NCG020877_COMPLETE FILE - HISTORICAL_20150504

Wj"J"?D
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V C& Da b o
DOC TYPE
n-'HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ Qu IS O J
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Bryan Ray Kennedy
Tarheel Concrete
PO Box 67
Warsaw, NC 28398
Dear Mr. Kennedy:
Donald R. van der Vaart
Secretary
May 4, 2015
Subject: General Permit No. NCG020000
Devan's Sand Pit
COC NCG020877
Duplin County
In accordance with your application for a discharge permit received on December 23, 2014, 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 October 15, 2007 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division of
Energy, Mineral, and Land Resources. The Division may require modification or revocation and
reissuance of the certificate of coverage.
Please note that the attached General Permit expires on June 1, 2015. Your COC will be automatically
renewed to cover the full 5 year term of the soon to be reissued permit. In the interim you must abide by
the terms of the expiring permit. You can review the proposed general permit changes once they are
posted at: hM:HpartaLncdenr.org/web/wq/ws/su/current-notices
Please note that mine dewatering wastewater includes wet pit overflows caused solely by direct rainfall
and groundwater seel2age for this type of mining operation. Any discharge of this water (and any
stormwater commingled with it) is subject to the effluent limitations in this permit.
Division of Energy, Mineral and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Telephone [phone] FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal.ncdenr.org/web/Ir
An Equal Opportunity1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Mr. Kennedy
May 4, 201S
Page 2 of 2
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Energy, Mining, and Land Resources, or permits required by the Division of Water
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 Richard Riddle at telephone number
[phone].
Sincerely,
OR16INAL SIGNED M
KEN PICKLE
for Tracy E. Davis, P.E., CPM
cc: Wilmington Regional Office
Central Files
Stormwater Permitting Program Files
Division of Energy, Mineral and Land Resources
1612 Mail Service Center, Raleigh, NC 27699-1612 + Phone-. 919-707-9200 + Fax, 919-807-6494
Location: 512 N. Salisbury Street, Raleigh, NC 27604 + htip:llportal.ncdenr.orglwpbtlr/
An Equal Opportunity/Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020877
STORMWATER AND MINE DEWATERING 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,
Bryan Ray Kennedy
is hereby authorized to discharge stormwater and process wastewater and from a facility
located at
Devan's Sand Pit
Boy Scout Lane
Warsaw
Duplin
to receiving waters designated as Carlton's Mill Run, a class C, SW water in the Cape Fear 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 May 4, 2015.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 4, 2015.
ORIGINAL SIGNED B�
KEN PICKLE
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

I ! ,
r
- 'rY=ez
NCG020877
N
W E
S.
Map Scale 1:24,000
J
cif
a
°8' 8'1W, 3' 7-4 9"N
Devan's Sand Pit
j "•..,�}} \` :"=.:�' � � P••_..... 4 it �.�� r'
� _ �`c r�.�'".�f 1 • ,' 'tom.-,/-�,.+_:..; \\ ._:`�, � r..�.r- � _.`
Tarheel Concrete
Devan's Sand Pit
Latitude: 340 57' 43.9" N
Longitude: 780 08' 58" W
County: Duplin
Receiving Stream: Carltons Mill Run
Stream Class: C. Sw
Index Number: 18-68-2-10-2 (Cape Fear River Basin)
L2j ���� ' •'� I '��'
Facility Location

