NCG140445_COMPLETE FILE - HISTORICAL_20170519 (2)

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
D( HISTORICAL FILE
❑ MONITORING REPORTS
DOCUATE
p j G,) C)�l
YYYYMMDD

Permit Number
N CG 140445
Facility Name
Carolina Sunrock - Muihead Distribution Center (MDC)
Facility Address
1503 Camden Avenue
Durham, NC 27704
Legally resposible
Gregg Bowler
200 Horizon Drive Suite 100, Raleigh NC 276400
Phone
Fax
email
Facility Contact
Matt Burgess
200 Horizon Drive Suite 100, Raleigh NC 276400
Phone
Fax
email
Permit Contact Person
Scott Martino
200 Horizon Drive Suite 100, Raleigh NC 276400
Phone
Fax
email
Permit Billing Contact
Accounts Payable
200 Horizon Drive Suite 100, Raleigh NC 276400
Phone
Fax
email
Title: CFO
919-747-6400
919-747-6305
[e-mail]
919-747-6384 `
919-747-6305
[e-mail]@thesunrockgroug.com
i
919-747-6336
919-747-6305
smartino@thesunrock group
919-747-6400 /
919-747-6305
[e-mail]

C6ra[Ivcv S�rw�� f
L ww-u 1 TU Cko y W; L ( ,
P(6 iLA �+ (1 C0 N(,61(v

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Division of Energy, Mineral, and Land Resources
Land Quality Section I 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
Month
Day
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 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 I G 1 1 4 0 4 4 5
Carolina Sunrock — Muirhead Distribution Center
(MDC)
Carolina Sunrock LLC
1503 Camden Avenue
Address
Durham NC 27704
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
tutp:r/(ieq.nc.gov/aoouu(iivisionsrenergy-minera
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual:
Brain
First M 1
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit
Pfohl
Last
Gregg Bowler
5WU-OWNERAFFIL-23March2017
Page] of 2

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
First M I Last
CFO
Title
200 Horizon Drive
Suite 100
Mailing Address
Raleigh
NC 27615
T City
State Zip
[phone]
gbowlerPthesunrock2oup.com
Telephone
E-mail Address
[phone]
Fax Number
5) Reason for this change:
A result of: ® Employee 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:
I, Gregg Bowler, 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 requ p rts 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://deg.nc.gov/about/divisions/ener€;y-mineral-land-resources/stormwater
Page 2 of 2
SWU-OWNERAFFIL-23Mar2017

i
Central Files: APS _ SWP
9/2/2016
Permit Number NCG140445
Permit Tracking Slip
Program Category
Status Project Type
NPDES SW
In review New Project
Permit Type
Version Permit Classification
Ready Mix Concrete Ste rmwaterfWastewater Discharge COC
COC
Primary Reviewer
RECEIVED
Permit Contact Affiliation
rick.riddle
5EP 0 2 2016
Coastal SWRule
CENTRAL FILES
DWR SECTION
Permitted Flow
Facility
Facility Name
Major/Minor Region
Muirhead Distribution Center (MDC)
Minor Raleigh
Location Address
County
1503 Camden Ave
Durham
Facility Contact Affiliation
Durham NC 27704
Tim Kopec
1503 Camden Ave
Owner
Durham NC 27704
Owner Name
Owner Type
Carolina Sunrock LLC
Non -Government
Owner Affiliation
Brian Pfohl
200 Horizon Dr Ste 100
Dates/Events
Raleigh NC 27615
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
7/a/2016
Regulated Activities Requested /Received Events
Ready mixed concrete production RO staff report received 911116
RO staff report requested 7128/16
Other agency comments received 911116
Other agency comments requested 7128/16
Outfall 1
Waterbody Name Streamindex Number Current Class Subbasin
Ellerbe Creek 27-5-(0,7) WS-IV;NSW 03-04-01

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
September 2, 2016
Gregg W. Bowler
Carolina Sunrock LLC
200 Horizon Drive, Suite 100
Raleigh, NC 27616
PAT MCCRORY
Gocemor
DONALD R. VAN DER VAART
.tiecretary
TRACY DAVIS
Director
Subject: General Permit No. NCG 140000
Muirhead Distribution Center
COC NCG140445
Durham County
Dear Mr. Bowler:
In accordance with your application for a discharge permit received on July 08, 2016, 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
October 15, 2007 (or as subsequently amended).
With the acceptance of COC NCG 140445, DEQ will also officially rescind your NCG160000 permit
number NCG160161.
Please take notice that this certificate of coverage (COC) is not transferable except after notice to the
Division of Energy, Mineral, and Land Resources. The Division may require modification or revocation
and reissuance of the certificate of coverage.
Please note that NCG140000 contains effluent limitations for process wastewater discharges (see Part IV,
Section D). Wastewater discharges must meet the requirements of these effluent limitations. An
exceedance of any of these limitations is a violation of permit canditions.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
Resources, Coastal Area Management Act, or any other federal or local governmental permit that may be
required.
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh. NC 27699-1612
919 707 9200 T

