NCG520092_Owner (Name Change)_20160913

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Govemor
Mr. Jason Deck
Ameri-Con Materials Inc.
5875 Coxe Road
Rutherfordton, NC 28139
Dear Mr. Deck:
Donald R. van der Vaart
Secretary
September 13, 2016
Subject: Issuance of Certificate of Coverage NCG520092
NPDES General Permit NCG520000
Upper Broad Pit
Rutherford County
The Division has reviewed and approved your request for coverage under the subject General Permit.
The Division hereby issues Certificate of Coverage (CoC) NCG520092 to discharge under wastewater
General Permit NCG520000. This CoC is issued pursuant to the requirements of North Carolina General
Statue 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 note that the General Permit is in the process of being renewed. The Division is awaiting final
comments from the U.S. EPA before issuing the renewed version of NCG520000. The copy of NCG520000
attached to this message is the currently active version, which will soon be replaced by the renewed permit.
We expect no major changes in permit requirements from the existing version to the renewal. The lack of
planned changes, plus the Town's desire to begin dredging by September 1st, is why we are sending you the
attached permit. You will be forwarded a copy of the new permit as soon as it is approved by the EPA.
If any parts, measurement frequencies or sampling requirements contained in this General 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, the 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.
The Division may require modification or revocation and reissuance of the certificate of coverage. Contact
the Asheville Regional Office prior to any sale or transfer of the permitted facility. Regional
Office staff will assist you in documenting the transfer of this CoC.
If you have any questions concerning the requirements of the General Permit, please contact
Brianna Young of the NPDES Unit at [phone] or via e-mail [[e-mail]].
cc: Asheville Regional Office / Jeff Menzel
2
S. Jay Zimmerman, Dit ctor
Division of Water Resources
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / www.ncwaterquality.org
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 RESOURCES •
GENERAL PERMIT NCG520000
CERTIFICATE OF COVERAGE NCG520092
DISCHARGE OF INSTREAM MINING WASTEWATER, ASSOCIATED STORMWATER AND
SIMILAR DISCHARGES 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, the
Ameri-Con Materials Inc.
is hereby authorized to discharge sand dredging wastewater from the following facility:
Upper Broad Pit
Lyles Pond Road
Rutherfordton
Polk County
to receiving waters designated as Broad River, currently classified as C waters in subbasin
03-08-02 of the Broad River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective September 13, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 13, 2016.
for ..Jay Zimmerman, Direc r
/Division of Water Resources
By Authority of the Environmental Management Commission

Pat McCrory
Govemor
A7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
WATER QUALITY PERMITTING SECTION
John E. Skvarla, III
Secretary
PERMIT NAME/OWNERSHIP CHANGE REQUEST
This form is for ownership changes or name changes of NPDES wastewater permits.
• "Permittee" references the existing permit holder
• "Applicant" references the entity applying for the ownershiptname change.
I. NPDES Permit No. (for which the change is requested):
or
Certificate of Coverage #:
II. Existing Permittee Information:
a. Permit issued to (company name):
b. Person legally responsible for permit:
c. Facility name:
d. Facility's physical address:
e. Facility contact person:
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III. Applicant Information:
a. Request for change is a result of: [✓/Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
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Page 1 of 2
Revised 7/01/2014

d. Facility name:
e. Facility's physical address:
f. Facility contact person:
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1V. Will t permitted facility continue to conduct the same commercial/industrial activities conducted prior to
thi wnership or name change?
Yes
❑ No (please explain)
If applicable, the applicant shall submit a major permit modification request to DWR. A major modification shall be
defined as one that increases the volume, increases the pollutant load, results in a significant relocation of the
discharge point, or results in a change in the characteristics of the waste generated.
V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE
INCOMPLETE OR MISSING:
1. This completed application is required for both name change and/or ownership change requests(Y%D f PQPts� D
2. 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 change request. Articles of incorporation are not sufficient for an ownership change.
Applicable regulations: 40 CFR 122.41, 40 CFR 122.61 and 15A NCAC 02H .0114
The certifications below must be completed and signed by both the permit holder prior to the change (Permittee), 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 holder prior to ownership change):
I, 1� /4, 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.
'7-6— /6
Signature Date
APPLICANT CERTIFICATION
attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best
o, y knowledge. I understand that if all required parts of this application are not completed and that if all required
supporting information is not inc)ix ed, this application package will be returned as incomplete.
g— -
Signature Date
**************************
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
NPDES PERMIT NAME/OWNERSHIP CHANGE REQUEST
Page 2 of 2 Revised 7/01/2014