NCG110086_COMPLETE FILE - HISTORICAL_20120111

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V � � I uOVo
DOC TYPE
'X HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ a la D I H
YYYYMMDD

I
iA
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Coleen H. Sullins
Governor Director
January 11, 2012
Julia M. Meacham, Mayor
Town of Weldon
PO Box 551
Weldon, NC 27890
SUBJECT: Compliance Evaluation Inspection
Town of Weldon Stormwater Permit W WTP
Permit No: NCG 110086
Halifax County
Dear Mayor. Meacham:
John E. Skvarla, III
Secretary
Enclosed please find a copy of the Compliance Evaluation Inspection form for the stormwater inspection
conducted by Mack Wiggins of the Raleigh Regional Office on December 6, 2012. The assistance offered by Mr.
Donald Crowder and Mr. William Hux was appreciated. The facility was found to be in Compliance with
stormwater permit NCG 110000 at the time of this inspection.
1. The following stormwater observations were noted:
1. The Stormwater General Permit Certificate of Coverage (NCG 1 10086) was issued to this facility on
June 1, 2008 to the Town of Weldon's W WTP. The General Permit expires on May 31, 2013.
2. Weldon's Wastewater Treatment Plant has one stormwater outfall. This outfall was observed during
the inspection. The outfall was assessable for sampling at the time of the inspection.
3. The facility does not perform vehicle maintenance activities on -site which uses more than 55 gallons
of new motor oil when averaged over a calendar year. Therefore, only qualitative monitoring is
required. Qualitative monitoring was conducted as required in NCG I 10000.
4. The Stormwater Pollution Prevention Plan (SPPP) has been implemented. The plan was complete and
comprehensive.
5. All chemicals have secondary containment.
North Carolina Division of Water Quality Raleigh Regional office Surface Water Protection Phone [phone]CO
Internet: www.ncwaterqua;ity.org 1628 Mail Service Center Raleigh, NC 27699-1628 FAX [phone]
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Julia M. Meacham, Mayor
Town of Weldon
January 11, 2013
Thanks for your cooperation during the inspection. If you or your staff have any questions, please call
me at [phone].
Sincerely,
Mack Wiggins
Environmental Specialist
cc: Donald Crowder, ORC, Weldon WWTP, US 301, Weldon, NC 27890
Halifax County Health Department
Central Files
`RRO File

Permit: NCG110086
SOC:
County: Halifax -
Region: Raleigh
Compliance Inspection Report
Effective: 06/01/08 Expiration: 05/31/13 Owner: Town of Weldon
Effective: Expiration: Facility: Town of Weldon WWTP
525 River Rd
Contact Person: Donald L Crowder
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Title:
Inspection Date: 12/05/2012 Entry Ti,m-e/: 09:53 AM
Primary Inspector: Mack K Wiggins );V g-
Secondary Inspector(s):
Weldon NC 27890
Phone: [phone]
Certification:
Exit Time: 11:37 AM
Phone:
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Municipal WWTP > 1 MGD, Stormwater Discharge, COC
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
■ Storm Water
(See attachment summary)
Page: 1

Permit: NCG110086 Owner - Facility: Town of Weldon
Inspection Date: 12/05/2012 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 (LISGS) 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?
# 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?
# 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:
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment:
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Yes No NA NE
❑ ❑ ■ ❑
❑ ❑ ■ ❑
Comment: No vehicle maintenance activities utilizing more than 55 gallons of new
motor oil when averaged over a calendar year.
Permit and Outfalils
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?
■
❑
❑
❑.
# If the facility has representative outfall status, is it properly documented by the Division?
❑
❑
■
❑
# Has the facility evaluated all illicit (non stormwater) discharges?
■
❑
❑
❑
Comment: One outfall. Outfall was assessable for sampling.
Page: 3

