NCG070167_COMPLETE FILE - HISTORICAL_20170712

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV L& Q'-) 01-6�
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ d� O��I O-I
YYYYMMDD

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Mr. J. David McKeown
Meridian Brick, LLC
5100 Brickyard Road
Columbia, SC 29203
Dear Mr. McKeown:
July 12, 2017
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
RECEIVED
JUL 14 2017
CENTRAL FILES
DWq SECTION
Subject: NPDES Stormwater Permit NCG070167
Meridian Brick, LLC
Formerly Boral Bricks, Inc.
Rowan County
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at [phone].
Sincerely,
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Mooresville Regional Office
Stormwater Permitting Program Files
Central Files
Nothing Compares_.
SState of North Carolina I Emironmental Quality I Energy. Mineral and Land Resources
512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh. North Carolina 27699-1612
9i9 707 9200

DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070167
STORMWATER DISCHARGES
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,
Meridian Brick, LLC
is hereby authorized to discharge stormwater from a facility located at:
Meridian Brick, LLC
700 South Long Street
Salisbury
Rowan County
to receiving waters designated as UT to Town Creek, a class C water, in the Yadkin River Basin;
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts 1, II, III, and IV of General Permit No. NCG070000 as attached.
This certificate of coverage shall become effective July 12, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 12, 2017.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

MERIDIAN'
BRICK
5100 Brickyard Road
Columbia, South Carolina 29203
meridian brick.com
May 1, 2017
Central Files
NC DENR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699 —1617
919-807-6397
Re: Change from Forterra Brick, LLC and Boral Bricks Inc. to Meridian Brick LLC
To Whom It May Concern:
This package is being sent in order to change the permit holders of the below -listed stormwater permits
in North Carolina. As background, on October 28, 2016, Boral Bricks Inc. converted to a limited liability
company named Boral Bricks LLC. On April 1, 2017, Boral Bricks LLC and Forterra Brick, LLC merged into
Meridian Brick LLC, with Meridian Brick LLC being the surviving entity. Additionally, Meridian Brick LLC is
the successor in interest to both Boral Bricks LLC and Forterra Brick, LLC by operation of law.
Additionally, a letter from Paul Samples, CEO for what was Boral Bricks LLC, Forterra Brick, LLC and is
now Meridian Brick LLC, is included which grants me, J. David McKeown, signatory authority for any
required forms or documents pertaining to this name change that require signature.
This change results in the need for us to change the names on the stormwater permits formerly held by
both Boral Bricks and Forterra Brick to Meridian Brick LLC.
The affected permits are as follows:
NC SW Permit
NCG070215
NCG020120
NCG020548
Former Name
Forterra Brick, LLC
Monroe Plant & Mine
Forterra Brick, LLC
Anson County Mine
Forterra Brick, LLC
Howell Mines 1&2
New Name
Meridian Brick LLC
Monroe Plant & Mine
Meridian Brick LLC
Anson County Mine
Meridian Brick LLC
Howell Mines 1&2
BE BOUX BE BRICK:

1
WOMERIDIAN'
BRICK
5100 Brickyard Road
Columbia, South Carolina 29203
meridianbrick.com
NCG070070
Forterra Brick, LLC
Meridian Brick LLC
Roseboro Plant
Roseboro Plant
NCG020504
Forterra Brick, LLC
Meridian Brick LLC
Gulf Mine #3
Gulf Mine #3
NCG020437
Forterra Brick, LLC
Meridian Brick LLC
Sampson Mine II
Sampson Mine 11
NCG070167
Boral Bricks Inc.
Meridian Brick LLC
Salisbury Plant
Salisbury Plant
NCG020242
Boral Bricks Inc.
Meridian Brick LLC
Gold Hill Mine
Gold Hill Mine
NCG020241
Boral Bricks Inc.
Meridian Brick LLC
Thomas Mine
Thomas Mine
NCG020239
Boral Bricks Inc.
Meridian Brick LLC
Panther Creek Mine
Panther Creek Mine
Thank you for your assistance with this matter and if you require any additional information, please do
not hesitate to contact me at 803-691-3121.
Sincerely,
J. ©avid McKeown
BE BOIA6 BE BRICIC

