NCG160192_COMPLETE FILE - HISTORICAL_20160119

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V Q/ �f a
DOC TYPE
"ISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ c2v I b
YYYYMMDD

r
P
ROGERS GAOUP, INC.
P.O. BOX 25250 Nashville, TN 37202-5250 Phone [phone]
January 18, 2016
Asheville Regional Office
2090 US Highway 70
Swannanoa, NC 28778
RE: Rogers Group, Inc. - DMR Submittals
Burnsville Asphalt -- NCG160192
Hendersonville Asphalt — NCG160'15�0
LHenr.iettaAsphalt=NC_G11602.14D
To Whom It May Concern:
REC`IVED
Division of Water Resources
JAN 19 2016
Water Ouar"ty Retalonal Onerations
As` oviiEe >-Ssaicnal O ice
RGI is submitting an original and one copy of the 2015 Annual Summary Data
Monitoring reports for our Henrietta, Burnsville, and Hendersonville Asphalt facilities
If you have any questions or need any additional information please do not hesitate to
contact me at [phone].
Sincerely,
Erik Knowles
Environmental Engineer
Rogers Group, Inc.
An Equal Opportunity Employer. M/F/V/❑
www.rogersgroupinc.com

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STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2015
Revised 911712014
General Permit No. NCG160000
Certificate of Coverage No. NCG160214
This monitoring report summary is due to the DWQ Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: Henrietta Asphalt
County: Rutherford
Phone Number: ( 828 )458-5156 Total no. of SDOs monitored 1
Part A. Outfall No. 001 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No CK
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
00530
Outfall Total Rainfall, inches 75S, mg1L
Benchmark N/A 5
Date Sample Collected,
molddlyr
First Half - No Flow
Second Half - No Flow
Received
-: aAq 2 0 2016,
Land Quality Section
Asheville
Page I 1

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Part B. On -Site Vehicle Maintenance Outfall No. NA
Is this outfall currently in Tier 2 (monitored monthly)?
Was this outfall ever in Tier 2 (monitored monthly) during the past year?
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
Outfall
Total Rainfall,
inches
00530
00556
TSS, mglL
Non-polar Oil &
Grease, mg/L
Benchmark
N/A
50/100
15
Date Sample Collected,
molddlyr
Yes ❑ No ❑
Yes ❑ No ❑
Page 12

I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature
Date A
Mail Annual DMR Summary Reports to:
DEMLR 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]
ASHEVILLE REGIONAL OFFICE
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
MOORESVILLE REGIONAL OFFICE
2090 US Highway 70
610 East Center Avenue/Suite 301
Swannanoa, NC 28778
Systel Building Suite 714
Mooresville, NC 28115
[phone]
Fayetteville, NC 28301-5043
[phone]
[phone]
RALEIGH REGIONAL OFFICE
WASHINGTON REGIONAL OFFICE
WILMINGTON REGIONAL OFFICE
3800 Barrett Drive
943 Washington Square Mall
127 Cardinal Drive Extension
Raleigh, NC 27609
Washington, NC 27889
Wilmington, NC 28405-2845
[phone]
[phone]
[phone]
WINSTON-SALEM REGIONAL:
OFFICE_
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
f
Page 13

STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year 2015
Revised 911712014
General Permit No. NCG160000
Certificate of Coverage No. NCG 160214
This monitoring report summary is due to the DWQ Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: Henrietta Asphalt _.._ ._.
County: Rutherford
Phone Number: ( 828 )458-5156 Total no. of SDOs monitored 1
Part A. Outfall No. 001 (use multiple sheets for multiple outfalls)
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
00530
Outfall Total Rainfall, inches TSS, mglL
Benchmark N/A 501100
Date Sample Collected,
molddlyr
First Half — No Flow
Second Half — No Flow
Received
JAN 2 4 2016
Land Quality section
Asheville
Page I I

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Part B. On -Site Vehicle Maintenance Outfall No. NA
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DEMLR to reduce monitoring frequency ❑
Other ❑
00530 00556
Total Rainfall, Non -polar Oil &
Outfall Inches TSS, mglL Grease, m6/L
Benchmark N/A 501100 15
Date Sample Collected,
molddlyr
Page 12

"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature
Date A
Mail Annual DMR Summary Reports to:
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ...... [phone]
2090 US Highway 70
Swannanoa, NC 28778
[phone]
AYET_TEVILLE.REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
[phone]
RALEIGH REGIONAL OFFICE WASHINGT0N REGIONAL OFFI
3800 Barrett Drive 943 Washington Square Mall
Raleigh, NC 27609 Washington, NC 27889
[phone] [phone]
aNSTON-SALEM REGIONAL;
OFFICE
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
40ORESVILLE _REGIONAL O_FFICI
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
L_M_INGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
Page 13

