NCG020562_COMPLETE FILE - HISTORICAL_20180711

STORMWATER DIVISION CODING -SHEET -
RESCISSIONS .
PERMIT NO.
DOC TYPE
ACOMPLETE.FILE -HISTORICAL
DATE OF
RESCISSION
❑ �olKm II
YYYYMMDD

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
.July 11, 2018
American Materials Company
Attn: Gary T. Bizzell, President
6131 Oleander Drive
Wilmington, NC 28403
Subject: COMPLIANCE EVALUATION INSPECTION
NPDES Stormwater General Permit NCG020000
American Materials Company, LLC
Clark Mine, Certificate of Coverage NCG020562
Cumberland County
Dear Mr. Bizzell:
ROY COOPER
Governor
MICHA6L S. REGAN
,iecrerary
WILLIAM E: (TOBY) VINSON, JR.
Inferior Director
On May 31, 2018, a site inspection was conducted for the Clark Mine facility located at 3451 River Road in
Cumberland County, North Carolina. A copy of the Compliance Inspection Report is enclosed for your
review. Mr. Tony Harris, General Manager, was also present during the inspection and his time and
assistance is greatly appreciated. The site visit and file review revealed that the subject facility is covered by
NPDES Stormwater General Permit NCG020000 under Certificate of Coverage NCG020562. Permit
coverage authorizes the discharge of Stormwater from the facility to receiving waters designated as the Cape
Fear River, a Class WS-IV waterbody in thw Cape Fear River Basin.
As a result of the inspection, the facility was found to be in compliance with the conditions of the NCG020000
permit. Please refer to the enclosed Compliance Inspection Report for additional comments and
observations made during the inspection.
Please be advised that violations of the NPDES Stormwater General Permit are subject to a civil
penalty assessment of up to $25,000 per day for each violation. If you or your staff has any questions,
comments, or needs assistance with understanding any aspect of your permit, please contact me at (910)
433-3384 or by e-mail at melissa,[e-mail].
Sincerely,
Melissa .Joyner
Environmental Specialist
Enclosure: Compliance Evaluation Inspection
Rescission Request Form
cc: Tony Harris, General Manager — American Materials Company, LLC (via email)
FRO — DEMLR, Stormwater Files-NCG020000
State of North Cunha I lirvironmental quality I Energy, Mincral and Land Resources
Fayelteviltc Rcgic na4 Office 1 225 c ;recu Srn,et, Suite 714 1 Fayetteville, NC 2Fi301
9I0- 131-3.i0o

r
Compliance Inspection Report
�Frmit: NCG020562 Effective: 10/01/15 Expiration: 0()!30120 Owner: Amencan Materials Company LLC
r1C: Effective- Expiration: Facility: Clark Mine
::runty: Cumberland 3451 River Rd
Region: Fayetteville
Wade NC: 2.8395
Contact Person: Gary f Bizzeil Title: President Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
Owl -Site Representative(s):
On -site representative
Related Permits:
Inspection Pate: 05/311201H
Primary Inspector: Melissa A Joyner
Secondary Inspector(s):
Certification: Phone:
Tony Harris 910-592-1753
EntryTime: 11:1.5AM Exit Time: 12:OOPM
Phone:
Charles J Gill
Reason for Inspection: Rouline Inspection Type: Compliance Evaliia{jon
Permit Inspection Type: Mining Activilies Stormwater Discharge COG
Facility Stales: ® Compliant Not Compliant
Ouestion Areas --
a Storm Water
(See attachment summary)
Page: 1

permit: NCGO20562 Owner - Facility -.American Materials Company LLC
Inspection Date: 0513112U18 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Melissa Joyner and Jason Gill met with Tony Harris, General Manager, at the Clark Mine. At the time of the inspection, the
Stormwater Pollution Prevention Plan (SPPP) was not available for review but was emailed to the Inspectors at a later date.
In reviewing the received SPPP, it appeared to include most of the applicable required components which are stipulated in
the General Permit NCG 020000. Training is not being documented on an annual basis. There should be included in the
SPPP documentation of the Annual Review of the SPPP with a date and signature for 2015, 2016 and 2017. There are no
outfalls at this mine and no dewatering is taking place because the mine has been under reclamation for the last few years.
The Waste Water Annual Discharge Monitoring Report Forms (DMR) were reviewed. Records were available for February -
May 2018 with No Discharges noted. No records were available for review for 2017. According to General Permit NCG020000
there needs to be a minimum of 60 days separating the monitoring dates.
A tour of the mine was conducted. The mine is currently in the process of being reclaimed and appears in stable condition.
At the time of the development of this inspection report an inspection of the Clark Mine occurred on June 14, 2018 and a
letter releasing this mine was issued on July 5, 2018. Attached is the Rescission Request Form since the NPDES
stormwater permit will no longer need to be maintained.
Page: 2

Permit: NCG020562 owner - Facility:Americen Materials Company Li
Inspection Date: 0513112019 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
® l._l ❑ ❑
3L Does the Plan include a General Location (iJSGS) map?
® ❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
® ❑ ❑ ❑
# Does the Plan include a detailed site map including outfall Incaiions and drainage areas?
ED ❑ ❑ ❑
# hoes the Plan include a list of significant spills occurring during the past 3 years?
® ❑ ❑ ❑
r: Has the facility evaluated feasible alternatives to current practices?
® ❑ ❑ ❑
Does the facility provide all necessary secondary Containment?
U ❑ El ❑
Does the Plan include a EiMP summary?
® ❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (Si
0 ❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
® ❑ ❑ ❑
# Does the facility provide and document Employee Training"
❑ 13 ❑ ❑
# Does the Plan include a list of Responsible Pady(s)?
® ❑ ❑ ❑
Is the Plan reviewed and updated annually?
❑ El ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
0 ❑ ❑ ❑
Comment:
Qualitative Monitoring Yes Na NA NE
Has the facility conducted its Qualitative Monitndne semi-annually? ❑ ❑ ❑
Comment: There are no stormwater disci outfalls and no dewa_tering has taken place_
Analytical Monitoring Yes No NA NE
Flas the facility rondurted its Analytical monitoring? 91 ❑ ❑ ❑
P. Has the facility conducted its Analytical monitoring from Vehicle Maintenance area-? ❑ ❑ M ❑
Comment Analytical Monitoring has occurred for Feb rua ryjhrou h Ma 2018. There are no stormwater _
disc�iarQe outfalls and no dewatering has. taken lalace.
Permit and Outfalls Yes No NA NE
4 Is a copy of the Permit and the Certificate of Coverage available at the site? ®❑ ❑ ❑
# Were all outfalls observed during the inspection? ❑ ❑ Im ❑
# It the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ❑
# Has the tacility evaluated all illicit (non stofmwati�r) dischwcles? ❑ ❑ ❑
Comment: There are no stormwater discharge outfalls
Page: 3

ArA
FORAGENCY USE ONLY
Division of Energy, Mineral & hand Resources ❑ate Received
Year Month DaLand Quality Section/stormwater Permitting Program _ L
Im
DE National Pollutant Discharge Elimination System
4CF:n CAA UHA M FRT. ENT C F
fw K+�rf ti: n:n N��u f1E9p�r+GE�
RESCISSION REQUEST FORM
Please fill out and retum 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
-- — R . IN � k.t z 1��„
xN sCm t5n
s) 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 RN.IM . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
[1 Facility sold to l _ 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:
f, as an authorized representative, hereby request rescission of coverage under the NPDES Storrnwater Permit for the
subject facility. I am familiar with the information contained in this ra_gttest and to the best of my knowledge and belief
such information is true, complete and accurate.
Signature
Date
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1.612 Mail Service Center
Raleigh, North Carolina 27699-1612
1612 Mail Service Center. Raleigh, North Carolina 27699-1612
Pitt me: 919-807-a 3f 1D V FAX: 9 i 9-807-6492-
An Equail Opportunity `Affirmative Action Employer

s
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
May 23, 2017
American Materials Company
Attn: Gary T. Bizzell, President
6131 Oleander Drive
Wilmington, NC 28403
Subject: COMPLIANCE EVALUATION INSPECTION
NPDES Stormwater General Permit NCG020000
American Materials Company, LLC
Clark Mine, Certificate of Coverage NCG020562
CumberlandCounty
Dear Mr, Bizzell:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
On April 11, 2017, a site inspection was conducted for the Clark Mine facility located at 3451 River Road in
Cumberland County, North Carolina. A copy of the Compliance Inspection Report is enclosed for your
review. Mr. Tony Harris, General Manager, was also present during the inspection and his time and
assistance is greatly appreciated. The site visit and file review revealed that the subject facility is covered by
NPDES Stormwater General Permit NCG020000 under Certificate of Coverage NCG020562, Permit
coverage authorizes the discharge of stormwater from the facility to receiving waters designated as the Cape
Fear River, a Class WS-IV waterbody in the Cape Fear River Basin.
As a result of the inspection, the facility was found to be in compliance with the conditions of the NCG020000
permit. Please refer to the enclosed Compliance Inspection Report for additional comments and
observations made during the inspection.
Please be advised that violations of the NPDES Stormwater General Permit are subject to a civil
penalty assessment of up to $25,000 per day for each violation. If you or your staff has any questions,
comments, or needs assistance with understanding any aspect of your permit, please contact me at (910)
433-3384 or by e-mail at [e-mail].
Sincerely,
Melissa Joyner
Environmental Specialist
Enclosure: Compliance Evaluation Inspection
CC" Tony Harris, General Manager — American Materials Company, LLC (via email)
FRO — DEMLR, Stormwater Files-NCG020000
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
Fayetteville Re6zional Office 1225 Green Street, Suite 714 j Fayetteville, NC 28301
910-433-3300

Compliance Inspection Report
Permit: NCG020562 Effective: 10/01/15 Expiration: 09/30120 Owner: American Materials Company LLC
SOC: Effective: Expiration: Facility: Clark Mine
County: Cumberland 3451 River Rd
Region: Fayetteville
Wade NC 28395
Contact Person: Gary T Bizzell Title: President Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
On -site representative
Related Permits:
Inspection Date: 04/11/2017
Primary Inspector: Melissa A Joyner
Secondary Inspector(s):
Certification: Phone:
Tony Harris 910-592-1753
Entry Time: 09:55AM Exit Time: 10:35AM
Phone:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Mining Activities Stormwater Discharge COC
Facility Status: 0 Compliant ❑ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

.N
permit; NCG020562 Owner - Facility: American Materials Company LLC
Inspection Date:- 04111l2017. Inspection Type: Compliance Evaluation - Reason for Visit: Routine
Inspection Summary:
Melissa Joyner met with Tony Harris, General Manager, at the Clark Mine. At the time of the inspection, the Stormwater
Pollution Prevention Plan (SPPP) was not available for review but was emailed to the Inspector at a later date. In reviewing
the received SPPP, it appeared to include the applicable required components which are stipulated in the General Permit
NCG 020000 with the exception that there should be included in the SPPP documentation of the Annual Review of the
SPPP with a date and signature for 2015 and 2016. There are no stormwater discharge outfalls at the site. The Waste Water
Annual Discharge Monitoring Reports (DMR) were reviewed. Records were available for review for 2016 but not for the last
quarter of 2015 or the first quarter of 2017. Each DMR form should be specifically dated. No off -site discharges were
indicated.
A tour of the mine was conducted. The mine is currently in the process of being reclaimed with the majority of this work
completed.
Page: 2

Permit: NCG020562 Owner - Facility: American Materials Company LLC
Inspection Date: 04/11/2017 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
0
❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
0
❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
E
❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
E
❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
0
❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
0
❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
❑
❑ N ❑
# Does the Plan include a BMP summary?
0
❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
❑ [] ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
N
❑ ❑ ❑
# Does the facility provide and document Employee Training?
0
❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
0
❑ ❑ ❑
# Is the Plan reviewed and updated annually?
❑
E ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑ Cl ❑
Comment:
Qualitative Monitoring
Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ❑ ❑ 0 ❑
Comment: There are no stormwater discharge outfalls.
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? 0 ❑ ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ N ❑
Comment: Monitoring records from 2016 were available for review and indicated that there have been no
discharges.
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑
# Were all outfalls observed during the inspection? ❑ ❑ 0 ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ 0 ❑
# Has the facility evaluated all illicit (non stormwater) discharges? ❑ ❑ ■ ❑
Comment: There are no stormwater discharge outfalls.
Page: 3

NC®ENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
June 22, 2012
American Materials Company, LLC
Attn: Gary T. Bizzell, President
6131 Oleander Drive
Wilmington, NC 28403
Subject: COMPLIANCE EVALUATION INSPECTION
American Materiasl Company, LLC
Clark Mine, Certificate of Coverage-NCG020562
NPDES General Permit-NCG020000
Cumberland County
Dear Mr. Bizzeil:
Natural Resources
Dee Freeman
Secretary
On June 19, 2012, a site inspection was conducted for the Clark Mine facility located at 3451 River Road in
Wade, Cumberland County, North Carolina. A copy of the Compliance Inspection Report is enclosed for your
review. Mr. Tony Harris, General Manager, was also present during the inspection and his time and assistance is
greatly appreciated. Permit coverage authorizes the discharge of stormwater and/or wastewater from the facility
to receiving waters designated as Cape Fear River, a Class WS-IV waterbody in the Cape Fear River Basin. The
site visit and file review revealed that the subject facility is covered by NPDES General Perm it-NCG020000,
Certificate of Coverage-NCG020562.
As a result of the inspection, the facility was found to be in compliance with the conditions of the NCG020000
General Permit. Please refer to the enclosed Compliance Inspection Report for additional comments and
observations made during the inspection.
Please be advised that violations of the NPDES General Permit are subject to a civil penalty assessment
of up to $25,000 per day for each violation. If you or your staff has any questions, comments, or needs
assistance with understanding any aspect of your permit, please contact me at [phone] or by e-mail at
[e-mail].
Sincerely,
Michael Lawyer, C SWQ
Environmental Specialist
Enclosure
cc: Tony Harris, General Manager -American Materials Company, LLC (via e-mail)
Judy Wehner-Land Quality (via e-mail)
jFRO-Surface Water Protection -
FRO -Land Quality
Niki Maher-WBS Compliance & Permits Unit
DWQ Central Files
Location: 225 Green Street, Suite 714, Fayetteville, North Carolina 28301
phone: 91OA33-3300 L FAX: [phone] Customer Service: 1-877-623-6748
Internet' http://portal.ncdenr.orgAveb,*
An Equd Opponunity % Affirmative Action Employer
Nor €h Caroli na
;Vatimally

Compliance Inspection Report
Permit: NCG020562 Effective: 01/01/10 Expiration: 12/31/14 Owner: American Materials Company LLC
SOC: Effective: Expiration: Facility: Clark Mine
County: Cumberland 3451 River Rd
Region: Fayetteville
Wade NC 28395
Contact Person: Gary T Bizzell Title: President Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
On -site representative Tony Harris Phone: [phone]
Related Permits:
Inspection Date: 06/19/2012 Entry Time: 09:30 AM Exit Time: 10:45 AM
Primary Inspector: Mike Lawyer�;I phone: [phone]
Secondary Inspector(s): Ex
33z`�
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Mining Activities Stormwater Discharge COC
Facility Status: ■ Compliant Q Not Compliant
Question Areas:
0 Storm Water
(See attachment summary)
Page: 1

Permit: NCG020562 Owner - Facility: American Materials Company LLC
Inspection Date: 06/1912012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Met with Mr. Tony Harris, General Manager. Reviewed monitoring records and Stormwater Pollution Prevention Plan
(SPPP). Site has no discernible stormwater discharge outfalls and records for process wastewater and/or mine
dewatering discharges indicate 'No Discharge' for 2010, 2011, and first & second quarters of 2012. The site's SPPP
appears to contain all permit -required components. According to Mr. Harris, site is currently inactive and under
reclamation.
Page: 2

Permit: NCG020562 Owner - Facility: American Materials Company LLC
Inspection pate: 06119/2012 Inspection Type: Compliance Evaluation
Reason for Visit:
Routine
Stormwater Pollution Prevention Plan
Yes
No
NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
■
n
❑
Q
# Does the Plan include a General Location (USGS) map?
■
❑
❑
Q
# Does the Plan include a "Narrative Description of Practices"?
■
n
n
n
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
n
n
n
# Does the Plan include a list of significant spills occurring during the past 3 years?
■
n
n
n
# Has the facility evaluated feasible alternatives to current practices?
■
n
n
n
# Does the facility provide all necessary secondary containment?
■
n
n
n
# Does the Plan include a BMP summary?
■
n
Cl
n
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
n
n
n
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
n
n
n
# Does the facility provide and document Employee Training?
■
n
n
n
# Does the Plan include a list of Responsible Party(s)?
■
n
n
n
# Is the Plan reviewed and updated annually?
■
n
n
n
# Does the Plan include a Stormwater Facility Inspection Program?
■
n
n
n
Has the Stormwater Pollution Prevention Plan been implemented?
■
n
Cl
n
Comment:
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
n
n
■
n
Comment: Facility has no stormwater discharge outfalls.
Analytical Monitoring
Yes
No
NA
NE
Has the facility conducted its Analytical monitoring?
■
n
n
n
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
01
❑
■
n
Comment: Monitoring records from 2010, 2011, and first & second quarter of 2012
indicate 'No Discharge'.
Permit and Outfalts
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■ n
n n
# Were all outfalls observed during the inspection?
n n
n ■
# If the facility has. representative outfall status, is it properly documented by the Division?
n n
■
# Has the facility evaluated all illicit (non stormwater) discharges?
❑ ❑
■
Comment:
Page: 3

P.O. Box 88
—Union, NC 28329
October 25. 2010 0SvP,
HO
Mr. Michael Lawyer OCT 2 ? 201Q
Environmental Specialist
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
RE: Wade and Clark Mine
Storm Water and Pollution Plan
Cumberland County
Cape Fear River Basin
Dear Mr. Lawyer,
Please find enclosed the Storm Water and Pollution Plans for the American
Materials' Wade and Clark Mines located off River Road in Wade, North Carolina.
As we discussed during your visit in September to the Wade and Clark Mines, there
are no Storm Water Discharge points on these mine sites, and in fact they both are
complete recycle systems. If anything changes with this status, AMC will adhere to
these submitted plans.
If you have any questions concerning this, or any other issues concerning these sites,
do not hesitate to call me at 910-990-7928.
Respectfull Submitted,
Tony Harris
General Manager
American Materials Company LLC.

