NCG140492_Application_20201207

RECEIVED f\ &lOtt2-
'LIEC 2020 FOR AGENCY ONLY
Date Received
D LAN1i QUALITY Year Month Day
Division of Energy, MinerAite , .+S G INP-0 (2 "1
Stormwater Program Certificate of Coverage
NLCIGIiI IoI4MI2 WsIeo
National Pollutant Discharge Elimination System Check# Amount
Environmental NCG 140000 Permit Assigned to
Quality A. Ate Lou)
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit NCG140000:
STORMWATER AND PROCESS WASTEWATER DISCHARGES associated with activities classified as:
SIC (Standard Industrial Classification) Code: 3273 and like activities - Ready Mixed Concrete
This NOI may be an application to discharge process wastewater. NCG140000 contains effluent limitations
for process wastewater discharges. Wastewater discharges must meet the requirements of these effluent
limitations.An exceedance of any of these limitations will result in a violation of the permit conditions.
For questions, contact the DEMLR Central Office or Regional Office in your area. (See page 8)
(Please print or type)
1) Mailing address of owner/operator(official address to which all permit correspondence will be
mailed):
Legal Company Name McCarthy Improvement Company,Inc.
(Please attach the most recent Annual Report to the NC Secretary of State showing the current legal name. Alternatively
this permit can be given to an individual.)
Signee's Name (as signed for in question 28 below) James Higgins
Street Address 1466 Sullivan Road
City Atlanta State GA ZIP Code 30337
Telephone No. [phone] Email [e-mail]
Alternate ContactName Mike McGunniss Email (if different) [e-mail]
Alternate Contact Telephone (if different) [phone]
2) Location of facility producing discharge:
Facility Name McCarthy Greensboro Ohenry Blvd.Concrete Batch Plant
Street Address 1-840/Ohenry Blvd.Interchange
City Greensboro State NC ZIP Code 27455
County Facility Guilford County
Contact James Higgins
Telephone No. [phone] Email ihiggins(c�mccarthvimprovement.(a
3) Physical location information:
Please provide narrative directions to the facility(use street names, state road numbers, and distance and
direction from a roadway intersection). See Attachment A
(A copy of a county map or USGS quad sheet with facility clearly located on the map is a required part of this application.)
4) Latitude 36 08'32.68"N Longitude -79 44'19:88"W (deg., min, sec or decimal)
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NCG140000 N.O.I.
5) This NPDES Permit Application applies to the following (check all that apply):
e New or Proposed Facility Date operation is to begin September 1,2021
❑ Existing Facility Date operation began
6) Consultant's application information:
Consultant: Jacki Congleton
Consulting Firm: Terra Consulting,LLC (Optional)
Mailing Address: P.O. Box 1738 Staple Business Card Here:
City: Carrollton
State: GA Zip Code: 30112
Phone: (770 ) 573-3055
Email: [e-mail]
7) Provide the 4 digit Standard Industrial Classification Code (SIC Code)that describes the primary
industrial activity at this facility:
SIC Code: 3 2 7 3
8) Provide a brief description of the types of industrial activities and products produced at this facility:
(Attach a site diagram showing the process areas present at this facility.)
See Attachment A and Site Mao.
Stormwater Discharge, Wastewater Treatment & Discharge and Permitting Information
9) Discharge points/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 will end up in? Unnamed tributary to North Buffalo Creek
To find the waterbody, please see the NC Surface Waterbody Classifications map at
https://deq.nc.gov/about/divisions/water-resources/water-resources-science-data
Receiving water classification(s)for the waters: WS-V; NSW
If the site will discharge to a separate storm sewer system, name the operator of the separate storm sewer
system (e.g. City of Raleigh municipal storm sewer). City of Greensboro
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NCG140000 N.O.I.
List discharge points (outfalls)that convey discharge from the site (both on-site and off-site) and location
coordinates. Attach additional sheets if necessary, or note that this information is specified on the site plan.
