NCG080713_COMPLETE FILE - HISTORICAL_20180215 (FIX)

RMIT NO.
STORMWATER DIVISION CODING SHEET
NCG PERMITS
6 F(Y7 13
DOC TYPE A HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ 1v18 0a
YYYY M M DD

C1
City of Henderson
Engineering Department
Post Office Box 1434 -900 S. Beckford Drive
Henderson, NC 27536-1434
Phone: [phone] Fax: [phone]
Tuesday, January 30, 2018
Division of Water Quality RECEIVED_
Attn: Ms Laura Alexander: DWQ Central Files
1612 Mail Service Center FEB 15 20118
Raleigh, NC 27699-1617
CEN l rvr.4 F-ILES
DWR SECTION
Re: DMRs — Jan2015 to Jan2018
General Permit #NCG08
Certificate of Coverag NCG080713
City of Henderson Oper ervice Center
Dear Ms. Alexander:
r
22
Please find enclosed the following monitoring reports with respect to our stormwater discharges at 900
Beckford Drive, Henderson NC. The City was required to perform semi-annual Stormwater Discharge
Monitoring at three outfalls that discharge into the riparian buffer and ultimately discharge into Nutbush
Creek in the Roanoke River Basin.
The City of Henderson has a Standard Industrial Classification 40 that includes activities associated with
Vehicle Maintenance Areas. The city has a Stormwater Pollution and Prevention Plan and is required to
monitor pH (6-9), non -polar grease (EPA method 1664) (<l 51-ng/1), Total Suspended Solids (<100 mg/1),
Total Rainfall and New Motor Oil Usage (gal/month).
Over the course of our monitoring, the wastewater department stopped collecting the stormwater samples
and the engineering department was put in charge of the sample collection. The wastewater department
stopped collecting the sample because the sampling protocol required them to come to our site within 20
minutes of the start of a rain event and in many cases outfall SDO-002 required them to stay on site for
hours during a light rainfall event to collect a sample due to its small drainage area.
Due to the constraints of the permit relative to the first flush, it became evident that staff was not always
present to collect the sample during a rain fall event so, the engineering department utilized a stream
sample bottle to collect the stormwater sample. The City went through at least 5 iterations of how to
install the sample bottles for an unmanned collection. In all cases the stream sample bottle had to be
buried below grade so the first flush would run across the depression and drop into the sample bottle (see
attached drawing). We went through many arrangements of setting up the sample bottles collection
system by digging in front of the RCP outlet but we got varied responses to the stormwater quality and it
eventually forced us to move towards a tier 2 (monthly) sampling protocol (TSS has been a parameter that
exceeded permit limits at various times).
The City hired a consulting engineer/firm to install stormwater devices to improve the water quality and
revise the stormwater collection system. These devices significantly helped the water quality but, we
were still collecting samples by burial of a sample bottle in a sample collection tube. Both before and
after the installation of the engineered system we had to set stones on top of the collection tubes because
the collection tubes kept floating out of the hole. It is my firm belief that in many instances the sample
was contaminated due to turbidity in the pit, not the stormwater itself. I have not figured out how to get a

quality un-manned sample and would like to have a detailed discussion with you to help the city rectify
this problem.
The current engineered system is believed to be functioning correctly but SDO-003 maybe experiencing
rising TSS levels due to the reduced assimilative capacity of the engineered system. Public Works is
scheduled to clean these devices within 2 weeks of this letter. Please note that SDO-003 is the largest
drainage area and drains the bulk material storage (aggregates and soil) area which is leading to a blinding
of the City's engineered system. Please see the attached devices that proved very effective until the
devices began experiencing break through with respect to TSS. No gas, oil, unusual water color or odors
were ever reported on any of the outfalls' discharge location before or after the engineered system
installation.
Attached are the results of our monitoring both before and after the engineered devices.
I have included the following for your review:
1. Semi-annual Stormwater Discharge Monitoring Report summary sheet
2. 1 sketch of the Operations Center and discharge points.
3. A sketch of the non -manned sample collection device set-up.
4. Layout of the engineered system.
I spoke with DEQ on two occasions to let them know some of the problems we were experiencing and
some of the measures we took to mitigate these issues. Two consecutive samples exceeded the same
benchmark (TSS) and we self-imposed a Tier 2 monitoring level. Henderson took the following
corrective actions at the facility to resolve the TSS issue.
l . The parking area was swept
2. The storm sewers were jetted clean to remove any deposition that may have occurred in the
lines and that would potentially migrate to the discharge point at the first flush.
3. Silt bags were installed in the drop inlets at the back of the facility as secondary containment.
4. Mulch logs will be installed in front of the material storage bins as primary containment.
Henderson has a full service garage, fuel depot and utility operations/equipment at this location. The
utility operations performed from this location includes repair and maintenance of the following
infrastructure; water distribution, sewer collection, stor nwater and streets. The following materials are
stored in sheds on site; sand, salt, #67 stone, aggregate base course, screenings and mulch. These
materials are used in our daily operations but, the storage sheds are open on one side to permit loading
and unloading of dump trucks but, this open side during a driving rain exposes the material to the
elements and there is positive drainage away from the building. Most of this material stays put in these
bins but, during an emergency repair this material is removed from the bins and loaded on trucks where
some of the material can potentially be spilled on the asphalt adjacent to the storm drain. When water and
sewer lines break the crews address the immediate environmental or property threat associated with the
utility line break and then address cleaning the spilled materials as part of a house keeping measure.
Therefore silt socks were installed in the drop inlets as a secondary containment and mulch logs will be
installed in January as part of the primary containment. We will also increase our house keeping of this
material with power brooms to keep the material from entering the storm drain.