Lawyer, Mike
From: Tony Harris [[e-mail]]
Sent: Thursday, October 14, 2010 2:55 PM
To: Lawyer, Mike
Subject: RE: DWQ inspection reports
Attachments: Tony Harris.vcf,- Stormwater Plan Clark Mine 2010.doc; Stormwater Plan Wade Mine
2010.doc, Mike Lawyer letter 10-11-2010 Clark Mine.doc-, Mike Lawyer letter 10-11-2010.doc
Mike,
Give me your feed back!! Enjoy your vacation!
i Tony Harries
American Matl fi.. s Company LLC
General Manager
r
'29""?
(910) -593 175J VJbrt:-
r(930):990 7928Mp8e'
_
;F +
_
_
;.E91o)'S92 9461Fax . _ "
P O `-1 88
Clinton, N 28329
='ttiarns irenc`anmaterialsm,tmr'i>!
From: Lawyer, Mike[mailto:mike.lawyerCaoncdenr.govl
Sent: Thursday, September 16, 2010 2:18 PM
To: [e-mail]
Subject: DWQ inspection reports
Tony,
Please see attached copies of the NOVs and reports for inspections conducted on 9/1/10 at the Wade Mine and Clark
Mine in Cumberland County. As discussed, we are requesting a written response within 30 days of receipt. The original
reports were sent by Certified Mail to Mr. Bizzell's office in Wilmington and we got green cards back showing receipt on
9/14/10, which makes a due date for response of 10/14/10. If you have any questions, please contact me.
Thanks,
Mike
Michael Lawyer, CPSWQ
Environmental Specialist
NCDENR-Division of Water Quality
Surface Water Protection Section
Fayetteville Regional Office
Direct: [phone]
Main: [phone]
Fax: [phone]
e-mail: mike. lawyerncdenr. ov (please note my current e-mail address)
*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.

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
September 9, 2010
CERTIFIED MAIL: 7009 0820 0000 2473 7964
RETURN RECEIPT REQUESTED
American Materials Company, LLC
Attn: Gary T. Bizzell, President
6131 Oleander Drive
Wilmington, NC 28403
Subject: NOTICE OF VIOLATION (NOV-2010-PC-1017)
American Materials Company, LLC
Clark Mine
NPDES Stormwater General Perm it-NCG020000
Cumberland County
Dear Mr. Bizzell:
Dee Freeman
Secretary
On September I, 2010, Michael Lawyer from the Fayetteville Regional Office of the Division of
Water Quality, conducted a site inspection at the Clark Mine facility located at 3451 River Road in
Wade, Cumberland County, North Carolina. A copy of the Compliance Inspection Report is enclosed
for your review. Mr. Tony Harris, General Manager, was also present during the inspection and his time
and assistance is greatly appreciated. Stormwater, mine dewatering and/or process wastewater from the
facitity would discharge to the Cape Fear River, a Class WS-I V water located in the Cape Fear River
Basin. The site visit and file review revealed that the subject facility is covered by NPDES Stormwater
General Permit-NCG020000, Certificate of Coverage -NCG020562.
Accordingly, the following observations and/or permit conditions violations were noted during
the Division of Water Quality inspection:
1) Stormwater Pollution Prevention Plan fSPPPI
A Stormwater Pollution Prevention Plan (SPPP) has been developed, recorded, and properly
im lemented.
es❑ No■
2) (Qualitative Monitoring
Qualitative monitoring has been conducted and recorded in accordance with permit requirements.
es ❑ No ❑ NA
Location: 225 Green Street, Suite 714, Fayetteville, North Carolina 28301
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: wwwrcwaterguality.org
An Equal Opportunity 4 Affirmative Action Employer
NoRe hCarolina
Aw rall

3) Analytical Monitoring • .
Analytical monitoring has been conducted and recorded in accordance with pen -nit requirements.
es❑ Noi
Other Observations:
Please refer to the enclosed Compliance Inspection Report for any additional comments and
observations made during the inspection.
Requested Resyonse:
You are asked to respond to this office, in writing, within 30 calendar days from receipt of this letter.
Your response should include a Plan of Action to address the aforementioned violations along with a
reasonable time frame that you expect to be in full compliance with the conditions of the NCG020000
general permit.
Thank you for your attention to this matter. This office requires that the violations, as detailed
above, be properly resolved. These violations and any future violations are subject to a civil.
penalty assessment of up to $25,000 per day for each violation. Should you or your staff have any
questions regarding these matters, please contact Mr. Lawyer or myself at [phone].
Sincerely,
Belinda S. Henson
Regional Supervisor
Surface Water Protection Section
BSH: ML/ml
Enclosure
cc: Tony Harris. General Manager -American Materials Company, LLC (via e-mail)
FRO -Surface Water Protection
NPS-Assistance & Compliance Oversight Unit
DWQ Central Files

f
Compliance Inspection Report
Permit: NCGG20562 Effective: 01/01/10 Expiration: 12/31/14 Owner: American Materials Company LLC
SOC: Effective: Expiration: Facility: Clark Mine
County: Cumberland 3451 River Rd
Region: Fayetteville
Wade NC 28395
Contact Person: Gary T Bizzell Title: President Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
On -site representative Tony Harris Phone: [phone]
Related Permits:
Inspection Date: 09101/2010 Entry Time: 09:30 AM Exit Time: 11:30 AM
Primary Inspector: Mike Lawyer�� Phone: [phone]
Sasencia jf� 3333 2!51
�Q^rY4,"_ ; Belinda S Henson Phone: [phone] Ex�2Fr
Reason for Inspection: Routine Inspection Type: Compliance Evaluation 9324-
Permit Inspection Type: Mining Activities Stormwater Discharge COC
Facility Status: i1 Compliant ■ Not Compliant
Question Areas:
■ Storm Water
(See attachment summary)
Page:1

Permit: NCG020562 Owner - Facility: American Materials Company LLC
Inspection Date: 09/01/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Met with Mr. Tony Harris, General Manager, who provided tour and overview of the mine operations. According to Mr.
Harris, the Clark Mine is in the process of reclamation. Mr. Harris was informed that once final reclamation has occurred
and the mining permit released, then rescission of coverage under the NCG020000 general permit should also be
requested. As with the Wade Mine, a Stormwater Pollution Prevention Plan has not been developed for the Clark Mine
and there were no records of monitoring.
Page: 2

Permit: NCG020562 Owner - Facility: American Materials Company LLC
Inspection Date: 09/0112010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan? ❑ ■ ❑ ❑
# Does the Plan include a General Location (USGS) map?
❑
❑
❑
■
# Does the Plan include a "Narrative Description of Practices"?
Cl
D
❑
■
# Does the Plan include a detailed site map including outfall locations and drainage areas?
D
❑
❑
■
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑
❑
❑
■
# Has the facility evaluated feasible alternatives to current practices?
D
❑
❑
■
# Does the facility provide all necessary secondary containment?
D
D
D
■
# Does the Plan include a BMP summary?
Cl
❑
❑
■
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑
❑
❑
■
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑
❑
❑
■
# Does the facility provide and document Employee Training?
❑
❑
❑
■
# Does the Plan include a list of Responsible Party(s)?
❑
❑
❑
■
# Is the Plan reviewed and updated annually?
❑
❑
❑
■
# Does the Plan include a Stormwater Facility Inspection Program?
❑
❑
❑
■
Has the Stormwater Pollution Prevention Plan been implemented?
D
❑
■
❑
Comment: A Stormwater Pollution Prevention Plan has not been developed for this
mine.
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
❑
❑
■
❑
Comment: There are no stormwater outfalls associated with this mine.
Analytical Monitoring
Yes
No
NA
NE
Has the facility conducted its Analytical monitoring?
❑
■
❑
❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
❑
❑
ra
❑
Comment: There were no records of monitoring available for review. If there are no
dewatering or other discharge events during a monitoring period, 'No Discharge' should
be recorded on appropriate forms and submitted as required by the permit in order to be
compliant with the monitoring conditions of the general permit.
Permit and Outfalls
Yes No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■ ❑
❑
❑
# Were all outfalls observed during the inspection?
■ ❑
❑
❑
# If the facility has representative outfall status, is it properly documented by the Division?
❑ Cl
■
❑
Page: 3

Permit: NCG020562 Owner - Facility: American Materials Company LLC
Inspection Date: 0910112010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment:
n❑■n
Page: 4

>r r 4
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Gary Bizzell
American Materials Company LLC
6131 Oleander Dr
Wilmington, NC 28403
Dear Permittee:
Coleen N. Sullins
Director
February 11, 2010
Dee Freeman
Secretary
Subject: NPDES Stormwater Permit Coverage Renewal
Clark Mine
COC Number NCG020562
Cumberland County
In response to your renewal application for continued coverage under stormwater General Permit NCG020000
the Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater General Permit. This permit
is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October 15,
2007 (or as subsequently amended).
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of stormwater General Permit NCG020000
• A copy of a Technical Bulletin for the General Permit
• Two copies of the Tier 21 Exceedence Discharge Monitoring Report (DMR) Form for Stormwater
• One copy each of the Annual Summary DMR Forms for Stormwater and Wastewater
• Two copies of the Limit Violation DMR Form for Wastewater
• Two copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater and wastewater, and it specifies your obligations with
respect to discharge controls, management, monitoring, and record keeping. Please review the new permit to
familiarize yourself with all the changes in the reissued permit. If your Certificate of Coverage (COC) restricts
authorization to discharge Stormwater only (or other limited terms) based on your original application, or
subsequent modifications to your COC, you must continue to meet these requirements or contact the Stormwater
Permitting Unit to request a modification of this renewal COC.
The more significant changes in the General Permit since your last Certificate of Coverage include the following:
Part II:
• Section B — Language referencing PAMS has been changed. Flocculants may now be used if evaluated
by the Division and administered in accordance with maximum application doses and other requirements.
Part III:
• Section A — The permit now requires a Stormwater Pollution and Prevention Plan (SPPP) tailored to the
mining industry, in lieu of a Stormwater BMP Plan.
• Section A - Inactive mines may be inspected on a reduced schedule: at least once per month and after
0.5" (or more) of rain. To qualify, inactive mines must possess an "Inactive Renewal" from DLR or certify
to DWQ the site has been stabilized. The permittee must notify the DWQ Regional Office of inactive
status. Discharges from inactive mines must still be monitored on the same schedule as active mines.
wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service: 1.V7-623-6746 North Caarol i`n a
Internet: www,ncwaterquality.org?/ffl�r/iI/l/
An Equal OpponunityXAffirmativeAction Employer �/ YLiLfI{LLaLl�

fo
Permit Reissuance — Permit Number NCGO20562
February 11, 2010
Page 2
• Section B — Revised provisions require that stormwater discharges be sampled twice per year (instead of
annually), and that the sampling results be compared to new benchmark values. (The previous cut-off
concentrations have been removed.)
• Section B — Revised provisions require the permittee to execute Tier One, Tier Two & Tier Three
response actions, based on the first benchmark exceedence (Tier One) and the second consecutive
benchmark exceedence (Tier Two). Tier Two requires that the permittee institute monthly monitoring
(reported to the appropriate Regional Offices) instead of twice -per -year monitoring. Monthly monitoring
shall be done until three consecutive monitoring events show no benchmark exceedences.
• Section B — This part contains a new provision that four exceedences of any benchmark will trigger
increased DWO involvement in the permittee's stormwater management and control actions. DWQ may
direct the permittee to apply for an individual permit, institute specific monitoring, or may direct the
implementation or installation of specific stormwater control measures.
• Section B — The definition of "Representative Storm Event" (RSE) now allows 48 hours (instead of 72
hours) of little or no precipitation to precede an RSE.
• Section B — Stormwater discharges from a basin designed to contain the 10-year storm must now be
monitored.
• Sections B & C — Failure to monitor according to permit terms triggers monthly monitoring for the
remainder of the permit.
• Section C — Analytical monitoring for Total Petroleum Hydrocarbons (TPH) has replaced the Oil & Grease
parameter in the previous permit.
• Section D — Qualitative monitoring must now be conducted during the same representative storm event
as the analytical monitoring.
• Section D — The permittee is required to keep a written record of his response to problems identified by
his qualitative monitoring observations.
• Section D — If the permittee fails to respond effectively to problems identified by qualitative monitoring, the
permittee may be required by DWQ to perform corrective action.
• Section D — Qualitative ROS: Representative Outfall Status may be granted for qualitative monitoring for
some Stormwater Discharge Outfalls (SDOs).
• Section D — If mines do not respond to problems seen in visual monitoring, DWQ may now require that
mines change the monitoring frequency, apply for an individual permit, implement in -stream monitoring,
install or modify structural stormwater controls, or implement other controls.
• Sections B, C, & D — Inability to sample due to adverse weather must be reported in the SPPP and
recorded in the Annual Summary DMR.
• Section E — A lower TSS Wastewater limit for PNA waters is included in the permit.
• Section E —All mining operations are now required to monitor TSS in wastewater effluent discharges (not
only industrial sand mines). However, TSS limits only apply to industrial sand mining operations.
• Section E — Turbidity limits on effluent discharges have been removed; however, turbidity standards still
apply in the receiving waters.
• Section E — Approval of a Pumping O&M Plan may be required prior to coverage (for sites with
dewatering activities that have the potential to drain wetlands or other surface waters).
• Section E — ATC Requirements have been changed for clarity. These requirements are now outlined for
Mine Dewatering Wastewater, Process Wastewater, Overflow From Non -Closed -Loop Process Recycle
Wastewater Systems, and Overflow From A Closed -Loop Process Recycle (CLPR).
• Section E — Monitoring for Fecal coliforms in discharges to SA waters has been clarified. Fecal coliform
monitoring is now required for all process and mine dewatering wastewater discharges to SA waters.
Part IV:
• Section E — Items 1. and 2. require submittal of a new reporting form: the Annual Summary DMR. This
annual summary of the anal tY ical monitoring results should be submitted to the DWQ Central Office by
March 1 of each year.
• Section E — Exceedences and violations must be sent to the appropriate DWQ Regional Office within 30
days of receipt from the lab.
• Section E — Results of "No Flow" or "No Discharge" must be recorded within 30 days from the sampling
period in the SPPP. "No flow" or "No Discharge" must also be reported on the Annual Summary DMR
form.

