NCG520036_Permit (Issuance)_20071211

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Joel J. Greene
Carl Rose & Sons, Inc.
217 Asphalt Trl
Elkin, NC
Dear Permittee:
28621
December 11, 2007
Subject: Renewal of coverage / General Permit NCG520000
Hwy 67 Sand Dredge
Certificate of Coverage NCG520036
Yadkin County
In accordance with your renewal application [received on January 29, 2007], the Division is renewing
Certificate of Coverage (CoC) NCG520036 to discharge under 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].
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 Winston-Salem 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.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Bob
Guerra [919 733-5083, extension 539 or [e-mail]] or Susan Wilson [919 733-5083, extension
510 or [e-mail]].
Sincerely,
w-�
for Coleen H. Sullins
cc: Central Files
Winston-Salem Regional Office / Surface Water Protection
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org
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NorthCarolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG520000
CERTIFICATE OF COVERAGE NCG520036
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,
Carl Rose & Sons, Inc.
is hereby authorized to discharge instream mining wastewater from the following facility:
Hwy 67 Sand Dredge
NC Hwy 67 E
Jonesville
Yadkin County
to receiving waters designated as the Yadkin River, a class C stream in subbasin 03-07-02 of the
Yadkin -Pee Dee River Basin. All discharges shall be 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 December 11, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 11, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

1) Mailing address* of owner/operator:
ATA
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NA-URAL RESOURCES
Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG520000
NOTICE OF RENEWAL INTENT — Certificate of Coverage ptG520036-^ryn�i
(Correct items 1 and 2 as necessary. Please print or type answers to the other questions.)
I
J
1._., ��•.•.._
Company Name Carl Rose and Sons Ready Mix Concrete r?:=:ram w :,; Eq QUALITY
Pe;:'47 LSOlr<•2CE BRANCH
Owner Name Dexter Lee Rose
Address P.O. Box 38
Jonesville, NC 28642
Telephone No. 336 8 3 5- 4 91 5 Fax: [phone]
e-mail address
AN292(Tl
* Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name Carl Rose And Sons - Hwy 67 Sand Dredge
Facility Contact
Street Address
City State ZIP Code
County Yadkin
Telephone No. Fax:
3) Description of Discharge:
a) Is the discharge directly to the receiving water? 0 Yes ,No
b) Number of dischrge points (ditches, pipes, channels, etc. that convey wastewater from the
property):
c) Is there any treatment being applied to the wastewater before discharge (check the type of
treatment in use).
0 Settling pond Lagoon ❑None
❑Other:
4) Discharge Frequency:
a) The discharge is:XContinuous 0 Intermittent 0 Seasonal
i) If the discharge is intermittent, describe when the discharge will occur:
ii) If seasonal check the month(s) the discharge occurs: 0 Jan. 0 Feb. 0 Mar. 0 Apr. 0 May
❑ Jun. 0 Jul. 0 Aug. 0 Sept. 0 Oct. 0 Nov. 0 Dec.
Page 1 of 2

NCG520000 renewal form
b) How many days per week is there a discharge?
c) Please check the days discharge occurs:
Saturday AI Sunday AI Monday t Tuesday ,q Wednesday l'Thursday-t Friday
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: Vice —President
Terry Rose
1 —2—
6 0 7
(Signature of App ' t) (Date Signed)
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 Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed
$25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine
of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
Mail this COMPLETED form to:
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 2 of 2