NCG140419_COMPLETE FILE - HISTORICAL_20170627

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO
Iv L& H17LII
DOC TYPE
2� HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ (� n 1 -1 ()
YYYYMMbD

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NC®ENR
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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
0m Reeavrd
Year
EE1
De
if NO CHANGE in company or facility ownership or name has occurred
If a Name Change andlor Ownership Transfer at the facility has prompted this change, do
NOT use this form You most 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
Ni' i C tS,J1
2) Facility Information
Facility name
Company/Owner Organization
Facility address
(or) Certificate of Coverage
Nj (r7 GG 1 4 1 -- I -- -
Various
Chandler C of erg / Piedmont- Inc-
, arious
Address
City State Zip
To find the current legally responsible person associated with your permit, go to this website
httn //portal ncdenr orgAwebllr/sw-permit-contacts and ran the Permit Contact Summary Report
3) OLD OWNER AFFILIATION that should be reproved
.A
Previous legally responsible individual JaMes 1. Woody `
Fust W Last
4) NEW OWNER AFFILIATION (Legally responsible for the permit)
Person legally responsible for this permit
Kenneth
E
Waegerle
f (}
C14 O
First
Corporate EH5
M1
Manager
Last
hc&1�6 a-3 a-
hCG(�oDgl_
Title
PO Box 131
�U( Mailing Address
Burlington, NG 17216
(} City state Zip
� �C� I - "f ( 3h , 2 76-1 j 81 lien-maegerie chandlerenncrete.CoM
��} f ) I Telephone E-mail Address
1 V - 336 )570-0557 ---- -
C co � � Fax Plumber
SQPageiof2
hCiU00
ERAFFIL22May2014

if
NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Foubty Name/Ownership Change)
S) Reason for this change
® Employee or management change
A result of ❑ Inappropriate or incorrect designation before
❑ Other
If other please explain
What sloes "legally responsible person" mean?
That person is either.
• the responsible corporate officer (for a corporation),
• the pnnciple 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, 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
i
Sign Date
PLEASE SEND THE COMPLETED FORM TO
Division of Energy, Mineral and Land Resources
Storinwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please visit our website
httd/ ortal nedenr or web/lr/stormwater
Page 2 of 2
SWt1-0WNE RAF Flt: 22Mey2014

NC4140 4l9
1 Lc
Pubbc Works
Department
Stormwutr/Eronon and
Sodln -w=-u Caasrot Pmgmm
Caryof% inzwn-Salem
PO Bait 2511
V%irarnnSzlem N4 27102
Cnytank 311 (336 727 8fl(0)
Fu 336 748.3173'
� rmm
July 27, 2015
Ken Waegerle, CSP
Corporate EHS Manager
Chandler Conerete/Piedmont, Inc
2865 Lowery St
Winston-Salem, N C 27101
Dear Mr Waegerle
The Stormwater Division of the'City of Winston-Salem would like to thank you for
your tune and professional courtesy regarding the July 15, 2015 inspection of
Chandler ConcretelPiedmont, Inc
As per your request, a -copy of the completed surface water inspection form has
been enclosed to,you Part 4 of this report (Required Actions to be completed by
Facility) contains Annotations 41-45 that Chandlef Concrete/Piedmont, Inc must
complete Please provide documentations that verifies Chandler Concrete/Piedmont,
lnc successful completion of the corrective measures to me by August 31, 2015
The Stormwater Division reserves the right to enter and inspect Chandler
Concrete[Piedmont, Inc as often as necessary to determine compliance with permit
requirements of NCG140419
Thank you for your continued support and implementation of the City of Winston-
Salem's Stormwater Piogram If you have -any questions, please feel free to contact
me at [phone]
Sincerely,
Ladonta Clark (Jamal)
St6rmwater Inspector
Phone [phone]
Cell -336 416 2403
Fax [phone]
Cfi 4layer Mee Jmwg Vrvrm H Barb, hla,ea Pm Tempow Nonfin ViA Deane D Ad— Noah WY U4 QsarBear. Sauileuaa W.& Rabat G Q.& Vmt Wed.
MaBy x Sauk Wank. Call 311 or 336-727 $000 A1ewin& miuL Nw&iw Vi" Tkewe L MwcBmnery Ew Wud. *a TzyL. r 1. Searh Wud. any NuuVrr Lm D Gamry
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Stormwater/Erosion'Control Division
Surface Water -inspection for Industrial Sites
General Information
A) Official Company Name Chandler Concretely ei dmont, lnc.
B) Physical Address >2865 Lowery Street
C) Telephone Number [phone]
D) Mailing Address, if different from above address,
E) Authonzed contacts to represent company to environmental regulatory issues
Primary contact Ken Waegerle
Title Safety Manager
Contactmumber(s) Office (336)-226-1181.CeU [phone]
Email address Ken Waegerle@ChandlerConcrete com
Secondary contact `Dan Goley
Title Area manager
Contact number(s) Cell 451-4490
Email address Dangoley@ChandlerGoncrete cam
F) SIC'Code Numbefof business 3273
I
G) NC Stormwater NPDES`Permit Number NCG140419
Permit Category = Ready Mix
H) Any other control authonty,permit(s) (air quality control, wastewater, hazardous waste) & number(s)
Air Quality Permit # 01W1
1) Brief description of industrial activities that occur on -site
Chandler concreie+aiches concrete to serve to the local community
1),Ultimate ReceivingMaters Unnamed}tributary WSalem Creek
3
TMDL stream ❑Yes ®No Salem Creek is a TMDL
Part l - Stormwater Controls
1 Best Management; Practices
a4, List` the non/sti-uctural coiiir6ls employedlby the facility`
1 The holding Pats for Stormwatei' unoiff
2. The filtermg pond after the St6i=rnw6—ter runoff leaves the pits

b Are the BMPs reasonable & appropnate for the faculty? ®Yes ❑No
Comrrients
c Are BMPs installed correctly, maintained, and effective operating condition? ®Yes ❑No
Comments
The pits,arelnot overflowing and are maintained Spill kits,are nearby onsite in case of a,
spill ,
2 Provide a brief description of Other cantrols,that manage/prevent/minimize stormwater runoff
(e g , erosion,and sediment controls, inlet protection/control at storm drains, diversion structures)
Chandler concrete has pits to hold the stormwater runoff in before it discharges into a pond
which discharges to the unnamed tributary
Part 2 — Miscellaneous
i Any evidence ,'of discharge to receivingdwaters/MS49',(e g stormwater runoff, dry weather discharge, co -
mingling of process wastewater) ❑Yes '®No
2),Do the stormwater outfalls on -site correspond with those listed on the site map and in SPPP?
®Yes ❑No
s� Please list the potential 'ollutants that could be discharged on the site map

3) Summary of Stormwater Discharge Outfalls
SDO Identification
Potential Pollutants that
could be discharged
Physical Location
Latitude and
Longitude
Outfall 1
Northwest portion of the
site
36 09921
-80196603
Site Overview
Part 3 — SPPP Review (can be completed in office)'
Yes No Notes
Is there a SPPP
✓
Does SPPP include a certification statement=by the responsible
✓
corporate officer)
Does the general map depict the fdcility'siocahon on a USGS
✓
quad map (or equivalent map) wi&receiving waters (or MS4)
listed9
Identification of impaired waters or watershdd (if applicable)'?
✓
Narrative Description of these Industrial Activities
Storage Practices
✓
Unloading/Loadmg Activities
outdoor Processes
Particulate Generating/Control Processes
Waste Disposal
Does site map denote drainage`iterns flow direction, boundaries,
✓
Please list the potential
% ampervious, and structures9 Also includes SDOs, industrial
pollutants that could be
activityareas, and site to a h
discharged on the site map
A list of major spills that have occurred vhthiii the past, -three years
✓
with corrective actions to preventfutures ills)?
A signed,, annual,certification that the facility has been tested for non_-
✓
stormwater disc6res from the,site?
Comments
NOTE. Please update the City of Winston Salem, Stormwater Division's contact
information to Chandler Conerete[Piedmont, Inc Spill Noti£cation List The contact for
,spill notification is. Mr Keith Huff, Stormwater Director [phone] zlandime (336)
40613332 = cell phone number Mr. Huff's email address is keithhl a ci ofws 2rg for
providing,written notification

