NCG020120_COMPLETE FILE - HISTORICAL_20180619

STORMWATER DIVISION CODING S
RESCISSIONS
EET
PERMIT NO.
cG
DOC TYPE
O COMPLETE FILE - HIS TORI
L
DATE OF
RESCISSION
❑
YYWMMDD
I

A
NCDENR
NO ' C d OLINA DEEM ,T OF
LNvinowr+Enr A,.o NAt— neeouR
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
41ti
Please fill out and return this form if you no longer need to maintain your NPDES Stormwater permitr ��N14, 19
I pR�w1q *eR o 11417 },
1) Enter the permit number to which this request applies: 4i1rrl
II
Individual Permit (or) Certificate of Coverage
N I C I S N I C I GI 1 0 2 1 0 17 1 2 0
2) Owner/Facility Information:
Owner/Facility Name
I
* Final correspondence will be mailed to the address noted below
crick !_LC - Anson County Mine i
Facility Contact David McKeown
Street Address 5100 Brickyard Rod
City Columbia State �Q ZIPICode 29203
County Richland E-mail Address dayid.mckeownOmeridianhrirk rom
Telephone No. 803 691-3121 Fax: 8o3 Z�s-g763 -
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
® Facility closed or is closing on 05/2412018. All industrial activities have ceasedsuch that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.1
I
❑ Facility sold to f�—� on i"� If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
® Other: Mine was released from minina permit number 04-12 on May 24. 2018. See attached.
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete and accurate.
Signature 1 4 • /c)— Dalte June 12, 2018
J. David McKeown Corporate Environmental Manager
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
I
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] FAX: [phone]
An Equal Opportunity 1 Affirmative Action Employer

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
May 24, 2018
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7015 0640 0007 9831 3491 1
Mr. J. David McKeown
Meridian Brick LLC j
5100 Brickyard Road
Columbia, South Carolina 29209
RE- Anson County Mine
Permit No. 04-12
Anson County
Yadkin River Basin
Dear Mr. McKeown:
WILLIA
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
E. (TOBY) VINSON, JR.
Imerim Director
An inspection was made of the above mine on May 10, 2018 in accordance with G.S.
74-56 of the Mining Act of 1971.
The mine was found to be satisfactorily reclaimed. Therefore, your company is
released from further reclamation responsibility for this site with respect to the Mining Act of
1971.
f
Thank you for your cooperation in this matter.
Sincerely,
David Miller, PE
State Mining Engineer
DMljw
cc: Mr. Tim LaBounty, PE
Ms. Laura Alexander
Mr. William Gerringer-DOL, Mine and Quarry Bureau
I—`/'Nothing Compares,,
State of North Carolina I £nvironmenraI Quality 111nergy. Mineral and Land ReScUl COS
511 N. SafNIJUry Street 11h12 Mtul Ser'vwe Cerm%r 111aleigh. Nor 'Ih Carnfina 271,94.1tj12
1 9M 707 9200 1

mo
=1MERIDIAN"
BRICK
5100 Brickyard Road
Columbia, South Carolina 29203
meridianbrick.com
June 12, 2018
NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, NC 27699 —1612
919-807-6397
Re: Stormwater Permit Rescission Form
To Whom It May Concern:
This correspondence is being sent in order to rescind the following stormwater permit:
NCG020120 — Meridian Brick LLC - Anson County Mine
This former mining location has been permanently closed, reclaimed and released from the mining
permit (see enclosed).
Thank you for your assistance with this matter and if you require any additional information, please do
not hesitate to contact me at 803-691-3121.
S
Sincerely,
ceIVED
i JUN 19
ST �ENR-Lgh'p
ORMw,4T R QUALITY
David McKeown
BE BOLD. BE BRICK:

