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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v o
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ � b �� D 5 3o
YYYYMMDD
A4v
NCDEN
I:�N-�P'!�M'aH,l Narlh4-IA u_Y.+�dO
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested,
FOR AGENCY U 5 ONLY
Date Aoulvod
Year
I Month
Da
NPIDES Permit
(or) C'4rtifiewo of Covorago
.t
D 12 16 2$ 6
11. Permit status R or to requested change.
a.
Permit issued to (company name):
Martin Marietta Materials
b.
person legally responsible for permit:
R Paxton Badharn
Fiist MI Last
VP land/Environment
Title
PO Box 30013
Ferinit Holder Md lirt$ Address .
Raleigh - -� _NC 27622-QQ13
city' . Statc Zip
(704-109-1475 ^ (919-10-0739
Phone Fax
c.
facility name (discharge):
Maiden Quarry
d.
Facility address:
1575 West Maiden Road
Address
Maiden NC 28650
City data Zip
e.
Facility,coptact person:
Jay Niven.s (704-4)09-1475
First / MI / Last Phone
111. Please provide the following for the requested
ebarige (revised permit).
a.
Request for change is a result of:
Q Change in ownership of the facility
7 Name change of the facility or owner
If other please explain:
b.
Permit issued to (company name):
Martin Marietta Materials
C.
Person legally responsible for permit:
John J Tiberi
First MI Last
President Mid -Atlantic Division
Title
2710 Wvchfl: Road
Permit Holdcr Nipiling Address
Raleigh - NC - 27607^T
City State Zip
{919-7N-4668 jvhn.tiberi@martinmarietta.com
- Phone E-mail Address
d.
Facility name (discharge):
Quarry_
e.
Facility address:
_Maiden
1575 West Maiden Road
Address
Maiden No 28650
City. State zip
f.
Facility cunmet person:
Jay Nivens
Milo Ml Lila
-(704-409-1475 jay.nivens@martinmariette.com
Phone L-mall Address
Revised 2012Apr23
NFOE$ PERMIT NAMBMWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact Information (if different froth the person logally responsible for the. permit)
Porrnit contact; Jay Nivens
First Ml test
Sr. Envilenmental Engineer
Title
8701 Rod Oak Blvd,
Muilin� f1tk�lrssr ��
Charlotte NC 28217
City Soar 7iP
( 704-109.1475 joy.nivong@mnrtinrnttratto.com
Phonti E-mail ddresN
V. Will the permitted facility continue to conduct the sorne Industrial activities conducted prior
to this ownership or name change?
j Yes
No itlletlse c4040
V1, Ruquinod Items: THIS AP;E'LICATIf}N'WIL1. B1 I .E`'URNl I3"l7NI'KOCi: i''13'1 ' I'1`>J. t "
ARE INCOMPLETE OR MISSING!
® This completed application is required for both nnrne 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 •eguired for an ownership change request. Articles of incorporation W.L.
not sufficient for ati ownership change.
....................................................................................................... ..........
The certifications below must be completed and signed by hoth 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.
PL++'ILMITTEE 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 tire not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature >3ttte
APPLICANT CERTIFICATION
I. 4�10.0 , attest that this application for a namtfownership change has been reviewed and is accurate ad
to the best of my knowledge. I understund that if all required parts of this application ate not
completed and that if all required supporting_ information is not included, this application packaffo will tic
r'owned as incomplete.
5�z A�Z'-�—- -� /�P&' 3c),
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKACE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008
0� o�w A
r�9Q6
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment ant Natural Resources
February 7, 2005
H S Wilson
Maiden Quarry
5600 77 Ctr Dr
Charlotte, NC 28217
Nan W. Klimek, P.E. Director
Division of Water Quality
Subject: NPDES Stormwater Permit Coverage Renewal
Maiden Quarry
COC Number NCG020286
Catawba 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 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, slate, 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 (919) 733-5083, ext.529.
Sincerelv,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Mooresville Regional Office
None
fthCarolina
,/11Tflf1111/1f
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27099-1617 Phone (919) 733-7015 Customer Service
Internet: h2o.enr.state.nc.uslsulstormwater.html 512 N. Salisbury St. Raleigh, NC 27604 FAX (919) 733-9612 1-877-623-0748
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. NCG020286
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,
Maiden Quarry
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
Maiden Quarry
5600 77 Ctr Dr Ste
Charlotte
Catawba County
to receiving waters designated as Clark Creek, a class WS-IV stream 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. 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
hate 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
H S WILSON
MAIDEN QUARRY
5600 77 CENTER DRIVE. STE, 100
CHARLOTTE, NC 28217
1••
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Stormwater Permit
Maiden Quarry
COC Number NCG020286
Catawba 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 (919) 733-5083, 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 919-733-5083 FAX 919-733-9919
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% past -consumer paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO20000
CERTIFICATE OF COVERAGE No. NCG020286
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,
MAIDEN QUARRY
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
MAIDEN QUARRY
5600 77 CENTER DRIVE, STE. 100
CHARLOTTE
CATAWBA COUNTY
to receiving waters designated as Clark And Pinch Gut Creeks 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. 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
r,
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
January 20, 1995
H S Wilson
Maiden Quarry
Raleigh, NC 27622
Subject: General Permit No. NCG020000
Maiden Quarry
COC NCG020286
Catawba County
Dear H S Wilson
In accordance with your application for discharge permit received on November 17, 1994, 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 question concerning this permit, please contact MS. AISHA LAU at telephone number
919/733-5083.
Sincerely, _ r+ .t:?i ,,�Fned 3y
A. Preston Howard, Jr. P.E.
cc: Mooresville Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-7015 FAX 919-733-2496
An Equal Opportunity Affirmative Action Employer 50% recycled110% post -consumer paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCGO20286
STORMWATER, MINE DEWATERING, AND/OR OVERFLOW FROM
PROCESS WATER RECYCLE SYSTEMS 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 Aggregates
is hereby authorized to construct and operate or continue operation of a treatment system for mine dewatering and
discharge stormwater from a facility located at
Maiden Quarry
S.R. 1005
Maiden
Catawba County
to receiving waters designated as Clark and Pinch Gut Creeks in the Catawba River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,11, I11
and 1V of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective January 20, 1995
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
rSigned this day January 20, 1995
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission
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FACILITY
Maiden Quany
COUNTY
Catawba
NPDES
NCG020286
MAP#
E14SW
DSN FLOW
NA
SUB BASIN
03-08-35
LATTITUDE
350 34' 56"
LONGITUDE
810 14' 09"
RECEIVING STREAM
Clark and Pinch Gut Creeks
STREAM CLASS
both WS-1V
DISCHARGE CLASS
Stormwater
EXPIRATION DATE
8/31/97
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