Permit Reissuance — Permit Number NCG020562
February 11, 2010
Page 3
Your coverage under the General Permit is transferable only through the specific action of DWQ.
This permit does not affect the legal requirements to obtain other permits which may be required by DENR, nor
does it relieve the permittee from responsibility for compliance with any other applicable federal, state, or local
law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact these members of the Stormwater
Permitting Unit: Jennifer Jones at [phone] or Bethany Georgoulias at [phone].
Sincerely,
for Coleen H. Sullins
cc: DWQ Central Files
Stormwater Permitting Unit Files
Fayetteville Regional Office

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020562
STORMWATER, MINE DEWATERING WATER AND/OR PROCESS WASTEWATER
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,
American Materials Company 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:
Clark Mine
3451 River Rd
Wade
Cumberland County
to receiving waters designated as CAPE FEAR RIVER, a class WS-IV waterbody in the Cape Fear
River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, 11, III, IV, V, and VI of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective February 11, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this 111h day of February, 2010.
b,s4�!� r
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Gary T Bizzell
American Materials Company LLC
PO Box 88
Clinton, NC 28329
Dear Permittee:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
February 7, 2005
["LQ 2 12005
Subject: NPDES Stormwater Permit Coverage Renewal
Clark Mine
COC Number NCG020562
Cumberland County
In response to your renewal application for continued coverage under general permit NCG020000 the Division of Water
Quality (DWQ) is forwarding herewith the reissued stormwater general permit. Please review the new permit to familiarize
yourself with the changes in the reissued permit. The general permit authorizes discharges of stormwater and some types of
wastewater. You must meet the provisions of the permit for the types of discharges present at your facility. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of General Stormwater Permit NCG020000
• A copy of a Technical Bulletin for the general permit
• Five copies of Discharge Monitoring Report (DMR) Forms - wastewater and stormwater
• Five copies of Qualitative Monitoring Report Form
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require modification
or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal requirements to obtain other
permits which may be required by DENR or relieve the permittee from responsibility for compliance with any other applicable
federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact Jonathan Diggs of the Central Office Stormwater
Permitting Unit at [phone], ext.537.
Sincerely,
for Alan W. Klimek, P.E.
cc: , Central Files
Stormwater & General Permits Unit Files
Fayetteville Regional Office
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617
Internet: h2o.enr.state.nc.uslsulstormwater.html 512 N. Salisbury St. Raleigh, NC 27604
NofthCarolina
Naturally
Phone [phone] Customer Service
FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020562
STORMWATER 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,
American Materials Company 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
Clark Mine
3451 River Rd
Wade
Cumberland County
to receiving waters designated as CAPE FEAR RIVER, a class WS-IV stream in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,
ll, III, IV, V, and VI of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective February 7, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 7, 2005
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

North Carolina Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
MINE INSPECTION REPORT
X PERMITTED MINE SITE ❑ UNPERMITTED MINE SITE
1. MINE NAME: Clark Mine 2. MINE LOCATION: River Road
3. COUNTY: Cumberland 4. RIVER BASIN: Cape Fear 5. CASE:
6. OPERATOR: American Materials Company, LLC/Tony Harris
7. ADDRESS: P.O. Box 88, Clinton, NC 28329 _
8. MINING PERMIT #: 26-42 ❑ NIA 9. PERMIT EXPIRATION DATE: 11/2/2019 ❑ N/A
10. PERSON(S) CONTACTED AT SITE: Tony Harris
11. PICTURES? ❑ Yes X No TAKEN BY: —Melissa Joyner
12. TYPE OF INSPECTION:
❑ A. Initial Inspection (Unpermitted Mine Sites)
1. Size of affected land: ac. (attach sketch map)
2. How was this area measured? Measured by:
❑B. Routine Inspection (Permitted Mine Sites)
X C. Follow-up Inspection
13. Date of last inspection: 5/16/2016
14. Any mining since that date? ❑ Yes X No If yes, cite evidence of such mining activity:
15. Was mine operating at time of inspection? ❑ Yes X No If yes, explain:
16. Is the mine in compliance with the Operating Conditions of the Permit? X Yes ❑ No ❑ N/A If
no, explain:
17. Is the mine in compliance with the Reclamation Conditions of the Permit?
no, explain:
18. Is there any off -site damage? A. U Yes B. X No C.
If A, describe the type and severity of the damage:
None observed
If B or C, is there potential for offsite damage? U Yes X No Explain:
X Yes ❑ No ❑ NIA If
19. Corrective measures needed and/or taken: Additional reclamation is noted with additional permanent
groundcover observed. Continue to establish and maintain the groundcover. There is erosion located west of the
former plant area in need of stabilization with permanentgroundcoyer.
20. Other recommendations and comments:
21. Is the Annual Reclamation Report +/- map accurate? ❑ Yes ❑ No (Explain) X Not Reviewed ❑ NIA
22. Follow-up inspection needed? X Yes H No Proposed date 10/25/2016
23. No. of additional pages of Inspection Report 24. Copy of Report sent to operator 8/23/2016
INSPECTED BY: Melissa Joyner, Rebecca Hersey DATE 7/28/2016
Telephone No: 910-433-3300
Copy to file Copy to operator Copy to Mining Specialist

A'ria
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Land Resources
James D. Simons, PG, PE
Director and State Geologist
Mr. Gary T. Bizzell
American Materials Company, LLC
P.O. Box 88
Clinton, North Carolina 28329
RE: Permit No. 26-42
Clark Mine
Cumberland County
Cape Fear River Basin
Dear Mr. Bizzell:
Land Quality Section
Beverly Eaves Perdue, Governor
November 2, 2009 Dee'Freeman, Secretary
7
I
NOV 6 2009
I
L_
Your application for renewal of the above referenced mining permit has been approved.
A copy of the renewed permit is enclosed. The new expiration date is November 2, 2019.
The conditions in the permit renewal were based primarily upon the initial application.
Modifications were made as indicated by the renewal request and as required to insure
compliance with The Mining Act of 1971. 1 would like to draw your particular attention to the
following conditions where minor additions or changes were made: Operating Condition Nos.
4C, 4D, and 13, and Reclamation Condition No. 3.
As a reminder, your permitted acreage at this site is 203.13 acres and the amount of
land you are approved to disturb is 100.8 acres.
Please review the renewed permit and contact Chastity N. Clark, Assistant State Mining
Specialist, at [phone] should you have any questions concerning this matter.
Sincerely,
�'j F Aoyd.Williams, PG, CPG, CPM
State Mining Specialist
Land Quality Section
FRW/jw
Enclosures
CC.' Mr. Steve Cook
Ms. Shannon Deaton-WRC, wlenclosures
Mr. Bradley Bennett-DWQ, wlenclosures
Mr. William Gerringer-DOL, Mine and Quarry -Bureau, w/o enclosures
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Telephone [phone] I PAX: 919-733-2876
512 North Salisbury Street, Raleigh, North Carolina, 27604 - Internet: http:llwww.dlr.enr. state. nc.uslpagesllandqualitysection.htmI
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

DEPARTMENT OF ENVIRONMENT
DIVISION OF LAND RESOURCES
LAND QUALITY SECTION
PERMIT
for the operation of a mining activity
In accordance with the provisions of G.S. 74-46 through fib, "The Mining
Act of 1971," Mining Permit Rule 15A NCAC 5 B, and other applicable
laws, rules and regulations
Permission is hereby granted to. -
American Materials Co., LLC
Clark Mine
Cumberland County - Permit No. 26-42
for the operation of a
Sand Mine
which shall provide that the usefulness, productivity and scenic values of
all lands and waters affected by this mining operation will receive the
greatest practical degree of protection and restoration.
MINING PERMIT EXPIRATION DATE: November 2, 2019

Page 2
In_accordance with the application for this mining permit, which is hereby approved by the
Department of Environment and Natural Resources, hereinafter referred to as the Department,
and in conformity with the approved Reclamation Plan attached to and incorporated as part of
this permit, provisions must be made for the protection of the surrounding environment and for
reclamation of the land and water affected by the permitted mining operation. This permit is
expressly conditioned upon compliance with all the requirements of the approved Reclamation
Plan. However, completed performance of the approved Reclamation Plan is a separable
obligation, secured by the bond or other security on file with the Department, and may survive
the expiration, revocation or suspension of this permit.
This permit is not transferable by the permittee with the following exception: If another
operator succeeds to the interest of the permittee in the permitted mining operation, by virtue
of a sale, lease, assignment or otherwise, the Department may release the permittee from the
duties imposed upon him by the conditions of his permit and by the Mining Act with reference
to the permitted operation, and transfer the permit to the successor operator, provided that
both operators have complied with the requirements of the Mining Act and that the successor
operator agrees to assume the duties of the permittee with reference to reclamation of the
affected land and posts a suitable bond or other security.
In the event that the Department determines that the permittee or permittee's successor is not
complying with the Reclamation Plan or other terms and conditions of this permit, or is failing
to achieve the purposes and requirements of the Mining Act, the Department may give the
operator written notice of its intent to modify, revoke or suspend the permit, or its intent to
modify the Reclamation Plan as incorporated in the permit. The operator shall have right to a
hearing at a designated time and place on any proposed modification, revocation or
suspension by the Department. Alternatively and in addition to the -above, the Department
may institute other enforcement procedures authorized by law.
npfinitinn.q
Wherever used or referred to in this permit, unless the context clearly indicates otherwise,
terms shall have the same meaning as supplied by the Mining Act, N.C.G.S. 74-49.
Modifications
April 25, 2000: This permit has been transferred in its entirety from Stewart Aggregates Inc. to
American Materials Company.
Expiration Date
This permit shall be effective from the date of its issuance until November 2, 2019.
Conditions
This permit shall be subject to the provisions of the Mining Act, N.C.G.S. 74-46, et. seq., and
to the following conditions and limitations:

Page 3
OPERATING CONDITIONS:
A. Any wastewater processing or mine dewatering shall be in accordance with the
permitting requirements and rules promulgated by the N.C. Environmental
Management Commission.
B. Any stormwater runoff from the affected areas at the site shall be in accordance
with any applicable permit requirements and regulations promulgated by the
Environmental Protection Agency and enforced by the N.C. Environmental
Management Commission. It shall be the permittee's responsibility to contact
the Division of Water Quality to secure any necessary stormwater permits or
other approval documents.
2. A. Any mining process producing air contamination emissions shall be subject to
the permitting requirements and rules promulgated by the N.C. Environmental
Management Commission and enforced by the Division of Air Quality.
B. During mining operations, water trucks or other means that may be necessary
shall be utilized to prevent dust from leaving the permitted area.
3. A. Sufficient buffer (minimum 50 foot undisturbed) shall be maintained between any
affected land and any adjoining waterway or wetland to prevent sedimentation of
that waterway or wetland from erosion of the affected land and to preserve the
integrity of the natural watercourse or wetland.
B. Any mining activity affecting waters of the State, waters of the U. S., or wetlands
shall be in accordance with the requirements and regulations promulgated and,
enforced by the N. C. Environmental Management Commission.
4. A. Adequate mechanical barriers including but not limited to diversions, earthen
dikes, check dams, sediment retarding structures, rip rap pits, or ditches shall be
provided in the initial stages of any land disturbance and maintained to prevent
sediment from discharging onto adjacent surface areas or into any lake, wetland
or natural watercourse in proximity to the affected land.
B. All drainage from the affected area around the mine excavation shall be diverted
internal to said excavation.
C. No dewatering activities shall occur at this site.
D. Mining activities shall occur as indicated on the mine map received by the Land
Quality Section on October 12, 2009 and the supplemental information received
by the Land Quality Section on February 1, 2008, December 31, 2008 and
October 12, 2009.
5. All affected area boundaries (100.8 acres) shall be permanently marked at the site on
100-foot intervals unless the line of sight allows for larger spacing intervals.

Page 4
6. The angle for graded slopes and fills shall be no greater than the angle, which can be
retained by vegetative cover or other adequate erosion control measure, structure, or
device. In any event, exposed slopes or any excavated channels, the erosion of which
may cause off -site damage because of siltation, shall be planted or otherwise provided
with ground cover, devices or structures sufficient to restrain such erosion.
7. The affected land shall be graded so as to prevent collection of pools of water that are,
or likely to become, noxious or foul. Necessary structures such as drainage ditches or
conduits shall be constructed or installed when required to prevent such conditions.
8. Existing vegetation or vegetated earthen berms shall be maintained between the mine
and public thoroughfares whenever practical to screen the operation from the public.
9. Sufficient buffer (minimum 50 foot undisturbed except for the placement of any
necessary screening berms or tree planting) shall be maintained between any
excavation and any mining permit boundary to protect adjacent property.
10. A. No on -site disposal of refuse or other solid waste that is generated outside of the
mining permit area shall be allowed within the boundaries of the mining permit
area unless authorization to conduct said disposal has first been obtained from
both the Division of Waste Management and the Land Quality Section,
Department of Environment and Natural Resources. The method of disposal
shall be consistent with the approved reclamation plan.
B. Mining refuse as defined by G.S. 74-49 (14) of The Mining Act of 1971
generated on -site and directly associated with the mining activity may be
disposed of in a designated refuse area. All other waste products must be
disposed of in a disposal facility approved by the Division of Waste
Management. No petroleum products, acids, solvents or their storage containers
or any other material that may be considered hazardous shall be disposed of
within the permitted area.
C. For the purposes of this permit, the Division of Land Resources considers the
following materials to be "mining refuse" (in addition to those specifically listed
under G.S. 74-49 (14) of the N.C. Mining Act of 1971):
1. on -site generated land clearing debris
2. conveyor belts
3. wire cables
4. v-belts
5. steel reinforced air hoses
6. drill steel
D. If mining refuse is to be permanently disposed within the mining permit
boundary, the following information must be provided to and approved by the
Division of Land. Resources prior to commencement of such disposal:

Page 5
1. the approximate boundaries and size of the refuse disposal area;
2. a list of refuse items to be disposed;
3. verification that a minimum of 4 feet of cover will be provided over the
refuse;
4. verification that the refuse will be disposed. at least 4 feet above the
seasonally high water table; and,
5. verification that a permanent vegetative groundcover will be established.
11. An Annual Reclamation Report shall be submitted on a form supplied by the
Department by February 1 of each year until reclamation is completed and approved.
12. The operator shall notify the Department in writing of the desire to delete, modify or
otherwise change any part of the mining, reclamation, or erosion/sediment control plan
contained in the approved application for a mining permit or any approved revision to it.
Approval to implement such changes must be obtained from the Department prior to
on -site implementation of the revisions.
13. The security, which was posted pursuant to N.C.G.S. 74-54 in the form of a
$500,000.00 blanket bond, is sufficient to cover the operation as indicated in the
approved application. This security must remain in force for this permit to be valid. The
total affected land shall not exceed the bonded acreage.
14. A. Authorized representatives of the Division of Archives and History shall be
granted access to the site to determine the presence of significant
archaeological resources.
B. Pursuant to N. C. G. S. 70 Article 3, "The Unmarked Human Burial and Human
Skeletal Remains Protection Act," should the operator or any person in his
employ encounter human skeletal remains, immediate notification shall be
provided to the county medical examiner and the chief archaeologist, North
Carolina Division of Archives and History.

Page 6
APPROVED RECLAMATION PLAN
The Mining Permit incorporates this Reclamation Plan, the performance of which is a condition
on the continuing validity of that Mining Permit. Additionally, the Reclamation Plan is a
separable obligation of the permittee, which continues beyond the terms of the Mining Permit.
The approved plan provides:
Minimum Standards As Provided By G.S. 74-53
The final slopes in all excavations in soil, sand, gravel and other unconsolidated
materials shall be at such an angle as to minimize the possibility of slides and be
consistent with the future use of the land.
2. Provisions for safety to persons and to adjoining property must be provided in all
excavations in rock.
3. All overburden and spoil shall be left in a configuration which is in accordance with
accepted conservation practices and which is suitable for the proposed subsequent use
of the land.
4. No small pools of water shall be allowed to collect or remain on the mined area that are,
or are likely to become noxious, odious or foul.
5. The revegetation plan shall conform to accepted and recommended agronomic and
reforestation practices as established by the North Carolina Agricultural Experiment
Station and the North Carolina Forest Service.
6. Permittee shall conduct reclamation activities pursuant to the Reclamation Plan herein
incorporated. These activities shall be conducted according to the time schedule
included in the plan, which shall to the extent feasible provide reclamation simultaneous
with mining operations and in any event, provide reclamation at the earliest practicable
time after completion or termination of mining on any segment of the permit area and
shall be completed within two years after completion or termination of mining.
RECLAMATION CONDITIONS:
Provided further, and subject to the Reclamation schedule, the planned reclamation
shall be to restore the mine excavation to a lake area and to grade and revegetate the
adjacent disturbed areas.
2. The specifications for surface gradient restoration to a surface suitable for the planned
future use are as follows:
A. The lake area shall be excavated to maintain a minimum water depth of four feet
measured from the low water table elevation.