The City of Henderson has taken proactive measures to bring the discharges back into compliance. The
City will perform maintenance on the engineered systems and continue monthly monitoring but we do
request technical assistance on how to collect unmanned samples without exceeding the TSS.
If you need anything else please do not hesitate to contact me.
Sincerely,
&uk ?
Clark L. Thomas, PE
City Engineer
CC: Frank Frazier, City Manager
File
Attachments:
a. DMR Summary
b. Sketch of unmanned sample collection
c. Sketch of Facility
d. Engineered System

Henderson, NC Operation Center Stormwater Results
SW Permit # NCG-080713
Sample Description
Date
Rainfall
Time Amount
TSS mg/L
Temp 'C
pH SU
TPH by EPA 16648
SGT-HEM mg1L
Stormwater Drain #1
12/16/2014
11:40 AM 0.36
47
9.8
6.0
<5.0
Stormwater Drain #2
12/16/2014
11:54 AM 0.36
57.7
9.0
6.0
<5.0
Stormwater Drain #3
1 12/16/2014
11:05 AM 1 0.36
1 2711
11.5
6.1
<5.0
Stormwater Drain #1
2/22/2015
5:05 AM
1 0.0-1
335
1.4
6.3
<5.0
Stormwater Drain #2
2/22/201 S
5:35 AM
I 0.00 j
99
1.0
6.2
<5.0
Stormwater Drain #3
2/22/2015
4:57 AM
1 0.0
1 6701
2.51
6.3
<5.0
Stormwater Drain #1
3/26/2015
5:55 AM
0.8
652
15.6
6.1
<5.0
Stormwater Drain #2
3/26/2015
6:00 AM
0.8
185
14.1
6.1
<5.0
Stormwater Drain #3
3/26/2015
5:50 AM
0.8
466
13.1
6.5
<5.0
Stormwater Drain #1
4/7/2015
1:55 PM
0.08
55
20.11
6.4
<5.0
Stormwater Drain #2
4/7/2015
1:52 PM
0.08
50
16.1
6.9
<5.0
Stormwater Drain #3
4/7/2015
1:49 PM
0.08
130
20.1
6.9
<5.0
Stormwater Drain #1
6/3/2015
9:00 AM
0.54
204001
20.1
6.2
<5.0
Stormwater Drain #2
1 6/3/2015
9:00 AM
1 0.54
<60
20.01
6.5
<5.0
Stormwater Drain #3
6/3/2015
9.00 AM
0.54
275
20.0
6.3
<5.0
Stormwater Drain 41
6/26/20151
1 0.15
1 571
2171
6.7
Stormwater Drain 42
6/26/20151
1 0.15
1 3601
22.1
7.1
Stormwater Drain #3
6/26/20151
1 0.15
1 1261
20.7
6.7
Stormwater Drain #1
8/20/2015
11:30 AM
1 0.06 1
25.51
1
6.1
<5.0
Stormwater Drain #2
No sample
1
1 0.06
Stormwater Drain #3
8/20/2015
11:30 AM
1 0.06
1 20.41
16.5
<5.0
Stormwater Drain #1
10/28/2015
12:30 PM
1 0.44
131
6.8
<5.0
Stormwater Drain #2
10/28/2015
12:30 PM
1 0.44
1 28.01
1 6.8
<5.0
Stormwater Drain #3
10/28/2015
12:30 PM
1 0.44
355
6.8
<5.0
Stormwater Drain 41
11/19/20151
1 1.23
1571
1 6.9
<5.0
Stormwater Drain #2
11/19/2015
. 1.23
72.0
1 7.1
<5.0
Stormwater Drain 43
11/19120151
1 1.23
624
1 7.0
<5.0
Stormwater Drain #1
12/17/20151
j
0.00 1
5281
1
6.0
<5.0
Stormwater Drain #2
12/17/20151
1 0.00
1 340
6.7
<5.0
Stormwater Drain #3
12/17/2015
0.00
14441
1 6.7
<5.0
Stormwater Drain
22 2Q 6
ain no"
1 138
20-11
6.8
<5.0
Stormwater Drain #2
4/22/2016
Rain no "
1 6601
19.61
1.3
<5.0
Stormwater Drain #3
4/22/2016
ain no
5661
20.41
7.3
<5.0

