NCG140192_COMPLETE FILE - HISTORICAL_20170907

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
NG& (/DI IZ
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ �b I �I U 9 � rI
YYYYMMDD

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Ms. Denise Corrales
September 7, 2017
CEMEX Construction Materials Atlantic, LLC
3820 Northdale Blvd, Suite 100B
Tampa, Florida 33624
Dear Ms. Corrales:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG140192
Mecklenburg County
On June 13, 2016, the Division of Energy, Mineral and Land Resources received your request to
rescind your coverage under Certificate of Coverage Number NCG 140192. In accordance with
your request, Certificate of Coverage Number NCG140192 is rescinded effective immediately.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 [phone].
cc: Mooresville Regional Office
Stormwater Permitting Program
Central Files - w/attachments
Sincerely,
Robert D. Patterson, P.E.
for Tracy E. Davis, PE, CAM, 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

i�
FOR AGENCY USE ONLY
LTD A AN*
A
Division of Energy, Mineral& Land Resources Date Received
Year Month Day
Land Quality Section/Stormwater Permitting Program
NCDENRNational Pollutant Discharge Elimination System
NO G/j — DE�'w .EM oI RECEIVED
iNV111�MM[li wM0 NRUIlwL REypunCCe
RESCISSION REQUEST FORM JUN 1 1
Please fill out and return this form if you no longer need to maintain your NPDES stormwater 1)6t'3 "LAND QdALiTy
STORMWATER PERMlI'T"'
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
2) Owner/Facility Information: • Final correspondence will be mailed to the address noted below
Owner/Facility Name CEMEX Construction Materials Atlantic LLC
Facility Contact Denise Corrales, Director Environmental —Materials Division
Street Address 3820 Northdale Blvd., Suite 100B _
City Tampa _ State FI ., 1IP Code 33624
County Hillsborough E � rt y _ , 1 denise.carralesI2 cemex.com
Telephone No. 813 269-1035.U69-1030
3) Reason for rescission request (This is C 1Wky, ' Isheet if necessary):
`�;� 'it4" 4s9 r
4 Facility close or is closing on All ` such that no discharges of
stormwater are contaminated by exposure to �t'F
❑ Facility sold to .( F: 777'l on r -i�i vacil y will continue operations under the new owner it
Xim—
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
Denise Corrales
Please return this completed rescission request form to:
Date 6 7 2016
Director Environmental
NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] FAX: [phone]
An Equal Opportunity 1 Affirmative Action Employer

Compliance Inspection Report
Permit: NCG140192 Effective: 07/01/16 Expiration: 06/30/17 Owner: Cemex Construction Materials Atlantic t-I-C
SOC: Effective: Expiration: Facility: Cemex-Indian Trail
County: Union 4206 Unionville Indian Trl Rd W
Region: Mooresville
Indian Trail NC 28079
Contact Person: Johnny M Tapia Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 07/08/2016
Primary Inspector: Holliday Keen
Secondary Inspector($):
Certification:
Phone:
Entry Time: 08:4SAM Exit Time: 09:30AM
Phone:
Reason for Inspection: Routine Inspection Type: Technical Assistance
Permit Inspection Type: Ready Mix Concrete Stormwater/Wastewater Discharge CQC
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
0 Storm Water
(See attachment summary)
Page: 1

permit: NCG140192 Owner - Facility:Cemexconstruction Materials Atlantic LLC
Inspection Date: 07/08/2016 Inspection Type: Technical Assistance Reason for Visit: Routine
Inspection Summary:
This inspection was conducted per request to rescind the associated stormwater Certificate of Coverage. The site is located
at 42O6 Unionville -Indian Trail Road, Indian Trail, NC and is no longer active. Despite the fact that the location is no longer in
production, there are still materials on site that may affect stormwater runoff including fuel tanks, silos, conveyors, and full
water holding area. This rescission request cannot be processed until all materials potentially affecting stormwater have
been removed or placed under permanent cover.
Page: 2