I' FORTERRA'
April 19, 2017
OMERIDIAW
BRICK
Re: Signatory Authority Related to Merger of Boral Bricks Inc. and Forterra Brick, LLC
into Meridian Brick LLC
To Whom It May Concern:
Boral Bricks LLC and Forterra Brick, LLC have merged into Meridian Brick LLC and Meridian
Brick LLC is the surviving entity. The FEN for Meridian Bride is 81-4016491. Meridian Brick
LLC is the successor in interest by operation of law to Boral Bricks LLC and Forterra Brick,
LLC.
As Chief Executive Officer for what was Boral Bricks LLC, Forterra Brick, LLC and is now
Meridian Brick LLC, let it be known that, for purposes related to the name/ownership
changes needed on any regulatory form, license or permit, Mr. J. David McKeown has
signatory authority on behalf of the above entities for any'required forms or documents
requiring signature.
Thank you and if you require any additional information, please do not hesitate to contact
me at [phone] or you can contact our attorney Marie L. Joseph at [phone].
Sincerely,
I po�
A. Paul Samples
CEO
cc: J. David McKeown, 5100 Brickyard Road, Columbia, SC 29203

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality to
STATE STORMWATER PERMIT NAMEIOWNERSHIP CHANGE FO�hi
I. CURRENT PERMIT INFORMATION,
l�
1. Stormwater Management Permit Number: NCG070167
2. Project Name: $oral Bricks Inc - Salisbury Plant
3. Current Permit Holder's Company Name/Organization: Boral Bricks Inc
4. Signing Official's Name: Archie Barron Title: Plant Manager
5. Mailing Address: 700 South Long Street
City: Salisbury State: NC Zip: 28039
6. Phone: 7( 04 ) 83D4246 Fax: 7( 0 ) 636-7865
II. PROPOSED PERMITTEE 1 OWNER 1 PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
0 Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
❑ Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address I phone number change. (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: Meridian Brick LLC
2. Proposed permittee's signing official's name: J• David McKeown
3. Proposed permittee's title: Corporate Environmental Manager
4. Mailing Address: 5100 Brickyard Road
City: Columbia
State: SC
Zip: 29203
Phone: 8( 03 ] 691-3121 Fax: [phone]
5. New Project Name to be placed on permit: Meridian Brick LLC - Salisbury Plant
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in #1 above and provide name of HOA/POA's authorized representative in #2 above)
® The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
Page 4)
❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4

Ill. -REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. This certification must be completed -and signed by both the
current permit holder and the new applicant if this is_a change of ownership.
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
6. The $40.00 processing fee. if this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMiTTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement.
® Check -here if the current permittee is f changing his✓herlrts name, the project name, or mailing
address, but will retain the permit. I, , the current
permittee, hereby notify the DWQ that I afn changing my name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. 1 understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
❑ Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit.
I, , the current permittee, am submitting this application
for a transfer of ownership for permit # . I hereby notify DWQ of the sale or
other legal transfer of the stormwater system associated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be approved by the DWQ unless and until the facility is in compliance with the
permit.
Signature:
I
Date:
a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal, (Notary Seal)
Notary Signature
SSW N/D Change Rev24Sept2012 Page 2 of 4

V. -PROPOSED PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Penmittee for all transfers of ownership)
I, , hereby notify the DWQ that I have -acquired
through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted
stormwater management system, and, it applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
the most recent permit
the designer's certification for each BMP
❑ any recorded deed restrictions, covenants, or easements
❑ the DWQ approved plans andlor approved as -built plans
❑ the approved operation and maintenance agreement
Hpast maintenance records from the previous permittee (where required)
DWQ.stormwater inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the pen -nit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts_
of this application are not completed or if all required supporting information and attachments listed
above are not included, this application package will be returned as incomplete.
Signature:
I
Date:
a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents and processing fee (if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
SSW N/O Change Rev24Sept2012 Page 3 of 4

VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections 11 and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name:
Organization:
Title within the Organization:
Street Address:
City:
Mailing Address:
City:
Phone:
Email:
State:
(if different from street address)
State:
Fax:
n
50
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections 11 and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute
(NCGS) 143-215.1, and may result in appropriate enforcement action including the assessment of
civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature of the property owner
M
County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
(Notary Seal)
Notary Signature
SSW N/O Change Rev24Sept2012 Page 4 of 4

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Mr. J. David McKeown
Meridian Brick, LLC
5100 Brickyard Road
Columbia, SC 29203
Dear Mr. McKeown:
ROY COOPER
Governor
MICHAEL S. REGAN
Se -eft"
TRACY DAVIS
DuvrWr
July 12, 2017
Subject: NPDES Stormwater Permit NCG070167
Meridian Brick, LLC
Formerly Boral Bricks, Inc.
Rowan County
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained
in the General Permit remain unchanged and in full effect. This revised Certificate of .
Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and
the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions or need further information, please contact the Stormwater
Permitting Program at [phone].
Sincerely,
Original Signed by Richard L. Riddle, Jr.
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land
Resources
cc: Mooresville Regional Office
t/Stormwater Permitting Program Files
Central Files
Nothing Compares---,,.,
SState of North Carolina I Emtremnental Quality I Energy. Kneral and Land Resources
512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh. North Carolina 276"-Ib12
919 707 9200