If you have any questions concerning this permit, please contact Richard Riddle at telephone number
[phone].
Sincerely,
for Tracy E. Davis. P.E.; CPM
cc: Raleigh Regional Office
Central Files
Stormwater Permitting Program Files
S at_ of N cnh C=Em I En%tu=enW Qaahtyl Enegy, %tneral aad L=d Resources
16 V Xb2 Senior Cww 1 512 \ortlt S eisbwy Stte et I Baler, NC :7699-16 V
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140445
STORMWATER and 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,
Carolina Sunrock. LLC
is hereby authorized to discharge stormwater and process wastewater from a facility located at
Muirhead Distribution Center
1503 Camden Avenue
Durham
Durham County
to receiving waters designated as Ellerbe Creek, a class WS-IV, NSW water in the Neuse River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, 11, 111, IV, and V of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective September 2, 2016,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 2, 2016.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

�IWA
�' Y Division of Energy, Mineral and Land Resources
i Land a � Quality Section
NCDENRNational Pollutant Discharge Elimination System
NCF C AO AA DE�-EM O
Ewvi�.r .ho N6R—REsa E_ NCG140000
NOTICE OF INTENT
FOR AGENCY USE ONLY
Date Rece"-ed
e r
Info th
I Pie
Certificate ofCncer Lc
4 Q IV
he k k mou t
emit Asst ed to
dd I c.
National Pollutant Discharge Elimination System application for coverage under General r`
NCG140000:1 t�
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities c1'`h
SIC (Standard Industrial Classification) Code: 3273 and like activities - Re.VdPMl�y grr�rete d
This NOI may be an application to discharge process wastewater. NCG140000 contains effluent lin-Iitatit HVI l
for process wastewater discharges. Wastewater discharges must meet the requirements of these
effluent limitations. An exceedence of any of these limitations will result in a violation of the permit
conditions.
For questions, please contact the DEMLR Central Office or Regional Office in your area. (See page 6)
(Please print or type)
1) Mailing address of owner/operator official address to which all permit correspondence will be
mailed): (Please print or type all entries in this application form.)
Legal Owner Name Carolina Sunrock LLC
(Please attach the most recent Annual Report to the NC Secretary of State showing the current l8l Nthis
permit can be given to an individual.) r,. , ! P.
f �
Signee's Name (as signed for in question 29 below) JUL 0 8 2016
Gregg W. Bowler
Street Address 200 Horizon Drive, Ste 100 DENR-LAND QUALITY
City Raleigh State NC ZIP $PERMITTING
Telephone No. 919-747-6400 Email [e-mail]
Alternate Contact Name Email (if different)
Alternate Contact Telephone (if different) _
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Muirhead Distribution Center (MDC)
Tim Kopec
1503 Camden Avenue
Durham
Durham
919-688-6881
3) Physical location information:
State NC ZIP Code 27704
Fax: [phone]
Please provide narrative directions to the facility (use street names, state road numbers, and distance and
direction from a roadway intersection). Camden Avenue just north of 1-85/70 overpass.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 36* 01' 08.50 Longitude 78* 52' 27.57 (deg, min, sec)
5) This NPDES Permit Application applies to the following (check all that apply):
❑ New or Proposed Facility Date operation is to begin
X Existing Facility 'Permit #_NCG160161
Page 1 of 7
SWU-229-11032011 Last revised V2/14

NCG140000 N.O.I.
6) Consultant's application information:
Consultant:
Consulting Firm:
Mailing Address:
City: -
State:
Phone:{ )
t ; ` :Email: '
,L
Zip Code:
Fax: ( ) _
(Optional)
Staple Business Card Here:
7)1 'Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary
;_industrial activity at this facility:
SIC Code: 3273
8) Provide a brief description of the types of industrial activities and products produced at this facility:
(Attach a site diagram showing the process areas present at this facility.)
Site has ready mix concrete plant and a hot mix asphalt plant, includes concrete and asphalt
recycling.
Stormwater Discharge, Wastewater Treatment & Discharge and Permitting information
9) Discharge points / Receiving waters:
Number of discharge points (ditches, pipes, channels, etc.) that convey stormwater and/or wastewater from
the property:
Stormwater-only: _ Wastewater -only: Wastewater Commingled with Stormwater. _9_
For ne ,facilities: Expected date of commencement of discharge:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or.wastewater•discharges end up in?
Receiving water classification(s), if known: Ellerbe Creek
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
Will this facility discharge wastewater to SA (Shellfishing) waters? ❑ Yes XNo
Note: Discharge of process wastewater to receiving waters classified as WS-11 to WS-V or SA must
be approved by the N.C. Division of Water Resources, Public Water Supply Section. If DWR
does not approve, coverage under NCG140000 cannot be granted. No new discharges of
rocess wastewater are permitted in receiving waters classified as WS-1 or freshwater ORIN.
10) Each applicant shall provide the following information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibly show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Stormwaterlwastewater treatment structures
o Location of numbered stormwater/wastewater outfalls (corresponding to which drainage areas)
o Runoff conveyance structures
o Areas and acreage where materials are stored
o Impervious area acreages
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
Page 2 of 7
SWU-229-07122011 Last revised 7/2114

