HomeMy WebLinkAboutNCG070081_COMPLETE FILE - HISTORICAL_20150716STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/v
DOC TYPE
HISTORICAL FILE
0 MONITORING REPORTS
DOC DATE
❑ 2c)l 5D -7 1
YYYYMMDD
Pat McCrory
Governor
CCDENR '
North Carolina Department of Environment and Natural Resources
July 16, 2015
Concrete Pipe & Precast, LLC
Attn: David Holsinger, Director of Human Resources and ESH
452 Webb Road
Dunn, NC 28335
Donald R. van der Vaart
Secretary
Subject: COMPLIANCE EVALUATION INSPECTION
Concrete Pipe & Precast, LLC
Concrete Pipe & Precast -Dunn, Certificate of Coverage-NCG070081
NPDES Stormwater General Perm It- NCG070000
Harnett County
Dear Mr. Holsinger:
On July 15, 2015, a site inspection was conducted for the Concrete Pipe & Precast -Dunn facility located at
452 Webb Road, Dunn, Harnett County, North Carolina. A copy of the Compliance Inspection Report is
enclosed for your review. Mr. Ray Rosser, Plant Manager, and Mr. Ed Eagle, Safety and Health Manager,
were also present during the inspection and their time and assistance is greatly appreciated. The site visit
and file review revealed that the subject facility is covered by NPDES Stormwater General Permit-
NCG070000, Certificate of Cove rage- NCG070081. Permit coverage authorizes the discharge of stormwater
from the facility to receiving waters designated as Mingo Swamp, a Class C;Sw waterbody in the Cape Fear
River Basin.
As a result of the inspection, the facility was found to be in compliance with the conditions of the NCG070000
permit. Please refer to the enclosed Compliance Inspection Report for additional comments and
observations made during the inspection.
Please be advised that violations of the NPDES Stormwater General Permit are subject to a civil
penalty assessment of up to $25,000 per day for each violation. If you or your staff has any questions,
comments, or needs assistance with understanding any aspect of your permit, please contact me at (910)
433-3394 or by e-mail at mike.lawyer@ncdenr.gov.
Sincerely
Michael Lawyer, CPSWQ
Environmental Program Consultant
Enclosure
cc: Ray Rosser, Plant Manager- Concrete Pipe & Precast, LLC (via e-mail)✓
Ed Eagle, Safety and Health Manager -Concrete Pipe & Precast, LLC (via e-mail),/
FRO - Land Quality Section, Stormwater Files-NCG070081
Division of Energy, Mineral, and Land Resources
Land Quality Section
Fayetteville Regional Office, 225 Green Street - Suite 714, Fayetteville, North Carolina 28301
Phone: 910-433.33001 FAX: 910-486-07071Internet: hftp://Portal.ncdenr.org/webAr/
An Equal Opportunity 1 Affirmative Action Employer -- 50% Recycled 110% Post Consumer Paper
�i
Compliance Inspection Report
Permit: NCG070081 Effective: 06/01/13 Expiration: 05/31/18 Owner: Concrete Pipe & Precast LLC
SOC: Effective: Expiration: Facility: Concrete Pipe & Precast -Dunn
County: Harnett 452 Webb Rd
Region: Fayetteville
Dunn NC 28335
Contact Person: John Blankenship Title: Phone: 804-798-6068 Ext,1412
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
On -site representative Ray Rosser 910-897-3972
On -site representative Ed Eagle 804-752-1321
Related Permits:
Inspection Date: 07/15/2015 EntryTime: 10:OOAM
Primary Inspector: Mike Lawyer
Secondary Inspector(s): , r`�
Exit Time: • 12:35PM
Phone: 910-433-3300 Ext,729
Reason for Inspection:. Routine Inspection Type: Compliance Evaluation
Permit Inspection type: Stone, Clay, Glass, and Concrete Products Stormwater Discharge COG
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1
Permit: NCG070081 Owner - Facility: Concrete Pipe & Precast LLC
Inspection date: 0711512015 Inspection Type; Compliance Evaluation Reason for visit: Routine
Inspection Summary:
This is the first compliance inspection at the facility concerning coverage under the NCG070000 General Stormwater
Permit. Mel with Ray Rosser, Plant Manager, and Ed Eagle, Safety & Health Manager. Reviewed facility's Stormwater
Pollution Prevention Plan (SPPP) and semi-annual Qualitative Monitoring records. Facilty's SPPP contains all permit
required components, however there is no documentation of an annual review/update since 2012. Per Part ll, Section A,
item 8 of the NCG070000 permit, the annual update shall include: an updated list of siginificant spills for the previous -three
years or notation that none have occurred; written re -certification that the stormwater outfalls have been evaluated for the
presence of any non-stormwater discharges; documented re-evaluation of the effectiveness of stormwater BMPs; and a
review and comparison of sample analytical data to benchmark values (if applicable) over the past year. Some revisions are
needed to the facility's site map to reflect all buildings, storage areas, adjacent surface waters, etc. as outlined under Part
II, Section A, item 1(c) of the permit. Semi-annual Qualitative (visual) Monitoring records for the site's three stormwater
outfalls were available for review. Observations were made of the facility's three stormwater outfalls and secondary
containment for diesel and used oil tanks. Site appeared to be well operated and maintained at the time of inspection.
Page: 2
. . .
Permit: NCG070081 Owner - Facility: Concrete Pipe & Precast LLC
Inspection Date: 07115/2015 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
M ❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
0 ❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
0 ❑ ❑ E]
# Does the Plan include a detailed site map including outfail locations and drainage areas?
0 ❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ 0 ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
M ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
M ❑ ❑ ❑
# Does the Plan include a BMP summary?
❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
0 ❑ ❑ ❑
# Does the facility provide and document Employee Training?
❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
0 ❑ ❑ ❑
# Is the Plan reviewed and updated annually?
❑ 0 ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
■ ❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
M ❑ ❑ ❑
Comment: Facility's SPPP is well or anized and complete with the exception of documentation of an annual
review/update to include all items listed under Part II Section A item 8 of the NCG070000
permit. Some revisions are also needed to the facility's site map,
Qualitative Monitorinq
Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually?
M 110 ❑
Comment:
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ ❑ M ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ ❑
Comment: Facility,is not sub'ect to analytical monitoring
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ■ ❑ ❑ ❑
# Were all outfalls observed during the inspection? 0 ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ M ❑
# Has the facility evaluated all illicit (non stormwater) discharges? M ❑ ❑ ❑
Comment: An annual re -certification of the stormwater outfalls for the_presence of_anynon-stormwater
discharges should be conducted and documented per the annual review/update condition as
noted above.
Page: 3
v4ArF
y� Mklucl F. Easley. tiaaernnr
0 William G ltft► Jr., SeLMvey
> Nunh Carolina Dquttinrnt of Vn►in,nme'nt and Haturnl Resources
fa t
Cokcn H-Ste1Uns.-nircc1or ""-'""..._
Ikvisicm of Ws r1r Quality 1 a
SURFACE WATER PROTECTION,SECTION
PERMIT NAME/OWNERS�P CHANGE FORM Nov 6 2013
L Please enter the permit number for which the change is requested.
NPDCS Permit (or) Certificate of Covera e�-�---; �r
N I C 10 10 N I C 10 0 1 7 0-1,0 `' 1: T` II Er:!C iJAL OFr4CE
u. Permit statue grjoE to status change.
a. Permil issued to (company name): _ Hanson Pipe & Precast, LLC
b. Person.lcgally responsible for permil: Ray Rosser
First M1 Lost
Plant Manager
Title
452 Webb Road
Permit Holder Mailing Address
Dunn NC 28334
City State Zip
(910) 897-3972 (9i0) 892-4894
Phone FIX
c. Facility name (discharge): _ _ Hanson Pipe & Precast - Dunn _
d. Facility address., - 452 Webb Road
Addmu
Dunn NC 28334
City State Zip
e. Facility contact person: Ray Rosser (910) 897-3972 _
First / Ml / Last Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
!f other please explain:
b. Permit issued to (company natne):
Concrete Pipe & Precast, LLC _
c Person legally responsible for permit:
David_ _ _ Holsinger _
First Ml last
Director Of Human Resources And ESH
Titic
452 Webb !toad
Pmnit Holder Mailing Address
Dunn NC 28334
City State Zip
91 U 897-3972 RRosse concrcic _ � pxorn
Phone F•tnail Address
d. Facility halos (discharge):
Concrete Pipe & Precast - Dunn
e. Facility address:
452 Webb Road _
^_ _
Addrebs
~ Dunn NC 28334
— -- —
City� State Zip
f. Facility conlaci;Perstm:
Rai: Rosser
_
First 411 1_a'a
_ yt 1 (► ±97:L97.2 &{Rustier{a concr_elepaodr) react
Ph,a,e F.-mail AddmNs
Aev'imta B'2ltik
PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact Information (if different fmm the person legally responsible for the permit)
Permit contact: Ra Rosser
First MI last.
Plant Manager
Title
452 Webb Road
Mailing Addrow
Dunn NC 28334
City State zip
910 897-3972 RRosse ncret .corn
Plt= E-mail Addtcm
V. Will the permitted hellity continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
V1 Required items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for loth name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a !fill of sale) is ENujEW for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
...................:.................................................................................................
The certifications below must be completed and signed by ho the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Tom Catrelli, attest that this application for a namelownership change has been reviewed and is accurate
and complete to the bast of my knowledge. I understand that if all required parts of this application arc not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
i
APPLICANT CERTIFICATION
I I lag /I;,
Date
I, NyA jigI&M, attest that this application For a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting infomtation is not included, this application
pqFka&F will be returned as ' otnplete.
Signature Dale
............. 0......................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
I617 Mail Service Ccnlur
Raleigh. North Carolina 27699-1617
neared r."
K`R�' Y Si1prrov
2• r t
ee�� 2
i i
:w T=■ 2ftr4tts
ttatlt><s
NORTH CAROUNA NON -WARRANTY DEED
rucinTax: h g2361&4?r40oTi94 da 0005-99s
Parcel identifkr No. Verified by
of ,2012
County an the day
v
THIS DEAD made this 3 day 0W.M 12, by and between
Hanson Pf pa & Precast LLC,
a Delawse lintlted habit eongmM,
as a meessor to Hansom Flee & Freea:t, Inc.
800 IL John Carpenter Fraway
Irving, Texas 75M
IN0710E TO CL.itM Please index
Wilt earns as GRANTOR4
Coocretbs Pipe & 1't+ecas4 ux
a Delaware »noted HMM4 cwWW
210 State Spring Road
Harrbombwn, VirlMs 2=1
Enter in appropriate block for eech Grantor and Grantee: nam miling address. mad, if appmpriam, character of
entim. e.a. coroa stiam or outaenbin.
