater Discharge COC
Facility Status: ® Compliant [] Not Compliant
Question Areas:
® Storm water
(See attachment summary)
Page: 1

Permit: NCG140065 Owner - Facility: Concrete Supply Co LLC
Inspection Date: O8/11/2016 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: NCG140065
Inspection Date: 08111/2016
Owner • Facility: Concrete Supply Cc LLC
Inspection Type : Compliance Evaluation Reason for Visit: Routine
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: No VMA. Facility does not dischar e. pumpsjnto ad'acent sanitafy sewer as recluested by the
City of Greensboro. Settling pits are scheduled with a 3rd party for cleanout every three months
whenever the plant is in operation and as needed when not in operation. They recycle the
maiarity of the water when in operation.
Permit and Outfalls
# 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 ail illicit (non stormwater) discharges?
Comment: Secondary containment inspections 12/7/15, 8/5/16.
Qualitative Monitorinq
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment: 6/16/15. 6/29/15, 3/29116, 6123/16,
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 Pa;ty(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Yes No NA NE
®❑❑❑
® ❑ ❑ ❑
Yes No NA NE
®❑❑❑
Yes No NA NE
® ❑ ❑ ❑
M ❑ ❑ ❑
® ❑ ❑ ❑
® ❑ ❑ ❑
® ❑ ❑ ❑
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Page: 3

permit; NCG140065 Owner - Facility: Concrete Supply Cc LLC
Inspection Date: 08/11/2016 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Has the Stormwater Pollution Prevention Pian been implemented? ® ❑ ❑ ❑
Comment: Most recent SPPP 5/30/12, revisions on 1 1117/15,_re-certified on 311116. Training is conducted
at other facilities which are currently. operating on a more regular schedule. All staff who might
a erate this facility were trained at other facilities.
Page: 4

RECEIVED
APR 15 2014
CENTRAL FILES
DWQIBOG
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140065
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 Supply Co., LLC
is hereby authorized to discharge stormwater from a facility located at
Concrete Supply Co. — Boeing Dr Plant
7620 Boeing Dr
Greensboro
Guilford County
to receiving waters designated as unnamed tributary to East Fork Deep River, a class WS-IV:*
water in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit
No. NCG140000 as attached.
This certificate of coverage shall become effective April 14, 2014
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 14, 2014
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

4 6kwlrDivision of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NCDENR
"�401T ° °" un" Pe-,OLO PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C S I I I I I I N jQ101 114 10 10 16 15
H. Permit status prior to requested change.
a. Permit issued to (company name): CEMEX Construction Materials Atlantic, LLC
b. Person legally responsible for permit: Larry McSwain
First MI Last
VP/GM Carolinas
Tide
101 Youn Court
Permit Holder Mailing Address
Greenville SC 29615
city State Zip
[phone] [phone]
Phone Fax
c. Facility name (discharge): CEMEX — Boeing Drive
d. Facility address: 7620 BoeigS Drive
Address
Greensboro NC 27409
city State Zip
e. Facility contact person: Johnny M Tapia [phone]
First / Ml / Last Phone
111. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
OCT t72013
Concrete Supply Co., LLC
Henry - Batten
First MI Last
President
Tide
P.O. Box 5247
Permit Holder Mailing Address
Charlotte NC 28299
city State Zip
[phone] _ Henry. [e-mail]
Phone �- E-mail Address
d. Facility name (discharge): Boeing Drive ✓
e. Facility address: 7629 Boeing Drive
Address
Greensboro NC 27409
City State Zip
f Facility contact person: Johnie Alexander
First MI Last
Johnie. Alexander@ConcreteSupplyCo.
704) 372-2930 com

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` NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Johnie Alexander
First MI Last
Environmental Manager
Title
P.0 Box 5247
Mailing Address
Charlotte NC 28299
City state zip
[phone] Johnie.Alexander a concretesupplyco.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior to
this ownership or name change?
x Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
X This completed application is required for both name change and/or ownership change requests.
X Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or
a bill of sale) is re uired for an ownership change request. Articles of incorporation are not
sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and the
new applicant in the case of an ownership change request. For a name change request, the signed Applicant's
Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, Larr,McSwain, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
/ Z11
9 /9 -.Za/ 3
Signature Date
APPLICANT CERTIFICATION
1, Henry Batten, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
77 Z613
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008