Stormwater Management Strategy
Yes No Notes
Does SPPP incorporate the nine baseline controls
Feasibility Study (technical & economic review to minimiie pollutant exposure)
Secondary Containment (table summary of tanks, stored matenals,reledserecords)
BMP Summary (listing of site structural/nonstmetural practices)
SPRP,& Procedures (identified responsible personnel w/ signatures & dated)
PM & GH (inspection of material handling areas & regular cleaning schedules)
Facility Inspections (biannual inspections of facility and all storms ater systems)
Employee Training (annual bays for staff who perform SRP and PM functions)
Responsible Party (spLcific position(s)-developing, implementing & revising
SPPP)
Amendment, & Annual Update (of major spills, nonsw flows BMPs sampling data
✓
✓
✓
✓
✓
✓
✓
./
✓
Does SPPP contain completed routine inspection reports/records
regarding reportable implementation of the nine baseline controls
i e SPPP Iris lementation ?
✓
Analytical Monitoring
Yes No Notes
Are samples collected within 30 minutes of measurable rain events
✓
and at least 72 hours since the last storm event?
Are sam lin' `events`60 da s,a art? (EXUPTION Tier 2 &. 3 responses)
✓
Is analytical monitoring complete (including schedule) for each
✓
SDO? (LXCEPTION ROs)
Any,exceedences of pollutant,paraineters,when comparedTagainst
I - r
the permit benchmark -values?
Has Facility'implemented appropriate, selected actions toxeduce
pollutant concentrations, in response to benchmark exceedences (if
applicable)?
Qualitative Monitoring
Yes No Notes
Is qualitative monitoring being,performed during measurable storm
✓
events?
Is qualitative monitonng complete (including schedule) for each
✓
SDO? N
Are monitoring events 60 days zCparO (EXCEP 1 ION Tier 2 & 3 responses)
✓
Any observable, excessive amounts of pollutant'indicators in
stormwater discharge at SDOs?

Part 47 Reguired Actions to be completed by Facility_:
1 Please replace the gas handle on the gas pump onsite because it's leaking in two different
spots
2 Concerning the storage building that stores the liquid material, please clean up excess
fluid and ensure the -container is locked at all times
3 Please update the City of Winston Salem, Stormwater Division's contact information to
Chandler Concrete/Piedmont, Inc Spill Notification List
4. Please list the potential pollutants°that could be discharged on the site map
5 Please include lock out=tag out devices on all bulk storage stored outside to prevent
accidental exposure
Company Representative(s) that participated in inspection Ken Waegerle
Title(s) Safety Manager
Start of Inspection 9 30am
Completion of Inspection 12 OOpm
Date July 15, 2015
Signature of Stormwater Inspector
Title FStomiwater Insvector

C4
Picture #t Leaking gas,pump handle
Please replace the whole gas handle because of the two leaks
Picture ##,2 Leaking fluid ezposed to the elements
Please, clean up excess fluid,and ensure the container is locked

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr T E Chandler, Jr
Chandler Concrete/Piedmont, Inc
P O Box 131
Burlington, N C 27216
Dear Mr Chandler
John E Skvarla, III
Secretary
July 18, 2014
Subject NPDES General Permit NCG140000
Chandler Concrete/Piedmont, Inc
Formerly VCNA Prestige Concrete
Products, Inc
Certificate of Coverage NCG140419
Forsyth County
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or 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 or need further information, please contact the Stormwater
Permitting Program at [phone]
Sincerely,
ORIGINAL SIGNED Bl
KEN PICKLE
for Tracy E Davis, P E, CPM, Director
Division of Energy, Mineral and Land Resources
cc Winston-Salem Regional Office, M Gantt
Stormwater Permitting Program Files
Central Files
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 9200 I FAX [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet http //portal ncdenr orglwebllrt
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

STATE OF NORTI I CAROLINA
DEPARTMENT OF ENVIRONMEN [ AND NAWRAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO NCG140000
CERTIFICATE OF COVERAGE No NCG140419
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/Piedmont, Inc — Plant 118
is hereby authorized to discharge stormwater from a facility located at
Chandler Concrete/Piedmont, Inc -- Plant 118
2865 Lowery Street
Winston-Salem
Forsyth County
to receiving waters designated as an unnamed tributary to Salem Creek, a class C water in the
Yadkin River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, 11, II1, and IV of General Permit No NCG140000 as
attached
This certificate of (,overage shall become effective July 15, 2014
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day July 15, 2014
ORIGKEENN PICKLE IGNED ��
for Tiacy E Davis, P E , Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

ram~ 1 17 : , is
1�di[11N'
CONCRETE COMPANY
June 27, 2014
Danny Smith
Regional Supervisor — Water Quality
NC DENR
1628 Mail Service Center
Raleigh, NC 27699
NG DENR Raleigh Regional Office
CERTIFIED MAIL
By means of this letter I certify that Kenneth E Waegerle, Environmental, Health & Safety
Manager, is the duly authorized representative for Chandler Concrete Company, Inc , and for Chandler
Concrete/Piedmont, Inc He is responsible for the overall environmental operations and has the authority
to sign documents and to shut down the operations should an emergency occur for any of our plants in
North Carolina The plants in the Raleigh Region include, but not limited to, the following locations
New
Previous
Permit
Designation
Address
Desi tion
Number
Count
117 — Elm Street
3107 S Elm -Eugene St
VCNA Prestige Ready Mix
NCG 140426
Guilford
Greensboro, NC 27406
NC, Inc - Greensboro
118 — Winston
2865 Lowery St
VCNA Prestige Ready Mix
NCG140419
Forsyth
Winston Salem, NC 27101
NC, Inc -Winston
Thank you for your attention to tlus matter
Sincerely,
e? S Gl.',014K0L_
T E Chandler, Jr
President
Enclosures Forms
— PERMIT NAME/OWNERSHIP CHANGE FORM — PLANT 117
— PERMIT NAME/OWNERSHIP CHANGE FORM — PLANT 118
Asset Purchase Agreement
POST OFFICE Box 131 • BURLINGTON, NOR IH CAROLINA 27216-0131
TELLPHONE 336.226.1181 / FAx [phone]

Division of Energy, Mineral & Land Resources
Land Quality Seetion/Stormwater Permitting
National Pollutant Discharge Elimination System
NCDENR
W-Cft�"���r
—
CNN110uHt�/i uiD NnlA4. ni�� PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Nionih
Day
Certificate of Coverage
C G i 4 0 4 1 9
ige Concrete Products, Inc
Hampy_
MI Last
nmental Coordinator
Title
9 South Park Circle
Holder Mailing Address
FL 32819
State Gip
0 [phone]
Fax
Concrete Products, Inc - Winston
865 Lowery St
Address
NC 27101
State Gip
[phone]
Phone
permit)
rship of the facility
the facility or owner
I Please enter the permit number for which the change is requested
NPDES Permit (or)
N I C I S 10 1 1 1 1 N
lI Permit status prior to requested change
Permit issued to (company name) VCNA Prest
y ` Person legally responsible for permit Mansol
O First
T
Enviro
852
T Permit
- -� Orlando
W City
LLd (407) 802-354
`ir U Phone
11~ Facility name (discharge) VCNA Prestige
d Facility address 2
Winston Salem
City
e Facility contact person Charles Tom Long
First / Ml / Last
III Please provide the following for the requested change (revised
a Request for change is a result of ® Change in owne
El Name change of
If other please explain
b Pernut issued to (company name) Chandler Concrete/Piedmont, Inc
c Person legally responsible for permit Kenneth E Waegerle
First MI Last
Corporate Environmental, Health And Safety Manager
Title
PO Box 131
RECEIVED
iI U d 2014
RECEIVED
JOL 0 3 2014
DENR LAND QUALITY
DEER -LAND QUALITY STOR MWATER PERMITTING
$TORMWATER PERMMTtING
d Facility name (discharge)
e Facility address
Permit Holder Mailing Address
Burlington NC 27216
City State Zip
[phone] ken waegerlepchandlerconcrele corn
Phone E-mail Address
Chandler Concrete/Piedmont, Inc - Plant 118
2865 Lowery St _
Address
Winston Salem NC 27101
City State Zip
f Facility contact person Steve Scales
First MI Last
[phone] plant 118pchandlerconcrete corn
Phone E-mail Address

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact Kenneth E Waegerle
first MI Last
Corporate Environmental, Health And Safety Manager
Title
PO Box 131
Mailing Address
Burlington NC 27216
City State - - - Zip
[phone] ken waegerle@chandlerconcrete coin
Phone ^T� E-mail Address
V Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change9
® Yes
❑ No (please explain)
V1 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)
1, Charles Tom Loni;, 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
r
APPLICANT CERTIFICATION
(r71 Zra/,�
Date
1, Kenneth E Waegerle, 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 bSwtdied a-
.incompletg ,
Z� 4 4L��, 17- 7 X
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO
Division of Energy, Mineral and Land Resources
5tormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan 27 2014

