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HomeMy WebLinkAboutNCG070070_COMPLETE FILE - HISTORICAL_20170907 (2)STORMWATER DIVISION CODING SHEET RESCISSIONS PERMIT NO. XC6���/ DOC TYPE ❑COMPLETE FILE -HISTORICAL DATE OF RESCISSION ❑ YYYYMMDD Energy, Mineral & Land Resources ENV IRON MENTAL QUALITY Mr. David McKeown Meridian Brick, LLC 5100 Brickyard Road Columbia, SC 29203 Dear Mr. McKewon: ROY COOPER Governor MICHAEL S. REGAN Secretary TRACY DAVIS Director September 7, 2017 Subject: Rescission of NPDES Stormwater Permit Certificate of Coverage Number NCG070070 Sampson County On July 31, 2017, the Division of Energy, Mineral and Land Resources received your request to rescind your coverage under Certificate of Coverage Number NCG070070. In accordance with your request, Certificate of Coverage Number NCO070070 is rescinded effective immediately. Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to waters of the State without valid coverage under'an NPDES permit is against federal and state laws and could result in fines. If something changes and your facility would again require stormwater or wastewater discharge permit coverage, you should notify this office immediately. We will be happy to assist you in assuring the proper permit coverage. If the facility is in the process of being sold, you will be performing a public service if you would inform the new or prospective owners of their potential need for NPDES permit coverage. If you have questions about this matter, please contact us at 919-707-9200, or the Stormwater staff in our Mooresville Regional Office (704) 663-1699, cc-. Fayetteville Regional Office Stormwater Permitting Program Central Files Sincerely, Robert D. Patterson, P.E. for Tracy E. Davis, PE, CPM, Director Division of Energy, Mineral and Land Resources Nothing Compares,`. State of North Carolina I Environmental Quality I Energy. Mineral and Land Resources 512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh. North Carolina 27699-1612 919 707 9200 N` • . A Division of Energy, Mineral & Land Resources �r Land Quality Section/Stormwater Permitting Program NC®ENR National Pollutant Discharge Elimination System No C P . a'++w*w or CnVi110rm I.M u.G Nall.u. RL]OIIR[t.! RESCIISSION REQUEST FORM FOR AGENCY USE ONLY Date Received Year Month Da Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit. 1) Enter the permit number to which this request applies: Individual Permit (or) Certificate of Coverage N!' C'�.iSr �Nl ` G' 0 7 0 0 7 0 2) Owner/Facility Information: • Final correspondence will be mailed to the address noted below Owner/Facility Name_ Meridian Brick LLC - Roseboro Plant Facility Contact David McKeown Street Address 510Q Brickvard Road City _Coltimbia State sr ZIP Code 292o3 County Richland _ E-mail Address Telephone No. 803 691-3121 Fax: _ 803 786-W03 - 3) Reason for rescission request (This is required information. Attach separate sheet if necessary): ® Facility closed or is closing on rti 622I 6 016. All industrial activities have ceased such that no discharges of stormwater are contaminated by exposure to industrial activities or, materials. ❑ Facility sold to on 7­1 . 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: 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 �' - Date July 26, 2017 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 27699-1 —CEI ,ED 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 JUL1 2011 Phone: 919-807.63001 FAX: 919-807-6492 U 1 ! An Equal Opportunity 1 Affirmative Action Employer DENR-LAND QUAL FrY STORMWATER PERMITTING Alexander, Laura From: Lawyer, Mike Sent: Thursday, August 31, 2017 9:38 AM To: Alexander, Laura Subject: RE: NCG070070 Good morning Laura. I conducted a site visit yesterday for the subject rescission request. I have no objections to rescission of permit coverage. Michael Lawyer, CPSWQ Environmental Program Consultant Division of Energy, Mineral and Land Resources North Carolina Department of Environmental Quality 910 433-3394 office mike. lawyer(a)ncdenr.gov 225 Green Street, Suite 714 Fayetteville, NC 28301 ^Nothing Compares ---,,- Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Alexander, Laura Sent: Wednesday, August 09, 2017 11: 10 AM To: Lawyer, Mike <mike.lawyer@ncdenr.gov> Subject: NCG070070 Mike, I forgot to mention NCG070070 is FRO too. Thanks, Laura From: s_canner.942A.arch@ncdenr.govfmailto:scanner.942A.arch@ncdenr.pov] Sent: Wednesday, August 09, 2017 11:06 AM To: Alexander, Laura <laura.alexander@ncdenr.gov> Subject: Scanned page 1 Energy, Mineral & L and Resources ENVIRONMENTAL QUALITY Mr. J. David McKeown Meridian Brick, LLC 5100 Brickyard Road Columbia, SC 29203 Dear Mr. McKeown: ROY COOPER Governor MICHAEL S. REGAN Secretary TRACY DAVIS Director July 12, 2017 Subject: NPDES Stormwater Permit NCG070070 Meridian Brick, LLC Formerly Forterra Brick, LLC Sampson County Division personnel received your request to revise your stormwater permit Certificate of Coverage to accurately reflect your new company and/or facility name. Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency. If you have any questions or need further information, please contact the Stormwater Permitting Program at (919) 707-9226. Sincerely, Original Signed by Richard L. Riddle, Jr. for Tracy E. Davis, P.E., CPM, Director Division of Energy, Mineral and Land Resources cc: Fayetteville Regional Office Stormwater Permitting Program Files Central Files Nothing Compares, SState of North Carolina I Environmental Quality I Energy, Mineral and Land Resources 512 N. Salisbury Street 11612 Mall Service Center I Raleigh, North Carolina 276991612 919 707 9200 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG070000 CERTIFICATE OF COVERAGE No. NCG070070 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Meridian Brick, LLC is hereby authorized to discharge stormwater from a facility located at: Meridian Brick LLC NC Highway 24 and SR 1406 Roseboro Sampson County to receiving waters designated as Big Swamp, a class C Sw water, 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 July 12, 2017. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day July 12, 2017. Original Signed by Richard L Riddle, Jr. for Tracy E. Davis, P.E., Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission State of North Carolina Department of Environment and Natural Resources Division of Water Quality STATE STORMWATER PERMIT NAME/OWNERSHIP CHANGE FORM I. CURRENT PERMIT INFORMATION C 1. Stormwater Manaaement Permit Number: NCG070070 2. Project Name Forterra Brick - Roseboro Plant 3. Current Permit Holder's Company Name/Organization: 4. Signing Official's Name: J. David McKeown 5. Mailing Address: City: Columbia 5100 Brickyard Road 6. Phone: g( 03� 691 3121 Forterra Brick, LLC Title: Regional Environmental State: SC Zip: 29203 Fax: 8( 03 7869703 II. PROPOSED PERMITTEE I OWNER 1 PROJECT / ADDRESS INFORMATION This request is for: (please check alf that apply) 7 x❑ Name change of the owner (Please complete Items 1, 2 and 3 below) ❑ Name change of project (Please complete Item 5 below) ❑ Change.in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below) ❑ Mailing address / phone number change. (Please complete Item 4 below) ❑ Other (please explain): 1. Proposed permittee's company name/organization: Meridian Brick LLC, 2. Proposed permittee's signing official's name: J. David McKeown 3. Proposed permittee's title: Corporate Environmental Manager 4. Mailing Address: 5100 Brickyard Road City: Columbia Phone: 803 691-3121 State: SC Fax: ( 803 ) 786-9703 Zip: 29203 5. New Project Name to be placed On permit: Meridian Brick LLC - Roseboro Plant Please check the appropriate box. The proposed permittee listed above is: ❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a recorded easement for all areas that contain stormwater system features. Print name of HOA or POA in #1 above and provide name of HOA/POA's authorized representative in #2 above) ® The property owner ❑ Lessee (Attach a copy of the lease agreement and complete Property Owner Information on page 4) ❑ Purchaser (Attach a copy of the pending sales agreement. Final approval of this transfer will be granted upon receipt of a copy of the recorded deed) ❑ Developer (Complete Property Owner Information on page 4) SSW N/O Change Rev24Sept2012 Page 1 of 4 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: M Check here if the current permittee is ly changing his/herlts name, the project name, or mailing address, but will retain the permit. I, , the current permittee, hereby notify the DWQ that I qtn changing my name and/or I am changing my mailing address and/or I am changing the name of the permitted project. I further attest that this application for a name/ownership change is accurate and complete to the best of my knowledge. 