W. .
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Johnie Alexander
Concrete Supply Co., LLC
P.O. Box 5247
Charlotte, NC 28299
Dear Mr. Alexander:
John E. Skvarla, III
Secretary
April 14, 2014
Subject: NPDES General Pen -nit NCG140000
Certificates of Coverage -Multiple
Concrete Supply Co., LLC
Formerly CEMEX Construction Materials Atlantic, LLC
Counties - Multiple
Division personnel received your request to revise your stormwater permit Certificates of Coverage
to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificates of Coverage for the 17 facilities that changed
ownership from CEMEX Construction Materials Atlantic, LLC to Concrete Supply Co., LLC. The
terms and conditions contained in the General Permit remain unchanged and in full effect. These
revised Certificates of Coverage are issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at [phone].
Sincerely,
ORIGINAL SIGNED W
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville RO, Z. Khan
Winston-Salem RO, M. Gantt
Fayetteville RO, B. Cole
Asheville RO, L. Herbert
Raleigh RO, J. Holley
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http:ltportal,ncdenr.oM/web/lf/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

-4
Deborah Reese, DEMLR Budget Office — please update billing info
Stormwater Permitting Program Files
Central Files
Mecklenburg County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202
Wake County Environmental Services, Attn: Eric Green, P.O. Box 550, Raleigh, NC 27602

RECEIVED
f N.C.Dept.ofof Et\R
NCDEN APR 2' 2 MY;
North Carolina Department of Environment and Natural Resources Winston-Salem
RegionW 0.r w
Eat McCrory
Governor
Mr. Johnie Alexander
Concrete Supply Co., LLC
P.O. Box 5247
Charlotte, NC 28299
Dear Mr. Alexander:
John E. Skvarla, III
Secretary
April 14, 2014
Subject: NPDES General Permit NCG140000
Certificates of Coverage -Multiple
Concrete Supply Co., LLC
Formerly CEMEX Construction Materials Atlantic, LLC
Counties - Multiple
Division personnel received your request to revise your stormwater permit Certificates of Coverage
to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificates of Coverage for the 17 facilities that changed
ownership from CEMEX Construction Materials Atlantic, LLC to Concrete Supply Co., LLC. The
terms and conditions contained in the General Permit remain unchanged and in full effect. These
revised Certificates of Coverage are issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at [phone].
Sincerely,
ORIGINAL SIGNED W
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville RO, Z. Khan
Winston-Salem RO, M. Gantt
Fayetteville RO, B. Cole
Asheville RO, L. Herbert
Raleigh RO, J. Holley
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section - Land Quality Section
1612 Mail Service -Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http://Portal.ncdenr.org/web/Ir/
An Equal opportunity 1 Affirmative Action Employer -- 50% Recycled 1 10% Post Consumer Paper

Deborah Reese, DEMLR Budget Office — please update billing info
Stormwater Permitting Program Files
Central Files
Mecklenburg County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 28202
Wake County Environmental Services, Attu: Eric Green, P.O. Box 550, Raleigh, NC 27602