NCG140000 N.O.I.
o Site property lines, North Arrow, and bar scale
o If applicable, the 100-year floodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities' wastewater or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
o Site location (insert)
Site plans shall be 24" x 36" in size.
• Line drawing and description: Aline drawing of the water flow through the facility. A pictorial
description of the nature and amount of any sources of water and any collection and treatment measures.
• A narrative description and identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by
discharge. Processes, operations, or production areas may be described in general terms (e.g. "ash
silo").
11) Does the applicant have any unresolved Notice of Violations (NOVs)?
X No ❑ Yes
Wastewater:
12) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater
Generate
Discharge
Sent to WW
Treatment
System
Vehicle and equipment cleaning VE)
❑
❑
❑
Wetting of raw material stockpiles (RM)
X
X
❑
Mixing drum cleaning (MD)
X
X
X
Further explanation, if necessary: All drainage goes to 2 pond settling system, drum cleaning goes to weir
wl pH adjustment.
13) Will your facility spray -down or actively wet aggregate piles?
❑ No X Yes
14) Does the facility use any of the following on site?
❑ Phosphorus -containing Detergents ❑ Non -Phosphorus -containing Detergents
❑ Brighteners ❑ Other Cleaning Agents ❑ Other:
15) Are wastewater treatment facilities planned in the 100-year flood plain?
X No ❑ Yes
16) Does your facility use or plan to use a recycle system, or recycle components in your treatment system?
X Yes ❑ No
If yes, what size storm event is the system designed to hold before overflowing? (for example, 10-yr, 24-hr)
year, 24-hr rainfall event
Page 3 of 7
SWU-229-07122011 Last revised 712114

NCG140000 N.O.I.
17) Will your facility build a closed -loop recycle system that meets design requirements in 15A NCAC 02T
i.1000 and hold your facilities' working volume'?
❑ Yes X No
Will your facility discharge wastewater to surface waters?
X Yes No
If the facility's treatment system meets the design requirements of 15A NCACO2T .1000 (including holding
the 25-year, 24-hour storm plus one foot of freeboard), holds the working volume of your site, and does
not discharge wastewater to surface waters, you may not be required to obtain an NPDES permit for
wastewater discharges. If you believe this is the case, please contact DEMLR's Aquifer Protection Section
Land Application Unit Central Office Supervisor or staff (1636 Mail Service Center, Raleigh, NC 27699-1636)
for more information on obtaining the necessary permits or approvals. If you will discharge wastewater or
stormwater to surface waters, please continue to apply for a permit to discharge associated with ready -mixed
concrete or like operations under NCG140000. For further questions, please contact DEMLR's Stormwater
Permitting Unit Staff
18) A wastewater treatment alternatives review is required by 15A NCAC 2H.0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? ❑ VE ❑ RM ❑ MD
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one -mile radius? ..................................... X Yes ❑ No
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... ❑ Yes ❑
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?*
c) Closed -loop Recycle System (must meet design requirements of 15A NCAC 2T .1000):
IC
i) Are you already proposing a closed -loop recycle system (CLRS)? Yes X No
(1) If Yes, contact DEMLR's Aquifer Protection Section's Land Application Unit
(2) If No, is this option technologically feasible (possible)? Why or why not?* Not totally closed
loop.
(3) If No, is it feasible to build a CLRS on your site? Why or why not?*
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?*
d) Surface or Subsurface Disposal System (e.g., spray irrigation):
i) Is a surface or subsurface disposal technologically feasible (possible)? .................... Yes X No
1 See DWQ's Aquifer Protection Section Land Application Unit's Water Balance Calculation Policy for more information, on DWQ LAU's
website hftp:llportal.ncdenr,oralweblwg/aps/lautpolicies for more information.
Page 4 of 7
SWU-229-07122011 Last revised 712I14