Henderson, NC Operation Center Stormwater Results
SW Permit # NCG-080713
Rainfall
TPH by EPA 1664B
Sample Description
Date
Time
Amount
TSS mg/L
Temp'C
pH SU
SGT-HEM mg/L
Engineered Stormwater System in Effect
Stormwater Drain #1
6/28/2016
0.00
1 <26
Stormwater Drain #2
6/28/2016
0.00
64
Stormwater Drain #3
6/28/20161
1 0.00
1 78
Stormwater Drain #1
10/7/20i6j
1 0.19
1 19.61
18.51
5.41
<5
Stormwater Drain #2
10/7/2016
0.19
1 no sample
Stormwater Drain #3
10 7 2016
0.19
Ino sample
Stormwater Drain #1
3/14/2017
0.9$
1 <251
1 4.3
Stormwater Drain #2
3/14/2017
0.98
1 <25
5.5
Stormwater Drain #3
3/14/2017
0.9$
1 no sample
Stormwater Drain #1
9/1/2017
0.10
1 38.01
—r--6.-61
<5
Stormwater Drain #2
9/1/2017
0.10
1 331
6.7
<5
Stormwater Drain #3
9/1/2017
0.10
170
6.3
<5
Stormwater Drain #1
1/12/2018
3:00 PM 1
0.20
1 2161
15.61
6.61
<5
Stormwater Drain #2
1/12/2018
3:00 PM
1 0.20
1 58
15.1
6.5
<5
Stormwater Drain #3
1/12/2018
3:00 PM
1 0.20
1 176
15-21
6.71
<5
** 0.00 inches of rain and'Rain No "' - trace amounts were measured at the weather station but the
event produced enough rainfall to collect a sample
I certify under the penalty of law that this document all the attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel properly
gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly resonponsible for gathering the information, the information
submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there
are significant penalties for submitting false information, including the possibility of fines and imprisonment
for knowing violations.
Signature of Permittee
/— 30- I$
(Date)

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit htt{Ls:/jdeQ.nc.izovlabout/divisionsjenergy-mineral-land-
resources./energy-mineral-land-permits/stormwatcr-permits jnpdes-industrial-sw#tab-4
Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/G/0/8/0/7/1/3/
Facility Name: City of Henderson - Operations Center
County: Vance Phone No.- 252-430-5728
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DEMLR Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 002 Structure (pipe, ditch, etc.): Pine Flared End SDO-002-23-8
Receiving Stream: Nutbush Creek- Roanoke River Basin
Describe the industrial activities that occur within the outfall drainage area: Car parking area
For City Staff and 911 Staff along with 25% of Roof Area, very small drainage area.
Paget of 2
SWU-242, Last modified 07/28/2017

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes o No.
8. Is there an oil sheen in the stormwater discharge? o Yes o No.
9. Is there evidence of erosion or deposition at the outfall? o Yes o No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 07/28/2017

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit h t d .n v ab ut di i i n ner -min r I -land -
re rces en r -miner 1-land rm its Istormwater rmit n de -ind u5 tri a I w# tab -4
Permit No.: N/C/�/_/�/�/_/_/_/ or Certificate of Coverage No.: N/C/G/0/8/0/7/1/3/
Facility Name: City of Henderson - Operations Center
County: Vance Phone No._ 252-430-5728
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DEMLR Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 001 Structure (pipe, ditch, etc.): Pine Flared End SDO-001-23-8
Receiving Stream: Nutbush Creek -Roanoke River Basin
Describe the industrial activities that occur within the outfall drainage area: Car parking area
For City Staff and citizens that are conducting business with the City.
Pagel of 2
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes o No.
8. Is there an oil sheen in the stormwater discharge? o Yes O No.
9. is there evidence of erosion or deposition at the outfall? o Yes o No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWll-242, Last modified 07/28/2017

Environmental
Quality
Stormwater Discharge Outfall (SDO-001)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit httpN:/Jdeq.nc.gov.1a6Qut/divisions/energy-mineral-land-
resourcesfcnergy-min-Qral-land ep rm i ts/stormwa ter- permits /npdes-industrial-sw#tab-4
Permit No.: N/C/_/`/�/_/_/_/_/ or Certificate of Coverage No.: N/C/G/0/8/0/7/1/3/
Facility Name: City of Henderson - Operations Center
County: Vance Phone No.- 252-430-5728
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DEMLR Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. 001 Structure (pipe, ditch, etc.): Pipe Flared End SDO-001-23-8
Receiving Stream: Nutbush Creek- Roanoke River Basin
Describe the industrial activities that occur within the outfall drainage area: _ Car parking area
For City Staff and citizens that are conducting business with the City. ---
Pagel of 2
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes O No.
B. is there an oil sheen in the stormwater discharge? O Yes O No.
9. Is there evidence of erosion or deposition at the outfall? O Yes O No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 07/28/2017

