NCG140192_COMPLETE FILE - HISTORICAL_20180110

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
DOC TYPE
NVS iq UI q
0 COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ � V I �1 Qj ICJ
YYYYMMDD

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
Mr. Johnie Alexander
9745 Old Nations Ford Road
Charlotte, NC 28273
Dear Mr. Alexander:
ROY COOPER.
GIA"'11!1"'
M1C1-IAEL S. REGAN
s, ermrwy
WILLIAIN9 E. (TOBY) VINSON. JR,
d:rcriut
January 10, 2018 RF= AF= I N I E .r7rucf-
JAN 1' Q 2018
I)1JY" SECTION
INFORIt9,4TION PROCESSING UNIT
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG 140198
Mecklenburg County
The Division of Energy. Mineral and Land Resources received your request to rescind your
coverage under Certificate of Coverage Number NCG 140198. In accordance with your request,
Certificate of Coverage Number NCG140198 is rescinded effective immediately.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 at 704-663-1699.
Sincerely,
_for William E. (Toby) Vinson, Jr., PE, CPESC,
CPM
Interim Director
Division of Energy, Mineral and Land Resources
cc: Mooresville Regional Office
Stormwater Permitting Program
Central Files
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Senice Center 1 512 North Salisbury Street I Raleigh, NC 27699-1612
919 707 9200 T

WA
A. Division of Energy, Mineral & Land Resources
Land QualitySection/Stormwater Permitting Program
NCDE�.�.�NR National Pollutant Discharge Elimination System
Noah, C} — D �M OF
Ef1NRON'eEM —o N� RLIouR
FOR AGENCY USE ONLY
Date Received
Year
I Month
Da
RECEIVED
RESCISSION REQUEST FORM
JUL _2 7 2017
Please fill out and return this form if you no longer need to maintain your NPDES storntLAWWONALITY
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N I C I 5 I I N I C I G
2) Owner/Facility Information: • Final correspondence willbe mailed to the address note below
dj
Owner/Facility Name r✓1C ✓c k l uD%lY (fC7' , LL — n k
Facility Contact OLrn r c G., �lci
Street Address O Id
City State IL) L ZiP Code
County I -It e-tC _ E-mail Address _von
Telephone No. d of - 3 Tut- 34 Fax: `7 C)`­l 3 7`-1—
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
Facility closed or is closing on �5AII industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to on . 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, co plete and a rate. ` 1
mil/; `
Signature Date l [
Print or type name of person signing above Title
Please return this completed rescission request form to: NPDES Permit Coverage Rescission UK
Stormwater Permitting Program
1612 Mail Service Center V�
Raleigh, North Carolina 27699-1612
1612 Mail Service Center, Raleigh, North Carolina 27699-1612 1
Phone: [phone] FAX: [phone] �� I
An Equal Opportunity 1 Affirmative Action Employer 1

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
September 7, 2017
Ms. Denise Corrales
CEMEX Construction Materials Atlantic, LLC
3820 Northdale Blvd, Suite 10013
Tampa, Florida 33624
Dear Ms. Corrales:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
kL�-DIED
SEP 1.2 1Ui/
CENTRAL FIDES
DWR SECTION
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 NCG140192. 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
Sincerely,
for Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
Nothing Compares.,.
State of North Carolina Environmental Quality I Energy, Mineral and Land Resources
512 N. Salisbury Street 1612 Mail Service Center I Raleigh. North Carolina 27699-1612
919 707 9200

r.
NCDENR
E�A mrN AND Na Rr R[50 RCES
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting Program
National Pollutant Discharge Elimination System
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
RECEIVED
RESCISSION REQUEST FORM JUN
Please fill out and return this form if you no longer need to maintain your NPDES Stormwater pe`rmit.LAND QUALITY
STORMWATER PERMITTv
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N .'C I S I I I I I I I N I C I G I 1r I c4 Q �
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 100E
City Tampa State FL ZIP Code 33624
County Hillsborough E-mail Address [e-mail]
Telephone No. 813 269-1035 Fax: [phone]
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
4(Facil�closeor is closing on � . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to F-7 77-1 on I If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
❑ Other:
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, Norih Carolina 27699-1612
Phone: [phone] FAX: [phone]
An Equal Opportunity t Affirmative Action Employer