ASSET PURCHASE AGREEMENT
THIS AGREEMENT is entered into and made effective as of /-IQ 2014
(the "Agreement Date") by and between VCNA PRESTIGE CONCR19TE PRODUCTS, INC
("Seller") a Delaware corporation, ("Seller"), and CHANDLER CONCRETE/PIEDMONT,
INC a North Carolina corporation ("Buyer") Seller and Buyer are herein sometimes referred to
as the "Parties"
RECITALS
A Seller is engaged in the manufacture and sale of ready mixed concrete and
concrete products and building supplies in Greensboro and Winston-Salem, North Carohna (the
"Business") Seller has agreed to sell to Buyer substantially all of the operating assets used by
Seller in the conduct of the Business at the price and upon the terms and conditions described
herein
B Buyer has agreed to purchase the assets of Seller used in its operation of the
Business at the price and upon the terms and conditions described herein
NOW, THEREFORE, in consideration of the respective agreements and commitments set
forth herein, and other good and valuable consideration, the receipt and sufficiency of which is
hereby acknowledged by each of the parties, it is hereby agreed by and between Seller and Buyer
as follows
1 Basic Transaction The forgoing RECITALS, the Disclosure Schedule and all Exhibits
are incorporated into and made part of this Agreement by this reference
1 1 Purchase and Sale of Assets
On and subject to the terms and conditions of this Agreement, Seller agrees to sell,
assign, convey, transfer and deliver to Buyer and Buyer agrees to purchase from Seller all of the
assets used or useful in the conduct of the Business as presently conducted by Seller, other than
the "Excluded Assets" as that term is defined herein, including without lunitation the following
described assets (all such assets to be purchased pursuant to this Agreement being herein
sometimes referred to as the "Acquired Assets")
(a) The real property used by Seller in the conduct of the Business located at
and commonly known as 3107 C South Elm -Eugene Street, Greensboro, North Carolina
consisting of approximately 9 4 acres and more particularly described on Exhibit 1 1 a-1
attached hereto, and the real property located at and commonly known as 2865 Lowery Street,
Winston-Salem, North Catohna consisting of approximately 4 08 acres more particularly
described on Exhibit 1 1(a-2) attached hereto (the two tracts being collectively herein sometimes
012931 000149/3915.)4 v11

IN WITNESS WHEREOF, the undersigned party has executed or caused to be executed
this Asset Purchase Agreement as of the Agreement Date
SELLER
VCNA Prestige Concrete Products, Inc
By
rent Name----��n�c� ` ' �( r1 r
Print Title T re S `C� 641�
STATE OFF NONK OarUlrr►a,
COUNTY OF jars Wla
I certify that the following person personally appeared before me this day,
acknowledging to me that [he/she)voluntarily signed the foregoing Asset Purchase Agreement
for the purposes stated therein and in the capacity indicated
Scimin T. M un rd
Date
Notary ubhc
{Of)`icral Seal) _j f of,
P rl
Print Name of Notary
LYDIA Y FLEEMAN
NOTARY PUBLIC My commission expires
ALAMANCE CO, NC
t
0129310001491391554 vl 1

IN WITNESS WHEREOF, the undersigned party has executed or caused to be executed
this Asset Purchase Agreement as of the Agreement Date
CHANDLER CONCRETE/PIEDMONT, INC
By �� l� G`It
Print Name � 45- L'.i armed lne JR.
Print Title i219s1 d".a4-
STATE OF NORXH CAROLINA
COUNTY OF I-jjaftW?jCE
I certify that the following person personally appeared before me this day,
acknowledging to me that [he/she] voluntarily signed the foregoing Asset Purchase Agreement
for the pKWIAg,
es stated therein and in the capacity indicated
F F' if
Date _ q" rQ - aQ IAlm&r�—
Not Publ
(Official Seal)
w
MANLIC, NC
L O�rGt Y Pe)Pfi,-q4
Print Rame of Notary
My commission expires IV- 7- o241 g
012931 0001491391554 vl 1

MC®ENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Pat McCrory, Governor John E Skvarla, III, Secretary
April 1, 2014
Mr Tom Long
VCNA Prestige Concrete Products, Inc
2865 Lowery Street
Winston Salem, NC 27101
Subject General Stormwater Permit Inspection NPDES Permit No NCG140419
VCNA Prestige Concrete Products, Forsyth County
Dear Mr Long
On March 24, 2014, Sue White of this office performed a Stormwater Permit Inspection
at VCNA Prestige Concrete Products, Inc, located at 2865 Lowery Street, Winston Salem, NC
in Forsyth County This facility holds General Stormwater Permit No NCG140419 to discharge
Stormwater from activities associated with Ready Mix Concrete under the National Pollutant
Discharge Elimination System (NPDES)
1 Permit
The permit became effective July 1, 2011 and expires June 30, 2016
2 Records/Reports
During the inspection, it was determined that your facility has a developed Stormwater Pollution
Prevention Plan (SPPP) The SPPP was not organized in a manner that made the
information readily available It was discussed that the binder would be organized so
that employees and State Inspectors would be able to find the various components of the
plan
3 Facility Site Review
This site is a concrete ready mix plant with a recycle system for their wastewater The site is
well cared for and it is obvious that the owners and employees implement permit requirements
This facility has one outfall, which is identified in the SPPP
4 Effluent/Receiving Waters
Stormwater and occasional treated wastewater from the property discharges to Salem Creek
(Class C waters) in the Yadkin Pee Dee River Basin
5 Self -Monitoring Program
It was determined during the inspection that you have been performing the analytical self -
monitoring requirements of the General Permit for Stormwater Monitoring requirements for
qualitative monitoring at each stormwater discharge outfall and the wastewater discharge were
discussed Both types of stormwater monitoring must be done once per each 6 month period
and the wastewater discharge monitoring must be done quarterly All analytical monitoring
Winston Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27101 a Phone [phone] FAX [phone]

VCNA Prestige Concrete Products, Inc
4/1/2Q14
Page 2 of 2
results from stormwater and wastewater must be submitted to the Raleigh address as
shown on the forms
All other factions of this inspection were satisfactory This office appreciates the approach
VCNA Prestige Concrete Products, Inc takes in maintaining compliance at this site If you have
any questions concerning this letter or the attached inspection report, please contact Sue White
or me at (336) 771-5CD0
Sincerely,
Matthew E Gantt, PE
Regional Engineer
Land Quality Section
Attachments
BIMS Inspection Checklist
CC Nonpoint Source Assistance and Compliance Oversight Unit
Division of Land Quality — WSRO
a

1
Compliance Inspection Report
Permit NCG140419 Effective 11/18/11 Expiration 06/30/16 Owner Vcna Prestige Ready Mix
SOC Effeclive Expiration Facility VCNA Prestige Ready Mis
County Forsyth 2865 Lowery St
Region Winston-Salem
Winston Salem NC 27101
Contact Person Tom Long Title Phone [phone]
Directions to Facility
System Classifications
Primary ORC
Secondary ORC(s)
On Site Representative(s)
Related Permits
Inspection Date 03/24/2014
Primary Inspector Sue White
Secondary Inspector(s)
Certification
Entry Time 01 00 PM Exit Time 02 30 PM
Phone
Phone [phone]
Reason for Inspection Complaint Inspection Type Compliance Evaluation
Permit Inspection Type Ready Mix Concrete Stormwater[Wastewater Discharge
COC
Facility Status ® Compliant ❑ Not Compliant
Question Areas
WStorm Water
(See attachment summary)
Page 1

Permit NCG140419 Owner Facility Vcna Prestige Ready Mix
Inspection Date 03/24/2014 Inspection Type Compliance Evaluation Reason for Visit Complaint
Inspection Summary
Wage 2

n
4ii
Permit NCG140419 Owner Facility Vcna Prestige Ready Mix
Inspection Date 03/24/2014 Inspection Type Compliance Evaluation Reason for Visit Complaint
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
M 0
❑ ❑
# Does the Plan Include a General Location (USGS) map?
®❑
❑ ❑
# Does the Plan include a Narrative Description of Practices 9
®❑
❑ ❑
# 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?
® n
n ❑
# Has the facility evaluated feasible alternatives to current practices?
® n
n Cl
# Does the facility provide all necessary secondary containment?
IN ❑
n ❑
# Does the Plan include a BMP summary?
® n
n p
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
® n
n C]
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
®❑
❑ ❑
# Does the facility provide and document Employee Training?
®❑
❑ ❑
# Does the Plan include a list of Responsible Party(s)?
®❑
❑ ❑
# is the Plan reviewed and updated annually?
®❑
❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
®❑
❑ ❑
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?
®❑
Cl ❑
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? ❑ ❑ In ❑
Comment
Permit and Outfalls
Yes
No
NA
NE
# is a copy of the Permit and the Certificate of Coverage available at the site?
Es
❑
n
# Were all outfalls observed during the inspection?
®❑
❑
❑
# If the facility has representative outfall status is it properly documented by the Division?
®
n
I]
D
# Has the facility evaluated all Illicit (non stormwater) discharges?
®
n
n
❑
Comment
Page 3