Be sure to indicate a type for each outfall listed below as Stormwater only, Wastewater only or Wastewater
Commingled with Stormwater
Outfall No. 1 Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater �
Latitude(degrees/minutes/seconds): 36°08'36.18" N
Longitude(degrees/minutes/seconds): -79°44'21.91" W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Outfall No. Stormwater only ❑ Wastewater only Wastewater Commingled with Stormwater
Latitude(degrees/minutes/seconds): N
Longitude(degrees/minutes/seconds): W
Will this facility discharge wastewater to SA(Shellfish)waters? ❑ Yes •No
Note: Discharge of process wastewater to receiving waters classified as Critical Area (CA) must be
reviewed by the N.C. Division of Water Resources, Public Water Supply Section ahead of
approval. No new discharges of process wastewater are permitted in receiving waters
classified as WS-I or freshwater ORW.
You must show all discharge points clearly on the submitted site plan. Be advised that
NCDEQ may require you to apply for an individual permit, based on proposed discharge rates
and receiving stream conditions (low flows, impairments, etc.)
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10) Each applicant shall provide the following information (attach additional sheets as necessary):
• Two (2) site plans depicting the facility or site with numbered outfalls which indicate stormwater and
wastewater outfalls. The plans shall legibly show. at a minimum, (existing or proposed):
o Outline of drainage areas with topographical lines and features
o Stormwater/wastewater treatment structures
o Location of numbered stormwater/wastewater outfalls (corresponding to which drainage areas)
o Runoff conveyance structures
o Areas and acreage where materials are stored
o Impervious area acreages
o Location(s) of streams and/or wetlands the site is draining to, and any applicable buffers
o Site property lines, North Arrow, and bar scale
o If applicable, the 100-year floodplain line
o Acreage of each stormwater and wastewater topographical area
o Each of the facilities' wastewater or stormwater source and discharge structures and each of its
hazardous waste treatment, storage, or disposal facilities
o Site location (insert)
Site plans shall be 24"x 36"in size.
• Line drawing and description: 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.
• A narrative description and identification of each type of process,operation, or production area which
contributes wastewater to the effluent for each outfall, and a description of the treatment the wastewater
receives (or will receive), including the ultimate disposal of any solid or fluid wastes other than by
discharge. Processes, operations, or production areas may be described in general terms (e.g. "ash
silo").
11) Does the applicant have any unresolved Notice of Violations (NOVs)?
8 No ❑ Yes
Wastewater:
12) What types of wastewater does your facility generate or discharge?
Type of Authorized Wastewater Generate Discharge Sent to WW
Treatment
System
Vehicle and equipment cleaning (VE) t] ❑
Wetting of raw material stockpiles (RM) D El ❑
Mixing drum cleaning (MD) 0 ❑✓ ❑
Further explanation, if necessary: See Attachment B
13) Will your facility spray-down or actively wet aggregate piles?
❑ No Q Yes
14) Does the facility use any of the following on site?
❑ Phosphorus-containing Detergents ❑ Non-Phosphorus-containing Detergents
❑ Brighteners ❑ Other Cleaning Agents ❑ Other: NA
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15) Are wastewater treatment facilities planned in the 100-year flood plain?
❑� No ❑ Yes
-f 16) Will your facility build a closed-loop recycle system (CLRSs)that meets design requirements in 15A
1 - NCAC 02T.1000 and hold your facilities'working volume'?
❑ yes El No
If Yes, STOP COMPLETION of this permit. Contact DWR Non-Discharge Permitting Program for permitting
requirements.
17) A wastewater treatment alternatives review is required by 15A NCAC 2H.0105 (c)(2)for any new or
expanding water pollution control facility's discharge in North Carolina. You may attach additional sheets.
a) What wastewaters were considered for this alternatives review? El VE El RM 0 MD
b) Connection to a Municipal or Regional Sewer Collection System:
i) Are there existing sewer lines within a one-mile radius? ❑✓ Yes ® No
(1) If Yes, will the wastewater treatment plant(WWTP) accept the wastewater? ❑✓ Yes ❑ No
(a) If No, please attach a letter documenting that the WWTP will not accept the wastewater.