Riddle, Rick L
From:
Riddle, Rick L
Sent:
Wednesday, March 25, 2015 2:36 PM
To:
Lambe, Brian
Subject:
FW: Devan's Sand Pit - Duplin Co
Follow Up Flag:
Follow up
Flag Status:
Flagged
Brian,
I asked Jean about this project first but she said it was in your territory. Did you receive a plans and an NOI for the
above sand pit and did you get a chance to review/inspect the site? Do you have any comments or concerns for this
one? The plan seems a little lacking but I wanted your input.
Thanks
110
Richard L. Riddle Jr.,Stormwater Engineer
NCDENR / DEMLR / Stormwater Permitting Program
1612 Mail Service Center, Raleigh, NC 27699-1612
512 N. Salisbury Street, Raleigh, NC 27604
919 / 807-6375; 919 / 807-6494 (fax)
Website: http-.portal.ncdenr.org/web/ir/stormwater
E-mail correspondence to and from this address may be subject to the North Carolina Public Records law and may be
disclosed to third parties.
-----Original Message -----
From: Conway, Jean
Sent: Wednesday, March 25, 2015 1:42 PM
To: Riddle, Rick L
Subject: RE: Devan's Sand Pit - Duplin Co
Rick,
Duplin county is handeled by Brian Lambe.
I would forward to him but and in the field today and do not have his proper email.
Jean
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Riddle, Rick L
Sent: Wednesday, March 25, 2015 11:12 AM
To: Conway, Jean
Subject: Devan's Sand Pit - Duplin Co
Jean,

Good morning. Hope you are well.
Did you receive a plans and an NOI for the above sand pit and did you get a chance to review/inspect the site? Do you
have any comments or concerns for this one? The plan seems a little lacking but I wanted your input.
Thanks
Richard L. Riddle Jr.,Stormwater Engineer NCDENR / DEMLR / Stormwater Permitting Program
1612 Mail Service Center, Raleigh, NC 27699-1612
512 N. Salisbury Street, Raleigh, NC 27604
919 / 807-6375; 919 / 807-6494 (fax)
Website: http://portal.ncdenr."r/web/Ir/stormwater
E-mail correspondence to and from this address may be subject to the North Carolina Public Records law and may be
disclosed to third parties.

Riddle, Rick L
From: Wehner, Judy
Sent: Wednesday, March 25, 2015 10:40 AM
To: Riddle, Rick L
Subject: RE: Mining Permits status
No. We are about to issue it.
From: Riddle, Rick L
Sent: Wednesday, March 25, 2015 10:23 AM
To: Wehner, Judy
Subject: Mining Permits status
1 udy,
How is your week going? Definitely starting to feel a lot like spring. Do you have any comments for this mine or has the
mining permit been issued for Devan's Sand Pit in Duplin Co?
Thanks
Ra""d Z' '-cddfe 5
NCDENR / DEM LR / Stormwater Permitting Program
1612 Mail Service Center, Raleigh, NC 27699-1612
512 N. Salisbury Street, Raleigh, NC 27604
9191807-6375; 919 / 807-6494 (fax)
Website: http://portal.ncdenr.or-,!web/Ir/stormwater
E-mail correspondence to andfrom this address may be subject to the North Carolina Public Records knr and mall, be disclosed to third parties,

Wade, Larry
From: Wade, Larry
Sent: Friday, January 16, 2015 9:02 AM
To: Sams, Dan
Subject: NCG020877 Devan's Sand Pit - Duplin County
Attachments: NCG020877 NOI.pdf
Hello Dan,
Find attached the NOI for the subject proposed facility. I am sending you a site map through inter office mail.
Please let me know if you have any concerns issuing a stormwater permit for this facility.
Larry W. Wade PE Telephone: [phone]
Fax: [phone]
Stormwater Permitting Program
North Carolina Department of Environment & Natural Resources
Division of Energy Mineral and Land Resources
1612 Mail Service
942S
Raleigh, NC 27699-1612
Physical Address - 512 N. Salisbury St. Room
Raleigh, NC 27604
is a government E-mail address****************************
*********E-mails sent and received from this address can be disclosed to third parties************