Ra•,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr Tom Long
VCNA Prestige Ready Mix
2865 Lowery Street
Winston Salem, NC 27101
Dear Mr Long
Coleen H Sullins
Director
November 18, 2011
YCCCitiVtU
N 0 Dept of ENR S
NOV 21 2011
Winston sa€em
Regional Office
Subject General Permit No NCG140000
VCNA Prestige Ready Mix
COC No NCG140419
Forsyth County
In accordance with your application for a discharge permit received on October 14, 2011,
we are forwarding herewith the subject certificate of coverage (COC) 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 October 15, 2007 (or as
subsequently amended)
Please note that NCG140000 contains effluent limitations for process wastewater
discharges (see Part IV, Section D) Those limits are currently 6-9 S U for pH (when
discharging to freshwaters), 6 8-8 5 S U for pH (when discharging to saltwaters), 30 mg/L for
TSS, 20 mg/L for TSS (when discharging to HQW waters), 10 mg/L for TSS (when discharging
to Trout and PNA waters), 5 mL/L for Settleable Solids, and 50% of the Summer 7Q 10 Flow for
discharges to HQW waters Wastewater discharges must meet the requirements of these
effluent limitations An exceedence of any of these limitations will result in a violation of the
permit conditions
Please note that groundwater standards in 15A NCAC 02L and 02T regulations must also
be met for recycle systems or any discharges to groundwater
Please take notice that this certificate of coverage is not transferable except after notice to
the Division of Water Quality The Division of Water Quality 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 the Division of Water Quality 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
Wetiands and Stormwater Branch
1617 Mall Service Center Ralegh North Caroima 27699 1617
Location 512 N Salisbury St Raleigh North Carolina 27604
Phone [phone] FAX [phone] Customer Service 1 877-623 6748
Internet www ncwaterquahty org
One
NorthCarolirta
Naturally
an
An Equal OpportunilylAffirmative Action Employer

Mr Tom Long
VCNA Prestige Ready Mix
NCG 144361
Please note that permit requirements in Part II, Section A, numbers 1-5, and Part II, Section B,
number I are no longer valid per NC Session Law 2011-394 However, note that Part II, Section
A, number 6, and Part I1, Section B, numbers 2-10 are unaffected by this Session Law Those
sections will remain in,effect for the duration of this permit term Please be reminded that your
facility must notify the'appropriate DWQ Regional Office at least 72 fours in advance of
operation of your wastewater treatment facility
If you have any questions concerning this permit, please contact Brian Lowther at telephone
number [phone]
Sincerely,
for Coleen H Sullins
cc Winston Salem=Rcgional:Office
Central Files
Stormwater Permitting Unit Files
enclosure

4—
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO NCG140000
CERTIFICATE OF COVERAGE No NCG140419
STORMWATER AND PROCESS WATER 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,
VCNA Prestige Ready Mix
is hereby authorized to discharge stormwater and process wastewater from a facility located at
VCNA Prestige Ready Mix
2865 Lowery Street
Winston-Salem
Forsyth County
to receiving waters designated as an unnamed tributary to Salem Creek, a class C water in
theYadkin River Basin, in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, 1I, III, IV, V, and VI of General Permit No NCG140000 as
attached
This certificate of coverage shall become effective November 18, 2011
This Certificate of Coverage shall remain in effect for the duration of the General Permit
Signed this day November 18, 2011
for Coleen H Sullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission

LOCATION MAP
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NCG140419
N
w E
S
Map Scale 1 ,24, 000
VNCA Prestige Ready Mix
Latitude 360 05' 55" N
Longitude 800 11' 50" W
County Forsyth
Receiving Stream Salem Creek (UT) 12-94-12-(4)
Stream Gass C
River Basin Yadkin -Pee Dee
Facility Location

I k ,,
Lowther, Brian
From
Boone, Ron
Sent
Thursday, November 10, 2011 1 13 PM
To
Lowther Brian
Subject
RE SW General Permit NCG140419
Follow Up Flag
Follow up
Flag Status
Flagged
Issue the COC pleases Thanksi
1 7,
Ron
i
Ron Boone
NC DENR Winston Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Voice [phone]
FAX [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties
From Lowther, Brian
Sent Monday, October 31, 2011 12 29 PM
To Boone, Ron
Subject SW General Permit NCG140419
Ron,
We ve received an NOI from VCNA Prestige Ready Mix in Forsyth County for coverage under a
NCG14 The site discharges commingled wastewater and stormwater to an unnamed tributary to
Salem Creek (C) The NOI is attached We used review the plans for the wastewater treatment
but a new law was passed that does not allow us to issue an ATC Therefore, I looked over the
Plans but I will not be issuing an ATC for this project
Please let me know if the Winston Salem Regional Office has any concerns about issuing this
facility a COC for this general permit, and are there any potential impacts to wetlands? If
we don t receive any ob]ections, we'll issue the COC an 30 days
Thanks,
Brian
Brian C Lowther
Environrnental Engineer
NCDENR I DWQ I Stonnwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N Salisbury St, Raleigh, NC 27604
�, t 1

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+ � 1
C
Phone [phone]
`y Email briar _IoNy1hLI L0I1CdL€ i 4goy
Webslte http /lportaf-ncdenr orWweb/wq/ws/su
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
La -A and may be disclosed to third parties

ArTK WA
4 : * Division of Water Quality / Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
C.A0U_ D � or
EMnRo. mi wo N.An R. ResouRCL
NCG140000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year
Manth
r)a
Certificate of overage
4
Check k Amount
i 4'l0 ►a ,
Permu Assi ned to
w r
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG140000
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as
SIC (Standard Industrial Classification) Code 3273 and like activities - Ready Mixed Concrete
Treatment facilities used to treat or recycle process wastewater that discharge to surface waters require
an ATC prior to construction per 95A NCAC 2M 0138 The Authorization to Construct or Operate may
be applied for, and subsequently Issued at the same time as the Certificate of Coverage (COC) for the NCG14
permit Design of treatment facilities must comply with requirements of 15A NCAC 2H 0138 & 0139
For new plant sites that will discharge process wastewater (even if commingled with stormwater) This NOI
may also be an APPLICATION FOR Authorization to Construct (ATC) wastewater treatment facilities
ATC requests must be submitted at least 90 days prior to construction'
For existing plant sites discharging process wastewater (even if commingled with stormwater) This NOI may
also be an APPLICATION FOR Authorization to Operate wastewater treatment facilities Construction,
modification, or installation of any new treatment components at an existing site requires an ATC
If your facility discharges wastewater to surface water, construction or operation of wastewater
treatment facilities at new or existing sites requires submission of three (3) sets of plans and
specifications signed and sealed by a Professional Engineer (P E ) or qualified staff2 along with this
application A copy of the design calculations should be included Please see questions 10-17 for more details
For questions, please contact the DWQ Regional Office for your area (See page 6)
(Please print or type)
✓ 1) Mailing address of ownerloperator (address to which all permit correspondence will be mailed)
Owner Name VCNA Prestige Ready Mix
Street Address 2865 Lowery Street
City Winston-Salem State NC ZIP Code 27101
Telephone No 336 287-9401 Fax [phone]
2) Location of facility producing discharge
Facility Name
Facility Contact
Street Address
City
Telephone No
VCNA Prestine Readv Mix
Tom Lonq --- - -- -
2865 Lowery Street-
Winston-Salem State NC ZIP Code 27101
336 287-9401 Fax [phone]
I As per 15A NCAC 2i-i 0106 6
2 Unless treatment facilities are designed constructed aMput itakp2gAn by employees intemai to the company who are qualified to
perform such work fortheir respective companies in accordance with General Statutes 89C 25 (7) plans and specifications must be signed
and sealed by a P E DENR WATERQUALITY
WETWVD5AND 5TMMWMER WXH