hc G 0 a (5 (a 0
Energy, Mineral &
Lund Resources
ENVIRONMENTAL DUALITY
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7015 0640 0007 9831 3491'
Mr. J. David McKeown
Meridian Brick LLC
5100 Brickyard Road
Columbia, South Carolina 29209
RE: Anson County Mine
Permit No. 04-12
Anson County
Yadkin River Basin
Dear Mr. McKeown:
r
T tg
ROY COOPER
covernor
May 24, 2018
MICHAEL S. REGAN
Secre! my
WILLIAM E. (TOBY) VINSON, JR.
I !nlerim Uirecror
MAY 25 2018
MR -LAND QUALITY
Sr
WATER PERMITTING
An inspection was made of the above mine on May 10, 2018 in accordance with G.S.
74-56 of the Mining Act of 1971. 1
The mine was found to be satisfactorily reclaimed. Therefore, lyour company is
released from further reclamation responsibility for this site with respect to the Mining Act of
1971. 1
Thank you for your cooperation in this matter.
Sincerely,
i
David Miller, PE
State Mining Engineer
DMljw
CC'. Mr. Tim LaBounty, PE
Ms. Laura Alexander
Mr. William Gerringer-DOL, Mine and Quarry Bureau
Nothing Compares--,
I
State of North Carolina I EnvironnrentalQualily I tnrrgy, Mineral and Land Itesrnrrccs
512 N. Salisbury Street k 1612 Y1ail Service Center [ Raleigh. North Carolina 27699-1612
919 707 9200

911MERIDIAN"
BRICK
5100 Brickyard Road RSCEIVEI)
Columbia, South Carolina 29203
meridianbrick.com VAX
May 1, 2017 6El I ,o
Central Files
NC DENR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699 —1617
919-807-6397
Re: Change from Forterra Brick, LLC and Boral Bricks Inc. to Meridian Brick LLC
To Whom It May Concern:
This package is being sent in order to change the permit holders of the below -listed stormwater permits
in North Carolina. As background, on October 28, 2016, Boral Bricks Inc. converted to a limited liability
company named Boral Bricks LLC, On April 1, 2017, Boral Bricks LLC and Forterra Brick, LLC merged into
Meridian Brick LLC, with Meridian Brick LLC being the surviving entity. Additionally, Meridian Brick LLC is
the successor in interest to both Boral Bricks LLC an od-F rterra BFi"ck; LLB by1 operation of law.
I
Additionally, a letter from Paul Samples, CEO for what was Boral Bricks LLC, Forterra Brick, LLC and is
now Meridian Brick LLC, is included which grants me, J. David McKeown, signatory authority for any
required forms or documents pertaining to this name change that require signature.
This change results in the need for us to change the names on the stormw Ater permits formed held b
Y Y
both Boral Bricks and Forterra Brick to Meridian Brick LLC.
The affected permits are as follows:
NC SW Permit Former Name New Name
NCG070215 & Forterra Brick, LLC Meridian Brick LLC
Monroe Plant & Mine Monroe Plant & Mine
NCG020120 Forterra Brick, LLC Meridian Brick LLC
� � I
_ Anson County Mine Anson County Mine
/ NCG020548 Forterra Brick, LLC Meridian Brick LLC
[ Howell Mines 1&2 Howell Mines 1&2
BE BOLD. BE BRICK:

indbe. MERIDIAN'
BRICK
5100 Brickyard Road
Columbia, South Carolina 29203
meridianbrick.com
NCG070070(D Forterra Brick, LLC
Roseboro Plant
NCG020504 t1 Forterra Brick, LLC
Gulf Mine #3
NCG020437 1 Forterra Brick, LLC
`i Sampson Mine II
NCG070167oral Bricks Inc.
Salisbury Plant
NCG020242
NCG020241
NCG020239
V
Boral Bricks Inc.
Gold Hill Mine
Boral Bricks Inc.
Thomas Mine
Boral Bricks Inc.
Panther Creek Mine
Meridian Brick LLC
Roseboro Plant
Meridian Brick LLC
Gulf Mine #3
Meridian Brick LLC
Sampson Mine II
Meridian Brick LLC
Salisbury Plant
Meridian Brick LLC
Gold Hill Mine
Meridian Brick LLC
Thomas Mine
Meridian Brick LLC
Panther Creek Mine
Thank you for your assistance with this matter and if you require any additional information, please do
not hesitate to contact me at 803-691-3121.
Sincerely,
l�
J. David McKeown
BE BOLD. BE BRICK:

