NCG140100_COMPLETE FILE - HISTORICAL_20170627

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V U& )� Q jp o
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ a
YYYYM M D D

NCDENR
,,w 00,a
EMww.ro — U. — 1b�.
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 Permit)
FOR AGENCY USE ONLY
Dice Received
Year
Momh
Day
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
N' fusethitfbrm. Yore musf 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
Affyliation") applies:
Individual Permit
LNG I A
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) Certificate of Coverage
,C �� 1 4 -- - --
Various
Various _
Address
City State Zip
To find the current legally responsible person associated with your permitgo to this website:
http:/mortal.hcderir.org/w&b/ir/sW=obrmit-contacts and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: James _ L Woody
First MI Last
4) NEW OWNER AFFILIATION (Legally responsible for the permit):
Person legally responsible for this permit:
.r1 ` 010( PCHqOOK
&J.40100 hc&-lgo3v�
G-1�0�Xl (91q co q /
hCG-1V 06W
&I q 00
Kenneth E. Waeaerle
First MI Last
-- Cornnrate EHS Manages
Title
Q Rax„131
Mailing Address
Burlin on, NC 17216___ _
City State Zip
(336 - 226-I]R1k,-n_waegrrle@s1Landierconcrete_GOM
Telephone E-mail Address
( 336 )570-0557
Fax Number
Page 1 of 2

NPDESStormwater Permit OWNER AFFiLATION DESIGNATION Form
(if no Facility Name/Ownership Change)
5) Reason for this change:
A result of.
If other please explain:
What does "legally responsible person" mean?
That person is either:
® Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
• '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.
PERMITTEE CERTIFICATION:
1, Kinngib E, 3Maeggile , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed acid is accurate and complete to the best of my
knowledge. *1 understand thai'lf all re4uiced parts of this form are not completed, this change may not be
processed.
June 27, 2017
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:
httn:/(portal.ncdenr.6rg/web/lr/stormwater
Page 2 of 2
SWU-O'WNF-PAFFI L-22MaY2014

A,'
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Roger Church
Chandler Concrete Co., Inc.
PO Box 131
Burlington, NC 2 72 16
Dear Mr. Church:
Division of Water Quality
Coleen H. Sullins
Director
September 28, 2011
Dee Freeman
Secretary
Subject: NPDES General Permit NCG140000
Certificate of Coverage NCG 140100
Chandler Concrete Co., Inc
Formerly Chandler Concrete/ High Co.
Watauga County
On June 24, 2011, Division personnel received your request to revise your stormwater permit
Certificate of Coverage to accurately reflect your new company and facility 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 919-807-6300,
Sincerely,
ORIGINAL SIGNED BN
KEN PICKLE
for Coleen H. Sullins
cc: DWQ Central files
Winston-Salem Regional Office
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: [phone] FAX: M-807-64941 Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
NorthCarolina
Naturalltf
An Fqual Opportunity\ Affirmative Actor Employer

cJ�
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140100
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,
Chandler Concrete Co., Inc.
is hereby authorized to discharge stormwater from a facility located at
Chandler Concrete Co., Inc.
3612 Blowing Rock Road
Boone, NC 28607
Watauga County
to receiving waters designated as Middle Fork Creek in the New River Basin in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V and
V I of General Permit No. NCG 140000 as attached.
This certificate of coverage shall become effective September 28, 2011.
This Certificate of Coverage shall remain in effect for the duration of the General Pen -nit.
Signed this day September 28. 2011. ORIGINAL SIGNED M
KEN PICKLE
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