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140065
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 Supply Co., LLC
is hereby authorized to discharge stormwater from a facility located at
Concrete Supply Co. — Boeing Dr Plant
7620 Boeing Dr
Greensboro
Guilford County
to receiving waters designated as unnamed tributary to East Fork Deep River, a class WS-IV:*
water in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, II1, IV, V, and VI of General Permit
No. NCG 140000 as attached.
This certificate of coverage shall become effective April 14, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 14, 2014
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr, Johnie Alexander
Concrete Supply Co., LLC
P.O. Box 5247
Charlotte, NC 28299
Dear Mr. Alexander:
John E, Skvarla, III
Secretary
April 14, 2014
Subject: NPDES General Permit NCG140000
Certificates of Coverage -Multiple
Concrete Supply Co., LLC
Formerly CEMEX Construction Materials Atlantic, LLC
Counties - Multiple
Division personnel received your request to revise your stormwater permit Certificates of Coverage
to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificates of Coverage for the 17 facilities that changed
ownership from CEMEX Construction Materials Atlantic, LLC to Concrete Supply Co., LLC. The
terms and conditions contained in the General Permit remain unchanged and in full effect, These
revised Certificates of Coverage are issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at [phone].
Sincerely,
ORIGINAL SIGNED S1
KEN PICKLE
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Mooresville RO, Z. Khan -
Winston-Salem RO, M. Gantt
Fayetteville RO, B. Cole
Asheville RO, L. Herbert
Raleigh RO, J. Holley
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh; North Carolina 27604 - Internet: http:l/portal.ncdenr,oLgtwq ebA
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Deborah Reese, DEMLR Budget Office — please update billing info
Stormwater Permitting Program Files
Central Files
Mecklenburg County DEP, Water Quality, 700 N. Tryon Street, Charlotte, NC 25202
Wake County Environmental Services; Attn: Eric Green, P.O. Box 550, Raleigh, NC 27602

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140065
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 Supply Co., LLC
is hereby authorized to discharge stormwater from a facility located at
Concrete Supply Co. — Boeing Dr Plant
7620 Boeing Dr
Greensboro
Guilford County
to receiving waters designated as unnamed tributary to East Fork Deep River, a class WS-IV:*
water in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, Ill, IV, V, and VI of General Permit
No. NCG140000 as attached.
This certificate of coverage shall become effective April 14, 2014.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 14, 2014
N'.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

�� Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NC�DENR � y
"°""MIT^40 °ft%`T4 PERMIT NAMEIOWNERSHIP CHANGE FORM
EMAROKMGT 4MO NifVNL RLSOl1RGC5
FOR AGENCY USE ONLY
Date Received
Year
I Month Day
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I C I S 10 1 1 1 1 1 1 1 N I C I G I 1 14 0 0 16 1 5
H. Permit status prior to requested change.
a. Permit issued to (company name): CEMEX Construction Materials Atlantic, LLC
b. Person legally responsible for permit: Larry McSwain
First Ml Last
VP/GM Carolinas
Title
101 Youna Court
Permit Holder Mailing Address
Greenville SC 29615
City State Zip
[phone] [phone]
Phone Fax
c. Facility name (discharge): CEMEX -- BoejRS Drive
d. Facility address: 7620 Boeing Drive
Address
Greensboro NC 27409
City State Zip
e. Facility contact person: -Johnny M Tapia [phone]
First / NU / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of ® Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
i
OCT t 7 2013
tz 0 .- NAM diNfry
Concrete Supply Co., LLC _
Henry Batten
First MI Last
President
Title
P.O. Box 5247
Permit Holder Mailing Address
Charlotte NC 28299
1 mum City State Zip
[phone] Henry.Batten_ &ConcreteSupplyCo.com
Phone E-mail Address
d. Facility name (discharge): Boeing Drive ✓
e. Facility address: _ 7620 Boeing Drive T
" Address
Greensboro NC 27409
City State Zip
f. Facility contact person: Johnie Alexander
First Ml Last
Johnie. Alexander@ConcreteSupplyCo.
[phone] com

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from'the person legally responsible for the permit)
Permit contact: dohnie Alexander
First M l Last
Environmental Manaaer
i Title
P.0 Box 5247
Mailing Address
Charlotte NC 28299
City State Zip
[phone] [e-mail]
Phone E-mail Address
V Will the permitted facility continue to conduct the same industrial activities conducted prior to
this ownership or name change?
x Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
X This completed application is required for both name change and/or ownership change requests.
X Legal documentation of the transfer of ownership (such as relevant pages of a contract deed, or
a bill of sale) is required for an ownership change request. Articles of incorporation are not
sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and the
new applicant in the case of an ownership change request. For a name change request, the signed Applicant's
Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, Larry McSwain, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
:;7
9-/9.1A13
Signature Date
APPLICANT CERTIFICATION
I, Henry Batten, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
q-Z 7•Z4113
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008