.V4
0
Permit: NCG140192
SOC:
County: Union
Region: Mooresville
Compliance Inspection Report
Effective: 07/01/16 Expiration: 06/30/17 Owner: Cemex Construction Materials Atlantic LLC
Effective: Expiration: Facility: Cemex-Indian Trail
4206 Unionville Indian Trl Rd W
Contact Person: Johnny M Tapia Title:
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 08/10/2017 Entry Time: 05:OOPM
Primary Inspector: Holliday Keen
Secondary Inspector(s):
Indian Trail NC 28079
Phone: [phone]
Certification: Phone:
Exit Time: 05:30PM
Phone:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Ready Mix Concrete Stormwater/Wastewater Discharge COC
Facility Status: ❑ Compliant Not Compliant
Question Areas:
■ Other
(See attachment summary)
Page: 1

permit NCG140192 Owner - Facllity: Cemex Construction Materials Atlantic LLC
Inspection Date: 08/10/2017 Inspection Type: Compliance Evaluation Reason for VIsR: Routine
Other Yes No NA NE
Comment:
Page: 3

O�QF WArF9QG Michael f. Easley, Governor
William G. Ross Jr., Secretary
r North Carolina Department of Environment and Natural Resources
Q Coleen 11. Sullins, Director
Division of Water Quality
November 14, 2008
Roy J. Schorsch
Cernex Construction Materials Atlantic, LLC
9335 Harris Corners Parkway, Suite 200
Charlotte, NC 28269
Subject: NPDES General Permit NCG140000
Certificate of Coverage NCG 140192
Cemex Construction Materials Atlantic, LLC
Formerly Cemex Construction Materials, LP
Union County
Dear Mr. Schorsch:
On September 8, 2008, Division personnel received your request to revise your stormwater permit Certificate
of Coverage to accurately include you new company name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements
of North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and
the U.S. Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at [phone],
Sincerely,
4--, 461'&
Coleen H. Sullins
cc: DWQ Central Files
Mooresville Regional Office
Stormwater Permitting Unit
NotihCarolina
111nt rrrr!!Y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Custorner Service
Internet: h2o.enr.state.nc.us 512 N. Salisbury St, Raleigh, NC 27604 FAX [phone]
An Equai Opportunity/Affirmative Action Employer — 50% Recycledl10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG1.40192
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,
CEMEX CONSTRUCTION MATERIALS ATLANTIC, LLC
PrvG'-S-3 (►lobs aU J&,r R,10(
is hereby authorized to discharge stormwater from a facility located at 146P
CEMEX-INDIAN TRAIL
4206 UNIONVILLE INDIAN TRAIL
INDIAN TRAIL
UNION COUNTY
to receiving waters designated as a UT of South Fork Crooked Creek, in the Yadkin Pee -Dee River Basin,
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, 1I, III, and IV, V and VI of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective November 14, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 14, 2008.
4/
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

January 5, 2007
Mr. Ken Pickle
North Carolina Dept. of Environment and Natural Resources
Division of Water Quality
Stormwater Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Change -in -Contact Name
Permit No.'s (see attachment)
Cemex Construction Materials, L.P.
Dear Mr. Pickle:
This letter is to advise you of an update in environmental contact for all Ready Mix and
concrete block plants owned or operated by Cemex Construction Materials, L.P., (please
see attachment).
The previous contact, Mr. Chris Crouch no longer works for our organization. The new
contact is Mr. Pat Strader who is the Vice-president and General Manager for the
Carolinas. The address is the same as Before in Spartanburg, -SC.
I thank you in advance for forwarding this information to the appropriate personnel
within the sections of the Division of Water Quality. If you have any questions or need
additional information related_ to environmental issues at these sites, I can be reached by
telephone at [phone].
Sincerely,
A
. Tapia, P.E.
ental Manager
n
.. �'f �' jam►
Attachment.
3 .,
P.O. Box 1292, Spartanburg, South Carolina 29304. USA. [phone], Fax: [phone]