71te desig mm G nuttor and Grantee as used betels"l uwk4e said parties. their simm,a� and aaigns, and s1,d atckda
siastriar, pkwal. noscufim, f arniniae or neuter as segotred by context. Grantor is the rm uh of the conversion afdm fee owner
of the Property (as ddinod below) from hansom Pipe dt Pmast, Inc. to He Pier & Recast LLC p omm w le
Certificate of Coavttsios firotrt a Cotpoma m to a limited Liability Company ptttsuaat to Section 18-214 of the Lirttitod
Liability Company Act aww tiag i umm Pipe di Precast. Inc.. a Dcbmm corponnion, to Hanson Pipe dt PmeaK LLC,
a Delaware limited liability company, filed December 29. 2008 with the Delaware Secretary of State, a copy of which is
attached hereto as Z&h& LA'
W1TNESSETH, that the Grmntw. for a valuable consideration paid by the Grantee, the mcetipt of wfsich is hertby
acknowledged. has and by these presents does grant, barpbin sell and convey unto the Grantee in fee simple, all that certain
401M 1:5P'jt]fm2'oj57rn71)Il
lot or parcel of land situated in City of Dunn, Harnett County, North Carolina (the "Property") and more particularly
described as follows;
ISBE EMISIT ATTACHED HERETO AND INCORPORATED HEREIN BY THIS REPERENC.E1
The property hereinabove described was acquired by Grantor's predecessor by instrument recorded in (i) Deed Book 840
at Page 686 with respect to parcel i of the Property, (ii) Deed Book 843 at Page 334 with respect to panel 11 of the
Property, and ON Deed Book 2411 at Page 330 with respect to parcel III of the Property in the office of da Harnett
County Register of Deeds.
TO HAVE AND TO HOLD the aforesaid lot or parcel of Iand and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
The Grantor makes no warranty. express or implied. as to title to the property hereinabove described.
(Sign WWT PW Follows f
110:'01i7:07Z112
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this
instrument to be signed in the corporate name by its duly suthorired officers and its seal to be hereunto sflixed by
authority of its rnembers. the day and year first above written.
HANSON PIPE & PRECAST LLC,
as successor by conversion to
Hanson Pipe di Precast. Inc.
(SEAL)
7boinss Vrapelli
preswar
STATE OF TEXAS
ACKNOWLEDGEMENT
COUNTY OF DALLAS
1,6COf Cg a Notary Public of the Courtly and Slate aforesaid, do hereby certify that
Thor m D. Cdpeffi personalty appeared before no this day. and acknowiedged that he is President of Henson Pipe &
Precast LLC, a Delaware limited liability catpeny. as sueoesser byconversion to Hanson Pipe & Precast, Inc., and that
as President being authorized to do so, executed the foregoing on bchalrof the company.
Wibmas my hand and official seal this 241b day of July, 2012.
.A►v
Oae
Ar
(TyPk or print ,same)
My convu"on expires:
(NOTARIAL SEAL)
t1 W R" Ptf1Co
Hot"pwft ft" of tams
tryr � 1R� (9
I I801aa3 2 DOC
4133371 Vsr,11702,0157-n7rn7
a�
HARNETT COUNTY TAX ID#
0
BY
acise Tax S 5,490 -'
Tex W No. Pan of
Verified by
K�Pon RKy"STPA'IM
1` c ¢T of $o
2*jr� -�1b
28. �
IIR1,xST T 124435
or Time. Book and Pas
Ot7 IF1 trab "q&
Parcel Identifier No. _ 00 0 Mr --
Counly an She — day of .2012
Mail On tesording ta: M. E. (Dick) Oibaaa Jr.. Tremblay Ale Smi11k PLLC. 105.109 E. High Stzeet. Charkmesvilk. VA 22902
This knowim m was prepwW by E. Andrew Keewy. Itad mn •ad Cswka.130 W. Main Saner. Sit. 21 M. Nor W VA 23510.
NC Bar No. 23622
Brkf &w iptinn for the Index y r a "Ts,%
NORTH CAROLINA SPECIAL WARRANTY DEED
Au -1t
THIS DEED made thus —a— day of>i*. 2012, by and between
GRANTOR
Hanson Pipe & Precast LL.C;
a Delaware limited Habi ► company,
as acceswr to Hanson Pipe & Precast,
isle., a Dellaw►an corporation
300 E. John Carpenter Freeway
Irving, Texas 75M
(NOTICE TO CLERK: Please index
both shames as GRANTOR]
GRANTEE
Concrete Pipe & Precast, LLC,
a Debwart 11mited liability company
210 Stone Spring Road
Harrisonburg, Virginia 22801
Enter to gWopriate block far each party: now, address, " N appropriate, choracter d eatky, a=. c+rponriaa Or
partw sb4L
The designation Grantor and Grantee as used herein shall include said parties, their successors and
assigns, and shall include singular, plural, masculine. feminine or neuter as required by context.
Grantor is the result of the conversion of the fee owner of the Property (as defined below) from
Hanson: Duna, North Carolina - Page t
4061N0 4•5p.11 702.01$7,072112
Hanson Pipe & Precast, Inc., a Delaware corporation, to Hanson Pipe 8t Precast LLC, a Delaware
limited liability company, pursuant to the Certificate of Conversion from a Corporation to a
Limited Liability Company pursuant to Section 18.214 of the Limited Liability Company Act
converting Hanson Pipe & Precast, Inc., a Delaware corporation, to Hanson Pipe & Precast, LLC,
a Delaware limited liability company, filed December 29, 2009 with the Delaware Secretary of
State, a copy of which is attached hereto as Elb&il A.
WTITIESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
wench is hereby acknowledged, leas and by these presents does grant, bargain, sell and convey unto
the Grantee in fee simple, all that certain lot or parcel of land situated in City of Dunn, Harnett
County, North Carolina (the" Property") and more particularly described as follows:
[SEE EXHLBIT B ATTACHED HERETO AND INCORPORATED HEREIN BY THIS
RI."MENCE]
The Property was acquired by Grantor's predecessor by instruments rocorded in (i) Deed Book 840
at Papa 686 with respect to parcel I of the Property, (ii) Dead Book 843 at Page 334 with respect to
parcel U of the Property, and (iii) Deed Book 2411 at Page 330 with respect to parcel 111 of the
Property in the office of the Harnett County Register of Deeds.
TO HAVE AND TO HOLD the Property and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the Property in fee simple,
has the right to convey the same in fee simple, that title is marketable and free and clear of all
encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persona whomsoever by, thsmrgh or under Grantor except this conveyance is made expressly
subject to all unexpired covenants, conditions, restrictions, reservations and easements, if any,
lawfully affecting the Property, duly of icem+d and constituting constructive notice, other than any
liens or security interests securing any unpaid monetary obligations.
Hanson: Dunn. Norlh Corottna - Page 2
6UMeA041WI17112i0IsTO 2312
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if
corporate, has caused this instrument to be signed in the corporate name -by its duly authorized
officers and its seal to be hereunto affixed by authority of its members, the day and year first
above written.
HANSON PIPE & PRECAST LLC,
a Delaware limited liability company,
as successor by conversion to
Hanson Pipe & Precast, Inc.,
a Delaware corporation
(SPAL)
Tho . Capelli
President
STATE OF TEXAS
ACKNOWLEDGEMENT
COUNTY OF DALLAS
ma. V_U 16LG a Notary Public of the County and State aforesaid, do
hereby certiWthat Thomas D. Capelli personally appeared before me this day, and acknowledged
that he is President of Hanson Pipe & Precast LLC, a Delaware limited liability company, as
successor by conversion to Hanson Pipe & Precast. Inc., a Delaware corporation, and that as
Presidan being authorized to do so, executed the foregoing on behalf of the company.
my hand and official seal this 24th day of July. 2012.
(Tyle dr print name)
My commission expires: i (.
(NOTARIAL SEAL) rmtot aM MCI
N"V Mft' Mir oa t0M
* �p�f
tote
Hanson: Duna, Norlb Carolina - sigmtutr Page
406"40 4sp! 1 1102.01 571071112
Georgoulias, Bethany
From: admin@ncdenr.gov
Sent: Tuesday, June 04, 2013 11:05 AM
To: SVC_DENR.stormwater
Subject: Confirmation for Renewal of DWQ Stormwater NPDES General Permit
** Do not reply to this e-mail as it is from an unmonitored mailbox. **
Thanks for renewing your permit using our on-line option. No further. action is necessary. The new General
Permit is available for printing from our website at htipJ/portal.ncdenr.orb;/web/wq/sw/su/npdessw .
If you have questions, please contact Bethany Georgoulias at bethanv. ,eor,,ouliasrc7ncdenr. Gov phone (919)
807-6372 or Bradley Bennett at bradley.bennett@ncdenr.gov phone (919) 807-6378. If you forgot to print your
Certificate of Coverage you can resubmit the data and print another copy.
This COC is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection
Agency, dated October 15, 2007 (or as subsequently amended.)
The General Permit authorizes discharges of stormwater and specifies your obligations for discharge controls,
management, monitoring, reporting, and record keeping. Please review the new permit to familiarize yourself
with all of the changes. Parts III and IV contain the Standard Conditions, including Compliance and Liability,
Reporting, Monitoring and Records requirements; Operation and Maintenance obligations; and Definitions.
Your facility has six months from receipt of the COC to update its Stormwater Pollution Prevention Plan
(SPPP) to comply with changes in SPPP requirements. Other changes are effective immediately. Please note
that Tier 3 Actions (if applicable) are triggered by four benchmark exceedances beginning on the effective
date of the renewal permit and do not count prior exceedances. Please visit our website above to review the
new General Permit carefully.
Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit
does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it
relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law,
rule, standard, ordinance, order, judgment, or decree.
CONFIRMATION DETAILS
Permit Number:
Effective Date:
Expiration Date:
Organization Name:
Facility Name:
Admin Region:
County Name:
Regulated Activity:
Receiving Stream Name:
Receiving Stream Class:
Basin:
Facility Address:
NCG070081
611� �p13
Concrete Pipe & Precast LLC
Concrete Pipe & Precast -Dunn
Fayetteville
Harnett
Clay, Stone, Glass products manufacture
Mingo Swamp
C; Sw
:,Cape Fear
452 Webb Rd
21
Facility City:
Facility State:
Facility•Zip:
Affiliation Type:
Fax Number:
Work Phone Number:
First Name:
Middle Name:
Last Name:
Emai l:
Dunn
NC
28335
Owner
(910)897-3972
David
Holsinger
iblankcnsl7_ip(a7Concre;teandp.coni
22
Georgoulias, Bethany
From: Georgoulias, Bethany
Sent: Wednesday, May 29, 2013 8:43 AM
To: 'rrosser@concretepandp.com'
Subject: NPDES Stormwater Permit COC Renewal Update
Dear Stormwater Permit On-line Renewal Contact:
We have sent the permit or owner contact person on record for Certificate of Coverage (COC) No. NCG070081, **No
permit/owner contact e-mail available; PIN was sent to this e-mail**, a unique PIN and instructions for renewing the
COC on-line. You may be the same contact person that received that information.
A complete permit package (General Permit, Monitoring Forms, Technical Bulletin) is available from our website at:
http://portal.ncdenr.org/web/wq/ws/su/2013-gps . We have also provided this website to the permit or owner contact
named above.
On that website, you will find revised summary reports of the contact affiliations and details we have on record for this
COC. Please search the corresponding PDF document for the COC number. We request that you help keep DWQ
updated with accurate permit contacts and e-mail addresses for this permit.
