NCG140426_COMPLETE FILE - HISTORICAL_20140718 (2)

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V 7 U /�
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOCDATE
❑ �J��� D � �
YYYYMMDD

PWA
11 "
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. T.E. Chandler, Jr.
Chandler Concrete/Piedmont, Inc.
P.O. Box 131
Burlington, N.C. 27216
Dear Mr. Chandler:
John E. Skvarla, III
Secretary
July 18, 2014
Subject: NPDES General Permit NCG140000
Chandler Concrete/Piedmont, Inc.
Formerly VCNA Prestige Concrete
Products, Inc.
Certificate of Coverage NCG 140426
Guilford County
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
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 or need further information, please contact the Stormwater
Permitting Program at [phone].
Sincerely,
ORIGINAL SIGNED B!
KEN PICKLE
fof-Tracy E. Davis, P.E., CAM, Director
Division of Energy, Mineral and Land Resources
cc: Winston-Salem Regional Office, M. Gantt
Stormwater Permitting Program Files
Central Files
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http-//pprtal.nGdenr.org/webllrl
An Equal opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT" OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG1140000
CERTIFICATE OF COVERAGE No. NCGI40426
STQRMWATER 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/Piedmont, Inc.
is hereby authorized to discharge stormwater from a facility located at
Chandler Concrete/Piedmont, Inc. — Plant 117
3107-C South Elm -Eugene Street
Greensboro
Guilford County
to receiving waters designated as an UT to South Buffalo Creek, a class WS-V; NSW water in
the Cape•hear River Basin, in accordance with the effluent limitations, monitoring requirements,
and other conditions set forth in Parts I, 11, III, and IV of General Permit No. NCG140000 as
attached.
This certificate of coverage shall become effective July 15, 2014.
This Certificate of Coverage shall remain in' effect for the duration of the General Permit.
Signed this day July 15, 2014. ORIGINAL SIGNED B)
KEN PICKLE
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

Chandler
June 27, 2014
Danny Smith
Regional Supervisor — Water Quality
NC DENR
1628 Mail Service Center
Raleigh, NC 27699
COPY
CERTIFIED MAIL
By means of this letter I certify that Kenneth E. Waegerle; Environmental, Health & Safety
Manager, is the duly authorized representative for Chandler Concrete Company, Inc., and for Chandler
Concrete/Piedmont, Inc. He is responsible for the overall environmental operations and has the authority
to sign documents and to shut down the operations should an emergency occur for any of our plants in
North Carolina. The plants in the Raleigh Region include, but not limited to, the following locations:
New
Previous
Permit
Designation
Address
Designation
Number
Coup
117 — Elm Street
3107 S.Elm-Eugene St.
VCNA Prestige Ready Mix
NCG140426
Guilford
Greensboro, NC 27406
NC, Inc. - Greensboro
118 — Winston
2865 Lowery St.
VCNA Prestige Ready Mix
NCG140419
Forsyth
Winston Salem, NC 27I01
NC, Inc. - Winston
Thank you for your attention to this matter.
Sincerely,
T.E. Chandler, Jr.
President
Enclosures: Forms:
— PERMIT NAME/OWNERSHIP CHANGE FORM —PLANT 117
— PERMIT NAME/OWNERSHIP CHANGE FORM —PLANT 118
Asset Purchase Agreement
RECEIVED
JUL 0 3 2014
DENR-LAND QUALITY
STORMWATER pERMITiING
NC DENR Raleigh Regional G rice
Pos-r OFFICE Box 131 - BURLINCTON, NORTH CAROLiNA 27216-0131
TELEPHONE: [phone] / FAx: [phone]