O
=n
THIS DRAWING CONTAINS PROPIETARY INFORMATION,
CITY OF HENDERSON
MAIL
REV.
o
AND IS SUBMITTED SUBJECT TO RETURN UPON REQUEST,
m
m
AND UPON THE EXPRESS CONDITION THAT THE
INFORMATION CONTAINED HEREIN WILL NOT BE
DESCRIPTION
FINISH
n
21d6me
N
M1
USED DIRECTLY OR INDIRECTLY IN ANY WAY
DETRIMENTAL TO THE INTEREST OF THE CITY OF HENDERSON
STORMWATER SAMPLE LAYOUT
DWN/DATE CLT 1 /25/ 18
V
M
e
LL-
PLAN VIEW
SAMPLE d
BOTTLE IN BLOCK
SAMPLE BOTTLES IN CONCRETE BLOCK AT OUTLET
NOTES:
(1) SET SAMPLE BOTTLE INLET LEVEL WITH FES
(2) LRJE HOLE WITH FILTER FABRIC.
(3) INSTALL CLASS A RIPRAP & #57 STONE TO STABILIZE BLOCK.
SECTION A —A
8- STONE do TOPPED WITH #57, GEOTEXTILE UNDERLINER
#57 WASHED STONE UNDER SAMPLE BOTTLE TO SET TOP ELEV.
REV. DRAWING NO. z
220

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DRAINAGE BASIN 001 = 4.8792 AC / 212.540 SF s�
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DRAINAGE BASIN 003 = $.4339 AC / 367,382 SF a1j c%

Little Environments PLLC
To:
Attn: Clark Thomas
City of Henderson
Date: Jan 29ei 2015
Mr. Thomas,
Clark,
Stormwater
Retention
Technologies for 3
Outfalls
Quotation
29 JAN 2016
From:
Joseph Little PE
Little Environments PLLC
[phone]
e li leenviro a s.co
3814 Cobb St. Garner, NC 27529
For: Outfall Impoundments, Level Spreading, Stormwater Design
See the below. I estimated the city of henderson scope which i bet you guys might be able to
improve upon. Our approach includes installing a 40' level spreader geotextile tube with two 25'
returns.
The fabric material is UV stabilized for 30 years in coastal conditions so i expect it to outlast you
and 1. Some maintenance will be required to clean out from time to time especially as the
vegetation establishes. I like to use young plants and manage them as they establish. The
below scope should address DEQ/DENRs issues as i have seen Level Spreaders applied for
metal recycling and shredding facilities that have far more hazardous outfall conc. than what i
expect you guys have. I'd be happy to catch up to go over the below when you have a second.
Here is the proposal/estimate/quote for what we propose to address the NPDES issues at your
site:
Consulting Scope: 6 Hours Design -
Geosynthetic Level spreader design to address flows of large infrequent storms (3 hours)
Biological/filtration Nutrient removal to address frequent low volume storms including planting
plan (3 hours)
Simple maintenance plan(2 hrs)
8 hours @ $120.00/hr = $960.00
SUBTOTAL $960.00
Construction and Installation Consulting:
Joe Check/kick off tune install in (5 Hours) $60.00/hour=$600.00
Niko Scientist To run $20.00 hour (30 hours or 3 days) = $600.00
Travel $200.00
SUBTOTAL $1400
Garner, NC 1/3
p-1292 www.littleenvironments.com

Little Environments PLLC 29 JAN 2016
Materials
Geosynthetic Material 70 Yard^2 @ $8.00/yrd^2 = $560.00
Cutting And Sewing $400.00
Delivery $150.00,
PIPE: Free
SUBTOTAL $1,110.00
Quantities assumes a 90' level spreader face at 2' heigh circular tube. (Will lay elliptically flat
over time)
Little Environments PLLC to provide hopper and delivery pipe free of charge for install
LITTLE ENVIRONMENTS PLLC SCOPE OF WORK TOTAL: $3470
City of henderson to provide:
Intermittent Excavator/bobcat/backend loader to push up stockpile
1-2 Laborers to Shovel Push Sand for 2-3 Work days 8 hours, (.5 hr lunch and breaks)
150 GPM water supply source and hoses to deliver water to back corner of building at top of old
loading ramp with 2" hose. (3 days 10 hrs budgeted or 270,000 gallons)
City to provide 20 cubic yards of sand stockpiled at back corner of building.
City to provide vegetation for planting and labor to plant. Little Environments Expects to specify
only live stakes which can be obtained from the NC forest service for little to no cost.
Live stakes make installation very simple.
Estimated Budget Price or Quantitiy For CITY OF HENDERSON SCOPE
Sand-$450.00
Live Stakes- $300.00
Water- $1300.00 (38,000 Cubic Feet or 270,000 gallons) assuming potable
Labor- $720.00 (Assuming $15.00mr)
Mini- Excavator/Bobcat - $480 — 8 Machine Hours assumed absolute max
CITY OF HENDERSON ESTIMATED SCOPE $3250.00
ESTIMATED PROJECT TOTAL $6720.00
Total Project Contingency: 20% $8,064.00
Not to Exceed Cost: $8,064.00
Little Environments PLLC can supply pump for $15/day. 8 gallons fuel consumption per day.
(Alternate to Water, assuming enough flow in creek)
Best Regards,
Joseph M Little PE/MIEAust
Little Environments PLLC
Garner, NC 2/3
p-1292 www.littleenvironments.com

