NCG020109_COMPLETE FILE - HISTORICAL_20140530

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
�V C� � b I O
DOC TYPE
fl')HISTORICAL FILE
0 MONITORING REPORTS
DOC DATE
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Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Oft Pecalvad
Year
I Mai h
pe
M/
1. 131aase enter the permit number for winch the iAutige iS requested.
NF©1?S Aertrtit (or) L`erdficutrye ofcovauraflo 1
1­61
It. Permit status ZIor to requested change.
a. Permit issued to (company name): Martin Marietta Materials
b. Person legally responsible for permit: R Paxton Badharh
First 1111 i atst
VP Land/Environment
Title
PO Box 30013
Ferri t Holdt r Mailing Addt'aae i
Raleigh NC_ 27622-0013
City State Zip
704- 09-1475 (919- 10-0739
Phone Fax
c. Facility name (discharge): Statesville Quarry -
d. Facility address: 220 Quarry Road
Address
Statesville NC 28687
City State Zip
c. Facility contact person: Jay NivenS 04-4 9-1475
First / M1 / 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
Name change of the facility or owner
If otter please explain:
b. Permit issued to (company name): Martin Marietta Materials
c. Person legally responsible for permit: Jahn J Tiberi
First MI bast
President Mid -Atlantic Division
TWO
2710 Wvcliff Road
Permit Holder
Mailing Address
_Raleigh
NC_ 27607
City
state: Zip
5919-M3-4668
john.tiberi@ma rtinmarietta.corn
Phone, ,
T E-mail Address
d. Facility name (discharge): Statesville Quarry
e. Facility address: 220_ Quarry Road
— - --
Address
Statesville
NC 28687
Lily
state Zip
f, Facility contact person: Jay
NivenS
Mist
4ij Lu0
(704-409-1475
Jay. nivensGmartinmerietta.com
Fhonc
E-rrrnil Address
Roviaod 2012Apr23

NPDFS PERMIT NAME/OWNERSHIP CHANGE FORM
Pno2of2
IV. Permit contact info_ rmation (if different from the person legally responsible for the permit)
porinit coptacc Jay Nivel"Is
First MCI izagt
Sr. Environmental Enamor
'Title
8701 food Oak Blvd,
Mailing Addmns
Charlotte NC 28217
City 'State Zip
7( 04-409-1475 [e-mail]
Phone: 12-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or mune change`/
n Yes
❑ No (please explain)
,V1 Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE Olt MISSING:
[@ This completed application is required for both naine ehiinge and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of it contract deed,
or a bill of sale) is required for nn 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 ofan ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
!, , attest that this application for a name/ownership change has been reviewed and is accurate and
cnmplate to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete. ,
Signature
APPLICANT CERTIFICATION
Date
1, "1"—, attest that this application for a name/ownership chiinge has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if u]] 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 Data
.. ............................ ..
PLEASE SEND THE COMPLETE APPLICATION PACKACP TO:
Division of Water Quality
Surface Water Protection Section
1617 Mai! Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008

Michael F. Easley, Governor
William G, Koss Jr., Secretary
Nonh Carolina Department of l;nvironment and Natural Resources
Alan 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 -Statesville
COC Number NCG020109
Iredell 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.�
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Mooresville Regional Office
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617
Internet: h2o.enrstate.nc.uslsulstormwater.html 512 N. Salisbury St. Raleigh, NC 27604
On
No rthCarolina
IlVaturrt!!J
Phone [phone] Customer Service
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. NCG020109
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 -Statesville
220 Quarry Rd
Statesville
Iredell County
to receiving waters designated as Gregory 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,
III, 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

`-.State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
December 17, 1999
ROBERT WINC14ESTER
MARTIN MARIETTA - STATESVILLE
5600 77 CENTER DRIVE
CHARLOTTE, NC 28217
1 • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Stormwater Permit
Martin Marietta - Statesville
COC Number NCG020109
Iredell 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,
for Kerr T. Stevens
Director, Division of Water Quality
cc: Central Files
Mooresville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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I
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020109
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 - STATESVILLE
220 QUARRY ROAD
STATESVILLE
IREDELL COUNTY
to receiving waters designated as Gregory Creek in the Yadkin - Pee Dee River Basin in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II.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

State of North Carolina
Department of Environment,
Health and Natural Resources • •
Division of Environmental Management
James B. Hunt, Jr.,Governor � E H N F 1
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
June 7, 1993
Mitch Scott
P O Box 30013
Raleigh, NC 27622
Subject: General Permit No. NCG020000
Martin Marietta Aggregates - Statesville Quarry
COC NCG020109
Iredell County
Dear Mr. Scott:
In accordance with your application for discharge permit received on April 21, 1993, 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. NC0026590. 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 Ms. Susan Robson at telephone number
919/733-5083.
Sincerely,
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr.
Director
cc:
Mooresville Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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a
GENERAL PERMITS
COPIES OF PERMITS ARE TO BE SENT
TO THE FOLLOWING:
SIGNED ORGINAL TO APPLICANT **
SIGNED COPY TO CENTRAL FILES
T
V COPY TO REGIONAL OFFICE
7COPY TO P&E FILE
!COPY TO COMPLIANCE
_COPY TO WAKE COUNTY
_COPY TO MECKLENBURG COUNTY
_COPY TO TRAINING & CERT.**
**ATTACH COPY OF GENERAL PERMIT

I
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020109
STORMWATER, MINE DEWATERING, AND/OR OVERFLOW FROM
PROCESS WATER RECYCLE SYSTEMS DISCHARGES
ATIONALPOLLUTANT 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 Aggregates
is hereby authorized to continue to operate a sump pump for mine dewatering and discharge treated wastewater and
stormwater from a facility located at
Statesville Quarry
Off of NC Highwy 115
Iredell County
to receiving waters designated as Gregory Creek in the Yadkin Pee -Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, Il, II1
and IV of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective June 7, 1993
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 7, 1993
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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