NCG140000 N.O.I.
Why or Why not? We currently have a recycle weir w/_ pH adjustment and two settling ponds
prior to discharge.
ii) Is a surface or subsurface disposal system feasible to implement?* ........................... ❑ Yes X No
Why or Why not?
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?*
e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?*... X Yes ❑ No
i) If No, contact DEMLR's Land Application Unit to determine permitting requirements.
f) If this review included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non -discharge options feasible? ..............❑ Yes X No
* You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
Stormwater:
19) Does this facility employ any best management practices for Stormwater control? ❑ No X Yes
If yes, please briefly describe: a two pond system of treatment prior to discharge. We also utilize a
recycle weir with pH adjustment on the truck/drum wash out water. We utilize silt sacks in the 2 catch
inlets on site.
20) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No X Yes
If yes, when was it implemented? 2010
21) Are vehicle maintenance activities (VMA) occurring or planned at this facility? X No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? ❑ No ❑ Yes
Other/Permitting:
22) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
X No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility:
23) Is your facility subject to Phase II Post -Construction Area? X Yes ❑ No
If yes, who is the permitting authority? City of Durham
24) Is your facility located in one of the 20 Coastal Counties? ❑ Yes X No
Is your facility adding more than 10,000 ft2 of built -upon area or CAMA Major Permit? ❑ Yes ❑ No
Page 5of7
SWU-229-07122011 Last revised 7/2/14

NCG140000 N.O.I.
25) Is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate piles,
drum rinse -out, or vehicle and equipment cleaning to a stormwater BMP? ❑ No X Yes
If yes, please attach your approval from the permitting authority to do so.
26) Does this facility have any other NPDES permits? ❑ No X Yes
If yes, list the permit numbers for all current NPDES permits for this facility: NCG160161
27) Does this facility have any Non -Discharge permits (ex: recycle permits)? X No Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
28) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
d)
X No ❑ Yes
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor:_
Vendor address:
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
X Check for $100 made payable to NCDENR.
WOZ I X This completed application and all supporting documentation. See Question 10.
y� ❑ If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR)
or local designee: documentation verifying applicant has developed and submitted that Plan to the
governing agency (required per 15A NCAC 02H .0138).
X Two (2) site plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
1� outfalls. See Question 10.
X A county map or USGS quad sheet with location of facility clearly marked.
29) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
Page 6 of 7
SWU-229-07122011 Last revised 712114

NCG140000 N.O.I.
Certification: North Carolina General Statute 143-215,6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document
filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material
fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording
or monitoring device or method required to be operated or maintained under this Article or rules of the [Environmental Management] Commission
implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual
permit.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge
and belief such information is true, complete, and accurate.
Printed Name of Person Signing: GreggW. Bowler _
Title: CFO
ture
June 24, 2016
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR hegional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...
[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 7of7
SWU-229-07122011 Last revised V2114

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
September 2, 2016
Gregg W. Bowler
Carolina Sunrock LLC
200 Horizon Drive, Suite 100
Raleigh, NC 27616
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
TRACY DAVIS
Director
Subject: General Permit No. NCG140000
Muirhead Distribution Center
COC NCG140445
Durham County
Dear Mr. Bowler:
In accordance with your application for a discharge permit received on July 08, 2016, 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
October 15, 2007 (or as subsequently amended).
With the acceptance of COC NCG 140445, DEQ will also officially rescind your NCG160000 permit
number NCG160161.
Please take notice that this certificate of coverage (COC) is not transferable except after notice to the
Division of Energy, Mineral, and Land Resources. The Division may require modification or revocation
and reissuance of the certificate of coverage.
Please note that NCG 140000 contains effluent limitations for process wastewater discharges (see Part IV,
Section D). Wastewater discharges must meet the requirements of these effluent limitations. An
exceedance of any of these limitations is a violation of permit conditions.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
Resources, Coastal Area Management Act, or any other federal or local governmental permit that may be
required.
State of North Carolina I Environmental Quality I Energy, Mineral and land Resources
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

If you have any questions concerning this permit, please contact Richard Riddle at telephone number
[phone].
Sincerely,
mCH�� F lRAAND�
for Tracy E. Davis, P.E., CPM
cc: Raleigh Regional Office
Central Files
Stormwater Permitting Program Files
S we of Note Carolina I En%izm ! Q &ly I Entw, \faecal and Lund Re==es
161_' \tut Smice Ceaxr t 512 \onh SaUnnystaet I Rale*k NC 27699-16V
919 707 9200 T

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140445
STORMWATER and 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,
Carolina Sunrock, LLC
is hereby authorized to discharge stormwater and process wastewater from a facility located at
Muirhead Distribution Center
1503 Camden Avenue
Durham
Durham County
to receiving waters designated as Ellerbe Creek, a class WS-IV, NSW water in the Neuse River
Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III, IV, and V of General Permit No. NCG 140000 as attached.
This certificate of coverage shall become effective September 2, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 2, 2016.
ORIGINAL SIGNED BY
MICHEAL F RANDALL
for Tracy E. Davis, F.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