* Division of Water Quality / Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
En nFOv..evr axoyN­ R[e .-
NCG020000
NOTICE OF INTENT
FOR AGINCY i1SF ON[.Y
Dace Received
Yea Month
Dar
Cenificate of Corerdge
Check n
Antoum
Perm( Assigned in
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG020000:
STORMWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code - 14XX Mineral Mining Industry (except as specified below)
The following activities are also included:
• Active or inactive mining operations (including borrow pits —except for NCDOT borrow pits) that discharge
stormwater contaminated with or that has come in contact with, any overburden, raw material, intermediate
products, finished products, byproducts or waste products located on the site of such operations:
• Stormwater from vehicle maintenance activities at mining operations;
• Overflow from facilities that recycle process wastewater; and/or RECEIVED
• Mine dewatering (wastewater) ++��
�
r
The following activities are specifically excluded from coverage under this General Pei»it � L.
� 1I4
• Stormwater discharges associated with peat mining, coal mining, and metal mining;DENR-LAND QUALITY
• Stormwater discharges from mining operations which are intermixed on site with "sfoririwat63 drom--asphalt4G
operations and/or concrete operations:
• Stormwater discharges associated with oil and gas extraction operations; and
• Stormwater discharges associated with tourist gem mines
• NCDOT borrow pits are covered under NCS000150
The following discharges are covered by NPDES2eneral permit NCG520000 instead of NCG020000:
Point source discharges of stormwater and wastewater from in -stream sand mining operations (i.e., sand
dredging or dipping operations).
Please contact the NPDES Wastewater Point -Source Group for more information on coverage under this
permit,
Please Print or tvve all entries in this application form.
1) Mailing address of owner/operator (official address to which all permit correspondence will be mailed):
Legal Owner Name >ZY iZ NGt7 _MQ-6�t— Co Gl c�
(Attach the most recent Annual Report to the NC Secretary of State showing the current legal name of the corporation or entity.
Alternatively this permit can be given to an individual or government authority. This name most be the same name as appears on the
Division of Land Resources' Mining Permit)
Signee's Name (as signed for in permit signature at bottom) 4A,-J I�aS ti Nnlc
Street Address F0 ox to -7
City w State pj& ZIP Code 2 c('R
Telephone No. qJ D �8$S Email
Alternate Contact Name Email (if different)
Alternate Contact Telephone (if different)
Page 1 of 8
SWU-NCG02-N0I Last revised 3/15/2012

NCG020000 NAL
2) Location of facility producing discharge:
Facility Name`VP,nr `S 5 AN —Pi-7
Facility Contact 151Z`-iA .j I�`( i1ir�N c Dk
Street Address _ F0 Sox & -7 _ _
City \NprTz5 Pr'W State >� �- ZIP Code 'L a
County l7U L,iN
Telephone No. _qQ__ V3 3 - (g1 Fax:
Contact E-mail
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). 5-W Of S,72. 1106 Pr zdx 1,2
m JtV�- or— fJG Z'{
4) Latitude 34,9 V22 Longitude `7$. 14q-5 (degrees, minutes, seconds)
Permits:
5) This NPDES Permit Application applies to which of the following:
CP<ew or Proposed Facility Date operation is to begin: r i 5 20 1S
❑ Existing Date began mining:
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: t 11 4 -4
7) Provide a narrative description of the types of minerals mined at this facility:
SON r r (o P50 I L-
8) is this mine an inactive mine site?
2<0
❑ Yes If yes, do you posses an'"Inactive Renewal" from DLR and notified the DWO Regional Office or
have you certified to the DWO that the site has been stabilized? ❑ No ❑ Yes
9) Does this facility already have a valid Mining Permit from the Division of Land Resources (DLR)?
``�
[RIN'o If No, please indicate the status of the Mining Permit application:r'�t�
❑ Yes If yes, please provide the Mining Permit number: Please also provide a
copy of your DLR Mining Permit with this DWO application.
Note: DWO cannot issue a CDC for the NCGO20000 General Permit until a Mining Permit is issued or
renewed by the Division of Land Resources (DLR).
10) Does this facility have any other NPDES permits?
11es
❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility:
Page 2 of 8
SWU-NCG02-NOI last revised 3/15/2012