,� F03tTE1t1U o01MERIDIAN"
BRICK
April 19, 2017
Re: Signatory Authority Related to Merger of Boral Bricks Inc. and Forterra Brick, LLC
into Meridian Brick LLC
To Whom It May Concern:
Boral Bricks LLC and Forterra Brick, LLC have merged into Meridian Brick LLC and Meridian
Brick LLC is the surviving entity. The FEIN for Meridian Brick is 81-4016491. Meridian Brick
LLC is the successor in interest by operation of law to Boral Bricks LLC and Forterra Brick,
LLC.
As Chief Executive Officer for what was Boral Bricks LLC, Forterra Brick, LLC and is now
Meridian Brick LLC, let it be known that, for purposes related to the name/ownership
changes needed on any regulatory form, license or permit, Mr. J. David McKeown has
signatory authority on behalf of the above entities for any required forms or documents
requiring signature.
Thank you and if you require any additional information, please do not hesitate to contact
me at [phone] or you can contact our attorney Marie L. Joseph at [phone].
Sincerely,
A. Paul Samples
CEO
cc: J. David McKeown, 5100 Brickyard Road, Columbia, SC 29203

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
May 5, 2016
Mr..l. David McKeown
1"orterra Brick, LLC
5100 Brickyard Road
Columbia, SC 29203
PAT MCCRORY
Gorcrnar
DONAI,D R. VAN DER VAART
,Ce.�e'rrrarr
TRACY DAVIS
1)ireclor
Subject: NPDES Stormwater Permit NCG020120
Forterra Brick, LL.0
Formerly Hanson Brick Fast, LLC
Anson County
Dear Mr. McKeown:
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.
1 f you have any questions or need further information, please contact the Stornnwater
permitting Program at [phone].
Sincerely,
ORIGINAL SIGNED W
KEN PICKLE
fa• Tracy E. Davis, P.F., CPM, Director
Division ol'Encrgy, Mineral and Land
Resources
cc: Fayetteville Regional Office
CStormwater Permitting P gram Files
Central Files
Sutle ot'North Carolina I linviromnental Quality 1 Gnergy, Mincral and Land Resources
1612 Mail Service Center 1 512 Nonb Salisbun' Sweet I Raleigh, North Carolina 27699-1612
919 707 9220 T

STATE OF NORTH CAROLINA
1)1:,'I'ARTMI�N"1' OF I�NVIRONMENTAL QUALITY
DIVISION OF IHNERGY, MINI�RA1.., AND LAND RESOURCES
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020120
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE, ELIMINATION SYSTEM
In compliance xvith the provision ol'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,
Forterra Brick, LLC
is hereby authorized to discharge stormwater and to operate treatment systems and discharges
associated with mine dewatering; wastewater and process wastewater from a facility located at:
Forterra Brick, LLC — Anson County Mine
S Horton Road & Camden Church Road
Monroe
Anson COLIIIty
to receiving waters designated as Little Brown Creek, a class C stream in the Yadkin -Pee Dec
River Basin in accordance with the effluent limitations, monitoring; requirements, and other
conditions set forth in Parts I, 11, I 11, and IV of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective May 5, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 5, 2016.
ORIGINAL SIGNED W
KEN PICKLE
Jbr Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and I -and Resources
By the Authority of the Environmental Management Commission