Little Environments PLLC 29 JAN 2016
Managing Director
www.littleenvironments.com
Intl. Engineer, Environmental Consultant
M. Env. Mgmt., BS Civil Engineering
US Cell/Land [phone]
AU Mobile/Land+ 61 04 1158 3949 ( When focal]
ioseph.little@littleenvironMeL)tg.com
Skype joseph.Ilttle3
Look me up on Linked In
PURCHASE ORDER
By signing the following I enact the purchase: of the above services.
Club Authorized Representative Name: %,�1,4J
Club Authorized Representative Signature: 'g—
Club Authorized Representative Phone Number: L - zl'- d/
Authorized Representative E-Mail for Correspondence: Zl�l Q_ c.c , h < �a.J,'d X VJ
Date 2- % 7-
Thank you for your consideration of the above and let me know if you have any questions.
I look forward to providing an excellent service.
All the best,
Joseph Little PE/MIEAust
Managing Director
I/��
o4-
.9
a S r
Little Environments PLLC r S9
www.littteenvironments.com
ja ep .little@littlee,nyironments.com �'izs T1, V\�``
[phone] Britt►t��
Garner, NC 3/3
p-1292 www.littleenvironments.com

NCDENR
rNMM.Y�Y[lR AMP 44LR.1 RC1011�kl` 1
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
National Pollutant Discharge Elimination System
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY ,
Date Received
Year Month
Da
Y-e- i�ullq
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
N C I S 10 N C G 0 18 10 17 I 3
11, Permit status prior to requested change.
a. Permit issued to (company name): City of Henderson, NC
b. Person legally responsible for permit: Frank W Frazier
First MI last
Assitant _City _Manager
Title �..—..... .
PO Box 1434
Permit Holder Mailing Address
Henderson NC 27536-1434
City State Zip
[phone] (252-) 492-7935
Phone Fax
c. Facility name (discharge): Operations Center
d. Facility address: 900 S. Beckford Drive T
Address
Henderson NC 27536
City State Zip
e. Facility contact person: Edna Vaught [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; New Staff and responsibilities
b. Permit issued to (company name):
City of Henderson, NC
c. Person legally responsible for permit:
Frank W Frazier
First MI Last
City Manager
Title
PO Box 1434
Permit Holder Mailing Address
Henderson NC 27536-1434
City State Zip
252- 430-570I ffrazier ci.henderson.nc.us
Phone E-mail Address
d. Facility name (discharge):
Operations Center _
e. Facility address:
900 S. Beckford Drive
Address
Henderson NC 27536
City State Zip
f. Facility contact person:
Edna Vaught
_
First MI East
[phone] evaught&i.henderson.nc.us
Phone E-mail Address
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan.27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: Clark L Thomas
First MI last
City Engineer
Title
900 S. Beckford Drive
Mailing Address
Henderson NC 27536
City State Zip
(252-) 430--5728_ cthomas&i.henderson.nc.us _
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, Clark L. Thomas, 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.
UgA..'s)
Signature
APPLICANT CERTIFICATION
13 Wove z.oi!z _
Date
I, Frank W. Frazier, 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.
Az,oetL l I _ L //- /3 - 2017
Signature 6 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 Jan. 27, 2014

City of Henderson
Engineering Department
Post Office Box 1434 • 900 S. Beckford Drive
V��yc R°�Henderson, NC 27536-1434
Phone: [phone] Fax: [phone]
Tuesday, December 23, 2014
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Semi -Annual Report — December 2014
General Permit #NCG080000
Certificate of Coverage NCGO80713
City of Henderson Operations and Service Center
Dear Mr. Randall:
DEC 8 0 2014
C8NTIZgL Fl
DWR SECTION
Please find enclosed the following monitoring reports with respect to our stormwater discharges at 900
Beckford Drive, Henderson NC.
1. 1 originals of the semi-annual Stormwater Discharge Monitoring Report (Date 1 1/6/2014)
2. 1 original of the SDO Qualitative Monitoring Report for each of the three discharge points.
(Date 1 1 /6/2014)
3. 1 sketch of the Operations Center and discharge points.
This facility failed to meet ONE of the THREE benchmarks required in the General Permit. The
elevated value was total suspended solids (TSS) as sampled on November 6, 2014 at both SDO # 1 and
SDO #3 with respective sample values of 176mg/l and 164mg/l.
The facility exceeded the benchmark for total suspended solids (TSS) on the previous semi-annual
Stormwater DMR at SDO #3. The previous sample was taken on May 14, 2014 with a TSS value of
162mg/l. Due to two consequetive samples having exceeded the same benchmark our monitoring status
has moved to Tier 2 level. Henderson took the following corrective actions at the facility to resolve the
TSS issue.
1. The parking area was swept
2. The storm sewers were jetted clean to remove any deposition that may have occurred in the
lines and that would potentially migrate to the discharge point at the first flush.
3. Silt bags were installed in the drop inlets at the back of the facility as secondary containment.
4. Mulch logs will be installed in front of the material storage bins as primary containment.
Henderson has a full service garage and utility operations center for water, sewer and storm at this
location. The following materials are stored in sheds on site; sand, salt, #67 stone, aggregate base course,
screenings and mulch. These materials are used in our daily operations but, the storage sheds are open on
one side to the elements and have positive drainage away from the building. Most of this material stays
put in these bins but, during an emergency repair this material is removed from the bins and loaded on
trucks where some of the material can potentially be spilled adjacent to storm drain. When water and
sewer lines break the crews address the immediate environmental or property threat associated with the
,utility and then address cleaning the spilled materials as part of a house keeping measure. Therefore silt
socks were installed in the drop inlets as a secondary containment and mulch logs will be installed in
January as part of the primary containment. We will also increase our house keeping to this material
swept up and from entering the storm drain.