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. further attest that this -application for a name/ownership change is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed or if all required supporting information and attachments listed above are not included, this application package will be returned as incomplete. I assign all rights and obligations as permittee to the proposed permittee named in Sections II and V of this form. I understand that this transfer of ownership cannot be approved by the DWQ unless and until the facility is in compliance with the permit. Signature: I Date: a Notary Public for the State of County of , do hereby certify that personally appeared before me this the day of , 20 , and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, (Notary -Seal) Notary Signature SSW N/O Change Rev24Sept2012 Page 2 of 4 V. PROPOSED PERMITTEE 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. acknowledge and attest that I have received a copy of: (check all that apply to this permit) H the most recent permit the designer's certification for each LMP ❑ any recorded deed restrictions, covenants, or easements ❑ the DWQ approved plans and/or approved as -built plans ❑ the approved operation and maintenance agreement 8 past maintenance records from the previous permittee (where required) DWQ stormwater inspection. report showing compliance within 90 days prior to this transfer I have reviewed the permit, approved plans and other documents listed above, and i will comply with the terms and conditions of the permit and approved plans. I acknowledge and agree that i will operate and maintain the system pursuant to the requirements listed in the permit and in the operation and maintenance agreement. I further attest that this application for a name/ownership change is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed or if all required supporting information and attachments listed above are not included, this application package will be returned as incomplete. Signature: Date: 1, , 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 andprocessing fee (if required), should be sent to the appropriate Regional Office of the North Carolina Department of Environment and Natural Resources, Division of Water Quality, as shown on the attached map. Please note that if the Proposed Permittee listed above is not the property owner, the property owner must complete and sign page 4 of this document. Both the lessee /developer and the property owner will appear on the permit as permittees. SSW N/O Change Rev24Sept2012 Page 3 of 4 VL PROPERTY OWNER CONTACT INFORMATION AND CERTIFICATION If the Proposed Permittee listed in Sections It 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: State: zip: Mailing Address: (if different from street address) City: State: Zip:_ Phone: Fax: Email: t 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 Date: 1, , a Notary Public for the State of County of , do hereby certify that personally appeared before me this the day of , 20 , and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, Notary Signature (Notary Seal) SSW NIO Change Rev24Sept2012 Page 4 of 4 A 14-MERIDIAW BRICK 5100 Brickyard Road Columbia, South Carolina 29203 meridianbrick.com May 1, 2017 Central Files NC DENR Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699 —1617 919-807-6397 RECEIVED'' n" 90' 2411", 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 floral Bricks LLC and Forterra Brick, LLC by operation of law. Additionally, a letter from Paul Samples, CEO for what was Boral Bricks LLC, Forterra Brick, LLC and is now Meridian Brick LLC, is included which grants me, J. David McKeown, signatory authority for any required forms or documents pertaining to this name change that require signature. This change results in the need for us to change the names on the stormwater permits formerly held by both Boral Bricks and Forterra Brick to Meridian Brick LLC. The affected permits are as follows: NC SW Permit NCG070215 NCG020120 NCG020548 Former Name Forterra Brick, LLC Monroe Plant & Mine Forterra Brick, LLC Anson County Mine Forterra Brick, LLC Howell Mines 1&2 New Name Meridian Brick LLC Monroe Plant & Mine Meridian Brick LLC Anson County Mine Meridian Brick LLC Howell Mines 1&2 BE BOLD. BE BRICIC .' W MERIDIAN`" BRICK 5100 Brickyard Road Columbia, South Carolina 29203 meridianbrick.com NCG020504 NCG020437 NCG070167 NCG020242 NCG020241 NCG020239 Forterra Brick, LLC Roseboro Plant Forterra Brick, LLC Gulf Mine #3 Forterra Brick, LLC Sampson Mine II Boral Bricks Inc. Salisbury Plant Boral Bricks Inc. Gold Hill Mine Boral Bricks Inc. Thomas Mine Boral Bricks Inc. Panther Creek Mine Meridian Brick LLC Roseboro Plant Meridian Brick LLC Gulf Mine #3 Meridian Brick LLC Sampson Mine Il Meridian Brick LLC Salisbury Plant Meridian Brick LLC Gold Hill Mine Meridian Brick LLC Thomas Mine Meridian Brick LLC Panther Creek Mine Thank you for your