-V�
7 U,�,Vvjl : A
r State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATE STORMWATER PERMIT
I. CURRENT PERMIT INFORMATION
1. Stormwater Management Permit Number: NCG020120
ERSHIP CHANGE FORM
2. Project Name: Hanson Brick - Anson County Mine �/ ��Fss a s i�/��a� r/V 'r414Y
3. Current Permit Holder's Company Name/Organization: Hanson Brick East, LLC
A. Signing Official', Name: J. David McKeown Title' Regional Environmental Manager
5. Mailing Address: 5100 Brickyard Road
City: Columbia
6. Phone: 8( 03 ) 691-3121
State: SC Zip:
Fax: ( 803 ) 786-9703
29203
II. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION
This request is for: (please check all that apply)
RI Name change of the owner (Please complete Items 1, 2 and 3 below)
❑ Name change of project (Please complete Item 5 below)
❑ Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below)
❑ Mailing address / phone number change. (Please complete Item 4 below)
❑ Other (please explain):
1. Proposed permittee's company name/organization: Forterra Brick, LLC
2. Proposed permittee's signing official's name: J. David McKeown
3. Proposed permittee's title: Regional Environmental Manager
�/4. Mailing Address: 5100 Brickyard Road
City: Columbia State: SC Zip: 29203
Phone: 8( 03 ) 691-3121 Fax: ( 803 ) 786-9703
5. New Project Name to be placed on permit: Forterra Brick, LLC - Anson County Mine
Please check the appropriate box. The proposed permittee listed above is:
❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a
recorded easement for all areas that contain stormwater system features. Print name of HOA or
POA in #1 above and provide name of HOA/POA's authorized representative in #2 above)
® The property owner
❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on
page 4)
❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be
granted upon receipt of a copy of the recorded deed)
❑ Developer (Complete Property Owner Information on page 4)
SSW N/O Change Rev24Sept2012 Page 1 of 4

III. REQUIRED ITEMS
A request to transfer a permit will not be approved by the Division of Water Quality (DWQ) unless all
of the applicable required items listed below are included with the submittal. Failure to provide the
listed items may result in processing delays or denial of the transfer.
1. This completed and signed form. This certification must be completed and signed by both the
current permit holder and the new applicant if this is a change of ownership.
2. Legal documentation of the property transfer to a new owner.
3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit.
4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from
each DWQ Regional office), if required by the permit and if not already submitted to DWQ.
5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability
company, or other corporate entity, provide documentation showing the authority of the named
representative to act on behalf of the proposed permittee.
6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing
fee is not required. Subsequent ownership transfers will require the $40.00 processing fee.
IV. CURRENT PERMITTEE'S CERTIFICATION
Please check one of the following statements and fill out the certification below that statement:
® Check here if the current permittee i o ly changing his/her/its name, the project name, or mailing
address, but will retain the permit. I, X /I�� , the current
permittee, hereby notify the DWQ thati am changing my name and/or I am changing my mailing
address and/or I am changing the name of the Perm 'tted_Qro0eQt. I further attest that this application
for a name/ownership change is accurate and complete to the best of my knowledge. I understand
that if all required parts of this application are not completed or if all required supporting information
and attachments listed above are not included, this application package will be returned as
incomplete.
❑ Check here if current permittee is transferring the property to a new owner and will not retain
ownership of the permit.
I, , the current permittee, am submitting this application
for a transfer of ownership for permit # . I hereby notify DWQ of the sale or
other legal transfer of the stormwater system associated with this permit. I have provided a copy of
the most recent permit, the designer's certification for each BMP, any recorded deed restrictions,
covenants, or easements, the DWQ approved plans and/or approved as -built plans, the approved
operation and maintenance agreement, past maintenance records, and the most recent DWQ
stormwater inspection report to the proposed permittee named in Sections II and V of this form. I
further attest that this application for a name/ownership change is accurate and complete to the best
of my knowledge. I understand that if all required parts of this application are not completed or if all
required supporting information and attachments listed above are not included, this application
package will be returned as incomplete. I assign all rights and obligations as permittee to the
proposed permittee named in Sections II and V of this form. I understand that this transfer of
ownership cannot be approved by the DWQ unless and until the facility is in compliance with the
permit.
Signature: Date:
a Notary Public for the State of
County of , do hereby certify that
personally appeared before me this the
day of , 20 , and acknowledge the due execution of the
forgoing instrument. Witness my hand and official seal, (Notary Seal)
Notary Signature
SSW N/O Change Rev24Sept2012 Page 2 of 4