Pldase understand that Henderson is taking proactive measures to work back into compliance and we will
report our status and progress in the forthcoming months.
If you need anything else please do not hesitate to contact me,
Sincerely,
94 ;- J
Clark L. Thomas, PE
City Engineer
CC: Frank Frazier, Assistant City Manager
File
Attachments:
a.
Dec 2014 DMR
b.
SDO #1
c.
SDO #2
d.
SDO #3
e.
Sketch of Facility

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCGO80000
Date submitted 12/5/2014
CERTIFICATE OF COVERAGE NO. NCGO80713
FACILITY NAME The City of Henderson Operations & Service Center
COUNTY Vance
PERSON COLLECTING SAMPLES Darrel Johnson and Phil Lewis
LABORATORY Henderson WRF Lab Cert. #242
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' _ rmonthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
®Other Stormwater
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? x yes _no
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
50 or 100 see permit
Within 6.0 — 9.0
15
-
001
11/06/2014
176
5.6
<5
002
11/06/2014
003
11/06/2014
1164
16.4 1<5
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfal I
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
-
15
50 or 100 see permit
6.0 — 9.0
I For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 1 1, 2013
Page I of 2

STORM EVENT CHARACTERISTICS:
Date _ _ 11/6/2014 (first event sampled)
Total Event Precipitation (inches): .61
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
!Vote: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in
the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that
there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
21,a:;,?W
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/weblwq/ws/su/­npdesswtttab-4
SWU-250
last revised April 11, 2013
Page 2 of 2

Henderson Operation
Center Stormwater
Res a Its
Rainfall Amount 11/6/14 8:00am to 110114 8:00 am
0.61 inches
Sample Description
Date
Time
TSS mg/L.
Temp 'C
pH SU
TPH Y
SGT-HEM mg/L.
Cond (pmhos/cm)
Stormwater Drain #1
11 /612014
2:16 PM
176
17.8
5.6
<5.0
17.7
Stormwater Drain #2
11/6/2014
Flows into
#3
tormwater Drain #3
1116720141
1:23 M
1641
T-8016.4
<5,01
44
Rainfall pH 1116/14 4.9 SU
Sampled by Darrel Johnson and
Phil Lewis

I
--------------
L5 Li
INTERSTATE 85
DRAINAGE BASIN 003 i y / >`' �; IMPOUNDMENT AREA (,�, _ v z
r N
' ROSEMYR CORPORATION
(DABNEY WEST SHOPPING CENTER)_ -/ UNDERGROUND GAS TANK
>
,''�,,
ACCESSORY
W
BUIa°
f -- v
/ LDING
DROP
DROP
INLET
• 1 INLET i 1111 1 1 \ ..0
WI �#
DROP
INLET W
,
/'DROP
'' /;�✓ i, nt l I, ' �! ! INLET �� ``i''1 , ', Z
l +', ,, i `11 DROP 1 , i' '; Ili 1 5 \ > Or^
\ ' 1 INLET 1 ', I 1 ' 1` ', ILL
li v ` `MATERIALS'. ` ' ,
------ �` /_ STORAGE NPDES• W
ffff1)
AREA ? ,'DROP",", -003 ' (� W
,•.\``•\ 9 INROT CrrY OF HENDER30N INLET DROP,\,`,�''`'`, ,�;
OPERATIONS AND ,NLE�''NPDES Z C W
SERVICE CENTER MOUNT 002 a =
j' MOUNT AIRY PARTNERS LLC ' `DRY a
II ,, 1'1 `` +' ,` ,+ r
INLETI + DRAINAGE BASIN 002 5111'1`I',',, li y Z IL
''r 1, /'/ /I �-- 1 ` -_ _ � � 1 ! 111',1111' �` ■``r
DRAINAGE BASIN 061 i ` It
LU
�� a
NPDES O
---�---"- + r � Ill"I Illul
� - .— -- voo!
UROP
° .DRO .------..-INLETINLET� IUHQPNLET—wLETr..,OROP INLET 1
uo=
i , r INLET
BECKFORD DRNE !'
DRAINAGE BASIN 001 = 4.8792 AC / 212,540 SF
DRAINAGE BASIN 002 = 0.9429 AC / 41.073 SF
DRAINAGE BASIN 003 = 8.4339 AC / 367,382 SF T1ii you

