NCG520024_Owner (Name Change)_20060502

May 2, 2006
R. Greg Raby
Mountain Sand
P.O. Box 1803
Franklin, North Carolina 28744
Dear Mr. Raby:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject NPDES General Permit NCG520000
Certificate of Coverage NCG520024
Mountain Sand
Formerly EddieEvans/Ray Kirkland Sand
Macon County
Division personnel have reviewed and approved your request to transfer coverage under the General Permit,
received on April 21, 2006.
Please find enclosed the revised Certificate of Coverage, a copy of General Wastewater Discharge Permit
NCG520000, and a copy of a Technical Bulletin for General Wastewater Discharge Permit NCG520000. The terms
and conditions contained in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency.
If you have any questions, please contact the NPDES Permitting Unit at [phone], extension 520.
cc DWQ Central Files
Asheville Regional Office, Water Quality Section
NPDES Unit File
Sincerely,
Ot,b
re --Alan W. Klimek, P.E.
No ` Carolina
�tura!!
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 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. NCG52000024
TO DISCHARGE SAND DREDGING WASTEWATER AND SIMILAR WASTEWATERS UNDER THE
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,
MOUNTAIN SAND
is hereby authorized to operate a
SAND DREDGING
treatment system consisting of a sediment basin and discharge channel with the discharge of treated wastewater or
similar wastewater from a facility located at
MOUNTAIN SAND
WELLS GROVE ROAD
FRANKLIN
MACON-COUNTY
to receiving waters designated as the Little Tennessee River, a class C water, in the Little Tennessee River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV
of General Permit No. NCG520000 as attached.
This certificate of coverage shall become effective May 2, 2006.
This Certificate of Coverage shall remain in effect for the du%ation of the General Permit.
Signed this day May 2, 2006.
Aia„
for an W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
• Division of Water Quality
SURFACE WATER PROTECTION SECTION
PERMIT NAME/OWNERSHIP CHANGE FORM
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N
C
II. Permit status prior to status change.
a. Permit issued to (company name):
nsible for permit:
DENR - WATER QUALITY
POINT SOURCE BRANCH
c. Facility name (discharge):
d. Facility address:
e. Facility contact person:
N
G
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2
0
0
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first / 1 / Last
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Title
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City State Zip
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Phone
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Fax
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City
First / MI / Last
Address
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State Zip
( )
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
Air Name change of the facility or owner
If other please explain:
b. Permit issued to (company name): •
c. Person legally responsible for permit:
n- ' [ 11 VI N.
1•1
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MAY - 8 2006
d. Facility name (discharge):
e. Facility address: �- r_�•g-.,•..•.
f. Facility contact person:
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f?.. Qa.bs/
Fir . MI 1 Last
Owner'
(/ra85r3Ya YG7rY
Phone n) I
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Title
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Permit Holder ailing Address
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City State Zip
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Address
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City State Zip
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rst / MI / Last
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Phone -mgerAddress
Revised 7/2005

PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information: (if
Permit contact:
Pho
V. Will the permitted facility contin
this ownership or name change?
Yes
❑ No (please explain)
VI. Required Items: THISAPPLICATJ
INCOMPLETE OR MISSING:
❑ This completed application is requii
&. Legal documentation of the transfer
of sale) is required for an ownershii
an ownership change.
Gee
n. the permit)
Zip
conducted prior to
D IF ITEMS ARE
:hange requests.
:ontract deed, or a bill
i are not sufficient for
The certifications below must be completed and signeu-oyvarn -me permit natter prior fo"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.
PERNIITTEE CERTIFICATION (Permit holderpriorto ownership change):
j2Lz�ac,
I, C%t' s //? ? /(. t" (CI t rt d , attest that this application for a name/ownership
change has been revielked an 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.
signawro �/ Date
APPLICANT CERTIFICATION:
If. 6T fj . h>f , attest that this application for a name/ownership
change has been re "awed andfis 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 pa ka w' be returned as incomplete.
Signature
3.-
PLEASE SEND Mt COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service. Center
Raleigh, North Carolina 27699-1617
Revised 7/2005