Permit: NGG140065
SOC:
County: Guilford
Region: Winston-Salem
Compliance inspection Report
Effective: 08/01/09 Expiration: 06/30/11 Owner: Cemex Construction Materials Atlantic LLC
Effective: Expiration: Facility: Cemex-Boeing Drive
7620 Boeing Or
Contact Person: Garry P Spencem
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 06/08/2011
Primary Inspector: Sue White
Secondary Inspector(s):
Title:
Entry Time: 10:30 AM
Greensboro NC 27416
Phone: [phone]
Certification:
Exit Time: 11:55 AM
Phone:
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Ready Mix Concrete Siormwater/ Wastewater Discharge
COC
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: 1

Permit: NCG140065 Owner - Facility: Cemex Construction Materials Atlantic LLC
Inspection Date: 0610812011 Inspection Typo: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: NCG140065 Owner • Facility: Cemex Construction Materials Atlantic LLC
Inspection Date: 06/08/2011 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 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?
0
❑
❑
❑
# 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?
■
❑
❑
Cl
# 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?
■
❑
❑
Cl
# Does the Plan include a Stormwater Facility Inspection Program?
■
❑
❑
❑
Has the Stormwater Pollution Prevention Plan been implemented?
®
❑
❑
Cl
Comment:
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
■
❑
❑
❑
Comment:
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:
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:
Page: 3

Beverly Eaves Perdue
Governor
� C
NCDEN t
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
March 19, 2009
Mr. Roy J. Schorsch
Cemex Construction Materials Atlantic, LLC
3415 Sandy Ridge Road
Colfax, NC 27235
Dear Mr. Schorsch:
Dee Freeman
Secretary
RSCEIVED
MAR 2 4 20d
Winston-Sai,
Regional Gftc
Subject: NPDES General Permit NCG140000
Certificate of Coverage NCG140065
Cemex Construction Materials Atlantic
Formerly Cemex Construction Materials, LP
Guilford County
On December 18, 2008, Division personnel received your request to revise your Stormwater permit Certificate of
Coverage to accurately include you new company name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General Permit
remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of North
Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at [phone].
Sincerelv,
ze, j
/10- Coleen H. Sullins
cc: DWQ Central Files
' Winston-Salem Regional Office
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location. 512 N. Salisbury St, Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service. 1-877-623-6748
Internet: vAvw.ncwaterquality.org
North Cawhna
An Equal opportunity l Affirmative Acbon Employer

n
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140065
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,
CEMEX CONSTRUCTION MATERIALS ATLANTIC, LLC
is hereby authorized to discharge stormwaler from a facility located at
CEMEX-BOEING DRIVE
7620 BOEING DRIVE.
GREENSBORO
GUILFORD COUNTY
to receiving waters designated as a UT of the East Fork Deep River, in the Cape Fear River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, II1, IV, V, and VI
of General Permit No. NCG 140000.
This certificate of coverage shall become effective March 19, 2009
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 19, 2009
s�
Coleen 1-1. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

0,21
Air- .
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Suilins
Governor Director
March 19, 2009
Mr. Roy J. Schorsch
Cemex Construction Materials Atlantic, LLC
3415 Sandy Ridge Road
Colfax, NC 27235
Dear Mr. Schorsch:
Dee Freeman
Secretary
Subject: NPDES General PermitNCG140000
Certificate of Coverage NCG]40065
Cemex Construction Materials Atlantic
Formerly Cemex Construction Materials, LP
Guilford County
On December 18, 2008, Division personnel received your request to revise your.stormwater permit Certificate of
Coverage to accurately include you new company natne.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General Permit
remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements off North
Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at [phone].
Sincerely,
Coleen H. Sullins
cc: DWQ Central Files
Winston-Salem Regional Office
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Locafion: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opporlunily 4 Affirmative Action Employer
Nne
orthCawlina