(b) If Yes, is it feasible to connect to the WWTP? Why or why not?*
See Attachment A(17.b)
c) Surface or Subsurface Disposal System (e.g., spray irrigation):
i) Is a surface or subsurface disposal technologically feasible (possible)? El Yes ❑ No
Why or Why not? See Attachment A
ii) Is a surface or subsurface disposal system feasible to implement?* • Yes ❑ No
Why or Why not? See Attachment A
iii) What is the feasibility of employing a subsurface or surface discharge as compared to a direct
discharge to surface waters?* See Attachment A.
d) Direct Discharge to Surface Waters: Is discharge to surface waters the most environmentally sound
alternative of all reasonably cost-effective options of the wastewaters being considered?* • Yes 0 No
i) If No, contact DEMLR's Land Application Unit to determine permitting requirements.
e) If this review included all wastewater discharge types, would excluding some types (e.g. raw
stockpile wetting) make any of the above non-discharge options feasible? 0 Yes El No
*You may be asked to provide further information to support your answers to these questions after the initial review.
Feasibility should take into account initial and recurring costs.
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Stormwater:
18) Does this facility employ any best management practices for Stormwater control? ❑No p Yes
If yes, please briefly describe: See Attachment A
19) Does this facility have a Stormwater Pollution Prevention Plan? 0 No I]Yes
If yes, when was it implemented? The SPPP will be completely implemented before the commencement of operations.
20)Are vehicle maintenance activities (VMA)occurring or planned at this facility? p No ❑Yes
If yes, does your VMA area discharge into your wastewater treatment device? 0 No ❑Yes
Other/Permitting:
21) Does this facility have a Division of Land Resources Erosion & Sedimentation Control (E&SC) Permit?
❑� No 0 Yes
If yes, list the permit numbers for all current E&SC permits for this facility: NA
22) Is your facility subject to Phase II Post-Construction Area?p No ❑Yes
If yes, who is the permitting authority? NA
23) Is your facility located in one of the 20 Coastal Counties?❑Yes ID No
Is your facility adding more than 10,000 ft2 of built-upon area or CAMA Major Permit?❑ Yes 12 No
24) Is your facility discharging wastewater(treated or untreated) such as water from wetting of aggregate piles, drum
rinse-out, or vehicle and equipment cleaning to a stormwater BMP? 0 No p Yes
If yes, please attach your approval from the permitting authority to do so. See Attachment A
25) Does this facility have any other NPDES permits? ID No ❑Yes
If yes, list the permit numbers for all current NPDES permits for this facility: NA
26) Does this facility have any Non-Discharge permits (ex: recycle permits)?ID No El Yes
If yes, list the permit numbers for all current Non-Discharge permits for this facility: NA
27) 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?
❑✓ No❑Yes
c) Is this facility a Large Quantity Generator(1000 kg. or more of hazardous waste generated per month)of
hazardous waste?
❑✓ No ❑Yes
d) Type(s) of waste:
How is material stored:
Where is material stored:
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How many disposal shipments per year: one
Name of transport/disposal vendor: TBD
Vendor address: TBD
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for$100 made payable to NCDEQ.
i‘irk
--1 ❑ This completed application and all supporting documentation. See Question 10.
— ❑ If an Erosion & Sedimentation Control (E&SC) Plan is required from Division of Land Resources (DLR)or
local designee: documentation verifying applicant has developed and submitted that Plan to the governing
agency (required per 15A NCAC 02H .0138).
II '-1 ❑ Two (2) site plans depicting the site plan with numbered outfalls which indicate stormwater and wastewater
outfalls. See Question 10.
❑ A county map or USGS quad sheet with location of facility clearly marked.
28) 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:
(I) 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),if 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.
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).
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 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: James Higgins
Title: Project Engineer
1 Vi /2°La
(Signat a of Applicant) (Date Signed)
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Notice of Intent must be accompanied by a check or money order for$100.00 made payable to: NCDEQ
Mail the entire package to:
DEMLR-Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DEMLR Regional Office for your area.
DEMLR Regional Office Contact Information:
Asheville Office [phone] • ,f ale
Fayetteville Office [phone] , �R � � g
Mooresville Office [phone] i �!I
Raleigh Office [phone] artPlle
Washington Office ...[phone]
Wilmington Office [phone]
Winston-Salem [phone] F It°, s
Central Office .[phone] +,
FWlI ngton
•
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Attachment A
NCG140000 N.O.I. Additional Information for Questions
McCarthy Improvement Company, Inc.