NCG020000 N.O.I.
11) Are you applying for a mining permit in the same location as a previously permitted mine?
❑ Yes If yes, specify permit number and name if known:
12) Does this facility have any Non -Discharge permits (ex: recycle permits)?
C17'1 Igo
❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility:
13) Does total area of this mine site include ready -mix and asphalt areas?
N
❑ Yes If yes, do they have DWO stormwater permits (if owned by the same company)? ❑ No ❑ Yes
(provide permit number )
If not owned by the same company, who is the owner?
14) Will this mining operation precede development activities at this site?
L�'N o
❑ Yes
15) Is this mine located within one of the 20 Coastal Counties and will it add more than 10,000 ft2 of impervious
surface?
21' aco
❑ Yes If yes, you may be required to apply for an additional state stormwater permit. Check with your
local Regional Office. See contact information and checklist below.
16) is this mine located the Neuse, Tar -Pamlico, or Catawba River Basins, or the Randleman or Jordan
Water supply Watersheds?
9'fqo—
❑ Yes If yes, what size stream buffers are included on site? ft. Please show buffers in site plans.
If yes, please include information and plans showing diffuse flow through buffers as required.
Discharge Points, Receiving Waters & Wetlands:
17) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
and/or wastewater discharges end up in? U y4AtM&) ! �►el -
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
Receiving water classification (if known):
Note: Discharge of process wastewater to receiving waters classified as WS-II to WS-V or 5A must be
approved by the N.C. Dept. of Environmental Health. If DEH does not approve, coverage under
NCG020000 cannot be granted. No new discharges of wastewater are permitted in receiving
waters classified as WS-I or freshwater ORW. Wastewater discharges to Saltwater ORW will
not be approved under the NCG02 General Permit.
18) If your facility has wastewater discharges and they are to HWQ, PNA waters (Primary Nursery Areas) waters,
what is the flow rate? NL _ _ (See http://www.ncdmf.net/maps/FNA ma slindex.html, for map)
Page 3 of 8
SW U-NCG02-NOI Last revised 3/15/2012

RojeTi i i i]>Millm
19) Discharge Points:
Number of discharge points (ditches, pipes, channels, etc. that convey discharges from the property):
Onsite: Stormwater: Mine dewatering: f Process Wastewater Overflow:
OHsite: Stormwater: Mine dewatering: Process Wastewater Overflow:
Discharge points should be clearly marked on the submitted site plan.
Please provide short narrative description of discharges
Pniarr'r,7V_ WkU, GA(A_V7'c tiVS P6­c A
IN
lyt ,pr 3)+--a1 .
4
G za u N - r a a- Sao
_ LA) t,3 t W d GG4_5 c o n,
-L- T2_6CV_ �+r✓ � � . `44e (S i N d ONPI AM -CO C-V-L-
a) Is your mine dewatering and discharging? (Answer only if you are dewatering)
❑ No
5 es If yes. where to? ✓surface Waters and/or Wetlands (on -site or off -site)
Other (on -site or off -site) Describe:
b) Are you dewatering but not discharging? (Answer only if you are dewatering)
❑ Yes If Yes, please explain how you are dewatering, and where that water will be directed:
20) Will mining operations require dewatering near wetlands or impact any stream, groundwater, or wetlands?
1-40
r-1 vote
I V O (,.fi; ((a cif U 5 INS V t CA M CL C41- e4\ >, N c
Note: Wetlands must be CLEARLY DELINEATED on the site pla . Mine dewatering activities that have
the potential to drain wetlands or otherwise impact surface water or groundwater MUST develop and
implement a Pumping Operation and Monitoring (O&M) Plan that has been approved by the
Division.
For sites that may drain wetlands — approval of a Pumping O&M plan mag be required prior to
coverage under this general permit. The Pumping O&M Plan should be submitted to the
appropriate Regional Office and must be approved prior tooperation.
The plan shall include, but is not limited to: (1) Groundwater monitoring strategies to demonstrate the
effect of pumping and to establish any pumping regime necessary to reduce impacts, and (2) Detailed
plans to maintain surrounding hydrology and respective monitoring to demonstrate compliance. See
checklist at end of document. Contact your local Regional Office for questions specific to your mine.
21) If you are dewatering, are there wetlands or surface waters within 400' of the mine pit perimeter?
12-IN o
❑ Yes If yes, what distance are they from the mine pit perimeter?
22) Have you been required to obtain a 404/401 Certification permits?
Na
feet.
❑ Yes If yes, please briefly describe below (include information such a required mitigation, BMPs, setbacks,
and/or O&M plans for on or off -site wetlands or other pertinent information). Attach other sheets as necessary:
Page 4 of 8
SWU-NCG02-NOI Last revised 3/15/2012

