NCG140323_COMPLETE FILE - HISTORICAL_20170510

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
?EKHISTOR�ICALFILE
❑ MONITORING REPORTS
DOC DATE
❑ � DI 5 / 0
7 �
YYYYMMDD

1�
NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DEMLR has the followiniz contact information in our Permit Database for your permit as of 3127/2017.
Permit Number: NCG140323
Permit Type: Ready MIx Concrete 5tormwaterlWastewater Discharae COC
Facility Name: Thomas Concrete of Carolina Inc Huntersville Plant Facility Addressl: 11521 McCord Rd RECEIVED
FacilityAddress2: MAY d qgt
City, State & rip: Huntersville, NC 28078
Owner Information Details: 'i tJf Crvivyf{ � r� ii
*x r s^ tsr x, s -■ rrcz , , 4 .5:. 4 �+ a^..may-�..._. ., .y:.ra• �aF- e pa • r u4ii �r ' o'1n. 1j,: a, �, +
' MUST -submit a Clranpe ofNrirrie/O►vrlrershipform to DEMLR to make any arFtanges [o thrs O++irner informaLon: �3 �`
';, . See Mrs ellaneoiis Forms at -Fib` r `; r'tal:noden ,o �w b Irn `d s toinw terms#K
owner Name: Thomas Concrete Of Carolina Inc
Owner Type: NomGovemment Owner Type Group: Organization
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r�F l r%FF, r �f�``t r� 'r �'��� 5F� ** Legally Responslb�e.for perinit ***�;•t.: � •`4 �i t.F=its}3fc �.. �•t 1�`r'
t. �., � r.?'i i w,Y;?`.x"�a,�;��� ,�itr�'sa�f�s✓��x:�fi, w� � �.<�e�1h �+1v
j* 2(ReSpons�baerpprateofCoer/Princ_iple�xe3ubvKofFoerarrakihngelecbed+offica114erraEpartnerorpprretory��
��;4`r�i•��;H.'�,.or..anyatherperwn withdelegated�slgnabory•authontyfram,the legally tfle
Owner Affiliation: lieff Sanders Title: VPlGM
Addressl: PO Box 790105
Address2:
City, State & Zip: Charlotte,, NC 26206
Work Phone: [phone] Fax: [phone]
Email Address:
Ownei 6;td—RtFe—i"R
Contact Nam Title dA dress Phone L !:mail
Contact Name Lik Add[ess Phone FAX Email /
Darrell Myers VP Production PO Box 790105, Charlotte, NC 28206 704-333-0390 704-335-8784
Permit contact Persan s s I 5
i }.w,x'I-�.-�:;.� ...
Contact Name Tide Address Phone EAX Email
Darrell Myers I po Box 790105 Charlotte, NC 28206 704-333-0390
Contact Nam / rift Alid[sn Phone FM EmAll
w/ 2500 Cumheriand Pkwy Suite 200 Atlanta, GA 30339 770-431-3300
3/27/2017 Page 186

Energy, Min eras&
LandResources
ENVIRONMENTAL QUALITY
Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Received
Year
I Month
I Da
NO CHANGE in facility ownership 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 mustfill 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); I
• 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 (or) Certificate of Coverage
N I C I S I I I I INICFG/ Vi,0j, 3
2) Facility Information:
Facility name: 11vb*A,5 GlfeJe, aP (L hw4
Company/Owner Organization:
Facility address:
Address
11flle_ AM 0 78
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/stormwater-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:
MI Last
d, .J r1= :5,-4
First MI Last
Page 1 of 2
5WU-OWNERAFFI ,23March2017

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form f'
(if no Facility Name/Ownership Change) ,
Title
rQox -0? 4D !O S ...
Mailing Address
City State Zip
(70�) 333 0340 _
Telephone E-mail Address
-335 Lk
Fax Number
5) Reason for this change:
Q�Employee or management change
A result of- ❑ Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
I, 44, �G.rh w-✓£ 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.
Q�l
ignature 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:
ht ://deg.nc.go.v/about/divisions/energy-mineral-land-resources/stormwater
Page 2 of 2
SWU-OWNERAFFU,23Mar20i7