McCarthy Greensboro Ohenry Blvd. Concrete Batch Plant
3. Physical location information:
The facility is located at the construction site of the Guilford County Greensboro Outer Loop (I-840) on the
northeast side of Greensboro. The site is located on the right-of-way for I-840.
Driving directions to the site from DEQ Regional Office in Winston-Salem,NC:
Get on US-52 S from W Hanes Mill Rd and follow US-52 S,US-421 S and I-40 E to US-220 N/US-29 NUS-70
E/S Ohenry Blvd in Greensboro. Take exit 223 from I-40 E and drive north on Ohenry Blvd approximately 4.4
miles to 16th Street Exit. Take the 16`''Street Exit and turn left on 16th Street. Proceed approximately 0.5 mile to
Summit Avenue and turn right. Follow Summit Avenue north approximately 2.9 miles to Pineneedle Dr.,then
turn right on Pineneedle Dr. Drive about 320 feet SSE on Pineneedle,then turn left onto Assembly Rd and
proceed approximately 0.4 mile. The site is located on the left(north) side of Assembly Rd, approximately 150
feet before the end of Assembly Rd at the cul-de-sac.
8. Description of Industrial Activities
This batch plant will provide concrete for the paving of the Guilford County Greensboro Loop from US 29,North
of Greensboro. The plant will be relocated to this location during the first quarter of 2021. However,the plant
will not begin operating until September 2021. No materials will be inventoried or stockpiled at this location until
shortly before the plant is anticipated to begin operations.
This facility will manufacture concrete, which is transported by dump truck to the area where lanes are being
paved. The primary components of the facility include the production plant, aboveground storage tanks that
contain diesel fuel and concrete admixtures, storage trailers and a silo that contain cement, as well as sand and
aggregate stored in open stockpiles. The manufacturing process requires moving aggregate and sand from
stockpiles to the processing plant using front-end loaders and conveyors. Cement is pneumatically added to the
sand and aggregate and processed in the mixing drum with water. The concrete is then loaded into dump trucks
for delivery to the paving project.
12. Type of Wastewater
A combination of wastewater and stormwater will be discharged from this facility's outfall intermittently during
the approximately 6 months the plant is expected to operate at this site. Wastewater from the truck bed and drum
washout will be comingled with stormwater only when the plant is in operation. On the days the plant is
operating,the wastewater described in Attachment B will be generated.
17. Wastewater Treatment Alternatives Review
(b) This facility will be operated at this site for approximately nine(9)months. Because of the cost involved
and potential delays to the NCDOT project as a result of permitting and construction required to temporarily
direct the wastewater from the identified sources to the sewer system,this option is not considered feasible for the
short period of time the plant will operate at this location.
(c) Surface or Subsurface Disposal Systems
(i) It is technically possible to use the recycled water from the truck bed washout recycling system for
dust suppression. It is also possible to treat and dispose of wastewater from the site through the existing
sediment basins installed for the highway construction.
1

(ii)It is possible to use the recycled water from the truck bed washout recycling system for dust
suppression as well as for re-use in the washout system.
(iii) These methods of surface disposal and re-use are feasible and will be implemented.
18. Best Management Practices(BMP)
This facility is located within the right-of-way for 1-840 and many of the erosion and sediment control BMPs have
been installed by E.S. Wagner,the prime contractor on this project, according to NCDOT approved plans. BMP
at the site include:
(1) All disturbed areas within the plant site will be stabilized with 4 to 6 inches of graded aggregate base(GAB)
or vegetated with permanent vegetation.
(2) Runoff from the entire site flows to a Modified Silt Basin that discharges to a Skimmer Sediment Basin which
discharges to the outfall.
(3) Inlet protection at the Silt Basin and outlet protection from the Skimmer Sediment Basin.
(4) A Temporary Storm Drainage channel located along the northern site boundary which divers all runoff from
the eastern portion of the site, as well as run-on from the highway construction located to the north of the site,
to the silt basin.
(5) Check dams located in the Temporary Storm Drainage channel.
(6) Containment and diversionary berms directing all runoff to the silt basin and skimmer sediment basin.
(7) All parts and maintenance oil, grease,and fluids will be stored in closed containers inside the parts trailer.
Diesel fuel kept on site to fuel material handling equipment will be stored in a 1,000-gallon double-wall steel
tank inside of a portable containment dike.