r�
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
The Honorable G. W. Draper, Mayor
Town of Weldon
109 Washington Ave.
P.O. Box 551
Weldon, NC 27890
Division of Water Quality
Coleen H. Sullins
Director
November 4, 2009
Subject: Compliance Evaluation Inspection
Weldon WWTP Stormwater Permit
NPDES Permit No. NCG110086
Halifax County
Dear Mayor Draper:
Dee Freeman
Secretary '
On October 28, 2009, Myrl Nisely of the Raleigh Regional Office conducted a compliance inspection of
the stormwater program for the Weldon WWTP facility with assistance from ORC Donald Crowder and
Backup ORC Bill Hux. The program was in compliance. Attached is a checklist containing inspection
details.
The Stormwater Pollution Prevention Plan manual had been maintained and showed evidence of an
active and fully implemented program. Employee training is yet to do by year's end. Good
housekeeping and attention to careful sludge handling during Synagro hauling help protect the
stormwater discharged from the site.
If you have comments or questions, please contact me at 919-791-4255.
Sincerely,
Myrl A. Nisely
Environmental Chemist
Raleigh Regional Office
Attachment
cc: RRO SWP File w/ attachment`
Central Files w/ attachment
None Carolina
)atmrally
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone [phone] Customer Service
Internet: www,ncwaterquality.org 1628 Mail Service Center Raleigh, NC 27699-1628 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper

rnk4M�.i. �y �'`:€�Suj�.ikYiidi�s"alii.+A�

Compliance Inspection Report
Permit: NCG110086 Effective: 06/01/08 Expiration: 05/31/13 Owner: Town of Weldon
SOC: Effective: Expiration: Facility: Town of Weldon WWTP
County: Halifax 526 River Rd
Region: Raleigh
Weldon NC 27890
Contact Person: Donald L Crowder Title: Phone: [phone]
Directions to Facility:
system Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 10/28/2009 Entry Time: 10:00 AM Exit Time: 10:45 AM
Primary Inspector: Myrl Nisely Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Municipal WWTP > 1MGD, Stormwater Discharge, COC
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: 1

r
Permit: NCGt10086 Owner- Facility: Town of Weldon
Inspection Date: 10/28/2009 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes
No
HA
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 fist 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?
■
❑
❑
0
# 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?
■
❑
❑
❑
# 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: Employee training for 2009 will be accomplished by year's end.
Be sure to add a revision date into the SP3 when each annual revision is made.
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?
❑
❑
■ ❑
# 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?
■
❑
❑ ❑
# If the facility has representative outfail status, is it properly documented by the Division?
❑
Cl
■ ❑
# Has the facility evaluated all illicit (non stormwater) discharges?
■
❑
❑ ❑
Comment:
Page: 3

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 31, 2009
The Honorable G. W. Draper, Mayor
Town of Weldon
109 Washington Ave.
P.O. Box 551
Weldon, NC 27890
Subject: Compliance Evaluation Inspection
Weldon WWTP Stormwater Permit
NPDES Permit No. NCG 110086
Halifax County
Dear Mayor Draper:
On March 25, 2009, Myrl Nisely of the Raleigh Regional Office conducted a compliance inspection of
the stormwater program for the Weldon WWTP facility with the help of ORC Donald Crowder. The
facility was in compliance. Attached is a checklist containing inspection details.
The Stormwater Pollution Prevention Plan manual had been maintained and showed evidence of an
active and fully implemented program. Employee training and semi-annual qualitative observations had
been carried out, for example. The most significant potential threat to stormwater occurs during
episodes of sludge transport for land application.
If you have comments or questions, please contact me at 919-791-4255.
Sincerely,
Myrl . Nisely
Environmental Chemist
Raleigh Regional Office
Attachment
cc: RRO SWP File w/ attachment
Central Files w/ attachment
None hCarohna
Naturally
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone [phone] Customer Service
Internet: wwwr.ncwaterquality.org 1628 Mail Service Center Raleigh, NC 27699-1628 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

iV
Compliance Inspection Report
Permit: NCG110086 Effective: 06/01/08 Expiration: 05/31/13 Owner: Town of Weldon
SOC: Effective: Expiration: Facility: Town of Weldon WWTP
County: Halifax 525 River Rd
Region: Raleigh
Weldon NC 27890
Contact Person: Donald L Crowder Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 03/25/2009 Entry Time: 10:00 AM Exit Time: 10:45 AM
Primary Inspector: Myrl Nisely Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Municipal WWTP > 1 MGD, Stormwater Discharge, COC
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: 1

