NCG160165_COMPLETE FILE - HISTORICAL_20030613

- STORMWATER DIVISION CODING SHEET
RESCISSIONS .
PERMIT NO.
C-) S
DOC TYPE
kLeCOMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ . J U 03 D ( 3
YYYYMMDD

J
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, Director
June 13, 2003
Tim Peary
Rose Brothers Paving Co., Inc.
POB 806
Ahoskie. North Carolina 27910
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: General Permit No. NCG160000
Bertie County - Windsor Plant
CDC NCG160165
Bertie County
Dear Mr. Perry:
In accordance with your application for discharge permit received on May 30, 2003, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute
143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated May 9, 1994 (or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, this certificate of coverage shall,be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act, or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Ken Pickle at telephone number
[phone] ext. 584.
601MIk' SIGNED BY
WIL LIAM C. MILLS
Alan W. Klimek, P. E.
cc: Washington Regional Office
Central Files
Stormwater and General Permits Unit Files
SWU-39 011001
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. NCG160165
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,
Rose Brothers Paving Co., Inc.
is hereby authorized to discharge stormwater from a facility located at
Bertie County — Windsor Plant
129 County Farm Road
Windsor, North Carolina
Bettie County
to receiving waters designated as unnamed tributary to Cashie River, a class C Sw water in the Roanoke River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III,
IV, V, and VI of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective June 13, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 13, 2003. ORIGINAL SIGNED BYWILLIAM C. MILLS
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Markers
Name: Discharge Site - NCG160165
Short Name: Dschrg
Coordinates: 0350 58' 48.2" N, 0760 57' 05.9" W
Comment: Rose Brothers Windsor Plant, Subbasin 03-02-10, Roanoke River Basin, Bertie
County, unnamed tributary to Cashie River, Class C SW, USGS quad D31 NW

RECEIVED
STORMWATER DISCHARGE OUTFALL (SDO)
GENERAL PERMIT NO. NCG160000
DISCHARGE MONITORING REPORT (DMR)
CERTIFICATE OF COVERAGE NO. NCG160❑I G❑❑S
FACILITY NAME w t Np5OX it qr� r °✓
PERSON COLLECTING SAMPLES J i,v W l 4e ry S
CERTIFIEDLABORATORYf:P4vl¢oP-IMErJ-1 (I INe-Lab# to
Monitoring Requirements
MAY 0 5 Z014
CENTRAL FILES
DWQIBOG
SAMPLES COLLECTED DURING CALENDAR YEAR: Za 1¢
(This monitoring report is due at the Division no lad:r than 30 days from the date
the facility receives the sampling results from the laboratory.)
COUNTY '0E�Tt E M
PHONE NO. t 2- 2-11q — St 44
Outfall
No.
Date
Sample Collected,
mo/dd/ r
Total Rainfall,
inches
00530
00400
00556
Total Suspended Solids, mgti
pH,
Standard units
Total Petroleum Hydrocarbons, mg/1
EPA Method 1664 SGT-HEM)
Benchmark
-
-
100
Within 6.0 — 9.0
15
- I
o. 5
1 1S•
z
G 5•�
If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit.
Mail original and one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ZI
(Date
S WU-252-051409
Page I of I

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P.O. BOX 7085, 114 OAKMONT DRIVE
GREENVILLE, N.C. 27835-7085
ROSE BROTHERS (WINDSOR)
W. REID CLARKE
P.O. BOX 806
AHOSKIE ,NC 27910
PARAMETERS
PH (not to be used for reporting)
Total Suspended Residue, mg/I
TPH (1664A), mg/l
Stormwater Analysis Method
(#I, Grab) Date Analyst Code
7.2 04/09/14 TRB 4500HB-00
11 04/10/14 CMC 2540D-97
<5.0 04/16/14 SEJ EPA1664B
Drinking Water ID: 37715,
Wastewater ID: 10
PHONE [phone]
FAX [phone]
ID#: 490
DATE COLLECTED: 04/08/14
DATE REPORTED : 04/16/14
REVIEWED BY: ��