NCG140078_COMPLETE FILE - HISTORICAL_20170627

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. II IV C& /�-I D � � "
DOC TYPE
HISTORICAL FILE
MONITORING REPORTS
DOC DATE 0;; b I ll o L9 a
YYYYMMDD

A��
NCDENR
CWAP�� affuk�
Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Perm Ft)
FOR A991
Year
if NO CHANGE in company or facility ownership or name has occurred
If a Name Change and/or Ownership Transfer at the facility has prompted this change, do
NOT use this form You must fill out the Name -Ownership Change Form and provide all
necessary supporting documentation instead
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner
Affil►ation") apphes
Individual Permit
2) Facility Information
Facility name
Company/Owner Organization
Facility address
(or) Certificate of Coverage
VN 'fC� I rd' 1 1 4 1 -- I -- I -- --
Various
Chandler.Cancrete I Piedmont. ins _
Various —
Address
City State Zip
To Find the current legally responsible person associated with your permit, go to this website
http ll ortal ncdenr or web/Ir/sw- unit -contacts and run the Permit Contact Summary Report
3) OLD OWNER AFFILIATION that should be removed
Previous legally responsible individual _ James J. _ Woody
First Ml Last
4) NEW OWNER AFFILIATION (Legally responsible for the permit)
Person legally responsible for this permit Kenneth E W-aeg_erle
/�y� First Ml Lest
LfVO D h��} — Corparale FHS ManagerTitle
Mailing Address
YIC61 q 00 BurhmLgLon,NC 17216 -
V City State Zip
n �C', (336 )226.1181 lien.waegeriet2ochandlereancrete_com
�%� f T 00 Telephone E-mazl Address
1 l VV1 ! �% 336 )570-0557.
C Oa i � Fax Number
oogG��o��q Pagelof2
hC
NERAFFiL-22May2014

NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facihty Name/Ownership Change)
5) Reason for this change
A result of
Employee or management change
❑ Inappropriate or incorrect designation before.
❑ Other
If other please explain
What does "legally responsible person" mean?
That person is either:
• the responsible corporate officer (for a corporation),
• the principle executive officer or ranking elected official (for a municipality,
State, Federal, or other public agency),
• the general partner or proprietor (for a partnership or sole proprietorship),
• or the duly authorized representative of that person above
The certification below must be completed and signed by the permit
holder.
PERMUTEE CERTIFICATION
1, Kenneth E. Waegerle , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge I understand that if all required parts of this form are not completed, this change may not be
processed
Stgna6w Date
PLEASE SEND THE COMPLETED FORM TO
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program,
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please visit our website
h tb //portal ncdenr org/web/lr/stormwater
Page 2 of 2
SWU-OW NE RAFFIL-22May2014

r - 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
JAMES WOODY
READY MIXED CONCRETE PLT 106
P O BOX 131
BURLINGTON NC 27216
Dear Permittee
I AT 1 M96SOAA •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 26 1999
Subject Reissue - NPDES Stormwater Permit
READY MIXED CONCRETE- Pit 106
COC Number NCG140078
Rockingham 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 NCG 140000
* 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,.,. ith 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 Bill Mills of the Central Office Stormwater
and General Permits Unit at [phone], ext 548
y
Sincerely
pi�
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 NCG140078
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,
READY MIXED CONCRETE- PLT 106
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
READY MIXED CONCRETE- PLT 106
427 S LINDSAY BRIDGE RD
MADISON
ROCKINGHAM COUNTY
to receiving waters designated as a UT of Big Islanc Creek in the Roanoke 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 NCO140000 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
Department 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
Mr James Woody
Ready Mixed Concrete Company
P O Drawer 1239
Burlington, NC 27216
Dear Mr James Woody
March 31, 1995
Subject General Permit No NCG 140000
Ready Mixed Concrete Company
COC NCG 140078
Rockingham County
In accordance with your application for a stormwater discharge permit received on November 30, 1994, we
are forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general
permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215 1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
December 6, 1983
The stormwater permit you are receiving, NCG140000, 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 request an individual permit by submitting an individual permit application Unless
such demand is made, this certificate of coverage shall be final and binding
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Environmental Management The Division of Environmental Management may require modification or revocatior
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 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 Mr Bill Mills at telephone number 9191733-
5083, extension 548
Sincerely,
Original Signpri 8y
Coleen H Suitins
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% recyclecll 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 NOCG1 0078
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,
Ready Mixed Concrete Co , Inc
is hereby authorized to discharge stormwater and rinse waters from a facility located at
427 Lindsay Bridge Road
Madison
Rockingham County
to receiving waters designated as an unnamed tributary to Big Island Creek in the Roanoke River Basin
L-
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No NCG140000 as attached
This Certificate of Coverage shall become effective March 31, 1995
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day March 31, 1995
Original Signed (3y
Coleen H Sullins
A Preston Howard, Jr , P E , Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Q
4=4
FIN
L
\ N
Qg44 pR
O
e _ 1
.00, 590 $91 11710000 FEET
Mapped, edited, and published by the Geological Survev
2
f' O
593 57'30'
i
U
e
RFIELD 13
5HORO 24

FACILITY G�
Couray
NPD ES C.6-7141) D f `7S
k
MAP # 'i3 lq Nf�
OSN FLOW /%
(,v re4- a, -r-A�
St,3-.-)1N 0-s-0a--0,!P-
LA7 3& 5
oil
STREAM KT
i--'S
L
DISC, CLASS
EXPIRATION DATA

Chandlepinc.
'y
r
cs�
January 20 1999
Mr Darren England
Stormwater Unit
NCDENR
P O Box 29535
Raleigh, NC 27626-0535
Dear Mr England
According to our records the Stormwater Permit No NCG140090 is for our plant located in
Durham County at 1014 Ellis Road We have a plant that is located at the address shown on this
permit renewal form, but it's Permit No is NCG140078 This seems to be a typo since we have
also received a permit renewal form for that location
If you have any questions you can call me at [phone]
Smcerely,
3 e"40 & 14
James J Woody
Human Resources Manager
POST OFFICE BOX 131 • BURUNGTON, NORTH CAROLINA 27216-0131
TELErHONVE 336 • 226 • 1181 / FAX [phone]