AmeU- � A
Division of Energy, Mineral & Land Resources
,�,,.�JF
Land Quality Section/Stormwater Permitting
'`�`�
NCDENR
National Pollutant Discharge Elimination System
E+�nnexnvrt u�o N�.w.� Ac�ouwcn
.C.0N�fts
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I C I S 10 1 1 1 1 1 1 1 N I C G 1 14 10 14 1 1 19
II. Permit status prior to requested change.
a. Permit issued to (company name): VCNA Prestige Concrete Products, Inc.
b. Person legally responsible for permit: Marisol H ynpy T_
-First MI - Last
Environmental Coordinator
Title
8529 South Park Circle
Permit Holder Mailing Address
Orlando FL 32819
City State Zip
_ [phone] [phone]
Phone Fax
c. Facility name (discharge): _ -VCNA Prestige Concrete Products, Inc - Winston
d. Facility address: _ 2865 Lowery St. -
Address
Winston Salem NC 27101
City State Zip
e. Facility contact person: Charles Tom Long _ _ (336) 287-04I5
First / MI / Last Phone
111. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
d. Facility name (discharge):
e. Facility address:
Chandler Concrete/Piedmont, Inc.
Kenneth E Wae erle
First MI Last
Corporate Environmental, Health And Safety Manager
Title
PO Box 131
Permit Holder Mailing Address
Burlington NC 27216
City State Zip
[phone] [e-mail]
Phone E-mail Address
Chandler Concrete/Piedmont, Inc. - Plant 118
2865 Lowery St.
Address
Winston Salem NC 27101
City State Zip
f. Facility contact person: Steve Scales
First MI Last
[phone] [e-mail]
Phone E-mail Address

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact:
Kenneth E Waegerle
First Ml Last
Corporate Environmental, Health And Safetv Manager
Title
PO Box 131
Mailing Address
Burlington NC 27216
City State Zip
[phone] [e-mail]�
Phone E-mail Address
Will the permitted facility continue to conduct the same industrial activities conducted prior
V. to this ownership or name change?
® Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
P.ERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, Charles Tom Long attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
✓ i� . /.�=
1
APPLICANT CERTIFICATION
(� z 7,1 0 471
Date
1, Kenneth E Wggg rle, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will bS wty4ied q�.incompletg. ,
'14 '2� 6 12- X¢
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

ASSET PURCHASE AGREEMENT
THIS AGREEMENT is entered into and made effective as of % , 2014
(the "Agreement Date") by and between VCNA PRESTIGE CONCR19TE PRODUCTS, INC.
("Seller") a Delaware corporation, ("Seller"), and CHANDLER CONCRETE/PIEDMONT,
INC a North Carolina corporation ("Buyer"). Seller and Buyer are herein sometimes referred to
as the "Parties".
RECITALS:
A. Seller is engaged in the manufacture and sale of ready mixed concrete and
concrete products and building supplies in Greensboro and Winston-Salem, North Carolina (the
"Business"). Seller has agreed to sell to Buyer substantially all of the operating assets used by
Seller in the conduct of the Business at the price and upon the terms and conditions described
herein.
B. Buyer has agreed to purchase the assets of Seller used in its operation of the
Business at the price and upon the terms and conditions described herein.
NOW, THEREFORE, in consideration of the respective agreements and commitments set
forth herein, and other good and valuable consideration, the receipt and sufficiency of which is
hereby acknowledged by each of the parties, it is hereby agreed by and between Seller and Buyer.
as follows:
I. Basic Transaction. The forgoing RECITALS, the Disclosure Schedule and all Exhibits
are incorporated into and made part of this Agreement by this reference.
1.1 Purchase and Sale of Assets.
On and subject to the terms and conditions of this Agreement, Seller agrees to sell,
assign, convey, transfer and deliver to Buyer and Buyer agrees to purchase from Seller all of the
assets used or useful in the conduct of the Business as presently conducted by Seller, other than
the "Excluded Assets" as that term is defined herein, including without limitation the following
described assets (all such assets to be purchased pursuant to this Agreement being herein
sometimes referred to as the "Acquired Assets"):
(a) The real property used by Seller in the conduct of the Business located at
and commonly known as 3107 C South Elm -Eugene Street, Greensboro, North Carolina
consisting of approximately 9.4 acres and more particularly described on Exhibit 1.1 a-1
attached hereto, and the real property located at and commonly known as 2865 Lowery Street,
Winston-Salem, North Carolina consisting of approximately 4.08 acres more particularly
described on Exhibit 1.1(a-2) attached hereto (the two tracts being collectively herein sometimes
012931-000149l391554 0 1