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. tNCG140000
CERTIFICATE OF COVERAGE No. NCG140065
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 14;-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,
CEMEX CONSTRUCTION MATERIALS ATLANTIC, LLC
is hereby authorized to discharge stormwater from a facility located at
CEMEX-BOEING DRIVE
7620 BOEING DRIVE
GREENSBORO
GUILFORD COUNTY
to receiving waters designated as a UT of the East Fork Deep.River, in the Cape Fear River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, 1II, IV, V, and VI
of General Permit No. NCG 140000.
This certificate ufcoverage shall become effective March 19, 2009
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 19, 2009
Coleen 11. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

WArF9
4
Michael F. Easley. Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Mr. Christopher R. Crouch
CEMEX Construction Materials, LP
100 Cresent Center Parkway, Suite 660
Tucker, GA 30084
Dear Mr. Crouch:
Alan W. Klimek, P.E. Director
Division of Water Quality
February 17, 2006
Subject: Permit No. NCG140065
CEMEX Construction Materials, LP
Formerly Ri`IC Mid -Atlantic, LLC
Guilford County
Division personnel have reviewed and approved your request to change your name under the General Permit,
received on February 3, 2006.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of
North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at [phone], extension 502.
Sincerely,
4z�� /✓4&
Alan W. Klimek P. E.
cc: DWQ Central Files
Winston-Salem Regional Office, Water Qualiry Section
Stormwater Pertnitting [Unit
do`rth Carolina
J lailtra!!y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Intemet: h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal QpporiunitylAffirmative Action Employer — 50% Retycled110°,6 Post Consumer Paper

r
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140065
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,
CEMEX CONSTRUCTION MATERIALS, LP
is hereby authorized to discharge stormwater from a facility located at
CEMEX-BOEING DRIVE
7620 BOEING DRIVE
GREENSBORO
GUILFORD COUNTY
to receiving waters designated as a UT of the East Fork Deep River, in the Cape Fear River Basin in accordance with
the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, I1, III, IV, V, and VI of
General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective February 17, 2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 17, 2006.
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

1
RMC MID -ATLANTIC, LLC
VMRMSTERED +MAIL
April 19, 2005
3415 Sandy Ridge Road
Colfax, North Carolina 27235
..Phone [phone]
Fax [phone]
Mr. Bradley Bennett, Supervisor
NC Department of Environment and Natural Resources
Division of Water Quality, Stormwater & General Permits Unit
n.
1617 Mail Service Center
o
Raleigh, NC 27699-1617
QD
RE: Courtesy Notification of Stock Purchase of Parent Company'
RMC Mid -Atlantic, LLC
`�'
3415 Sandy Ridge Road, Colfax, NC 27235
General Permit Certificate of Coverage Numbers: NCG500370, NCG070052,
NCG070161, NCG070077, NCG070047, NCG070128, NCG140310, NCG140307,
NCG140065, NCG140067, NCG140304, NCG140064, NCG140305, NCG140066,.
NCG140342, NCG140142, NCG140339; NCG140143, NCG140012, NCG140146,
NCG140306, NCGI40144
Dear Mr. Bennett:
RMC Mid -Atlantic, LLC is the owner and operator of the above -referenced
facility.. We write as a courtesy to advise you that, on March 1, 2005, CEMEX, S.A. de
C.V., parent company of CEMEX, Inc., acquired all shares of the issued and outstanding
stock of RMC Group p.l.c., parent company of RMC Mid -Atlantic, LLC.
Please be advised that as a result of this transaction, RMC Mid -Atlantic, LLC will
remain a subsidiary company under its new parent, CEMEX, Inc. and RMC Mid -
Atlantic, LLC will remain the permittee, and continue to own and operate_ the above
referenced facilities in the same manner as it is currently being operated.. There will be
no name change of the facilities at this time. Therefore, it is our understanding that no
regulatory requirements for permit transfer have been triggered by this transaction.
Please do not hesitate to contact us if you have any questions or need. additional ,
information.
Sincerely, ('
ohn Heider.
EHS Manager, RMC Mid -Atlantic, LLC
cc: Mr. Amarjit Singh Gill, P.E.
Director; Air Permitting.
Environmental Affairs Department
CEMEX, Inc.
840 Gessner, Suite 1400
Houston, Texas 77024-
RMC Allied Materials RMC Metromont Materials