H
NCG020000 N.O.I.
23) Have you been required to obtain a wetland delineation certified by the US Army Corps of Engineers?
L+S No ❑ Yes If yes, please attach to application submission.
Stormwater BMPs:
24) Does this facility employ any best management practices for stormwater control?
❑ No Cg''?es If yes, please briefly describe: V55,14,a�,5 WPR-VZ -T-0 �55
i-
25) Does this facility have a Stormwater Pollution Prevention Plan?
El No I- Yes _
If yes, when was it implemented? W (UL -5-r, I M%t-WVZ�� W- e m 'j� 44N S
26) Will vehicle maintenance activities occur at this facility?
[E No ❑ Yes
Wastewater Treatment Facilities:
27) Will mine dewatering discharges occur?
❑ No
28) Will discharges of overflows from process wastewater treatment systems occur?
19-<O
❑ Yes If yes, �
a. Does this facility employ chemical additives to flocculate suspended solids? 0 o ❑ Yes
If yes, please state the name, manufacturer and the quantity of average daily usage of the chemical additive
Note: Please see our website for a list of evaluated polyacrylamide (PAMS) products for use in North Carolina:
http:l/portal.ncdenr.org/web/wg/ws/su/npdessw
b. Does this facility overflow only during rainfall events exceeding the 10-yr, 24-hr rainfall event?
❑ No ❑ Yes ►JD (jav-Lu -j
29) Are wastewater treatment facilities (including recycle systems) planned in the 100-year flood plain?
�
L+�ewNo
❑ Yes
30) Is your facility washing mined materials?
0
❑ Yes If Yes, are you discharging this water?
SW U-NCG02-NOI
Page 5 of 8
Last revised W15l2012

NCG020000 N.O.I.
Other:
31) Hazardous Waste:
a) Is
this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
!"/ No ❑ Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
tld�No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
EZKO ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:_
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
32) Is your facility providing appropriate secondary containment for bulk storage of liquid materials? See permit
text for secondary containment requirements.
❑ No �J / eF
❑ Yes
33) Does
y ur site have an active landfill within the mining permit boundary?
MS N o
❑ Yes If yes, specify type: ❑ LCID ❑ Other:
Final Checklist:
This application will be returned as incomplete unless all of the following items have been included and
initialed for. Please show that the following required information has been included by initialing in each
space below.
Fee of $100 made payable to NCDENR.
Completed application and all supporting documents.
Copy of the valid approved mining permit (MP) for the facility or indication of MP application status.
Copy of a county map or other general location map that shows the mining site and nearest major roads.
Copy of USGS topographic map showing the mining site and surrounding areas, or other map that clearly
shows site location in relation to nearby streams, wetlands, and other waters, etc.
2 copies of large-scale (minimum 24" x 36") site plan with topographical lines with all outfalls, applicable
buffers and wetlands clearly delineated, and 100-year flood plain line if applicable.
A copy of your DLR mining permit.
A copy of your US Army Corps -approved wetland delineation if you marked "yes" to question 23 above.
A line drawing of the water flow through the facility. A pictorial description of the nature and amount of any
sources of water and any collection and treatment measures.
If mine site is in one of the 20 Coastal Counties:
• Applicant has checked with the appropriate regional office to verify the need for a Coastal State
Stormwater permit. Regional Office Contact:
Page 6 of 8
SWU-NCG02-NOI Last revised 3/15/2012

