NCG020076_COMPLETE FILE - HISTORICAL_20140530

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IVCc.:2 � -11
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
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YYYYMMDD

Division of Witter (duality / Surface Water Protection
National Pollutant Discharge Elimination System
"40--V°', "�'T"`-°°' PERMIT NAME/OWNERSHIP CHANGE FORM
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1. Fleas$ enter the permit number for which the change is ragtaested.
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NPI)ES Permit (or) eertificuto of Coverage
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11. Permit status Rrior to requested change.
a. Perrnit kWed to (corn[p4ny name): Martin Marietta Materipis
b. Person legally responsible for permit: R Paxt6n' Radham
First M] Last
VP Land/nylronrnen
,
I� O
Pccmtf lialda� Z41ai1Gila �ciJrctS;M
Raleigh NC 82@13
Illy Stuic r,ip
r _(704-J09-1475 (919-510-0739
Phatic Fix
c. Facility name (discharge): Thorrlasyilie Quarry
d. Facility address: 091 gpper Lake Road
Address
Thomasville NC 27380
City State Lip
e. Facility contact person: Jay Nivens (704-4,09-1 475
First / Ml / last Pl,c„c
111_ please provide the following for the requested change (revised permit).
a. Request for change is it result of: 7 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:
Facility name (discharge):
e. Facility address:
f. Facility contact person:
John J Tiberi
Vim MI UA
Pre.sidentMld-A#IQntic Civlsion
'I°ltlo
27101lWy Iff R ed
`Parini[ i�Qid4r A9ailirig Addrassr'
Raleigh NC 27607
City state Zip
(919-W-4668 john.tiberi a_martinmerietta.com
Phone ._ E-mail Address
Thomasville _Quarry _ _ T
691�-Upper Lake Road
Address��
Thomasville NC 27360
City stato Zip
_Jay _ _ Nivens
First N4I l,aat
(704-409-1475 Jay, nlvensgirartinmariettaxorn
Phone L'-mail Address
Rovised 2012Apr23

NPDES PERMIT NAME/OWNERSHIP CHANGE 1=QFEM
Page 2 at 2
1V. Permit contact information (if different from the person legally responsible for the permit)
Permit contact, Jay NEvens
First MI Lust
Sr. Environmental Engineer
Till,;
8701 Red Oak Blvd.
Mailing Address
Charlotte NC_ 28217
City State Zip
_(704-409-1475 joy. nivons morllnmariotta.com
Phone 9-tnail Addresm
V. Will the pernnitted facility continue to conduct the same industrial actiAties conducted prior
to this ownership or name change?
Ycs
[] No (please explain)
V1. Required Items: THIS APPLICATION WILL, BE RETURNED UNPROCESSED IF ITEMS
ARE I.NCO,'VQ'LETE 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. Articics 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 ease of an ownership change request. Nor a name change request, the signed
Applicant's Certification is sufficient. .
I'L"RMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a naive/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. 1 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
retiTned as incomplete.
'SlgnoturG Date
APPLICANT CERTIFICATION
1, jyiz'"" , attest that this application for R 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.
/2 /I/ay 30, r-k0",5,C
Signature Date
....I .................... I . . . . . . . . . . .
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Witter Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Reviser♦ 712008

Michael F. Easley, Govemor
William G. Ross .ir., Secretary
North Carolina Department or Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
July I8, 2008
Martin Marietta Materials, Inc.
Attn: Ms. Stephanie Graham,
Environmental Engineer
P.O. Box 18565
Greensboro, NC 27419
Subject: Representative Outfall Status (ROS) Approval
Certificate of Coverage #NCG020076
Martin Marietta lklaterial, Inc. —Thomasville Quarry
Davidson County
Dear Ms. Graham:
The Winston-Salem Regional Office staff reviewed your request for a determination that Stormwater
Discharge Outfall (SDO) for Land Disturbance and Process Areas be granted representative outfall
status. Based on the information and map provided, and on our site visit on July 1, 2008 by Jenifer
Carter and George Smith of this office, we are making the following ROS detcnnination:
In accordance with 40 CFR §122.21(g)(7), you are authorized to sample outfall number 003, as observed
by the Division on July 1, 2008, as a representative outfall. This approval is effective with any sampling
events that have or will take place after.fuly 1, 2008. Please be reminded that the permit still requires
Qualitative Monitoring to be performed at all SDOs, regardless of representative outfall status.
Please append this letter to your Stormwater Permit in order to document that representative outfall
status has been approved. If changes in drainage areas, structures, processes, storage practices, or other
activities occur that significantly alter the basis of this approval, notify this office for an updated ROS
determination. If you have any questions or comments concerning this letter, please contact .lenifer
Carter or me at [phone].
Sincerely,
Steve W. Tedder
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
attachment
cc: WSRO Files ? 7
NPS-ACO Unit . 50
SWP — Central Files
North Carolina Division of Water Quality 595 Waughtown Street; Winston-Salem, NC 27107 Phone [phone]
Customer Service: 1-877-623-6748 [rater=: www.newalerquality.org Fax [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

