NCG020505_COMPLETE FILE - HISTORICAL_20130918

STORMWATER DIVISION CODING SHEET -
RESCISSIONS .
PERMIT NO..
DOC TYPE
CJ
COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
p
09 k
YYYYMMDD

RECEIVED
Dept. of ENR
1
NCD EN� a -Salem
^'a Office
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM
Director
David McKeown
Hanson Brick East LLC -
5100 Brickyard Rd
Columbia, SC 29203
Dear Mr. MCKeown:
Pat McCrory, Govenor
John Skvada, III Secretary
September 16, 2013
Hanson Brick - PG Farm Mine
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG020505
Hanson Brick East LLC - Hanson Brick - PG Farm Mine
Guilford County
On 9/12/2013, the Division of Energy, Mineral and Land Resources received your request to rescind your
coverage under Certificate of Coverage Number NCG020505. In accordance with your request,
Certificate of Coverage Number NCG020505 is rescinded effective immediately.
Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to
waters of the State without valid coverage under an NPDES permit is against federal and state laws and
could result in fines. If something changes and your facility would again require stormwater or
wastewater discharge permit coverage, you should notify this office immediately. We will be happy to
assist you in assuring the proper permit coverage.
If the facility is in the process of being sold, you will be performing a public service if you would inform
the new or prospective owners of their potential need for NPDES permit coverage.
If you have questions about this matter, please contact Ken Pickle at 919 807-6376, or the Water Quality
staff in our Winston-Salem Regional Office at 336-771-5000
Sincerely,
for Tracy E. Davis, Director
cc: Winston-Salem Regional Office
Stormwater Permitting Program
Central Files - wlattachments
Fran McPherson, DWQ Budget Office - please waive applicable fees
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http:Iloortal.ncdenr.orglwebllrl
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Taylor -Smith, Aana
From:
Taylor -Smith, Aana
Sent:
Thursday, September 12, 2013 11:11 AM
To:
Montalvo, Shen A
Subject:
RE: Rescission
Hi Sheri,
Mike Mickey indicated that the mine has never opened, and I just called Mr. McKeown, who said they've already begun
the process of selling the property. This permit is OK to rescind. Thanks!
Sorry to hear you're leaving! I wish you all the best in the future!
Aana Taylor -Smith
Land Quality Section
Division of Energy, Mineral, and Land Resources
NC DENR Winston-Salem Regional Office
Phone: [phone]
Fax [phone]
E-mail correspondence to andfrom this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Montalvo, Sheri A
Sent: Thursday, September 12, 2013 11:00 AM
To: Taylor -Smith, Aana
Subject: Rescission
Aana,
Next Friday 9/20/13 is my last day. If you can please let me know if this one is okay to complete and I will do
so before I leave.
Thanks
Sheri NantaCvo
Storin,wa.tei- Permitting, Prngrani.
NCDi-vision of Energy, 'Alineral aiid1aitd-Resources
1617 'MadSer-vice Center
Raleigh, 'NC 276n9.-161;
Thone: gr9-8o; -6379

