NCG510094_Permit issuance_20060929

Michael F. Easley
Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Y
September 29, 2006
Scott Matthews
Associated Asphalt Greensboro, Inc.
100 South Chimney Rock Road
Greensboro, NC 27409
Alan W. Klimek, P.E., Director
Division of Water Quality
Subject: General Permit NCG510000
Certificate of Coverage NCG510094
AA Greensboro terminal
Guilford County
Dear Permittee:
The Division received your request for renewal of the subject Certificate of Coverage (CoC) on March
23, 2006. The revised General Permit was signed on September 20th, 2006 and takes effect October 1, 2006.
Accordingly, we are forwarding the attached CoC to discharge under NCG510000. This CoC is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the US Environmental Protection agency dated May 9, 1994.
A copy of the renewed General Permit is enclosed, as well as an updated Technical Bulletin. The
Technical Bulletin summarizes the changes from the previous version of NCG510000. If any parts,
measurement frequencies or sampling requirements contained in this 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, this Certificate of Coverage shall be final and binding.
The CoC is not transferable except after notice to the Division. You must notify the Division if you
sell or otherwise transfer ownership of the permitted facility. The Division may require modification or
reissuance of the CoC.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the
Regional Office listed below. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Water Quality, the Division of Land Resources, Coastal Area Management Act or any other
Federal or Local government. If you have any questions concerning this permit, please contact Charles
Weaver at the telephone number or e-mail address listed below.
Sincerely,
�. Alan W. Klimek
cc: Central Files
Winston-Salem Regional Office — Surface Water Protection
1617 Mail Service Center, Raleigh, North Carolina 27699.1617 919 733-5083, extension 511 (fax) 919 733-0719
An Equal Opportunity Affirmative Action Employer e-mail: charles.weaverOncmail.net

T
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG510000
CERTIFICATE OF COVERAGE NCG510094
TO DISCHARGE PETROLEUM CONTAMINATED GROUNDWATER AND SIMILAR WASTEWATERS
UNDER THE
NATIONAL POLLUTANT DISCHARGE ELEVIINATION 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,
Associated Asphalt Greensboro, Inc.
is hereby authorized to operate a groundwater remediation system for petroleum -contaminated groundwater
or similar waste streams that will discharge treated wastewater from the
AA Greensboro terminal
Guilford County
to receiving waters designated as an unnamed tributary to the East Fork Deep River, a class WS-
IV CA * stream in subbasin 30608 of the Cape Fear 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 of General Permit NCG510000 as attached.
This certificate of coverage shall become effective October 1, 2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day, September 29, 2006.
r Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

A� /l%CGSIOO`t�, NC D NR / DWQ I Water Quality Section
NCDENRNational Pollutant Discharge Elimination System
NCG510000
RENEWAL application for coverage under General Permit
[remediation projects treating petroleum -contaminated gr wa er
(Please print or type)
I) Mailing address of site Owner.
MAR 2 3 2006
..��cn
Company Name: Associated Asphalt arum cnuorc UUNL111
Company Contact: srnt.t. Mathawa
Street Address: 100 S - Chi m Rack Rd -
City: Greensboro State: NC ZIP Code: 27409
Telephone No.: igA_2ca4-0n9s Fax: 6-2o4-3a1ti
e-mail address: emathewa(ala canr i atpda cnha l t-rnm
z
2) Location of remediation site producing discharge:
Facility Name: Associated Asphalt
Facility Contact: Scott Mathews
Street Address: 100 S. Chimney Rock Rd.
City: Greensboro State: n1C ZIPCode: 274n4
County: C;ii i]fnrd
Telephone No.: 336-2a4-0025 Fax: [phone]
e-mail address: -,ma t-_hawc(ala canr i s t.pd n cpha It-rnm
3) System operator / Consultant ID [if different from Owner]:
Company Name: NA- DIn system installers_
Company Contact:
Street Address:
City: State: ZIP Code:
County:
Telephone No.: Fax:
e-mail address:
4) Site ranking & ID:
GW incident#: 7691
Site Ranking (A - E): 13
Date of most recent site ranking: TTnkn nwn
Date of most recent. discharge:_N�l A
Additional data required:
a) A site map clearly showing the path of the remediation system effluent from the site to its
discharge point.
b) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the current permittee showing that the persons] submitting the
application has been designated an Authorized Representative.
�D
4 P*5

-' NCG510000 renewal 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 Name of Person Signin
Title: (!) in_ go W a I .. t
(Signature of Applicant)
. M a r 1< we. I rQ W1
6
North Carolina General Statute 143-215.6 B (0 provides that:
3/11 /dC
(Date Signed)
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 $10,000, 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 $10,000 or imprisonment not more than 5 years, or both, for a similar offense.)
DWQDWQDWQDWQDWQDWQDWQDWQDWQDWQDWQDWQ
Mail THIS COMPLETED FORM to:
Mr. Charles H. Weaver, Jr.
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
NPDESNPDESNPDESNPDESNPDESNPDESNPDESNPDESNPDES
For electronic copies of this form or the NCG510000 Fact Sheet, send a request to:
[e-mail]
fF-

Greensboro InC
t Scott Mathews as a representative for Associated Asphalt grant Mark Talton
En 'ueerin the right to release our renewal application for NP1)ES permit # NCG 510094
S� g
Thank you
ribn
,i

RE: NCG510000 General Permit
. - afy
Subject: RE: NCG510000 General Permit
From: "rhea Herring" <[e-mail]
Date: Fri, 3 Mar 2006 11:57:13 -0500
To: "Charles Weaver" <charles.weaver@ncmail-net>
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I am filling out the General Permit form, item #4 (Site ranking & ID). Where
can I locate the groundwater incident # (this was a surface spill,not UST
Visit nd site ranking (A-E)?
Thanks for your prompt response earlier.
Thea Herring
-----Original Message -----
From: Charles Weaver(mailto:[e-mail])
Sent: Friday, March 03, 2006 10:49 AM
To: Thea Herring
Subject: Re: NCG510000 General Permit
Thea Herring wrote:
3/6/2006 6:30 AM
1 of 2

NCG550000 N.O.I.
Notice of Intent must be accompanied by a check or money order for $50.00 made payable to:
NCDENR
Mail three (3) copies of the entire package to:
C�tar%rs (k1eever, 9?DGS'Ahf+
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the Issuance of an NPDES permit
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