IN WITNESS WHEREOF, the undersigned party has executed or caused to be executed
this Asset Purchase Agreement as of the Agreement Date.
SELLER
VCNA Prestige Concrete Products, Inc.
By:
not Name:
Print Title: 7 f ems:
STATE OF r+AP,4�&A Nol' K Camb m i.
COUNTY OF ,- j-QM&nC2 _
I certify that the following person personally appeared before me this day,
acknowledging to me that [he/she] voluntarily signed the foregoing Asset Purchase Agreement
for the purposes stated therein and in the capacity indicated:
SQrngS T._ M ufN 176
Date:
Notary Public
-
(Official Seal)
_j (
Print Name of Notary
LYDIA Y. FLEEMAN
NOTARY PUBLIC My cor>t mission expires: " 7- &S
ALAMANCE CO., NC
01293I-000149/391554 vt 1

IN WITNESS WHEREOF, the undersigned party has executed or caused to be executed
this Asset Purchase Agreement as of the Agreement Date.
CHANDLER CONCRETEXIEDMONT, INC.
By: �a S 4 ' r1i!'"X e
Print Name: 644n d l-ne JQ
Print Title: _&�es 1 d v-,. 4-
STATE OF NOR H CAROLINA
COUNTY OF
I certify that the following person personally appeared before me this day,
acknowledging to me that [he/she] voluntarily signed the foregoing Asset Purchase Agreement
for the p Mtk�4px--
es stated therein and in the capacity indicated:
Date:
Notm-/PubIkj
(Official Seal)
[7ALAMANCE
IA Y. FLEEMAN
TARY PUBLIC
CO., NC
Lvdo V 4/ep/ra/i -
Print Rame of Notary
My commission expires:
012931-000149/391554 v11

.,!I
c. Facility name (discharge):
d. Facility address:
t^VCNA Prestige, Concrete -ProductsT]ne. T�
``-Norm Wolff
First Ml Last
- Chief Financial Officer
'ritl e
8529 South Park Circle
Permit Holder Mailing Address
Orlando FL 32819
City State Zip
7) 802-3540 [phone]
Division of Energy, Mineral & Land Resources
/ Land Quality Section/Stormwater Permitting
"i National Pollutant Discharge Elimination System
NCDENR
��
--m� PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N G .'$ 1,61N I Q. 10 1 l 14 10 14 2 6
Permit status prior to requested change.
CPermit issued to (company name):
b.m Person legally responsible for permit:
w
Inrtft a - wA QUALITY
Zi Storm r Branch
Phone Fax
__ V.CNA_Rre'stige.Concrete Products, Inc - Greensboro
3107-C South Elm-Eucene Street
Address
Greensboro NC 27406
City state :Gip
e. Facility contact person: Charles Tom Long [phone]
First / MI / Last
Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
---Chandler Concrete/Piedmont,-Inc. -----/
c. Person legally responsible for permit:
Kenneth E Waegerle
_
— First Nil Last
Corporate Environmental, Health And Safety Manager
Title
PO Box 131
Permit Holder Mailing Address
Burlington NC 27216
T .. . ....... _ ..,.-...,___
city..
StateZip
(336) 226-1 181 [e-mail]
Phone E-mail Address
d. Facility name (discharge):
/ Chandler-Concrete/Piedmont;-Inca-.Plant_1.17
e. Facility address:
3107-C South Elm -Eugene Street
Address
Greensboro NC 27406
City State Zip
f. Facility contact person:
Robert Mcdaniet
First MI Last
[phone] plantl [e-mail]
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM
r 1 Page 2 of 2
Permit contact: _ Kenneth E Waegerle
First MI Last
Corporate Environmental, Health And Safety Manager
Title
PO Box 131
Mailing Address
Burlington NC 27216
City State Zip
[phone] [e-mail]_
Phone E-mail Address
Will the permitted facility continue to conduct the same industrial activities conducted prior
V. to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
.....................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, Charles Tom Long, attest that this application for name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
Signature
APPLICANT CERTIFICATION
" zz z of
Date
1, Kenneth E Waegerle, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be re r d as incom lete.
ZS7
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