..ti...._.r r
A_�
NCDEN R
r rwt1N4e MI ��:� Nnu�a Nr�/AHCI a
AUG 1 4 2013�
IN%,isiull of Watt
Nalional I'tlllllrAlll IASCharyc I,airnillatian Sysusltr
RESCISSION REQUEST FORM
�FOriAGFNCY USS OWLY��
onlu itecaroe�
Ynnr PA�n1h Iln}„_
Please fill out and return this form if you no longer need to maintain your NPDES General Stormwater Permit,
1) Enter the Certificate of Coverage No. to which this request applies: N C G 0 2 0 5 [) ;-
2) owner/Fact)ity Information: ' Final cormsrrondence will be mailed to the address noted hetow
Ovvnor/Facility Name: _Hanson. Brick East, LLC - PG. Farm Mine - McClellan Road
Facility Contact:
Uayi
Street Address:
-6, j0 $rir._kvard Rand _
City:
_CQWMhia___ State s11— ZIP Code
County:
Rirl-la€ w — — E-mail Address David Mr.KRawn(2Hans;nnxQM
Telephone No.
_ ,0_a-&9�_3121 Fax: [phone]Q3 __.-._•w _-
3) Reason for rescission request (This Is regulrod information. Attach separate sheet If necessary):
❑ Facility closed or is closing on All industrial activities have ceased such that no discharges of
stormwater ere contaminated by exposure to Industrial activities or materials.
n Facility sold to on If the facility will continuo operations under the new owner
it may be more appropriate to request an ownership change to reissue to permit to the new owner.
® Other: Mine never aoenxd and the site Is undevelppod. J1. ryas to be used for f Lora
hrirk maniifar_turingjRr.ill[y and this far:ilitV has been pernnopntty
ninspri-
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES General Wastewater Perrnit
for the subject facility. I am familiar with the informatlolt contained in tills request and to the best of my knowledge and
belief such Information is true, complete and accurate.
Signature ..__.-I----
_ _ ----- ---._ — Date .must 7.2013
_ ti4artirl_Srown _ .-. _Ptant Mana sr
Print or type name of person signing above Title
Please return this completed rescission request form to: SW NPDES Permit Covet -age Rescission
Stormwater Pennitting unit
Division of Water Quality
1.61.7 Mail Service Center
Raleigh, North Carolina 27699-1617
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Division of Water Quality / Surface Water Protection
;��� CDENR National Pollutant Discharge Elimination System
N
""" `�'°"""`"'°' PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Pate Raceivod
Vear
Month Pa
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N G S O 2 j b 15 10 1 5 N 1*0101 o I Z I t, j Sj E>
IL Permit status p1jor to requested change.
a. Permit issued to (company name): GIz L LL
h. Person legally responsible for permit: %I-tomR %r�7t1E
First MI Last
V 0Pa213T10j,15 -- EA5r
Title
1's 9 Z D Tot-trt Z_ DI2LAOL-4 02.
Permit Holder Mailing Address
City State Zip
(7oL-t )ZSZ- U7127
Phone Fax
c. Facility name (discharge): phi FRstrv�-MIME
d. Facility address: l y i D Fbozj----,N •/fires. 6, fc-Lt _
Address
PI.tgS Garzi .i A JC. Z 71 3 1-
3-City State Zip
c. Facility contact person: �q� k ,gQ� (336 1 - 726Z
First / MI / Last Phone
III. Please provide the following for the retuested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
MI Last
V P- U.S. DI�r�Tro�S
Title
(oa 1 ?r1Jor� Tlaa ctxj— L4 3tra
l Permit Holder Mailing Address
/7 ug',77 _ TIC 760S-V
City State Zip
( fir) 2RI- +KE. hlj I d15or7 -Co W
Phone E-mail AddrAs
d. Facility name (discharge): eG�, FA KYO M WE - Al cC I e- la n Roafl_
e. Facility address: _124 tp Ft)lz� ItkG'tC l i26_1.lr
Address
6a r f) PJ, n - 71.3
City State Zip
f. Facility contact person: _k 6FPre l'ov
First MI Last
_019 3S0- Z7q(o _ r&W,(,A0VE,-1 irn5 -cc�.
Phone F nail Address
Revised 2012Apr23

NPOES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the erson legally responsible for the permit)
Permit contact: \/ 10 mc-
First MI fast
EG 0 Ona Ar+46
Title
*'Mailing Address
Gdt~✓wlLj 5G 2&3
City State Zip
('903) (0 r-31z 1 DAVA Ni�K�(}w� �►s ►-�om
Phone email Address
V. Will the permitted Facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
Pr Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
This completed application is required for both name chase 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):
I, , 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.
Signature
Date
AF
LICANT CER IFICATION
I, t;, kg his 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.
Zr✓
ignature Date T
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008