11
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
GARRY P. SPENCE
RMC CAROLINA MATERIALS, INC.
P.O. BOY 16026
GREENSBORO, NC 27416
Dear Permittee:
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 26, 1999
Subject: Reissue - NPDES Stormwater Permit -
RMC CAROLINA MATERIALS, INC.
COC Number NCG 140065
Guilford County
In response to your renewal application for continued coverage under general permit NCG140000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
* A copy of general stormwater permit NCG140000
* A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to
certify that you have developed and implemented the SPPP as per the conditions of the permit. This form
must be completed and returned to the Division within 30 days of receipt of this letter.
DO NOT SEND the SPPP with the signed form.
* Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* A copy of a Technical Bulletin for the general permit which outlines changes in the permit, key requirements,
and addresses frequently asked questions
* A Certificate of Coverage
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office Stormwater
and General Permits Unit at [phone], ext. 578
Sincerely,
for Kerr T. Stevens
cc: Central Files
Stormwater and General permits Unit Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140065
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
RMC CAROLINA MATERIALS, INC.
is hereby authorized to operate a process wastewater treatment system, and is hereby authorized to discharge process
wastewater and stormwater from a facility located at
RMC CAROLINA MATERIALS, INC.
7620 BOEING DR
GREENSBORO
GUILFORD COUNTY
to receiving waters designated as a UT of the East Fork Deep River in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, 11I,
IV; V, and VI of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 26, 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

State*of North Carolina
bepartment of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Robert S. Matheson
Piedmont Concrete Co
P.Q. Box 16026
Greensboro, NC 27416
Dear Robert S. Matheson:
February 24, 1995
Subject: General Permit No. NCG140000
Piedmont Concrete Co
COC NCG140065
Guilford County
In accordance with your application for a stormwater discharge permit received on November 30, 1994, we
are forwarding herewith 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 December 6, 1983.
The stormwater permit you are receiving, NCG 140000, does not permit wasting concrete, dumping excess
concrete, directly into storm sewer outfalls or into waters of the state. Any facility which either dumps excess
concrete or washes excess concrete into storm sewers or waters of the state will be operating in direct violation to
both the terms of this permit and the North Carolina General Statutes. Such a discharge shall be considered an
illegal discharge and may subject the owner to enforcement actions in accordance with North Carolina General
Statutes 143-215.6A
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to
you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt
of this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings Post Office Drawer 27447,
Raleigh, North Carolina 27611-7447. Unless such demand is made, this decision shall be final and binding.
Please. take notice that this certificate of coverage is not transferable. Part II, B.2., addresses the
requirements -to be followed in case of change in ownership or control of this discharge.-,
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any question concerning this permit, please contact MS. AISHA LAU at telephone number 9191
733-5083, extension 578.
Sincerely,
0, nal Signed, By
(f511. i1 H. Sullins
A. Preston Howard, Jr. P.E.
cc: Winston-Salem Regional Office
Mr. Roosevelt Childress, EPA
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140065
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,
Piedmont Concrete Company DBA Carolina Quality Block and Concrete
is hereby authorized to discharge stormwater from a facility located at
Piedmont Concrete Company DBA Carolina Quality Block and Concrete
7620 Boeing Drive
Greensboro
Guilford County
to receiving waters designated as an unnamed tributary to East Fork Deep River in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, 111
and IV of General Permit No. NCG140000 as attached.
This Certificate of Coverage shall become effective February 24, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 24, 1995:
06g; } �;}gnod BY
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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FACILITY
Piedmont Concrete Company DBA Carolina Quality Block and Concrete -
COUNTY
Guilford
NPDES
NCG140065
MAP#
C19SW
DSN FLOW
NA
SUB BASIN
03-06-08
LATTITUDE
360 04' 50"
LONGITUDE
790 56' 39"
RECEIVING STREAM
UT to East Fork Deep River
STREAM CLASS
WS-IV
DISCHARGE CLASS
Stormwater
EXPIRATION DATE
7/31/99