`Q�QF 1PlArFRQG Beverly Eaves Perdue, Governor
rjj q Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
a Y
Coleen H. Sullins, Director
Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
L Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
N I C S 0
N C G j O! D
H. Permit status prior to requested change.
a. Permit issued to (company name):
C tj'gN!3L6e' Co tiCR � � l fzCt i4 (O' CL")DW t_ CLC-
b. Person legally responsible for permit:
jAr4r7s J kfc C!2ti
First Mt Last
!
CnJifl�2cn! fnC1VM& f11MyIFGL�
Tillc
x 131
Permit Holder Mailing Address
J&4z4 J4txt hJC- 272r6
City State Zip
226I[Zil ( 33G) ffw- 0,557
Phone Fax
c. Facility name (discharge):
ooj,, /3L,r�, 5�1
d. Facility address:
3 217, HCV4 r o S Sol L p1 _
Address
o K niC_ "Ze
City State Zip
e. Facility contact person: R-6.'�ti$ STev6_ ,s (� 2b) Z42V- b6V
First I MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of:
[A 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:
C'4nunl.Frz C'oalnf -m C�.F 1w .
JA-rn s•
First MI Last
e:wNJL",J ryteNrn L M!je,1;1r;fa
Title
t�•C�.V' /w tit
Permit Holder Mailing Address
9­ua!,jeL-t r_p'j ti c_ 2171 l�
City State Zip
{ 33Cx) Z2G.f8f JC1l ".VJL3G4L(c-h[f tnrr�nCr[Ce.Cc�
Phone E-mail Address
d. Facility name (discharge): py'�:j �'_ Ata-,_,r 4- 5ZD i
e. Facility address: 3 2 -tz_ OS 5c,,r%4_
Address
City State Zip
f. Facility contact person: %fc.z�.J._ Pogue '5A-v'-'
First MI Last
( c�2c�) 'lG�(- SG4'�f rc5�r..yr�Jt;tii�Jcitcn�iercortcrcrC.eL•k
Phone E-mail Address
Revised 812008

i

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:
First MI Last
Title
Mailing Address
City State Zip
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
© This completed application is required for both name change and/or ownership change
requests.
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):
I, ul , 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.
_� h.3/2011
Signature Date
APPLICANT CERTIFICATION
IA ly , 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.
1-z3 r2ol 1
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 71200E

` SOSID: 0026213
Date Filed: 12/20/2010 9:10. 00 AM
Effective: 12/31/2010
Elaine F. Marshall
North Carolina Secretary of State
ARTICLES OF C201035100317
Pursuant to North Carolina General Statutes Sections 55-11-10(d) and 57C-9A-22, as applicable,
the undersigned Surviving Entity does hereby submit the following Articles of Merger as the Surviving
Business Entity in a merger between two or more business entities:
1. The name of the Surviving Entity is Chandler Concrete Co., Inc.., a North Carolina
Corporation,
The address of the Surviving Entity is:
1006 S. Church Street
Burlington, NC 27215
and the mailing address is:
P.Q, Drawer 131
Burlington, NC 27216-0131
3. The name of the Merged Entity is Chandler Concrete/Sigh Country, LLC, a North Carolina
Limited Liability Company.
4. The Plan of Merger was duly approved by each merging business entity
in the manner required by law.
5. The Surviving Entity is a North Carolina Corporation. Shareholder approval was required for the
merger and the Plan of Merger was approved by the Board of Directors and Shareholders as required by
Chapter 55 of the North Carolina General Statutes.
6. The Merged Entity is a North Carolina Limited Liability Company. The merger was approved
by the unanimous consent of the Manager and Members of the Limited Liability Company,
7. The merger is permitted by the laws of the State of North Carolina, the state governing the
organization and internal affairs of each merging business entity.
8. Each business entity that is a party to the merger has complied, or shall comply, with the
applicable laws of the state of North Carolina, the state governing.its organization and internal affairs.
9. These Articles will be effective as of 12:00 midnight on December 31, 2010.
Thls the A� day of December, 2010,
Chandler Concrete Co., Inc,
By:
Print Name, l Ao ns E s C'•ia.,. Print Title: /pRe s.'dry!
01293A•0003221353205 v2

