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Home My WebLink AboutNCS000585_APPLICATION_20150722STORMWATER DIVISION CODING SHEET MS4 PERMITS PERMIT NO. I�c--s c DOC TYPE ❑FINAL PERMIT 0 �NNUAL REPORT APPLICATION ❑ COMPLIANCE ❑ OTHER DOC DATE ❑ YYYYMMDD State of North Carolina Department of Environment & Natural Resources Division of Water Quality OFFIC USE ONLY Date Rec'd Fee Paid Permit Number {{ lQ iawkcj 11 NPDES STORMWATER PERMIT APPLICATION FORM This application form is for use by public bodies seeking NPDES stormwater permit coverage for Regulated Public Entities (RPE) pursuant to Title 15A North Carolina Administrative Code 2H .0126. A complete application package includes this form and one copy of a Narrative of The Stormwater Management Program. The required Narrative of The Stormwater Management Program is described in Section VII of this form. I. NAME OF PUBLIC ENTITY SEEKING PERMIT COVERAGE Name of Public Entity Seeking City of New Bern Permit Coverage II. CO -PERMIT APPLICATION STATUS INFORMATION (Complete this section only if co -permitting) JUL 2.2 2015 1 pi a. Do you intend to co -permit with another regulated public ❑ Yes ® No �01$ -UFF�RpESOURRMi entity? E gj b. If yes, name of regulated public entity c. If yes, have legal agreements been finalized ❑ Yes ❑ No between the co- ermittees? III. RELIANCE ON ANOTHER ENTITY TO SATISFY ONE OR MORE OF YOUR PERMIT OBLIGATIONS (If more than one, attach additional sheets) a. Do you intend that another entity perform one or more ® Yes ❑ No of your permit obligations? b. If yes, identify each entity and the element they will be implementing • Name of Entity NCDEMLR • Element they will Post -Construction Stormwater Controls (portion; implement specifically Ian review • Contact Person Patrick McClain • Contact Address Washington Regional Office, 943 Washington Square Mall Washington, NC 27889 • Contact Telephone 252-946-6481 x3859 Number c. Are legal agreements in place to establish ❑ Yes ® No responsibilities? f Page 1 SWU-264-103102 NPDES RPE Stormwater Permit Application a. Do you intend that another entity perform one or more ® Yes ❑ No of your permit obligations? b. If yes, identify each entity and the element they will be implementing • Name of Entity NCDEMLR • Element they will Erosion and Sediment Control Program implement • Contact Person Patrick McClain • Contact Address Washington Regional Office, 943 Washington Square Mall Washington, NC 27889 • Contact Telephone 252-946-6481 x3859 Number c. Are legal agreements in place to establish ❑ Yes ® No responsibilities? Page 2 SWU-264-November 21, 2013 NPDES RPE Stormwater Permit Application IV. DELEGATION OF AUTHORITY (OPTIONAL) The signing official may delegate permit implementation authority to an appropriate staff member. This delegation must name a specific person, their title/position. Documentation of board action delegating permit authority to this person/position must be provided. a. Name of person to which permit authority has been delegated Mark A. Stephens b. Title/position of person above City Manager V. SIGNING OFFICIAL`S STATEMENT If authority for the NPDES stormwater permit has been appropriately delegated through board action and documented in this permit application, the person/position listed in Section IV above may sign the official statement below. 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 lines and imprisonment for knowing violations. Signature •-Gt Name Mar . Stephens Title City Manager Street Address 300 Pollock Street PO Box PO Box 1129 City New Bern State North Carolina Zip 28563 Telephone 252-639-2700 E-Mail stephensm@newbern-nc.org VI. MS4 CONTACT INFORMATION Provide the following information for the person/position that will be responsible for day to day implementation and oversight of the stormwater program. a. Name of Contact Person Amanda C. Boone, PE b. Title Staff Engineer c. Street Address 300 Pollock Street d. PO Box PO Box 1129 e. City New Bern f. State North Carolina g. Zip 28563 h. Telephone Number 252-639-7524 j. E-Mail Address boonea@newbern-nc.org Page 3 SWU-264-November 21, 2013 NPDES RPE Stormwater Permit Application VII. NARRATIVE STORMWATER MANAGEMENT PROGRAM Attach one copy of a narrative describing the stormwater management program. The report must be presented in the following order. 1. Population and Estimated Growth Rate 2. Jurisdictional Area 3. Describe Stormwater Conveyance System 4. Estimated Land Use 5. Identify the Receiving Streams 6. Identify TMDLs (if applicable) 7. Identify impaired streams, likely sources, and existing programs that address the impairment (if applicable) 8. List any existing water quality programs 9. Identify and describe any partnerships and/or inter -local agreements 10. Describe any state programs 11. Identify any other entity that the regulated public entity relies on to implement or manage its stormwater program. 12. Identify points of contacts 13. Describe the public education and outreach program 14. Describe the public involvement and participation program. 15. Describe the Illicit Discharge Detection and Elimination Program. 16. Describe the post -construction stormwater program Describe practices to inspect and maintain municipally -owned facilities 17. Describe practices to inspect and maintain structural stormwater control devices 18. Describe practices to reduce polluted stormwater runoff from municipally -owned streets, roads, and public parking lots, piped and vegetative conveyances, manholes, cleanouts, drop inlets, and drainage structures. 19. Describe any training programs for municipal staff. 20. Describe spill response procedures for those at Municipally Owned and/or Operated Facilities as well as those in the public right-of-way. Page A SWU-264-November 21, 2013 15-083 RESOLUTION THAT WHEREAS, the Director of Public Works of the City of New Bern recommends the Board of Aldermen Delegate Authority, for the NPDES Stormwater Permit, to the City Manager, Mark Stephens, authorizing him to execute, on behalf of the City, all documents associated with the Phase II Stormwater Permit. WHEREAS, the Board of Aldermen of the City of New Bern desires to approve said request. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF ALDERMEN OF THE CITY OF NEW BERN: Delegate the Permit Implementation Authority for the Phase 11 Stormwater Discharge Permit to the City Manager, Mark Stephens. Therefore, authorizing Mark Stephens to execute, on behalf of the City, all documents associated with the Phase I1 Stormwater Permit. ADOPTED THIS 14`' DAY OF JULY, 2015. (&X�CL're ailmw - DEPUTY CITY CLERK J `` 94�� MAYOR 0bIF JUL 2 2 2015 i i NEW BERM NORTH CAROLINA Letter of Transmittal Date: Juty 15, 2015 To: Mike Randall Stormwater Permitting Program NC Division of Energy, Mineral and Land Resources (DEMLR) 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Mike, From: Amanda C. Boone, PE PW - Stormwater Division City of New Bern P.O. Box 1129 New Bern NC 28563 252-639-7524 (Phone) 252-636-1849 (Fax) Please find enclosed the items listed below in response to the City of New Bern NPDES Phase 11 MS4 Permitting requirements. • Application • Application fee • Resolution delegating authority • Stormwater Management Manual • 2013 Annual Report for the Stormwater Management Program Should you have any questions please feel free to give me a call at 252-639-7524. Thank you, Amanda C. Boone, PE Staff Engineer Copy: Mark Stephens, City of New Bern Matt Montanye, City of New Bern '/ 06 gq 77. 6 3 F-y6 2