4 9
��ja
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out th isform, please visit.- httpiliportal.ncdenr.orgfweb/wq/wslsu/nl2dessw#tab-4
Permit No.: N/�/_/_/_/_/_/_/T/ or Certificate of Coverage No.: N/-C/C/0/8/0/7/1/3/
Facility Name: The City Of Henderson
County: Vance Phone No.252-431-6118
Inspector: Edna Vaught
Date of Inspection: 11/06/2014
Time of Inspection: 11:00 am
Total Event Precipitation (inches):.61 inches
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permitlee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
Outfall No, 001 Structure (pipe, ditch, etc.) Pipe
Receiving Stream: Unnamed Tributary of Nutbush Creek
Describe the industrial activities that occur within the outfall drainage area: Parking Lot in front of
Operations Center.
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: No Color, No Tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): No Odor
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
Ol 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
n 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1. is no solids and 5 is extremely muddy:
0 2 3 4 5
7. is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes S
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Lase modified 10/25/2012

A�
NYA
CDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out thisform, please visit: http://portal.ncden[.orgfweb a/ws/su/ dessw# b-A
Permit No.: N/C/_/_/_/_/_/_/`/ or Certificate of Coverage No.: N&/G/0/8-/0/7/1/3/
Facility Name: The City Of Henderson
County: Vance Phone No.252-431-6118
Inspector: Edna Vaught
Date of Inspection: 11/06/2014
Time of Inspection: 11:00 am
Total Event Precipitation (inches):.61 inches
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PermAtke or Designee)
Pagel of 2
SWU-244 Last modified 10/25/2012

1. Outfall Description:
Outfall No. 002 Structure (pipe, ditch, etc.) No discharge from pipe.
Describe the industrial activities that occur within the outfall drainage area: Operations Center
Roof.
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.):
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 2 3 4 5
b. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: htii:l�R deny [g./web/wgfws/su/dessw##tab-4
Permit No.: N/�/_/_/`/_/_/_/_/ or Certificate of Coverage No.: N/-C/C/0/8-/0/7/1/3/
Facility Name: The City Of Henderson
County: Vance Phone No.252-431-6118
Inspector: Edna Vaught
Date of Inspection: 11/06/2014
Time of Inspection: 11:00 am
Total Event Precipitation (inches):.61 inches
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
® Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of PermittelVor Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

1.r Outfall Description:
Outfall No. 003 Structure (pipe, ditch, etc.) Pipe
Receiving Stream Unnamed tributary of Nutbush Creek
Describe the industrial activities that occur within the outfall drainage area: Vehicle Maintenance
of City Fleet
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: No Color No Tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): No Odor
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy: n
1 (Z 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 Q 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 Q 4 5
7. Is there any foam in the stormwater discharge? Yes No
B. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

Beverly Eaves Perdue
Governor
MCC NR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakitd, P.E.
Director
November 6, 2012
Ms. Edna Vaught -Fiscal Compliance Officer
City of Henderson Public Works
900 S. Beckford Drive
Henderson, NC 27536
Subject: Compliance Evaluation Inspection
City of Henderson Operations and Service Center
Certificate of Coverage No: NCGO80713
Vance County
Dear Ms.Vaught:
Dee Freeman
Secretary
On November 6, 2012, Thomas Ascenzo of the Raleigh Regional Office (RRO) conducted a
compliance inspection (CEI) of The City of Henderson's Operations and Service Center.
stormwater pollution program. The assistance of yourself was appreciated as it facilitated the
inspection process.
The City of Henderson's Operations and Service Center facility discharges stormwater to
receiving waters designated as LIT to Nutbush Creek in the Roanoke River Basin.
The following observations were made:
1. The Stormwater Pollution Prevention Plan (SP3) was reviewed and revealed the
following
• The plan contained the required general location map that included outfall
location and drainage areas.
• Employee training documents were included in the SP3. Last training was on
November 2011. (Note: employee training is required to be conducted annually
and documented in the (SP3) plan.
• List of responsible parties for Emergency spill response notification.
• Plan included Stormwater Facility Inspection reports.
• A Best Management Practices summary, current certificate of coverage,
narrative description of practices and a spill prevention plan were available for
review.
The (SP3) is being updated annually and as needed.
One
1No3rhCarolina
Nonn Carolina oivision of Water Quality Raleigh Regional Office surface Water Protection Phone [phone] Customer Service
Internet: wwwr.ncwaterquality,crg 1628 Mail Service Center Raleigh. NC 27399-1628 FAX [phone]
An Equal Opportunity/Affirm alive Action Employer — 50% Recycled110% Post Consumer Paper

e
City of Henderson Operations and Service Center.. CEI
NCG080713 Page 2 of 2
2. Qualitative monitoring was conducted semi-annually as per permit requirements.
3. Analytical Monitoring was conducted on October 10, 2011 and October 18, 2012. Permit
condition requires monitoring to be conducted semi annually.
4. Outfalls #1, 2 & 3 were observed to be dry.
5. No spills were reported in a three year period. Include a page in the (Sp3) plan with the
information.
Please continue your diligence in the Stormwater Pollution Prevention Plan. Should you or
your staff have any questions regarding this inspection or this correspondence, please do not
hesitate to contact me at 919-791-4256 or you can e-mail me at tom.ascenzo(&,,ncdenr.gov.
Sincerely,
Thomas Ascenzo
Environmental Specialist
Surface Water Protection
Attachment: Compliance Inspection Reports
CC:
Raleigh Regional Office SWP NCG080713

