NCG160042_COMPLETE FILE - HISTORICAL_20160826

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V
DOC TYPE
�HIISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ � GI I �` b ,i
YYYYMMDD

zi cc� 0 0'f 2
YY flafl ueui 8/26/20.16
Ms. Lori Carter
Public Works
Enviratirnerital.Rep
Department
APAC Atlantie'1_nc. - Thompson -Arthur Div
_
Stormwater/Erosion and
Plant;#40
Seditncutatinn Control Program
4130 N Glenn Ave
Winston-Salem, NC"27115
IK7, Do: 2511
Wittaton-Uern, NC 27102
CityL nlr 3. 1.(336.727.8000)
1u-336.748.3173
.,;4ais„druem.
DearkMrs. Carter:
Call 311 or 336-72M000
citylinkgcityoiws; org'
The Stormwater Division of the. City of Winston-Salem would like to thank you for
your time'and professional courtesy:regarding the August 2, 2016 inspection of
APAC Atlantic; Inc.::
As per your, request, a:copy of the completed -surface °water. inspection form, has
been.:enclosed-to`you. Part 4 of this- report (Rgquired.Actions 1a.be-compleled,by
F,acdify) contains Annoiations##1.-#24•that APAC,Atlantic, Inc:ts4
must complete: Please:provide documeritati©n=that verifies APAC Atiaritic,, Inc.'s
suceessful:completion of N corrective measures to. me by.AggtO 28;:2016:
The Siormwater Division.reserves the right to enter and inspect.APAGAtlantic,
Inc.'s.as often -as necessary -to determine compliance with- permit'feguir`eirients of
N - GY60000.
Thank you for your., continued support.and.implementation of the City of Winston-
Salem's Stormwater'Prog_ram.- If you have any�questions, please,feel free to contact
me at•[phone].
Sincerely,
L• adontaClark
Stormwater'Irispectar
Phone: [phone]
Ce1L•.336.416.2403
Fax: 336.748:3173
MGgndh Masi A1kn Joann; wean H. N kr. Mayer pro'k pore. Nunb air LCard; Draiii D. Ad+mr, Nnr,h Wank Dan Here, N. A— Wad; Hahen C- (Jyk. Welt WAM;
TkOy 4114t, Solid+ Wind: W ,x3. Mt xl k Narthw Wards OL r in L-].�p. L'.. W" Ja T;i 6, )am. - . ik n Ward-, Gv ?4—g : lx D. Gaviry
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1ViIL51011581�111
Stormwater/Erosion Control Division.
Surface Watdr inspection_ -for. Iridustrlal Sates
Cene"rile Information
A) Official Company Name: APAC Atlaatic`Inc..
B) Physical Address: 4131OXGlenn:Ave,Winston-Salem,,NC.27105
C) Telephone�Number:,,(336).354- 41 .Main Office
D) Mailing, Address, if diff&ent'from.aboye address:
E) Authorized.,contaets to represent company in environmental regulatory, issues:
Primary contact: Lori Carter
Title: Environmental Rep
Contact numbers) 336411-6753 Office
Email,address: fi [e-mail]
Secondary contact: Rick Holand.
Title: PlantManaker
Contact nurnber(s):. CeII' Phone-(434)-!M-4134
Email _address: [e-mail]
F) SIC Code Number of business:: 2951
G) NC Stormwater.NPDE$_ Permii_Nurnber:;NCGI:600.42
Fetmit Category: Asphalt Mixtures
H) Any othdr contxal authority permit(s)•(air quality contrbl, wastewater, hazardous waste) & number(s):
Air'Pertnit # 6W410
I) Brief description of industrial activities that occur on -site:
APAC Atlantic Inc. creates,.mizes,.and_batches.asphalt.for the commercial industry..
I) Ultimate Receiving. Waters:
TMDL stream ❑Yes ®No
1. Best Management.Practices
Leakfork Creek
Part_1}-_ StOrmwater Contralsi
& List the'non/structural controls employed by the facility:
LAST tank&are used to safely storejuel.

a
b. Are the AMPs,reasonable &`appropriate for Ahe facility? ®Yes ❑No
Please remove all heavy' vegetation -in the pond. Please ensure-a,safe walk way°is accessible
to pond and to the Wrmwater discharge pipe.or.outlet at all tines, concerning SDO 1.
c. Are BMPs installed correctly, maintained, and effective operating whdition? ®Yes 17No
Please provide.a-perfuanent solution to.stoli-the leaking asphalt tack` eom the outlet/inlet
pipe at the back of the tanker truck.from mixing with the elements.
2. Provide a brief description of other controls that manage/prevent/minimize stormwater runoff
(e,g.,.erosion and sediment controls, inlet protection/control at storm.drains, diversion structures):
The pond on site minimizes stormwater runoff.
Nrt 2 = Misce&nevus
1. Any evidence of•discharge to receiving.waters/MS4? -(e.g.:. storm water runoff, dry weather discharge, co -
mingling of process wastewater): ❑Yes ®Na
Comments:
2) Do the storm Water outfalls on -site correspond` with those listed on.the site map and in SPPP?
®Yes ❑No
Comments
Please provide the latitude and longitude with the.potential pollutants that -could he
discharged for each stormwater -discharge outfall. Also, include them on -the site.map.