Riddle, Rick L
From: Riddle, Rick L
Sent: Monday, September 19, 2016 1:11 PM
To: Wainwright, David
Subject: RE: NCG140445 Notice of Intent for Carolina Sunrock, LLC Temporary Concrete Plant
Thanks David
Richard L. Riddle, Jr.
Stormwater Engineer
Nothing Compares ---,,-
Email correspondence to and from this address is subject to the
North Carolina Public Records Low and may be disclosed to third parties.
From: Wainwright, David
Sent: Monday, September 19, 2016 1:07 PM
To: Riddle, Rick L <[e-mail]>
Subject: FW: NCG140445 Notice of Intent for Carolina Sunrock, LLC Temporary Concrete Plant
Rick,
Mr. Hardy sent some comments for NCG140445, the Carolina Sunrock, LLC concrete plant. Please find the attached
comments.
David Wainwright
From: Hardy, Allen
Sent: Monday, September 19, 2016 1:00 PM
To: Wainwright, David <[e-mail]>
Subject: RF: NCG140445 Notice of Intent for Carolina Sunrock, LLC Temporary Concrete Plant
David
Sorry for the delay. See attached.
From: Wainwright, David
Sent: Friday, July 29, 2016 8:24 AM
To: Hardy, Allen <[e-mail]>
Cc: Riddle, Rick L <rick.riddle@nc_denr.g_ov>
Subject: NCG140445 Notice of Intent for Carolina Sunrock, LLC Temporary Concrete Plant
Mr. Hardy,
1

Please see the attached request for PWS's review of the NCG140445 Notice of Intent for Carolina Sunrock, LLC Temporary
Concrete Plant. Should you have any questions or need anything further please do not hesitate to let me know.
Thank you.
David Wainwright
Division of Water Resources, SEPA Coordinator
Water Supply Planning Branch
North Carolina Department of Environmental Quality
[phone] office
David.Wainwriahtencdenr.aov
1611 Mail Service Center
Raleigh, NC 27699-1611
`Nothing Compares,
K"Cl.-
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
t

PAT MCCRORY
~� lrna,mn.
DONALD R. VAN DER VAART
Energy. Mtn era!
and Land Resources
EMYIROMMINTAL QUALITY TRACY DAVIS
July 26, 2016
Memorandum
To: Regional Water Supply Supervisor, DWR Public Water Supply Section
From: Richard Riddle, Jr., DEMLR Stormwater Permitting Program
Subject: Review of the discharge location for the following:
Carolina Sunrock, LLC
1503 Camden Ave
Durham, NC 27704
Durham County
NCG140445
Reported receiving water.
Ellerbe Creek (WS-IV; NSW)
Please indicate your agency's position on the facility listed above. Attached is the staff report or other
application information for this facility. We cannot issue the permit without your concurrence. Please
mtum this form at your earliest convenience.
u7PONSE:
This agency has reviewed the draft permit and determined that the proposed discharge will not be
sufficiently close to any existing or known proposed public water supply intake so as to create an
adverse effect on water quality. We concur with the issuance of this permit, provided the facility
is operated and maintained properly, the stated effluent limits are met prior to discharge, and the
discharge does not contravene the designated water quality standards.
❑ Concurs with issuance of the above permit, provided the following conditions are met:
❑ Opposes the issuance of the above permit, based on reasons stated below (or attached):
Signed r 1gnn= Dale: y ( l
cc- Stormwater Permitting Program Files
Attachments
Sj- orN-6 C Wine I E"'b--r-1 Qmar I E-v. W=9 nd Lmd Ro mm
1612 Mail Savkv Comer 15 12 North SWW=y Suer I Rabiafi, MC 27699-1612
919 707 9200 T

pya�s
Environmental
Quality
Mr. Bryan Pfohl, President
Carolina Sunrock
200 Horizon Drive
Suite 100
Raleigh, NC 27615
NALD R
BY:
June 14, 2016
Subject: NPDES Stormwater Compliance Evaluation Inspection
Certificate of Coverage No. NCG160161
Carolina Sunrock LLC — Murihead Distribution Center
Durham County
Dear Mr. Pfohl:
PAT MCCRORY
Covemor
VAN DER VAART
Secretary
RECEIVED
JUL 08 2016
DENR•LAND QUALITY
STORMWATER PERMITTING
Staff from the Department of Environmental Quality (DEQ) conducted a stormwater inspection on May
25, 2016, as part of a multimedia inspection of your facility. The assistance provided by Mr. Tony
Sample, the Compliance Manager, during the inspection was greatly appreciated. The inspection report /
is attached. Findings during the inspection were as follows:
1. Certificate of Coverage (COC) No. NCG160161 under NPDES General Permit NCG160000
was issued to Carolina Sunrock LLC — Murihead Distribution Center to discharge stormwater
runoff to Ellerbe Creek, a WS-V, NSW, CA stream, in the Neuse River Basin.
2. The facility has developed a stormwater pollution prevention plan (SPPP). A review of the
plan indicated that it included all components required by the general permit. It was noted
that annual employee training is documented in a Microsoft Word File. The General
Permit requires that annual training shall be documented by signature and printed or
typed name of each employee trained. Please document future employee training in the
form that is specified in the General Permit.
3. Semi-annual qualitative has been conducted at the only stormwater discharge outfall (SDO1).
Last recorded discharge and analytical monitoring was on November 11, 2011.
4. The lone outfall was observed during the inspection; the end of the discharge pipe was not
readily accessible. Mr. Sample explained that samples were taken at the other end of the pipe
in the retention pond.
Raleigh Regional Officel628 Mail Service Center, Raleigh, North Carolina 27699-1628
Phone: [phone] / FAX: [phone] / Internet: http://portal.ncdenr.org/web/lr/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 1 10% Post Consumer Paper
ii

