NCG140033_COMPLETE FILE - HISTORICAL_20170510

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV C& I110033
DOC TYPE
p! HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
p �l'JJ 7 D3 I v
YYYYMMDD

111
NC Division of Energy, Mineral and Land Resources
' NPDES Stormwater Permit Contacts Summary
NC DEMLR has the followinE contact information in our Permit Database for your permit as of 3/2712017.
Permit Number: NCG140033
Permit Type: Ready Mix Concrete 5tormwater/Wastewater Dlscharne COC
T m}as;: �crete of=Carofinat
Facility Name: Inc Gastonia Plat :` I MAY 1 y
Facility Addressl: 5614 Union Rd.Nbw
�
Facility Address2:
City, State & zip: Gastonia. NC 28056lift
Owner Name: Thomas Cone Of Carolina Inc
Owner Type: Non -Government Owner Type Group: Oroanlzation
Owner Affiliation: jJeffSarders Tide: VPIGNI
Addressl: PO Box 790105 /
Address2: V
Cityr State & zip: Charlotte. NC 28206
Work Phone: 7D4:333-0390 Fax: [phone]
Email Address:
�=.f.
� S O'w er,ntaCrt;P,� CO1'S011{ :%t?:i :LS'r" L;ti 1 aw s •sr E*z�
+ x5t.9'x''i;a 15f, �aac:�.i.. Z:.:§4.w,cti�Yrs ��a�.: +.:�:.a��.�+i1sur��s�':!I;�s�`�._`�;s'sY. ?�...z. ��r .�kCLw�d�.�,:'c.
Contact Name Title Address Phone fax Email
ecilityContact;Person(s) ti ": �wl; r ,.,cA a€F.,
Contact Name rl1 Address Phone Email
Darrell Myers VP Production PO Box 790105, Charlotte, NC 28206 704-333-0390 704-335-8784
Contact Name ride Address Phone fax Email
(Darrell Myers PO Box 790105 Charlotte, NC 28206 704-333-0390 y
Contact Name Luc Add= Phone fax LMLu
2500 Cumberland Pkwy''5uite 206 Atlanta, GA 30339 770-431-3300 {/
3/27/2017 Page 186

Division of Energy, Mineral, and Land Resources
' =•
Land Quality Section / Stormwater Program
_
National Pollutant Discharge Elimination System (NPDES)
Energy. Mineral &
LandResouices
PERMIT OWNER AFFILIATION DESIGNATION FORM
ERMONMENTAL QUALITY
(Individual Legally Responsible for Permit)
FOR AGENCY USE ONLY
Date Received
Year Month
Da
Use this form if there has been:
- NO CHANGE in facility own61rslii'p or facility name, but the individual
who is legally responsible, for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, 'you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual" mean?
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit
N I C I S
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address: ` • • .
(or) Certificate of Coverage
N I C (? „l & 3
Address
NC, Z u-te
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://deg.nc.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permits/stonnwater-program
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual:
First
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit
Page 1 of 2
M 1 Last
First M1 Last
S W U-OWNFRAFF11 23March2017

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
:10
PQ 29V ilD5, D
Mailing Address
G Z V"
City State Zip
_c 70 3 33 03 4?c-) _. .
Telephone E-mail Address
(7&) s%5 f7.?�
Fax Number
5) Reason for this change:
A result of: eEmployee or management change
❑ Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this form are not completed, this change may not be
processed.
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral, and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the website at:
http:Hdcq_nc_y,ov/about/divisions/energy-mineral-land-resources/stonnwater
Page 2 of 2
SWU-OWNERAFF[L-23WO017