3),Summary of Stormwater:Discharge Outfalls
SDO Identification
Potential Pollutants that
could be discharged
Physical.Location
Latitude and
Longitude
SDo 1
?
Northwest of catch basin
number 1
?
Site ,Overview
Pit
t_3 _ SPPP Review;{cani becompleted:`in`:office}
Yes No Notes
Is there a SPPP?
✓
Does',SPPP include a certification statement by the responsible
✓
corporate- officer.?
'Does -the' -general -map depict.the:facility 7s location on,a USGS
✓
quad map (or equivalent riiap) with receiving waters (or:M94)
listed?
Identification of impaired wafers or watershed (if applicable)?
Narrative Description ofthe§e Industrial Activities:
Storage. Practices
✓
Wo.ading/Loading,Activiiies
✓
Outdoor Processes
Particulate Generating/Control•Processes
Waste Disposal
✓
Does:site map denote drainage items: flow direction; boundaries_,
✓
%impervious, and structures? Also includes SDOs, industrial
activity areas, and site o o ra h
A list of major.spills that have occurred within the:past three years
✓
with corrective'actions to revent-futurespills)?
A signed,,annual'certification that the facility has been tested for non-
✓
stormwater discharges from the site?
Comments:
NOTE: PleasvuPdate theCity of Winston-Salem, Stormwater:Division's contact
information to APAAC.Atlantic Inc. Spilt, Notification List. The -contact for spill notification
is: Mr. Keith Huff, Stormwater Director (336) 747�6962 = landline [phone] = cell
phone.number. Mr. Huff's'email address is-keithhlQcityofws or .for providing -written
notification. -

r
Storinwat& Management Strategy
Yes N6 Notes
Does SPPP--incdfOora'te.the'rime baseline controls:
Feasibility Study (tcanicat & economic review to minimize polititant exposure)
Secondary COhtairin1dilt (table summary ofiiulks, stored jiiiteiials,ieiliai�me6rdi)
BMP SUMmar.y.(fliting of MkstruduialkonstrVdfitryl practices)
SPRP & Procedures, (idcritified',-responsi . ble.persorincl w/ signatures & dated)
PM & GH. {inspection of material',handling arm & regular cleaning s6edulcs}
Facility lnspectioh§ (biannual inspections 6rtaciiity and all stormwater systems)
Employee Tj' i i y ajningfapnual.basis. f6r slAff wh.o perfokm. SR-P dd.d PM.Junctions)
Responsible Party (sOedlfiv p6MOjn(s)-deyeldping, hfiplerrient - ing, ?4 edvisin&S PPP) _
Amendment & Annual Update (ofrnqj ' or spills�linnonsw flows. BMP�, umpdata
V.
V
✓
✓
✓
✓
boesMPP,contain completed routine inspection I _. . pect-ion reports/records
regarding repprtabEejrnplementation of the nine -base -line controls
(i.e. SPPRImplemenlation)?
✓
lna A
.. - ... jtiqal Monitoring
Yes No Notes
Are samples collected -within 30:rilinutes of measurable rain.i6vefits
afidat I iiast-71 4ours since the last,-A&M event?
Arc sariipling events 60 days apart? (EXCEPTION: Tier T& 3 responses)
Is analytical ffi6nitdfitig'_doihplete (including schedule),for each
✓
SDOT(EXCEPTION: KOS)
Any exceedenc6§ of poilutantpEirafifetets-When compared -against
the permit benchmatkpvAlueO
Has Facility implemented appropriate, selected actions io reduce
pollutant concentrations, hyresponse to benchmark-exceedences.(if
applicable)?
Qualitative Monitoring
Yes No Notes
Is, qualitative monitoring being performed', durihig measurable-, storm
✓
events?
Is qpWitative monitoring q9rilplete (including -schedule) for each
Sub?
Are monitoring ivents'60 dds#Art?-(EXCEPTIQN:Tier 2 & In ones).
V/
Ariy-6bser-vable;.tiidessive'ambuiits'bf pollutant indicators in
stormwater discharge at SDOs?

Part 4 = Re ttiredActions=to-be '. `- y i ` { q ':completed b.;:'F.acrl'tyc�
1. Please:remove all rain water mixed.with the elements and the 16 oz.bottlefrom the.PT-125R
machine -at th"e•cquipment'staging area. Please ensure;that'rain water:doesn't inix.the elements,of
the machine.
2. Please place -lockout tag. outs on all tankers that are in operation at the equipment staging area..
3. Please provide a permanent:solution to stop the leaking asphalt tack from the outlet/inlet:pipe at
the backlof thetanker truck from mixing with the elements:;
4. Please clean up ail_sat uraied diesel fuel.on„the ground and'dispose-of'It properly at,the fueling.
station.
5. Please ensure that the fuel nozzle is=put'back in.ita•proper�place to prevent stormwater pollution at
the fueling station.
6. Please stop theoleaking elbow. in the secondary containm.egUarea-near°the diesel fuel:pump area:
Also, please clean up theleak on,the concretepad from the leaking elbow.
7. Please clean-up the -debris buildup in the; secondary containment tank near the.diesel fuel pump
area.
8. Please clean-up all trash and debris buildup at the.staging area near the. fueling station.
9. Please remove -all heavy vegetation=in the:pond..PleaWensure a safe -walk way is accessible to., pond
and to the Stormwater discharge;pipe or outlet at -all times.
10. Please,clean;up the excessive. debris and.trash'build up at the'secondary•containment,tank beside.
th'e mechanic. garage.
11. Please.clean-up the oil slfeen rnixed with -water at.the secondary containment tank at,the mechanic
garage.
12. Please place..a;lockout tag, out .on -the bulk natural asphalt'release tank at the garage.. Also, ;please
clean,,up all -of the.exposed natural asphalt'release on.the ground. Once thvvalve is locked in place,
please ensure no natural.asphalt release.discharees.
13. Please clean. up the leaking tack.around.the pump near the secondary containment tanks.
14. Please place the proper capon the unloading'pipe at the secondary containment tanks.
I5. Please repairithe leaking ball valve and ensure that no fluids leak from the valve underneath the
missing cap on the unloading.pipe.
16. Please repIace the leaking hose on the LS-120-air compressor.
17. Please repair the leaking hot oil system pump. Also,.please clean up the liquids in the secondary
containment tank from the leaking hot oil system pump.

