NCG160150_ROS Request Form_20190808

ROG E RS
GROUP...
FEDEX OVERNIGHT DELIVERY
August 8, 2019
DEMLR — Stormwater Program
Department of Environmental Quality
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Re: Rogers Group Inc. — Hendersonville Asphalt
Permit No. NCG160150
Request to Add Stormwater Outfall
To Whom It May Concern:
Rogers Group Inc. is writing to request the addition of one stormwater outfall (Outfall 003) to the
existing facility. Recently, the site's tele-communications service provider installed new fiber optic
lines that resulted in a portion of the site's drainage not being able to reach the existing Outfall
001. RGI has implemented BMP's for sediment traps and a filter berm for this drainage. We
would like to add this as additional monitoring point. Due to both drainage areas containing similar
activities and materials, we would also like to request that this new outfall (Outfall 003) and
existing Outfall 001 be considered representative of one another. We would like to request that
Outfall 001 be sampled as representative for both.
Attached for review are the following:
• Updated NOI
• Representative Outfall Status (ROS) Request Form
• Site Diagram
• USGS quad sheet
If you have any questions concerning this correspondence, please contact me at
alisa.hatmaker ro ers rou inc.com or by phone at [phone].
Sincerely,
Alisa Hatmaker
Environmental Manager
Rogers Group Inc.
Attachments
421 Great Circle Road phone [phone]
Nashville, TN 37228 rogersgroupinc.com

Division of Energy, Mineral, and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
Environmental
Quality NCG160000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Received
Year Month Day
Certificate of Covert
NC
Check i# Amount
Pemrit Assiu)ed to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG160000 for STORMWATER DISCHARGES associated with activities classified as:
SIC 2951 The manufacture of Asphalt Paving Mixtures and Blocks,
And, Like activities deemed by DEMLR to be similar in the process, or the exposure of raw
materials, intermediate products, final products, by-products, or waste materials.
(Please print or type)
1) Mailing address of the owner/operator (address to which official Qermit correspondence will be mailed):
Name
Rogers Group Inc.
Owner Contact
Van Medlock
Street Address
421 Great Circle Road
City
Nashville State TN ZIP Code 37830
Telephone No.
615 780-5781 Fax: [phone]
E-mail Address
[e-mail]
2) Location of the facility producing the discharge:
Facility Name
Rogers Group Inc. - Hendersonville Asphalt
Facility Contact
Stuart Boone; Alisa Hatmaker
Street Address
2700 Asheville Highway
City
Hendersonville State NC ZIP Code 28971
County
Henderson
Telephone No. 828 692-7001 Fax: [phone]
Email [e-mail]; [e-mail]
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). From Asheville via 1-26 E, take Exit 44 for US-25N/US 25S Business
towards Fletcher/Mountain Home. Turn riqht onto Asheville Hwy. Take the first left past IS
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 35°21'21.61"N
Longitude 82'28'18.65"W
(degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility* Date operation is to begin 2011
❑✓ Existing
*If this new or proposed facility is located in one of the 20 coastal counties, please contact the appropriate DEMLR Regional
Office (see page 4) to determine if a State Stormwater Permit is required prior to construction.
Page 1 of 5
SWU-231-030909 Last revised 9/10/14

NCG160000 N.O.I.
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 2 9 5 1
7) Services and Activities
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.) Asphalt Plant
b) Check all activities conducted at this facility.
❑✓ Outdoor stockpiling of materials
❑✓ Storage of raw materials
❑✓ Storage of materials in above-
ground tanks
❑✓ Material Loading and Unloading
8) Discharge points / Receiving waters:
❑✓ Transport of materials by a conveyor
or front-end loader
❑ Vehicle and equipment maintenance
❑ Vehicle or Equipment Washing
❑ Vehicle and equipment fueling
How many discharge points (ditches, pipes, channels, curb and gutter, swales, etc.) convey stormwater from
the property? 3
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Mud creek
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). N/A
Receiving water classification (if known): c
List discharge points (outfalls) that convey discharge from the site (both on -site and off -site) and location
coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Stormwater Outfall No. 001
Latitude (degrees/minutes/seconds): 35°21'16.16"N N
Longitude (degrees/minutes/seconds): 82°28'14.99°w W
Stormwater Outfall No. 002
Latitude (degrees/minutes/seconds): 35°21'21_09^N N
Longitude (degrees/minutes/seconds): 62°26'11.96"w W
Stormwater Outfall No. 003
Latitude (degrees/minutes/seconds): 35°21'15.57"N N
Longitude (degrees/minutes/seconds): 62"26'15.57'w W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds):. W
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
Stormwater Outfall No. only
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): _ W
Page 2 of 5
SWU-234-030909 Last revised 09/10/14