If you have any questions or concerns, please contact:
Bethany Georgoulias
e-mail: bethany.georgoulias@ncdenr.gov
phone: (919) 807-6372
or
Bradley Bennett
e-mail: brad) .bennett ncdenr. ov
Phone: (919) 807-6378
or
Bridget Munger
e-mail: brid et.mun er ncdenr, ov
Phone: (919) 807-6363
Best regards,
The Stormwater Permitting Unit
Bethany Georgoulias
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: (919) 807-6372
Fax: (919) 807-6494
NEW Websile: http_//portal.ncdenr.org/web/wq/ws/su
E-mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
107
A
NCDEE R`
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, R E. John Skvada
Governor Director RECEIVE-e0tary
David Holsinger
Concrete Pipe & Precast LLC
452 Webb Rd
Dunn, NC 28129
Dear Mr, Holsinger:
April 17, 2013 APR 2 2 2013
DENR-FAYETTBALLE REGICPJAL OFFICE
Subject: NPDES General Permit NCG070000
Certificate of Coverage NCG070081
Concrete Pipe & Precast LLC
Formerly known as Hanson Pipe &
Precast LLC
Harnett 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, please contact the Stormwater Permitting Unit at 919-807-6300.
Sincerely,
ORIGINAL SIGNED 81
KEN PICKI"E
for Charles Wakild, P.E.
cc: Fayetteville Regional Office
Central Files
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604
Phone: 9IM07.63001 FAX: 919-807-6494 1 Customer Serrice:1-977.623-6748
Internet www,nmatsrquality,org
An Equal Opportunity 1 Affirmative Action Employer
pnehCarolina
NtUrally
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070081
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,
Concrete Pipe & Precast LLC
is hereby authorized to discharge stormwater from a facility located at
Concrete Pipe & Precast LLC-Dunn
452 webb Rd
Dunn
Harnett County
to receiving waters designated as Mingo Swamp, class C S W, waters in the Cape Fear River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts
1, II, III, IV, V and VI of General Permit No. NCG070000 as attached.
This certificate of coverage shall become effective April 17, 2013.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 17, 2013.
ORIGINAL SIGNED Bl
KEN PICKLE
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Munger, Bridget
From: Jon Field [JField@concretepandp.com]
Sent: Thursday, March 14, 2013 4:04 PM
To: Munger, Bridget
Subject: RE: Form
Fallow Up Flag: Follow up
Flag Status: Flagged
Bridget,
John Blankenship .
11116 Johnson Road
Ashland,
VA 23005
This is John's work address at the Ashland Plant. It is possible the change name form has all ready been submitted, John
is checking and will inform me tomorrow.
Thanks for your help.
Jon Field
CP & P Qakboro, NC
From: Munger, Bridget maiito:brid et.mun er ncdenr. ov]
Sent: Thursday, March 14, 2013 12:49 PM
To: Jon Field
Subject: Form
Hi Jon,
Here is the name/owner change form. When I receive John Blankenship's address information, I'll go ahead and make the
online contacts revisions.
Thanks,
Bridget
Bridget Munger
N.C. Department of Environment & Natural Resources
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Phone: 919-807-6363
Fax: 919-807-6494
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law
and may be disclosed to third parties.
DENR-FRCS
_ DEC i Z 20i2
ALITA - Dwo
��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
December 77 2012
Davie! Holsinger
Concrete Pipe & Precast L LC
452 Webb Rd
Dunn, NC 28334
Subject: NPDES General Permit NCG070000
Certificate of Coverage NCG070081
Concrete Pipe & Precast -Dunn
Formerly Hanson Pipe & Precast -Dunn
Harnett County
Dear Mr. Holsinger:
On December 5"', 2012, Division personnel received your request to revise your stormwater permit
Certificate of Coverage to accurately reflect your new company and 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, please contact the Stormwater Permitting Unit at 919-807-6300.
Sincerely,
ORIGINAL SIGNED 81
KEN PICKLE
for Charles Wakild, P.E.
cc: Fayetteville Regional Office
Central Files
Stormwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-10
Location: 512 N, Salisbury St. Raleigh, North Carolina 27604
Phone: 91 9.807-6300 1 FAX: 919-807-64941 Customer Service, 1-877.623.6748
Internet mmwaterquality.org
An Equal Opportunity 1 Affirmalive Aclic;
One
NorthCarolina
Naturally
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG07008.1
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,
Concrete Pipe & Precast LLC
is hereby authorized to discharge stormwater from a facility located at
Concrete Pipe & Precast -Dunn
452 Webb Rd.
Dunn
Harnett County
to receiving waters designated as Mingo Swamp, a class C S W, waters in the Cape Fear River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts
1, 11, 111, IV, V and VI of General Permit No. NCG070000 as attached.
This certificate of coverage shall become effective December 7, 2012.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 7, 2012.
ORIGINAL SIGNED Bl
KEN PICKLE
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
'O=OtWA100 G Michael F. Easley, tmvenwr
Uj William a. [lass Jr., Sermtory
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Dirxtor
Division of Water Quality
q SURFACE'i�Y�iTERPROECTIOW
C'TIONCHEFORIVI�
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
NI C I 0 16 1 1 1 FT7 N IJO 10 10 17 10 10 8 l
11. Permit status prior to status change.
a. Permit issued to (company name): Hanson Pipe & Precast LLC
b. Person legally responsible for pennit: Ray Rosser
c. Facility name (discharge):
d. Facility address:
First M1 Last
Plant Manager
Title
452 Webb Road
Permit Holder Mailing Address
Dunn NC 28334
City State Zip
(910) 897-3972 (910) 892-4894
Phone Fax
Hanson Pipe & Precast - Dunn
452 Webb Road
Address
Dunn NC 28334
City State Zip
e. Facility contact person: _Ray Rosser (910) 897-3972
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ® Change in ownership of the facility
❑ Name change of the facility or owner
!f other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
FEE 0
DEC 5 2012 I
d. Facility name (discharge):
e. Facility address:
Concrete Pipe _& Precast, LLC _
David Holsinger
First MI Last
Director Of Human Resources And ESH
Title
452 Webb Road
Pennit Holder Mailing Address
Dunn NC 28334
City State Zip
(910) 897-3972 RRosser@concretepandp.com
Phone E-mail Address
Concrete Pipe & Precast - Dunn
452 Webb Road
Address
Dunn NC 28334
City State Zip
f. Facility contact person: Ray Rosser
First M1 Last
(910) 897-3972 RRosser@concretepandp.com
Phone E-mail Address
Revised 812t701
PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
1V. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Ray _ Rosser_
First M1 Last
Plant Manager
Title
452 Webb Road
Mailing Address
Dunn NC 28334
City State Zip
(910) 897-3972 RRosse!&oncretepandp.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is reauired for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
.................. ............ .................................. ................................................... ..
The certifications below must be completed and signed by kaLh the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERM ITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Tom Capelli, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
1, David Holsinger, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
p e will be returned as ' omplete.
- aL,
Signature Date
....................................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RWwd 7lM
FOR RIGISTRATION
Klmbarly Flararoys
RHCISTgg OORRzz0E+�6�aDy 2OBKr 30,
O i�:419-+20
INS TRUM1110p620012012416
SARTIS
i���J�► L�il�i
NORTH CAROLINA NON -WARRANTY DEED
Excise Tax: b 00465`0.0005194 4+rJ 0005195
Parcel identifier No. Verified by _ County on the day
of ,2012
By: _
Mail/Box to: M.E (Dick) gibM_I[- Esa.. Tremblay & Smith. PLLC, 10-109 B. Hig1�S� etc . Charlottesville. VA
22902
'Ibis instrument was prepared by: E• Andrew_Keee y Ea., Kayrm-n& Canoles,_P.C. 150 West MajjD Street, Suite
2100-Norfolk- VA-23 S l0
Brief description for the Index; hA4 I•o�4 Xtys16.0o 7ot,+s4� 4_
THIS DEED made this _'_ day o .1a12, by and between
GRANTOR
Hanson Pipe & Precast LLC,
a Delaware limited liability company,
as successor to Hanson Pipe & Precast, Inc.
3001. John Carpenter Freeway
Irving, Texas 7M2
jNOTICE TO CLERK: Please index
both names as GRANTORI
GRANTEE
Concrete Pipe & Precast' LLC
a Delaware limited liability company
210 Stone Spring Road
Harrisonburg, Virginia 22801
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of
entity, e.g, corporation or partnership.
The design Aon Crrantar and Grantee as used herein shall include said parties, their successors. and assigns, and shall inchxIc
singular, plural, masculine, feminine or neuter as required by context Grantor is the result ofthe conversion ofthe fee owner
of the Property (as defined below) from Hanson Pipe & Precast, Inc. to Hanson Pipe & Precast LLC pursuant to the
Certificate of Conversion from a Corporation to a Limited Liability Company pursuant to Section 19-214 ofthe Limited
Liability Company Act convening Hanson Pipe & Precast, Inc., a Delaware corporation, to Hanson Pipe &: Precast, LLC,
a Delaware Minuted liability company, filed December 29, 2008 with the Delaware Secretary of State, a copy of which is
attached hereto as E11hil A.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged. has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain
40)] IUSP/I170210157/072)t2
lot or parcel of land situated in City of Dann, Harnett County, North Carolina (the "Property') and more particularly
described as follows:
(SEE EXHIPI Ifl ATTACHED HERETO AND INCORPORATED HEREIN BY THIS REFERENCE1
The property hereinabove described was acquired by Grantor's predecessor by instrurnent recorded in (i) Deed Book $40
at Page 686 with respect to parcel 1 of the Property, (ii) Deed Book 843 at Page 334 with respect to parcel 11 of the
Property, and (iii) Deed Book 2411 at Page 330 with respect to parcel 111 of the Property in the office of the Harriett
County Register of Deeds.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee is fee simple.
The Grantor makes no warranty, express or implied, as to title to the property hereinabove described.
(Signature Page Follows]
4Jo 1$71072311
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this
instrument to be signed in the corporate narric by its duly authorized officers and its seal to be hereunto affixed by
authority of its members, the day and year first above written.
HANSON PIPE & PRECAST LLC,
as successor by conversion to
Hanson Pipe & Precast, Inc.
(SEAL)
Thomas apelli
Preside
STATE OF TEXAS
ACKNOWLEDGEMENT
COUNTY OF DALLAS
1, 4 t 4t A I CC a Notary Public of the County and State aforesaid. do hereby certify that
Thorns D. C pelli personally appeared before = this day, and acknowledged that he is President of Hanson Pipe &
Precast LLC, a Delaware limited liability company, as successor byconversion to Hanson Pipe & Precast, Inc., and that
as President being authorized to do so, executed the foregoing on behalf of the company.
