NCG020204_Supplemental Info Review (Dormant Status N/A)_20221215

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 12/15/2022 11:16:08 AM (Supplemental Submittal)
Submit by Georgoulias, Bethany A 1/4/2023 3:36:58 PM (Supplemental Info Submittal)
IN Monitoring suspensions added to all outfalls in BIMS (effective 7/1/2021) on 1/4/2023.
• DeBerry, Margie V reassigned the task to Georgoulias, Bethany A 12/15/2022 12:20 PM
• The task was assigned to DeBerry, Margie V 12/15/2022 11:16 AM

Submittal from 12/15/2022
Permit Information:
Please provide specific hermit details below.
What Type of Permit? Choose one:
*
• NPDES Industrial or MS4 Permit
State Stormwater (Post -Construction) Permit
Other
Permit Number*
NCG020204
Begins with "SW", "NCG", or "NCS'
What DEQ Office is
Reviewer: Please correct if misidentified, close this review form, and reassign task to the appropriate contact.
the Primary Contact?
e Central Office
*
Washington Regional Office (Attn: Carl Dunn)
Wilmington Regional Office (Attn: Christine Hall)
Facility Name* Hanson Aggregates - Lexington Quarry
For NPDES permits
Owner/Operator* Hanson Aggregates Southeast LLC
County: Davidson
Submitter Name: * Jack Garvey
Who is submitting this information?
E-mail Address:* [e-mail]
Phone Number* 3366697565
Additional E-mail for [e-mail]
Submittal (Optional)
Confirmation:
NPDES Permit Information Uploads
Choose file type and upload attachment (Reviewer may remove unnecessary submittals)
File Type* Dormant Status Recertification
File Upload Click the upload button, or drag and drop files to attach
Lexington 2021 Dormant Status Request Form.pdf
58.96KB
Lexington 2021 Dormant Status Request.pdf
244.46KB
Lexington 2022 DS Certification Form.pdf
62.79KB
Lexington 2021 Dormant Status Sub-Request.pdf
88.69KB
Only PDF files are accepted.

Uploads contain NO
Confidential YES
Information* NOTE: The following information cannot be claimed as confidential: the name and address of any permit applicant
or permittee, permit applications, permits, effluent data, information required by NPDES application forms provided
by the Director inclusive of all forms and attachments [Ref. 40 CFR 122.7(b) and (c)].
Notes about the attachments:
Lexington 2022 annual dormant status certification form, 2021 dormant status request receipt, 2021 dormant status
certification form, and 2021 dormant status request submittal
* By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this Supplemental Information form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act')
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the Supplemental Information Upload form.
Full Name:* Jack Garvey
Signature:
Date Submitted: 12/15/2022

Initial Review
Verify Permit No.* IMPORTANT. REVIEWER SHOULD VERIFY and revise here if necessary.
NCG020204
Who needs a Copy?* Reviewer selections will only be required for offices checked here.
Central Office Staff
Regional Office Stormwater Contact
State Stormwater RO Staff
No Copy Needed
Review Date* 01/04/2023