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Home My WebLink AboutNCG140281_COMPLETE FILE - HISTORICAL_20170627STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v 1Q HISTORICAL FILE ❑ MONITORING REPORTS DOC TYPE DOC DATE L7 Q 0% ! o ("')'�-� YYYYMMDD NCDENR Ex+Mw.o,. � x.u%� Fkmmu 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 AOENCY USE ONLY Date Remved Y. Momh Dy if NO CHANGE in company or facility ownership or name has occurred ff 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 Affiliation") applies Individual Permit 2) Facility Information Facility name Company/Owner Organization Facility address (or) Certificate of Coverage rN ;ECG 1 1 4 -- -- - VariouN_ Chandler_ Concrete Co-, Tnr- -Various Address City State Zip To find the current legally responsible person associated with your permit, go to this website http I/portat ncdenr orlweb/lr/sw-permit-contacts and run the Fermat Contact Summary Report 3) OLD OWNER AFFILIATION that should be removSA Previous legally responsible individual Fa es --- I. - yLast 4) NEW OWNER AFFILIATION (Legally responsible for the permit) Person legally responsible for this permit Cr(�ola� 1^c6I'f 03`f� Gc9lqooq� GI � LA-1�1 � hcGt V oa-f �1oe� Y 00 1 �5-t Kenneth - E Wae erg_ It ^_ First Ml last Corporate EHS Manager Title Marling Address __ Burlrnglon. NC 17216 City State Zip (336 )229;-1 181 ken_uraegerle aacbandtprennerete_com Telephone _ __ 1�-marl 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 Q Employee or management change A result of ❑ Inappropnate 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. PERMITTEE CERTIFICATION I, 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 "/j 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 htt // ortal ncdenr or web/lr/stormwater Page 2 of 2 SWU-OWNERAFFIL 22May2014 ria ...�e NCDENR North Caroline Department of Environment and Natural Resources Beverly Eaves Perdue Governor Mr James Woody Environmental Manager Chandler Concrete Co, Inc P O Box 131 Burlington, NC 27216 Dear Mr Woody Division of Water Quality Coleen H Sullins Director May 6, 201 1 Dee Freeman Secretary Subject NPDES General Permit NCG 140000 Certificate of Coverage NCG 140281 Chandler Concrete Co , Inc Formerly Chandler/ High County, LLC Rockingham County On March 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 l 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 13N KEN PICKLE for Coleen H Sullins cc DWQ Central Files Winston-Salem Regional Office Stormwater Permitting Unit Wetlands and Stommater Branch 1617 Mad Service Center Raleigh North Carolina 27699 16' 7 Location 512 N Salisbury St Ralegh North Carolina 27604 Phone 919-807-63001 FAX 919-807-6494 t Customer Service 1-877-623-6748 Internet www ncwaterquality org One NorthCarohna Naturally An Equal Opportunity 1 Affirmative Action Employer STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO NCG140000 CERTIFICATE OF COVERAGE No NCG 140281 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215 I, 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 1992 Hwy 16 North Crumpler Rockingham County to receiving waters designated as a UT of Wolf Island in the Roanoke River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 111 111, IV V and VI of General Permit No NCG 140000 as attached This certificate of coverage shall become effective May 6, 2011 This Certificate of Coverage shall remain in effect for the duration of the General Permit Signed this day May 6, 2011 ORIGINAL SIGNED Bl KEN PICKLE for Coleen H Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B Hurst, Jr, Governor Wayne McDevitt, Secretary Kerr T Stevens, Director JAMES WOODY CHANDLER CONCRETE CO - PLT 104 P O BOX 131 BURLINGTON, NC 27216 Dear Permittee LTWA 4 0 r NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES July 26 1999 Subject Reissue - NPDES Stormwater Permit Chandler Concrete Co - Pit 104 COC Number NCG 140081 Rockingham County 1n response to your renewal application for continued coverage under general permit NCG 140000 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 Covera¢e Your coverage under this general permit is not transferable except after notice to DWQ The Division may require modification or revocarion and reissuance of the Certificate of Coverage This permit does not affect the legal requirement; to obtain other permits which may be required by DENR or relieve the permlttee 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 (919) 733-5083 ext 548 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 919-733-5083 Fax 919 733-9919 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 NCG140081 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 CO - PLT 104 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 CO - PLT 104 7699 NORTH NC 87 REfDS VIL.LE ROCKINGHAM COUNTY to receiving waters designated as a UT of Wolf Island 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 NCG140000 as attached This certificate of coveratre shall become effective Auor sust 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 r 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 Chandler Concrete Co P O Drawer 1239 Burlington, NC 27216 Dear Mr .lames Woody A 4 C)EHNF=?k March 31, 1995 Subject General Permit No NCG 140000 Chandler Concrete Co COC NCG 140081 Rockingham County In accordance with your application for a stormwater discharge permit received on November 29, 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 r and reissuance of the certificate of coverage r 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 Sincerely, 0riginu1 S1lT'1 coiean H sullinb 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 919 733-7015 FAX 919 733 2496 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, NCG140081 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 is hereby authorized to discharge stormwater and rinse waters from a facility located at 7699 North N C Hwy 87 Reidsville Rockingham County to receiving waters designated as an unnamed tributary to Wolf Island Creek in the Roanoke 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 ri1��nE Signed By Coitne�n Ft Sc "Ins A Preston Howard, Jr , P E , Director Division of Environmental Management By Authority of the Environmental Management Commission UNITED STATES DEPARTMENT OF THE INTERIOR GEOLOGICAL SURVEY 79'45' 613000inE `ED£N 8 MI 614 615 42 30 616 la mom.�Cal,.-I -arty l `� �O y ♦ v 1 \—il r. j l 4 . Boo .oPS 869r \ ` ! 24 3 00 r ! s ` Radio`iower All f 4024 8ane'N Cross `— �" �, Tral _ XIe8sar 1, 0tilt \ ` -02 837 \ \ r 4022 aM�821 ` r, F °op / n 733 20 \ f y � 1 „ 7 1 t / I 1 6 ,— _ _ ^ �l I 840 llanbun Ch } — Hes ter � � '� Cem / r' 1 / °6 oco l !z3MP Ev green ar \\\753; �p� Memo ardens 24°9\ �i Filth Warfl FACILITY I COUNTY r �r,�►�- I NPDES 1 C6-7 lie -Do 1 MAP # O'ZU 15 Lc) DSN FLOW � IA- S U 3 3'1N 03-C);--o3 Lfi: c (o o2v2 a o LC �IZ 3 so F; + STREAM Ul -r 4-o F DISCHARGE CLASS EXPIRATION DATE