ASSET PURCHASE AGREEMENT
THIS AGREEMENT is entered into and made effective as of , 2014
(the "Agreement Date") by and between VCNA PRESTIGE CONCR19TE PRODUCTS, INC.
("Seller") a Delaware corporation, ("Seller"), and CHANDLER CONCRETE/PIEDMONT,
INC a North Carolina corporation ("Buyer"). Seller and Buyer are herein sometimes referred to
as the "Parties".
RECITALS:
A. Seiler is engaged in the manufacture and sale of ready mixed concrete and
concrete products and building supplies in Greensboro and Winston-Salem, North Carolina (the
"Business"). Seiler has agreed to sell to Buyer substantially all of the operating assets used by
Seller in the conduct of the Business at the price and upon the terms and conditions described
herein.
B. Buyer has agreed to purchase the assets of Seller used in its operation of the
Business at the price and upon the terms and conditions described herein.
NOW, THEREFORE, in consideration of the respective agreements and commitments set
forth herein, and other good and valuable consideration, the receipt and sufficiency of which is
hereby acknowledged by each of the parties, it is hereby agreed by and between Seller and Buyer
as follows:
1. Basic Transaction. The forgoing RECITALS, the Disclosure Schedule and all Exhibits
are incorporated into and made part of this Agreement by this reference.
1.1 Purchase and Sale of Assets.
On and subject to the terms and conditions of this Agreement, Seller agrees to sell,
assign, convey, transfer and deliver to Buyer and Buyer agrees to purchase from Seller all of the
assets used or useful in the conduct of the Business as presently conducted by Seller, other than
the "Excluded Assets" as that term is defined herein, including without limitation the following
described assets (all such assets to be purchased pursuant to this Agreement being herein
sometimes referred to as the "Acquired Assets") -
(a) The real property used by Seller in the conduct of the Business located at
and commonly known as 3107 C South Elm -Eugene Street, Greensboro, North Carolina
consisting of approximately 9.4 acres and more particularly described on Exhibit 1.1(a-1)
attached hereto, and the real property located at and commonly known as 2865 Lowery Street,
Winston-Salem, North Carolina consisting of approximately 4.08 acres more particularly
described on Exhibit 1.1(a-2) attached hereto (the two tracts being collectively herein sometimes
01293I-000149/391554 v1I

IN WITNESS WHEREOF, the undersigned party has executed or caused to be executed
this Asset Purchase Agreement as of the Agreement Date.
SELLER
VCNA Prestige Concrete Products, Inc.
By:
rint Name: ��►✓t r;C r v
Print Title:
STATE OF FE;9F4PA NONK 0a rali r tA-,
COUNTY OF jgjQM e—
I certify that the following person personally appeared before me this day,
acknowledging to me that [he/she] voluntarily signed the foregoing Asset Purchase Agreement
for the purposes stated therein and in the capacity indicated:
S T. u
Date: ^i "" j — I LI _
Notary Public —
(Official Seal) _j .9
Print Name of Notary
LYDIA Y. FLEEMAN
NOTARY PUBLIC My commission expires:
ALAMANCE CO., NC
r
012931-0001491391554 v11

IN WITNESS WHEREOF, the undersigned party has executed or caused to be executed
this Asset Purchase Agreement as of the Agreement Date.
CHANDLER CONCRETEIPIEDMONT, INC.
By: t�"� y
Print Name: f 4-7 Jk
Print Title: a19Jr i d p+.r 4"
STATE OF NOR H CAROLINA
COUNTY OF
I certify that the following person personally appeared before me this day,
acknowledging to me that [he/she] voluntarily signed the foregoing Asset Purchase Agreement
for the p oses stated therein and in the capacity indicated:
T, Fhar�le
Date: `i — t Q ` J61 �
Not Publ
(Official Seal)
M
MANLIC., NC
LVd,4 V Aep/w
Print Name of Notary
My commission7- ace expires: g
012931-000149/391554 v 11