assistance with this matter and if you require any additional information, please do not hesitate to contact me at 803-691-3121. Sincerely, ),�?, J. David McKeown BE BOLD. BE BRICK: ®N iPORTERMN April 19, 2017 di- I19 MERIDIAN' BRICK Re: Signatory Authority Related to Merger of Boral Bricks Inc. and Forterra Brick, LLC into Meridian Brick LLC To Whom It May Concern: Boral Bricks LLC and Forterra Brick, LLC have merged into Meridian Brick LLC and Meridian Brick LLC is the surviving entity. The 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 (770) 645-4500 or you can contact our attorney Marie L. Joseph at (770) 552-3362. Sincerely, A. Paul Samples CEO cc: J. David McKeown, 5100 Brickyard Road, Columbia, SC 29203 }o 1 U State of North Carolina Department of Environment and Natural Resources Division of Water Quality STATE STORMWATER PERM I. CURRENT PERMIT INFORMATION 1. Stormwater Management Permit Nu 2. Project Name: Manson Brick - Roseboro Plant NAME/OWNERSHIP CHANGE FORM NCG070070 3. Current Permit Holder's Company Name/Organization: Hanson Brick East, LLC ✓ Sua/"1�'� ` d- J. David McKeown Regional Environmental Manager 4. Signing Official's Name: Title: g� r 5. Mailing Address: 5100 Brickyard Road City: Columbia 6. Phone: ( 803 ) 691-3121 State: SC Zip: 29203 Fax: ( 803 ) 786-9703 II. PROPOSED PERMITTEE / OWNER / PROJECT / ADDRESS INFORMATION This request is for: (please check all that apply) 0 Name change of the owner (Please complete Items 1, 2 and 3 below) ❑ Name change of project (Please complete Item 5 below) ❑ Change in ownership of the property/company (Please complete Items 1, 2, 3, and 4 below) ❑ Mailing address / 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 Phone: 8( 03 ) 691-3121 5. New Project Name to be placed on permit State: SC Zip: 29203 _ Fax: ( 803 ) 786-9703 Forterra Brick, LLC - Roseboro Plant Please check the appropriate box. The proposed permittee listed above is: ❑ HOA or POA (Attach documentation showing that the HOA or POA owns, controls, or has a recorded easement for all areas that contain storm water 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 7 �"e I 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 currant permit holder and the new applicant if this is a change of ownership: 2. Legal documentation of the property transfer to a new owner. 3. A copy of any recorded deed restrictions, covenants, or easements, if required by the permit. 4. The designer's certification (DWQ Engineer and Designer Certification Forms are available from each DWQ Regional office), if required by the permit and if not already submitted to DWQ. 5. If the proposed permittee is a firm, partnership, association, institution, corporation, limited liability company, or other corporate entity, provide documentation showing the authority of the named representative to act on behalf of the proposed permittee. 6. The $40.00 processing fee. If this is an initial transfer from the original permittee the processing fee is not required. Subsequent ownership transfers will require the $40.00 processing fee. IV. CURRENT PERMITTEE'S CERTIFICATION Please check one of the following statements and fill out the certification below that statement: ® Check here if the current permittee is n� changi his/her/its name, the project name, or mailing address, but will retain the permit. 1, iJ , the current permittee, hereby notify the DWQ that am changing my name and/or I am changing my mailing address and/or I am changing the name of the permitted project. I further attest that this application for a name/ownership change is accurate and complete to the best of my knowledge. 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: I 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 2 of 4 V. PROPOSED PERMITTEE 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) Hthe 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 epast 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: I, County of day of Date: a Notary Public for the State of do hereby certify that personally appeared before me this the 20 , and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, Notary Signature (Notary Seal) Additional copies of the original permit and the approved Operation and Maintenance agreement can be obtained from the appropriate Regional Office of the Division of Water Quality. This completed form, including all supporting documents 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 Permiftee listed in Sections II 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 I day of Date: a Notary Public for the