Page 2 of 2
5. The facility is both a batch asphalt and batch concrete plant, however it has only one COC
(NCG 160161) under General Permit NCG 160000, which authorizes industrial stormwater
' discharges associate with activities classified as establishments primarily engaged in
manufacturing Asphalt Paving Mixtures and Blocks and like activities deemed to be similar
in the process or in the exposure of raw materials, final products, by-products, or waste
materials. This inspection confirms that process wastewater associated with vehicle and
equipment cleaning, raw material stockpiles wetting, and mixing drum cleanout is generated
on site, and can be potentially discharged to the receiving waters via the stormwater
discharge outfall. Discharge of such process wastewater is not covered by the General Permit
NCG160000.
Therefore, the facility will also need coverage under General Permit NCG140000. The
General Permit authorizes stormwater and/or process wastewater associate with activities
classified as establishments primarily engaged in manufacturing ready -mixed concrete and
like activities deemed to be similar in the process and/or in the exposure of raw materials,
products, by-products, or waste materials.
Please complete and submit the enclosed Notice of Intent Form to apply for coverage under
General Permit NCG140000 within 30 days of receipt of this letter. If you have any questions
regarding the attached report or any of the findings, please contact Cheng Zhang at 919-791-4200 (or
email: clien .zhan c ncdenr. ov).
Sincerely,
Cheng Zhang
Environmental Senior Specialist
Raleigh Regional Office
Enclosure: Compliance Evaluation Inspection Form
Notice of Intent for Coverage under NCG140000
cc: DAQ RRO files
RRO Stormwater files
�0

i� If, • '
NCDENR
NORTH CARQ NA DE-- OF
E—RON MENT AHD NdLRAL RED RCE`
NOTICE OF INTENT
Division of Energy, Mineral and Land Resources
Land Quality Section
National Pollutant Discharge Elimination System
NCG140000
FOR AGENCY USE ONLY
Date Received
Ycur
Month
Dav
Certificate of Coverage
N
Check 9 Amount
Pcnnit Assigned to
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code: 3273 and like activities - Ready Mixed Concrete
1)
This NOI may be an application to discharge process wastewater. NCG140000 contains effluent limitations
for process wastewater discharges. Wastewater discharges must meet the requirements of these
effluent limitations. An exceedence of any of these limitations will result in a violation of the permit
conditions.
For questions, please contact the DEMLR Central Office or Regional Office in your area. (See page 6)
(Please print or type)
Mailing address of ownerloperator (official address to which all permit correspondence will be
mailed): (Please print or type all entries in this application form.)
Legal Owner Name Carolina Sunrock LLC
(Please attach the most recent Annual Report to the NC Secretary of State showing the current legal name. Alternatively this
permit can be given to an individual.)
Signee's Name (as signed for in question 29 below)
Gregg W. Bowler
Street Address 200 Horizon Drive, Ste 100
City Raleigh State NC _ ZIP Code 27615
Telephone No. 919-747-6400 Email [e-mail]
Alternate Contact Name Email (if different)
Alternate Contact Telephone (if different)
2) Location of facility producing discharge:
Facility Name
Facility Contact
Street Address
City
County
Telephone No.
Muirhead Distribution Center (MDC)
Tim Kopec
1503 Camden Avenue
Durham State NC ZIP Code 27704
Durham
919-688-6881 Fax: [phone]
3) Physical location information:
Please provide narrative directions to the facility (use street names, state road numbers, and distance and
direction from a roadway intersection). Camden Avenue just north of 1-85170 overpass.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 36* 01' 08.50 Longitude 78* 52' 27.57 (deg, min, sec)
5) This NPDES Permit Application applies to the following (check all that apply): 3� .% f 6 �3 3
❑ New or Proposed Facility Date operation is to begin
X Existing Facility Permit #�NCG160161
-'18. 97`f aa`f
SWU-229-11032011
P
Page 1 of 7
Last revised 712l14