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM
Director
October 11, 2013
Mr. Waiter L. Hillis, ill
Ralph Rogers and Company
2S0 Union Valley Road
Oak Ridge, Tennessee 37830
Pat McCrory, Governor
John E. Skvarla, III, Secretary
Subject: General Permit No. NCG160000
Ralph Rogers & Company Henrietta. Asphalt
COC No. NCG160214
Rutherford County
Dear Mr. Hillis:
In accordance with your application for a discharge permit received on May 21, 2013, 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).
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 Energy, Mineral and Land Resources (Division). The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not
affect the legal requirements to obtain other permits which may be required by the Division or
permits required by the Division of Water Resources, Coastal Area Management Act or any other
federal, state or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Bill Diuguid, Stormwater
Program Planner at telephone number [phone].
Sincerely,
ORIGINAL SIGNED B) Received
KEN PICKLE
for Tracy E. Davis
cc: Asheville Regional Office OCT 2
Central Files 2�)�
Stormwater Permitting Unit Files
Attachments Land Quality Section
Asheville
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Telephone [phone] FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: htt :II ortal.ncdenr.or Iwebllrlland- ualit
An Equal Opportunity ! Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper.

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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160214
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,
Ralph Rogers and Company
is hereby authorized to discharge stormwater from a facility located at
Ralph Rogers and Company — Henrietta Asphalt
1385 Ferry Road
Mooresboro
Rutherford County
to receiving waters designated as an unnamed tributary to Hog Pen Branch, a Class WS-IV waterbody, Broad River
Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
I1, 111, IV, V and VI of General Permit No. NCG160000, as attached.
This Certificate of Coverage shall become effective October 11, 2013.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 11, 2013.
ORIGINAL SIGNED M
KEN PICKLE
for Tracy E, Davis, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission

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Rogers --Henrietta Asphalt Plant: Not to 5[a
ilk
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Stepp, Jonathan
From: Diuguid, Bill
Sent: Friday, August 23, 2013 11:09 AM
To: Stepp, Jonathan
Subject: RE: NCG160214 Ralph Rogers & Comp Henrietta Asphalt Mooresboro
Ok, will issue.
Bill
From: Stepp, Jonathan
Sent: Friday, August 23, 2013 11:04 AM
To., Diuguid, Bill
Cc: Herbert, Laura C
Subject: RE: NCG160214 Ralph Rogers & Comp Henrietta Asphalt Mooresboro
ED
Our recommendation to proceed with this one as well. They are in good standing with air quality and located in our
region.
Thank you,
Jonathan
Jonathan Stepp—[e-mail]
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Energy, Mineral, and Land Resources - Land Quality Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
therefore may be disclosed to third parties.
From: Diuguid, Bill
Sent: Thursday, August 22, 2013 3:29 PM
To; Herbert, Laura C; Stepp, Jonathan
Subject: NCG160214 Ralph Rogers & Comp Henrietta Asphalt Mooresboro
Laura Herbert, Jonathan Stepp, Asheville Regional Office:
Please review the attached NOI application with the objective of responding to me with a recommendation to issue the
permit. I recognize that you may not visit each new permittee during this NOI review, but it affords you the opportunity
to log the permit into your regional database and add the facility to a future monitoring and compliance visit
schedule. Therefore, your recommendation now to issue the permit serves as your acknowledgement that (1) the
facility is located in your region, (2) that there are no current complaints outstanding about the facility that have not
been dealt with, and (3) that the facility may ultimately be inspected by the regional staff. I've also attached a scanned
copy of the NOI and a location map for your review.

COC #
Facility
Location
City/County
NCG160214
Ratph Rogers & Company Henrietta Asphalt
1385 Ferry Road
Mooresboro/Rutherford
If you need any more info, give me a call. If you could send me a recommendation to issue the permit by 09/2212013,
I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and
comments back to me with a recommendation to issue the permit.
Thanks.
Bill
Bill Diuguid, AICP, Planner
Stormwater Permitting
Land Quality Section
Division of Energy, Mineral and Land Resources I NCDENR
1617 Mail Service Center (Mail)
512 N. Salisbury St, Raleigh, NC 27604 1 911, Floor (Location & Parcels)
Raleigh North Carolina 27699-1617
Phone. [phone] Fax: [phone]
Website: http_//iortal.nedenr.org/Loeb/wq/ws/su
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.