NCG160000 N.O.I.
Stormwater Outfall No.
Latitude (degrees/minutes/seconds): N
Longitude (degrees/minutes/seconds): W
9) Does this facility
a) Have an untreated wastewater discharge? 4 No ❑ Yes
b) Have a treated wastewater discharge? - No ❑ Yes
If yes, list the permit number._
c) Have a wastewater discharge from a recycle system? No ❑ Yes
If yes, list the permit number.__
d) Have a non -discharge permit? P-No ❑ Yes
If yes, list the permit number._
e) Discharge wastewater to a municipal wastewater collection system? 41 No ❑ Yes
If yes, list the municipality and permit number
--;f Note: Stormwater discharge permit NCG160000 does not authorize the discharge of any wastewater.
i 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?
❑ No NO Yes (Show any structural BMP's on the site diagram.)
If yes, please briefly describe: Sedimentation ponds, sediment traps, filter berms
11) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No R Yes
If yes, when was it implemented? 2011
12) Are vehicle/equipment maintenance activities occurring at this facility?
i No ❑ Yes
13) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
11 No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
11.0 No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
M No ❑ Yes
d) Is hazardous waste stored in the 100-year flood plain?
R No ❑ 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:
Page 3 of 5
SW U-234-030909 Last revised 09/10/14

NCG160000 N.O.I.
Where is material stored:
How many disposal shipments per year -
Name of transport / disposal vendor:
Vendor address:
14) Certification:
North Carolina General Statute 143-215.66 (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 falsifies, 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 knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: van Medlock
Title: Director of Environmental Services
4 %)� _
(Signature of Applicant)
gar
(Date Signed)
This Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDEQ
Page 4 of 5
SWU-234-030909 Last revised 09/10/14

NCG160000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included.
Please do not ask us to "hold" an incomplete application in anticipation of a check under separate cover.
❑ Check for $100 made payable to NCDEQ
❑ This completed application signed by the applicant, and all supporting documents
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
(corresponding to which drainage areas), (d) runoff conveyance structures, (e) areas where materials are
stored, (f) impervious areas, (g) site property lines, (h) vehicle and equipment maintenance, blasting,
painting, and washing areas, and (i) location of activities listed in 7b.
❑ Copy of county map or USGS quad sheet (preferred) with location of facility clearly marked on map
Please mail the entire package to:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Please note:
The submission of this document does not guarantee the issuance of NPDES permit coverage.
For questions, please contact the DEMLR Regional Office for your area.
To visit our website please go to hffp.,IlportaLncdenr.orgAvebllrlstormwater
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]
Central Office .........
[phone]
To ro
r
r,srv:,
Page 5 of 5
SWU-234-030909 Last revised 09/10/14

Division of Energy, Mineral & Land Resources
=a Stormwater Program
National Pollutant Discharge Elimination System
Environmental REPRESENTATIVE OUTFALL STATUS (ROS)
Quality REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month Day
if a facility is required to sample multiple discharge locations with very similar stormwater discharges, the
permittee may petition the Director for Representative Outfall Status (ROS). DEQ may grant Representative
Outfall Status if stormwater discharges from a single outfall are representative of discharges from multiple
outfalls. Approved ROS will reduce the number of outfalls where analytical sampling requirements apply.
If Representative Outfall Status is granted, ALL outfalls are still subject to the Qualitative monitoring
requirements of the facility's permit —unless otherwise allowed by the permit (such as NCG020000) and DEQ
approval. The approval letter from DEQ must be kept on site with the facility's Stormwater Pollution
Prevention Plan. The facility must notify DEQ in writing if any changes affect representative status.
For questions, please contact the DEQ Regional Office for your area (see page 3).
(Please print or type)
1) Enter the permit number to which this ROS request applies:
Individual Permit (or) Certificate of Coverage
N I c I s I I I I I I I I N I c I G 11 16 10 11 15 0
2) Facility Information:
Owner/Facility Name Rogers Group Inc. -Hendersonville Asphalt
Facility Contact
Street Address
City
County
Telephone No.
Alisa Hatmaker
2700 Asheville Hwy
Hendersonville
Henderson
828 692-7001
State NC
E-mail Address
Fax: 828
ZIP Code 28791
[e-mail]
693-3680
3) List the representative outfall(s) information (attach additional sheets if necessary):
Outfall(s) 001 is representative of Outfall(s) 001 & 003
Outfalls' drainage areas have the same or similar activities?
a Yes
❑ No
Outfalls' drainage areas contain the same or similar materials?
■ Yes
❑ No
Outfalls have similar monitoring results?
❑ Yes
❑ No ■ No data*
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities?
❑ Yes
❑ No
Outfalls' drainage areas contain the same or similar materials?
❑ Yes
❑ No
Outfalls have similar monitoring results?
❑ Yes
❑ No L No data*
Outfall(s) is representative of Outfall(s)
Outfalls' drainage areas have the same or similar activities?
❑ Yes
❑ No
Outfalls' drainage areas contain the same or similar materials?
❑ Yes
❑ No
Outfalls have similar monitoring results?
❑ Yes
❑ No ❑ No data*
*Non-compliance with analytical monitoring prior to this request may prevent ROS approval. Specific
circumstances will be considered by the Regional Office responsible for review.
Page 1 of 3
SWU-ROS-2009 Last revised 12/30/2009

