NCG520119_Permit (Issuance)_20170519

IhriZ
Water Resources
ENVIRONMENTAL OUALITY
May 19, 2017
Mr. Jason C. Deck
Ameri-Con Materials, Inc.
5875 Coxe Rd
Rutherfordton, NC 28139
ROY COOPER
iolvrnor
MICHAEL S. REGAN
s,crew,1'
S. JAY ZIMMERMAN
Subject: Issuance of Certificate of Coverage NCG520119
NPDES General Permit NCG520000
Hines Road Pit
Rutherford County
Dear Mr. Deck:
1 Lrrr !nr
The Division has reviewed and approved your request for coverage under the subject General Permit.
The Division hereby issues Certificate of Coverage (CoC) NCG520119 to discharge under wastewater
General Permit NCG520000. This CoC replaces NCG520095, and 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].
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
Charles Weaver of the NPDES Unit at [phone] or via e-mail [[e-mail]].
Sincerely,
S. Jay Zimmerman, Director
Division of Water Resources
cc: Asheville Regional Office
NPDES Unit
evo7
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG520000
CERTIFICATE OF COVERAGE NCG520119
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,
Ameri-Con Matreials, Inc.
is hereby authorized to discharge sand dredging wastewater from the following facility:
Hines Road Pit
505 Hines Rd
Mooresboro
Rutherford County
to receiving waters designated as the 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 May 19, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 19, 2017
for S. Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission

ROY COOPER
f' Goren,or
MICHAEL S. REGAN
Sec, etin,
S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
January 31, 2017
Mr. Jacson C. Deck, President
5875 Coxe Road
Rutherfordton, NC 28139
Subject: Permit Application
Permit#: NCG520119
Hines Road Pit
Dear Mr. Deck:
The Division of Water Resources received your application for coverage under
NCG520000, (Check #3450 in the amount of $60.00) on January 30, 2017. The application has
been assigned number NCG520119, and has been given to Charles Weaver for review.
Water Resources
Drrector,
The reviewer will perform a detailed review and contact you with a request for additional
information if necessary. To ensure the maximum efficiency in processing permit applications, the
division requests your assistant in providing a timely and complete response to any additional
information requested.
Please refer to the above application number when making inquiries on this project. If you
have any questions, please contact Mr. Weaver at 919-807-6391, or via e-mail at
[e-mail].
cc: Asheville Regional Office
Permit File NCG520119
Sincerely,
WreArti i It o(foro,
Wren Thedford
Wastewater Branch
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

Water Resources
LNVIRONMLNr AL OUALITY
September 14, 2016
Mr. Jason C. Deck
Ameri-Con Materials, Inc.
5875 Coxe Rd
Rutherfordton, N.C. 28139
PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
Subject: NPDES ownership change return
Hines Rd Pit
Return #2306
Dear Mr. Deck:
The Division is returning your request to transfer ownership of Certificate of Coverage (CoC) NCG520095
for the subject facility. NCG520095 was made Inactive by the Division in 2010. We cannot transfer
ownership of an Inactive permit / CoC.
I have enclosed the application for coverage under NCG520000, should you wish to apply for a new CoC for
this discharge. Applicants for new NPDES discharge permits must submit the following documents, at
minimum. NOTE: For all documents, the applicant must submit one original and one additional copy.
1. A completed application form [attached]. This is required by 40 CFR 122.21, NCGS 143-215.1, and
15A NCAC 02H.0105.
2. Application fee of $100.00. Make checks payable to NC DEQ. Application fees are non-refundable
[15A NCAC 02H.0105 (b)].
3. A topographical map of the discharge location
4. A schematic of the permitted site, showing all proposed wastewater discharges and their path[s] to
the receiving stream.
I strongly urge you to contact the NC DEQ Asheville Regional Office prior to submitting an application
package. Local environmental issues and/or compliance concerns are best discussed with Regional Office
personnel prior to any application submittal.
If you have any questions about the NPDES permit process, contact me at the telephone number listed
below, or via email [[e-mail]].
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
cc: Asheville Regional Office / Linda Wiggs
NPDES Files
State of North Carolina ( Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6391 919-807-6389 FAX
https://deq. nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