Y
Mickey, Mike
From: McKeown, David (Columbia) NA [David. [e-mail]]
Sent: Thursday, February 28, 2013 9:28 AM
To: Mickey, Mike
Subject: RE: Hanson Brick Permits
Attachments: PG Plant 1 and Mine Name Change Form.pdf; PG Plant 3 and Mine Name Change Form.pdf;
PG Farm Mine Name Change Form.pdf
Mike — I`m not sure if you needed these forms or not but wanted to let you know that the attached documents are going
out today.
Thanks.
J. David McKeown
Regional Environmental Manager
Hanson Building Products
Hanson Brick East, LLC
5100 Brickyard Road
Columbia, SC 29203
Tel: [phone]
Cell: 803-351-0635
Fax: [phone]
David. McKeownOHanson.com
From: Mickey, Mike [mailto:[e-mail]]
Sent: Tuesday, February 19, 2013 1:47 PM
To: McKeown, David (Columbia) NA
Subject: RE: Hanson Brick Permits
We need the "official' form to get Shipley listed as owner. The attached name change form needs to be competed and
submitted to the Raleigh address noted. I will take care of getting you listed as the contact for facility, permit and billing.
Mike.
Mike Mickey
Mike.MickevONCDENR.eov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [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: McKeown, David (Columbia) NA[ma ilto:David. McKeown @hanson.biz]
Sent: Tuesday, February 19, 2013 1:33 PM
To: Mickey, Mike
Subject: RE: Hanson Brick Permits
For all three of these permits, put me for the facility contact, permit contact and billing contact. Put Mike Shipley for the
owner (817-581-3020).

Mickey, Mike
From: Bennett, Bradley
Sent: Thursday, February 21, 2013 8:52 AM
To: Mickey, Mike
Cc: Georgoulias, Bethany; Montalvo, Sheri A
Subject: RE: Hanson Brick Permits: NCG020505, NCG070067 & NCG070068
Mike,
We can change the contact info, just get them to send the name change to adjust the other stuff.
Thanks
F.F.
Bradley Bennett
Stormwater Permitting Unit Phone: [phone]
NC Division of Water Quality Fax: [phone]
1617 Mail Service Center Email: [e-mail]
Raleigh, NC 27699-1617 Web: hftp:l/portal.ncdenr.org/web/Wc IL
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties,
From: Mickey, Mike
Sent: Thursday, February 21, 2013 8:45 AM
To: Bennett, Bradley
Cc: Georgoulias, Bethany; Montalvo, Sheri A
Subject: RE: Hanson Brick Permits: NCG020505, NCG070067 & NCG070068
Bradley - The mines have not moved. However, they are now closed down and the previous contacts are no longer with
the company. That is why I was trying to get the affiliations changed to David McKeown. Fran has already changed the
billing Lontact. I am working with David to get him to submit a name change form to get the owner info updated also.
Can SPU just change the facility and permit contact person affiliations? Holler back if any questions. Mike.
Mike Mickey
Mike. MickevONCDENR.eov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [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: Georgoulias, Bethany
Sent: Thursday, February 21, 2013 8:35 AM
To: Mickey, Mike; Montalvo, Sheri A

Cc: Bennett, Bradley
Subject: RE: Hanson Brick Permits: NCGO20505, NCG070067 & NCG070068
Mike,
Bradley had some questions about the physical facility locations changing, or whether it was just the mailing address.
We can't just change a facility location without issuing a new permit. He'll follow up with you.
Bg
Bethany Georgoulias
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Fax: [phone]
NEW Website: http:llportal.ncdenr.org/web/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.
From: Mickey, Mike
Sent: Tuesday, February 19, 2013 2:33 PM
To: Montalvo, Sheri A
Cc: Georgoulias, Bethany
Subject: RE: Hanson Brick Permits: NCG020505, NCG070067 & NCG070068
The Facility addresses need changing too. These mine sites are currently abandoned.
Correspondence needs to go to the home office address below.
Hanson Brick East, LLC
S 100 Brickyard Road
Columbia, SC 29203
Mike Mickey
Mike.Micke NCDENR. o�
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [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: Montalvo, Sheri A
Sent: Tuesday, February 19, 2013 2:29 PM
To: Mickey, Mike
Cc: Georgoulias, Bethany
Subject: RE: Hanson Brick Permits: NCG020505, NCG070067 & NCG070068

