NCG020120_COMPLETE FILE - HISTORICAL_20160505

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
I,VCG�A�UIa (�
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ d�'� � U� U�
YYYYMMDD

Energy, Mineral'
and Land Resources
ENVIRONMENTAL QUALITY
W .I. David McKeown
Forterra Brick, LLC
5100 Brickyard Road
Columbia. SC 29203
Dear Mr, McKeown:
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
TRACY DAVIS
Dtrecror
May 5,2o1RECEIVED
MAY 1 1 26116
CENTRAL FILES
DWR SECTION
Subject: NPDES Stormwater Permit NCG020120
For -terra Brick, 11LC
Formerly Hanson Brick East, LLC
Anson 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 ini'ormation, please contact the Stormwater
Permitting Program at [phone].
Sincerely,
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Fayetteville Regional Office
Stormwater Permitting Program Files
Central Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
16T2 Mail Service Center 512 North Salisbury street � Raleigh, North Carolina 27699-1612
919 707 9220 T

STATE OF NORTH CAROLINA
DEPAR'FMEN`I' OF ENVIRONMENTAL, QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020120
SI'ORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the federal Water Pollution Control Act, as amended,
Forterra Brick, L,LC
is hereby authorized to discharge stormwater and to operate treatment systems and discharges
associated with mine dewatering wastewater and process wastewater from a facility located at:
Forterra Brick, LLC — Anson County Mine
S Horton Road & Camden Church Road
Monroe
Anson County
to receiving waters designated as Little Brown Creek, a class C stream in the Yadkin -Pee Dee
River Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, I1, 1I1, and 1V of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective May 5, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 5, 2016.
for Tracy 1?. Davis. P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

W
` State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATE STORMWATER PERMIT AME/OWNERSHIP CHANGE FORM/�
Tom" G)e
I. CURRENT PERMIT INFORMATION �r,�f�e' /nf�n�/'s e lea/
1. Stormwater Management Permit Number:
2. Project Name: Hanson Brick - Anson County
N CG020120
1.141 . ,
Mine
3. Current Permit Holder's Company Name/Organization:
4. Signing Official's Name: J. David McKeown
5. Mailing Address: 5100 Brickyard Road
-
Hanson Brick East, LLC
Title: Regional Environmental Manager
City: Columbia State: SC Zip: 29203
6. Phone: 8(_ 03 ) 691-3121 Fax: 8(_03) 786-9703
II. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
x❑ Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
❑ Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address / phone number change. (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: Forterra Brick, LLC
2. Proposed permittee's signing official's name: J. David McKeown
3. Proposed permittee's title: Regional Environmental Manager
1/4. Mailing Address: 5100 Brickyard Road
City: Columbia State: SC Zip: 29203
Phone: 8( 03 ) 691-3121 Fax: ( 803 ) 786-9703
5. New Project Name to be placed on permit: Forterra Brick, LLC - Anson County Mine
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in #1 above and provide name of HOA/POA's authorized representative in #2 above)
® The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4

III. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. This certification must be completed and signed by both the
current permit holder and the new applicant if this is a change of ownership.
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement:
® Check here if the current permittee o ly changing his/her/its name, the project name, or mailing
i
address, but will retain the permit. I, , the current
permittee, hereby notify the DWQ that am changing my name and/or I am changing my mailing
address and/or I am chanqinq the name of the l2ermitted pro'ecl. I further attest that this application
for a name/owners ip change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
❑ Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit.
I, , the current permittee, am submitting this application
for a transfer of ownership for permit # I hereby notify DWQ of the sale or
other legal transfer of the stormwater system associated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments fisted above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be approved by the DWQ unless and until the facility is in compliance with the
permit.
Signature: Date:
a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal, (Notary Seal)
Notary Signature
SSW N/O Change Rev24Sept2012 Page 2 of 4

V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
1, _ _ , hereby notify the DWQ that I have acquired
through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted
stormwater management system, and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
ethe most recent permit
the designer's certification for each BMP
❑ any recorded deed restrictions, covenants, or easements
❑ the DWQ approved plans and/or approved as -built plans
❑ the approved operation and maintenance agreement
❑past maintenance records from the previous permittee (where required)
DWQ stormwater inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts
of this application are not completed or if all required supporting information and attachments listed
above are not included, this application package will be returned as incomplete.
Signature:
Date:
I, , a Notary Public for the State of
, County of , do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
SSW N/O Change Rev24Sept2012 Page 3 of 4

VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections 11 and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name:
Organization:
Title within the Organization:
Street Address.
City:
Mailing Address:
City:
Phone:
Email:
State:
(if different from street address)
State:
Fax:
M
Zip:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections 11 and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that 1 will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute
(NCGS) 143-215.1, and may result in appropriate enforcement action including the assessment of
civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature of the property owner Date:
I, , a Notary Public for the State of
County of _ _ , do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Mr. J. David McKeown
Meridian Brick, LLC
5100 Brickyard Road
Columbia, S.C. 29203
Dear Mr. McKeown:
ROY COOPER
Governor
MICHAEL S. REGAN
Secrerary
WILLIAM E. TOBY VINSON, JR.
Interim Director
January 25, 2018
RECEIVED
JAN292018
CENTRAL FILES
OWR SECTION
Subject: NPDES Stormwater Permit NCG020120
Meridian Brick, LLC
Formerly Forterra Brick, LLC
Anson 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].
State of North Carolina I Environmental Quality 4 Energy, Mineral, and Land Resources
Central Office 1 1612 Mail Service Center I Raleigh, NC 27609
919 707 9200

Sincerely,
. ll
for William E. Toby Vinson, Jr., PE, CPESC, CPM
Interim Director
Division of Energy, Mineral and Land Resources
cc: Fayetteville Regional Office
Stormwater Permitting Program
Central Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020120
STORMWATER AND WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Meridian Brick, LLC
is hereby authorized to operate approved wastewater treatment system(s) and discharge
stormwater and/or wastewater, as approved in the original permit/application or subsequent
permit modification, from a facility located at:
Anson County Mine
S Horton Road & Camden Church Road
Monroe
Anson County
to receiving waters designated as Little Brown Creek, a class C stream in the Yadkin -Pee Dee
River Basin, in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in accordance in Parts I, 11, 111, and IV of General Permit No. NCG020000 as
attached.
This certificate of coverage shall become effective January 25, 2018.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 25, 2018.
��.
for William E. Toby Vinson, Jr., A.E., Interim Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

State of North Carolina
V l
Department of Environment and Natural Resources ll
Division of Water Quality
STATE, STORMWATER PERMIT NAME/OWNERSHIP CHANWORM
I. CURRENT PERMIT INFORMATION CA
1. Stormwater Management Permit Number: NCG020120
Project Name: Forterra Brick - Anson
Mine
3. current Permit Holder's, Company Name/Organization: _ Forterra Brick, LLC
4. Signing Official's Name: J. David McKeown _ � Title:
5. Mailing Address: 5100 Brickyard Road
City: _ Columbia
6. Phone: 8( 03 } 691-3121
0
Regional Environmental Manager
State: SC Zip:
Fax: �3 a r 86-9703
29203
II. PROPOSED PERMI'ITEE-/ OWNER 1 PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
Name ;;hange of the owner (Please complete Items I, 2 and 3 below)
�] Name change of project (Please complete item S below)
Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
Mailing address / .phone number change. (Please complete Item 4 below)
[_ ^.ther (please explain): _
1. Proposed permittee'-s company name/organization: Meridian Brick LLc
2.. Proposed permittee's signing official's name: •J. David McKeown
2. Proposed permittae's title: Corporate Environmental Manager
4. Mailing Address
City: Ccl:mbia
5100 Brickyard Road
Phone; 803 691-3121
State: SC Zip: 29203
Fax: ( 803 i 786-9703
5. New Project Name to be planed can permit: Meridian Brick LLC - Anson county Mine
Please check the appropriate box. The proposed permittee listed above is:
HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stcrmwater system features. Print name of HOA or
POA in- #I above and provide name of HOA/POA'.,,- authorized representative in #2 above)
d The property owner
E] 1 Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
El. Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4