Witness my hand and official seal this 24th day of July, 2012.
ahc �r [e
(T or print name)
My commission expires:
(NOTARIAL SEAL)
' RYNDI RAE PRtC6
Notary Public, State o1 texas
My CoffVNItlon Expbes
May 04. 2016
HARNETT COUNTY TAX ID#
.o
" BY
Excise Tax 5 5,f4lll
Tax Lot No. Part of
Verified by
FOR REGISTRATION
KimbHorly S. Har ovo
REG;STER STOi NC
F
OS
281a3820 PG40-418
IN&T # H12012"16
SARTIS
Rocording Time, Book and Pag
00%, Myi, Deb ri94
Parcel Identifier No. n
County on the _ day of , 2012
Mail after recording to: M. E. (flick) Gibsm. Jr., Tmnblay & Smith, PLLC, 105-109 E. High Street, Charlottesville, VA 22902
This instrument was prepared by E. Andrew Keeney, Kaufman and Canotes, 150 W. Main Street, Ste. 2100, Norfolk, VA 23510,
NC Bar No, 23622
Brief description for the Index
NORTH CAROLINA SPECIAL WARRANTY DEED
Au ear
THIS DEED made this _a_ day ofA*, 2012, by and between
GRANTOR
Hanson Pipe & Precast LLC,
a Delaware limited liability company,
as successor to Hanson Pipe & Precast,
Inc., a Delaware corporation
300 E. John Carpenter Freeway
Irving, Texas 75W2
[NOTICE TO CLERK: Please index
both names as GRANTORI
GRANTEE
Concrete Pipe & Precast, LLC,
a Delaware limited liability company
210 Stone Spring Road
Harrisonburg, Virginia 22801
Enter in appropriate block for ®eb party: name, address, and, if appropriate, character of entity. e.g. corporation or
partnership.
The designation Grantor and Grantee as used herein shall include said parties, their successors and
assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
Grantor is the result of the conversion of the fee owner of the Property (as defined below) from
Hanson: Dunn, North Carolina — Page 1
4063640.4SP11I70210157ID72312
s f • 0
Hanson Pipe & Precast, Inc., a Delaware corporation, to Hanson Pipe & Precast LLC, a Delaware
limited liability company, pursuant to the Certificate of Conversion from a Corporation to a
Limited Liability Company pursuant to Section 18-214 of the Limited Liability Company Act
converting Hanson Pipe & Precast, Inc., a Delaware corporation, to Hanson Pipe & Precast, LLC,
a Delaware limited liability company, filed December 29, 2008 with the Delaware Secretary of
State, a copy of which is attached hereto as Exhibit A.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
wluch is hereby acknowledged, lras and by these presents does grant, bargain, sell and convey unto
the Grantee in fee simple, all that certain lot or parcel of land situated in City of Dunn, Harnett
County, North Carolina (the "Property') and more particularly described as follows:
[SEE EXHIBIT B ATTACHED HERETO AND INCORPORATED HEREIN BY THIS
REFERENCE]
The Property was acquired by Grantor's predecessor by instruments recorded in (i) Deed Book 940
at Page 686 with respect to parcel 1 of the Property, (ii) Deed Book 843 at Page 334 with respect to
parcel II of the Property, and (iii) Deed Book 2411 at Page 330 with respect to parcel III of the
Property in the office of the Harnett County Register of Deeds.
TO HAVE AND TO HOLD the Property and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the Property in fee simple,
has the right to convey the same in fee simple, that title is marketable and free and clear of all
encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever by, through or under Grantor except this conveyance is made expressly
subject to all unexpired covenants, conditions, restrictions, reservations and easements, if any,
lawfully affecting the Property, duly of record and constituting constructive notice, other than any
liens or security interests securing any unpaid monetary obligations.
Hanson: Dunn, Norlh Carolina — Page 2
40064OWSPil i 7o2jo l srro723 0
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if
corporate, has caused this instrument to be signed in the corporate name by its duly authorized
officers and its seal to be hereunto affixed by authority of its members, the day and year first
above written.
HANSON PIPE & PRECAST LLC,
a Delaware limited liability company,
as successor by conversion to
Hanson Pipe & Precast, Inc.,
a Delaware corporation
{SEAL)
Thom . Capelli
President
STATE OF TEXAS
ACKNOWLEDGEMENT
COUNTY OF DALLAS
1, a mI a _ er, C& a Notary Public of the County and State aforesaid, do
hereby certify'that Thomas D. Capelli personally appeared before me this day, and acknowledged
that he is President of Hanson Pipe & Precast LLC, a Delaware limited liability company, as
successor by conversion to Hanson Pipe & Precast, Inc., a Delaware corporation, and that as
President being authorized to do so, executed the foregoing on behalf of the company.
my hand and official seal this 24th day of July, 2412.
N&Au Pub) is
(T* dr print name)
My commission expires:51411 L
(NOTARIAL SEAL)ES: =my
Hanson: Dunn, North Carolina — Signature Page
QU60A)S PI I 1 OV0I 3710T2312
I ,
Michael F. Easley, GDvemor
William G. Ross Jr., Secretary
North Carolina Department of Enviroruncnt and Natural Resources
Coleen H. Sullins, Director
oiv ision or water Quality
I. Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
N C 16 10 1 1 1 1 1 1
1 N 10 10 1_C 7_1 0 l 7 4
I1. Permit status prior to status change.
a. Permit issued to (company name):
Hanson Pi e & Precast, LLC
b. Person legally responsible for permit:
Jon R Field
First M1 Last
Plant Manager
Title
20047 Silver Road
Permit Holder Mailing Address
Oakboro NC 28129
City State Zip
(704) 485-4614 (704) 548-0525
-
Phone Fax
c. Facility name (discharge):
Hanson_ Pipe & Products - Oakboro
d. Facility address:
20047 Silver Road ^
Address
Oakboro NC 28129
City State Zip
e. Facility contact person:
Jon Field 485-4614
_(704)
First / MI / Last Phone
111. Please provide the following for the requested
change (revised permit).
a. Request for change is a result of:
® Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b.
C.
DEC 5 2012
DEINR - WATER QUALITY &aru
�enNmnel 6 1-en,
d. Facility name (discharge):
e. Facility address:
f. Facility contact person:
ne): Concrete Pipe & Precast, LLC
permit: David Holsinger
First MI Last
Director Of Human Resources And ESH
Title
20047 Silver Road
Permit Holder Mailing Address
Oakboro NC 28129
City
State Zip
7{ 04) 485-4614
JField concretepandp.cotn
Phone
E-mail Address
Concrete Pipe & Products - Oakboro
20047 Silver Road -
Address
Oakboro
NC 28129
City
State Zip
Jon
Field
First MI Last
(704) 485-4614 JField@conerctepandp.com
Phone E-mail Address
Revised 612U178
. N
PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2of2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Jon R Field
First Nil t..ast
Plant Manager
Titic
20047 Silver Road
Mailing Address
Oakboro NC 28129
City State Zip
(704) 485-4614 Mield cgconeretepandp.com
Phone E-rnail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
V1. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
.....................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Tom Capelli, attest that this application for a namelownership change has been rcvicwed and is accurate
and complete to the best of my knowledge. l understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete-,--,,
;�o I �e
I ti I/�S/I�
Signature Date
APPLICANT CERTIFICATION
I, David Holsinger, attest that this application for a nameJownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
Signauk Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7120M
< N
BK 1415 PG 661 DOC#348271
1N WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if
corporate, has cuused this instrument to be signed in the corporate naive by its duly authorized
officers and its seal to be hereunto affixed by authority of its members, the day and year first
above written.
HANSON PIPE & PRECAST LLC,
a Delaware limited liability company,
as successor by conversion and multiple
mergers to Hanson Pipe & Products
Carolina, Inc., a Florida corporation
R (SEAL)
Tho . Capelli
Pres enl
STATE OF TEXAS
ACKNOWLEDGEMENT
COUNTY OF DALLAS
I. 1�- T t a Notary Public of the County and State aforesaid, do
hereby certify that Thomas D. Capelli personally appeared before me (his day, and acknowledged
that he is President of Hanson Pipe & Precast LLC, a Delaware limited liability company, as
successor by conversion and multiple mergers to Hanson Pipe &. Products Carolina, Inc., a
Florida corporation, and that as President being authorized to do so, executed the foregoing on
behalf of the company.
Witness my hand
'and
roffificial seal this 24111 day of July, 2012.
Notary Riblic
FNA&i Rte Pr oce —
(Type or print name)
My commission expires:
INOTARIAL SEAL) VN RAE PRICE
NWW PUNK, $1010 01101Wr
is W r Expa" may
Hanson: Dalsboro. Slanly County. North Carolina — Signature Page
44XA74t' VNP117011137,U7?)F2
BK 1415 PG 660 DOC#348271
lawfully affecting the Property, duly of record and constituting constructive notice, other than any
liens or security interests securing any unpaid monetary obligations.
Hsnson.Omkbera, Stanly County, Norlb CaronnM - Pasc 3
*07JuJ•Shl I nu,0157,072711
BOOK 1415 PAGE 655(26) 348271
Fded: 08AX 2012 03 14:49 PM
Susanne w. Lowder. Regh tar of Deeds
&anly Courtly, NC
REAL ESass 00
dip
13xcix Tax s Rceotdiug Time, Stool rnd
Tex Lai No. Pats of Parcel Identifier No. 650301096077
Vorified by „__.. _ �. _ County on the. day of _ _ 0l M ECl<rU u
- -- COLLECTOR:
vAFIil after recording to- M. , Mick) Gibson, Jr., Tremblay & ScrA. PIAC, 10S.109 E, high Street, Cliariouesrille. VA 22902
nis m9ruurrnt was prepared by E. Andrew Keeney. Kaufman and Cis, 130 W. Main Street, Ste. 2100. Norfolk, VA 23510,
NC Rat No. 23622
RMdescription For the Index 111.296 ac. on E/S Eighth St. an ItR
T - NORTH CAROLINA SPECIAL WARRANTY DEED
THIS DEED made this Au .�, day ofu2012, by and between
GRANTOR
Hannon Pipe & Precast LIX,
a Delaware limited liability company,
as successor by conversion and multiple
mergers to Hanson Pipe & Products
Carolina, Inc., a Florida corporation
300 E. John Carpenter Freeway
Irving, Texas 75062
(NOTICE TO CLERK: Picase
Index both names as GRANTOR(
GRANTEE
Concrete Pipe & Precast,IXC,
a Delaware limited liability company
210 Stone Spring Road
1larrisonburg, Virginia 32801
Enter la sppropriatt block for eaeb party: oamt, eddras. and. If appropriate, cbaractcr or malty. tr, corporation or
partnership.
The desigmion Grantor and Grtnlce as used herrin shall include said parties, their successors And
assigns, and shall include singular, plural. masculine, feminine or neuter as required by context.
ltanson: Oalcbaro, Stanly County. Norlh Carolina — Papc I
45w,ad IOW 11 11q u�5"JI.-,I.,
BK 1415 PG 659 DOC#348271
The current record owner of the Property (as defined below) is Hanson Pipe & Products Carolina,
Inc. , a Florida cuipuration. Grantor, however, is the current fee owner of the Property as a result of
the following:
(a) Articles of Merger of Hanson Pipe & Products Carolina, Inc. into Hanson Pipe &
Products Precast Southeast, Inc., as the surviving corporation, filed December 24, 2008
with the Florida Secretary of Statc, a copy of which is attached hcrelo as Exbibit A;
(b) Articles of Merger of Hanson pipe & Products Precast Southeast, Inc. into Ilanson
Pipe & Products Southeast, Inc., as the surviving corporation, filed Dezember 24, 2008
with the Florida Secretary of State, a copy of which is attached hereto as Exhibit S;
(c) Certificate of Ownership and Merger merging Hanson Pipe & Praducts Southeast,
Inc. with and into Joelson-Taylor, Inc., files December 29, 2008 with the Delaware
Secretary of state, a copy of which is attached hereto as Exhibit .