Pat McCrory
Governor
AVA
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 ownership/name 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:
NCO()
NCGSa►c (ci
First
MI Last
Co'P6-/V>' o?f35iz762
Title
aD L? 4420
Co/he ot4T
OF S I NE—ss
c. Facility name:
d. Facility's physical address:
e. Facility contact person:
Permit Holder Mailing Address
ty
State Zip
PhonHFax
u/F� R� pz %
SOS— f AZ/✓/3S /Qt)
yhaooZS8020
City
First / MI / Last
Address
cU I
State Zip
)
III. Applicant Information:
a. Request for change is a result of: [Tht'hange in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
Phone
b. Permit issued to (company name):
c. Person legally responsible for permit:
I IItz - Gon& M'-7� e5 7 4)
0',4S olo
First MI Last
azS
Title
.s-$7Sv eoka-
Permit Holder Mailing Address
2LA714/52Po/46 To A) fv 06/39
City State Zip
(tab — �( 3-- OVC/V Addy. ` cc 'otQyakar), cool
Phone E-mail Addrsti3'
Page l of 2 Revised 7/01/2014

d. Facility name:
e. Facility's physical address:
f. Facility contact person:
LowxrL
3z',ij Z T
l)i oo/Ls 3oeo
City
TI -6o rJ
First
Address
State
MI
0.2711
Zip
�r�C1L
Last
Title
(8 86 3 • o cjcf V ado I ' ad 37 ytt) 0o• 00A,
Phone E-mail Addres�
IV. Will the 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 request .
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.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, , 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.
C14-AMfkN S+kNlI Co (ComPIANY ou? of RKsznkas)
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 j y knowledge. I understand that if a - quired parts of this application are not completed and that if all required
su . • orting information is not include application package will be returned as incomplete.
/‘
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

NC Division of Water Resources
National Pollutant Discharge Elimination System (NPDES)
Application for Coverage Under General Permit
NCG520000
Sand Dredging operations and similar point source discharges
NOTICE OF INTENT
[Required by 15A NCAC 02H .0127(d)]; [term definition see 15A NCAC 02H .0103(19)]
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
aolh
e 1
3CD
Certificate of Coverage
NC G
5
2 0
1 1,
9
Check r
Amount
Assigned To: C,vmte,> (i
(.-'
(Please print or type)
1) Mailing address of owner/operator: (address to which all correspondence should be mailed)
rnerL - (o {..\ mo`-*er; a\S
Company Name
Owner Name
Street Address
City
Telephone #
Email
�ec\c.
C.o' \Q\.
kA State N C ZIP a \ 3c\
�LZ ? 3 "C1�[ -t -1 Fax # , 8(03 (DLrq
1`
2) Location of facility producing discharge:
NA. P-A-
Facility Name
Facility Contact
Street Address
City
County
Telephone #
r
Pnoc)resbo�
- 863 0 4LV�
State 'NC ZIP a 6 1 1 L)
Fax # Pd.P—cgb 3 - 0 v
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).
F/201►1 Lf S i'' 8‘,1ASS f24M al-SIM✓24LE T61/144,J atv d.2/ S EO IFfX2._7S
17 �azr Ls ekoosS 3/ ')-11 Rivh i2 E Z2 E •T13/d- L61=7 oN /¢z/hI S
(Ay of5/oti��ssnty p or U~CGS ad sheewith city clearly located on the map is required to be submitted with this applation)
4) This NPDES permit application applies to which of the following :
X New [term definition see 15A NCAC 02H .0103(161] or Propo:.ed
O Modification
Please describe the modification:
❑ Renewal
Please specify existing permit number and original issue date:
5) Does this facility have any other NPDES permits [term definition see 15A NCAC 02H .0103(15)1?
1>ANo
O Yes - If yes, list the permit numbers for all current NPDES permits for this facility:
Page 1 of 4 Revised 9/14/2016