s
1$. Please. repair' the leaking pump1hat leads io the plant. - -
19: On the emergency telephone nusnbers:contaetaist, please ensure all the telephone numitien are
current for 2616.
20. please update the.City of Winston Salem, Stormwater Division's contact information to:APAC
Atlantic Inc. Spill Notification List..
21:,Please provide the latitude and, longitpdewith- the potential pollutants'thaf could.;be discharged for
each siormwater.discharge-outfah. Also, include them -on the site.map.
22. Although.preventatiive:maintenance and.goad Housekeeping is being conductedon a.daily basis,
please provide documentation that provides. the -information records in'the SPPP.
23:,Please' upstate and.§igti certificatidh,stateii3ent'by the;responAble,corporsite-officer.
24: Please produce a signed, updated annual certification that the -facility has, been tested for non-
-'stormwater`discharges from -the site.

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Picture`#` 19 Emcrgency`telephone numbers
On the emergency telephone numbers contact list, please ensure all the telephone numbers are current
for 2016.
Company Representatives) that participatedin. inspection: Lori Carter
Title(s).-Human Resource Manager EEO Officer
Start of Inspection: 930am
Completion of Irispecti6ri: 1 t OOpm
Date: August 2, 2016
Signature of Stbrmwater. Inspector:; 01A-e
Title! Stormwater Inspectbr

Compliance inspection Report
Permit: NCG160042 Effective: 10/02/14 Expiration: 09/30/19 Owner: APAC Atlantic Inc - Thompson -Arthur Div
SOC: Effective: Expiration: Facility: Plant #40
County: Forsyth 4130 N Glenn Ave
Region- Winston-Salem
Winston Salem NC 27115
Contact Person: Lori Garter Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Rep rosentative(s):
Related Permits:
Inspection Date: 091D912016 Entry Time: 12:00PM Exit Time: 02:DOPM
Primary Inspector: Glen White Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Asphalt Paving Mixture Stormwater Discharge COC
Facility Status: Compliant Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

PerrniC NCG160042 owner - Facility: APAC At€antic Inc - Thompson -Arthur Div
Inspection Date: 0910912016 Inspection Type: Compliance Evaluation Reason for Visit: Routine
inspection Summary:
(See Inspection Report by Ladonta Clark, COWS Water Resources.)
Page: 2

permit: NCG160042 Owner - Facility: APAC Atlantic Inc - Thompson -Arthur Div
Inspection Date: 09/0912016 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? 0 ❑ ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? E ❑ ❑ ❑
Comment:
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑
# Were all outfalls observed during the inspection? 0 ❑ ❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? 0111313
Comment:
Qualitative Monitorinq Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? E ❑ ❑ ❑
Comment:
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
N
❑ ❑ ❑
# Does the Plan include a General Location (IJSGS) map?
❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
0
❑ ❑ ❑
# floes the Plan include a list of significant spills occurring during the past 3 years?
0
❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
0
❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
■
❑ ❑ ❑
# Does the Plan include a BMP summary?
0
❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
0
❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
N
❑ ❑ ❑
# Does the facility provide and document Employee Training?
®
❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
N
❑ ❑ ❑
# Is the Plan reviewed and updated annually?
0
❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
N
❑ ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
■
❑ ❑ ❑
Comment: See Inspection Report by Ladonta Clark, COWS,
Page: 3

IJC_c� f c�a a 4-2 �►�
RECEIVED
N.C. Ce, r. of ENFi .
JUL 2 ? 201.5
NCDENR
North Carolina Department of Environment and Natural Resources m
Reglh'ir�ional Oiff 51c7n-Salece
1n
Pat McCrory
Governor
Mr. Clarence O. Brickey
APAC Atlantic Inc. - Thompson
Arthur Paving & Construction Division
300 South Benbow Road
Greensboro, NC 27420
Dear Mr. Brickey:
Donald R. van der Vaart
Secretary
July 16, 2015
Subject: NPDES General Permit NCG160042
APAC Atlantic Inc.
Formerly Larco Construction
Certificate of Coverage NCG160042
Forsyth County
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in
the General Permit remain unchanged and in full effect. This revised Certificate of Coverage is
issued under the requirements of North Carolina General Statutes 143-215.1 and the
Memorandum of Agreement between North Carolina and the U.S. Environmental Protection
Agency.
if you have any questions or need further information, please contact the Stormwater Permitting
Program at [phone].
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEOBGOULIAS
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
ec Winston-Salem Regional Office
Stormwater Permitting Program Files
Central Files
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: htta://Qortal.ncdenr.org/webAr/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

u
19
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160042
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,
APAC Atlantic, Inc.
Thompson Arthur Paving & Construction Division
is hereby authorized to discharge stormwater from a facility located at:
Plant # 40
4130 Glenn Avenue
Winston-Salem
Forsyth County
to receiving waters designated as Leak Fork, in the 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. NCG 160000 as attached.
This certificate of coverage shall become effective July 16, 2015.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 16, 2015
ORIGINAL. SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