Page 7
B. The side slopes to the lake excavation shall be graded to a 3 horizontal to 1
vertical or flatter to the water line and 2 horizontal to 1 vertical or flatter below the
water line.
C. Any areas used for wastepiles, screening, stockpiling or other processing shall
be leveled and smoothed.
D. No contaminants shall be permanently disposed of at the mine site. On -site
disposal of waste shall be in accordance with Operating Condition Nos. 10A
through 10D.
E. The affected land shall be graded to prevent the collection of noxious or foul
water.
3. Reveec etation Plan:
After site preparation, all disturbed land areas shall be revegetated as per a.) the
Vegetation Plan outlined on the Reclamation Plan last revised August 19, 1997
prepared by Engineering and Environmental Science Company, Inc. and b.) the Wildlife
Reclamation Plan included in the 404 Wetlan ds/VVild life Impact Report of the Clark
Mine Tract prepared by Land Management Group, Inc. dated October 30, 1997 and
revised December 1, 1997.
Whenever possible, disturbed areas should be vegetated with native warm season
grasses such as switch grass, Indian grass, bluestem and gamma grass.
In addition, the permittee shall consult with a professional wildlife biologist with the N.C.
Wildlife Resources Commission to enhance post -project wildlife habitat at the site.
4. Reclamation Plan:
Reclamation shall be conducted simultaneously with mining to the extent feasible. In
any event, reclamation shall be initiated as soon as feasible after completion or
termination of mining of any mine segment under permit. Final reclamation, including
revegetation, shall be completed within two years of completion or termination of
mining.

Page 8
This permit, issued Stewart Aggregates, Inc. December 29, 1997 and transferred to
American Materials Company, LLC April 20, 2000, is herby renewed this 2nd day of
November, 2009 pursuant to G.S. 74-52.
By:
James D. Simons, Director
Division of Land Resources
By Authority of the Secretary
Of the Department of Environment and Natural Resources

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Kerr T. Stevens, Director
Mr. Ron Fetterley
American Materials Company, LLC
1395 Turkey Hwy.
Clinton, NC 28329
Dear Mr. Fetterley:
A&1F.M�W'A
NCDENR
NORTH L:ARpLINA UERARTMENT:OF
F_NVIRON4ENT AND:NATURAL?RESOURCES
July 20, 2001 � ]JUL 23 2001
,�. , DWQ
Subject: General Permit No. NCG020000
Clark Mine
COC NCG020562 1
Cumberland County
In accordance with your application for a discharge permit received on March 8, 2001 we
are forwarding herewith the subject certificate of coverage to discharge under the subject state —
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina
General Statute 143-215 .1 and the Memorandum of Agreement between North Carolina and the
US Environmental Protection agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit
are unacceptable to you, you have the right to request an individual permit by submitting an
individual permit application. Unless such demand is made, this certificate of coverage shall be
final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to
the Division of Water Quality. The Division of Water Quality may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land
Resources, Coastal Area Management Act or any other Federal or Local governmental permit
that may be required.
If you have any questions concerning this permit, please contact Aisha Lau at telephone
number [phone] ext. 578.
cc: Fayetteville Regional Office
Central Files
Stormwater and General Permits Unit Files
1617 Mail Service Center, Raleigh, NC 27699-1617
An Equal Opportunity Affirmative Action Employer
Sincerely,
ORI;If.,"t! Ss"VED BY
WL. AjVj+!. "All y S
Kerr T. Stevens
Telephone [phone] FAX [phone]
50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020562
STORMWATER, MINE DEWATERING, AND/OR OVERFLOW FROM
PROCESS WATER RECYCLE SYSTEMS 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,
American Materials Company, LLC
is hereby authorized to discharge stormwater and mine dewatering water from a facility located at
Clark Mine
3451 River Rd.
Wade
Cumberland County
to receiving waters designated as the Cape Fear River, class WS IV water, in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, I1, III,
IV, V, VI and VII of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective July 20, 2001.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 20, 2001.
Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Markers
Name: NCG020562-Clark Mine
Short Name: 020562
Coordinates_ 035' 08' 04.5" N, 078' 51' 03.9" W
Comment: County: Cumberland, Map #: G23NE, Subbasin: 03-06-11 Receiving Stream: Cape
Fear River, Class: WS IV

. 09/,10/2001 04:18 19105326072
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Kerr T. Stevens, Director
CCC SAND
ti
' July 20, 2001
t`
Mr. Ron Fetterley '
American Materials Company, LLC _{
1395 Turkey Hwy.
Clinton, NC ' 28329
Subject: General Permit No. NCG020000
Clark Mine
l; COC NCGO20562
Cumberland County
Dear Mr. Fetterley:
PAGE 02
In accordance with your application for a discharge permit received on March 8, 2001 we
are forwarding herewith the subject certificate of coverage to discharge under the subject state
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina
General Statute 143-215 _1 and the Memorandum of Agreement between North Carolina and the
US`Envirorimental Protection agency;;dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit
are unacceptable to you, you have the'right to request an individual permit by submitting an
individual permit application. Unles's such demand is made, this certificate of coverage shall be
final and binding.
Please take notice that this ceirtificate of coverage is not transferable except after notice to
the Division of Water Quality. The Division of Water Quality may require modification or
revocation and reissuance of the certificate of coverage.
This permit does not affect t11'e legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land
Resources,,Goastal Area Management Act or any other Federal or Local governmental permit
'that may be required.
If you have any questions concerning this permit, please contact Aisha Lau at telephone
number [phone] ext. 578. •f
cc: Fayetteville Regional Office:
Central Files
Stormwater and General Permits Unit Files
1617 Mail Service Center, Raleigh, NC ? 27699-1617
An Equal Opportunity Affirmative Action Employer
Sincerely,
err T. Stevens
Telephone [phone] FAX [phone]
50% recyqladJ 10% post -consumer paper
•:r

09,t10/2001 04:18 19105326072 CCC SAND PAGE 03
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO20000
CERTIFICAM OF COVERAGE o. NCGO20562
STORMWATER, MINE DEWATERING, AND/OR OVERFLOW FROM C,
PROCESS WATER RECYCLE SYSTEMS DISCHAROES
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 Cm.,mission, and -the
Federal Water Pollution Control Act, as amended,
.American Materials Company, LLC
F ;j� ;
is hereby authorized to discharge stormwater and mine dewatering water from a facility located at
�. Clark Mine
3451 River Rd.
Wade
Cumberland County
to receiving waters designated as the Cape Fear River, class WS IV water, in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions sd forth in Parts I, M-III,'.
IV, V. VI and VII of General Permit No. NC M0000 as attached.
r .
i.
This certificate of coverage shall become effective July 20, 2001.
,T
This Certificate of Coverage shall remain in.'effect for the duration of the General Permit.
Signed this day July 20, 2001.
t
i
i
'i
Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Couunission
a
i
i +

09.110/2001 04: 1 B
t N
19105326072
I�
can M:i.
erials
1.
CCC SAND
Company, LLC
Poet Office Box 67
J.
Ivanhoe, -North Camlina 284+48
Ph wi (%M 5.32-WO Fac (41ET} 532-Wn
x�
j
FACSIMILE TRANSMITTAL SHEET
PAGE 01
TO. FROM
COMPANY: DATE:
FAX NUMBER: TOTAL NO. OF PACES INCLUDING COVER:
PHONE NUMBER:
am
0 URGENT [3 FOR REVIEW D PLEASE COMMENT 0 PLEASE REPLY❑ PLEASE RECYCLE
NOTES/COMMENTS:
1
i
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r eric�►n �%h teriai� Otupany
�1
{
TIM BIZZEL[,
Executive Vice President
Ot•ficc: (9101 592-2176 cxt. 59
Fax: (910) 59'-1634
,l
P.O. box 88 ,
Clinton. NC 38329

19105326072
CCC SAND
PAGE 01
99; 10/20` 04:18
a
�i
ican M aterials Company,
Post Office Box 67
Ivanhoe,'North Carolina 2SUS
Phomi (9LD}�5U wo Fac (M s3Z6m
FACSIMILE TRANSMITTAL SHEET
TO;4° P; FROM yam'
COMPANY: d DATE:
LLC
FAX NUMBER TOTAL NO- OF PACES INCLUDING COVER:
lze —Q
PHONE NUMBER:
RE:
w
© URGENT ❑'FOR REVIEW ❑ PLEASE COMMENT [I PLEASE REPLYO PLEASE RECYCLE
NOTES/COMMENTS:
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American Materials Company
Storm Water Pollution Prevention Plan
Clark Mine
1. INTRODUCTION
A. Materials Management Narrative
This operation mines sand and aggregates, which are delivered to off -site
construction projects. The aggregates are transported by truck to the plant,
stored in stockpiles located outside and fed into the plant via loader and
conveyors.
B. Plant Operations — A description of plant operations follows:
1. Production Sand and aggregates are ribbon fed, by way of conveyor,
into the plant. Sand and aggregates are separated and stockpiled on
site. Wash water is captured and solids are allowed to settle out.
2. Process Water Management — Process water from the plant area flows
into previously mined area.
2. SITE ASSESSMENT
• Site Map A site map for this plant.
• USGS Map A USGS map showing the plant location.
Significant Spills and Leaks -
There have been no significant spills or leaks at this location in the past
three years.
3. STORM WATER MANGEMENT PLAN
A. Feasibility of Modifying Operations -
Sand and aggregates used in this operation are stockpiled outside where they
are exposed to rain. It is judged to be impractical to cover these stockpiles.
Since the aggregates are all processed with water and required to contain less
than 2% by weight passing the #200 sieve, there is minimal contribution of
sediments from this source.
B. Best Management Practices (BMP's)-
Best management practices are physical, structural or management practices
that prevent or reduce pollution of waters of the state. The following BMP's
are in effect at this plant:
1. Process water is channeled from the plant in to previously mine area to
allow sediment to settle out.
2. Drivers and operators are assigned a specific parking location. They
must report any fuel, hydraulic, or other fluid leaks to the plant
manager.
3. Water from the aggregate stockpiles drains into previously mined area.

4. Spill Prevention and Response Plan
A. Potential Contaminates -
The most likely sources for contaminates are listed below:
1. Parked trucks and equipment.
2. Sand and aggregate stockpiles.
3. Fuel storage and truck fueling area.
The following table lists a complete inventory of materials at this plant along with a risk
assessment of polluting storm water:
Material
Location
Exposed to Storm Water?
Sand
Stockpile
Yes
Stone
Stockpile
Yes
Diesel Fuel AST
AST/Secondary Cont.
Yes
Motor Oil
Maintenance Area
No
Transmission Oil
Maintenance Area
No

i
B. Spill Prevention & Response
Team Leader: Mayford Sells [phone]
C. Spill Prevention and Countermeasure Plan
The best defense for spill prevention is training and awareness by all plant
personnel. This training should include the importance of operating procedures to
minimize potential spills and emergency responses to take in the event of a spill.
Diesel and hydraulic oil spills are also a concern with the high volume of activity we
have with our off -road trucks. Large spills will be contained with sand and properly
disposed of. The state will be notified of any fuel/oil in excess of 25 gallons.
Spills of other liquids are most likely to occur as a result of handling liquids in 5 gallon
buckets or transferring liquids from 55 gallon drums. These spills should be small enough
to be easily manageable.
5. Preventive Maintenance & Good Housekeeping -
A. Preventive Maintenance & Monthly Visual Inspection Log
Preventive maintenance (PM) includes monthly inspections and random
visual inspections of the maintenance area, plant facilities and equipment. The
purpose of PM is to locate and correct equipment problems before they occur or
cause major problems. PM'will reduce truck breakdowns and plant shutdowns in
addition to reducing the risk of polluting storm water. The following lists items to
be checked and frequency:
1. Trucks and equipment will be inspected daily for fuel, oil, and
hydraulic leaks and recorded on the site inspection report.
2. Settling ponds and detention one__ d/pit will be maintained in good
operating condition.
3. Secondary containment structures will be inspected as part of the
Monthly Visual inspection Report. Reports will be maintained in
SWPPP file. Any needed repairs will be made immediately.
4. Storm Drain Outfalls will be inspected monthly as part of the Good
Housekeeping Checklist. (There are no SDO at this site)
B. Good Housekeeping
Good housekeeping means taking the time and effort to maintain a clean, orderly,
and safe environment in the work place. These steps will help to minimize any potential
for storm water pollution in addition to promoting safety and a sense of well being at
work:
I . Trash and other waste will be picked up regularly. A covered trash receptacle
will be placed outside and emptied on a regular basis.
2. Interior floors will be kept clean and dry. Brooms, mops, and dustpans will be
stored for convenient use.
3. Empty drums and unused pallets will be disposed of
4. The Monthly AMC Housekeeping Inspection will be performed by the plant
manager and kept on file in the SWPPP.

::
6. Training
,Training of employees is essential to the success of the program. The following
training will be conducted:
A. Annual training for all employees will include:
1. An introduction to the SWPPP, the Storm Water Discharge Permit and
what their responsibilities are.
2. Spill response and cleanup procedures.
3. Preventive maintenance requirements.
4. The role that good housekeeping plays in the plan.
B. Follow-up training at the plant will deal with specific problems and problem
areas to include the implementation of any new BMP's.
C. Training will be continued monthly during the safety meetings.
7. Responsible Party
The Plant Manager shall be responsible for the overall coordination, development,
implementation and revision of this plan. Other responsible parties_ and their
responsibilities are listed in the Action List at the end of this plan.
8. Plan Amendments
This plan will be amended whenever there is a change in design, construction,
operation, or maintenance, which has a significant effect on the potential for the
discharge of pollutants to surface waters. At a minimum the plan will be reviewed and
updated on an annual basis.
9. Facility Inspections and Monitoring Inspections and monitoring will be conducted as
follows:
I . Each outfall is identified on the site plan.
2. Each outfall must be observed twice a year, once in the spring (April through
July) and once in the fall (September through November).
3. (There are no SDO at this site)
10. Implementation — Implementation of this plan will include the required
documentation of all monitoring, measurements, inspections, maintenance activities, and
training provided to employees.

SWPPP
SWPPP
Report
Activity
Responsibility
Pa e #
Section
Re uired
Dailv:
Inspect vehicles for fuel, oil &
Drivers
T-5
5.A.1
No
hydraulic leaks.
Operators
Weekly:
inspect vehicles hoses and clamps.
Drivers/O er.
5
5.A.1
No
Inspect Stockpile Area and Pit Area
Plant Lead Man
5
5.A.3
No
Inspect Plant Area
Plant Lead Man
5
5.A.4
No
Semi -Annually:
Visually monitor all outfalls in Spring
Plant Lead Man
6
9.A.2
Yes
between April and June
Visually monitor all outfalls in tall
Plan_ t Lead Man
6
9.A.2
Yes
between Sept. and November.
Good Housekeeping checklist spring
Plant Lead Man
5
5.6.7
Yes
and fall.
Inspect secondary containment
Plant Lead Man
5
5.A.5
Yes
structures spring and fall.
Storm drainage inspection checklist.
Plant Lead Man
5
5.A.6
Yes
Annual:
SWPPP training
Plant Manager
6
6.A.1
Yes
Review House Keeping Policy
Plant Manager
5
5.A.2
Yes
Spill Response and Clean up training.
Plant Lead Man
5
4.0
Yes
Analytical Monitoring of
representative storm
Plant Lead Man
6
9.A.3
Yes
SWPPP review
Plant Manager
6
8
Yes
,Analytical Data Submittal
Plant Manager
Yes
As Needed:
Document Significant Spills
Plant Lead Man
Release of rain water from
secondary containment
Plant Lead Man
2
3.B
Yes

- American Materials Company
Storm Water Pollution Prevention Plan
Clark Mine
Site is No Longer in Operation
I. INTRODUCTION
A. Materials Management Narrative
Site No Longer in Operation
B. Plant Operations — A description of plant operations follows:
No Plant on site
2. SITE ASSESSMENT
• Site Map A site map for this plant.
• USGS Map A USGS map showing the plant location.
• Significant Spills and Leaks -
There have been no significant spills or leaks at this location in the past
three years.
3. STORM WATER MANGEMENT PLAN
A. Feasibility of Modifying Operations -
Water is channeled from the plant in to previously mine area to allow
sediment to settle out.
B. Best Management Practices (BMP's)-
Best management practices are physical, structural or management practices
that prevent or reduce pollution of waters of the state. The following BMP's
are in effect at this plant:
1. Water is channeled from the plant in to previously mine area to allow
sediment to settle out.
4. Spill Prevention and Response Plan
A. Potential Contaminates -
Site No Longer in Operation

The following table lists a complete inventory of materials at this plant along with a risk
assessment of polluting storm water:
Material Location Exposed to Storm Water?