I
eAnaIXical
www.Aec�ebs xvn
YI Cyr l q 00,33
Project: Gastonia Plant 1400
Pace Project No.: 92280532
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 1o0
HunlersWle, NC 28078
(704)B75-9092
Sample: 1400.01 Lab ID: 92280532001 Collected: 12/18/15 08:00 Received: 12118/15 11:25 Matrix: Water
Parameters Results Units Report Limit ❑F Prepared Analyzed CAS No. Qua[
2540D Total Suspended Solids Analytical Method: SM 254CD
Total Suspended Solids 24.5 mg1L 2.6 1 12123/15 13:43
Sample: 1400-02 Lab lD: 92280532002 Collected: 12/18/15 08:00 Received: 12/18/15 11:25 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
254OF Total Settleable Solids Analytical Method: SM 264OF
Total Settleable Solids ND mULlhr 0.10 1 12/19/15 01:40
Sample: 1400-03 Lab ID: 9228DS32003 Collected: 12/18/15 08:00 Received: 12/18115 11:25 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual
HEM, Oil and Grease Analytical Method: EPA 16648
Oil and Grease ND mg1L 5.0 1 12/30/15 05:00
Date: 12/30/2015 03:13 PM
REPORT OF LABORATORY ANALYSIS
-This report shall not be reproduced,-except'in full-
w0aut the written consent of Pace Analytical Sevvi;,as, Inc:,
Page 4 of 11

JF,. --
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
1 lkrakwmAl
•
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 26, 1999
DAN T. O'SHAUGHMESSEY
THOMAS CONCRETE OF SOUTH CAROLINA, INC.
448 LAKESHORE PARKWAY, SUITE 205
ROCK HILL, SC 29730
Subject: Reissue - NPDES Stormwater Permit
Thomas Concrete of South Carolina, Inc.
_ COC Number NCG140033
Dear Permittee: Gaston County
In response to your renewal application for continued coverage under general permit NCG140000, 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 December 6, 1983.
The following information is included with your permit package:
* A copy of general stormwater permit NCG140000
* A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to
certify that you have developed and implemented the SPPP as per the conditions of the permit. This form
must be completed and returned to the Division within 30 days of receipt of this letter.
DO NOT SEND the SPPP with the signed form.
* Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* A copy of a Technical Bulletin for the general permit which outlines changes in the permit, key requirements,
and addresses frequently asked questions
* A Certificate of Coverage
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 Aisha Lau of the Central Office Stormwater
and General Permits Unit at [phone], ext. 578
Sincerely,
for Kerr T. Stevens
cc: Central Files
Stormwater and General permits Upit —:les
Mooresville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140033
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-2I5.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
THOMAS CONCRETE OF SOUTH CAROLINA, INC.
is hereby authorized to operate a process wastewater treatment system, and is hereby authorized to discharge process
wastewater and stormwater from a facility located at
THOMAS CONCRETE OF SOUTH CAROLINA, INC.
5614 UNION RD
GASTIONA
GASTON COUNTY
to receiving waters designated as a UT of Mill Creek in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I. II, III.
IV, V, and VI of General Permit No. NCG 146000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 26, 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

r-'
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
January 20, 1995
A Jeff Sanders Iii
Concrete & Builders Supply Inc
P.O. Box 91
Clover, SC 29710
Subject: General Permit No. NCG 140000
Concrete & Builders Supply Inc
COC NCG140033
Gaston County
Dear A Jeff Sanders Iii -
In accordance with your application for discharge permit received on November 17, 1994, 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 Environmental Management. The Division of Environmental Management 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 Environmental Management 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 question concerning this permit, please contact MS. AISHA LAU at telephone number
919/733-5083.
Sincerely,
nriginai 'igSujlin3s
�oleen H.
A. Preston Howard, Jr. P.E.
cc: Mooresville Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140033
STORMWATER DISCHARGES
NATIQNAL 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,
Concrete and Builders Supply, Inc.
is hereby authorized to discharge stormwater from a facility located at
Concrete and Builders Supply, Inc.
5614 Union Rd.
Gastonia
Gaston County
to receiving waters designated as an unnamed tributary to Mill Creek in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG 140000 as attached.
This Certificate of Coverage shall become effective January 20, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 20, 1995.
.Y
00 iginat Signed By
Coieen ti. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

❑%
7

FACILITY
Concrete and Builders Supply, Inc.
COUNTY
Gaston
NPDES
NCG140033
MAP#
G 14NW
DSN FLOW
NA
SUB BASIN
03-08-37
LATTITUDE
350 10' 49"
LONGITUDE
810 08' 02"
RECEIVING STREAM
UT to Mill Creek
STREAM CLASS
C
DISCHARGE CLASS
Stornlwater
EXPIRATION DATE
7/31/99