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

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

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020120
STORMWATER AND PROCESS WASTEWATER 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 Brick East LLC
is hereby authorized to discharge stormwater and to operate treatment systems and discharges associated
with mine dewatering wastewater and process wastewater from a facility located at
Hanson Brick - Anson County Mine
S Horton Rd Camden church Rd
Monroe
Anson County
to receiving waters designated as Little Brown Creek, a class C stream in the Yadkin -Pee Dee 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. NCG020000 as attached.
This certificate of coverage shall become effective February 7, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 7, 2005
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

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
February 7, 2005
Dylan Walters
Hanson Brick East LLC
15720 John J Delaney Dr
Charlotte, NC 28277
Subject: NPDES Stormwater Permit Coverage Renewal
Hanson Brick - Anson County Mine
COC Number NCG020120
Anson County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG020000 the Division of Water
Quality (DWQ) is forwarding herewith the reissued stormwater general permit. Please review the new permit to familiarize
yourself with the changes in the reissued permit. The general permit authorizes discharges of stormwater and some types of
wastewater, You must meet the provisions of the permit for the types of discharges present at your facility. 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 NCG020000
• A copy of a Technical Bulletin for the general permit
• Five copies of Discharge Monitoring Report (DMR) Forms - wastewater and stormwater
• Five copies of Qualitative Monitoring Report Form
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 DENR 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 Aisha Lau of the Central Office Stormwater Permitting
Unit at [phone], ext.578.
Sincerelv,
for Alan W. Klimek, P.E.
cc: Central Files
Stormwater & General Permits Unit Files
Fayetteville Regional Office
One
NotthCarolina
Aaturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
tntemet: h2o.enr.state.nc.uslsulstormwater.html 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000.
CERTIFICATE OF COVERAGE No. NCG020120
STORMWATER, MINE DEWATERING, AND/OR OVERFLOW FROM
PROCESS WATER RECYCLE SYSTEMS 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 Brick East LLC
is hereby authorized to discharge stormwater and to operate or continue operation of treatment systems and
discharges associated with mine dewatering and process wastewater recycling overflow from a facility located at
Hanson Brick — Anson County Mine
S Horton Road & Camden Church Road
Wadesboro
Anson County
to receiving waters designated as Little Brown Creek, in the Yadkin -Pee Dee River Basin in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, VI and VII of
General Permit No. NCG020000 as attached.
This certificate of coverage shah become effective January 5, 2004.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 5, 2004.
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, P.E., Director
January 5, 2004
Mr. Jim Keck
Hanson Brick East LLC
PO Box 5012
Monroe, North Carolina 28111
Subject: NPDES Permit Modification — Name/Ownership Change
Permit NCG020120
Hanson Brick — Anson County Mine
(Formerly Boren Clay Products)
Anson County
Dear Mr. Keck:
In accordance with your request received November 24, 2003, the Division is forwarding the subject
permit modification. This modification documents the change in name at the subject facility. All other terms and
conditions in the original permit remain unchanged and in full effect. This permit modification is issued under the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U. S. -Environmental Protection Agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit modification are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days
following receipt of this letter. This request must be a written petition conforming to Chapter 150E of the North
Carolina General Statutes, filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
North Carolina 27699-6714. Unless such demand is made, this decision shall be final and binding.
This permit does not affect the legal requirement to obtain other permits which may be required by the
Division of Water Quality, the Division of Land Resources, Coastal Area Management Act, or any other Federal or
Local government permit that may be required. If you have any questions concerning this permit, please contact
Valery Stephens at the telephone number or address listed below.
cc: Central Files
Fayetteville Regional Office, Water Quality Section
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Si
Alan W. Klimek, P.E.
919 733-5083, extension 520 {fax) 919 733-0719
VISIT US ON YHE INTERNET @ ht1p:llh2o.enr.state.nc.usl [e-mail]