(d) Certificate of Ownership and Merner merging Joelson-Taylor, Inc. with and into
Hanson Pipe & Precast. Inc. filed December 29, 2008 with the Delaware Secretary of
State, a copy of which is attached hereto as Exhibit ; and
(c) Certificalc of Conversion from a Curporation to a Limited Liability Company
pursuant to Suction 18-214 of the Limited Liability Company Act converting Hanson
Pipe & Precast, Inc., a Delaware corporation, to Hanson Pipe & Precast, LLC, a Delaware
limited Liability company filed December 29, 2008 with the Delaware Secretary of State,
a copy of which is attached hereto as Exhibit F.
WFTNESSETFI, that the Grantor, for a valuable cons!&-mlion paid by the Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto
the Grantee in fee simple, all that certain lot or parcel of land situated in City of Oakboro, Stanly
County, North Carolina (the "Property") and more particularly described as follows;
ISEE EXUPRIT ATTACKED HERETO AND INCORPORATED HEREIN BY THIS
REFERENCEI
The Property was acquired by Grantor's predecessor by instrument recorded in Deed Book 1158 at
Page 56 in the office of the Stanly County Register of Deeds.
TO HAVE AND TO HOLD the Property and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the Property in fee simple,
has the right to convey the same in fee simple, that title is marketable and free and clear of all
encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever by, through or under Grantor except this conveyance is made expressly
subject to all unexpired covenants, conditions, restrictions, reservations and easements, if any.
Nswon: oakbom Manly County. North Carolina -- Page 2
.V MMn tN I I A0201371)11111
November 30, 2012
Mr. Bradley Bennett
NCDENR Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, NC 27699-1617
■■■
■■■
0"Hanson
H EIDELBERGCE ME NTGroup
Hanson Aggregates Southeast, LLC
South Region
North Carolina Territory Office
2300 Gateway Centre Boulevard
Morrisville, NC 27560-9626
Tel 919 380 2610
Fax 919 380 2616
www.hanson.com
RE: Corporate Ownership Change Notifications
"Hanson Pipe & Precast, LLC - Dunn" to "Concrete Pipe & Precast, LLC - Dunn"
and
"Hanson Pipe & Precast, LLC - Oakboro" to "Concrete Pipe & Precast, LLC - Oakboro"
Dear Bennett:
As environmental manager and environmental contact for the above referenced Hanson facility, please be
advised that effective August 6, 2012, Hanson Pipe & Precast, LLC — Dunn and Oakboro sites have
undergone corporate ownership changes -and are now operating as Concrete Pipe & Precast, LLC — Dunn
and Concrete Pipe & Precast, LLC - Oakboro. Please note that though a new company has been started,
much of our staff as well as our contact information and address remain the same.
Please find the attached completed "Name/Ownership change forms" for following NCGO7000 permitted
sites.
INC NPDES
Permit COC No.
Facility Name
New Facility Name
Company
Official
NCG070081
Hanson Pipe & Precast — Dunn
Concrete Pipe & Precast — Dunn
David
Holsinger
NCG070174
Hanson Pipe & Precast - Oakboro
Concrete Pipe & Precast - Oakboro
David
Holsinger
Should you have any questions or need additional information, please call me at (919) 380-2746.
Sincerely,
Jack arvey
Environmental Manager
W'-
Cc: Ray Rosser, Dunn Plant Manager
Jon Field, Oakboro Plant Manager
David Holsinger, Director of Human Resources and ESH
Attachments
November 30, 2012
Mr. Bradley Bennett
NCDENR Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, NC 27699-1617
■■■
■■■
8"Hanson
HEIDELBERGCEMENTGroup
Hanson Aggregates Southeast, LLC
South Region
North Carolina Territory Office
2300 Gateway Centre Boulevard
Morrisville, NC 27560.9626
Tel 919 380 2610
Fax 919 380 2616
www.hanson.com
RE: Corporate Ownership Change Notifications
"Hanson Pipe & Precast, LLC - Dunn" to "Concrete Pipe & Precast, LLC - Dunn"
and
"Hanson Pipe & Precast, LLC - Oakboro" to "Concrete Pipe & Precast, LLC - Oakboro"
Dear Bennett:
As environmental manager and environmental contact for the above referenced Hanson facility, please be
advised that effective August 6, 2012,1-lanson Pipe & Precast, LLC— Dunn and Oakboro sites have
undergone corporate ownership changes and are now operating as Concrete Pipe & Precast, LLC — Dunn
and Concrete Pipe & Precast, LLC - Oakboro. Please note that though a new company has been started,
much of our staff as well as our contact information and address remain the same.
Please find the attached completed "Name/Ownership change forms" for following NCG07000 permitted
sites.
NC NPDI.S
Permit COC No,
Facility Name
New Facility Name
Company
Official
NCG070081
I-lanson Pipe & Precast — Dunn
Concrete Pipe & Precast — Dunn
David
Floisin =er
NCG070174
Hanson Pipe & [recast - Oakboro
Concrete Pipe & Precast - Oakboro
Dav1d
I iolsillgcr
Should you have any questions or need additional i11I01111atloll, please call nlc at (919) 380-2746.
Sinccrely,
.lack IilrVe},
E-nvironniental Managcr
41
Cc: Ray Rosser, Dunn Plant Manager
Jon Field, Oakboro Plant Manager
David Holsinger, Director of Human Resources and ESH
Attachments
a0F wA TFgO Michael F, Easley. Governor
7 William G. Ross Jr., Svvre4nry
> North Camlina rkparimcnl of Fnvimnmenl and Natural Resources
O Y
Coleen H. Sullins, Dimclor
IN vision of Water Quality
SURFACE VATER PROTECTION SECTION . `
PERMIT NAME/OWNERSHIP CHANGE FORM
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I C 10 10 N C 4 0 7 0 0 8 1
U. Permit status prior to status change.
a. Permit issued to (company name): _ Hanson Pipe & Precast, LLC
b. Person legally responsible for permit: Ray _ Rosser -
First MI Last
Plant Manes er
"title
452 Webb Road
Perini( Holder Mailing Address
Dunn NC 28334
city Slate Zip
(910) 897-3972 - (910) 892-4894
Phone Fax
c. Facility name (discharge): _ _ Hanson Pipe _& Precast - Dunn
d. Facility address: 452 Webb Road
Address
Dunn NC 28334
City State Zip
e. Facility contact person: _Ray Rosser_ - - (910) 897-3972
First / MI / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of. ® Change in ownership of the facility
❑ Name change of the facility or owner
Ifolher please explain:
b. ued to (company name): _ Concrete Pie & Precast, LLC
C. for permit: David_ Holsinger
First MI Last
Director Of Human Resources And ESH
Der Director
Title
452 Webb Road
wDENR - WR #4 - Pennit Holder Mailing Address
eaanae a at�� ranch Dunn NC 28334
city Slate Zip
(910) 897-3972 RRosserLc—o_neretepandp.corn
Phone E-mail Address
d. Facility name (discharge): Concrete Pipe & Precast - Dunn
e. facility address: 452 Webb Road ^�
Address
Dunn NC 28334
City Sim Zip
f. Facility contact person: _ _ _ _ Ray (tosser
First M 1 Lost
_(91_ 0) 897-3972 RRcTsscr(it;ct>ncreiepandp.ccitn _
Ph+Kre - — F-mail Address
Revised 8/20M
PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Ray Rosser_
First M1 Last
Plant Manager
Title
452 Webb Road
Mailing Address
Dunn NC 28334
City State Zip
(910) $97-3972 _ R_RosscF&oncrett;pandp.cotn_
Phone E-mail Addmw
V. Will the permitted faeility continue to conduct the game industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
V1 Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract dead,
or a bill of sale) is mcmired for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
.................................... ....... .................. ............. .............. ....,,,,. 0...,..........Roe* .
The certifications below must be completed and signed by kh the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, Tom Ca elli, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application pa kagc will be
returned as incomplete.
Date
APPLICANT CERTIFICATION
1, Dayid HojlinW, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
ptWw&e will be returned as' paomplete.
Signature Date
.....•...... 0......................0
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 7/2008
OR
TRATION
Klf MtaR¢T S t4r ON
26
IMS Ti 2012436
tittRTIS
111111111110
NORTH CAROLINA NON -WARRANTY DEED
Excise Tax: 4_ _. R0165+?.Q*05V b , doz 000519S
Parcel Identifier No. Verified by
of ,2012
County on the — day
tin ' L .Iq41 UML IMU-1
am
This instrument was prepared by. E. Andrew Ke M Fga.. Kattfmat & Canollem F,Q 1150 go Main Sttett, Suite
2100, Norfolk. VA 23510
Briefdescription for the Index; kkgg C0441 /4btysb.rn TslvWlv►�
THIS DEED made this ___,._ day of W�.1612, by and betweett
Hanson I* & Prwj* LLc,
a Delaware dnnited liability company,
as MccMor to Houma Pipe & Prwmt, Inc.
300 E. John Carpenter Freeway
Irving, Team 75M
IN077CE TO CLERK: Plebe hwex
both names as GRANTOR1
coocreee Pipe & precast, LLC
a Delaware Mnited Ilablllly company
210 Slone Spring Road
Has. burg, Vkrdda 2=1
Enter in appropriate block for em* Grantor and Grantee: frame, mailing address, ad, if appropriate, cbmacter of
entity, e.g. corporation or partnership.
The des *nathm Chum and Chow as used hereia shall nwhak said patties, their sweessow and assigns, and shag iacards
singular. pineal, masculine, feminine or muter as acquired by context. (know is the resuh ofthe conversion oftbe fee own
of the Proputy (as deftnod below) from Hanson Pipe & Precast, Inc. to Hassan Pipe & PtUZ ptnUM to the
Certificate of Conversion firm a Cotpcuatioa to a Limited Lability Company puaustn to Section 1 B-214 of the Limited
Liability Company Act converting Hanson Pipe & Precut. Inc., a Delaware corporation, to Hanson Pipe & Precast, LLC,
a Delaware limited liability company, filed December 29. 2009 with the Delaware Secretary ofState, a copy of which is
attached hereto as Exhibit -
WITNESSLTH. that the Grantor, for a valwtble consideration paid by the Grantee, the mc* of which is hereby
acknowledged, has and by these prescr►ts does grant, bargain. sell and convey unto the Grantee in fee simple, all that certain
41»3 n. V5Pii 17n2,015Vn?2D1?
lot or parcel of land shunted in City of Dunn, Harnett County, North Carolina (the "Property") and more particularly
described as follows:
ISBE EXHIBIT B ATTACHED HERETO AND INCORPORATED HEREIN BY THIS REFERENCE)
The property hereinabove described was acquired by Grantor's predecessor by instrument recorded in (i) Deed Book 840
at Page 686 with respect to parcel I of the Property, (ii) Deed Hook 843 at Page 334 with respect to parcel II of the
Property, and (iii) Deed Book 2411 at Page 330 with respect to parcel Ili of the Property in the once of the Harnett
County Register of Deeds.