State of County of , do hereby certify that personally appeared before me this the 20 , and acknowledge the due execution of the forgoing instrument. Witness my hand and official seal, (Notary Seal) Notary Signature SSW N/O Change Rev24Sept2012 Page 4 of 4 Energy, Min era! and Land Resources ENVIRONMENTAL QUALITY May 5, 2016 Mr. ,I. David McKeown Forterra Brick, LLC 5100 Brickyard Road Columbia, SC 29203 PAT MCCRORY WBBNM DONAI D R. VAN DER VAART seervielly TRACY DAVIS Olreehrr Subject: NPDES Stormwater Permit NCG070070 Forterra Brick, LLC Formerly Hanson Brick Last, LLC Sampson County Dear Mr. McKeown: Division personnel received your request to revise )'our stormwater permit Certificate of Coverage to accurately reflect your new company and/or facility name. Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency. If you have any questions or need further information, please contact the Stormwater Permitting Program at (919) 707-9220. Sincerely, ORIGINAL SIGNED B` KEN PICKLE for Tracy E. Davis, P.L., CPM, Director Division of Lncrgy, Mineral and Land Resources cc: 1"ayetteville Regional Office Stormwater P_erinitting I?rogram files Central Files State of North Carolina 15nvironmcnlal Quality � Einergv, Mineral and Land Resources 1012 Mail Service Center 1 512 North Salisbury Street I Raleigh, Norih Carolina 27699-1612 919 707 9220 T STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL, QUALITY DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG070000 CERTIFICATE OF COVERAGE No. NCG070070 STORMWATER DISCHARGE'S 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, I"orterra Brick, LLC is hereby authorized to discharge stormwater From a facility located at: i"orterra Brick. LLC NC Highway 24 and SR 1406 Roseboro Sampson County to receiving waters designated as Big Swamp, a class C Sw water, in the Cape Dear River Basin; in accordance with the effluent limitations, monitoring; requirements, and other conditions set forth in Parts I, I1, III, and IV of General Permit No. NCG070000 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. Signal this day May 5, 2016. ORIGINAL- SIGNED T KEN PICKLE for Tracy E. Davis, P.L., Director Division of Energy, Mineral, and Land Resources I3y the Authority of the Environmental Management Commission ep} Energy, Min era l and Land Resources 6NVIRONMENTAI, QUALITY May 5, 2016 Mr. J. David McKeown Forterra Brick, LLC 5100 Brickyard Road Columbia, SC 29203 PAT MCCRORY Govemor DONALD R. VAN DER VAAR'r Secretary TRACY DAVIS Diredor Subject: NPDES Stormwater Permit NCG070070 Forterra Brick, LLC Formerly Hanson Brick East, LLC Sampson County Dear Mr. McKeown: Division personnel received your request to revise your stormwater pert -nit 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 o`f North Carolina General Statutes 1 43-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency. If you have any questions or need further information, please contact the Stormwater Permitting Program at (919) 707-9220. Sincerely, for Tracy E. Davis, P.L., CPM, Director Division of Energy, Mineral and Land Resources cc: Fayetteville Regional Office Stormwater Permitting Program Files CentralT11es State of Nertb Carolina j Environmental Quality I } nergy, Mineral and Land Resources 1612 Mail Scrvicc Center 1512 No,th Salisbury Street I Raleigh, North Carolina 27699-1612 919 707 9220 T STATE OF NORTH CAROLINA DEPARTMENT Oh ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG070000 CERTIFICATE OF COVERAGE No. NCG070070 STORMWA'rER 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, Forterra Brick. LLC is hereby authorized to discharge stormwater from a facility located at: Forterra Brick, LLC NC Highway 24 and SR 1406 Roseboro Sampson County to receiving waters designated as Big Swamp, a class C Sw water, in the Cape Fear 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. NCG070000 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. for Tracy E. Davis, P.E., Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission ,. I� FOR'i'ERRA Forterra Brick, LLC 5100 Brickyard Road Columbia, SC 29203 803.786.1260 forterrabp.com January 18, 2016 Central Files Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Name Change Documents for Hanson Brick East, LLC and Forterra Brick, LLC. To Whom It May Concern: For the stormwater permits previously held by Hanson Brick East, LLC, enclosed, please find the documents to change the permitted entity's name to Forterra Brick, LLC. Also included is a letter from Lori M. Browne, former Legal Counsel for Hanson Brick East, LLC and current Legal Counsel for Forterra Brick East, LLC, and an officer of the company. This letter grants me, J. David McKeown, signatory authority for any required forms or documents pertaining to this name change that require signature. Thank you and if you require any additional information, please do not hesitate to contact me at 803-691- 3121. Sincerely, J. David McKeown � � /;zi L'J `f- 0 4 201s U ,. �?