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III. REQUIRED ITEMS
A request to transfer a permit will not be approved by'the Division of'Water Quality (DWQ) unless all
,i the applicable required items listed below are included with the submittal. Failure to provide the
iisled items may result in processing delays or denial of the transfer.
1. This,compieted and -signed form. This certification must be completed and signed"by both the
current permit holder and the new applicant if:this is a :change of ownership.
2: Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
.each DWQ. Regional office), if required by the permit and if not already submitted to DWQ.
3.1f -the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
:.cornpan.y, or. other corporate entity, providQ documentation showing the authority of the named
representGtive to act on behalf of the proposed 'perrittee.
'The $40.00 processing fee. If this is an initial transfer tram the original permittee the processing
fee is .-got required. Subsequent ownership transfers will require the $40.00 processing fee.
' .IV-: - CURRENT PERMITTEE'S CERTIFICATION
NlYase check one of the following statements and fill out the certification below that statement:
[ ] 'Check :`sere if the current permittee is I changing his/her its name, the project name, or mailing
-addr6ss.. but will retain the permit. I, - 1 , the'current
permittee, hereby notify the DWQ-that I em changing my name and/or I am changing, my mailing'
;address and/or I a-rn changing the name of the permitted project. I further attest that. this applicaiibh -
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed -above are not included, this application package will be returned as
incomplete.
'D i:heck h- if current permittee is transferr`ng the property to anew owner and will riot retain
ownership of the permit.
I. __ the current permittee, am st�brnittingi.this application
for a transfer of ownership for permit # I hereby notify DWQ of the sale or
either leual transfer of the stormwater system associated with this permit. I have provided a copy of
the hiost recent permit, the designer's certification for each BMP, any recorded deed restrictpns,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater-inspection report to the proposed permittee named in Sections II and V of this form. I
fu, rer atte.r.t that this application for a name/ownership change is accurate and complete to the best
-of my knowledge. ! understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not -included, this application
packa;le will be returned as incomplete. !assign all rights and obligations as permittee to the
..proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be approved by the DWO unless and until the facility is in compliance with the
permit.
Signature: _ Date:
I, _ , a Notary Public for the State of
County of ., do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
iorgoing instrument. Witness my hand and official seal, (Notary Seal)
Notary Signature
SSW N/O Change Rev24Sept2012 Page 2 of 4

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.V: -PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
i, hereby notify the DWQ that I have acquired
through sale; lease or. legal transfer, the responsibility. -for operating and maintaining the permitted
stormwater rnanagement system, and, if applicable, constructing the permitted system.
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
the most recent permit
i:he designer's certification for each BMP
[] any recorded deed restrictions, covenants, or easements
[ tho DWQ approved plans and/or approved as -built plans :
the approved operation and maintenance agreement
r-]. past -maintenance -records from the previous permittee (where required)
J DWQ storrnwater inspection report showing compliance within 90 days prior to this transfer
have. reviewed the permit, approved plans and other documents listed above, -and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree thai I will
operate and maintain the system pursuant to the require^nents listed in the permit and in the
operation -and maintenance agreement. I further attest that this application for a namraownership '
change is accurate and complete to the best of my knowledge. I understand that if all. required parts
of this application are not completed or if all required supporting information and attachments listed
above. are not included, this application package will be returned as -incomplete. j
Signature:_ Gate:
a Notary.Public for thu State of
County of �_ , do hereby cerrtify that
personally appeared before me this the
—day of ^ 20.__, and acknowledge the due execution of -the
forgoing instrument. Witness my hand and official seal,
(Notary'Seal)
Notary Signature
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the. appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
'Resources, Division of Water Quality, as shown on the attached map.
Please note that. if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee /developer and the property
owner will appear on the permit as permittees.
SSW N/0 Change Rev24Sept2012 Page 3 bf 4

It

V.I. . PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sectionsll and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name:
Organization:
Title within the Organization:
Street Address:
City: State: Zip:
Mailing Acidness: _
(if different from street address)
City: _ State: zip.
Phone: Fax:
Email:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections I I and V to. develop and/or, lease the property. A copy-,
of the lease agreement or other contract, which indicates the party responsible for the construction .
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal, property owner I acknowledge, understand, and agree by my.signature below, that I will
appear as -a permittee along with -the lessee/developer and I will therefore share responsibility for •
com iiance-with the DWQ Stormwater permit. As the pr:,perty owner, it is my responsibility to notify
DWQ by :submitting -a completed Name/Ownership Change Form within 30 days of procuring a
developer, kmsee or purchaser for the propeify.-! understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute
(NCGS) 143-215.1, and may result in appropriate enforcement action including the assessment of
civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature'of the.property owner Date:
a Notary Public for the State of
County -of , do hereby certify that
personally appeared before me this the
day -of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,.
(Notary Seal)
Notary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4