TO HAVE AND TO HOLD the aforesaid IN or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
The Grantor makes no warranty, express or implied, as to title to the property hereinabove described.
[Signarum Page Follows)
,702M1511072112
1N WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this
instrument to be signed in the corporate name by its duly authorized offices and its semi to be hereunto affixed by
authority of its members, the day and year first above written.
HANSON PIPE dt PRECAST LLC,
as successor by conversion to
Hanson Pipe & Precast, Inc.
(SEAL)
Thomas apeili
Preside
STATE OF TEXAS
ACKNOWLEDGEMENT
COUNTY OF DALLAS
1, CE a Notary Public of the County and State afatesaK do hereby certify that
Thonm D. C peril personally appeared before me this day, and ackwwledged that he is President of Hanson Pipe &
Precast LLC, a Delaware litnited liability company, as successor by conversion to Hanson Pipe dt Precast, Inc., and that
as President being authorized to do so, executed the foregoing on behalf of the company.
Wt)nns ►try hand and official seal this 24th day of July. 2012.
sWe
..���
tprliminct�
(T or name)
My commission expires: k1
(NOTARIAL SEAL)
woo UE PRICE
Notary► rim atot* of texas
My Corm isakm Exptres
MOIL 04, 2016
I S 71072! 12
HARNETT COUNTY TAX ID#
7. 0
" BY
FOR REGISTRATION
SI(A r v S. Nor G ¢TRS
rmKc
2d �7 -%
.
III%7RNIMAM
71
ze
Excise Tax s O 0O� `3` y�T�� bB°°T4q� rogq
Tax Lot No. Part of Parcel Identifier No. oQ P Mr _
Verified by County on the — day of , 2012
Mail after nvording to: M. E. (Dick) Qibem Jr.. Tremblay di: Stnitk PLLC. 105.109 E. High Street, C2autottrsville. VA 22902
11va Unsument was prepared by E. Andrew Keeney, Kaufin an and C,anoies, 150 W. Main Sont, Ste. 2100, Norfolk VA 23510,
NC Bor No. 23622
Brief description for the Index I LVat RIPAff, .4t. t• Awes, TS h
NORTH CAROLINA SPECIAL WARRANTY DEED
huga�t
THIS DEED made this _3 day of My, 2012, by and between
GRANTOR
Hanson Pipe & Precool LLC,
a Delaware limited liability company,
as successor to Hanson Pipe & Precast,
Inc., a Delaware corporation
300 L John Carpenter Freeway
Irving, Texas 75M
NOTICE TO CLERK: Please Index
bath names as GRANTOR
GRANTEE
Concrete Pipe & Precast, LLC,
a Delaware Waited liability company
210 Stone Spring Road
Harrisonburg, Virginia 22801
Enter In appropriate block for eack party: name, oddness. and, if amroprlals, ckaraewr of *oft. e.g. to. poratlon or
Mn"r5h4L
The designation Grantor and Grantee as used herein shall include said parties, their successors and
assigns, and shall include singular, plural. masculine, feminine or neuter as required by context.
Grantor is the result of the conversion of the fee owner of the Property (as defined below) from
Hanson: Duna, North Carollne - Page I
4068E4DA0S , I I702MISV0723l2
Hanson Pipe & Precast, Inc., a Delaware corporation, to Hanson Pipe & Precast LLC, a Delaware
limited liability company, pursuant to the Certificate of Conversion from a Corporation to a
Limited Liability Company pursuant to Section 18-214 of the limited Liability Company Act
converting Hanson Pipe & Precast, Inc., a Delaware corporation, to Hanson Pipe & Precast, LLC,
a Delaware limited liability company, filed December 29, 2008 with the Delaware Secretary of
State, a copy of which is attached hereto as Exhibit A.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the reccipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto
the Grantee in fee simple, all that certain lot or parcel of land situated in City of Dunn, Harnett
County, North Carolina (the "Property") and more particularly described as follows:
[SEE EXHIBIT B ATTACHED HERETO AND INCORPORATED HEREIN BY THIS
REFERENCE)
The Property was acquired by Grantor's predecessor by instruracnts recorded in (i) Deed Book 840
at Page 686 with respect to parcel I of the Property, (ii) Deed Book 843 at Page 334 with respect to
parcel U of the Property, and (iii) Deed Book 2411 at Page 330 with respect to parcel M of the
Property in the office of the Harnett County Register of Deeds.
TO HAVE AND TO HOLD the Pmperty and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the Property in fee simple,
has the right to convey the same in fee simple, that title is marketable and free and clear of all
encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever by, through or under Grantor except this conveyance is made expressly
subject to all unexpired covenants, conditions, restrictions, reservations and easements, if any,
lawfully affecting the Property, duly of record and constituting constructive notice, other than any
liens or security interests securing any unpaid monetary obligations.
Hanson: Dunn, North Carolina -- Page 2 '
406e640.4tCP1 1170210157ID72312
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if
corporate, has caused this instrument to be signed in the corporate name by its duly authorized
officers and its seal to be hereunto affixed by authority of its members, the day and year first
above written.
HANSON PIPE & PRECAST LLC,
a Delaware limited liability company,
as successor by conversion to
Hanson Pipe & Precast, Inc.,
a Delaware corporation
(SP.AL)
Tho 50ff Capelli
President
STATE OF TEXAS
ACKNOWLEDGEMENT
COUNTY OF DALLAS
,_ -a o lm_ _I Ili C* 6 a Notary Public of the County and State aforesaid, do
hereby certiWthat Thomas D. Capelii personally appeared before me this day, and acknowledged
that he is President of Hanson Pipe & Precast LLC, a Delaware limited liability company, as
successor by conversion to Hanson Pipe & Precast, Inc., a Delaware corporation, and that as
President being authorized to do so, executed the foregoing on behalf of the company.
WiAess my hand and official seal this 24th day of July, 2012.
KMkg
kk
. e—
V3No Pub*
fit RA
(T r print name)
My
L
commission expires:
(NOTARIAL SEAL)
ileum 4" r21ce
t4otm ptac. met* ot texas
9 My
M*mmiay txPNO
Henson; Dunn, Kortb Caroline - Signstum Page
4%8640.4,SPl1170210i s M7231 t
'i N
`p�QF W A 7' Michael F. Easlcy, Governor
Uj 7 William G. Ross Jr.. Secretary
> North Carolina Department of Envinonmeru and Natural Resources
O t
Coken H. Sullins, Director
Division of Water Quality
- SURFACE'VI!ATERPR�TECTI�N�SECTI4N;
°PERMIT NAMEIOWNERSHiP CHANGE'FORM w^t 'tea. 1
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N I C 10 10 N I C 1 a o 1 7 10 1 1 1 7 1 4
IL Permit status prior. to status change.
a. Permit issued to (company name): Hanson Pipe & Precast, LL.0
b. Person legally responsible for permit: Jon R Field
First M1 Last
_ Plant Manager
Title
20047 Silver Road
c. Facility name (discharge):
d. Facility address:
Permit Holder Mailing Address
Oakboro NC 28129
City State Zip
704 485-4614 704 548-0525
Phone Fax
Hanson Pipe & Products - Oakboro _
20047 Silver Road
Address
Oakboro NC 28129
City State Zip
e. Facility contact person: _ Jon Field _ (704) 485-4614
First / Ml / Last Phone
111. Please provide the following for the requested change (revised permit).
a. Request for change is a result of ® Change in ownership of the facility
❑ Name change of the facility or owner
!f other please explain:
b. Permit issued to (company name): Concrete Pipe & Precast, LLC
� Lapon ible for permit: ...David Holsinger
aet
First MI Las
1 Director Of Human Resources And ESH
=C5 Title
20047 Silver Road
Permit Holder Mailing Address
DfNR - WATER QIJALIIn
'etlanda Oakboro NC 28129
d r_ kwate. Branch
City State Zip
(704) 4854614 JFiel4&concretepandp.com
Phase E-mail Address
d. Facility name (discharge): Concrete Pipe & Products - Oakboro
e. facility address: 20047 Silver Road
Addnss
Oakboro NC 28129
City Statc Zip
f. Facility contact person: Jon Field
First M1 Last
_04) 485-4614 )Field Fi)eoncretepandp.com
Phme — --- E-mail Address.
Revised 92008
PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Jon R Field
First MI Last
Plant Manager -
--....,...._, _,. , Tide
20047 Silver Road
Mailing Address
Oakboro NC 28129
City State Zip
(704) 4854614 JField@coneretepandp.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
Vi Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is reaulred for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
.......... ....... ......................... ................................................ 0..........................
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, Tom CaMlli, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. 1 understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as ineom
!l-AIT-lam
Signature Date
APPLICANT CERTIFICATION
I, David Holsinger, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. l understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
lql-- - a L?__ -
Signat Date
.....•. 0...........................•
PLEASE SENT) THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Quality
Surface Water Protection Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Revised 712008
BK 1415 PG 661 DOC#348271
1N WITNESS WHEREOF, the Grantor has hcrcunto sci his hand and seal, or if
corporate. It" cuuscd this instrument to be signed in the corporate name by its duly authorized
officers and its scat to be hereunto affixed by authority of its members, the day and year first
above written.
HANSON PIPE: & PRECAST LLC,
a Delaware limited liability company,
as successor by conversion and multiple
mergers to Hanson Pipe & Products
Carolina, Inc., a Florida corpotation
ry (SEAL)
Thot . Capclli
Pres rt
STATE OF TEXAS
ACKNOWLEDGEMENT
COUNTY OF DALLAS
a Notary Public ofthe County and State afor+eaaid, do
hereby certify Oat Thomas D. Capelli personally appeared before me this day, and acknowledged
that he is President of Hanson Pipe & Precast LLC. a Delaware limited liability company, as
successor by conversion and multiple mergers to Hanson Pipe & Products Carolina, Inc., a
Florida corporation, and that as President being authorized to do so, executed the foregoing on
behalf of the company.
Witness my hand and official seal this 24th day of July, 2012.
Notary blic
$7(1a
(Type or print name)
My commission ex pins:
(NOTARIAL SEAL) MIDI am t1111.1
iaoial Pd aa, sra» or Mam
spCowramn
;awbar
Hamoo: OakbonL Stanly Comfy. North Carottna — SilMewe twee
4.001ai M}I nM?914r.q:!f�7
BK 1415 PG 660 DOC#348271
lawfully effecting the Property, duly of record and constitulingconstructive notice, other than any
liens or security' iulere5ls securing any unpaid nmnetary obligations.
Haosoo: OaM ore. Slimly County, NOrtb CIrOMOS Nagc 3
wy�ru rtia•i i nu,n� sim+tr� +
BOOK 1415fHHf1P IAi1l1`GEI 658(26) 348271 $„Z,,; e w Lowder. i 2 03 14ltx of t7cecb
IIII{II��i1���� Stanly County, NC
thAL
REAL E�STATE ExCisE TAX' Sale 00
Excise Tax $6!! .• Rerordimg Tinto. LknA uul I', CD
Tax Lew No. Pon of Parcel ldcotilierNo, 65070i098077 r
Vcriliedbl._._ •----.--•---- _ Cou+fyenthe .�daYof�_—.----- 1 MEGi[CU W.