Y
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
December 17, 1999
JACK H GARVEY
BOREN CLAY PRODUCTS - ANSON CO. MINE
PO BOX 5012
MONROE, NC 28111
Dear Permittee:
NCDENR
NORTH CAROLMA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Stormwater Permit
Boren Clay Products - Anson Co. Mine
COC Number NCG020120
Anson County
In response to your renewal application for continued coverage under general permit NCG020000, 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 copy of general stormwater permit NCG020000
* Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* A copy of a Technical Bulletin on this permit which outlines permit components and
addresses frequently asked questions
* A Certificate of Coverage for your facility
* DWQ fee schedule
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 DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or
decree.
Please note that in 1998 Senate Bill 1366 established changes to the permit fee structure for DWQ permits effective
January 1, 1999. This change requires that you pay an annual fee to assure continued coverage under this permit.
You will be invoiced for this fee beginning next year. A copy of the current fee schedule is included with this letter.
If you have any questions regarding this permit package please contact Tony Evans of the Central Office Stormwater
and General Permits Unit at [phone], ext. 584
Sincerely,
for Kerr T. Stevens
Director, Division of Water Quality
cc: Central Files
Fayetteville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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41
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020120
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215. I, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
BOREN CLAY PRODUCTS
is hereby authorized to discharge stormwater and to operate or continue operation of treatment systems and
discharges associated with mine dewatering and process wastewater from a facility located at
BOREN CLAY PRODUCTS - ANSON CO. MINE
S HORTON RD & CAMDEN CHURCH RD
WADESBORO
ANSON COUNTY
to receiving waters designated as Little Brown Creek in the Yadkin - Pee Dee 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. NCG020000 as attached.
This certificate of coverage shall become effective December 17, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day December 17, 1999.
t5 I/ey tie 11,V'L
for Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

State 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
David E. Smith
Boren Brick Company
P.O. Box 368
Pleasant Garden, NC 27313
Dear Mr. Smith:
4 7J*
rt) .
MA 00%ftwoft
IDEHNF�
October 21, 1994
Subject: NPDES No. NCG020120
Boren Clay Products -Anson Co. Mine
formerly: Isenhour Brick and Tile Co.
Anson County
In accordance with your request dated August 22, 1994 we are forwarding herewith the
modified Certificate of Coverage page for the subject facility. The only change is in name and
ownership. This Certificate of Coverage is issued pursuant to the requirements of North
Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U. S. 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
Liz Kovasckitz at telephone number 919/733-5083.
cc: Fayetteville Regional Office
Compliance -Jeanne Phillips, ISB
Central Files
5' cerely, L�__
��4,ston d, Jr., P.E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
Telephone [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DMSION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO, NCG020000
CERTIFICATE OF COVERAGE. No, NCG02 1�20
STORMWATER, MINE DEWATERING, AND/OR OVERFLOW FROM
PROCESS WATER RECYCLE SYSTEMS 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,
Boren Clay Products
is hereby authorized to operate settling ponds and and discharge mine dewatering stormwater from a facility located
at
Anson County Mine
south of NCSR 1211 and NCSR 1121
Anson County
to receiving waters designated as Little Brown Creek in the Lumber River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, II1
and IV of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective October 21, 1994
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day October 21, 1994
eston Ho , P.E., Director
ivision of Environmental Management
By Authority of the Environmental Management Commission

. k
GENERAL PERMITS
COPIES OF PERMITS ARE TO BE SENT
TO THE FOLLOWING:
SIGNED ORGINAL TO APPLICANT **
SIGNED COPY TO CENTRAL FILES
COPY TO REGIONAL OFFICE
COPY TO P&E FILE
COPY TO COMPLIANCE
_COPY TO WAKE COUNTY
COPY TO MECKLENBURG COUNTY
COPY TO TRAINING & CERT.**
**ATTACH COPY OF GENERAL PERMIT