1�
yo,
,�ftj�A
CDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, PE John E. Skvarla, III
Governor Director Secretary
February 20, 2013
Mr. David McKeown
Lehigh Hanson, Inc.
5100 Brickyard Road
Columbia, SC 29203
Subject: NPDES General Stormwater Permit
Hanson Brick East, LLC — PG Farm Mine — McClellan Road
Stormwater Permit No. NCG020505
Guilford County
Dear Mr. McKeown:
This letter is just a follow-up to our discussion on February 15, 2013, concerning the above
NPDES General Stormwater Permit for the PG Farm Mine located off McClellan Road in Guilford
County, NC. It is our offices' understanding that the mine never opened and that the site is undeveloped.
The NPDES General Stormwater Permit for the PG Farm Mine is valid until December 31, 2014.
If Lehigh Hanson wishes to continue to maintain the permit, simply keep paying the $100 annual permit
fee. As long as no industrial activity takes place, then development of a Stormwater Pollution Prevention
Plan is not required, nor does any monitoring specified by the permit need to be undertaken.
If at some future time you determine that this permit is no longer needed, then the permit can be
voided. To accomplish this, the attached "Rescission Request Form" should be completed and returned to
the Raleigh address noted. Once rescinded, the annual permit fees will cease.
Should you have any questions, please contact me by phone at [phone] or by email at
[e-mail].
cc: Central Files — SWP
'WSRO '
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location:585 Waughtown St. Winston-Salem, !North Carolina 27107
Phone: [phone] l FAX: [phone] Customer Service: 1-877-623-6748
Internet www.ncwaterquality.org
An Equal Opponuaity 1 Affirma&ve Action Employer
Sincerely,
Michael M. Mickey
Environmental Program Consultant
Winston-Salem Regional Office
NonrthCarolina
Natmally

�`� • + Division of Water Quality 1 Surface Water Protection
National Pollutant Discharge Elimination System
NCDENR
""Nm ^— N°�FW of RESCISSION REQUEST FORM
ENVINpNMENT ANO NRl1�FL REsougCF�
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
Please fill out and return this form if you no longer need to maintain your NPDES General Stormwater Permit.
1) Enter the Certificate of Coverage No. to which this request applies: N C = "G 0 2 0 5 0 5
2) Owner/Facility Information: # Final correspondence will be mailed to the address noted below
Owner/Facility Name:
Facility Contact:
Street Address:
City:
County:
Telephone No.
State
E-mail Address
Fax:
ZIP Code
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
❑ Facility closed or is closing on All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to
on . If the facility will continue operations under the new owner
it may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES General Wastewater Permit
for the subject facility. I am familiar with the information contained in this request and to the best of my knowledge and
belief such information is true, complete and accurate.
Signature
Print or type name of person signing above
Date
Title
Please return this completed rescission request form to: SW NPDES Permit Coverage Rescission
Stormwater Permitting Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
1617 Mail Service Center, Ralee h, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 NorthCarohna
Internet www.nc+uaterquality.org "//
An Equal Opportunity 1 Wmnaive Acton Employer Naturally u/�'jatKrallI ,

