NCG140545_Application_20241113

FOR AGENCY USE ONLY
NCG14.n,V,k S
Assign to: C00`( N �VPD
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ARO t9 MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resour(Al( # IlarEtyOSection
National Pollutant Discharge Elimination Systegi Pn'-
NCG140000 Notice of Intent
This General Permit covers STORMWATER 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, NC 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:
Chandler Concrete Company Inc. Ryan Foley
Street address: City: State: Zip Code:
1006 South Church Street Burlington NC 27215
Telephone number: Email address:
336-226-1181 [e-mail]
Type of Ownership:
Government
❑County ❑Federal ❑ Municipal ❑State
Non-government
8 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:
Raeford Plant 119 Ryan Foley
Street address: City: State: Zip Code:
150 Pate Road Raeford NC Z$3
Parcel Identification Number(PIN): County:
PARNO 794530001110 ALTPARNO 28243 Q=W "0K6
Telephone number: Email address:
336-260-3023 ryan.foley@chandlerconcrete.00m
4-digit SIC code: Facility is: Date operation is to begin or began:
3273 Ne Proposed SExisting January2025
Latitude of entrance: Longitude of entrance:
34.93836 -79.16033
Brief description of the types of industrial activities and products manufactured at this facility:
Ready-mix Concrete Manufacturing
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
8 N/A
Page 1 of 7

This facility uses:El Phosphorus-containing detergents An environmentally friendly truck-wash soap named
❑ Non-Phosphorus-containing detergents Sandstorm Is utilized at this facility.
❑ Brighteners
❑ Other Cleaning Agents
9 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 NOL Contact DWR Non-Discharge Permitting Program for permitting requirements
B No
3. Consultant(if applicable):
Name of consultant: Consulting firm:
Not available Not available
Street address: City: State: Zip code:
Telephone number: Email address:
4. Clutfall(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.
001 1 McNeills Mill Creek C ; SW ❑This watershed has a TMDL.
Discharge from this outfall is from:
❑ Stormwater Only ❑ Wastewater Only 8 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-Il,WS-III,SA,or PNA):
Discharge occurs from this outfall:
8 Only during a rainfall event ❑ Intermittently(indicate how often) ❑ Continuously(indicate flow in CFS)
Latitude of outfall: Longitude of outfall:
34.936489 -79.160204
Brief description of the industrial activities that drain to this outfall:
Ready Mix Concrete Production
Do Vehicle Maintenance Activities occur in the drainage are of this outfall? ❑ Yes B No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year? 25 gallons
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
7Q30 Flow of receiving waterbody(if discharging Wastewater Only or Wastewater Comingled with Stormwater to waters
classified as HQW,ORW,Tr,WS-1,WS-ll,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 2 of 7

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
7Q30 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 ear?
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
7Q30 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 Outfalls"found on the last page of this NO].
5. Wastewater
Types of Wastewater facility will generate or discharge
Vehicle&equipment cleaning(VE) R Generate R Discharge ❑ Sent to WW Treatment System
Wetting of raw material stockpiles(RM) R Generate R Discharge ❑ Sent to WW Treatment System
Mixing drum cleaning(MD) R Generate 8 Discharge ❑ Sent to WW Treatment System
Facility will spray-down or actively wet aggregate piles Aggregate material is watered during periods of
R Yes prolonged dry weather and/or to eliminate fugitive dust.
❑ No
Page 3 of 7