Compliance Inspection Report
Permit: NCGO80713 Effective: 11/01/07 Expiration: 10/31/12 Owner: City of Henderson
SOC: Effective: Expiration: Facility: Operations & Service Center
County: Vance 900 S Beckford Dr
Region: Raleigh
Henderson NC 275362974
Contact Person: Linda Sweitzer Leyen Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 11106/2012 Entry Time: 10:49 AM Exlt Time: 11:18 AM
Primary Inspector: tom ascenzo Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Transportation w/Vehicle Maintenance/Petroleum Bulk/Oil
Water Separator Stormwater Discharge COC
Facility Status: ■ Compliant Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: 1

Permit: NCGO80713 Owner - Facility: City of Henderson
Inspection Date: 11/06/2012 Inspection Type: Compliance Evaluation
Reason for Visit:
Routine
Stormwater pollution Prevention Plan
Yes
No
NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
■
❑
❑
❑
# Does the Plan include a General Location (USGS) map?
■
❑
❑
❑
# Does the Plan include a "Narrative Description of Practices"?
■
❑
❑
❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
❑
❑
❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑
■
❑
❑
# Has the facility evaluated feasible alternatives to current practices?
■
❑
❑
❑
# Does the facility provide all necessary secondary containment?
■
Cl
❑
❑
# Does the Plan include a BMP summary?
■
❑
❑
❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
❑
❑
❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
Cl
❑
❑
# Does the facility provide and document Employee Training?
■
❑
❑
❑
# Does the Plan include a list of Responsible Party(s)?
■
❑
❑
❑
# Is the Plan reviewed and updated annually?
■
❑
❑
❑
# Does the Plan include a Stormwater Facility Inspection Program?
■
❑
❑
❑
Has the Stormwater Pollution Prevention Plan been implemented?
■
❑
❑
❑
Comment: No spills reported in a three year period. Create a page in the SP3 plan to
document the information.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ■ ❑ ❑ ❑
Comment:
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? 00013
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ■ ❑ ❑ ❑
Comment:
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■
❑
❑
❑
# Were all outfalls observed during the inspection?
■
❑
Cl
❑
# If the facility has representative outfall status, is it properly documented by the Division? .
Cl
❑
■
Cl
# Has the facility evaluated all illicit (non stormwater) discharges?
■
❑
❑
❑
Comment: All outfalls were observed to be dry.
Page: 3

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek, Director
Mr. James Morgan
City of Henderson
180 Beckford Drive
Henderson, North Carolina 27536-2584
Dear Mr. Morgan:
"M
N N: Rv
CDE--
NORTH CAROLINA t7EPARTMENT O151 III
ENVIRONMENT AND NATURAL RESOURCES
l l
July 11, 2003
Subject: General Permit No. NCG080000_
Operations and Service -Center
COC NCGO80713
Vance County
In accordance with your application for discharge permit received on March 7, 2003, 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 May 9, 1994 (or as subsequently amended).
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 Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage.
This permit does not affect the legal requirements to obtain other permits which may be required
by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act, or any other Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Ken Pickle at telephone number
[phone] ext. 584.
Si"0Hpim
MAL SIGNED BY
WILLIAM G. MILLS
Alan W. Klimek, P. E.
cc: C1jal6iffR7egional Office
Central Files
Stormwater and General Permits Unit Files
SWU-259-011001
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. NCG080000
CERTIFICATE OF COVERAGE No. NCG080713
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,
The City of Henderson
is hereby authorized to discharge stormwater from a facility located at
City of Henderson Operations and Service Center
900 South Beckford Drive
Henderson, North Carolina
Vance County
to receiving waters designated as unnamed tributary to Nutbush Creek, a class C water in the Roanoke River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, 111,
IV, V, and VI of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective July 11, 2003.
This Certificate of Coverage shall remain in effect for the duration of the General Permit,
Signed this day July 11, 2003. ORIGINAL SIGNED SY
WILLIAM C. MILLS
1J.
-
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission
I
F NENp
Edna Vaught
20 I i �Q Fiscal Compliance Officer
City of Henderson
TH CAKvv PUBLIC SERVICE DEPARTMENT
s ,1
P.O. BOX 1434 PHONE' 252-431-6118
900S. BECKFORDDRWE FAX: [phone]
HENDERSON, NC 27536 Email: [e-mail] �+
www o.henderson,nc.us t

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