�i`Mi� iA�GLLl7FCC� __hCGorl Qo 70 hcC, 0ao70q hCG o ao5�8� -nc�o ao�3� --h e G b ao 12-0 e I'MO FORTERRA Forterra Buildng Products 511 E. John Carpenter Freeway suite 600 Irving, TX 75062 469.458.7973 forberrabp.corn January 18, 2016 Central Files Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Re: Signatory Authority Related to Name Change Documents for Hanson Brick East, LLC and Forterra Brki,, LLC. To Whom It May Concern: My name Is Lori M. Browne and, as Vice President and General Counsel for Forterra Brick, LLC, formerly known as Hanson Brick East, LLC, I am an officer of the company. For purposes related to the name change from Hanson Brick East, LLC to Forterra Brick, LLC, Mr. J. David McKeown has signatory authority 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 469-284- 8678. Si rely, Lori M. Browne CC., J. David McKeown, 5100 Brickyard Road, Columbia, SC 29203 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES , DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG070000 CERTIFICATE OF COVERAGE No. NCG070070 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 Brick East LLC is hereby authorized to discharge stormwater from a facility located at Hanson Brick -- Roseboro Plant NC Highway 24 and SR 1406 Roseboro Sampson County to receiving waters designated as Big Swamp, a class C Sw water 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 January 5, 2004. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day January 5, 2004. an 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 Kerr T. Stevens, Director January 5, 2004 Mr. Whit Wilson Hanson Brick East LLC PO Box 518 Roseboro, North Carolina 28382 Subject: NPDES Permit Modification — Name Change Permit NCG070070 Hanson Brick — Roseboro Plant (Formerly Boren Clay Products) Sampson County Dear Mr. Wilson: 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 1508 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 Sincerely, n W. Klimek, P.E. 919 733-5083, extension 520 (tax) 919 733-0719 VISIT us ON THE INTERNET @ hnp:llh2o.enr.state,nc.us/ Valery.Slephens@ncmail.net 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 Jack H Garvey Boren Clay Products - Roseboro Plant PO Box 368 Pleasant Garden, NC 27313 Subject: NPDES Stormwater Permit Renewal Boren Clay Products - Roseboro Plant COC Number NCG070070 Sampson County Dear Permittee: 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. cc: Central Files Stormwater & General Permits Unit Files Fayetteville Regional Office Sincerely, Bradley Bennett, Supervisor Stormwater and General Permits Unit NCUENR N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 733-8053 Customer Service 1 800 623-7748 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG070000 CERTIFICATE OF COVERAGE No. NCG070070 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-216.1, 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 Company is hereby authorized to discharge stormwater from a facility located at Boren Clay Products - Roseboro Plant NC Hwy 24 and SR 1406 Roseboro Sampson County to receiving waters designated as Big 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 wAr�9p� Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources JACK H GARVEY BOREN BRICK- ROSEBORO PLANT PO BOX 368 PLEASANT GARDEN, NC 27313 Dear Permiltce: Alan W. Klimek, P.E., Director Division of water Quality September 4, 2002 Subject: NPDES Stormwater Permit Coverage Renewal Boren Brick- Rosehoro Plant COC Number NCG070070 Sampson County Your facility is currently covered for Stormwater discharge under General Permit NCG070000. `Phis perinit 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 arc informing you in advance that your permit coverage will be expiring. Enclosed you will find a Permit Coverage Renewal Application Form. The application must he 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 he 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 stormwatcr from your facility without coverage under a valid storinwater 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 clay. Please note that recent federal legislation has extended the "no exposure exclusion" to all operators of industrial facilities