6. Wastewater treatment alternatives
What wastewaters were considered for this alternatives review: 9 VE 8 RM 8 MD
Are there existing sewer lines with a one mile radius: ❑ Yes M No
If Yes:
❑ The wastewater treatment plant will accept the wastewater. It is feasible to connect. Explain:
M The wastewater treatment plant will accept the wastewater. It is not feasible to connect. Explain: Map Notes
❑ The wastewater treatment plant will not accept the wastewater(attach a letter documenting)
❑ Surface or subsurface disposal is technologically feasible Not feasible due to impracticality of
8 Surface or subsurface disposal is not technologically feasible necessity of such a system. Subsurface
Explain: disposal will be limited with high water table.
❑ Surface or subsurface disposal system is feasible to implement Not feasible due to impracticality of
B Surface or subsurface disposal system is not feasible to implement necessity of such a system. Subsurface
Explain: disposal will be limited with high water
table.
What is the feasibility of employing a subsurface or surface discharge as compared to a direct discharge to
surface waters?Explain:
a.Discharge to surface waters is the most environmentally sound alternative of all reasonable cost-effective options of the waters being considered.
Discharge to surface waters is the most environmentally sound alternative of all reasonably cost-effective
options of the wastewaters being considered:
W 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?
❑Yes
B No
7. Other Facility Conditions(check all that apply and explain accordingly):
❑This facility has a DMLR Erosion&Sedimentation Control Permit.
If checked,list the permit numbers for all current E&SC permits for this facility:
❑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:
8 This facility uses best management practices or structural stormwater control measures.
If checked,briefly describe the practices/measures and show on site diagram:
Concrete settling basins with PH Control house where water is treated and filtered prior to discharge.
B This facility has a Stormwater Pollution Prevention Plan(SWPPP).
If checked,please list the date the SWPPP was implemented:
A SWPPP is currently being drafted and will be implemented upon acceptance of this application.
Page 4 of 7

❑This facility is subject to Phase II Post-Construction Area N/A
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:
N/A
❑This facility has wastewater treatment facilities in the 100-year floodplain N/A
❑This facility stores hazardous waste in the 100-year floodplain.N/A
If checked,describe how the area is protected from flooding:
❑This facility is a(mark all that apply)
❑ Hazardous Waste Generation Facility None
❑ 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):
I@ Check for$120 made payable to NCDEQ
B Copy of most recent Annual Report to the NC Secretary of State
8 This completed application and any supporting documentation
9 A line drawing of the water flow through the facility.
I@ Copy of county map or USGS quad sheet with the location of the facility clearly marked
❑ Letter documenting that WWiP will not accept wastewater(if applicable)
❑Approval from permitting authority to discharge wastewater to a stormwater BMP(if applicable)
Page 5 of 7

8 Two(2)24"x 36"site diagrams showing,at a minimum,existing and proposed:
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 143-215.613(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($10,000).
Under penalty of law,I certify that:
8 I 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.
9 The information submitted in this NOI 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.
I.7 I 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.
8 I hereby request coverage under the NCG140000 General Permit.
Printed Name of Applicant: Ryan Foley
Title: Environmental Manager
OCN4r
( ignat t) (Date Signed)
Mail the A epackage to: DEMLR—Stormwater Program
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699-1612
Page 6 of 7

Diagram Checklist
a) Outline of drainage area.5.6 acres total.2.7 acres impervious
b) Stormwater Treatment Structures-Sediment Basins, drainage ditch with possible rock
berms in strategic locations.We anticipate a PH treatment system to be installed near the
retention pond to ensure discharged process water meets benchmarks outlined in NCG14.
c) Location of Outfalls.See map
d) Delineation of drainage area. See above map and acres in item A and G
e) Runoff conveyance structures-A concrete channel or flume( . . .)will be instatled to
direct overflow from basin toward the ditch that leads to the retention pond.
f) Material Storage Acreage is anticipated to be around .32 acres
g) Impervious acre percentage-48%
h) Locations of streams or buffers-See topo map. McNeills Mill Creek
i) Site property lines, North Arrow,and bar scale-See attached maps
j) 100 year floodplain Line-not applicable
k) Acreage of stormwater and waste water topographical area-5.6 acres property total
t) No hazardous waste is treated,stored, or disposed of at this location.Sources of process
water will be typical of a ready mix concrete plant and will be generated via,vehicle and
equipment cleaning(VE),wetting of raw material stockpiles(RM),and mixer drum cleaning
(MD).
m) Water quality classification-C;Sw. NCSurfaceWateLCIassificatiom
n) Site Location-See attached maps