(8) The double-wall steel diesel storage tank used to store fuel for the generator is located inside the generator
trailer.
(9) Regular inspections of potential sources of pollution are conducted.
24. Discharging wastewater to a BMP
This facility is located within the right-of-way for 1-840 and many of the erosion and sediment control BMPs have
been installed by E.S. Wagner,the prime contractor on this project,according to NCDOT approved plans.
Runoff from the entire site flows to a Modified Silt Basin that discharges to a Skimmer Sediment Basin. The only
outfall,which is designated as Outfall No. 1, is located at the discharge pipe from the skimmer. Discharge from
the Skimmer Basin flows into a culvert installed under a newly constructed onramp to 1-840 into a series of
unnamed tributaries and ultimately flows into North Buffalo Creek. The North Buffalo Creek segment is 16-11-
14-1b, described as from North Buffalo Creek WWTP to Buffalo Creek.
2

Attachment B
NCG140000 N.O.I. Additional Information for Questions
McCarthy Improvement Company, Inc.
McCarthy Greensboro Ohenry Blvd. Concrete Batch Plant
Description of Processes Producing Wastewater
Three processes at this facility will potentially contribute wastewater to the effluent from the outfall.
Wastewater Source 1:
Wastewater Source 1 is the concrete batch plant mixing drum. The drum on the plant will be washed out once per
day,on days the plant is operating. The wastewater produced from each washout is approximately 800 gallons
per day. This wastewater is captured in the upturned bucket of a front end loader and transported to the closest
truck bed washout recycling pit located on the site,where it is discharged from the bucket.
Wastewater Source 2:
Wastewater Source 2 is the truck bed washout used to washout the beds of the dump trucks used to transport the
concrete to the area being paved. The plant anticipates producing a maximum of 180 truckloads per day and the
trucks will be washed out after every second trip. Each washout will use approximately 50 gallons of water. The
anticipated volume of wash water generated will be approximately 4,500 gallons per day. The wash water will be
contained and recycled through a series of three settling pits designed to allow suspended particles to settle out of
the wash water. The dimensions of each pit will be 20 feet by 20 feet by 8 feet deep. The combined holding
capacity of the pits is approximately 200,000 gallons. The water in the third pit will be recycled as wash water or
used for dust suppression on the site. Solids will be removed from each pit when the volume occupied by the
solids equals one half of the designed holding capacity of the pit. The solids are allowed to dry and are properly
disposed of. If wash water is spilled or leaks from the recycling system or the washout area, it would flow to a silt
basin and skimmer sediment basin at the northwest corner of the site,discharge from the skimmer basin flows into
a culvert under the off-ramp under construction for I-840. The discharge flows through several unnamed
tributaries and ultimately discharges to North Buffalo Creek. Fifteen inches of freeboard will be maintained in
the third washout pit at all times to accommodate a 10 year rain event(4.9 inches)over the three ponds.
Wastewater Source 3:
Wastewater Source 3 includes the aggregate stockpiles. The aggregate stockpiles will be wetted using a lawn
sprinkler and hose. The sprinkler will be rotated around each stockpile during the day to cover all parts of each
pile. Wetting the aggregate stockpiles is done to produce evaporative cooling of the stone. The evaporation of
the water during this sprinkling process reduces the volume of water that ultimately flows away from the
stockpiles. Wetting is not used on the sand stockpile. Per DOT specifications,both the aggregate and sand are
washed prior to being delivered to the site,reducing the potential fines in stormwater runoff from the area covered
by the stockpiles. Wetting of the aggregate stockpile will be conducted up to 24 hours per day when the plant is
operating during summer months. The wastewater from the aggregate stockpile will consist of water from the
wetting of the stone and stormwater that falls on the pile. Wastewater from the sand stockpile will consist of only
stormwater that falls on the pile. Stormwater and wastewater from the stockpiles will flow to a silt basin and
skimmer sediment basin at the northwest corner of the site,discharge from the skimmer basin flows into a culvert
under the off-ramp under construction for I-840. The discharge flows through several unnamed tributaries and
ultimately discharges to North Buffalo Creek. . Fifteen inches of freeboard will be maintained in the third
washout pit at all times to accommodate a 10 year rain event(4.9 inches)over the three ponds.