NCG140000 N.O.I.
Ig
6) Consultant's application information:
Consultant:
Consulting Firm:
Mailing Address. -
City:
State:
Phone: ( )
Email:
Zip Code. -
Fax: ( )
(Optional)
Staple Business Card Here:
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary
industrial activity at this facility:
SIC Code: 3273
8) Provide a brief description of the types of industrial activities and products produced at this facility:
(Attach a site diagram showing the process areas present at this facility.)
Site has ready mix concrete plant and a hot mix asphalt plant, includes concrete and asphalt
recycling.
Stormwater Discharge, Wastewater Treatment & Discharge and Permitting Information
9) Discharge points / Receiving waters:
Number of discharge points (ditches, pipes, channels, etc.) that convey stormwater and/or wastewater from
the property:
Stormwater-only: Wastewater -only.' Wastewater Commingled with Stormwater: _1_
For new facilities: Expected date of commencement of discharge:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges end up in?
Receiving water classification(s), if known: Ellerbe Creek
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
Will this facility discharge wastewater to SA (Shellfishing) waters? ❑ Yes XNo
Note: Discharge of process wastewater to receiving waters classified as WS-II to WS-V or SA must
be approved by the N.C. Division of Water Resources, Public Water Supply Section. If DWR
does not approve, coverage under NCG140000 cannot be granted. No new discharges of
process wastewater are permitted in receiving waters classified as WS-I or freshwater ORW.
10) Each applicant shall provide the following information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibly show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Stormwaterlwastewater treatment structures
o Location of numbered stormwater/wastewater outfalls (corresponding to which drainage areas)
o Runoff conveyance structures
o Areas and acreage where materials are stored
o Impervious area acreages
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
Page 2 of 7
SWU-229-07122011 Last revised 712114

NCG140000 N.O.I.
o Site property lines, North Arrow, and bar scale
o If applicable, the 100-year floodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities' wastewater or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
o Site location (insert)
Site plans shall be 24" x 36" in size.
• Line drawing and description: A line drawing of the water flow through the facility. A pictorial
description of the nature and amount of any sources of water and any collection and treatment measures.
• A narrative description and identification of each type of process, operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by
discharge. Processes, operations, or production areas may be described in general terms (e.g. "ash
silo").
11) Does the applicant have any unresolved Notice of Violations (NOVs)?
X No ❑ Yes
Wastewater.,
12) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater
Generate
Discharge
Sent to WW
Treatment
System
Vehicle and equipment cleaning (VE)
❑
❑
❑
Wetting of raw material stockpiles (RIM)
X
X
❑
Mixing drum cleaning (MD)
X
X
X
Further explanation, if necessary: All drainage goes to 2 pond settling system, drum cleaning goes to weir
wl pH adjustment.
13) Will your facility spray -down or actively wet aggregate piles?
❑ No X Yes
14) Does the facility use any of the following on site?
❑ Phosphorus -containing Detergents ❑ Non -Phosphorus -containing Detergents
❑ Brighteners ❑ Other Cleaning Agents ❑ Other:
15) Are wastewater treatment facilities planned in the 100-year flood plain?
X No ❑ Yes
16) Does your facility use or plan to use a recycle system, or recycle components in your treatment system?
X Yes ❑ No
If yes, what size storm event is the system designed to hold before overflowing? (for example, ? 0-yr, 24-hr)
year, 24-hr rainfall event
Page 3 of 7
5WU-229-07122011 Last revised 712/14

NCG140000 N.4.1.
_ 17) Will your facility build a closed -loop recycle system that meets design requirements in 15A NCAC 02T
.1000 and hold your facilities' working volume'?
❑ Yes X No
Will your facility discharge wastewater to surface waters?
X Yes No
If the facility's treatment system meets the design requirements of 15A NCACO2T .1000 (including holding
the 25-year, 24-hour storm plus one foot of freeboard), holds the working volume of your site, and does
not discharge wastewater to surface waters, you may not be required to obtain an NPDES permit for
wastewater discharges. If you believe this is the case, please contact DEMLR's Aquifer Protection Section
Land Application Unit Central Office Supervisor or staff (1636 Mail Service Center, Raleigh, NC 27699-1636)
for more information on obtaining the necessary permits or approvals. If you will discharge wastewater or
stormwater to surface waters, please continue to apply for a permit to discharge associated with ready -mixed
concrete or like operations under NCG140000. For further questions, please contact DEMLR's Stormwater
Permitting Unit Staff.
18) A wastewater treatment alternatives review is required by 15A NCAC 2H.0105 (c)(2) for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? ❑ VIE ❑ RM ❑ MD
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one -mile radius? ..................................... X Yes ❑ No
(1) If Yes, will the wastewater treatment plant (WWTP) accept the wastewater? .... ❑ Yes ❑
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?*
c) Closed -loop Recycle System (must meet design requirements of 15A NCAC 2T .1000):
No
i) Are you already proposing a closed -loop recycle system (CLRS)? Yes X No
(1) If Yes, contact DEMLR's Aquifer Protection Section's Land Application Unit
(2) If No, is this option technologically feasible (possible)? Why or why not?* Not totally closed
loop.
(3) If No, is it feasible to build a CLRS on your site? Why or why not?*,
(4) What is the feasibility of building a CLRS compared to direct surface water discharge?*
d) Surface or Subsurface Disposal System (e.g., spray irrigation):
i) Is a surface or subsurface disposal technologically feasible (possible)? .................... Yes X No
1 See DWQ's Aquifer Protection Section Land Application Unit's Water Balance Calculation Policy for more information, on DWQ LAU's
website http7llportal.ncdenr.org/weblwqlaps/lau/policies for more information.
Page 4 of 7
SWU-229-07122011 Last revised 712l14