fo
T

NCG140000 N O 1
3) Physical location information
Please provide narrative directions to the facility (use street names, state road numbers, and distance and
direction from a roadway intersection) From 1-40_Business _East, take Exit 7 onto_ Lowery Street Turn left
at stop sign off_ exit onto -Lowery -St _ Travel approximately 0 3 miles east and VCNA is on left
(A copy of a county map or USGS quad sheet with facility dearly located on the map is a required part of this application )
' 4) Latitude 360 05' 55" North Longitude - 80011' 50" West (deg, min, sec)
5) This NPDES Permit Application applies to the following (check all that apply)
❑ New or Proposed Facility Date operation is to begin
® Existing Facility
Application for ATC
Permit # No permit has ever been issued at facility
❑ Application for ATO
Q(16) Consulting Engineer's (or other qualified design staffs) application information
r 4pk Consulting Engineer Joshua A_ Crumpler, P E
Consulting Firm Kleinfelder Southeast. Inc
Mailing Address 3500 Gateway Centre Blvd , Suite 200
City Morrisville
State North Carolina Zip Code 27560
Phone ( 919 ) 755-5011 Fax (919 ) 755-1414
Email JCrumplerakleinfelder com
(Optional)
Staple Business Card Here
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary
industrial activity at this facility
SIC Code 3 2 7 3
8) Provide a brief description of the types of industrial activities and products produced at this facility
(Attach a site diagram showing the process areas present at this facility)
The facility manufactures ready mixed concrete by mixing aagreaates. Portland cement. fly ash, and chemical
additives to create concrete
Stormwater Dischame, Wastewater Treatment & Discharge and Permitting Information
9) Discharge points 1 Receiving waters
Number of discharge points (ditches, pipes, channels, etc ) that convey stormwater and/or wastewater from
the property
Stormwater-only Wastewater -only Wastewater Commingled with Stormwater One
What is the name of the body or bodies of water (creek, stream, river, lake, etc ) that the facility stormwater
and/or wastewater discharges end up in? Outfalis into unnamed tributary to Salem Creek, which flows to
Muddy Creek which discharges into the Yadkin River
Receiving water classification(s), if known Class C
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e g City of Raleigh municipal storm sewer)
Will this facility discharge wastewater to SA (Shellfishing) waters? ❑ Yes ® No
Note Discharge of process wastewater to receiving waters classified as WS-II to WS-V or SA must
be approved by the N C Dept of Environmental Health If DEH does not approve, coverage
under NCG140000 cannot be granted No new discharges of process wastewater are permitted
in receiving waters classified as WS-I or freshwater ORW

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NCG140000 N O 1
Wastewater
' 10) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater
Generate
Discharge
Sent to WW
Treatment
System
Vehicle and equipment cleaning (VE
®
❑
Wetting of raw material stockpiles RM
®
❑
Mixing drum cleaning (MD)
®
❑
Further explanation, if necessary
11) Will your facility spray -down or actively wet aggregate piles?
❑ No ® Yes
12) Does the facility use any of the following on site?
❑ Phosphorus -containing Detergents
❑ Brighteners ❑ Other Cleaning Agents
® Non -Phosphorus -containing Detergents
❑ Other
13) Are wastewater treatment facilities planned in the 100-year flood plain?
® No ❑ Yes
If yes include information to demonstrate protection from flooding (Minimum design requirements for
treatment works include protection from the 100-year flood, per 15A NCAC 2H 0219 )
" 14) Does your facility use or plan to use a recycle system, or recycle components In your treatment system?
® Yes ❑ No
If yes what size storm event is the system designed to hold before overflowing? (for example, 10-yr, 24-hr)
10 year, l0-min rainfall event =P 60 - 0/d�f�c��afc� mu/f./o% 0/ saare r �er�ear
�k'- 15) Will your facility build closed -loop recycle system that meets design requirements in 15A NCAC 02T
jr 1000 and hold your facilities' working volume'?
® Yes ❑ No S-s� 24 2,scr
Will your facility discharge wastewater to surface waters?
® Yes ❑ No
if the facililys treatment system meets the design requirements of 15A NCACO2T 1000 (including
�b holding the 25-year, 24-hour storm plus one foot of freeboard), holds the working volume of your site,
and does not discharge wastewater to surface waters you may not be required to obtain an NPDES
permit for wastewater discharges If you believe this is the case please contact DWO s Aquifer Protection
Section Land Application Unit Central Office Supervisor or staff (1636 Mail Service Center, Raleigh, NC
27699-1636) for more information on obtaining the necessary permits or approvals if you will discharge
wastewater or stormwater to surface waters, please continue to apply for a permit to discharge associated
with ready -mixed concrete or like operations under NCG140000 For further questions, please contact
DWQ's Stormwater Permitting Unit Staff Also see questions 16 and 17
3 See DWQ s Aquifer Protecbon Section Land Application Unit s Water Balance Calculation Policy for more information, on DWQ LAU s
website htta lloortal ncdenr orolweblwolaos/laulooiaes for more information

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NCG140000 N O 1
16) A wastewater treatment alternatives review is required by 15A NCAC 2H 0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina You may attach additional sheets
•a) What wastewaters were considered for this alternatives review? ❑ VE ❑ RM ❑ MD
b) Connection to a Municipal or Regional Sewer Collection System
i) Are there existing sewer lines within a one -mile radius? ® Yes ❑ No
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? ® Yes ❑ No
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater
(b) If Yes is it feasible to connect to the WWTP? Why or why not?* The fees associated with
discharging to the WVVTP exceed the installation and maintenance costs of constructing on -
site process wastewater appurtenances due to the fact that much of the process wastewater
is commingled with stormwater
c) Closed -loop Recycle System (must meet design requirements of 15A NCAC 2T 1000
i) Are you already proposing aclosed-loop recycle system (GCBs)? See question 1 ® Yes ❑ o
(1) If Yes, contact DWQ's Aquifer Protection Section's Land Application Unit (see estion 1
�nQI (2) If No, is this option technologically feasible (possible)? Why or why not?*
13
0-� 5 5
�D
(3) If No is it feasible to build a CLRS on your site? Why or why not?*
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?*
d) Surface or Subsurface Disposal System (e g , spray irngation)
i) Is a surface or subsurface disposal technologically feasible (possible)? © Yes ® No
Why or Why not? Not enough usable land area for spray irrigation
u) Is a surface or subsurface disposal system feasible to implement?* ❑ Yes ® No
Why or Why not? Not enough usable land area for spray irrigation
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?* Not enough usable land area for spray irrigation
e) Direct Discharge to Surface Waters Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?* ®Yes ❑ No
i) if No contact DWQ s Land Application Unit to determine permitting requirements (See Question 14)
✓ f) If this review included all wastewater discharge types, would excluding some types (e g raw
stockpile wetting) make any of the above non -discharge options feasible? © Yes ® No
* You may be asked to provide further information to support your answers to these questions after the initial review
Feasibility should take into account initial and ►ecumng costs
17) Does your plant discharge process wastewater to surface waters? 0 Yes ❑ No

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NCG140000 N O 1
Vok'al
Sp
X iv
When applying for this permit, you may also concurrently apply for an Authorization to Construct
(ATC) (for new treatment facilities) or Authorization to Operate (ATO) (for existing treatment facilities),
or you may apply at a later date However, an ATC from DWQ's Stormwater Permitting Unit is required to be
obtained pnor to construction of wastewater treatment facilities that discharge to surface waters
AMATO application information is as follows
For new sites, you must submit three (3) sets of design plans and specifications with this
application (signed, sealed and stamped by a Professional Engineer (P E ) or qualified staW) and
provide supporting calculations that predict compliance of final discharge with permit limits A copy of
the design calculations should be included
For existing sites applicants must submit three (3) sets of plans, specs for facilities as-builts
(signed, sealed and stamped by a Professional Engineer (P E ) or qualified staff) Provide as
many design details as possible A copy of the design calculations should be included
Applications for ATC or ATOs shall include (Attach separate sheet(s))
• A detailed diagram of treatment systems in place, including design specifics such as
o tank volumes
o dimensions
o retention time
o surface are
o working volume
Stormwater
o piping
o settling basin details
o any other pertinent design information
Water balance equations for treatment systems and holding ponds (inputs outputs, rates)
Rainwater use in mix (rate and volumes), if applicable
Calculations to demonstrate compliance with permit effluent limits (pH — 6-9 SU Total Suspended
Solids (TSS) — 30 mgA and Settleable Solids (SS) — 5 mUl)
18) Does then-facil employ any best management practices for Stormwater control?
2 oN ❑ Yes
d I please-brteflym epscribe BMPs are detailed in the attached Stormwater Pollution Prevention Plan
„ 19) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No ® Yes
If yes, when was it implemented? July 2011
f 20) Are vehicle maintenance activities (VMA) occurring or planned at this facility?
f■ ►iR�=t7R-
If yes does your VMA area discharge into your wastewater treatment device? ® No ❑ Yes
Other/Permitting
,, 21) Does this facility have any other NPDES permits?
® No ❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility
A Unless treatment facilities are designed constructed and put into operation by employees internal to the company who are qualified to
perform such work for their respective companies in accordance with General Statutes 89C-25 (7) plans and speafications must be signed
and sealed by a P E
5 Unless treatment facilities are designed constructed and put into operation by employees internal to the company who are qualified to
perform such work for their respective companies in accordance with General Statutes 89C-25 (7) plans and specifications must be signed
and sealed by a P E