BUSINESS CORPORATION ANNUAL REPORT
10-2017
NAME OF BUSINESS CORPORATION: McCarthy Improvement Company
0626758 ngOffice se my
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: IA
E-Filed Annual Report
0626758
REPORT FOR THE FISCAL YEAR END: 1 2/31/201 9 CA202003001664
1/30/2020 04:30
SECTION A: REGISTERED AGENTS INFORMATION ❑X Changes
1. NAME OF REGISTERED AGENT: Corporation Service Company
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
2626 Glenwood Avenue, 2626 Glenwood Avenue„ Suite 550
Raleigh, NC 27608 Wake County Raleigh, NC 27608
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Construction
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
5401 Victoria Avenue 5401 Victoria Avenue
Davenport, IA 52807-3932 Davenport,IA 52807-3932
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran-owned small business
nThe company is a service-disabled veteran-owned small business
SECTION C:OFFICERS(Enter additional officers in Section E.)
NAME: Sonia Lyn Sundstedt NAME: Joseph D Bush NAME: Scott E Hutter
TITLE: Secretary TITLE: Chief Operating Officer TITLE: President
ADDRESS: ADDRESS: ADDRESS:
5401 VICTORIA AVENUE 5401 VICTORIA AVENUE 5401 Victoria Avenue
DAVENPORT, IA 52807 Davenport, IA 52807 Davenport, IA 52807
SECTION D: CERTIFICATION OF ANNUAL REPORT, Section D must be completed in its entirety by a person/business
entity rnia Lyn Sundstedt 1/30/2020
J SIGNATURE DATE
Form must be signed by an officer listed under Section C of this form.
Sonia Lyn Sundstedt Secretary
Print or Type Name of Officer Print or Type Title of Officer
MAIL TO:Secretary of State, Business Registration Division,Post Office Box 29525,Raleigh,NC 27626-0525

SECTION E: ADDITIONAL OFFICERS
NAME: Mike Daniel NAME: NAME:
TITLE: Chief Financial Officer TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
5401 VICTORIA AVE STE 300
DAVENPORT, IA 52807
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: Name:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
NAME: NAME: NAME:
TITLE: TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:

TERRA
November 19,2020 CONSULTING
Stormwater Permitting Unit Program
Division of Energy,Mineral and Land Resources
1612 Mail Service Center
Raleigh,North Carolina 27699-1612 RECEIVED
RE: Notice of Intent for Permit No.NCG140000 DEC 07 2020
McCarthy Improvement Company
McCarthy Greensboro Ohenry Blvd. Concrete Batch Plant DENR-LAND QUALITY
STORMW'ATER PERMITTING
Stormwater Permitting Unit:
Terra Consulting,LLC is submitting the enclosed Notice of Intent(NOI)for General Permit No.
NCG140000 on behalf of McCarthy Improvement Company for the operation of a concrete batch plant to
be located at the I-840/Ohenry Blvd. Interchange in the City of Greensboro in Guilford County.
No land disturbance permit is required for this site because the plant will be installed within the permitted
area of the NCDOT Guildford County Greensboro Outer Loop project.
The plant will be moved to this location from its former location at the Elm Street/I-840 interchange in
Greensboro during the first quarter of 2021. However,the plant will not begin operating until September
2021. No materials will be inventoried or stockpiled at this location until shortly before the plant is
anticipated to begin operations.
The following items are enclosed:
• Notice of Intent form plus attachments to provide space to adequately answer questions;
• A check for the$100.00 application fee;
• North Carolina Secretary of State Certificate of Authorization;
• Attachment A—Additional Information for Questions;
• Attachment B—Description of Processes Producing Wastewater; and
• 2 copies of the Site Plan, including an inset USGS topographic map showing the site location.
If you require additional information please contact me at [e-mail] or 770-573-3055
or James Higgins of McCarthy Improvement at(563)449-6779 or [e-mail].
Sincerely,
e kU
'ainotVer --
acki Congleton
Senior Project Manager
Enclosure
cc: James Higgins, McCarthy Improvement Company, Inc.
P.O. Box 1738 • Carrollton, GA 30112 • Office: 770-573-3055 • www.terraconsultingllc.com