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, P.E. Director
April 11, 2003
ROGER CHURCH
CHANDLER CONCRETE - HIGH COUNTRY LLC
PO BOX 131
BURLINGTON, NC 27216
Dear Permittee:
I T L1WA
1*e
HIM
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANr> NATURAL RESOURCES
Subject: NPDES Permit Modification -Name and/or Ownership Change
Permit Number NCG140100
Chandler Concrete 1 High Country LLC - Watauga
Watauga Ready Mix Corp
Watauga County
In accordance with your request received March 4, 2003, the Division is forwarding the subject permit
modification. This modification documents the change in the ownership of the subject facility. All other terms and
conditions in the original permit remain unchanged and in full effect. This permit modification is issued under the
requirements of North Carolina General Statute 143-2 t5.1 and the Memorandum of Agreement between North
Carolina and the U. S. Environmental Protection Agency dated December 6, 1983.
This permit modification does not affect the legal requirement to obtain other permits which may be
required by the Division of Water Quality, the Division of Land Resources, Coastal Area Management Act, or any
other Federal or Local government permit that may be required. If you have any questions concerning this permit,
please contact Valery Stephens at the telephone number or address listed below.
Sincerely,
for Alan W. Klimek, P.E.
cc: Central Files
Winston-Salem Regional Office, Water Quality Section
Stormwater and General Permits Unit Files
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. NCG140100
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,
CHANDLER CONCRETE - HIGH COUNTRY LLC
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
CHANDLER CONCRETE / HIGH COUNTRY LLC - WATAUGA
3612 BLOWING ROCK ROAD
BOONE
WATAUGA COUNTY
to receiving waters designated as Middle Fork Creek, a class WSI1 stream, in the New River River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, I1,1II,
W, V, and VI of General Permit No. as attached.
This certificate of coverage shall become effective April 11, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 11, 2003.
da- � I1 u"
for Alan W. Klimek, P.E. Director
Division of Water Quality
By Authority of the Environmental Management Commission

1 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
1 • -A •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 26, 1999
TED GREENE
WATAUGA READY MIX CORP - WATAUGA
525 GEORGE WILSON RD
BOONE, NC 28607
Subject: Reissue - NPDES Stormwater Permit
Watauga Ready Mix Corp - Watauga
COC Number NCG140100
Dear Permittee: Watauga 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. F 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 Bill Mills of the Central Office Stormwater
and General Permits Unit at [phone], ext. 548
Sincerely,
for Kerr T. Stevens
1 cc: Central Files
1 Stormwater and General permits Unit Files
Winston-Salem Regional Office
1
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
1 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. NCG140100
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,
WATAUGA READY MIX CORP - WATAUGA
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
WATAUGA READY MIX CORD - WATAUGA
3612 BLOWING ROCK ROAD
B OONE
WATAUGA COUNTY
to receiving waters designated as Middle Fork Creek in the New River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II. I11.
IV, V, and VI of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of Coveram 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

St-tQ.df North Carolina
D artment 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. Ted Greene
Watauga Ready Mix Corp.
525 George Wilson Rd.
Boone, NC 28607
Dear Mr. Ted Greene:
LT.IKAA
IT 0 0
r
�A&41
rT
C)FE F1
March 31, 1995
Subject: General Permit No. NCG 140000
Watauga Ready Mix Corp.
COC NCG 140100
Watauga County
In accordance with your application for a stormwater discharge permit received on November 28, 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, 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 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. I , I
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 919/733-
5083, extension 548.
cc: Winston-Salem Regional Office
Mr. Roosevelt Childress, EPA
Sincerely, original Signed BY
Cotieen H. Sullins
A. Preston Howard, Jr. P.E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
Telephone [phone] FAX [phone]
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. NCG140100
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,
Watauga Ready Mix Corp.
is hereby authorized to discharge stormwater and rinse waters from a facility located at
Hwy. 321 South
Boone
Watauga County
to receiving waters designated as Middle Fork Creek in the New River Basin
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 By
Coieen H. Sullins
A. Preston Howard, Jr., F.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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