Mickey, Mike
From: Mickey, Mike
Sent: Tuesday, February 19, 2013 1:47 PM
To: 'McKeown, David (Columbia) NA'
Subject: RE: Hanson Brick Permits
Attachments: NPDES-Name-Owner-Change-DWQ-SPU.pdf
We need the "official" form to get Shipley listed as owner. The attached name change form needs to be competed and
submitted to the Raleigh address noted. I will take care of getting you listed as the contact for facility, permit and billing.
Mike.
Mike Mickey
Mike. MickevCe7NCDENR.1?ov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [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: McKeown, David (Columbia) NA(ma ilto:David. McKeown @hanson.biz]
Sent: Tuesday, February 19, 2013 1:33 PM
To: Mickey, Mike
Subject: RE: Hanson Brick Permits
For all three of these permits, put me for the facility contact, permit contact and billing contact. Put Mike Shipley for the
owner (817-581-3020).
Is this something you can update or do we need to complete an "official" form?
Thanks.
J. David McKeown
Regional Environmental Manager
Hanson Building Products
Hanson Brick East, LLC
5100 Brickyard Road
Columbia, SC 29203
Tel: [phone]
Cell: 803-351-0635
Fax: [phone]
David. McKeown 0 Hansdn.corn
From: Mickey, Mike [mailto:[e-mail]]
Sent: Tuesday, February 19, 2013 1:25 PM
To: McKeown, David (Columbia) NA
Subject: FW: Hanson Brick Permits

Mickey, Mike
From: Mickey, Mike
Sent: Tuesday, February 19, 2013 1:59 PM
To: Mcpherson, Fran
Cc: Georgoulias, Bethany; Montalvo, Sheri A
Subject: RE: Hanson Brick Permits: NCG020505, NCG070067 & NCG070068
Fran - Can you remove the old billing contact information from the three permits above and insert the information for
David McKeown per his email below? Holler back if any questions. Thanks, Mike.
Mike Mickey
Mike. MickevCa7NCDENR.eov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [phone]
FAX: [phone]
From: McKeown, David (Columbia) NA [ma ilto:David. [e-mail]]
Sent: Tuesday, February 19, 2013 1:33 PM
To: Mickey, Mike
Subject: RE: Hanson Brick Permits
For all three of these permits, put me for the facility contact, permit contact and billing contact.
Thanks.
J. David McKeown
Regional Environmental Manager
Hanson Building Products
Hanson Brick East, LLC
5100 Brickyard Road
Columbia, SC 29203
Tel: [phone]
Cell: 803-351-0635
Fax: [phone]
David.McKeownaHanson.com
From: Mickey, Mike [mailto: mike. mickey@ncdenr,gov]
Sent: Tuesday, February 19, 2013 1:25 PM
To: McKeown, David (Columbia) NA
Subject: FW: Hanson Brick Permits
David —Still trying to get our computer updated with the correct contact information. Checkout the affiliation type and
name that is in our database for each permit below. Need these questions answered:
1) Do you want me to insert your name as the facility and permit "Contact Person"?
2) Is Roy Turner still the correct "Billing" contact?
3) How about the "Owner" names of Thomas Greene and Martin Brown. Still current? If not, I'll need to send you a
name change form to get those changed.

Mickey, Mike
From: Mickey, Mike
Sent: Tuesday, February 19, 2013 1:57 PM
To: Montalvo, Sheri A
Cc: Georgoulias, Bethany
Subject: RE: Hanson Brick Permits! NCG020505, NCG070067 & NCG070068
Sheri — I think I have it straight now. Can you remove the old contact information (facility and permit only) from the
three permits above and insert the information for David McKeown per his email below? Holler back if any questions.
Thanks, Mike.
Mike Mickey
Mike. Mickev(@ NCDENR.eov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [phone]
FAX: [phone]
From: McKeown, David (Columbia) NA[maiIto: David. [e-mail]]
Sent: Tuesday, February 19, 2013 1:33 PM
To: Mickey, Mike
Subject: RE: Hanson Brick Permits
For all three of these permits, put me for the facility contact, permit contact and billing contact.
Thanks.
J. David McKeown
Regional Environmental Manager
Hanson Building Products
Hanson Brick East, LLC
5100 Brickyard Road
Columbia, SC 29203
Tel: [phone]
Cell: 803-351-0635
Fax: [phone]
David. McKeown(cDHanson.com
From: Mickey, Mike [mailto:[e-mail]]
Sent: Tuesday, February 19, 2013 1:25 PM
To: McKeown, David (Columbia) NA
Subject: FW: Hanson Brick Permits
David — Still trying to get our computer updated with the correct contact information. Check out the affiliation type and
name that is in our database for each permit below. Need these questions answered:
1) Do you want me to insert your name as the facility and permit "Contact Person"?
2) Is Roy Turner still the correct "Billing" contact?
3) How about the "Owner" names of Thomas Greene and Martin Brown. Still current? If not, I'll need to send you a
name change form to get those changed.