B. Spill Prevention & Response
Team Leader: Justin Jackson 910-624-2432
C. Spill Prevention and Countermeasure Plan
The best defense for spill prevention is training and awareness by all plant
personnel. This training should include the importance of operating procedures to
minimize potential spills and emergency responses to take in the event of a spill.
Diesel and hydraulic oil spills are also a concern with the high volume of activity we
have with our off -road trucks. Large spills will be contained with sand and properly
disposed of. The state will be notified of any fuel/oil in excess of 25 gallons.
Spills of other liquids are most likely to occur as a result of handling liquids in 5 gallon
buckets or transferring liquids from 55 gallon drums. These spills should be small enough
to be easily manageable.
5. Preventive Maintenance & Good Housekeeping -
A. Preventive Maintenance & Monthly Visual Inspection Log
Preventive maintenance (PM) includes monthly inspections and random
visual inspections of the maintenance area, plant facilities and equipment. The
purpose of PM is to locate and correct equipment problems before they occur or
cause major problems. PM will reduce truck breakdowns and plant shutdowns in
addition to reducing the risk of polluting storm water. The following lists items to
be checked and frequency:
1. Trucks and equipment will be inspected daily for fuel, oil, and
hydraulic leaks and recorded on the site inspection report.
2. Settling ponds and detention pond/ —Tit, will be maintained in good
operating condition.
3: Secondary -containment structures will be inspected as part of the,
Monthly Visual Inspection Report. Reports will be maintained in
S WPPP file. Any needed repairs will be made immediately.
4. Storm Drain Outfalls will be inspected monthly as part of the Good
Housekeeping Checklist. (There are no SDO at this site)
B. Good Housekeeping
Good housekeeping means taking the time and effort to maintain a clean, orderly,
and safe environment in the work place. These steps will help to minimize any potential
for storm water pollution in addition to promoting safety and a sense of well being at
work:
1. Trash and other waste will be picked up regularly. A covered trash receptacle
will be placed outside and emptied on a regular basis.
2. Interior floors will be kept clean and dry. Brooms, mops, and dustpans will be
stored for convenient use.
3. Empty drums and unused pallets will be disposed of.
4. The Monthly AMC Housekeeping Inspection will be performed by the plant
manager and kept on file in the S WPPP.

b. Training
Training of 'employees is essential to the success of the program. The following -
training will be conducted:
A. Annual training for all employees will include:
I . An introduction to the SWPPP, the Storm Water Discharge Permit and
what their responsibilities are.
2. Spill response and cleanup procedures.
3. Preventive maintenance requirements.
4. The role that good housekeeping plays in the plan.
B. Follow-up training at the plant will deal with specific problems and problem
areas to include the implementation of any new BMP's.
C. Training will be continued monthly during the safety meetings.
7. Responsible Party
The Plant Manager shall be responsible for the overall coordination, development,
implementation and revision of this plan. Other responsible parties and their
responsibilities are listed in the Action List at the end of this plan.
S. Plan Amendments
-This plan will be amended whenever there is a change in design, construction,
operation, or maintenance, which has a significant effect on the potential for the
discharge of pollutants to surface waters. At a minimum the plan will be reviewed and
updated on an annual basis.
9. Facility Inspections and Monitoring Inspections and monitoring will be conducted as
follows:
1. Each outfall is identified on the site plan.
2. Each outfall must be observed twice a year, once in the spring (April through
July) and once in the fall (September through November).
3. (There are no SDO at this site)
10. Implementation — Implementation of this plan will include the required
documentation of all monitoring, measurements, inspections, maintenance activities, and
training provided to employees.

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) — WASTEWATER
SUBMIT TO CENTRAL. OFFICE*
General Permit No. NCG020000
Calendar Year 2-
Report ALL WASTEWATER monitoring data on this form (include `No FloWl"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. NCG02
Facility Name: LaA
County:
Phone Number. � CQ0 - Total no. of outfalls monitored
Certified Laboratory Lab #
Lab #
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand twine (See 40 CFR §436 Subpart 0)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ElNo
❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No ❑
If so, what is the 7010 flow rate? or Tidally influenced
waters,
7010 not available ❑
Does this outFall discharge WW to Trout (Tr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year?
Yes ❑
No ❑
Ocrtfal! No.
Daily Flow
Rats,, aft
pH,
SU
TSS,
mg/1
SS,
mill
nepa'lcawe
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coltform,
col/100 ml
SA
Effluent
Limitations
Mm Ave! daily Max.
maw«or:w
50% of
7Q1 fl
IaWaaffi N0FLVW
.-
Fra.t,.rarer
6.0-9.Q
sanven °r
6.8-8.5
uatna! aana
25145
HOW or9RW
ZQ130
t ow oroRw
M Tr or PNA
10115
How,ogw.
SA. M PNA.
°r °"Y Tro'�
0.110.2
No Limit
cute water
� that Standawles:ttl
etlh�at apcRif3Plsn
.7v'2.71 ! it
NIA
water avanty
standgra applies
NIA
walar a�,ty
Standard app!}es
NIA
Date Sample
Collected,
molddl r
Permit Date 101112015 — 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 OEM UZL
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submittinqfalse rtin,cludingthe possibility of fines and imprisonment for knowing violations."
(RequiredSignaturDate
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct - Central Files is housed in DWR (not DEML.R)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 101112015 - 913012020
Last Revised 10 2-2015

Certificate of Coverage No, NCG02 ®Slk]®.
Additional Ou fall Attachment (make copies as needed for additional ootfalls)
Wastewater (WW) Discharge 4utfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart a)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or QRW waters? Yes ❑ No ❑ f
If so, what is the 7Q1Q flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No ❑
■.
s
rUpstream
Effluent '!I
t
NOW of .-
1RW
11 50.
i
e
Haw at •1
i
NOWGrORW
and Tr or MiA
10115
1 t
1 f
NIA
"
a
Date Sample
Collected,
• t t
Perm it Date 1011l2015 — 91301.2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02
Additional Outfall Attachment (make copies as needed for additional outfalls) ,
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No []
Does this outfall discharge WIN to SA waters?
Yes ❑
No El
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No' ❑
Does this outfall discharge WW to HQW or ORW waters?
Yes El
No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q1O not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year reported?
Yes ❑
No ❑
s_
�-
Discharge
NTU
•
1' of
11 1
! ' 1
25145
RW
1• • 1
Tr or PHA
-
No LimitKQW
Standard
50125110
i
Collected,Quallty
• _#cVyr—
�MMIMMPPM-
Permit Date 101V2015—9130/2020
Last Revised 10-2-2015

Certificate of Coverage No_ NCG02 ®©®M,
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false infgmsatiog, including the possibility of fines and imprisonment for knowing violations."
(Required 1* 40
Signature �---
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct _ Central Fifes is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
(919j 707-9220
Permit Date 10/1/2016 — 913012020
Last Revised 10-2-2015

North Carolina Department of Environmental Quality
Division of Energy, Mineral, and Land Resources
MINE INSPECTION REPORT
X PERMITTED MINE SITE ❑ UNPERMITTED MINE SITE
1. MINE NAME: Clark Mine 2. MINE LOCATION: River Road
3. COUNTY: Cumberland 4. RIVER BASIN: Cape Fear 5. CASE:
6. OPERATOR: American Materials Company, LLCITony Harris
7. ADDRESS: P.O. Box 88 Clinton NC 28329
8. MINING PERMIT #: 26-42 ❑ N/A 9. PERMIT EXPIRATION DATE: 1 1/2/2019 ❑ NIA
10. PERSON(S) CONTACTED AT SITE: Tony Harris
11. PICTURES? ❑ Yes X No TAKEN BY:
12. TYPE OF INSPECTION:
❑ A. Initial Inspection (Unpermitted Mine Sites)
1. Size of affected land: ac. (attach sketch map)
2. How was this area measured? Measured by:
X B. Routine Inspection (Permitted Mine Sites)
0C. Follow-up Inspection
13. Date of last inspection: 7/28/2016
14. Any mining since that date? ❑ Yes X No If yes, cite evidence of such mining activity:
15. Was mine operating at time of inspection? ❑ Yes X No If yes, explain:
16. Is the mine in compliance with the Operating Conditions of the Permit? X Yes ❑ No ❑ N/A If
no, explain:
17. Is the mine in compliance with the Reclamation Conditions of the Permit? X Yes ❑ No ❑ N/A If
no, explain:
18. Is there any off -site damage? A. ❑ Yes B. X No C. ❑ None observed
If A, describe the type and severity of the damage:
If B or C, is there potential for offsite damage? ❑ Yes X No Explain:
19. Corrective measures needed and/or taken: Additional permanent groundcover needs installation on the
slopes, including the former plant area of the mine. There was gully erosion noted on the Basin in the Central East
part of the mine, on the slopes in the South Central part of the mine, in the location of the former berms, and in the
Northwest corner of the mine. Stabilization is needed with permanent groundcover. A reinspection will take place
in early July 2017 to monitor the progress of the establishment of thegToundcover in the aforementioned areas.
20. Other recommendations and comments:
21. Is the Annual Reclamation Report f/- map accurate? ❑ Yes ❑ No (Explain) X Not Reviewed ❑ N/A
22. Follow-up inspection needed? X Yes ❑ No Proposed date 7/11/2017
23. No. of additional pages of Inspection Report 24. Copy of Report sent to operator 4/12/2017
INSPECTED BY: ]Melissa Joyner DATE 4/11/2017
Telephone No: 910-433-3300
Copy to file Copy to operator Copy to Mining Specialist

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR - WASTEWATER
1z
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 20l
'Report ALL WASTEWATER monitoring data on this form (include "No Flow"/"No Discharge" and Limit. Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year_
Certificate of Coverage No_. NCG02 ®®��
Facility Name: IL I r t
County:
Phone Number: - Total no. of outfalls monitored
Certified Laboratory UIN Lab #
Lab #k
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SIR or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HOW or ORW waters?
Yes ❑
No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year?
Yes ❑
No ❑
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS, I
mgll
SS,
mill
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU -
Fecal
Coliform,
col/100 ml
SA -
Effluent
Limitations
Mo. Ave f Dilly Kax
HQW r 0RW
50 <o of
7Q10
krdlcabD No FLOW
'�` "`
freslnvater
6.0-9.0
saltwater
6.8-8.5
tnduatrfal land
25145
„OWofORW
20130
MQW orORW
M Tr or PNA
10115
tiaw QRW,
SA,$8, PNA
nranyTrout
0.110.2
No Limit
Qual�StWater
lard
the wiles:
5 /Zf�}Cf10
�YJ!LJ
NIA
StandardaAP«"
NIA
StaandardapOlev
N/A
Date Sample
Collected,r�`
mo/ddlyr
t�rr�'r.,.. �"`
4 '^+.{t"
} � .., +.
o �
Iaai*. fir" aY c-"
i".cr=. � i'�.F` 3x,
S'S{•'i"� 'r y}
ez �� �' � �_:
--
Permit Date 10/1/2015--9130/2020
Last Revised 10-2-2015

AM,
Certificate of Coverage No. NCG02 d®Vp]ZL
Additional Outfall Attachment (make copies as needed for additional outWis}
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ NOTI
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
It so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Were there any limit violations in the calendar
rted?
Yes ❑ No ❑
Yes ❑ No ❑
Outfall No.
Daily Flow
Rate, cis
pH,
SU
TSS,
mgll
SS,
mill
Yapplfcatrle
Discharge
Turbidity,
NTU
Upstteam
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
lVlm Ave! Daly Max.
HOW or ORW
50% of
7Q10
&rude H6 FLOW
ff appllee*le
freshwater
6.0-9.0
saltwater
6.8-8.5
lndualrlal Sand
25145
HOW or ORW
20130
Howoroltw
=7r or PNA
10/15
HOW. oRW,
sa S% PNA,
or airy Trout
0.110.2
No Limit
circle Water
4� aplies:Standard
applies:
50125/1fl
NIA
Waler Qualhyr
atantlartl applies
NIA
Watar.Quallfy
Standard applies
NIA
Date Sample i
Collected,
moldd r
v'
Ao
IN
Permit Date 10/1/2015 - 9/3012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02
Additional Outfall Attachment (make copies as deeded for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No' ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No ❑
Outfall No.
Daily Flow
Rate, efs
pH,
SU
TSS,
mgll
SS,
mill
lrappAea6te
Discharge
Turbidity,
NTU
Upstream
(U)Turbidity,
NTU
Downstream
(D)Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
Limitations
Mo. Ave ! salty Max
HQW or ORW
50% of
7010
rndlcate NO FLOW!
!f ap,W ,.
Restwrater
6.0-9t0
saltwater
6.8-8.5
Industrial Sand
25514ra
HQW or ORW
20130Quality
1'QWoraaW
r Tr Or PIRA
10115
NOW. oFft
$A, SIL Pt` A
or any Trout
0.110.2
No Limit
Circle Water
tha °�'°
.7�I)laJ�f 1
NIA
WaterQusltty
sYatutardapWles
NIA
Warerouaft
Standard
NIA
Date SampleA.
Collected,AM
molddl r
f-,
k
t F », k �L
`..✓ iY -,
;.{' ..y.,kk
.k 3 -
iar it r'�"v-°>�cv"'6--,.
�•�y
E 1 G r
�. l w,�
`.".1 Mi�'i
sqr
]. 1 6� '� i i
5
,t, +-�
5 f)5 „��,i i.
r^ --..
r r.•
.}�''-+.L � '-� EO
JS C) r+
Sx r^ � _ .'�,_
.✓'i: .s
Permit Date 10/112015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®©®L_
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false infgrtlhation, including the possibility of fines and imprisonment for }snowing violations."
[Required i f+ 40 CFIF § 122
Date L'-
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMi_R Stormwater Permitting Staff In the Central Office at:
[phone]
Permit Date 10/112015 — 9/30/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year 2-Mo
"Report ALL WASTEWATER monitoring data on this form (include "No Ro► I'No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year_
Certificate of Coverage No. N0002
Facility Name: uiru
County:
_ 10AkXd
Phone Nun — Total no. of outfalls monitored
Certified Laboratory Lab #
Lab #
Wastewater (WW) Discharge Dutfall No. _
is this an industrial sand mitre (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this ouffaII discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7010 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year? Yes ❑ No ❑
Dutfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
mill
"eWirabM
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
SA
�fflUetn
Limitations
Mix Ave 1 Daily Max.
r�ow4 r ORW
5010 of
7Q10
SLOW
I'MI aerr
6.0-9.0
`�""r
6.8-8.5
Industrial Sand
25145
NOW . ortw
20130
Haw a. oltw
ad Tr or PNA
10/15
How, o".
SA, ss. PKA,
°rarri Tro,
0.110.2
No Limit
a:r�tytaw�rd
,%,af, aanlhs:
90/25/10
N/A
Water Wiles
NIA
sm�ra p .
NIA
Date Sample
Collected,
molddl r
-
4.
Permit Date 10/1/2015 -- 9130/2020
Last Revised 102-2015

