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HomeMy WebLinkAboutNCG140346_COMPLETE FILE - HISTORICAL_20170627STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. qo 3/ U/ DOC TYPE L9 HISTORICAL FILE ❑ MONITORING REPORTS DDCDATE ❑ aID) -7 YYYYMMDD A • 1' NC,DENR KSD����er E,,,.,o.-, ,. wx%, AE.ewwm. Division of Energy, Mineral and Land Resources Land Quality Section 1 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 MonthDay 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 Ndf use this form. You must till out the -Name -,Ownership Change Form and provide all - necessary supporfing documenta[ion instead. 1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation"). applies: Individual Permit LN_;C`iLIX� 2) Facility Information: Facility name: Company/Owner Organization Facility address: (or) Certificate of Coverage N{ CG 1 1 1 4 -- -- -- Various Chandler Conceete Co-, Inc. —Various _ Address City state Zip To find the current legally,responsible person associated with your permit, go to this: website: http:/Iportal.iicdenr:org/webllrlsw=permit=contacts and run the Permit Contact Summary Report. 3) OLD OWNER AFFILIATION that should be removed: Previous legally responsible individual: ;wines J. Woody First M1 Last 4) .NEW OWNER AFFILIATION (Legally responsible for the permit): Person legally responsible for this permit: C1401°( yC6-NOOK 61MOO hC6~jg03V� G-I�o�S/ C6_1googI Cr 1 06. hcC-/ V D a -I 0 Cr��{00� Cry Do1 �5t Kenneth E. Wae erle First MI Last �('arpnrate EHS Manager Title PO ROX-131 ._ Mailing Address Ilurlingfoon, NC 17216 City State Zip (336 )226-1181, lren.waeuerle@chandl rcnnerefe_c6M Telephone E-mail Address ( 336 )570-0557 Fax Number Page 1 of 2 14 NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form (if no Facility Name/Ownership Change) 5) Reason for this change: A result of: Xf other please explain: What does "legally responsible person" mean? Thai person is either: ® 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 duly authorized representative of that person above. The certification below must be completed and signed by the permit holder. PERMITTEE CERTIFICATION: 1, Kinneih E. Wacgcrle attest that this application for this change in Owner Affiliation (person legally responsible.f& the permit) has been reviewed an`d 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. IutiC.27,..2017 Date PLEASE SEND THE COMPLETED FORM TO: Division of Energy, Mineral and Land Resources Stormrvater Permitting Program 1612 Mail Service Center Raleigh, North Carolina 27699-1612 For more information or staff contacts, please visit our website: http://portal.ncdenr.org/web/lr/stormwater Page 2 of 2 SWU4:)WNERAFFI L-22May2014 \,NA)- Michael F. Easley, Governor \O�0 RpG William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources co r Alan W. Klimek, P.E. Director .� Division of Water Quality June 25, 2004 Mr. James J. Woody Chandler Concrete Co., Inc. 1006 S. Church St. Burlington, NC 27215 Subject: General Permit No. NCG140000 Chandler Concrete Co., Inc. COC NCG 140346 Durham Cot.tnty Dear Mr. Woody: In accordance with your application for a discharge permit received on June 4, 2004 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 May 9, 1994 (or as subsequently amended) - 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 Jonathan Diggs at telephone number (919) 733-5083 ext. 537. SrdRIGI lWAL SIGNED 13 fr WILLIAM C, MILLS Alan W. Klimek, P.E. cc: Raleigh Regional Office Central Files Stormwater and General Permits Unit Files N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015 aA7 A 0%ENA Customer Service 1 800 623-7748 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAI, PERMIT NO. NCG140000 CERTIFICATE OF COVERAGE No. NCG140346 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. Chandler Concrete Co., Inc. is hereby authorized to construct and operate a process wastewater treatment system, and is hereby authorized to discharge process wastewater and stormwater from a facility located at Chandler Concrete Co.. Inc. Ellis Road Durham Durham County to receiving waters designated as UT to Third Fork Creek, a class C, NSW water in the Cape fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, 1II, IV, V, and V1 of General Permit No. NCG140000 as attached. This certificate of coverage shall become effective June 25, 2004. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day June 25, 2004. GRIGINAt SIGNED By WILLIAM C. MILLS Alan W. Klimek, Director Division of Water Quality By Authority of the Environmental Management Commission `DE3R ' b �.�� `-� _' �=' , - 'l•',��='VTR 0 NC/" -`` e �� � i (� $ Z+F � �� •x� ��,, i ^�;; - � �" .t-�� ., tr� 6 r ff� �.j r ' J t\'i I•j� �1 -i s11✓f" .+`r. :irsh �rh Sc� � ' �� :t��� � .� ` �C� .� ,, ' e-{� �- 7 � (: • �if��� i, S i' { ':+�;r �� ���! r �F t-A ` ,-�.,``, . ' • _ ..�. J 1 y �.�..%��j .,�`=� ��11 ��� �����• •�`;`G ��w�� � ��.�a-� `'�!, �ik �i'��f�l,��,g',`� +, �% . � �� ,i'� �: �� '���� • p�f VAT f ����'•-- ' fy��t l �' ,: � (� F {f ( � S- e •.Y• ' ?�_-'-- S . r✓ ,:�"" 1. 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J",�� l3?�r .�.1 t.. , 5abs --�'�, �1 !l / i j E J t IJ { _� ;: ;;!/�ff{f}o)� a� 4 i 1 �'. ! � � �/-�` / ;��;•.k�,'R �� � '��`-�� 1 � .�_-y. f f � f- E r� i 4 •. �� �� ' �' j�'� J � e �r _ sti.-J i �_-; j j " �`��"�.�. -�� ��.�` Ce "/ }' %� � a,�< r� � qr• r � � �`"�...�����t� .3.�� a#� �f ,1'� f S .{ -•..J 1 Rl r Uopyrigrit (C;) lyy/, M3plecn, Inc. Markers Name: Chandler Concrete NCG140346 Short Name: Chndlr Coordinates: 0350 57' 38 0" N, 0780 52' 25.8" W Comment: Chandler Concrete Ellis Road Plant #606, subbasin (03-06-05), Cape Fear River Basin, Durham County, UT to Third Fork Creek, Class C, NSW, USGS quad D23NW