Thanks, Mike.
FG Plant 1 & Mine — Forest Acres Circle:
Permit'. hICG07Q067� 'Versron 3-0 Status cove` '
Enti
,*Rt>iliatioriT a
"Name
i Title
Phone'Nurnber
Facility
Contact Person
Garvey, Jack
[phone],
Owner
Owner
Greene, Thomas
(704)75274702-
�P,ermit
Billing-
Turner,'Roy
Plant Manager
(336)`674-2255
Permit
Contact Person
Garvey, Jack
(336) 39821262
PG Plant 3 & Mine-- Lunt Road:
Permit'' NC0070068 Version= 3.0
t -
{Statu's: ctive
'Enti
'`Affiliation T e.
Name'-
Titie,
i -Phone:Number
Facility
Contact Person
Light,.Greg
[phone]
Owner
Owner
Brown, Martin
(910).525-4128
Permit.
Billing
Turner, Roy
Plant Manager
(336)'.674-2255
Permit
Contact Person.
Garvey, Jack
(336)' 398=1262
PG Farm Mine — McClellan Road -
Permit: NCGQ20505` °Version 3`0 Status;4 . cove`
a t. f
Errti
``'*Affliation.T a
Name
Title
PhoneNumber:
Facility
Contact Person
Garvey; Jack
[phone]
Owner
Owner
Greene, Thomas
(704).752-4702
Permit
Billing
Turner, Ray.
Plant Manager
(336).674-2255
Permit
Contact Person
Garvey, Jack H:
(336).674-2255
Mike Mickey
Mike.MickevONCDENR.eov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [phone]
FAX: [phone]
From: Georgoulias, Bethany
Sent: Tuesday, February 19, 2013 12:01 PM
To: Mickey, Mike
Cc: Bennett, Bradley; Montalvo, Sheri A
Subject: RE: Hanson Brick Permits
Hi Mike,

'i .
We need a few more specifics before we can make these changes. I read through the email chains down there, but I'm
not totally sure about the entire request.
Which contacts for these permits should be changed to Mr. McKeown?
Also, are there old contacts in BIMS that should be removed from these permits?
There are three different kinds of contacts in BIMS (not including billing contacts, which Fran McPherson has to change):
Owner Contact
Permit Contact
Facility Contact
We can't change the Owner Affiliation (not same as "Owner Contact") without a change of Name/Ownership form from
the permittee. Is Mr. McKeown also asking to be the owner? The Owner Affiliation is basically the person we'd consider
legally responsible for the permit, and often that's where we send permit renewal correspondence. [However, we are
trying to get better at copying Permit and Facility contacts in the future, especially since a lot of permits have no Owner
"Affiliation" and just a company name for Owner.]
I've copied Sheri in our group to help work through this request — she's been handling contact changes for us in BIMS. If
you could give us the details, 1 know she'll be happy to work with you on it. (And Sheri, if you need any help, just let me
know!)
Cheers,
Bethany
Bethany Georgoulias
Environmental Engineer
NCCENR I DWQ I Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Fax: [phone]
NEW Website: http:l/portal.ncdenr.org/web/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.
From: Mickey, Mike
Sent: Tuesday, February 19, 2013 10:55 AM
To: Georgoulias, Bethany
Subject: FW: Hanson Brick Permits
Bethany —Could you please forward this to whoever updates BIMS? The mailing address and contact information has
changed for the following three stormwater permits for Hanson Brick East, LLC.
NCG070067 (PG Plant 1 & Mine)
NCG070068 (PG Plant 3 & Mine)
NCG020505 (PG Farm Mine)
The contact info should be changed to the following as noted in the email below:
Mr. J. David McKeown
Regional Environmental Manager