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCGO70167
STORMWATER DISCHARGES
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,
Meridian Brick, LLC
is hereby authorized to discharge stormwater from a facility located at:
Meridian Brick, LLC
700 South Long Street
Salisbury
Rowan County
to receiving waters designated as UT to Town Creek, a class C water, in the Yadkin River Basin;
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, II, III, and IV of General Permit No. NCG070000 as attached.
This certificate of coverage shall become effective July 12, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 12, 2017.
Original Signed by Richard L. Riddle, Jr.
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

A
MERIDIAN"
BRICK
5100 Brickyard Road
Columbia, South Carolina 29203
meridianbrick.com
May 1, 2017
Central Files
NC DENR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699 —1617
919-807-6397
Re: Change from Forterra Brick, LLC and Borall Bricks Inc. to Meridian Brick LLC
To Whom It May Concern:
This package is being sent in order to change the permit holders of the below -listed stormwater permits
in North Carolina. As background, on October 28, 2016, Boral Bricks Inc. converted to a limited liability
company named Boral Bricks LLC. On April 1, 2017, Boral Bricks LLC and Forterra Brick, LLC merged into
Meridian Brick LLC, with Meridian Brick LLC being the surviving entity. Additionally, Meridian Brick LLC is
the successor in interest to both Boral Bricks LLC and Forterra Brick, LLC by operation of law.
Additionally, a letter from Paul Samples, CEO for what was Boral Bricks LLC, Forterra Brick, LLC and is
now Meridian Brick LLC, is included which grants me, J. David McKeown, signatory authority for any
required forms or documents pertaining to this name change that require signature.
This change results in the need for us to change the names on the stormwater permits formerly held by
both Boral Bricks and Forterra Brick to Meridian Brick LLC.
The affected permits are as follows:
NC SW Permit
NCG070215
NCG020120
NCG020548
Former Name
Forterra Brick, LLC
Monroe Plant & Mine
Forterra Brick, LLC
Anson County Mine
Forterra Brick, LLC
Howell Mines 1&2
New Name
Meridian Brick LLC
Monroe Plant & Mine
Meridian Brick LLC
Anson County Mine
Meridian Brick LLC
Howell Mines 1&2

J,
• MERIDIAN'"
BRICK
5100 Brickyard Road
Columbia, South Carolina 29203
meridianbrick.com
NCG070070
NCGO20437
NCGO70167
NCG020242
NCG020241
NCG020239
Forterra Brick, LLC
Roseboro Plant
Forterra Brick, LLC
Gulf Mine #3
Forterra Brick, LLC
Sampson Mine II
Boral Bricks Inc.
Salisbury Plant
Boral Bricks Inc.
Gold Hill Mine
Boral Bricks Inc.
Thomas Mine
Boral Bricks Inc.
Panther Creek Mine
Meridian Brick LLC
Roseboro Plant
Meridian Brick LLC
Gulf Mine #3
Meridian Brick LLC
Sampson Mine II
Meridian Brick LLC
Salisbury Plant
Meridian Brick LLC
Gold Hill Mine
Meridian Brick LLC
Thomas Mine
Meridian Brick LLC
Panther Creek Mine
Thank you for your assistance with this matter and if you require any additional information, please do
not hesitate to contact me at 803-691-3121.
Sincerely,
J. David McKeown
BE BOLD6 BE BRKMG

F
-�= I0 FOIiFrBRRA M E R I D I A N"
BRICK
April 19, 2017
Re: Signatory Authority Related to Merger of Boral Bricks Inc. and Forterra Brick, LLC
into Meridian Brick LLC
To Whom It May Concern:
Boral Bricks LLC and Forterra Brick, LLC have merged into Meridian Brick LLC and Meridian
Bride LLC is the surviving entity. Tine FEIN for Meridian Brick is 81-4016491. Meridian Bride
LLC is the successor in interest by operation of law to Boras Bricks LLC and Forterra Brick,
LLC.
As Chief Executive Officer for what was Boras Bricks LLC, Forterra Brick, LLC and is now
Meridian Brick LLC, let it be known that;, for purposes related to the name/ownership
changes needed on any regulatory form, license or permit, Mr. J. David McKeown has
signatory authority on behalf of the above entities for any required forms or documents
requiring signature.
Thank you and if you require any additional information, please do not hesitate to contact
me at [phone] or you can contact our attorney Marie L. Joseph at [phone].
Sincerely,
A. Paul Samples
CEO
cc: J. David McKeown, 5100 Brickyard Road, Columbia, SC 29203