F4 COLLECMR:
yy4I alkr r"ording to- M. R (Dkk) Gibwn. Jr. Tnhnhlay R Smif, PI.IA', 103-10 E. Ili=h Shm. (Wonetrilk, VA 2M
This xnuwnent was prrpared by E. Andrew Keeney, Kautimn and Cmoka, 150 W. Main Street. Ste. 2100, Neolk, VA 23510.
Nr Bar No. 23622
ttriddescriptiahrot theWax 11.296_ac. on E/S Eighth St. on
NORTH CAROLINA SPECIAL WARRANTY DEED
THIS DEED made this A w�
. _3.. �Y oN�. 2012. by and between
GRANTOR
Hanson Pipe & Precast LIX,
a Delaware Ymited liability company.
as successor by conversion and multiple
mergers to Hanson Pipe & Prodaets
Carolina, Inc, a Florida corporation
300 E, John Carpenter Freeway
Irving, Texas 75062
(NOTICE TO CLERK: Please
Index both names as GRAIII'1'ORI
GRAMME
Concrete Pipe & Precast,l.1.C,
a Delaware limited liability company
210 Stone Spring Road
llarrisonbarg, Virginia 22601
Cater ie appropriate block for cad pa"y: name, address, and. If eppropride, character of nMlly, a lR eorpoestion or
parlaersblp.
The designWion Grawlnr mid (irdnloc w tithed herein snail include said patties, their successors sold
&Wgns, and shall include singular, phiral, masculine, rcinininc or neuter as required by context.
Mason: 0ekboro, stanly Caunly. North Corollas - fake I
ar«rr, i -e to
BK 1 415 PG 659 DOC#348271
The current record owner of the Property (as defined below) is Hanson Pipe & Product! Carolina,
Inc. , a Florida cul}wratiun. Grantor. huwcver, is tier current fee owner of the Pik"y as a result of
the following:
(a) Articles of Merger of Hanson Pipe & Products Carolina, Inc. into Hanson Pipe &
Products Precast Southeast, Inc.. as the surviving corporation, filed December 24, 2008
with the Florida Secretary of State, a copy of which is attached hereto as Fxhihit A;
(b) Articles of Merger of Hanson Pipe & Products Precast Southeast, Inc. into Hanson
Pipc & Products Southeast, Inc., as the surviving corporation, file! Docuntber 24. 2008
with the r1oriela Secretary of State, a copy of which is attached hereto as Exhibit ;
Icl Certificate of Ownership and Merger merging Hanson Pipe & Products Southeast,
Inc. with and into Joelson-Taylor, Inc., filed December 29. 2009 with the Delaware
Secretary of State, a copy of which is attached hereto as Exhibit .
(dt Certificate of Ownership and Merger merging Joelson-Taylor, Inc. with and into
Hanson Pipe & Precast, Inc. filed December 29, 2008 with the Delaware Secretary of
State, a copy of which is attached hereto as Exhibit D; and
(e) Cvx6ficate of Conversion front it Cwporation to a Limited Liability Company
pursuant to Section 18-214 of the Limited Liability Company Act converting Hanson
Pipe & Precast, Inc.. a Delaware corporation, to Haamn Pipe do Precast, LLC, a Delaware
limited liability company filed December 29, 2008 with the Delaware Secretary of State,
a copy of which is attached hereto as Exhibit P-.
Wl 4ESSETH. that the Grantor. for a valuable consideration paid by the Grantee, the receipt of
which is hereby acknowledged, has and by then presents does grant, bargain. sell and convey unto
the Grantee in fee simple, all that certain lot or parcel of land situated in City of Oakboro, Stanly
County, NoM Carolina (the "Property') and more particularly described as follows:
SEE >r ,UIBIT F ATTACHED HERETO AND INCORPORATED HEREIN BY THIS
REFERENCEI
The Property was acquired by Grantor's predecessor by insinunent recorded in Deed Book 1158 at
Page 56 in the office of the Stanly County Register of Dcoh.
TO HAVE ARID TO HOLD the Property and all privileges and appurtenances thereto belonging to
the Grantee in fee simple:.
And the Grantor covenants with the Grantee, that Grantor is seized of the Property in foe simple,
has the right to convey the same in fee simple, that title is marketable and free and clear of all
encumbrances, and that Grantor will warrant and defptd the title against the lawful claims of all
persons whomsoever by, through or under Grantor except this conveyance is made expressly
subject to all unexpired covenants, conditions, restrictions, reservations and easements, if any,
Hanson: Oakbwv6 Slanly County, North Carolina - Page 2
�rwran bvI17rr!ulf rQ e:, ll
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT
.� AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
FAX (919) 807-6494
Facsimile transmittal
To: Jack Garvey, Hanson Fax: (919) 380-2756
From: Ken Pickle, Stormwater Permitting Unit, Date: June 27, 2012
Division of Water Quality
Phone: (919) 807-6376 Pages: 3
E-mail: Ken. pickle@ncdenr.gov
Urgent For review Please comment Per your request FYI, no action Please recycle
Subject: Duplicate COC NCG070081
Hi Jack,
March 19, 2009, COC and transmittal letter.
Please contact me if I can help more.
Ken
NC®ENR
North Carolina Department of Environment and
Beverly Eaves Perdue
Governor
Mr. Ray Rosser -
Hanson Pipe & Precast, LLC
452 Webb Road
Dunn, NC 28334
Dear Mr. Rosser:
Division of Water Quality
f�--4X �19) 3B'0 2.7.56.
Natural Resources
Coleen H. Sullins Dee Freeman
Director Secretary
March 19, 2009
Subject: NPDES General Permit NCG070000
Certificate of Coverage NCG070081
Hanson Pipe & Precast, LLC
Formerly Hanson Pipe & Precast, Inc.
Harnett County
On February 11, 2009, Division personnel received your request to revise your stormwater permit Certi 6cate of Coverage
to accurately include you new company 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, please contact the Stormwater Permitting Unit at (919) 807-6303.
Sincerely,
4- Coleen 14. Sullins
cc: DWQ Central Files
Fayetteville Regional Office
Stonnwater Permitting Unit
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigb, North Carolina 27699-1517
Location:512 N. Salisbury Si. Raleigh, North Carolina 27604
Phone: 919-B07.63001 FAX: 919.807.6494 t Customer Service: 1.877.623-6748
Inter -not: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
One
NorthCarolirta
NaNtall ff
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG07008I
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,
HANSON PIPE & PRECAST, LLC
is hereby authorized to discharge stormwater from a facility located at
HANSON PIPE & PRECAST -DUNK
452 WEBB ROAD
DUNN
HARNETT COUNTY
to receiving waters designated as Mingo Swamp, a class C SW stream, the Cape Fear River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III, IV, V, and VI
of General Permit No. NCG070000.
This certificate of coverage shall become effective March 19, 2009
This Certificate of Coverage shall remain in effect for the duration of the General Permit,
Signed this day March 19, 2009
Xf ;:� ���
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
*�,
NC®EN R
North Carolina Department of Environment and Natur %ources
Division of Water QualityR--FRO
Beverly Eaves Perdue
Governor
Mr. Ray Rosser
Hanson Pipe & Precast, LLC
452 Webb Road
Dunn, NC 28334
Dear Mr. Rosser:
Coleen H. Sullins
Director
March 19, 2009
Dee Freeman
Secretary
®O
Subject: NPDES General PertnitNCG070000
'Certificate of Coverage NCGO7008 i
Hanson Pipe & Precast, LLC
Formerly Hanson Pipe & Precast, Inc.
Harnett County
On February 11, 2009, Division personnel received your request to revise your stornnwater permit Certificate of Coverage
to accurately include you new company 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, please contact the Stormwater Permitting Unit at (919) 807-6303,
Sincerely,
Coleen H. Sullins
cc: DWQ Central Files
Fayetteville Regional Office
Stormwatcr Permitting Unit
Wetlands and Slormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury 5t. Raleigh, North Carolina 27604
Phone. 919-807-63001 FAX: 919-807-64941 Customer Service: 1-877-623-6748
intemel: www.ncwaOMuality.org
An Equai Opporlunily 1 AFfrmative Adon Employer
NorthCaj-olina
Naturally
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070081
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,
HANSON PIPE & PRECAST, LLC
is hereby authorized to discharge storrnwater from a facility located at
HANSON PIPE & PRECAST-DUNN
452 WEBB ROAD
DUNN
HARNETT COUNTY
to receiving waters designated as Mingo Swamp, a class C SW stream, the Cape Fear River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,11, I11, IV, V, and VI
of General Permit No. NCG070000.
This certificate of coverage shall become effective March 19, 2009
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 19, 2009
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
A y
Michael F. Easley, Governor
William G. Ross Jr.. Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
July 17, 2008
Bob Hill
Carolina Precast Concrete Inc
PO Box 1061
Dunn, NC 28335
Subject: NPDES Stormwater Permit Coverage Renewal
Carolina Precast Concrete Inc
COC Number NCG070081
Harnett County
Dear Permittee:
In response to your renewal application for continued coverage under stormwater General Permit NCG070000 the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater General Permit. This permit is reissued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North
Carolina and the U.S. Environmental Protection Agency, dated October 15, 2007 (or as subsequently amended.)
The following information is included with your permit package:
• A new Certificate of Coverage
• A copy of stormwater General Permit NCG070000
• A copy of a Technical Bulletin for the General Permit
• Five copies of the Discharge'Monitoring Report (DMR) Form
• Five copies of the Qualitative Monitoring Report Form
The General Permit authorizes discharges of stormwater only, and it specifies your obligations with respect to stormwater
discharge controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself with all
the changes in the reissued permit.
The more significant changes in the General Permit since the your last Certificate of Coverage include the following:
• Permit cover page — Coverage is expanded to include industrial activities similar to the categorically identified industries,
• Part I Section A — This part explains -that the No Exposure Exclusion from permitting option may be available to the
permittee.
• Part 11 Section A — Several minor expansions and clarifications of the required content of the Stormwater Pollution
Prevention Plan have been added. Please be sure that your plan is updated to comply with the new requirements.
• Part 11 Section B — Qualitative monitoring must now be conducted during a representative storm event.
• Part 11 Section B — The permittee is required to keep a written record of his response to problems identified by his
qualitative monitoring observations.
• Part I I Section C - For facilities with vehicle maintenance activities using more than 55 gallons of new motor oil per month,
new provisions require that discharges from the vehicle maintenance areas be sampled twice per year, and that the
sampling results be compared to new numerical benchmark values. (The previous cutoff concentrations have been
eliminated.)
• Part II Section C — For facilities with vehicle maintenance activities using more than 55 gallons of new motor oil per month,
new provisions require the permittee to execute Tier One and Tier Two response actions, based on the first benchmark
exceedence (Tier One) and the second consecutive benchmark exceedence (Tier Two). Tier Two requires that the
permittee institute monthly monitoring instead of twice -per -year monitoring, until three. consecutive monitoring events
show no benchmark exceedences.
• Part 11 Section C — This part contains a new provision that four exceedences of any particular benchmark will trigger
increased DWQ involvement in the permittee's stormwater management and control actions. DWQ may direct the
permittee to apply for an individual permit, or may direct the implementation or installation of specific stormwater control
measures.