WA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Clarence O. Brickey
APAC Atlantic Inc. - Thompson
Arthur Paving & Construction Division
300 South Benbow Road
Greensboro, NC 27420
Dear Mr. Brickey:
Donald R. van der Vaart
Secretary
July 16, 2015
Subject: NPDES General Permit NCG160042
APAC Atlantic Inc.
Formerly Larco Construction
Certificate of Coverage NCG 160042
Forsyth County
Division personnel received your request to revise your stormwater permit Certificate of
Coverage to accurately reflect your new company and/or facility name.
Please find enclosed the revised Certificate of Coverage. The terms and conditions contained in
the General Permit remain unchanged and in full effect. This revised Certificate of Coverage is
issued under the requirements of North Carolina General Statutes 143-•215.1 and the
Memorandum of Agreement between North Carolina and the U.S. Environmental Protection
Agency.
If you have any questions or need further information, please contact the Stormwater Permitting
Program at [phone].
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., CPM, Director
Division of Energy, Mineral and Land Resources
cc: Winston-Salem Regional Office
A.
VStormwater Permitting Program Files
Central Files
Division of Energy, Mineral, and Land Resources
Energy Section • Geological Survey Section • Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-92001 FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: hftp://Portal.nedenr,org/web/Irl
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

%
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160042
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,
APAC Atlantic, Inc.
Thompson Arthur Paving & Construction Division
is hereby authorized to discharge stormwater from a facility located at:
Plant # 40
4130 Glenn Avenue
Winston-Salem
Forsyth County
to receiving waters designated as Leak Fork, in the Pee Dee River Basin, in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, ITI, and
IV of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective July 16, 2015.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 16, 2015.
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

APAC-Atlantic, Inc.
Thompson -Arthur Paving & Construction
P. O. Box 21088
Greensboro, NC 27420-1088
Tel: [phone] Fax [phone]
July 2, 2015
Division of Energy, Mineral and Land Resources
Sformwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Re: Ownership Change Request
Certificate of Coverage NCG 160042
Dear Sir or Madam:
APAC-Atlantic, Inc., Thompson Arthur Paving and Construction Division (APAC) is pleased to submit this
completed Ownership Change Form for a hot -mix plant located 4130 North Glenn Avenue in Winston-
Salem. Effective on March 27, 2015, APAC has purchased this facility from Larco Construction. Also
enclosed is the documentation of the ownership change.
If you have any questions, please do not hesitate to contact me a1 [phone] or our consultant,
Josh Dunbar with The El Group, Inc. at [phone].
Sincerely,
APAC ATLANTIC, INC.
Lori Carter
Environmental Representative
Enclosures
cc: Mr. Josh Dunbar, The El Group
Salety Ffl'btfllcvcu#
RECEIVED
JUL 10 2015
DEAR -LAND QUALfTY
STORMWATER PERMITTING
Equal Opportunity Employer

wwo
FM_ WA
*21
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
NCDENRNational
Pollutant Discharge Elimination System
ENYIRp C WP 11d. r.. R�lPuer.[) T�
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month Day
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
1141019101 1 1 1 1 1 INIOIOII161010 4 2
II. Permit status arior to requested change.
a. Permit issued to (company name): Larco Construction
b. Person legally responsible for permit: Chris Venable
First MI Last
Area Manager
Title
4130 North Glenn Avenue
Permit Holder Mailing Address
Winston-Salem NC 27115
City State Zip
[phone] _ ( _ ) __
Phone Fax
c. Facility name (discharge):
Glenn Avenue
d. Facility address:
4130 North Glenn Avenue
Address
Winston-Salem NC 27115-6279
City State Zip
e. Facility contact person:
Julian H. Lipscomb [phone]
First / Ml / Last Phone
III. Please provide the following for the requested change (revised permit).
a. Request for change is a result of:
® Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain:
b. Permit issued to (company name}:
APAC Atlantic Inc. - Thompson Arthur Paving
Construction Division
c. Person legally responsible for permit:
Clarence O Bri_ckey_
First Ml Last
RECEIVED President
Title
JUL 10 2015 300 South Benbow Road
Permit Holder Mailing Address
DENR-LAND QUALITY Greensboro NC 27420
STORMWATER PERMITTING City State Zip
[phone] cobrick [e-mail]
Phone E-mail Address
d. Facility name (discharge): Plant #40
e. Facility address: 4130 North Glenn Avenue
Address
Winston-Salem NC 27115-6279
City State Zip
f. Facility contact person: Lori W Carter
First Ml Last
[phone] lwcarter@a pac.com
Phone E-mail Address
Revised Jan. 27, 20t4

NP€}ES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact:
First MI Last
Title
Mailing Address
City State Zip
( )
Phone E-mail Address V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, Chris Venable, attest that this application for a name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returried,aa incomplete.
Sia6ature Date
APPLICANT CERTIFICATION
I, Clarence O. Brickey, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
Signat Date V
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