NCG520000 New Application
6) Description of Discharge: [Required by 15A NCAC 02H .0105(c)(1)]
• a) Is the'discharge directly to the receiving water? ❑ Yes IXNo - If no, submit a site map with thepathway to
the potential receiving waters clearly marked. This includes tracing the pathway of the storm sewer to the
discharge point, if the storm sewer is the only viable means of discharge.
b) Number of discharge points (ditches, pipes, channels, etc. that convey wastewater from the property): 1
c) Volume of discharge per each discharge point (in GPD): #1: #2: #3: #4
d) Please describe the type of process the sand dredging wastewater is being discharged from, be specific:
(,t1!}STD w}?z.?E_b -m A- SF_ rTUB ZA>6 /?o'er
i o S»76/2Z4-L BEN 7SSG'/ 266 z-NTo 7ZI4
e) Is there any treatment being applied to the wastewater before discharge (check the type of treatment in use).RZ Edz..
Settling pond
❑ Lagoon
0 None
❑ Other:
f) How much of the volume discharged is treated (state in percent)?
g)
8'070
If any box in item (e) above, other than none, was checked, please include design specific (i.e., design
volume, retention time, surface area, etc.) with submittal package. Existing treatment facilities should be
described in detail. Design criteria and/ operational data (including calculations) should be provided to
ensure that the facility can comply with the requirements of theGeneral Permit, as required by 15A NCAC
02H .0127.
The treatment shall be sufficient to meet with the limits set by the general permits. The trapping efficiency
should be greater than 75%. The surface area should be as large as possible to insure sedimentation occurs.
To secure optimum efficiency the flow length of the basin to the basin width should have a ratio of 2:1
Note: Construction of any wastewater treatment facilities requires submission of three (3) sets of plans and
specifications along with the application. Design of treatment facilities must comply with requirements of
15A NCAC 02H .0138. If construction applies to this discharge, include the three sets of plans and
specifications with this application.
7) Discharge Frequency: [Required by 15A NCAC 02H .0105(c)(1)]
a) The discharge is: 0 Continuous j$ Intermittent 0 Seasonal
i) If the discharge is intermittent, describe when the discharge will occur: bzseF4-4126a wZC-C-
pCceN? W HzLi a - 3 ASS -PG-2 (A)E--E
ii) If seasonal check the month(s) the discharge occurs: 0 Jan. ❑ Feb. 0 Mar. 0 Apr. ❑ May 0 Jun.
0 Jul. 0 Aug. 0 Sept. 0 Oct. 0 Nov. 0 Dec.
b) How many days per week is there a discharge? a - 3 1IHS
c) Please check the days discharge occurs: 0 Sat. 0 Sun. 0 Mon. 0 Tue. 0 Wed. 0 Thu. 0 Fri.
P-RY) Mons — FA.z
8) Receiving waters: [Required by 15A NCAC 02H .0105(c)(1)]
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility wastewater
discharges end up in? If the site wastewater discharges to a separate storm sewer system (4S), name the
operator of the 4S (e.g. City of Raleigh). O NI�
b) Stream Classification: -2R0/j T Vlrf�
Page 2 of 4 Revised 9/14/2016

NCG520000 New Application
9) Alternatives to Direct Discharge:
[Evaluation required by G.S. & 143-215.1(b)(5)(a) and 15A NCAC 02H .0105(c)(2)]
Address the feasibility of implementing each of the following nondischarge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that a
subsurface system is neither feasible nor practical as well as written confirmation indicating that connection to a
POTW is not an option. It should also include a present value of costs analysis as outlined in the Division's
"Engineering Alternatives Analysis (EAA) Guidance Document".
Additional Application Requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be returned as incomplete. Per 15A NCAC 02H .0105(c)
a) 7.5 minute series USGS topographic map (or a photocopied portion thereof) with discharge
location clearly indicated.
b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
c) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (Or firm) submitting the application
has been designated an authorized Representative of the applicant; per 15A NCAC 02H
.0138(b)(1).
d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a
North Carolina registered Professional Engineer and stamped -"Final Design -Not released for
construction;" per 15A NCAC 02H .0139.
e) Final specifications for all major treatment components (if applicable). The specifications must
be signed and sealed by a North Carolina registered Professional Engineer and shall include a
narrative description of the treatment system to be constructed; per 15A NCAC 02H .0139.
Page 3 of 4 Revised 9/14/2016

NCG520000 New Application
CERTIFICATION
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 Iie of Person Signing:
Title:
(Please review 15A NCAC 02H .0106(e) for authorized signing officials)
(Signature of Applicant) (Date Signed)
North Carolina General Statute § 143-215.6B 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 monitoringdevice
or method required to be operated or maintained under this Article or rules of the 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). 18 U.S.C. Section 1001 provides a punishment by a fine or imprisonment not more than 5 years, or both,
for a similar offense.
This application must be accompanied by a check or money order for $100.00 [per G.S. & 143-
215.3(a)(lb)J made payable to:
NCDEQ
♦♦♦♦♦
Mail this application and one copy of the entire package (with check) to:
NC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attn: Charles Weaver
Final Checklist
This application will be returned as incomplete, as allowed by 15A NCAC 02H .0107(b). unless all of the
following items have been included:
❑ Complete application with all supporting documents (plus one copy of entire package)
Check or money order for $100.00, payable to NCDENR
3 copies of county map or USGS quad sheet with location of facility clearly marked on map,
❑ 3 sets of plans and specifications signed and sealed by a North Carolina P.E.
Thorough responses to items 1-10 on this application
U Alternatives analysis including present value of costs for all alternatives
Note: The submission of this document does not guarantee the issuance of an NPDES permit,
Page 4 of 4 Revised 9/1'4/2016

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