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NCG140000 N O 1
♦ 22) Does this facility have any Non -Discharge permits (ex recycle permits)?
® No ❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility
✓ 23) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
® No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility
24) Hazardous Waste
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
® No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg or more of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
d) Type(s) of waste
How is material stored
Where is material stored
How many disposal shipments per year
Name of transport / disposal vendor
Vendor address
Final Checklist
This application will be returned as incomplete unless all of the following items have been included
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documentation (including design details, water balance
equations, and calculations for treatment systems) — see Question 17
'S'a ❑ If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR)
or local designee documentation verifying applicant has developed and submitted that Plan to the
governing agency (required per 15A NCAC 02H 0138)
IKA ❑ For new sites (or sites that will install new treatment facilities) Three (3) copies of plans and specifications
for wastewater treatment facilities (including recycle system components), signed and sealed by a
Professional Engineer or qualified staff meeting requirements of G S 89C-25 (7) — see Question 17
{ ❑ For existing sites three (3) copies of plans and specifications for wastewater treatment facilities
1 (including recycle system components) as built, stamped and sealed by a Professional Engineer, or (only if
plans not available) a detailed diagram of treatment systems in place that includes information such as tank
volumes, dimensions, retention time, piping, settling basin details, etc —see Question 17
❑ A site map showing, at a minimum, (existing or proposed)
(a) outline of drainage areas, (b) stormwater/wastewater treatment structures, (c) location of
stormwaterlwastewater outfalls (corresponding to which drainage areas), (d) runoff conveyance structures,
(e) areas where materials are stored (f) impervious areas, and (g) site property lines
❑ A county map or USGS quad sheet with location of facility clearly marked

NCG140000 N O 1
25) Certification
North Carolina General Statute 143-215 6 B(i) provides that
Any person who knowingly makes any false statement representation or certification in any application record report plan or other
document filed or required to be maintained under this Article or a rule implementing this Article or who knowingly makes a false
statement of a matenal fact in a rulemaking proceeding or contested case under this Article or who falsifies tampers with or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Arbcle or rules of the
[Environmental Management) Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10 000)
I hereby request coverage under the referenced General Permit I understand that coverage under this
permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as
an individual permit
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate
Printed Name of Person Signing �NA.a1r6 Lorlq_
Title Ci 4w.,jrjcR I
(Signature of
so 0 iI
IF
(Date geed)
Notice of Intent must be accompanied by a check or money order for $100 00 made payable to NCDENR
Mail the entire package to
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit
For questions, please contact the DWQ Regional Office for your area
DWQ Reatonal Office Contact Information
Asheville Office
[phone]
Fayetteville Office
[phone]
Mooresville Office
[phone]
Raleigh Office
[phone]
Washington Office
[phone]
Wilmington Office
[phone]
Winston-Salem
[phone]
Central Office
[phone]

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NCDENRNational Pollutant Discharge Elimination System
rb,r "
NCG140000
NOTICE OF I ENT
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National Pollutant Discharge Elimination System application for coverage under General Permit
NCG140000
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as
SIC (Standard Industrial Classification) Code 3273 and like activities - Ready Mixed Concrete
Treatment facilities used to treat or recycle process wastewater that discharge to surface waters require
an ATC prior to construction per 15A NCAC 2H 0138 The Authorization to Construct or Operate may
be applied for, and subsequently issued at the same time as the Certificate of Coverage (COC) for the NCG14
permit Design of treatment facilities must comply with requirements of 15A NCAC 2H 0138 & 0139
For new plant sites that will discharge process wastewater (even if commingled with stormwater) This NOI
may also be an APPLICATION FOR Authorization to Construct (ATC) wastewater treatment facilities
ATC requests must be submitted at least 90 days prior to construction'
For exlst►nsa plant sites discharging process wastewater (even if commingled with stormwater) This NOI may
also be an APPLICATION FOR Authorization to Operate wastewater treatment facilities Construction,
modification, or installation of any new treatment components at an existing site requires an ATC
If your facility discharges wastewater to surface water, construction or operation of wastewater
treatment facilities at new or existing sites requires submission of three (3) sets of plans and
specifications, signed and sealed by a Professional Engineer (P E ) or qualified staff along with this
application A copy of the design calculations should be included Please see questions 10-17 for more details
For questions, please contact the DWO Regional Office for your area (See page 6)
(Please print or type)
1) Mailing address of ownerloperator (address to which all_perm€t corresoondence will be mailed)
Owner Name VCNA Prestige Ready Mix _
Street Address 286.5Lowery Street
City Winston-Salem _ , , State N-Q ZIP Code 27101
Telephone No 336 287-9401 Fax [phone]
2) Location of facility producing discharge
Facility Name VCNA Prestige Ready Mix _!
Facility Contact TQ Long
Street Address 2865 Lowery Street
City Winston-Salem _ State NC ZIP Code 27101
Telephone No 336 2,§7-94Q1 Fax [phone]
' As per 15A NCAC 2H 0108 (��'
2 Unless treatment facllrties are designed constructed atlst �ut AtddoplWn by employees internal to the company who are qualified to
perform such work for their respective companies in accordance with General Statutes 89C 25 (7) plans and specrtmatrons must be signed
and sealed by a P E DENR WATER QUALITY
WETLAt NAND ST4RMTIAT55RA1 W

LIN
NCGI40000 N O 1
3) Physical location information
Please provide narrative directions to the facility (use street names, state road numbers and distance and
direction from a roadway intersection) From 1-40 suginess Ealt take Exit 7 onto Lowery Street Turn left
at stop s1.qn_9ff exit onto Lowe St. Travel a roximatel 0 3 miles east and VCNA Is on left
(A copy of a county map or USGS quad sheet with facility dearly located on the map Is a required part of this application )
4) Latitude 36' 05' 55" North Longitude - $01)111501, West_ ,_,_, (deg, mfn, sec)
5) This NPDES Permit Application applies to the following (check all that apply)
❑ New or Proposed Facility Date operation is to begin
Permit # No permit has ever been issued at facility
❑ Application for ATO
® Existing Facility
® Application for ATC
6) Consulting Engineer's for other qualified design staffs) application information
Consulting Engineer Joshua A Crumpler, P E I —
Consulting Firm Kleinfelder Southeast, Inc
Mailing Address 3500 Gateway Centre Blvd , Suite 200
City Momsville
State North Carolina Zip Code 27560
Phone (919 ) 755-5011 Fax [phone]
Email _JCrumpler(ftleinfelder corn
(Optional)
Staple Business Card Here
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary
Industrial activity at this facility
SIC Code 3 2 7 3
8) Provide a brief description of the types of industrial activities and products produced at this facility
(Attach a site diagram showing the process areas present at this facility )
The facility manufactures readv mixed concrete by mixina aaareaates. Portland cement. fTv ash. and chemical
additives to create concrete
Stormwater Discharge, Wastewater Treatment & Discharge and Permitting information
9) Discharge points i Receiving waters
Number of discharge points (ditches, pipes, channels, etc) that convey stormwater and/or wastewater from
the property
Stormwater-only Wastewater -only Wastewater Commingled with Stormwater One
What is the name of the body or bodies of water (creek, stream, river, lake, etc ) that the facility stormwater
and/or wastewater discharges end up in? Outfalls into unnamed tributary to Salem Creek which flows to
Muddy Creek which discharges into the Yadkin River
Receiving water classtfication(s), if known Class C
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e g City of Raleigh municipal storm sewer)
Will this facility discharge wastewater to SA (Shellfishing) waters? ❑ Yes ® No
Note _ Discharge of process wastewater to receiving waters classified as W5-I1 to WS-V or SA must
be approved by the N C Dept of Environmental Health If DEH does not approve, coverage
under NCG140000 cannot be granted No new discharges of process wastewater are permitted
in receiving waters classified as WS-I or freshwater ORW