Hook 3225 Page 1559
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2015012397 00020
FORSYTH CO. NC FEE $26.00
STATE OF NC REAL ESTATE EXTX
$4000.00
PRESENTED & RECORDED
041142015 09:29:28 AM
C. NORMAN HOLLEMAN
REGISTER OF DEEDS
BY: RANDY L SUrTH
DPTY
BK: RE 3225
PO: 1558-1561
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise raw i. y , rrsc`
Parcel Identifier Not�fi 3?''�t{� �.3�11.�Ye�ified by - County on the _ day of , 20__
MaAl Box to: Polsi_neili PC, Atln, 7a� Mankamver, I515 9Vvnkoau. Spite 600. Deaver. CO HQ202
This instrurnent was prepared by: q44W fly B. ©lson
Brief description for the Index:_Tax Bljock 150 Lpt No, 5 B and Lot Na. 101
THIS DEED made this (9-? day of &(2015, by and between
GRANTOR
GRANTEE
Reaves Construction Company, a Georgia corporation, formerly APAC-ATLANTIC, INC, a Delaware corporation
known as Sloan Construction Company, Inc., a South Carolina 300 South Beabow Road
corporation Greensboro, North Carolina 21401
250 Plemnw= Road
Duncan, South Carolina 29334
The designation Grantor and Grantee as used hereinshall Include said parties, their heirs, successors, and assigns, and &.hall include
singular, plural, masculine, feminine or neater as required by context.
WITNE.SSETE1, that fire Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, bargain, sell and convey onto the Grantee in fee simple, all that certain lot or parcel of land situated in
the City of Winston-Salem, 'Winston Township, Forsyth County, North Carolina and more particularly described as follows:
SEE EXHIBIT A
The property heminabove described was acquired by Grantor by Instrument recorded in Book 1963, Pages 2431 to 2484.
All or a portion of the property herein conveyed does not include the primary residence of a Grantor_
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appartenances thereto belonging to the Grantee in
fee simple_
And the Grantor covenants with the Greater, that Grantor has done nothing to impair such title as Grantor received, and Gnrntoc will
warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than the following
exceptions:
SEE EXHIBIT B
Mail after recording to: Harbor City Title Insurance
Agency, Inc., 6201 Fairview Ro�� , Ste 325,
Charlotte, NC 213210; File No. C
7392"9 1

Book 3225 Page 1559
I
IN WnMSS. WHEREOF, the Grantor has duty executed the foregoing as of the day and year first above written.
GRANTOR:
Reeves Construction Company
By: �•
Na=:
Title' _ WY L MiHno.HCWGRETAW
_.,�..
State of _ ixT County or city of
4 the undersigaed Natary Public of the County or City of �4 and State aforesaid, certify that
�, � t1 s�.t _-- �,,r. 4 ,� of Reeves Construction Company, personally appeared
before me a day and aclnowtedged the d.Vo execution of the fnngoing uWmnent for the purposes therein expressed. W fitness my
band and Notarial stamp or seal this day ofu�� , 2015.
My Comrnission Expires: ao M
(Affix Sal)
'4 --'�
u P e- Notary Public
Notary's Printed or Typed Naive
=GRANE;RM.;< #1ptStli�' `f Myr 20

Book 3225 Page 1560
:*!"11. I
Forsyth County, North Carolina
LYING AND BEING in Winston Township, Forsyth County, North Carolina, and beginning at an iron located in the Southeast
corner of Lot 28 of the Chap Bodenheomer Development, as recorded in Plat Book 2 at Page 95 of the Forsyth County Registry;
from said beginning point and rtmaing thence South 06' 14' West 99.83 feet to an iron; thence running South 55° 55' 54" East
102.12 feet to an iron located within the right-of-way of Gleam Avenue Extension; thence running within the right-of-way of Glean
Avenge Extension South 41 ° 45' 39" West 113.94 feet to an iron in the West right-of-way line of Glenn Avenue Extension; thence
mmning on two (2) lines with the property described in Book 1364 at Page 279 of the Forsyth Cotmty Registry and continuing on
two (2) lines with the property described in Book 1542 at Page 1458 of the Forsyth county Registry North 83" 11' 50" West 609.10
feet to an iron, South 05° 39' 27" West 284.32 feet to an iron and South 82° 49' 23" East 435-53 feet to an iron in the West fight -of -
way line of Glenn Avenue Extension; thence naming with the West right-of-way line of Glenn Avenuc pension South 37° 5l'
54" West 192.68 fleet to an iron marking the Northeasternmost corner of the property described in Book 932 at Page 506 of the
Forsyth County Registry; thence running on trine (3) lines with the property described in Boole 932 at Page 506 and continuing
with the Lime of the property described in Book 304 at Page 2 of the Forsyth County Registry North 7915T 38" West 111.20 feet to
an iron, South 7° 28' 40" West 62,00 feet to an iron and North 84° 38' 20" West 401.62 feet to an iron; thence running on two (2)
new lines with piedmont Aviation, Inc., North 05" 57' 13" East 62.66 feet to an iron and North 84° 23' 46" West 772.59 feet to an
iron; thence running along the boundary of an adjoining development North 05' 1110711 East 635.39 feet to an iron; thence running
North 82" 04' 31" Bag 234.01 feet to an iron; thence conning South 93' 00' 40" East 473.69 feet to a point located in the southern
line of Lot 101 of the Crap Bodenheimer Development and continuing along the southern line of the Chap Bodenheimer
Development, Sowth 930 11' 49" Fast 840.11 feet to an iron located at the point and place of BEGINNING, and containing 20.0
acres, more or leas. The foregoing description was taken from a plat of survey prepared by Daniel. W. Donathan for Larco Const.,
Inc. dated December 12, 1996 and is a portion of Lot No. 58 and Let No, tot as shown in Forsyth county Tax Block 1504.