State 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
March 18, 1994
Jack H. Garvey
P O Box 5012
Monroe, NC 28111
Subject: General Permit No. NCG020000
Boren Clay Products
COC NCG020120
Anson County
Dear Mr. Garvey:
In accordance with your application for discharge permit received on August 9, 1993, 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 Divsion 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 Ms. Susan Robson at telephone number
9191733-5083.
0rJlhV-§ Yed By
David A. Goodrich
A. Preston Howard, Jr., P. E.
cc: Fran McPherson
Fayetteville Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DMSION OF ENVIRONMENTAL MANAGEMENT
STORMWATER, MINE DEWATERING, AND/OR OVERFLOW FROM
PROCESS WATER RECYCLE SYSTEMS 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,
Boren Clay Products
is hereby authorized to operate settling ponds and discharge mine dewatering stormwater from a facility located at
south of the NCSR 1211
and NCSR 1121
Anson County
to receiving waters designated as Little Brown Creek in the Lumber River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,11, III
and IV of General Permit No. NCG020000 as attached -
This certificate of coverage shall become effective March 18, 1994
This Certificate of Coverage shall remain in effect for the duration of the General Permit_
Signed this day March 18, 1994
Original Signed By
David A. Goodrich
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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�- .:;
f
I'
AL .: U—w COMPANY
June 17, 1994
Ms. Coleen 1-1. Sullins, P.L.
NCDEHNR-Water Quality Section
Stormwater Group
P.O. I3ox 29535
Raleigh; North Carolina 27626-0535
�1J
Dear Ms. Sullins:
T
Boren Clay Products Company, Inc. has agreed in principle to merge its operations with
Isenhour Brick and Tile Company, Inc. This merger is scheduled to take place on or about June
30, 1994, and the new company will be called Isenhour Brick Company.
Consequently, we will need to effect transfer of both our approved and pending NI'DES
Stormwater permits from Boren's name to the surviving corporation, Isenlrour Brick Company.
We enclose our check for the transfer fee of S 100.00 for the following two permits:
Boren Clay Products -Anson County Mine Boren Clay Products -Gulf Mines
South of NCSR 1211 and NCSR 1 121 Highway 421 South near `Gulf
Anson County Chatham County
NCG02-0120 NCG02-0101
I have contacted Liz Kovasckitz of the Stormwater group concerning our pending N.O.I.'s
at six (6) other Boren Clay Product locations. Ms. Kovasckitz informed me that they are still being
processed and can be changed in the database before being formally approved. She indicated such a
change would not require a transfer fee. The following facilities must also change over to Isenhour
Brick Company:
Boren Brick -Drysdale Plant & South Mine
P.O. Box 279 Highway #25
Fletcher, NC 28732 (Henderson Co.)
NCG07-0069
Boren Brick-Roseboro Mine
Next to Flwy. 924 and NCSR 1403
Roseboro, NC 28382 (Sampson Co.)
NCG02-0268
Boren Brick-Monroc Plant & Kendrick Mine
11.0. Box 5012 Highway #74 West
Monroe, NC 281 i 1 (Union Co.)
NCG07-0066
Boren I3rick--P.G. 1 & 2 Plant & P.G 1 & 2 Mine
P.O. Box 368 1410 Forest Acres Circle
Pleasant Garden, NC 27313 (Guilford Co.)
NCG07-0067
BOREN BRICK 0 P.O. BOX 368 ® PLEASANT GARDIwN, N.C. 27313 0 919 674.2255

Boren Brick-Roseboro Plant
P.O. Box 518 Hwy. 424
Roseboro, NC 28382 (Sampson Co.)
NCG07-0070
Boren Brick--P.C. 93 Plant & P.C. 93 Mine
6245 Hunt Road
Pleasant Garden, NC 27313 (Guilford Co.)
NCG07-0068
A letter from the North Carolina Secretary of State's office will soon follow this request which
will document the merger of these two companies. I will forward a copy of such a letter once the
merger actually takes place and we receive the document.
Thank you for your prompt attention to this matter. If you have any questions please call me
at (910) 67.4-2255 immediately.
cc: Liz Kovasckitz
Sincerely,
David E. Smith
Environmental Engineer