Michael F. Easley, Governor
William 0, Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
G+ V
I. Please enter the permit number for which the change is requested.
Alan W. Klimek, P.E. Director
Division of Water Quality
NPDES Permit
(or) Certificate of Coverage
�!
II. Permit status prior to status change.
a. Permit issued to (company name):
lan;@n;gri,.V Egs± L t,C,-LL&—
b. Person legally responsible for permit:
o - ur
First f MI 1 Last
�Zeaidn4l- ®�erak►`o,�s MctYta�'��
_-- --
�� Title
T' 0. 30X 368 rf
C E re. le-
PermitHolder Mailing Address
City State
Zip
(�) 6qq-d-
621�539`7-
Phone Fax
c. Facility name (discharge):
anSG n Br') ck — PCs Fotrrn MC
r, t,
d. Facility address:
W_MLCI(- }gIId2OW.A
;
Address
-� yeQsa'+ Garet hSG _
�3
City State
Zip
e. Facility contact person:
�37aC� }+, G;r V e
First 1 MI I Last Phone
I.II. Please provide the following for -the requested
change (revised permit).
a: Request for change is a result of: ❑ Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain: ROon ' bic A'r-
b. Permit issued to (company name): Fc,S+" LLC sA bat
c. Person legally responsible for permit: MCLd n II- , $ f'r wa
First, / MI Last
Title
�,�•b� Hw
iRoseb
• � Perinii Holder Mailing Address
or - N C — a z
City State. Zip
910 �S-ti Ia�S Mart►rl.aPawn2��o,ny�l'�,a�
Phone E-mail Address
d. Facility name (discharge): t cA_-_ Earn
e. Facility address: )
Address
} ti{'Q--,aaran�0C _ Al
city state Zip
f. Facility contact person: 3cxCk H. GCLrYe
First I MI 1- Last
(33 ) 3`i-i -1 �162 e�ezck- Gar"'L
Phone E-mail Address
Revised 712005

>-
If
PERMIT CHANGE FORM
pn�ze - of
I1 Permit contact information: (if different from the person legally responsible for the permit)
Perinit contact. 70C_k 1'} QX t-ve.
First . Ml I Last
E ` Con mg 4.q M cCc-
Title
-P- b�� x J' LDS . 1 ©ttL� �C�eS Ci r GMS.
Mailing Address
411 eG_'Q"t GG, e rn Q D-73�-3
City `�- Stale !!`` Zip
ye-YL -t7Qh5at1 ..bi
Phone E-mail Address
NVill the permitted facility continue to conduct the same industrial activities conducted prior to
this ownership or. name change?
X ycs
J No (please explain)
N 1, Required Items: THIS APP,LICATWA. IVILL BE RETURNED Ui*VPROCE'SSED IFITEJIS.4RE
ZTh
,11PLETE OR MISSING.
is 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 require dl 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 pcmiit holder prior to the change, and the riciv
applicant in the case of an o-wriership change request. For a name change request. the signed Applicant's Certification
i sufficient.
PERMITTEE CERTIFICATION (Permit holderpriorto ownership change):
1. attest that this application for a name/ownership
chansc has been revie-,ved and is accurate and complete to the best of my knowledge. I understand that if all required
parts of this application arc not completed and that if all required supporting information is not included, this
application package +will be returned as incomplete.
Signature Date
\PPLICANT CERTIFICATIOs\
attest that this application for a namerou-ncrship
char c has been revic%ved and is accurate d tplete to the best of my kno,,vledQe. I understand that if all required
parts. of this application are not completed and that if ail required supporting�infomiation is not included. this
application package will be returned as incomplete.
E J -7 %
U. Sianat Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FZ_1._ed 7 7cul_