IFA
Division of Water Quality / Surface Water Protection
.-am...�
NCDENRNational Pollutant Discharge Elimination System
rw+frsr v WMIL ew M1DjW NCG 160000
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG160000:
STORMWATER DISCHARGES associated with activities classified as:
Coverage under this general permit is applicable to all owners or operators of stormwater point source discharges
associated with activities classified as establishments primarily engaged in Asphalt Paving Mixtures and Blocks
[standard industrial classification (SIC) 29511.
For questions, please contact the DWQ Regional Office for your area. (See page 4)
(Please print or type)
1) Mailing address of ownerloperator (address to which all permit correspondence will be mailed):
Name CtialT sera
Owner Contact 6,)& 11 �r L. -Hillis -mr-
Street Address _ 11,50 U.„;, . Vr.tt�x Ra JL•C ^
City n^V• 9;.1.)C_ State TN" ZIP Code 37VO
Telephone No. t_g 5 4 a 5- I t 3 u Fax: % s 4 8 2-- 3 z y 7
E-mail Address We.h}, 1,,it191 (.� tv.ycri ,�r�� p t..c. co•n
2) Location of facility producing discharge:
Facility Name RIllf k Aofcrl an.t, Co es,-y - hs_rli-t—
Facility Contact NR 4 a._
Street Address 139 T F=_re y txa JLL _
City fkoo. R+ 61j,-v` _ AIC- State NC ZIP Code U/,FY
County cRwi h� ur.J.z
Telephone No. gig + 51- 1371 Fax: 17- ' 6577 - 9 _7.7 2-
Email _]���` 4��. p�.toY {t`l rvIref 5rvc.pire.Cr.
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). -go fw v,. 4ve.,uc ,
Arr,i Ac (d- Al Ot, AL-;, f(e ,,f,. Ar fr�� on Frry IQl� fide 0 , %%7 A f IJsI N.
(A copy of a county map or USGS quad sheet with facility cloady located on the map is a required part of this applicatlon.)
4 ry
4) Latitude -55 -1,i, - tL Longitude
(degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following:
0 New or Proposed Facility' Date operation is to begin
% Exisfing
'If this new or proposed facility in one of the 20 coastal counties, you must contact the appropriate Regional
Office tsee page 4) to determine if a State Stormwater Permit is also needed prior to construction.
Page 1 of 4
SwU-231-030909 last revised 3/9105

W-1
NCG 190000 N.O.I.
6) Standard Industrial Cla§sif!cation:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
Sic Code:
7) Services and Activites
a) Provide a brief narrative description of the types of industrial activities and products
manufactured at this facility. (include a site diagram showing the process areas and location of
activities present at this facility.) Lflh ti PIon+ _
b) Check all services and activities offered or allowed at this facility
,4
Outdoor stockpiling of materials
14
Transport of materials by a conveyor
X
Storage of raw materials
or front-end loader
Storage of materials in above-
']
Vehicle and equipment maintenance
ground tanks
El
Vehicle/Equipment Washing
Material Loading and Unloading
X
Vehicle and equipment fueling
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, boat ramps, lift wells, etc.) convey stormwater from the
property? +w-. L1)
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? 1-1dy t- QrL^f►l
it 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), P) k
Receiving water classification (if known): W 5 -7"
9) Does this facility
a) Have an untreated wastewater discharge? N No ❑ Yes
b) Have a treated wastewater discharge? X No ❑ Yes
If yes, list the permit number.,
c) Have a wastewater discharge from a recycle system? I1 No ❑ Yes
If yes, list the permit number.
d) Have a non -discharge permit? a No O Yes
If yes, list the permit number.
e) Discharge wastewater to a municipal wastewater collection system?
If yes, list the municipality and permit number
X No ❑ Yes
Note: Stormwater discharge permit NCG160000 does not authorize the discharge of any wastewater.
If this site discharges wastewater, you must obtain the appropriate wastewater discharge
permit In addition to coverage for stormwater discharges under NCG160000.
10) Does this facility employ any best management practices for stormwater control?
Cl No I Yes (Show any structural BMP's on the site diagram.)
If yes, please briefly describe: 5-Li 60 in, iv jr r o�� f�� t�`y F � s ,t #.P^r- c
Page 2 of 4
5WU-234-030909 Last revised 3/9109

NCG190000 N.O.I.
11) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No J-Yes
If yes, when was it implemented? _.. 41> a 1%
12) Are vehicle/equipment maintenance activities occurring at this facility?
❑ No EX4es
13) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
15A.No ❑ Yes
b) is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
FA No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
DO No ❑ Yes
d) Is hazardous waste stored in the 100•year flood plain?
�Z No 0 Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor:
Vendor address:
14) 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 material fact in a rulemaking proceeding or contested case under this Article; or who talsilies, tampers with, or knowingly
renders Inaccurate any recording or monitoring device or method required to be operated Or maintained under this Artice 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.
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: Wn R— tti tl;S .M:
Title: —Jr- En i s «.
(Signature of Applicant) (Date Signed)
Page 3 of 4
SWU-234-030909 Last revised 3l9109

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