NCS000441_Renewal Application_20221004

JNC INSTITUTIONAL INTEGRITY AND RISK MANAGEMENT
Environment, Health and Safety
October 2, 2023
Mr. Isaiah Reed, PE, CPSWQ, MS4CECI RECEIVED
North Carolina Department of Environmental Quality f _ -323
Division of Energy, Mining, and Land Resources
1612 Mail Service Center DEMLR•Stor "81 Program
Raleigh, NC 27699-1612
Dear Mr. Reed,
Please find enclosed a copy of the NPDES MS4 Permit Renewal Application for The University
of North Carolina at Chapel Hill (UNC-CH or University). The current UNC-CH Permit expires
on October 9,2023.Also enclosed please find a copy of UNC-CH's draft Stormwater Management
Plan (SWMP), originally submitted to DEQ-DEMLR on November 09, 2021, and edited to reflect
personnel changes since the submittal.
Our department has experienced staffing shortages this year, which is why this application is being
submitted closer to the permit expiration than is recommended. My predecessor, Sharon Myers, is
now retired, and I am taking over as the MS4 Phase II NPDES Permit administrator for UNC-CH.
If you have any questions concerning our renewal permit application, and to schedule a review of
the SWMP and permit conditions, please contact me at [phone] or [e-mail].
Sincerely,
Janet L. Clarke, MEA, CPESC
Environmental Compliance Officer
cc: Ms. Cathy Brennan
Ms. Jamie Smedsmo
Enclosures: SWMP
MS4 Renewal Application Form

NPDES MS4 Permit Renewal Application Form
D E Q National Pollutant Discharge Elimination System (NPDES)
Municipal Separate Storm Sewer System (MS4)
Please complete the information below and submit this form along with the required supplemental information
to the address indicated.
Part I: Permittee Information
Current Permit No. NCS 000441
MS4 Name The University of North Carolina at Chapel Hill
Owner Name* George E. Battle, III
Owner Title Vice Chancellor for Institutional Integrity and Risk Management
Street Address 123 West Franklin St
City, State Zip Chapel Hill, NC 27516
Phone Number [phone]
E-mail Address [e-mail]
* The ownermust be a principal executive officer or ranking elected official for the city/town/entity that
owns/operates the permitted MS4. Any permit enforcement actions will be sent to the owner on record.
Part II: Primary Contact**
Contact Name Janet Clarke
Contact Title Environmental Compliance Officer
Employer The University of North Carolina at Chapel Hill
Street Address 1120 Estes Dr Extension
City, State Zip Chapel Hill, NC 27599-1650
Phone Number [phone]
E-mail Address [e-mail]
**The primary contact is the responsible party who will oversee the day-today permit compliance and
Stormwater Management Program implementation. With the exception ofenforcementactions,permit
communications originating from NWEQ will be sent to the primary contact and will be copied to the other
contacts listed below.
Part III: Other Contacts
Contact Name Cathy Brennan
E-mail Address [e-mail]
Contact Name
E-mail Address
Part IV: Required Supplemental Information
Submit one (1) hard copy and one (1) electronic copy of a Draft Stormwater Management Plan (SWMP)
with this permit renewal application. The Draft SWMP must be in the current NCDEQ SWMP Template
format and shall include all required information in order for the permit renewal application to be
considered complete.
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Part V: Certification
By my signature below I hereby 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. I am also aware that incomplete permit renewal
applications, inclusive of the required Draft SWMP, will not be processed and will be returned to the
permittee.
❑ I am a ranking elected official for the permitted MS4.
® I am a principal executive officer for the permitted MS4.
❑ I am a duly authorized representative for the permitted MS4 and have attached the authorization
made in writing by the permit owner listed in Part I of this application, which specifies me as (check
one):
❑ A specific individual having overall responsibility for the stormwater permit.
❑ A specific position having overall responsibility for the stormwater permit.
Signature:*
Print Name: George E. Battle, III
Title: Vice Chancellor for Institutional Integrity and Risk Management
Signed this 2,A day of seo-}T 20_aj.
*Please note that an oiioinal signature is required on this form, any required supplemental information, and any
representative authorization. Photocopies cannot be accepted.
Return this completed form along with the required supplemental information to:
DEQ-DEMLR Stormwater Program
Attn: MS4 Permitting
1612 Mail Service Center
Raleigh, NC 27699-1612
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