LIST OF WATER QUALITY PERMITS IN NORTH CAROLINA
CEMEX CONSTRUCTION MATERIALS, L.P.
PLANT STORMWATER
1. Gastonia
NCG140133
2. Morganton
NCG140205
3. Pineville
NCG140198
C4.M Indiani Trail_ _"�.. _
NCG1401192'?
5. Marion Block
NCG070129
6. Hendersonville Block
NCG070130
7. Asheville Block
NCG070134
8. Franklin Block
NCG070136
9. Hickory Block
NCG070009
P.D. Box 1292, Spartanburg, South Carolina 29304. USA. [phone], Fax: [phone]

of w A TFR
r
Michael F. Easley, Govemor
Willi.nn G. Ross lr., Secretary
North Carolina Deparlment of Environment and Natural Resources
u�-
March 17, 2006
Mr. Chris Crouch
Centex Construction Materials LP
PO Box 1292
Spartanburg, SC 29304
Dear Mr. Crouch:
Alan W. Klimek, 11.E, Director
Division of Water Quality
Subject: Permit No. NCG140192
CEMEX Construction Materials, LP
Formerly RMC Metromont Materials
Union County
Division personnel have reviewed and approved your request to change your name under the General Permit,
received on February 13, 2006.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in the General
Permit remain unchanged and in full effect. This revised Certificate of Coverage is issued under the requirements of
North Carolina General Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency.
If you have any questions, please contact the Stormwater Permitting Unit at [phone], extension 502.
Sincerely GINAL SIGNED Bar
Xr--N, tDtGr,q r
Alan W. Klimek P. E.
cc: DWQ Central Files
Mooresville Regional Office, Water Quality Section
Stormwater Permitting Unit
0M
North Carolina
Nalurally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.ne.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal opportunitylAffirmalive Action Employer — 50% Recycledli0% Post Consumer Paper