State of North Carolina
Department of Environment and Natural-,
atural Resources
Division of Water Quality
STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORA
I. CURRENT PERMIT INFORMATION
�p�
� af�
1. Stormwater Management Permit Number: NCGO70167 _..�
2. Project Name: Boral Bricks Inc -
Plant
3. Current Permit Holder's Company Name/Organization:
4. Signing Official's Name: ArchieBarron
5. Mailing Address:
City: Salisbury
700 South Long Street
6. Phone: [phone]
Boral Bricks Inc
Title: Plant Manager
State: NC Zip: 28039
Fax: 7i 04 ) 636-7865
II. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
This request is for: (please check aft that apply)
© Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
❑ Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address / phone number change. (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: Meridian Brick LLc
2, Proposed permittee's signing official's name: ,. Cavid McKeown
3. Proposed permittee's title
4. Mailing Address
Corporate Environmental Manager
5100 Brickyard Road
City: Columbia
Prone: a{ 03 ) 691-3121
State: SC Tip: 29203
Fax: ( 803 ) 786-9703
5. New Project Name to be placed on permit: Meridian Brick LLC - Salisbury Plant
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain Stormwater system features. Print name of HOA or
POA in #f above and provide name of HOA/POA's authorized representative in #2 above)
® The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
❑ Purchaser (Attach a copy of the pending sales agreement: Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW WO Change Rev24Sept2012 Page 1 of 4

III.- - REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. This certification must be completed and signed by both the
current permit holder and the new applicant if this is a change of ownership.-
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behat# of the proposed permittee.
6. The $4a.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement.
® Check -here if the current permittee is gply changing his✓her/its name, the project name, or mailing
address, but will retain the permit. I, , the current
permittee, hereby notify the DWQ that I changing my name and/or I am changing my mailing
address and/or I am changing the name of the permitted project. l further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
❑ Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit.
I, , the current pdrmittee, am submftting this application
for a transfer of ownership for permit # . I hereby notify DWQ of the sale or
other legal transfer of the stormwater system associated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections 11 and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections 11 and V of this form. l understand that this transfer of
ownership cannot be approved by the DWQ unless and until the facility is in compliance with the
permit.
Signature:
County of
Date:
a Notary Public for the State of
do hereby certify that
personally appeared before me this the
day of .20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
Notary Signature
(Notary Seal)
SSW N/O Change Rev24Sept2012 Page 2 of 4

V. - PROPOSED`PERMITTEE CERTIFICATION: (This section must be completed by the
Proposed Pennittee for all transfers of ownership)
I, , hereby notify the DWQ that I have -acquired
through sale, lease or legal transfer, the responsibility for operating and maintaining the permitted
stormwater management system, and, if applicable, constructing the permitted system. I
acknowledge and attest that I have received a copy of: (check all that apply to this permit)
H
the most recent permit
the designer's certification for each BMP .
❑ any recorded deed restrictions, covenants, or easements
❑ the DWQ approved plans and/or approved as -built plans
❑ the approved operation and maintenance agreement
H
past maintenance records from the previous permittee (where required)
DWQ-stormwater inspection report showing compliance within 90 days prior to this transfer
I have reviewed the permit, approved plans and other documents listed above, and I will comply with
the terms and conditions of the permit and approved plans. I acknowledge and agree that I will
operate and maintain the system pursuant to the requirements listed in the permit and in the
operation and maintenance agreement. I further attest that this application for a name/ownership
change is accurate and complete to the best of my knowledge. I understand that if all required parts_
of this application are not completed or if all required supporting information and attachments listed
above are not included, this application package will be returned as incomplete.
Signature: Date:
I, , a Notary Public for the State of
County of _ , do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
Notary Signature
(Notary Seal).
Additional copies of the original permit and the approved Operation and Maintenance agreement can
be obtained from the appropriate Regional Office of the Division of Water Quality.
This completed form, including all supporting documents andprocessing fee if required), should be
sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural
Resources, Division of Water Quality, as shown on the attached map.
Please note that if the Proposed Permittee listed above is not the property owner, the property owner
must complete and sign page 4 of this document. Both the lessee / developer and the property
owner will appear on the permit as permittees.
SSW N/4 Change Rev24Sept2012 Page 3 of 4