This Site is No Longer in Operation
0-

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT (DMR) -- WASTEWATER
iiiiiiIaRaiiiiiism-
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year �kp
*Report ALL WASTEWATER monitoring data on this forth Cinclude "No I"low"I"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year.
Certificate of Coverage No. N0002
Facility Name:
County:
Phone Number: (H ja) ff
_ Total no. of outfalls monitored Q
Certified Laboratory Lab #
Lab #
Wastewater (WW) discharge Outfall No
Is this an industrial sand mine (See 40 CFR §436 Subpart D)?
Yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑.
No ❑
Does this outfalI discharge WW to SB or PNA waters?
Yes ❑
No ❑
Does this ouffall discharge WW to HQW or ORW waters?
Yes ❑
No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7010 not available ❑
Does this outFall discharge WW to Trout (Tr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year?
Yes ❑
No ❑
Oulfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
m9A
SS,
mill
map#fie
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
co11100 ml
SA
Effluent
L_ lmftaffons
fed. Ave f Daily max,
HOW or ORW
50% of
7Q40
kifta oR A'^
freshwater
6.0-9.0
r
6.8-8.5
1�ria43arM
25145
HQW or ORW
20130
IiaWcrORW
a�r5 7r « PNA
10115
HQW, ORW,
SA, 513, PNA,
orenyTrwA
0.110.2
_..
No limit KtyWwd
QtCirclo aterrrd
tha10pt1ks:
50/25/10
_NIA
aiR HfdRL1 n 21
_NIA
5tartdarAappiy
NIA
Date Sample
Collected,molddlyr
)
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 ®Q��
CERTIFICATION
" I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false inf tion, including the possibility of fines and imprisonment for knowing violations."
(Required 40 C §�21
Date
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not DEMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Ann: DWR Central Fifes
1617 Mail Service Center
Raleigh; NC 27699-1617
Central Files Telephone [phone]
Questlons? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 10/1/2016 — 9/3012020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR — WASTEWATER
SUBMIT TO CENTRAL OFFICE*
MEMO -
General Permit No. NCG020000
Calendar Year 201!4
Report ALL WASTEWATER monitoring data on this form (include "No Flow"fallo Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH 1 of each year
Certificate of Coverage No. NCG02
Facility Name: ! I
County:
Phone Number Total no. of outfalls monitored
Certified Laboratory Lab #
Lab #
Wastewater (WW) Discharge Outfah No.
Is this an industrial sand mine (See dfl CFR §436 Subpart D)?
yes ❑
No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HQW or DRW waters?
Yes ❑
No ❑
If so, what is the 7010 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year?
Yes ❑
No ❑
Outfall No
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgrl
SS,
MIA
rfaanllcable
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
col/100 ml
SA
Effluent
tatons
too. Ave I Daily Iftc.
liQW or ORW
50% of
7Q10
Odf ca& No W
fmshwatar
6.0-9.0
Lndustrtat sand
25145
,QWorORW
H20130
QWor ORw
_a2l Tr or PNA
10115
tWW, aRY+r,
'"1w, "w,PWA
orQ11Tro'Ac1m6wat«
0.110.2
No Limit
Standard
tw smilew
5012511©
NIA
walerQLp,k
Standard t ap/
NIA
Water Quality
tandam appliea6.8-a.
NIALmQ
Date Sample
Collected,
molddl r
.
Permit Date 101112016 - 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 U®OL—
CERTIFICATION
" I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted_ Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false infgmtion, including the possibility of fines and imprisonment for knowing violations."
[Required t9 40 CF' §
Date %- 4-� 1 L
Mail Annual Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct— Central Files is housed in DWR (nab DEMLR)
Questions? Co
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2016 — 913012020
Last Revised 10-2-2016

ANNUAL SUMMARY DISCHARGE MONITORING
REPORT DMR -• WASTEWATER
SUBMIT TO CENTRAL OFFICE*
General Permit No. NCG020000
Calendar Year
'Report ALL WASTEWATER monitodrig data an this form (include 'No Flo.w"1"No Discharge" and Limit Violations) from
the previous calendar year to the DEQ by MARCH I of each year,
Certificate of Coverage No. NCG02
Facility Name: IL- I t
County:ZIE
Phone Number (_) - Total no. of outfalls monitored
Certified Laboratory Lab #
Lab #
Wastewater (WVV) Discharge Outfall No.
Is this an industrial sand mime (See 40 CFR §436 Subpart D)?
Yes ❑
• No ❑
Does this outfall discharge WW to SA waters?
Yes ❑
No ❑
Does this outfall discharge WW to SB or PNA waters?
Yes ❑
No ❑
Does this outfall discharge WW to HQW or ORW waters?
Yes ❑
No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters,
7Q10 not available ❑
Does this outfall discharge M to Trout (Tr) designated waters?
Yes ❑
No ❑
Were there any limit violations in the calendar year?
Yes ❑
No ❑
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mg/I
SS,
mlil
raFP&dn,0
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turgidity,
NTU
Fecal:
Coliform,
ca11100 ml
SA
Effluent50%
Llrrtitatlons
Ma Ave f Oafiy Max.
NOW er OEiYV
of
7Q10
- Indi W
Treatarater
6.0-9.0
as r
6.8-8.5
�,m,,al 3
'�SI�FJ
HQW cr ORW
20130
HAW Q10RW
= Tr or PNA 10115
FlDY✓, ORW,
sA, sa, PNR
orarryTrata
0.110.2
Na Limit
Cfrci6Water
Ruahat appileg:rsd
V! � i 1 v
NIA
Warerquaft
Standard applies
N/A
watarQualky
Sta+rdarrl aA�les
N/A
Date Sample
Collected,
mo/dd/ r
-
- - -
Aryy
Perm it gate 10f112015 - 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02
CERTIFICATION
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
su pervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting falwse infgtnVjion, including the possibility of fines and imprisonment for knowing violations."
(Required icy 40
Date I l;
Mail Annul Summary Wastewater DMR to the NCDEQ Central Office:
Note the address is correct — Central Files is housed in DWR (not ©EMLR)
N.C. Department of Environmental Quality (DEQ)
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Central Files Telephone [phone]
Questions? Contact DEMLR Stormwater Permitting Staff in the Central Office at:
[phone]
Permit Date 1011/2015 — 9130/2020
Last Revised 10-2-2015

ANNUAL SUMMARY DISCHARGE MONITORING.
G.
IREPQRTADMR)., WASTEWATER.
L
-SVOM-0-
IT . - ., L� , ­
T CENTRAL- 6FPC8*' L --- ---
General Pernimwod NPP020000'
'Calendar Year,
F --R6port ALL: WASTEWATER rh6fiibring data on this form (include No F16wPNO Discharge"and_QrM violabons),"
the .previd6s,calendar year to the DEQ:by,MARQHJ of each year_
C6rt1flcbt& of-Coveraue Nix NCG02 'M& F51[7A -7 F6 i iwNamL� duk, Mine-
.(uernd60(ntY. ;Phone Nurhbei-.,({912,2RO-7928.. T6taJ'no'__-_6f,b utfalls rfk6hifored
Ger:bfted LaboratW 'Ni, Lab k,
Wq6tqwater.(WW 6udali NO;--,-
Discharge:
Is,t os?an in&istrIzAi"sbrd4i6d.(§bb 40 CF.R,:§4#;Subpart fqj? esEkb I.
Pb" thi!§;butfaffdischar
-waters? Yes -El' NOET
tfilf ,EjNb.[]
-,Do6s'thj�-ou dischargd'WW,tosSB,'di."PNA-:.--waters. Yes -
'P'oLis',this'btitfill.di!i-ctf4r§iWW,to HQW,qr'0Fk*iiaiersi. yeiEj� po:[]
ICS6,iwhlifls� thiiN'i 0 flow r*?or Tid"a'lly,iiifluenced'watiers,'71' .d"filb4e.,�'D 0, not available;[-]
-Kiy#eskfiatedviaters? Yes] Nd'[-
boes, ih Is outfall 41.466-aCe �WW:td, Ti6tit 9.
WbirbAhere. !iffilt'iribl�3t!iDns,,In'the�calendar yppy-j Yd-
, p H'
IV
HQTORW
50% of
it
No Pmj
50126/10
J+Fq
-
M
DIM '11171
Perm,ffbate,! OlflZbi 6

;Cecate of overag(iBiNd.:
NCG
P1,660Y;.unde penaftbf [Mv; that .this :coc—mTi.and all7attddhfi6htSwere epare pun
der myirectionor
StipOMi66"ih-iidd6rdance,.with.agysfOth,d-e"sig-n'i-§d-'to'ra'ssute,fhat;quiii6&i: ersonh-'e'K.-b-i _.gdher,�and p
'prop"y
lo -my. inquiry� I elhe;§Vstem or
6i�alu6i;e:the!ihforma6o6'sU6ffiiftd�. lBa �i� e h pe !�pRq �qr pers
ons 5qps w. qpan�@_
-,g6thering
:th.osenDersoft.. tbdh 'res !_I!�.ifpr IM
y
-knowledge a r& dri-d"- complete:- 1, am-aware.,that Jh6re are Sid ifrcarrt penaltiesbr
$uib ffilffin alse i ticli ossib f afid impHsonmeriffo 'kn(;Wh9M6l6tjdb&!l!
mcl, Ogffi4 0 -, - '-.1 r-
FYI 0 -.finds
equi by. 440 . . . . . ......
MailApnual.8umm tv . a - 'Wastbwatek bMR to- the'NCDEQ CentralOffide:' _howe�.-iribiAOin NoteMe,address,i& corrleO.;­.Central ,F#es._f'S of DEMLR)
147b, be"p?! ent.bf EnvironmenW.Q60kty.:(DEQ)r
Div Jsiq_n':.of'W&ekR6i d6rces
DWR Central Files-
:1 17'MaiUSbNlcb-C,6nber--
Rale*#'gh:,i4d:.27699�-161..7-
7_7
Centf.jl RIOM16 .066h -'807q00
D e _Qffice.,a
Questions? :t;
"t9 . 1.9) . 70 Lt TMO,
Permit{ ate',1011/3015_w,9/30f2020
a&,R617s Wl 0-2-'2015

i�
- ' .
ANN
- .~~^-~2,04' ,
Q;ei��LaborAtdr-y-: Na
(WW)'Oischarge�,666(1 No.
OM
Yes
_
bidity 1/1
1ndt=trW Sand
al 100�

.41
NC.G'02lMMffjM'
CERTIFICATION
',
"I certify, under ena.,Of.1-aw,,th�ftthi§,d"dbMefitand all ',afta�fifn:Lihti� "reDMV pied under My&6ct166. r
ccor anqev�OA, designed 'asst"466taudld: d 0&1�%40tftp,
s -tidn in, a -�d system d nbdlo� e rand"
personn peb
yy
evaluate ftinf6rmatjonsuib�m& persph or pi��qqi�'lhjo manage the M:or
t�bsd-' Olreoyrdtp�iblefq g*hq(ipgihe,,lhf&m- ;sbbeifte�ls-..to:wle,,Ij4 St" of, m . y ,
j ej ormation
Pempnp�
kh true; -accurate, and d0imipleta g
t U, if- I fO atloh,. ihdlLfdjhj-.ft Ojityimnrrsonrr�enf for knowing violations:"
fR b 4' -"1 77221
Mail Annual Summary_.
:Central Wastewat6r DMR to th6WCDEQ Cent bffid6.
'Ndt&lhe,'dddress is correc#- =Genital Arlesih housed JWpAIYR- DFMLRj
N.C., be, t' �tm 6t pa, 6fit6f'Eff4itoiirriehti�l,,Ougil!t fl q)'
R
DiAsion.0 WADr,"RiiSbUeddt'
161TMAH Se--r--v---'ice=0infer'
RaI61go,WC :276994617'
4-
16enfttil-Tild—sT616 , hone (9.19};807,-n6300
4.4estiOn,s?'.,Cbntaci,61tiL:�:,'itoft"4tLie,Pi6rffiittih-'g- _St6ff in the lbenft'al 6ffi0o*:,
,(019)-70'0220:
011-120-&—WN12020
'La4R6vkwd-10-,2-2015:'

ANNUAL DI-SCHARGE MONITORING,
:REPORT:`; DNiR =WASTEWATER -.
boom-
S06mir to. di5NTRALO PFfCE*
Oeneeat WifiWISIdw NCOQ20000-,
Calendar -Year 2017
qeport-ALL'WASTEWATER-rriofiit6ririg d*.ch,this forih7. imit ti
Vncludd:Nc Flovi"/No Dichagip" and Wfa Li from
the previous 6alendavyear to-b)wDEQ by MARCH I of each. -year
Gert , "PWCoverage�N. Coverage„No -NC.Q62
facility Name: 'Clark Mine'
County: cil�lmiiani-&
....Pfio.n?6*6mbgr (91 :"0-7928 dtfall,�,6ofiitoW
0 'Tbtal h6.- of -6' Nk-
-Na
Lab #
Wastewater'(
ait:6Nat . er,(WW) D ischArge;Ouff6l L N&
D�T Yes EY 11
D6diithis%odftll-djsp'harge-WW tbAA W*Wt? Y09,11' -N'o[]
Does ;.-this ..-..6utfafl..dischdr0'61WW't6SB,,brFiNA-w.ai!PM7, Yes E] Na El.
Dddt thWdUff6il discF6W4o,'4QWorbRW'wathrs? Yes0' Noo:
ow, r -inflitenced waters; !Qjon�ot.
llfsp,*hat is,the faip N rate? or , idally available [),
b -tli-1 --,outfairdisaia -Watef�;?.' , Yes E] No oes is *1"1-T-0f(Tt)designated,
-Wdre tliere,any,limit violations'! mthe'dAle6dar- ye7ar-? Yes 0
Effluent
50% f
725&1,4V
i
[�N 'Urrfli
NIA,
,Limitatilon's
:,
m j
w
Q . 0�
I
I
Qm"
HOW ORW
Mo. Avo f 04�y Mu
mdTrOrMA
10/15
50/25MO
�7
MORN
Dim
l,
706rmit bate-,-1 oh ii6i 5 - 6�ciddzd*

'IV - I
'Certifii we7ofcov6raget,.'Nb`.. -NCG02,1;'EKKEM
CERTIFICATION
'T.befth,-under p s iii-h d ts were
qn6ftybf laWjWthi 466 e6fan �-aifaiWq�ffiiin
_Eppared'under'
. su . p . ervisio . n in ac . cordan'
I d, peft&h6bl "p-rip- p­p'-flily'gather, and
evaluate the rnformattbn submitted. _Based on' my;ir�quiry of -the person orpersons wh&:mah p er . or
se7persons-diriedly.'re--s-p"ontible.for gathering ftie.informatidn,,'their forrfiatioh submMed,W,'td%the :best .6f -rhv;
A66WI' -e`iAd�bbli 're; ,accurate I,gh aware, fh t'.,.fh'erd are,isignifcant,pealtEes
lor'
'§661lihn W anon, 6616dihblhe possibility and imprisonment Tknowing-'Y!olatidh�§.7:
Slgi Date
MailVAhnual: ummary"Wasiowiib jfiR,�td tfi6�
eD-- NCDEQ-Centr'a' Offic#::
Nbt&.th&4lddressls"conBd .'-- -Qenfral,FW6i4s:hb6sed. in, DWR . : (act, _PEML
N.C. Dep&bb&'htdf'EnvftphrnefiW QuaHty. (DEQY
piMsJon, of Wafirliegdtiic.es
kift-b 'Ce , n6*1. Files
1617-M,qW'SbNj6d Center
�R*Plg4j 114C, -27.699-1617'
Questions? ConiadffjtWLk.St6 OtefPermitting staff lil'ffii.deriftal -Office- at,
(910i 70-11-9.220
Pi?miftbaio idlidm' 913012020

Certificate of Coverage No. NCG02 ®�]VR�_
Additional OU#fali Attachment (make copies as needed for additional ouft1s)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No- ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ . No ❑
Were there any limit violations In the calendar year reported? Yes ❑ No []
Outfall No.
Daily Flow
Rate, efs
pH,
SU
TSS,
mgll
SS,
mill
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coliform,
coil100 ml
SA
EffluentHQW
Limitations
AQo. AY° f Bally Kim
-
or ORW
50% of
7Q10
Mydlfalm W FLOW
eW
ttestwrater
6-0-9-0
c'
6.8-8.5
IndustYfal Sand
25145
HgY1arORw
20130
Haw cr oaw
and Tr or PMA
101115
NQW, ORW,
"w,
" 56OPNX
ermryTrout
0.110.2
No Limit
elMlewater
�,.oaa a ft a>�a
50125110
NIA
VM"Qualtty
+�812d2f9 applies
NIA
watfrQaatmr
starrclard a la
NIA
Date Sample
Collected,
mo/dd! r
:.. ; ....
Permit Date 101112015 — 9/30/2020
Last Revised 10-2-2015

' Certificate of Coverage No. NCG02
Additional Qutfall Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No 0
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
It so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout jTrj designated waters? Yes ❑ No ❑
Were there any limit violations In the calendar year reported? Yes ❑ No ❑
Mo
Tur .Turbidity,.r
•
1 1
umitations
Mo. Ave i Pi rft�
N 1
1 /25145
6.8-8.5
•
1 !Orcle
HOW cc ORW
and Tr or PMA
10115
'
1 i
, Limit
Water
t 1
Date Sample:l
Collected,
moldii
mots. an
MoOd
Permit Date 10l112015 - 9/30/2020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02 dKE1ZL
Additional Ouffall Attachment (make eopies as needed for additional outialls)
Wastewater (WW) Discharge Outfall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SIR or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q1Q not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any, limit violations in the calendar year reported? Yes ❑ No ❑
M
O
•
•
s•
• r
I NTU
�.
If r r
• ! 1
•
HOWorORW
>? 1
-
tnjd
r ORW
i
• 1HawowtoRw
' `''
1011-5
1 /
-
+
7ollecteT,
Permit Date 10/112015 - 913012020
Last Revised 10-2-2015