NCG140000 N O 1
Wastewater
10) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater
Generate
Discharge
Sent to WW
Treatment
System
Vehicle and equipment cleanin VE
®
❑
Wetting of raw material stockpiles RM
®
❑
R
Mixing drum cleaning MD
®
❑
IR
Further explanation if necessary
11) Will your facility spray -down or actively wet aggregate piles?
❑ No ® Yes
12) Does the facility use any of the following on site?
❑ Phosphorus -containing Detergents
❑ Brighteners ❑ Other Cleaning Agents
® Non -Phosphorus -containing Detergents
❑ Other
13) Are wastewater treatment facilities planned In the 100-year flood plain?
® No ❑ Yes
If yes, include information to demonstrate protection from Flooding (Minimum design requirements for
treatment works include protection from the 100-year flood, per 15A NCAC. 2H 0219 )
14) Does your facility use or plan to use a recycle system, or recycle components In your treatment system?
® Yes ❑ No
If yes, what size storm event is the system designed to hold before overllowing2 (for example, 10-yr, 24-hr)
10 year, 10-min rainfall event
Wr2- 15) Wi11 your facility build a closed -loop recycle system that meets design requirements in 15A NCAC 027''
1000 and hold your facilities' working volume'?
® Yes ❑ No
Will your facility discharge wastewater to surface waters?
® Yes ❑ No
If the facililys treatment system meets the design requirements of 15A NCACO2T 1000 (including
holding the 25-year, 24-hour storm plus one foot of freeboard), holds the working volume of your site,
and does not discharge wastewater to surface waters you may not be required to obtain an NPDES
permit for wastewater discharges if you believe this is the Case, please contact DWQ's Aquifer Protection
Section Land Application Unit Central Office Supervisor or staff (1636 Mail Service Center Raleigh NC
27699-1636) for more information on obtaining the necessary permits or approvals if you will discharge
wastewater or stormwater to surface waters, please continue to apply for a permit to discharge associated
with ready -mixed concrete or like operations under NCG140000 For further questions, please contact
DWQ s Stormwater Permitting Unit Staff Also see questions 16 and 17
3 See DWQ a Aquifer Protection Section Land Application Unit s Water Balance Calculation Policy for more information on DWQ LAU s
w bsite httn Ilnortal ncdenr oroAvehMa/aositauIoollcies for more information

NCG140000 N O 1
16) A wastewater treatment alternatives review is required by 15A NCAC 2H 0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina You may attach additional sheets
a) What wastewaters were considered for this alternatives review? ❑ VE= ❑ RM ❑ MD
b) Connection to a Municipal or Regional Sewer Collection System
i) Are there existing sewer tines within a one -mile radius? I ® Yes ❑ No
(1) If Yes will the wastewater treatment plant (WWTP) accept the wastewater? ® Yes ❑ No
(a) If No, please attach a letter documenting that the WVVTP will not accept the wastewater
(b) €f'Yes is it feasible to connect to the WWTP? Why or why non* The fees_associate.0. Vkh
dischargng to the WWTP exceed the rnstallgbon and maintenance costs of construct
site process wastewater appurtenances due to the fact that much of_the _process w_astew_ ater
is commingled with stormwater
c) Closed -loop Recycle System (must meet design requirements of 15A NCAC 2T 1000)
Are you already proposing a closed -loop recycle system (CLRS)? See question 15 ® Yes ❑ No
(1) If Yes, contact DWQ's Aquifer Protection Section's Land Application Unit (see question 15)
(2) If No is this option technologically feasible (possible)? Why or why not9*
(3) If No, is it feasible to build a CLRS on your site? Why or why non*
(4) What is the feasibility of budding a CLRS compared to direct surface water discharge?*
d) Surface or Subsurface Disposal System (e g , spray irrigation)
i) Is a surface or subsurface disposal technologically feasible (possible)? ❑ Yes ® No
Why or Why not? Not enough usable land area for spray irrigation
u) is a surface or subsurface disposal system feasible to implement?* ❑ Yes ® No
Why or Why not? Not enough usable land area For spray irrigation
ni) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?* Not enough usable land area for spray irngation
e) Direct Discharge to Surface Waters is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?* ®Yes ❑ No
i) if No, contact DWQ s Land Application Unit to determine permitting requirements (See Question 14)
f) If this review included all wastewater discharge types, would excluding some types (e g raw
stockpile wetting) make any of the above non -discharge options feasible? ❑ Yes ® No
* You may be asked to provide further information to support your answers to these questions after the initial review
Feasibility should take into account initial and recurring costs
17) Does your plant discharge process wastewater to surface waters? 0 Yes ❑ No

W rA-T
NCG140000 N O 1
When applying for this permit you may also concurrently apply for an Authorization to Construct
(ATC) (for new treatment facilities) or Authorization to Operate (ATO) (for existing treatment facilities),
or you may apply at a later date However, an ATC from DWQ s Stormwater Permitting Unit is required to be
obtained prror to construction of wastewater treatment facilities that discharge to surface waters
AMATO application inforrnahon is as follows
For new sites, you must submit three (3) sets of design plans and specifications with this
application (signed, sealed and stamped by a Professional Engineer (P E ) or qualified staff) and
provide supporting calculations that predict compliance of final discharge with permit limits A copy of
the design calculations should be included
For existing sites, applicants must submit three (3) sets of plans, specs for facilities as -bunts
(signed, sealed and stamped by a Professional Engineer (P E ) or qualified staff) Provide as
many design details as possible A copy of the design calculations should be included
Applications for ATC or ATOs shall include (Attach separate sheet(s))
• A detailed diagram of treatment systems in place including design specifics such as
o tank volumes
o dimensions
c retention time
o surface are
o working volume
,U Piping
o settling basin details
o any other pertinent design information
• Water balance equations for treatment systems and holding ponds (inputs, outputs rates)
• Rainwater use in mix (rate and volumes), if applicable
Cafcufahons to demonstrate compliance with permit effluent limits (pH -- 6-9 SU Total Suspended
Solids (TSS) — 30 mgd and Settleable Solids (SS) — 5 mM)
Stormwater
18) Does this facility employ any best management practices for Stormwater control?
® No ❑ Yes
If yes, please briefly describe BMPs are detailed In the attached Stormwater Pollution Prevention Plan
19) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No ® Yes
If yes, when was it implemented? July 2011
20) Are vehicle maintenance activities (VMA) occurring or planned at this facility?
❑ No ®Yes
If yes, does your VMA area discharge into your wastewater treatment device? ® No ❑ Yes
OttterlPeoltting
21) Does this facility have any other NPDES permits?
® No ❑ Yes
If yes list the permit numbers for all current NPDES permits for this facility
4 Unless treatment facilities are designed, constnx;ied and put onto operation by employees internal to the company who are qualified to
perform such work for their respective companies in accordance with General Statutes M-25 (7) plans and specifications must be signed
and sealed by a P E
5 Unless treatment fao ties are designed constructed and put into operation by employees internal to the company who are qualified to
perform such work for their respec twe companies in accordance with General Statutes 89C 25 (7) plans and specifications must be signed
and sealed by a P E

NCG140000 N O 1
22) Does this facility have any Non -Discharge permits (ex recycle pesrniits)?
® No ❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility
23) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
® No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility
24) Hazardous Waste
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
® No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg of hazardous waste generated per month) of
hazardous waste?
® No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg or more of hazardous waste generated per month) of
hazardous waste?
0 No ❑ Yes
d) Type(s) of waste
How is material stored
Where is material stored
How many disposal shipments per year
Name of transport / disposal vendor,
Vendor address
Final Checklist
This application will be returned as Incomplete unless all of the following items have been included
D Check for $100 made payable to NCDENR
❑ This completed application and all supporting documentation (including design details, water balance
equations, and calculations for treatment systems) — see Question 17
O If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR)
or local designee documentation verifying applicant has developed and submitted that Plan to the
goveming agency (required per 15A NCAC 02H 0138)
vkaf
❑ For new sites (or sites that will install new treatment facilities) Three (3) copies of plans and specifications
for wastewater treatment facilities (including recycle system components), signed and sealed by a
Professional Engineer or qualified staff meeting requirements of G S 89C-25 (7) — see Question 17
a'- ❑ For existing sites three (3) copses of plans and specifications for wastewater treatment facilities
VA (including recycle system components) as built, stamped and sealed by a Professional Engineer, or (only if
plans not available) a detailed diagram of treatment systems in place that includes information such as tank
volumes, dimensions retention time, piping settling basin details, etc — see Question 17
D A site map showing, at a minimum, (existing or proposed)
(a) outline of drainage areas, (b) stormwaterlwastewater treatment structures, (c) location of
stormwaterlwastewater outfalls (corresponding to which drainage areas) (d) runoff conveyance structures,
(e) areas where materials are stored, (f) impervious areas, and (g) site property lines
D A county map or USGS quad sheet with location of facility clearly marked

