NCG020175_COMPLETE FILE - HISTORICAL_20140530

W S')U
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IVC& CQ(71�J�J
DOC TYPE
t-0`HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
o as y o 5 30
YYYYMMDD

A n�
"CAW
d R
A&%
MCDENR
Nc�CRC. A ZVW*,WzY 0.
�_�o r. ti.ra Fo lane.a
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
d AMCI't;Jbl 01+IC
Mato Tiv2d
ear
onth
I b
1. Please enter tha permit number for which the change is requamcd,
NPDES Permit
(or) Cartitricato of covaru e
b
Q 0 2 0 1 `7 15
11. Permit status ra for to requested change.
a. Permit issued to (company name):
Martin, Marietta Materials .
b. Person legally responsible for permit;
R.. Ptl?cton �adhm
First htl l,agt
VP Land/Environment
f ttiy
P�raris 1(al�i r"Mail iij Aig
R lei h NC
'ciiy atuia..; Zip
�(704-409-1475 (919-510-0739
I'iionn i'ax
c. Facility name (dischttrO:
Hicone Quarry
d. Facility address:
5800 Eckerson kbi Y�
Addross
Greensboro NC 27405
city 5tatr, Zip
c. Facility contact person:
Jay Niven , 04-4)Q9-1475
First 1 MI / Last Phone.
III. Please provide the following for the requested cltanbe (revised permit).
a. Regttest for change is a result of:
Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b, hermit issued to (company name):
Martin Marietta Materials
c. Person legally responsible for permit:
John J Tlberi
First MI Last
Preslden Mid -Atlantic Division
7.9 Q Moliff Re9d
Permit Elaltier J»�;tl Fng Atl_irp4—
Raleigh NC 27007
City 5tngc 'lip -. .
i911Y3-4668 [e-mail]
Phone E-unnil Address
d. Facility name (discharge):
Hicone Quarfy
e. Facility address:
5800 Eckerson Road
Address
Greensboro NC 27405
City Stag Zip
f. Facility contact person:
Jay Nivens
First MI
( 704-109-1475 [e-mail]
Phone L%mnil Address
Revised 2012Apr23

NPDI S PERN4IT NAME/OWNEFi$HIP CkdANGE FORM
page 2 of 2
IV. Permit contact iir►formation (if different from the person legally responsible for the permit)
Permit conwet: Jay Nivens
First MI Last
Sr. Environmental Engineer
Title
8701 Red oak Blvd,
Mailing Addre65
Charlotte NC 26217
City State Zip
�
(704-409-147 jay.nivancrQmarfir7rnarintta,com
Aherne E-niuil Address
V. Will the permitted facility continue to conduct the same indtyytrial activities conducted prior
to this ownc rship or name changer
Y68
No (ploirtte, explain)
Vl. Required Items; 'I HIS APPLICATION WILL Bi RETURNED UNPIt{3t:�bSED IF E'f�1vlS
ARE INCOMPLETE OR MISSING:
® This completed application is required for both name change anti/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 changr' request. Articles of incorporation are
not sufi icient for an ownership change.
nic certifications below must be completed and signed by Loth the permit holder priur to the change, and
the new applicant in the case of an ownership change request. For a name change requrst, the signed
Applicant's Certification is sufficient.
PERVIITTEE 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. l
Si r�atutt Date
APPLICANT CERTIFICATION
I, rc'^F""�", attest that this application for a narne/ownership change has been reviewed and:is aceuralc atid'
complete to the best df 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.
I --
A-
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 712GOB

Michael F. Easley. Governor
William G, Russ Jr„ Secretary
North Carolina Department of Environment and Natural RCSOLIKCS
Alan W. Klimek, 11,1;. 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-Hicone
COC Number NCG020175
Guilford County
Dear Permitlee:
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 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 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 Bethany Georgoulias of the Central Office Stormwater
Permitting Unit at [phone], ext.529.
Sincerelv.
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Winston-Salem Regional Office
North Carolina Division ol' Water Quality 1017 Mail Service Center Raleigh, NC 27699-t617
Internet: h2o.enr.state.nc.uslsulstormwater.html 512 N. Salisbury tit. Raleigh, NC 27004
One
No -thCarolina
Phone [phone]t5 Customer Service
FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% 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. NCG020175
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-Hicone
5800 Eckerson Rd
Greensboro
Guilford County
to receiving waters designated as a UT of Reedy Fork, a class C-NSW stream in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
11, 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 R. WINCHESTER
MARTIN MARIETTA - HICONE
2710 WYCLIFF ROAD
RALEIGH, NC 27607
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCE5
Subject: Reissue - NPDES Stormwater Permit
Martin Marietta - Hicone
COC Number NCG020175
Guilford 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
Winston-Salem 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. NCG020000
CERTIFICATE OF COVERAGE No. NCG020175
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 - HICONE
SR 2791, N. OF GREENSBORO
GREENSBORO
GUILFORD COUNTY
to receiving waters designated as a UT of Reedy Fork in the Cape Fear River Basin in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts 1,11, III, 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