.. . sm
North Carolina Division of Witter Quality 1617 Mail Service Center . Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service
Internet: h2o.enr.state.ne.uslsulstormwater.html 512 N, Salisbury St. Raleigh, NC 27604 FAX (919) 733-9612 1.877-623.6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper
Permit Reissuance Letter— Permit NCG070081
Page 2
Your coverage under the General Permit is transferable only through the specific action of DWQ.
This permit does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it relieve
the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance,
order, judgment, or decree.
If you have any questions regarding this permit package please contact Robert Patterson of the DWQ Stormwater Permitting
Unit at (919) 807-6378.
Sincerely,
for Coleen H. Sullins
cc: DWQ Central Files
Stormwater Permitting Unit Files
FayetteviIle Regional Office
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070081
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, -
Carolina Precast Concrete Inc
is hereby authorized to discharge stormwater from a facility located at
Carolina Precast Concrete Inc
451 Webb Rd
Dunn, NC
Harnett County
to receiving waters designated as Mingo Swamp, a class C-,Sw waterbody in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, III, IV, V, and VI of General Permit No. NOG070000 as attached.
This certificate of coverage shall become effective July 17, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 17, 2008.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
[aiAh= XAty" add=]
Tw Ricky Rvydfi P= 910-496-0707
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MEMORY TRANSMISSION REPORT
TIME SEP-26-2003 09:28AM
TEL NUMBER
NAME
FILE NUMBER 721
DATE SEP-26 09:27AM
TO 19108924894
DOCUMENT PACES 003
START TIME SEP-26 09:27AM
END TIME SEP-26 09:28AM
SENT PAGES 003
STATUS OK
FILE NUMBER 721 ** SUCCESSFUL TX NOTICE
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IVC�E�R
FAX TRANSMISSION
DENR
FAYETTEVILLE REGIONAL OFFICE
FAYETTEVILLE, NORTH CAROL.INA 28301-5043
VOICE: 910-486 -1 541
Fax: 910-486-0707
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FAYETTEVILLE, NORTH CAROLINA 28301-5043
VOICE: 910486-1541
Fax: 910-486-0707
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG070000
CERTIFICATE OF COVERAGE No. NCG070081
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,
Carolina Precast Concrete Inc
is hereby authorized to discharge stormwater from a facility located at
Carolina Precast Concrete Inc
451 Webb Road
Dunn
Harnett County
to receiving waters designated as Mingo Swamp, a class C Sw stream, in the Cape Fear River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG070000 as attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Bob Hill
Carolina Precast Concrete Inc
PO Box 1061
Dunn, NC 28335
Dear Permittee:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
April 28, 2003 DR,►
r
APR 3 0 200,E
Subject: NPDES Stormwater"Permit-Reriewal.._..._.
Carolina Precast Concrete Inc
COC Number NCG070081
Harnett County
In response to your renewal application for continued coverage under general permit NCG070000, the
Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This
permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection
Agency, dated December 6, 1983.
The following information is included with your permit package:
• A new Certificate of Coverage
A copy of General Stormwater Permit NCG070000
A copy of the Analytical Monitoring Form (DMR)
• A copy of the Qualitativel Monitoring Form
• A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division
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 Department of
Environment and Natural Resources, or relieve the permittee from responsibility for compliance with any
other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact Mack Wiggins of the Central
Office Stormwater and General Permits Unit at (919) 733-5083, ext. 542.
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Fayetteville Regional Office
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-8053
0690
Customer Service
1 800 623-7748
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
r' GENERAL PERMIT NO. NCG070000
,n
CERTIFICATE OF COVERAGE No. NCG070081
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,
Carolina Precast Concrete Inc
is hereby authorized to discharge stormwater from a facility located at
Carolina Precast Concrete Inc
451 Webb Road
Dunn
Harnett County
to receiving waters designated as Mingo Swamp, a class C Sw stream, in the Cape Fear River
Basin in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, 111, IV, V, and VI of General Permit No. NCG070000 as attached.
This certificate of coverage shall become effective May 1, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 28, 2003.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
°4 v�ar�Qa PERMIT'CO'VERAGE
RENEWAL APPLICATION FORM Certificate of Coverage Number
National Pollutant Discharge Elimination System NCG070081
Stormwater General Permit NCG070000
The following is the information currently in our database for your facility_ Please review this informatibn carefully
and make all corrections as necessary in the space provided to the right of the current information.
OMI'Efl_.INEO_� TLO
Owner/Org. Name: CAROLINA PRECAST CONCRETE INC
Owner Contact.
Mailing Address:
Phone Number:
Fax Number
E-mail address:
FACILn INEMMUON
Facility Name: CAROLINA PRWAST CONCRETE INC-
Facility Contact:
Facility Address: STATERD 1309 WSBB ROAD
DUNN. NC 20334
Phone Number.
Fax Number
E-mail address:
EMIT WO-RAIAnON
Permit Contact:
'TERRY DARLING
Mailing Address:
PO BOX 1061
DUNN, NC 2833S
Phone Number:
91OB926411
Fax Number.
Irma11 address:
.S E
Discharge Receiving water: MINOO SWAMP
Stream Class: C SW
Basin: CAPE FEAR
Sub-B asin #. 00618
Number of outfalls:
CERTIFICATION
'ZaiQ 11iti/ P"e.A--r C rocAeTE 'S••c
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I certify that I am familiar wi a ottnatiom contained in the application and that to the best of my knowledge and
belief such info lete and accurate.
Signature Date
Or A& Lit )—c—,
Print or type name, of person signing Above Title
Please return this completed renewal application form to: '
General Permit Coverage Renewal
Attn: Valery Stephens
Stormwater and General Permits Unit
1617 Mail Service Center
Raleigh, North Carolina "^""" '"''
Z 'd 6CS 'ON ISV03dd VNIIOW NVS�:8 E006 '9Z 'd3S
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
September 4, 2002
TERRY DARLING
CAROLINA PRECAST CONCRETE INC-
PO BOX 1061
DUNN, NC 28335
Alan W. Klimek, P.E., Director
Division of Water Quality
LSEP 10 zoo
_-_ _
Subject: NPDES Stormwater Permit Coverage Renewal
Carolina Precast Concrete Inc-
COC Number NCGO70081
Harnett County
Dear Permittee:
Your facility is currently covered for stormwater discharge under General Permit NCG070000. This permit expires
on March 31, 2003. The Division staff is currently in the process of rewriting this permit and is scheduled to have
the permit reissued by early spring of 2003. Once the permit is reissued, your facility would be eligible for
continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the Division of Water
Quality (DWQ) for renewal of your permit coverage. To make this renewal process easier, we are informing you in
advance that your permit coverage will be expiring. Enclosed you will find a Permit Coverage Renewal
Application Form. The application must be completed and returned by October 2, 2002 in order to assure
continued coverage under the general permit. Due to staff and budget constraints, letters confirming our receipt of
the completed application will not be sent.
Failure to request renewal within the time period specified, may result in a civil assessment of at least $250.00.
Larger penalties may be assessed depending on the delinquency of the request. Discharge of stormwater from your
facility without coverage under a valid stormwater NPDES permit would constitute a violation of NCGS 143-215.1
and could result in assessments of civil penalties of up to $10,000 per day.
Please note that recent federal legislation has extended the "no exposure exclusion" to all operators of industrial
facilities in any of the 1 i categories of "storm water discharges associated with industrial activity," (except
construction activities). If you feel your facility can certify a condition of "no exposure", i.e. the facility industrial
materials and operations are not exposed to stormwater, you can apply for the no exposure exclusion. For additional
information contact the Central Office Stormwater Staff member listed below or check the Stormwater & General
Permits Unit Web Site at http://h2o.enr.state.nc.us/su/stormwatcr.htm]
If the subject stormwater discharge to waters of the state has been terminated, please complete the enclosed
Rescission Request Form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit renewal procedures please contact Ricky Revels of the Fayetteville
Regional Office at 910-486-1541 or Mack Wiggins of the Central Office Stormwater Unit at (919) 733-5083, ext.
542
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Fayetteville Regional Office TM
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-7015 Customer Service
1- 800-623-7748
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
April 30, 1998
MARTY TURNER
CAROLINA PRECAST CONCRETE INC-
PO BOX 1061
DUNN, NC 28335
'ALT4
IDE N R
Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCGO70081
Harnett County
Dear Permittee:
In response to your renewal application for continued coverage under the subject permit, the Division
of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit
is reissued 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 December 6, 1983. '
The following information is included with your permit package:
w A copy of the stormwater general permit.
■ A Stormwater Pollution Prevention Plan Certification Form. This form certifies that you have
developed and implemented the Stormwater Pollution Prevention Plan (SPPP) required in your
permit. This form must be completed and returned to the Division within 30 days of receipt of
this letter. DO NOT send the SPPP with the signed form.
■ Five copies of Analytical Monitoring forms.
■ Five copies of Qualitative Monitoring forms.
■ A copy of a Technical Bulletin on the stormwater program which outlines program components
and addresses frequently asked questions.
■ A corrected Certificate of Coverage if you indicated a name or address change on the Renewal
Form returned to the Division.
Your certificate of coverage is not transferable except after notice to DWQ. 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
DWQ or permits required by the Division of Land Resources, Division of Air Quality, Coastal Area
Management Act or any other Federal or Local governmental permits that may be required.
If you have any questions concerning this permit or other attached documents, please contact the
Stormwater and General Permits Unit at telephone number (919) 733-5083
Sincerely,
toA. Preston Howard, Jr., P. E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 FAX 919-733-0719
An Equal Opportunity Affirmative Action Employer 750% recycled/ 10% post -consumer paper
Statei,,of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. Robert N. Hill
PO Box 1061
Dunn, NC 28335
Dear Mr. Hill:
4 LT15TA
IqT
•0
`t AUG, 9 1994
August 5, 1994
ENV. MANAGEMENT
FAYETTEVILLE PEG. OFFICF
Subject: General Permit No. NCG070000
Carolina Precast Concrete, Inc.
COC NCG070081
Harnett County
In accordance with your application for discharge pen -nit received on June 1, 1994, 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
December 6, 1983.
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.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Division of Environmental Management 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 Environmental Management 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 Steve Ulmer at telephone number 919/733-
5083.
Sincerely, Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P. E.
cc: Fayette_ville=Regional'Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 FAX 919-733-9919
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERALI IIII
CERTIFICATEQ_ 'R NDI ll.
STQRMWATER DISCHARGES
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,
Carolina Precast Concrete, Inc.
is hereby authorized to discharge stormwater from a facility located at
Carolina Precast Concrete, Inc.
SR 1809 (Webb Road)
Dunn
Harnett County
to receiving waters designated as Mingo Swamp in the Cape Fear 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 August 5, 1994,
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 5, 1994.
Original Signed iBY
Coieen H.
A. Preston Howard, Jr., F.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission
2.4' 6E
STATE OF NORTH CAROUNA 8 a 30
DEPARTMENT OF NATURAL AND ECONOMIC RESOURCES 3SDZ2�
RALEIGH_ NORTH CAROLINA
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