NCG020548_COMPLETE FILE - HISTORICAL_20170824

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
NtGoa os� �
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ �010 U[SM
YYYYMMDD

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Mr. David McKeown
Meridian Brick LLC
5100 Brickyard Road
Columbia, SC 29203
Dear Mr. McKeown.
August 24, 2017
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG020548
Anson County
The Division of Energy, Mineral and Land Resources received your request to rescind your
coverage under Certificate of Coverage Number NCG020548. In accordance with your request,
Certificate of Coverage Number NCG020548 is rescinded effective immediately.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 us at 919-707-9200, or the Stormwater
staff in our Fayetteville Regional Office, [phone].
Sincerely,
r Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
cc: Fayetteville Regional Office RECEIVED
Stormwater Permitting Program
Central Files AUG 28 2017
CENTRAL FILES
DIPVR SECTION
Nothing Compares---,-�-
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
512 N. Salisbury Street 11612 Mail Service Center I Raleigh, North Carolina 27699-1612
919 707 9200

F)1106�ms
Aja
Division of Energy, Mineral & Land Resources
Land Qualit Section/Stormwater Permitting Pro gram
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NC®ENR National Pollutant Discharge Elimination System
No c a Dewy wr OF
E_O.Mr--D N__ RC6ounc[S
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this 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 O 1 2 J 0 5 4 8
2) Owner/Facility Information: . Final correspondence will be mailed to the address noted below
Owner/Facility Name Meridian Brick LLC - Howell Mines 1 & 2
Facility Contact David McKeown
Street Address 5100 Brickyard Road
City Coli1mbia State SC ZIP Code 29203
County E-mail Address
Telephone No. 803 691-3121 Fax: [phone] .
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
® Facility closed or is closing on 07/11/2017. All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
qq(17
ill,
❑ Facility sold to on I I . 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: Mine was,Lplaacw_d from mininn permit number 04-19 an .fitly 11 7017_ See attached_
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater 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 �' Date July 26, 2017
J. David McKeown Corporate Environmental Manager
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
RECEIVED
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] FAX: [phone] JUL 3 12017
An Equal Opportunity IAffirmative Action Employer DENR-LAND QUALITY
STORMWATER PERMITTING

Alexander, Laura
From:
Lawyer, Mike
Sent:
Friday, August 18, 2017 11:24 AM
To:
Alexander, Laura
Subject:
RE: NCG020548
Follow Up Flag: Follow up
Flag Status: Flagged
Since the site has been fully reclaimed and released from their mining permit, go ahead and rescind stormwater permit
coverage. Thanks for checking with me.
Michael Lawyer, CPSWQ
Environmental Program Consultant
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
910 433-3394 office
mike. lawver a.ncdenr.gov
225 Green Street, Suite 714
Fayetteville, NC 28301
Nothing Compares -,—,—
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Alexander, Laura
Sent: Wednesday, August 09, 2017 11:05,AM
To: Lawyer, Mike < mike. [e-mail]>
Subject: NCG020548
Mike,
It looks like the above mentioned permit was satisfactorily reclaimed by Janet Boyer. I usually just go ahead and rescind
but wanted to check with you first.
Thanks,
Laura
From: [e-mail][mailto:[e-mail]]
Sent: Wednesday, August 09, 2017 11:06 AM
To: Alexander, Laura <[e-mail]>
Subject: Scanned page

Energy, Mineral
and Lund Resources
ENVIRONMENTAL QUAL[TY
Mr. J. David McKeown
Forterra Brick, LLC
5100 Brickyard Road
Columbia, SC 29203
Dear Mr. McKeown:
PAT MCCRORY
Govervor
DONALD R. VAN DER VAART
Secrerary
TRACY DAVIS
Uireclor
May 5, 2016 C I V E D
MAY 17 .2016
CENTRAL FILES
DWR SECTION
Subject: NPDES Stormwater Permit NCG020549
Forterra Brick, LLC
b"ormerly Hanson Brick bast, 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].
Sincerely.
(lZ
fog° Tracy E. Davis, P.L. CPM, Director
Division of Energy; Mineral and Land
Resources
cc: Fayetteviile Regional Office
Stormwater Permitting Program Files
Central -I` i les
State of North Carolina I linvironmcntui Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, North Carolina 27699-1612
919 707 9220 T

STATE OF NOR'I"14 CAROLINA
DEPARTMENT OF ENVIRONMENTAL. QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020548
STORMWATER AND PROCESS WASTEWA"ITR 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 Invironmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Forterra Brick, LLC
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 — Howell Mines 1, 2, &: 3
SR 1205 White Store Road
Wadesboro
Anson County
to receiving waters designated as U`T to Goluds Fork, 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 1, II, III, and 1V of General Permit No. NCG020000 as attached.
I'his 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 E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

f �J
I
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM
I. CURRENT PERMIT INFORMATION
1. Stormwater Management Permit Number: NCGo2o5as
2. Project Name: Hanson Brick - Howell Mines 1 2 & 3
3. Current Permit Holder's Company Name/Organization: Hanson Brick East, LLC
4. Signing Official's Name: J. David McKeown Title: Regional Environmental Manager
5. Mailing Address: 5100 Brickyard Road
City: Columbia
6. Phone. ( 803 ) 691 3121
State: 5C Zip:
Fax: ( 803 ) 786-9703
29203
ll. PROPOSED PERMITTEE / OWNER I 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
4. Mailing Address: 5100 Brickyard Road
City: Columbia
Phone:( 803 ) 691-3121
5. New Project Name to be placed on permit
State: 5C Zip:
Fax: ( 803 ) 786-9703
29203
Forterra Brick, LLC - Howell Mines 1 2 & 3
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.
0. 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 is n! changing his/her/ifs name, the project name, or mailing
address, but will retain the permit. I, ��� , the current
permittee, hereby notify the DWQ that I Am changing my name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. 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.
❑ 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 listed 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:
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 2 of 4

V. PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Permittee for all transfers of ownership)
I, , hereby notify the DWO 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)
H
the most recent permit
the designer's certification for each BMP
❑ any recorded deed restrictions, covenants, or easements
❑ the DWO approved plans and/or approved as -built plans
❑ the approved operation and maintenance agreement
❑past maintenance records from the previous permittee (where required)
DWO 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:
day of
County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the
, 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 II 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: Zip:
(if different from street address)
State: Zip:
Fax:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections II 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
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)
ary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4