VI. PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION
If the Proposed Permittee listed in Sections ll and V of this form is not the Property Owner, the
Property Owner must provide his/her Contact Information below and sign this form:
Printed Name:
Organization:
Title within the Organization:
Street Address:
City:
Mailing Address:
City: _
Phone:
—11"- I
State:
(if different from street address)
State:
Fax:
Zip:
Zip:
I certify that I own the property identified in this permit transfer document and have given permission
to the Proposed Permittee listed in Sections 11 and V to develop and/or, lease the property. A copy
of the lease agreement or other contract, which indicates the party responsible for the construction
and/or operation and maintenance of the stormwater system, has been provided with the submittal.
As the legal property owner I acknowledge, understand, and agree by my signature below, that I will
appear as a permittee along with the lessee/developer and I will therefore share responsibility for
compliance with the DWQ Stormwater permit. As the property owner, it is my responsibility to notify
DWQ by submitting a completed Name/Ownership Change Form within 30 days of procuring a
developer, lessee or purchaser for the property. I understand that failure to operate and maintain the
stormwater treatment facility in accordance with the permit is a violation of NC General Statute
(NCGS) 143-215.1, and may result inappropriate enforcement action including the assessment of
civil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
Signature of the property owner
Date:
I, , a Notary Public for the State of
County of
do hereby certify that
personally appeared before me this the
day of .20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal,
Notary Signature
(Notary Seal)
SSW N/O Change Rev24Sept2012 Page 4 of 4

Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
HCDEHR National Pollutant Discharge Elimination Systern (NPDES)
Fko cry.., ay.n..Q.r C*
'—" PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Rec6ved
Yes
Month
1 Day
NO r*iAHC-D'F- in facility own -a ..tolp or facility yi�a ie, but the individu'ai
legally responsible for the permit has c hangatd.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual" mean?
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit
N C S
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) Certificate of Coverage
N I C G' 0 7 1 0 I 6 7
Boral Bricks Inc
Address
Salisbury NC 28039
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http:L/Mrtal.nedenr.org/web/ir/sw-Rgrmit-contacts and run the Permit Contact Summary Report -
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual:
Greg
Stolze
First MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit): RECEIVED
Person legally responsible for this permit: Archie 110t►
Barron. o 201rF
First MI last
I<�€�-LAN[) QUALITY
�x�Rl MATER P1:pMjj-f0jG
Page I of �
SW U-OWN ERAFFI L-25.1uty2014

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form_ _
(if no Facility Name/Ownership Change)
Plant Manager
Title
P. Q. Box 1249
Mailing Address
Salisbury NC 28145-1249
City State Zip
704 ) 630.4246 [e-mail]
boral.com
Telephone E-mail Address
Fax Number
5) Reason for this change:
[Employee or management change
A result of: ❑ inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
1, Archie Barron, Jr , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this form are not completed, this change may not be
process
L1 November 5, 2015
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call 919-707-9220 or visit the website at:
hgp:/bortal.ncdenr.orOwebAr/stormwater
Page 2 of 2
SW U-OWNERAFFI L-25July2014

BORAL BRICKS, INC.
P.O. Box 1249
Salisbury, North Carolina 28145
Tel. & Fax: [phone]
[phone]
November 5, 2015
Via Certified Return Receipt #7011 2970 0002 4704 4422
NCDENR -DEMLR
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Attn: Laura Alexander
RE: Permit Owner Affiliation Designation Form
Permit No:
NCG020239
Permit No:
NCGO20241
Permit No.
NCG020242
Permit No.
NCG070167
Dear Sir/Madam:
Please find enclosed the Permit Owner Affiliation Designation Form to change the person legally
responsible for the above permits from Mike Kuvinka or Greg Stolze to Archie Barron. Jr.
If you have any questions or require any additional information, please contact Mrs. Kelly McCormick at
[phone].
Sin ly,
Archie Barron, Jr.
Plant Manager
Enclosure
cc: Kelly McCormick, Environmental Manager/File
Patsy Royal / Salisbury File

BORAL BRICKS, INC.
P.O. Box 1249
Salisbury, North Carolina 28145
Tel. & Fax: (704) 636r0131
[phone]
November 5, 2015
Via Certified Return Receipt #7011 2970 0002 4704 4422
NCDENR -DEMLR
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Attn: Laura Alexander
RE: Permit Owner Affiliation Designation Form
Permit No:
NCG020239
Permit No:
NCG020241
Permit No.
NCG020242
Permit No.
NCG070167
Dear Sir/Madam:
Please find enclosed the Permit Owner Affiliation Designation Form to change the person legally
responsible for the above permits from Mike Kuvinka or Greg Stolze to Archie Barron. Jr.
If you have any questions or require any additional information, please contact Mrs. Kelly McCormick at
(678)4914911.
Sin5k,gely,
6Kj'.
I
Archie Barron. Jr.
Plant Manager
Enclosure
cc: Kelly McCormick, Environmental Manager/File
Patsy Royal / Salisbury File
pp:�pr% -
2015

),e6ro'7o/(o7
Alexander, Laura
From: Alexander, Laura
Sent: Wednesday, April 15, 2015 10,47 AM
To: McCormick, Kelly (industries - Atlanta)
Subject: RE: Boral Bricks Check Issue
Kelly,
I had our budget office research the check and we did not find that check #t905O85 had been applied to permit for 700
South Long Street. For 2012 invoice — check 2774 paid the $100 Stormwater fee.
Hope this helps!
Laura
From: McCormick, Kelly (Industries - Atlanta)[mailto:Kelly.McCormick@boral,com]
Sent: Thursday, April 02, 2015 12:43 PM
To: Alexander, Laura
Cc: Royal, Patsy (Bricks - Salisbury)
Subject: RE: Boral Bricks Check Issue
Laura,
Any progress on finding the status of our check?
KELLY MCC©RMICK
Environmental Manager
Boral Industries Inc.
Mobile. [phone]
Email_ Kelly. McCormick(a7boral.com
200 Mansell Court East, Suite 305 Roswell Georgia 30076
NOTICE: This email message and all attachments are for the sole use of the intended recipient(s) and may contain confidential and priviteged information. it you
are not the intended recipient, you may not read, disseminate, distribute .copy or otherwise use this message or its attachments. It you have received this
message in error, please contact the sender by reply email and destroy all electronic and paper copies of the original message. Thank you.
Please consider the environment before printing this email
From: McCormick, Kelly (Industries - Atlanta)
Sent: Wednesday, March 25, 2015 11:51 AM
To: 'laura,[e-mail]'
Subject: Boral Bricks Check Issue

1 �
BOXAj., littlC" JLNCP.U. Box 1957 Augusta.Gcoreia 30903-1957 706-813$802
•Date; Nov 14, 2012 Vendor Nume- NCDENR Vendor
invoice Nuit&er Invoice iisite= . `k c" I}escrilstlon
111312 Nov 13, 2012 #NCO 070WO
PLEASE DETACH AND RETAIN THIS STATEMENT AS YOUR RBDORD OF PAYMENT. Thank You
BORAL BRICKS INC.
r-
t
Anima �a 7091A1951
Amount One -Hundred Dollars and Zero Cents
Payee NCDENR
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CTR
RALEIGH, NC 27699-1617
United States
0a90508511.

" q
161e1/Mc'"-VZ'4j'
�
NC.C-o'7 o I (off

BORAL BRICKS INC
M O.elioo1;
200 Mansell Court East • Suite 310
Rosweil. GA 30076
Telephone [phone] . Facsimile (770) 645-2U8
November 13, 2012 Federal Express
North Carolina Department of Environment and Natural Resources (NCDENR)
Storrnwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Renewal Permit Application NCG070000
Boral Bricks, Inc— Rowan County
Dear Sir/Madam:
Please find enclosed the completed application for coverage under the General Permit
NCG070000 for the Boral Bricks site located at 700 South Long Street in East Spencer,
NC, a check for the fee in the amount of $100 payable to the NCDENR, and the
associated USGS quad sheet with the facility marked.
If you have any questions, concerns, or require additional information, please contact
Kelly McCormick by phone at [phone] or by email at
Kelly. [e-mail].
Sincerely,
f
Keith Depew
VP, Operations
Enclosures
Cc: Pasty Royal — Boral, Salisbury, NC
Kelly McCormick — Boral, Roswell, GA

t . . .
Division of Waiter Quality 1 Water Qnaiify Section
NCDENR National Pollutant Discharge Elimination Sgstenn
WQ� CW&LOft nwwmeff a
NCG070000
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCGO70000:
STORMWATER DISCHARGES associated with activities classified as:
SIC` 32 Stone, Clay, Glass, and Concrete Products (except as specified below)
SIC" NIA like activities deemed by DWQ to be similar in the process andlor the exposure of raw
materials, products, by-products, or waste materials
The following activities are specifically excluded from coverage under this General permit:
SlC' 3273 Ready -Mixed Concrete
'Standard Ind t ai CisssWumik n Code
(Please print or type)
1) Mailing address of ownedoperator (add r+t s to which all permit cornespondenw will be mailed
Name &xal Bricks Inc
Street Address 200 Mansell Court East, Suite 305
City Roswell StateGA ZIP Code 30076
Telephone No. (770) 6454500 Fax [phone]B88
E-mil Address [e-mail]
2) Location of faclltlty producing discharge:
Facility Name Boras Bricks Inc -- Salisbury Plant
Facility Contact Archie Ban -on -- plant Manager
Contact E-mail [e-mail]
Street Address 700 South Long Street
City 8aHsbmy L25t-5p-,c,,-- - StateNC ZIP Code2MU
County Rowan
Telephone No. [phone] Fax [phone]
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names. state road numbers, and
distance and direction from a roadway intersection). From 1-85 follow E Inns Street West, turn: north onto
Long Street, follow it to Horal Bricks in East Spencer between side roads E Broad and Correll Streets
(A copy of a manly map or USGS quad sheet with facft wady located on tom map is Faqubmd to be submitted with this applhcfton)
4) Latitude 35". 40', 44AQ Longitude Mr. 26'. 32.86 (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following:
0 New or Proposed Facility Date operation is to begin 18Ws
X Existing