A 4
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral, and Land Resources
Land Quality Sect'pp
a @(r—"�'@'b 3 ry
Pat McCrory, Governor� ohn E,-Skvarla, III, Secrets
Mr. Tom Long
VCNA Prestige Concrete Products, Inc.
2865 Lowery Street
Winston Salem, NC 27101
APR 0 2014 April 1, 2014
aENR- Wqr�
fGSq�yDSTOk4WA 1'L','1
Subject: General Stormwater Permit Inspection NPDES Permit No. NCG140426
VCNA Prestige Concrete Products, Guilford County
Dear Mr. Long:
On March 24, 2014, Sue White of this office performed a Stormwater Permit Inspection
at VCNA Prestige Concrete Products, Inc., located at 3107 S. Elm Eugene Street, Greensboro,
NC in Guilford County. This facility holds General Stormwater Permit No. NCG140426 to
discharge Stormwater from activities associated with Ready Mix Concrete under the National
Pollutant Discharge Elimination System (NPDES).
1. Permit
The permit became effective July 1, 2011 and expires June 30, 2016.
2. Records/Reports
During the inspection, it was determined that your facility has a developed Stormwater Pollution
Prevention Plan (SPPP). The SPPP was not organized in a manner that made the
information readily available. It was discussed that the binder would be organized so
that employees and State Inspectors would be able to find the various components of the
plan.
3. Facility Site Review
This site is a concrete ready mix plant with a recycle system for their wastewater. The site is
well cared for and it is obvious that the owners and employees implement permit requirements.
This facility has one outfall, which is identified in the SPPP.
4. Effluent/Receiving Waters
Stormwater and occasional treated wastewater from the property discharges to S. Buffalo Creek
(Class C waters) in the Cape Fear River Basin.
5. Self -Monitoring Program
It was determined during the inspection that you have been performing the analytical self -
monitoring requirements of the General Permit for Stormwater. Monitoring requirements for
qualitative monitoring at each stormwater discharge outfali and the wastewater discharge were
discussed. Both types of stormwater monitoring must be done once per each 6 month period
and the wastewater discharge monitoring must be done quarterly. All analytical monitoring
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27101 9 Phone: [phone] FAX: [phone]

VCNA Prestige Concrete Products, Inc.
4/1/2014
Page 2 of 2
results from stormwater and wastewater must be submitted to the Raleigh address as
shown on the forms.
All other factions of this inspection were satisfactory. This office appreciates the approach
VCNA Prestige Concrete Products, Inc. takes in maintaining compliance at this site. If you have
any questions concerning this letter or the attached inspection report, please contact Sue White
or me at [phone].
Sincerely,
Matthew E. Gantt, PE
Regional Engineer
Land Quality Section
Attachments:
BIMS Inspection Checklist
CC: Nonpoint-Source Assistance and. Compliance Oversight unit
Division of Land Quality — WSRO

Permit: NCG140426 Owner - Facility: Vcna Prestige Concrete Products Inc
Inspection Date: 03/24/2014 Inspection Type: Compliance Evaluation
Reason for Visit: Complaint
Stormwater Pollution Prevention Plan
Yes
No NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
®❑
n
❑
# Does the Plan include a General Location (USGS) map?
®❑
❑
Cl
# Does the Plan include a "Narrative Description of Practices"?
®❑
❑
Cl
# Does the Plan include a detailed site map including outfall locations and drainage areas?
®❑
C)
0
# Does the Plan include a list of significant spills occurring during the past 3 years?
®❑
❑
❑
# Has the facility evaluated feasible alternatives to current practices?
®❑
`l
❑
# Does the facility provide all necessary secondary containment?
®
n n
n
# Does the Pian include a BMP summary?
®
n CI
n
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
®❑
❑
❑
# Does the Plan include a PreGentativo Maintenance and Good Housekeeping Plan?
®❑
❑
❑
# Does the facility provide and document Employee Training?
®
n
n
D
# 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?
®
n
n
n
Has the Stormwater Pollution Prevention Plan been implemented?
®❑
❑
❑
Comment:
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
❑
❑
❑
Cl
Comment:
Analytical Monitoring
Yes
No
NA
NE
Has the facility conducted its Analytical monitoring?
®
❑
❑
❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
❑
❑
®
❑
Comment:
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
®❑
❑
n
# Were all outfalls observed during the inspection?
000
❑
# If the facility has representative outfall status, is it properly documented by the Division?
E
0
❑
❑
# Has the facility evaluated all illicit (non stormwater) discharges?
❑
❑
®
Cl
Comment:
Page: 3