NCS000410_Affidavit_20210525

Winston-Salem Journal
Advertising Affidavit Account Number
3656033
P.O Box 3159 Date
Winston-Salem, NC 27102
May 19, 2021
NCDENR/DEMLR/STORMWATER ECd=_ R/F -,J
1612 MAIL SERVICE CENTER MAY 25 20pi
RALEIGH, NC 27699-1612
DENR-LAND QUALITY
"ORMWATER PERMITTING
PO Number Order Category Description
0000718778 Legal Notices
NC DIVISION OF ENERGY, MINERALAND LAND RESOURCES INTENTTO ISSI
Publisher of the
NC DIVISION OF ENERGY,
Winston-Salem Journal
MINERAL AND LAND RESOURCES
INTENT TO ISSUE THE FOLLOWING
Before the undersigned, a Notary Public duly commissioned, qualified, and
authorized by law to administer oaths, personally appeared the Publisher's
STORMWATERDISCHARGEPERMIT
Representative who by being duly sworn deposes and says: that he/she is
The following Municipal Separate
authorized to make this affidavit and sworn statement; that the notice or
Storm Sewer System (MS4) permit-
other legal advertisement, a copy of which is attached hereto, was
ted entity has applied for an NPDES
published in the Winston-Salem Journal on the following dates:
MS4 permit renewal with minor
modification to discharge
stormwater from their jurisdictional
05/19/2021
area in Forsyth County. Public com-
ment or objection to the draft permit
is invited. All comments received
through Friday, June 18, 2021 will be
considered in the final determination
regarding permit issuance and per-
mit provisions.
and that the said newspaper in which such notice, paper document, or legal
Village of Clemmons. Permit Num-
advertisement was published, was at the time of each and every such
ber NCS000410. This MS4 discharg-
publication, a newspaper meeting all the requirements and qualifications of
es to Yadkin River, Blanket Creek,
Lasater Lake, Johnson Creek, Muddy
Section 1-597 of the General Statutes of North Carolina.
Creek, and unnamed tributaries
within the Yadkin -Pee Dee River Ba-
sin.
Please reference permit number
(signature ofPerson making affidavit)
NCS000410 on all correspondence
and submit written comments to
DEMLR at:
DEMLR Stormwater Program
Sworn to and subscribed before me the 19th day of
1612 Mail Service Center
Raleigh, NC 27699-1612
(Notary Public)
[e-mail].
A copy of the draft permit is availa-
State of Virginia
County of Hanover Richard A. Hundley
ble at: https://deq.nc.gov/about/divi
Notary Public
sions/energy-mineral-and-land-
My commission expires: of Virginia
resources/stormwater/stormwater-
Notary Registration No. 7904041
program/stormwater-public.
Commission Exp. Jan 31, 2024
WSJ: May 19, 2021.
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU