NCG140527_Application_20230526

Chalam Pakala Engineering and Environmental Solutions
-10017-Allyson Park-Dr.,-Charlotte;NC72S277—T-eWA4}336-745-1,Pax- [phone]— ` ,
April28, 2023 RECEIVE®
Ms.Brittany Cook, MAY 4 B 2023
General Industrial Stormwater Permit Coordinator DEW-Stormwater Program
NC DEMLR-Stormwater Pennitting Unit
1612 Mail Service Center
Raleigh,North Carolina 27699-1612
919 707 3641 office
Brittany.Cook(a)ncdenr.gov
Re: NPDES Stormwater General Permit(NCG140000)Approval Request
Concrete Supply Co
3175 W.Oak Street
Selma,Johnston County,NC 27576
CPEES Proiect No. 1129-001
Dear Mrs. Cook:
On behalf of Concrete Supply Co(CS) located at 3175 W. Oak St., Selma,Johnston County,North
Carolina,CP Engineering and Environmental Solutions(CPEES)is pleased to submit the attached
Stormwater NPDES General Permit(NCG140000)request for the subject facility operations. The facility
is a concrete dry truck mix plant. The operations are conducted under SIC/NAICS Code 3273/327320,
"Ready Mixed Concrete Manufacturing". We intend to discharge Stormwater from the yard,wash
pits, mixing drum washing and wetting raw stockpiles to the outfall. The outfall location with
lat/long is provided on the Site Drainage Map.
The Stormwater NPDES General Permit Application package includes:
• A check for$100 Payable to NC DEQ:
• A signed NC DELMR supplied NCG140000 NOI application;
• Copy of most recent Annual Report to the NC Secretary of State
• USGS TOPO Map;
• Site Drainage Map showing the location of the outfall from the facility;
• County GIS Map;and
• TMDL and 303(d)Maps.
Please call me at 704-756-7451 or Mr.Johnie Alexander at 704-309-8738 should you have any questions
on this permit application request.
Respectfully submitted,
CP Engineering and Environmental Solutions CARll�i�
(A Cost Effective Solution Provider or Manufacturing) 0
acturin �� �N'• �
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Chalarn V.
Managing Principal paP'E /'�'144M il.PP \\\ 04/28/2023
Attachment: NPDES NCG140000 Application Package
#ea

FOR AGENCY USE ONLY
NCG14.Q_2, 1
Assigned to: S. 1
ARO FRO MRO R WARD WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG140000 Notice of Intent
This General Permit covers STORMWA TER AND/OR WASTEWATER DISCHARGES associated with activities under
SIC(Standard Industrial Classification)Code 3273[Ready Mix Concrete]and like activities. You can find
information on the DEMLR Stormwater Program at deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original,signed application with all required
items listed in Item (8)below to: NCDEMLR Stormwater Program,1612 MSC,Raleigh, INC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator(to whom all permit correspondence will be mailed):
Name of legal organizational entity: Legally responsible person as signed in Item(9)below:
CONCRETE SUPPLY CO JOHNIE ALEXANDER
Street address: City: State: Zip Code:
3823 RALEIGH STREET CHARLOTTE NC 8206
Telephone number: Email address:
704-309-8738 [e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑Municipal ❑State
Non-government
12 Business(If ownership is business,a copy of NCSOS report must be included with this application)
❑Individual
2. Industrial Facility(facility being permitted):
Facility name: Facility environmental contact:
CONCRETE SUPPLY-SELMA JOHNIE ALEXANDER
Street address: City: State: Zip Code:
3175 W. OAK ST. SELMA NC 27576
Parcel Identification Number(PIN): County:
14054039E JOHNSTON
Telephone number: Email address:
704-309-8738 [e-mail]
4-digit SIC code: Facility is: Date operation is to begin or began:
3273 13 New ❑ Proposed ❑ Existing APRIL,2023
Latitude of entrance: Longitude of entrance:
35933'12.1"N 78°18'56.82"W
Brief description of the types of industrial activities and products manufactured at this facility:
CONCRETE DRY TRUCK MIX PLANT
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
13 N/A
Page 1 of 7

This facility uses:
❑ Phosphorus-containing detergents
9 Non-Phosphorus-containing detergents
❑ Brighteners
❑Other Cleaning Agents
❑Other:
This facility has a closed-loop recycle system that meets design requirements in 15A NCAC 02T. 1000 and hold the facilities
working volume
❑Yes—stop completion of this N01.Contact DWR Non-Discharge Permitting Program for permitting requirements
2 No
3. Consultant(if applicable):
Name of consultant: Consulting firm:
CHALAM PAKALA CP ENGINEERING AND ENVIRONMENTAL SOLUTION
Street address: City: State: Zip code:
10017 ALLYSON PARK DR. CHARLOTTE NC 28277
Telephone number: Email address:
704-756-7451 CVPAKALAQCAROLINA.RR.COM
4. Outfall(s) (at least one outfall is required to be eligible for coverage):
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
OUTFALL-01 NEUSE RIVER WS-IV,NSW 9 This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater Only ❑ Wastewater Only 13 Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HOW,ORW,Tr,WS-1,WS-11,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑Only during a rainfall event 17� Intermittently(indicate haw often) ❑ Continuously(indicate flow in CFS)
ONCE A MONTH
Latitude of outfall: Longitude of outfall:
35033'11.78"N 78°19'1.06"W
Brief description of the industrial activities that drain to this outfall:
STORMWATR FROM THE YARD,WASH PITS WATER AND WATER FROM STONE COOLING
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑Yes 13 No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater Only ❑ Wastewater Only ❑Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HOW,ORW,Tr,WS-I,WS-11,WS-111,SA,or PNA):
Discharge occurs from this outfall:
❑Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 2 of 7

3-4 di it identifier: Name of receiving water: Classification: _ ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater Only ❑Wastewater Only ❑Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HOW,ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: El water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater Only ❑Wastewater Only ❑Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HOW,ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required.Additional outfalls may be added in the section
"Additional Clutfalls"found on the last page of this NOI.
S. Wastewater
Types of Wastewater facility will generate or discharge
Vehicle&equipment cleaning(VIE) [3 Generate 13 Discharge ❑ Sent to WW Treatment System
Wetting of raw material stockpiles(RM) 0 Generate 0 Discharge ❑ Sent to WW Treatment System
Mixing drum cleaning(MD) D Generate 0 Discharge ❑ Sent to WW Treatment System
Facility will spray-down or actively wet aggregate piles
13 Yes
❑ No
Page 3 of 7

6. Wastewater treatment alternatives_
What wastewaters were considered for this alternatives review: ❑ VE ❑ RM ❑ MD
Are there existing sewer lines with a one mile radius: ❑ Yes 1� No
If Yes:
❑ The wastewater treatment plant will accept the wastewater. It is feasible to connect. Explain:
❑ The wastewater treatment plant will accept the wastewater. It is not feasible to connect. Explain:
13 The wastewater treatment plant will not accept the wastewater(attach a letter documenting)
❑ Surface or subsurface disposal is technologically feasible
Surface or subsurface disposal is not technologically feasible
Explain:
❑ Surface or subsurface disposal system is feasible to implement
E3 Surface or subsurface disposal system is not feasible to implement
Explain: QUANTITIES ARE TOO MUCH TO DISPOSE OF TO SUBSURFACE
What is the feasibility of employing a subsurface or surface discharge as compared to a direct discharge to
surface waters?Explain:
QUANTITIES ARE TOO MUCH TO DISPOSE OF TO SUBSURFACE
Discharge to surface waters is the most environmentally sound alternative of all reasonably cost-effective
options of the wastewaters being considered:
12 Yes
❑ No—contact DEMLR's Land Application Unit to determine permitting requirements
If this review included all wastewater discharge types,would excluding some types make of the above non-
discharge options feasible?
lil Yes
❑ No
7. Other Facility Conditions(check all that apply and explain accordingly):
0 This facility has a DMLR Erosion&Sedimentation Control Permit.
If checked,list the permit numbers for all current E&SC permits for this facility:
NCC221929
❑This facility has a Division of Waste Management permit.
If checked,list the permit numbers for all current DWM permits for this facility:
❑This facility has other NPDES permits.
If checked,list the permit numbers for all current NPDES permits:
❑This facility has Non-Discharge permits(e.g.recycle permit).
If checked,list the permit numbers for all current Non-Discharge permits:
This facility uses best management practices or structural stormwater control measures.
If checked,briefly describe the practices/measures and show on site diagram:
SECONDARY CONTAINMENT DIKES AND STEEL CONTAINERS TO STORE ADMIX TANKS
9 This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented:
IN THE PROCEESS OF COMPLETION
Page 4 of 7

- --- — 0 This facility is subject to Phase II Post-Construction Area -
If checked,please list the permitting authority:
❑This facility is located in one of the 20 Coastal Counties
If checked,please indicate if the facility is adding more than 10,000 ft2 of built-upon area or is a CAMA Major Permit
❑Will add more than 10,0000 ft of built-upon area
❑ is a CMA Major Permit
❑Yes to both
❑ No to both
❑This facility is discharging wastewater to a stormwater BMP
If checked,please indicate the permitting authority, and attach letter approval to do so:
❑This facility has wastewater treatment facilities in the 100-year floodplain
❑This facility stores hazardous waste in the 100-year floodplain.
If checked,describe how the area is protected from flooding:
❑This facility is a(mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked,indicate:
Kilograms of waste generated each month: Type(s)of waste:
How material is stored: Where material is stored:
Number of waste shipments per year: Name of transport/disposal vendor:
Transport/disposal vendor EPA ID: Vendor address:
❑This facility is located on a Brownfield or Superfund site
If checked,briefly describe the site conditions
8. Required Items(Application will be returned unless all of the following items have been included):
0 Check for$100 made payable to NCDEQ
0 Copy of most recent Annual Report to the NC Secretary of State
13 This completed application and any supporting documentation
© Aline drawing of the water flow through the facility.
12 Copy of county map or USGS quad sheet with the location of the facility clearly marked
© Letter documenting that WWTP will not accept wastewater(if applicable)
❑Approval from permitting authority to discharge wastewater to a stormwater BMP(if applicable)
Page 5 of 7

[2 Two12]24"x 36"site diagrams showing,at a minimum existing andproposed:
a) outline of drainage areas
b) Stormwater/wastewater treatment structures
c) Location of numbered stormwater/wastewater outfalls(corresponding to which drainage areas)
d) Delineation of drainage areas to each discharge point
e) Runoff conveyance structures
f) Areas and acreage where materials are stored
g) Impervious area acreages
h) Locations(s)of streams and/or wetlands the site is draining to,and applicable buffers
i) Site property lines, North Arrow,and bar scale
j) If applicable,the 100-year floodplain line
k) Acreage of each stormwater and wastewater topographical area
1) Each of the facilities'wastewater or Stormwater source and discharge structures and each of its hazardous waste
treatment,storage,or disposal facilities
m) Notation of the water quality classification of the receiving water that site waters eventually discharge to
n) Site location(insert)
9. Applicant Certification:
North Carolina General Statute 143-215.68(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 this Article or a rule implementing this Article...shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars($30,000).
Under penalty of law, I certify that:
0 1 am the person responsible for the permitted industrial activity,for satisfying the requirements of this permit,and for any
civil or criminal penalties incurred due to violations of this permit.
13 The information submitted in this N01 is,to the best of my knowledge and belief,true,accurate,and complete based on
my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the
information.
0 1 will abide by all conditions of the NCG140000 permit.I understand that coverage under this permit will constitute the
permit requirements for the discharge(s)and is enforceable in the same manner as an individual permit.
13 1 hereby request coverage under the NCG140000 General Permit.
JOHNIE ALEXANDER
Printed Name of Applicant:
ENVIRONMENTAL MANAGER
Title:U.
d��
( gnature of Ap>p' ant) (Date Signed)
Mail the entire package to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 6 of 7

Additional_Outfalls _
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater Only ❑Wastewater Only ❑Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW,ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑Only during a rainfall event ❑Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater Only ❑Wastewater Only ❑Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW,ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfa11: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: ❑This water is impaired.
❑This watershed has a TMDL.
Discharge from this outfall is from:
❑Stormwater Only ❑Wastewater Only ❑Wastewater Comingled with Stormwater
7Q10 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW,ORW,Tr,WS-I,WS-II,WS-III,SA,or PNA):
Discharge occurs from this outfall:
❑Only during a rainfall event ❑Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
Brief description of the industrial activities that drain to this outfall:
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes ❑ No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
Page 7 of 7

Planning& Economic Development
SELMA 11rt N Carolina
Street
Selma, North Carolina 27576
Phone [phone]
"'"`"ey"o"pev"•a� www.selma-nc.com
May 1,2023
Concrete Supply Co.,LLC
3175 W. Oak Street
Selma, NC 27576
RE: Parcel 14054039E
To whom it may concern:
This letter is to confirm the Town of Selma cannot provide wastewater service to the above-referenced property.
Currently,the Town of Selma does not maintain any wastewater lines in this area.Should services expand into this area,
the Town would be willing to service your needs.
Any questions regarding this notice should be directed to the Town of Selma Planning Department by calling 919-965-
9841,ext 1006.
Sincerely,
Jame S Iliv —
Plan & Ecop�ic Development Director
Town of Selma

FIGURES
Figure— 1 Site USGS TOPO Map
Figure—2 Site Drainage Maps

Map Name: SELMA Scale: 1 inch =2,000 ft.
Print Date: 04/29/23 Map Center: 0350 33' 11.52" N, 078° 18'57.82"W
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35033'11.78"N
78°19'1.06"W
n "CONCRETE UPPLY-SELMA'
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GN 1.55°E 078°19'30.00"W 078° 19'00.00"W 078° 18'30.00"W 078° 18'00.00"W
MN 9.34°W
SCALE 1:24000 SITE LOCATION MAP
0 1000 2000 3000 4000 5000 6000 CONCRETE SUPPLY-SELMA PLANT
SELMA, NC
FEET FIGURE 1 JOB NO. 1129-001

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COPY OF MOST RECENT ANNUAL REPORT TO THE NC SECRETARY
OF STATE

J,v^!�4y,
`f1' � BUSINESS CORPORATION ANNUAL REPORT
rR'r
NAME OF BUSINESS CORPORATION: Concrete Supply Holdings,Inc.
0032500 Filing Wce se Only
SECRETARY OF STATE ID NUMBER: STATE OF FORMATION: NC E-Filed Annual Report
0032500
REPORT FOR THE FISCAL YEAR END: 12/31/2021 CA202208104151
3/22/2022 01:45
SECTION A: REGISTERED AGENT'S INFORMATION ❑K Changes
1. NAME OF REGISTERED AGENT: Batten, H R
2.SIGNATURE OF THE NEW REGISTERED AGENT:
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS&COUNTY 4.REGISTERED AGENT OFFICE MAILING ADDRESS
3823 Raleigh St. 3823 Raleigh St.
Charlotte, NC 28206-2042 Mecklenburg County Charlotte, NC 28206-2042
SECTION B: PRINCIPAL OFFICE INFORMATION '
1.DESCRIPTION OF NATURE OF BUSINESS: Concrete Production
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] x_ 3.PRINCIPAL OFFICE EMAIL: Privacy Redaction
4.PRINCIPAL OFFICE STREET ADDRESS 5.PRINCIPAL OFFICE MAILING ADDRESS
3823 Raleigh St PO Box 5247
Charlotte, NC 28206-2042 Charlotte, NC 28299-5247
6.Select one of the following if applicable.(Optional see Instructions)
❑ The company is a veteran-owned small business
❑ The company is a service-disabled veteran-owned small business
SECTION C: OFFICERS(Enter additional officers in Section E.)
NAME: Henry R Batten NAME: NAME:
TITLE: President TITLE: TITLE:
ADDRESS: ADDRESS: ADDRESS:
P.O. Box 5247
Charlotte,NC 28299
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business
an"
R Batten 3/22/2022
li SIGNATURE DATE
Form must be signed by an officer fisted under Section C of this farm.
Henry R Batten President
Print or Type Name of Officer Print or Type Tide of Officer
This Annual Report has been fled electronically.
MAIL TO:Secretary of State, Business Registration Division,Post Once Box 29525,Raleigh,NC 27626-0525

TMDL AND 303 d MAPS
COUNTY GIS MAP

ti ** * DISCLAIMER * * *
Johnston County assumes no legal responsibility for the information represented here.
Result 1
id: 14054039E
Tag: 14054039E
NCPin: 260501-37-5095
Mapsheet No: 260501
Owner Name 1: CONCRETE SUPPLY CO., LU'
Owner Name 2:
lit3073 Mail Address 1:
e
Mail Address 2: PO BOX 5247
3198 2999 Mail Address 3: CHARLOTTE,NC 28299-5247
' Site Address 1: 3175 W OAK ST
3200 Site Address 2: SELMA,NC 27576-
' © Book: 06121
Page: 0453
Market Value: 411860
/r Assessed Acreage: 8.910
Calc. Acreage: 8.910
Sales Price: 500000
Sale Date: 2021-1I-30
GS y
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�N
oe
Scale: 1:5030 - 1 in. =419.16 feet
Johnston County GIS
(The scale is only accurate when printed landscape on a 8 112 z 11 size sheet with no page scaling.) April 29,2023

NC Surface Water
X
3175110.,S,., x 4 ere
oo
® Surface Water Classifications:
® Stream Index: 27{39.7f
_.,. Stream Name: NEISE RIVER
Surface Water Claaaificetiona: ^
Description: From Johnston County
swum1 .: PiNX O proposed water supply intake
rzreem nerve MFuaF aNFa b too point 8.1 mile downstream
of mouth of Poplar Creek
Dow, FRT bM1mman County poydaU a9 u
wne.upory n,uk.usoo not Clesslficavon: WS-IV;NSW
xiiNGwmp.mdmoNM1d
R.Pwr'ieek
Dare of Class.: August 2,1992
Ni Au,,tZtoaa What does this Class.mean? View
River Basin: Neuse I
.. 'rt
.76.M7 3SS49 Dili
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.< ac.MS. �: Fo.wrce trr Fs

NC TMDL and TMDL Alternative Watersheds " T9P` RiwBa" P" ee"m"1',°" "�° "
Project List a 5
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TMDL
Project Details
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