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SOSID:2828646
Date Filed:4/17/202412:14:00 PM
Elaine F.Marshall
State of North Carolina --North Carolina Secret ary_of State _ TT
Department of the Secretary of State C2024 108 01727
APPLICATION FOR CERTIFICATE OF'AUTHORITY
FOR LIMITED LIABILITY COMPANY
Pursuant to§57D-7-03 of the General Statutes ofNorth Carolina,the undersigned limited liability company hereby applies for a
Certificate of Authority to transact business in the State of North Carolina,and for that purpose submits the following:
1. The name of the limited liability company is Chandler Concrete Co., LLC
and if the limited liability company name is unavailable for use in the State of North Carolina,the name the limited
C
liability company wishes to use is
2. The state or country under whose laws the limited liability company was formed is Delaware
3. Principal office information: (Select either a or h)
a. X The limited liability company has a principal office.
The principal office telephone number. [phone]
The street address and county of the principal office of the limited liability company is:
Number and street: 1006 S. Church Street
City: Burlington State:NC ZipCede:27215 County: Alamance
The mailing address,dfdifferent from the street address,of the principal office of the corporation is:
Number and Street:
City: State: Zip Code: County:
b. El The limited liability company does not have a principal office.
4. The name of the registered agent in the State ofNorth Carolina is: I ncorp Services, Inc,
5. The street address and county of the registered agent's office in the State of North Carolina is:
Number and Street: 176 Mine Lake Court, Suite 100
City:Raleigh State: NC Zipcode:27615 Coanty, Wake
6. The North Carolina mailing address,lfdffetentfrom the street address,of the registered agent's office in the State of North
Carolina is:
Number and Street:
City: State: NC Zip Code: County:
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH,NC 27626-0622
(Revised Judy 20d7) (Form L-09)

APPLICATION FOR CERTIFICATE OF AUTHORITY
Page 2
7. The names,titles,and usual business addresses of the current company officials of the limited liability company are:
(use attachment if necessary)(This document must be signed by a person listed in item 7.)
Name and 77de Busbress Address
Thomas E. Chandler, Jr., Manager 1006 S. Church Street, Burlington, NC 27215
S. Attached is a certificate of existence(or document of similar import),duly authenticated by the secretary of state or other official
having custody of limited liability company records in the state or country of formation. The Certificate of Existence must be
less than six months old A photocopy of the certification cannot be accepted.
9. If the limited liability company is required to use a fictitious name in order to transact business in this State,a copy of the
resolution of its managers adopting the fictitious name is attached.
10.(Optional):Please provide a business e-mail addre Privacy Redaction
The Secretary.of State's Office will e-mail the business auwmaimty
is filed. The e-mail Provided will not be viewable on the website. For more information on why this service is offered,please see
the instructions for this document.
11.This application will be effective upon filing,unless a delayed date and/or time is specified:
This the 17thday of April 20 24
Chandler Concrete Co., LLC
Name of Limited Liability Company
%j4oKvv i(I d4"ijvl _I _
Signature of Company Ofcl
Thomas E. Chandler, Jr., Manager
Type or Print Name and Title
Notes:
1. Filing fee is$250. This document must be filed with the Secretary of State.
BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH,NC 27626.0622
(Revised July 2017) (Form L-09)

D-e-laware Pagel
The First State
I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF
DELAWARE, DO HEREBY CERTIFY "CHANDLER CONCRETE CO. , LLC" IS DULY
FORMED UNDER THE LAWS OF THE STATE OF DELAWARE AND IS IN GOOD
STANDING AND HAS A LEGAL EXISTENCE SO FAR AS THE RECORDS OF THIS
OFFICE SHOW, AS OF THE SIXTEENTH DAY OF APRIL, A.D. 2024.
AND I DO HEREBY FURTHER CERTIFY THAT THE SAID "CHANDLER
CONCRETE CO., LLC" WAS FORMED ON THE SIXTEENTH DAY OF APRIL, A.D.
2024:
AND I DO HEREBY FURTHER CERTIFY THAT THE ANNUAL TAXES HAVE BEEN
ASSESSED TO DATE.
Im/FjpN$
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3455963 8300 '( j Authentication:203263548
SR#20241475747 .iy Date:04-16-24
You may verify this certificate online at corp.delaware.gov/authver.shtml

Chandler Concrete Company October 24, 2024
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