Certificate of Coverage No. NCG02
Additional Qutl`ali Attachment (make copies as needed for additional outfalls)
Wastewater (WW) Discharge OutFall No.
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes ❑ No' ❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
"eAp"�'Le
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU(SA)
Fecal
Coliform,
co11100 ml
Effluent
Limitations
Ma Ave f Da11y Max
HQWorORW
50% of
7Q10
hrdLe NO FLOW
fmtwater
6.0-9.0
saftwa r
6.8-8.5
�euustrlallS�d
25145
Haw or
20/30
HQW oroew
� Tr or PHA
10115
HOW,ORM
--A se, Psi,%
oratryTrout
0.110.2
No Limit
CrraleWaler
° �a��d
50125110
N/A
WaterauntKy
ssarzare ages
NIA
WaserQua] ty
star artl apprms
_
NIA
Date Sample
Collected,
_ . _
,....
,.....
,_...
Permit Date 10/112016 - 913012020
Last Revised 10-2-2015

Certificate of Coverage No, NCG02 MEL-.
Additional Outfall Attachment (make copies as needed for additional outfalis)
Wastewater (WW) Discharge Outfail No
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SB or PNA waters? Yes [] No'❑
Does this outfall discharge WW to HQW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, 7Q10 not available ❑
Does this outfall discharge WW to Trout (Tr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No ❑
Outfall No.
Daily Flow
Rate, efs
pH,
SU
TSS,
mall
SS,
mill
,rappmawe
Discharge
Turbidity,
NTU
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Coli€orm,
co11100 ml
SA
Effluent
Limitations
Mo_ Ave ! Daily Max
w or ORW
50% of
741a
Indicate NO b Ow
freshwater
6.0-9.0
`aaw.'M'
6.8-8.5
tnGustrlal sane
25145
tzawotORW
20130
uaw.,,w
andTrTr or PNA-
wow. asw.
S&SaPMAI
ars�ey?rout
0.110.2
-
No Limit
[hcleWater
Q Chaualities: standard
5V�25!l11 v
N/A
WaterC=Ifty
SkanCard applies
NIA
WatsrOualtty
Standard applies
-
NIA
Date ample
Collected,
molddi r
Petrnit Date 10/112015 - S13012020
Last Revised 102 2015

Certificate of Coverage No.
Additional Outfall Attachment (make copies as needed for additional outf ills)
Wastewater (WW) Discharge Outfall No. ^ _
Is this an industrial sand mine (See 40 CFR §436 Subpart D)? Yes ❑ No ❑
Does this outfall discharge WW to SA waters? Yes ❑ No ❑
Does this outfall discharge WW to SIB or PNA waters? Yes ❑ No ❑
Does this outfall discharge WW to HOW or ORW waters? Yes ❑ No ❑
If so, what is the 7Q10 flow rate? or Tidally influenced waters, TQ10 not available ❑
Does this outfall discharge WW to Trout jr) designated waters? Yes ❑ No ❑
Were there any limit violations in the calendar year reported? Yes ❑ No ❑
Outfall No.
Daily Flow
Rate, cfs
pH,
SU
TSS,
mgll
SS,
mill
napptkatrte
Discharge
Turbidity,
NTIJ
Upstream
(U) Turbidity,
NTU
Downstream
(D) Turbidity,
NTU
Fecal
Colifonm,
coif100 ml
SA
Effluent
Limftadons
Me. AV* l pally Vhx
Ht]W or ORW
50% of
TQ10
+nakara NO FLOW
' aPPft2'10
treahwater
6.0-9.0
saltwater
6.a-a.5
Mdustrlak &md
5/45
.0W orORW
20I30
HQW 0, OFZ 1r
amrr or FICA
10115
SA, M PKA.
arrany TT-M
fl.1lti.2
No Limit
CIMIewater
IIthr�atf .afpplies-. d
�iV!C.Jl10
NIA
WaterQuattiy
Standard aGPilee
NIA
Watargttatill
standard aPAAlea
N/A
Date Sample
Collected,
molddl r
•.
...
Permit Date 10/112015 - 9130/2020
Last Revised 10-2-201 5

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'� � �* z e ��� � � •i' _,. a i k € u r s Ili �- �"'r
s1 a.. x { . < 2`"M.'• '�..'
���'-wr1. �.• ^L °E' � N' F - 1, . r� i' j��•p y. ��T' Y^+�"'S" J P "�
' .+,`i '� �. _ - " �. � t. ssy �• --'��, .� � '+ 'fix`; e � y ti .+ � .:; i S .S - � �'E'� hs+* �.��� ¢ 4� �ti,"� �- x -:
c,+ 1 . > err k#� � ` ,�' 3 "�,_ �,a, � -�i "" •"'� _Wgr„47
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zs. 3�,,,5 A ` 4 ,,,+c� -�,.t - �'y i:,�. _ ` t �. j� .�,, • •+ i• ^ 5�.. 7,2k) i�4{�+.� •` -� 3` # �, ,r �:
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• � �3_ � - � : r� � :� �� � � �cG''�i� -�' •,, � 1;" 'ro'c- � -'� uii`-i y� ��,: �i ,� � : r 4 � s
.y, I+FijS^ . s...i - ••. aRYT.T r'- j•' iQ, MS• - y' .f...x� "R
3i .s.':yz.tiFl-.,� `..pS'sr 3` • `+9 -n-r. ' 4..'. Fly i�, `sr �, J R-ss y "4 - s-
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w�ik'ry.�„x,..�

A LIMIT VIOLATION DMR - WASTEWATER B
SEND TO YOUR.LOCA.L REGIONAL Q ReE:�
PROCESS MINEIDEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000 (MINING)
* Use this form if you have Exeeeded Wastewater Limits for any,parameteis. Send sample results to your local DWQ Regional Office within 30 days Uf receipt from lab. I
CERTIFICATE OF COVERAGE NO. NCG02-0 6_11. Z, SAMPLE COLLECTION QUARTER: 1 ❑ 2 [?r 3 ❑ 4
FACILITY NAME: MONTHLY ONI TO ING YES ❑ NO ❑ MONTHZ'/Ziot.z --
PERSON COLLECTING SAMPLES: COUNTY: MhAkegAauei
CERTIFIED LABORATORY: Lab # PHONE NO. ) -
Lab # ADD TO LISTERVE? YES O❑ EMAIL:
LIMITS VIOLATIONS? YES ❑ NO INDUSTRIAL SAND? ❑ DISCHARGING TO SA WATERS4? ❑
Part A: Wastewater Monitoring Requirements
Outt'all No.
Date Sample
t
Collected
50050
'.Total Flow
00530
Total Suspended
4
Solids
00400
Turbidity;
00545
Settleable Solids
00400°-
pH
3161.6
Fecal Coliforms
mm/dd/yr
MG °
mg/1
NTU '.;
ml/l , .
Standard
co11ml'
' All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
z If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit term.
3The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed; 10,NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters, Turbidity may be monitored at the Stormwater
Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO,
4 Only facilities discharging. to SA waters are required to monitor for Fecal coliforms.
Permit Date: 111/2010-12/31/2014
Last Revised 01-05-10
Pate 1 of 2

.� tttr.—
USE T11IS FORM IF YOU HAVE EXCEEDED WASTEWATER LIMITS FOR ANY PARAMETERS.
.SEND. THIS, DMR TO YOUR LOCAL_DWQ REGIONAL OFFICE WITHIN 30 DA YS OF RECEIPT OF SAMPLE_ RESULTS FROb1 TFIE LAB.
DWQ REGIONAL OFFICES:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 70
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax; [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel.Building Suite 714
Fayetteville, NC 28301-5043
COURIER 14-56-25
Phone; [phone]
Fax: [phone]
Mooresville Regional Office (BIRO)
Rob Krebs, _Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09-08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
Washington Regional Office (WaRO
Al Hodege, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27889
COURIER 16-04-01
Phone: [phone]
Fax: [phone] or [phone]
Wilmington Regional Office (WRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Exten,6on
Wilmington, NC.28405-2845
COURIER 04-16-33
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-15-01
Phone: [phone]
Fax: [phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qua lied personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
thus erso , ectm responsible for gathering the Information, the information submitted. is, to the best of my knowledge and belief, true, accurate, and complete.
I a aware t th re significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
rgraure or Pernuttee)
Permit Date: 1 / 1/2010-12/31 /2014
Z6r U
ate)
I-ast Revised 01-05-10
Page 2 of 2

T
V
I LIMIT VIOLATION DMR - WASTEWATER I
l! SEND TO YOUR LOCAL REGIONAL OFFICE* II
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000 (MINING)
* Use this form if you have E.rceCdeel Wastewater Limits for any parameters. Send sample results to your:locul DWQ Regional Office within all days of receipt from lab,
CERTIFICATE OF COVERAGE NO. NCG02-0 SAMPLE COLLECTION QUARTER: 1 [;'TE] 3 ❑ 4 ❑ ?
FACHATY NAME: TO I MONTHLY ONi NG YES ❑ NO [INIONT14: � L/
PERSON COLLECTING SAMPLES: WN COUNTY:
CERTIFIED LABORATORY: Lab # PHONE NO. } -
Lab # ADD TO LISTERVE? YES 21qOF1 EIl9AIL�Qri1�d, Cp. a A
LIMITS VIOLATIONS? YES ❑ NO INDUSTRIAL SAND'?❑ DISCHARGING TO SA WATERS''? CI
Part A: Wastewater Monitoring Requirements
Outfall No.
Date Sample
Collected I
50050
Total Flow
00530
Total Suspended
Solids
00400
Turbidity'
00545
Settleable Solids
00400
pit
31616
Fecal Colffornis
mm/dd/yr
MG
mgll"'
NTU"'
mill' .
Standard"
col/nil"'
-A CIL
All mines most monitor WW discharges forTS5. Only industrial sand mine discharges are subject to TSS limits.
If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining permit terns.
-'The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated 45 trout waters; 25 NTU for ail lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the Slormnwater
Discharge Outfall. Alternatively, the permittre may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Only facilities discharging to SA waters are required to monitor for Fecal colifonm.
Permit Date: 1/1/2010-12/31/2W4 Last Revised 01-05-10
Page 1 of 2

USE THIS FORM IF YOU HAVE EXCEEDED IVASTE,WATER LIMITS.FOR ANY PARAMETERS.
SEND THIS DAIR TO YOUR LOCAL I)WO-REGIONAL I _ _- M l HE LAB.
_ OFFICE WITHIN 30 D�1 YS OF RECEIPT OF SAMPLE RESULTSFRO ,
DWQ REGIONAL OFFICES:
Asheville Regionul Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 70
Swannanoa, NC 2877E
COURIER 12-59-01
Phone: [phone] -
Fax: [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 7 M
Fayetteville, NC 29301-5043
COURIER 14-56-25
Phone:(910),433-3300
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
:Mooresville, NC 29115
COURIER 09-08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protcctioi}
Supervisor
3900 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
Washington,Regional Office (WaRO
Al Hodege, Surface Water Protection
Supervisor
943 Washington,Square.Mall
Washington, NC 27889
COURIER 16-04-01.
I'hone: (252) 940-648 t
Fax: [phone] or(252)975 3716
Wilmington Regional Office (WRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 2 9405 -2 945
COURIER 04-16-33
Phone: [phone]
Fax:[phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-,15-01
Phonc: [phone]
Fax: [phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED;.
"I certify, under penalty of taw, that this document and all attachments were prepared.under my direction or supervision in accordance with a system designed to
assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
thosc..Qersgns irectty responsible foregathering the information, the information submitted is, to the hest of my knowledge and belief; true, accurate, anti complete.
1,t(m awAtA tat here are significant penalties for submitting false information,: including, the possibility of Fines and imprisonment'for knowing violations."
of PernAttee)
Permit Date: 1/1/2010.11/31/2014
Last Revised 01-05-10
Page 2 of 2

I LIMIT VIOLATION DMR - WASTEWATER I
1 SEND TO YOUR LOCAL REGIONAL OFFICE
PROCESS MINE/DEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000 (MINING)
* Use this form if you have E-rcegded Vastewater Limits for any paramelers. Send sample results to your local DWQ Regional Office within 30 days of receipt from lab.
CERTIFICATE OF COVERAGE NO. NCG02Q :6 4p L, SAMPLE COLLECTION QIJARTER: I ❑ 2 ❑ 3 El4
FACILITY NAME; MONTHLY ONI TO ING YES ❑ NO ❑ MONTH: �
PERSON COLLECTING SAMPLES: COUNTY:
CERTIFIER LABORATORY: Lab # PHONE NO. )
Lab # ADD TO I,ISTTRVE? YES O❑ EMAIL: p. chick
LIMITS VIOLATIONS? YES ❑ NO INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATF,RS4'? ❑
Part A: Wastewater Monitorin p Re uirements
Outfall No.
Date Sample
t
Collected
Slll}50
Total� Flow
00530
Total Suspended
Sulids
1}0400
Turbidity3.
00545
00400.
31616
Fecal Coliforms.
mm/dd/yr
MG
mgll`
NTU"
mill
Standard
collml" .
'All nines nutst monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
2 If an effluent limit is exceeded, the permittee is required to institute monthly monitoring for that parameter for the reruaining permit term..
3The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the Stormwaler
Discharge Outfall, Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Only facilities discharging to SA waters are required to monitor for Fecal coliforms.
Perniit Date: Il1/"010-12/3i12014 Last Revised 0 1 -05-10
Page 1 of 2

Vr
USE, THIS FORA1 IF YOU HAVE EXCEEDED WASTEWATER LIMITS FOR ANY PARAMETERS.
SEND THI S DMR TO YOUR LOCAL QWQ REGIONAL OFFICE 117THIN 30 DAYS OF RECEIPT OF SAAIPI_E RESULTS FRO,IT_THE LAB.
DWQ REGIONAL OFFICES:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 70
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 714
FayeLleville, NC 28301-5043
COURIER 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 29115
COURIER 09-08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax:[phone]
Washington Regional Office (WaRO
AI Hodege, Surface Water Protection.
Supervisor
943 Washington Square Mall
Washington, NC 27899
COURIER 16-04-01
Phone: [phone]
Fax: [phone] or [phone]
Wilmington Regional Office (IVRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 29405-2845
COURIER 04-16-33
Pho ne: (9 10) 796-7215
Fax: .[phone].
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-15-01
Phone: [phone]
Fax:[phone]
YOU MUST' SIGN TH1S CER1111'ICAT'ION FOR ANY INFORMATION REPORTED,
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
ranieape)'19"q lif personnel properly lather and evaluate the information submitted. Rased on my inquiry of the person or persons who manage the system, or
,I., a lyresponsible for gathering the information, the information submitted is, In the best ofmy knowledge and belief, true, accurate, and complete.
re are significant penalties for submitting false information, including the possibility of Fines and imprisonment for knowing violations."
of Permittee)
Pennit Date: I/1/2010-1 J31/20i4
._- S,�L
)ate,
Last Revised 0 1 -05-10
Page 2 of 2

LIMIT VIOLATION DMR - WASTEWATER
11 SEND TO YOUR LOCAL REGIONAL OFFICE* 11
PROCESS MINEIDEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000 (MINING)
f Use this form if you have Exceeded Wastewater Limits for any parameters. Send sample results to�your local DWO Regional Office within 30 days of receipt from lab.
CERTIFICATE, OF COVERAGE NO. NCG02 Q; -lP-- "L— SAMPLE COLLECTION QUARTER-. 1 ❑ 2 ❑ 3z4 ❑
FACILITY NAME: ClOWL CAI MONTHLY ONI TO lNG YES ❑ NO ❑ MONTH:-..O/ &.1
PERSON COLLECTING SAMPLES: COUNTY:
CERTIFIED LABORATORY: Lab # PHONE NO.
Lab # ADD TO LISTERVE? VIES O❑ EMAI1, Co. 00A
LIMITS VIOLATIONS? YES ❑ NO INDUSTRIAL. SAND'? ❑ DISCHARGING TO SA WATERS''! ❑
Part A: Wastewater Monitorina Requirements
OutfAll No.
Date Sample
Collected t
50050
Total Flow .
00530
Total Suspended
Solids'
00400
Turbidlty�
00545
Settleable Solids
00400.
pH'
31616 "
Fecal Cplifornts
mntlrid/yr
MG"
rng71 '
NTU '
nri/l .
Standard
All nines must monitor WW discharges for TSS. Only in sand mine discharges are subject to TSS limits.
If an effluent unlit is exceeded, the pernuttee iti required to institute monthly monitoring for that parameter for the remaining permit terni.
'The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50.NTU for all other-strearns and surface waters. Turbidity maybe monitored at the Stormwater
Discharge Outfall. Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO.
Only facilities discharging to SA waters are required to monitor for Fecal coliforms. -
Permit Date: 1/112010-12/31/2014 Last Revised 01-05-10
Page 1 of 2