NCGO70000 N.O.I.
5) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facTcty
SIC Code: 3 2 5 1
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this faclllty: A1lanufacturer and Distributor of clay bricks
B) Discharge points f Receiving waters:
How marry discharge points (ditches, pipes, channels, etc.) convey storrnwater from the property? 1
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility skmnwater
discharges end up in? Unnamed tributaries of Town Creek
If the site stormwater dlscharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). n/a
10) Does this facility have any other NPDES permits?
X No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
11) Doss this faculty have any Non -Discharge permits (ax: recycle permits)?
X No
L7 Yes
If yes, list the permit numbers far all current Non -Discharge permits for this fac�'tt y:
12) Does this facility employ any best management practices for stormwater control?
❑ No
X Yes
If yes, please briefly describe: secondary containment, store chemicals Inside or under roof, split cleanup
Procedures, good housekeeping methods, preventative maintenance programs, employee training, etc
13) Dries this facility have a Storrnwater Pollution Prevention Plan?
❑ No
X Yes
If yes. when was a implemented? 1997
14) Are vehicle maintenance activides occurring at this facility?
❑ No 0 Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
X No ❑ Yes
b) Is this facility a Small Quantity Generator (Jess than 1000 kg. of hazardous waste generated per month) of
hazardous waste?

NCG070000 N.O.I.
is No ❑ Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
X No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored: -_ -- - -
How many disposal shipments per year:
Name of transport 1 disposal vendor:
Vendor address:
16) Certification:
North Carolina General Statute 143-216.6 b (1) provides that
Any person who knowingly makes any false statement, representation, or certification in any application, retard, report, plan, or other
document filed or required to be maintained under this Article or a rule Implementing this Article; or who knowingly makes a false
statement of a material tact in a rulemaking proceeding or contested case under d to Article; or who fatsifes, tampers with, or knowingly
renders inaccurate any recording or monitortng device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may inch,de a fine not to
exceed ten thousand dollars (Si 0,000).
I hereby request coverage under the referenced General 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.
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: Keith Depew
Title: VP, Operations
of
11/14/2012
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR
Final Checklist
This application will be returned as incomplete unless all of the following items have been Included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents
❑ Copy of county map or USGS quad sheet with location of facility dearly marked on map
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

NCG070000 N.O.I.
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWQ Central Office or Regional Office for your area.
DWO Regional Office Contact Information:
Asheville Office ......
(828) 29"500
Fayetteville Office ...
[phone]
Mooresville Office...
[phone]
Raleigh Office ........
(919) 791-42W
Washington Office ...(252)
946-6481
Wilmington Office .._
[phone]
Winston-Salem ......
[phone]
Central Office .........
[phone]

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I
Floor (704) M0131
MY McComikk
$ors# & zits lac
M South Lwig Street
EAST SPENCBt, NO 28039
or;ga► ID: SRWA
SM M (7 4y 663-1699 BILL SENDER
Stcrmwater and General Permit Units
NCDENR - Water Division
1617 MAID. SERVICE CTR
RALEIGH, NC27699
AcMgt 1-0 LB
Date: 20hIQV12
CAD 1021199TIO&7 40
°_. ui��diiCodei�iui1iiieioil I I I
Dootl
WED • 21 NOV A2
'nw MO MM 0365 STANDARD OVERNIGHT
XH
27699
SOPA RDU
All- pdrdhrp thls gbel
1 U the Prot button on lM,c pate to pnrd ymw tabd to ymw laser cr impel panter.
2i Fe amm � efepmeM so tttat the haModa poitm of the label Cart be read end ocMed
wamtog: Use only the printed or�inai fabd for shsp¢inp Usinn a photocopy of On Label fur sfnpp%iV purposes to fraudulent and cotdd
testd In addb", tuna�p cearDea, along with the rer aensriert of your FedFx a000uot number
Use of this system cam iorues your agreertrerd to the soiviee =xWons it the Moan FedFx Ser ow Q16a, avaiable on fedm oom Fed&
will not be respoaaftle Wr any Wum in excess of S1OD per pAUage, whetter the result o f lass, damage, delay, non dehwry.gnsddr wy or
mtsmfoT, ahion, urdm you dedm a Ngher value, pay an adtbt=ml charge, docomert yoLx =WW bss and Eb a timely daim Laratdens
t and in Uw CtAtCnt FedFx Sorvioo Gride apply Yw right to r> wVer from Fedrn for"loss. mduing Ifgfq= va ue of the pamage.
toss of Saks, rrt =o trnesest. Satohorn ateys fees, own and dater farms of damage wtm:her bred, rodardat,cawgrL"=i of specel
is baited to the areoitr of 5100 cr the au+lto=W dectarcd value. Recovery wild exceed scwel doammted kft Ma nmwn for arras cf
etdraordatary value is 51,00Q e g pomby. precious metals rrzshuments and outer gems trsud ut our SernmGLwe vvMen
dalrns must be teed w9w W of Lane tmi% see current FedF S Geride