Book 3225 page 1561
E1MIT B
TO SPECIAL. WARRANTY D) D
1. Solid Waste Permit in favor by Forsyth County Public Health, Division of Environmental HealtI4 as recorded in Book
1700, Page(s) 986 of the Forsyth County Registry, reference being made to the records thereof for the full -particulars.
2. Easernent(s) in favor of Duke Power Company as recorded in Book 1041, Page 87T and Book 1600, Page(s)1935, all of
the Forsyth County Registry, reference being made to the records tbereaf for the full particulars.
3. Right(s) of way in favor of Piedmont Natttrul Gas Company, Inc. as recorded in Boole 1602, Page(s) 936 of the Forsyth
County Registry, referents being made to the records thereof for the full particulars_
4. Easement(s) in favor of the Board of Transportation as recorded is Book 1146, Pages) 554 and 556, all of the Forsyth
County Registry, reference bring made to the records thereof for the full particulars.
5. Ordinance Amending the Winston -Salad City Zoning Ordinance and the Official Zoning Map of the City of Winston-
Salem, NC as recorded in Book 1040, Page(s) 1581 of the Forsyth County Registry, reference being made to the records
thereof for the full partk uulsts.
6. Easement reserved in Dtxd as recorded in Book 1583, Page(s) 270 of the Forsyth County Registry, reference being made
to the records thereof for the full particulars.

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Bock 3225 Page 1562
I�
i
I
2015012398 00021
FORSYTH CO. NC FEE $26,00
STATE OF NC REAL ESTATE EXTX
$,1500.00
PRESENTED & RECORDED
04114/2015 09:31.40 AM
C. NORMAN HOLLEMAN
REGISTER OF DEEDS
BY; RANDY L SMITH
DPTY
BK: RE 3225
PG: 1662 -1566
NORTH CAROLINA SPECIAL WARRANTY DEED
It
Excise Tax
Parcel ldenriSer{¢� d3 �Jt1 y- 8r Verified by County on the ____ day of , 20--
By:
Mail/Box to; Poleine ' PC Attu, ]ay MarLkam�er, 1513 Wvz►ko_p. Suite_6Do,Denver, _CO 80202_
This instrumem was prepared by: t7AW_ HoULT B . QI9on _.
Brief description far the Index, Tax 131Qck 2711 Lot Number 007P
THTS DEED made this day of L lk1i�`�, 2015, by and between
GRANTOR
GRANTEE
Larco Construction, a division of Nello L. Teer Company, a APAC-ATLANTIC, INC„ a Delaware corporation
Delawam corporation 300 South Benbow Road
432 Mel aws Circle Greensboro, North Caroline 27401
Williamsburg, virginaz3lsa
Tire designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by conteA
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has
and by these presents does grant, hargain, sell and convey unto the Grantee in fee simplN all that certain lot or parcel of land situated in
the City of Winston-Salem, Forsyth County, North Carolina and mom particularly descnbed as follows:
SEE P-XHIBI ' A
The property heminabove descn"bed was acquired by Grantor by instnmrent recorded in Boole 2271, Pages 1971-1873.
All or a portion of the property herein eotrvcyed does not include the primary residence of a Grantor.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
And the Grantor covenants with the Grantee, that Grantor has done nothing to hnpair such title as Grantor received, and Grantor will
warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than the foRowing
exceptions:
SEE EXHIBIT B
739273ti_L
Mail after recording to: Harbor City Title insurance
Agency, lnc., 6201 Fairview Road, Sul a 325,
Charlotte, NC 28210; File No.
u1D z- �t

Boot[ 3225 Pa,gs 1563
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
GRANTOR
Larco Construction, a division of Nello L. Teer Company
13y
Name:
Title: iy nog
- rAW
State of Countyor City ofd!/'i'1_ .
the undarsi cd Notary Public of the County or City of %V-aeref 1 ' r and State aforesaid, certify that
-en, as r of L.arco Construction, a division of Neilo L. Veer
Company, ally appeared before me this day and acknowledged the a cxecution of the foregoing instrwnent for the purposes
therein expressed. Witness my hand and Notarial stamp or seal tftis,'t'day of , 2015.
My Commission Expires: 5,,auk At. G" e- NotaryPubUc
(Affix Seal) k Notary's Primed or Typed Name
St SAN NJ.13RANER
F�,.N�
NOTARY PUBLIC OF NEW ,JERSEY
My Camodsalon Expires 3ItV1JJ10 3