USE THIS FORAI IF YOU HAVE. EXCEEDED WASTEWATER 11,VIITS FOR ANY PARANIETERS.
SEND THIS DMR TO YOUR LOCAL DWO REGIONAL OFFICE_ WITHIN 30 DAYS OF RECEIPT OF SAMPLE RESULTS FROM THE LAB.
IUWQ REGIONAL, OFFICES:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 70
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 714
Fayetteville, NC 29301-5043
COURIER 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09-08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
Washington, Regional Office (WaRO
Al Hodege, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27889
COURIER 16-04-01
Phone: [phone]
Fax: [phone] or [phone]
Wilmington Regional Office (WRO)
Rick Shiver, Surfacc-, Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
COURIER 04-16-33
Phone: [phone]
Fax: .[phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
595 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-15-01
Phone: [phone]
Fax: [phone]
YOU MUSTSIGNTHIS CERTIrICAMON 1%OR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachrnents were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Rased on my Inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
1 am awa.Le thatl e are significant penalties for sulrmilting false iuforma[inn, including lire possibility of tines and imprisonment for knowing violalfuns."
(Sigoatu)e of Yernrittee)
Permit Date: 1/112D10-1213112014
121,01 zw
(Dale)
Last Revised 01-05-10
Page 2 of 2

610 �_
I LIMIT VIOLATION DMR - WASTEWATER I
14 SEND TO YOUR LOCAL REGIONAL OFFICE* 11
PROCESS MINEIDEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000 (MINING)
* Use this form iP you have Exceeded Wastewater Limits for any parameters. ,Send sample results to your local DWQ Regional Once within 30 days ofreceipt front lab.
CERTIFICATE OF COVERAGE No. NCG02.Q SAMPLE COLLECTION QUARTER: I ❑ 2 L2- 3 ❑ 4 jam,
FACILITY NAME: MONTHLY ONI TO NG YES ❑ NO ❑ MONTH:
Pr RSON COLLECTING SAMPLES: COUNTY: _
CERTIFIED LABORATORY: Lab # PHONE NO. ' -
Lab # ADD TO LISTERVE? YES O❑ FMAIL: I S_CO. C MA
LIMITS VIOLATIONS? YES [I NO INDUSTRIAL SAND'? ❑ DISCHARGING TO SA WATERS"? ❑
Part A: Wastewater Monitorine Requirements
Outrall No.
Date Sample
i
Collected
50050
Total Flow
00530
Total Suspended
4
Snlids
00400
Turbidity'
-
00545
Settleable Solids
00400
pH.
31616
•Fecal Colirorttts
mmIdd/yr
MG
Mg '
NTU •' ,
tnUl" ."
Statidard.
Collin] ' . .
Cal
All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
If an effluent linutis exceeded, the permittee iv required to institute monthly monitoring for that parameter for the remaining permit term.
"rhe discharge: shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: '10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other Streams and surface waters. Turbidity may he manitored at the Storinwater
Discharge Outfall. Alternatively, the pert nittee may choose to monitor turbidity in the receiving water, directly upstream and downslrcam of the SDO.
" Only facilities discharging to SA waters are required to monitor for Fecal coliforms,
Permit Date; 111 /2010-12/31 /2014
Last. Revised 01-05-10
Page I of 2

USE THIS FORM IF YOU HAVE EXCEEDED IVASTEWATER LIMITS FOR ANY PARAMETERS.
Sfs'r\D THIS DAIR TO YOUR LOCAL DWI REGIONAL OFFICE 1'i'IT HIN 30 DAYS OF RECEIPT OF SAMPLE RESULTS FROM T11E LAB.
DWQ REGIONAL OFFICES:
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 70
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (PRO)
Rclincia Henson, Surface Water Protcetion
Supervisor
225 Green Street
Systel Building Suite 714
Fayetteville, NC 23301-5043
COURIER 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09.08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Watcr Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52.01-00
Phone: [phone]
Fax: [phone]
Washington Regional Office (WaRO
Al i lodege, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, NC 27899
COURIER 16-04-01
Phone: [phone]
Fax: [phone] or [phone]
Wilmington Regional Office (IRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-2945
COURIER 04-16-33
Phone: [phone]
Fax:.[phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-15-01
Phone: [phone]
Fax: [phone]
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
9 certify, under penalty of law, that this document and ail attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
tbosw per5owiArectly responsible for gathering the information, the information submitted is, to the hest of my knowledge and belief, true, aceurate, and complete.
am a ar t here are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations.
"it”
1-0//
(S- nature of Permittee) Dal
Permit Date: 1/112010-12/3112014
Last Revised 01-05-.10
Page 2 of 2

I LIMIT VIOLATION DMR WASTEWATER I
II SEND TO YOUR LOCAL REGIONAL OFFICE* II
PROCESS MINEIDEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000 (MINING)
i `1se this farm if you have Esceec ed Wrtstewater Limits for any parameters, Send sample results to your local DWQ Regional Office within 30 days of receipt f'ro�nt lab.
CERTIFICATE OF COVERAGE NO. NCGO -0 �1� Z , SAMPLE COLLECTION QUARTER: I [�j 2 El El4 Elr
FACILITY NAME: CADA, MONTHLY ONi TO In YES ❑ NO ❑ MONTH: I
PERSON COLLECTING SAMPLES: KJK COUNTY:
CERTIFIED LABORATORV: Lab # PHONE NO. )
Lab # ADD TO LISTERVE? YES O❑ EMAIL: O. C+A
LIMITS VIOLATIONS? YES [:]NO INDUSTRIAL SAND"? ❑ DISCHARGING TO SA WATERS°? ❑
Part A: Wastewater Monitoring Re uirements
Oulfall No.
Date Sample
Collected[
50050
Total Flow
00530.
Total Sitspended
Solids"
00400
Turbidity3
06545
Settleable Solids
00400
PH i
31616 '• .
.Fecal Coliforms
mtn/dd/yr
MG
tugll-':
NTU"
mUl2.
Standard
col/in1-
XTUP
All mines must monitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
Y If an effluent limit is exceeded, the pernvttee is required to institute monthly monitoring for that parameter for the remaining pernut term.
3 The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trout waters-, 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the Stormwater
Discharge Outfali. Aiternatively, the permittce may choose to monitor turbidity in the receiving water, directly upstream and downstreutn of the SDO.
a Only facilities discharging to SA waters are required to monitor for Fecal coliforms,
Permit Date: I/l/2010-12/31/2014 Last Revised 01-05-10
Page i of 2

USE. THIS FORM IF YOU HAVE EXCEI DIsI) WASTEWATER LIMITS FOR ANY PARAMETERS.
SEND THIS DMR TO YOUR LOCAL DWO REGIONAL OFFICE WITHIN 30 DAYS OF RECEIPT OF SAMPLE RESULTS FROM THE LAB.
DWQ REGIONAL OFFICES;
Asheville Regional Office (ARO)
Roger Edwards, Surface Water Protection
Supervisor
2090 US Highway 79
Swannanoa, NC 28778
COURIER 12-59-01
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suit;, 714
Fayetteville, NC 28101-5043
COURIER 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 28115
COURIER 09-08-06
Phone: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3800 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
Washington Regional Office (WuRO
Al I lodege, Surface Water Protection
Supervisor
943 Washington Square Mall
Washington, ETC 27899
COURIER 16-04-01
Phone: [phone]
Fax: [phone] or [phone]
Wilmington Regional Office (WRO)
Rich Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
COURIER 04-16-33
Phone: [phone]
Fax:. (9 l 01 350-2004
Winslan-Salen} Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-15-01
Phone: [phone]
Fax: [phone]
YOU MUST SIGN THIS CERTYFICAVON FOR ANY INFORMATION REPORTED:
"l certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persgus�d?rectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
l��wa 0191 ittere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Permittee)
Permit Date: 1/112G10-12/31/2014
- 44 -wII
(Date)
Last Revises! 01-05-10
Page 2 of 2

I ANNUAL SUMMARY DMR - STORMWATER I
SEND TO CENTRAL OFFICE
STORMWATER DISCHARGE OUTFALLS (SDO)
GENERAL PERMIT NO. NCG020000
DENR-FRO
JAN 18 2011
Dwo
*Report ALL STORMWATER Monitoring Data on this form (including No Flow and No Discharge and Permit Limit Violations) by MARCH 1 of each year.
CERTIFICATE OF COVERAGE NO. NCG02C) 5 ( -,-? SAMPLE CqQLLEqTION YEAR: ZD i Q
FACILITY NAME: [V A., COUNTY eIDAd
PERSON COLLECTING SAMPLES PHONE NO. (0 --194
CERTIFIED LABORATORY Lab # ADD TO LISTERVE? YES QNO ❑ EMAIL:
Lab # TOTAL RAINFALL: INCHES
EVENT DURATION: MINUTES
Part A: Stormwater Monitorine Requirements
Outfall No.
Date Sample
Collected
(moldd/yr OR
FLOW)
In Tier 2
Monthly
Monitoring?
(yln)
# of Months in
Tier 2
Sampling
Total Flow
(MG)
Total Suspended
Solids
(mg/0
Turbidity
(NTU)
Settleable Solids
(min)NO
-
-
-
-
-
100 '
See Footnote"'
0.1
If "NO FLOW" or "NO DISCHARGE, Enter "NO FLOW" or "NO DISCHARGE" for each outfall here and the Date Range.
2 Per NCG02: Tier 2 Monthly sampling shall be done until 3 consecutive samples are below the benchmark or within the benchmark range
S If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit,
° TSS benchmark values are 100 mg/1 except in ORW, HWQ, trout, and PNA waters where they are 50 mg/l.
S The discharge shall not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, takes, and reservoirs designated
as trout waters; 25 NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the SDO.
Alternatively, the permittee may choose to monitor turbidity in the receiving water, directly upstream and downstream of the SDO,
Permit Date: 11112010-12/31/2014 Last Revised 01-19-10
Page 1 of 2

Part B. Vehicle Maintenance Activity MonitoringRe uirements for facilities using > 55 gal of new motor oil/month on avers e
O
No.
No.
Date Sample
Collected
(mo/dd/yr OR
NO FLOW)
In Tier Z
Monthly
Monitoring?
(y/n)
# of Months
in Tier 22
Sampling
New Motor Oil
Usage
(gallmonth)
Total Flow
(MG)
TPH using
method 1664A
SGT-HEM
(m )
Total Suspended
Solids,
(mg/1)
pH,
(Standard
Units)
-
-
15
100
6-9'
1k
Lem
if
HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEENDENCES
AT ANY ONE OUTFALL (INCLUDING VEHICLE MAINTENANCE)? YES ❑ NO ❑
HAVE YOU CONTACTED THE REGION? YES ❑ NO ❑
WHO AT THE REGION HAVE YOU SPOKEN WITH?
MAIL ORIGINAL AND ONE COPY OF THIS ANNUAL SUMMARY (INCLUDING ALL "NO FLOW", "NO DISCHARGE" _&_LIMIT
VIOLATIONS) BY MARCH 1 OF EACH YEAR TO:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the
system, or thus Mrsons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate,
and complete. I I afn aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing
(Signature otPermittee)
Permit Date: 1 / 1 /2010-12/3 i /2014
1-13 -2D__ g
(Date)
Last Revised 0 1 - I9-10
Page 2 of 2

�:
■�� �»
n - ® .■
,` /
'
'�
%

LIMIT VIOLATION DMR - WASTEWATER
11 SEND TO YOUR LOCAL REGIONAL OFFICE* 11
PROCESS MINEIDEWATERING WASTEWATER
GENERAL PERMIT NO. NCG020000 (MINING)
* Use this form if you have Exceeded ftstewater Limit for any parameters. Send sample results to your local DWQ Regional Office within 30 days of receipt front Ind.
CERTIFICATE OF COVERAGE NO. NCG02Q 5—;P-- L. SAMPLE COLLECTION_ QUARTER: I ❑ 2 ❑ 3 ❑ 4 ' n
FACILITY NAME: MON'rHLY ONI 4TQ�ING7YES ❑ NO ❑ MONTH: Z —
PERSON COLLECTING SAMPLES: COUNTY:
CERTIFIED LABORATORY: Lab # PHONE, NO.
Lab # ADD TO LISTERVE? YES O❑ 1, AIL: GO.0"
LIN11ITS VIOLATIONS? YES ❑ NO INDUSTRIAL SAND`? ❑ DISCHARGING, TO SA WATERS"? ❑
Part A: Wastewater Monitoring Requirements
Oulfall No.
Date Sample
Collected i
511050
Total Flow
00530
Total Suspended
Solids 4
00400
. Turbidityl
00545
Settleable Solids.
00400
pli
-31616
Fecal Coliforms
-
mn>Idd/yr
MG
mg/l ' .
,NTU""m111-
Standard..
col/ml '.
-A COX
YA Ali
-
' All mines must r-sonitor WW discharges for TSS. Only industrial sand mine discharges are subject to TSS limits.
If an effluent lirrit is• axceeded, the permittee is required to institute monthly monitoring for that parameter for the remaining pernvt term.
3'rhe discharge slull not cause an instantaneous measurement of the turbidity of the receiving water to exceed: 10 NTU for freshwater streams, lakes, and reservoirs
designated as trou: waters; 25. NTU for all lakes and reservoirs, and all salt waters; 50 NTU for all other streams and surface waters. Turbidity may be monitored at the Stormwater
Discharge Outfall, Alternatively, the permittee may choose to monitor turbidity in the ,receiving water, directly upstream and downstream of the SDO.
d Only facilities discharging to SA waters are required to monitor for Fecal colifornts.
Permit Date: I/1/—,010-1213112014
Last Revised 0l -05-10
Page. I of 2

USE THIS FORM IF YOU IIAVE EXCEEDED WASTEWATER LIMITS FOR ANY PARAMETERS.
SEND T111S DMR TO YOUR LOCAL DTVO REGIONAL OFFICE_ WITHIN 30 DAYS OF RECEIPT OF SAMPLE RESULTS FROAI THE I.AH.
DWQ REGIONAL OFFICES:
Asheville Regional Office (ARO)
Roger Edwards, SUr ace Water Protection
,Supervisor
2090 US Highway 70
Swannanoa, NC 28779
COURILR 12-59-01
Phone: [phone]f00
Fax: [phone]+
Fayetteville Regional Office (FRO)
Belinda Henson, Surface Water Protection
Supervisor
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
COURIER 14-56-25
Phone: [phone]
Fax: [phone]
Mooresville Regional Office (MRO)
Rob Krebs, Surface Water Protection
Supervisor
610 East Center Avenue, Suite 301
Mooresville, NC 281 15
COURIER 09-08-06
Plione: [phone]
Fax: [phone]
Raleigh Regional Office (RRO)
Danny Smith, Surface Water Protection
Supervisor
3900 Barrett Drive
Raleigh, NC 27609
COURIER 52-01-00
Phone: [phone]
Fax: [phone]
Washington Regional Office (WaRO
Al Flodege, Surface Water Protection
Supervisor
943 Washington Square Mail
Washington, NC 27889
COURIER 16-04-01
Phone: [phone]
Fax; [phone] or (252) 975-37 16
Wilmington Regional Office (WRO)
Rick Shiver, Surface Water Protection
Supervisor
127 Cardinal Drive Extension
Wilmington, NC.28405-2845
COURIER 04-16-33
Phone: [phone]
Fax:.[phone]
Winston-Salem Regional Office (WSRO)
Steve Tedder, Surface Water Protection
Supervisor
585 Waughtown Street
Winston-Salem, NC 27107
COURIER 13-15-01
Phone: [phone]
Fax: [phone]
YOU MUST SIGNTHIS CF.RTIFICAHON FOR ANY INFORMATIONRF,PORTF,D.
"i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons Ire:t responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
1 an are I lh are significant penalties for submitting false information, including the possibility of Fines and imprisonment for knowing violations."
(Si at a of Permittee) late)
Permit Date: 1/1)2010-1213112014
Last Revised 01-05-10
Page 2 of 2