NCS000513_Harrisburg Document Request Received_20220406

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❑ Return Receipt (electronic) $ Postmark C>
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❑ Adult Signature Reclulred $
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lostage Town of Harrisburg w
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Post Office Box 100
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Town of Harrisburg
Attention: Rob Donham, PE, Town
Post Office Box 100
Harrisburg, North Carolina 28075-0
A. Signature
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B. Received by (Printed Name) C. Date of Delivery
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D. Is delivery address different from item 1? ❑ Yes
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, Permit Owner
DLR ZK 03242022
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❑ Signature ConfirmationTM
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PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 5027
9063
9439 27
United States
• Sender: Please print your name, address, and ZIP+40 in this box*
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DocuSign Envelope ID: 93078168-FE25-47A5-9C2E-D3E45FDF8EEF
r
ROY COOPER�4
Governor
ELIZABETH S. BISER
Secretary
BRIAN WRENN
QUO"
Director
NORTH CAROLINA
Prwirantrng tud QuaUty
March 11, 2022
CERTIFIED MAIL 7018 3090 00012322 6631
RETURN RECEIPT REQUESTED
Town of Harrisburg
Attention: Carl Palmer, Permit Owner
Post Office Box 100
Harrisburg, North Carolina 28075-0100
CERTIFIED MAIL 7018 3090 0001 2322 6648
RETURN RECEIPT REQUESTED
Town of Harrisburg
Attention: Mallory Hodgson, Project Manager
4100 Main Street, Suite 101
Harrisburg, North Carolina 28075
Subject: MS4 PERMIT COMPLIANCE AUDIT DOCUMENTATION REQUEST
Town of Harrisburg
NPDES MS4 Permit No. NCS000513
Cabarrus County
Dear Sir or Madam:
The Department of Environmental Quality (DEQ) will be performing a National Pollutant Discharge Elimination
System (NPDES) Municipal Separate Storm Sewer System (MS4) Permit compliance audit for the subject permit.
This correspondence is a formal request to submit required permit documentation prior to DEQ scheduling the
audit. All submitted documentation will become a permanent record of the compliance audit. DEQ may request
additional information prior to, during and/or following the compliance audit. The scope and venue for the
compliance audit will be determined based on a review of the provided documentation, and DEQ will notify you in
writing of the date(s) and time(s) for the audit.
Please submit the following required permit documentation for the current permit within seven (7) calendar
days of receipt of this letter:
a. Stormwater Management Plan (SWMP)
b. Annual Reports not already submitted through DEQ's online BIMS SWMPA portal
C. MS4 Program organizational chart and associated program responsibilities for staff/positions
d. MS4 map of outfalls and receiving waters
North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Mooresville Regional Office 1 610 East Center Avenue. Suite 3011 Mooresville, North Carolina 28115
704-663-1699

DocuSign Envelope ID: 93D78168-FE25-47A5-9C2E-D3E45FDF8EEF
Audit Documentation Request
Town of Harrisburg
March 11, 2022
Page 2 of 2
e. Formal stormwater program implementation agreements with any other entities
f. Illicit Discharge Detection and Elimination Program Plan
g. MS4 Operation and Maintenance Plan
h. Municipal SCM Operation and Maintenance Plan
i. Post -construction ordinance reference or link.
All documentation shall be submitted via e-mail to [e-mail], or to:
NCDEQ-DEMLR Stormwater Program
Attention: Jesse McDonnell, Environmental Specialist
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
Should you have any questions regarding the upcoming MS4 Permit compliance audit, please contact Jesse
McDonnell at [e-mail] or [phone].
Sincerely,
ZC�loc�IuSigned by,
42CFABFC568C459...
Zahid S. Khan, CPM, CPESC, CPSWQ
Regional Engineer
Land Quality Section
Department of Environmental Quality
ec: Jeanette Powell, DEMLR MS4 Program Coordinator, [e-mail]
DEMLR NPDES MS4 Permit Laserfiche File