Book. 3225 page 1564�
EXMIT A
TO SPEQAL WAR A n DEED
Forsyth County, North Carolina
BEGWIING AT a right-of-way monument in the eastern righ"f--way line of U.S. Highway 52, said beginning point marking the
northwest comer of that property conveyed to William D. Chitty by deed recorded in Deed Book 1647 at Page 3139 of the Forsyth
County Registry; running thence from said beginning point with the eastern right-of-way line of U.S. ifighway 52 North 160 5V
43" West 621.94 foot to a right-of-way monument in the eastern right-of-way line of U.S. Highway 52; thence continuing with the
eastern right -of --way line of U.S. F ighway 52 North 230 2910911 West 574.26 feet to a point, said point located South 230 29' 09"
Past 75.94 facet from a right-of-way monument In the eastern right-of-way line of U.S. Highway 52; nt ring thence on a new line
South 991 14'41" East 300.45 feet to a point; naming thence on a new line North 01 ° 45' 19" East 270-00 feet to a point in the
southern right -of --way time of Hodges Avenue as shown on the Plat of Lexwin as recorded in Plat Book 12, Page 74, Forsyth
County Registry; running thence with the southern right-of-way line of Hodges Avenue South 88' 14' 41" East 459.72 feet to an
iron; running thence South 96' 25' 32" East 211.15 feet to an iron, the southeast corner of Lot 382 of Lexwin; running thence along
anew line South 02° 3T 30" West 210.00 feet to an iron; mmning thence along a new line South 45° 18' 50" Past 280.00 feet to an
iron; running thence South 32" 46' 19" West 216.83 feet to a point in the center line of a branch; running thence with the centerline
of said branch as it meanders south the following sixteca (16) courses and distances: (1) North 73" 00' l7" West 50.00 feet; (2)
South 81° 52' 54" West 79.04 feet; (3) South 42° l4' 21" West 76.70 feet; (4) South 74' 03' 28" West 116.77 feet; (5) South 5V 1T
32" West 68.89 feet; (6) South 23° 03' 04" Past 78-96 feet; (7) South 34° 00' 06" East 137.60 feet; (8) South 13° 5T IV East 58.97
feet; (9) South 010 3F 35" East 55.10 feet; (10) South 37' 06' 41" West 63.01 feet; (11) South 44' 23' 46" West 61.45 feet; (12)
South 4l0 427 12" West 80.26 feet; (13) South 350 21' 41" West 56.80 feet; (14) South 33° 3N 39" West 90.41 feet; (15) South 10`
27' 56" West 39A8 feet; and (16) South Or 17' 06" East 31-97 feet to a point in the northern line of the said Chitty property;
running thence with the northern line of the said Chitty property North 87' 51' 00" West 197.81 feet to THE POINT AND PLACE
OF BEGINNING, containing 20.207 acres, more or less, as shown on a survey prepared for Overdale Associates, L.L.C. by
Beeson Engineering, Inc., dated March 24, 2000, and last revised July 14, 2000, and designated as Job. No. 00205.

Book 3225 Page 1565
EXH1Bi'B
TO SPECIAL WARK&MDEED
1. Easement(s) in favor of the City of Winston Salem as recorded in Book "3, Page(s) 690; as affected by Quitclaim Deed
recorded in Book 1004, Page 554, all of the Forsyth County Registry, reference being made to the records thereof for the
NI perticulars.
2. Easernent(s) in favor of City of Winston Salem as recorded in Book 1004, Page(s) 556; and Book 1753, Page 2384, all of
the Forsyth County Registry, reference being made to the rewords thereof for the full particulars.
3. D liveway Easement and Maititenance Agreement by and among Overdale Associates, l.LC, et. als., as recorded in Book
2540, Page(s) 441 of the Forsyth County Registry, reference being made to the records thereof for the full particulars.

` Division of Energy, Mineral & Land Resources
A7,�A Land Quality Section/Stormwater Permitting
NCDENR National Pollutant Discharge Elimination System
- —
&mnonw­ .no Nata+ti Re— PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
I Month
Day
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
1 1 6 1 0 1 0 T4 2
It. Permit status p1jLor to requested change.
[Larco Construction Co. A Division of Sloan
a. Permit issued to (company name): o �dt
,Construction Co., Inc.
b. Person legally responsible for permit: Robert Ponton
First Ml Last
Area Manager
Title
4130 N. Glenn Ave.
Permit Holder Mailing Address
Winston-Salem NC 27115
City State Zip
[phone] 336) 767-7427
Phone Fax
c. Facility name (discharge): Larco Construction Co. - Winston-Salem
d. Facility address: 4130 N. Glenn Ave.
Address
Winston-Salem NC 27115
City State Zip
e. Facility contact person: Fred Fenske [phone]
First / MI / Last Phone
III_ Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
® Name change of the facility or owner
If other please explain:
b. Permit issued to (company name): Larco Construction Co.
c. Person legally responsible for permit: Chris Veneable
First M I Last
Area Manager
Title
RECEIVED
4130 N. Glenn Ave.
Permit Holder Mailing Address
MAY 16 2014
Winston-Salem NC 27115
City State Zip
DENR-LAND QUALITY
[phone] venablecplarco.com
STORMWATER PERMITTING
Phone E-mail Address
d.•: Facility name (discharge):
Larco Construction Co. - Glenn Ave.
e_ Facility address:
4130 N. Glenn Ave.
Address
Winston-Salem NC 27115
City State Zip
f. Facility contact person:
Chris Venable
First MI Last
t
[phone] [e-mail]
larco.com
Phone E-mail Address
Revised Jan. 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if differcot from the person legally responsible for the permit)
Permit contact: Julian H Lipscomb, Jr.
First Mll Last
Environmental Manager
Title
432 McLaws Circle
Mailing Address
Williamsburg VA 23185
City State Zip
[phone] lipscornbj(a7bransconne.com
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
.....................................................................................................................
The certifications below must be completed and signed by both the permit holder prior t6the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete_
Signature
APPLICANT CERTIFICATION
Date
1, Julian H. Lipscomb, Jr., attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
May 14, 2014
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised .lan. 27, 2014

