NCG160003_COMPLETE FILE - HISTORICAL_20140202

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/VC�
DOC TYPE
<114ISTORICAL FILE
0 MONITORING REPORTS
DOC DATE
------------
❑
YYYYMMDD

a ^ � Division of Water Quality / Surface Water Protection
_ r
National Pollutant Discharge Elimination System
NCDENR
°` PERMIT NAME/OWNERSHIP CHANGE FORM
L .Y MJ�xn'iw.f NNlnu IIc��wC..^
FOR AGENGY USE ONLY
Date neceived
Year
I Month Da
Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C S 10 1 1 1 1 N I C 10 1 L 16 1 0 I o 0 3
II. Permit status pLjjLr to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
FEB! 0 `L 2014
Facility name (discharge):
d. Facility address:
U'T 1Zul SeJl aetd Sons Zn C.
R E i;'.sserr
First Mt Last
'title
_1`72l us sz N
Permit Holder Mailing Address
1 \DeA r r I Al G Z eco I
City State Zip
(joy ) `1$z -2ZZS ( )
Phone Fax
3—C and Sons ,
ZD 1 - s; 4t, 9A
Address
Cortove-r h1 G Z 13613
City State "Lip
e. Facility contact person:
First I M11 Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
aName change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit
+�'T Q� S SCl1 G�✓kl S'o+tif � �r1 L
First MI Last
Title
-1$Pz�6 AjC 4wv g
Permit Holder Mailing Address
bear ko•, P L Z7 23 9
City Slate Zip_ t
(336 ) 8S9- 09oZ.._., ; `]�`�v�fellL!►+cYSoMS•coves,
Phone E-mail Address
d. Facility name (discharge): Rotfeii kt~d
e. Facility address: 701 �-j�r�tin - Si(?&. Qd
Address
Cron o+r,E• J)G 28613
City State Zip
f. Facility contact person: M0..r k (moo d
First Nil last
Phone E-mail Address
Revised 2012Apr23

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the erson legally responsible for the permit)
Permit contact: M ! PRe, A k% -
First MI Last
Title
ISB�/6 Nc �w� 8
Mailing Address
IJ�r�b" PC Z iZ 3 g
City Slate Zip
(336 ) 859 o9oZ bSpe,cth-Fs 04 rusSB//G�c�s�xr. cor,
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
0 Yes
❑ No (please explain)
V1. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
[r 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, , 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.
Signature Date
APPLICANT CERTIFICATION
, 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 ' omplete.
/- Zg -/L/
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7008

slim
CR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. R.E. Russell
J.T. Russell & Sons, Inc.
1521 US Highway 52 North .
Albemarle, NC 28001
Dear Mr. Russell:
Division of Water Quality
Coleen H. Sullins
Director
July 28, 2009
Dee Freeman
Secretary
Subject: NPDES General Permit NCG 160000
Certificate of Coverage NCG 160003
J.T. Russell & Sons, Inc.
Formerly C. Nelson Sigmon Paving, Inc.
Catawba County
Division personnel have reviewed and approved your request to transfer coverage under the General
Permit, received on June 16, 2009.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in
the General Permit remain unchanged and in frill 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].
Sincerely,,.
Coleen } i. ullins
cc: DWQ Central Files
Mooresville Regional Office
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
NorthCarolina
)Vatmally
An Equat Opportunity l Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160003
STORM WATER 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,
J.T. Russell & Sons, Inc.
is hereby authorized to discharge storniwater from a facility located at
J.T. Russell & Sons, Inc.
201 1-terman-Sipe Road
Conover
Catawba County
to receiving waters designated as Lyle Creek in the Catawba River Basin in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts I, 11, 111, IV, V and VI of
General Permit No. NCG 160000 as attached.
This certificate of coverage shall become effective July 28, 2009
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 28, 2009.
Coleen H. St fins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

OF: THE;: INTER]OR
ENT-'
EOLOGICAL SURVEY:. :
478°°° E 479 '80 '81 12'30" 482
LOCATION
C: NELSON,SIGMON ASPHALT PLANT
1 /`.•- Conover, North Ca.. ib-1i a 1
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J� USGS- Map Newton, NC
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SCALE 1:24 000 arrt
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".__ 1% State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
C NELSON SIGMON
C. NELSON SIGMON PAVING, INC.
201 HERMAN-SIPE
CONOVER, NC 28613
Dear Permittee:
I T yl'�WA
0
A 4A
NCDENR
NORTH CAROL-INA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 27, 1999
Subject: Reissue - NPDES Stormwater Permit
C. Nelson Sigmon Paving, Inc.
COC Number NCG160003
Catawba County
In response to your renewal application for continued coverage under general permit NCG160000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
* A copy of general stormwater permit NCG160000
* A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to
certify that you have developed and implemented the SPPP as per the conditions of the permit. This form
must be completed and returned to the Division within 30 days of receipt of this letter.
DO NOT SEND the SPPP with the signed form.
* Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* A copy of a Technical Bulletin for the general permit which outlines changes in the permit, key requirements,
and addresses frequently asked questions
* A Certificate of Coverage
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require
modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal
requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Aisha Lau of the Central Office Stormwater
and General Permits Unit at [phone], ext. 578
Sincerely,
for Kerr T. Stevens
cc: Central Files
Stormwater and General permits Unit Files
Mooresville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160003
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,
C. NELSON SIGMON PAVING, INC.
is hereby authorized to discharge stormwater from a facility located at
C. NELSON SIGMON PAVING, INC.
HERMAN-SIPE ROAD
CONOVER
CATAWBA COUNTY
to receiving waters designated as Lyle Creek in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III,
1V. V. and VI of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 27. 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
September 30, 1994
Mr. C. Nelson Sigmon
C. Nelson Sigmon paving,. Inc.
Rt 5 Box 10
Conover, NC 28613
Subject: General Permit No. NCG160000
C. Nelson Sigmon Paving, Inc.
COC NCG 160003
Catawba County
Dear Mr. Sigmon:
In accordance with your application for discharge permit received on October 1, 1992, 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.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management may require modification or
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 Environmental Management or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Liz Kovasckitz at telephone number 919/733-
5083.
Sincerely,
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P. E.
cc: Mooresville Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

i
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT „NO, NCG160000
CERTIFICATE OF COVERAGE No. NCG160903
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, acid the
Federal Water Pollution Control Act, as amended,
C. Nelson Sigmon Paving, Inc.
is hereby authorized to discharge stormwater from a facility located at
C. Nelson Sigmon Paving, Inc.
Heiman -Sipe Road
Conover
Catawba County
to receiving waters designated as Lyle Creek in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, I1I
and IV of General Permit No. NCGI60000 as attached.
This certificate of coverage shall become effective September 30, 1994
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 30, 1994
Original Sig Ied f'y
Cohen 14. Stllklls
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

UNITED STATES
DEPARTMENT OF THE INTERIOR
GEOLOGICAL SURVEY
81.15' 772DOOM L 479 480 181 12' 30" 182
35' 45' Cell
LOCATION MAPS i i 1 `i
C. NELSON SIGMON ASPHALT PLANT
. l '
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20001
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DATUM IS MEAN SEA LEVEL

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