NCG020000 N.0.1.
-OR-
Applicant has included a detailed list of impervious surface areas and percentages, sub -drainage
areas and total drainage area.
If the mine is dewatering and near wetlands, or may otherwise impact surface waters or groundwater,
include the following and contact your local regional office about a Pumping O&M Plan (see below
for contact information). You may be required to provide an approved Pumping O&M plan prior to
NCG02 issuance.
2 copies of detailed Full Size Plans (at least 24" x 36") delineating areas on the plans and listing
acrea a (including: wetlands, ditches, well -placements, pits, borrow areas, overburden storage,
stormwater controls/BMPs, vehicle maintenance areas, settling basins, product process (such as
screening, stockpiles, waste piles), total drainage area, impervious surface percentages (if state sw
programs apply), applicable buffers, and access and/or haul roads).
Pump dewatering size and information on its specifications.
Well information (design, depths, maintenance).
Physical monitoring for the wetlands areas.
Settling pond sizing information, if applicable.
Level spreader design, if applicable.
Details about dewatering method.
Cone of influence calculations.
Description of measures to prevent erosion and flooding.
Description & information about 401/404 permits that have been obtained.
Copy of US Army Corps of Engineers wetland delineations or approved wetland delineation (if
applicable).
I have contacted my local regional office about a Pumping O&M Plan.
Regional Office Contact: . Date contacted:
I will not any impact nearby wetlands, surface waters or groundwater by dewatering.
Certification: North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement. representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management) Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
33) Signatory Requirements (per 40 CFR 122.22)
All applications, reports, or information submitted to the Director shall be signed and certified.
a. All notices of intent to be covered under this General Permit shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this permit, a responsible corporate officer means (a) a president,
secretary, treasurer or vice president of the corporation in charge of a principal business function, or any other person who performs similar
policy or decision making functions for the corporation. or (b) the manager of one or more manufacturing production or operating facilities
employing more than 250 persons or having gross annual sales or expenditures exceeding 25 million (in second quarter 1980 dollars). it
authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, state, federal, or other public agency: by either a principal executive officer or ranking elected official.
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will
constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual
permit.
I agree to abide by the following as a part o€ coverage under this General Permit:
1. 1 agree to abide by the approved Mining Permit for this mining activity. (A copy of the valid mining
permit must be attached to this request.
Page 7 of 8
SWU-NCG02-NOI Last revised 3/15/2012

NCG020000 N.Q.I.
2. 1 agree to not discharge any sanitary wastewater from this mining activity except under the
provisions of another NPDES permit specifically issued therefore.
3. I agree that bulk storage of petroleum products and other chemicals shall have adequate protection
so as to contain all spills on the site.
4. 1 agree that solid wastes will be disposed of in accordance with N.C. statutes and rules governing
solid waste disposal.
5. 1 agree that maintenance activities for vehicles and heavy equipment will be performed so as to not
result in contamination of the surface or ground waters.
I agree to abide by the provisions as listed above and recognize that the provisions are to be considered as
enforceable requirements of the General Permit.
I certify that I am familiar with the information contained in this application and that to the best of my knowledge
and belief such information is true, complete, and accurate.
Printed Name of Person Signing:
Title: a
(Signature of
%Z-a? --/
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR.
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Duality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ......
(828)*296-4500
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 8 of 8
SWU-NCG02-NOI Last revised 311512012

�i,
BRYAN MAY KENNEDY
DBA TARHEEL ACRES
P.O. BOX 67, PH. 910-293-7605
WARSAW, NC 29398
12/22/2014
1i;ebd
PAY TO THE NCDENR "`100.00
ORDER OF
One Hundred,and 001100...,.>..>..><.,.......................t.....,..,..,..,,.,.,..,,*...�..,.,..,..,..,..........
DOLLARS
NCDENR
N�G�'a0?17
11001L258EI'