f" W A 7•F Michael F. Easley, Governor
`OTC QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
7 Alan W. Klimek, P.E.
> Director
Q Division of Water Quality
July 16, 2004
Boral Bricks, Inc.
Mr. Michael Kuvinka
Plant Manager
PO Box 1249
Salisbury, NC 28145-1249
Subject: General Permit No. NCG070000
Boral Bricks, Inc.
COC NCG070167
Rowan County
Dear Mr. Kuvinka:
In accordance with your application for a discharge permit received on June 29, 2004 we are forwarding
herewith the subject certificate of coverage to discharge under the subject state — NPDES general permit. This
permit 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 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the
certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management
Act or any ether Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Jonathan Diggs at telephone number
[phone] ext. 537.
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Alan W. Klimek, P.E.
cc: Mooresville Regional Office
Central Files _
Stormwater and -General -Permits Uriit.F Ies
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
VvA
RWENR
Customer Service
1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PEP -MIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070167
STORMWATER DISCHARGES
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,
Boral Bricks, Inc.
is hereby authorized to discharge stormwater from a facility located at
Boral Bricks, Inc.
700 South Long Street
Salisbury
Rowan County
to receiving waters designated as UT to Town Creek, a class C water in the Yadkin River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, I11,
IV, V, and VI of General Permit No. NCG070000 as attached_
This certificate of coverage shall become effective July 16, 2004,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 16, 2004. ORIGINAL SIGNED BY
WILLIAM C. MILLS
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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-pi.
Markers
Name: Boral Bricks, Inc. NOG070167
Short Name: BrlBrc
Coordinates: 0350 40' 35.2" N, 0800 26' 18.8" W
Comment: Boral Bricks, Inc., subbasin (03-07-04), Yadkin River Basin, Rowan County,
UT to Town Creek, Class C, USGS quad E16SE

W A TF Michael F. Easley, Governor
RQfi William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r0 Alan W. Klimek, P.E.
- Director
Q C Division of Water Quality
WC DEK. OF EWHORMT
AND NATURAL RESOURCES
NlQpREMU 7 "OVAL OFFICE
July t6, 2004
Boral Bricks, Inc.
Mr. Michael Kuvinka JUL 1 6 2004
Plant Manager
PO Box 1249
Salisbury, NC 28145-1249 WATM MM"SE4�VVN
Subject: General Permit No, NCG070000 G
Boral Bricks, Inc.
COC NCG070167
Rowan County
Dear Mr. Kuvinka:
In accordance with your application for a discharge permit received on June 29, 2004 we are forwarding
herewith the subject certificate of coverage to discharge under the subject state — NPDES general permit. This
permit 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 (or as subsequently amended).
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the
certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the
Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management
Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Jonathan Diggs at telephone number
[phone] ext. 537.
M&NIA 'SIGNED BY
WILLIAM G. MILLS
Alan W. Klimek, P.E.
cc: 11'Vlo6resviffE REebiona]-Office
Central Files
Stormwater and General Permits Unit Files
N. C. Division of Water Quality 1617 Mail service Center Raleigh, NC 27699-1617 [phone]
NCDENR
Customer Service
1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070167
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215. t, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Boral Bricks, Inc.
is hereby authorized to discharge stormwater from a facility located at
Boral Bricks, Inc.
700 South Long Street
Salisbury
Rowan County
to receiving waters designated as UT to Town Creek, a class C water in the Yadkin River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, III,
IV, V, and VI of General Permit No. NCG070000 as attached.
This certificate of coverage shalt become effective July 16, 2004.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 16, 2004. ORIGINAL SIGNED BY
WILLIAM C. MILLS
Alan-W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Markers
Name: Boral Bricks, Inc. NCG070167
Short Name: BrlBrc
Coordinates: 0350 40' 35.2" N, 0800 26' 18.8" W
Comment: Boral Bricks, Inc., subbasin (03-07-04), Yadkin River Basin, Rowan County,
UT to Town Creek, Class C, USGS quad, E16SE