NCG140000 N.O.I.
25) Certification:
North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification In any application, record, report, plan, or other
document filed or required to tie maintained under this Artide or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested cise under this Article; or who faisihes, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this
permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as
an individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowiedge and belief such information is true, complete, and accurate
Printed Name of Person Signing: „--4'711,1-4 If'$ ._77 _. L0./y
Title:. CfrJOOOF ! .-P7,4w/A!Z4r,<
(Signature of Applic nt) (Date ned)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR
Mail the entire package to:
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the Issuance of an NPDES permit.
For questions, please contact the OWO Regional Office for your area.
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office...
[phone]
Raleigh Office ........
[phone] `
Washington Office
[phone]
Wilmington Office ..
[phone]
Winston-Salem
[phone]
Central Office ....
[phone]
WArp(ngton

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DATE DRAWN OCTOBER 7011
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QIUWRANOI E\`I )CATION
SITE LOCATION MAP
i1fi4dM;
VCNA PRESTIGE READY MIX
2865 LOWERY STREET
WINSTON-SALEM, NORTH CAROUNA

0SQ_Q - Pa., -5c-one
NAkr
a.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen N Sullins
Governor Director
RECEIVED
N C Dept, of ENI,
August 9, 2011
AUG 11 2011 {
Winston $al@'
Regional OfficE
Mr Tom Long
Prestige AB Management of NC
2865 Lowery Street
Winston-Salem, NC 27101
Subject New Stormwater Permit Request
Prestige AB Management of NC
Permit NCG140000
Return # 1279
Dee Freeman
Secretary
Your request for coverage under an NPDES Stormwater General Permit received on August 8,
2011, is being returned due to
❑ Check for $100 00 made payable to NCDENR is missing
application is incomplete
Q' Application package is missing the supporting documents
❑ Missing copy of county map or USGS quad sheet with facility clearly marked
S',9,4X el'/i/017 S l�'$!/�r�Gi��rrd�2" z
C Qth e r 2 /O/ed,se aSe C G r/-.91W /LO/ f o1 M n O '�,/ ��o� ✓I��'_ rya _. _
3 �et�n /an nrr a�A n �o� cf ,a-
¢
If you have any additional questions, please contact Ken Pickle at [phone]
4f J�Pe- /
DWQ Stormwater Permitting Unit Forsyth County files
Wetlands and Stormwater Branch
1617 Marl 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 www ncwatercuality org
An Equal Oppor(unity IAM native Action Employer
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PRESTIGE-/
R1EAn"V MI <
NORTH CAROLINA
A VCNA COMPANY
C Tom Long Phone [phone]
General Manager Ready Mix Cell 336 287 0415
Fax [phone]
I 2865 Lowery Street T(Long@prestige concrete com
iII Winston Salem, NC 27101 www prestigeconcreteproducts com

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2/11/2011
Stormwater Inspection Report
For PRESTIGE AB MANAGEMENT
OF NORTH CAROLINA
The objective of this SWPPP is three -fold (1) Identify potential sources
of pollution at Prestige AB management of North Carolina (2) Describe
best management practices (BMPs) (3) Provide other elements such as,
but not limited to, a facility inspection, site compliance evaluation,
record keeping review and reporting program review that will help
Prestige AB management of North Carolina with the terms and
conditions of their storm water discharge permit
Report prepared by William Baugher City Of Winston-Salem Stormwater
Inspector
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City of Winston-Salem
Stormwater Division
Surface Water Inspection for Industrial Sites
A Official Company Name Prestige AB management of North Carolina
B Physical Address 2865 Lowery Street
C Telephone Number 336-725-9401
D Mailing Address, If different from above address Same
E Primary contact who is authorized to represent company to environmental regulatory issues
a Name Tom Long
b Title Area manager
c Contact Number(s) 336-725-9401 Cell 336-287-0415
d Email txlong@prestige-concrete corn
F SIC Code number of business 3273
G NC Stormwater NPDES Permit Number
a Facility Type Ready Mixed Concrete Company
H Any other control authority Permit(s) (air quality control, wastewater, hazardous waste)&
number(s)
I Brief description of industrial activities that occur on -site Prestige AB Management of North
Carolina is a ready mix concrete batchmg plant This is a type of concrete that is manufactured in
a batching plant, according to a set recipe, and then delivered to a work site, by truck mounted
transit mixers This results in a precise mixture, allowing specialty concrete mixtures to be
developed and implemented on construction sites
J Receiving Water(s) / MS4 Salem Creek, Winston-Salem MS4
Partkl}-.Stor'mwaterXontrol'
1 Best management Practices
A List the non/structural controls employed by the facility
1 A sediment basin is used to collect water from the truck washing and pavement wash off
a rea
2 Dust collection system is in uses during loading and unloading of vehicles
3 A retention pond is on site
B Are the BMPs reasonable & appropriate for the facility Yes xx No
C Are BMPs installed correctly, maintained, and effective operation condition Yes No xx

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Part�2 f Miscellaneous
1 Any evidence of discharge to receiving waters/MSO (e g , stormwater runoff, dry weather
discharge, co -mingling of process wastewater) Yes xxx No
i A Stormwater Division member drove by the facility and has observed water
which was flowing down the curb line and entering into the watercourse of a
tributary of Salem Creek
2 Do the stormwater outfalls on -site correspond with those listed an the site map and in
5wPPP? Yes No N/A XXX
Part33- sSWPPP Re�levi►�(can 46'cgr Ojl , d}in.oifice
- --- = ,
General
Not permitted at
1) Is there a SWPPP? Yes No this time
�itqA_Requlr,edActons o&.io' mpeebyFaclry.
1 Provide a copy of the Notice of Intent (NOI) to the Division of Water Quality to the Stormwater
Division
2 Develop a SWPPP in accordance with the NCG0140000 General Permit
3 Stop runoff from reaching the retention pond from the sediment tanks and washout areas
(figures 24)
4 Stop using trenched ditch for an overflow of sediment tanks (figures 10-14)
5 Stop runoff from the mixing area reaching the retention pond (figure 16, 17)
6 Muck out sediment tanks (figure 10)
7 Restore retention pond to the original design purpose (figure 12 -14)
8 Implement storage area containment in maintenance bay to ensure that any spilled oil will not
exits building (figure 23)
a Used oil tanks area
b Used oil filters storage and removal
9 Have spill kits available and marked in
a Maintenance bay areas
b Re -fueling area
c Used oil storage area
10 Develop and implement check-in/out procedures for re -fueling unloading activities Document
that your contracted diesel fuel vendor understands and will abide by Prestige's implemented
procedures

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11 Remove and properly dispose of the old tanks which are stored outside of maintains bay (figure
18)
12 Move 55 gallon fuel barrel to a covered and secure area or remove and properly dispose =figure
22)
13 Replace the dumpster at the main entrance, ensuring that it is watertight with operational
doors, top, and drain plug (figure 25)
14 Do not wash vehicles outside of the maintenance bay which will dram into the street (figure 19,
20)
15 Have a SOP posted for fueling operation with emergency contact numbers posted (figure 15)
The City of Winston-Salem Stormwater Division is requiring that Items # 1-15 be completed on or
before March 25, 2011 Prestige AB Management of North Carolina shall keep the Stormwater
Division updated on milestones and activities Completed in its progression to comply with these
required actions The Stormwater Division may conduct follow-up inspections in order to ensure
completion of mandated activities
Educational Resources
1 NC Stormwater Manual for Industrial Users
a http //h2o enr state nc us/su/storm water html
b http //portal ncdenr org/web/wq/ws/su/bmp-manual
Company Representative(s) that participated in inspection name and title(s) Tom Long, Area Manager
Start of Inspection 0800
Completion of Inspection 0935
Date of inspection 02/11/2010
Signature of Stormwater Inspector and title William D Baugher, Stormwater Inspector

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