NCG140119_COMPLETE FILE - HISTORICAL_20170627

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/v I LI
DOC TYPE
H'HISTORICALFILE
❑ MONITORING REPORTS
DOC DATE
a
YYYYMMDD

NCKHR
h,a � c .
Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(individual Legally Responsible for Permit)
FOR AGENCY USE ONLY
Date Received
Year
Month
t7e
if NO CHANGE in company or facility ownership or name has occurred.
If a Name Change and/or Ownership Transfer at. the facility has prompted this change, do
NOT use this form. You must fill but the Name -Ownership Change Form and provide all
necessary supporting docunmdWation instead.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner
Affiliation") applies:
Individual Permit
N .1_Cti hSj
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) Certificate of Coverage
�GdI 1 1 4 1 -- -- -- --
Various
_Chandler Concrete 1 Piedmont, Inc.
Varibu,g _
Address
City State. Zip
To fnd.the current legally responsible person associated with your permit,.go to this website:
hW:Hportal.ncdenr.6r web/lr/sw-permit-contacts and run the Permit Contact. Summary Report.
3) , OLD:OWNER AFFILIATION that should be removed:
Previous legally responsible individual: James I. Woody
First MI Last
4) NEW OWNER AFFILIATION (Legally responsible for the permit):
Person legally responsible for this permit: Kenneth E. _ Waegerle
hC6 1'fo0g�
hCG 140 2�3 2-
hCG140�g�
00&D
hC�� Doug
hC ��,85,.
Fast Ml LAST
Manager CaXparate EHS
Title
PO Boy- 131
Mailing Address
Kcrl 1 60 Burlin on, NC 17216
r'City- State 'Zip
- Com
Telephone E-mail Address
1 l -3,
36 )570-05-;7 - -
f Fax Number
Pagelof2

NPDESS_ tormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
5) Reason for this change:
A result of -
If other please explain:
What does "legally responsible person" mean?
That person is either:
El Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
• 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-difly authorized representative of that person above.
The certification below: must be completed and signed by the. permit
holder:
PERMITTEE CERTIFICATION:
I, ,Kenneth E. Waegerle , 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.
_ one 27, 2017
Sign Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral and Land Resources
Stormwhter Petnnitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more, information or staff contacts, please visit our website:
http J/portal.ncdenr.orgf webAt_/stormwater
Page 2 of 2
SWU-OWNERAFFI L-22May2014

e�
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Mr. James J. Woody
Central Concrete Co.
Post Office Box 131
Burlington, North Carolina 27216
Dear Mr. Woody:
4 • •
NCDENR
December 17, 1999
Subject: Permit Modification -Name and
Ownership Change
Central Concrete Co.
Permit No. NCG 140119
(formerly Home Concrete & Supply Co.)
Rowan County
In accordance with your request received December 16, 1999, the Division is forwarding the subject
permit. The changes in this permit are only with regard to a name and an ownership. All other terms and
conditions in the original permit remain unchanged and in full effect. This permit modification is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U. S. Environmental Protection Agency dated December 6,
1983.
This permit does not affect the legal requirement 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 government permit that may be required.
If you have any questions concerning this permit, please contact Ms. Vanessa Wiggins at telephone
number [phone], extension 520.
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Kerr T. Stevens
cc: Central Files
Mooresville Regional Office, Water Quality Section
/-Stormw_at_er-atfd-General Permits Unit
Point Source Compliance Unit
1617 Mail Service Center Raleigh, NC 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. NCG 140000
CERTIFICATE OF COVERAGE No. NCG140119
STORMWATER 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,
Central Concrete Co.
is hereby authorized to discharge stormwater from a facility located at
Central Concrete Co.
400 N. Long Street
Salisbury, North Carolina
Rowan County
to receiving waters designated Salisbury MSSS & a UT of Town Creek in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, I1I
and IV of General Permit No. NCG 140000 as attached.
This Certificate of Coverage shall become effective December 17, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 17, 1999.
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James S. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
ROBERT PIERCE
HOME CONCRETE & SUPPLY
P.O. BOX 139
SALISBURY, NC 28145-0139
Dear Permittee:
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 26, 1999
Subject: Reissue - NPDES Stormwater Permit
Home Concrete & Supply
COC Number NCG140I 19
Rowan 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 storm water 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 sinned 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 Bill Mills of the Central Office Stormwater
and General Permits Unit at [phone], ext. 548
Sincerely,
for Kerr T. Stevens
cc: Central Files
Stormwater and General Perm i�_:''.,,i Files
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. NCG140119
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.I, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
HOME CONCRETE & SUPPLY
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
HOME CONCRETE & SUPPLY
400 N LONG ST
SALISBURY
ROWAN COUNTY
to receiving waters designated as Salisbury MSSS & a UT of Town Creek in the Yadkin - Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I. II, I11,
IV, V, and VI of General Permit No. NCG140000 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

t-
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
Mr. Robert Pierce
Home Concrete and Supply
P. O. Box 139
Salisbury, NC 28145
Dear Mr. Robert Pierce:
March 31, 1995
Subject: General Permit No. NCG140000
Home Concrete and Supply
COC NCG 140119
Rowan County
In accordance with your application for a stormwater discharge permit received on November 30, 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.
The stormwater permit you are receiving, NCG140000, does not permit wasting concrete, dumping excess
concrete, directly into storm sewer outfalls or into waters of the state. Any facility which either dumps excess
concrete or washes excess concrete into storm sewers or waters of the state will be operating in direct violation to
both the terms of this permit and the North Carolina General Statutes. Such a discharge shall be considered an
illegal discharge and may subject the owner to enforcement actions in accordance with North Carolina General
Statutes 143-215.6A
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 revocatior
and reissuance of the certificate of coverage. r
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 Mr. Bill Mills at telephone number 9191733-
5083, extension 548.
cc: Mooresville Regional Office
Mr. Roosevelt Childress, EPA
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
Sincerely, Original Sign . >'
coleen H. SUl11115
A. Preston Howard, Jr. P.E.
Telephone [phone] FAX [phone]
50% recycled/ 10% posi-consumer paper

.ff-
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DMSION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140119
STORMWATER 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,
Home Concrete and Supply
is hereby authorized to discharge stormwater and rinse waters from a facility located at
400 North Long Street
Salisbury
Rowan County
to receiving waters designated as the City of Salisbury Storm Sewer System and an unnamed tributary to Town
Creek in the Yadkin - Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and 1V of General Permit No. NCG140000 as attached.
This Certificate of Coverage shall become effective March 31, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 31, 1995. -
Grigs,nal Signed By
Coleen fi. SGili l
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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