Compliance Inspection Report
Permit: NCG140192 Effective: 07/01/16 Expiration: 06/30/17 Owner: Cemex Construction Materials Atlantic LLC
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(s):
Certification:
Phone:
Entry Time: 08:45AM Exit Time: 09:30AM
Phone:
Reason for Inspection: Routine Inspection Type: Technical Assistance
Permit Inspection Type: Ready Mix Concrete StormwaterlWastewater Discharge COC
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
i Storm Water
(See attachment summary)
Page:

Permit: NCG140192 Owner - Faclllty: Cemex Construction Materials Atlantic LLC
Inspection Date: 0710812016 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 4206 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

Compliance Inspection Report
Permit: NCG140192 Effective: 07/01/16 Expiration: 06/30/17 Owner: Cemex Construction Materials Atlantic LLC
SOC: Effective: Expiration: Facility: Cemex- Indian Trail
County: Union 4206 Unionville Indian Tri 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: 08/10/2017
Primary Inspector: Holliday Keen
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 05:OOPM Exit Time: 05:30PM
Phone:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Ready Mix Concrete StormwaterNVastewater Discharge COC
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
® Other
(See attachment summary)
Page: 1

permit NCG140192 Owner - Facility: Cemex Construction Materials Atlantic LLC
Inspection Date: 08/10/2017 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This inspection was completed per a rescission request received by our office. Upon completing this inspection, I have
verified that Certificate of Coverage NCG140192 may be rescinded and permit coverage terminated. If you have any
questions, please contact our office at 704-663-1699.
Page: 2

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

Alexander, Laura
From: Khan, Zahid
Sent: Monday, August 28, 2017 4:23 PM
To: Alexander, Laura
Subject: FW: CEMEX Rescission: NCG14020 ; NCG140192.
Attachments: NCG140202_Rescision approval_8- df G140192_Rescission Approval_
8-10-17.pdf
La u ra,
Please see attached inspection reports for rescinding these permits. Thanks
From: Keen, Holliday V
Sent: Monday, August 28, 2017 4:01 PM
To: Khan, Zahid <[e-mail]>
Subject: CEMEX Rescission: NCG140202; NCG140192
Attached are the final inspections of the CEMEX facilities in Union and Mecklenburg county. After training with Mike
Lawyer, I recommend that the COC for these facilities be' terminated.
This inspection was completed per a rescission request received,by our office. Upon completing this inspection, I have
verified that Certificate of Coverage NCG140202 may be rescinded and permit coverage terminated. If you have any
questions, please contact our office at 704-663-1699.
Holliday Keen
Environmental Senior Specialist
Land Quality Section, Mooresville Regional Office
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
Phone: [phone]
Email: Holliday.Keene.NCDENR.gov r
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
. . . ............
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

permit. NCG140192 Owner- Facility: Cemex Construction Materials Atlantic LLC
Inspection Date: 0811012017 Inspection Type: Compliance Evaluation Reason for Visft: Routine
Inspection Summary:
This inspection was completed per a rescission request received by our office. Upon completing this inspection,.) have
verified that Certificate of Coverage NCG140192 may be rescinded and permit coverage terminated. If you have any
questions, please contact our office at 704-663-1699.
Page: 2

Compliance Inspection Report
Permit: NCG140192 Effective: 07/01/16 Expiration: 06/30/17 owner: Cemex Construction Materials Atlantic LLC
SOC: Effective: Expiration: Facility: Cemex-Indian Trail
County: Union 4206 Unionville Indian Trl Rd W
Region: Mooresville
Indian Trail NO 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: 08/10/2017
Primary Inspector: Holliday Keen
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 05:00PM Exit Time: 05:30PM
Phone:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Ready Mix Concrete Stormwater/Wastewater Discharge COO
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
Other
(See attachment summary)
Page: 1