NCG510094_Permit issuance_20111011

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor Coleen H. Sullins, Director Dee Freeman, Secretary
October 11, 2011
Scott Matthews
Associated Asphalt Greensboro, LLC
100 S Chimney Rock Rd
Greensboro, NC 27409
Subject: NPDES General Permit NCG510000
Certificate of Coverage (CoC) NCG510094
AA Greensboro terminal
Guilford County
Dear Permittee:
The Division received your request for renewal of NCG510094 on March 29, 2011. The revised General
Permit was signed on September 20th, 2011 and took effect October 1, 2011. This renewed 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 October 15, 2007 [or
as subsequently amended].
A copy of the NCG510000 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 CoC 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 Once discharge from your facility has ceased, this CoC may be rescinded.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 H. Weaver at the
telephone number or e-mail address listed below.
Si cerely�
oleen H. Sullins
cc: Winston-Salem Regional Office - Surface Water Protection
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NdfffiCarolina
Internet: www07-63erqualiX 91 RturR���
Phone: 9eaver@node / FAX [phone] L
[e-mail]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG510000
CERTIFICATE OF COVERAGE NCG510094
TO DISCHARGE PETROLEUM CONTAMINATED GROUNDWATER AND SIMILAR WASTEWATERS
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,
Associated Asphalt Greensboro, LLC
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
100 S Chimney Rock Rd
Greensboro
County
to receiving waters designated as an unnamed tributary to the East Fork Deep River, a class WS-IV
CA * stream in subbasin 03-06-08 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 take effect on October 11, 2011.
This Certificate of Coverage shall expire on September 30, 2016.
Signed this day, October 11, 2011
�r C3Teen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

March 25, 2011
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Renewal for Coverage Under General Permit NCG510000 Certificate NCG510094
Dear Mr. Weaver:
Enclosed please find the NPDES renewal application for Associated Asphalt
Greensboro, LLC. We believe the information contained on the application to be true
and correct. The map was not included since there has not been a discharge.
Please contact me should you require more information or have questions regarding
this application. My direct line is 540-853-4305. You may also reach me via e-mail at
dthomson(a)associatedasphalt.com.
Sincerely,
!` MA! R 2� 9 201�
David E. Thomson E R-WATERQ QUA
E H S Manager POINT SOURCEBRI
P.O. BOX 12626 • ROANOKE, VIRGINIA 24027 • [phone] • FAX [phone]
www.associatedasphalt.com

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�'► NC DENR I DWQ I Water Quality Section
National Pollutant Discharge Elimination System
9 Y
NCDENR
N� �m � of EwRONMew AND N.4URAL ftsomm NCG510000
RENEWAL application for coverage under General Permit NCG510000
[remediation projects treating petroleum -contaminated groundwater]
(Please print or type) Certificate of Coverage number: NCG510094
1) Mailing address of site Owner:
Company Name: Associated Asphalt Greensboro, LLC
Company Contact: Dave Thomson, E H & S Manager
Street Address: 2677 Roanoke Ave., S. W.
City: Roanoke State: VA ZIP Code: 24015
Telephone No.: 540-853-4305 Fax: [phone]
e-mail address: [e-mail]
2) Location of remediation site producing discharge:
Facility Name: Associated Asphalt Greensboro, LLC
Facility Contact: Scott Mathews, Terminal Manager
Street Address: 100 South Chimney Rock Road
City: Greensboro State: NC ZIP Code: 27409
County: Guilford
Telephone No.: 336-294-0025 Fax: [phone]
e-mail address: [e-mail]
3) System operator / Consultant ID [if different from Owner]:
Company Name: Associated Asphalt Greensboro, LLC
Company Contact: Scott Mathews, Terminal Manager
Street Address: 100 South Chimney Rock Road
City: Greensboro State: NC ZIP Code: 27409
County: Guilford
Telephone No.: 336-294-0025 Fax: [phone]
e-mail address: [e-mail]
4) Site ranking & ID:
GW incident #: 7691
Site Ranking [if available] :
Date of most recent discharge: No known disch
Additional data required:
R@ROW12 IN
MAR 2 9 2011
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 person[s] submitting the
application has been designated an Authorized Representative.
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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 Signing: Samuel L. Cannon
Title: V. P —Qulzeratians
5.25-!(
(Signature of Applicant) ( I (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 $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.)
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Mail THIS COMPLETED FORM to:
Mr. Charles H. Weaver
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]
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