in any of the I 1 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 arc not exposed to stormwatcr, 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 Weh Site at http:l/h2o.enr.state.nC.us/su/stormwater.html If the subject stornlwater 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 notilied 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 Piles Stormwater and General Permits Unit Files Fayetteville Regional Office ©'` A 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 JACK H. GARVEY BOREN BRICK- ROSEBORO PLANT PO BOX 368 PLEASANT GARDEN, NC 27313 A&41 0 I D FE N FI Subject: Reissued Stormwater General Permit for Certificate of Coverage No. NCG070070 Sampson 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: ■ 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 Ietter. DO NOT send the SPPP with the signed form. ■ Five copies of Analytical Monitoring'forms. E 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, f oA. 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 50% recycled/ 10% post -consumer paper State of North Carolina Department of Environment, Health and Natural Resources A • • Division of Environmental Management James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary ID G H N F1 A. Preston Howard, Jr., P.E., Director October 21, 1994 David E. Smith Boren Brick Company P.O. Box 368 Pleasant Garden, NC 27313 Subject: NPDES No. NCG070070 Boren Brick-Roseboro Plant formerly: Isenhour Brick and Tile Co. Sampson County Dear Mr. Smith: 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. Sin rely, . Presto oward, Jr., P.E. cc: Fayetteville Regional Office Compliance -Jeanne Phillips, ISB Central Files 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 GENERAL PERMIT NO,-NCG070000 CERTIFICATE OF COVERAGE No. NCG070070 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, Boren Clay Products Company, Inc. is hereby authorized to discharge stormwater from a facility located at Boren Brick- Roseboro Plant NC Highway 24 Pleasant Garden Guilford County to receiving waters designated as Big 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 W of General Permit No. NCG070000 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 tg�Preston d, Jr., P.E. Division of Environmental Management By Authority of the Environmental Management Commission State of North Carolina Department of Environment, 1 Health and Natural Resources Division of Environmental Management James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary A. Preston Howard, Jr., P.E., Director June 17, 1994 Mr. Jack H. Garvey Boren Brick P.O. Box 368 Pleasant Garden, NC 27313 Subject: General Permit No. NCG070000 Boren Brick COC NCG070070 Sampson County Dear Mr. Garvey: In accordance with your application for discharge permit received on May 17, 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. Original Si 5udi Bs Sincerely�oleen H. A. Preston Howard, Jr., P. E. cc: Fayetteville 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 FORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT GENERAL PERMIT NO. NCG070000 CERTIFICATE OF COVERAGE NO, NCG070070 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, Boren Brick is hereby authorized to discharge stormwater from a facility located at Boren Brick - Roseboro Plant NC Highway 24, between SR 1406 and SR 1404 Roseboro Sampson County to receiving waters designated as Big Swamp in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, II I and IV of General Permit No. NCG070000 as attached. This Certificate of Coverage shall become effective June 17, 1994. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day June 17, 1994. pgtigtt�al 14 sU��gs coee(+ A. Preston Howard, Jr., P.E., Director Division of Environmental Management By Authority of the Environmental Management Commission k1 E �.761�9D ROSEBORO QUADRANGLE STATE OF NORTH CAROLINA NORTH CAROLINA -,PARTMENT OF NATURAL RESOURCES 7.5 MINUTE SERIES (TOPOGRAPHIC) AND COMMUNITY DEVELOPMENT NFJ4 ROSFBORO lV'QUADfth"MX 7 -30 RALEIGH. N. C. 27 S"ALF'X9U%Wi.'lA'41 78, 72 5254 It SE IN 4 32' 30" 2140-pocij E r ,& Am/. 723 REBEL ClrY6 'Z 722 (SALEMBURG) '42 .0 ) . . ) Gem 140 - 397c, Cem. AkM ch Y�� .t- - r. VAS +�iV �!J / t` Il i//���= �� { 0 FEE C eT�Jl 450 IV LZ y Owl* Lin ch 36K ............. c C-4 o 1401 'Z� fit 387 0 V 'z v 1-j - Cemml - - I L i OLA I FACILITY COUNTY 1 .7 NPDES MAP # DSN FLOW SU ] �-.',SIN F }ijr i 1 LAT'l r 1"UDE LOIndC 10DE RECEEVi u` STREAM STRE'.'A CLASS I DISCH.;S AGE CLASS EXIFNI RATION DATE P(-A4Jr S& nAPsot4 NCC7-L> �4t� 24 1\1 OE- ', 5vv Smrz;m wA-r" 08--01-97