LARCO
C O N S T R U C T I O N
Larco Construction -A Division of Branscome Inc.
4130 North Glenn Avenue I Winston-Salem, NC 27105
Phone: [phone] Fax: [phone]
December M, 2013
North Carolina Dept. of Environment and Natural Resources nQD?rOLE
��zl�
Wetlands and Stormwater Branch
1617 Mail Service Center -( j 013
Raleigh, NC 27604 wi n. ;X� Tvtmnch
RE: NPDES Stormwater General Permit NCGI160042
Dear Sirs:
The purpose of this letter is to notify you as per Section E 7 of our permit. of an
unanticipated bypass that occurred in the outfall pipe (001) of the storm water pond at our
facility located at 4130 N. Glenn Avenue within the City of Winston-Salem. It was discovered
on December 17, 2013, when our staff noticed that the water level in the pond had diminished.
Upon further investigation staff discovered a small hole in the galvanized barrel pipe that
allowed the water to bypass the concrete weir.
We completed the repairs on 12/19/13 by removing all clay and soil material covering the
barrel pipe. A piece of HD rubber matting was then stretched and banded across the top of the
pipe to plug the hole and stop the leak. Borrow material was then placed back on top of the pipe
and compacted to reinstall the cover over the pipe. The water is now refilling the pond to allow
the vortex to function as designed.
Should YOU have any questions, please do not hesitate to contact rne.
Sincere y;
iris Vcnable
Area Manager
P A V I N G I G R A D I N G I S I T E W 0 R K I ASP H A L T P R O D U C T S

State of North Carolina
t Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
]lily 27, 1999
R D REEVES
SLOAN CONST.CO. INC.-LARGO CONSTRUCTION
P.O. BOX 2008
GREENVILLE, NC 29602
Dear Perm ittee:
A
• •
Ad±lbbmds
NCDENR
ENVIRONMENT AND NATURAL RESOURCES
Subject: Reissue - NPDES Stormwater Permit
Sloan Const-Co. Inc.-Larco Construction
COC Number NCG 160042
Forsyth County
In response to your renewal application for continued coverage under general permit NCG160000, 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 NCG160000
* 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 reissuanee 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 Tony Evans of the Central Office Stormwater
and General Permits Unit at [phone], ext. 584
Sincerely,
bley
for Kerr T. Stevens
cc: Central Files
Stormwater and General permits Unit Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

.I
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG160000
CERTIFICATE OF COVERAGE No. NCG160042
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,
SLOAN CONST.CO. INC.-LARGO CONSTRUCTION
is hereby authorized to discharge stormwater from a facility located at
SLOAN CONST.CO. INC.-LARCO CONSTRUCTION
4130 N GLENN AVE
WINSTON SALEM
FORSYTH COUNTY
to receiving waters designated as Leak Fork in the Yadkin - Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, H. III.
IV. V, and V1 of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective August 1, 1999.
This Certificate of CoveraEe shall remain in effect for the duration of the General Permit.
Signed this day July 27. 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
March 3, 1995
R D Reeves
Slaon Construction Company Inc
P.O. Box 2008
Greenville, NC 29602
LTI.WA
E:>EHNR
Subject: General Permit No. NCG160000
Slaon Construction Company Inc
COC NCG 160042
Forsyth County
Dear R D Reeves:
In accordance with your application for discharge permit received on January 18, 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.
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 concerning this permit, please contact MR. ANTONIO EVANS at telephone
number 919/733-5083.
Sincerely, �.� Signed By
H. SL. gins
A. Preston Howard, Jr. P.E.
cc: Winston-Salem Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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. NCG160000
CERTIFICATE OF COVERAGE No. NCG160042
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,
Larco Construction
is hereby authorized to discharge stormwater from a facility located at
Larco Construction
4130 North Glenn Avenue
Winston Salem, NC
Forsyth County
to receiving waters designated as Leak Fork in the Yadkin -Pee Dee River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1,11, 111
and IV of General Permit No. NCG160000 as attached.
This certificate of coverage shall become effective March 3, 1995.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 3, 1995.
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

I, edited, and published by the Geological Survey
I USGS, NOSINOAA, and North Carolina Geodetic Survey
id drainage in part compiled from aerial photographs
18. Topography by plane -table surveys 1951
projection. 10,000-foot grid ticks based on
olina coordinate system
ter Universal Transverse Mercator grid ticks,
shown in blue
rth American Datum
On the predicted North Arnerican Datum 1983
Hv
GN
6` �I
107 MILS' 0°29'
9 WLS
GRID AND 19B6 AMAGNETICc NORTH
-� -- :AP;S T07:-S�1LE7. �COtI.RTPous�is.a nay.
h'IGN PD+.VT 90 VI.
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toot o l000
1 5
CONT�
NATIONAL G

FACILITY: Lot -'cc-)
COUNTY: Fp r s b t.
NPDES:a-
MAP#:
c !8 NW
DSN FLOW: N � f)
SUB BASIN: O `3 -- d v7 - 0 c4
LATITUDE: `� (a 08 r 4q (a1 I
LONGITUDE: 8 0d 13r q a//
RECEIVING STREAM: Le -a* Fork
STREAM CLASS: Cs
DISCHARGE CLASS: St oc-m LOG j�-r
EXPIRATION DATE: '7 I 31 1 9 q

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
transmitta'Facsimile l
To: Fie d 15e/) S ke , 51oa n C 4j. r. (:fo, Fax: [phone] Z 7
From: Ken Pickle Date: �22 �a 4.
Phone: [phone] ext. 584 Pages:
E-mail: Ken. [e-mail]
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