Representative Outfall Status Request
4) Detailed explanation about why the outfalls above should be granted Representative Status:
(Or, attach a letter or narrative to discuss this information.) For example, describe how activities and/or
materials are similar.
Activities and materials associated with the drainage areas of Outfalls 001 and 003 are currently the same. Both areas receive drainage from
stock pile storage, plant processing equipment, vehicle parking, equipment storage, fuel tanks, and equipment storage.
Outfall 003 is being requested as a new outfall location due to recent underground fiber optic cable being installed that prevented some
drainage from being able to discharge rAa Outfall 001. No sampling has been done to date on this outfall.
5) 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 falsifies, 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 Representative Outfall Status for my NPDES Permit. I understand that ALL outfalls are still
subject to the qualitative monitoring requirements of the permit, unless otherwise allowed by the permit
and regional office approval. I must notify DEQ in writing if any changes to the facility or its operations
take place after ROS is granted that may affect this status. If ROS no longer applies, I understand I must
resume monitoring of all outfalls as specified in my NPDES 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:
Title: f'� 1)Vt Y'0V1 lP/&I r, ( Ma Ut V
ht�A
(Signature of Applicant)
r
9/8
(D to Signed)
Please note: This application for Representative Outfall Status is subject to
approval by the NCDEQ Regional Office. The Regional Office may inspect your
facility for compliance with the conditions of the permit prior to that approval.
Final Checklist for ROS Request
This application should include the following items:
❑ This completed form.
❑ Letter or narrative elaborating on the reasons why specified outfalls should be granted representative
status, unless all information can be included in Question 4.
❑ Two (2) copies of a site map of the facility with the location of all outfalls clearly marked, including the
drainage areas, industrial activities, and raw materials/finished products within each drainage area.
❑ Summary of results from monitoring conducted at the outfalls listed in Question 3.
❑ Any other supporting documentation.
Page 2 of 3
SWU-ROS-2009 Last revised 12/30/2009

Representative Outfall Status Request
Mail the entire package to:
NCDEQ DEMLR at the appropriate Regional Office (See map and
addresses below)
Notes
The submission of this document does not guarantee Representative Outfall Status (ROS) will be granted as
requested. Analytical monitoring as per your current permit must be continued, at all outfalls, until written
approval of this request is granted by DEQ. Non-compliance with analytical monitoring prior to this request
may prevent ROS approval. Specific circumstances will be considered by the Regional Office responsible for
review.
For questions, please contact the DEQ Regional Office for your area. 771
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone [phone]
FAX [phone]
Fayetteville Regional Office
Systel Building,
225 Green St., Suite 714
Fayetteville, NC 28301-5094
Phone [phone]
FAX [phone]
Mooresville Regional Office
610 East Center Ave.
Mooresville, NC 28115
Phone [phone]
FAX [phone]
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Phone [phone]
FAX [phone]
way
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
FAX [phone]
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone [phone]
FAX [phone]
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Phone [phone]
Water Quality Main FAX [phone]
Central Office
1612 Mail Service Center
Raleigh, NC 27699-1612
Phone [phone]
FAX [phone]
Page 3 of 3
SWU-ROS-2009 Last revised 12/30/2009

Historical Topographic Map
TARGET QUAD
SITE NAME: Carolina Materials -
CLIENT: AST Consulting & Contracting
N
NAME: HENDERSONVILLE
Hendersonville
CONTACT: Amanda Romans
MAP YEAR: 1997
ADDRESS: 2700 Asheville Hwy
INQUIRY#: 2915782.4
Hendersonville, NC 28792
RESEARCH DATE: 11/08/2010
SERIES: 7.5
LAT/LONG: 35.3549 /-82.4712
SCALE: 1:24000

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