r _ It
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG 140000
CERTIFICATE OF COVERAGE No. NCG140192
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,
CEMEX CONSTRUCTION MATERIALS, LP
is hereby authorized to discharge stormwater from a facility located at
CEMEX-INDIAN TRAIL
4206 UNIONVILLE INDIAN TRAIL
INDIAN TRAIL
UNION COUNTY
to receiving waters designated as a UT of South Fork Crooked 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,111, IV,
V, and VI of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective March 17, 2006.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 17, 2006. ORIGINAL SIGNED BY
'<r11 ,�ICfhl t`
Alan W. Klimek, 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
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
January 3, 2000
Mr. Doug Blackwell
Metromont Material's Corp.
Post Office Box 1292
Spartanburg, South Carolina 29304-1292
NCDENR
Subject: Permit Modification -Name and
Ownership Change
Metromont Material's Corp.
Permit No. NCO140192
(formerly Commercial Products, Inc.)
Union County
Dear Mr. Blackwell:
In accordance with your request received November 24, 1999, the Division is forwarding the
subject permit. The changes in this permit are only with regard to a name and an ownership. All other
terms and conditions in the original permit remain unchanged and in full effect. This permit
modification 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 5, 1983.
This permit does not affect the legal requirement to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act, or any other Federal or Local government permit that may be required.
If you have any questions concerning this permit, please contact Ms. Vanessa Wiggins at telephone
number [phone], extension 520
Sincerely,
ORIGINAL SIGNED BY
WILLIAM C. MILLS
Kerr T. Stevens
cc: Central Files
Mooresville Regional Office, Water Quality Section
Stormwater and General Permits Unit
Point Source Compliance Unit
1617 Mail Service Center Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CER,rmCATE OF COVERAGE No. NCG140192
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYS'CEM
In compliance with 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,
Metromont Material's Corp.
is hereby authorized to discharge stormwater from a facility located at
Metrontont Material's Corp.
4206 Union Ville Indian Trail
Indian Trail, North Carolina
Union County
to receiving waters designated as a UT of South ForkCrooked Crock in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, Il, III
and IV of General Permit No. NCG 140000 as attached.
This Certificate of Coverage shall become effective January 3, 2000.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 3, 2000.
ORIGINAL SIGN
WILLIAM C. MIILLLSY
Kerr T. Stevens, 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
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
1 � •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 26, 1999
M J DUFFY
COMMERICAL PRODUCTS INC - UNION CO.
P.O. BOX 826
MONROE, NC 28110
Subject: Reissue - NPDES Stormwater Permit
Commerical Products Inc - Union Co.
COC Number NCG140192'
Dear Permittee: Union County
In response to your renewal application for continued coverage under general permit NCG 140000, 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 NCG140000
* A Stormwater Pollution Prevention Plan (SPPP) Certification Form. Completion of this form is required to
certify that you have developed and implemented the SPPP as per the conditions of the permit. This form
must be completed and returned to the Division within 30 days of receipt of this letter.
DO NOT SEND the SPPP with the signed form.
* Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form
* A copy of a Technical Bulletin for.the general permit which outlines changes in the permit, key requirements,
and addresses frequently asked questions
* A Certificate of Coverage
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 DE NR 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 Tony Evans of the Central Office Stormwater
and General Permits Unit at [phone], ext. 584
Sincerely,
for Kerr T. Stevens
cc: Central Files
Stormwater and General permits Unit Files
Mooresville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140192
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,
COMMERICAL PRODUCTS INC - UNION CO.
is hereby authorized to operate a process wastewater treatment system, and is hereby authorized to discharge process
wastewater and stormwater from a facility located at
COMMERICAL PRODUCTS INC - UNION CO.
4206 UNION VILLE INDIAN TRAIL
INDIAN TRAIL
UNION COUNTY
to receiving waters designated as a UT of South Fork Crooked 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. NCG140000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 26, 1999,
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
June 16, 1995
M J Duffy
Commerical Prod Inc -Union
P.O. Box 826
Monroe, NC 28110
1••
-r T
E3 FE F1
Subject: General Permit No. NCG140000
Commerical Prod Inc -Union
COC NCG140192
Union County
Dear M J Duffy:
In accordance with your application for a stormwater discharge permit received on March 4, 1995, 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.
The stormwater permit you are receiving, NCG 140000, does not permit wasting concrete, dumping excess
concrete, directly into storm sewer outfalls or into waters of the state. Any facility which either dumps excess
concrete or washes excess concrete into storm sewers or waters of the state will be operating in direct violation to
both the terms of this permit and the North Carolina General Statutes. Such a discharge shall be considered an
illegal discharge and may subject the owner to enforcement actions in accordance with North Carolina General
Statutes 143-215.6A
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 question conceming this permit, please contact MR. ANTONIO EVANS at telephone
number 919/733-5083, extension 584.
Sincerely, Original Signed RY
Coleen H. Sullins
A. Preston Howard, Jr. P.E.
cc: Mooresville Regional Office
Mr. Roosevelt Childress, EPA
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
DIVISION OF ENVIRONMENTAL MANAGEMENT
GENERAL PERMIT NO. NCG140000
CERTIFICATE OF COVERAGE No. NCG140192
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,
Commercial Products
is hereby authorized to discharge stormwater from a facility located at
Commercial Products
4206 Union Ville Indian Trail
Indian Trail, NC
Union County
to receiving waters designated as an unnamed tributary to South Fork Crooked Creek in the Yadkin -Pee Dee River
Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III
and IV of General Permit No. NCG140000 as attached.
This certificate of coverage shall become effective June 16, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 16, 1995.
Original Signed B`/
CQleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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FACILITY: (2o m r1 e - 'qj Ro�(j4c
COUNTY: 0 �
NPDES: N Cc
MAP#: G 1 (b c
SUB BASIN: C S `,o f7 - ` Q-
LATITUDE: s5 4
LONGITUDE: &
RECEIVING STREAM: UT SC)A� Fof- `('
STREAM CLASS: (11
DISCHARGE CLASS: STORMWATER
EXPIRATION DATE: o-� /3 1 (� n