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H,kROLD & SHELBY
GATUAMOKE

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina [department of Fnvironment and Natural Resources
a
Alin W. Klimek, P.E. Director
Division of Water Quality
February 7, 2005
Donald M Moe
Martin Marietta Materials Inc
PO Box 30013
Raleigh, NC 276220013
Subject: NPDES Stormwater Permit Coverage Renewal
Martin Marietta -Thomasville
COC Number NCG020076
Davidson County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG020000 the Division of Water
Quality (DWQ) is forwarding herewith the reissued stormwater general permit. Please review the new permit to familiarize
yourself with the changes in the reissued permit. The general permit authorizes discharges of stormwater and some types of
wastewater. You must meet the provisions of the permit for the types of discharges present at your facility. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the stale of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of General Stormwater Permit NCG020000
• A copy of a Technical Bulletin for the general permit
• Five copies of Discharge Monitoring Report (DMR) Forms - wastewater and stormwater
• Five copies of Qualitative Monitoring Report Form
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 Permitting
Unit at [phone], ext.578.
Sincerelv.7414
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
One
No hCarolina
✓vatura!!il
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enrstate. nc.uslsulstormwater.html 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer- 50% Recycledl30% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020076
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Martin Marietta Materials Inc
is hereby authorized to discharge stormwater and to operate treatment systems and discharges associated
with mine dewatering wastewater and process wastewater from a facility located at
Martin Marietta -Thomasville
691 Upper Lk Rd
Thomasville
Davidson County
to receiving waters designated as Jimmys Creek, a class C stream in the Yadkin -Pee Dee River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II,
Ill, IV, V. and VI of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective February 7, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 7, 2005
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Slate of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
,lames B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
December 17, 1999
ROBERT WINCHESTER
MARTIN MARIETTA - THOMASVILLE
5600 77 CENTER DRIVE. STE. 100
CHARLOTTE, NC 28217
1 � •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL REsouRcEs
Subject: Reissue - NPDES Stormwater Permit
Martin Marietta - Thomasville
COC Number NCG020076
Davidson County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG020000, 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 NCG020000
* Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* A copy of a Technical Bulletin on this permit which outlines permit components and
addresses frequently asked questions
* A Certificate of Coverage for your facility
* DWQ fee schedule
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.
Please note that in 1998 Senate Bill 1366 established changes to the permit fee structure for DWQ permits effective
January 1, 1999. This change requires that you pay an annual fee to assure continued coverage under this permit.
You will be invoiced for this fee beginning next year. A copy of the current fee schedule is included with this letter.
If you have any questions regarding this permit package please contact Tony Evans of the Central Office Stormwater
and General Permits Unit at [phone]. ext. 584
Sincerely,
�Ley
for Kerr T. Stevens
Director, Division of Water Quality
cc: Central Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020076
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
MARTIN MARIETTA
is hereby authorized to discharge stormwater and to operate or continue operation of treatment systems and
discharges associated with mine dewatering and process wastewater from a facility located at
MARTIN MARIETTA - THOMASVILLE
691 UPPER LAKE ROAD
THOMASVILLE
DAVIDSON COUNTY
to receiving waters designated as ]immys Creek in the Yadkin - Pee Dee River Basin in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, 1I1, IV, V, and VI of General
Permit No. NCG020000 as attached.
This certificate of coverage shall become effective December 17, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 17, 1999.
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

T
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street - Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor
January 29, 1993
Horace Willson
P O Box 30013
Raleigh, NC 27622
Jonathan B. Howes, Secretary
Subject: General Permit No. NCG020000
Martin -Marietta -Thomasville
COC NCG020076
Davidson County
Dear Mr. Willson:
In accordance with your application for discharge permit received on May 29, 1992, we are
forwarding herewith the subject certificate of coverage to discharge under the subject state -
NPDES general permit. Issuance of this certificate of coverage supercedes the individual NPDES
permit No. NC0044393. 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 Divsion 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.
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Aff-irmative Action Employer

GENERAL PERMITS
COPIES OF PERMITS ARE TO BE SENT
TO THE FOLLOWING:
SIGNED ORGINAL TO APPLICANT **
SIGNED COPY TO CENTRAL FILES
COPY TO REGIONAL OFFICE
COPY TO P&E FILE
" COPY TO COMPLIANCE
_COPY TO WAKE COUNTY
_COPY TO MECKLENBURG COUNTY
COPY TO TRAINING & CERT.**
**ATTACH COPY OF GENERAL PERMIT

If you have any questions concerning this permit, please contact Mr. Mack Wiggins at telephone
number 919f733-5083.
Sincerely,
original Signed BY
Veen H. Sullins
. Preston Howard, Jr.
Acting Director
cc:
Winston-Salem Regional Office

I
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
STORMWATER, MINE DEWATERING. AND/OR OVERFLOW FROM
PROCESS WATER RECYCLE SYSTEMS DISCHARGES
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,
Martin Marietta Aggregates
is hereby authorized to continue operation of a treatment system for mine dewatering and a closed loop recycle
system for rock washing operations with discharges of treated wastewater and stormwater from a facility located at
Thomasville Quarry
northeast of Holly Grove
Davidson County
to receiving waters designated as Jimmys Creek in the Yadkin River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG020000 as attached
This certificate of coverage shall become effective February 1, 1993
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 29, 1993
Original Signed QY
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Acting Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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Marietta Martin Mar' - %� `��
Aggregates Thomasville Quarry. ��,s•r�W,
NPDES Permit No. NCO044393
Discharge into Jimmys Creek, Class "C" Waters.
Located on Upper Lake Road (SR 2024) .
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