4 NCG140000 N.O.I.
Why or Why not? We currently have a recycle weir wf pH adjustment and two settling ponds
prior to discharge.
ii) Is a surface or subsurface disposal system feasible to implement?* ........................... ❑ Yes X No
Why or Why not?
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?*
e) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?*... X Yes ❑ No
i) If No, contact DEMLR's Land Application Unit to determine permitting requirements.
f) If this review included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non -discharge options feasible? ..............❑ Yes X No
* You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
Storm water:
19) Does this facility employ any best management practices for Stormwatercontrol? ❑ No X Yes
If yes, please briefly describe: a two pond system of treatment prior to discharge. We also utilize a
recycle weir with pH adjustment on the truck/drum wash out water. We utilize silt sacks in the 2 catch
inlets on site.
20) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No X Yes
If yes, when was it implemented? 2010
21) Are vehicle maintenance activities (VMA) occurring or planned at this facility? X No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? ❑ No ❑ Yes
Other/Permitting:
22) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
X No ❑ Yes
If yes, list the permit numbers for all current E&SC permits for this facility:
23) Is your facility subject to Phase II Post -Construction Area? X Yes ❑ No
If yes, who is the permitting authority? City of Durham
24) Is your facility located in one of the 20 Coastal Counties? ❑ Yes X No
is your facility adding more than 10,000 ftz of built -upon area or CAMA Major Permit? ❑ Yes ❑ No
Page 5of7
SWU-229-07122011 Last revised 7/2114

NCG140000 N.O.I.
25) Is your facility discharging wastewater (treated or untreated) such as water from wetting of aggregate piles,
drum rinse -out, or vehicle and equipment cleaning to a stormwater BMP? ❑ No X Yes
If yes, please attach your approval from the permitting authority to do so.
26) Does this facility have any other NPDES permits? ❑ No X Yes
If yes, list the permit numbers for all current NPDES permits for this facility: NCG160161
27) Does this facility have any Non -Discharge permits (ex: recycle permits)? X No Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
28) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
X Check for $100 made payable to NCDENR.
I X This completed application and all supporting documentation. See Question 10.
❑ If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR)
or local designee: documentation verifying applicant has developed and submitted that Plan to the
governing agency (required per 15A NCAC 02H .0138).
' I X Two (2) site plans depicting the site plan with numbered outfails which indicate stormwater and wastewater
t outfalls. See Question 10.
X A county map or USGS quad sheet with location of facility clearly marked.
29) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows:
(1) For a corporations by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means: (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation, or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars), if
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
Page 6of7
SWU-229-07122011 Last revised 7/2/14

4-' NCG140000 N.O.I.
Certification: North Carolina General Statute 143-215.6 B(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document
filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material
fact in a rulemaking proceeding or contested case under this Article; orwho falsifies, tampers with, or knowingly renders inaccurate any recording
or monitoring device or method required to be operated or maintained under this Article or rules of the [Environmental Management] Commission
implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual
permit.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge
and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Gregg W. Bowler
Title: CFO
(Signature, of Ap�kant)
June 24, 2016
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR
Mail the entire package to:
Stormwater Permitting Unit Program
Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]
Page 7of7
SWU-229-07122011
Last revised 712/14

••• rr- r -r-- r• a r- r- re - -
- LISUNROCK" CAPITAL ONE BANK 65-7198/2550 028250
Richmond, VA
CAROLINA SUNROCK LLC -- -
200 HORIZON DRIVE, SUITE 100 - RALEICGH, NC 27615 r� DATE CHECK NO. AMOUNT
[phone] 06124/16 28260 $100.00
***One hundred and xx / 100 Dollars***
F—NCDEQ-Division of EM and LR
PAY Attn: Stormwater Billing
TO THE 1612 Mail Service Center
ORDER Raleigh NC 27699-1612
---------------
V02El250o