June 29, 2007
Mr. Gregg Clark
Thomas Concrete of Carolina, Inc.
3701 N. Graham Street
Charlotte, NC 28206
Dear Mr. Clark:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Divisionof Water Quality
Subject: NPDES General Permit NCG140000
Certificate of Coverage NCG140323
Thomas Concrete of Carolina, Inc.
Formerly Combs Construction Co., Inc.
Mecklenburg County
Division personnel have reviewed and approved your request to transfer coverage under the General Permit,
received on May 14, 2007.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of
North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at [phone], extension 502.
Sincerely,
ORIGINAL SIGNED BY
KEG! PICKLE
Coleen H. Sullins
cc: I]WQ Central Files
Mooresville Regional Office, Water Quality Section
Stormwater Permitting Unit
Mecklenburg County
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617
Internet: h2o.enr.state.mus 512 N. Salisbury St. Raleigh, NC 27604
NoLh�Carolina
AVA(ra!!y
Phone [phone] Customer Service
FAX [phone]
An Equal Opportunity/Affirmative Action Employer - 50% Recycled110% 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. NCG140323
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,
THOMAS CONCRETE OF CAROLINA, INC.
is hereby authorized to discharge stormwater from a facility located at
THOMAS CONCRETE OF CAROLINA, INC.-HUNTERSVILLE PLANT
11531 MCCORD ROAD
HUNTERSVILLE
MECKLENBURG COUNTY
to receiving waters designated as Ramah Creek, a class C waters, in the Yadkin River Basin in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III, IV, V, and VI of
General Permit No. NCG 140000 as attached.
This certificate of coverage shall become effective June 29, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 29, 2007. ORIGINAL SIGNED BY
KEjNI PICKLI
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

m
Copynght
�
~

F N1 ATE
O 9 Michael F. Easley
O� QG Governor
7 William G. Ross Jr Secretary
> —1 Department of Environment and Natural Resources
Alan W. Klimek, P.E.Director
Division of Water Quality
,1OJ
October 18, 2002
C_
Mr. Kevin Combs
X
C
Combs Concrete Inc.
�_
227 Tawny Bark Drive
>
Mooresville, NC 28117
-
Subject: General Permit No. NCG140000
Combs Concrete Inc.
COC NCG140323
—.�--
-- - --
Mecklenburg County
Dear Mr. Combs:
In accordance with your application for discharge permit received on July 8, 2002, 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 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 Mr. Mabk Wiggins at telephone number 919/733-
5083 ext. 542.
Sincere! ,_
,i rlt JAN'
Alan W. Klimek, P.E.
cc: Mooresville Regional Office
Central Files
Stormwater and General Permits Unit Files
`ttDENR
Customer Service Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
1 800 623-7748

t
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERiNJIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140323
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.
Kevin Combs -Combs Concrete Inc.
Is hereby authorized to discharge stormwater from a facility located at
Comnbs Concrete Inc.
11531 McCord Road
northeast of I-luntersville
Mecklenburg County
to receiving waters desi,nated as Ramah Creek. Class C waters in the Yadkin River Basin
in accordance with the effluent limitations, monitorin« reLluirements, and other conditions set forth in Parts I. II. III.
IV, V, and VI of General Permit No. NCG 140000 as attached.
This certificate of coverage shall become effective October I S. 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 1S, 2002.
Alan W. Klimek. P.L. Director
Division of Water Quality
By Authority or the Environmental Management Commission

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Markers
Name: Discharge Site-NCG140323
Short Name: Dschrg
Coordinates: 0350 26' 23.5" N, 0800 48' 28.7" W
Comment: Combs Concrete Inc.., Subbasin 030711, Yadkin River Basin, Mecklenburg County,
Ramah Creek, Class C, Quad F15NE