Permit: NCG110086 Owner - Facility: Town of Weldon
Inspection Date: 03/25/2009 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?
■
❑
❑
❑
# 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?
■
❑
❑
❑
# 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: Employee training provided 10/21/08
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
■
❑
❑
❑
Comment: Last on 2/19/09
Analyticai Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? ❑ ❑ ■ ❑
# 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?
■
❑
❑
❑
# If the facility has representative outfall status, is it properly documented by the Division?
❑
❑
■
❑
# Has the facility evaluated all illicit (non stormwater) discharges?
■
❑
❑
❑
Comment:
Page: 3

O�O� W AT �9QG •
�2 (W r
. Michael F. Easley, Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
March 12, 2008
The Honorable G. W. Draper, Mayor
Town of Weldon
109 Washington Ave.
P.O. Box 551
Weldon, NC 27890
Subject: Compliance Evaluation Inspection
Weldon W WTP Stormwater Program
Permit No. NCG 110086
Halifax County
Dear Mayer Draper:
Alan W. Klimek, P.E., Director
Division of Water Quality
TIM
On March 11, 2008, Mr. Myrl Nisely and Mr. Cheng Zhang of the Raleigh Regional Office conducted a
compliance evaluation inspection of the Stormwater program at the Weldon Wastewater Treatment Plant with
the help of ORC Donald Crowder. The facility was in compliance.
Description: Stormwatcr runoff is collected via several drop inlets, combined with flow from off -site, and is
discharged into a short swale to the Roanoke River, a class C stream in the Roanoke River basin.
Observations: Attached is a checklist for the inspection. All components of the Stormwater Pollution
Prevention Plan manual were present and up to date. Semi-annual qualitative observations have been carried
out, as well as annual employee training.
If you have comments or questions, please contact me at 919-791-4200 or at [e-mail].
Sincerely,
Myr A. Nisely
Environmental Chemist
Raleigh Regional Office
cc: SWP/RRO files
Central Niles
NorthCarolin
A#Urall!l
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection
Internet: h2o.enr.state.nc.us 1628 Mail Service Center Raleigh, NC 27699-1628
An Equal Opportunity/Affrmabve Action Employer — 50% Recycled110% Post Consumer Paper
Phone [phone] Customer Service
FAX [phone]

Compliance Inspection Report
Permit: NCG110086 Effective: 09/23/05 Expiration: 04/30/08 Owner: Town of Weldon
SOC: Effective: Expiration: Facility: Town of Weldon WWTP
County: Halifax 525 River Rd
Region: Raleigh
Weldon NC 27890
Contact Person: Donald L Crowder Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Certification: Phone:
Inspection Date: 03/11/2008 Entry Time: 02:00 PM Exit Time: 02:30 PM
Primary Inspector: Myra Nisely Phone: [phone]
Secondary Inspector(s):
Cheng Zhang Phone:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Municipal WWTP > 1 MGD, Stormwater Discharge, COC
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

. Permit: NCG110086 Owner - Facility: Town of Weldon
Inspection Date: 03/1112008 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 Genera! 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?
# 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?
# 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: Employee training last provided on 12/20/2007.
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment:
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comment:
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outfalis observed during the inspection?
# If the facility has representative outfall status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment:
Yes No NA NE
■ ❑ ❑ ❑
❑ ❑ ■ ❑
❑ ❑ ■ ❑
Yes No NA NE
Page: 3

Kurt D. Wright, PE
163 Heritage Lane
Bostic, NC 28081
August 28, 2006
Mr. Jonathan Diggs
Division of Water Quality
NC DENR
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Town of Weldon
Wastewater Treatment Plant
Storm water Pollution Prevention Plan
Dear Mr. Diggs,
O
Pursuant to Part II Section A of General Permit NCG110000 enclosed is one copy
of the Stormwater Pollution Prevention Plan prepared for the Weldon Wastewater
Treatment Plant.
If you should have any questions regarding the above please do not hesitate to
contact me at 828.245.4080 or email [e-mail].
Very truly yours,
Kurt Wright, PE
Cc (w/ encl.) Green Engineering
Donald Crowder, Town of Weldon

Stormwater Pollution
Prevention Pi -an
Iffl-111
WELDON WASTEWATER
TREATMENT PLANT
TOWN OF WELDON
HALIFAX COUNTY, NORTH CAROLINA
AUGUST 2006
Prepared by:
GREEN ENGINEERING, P.L.L.C.
303 N. Goldsboro St.
Wilson, North Carolina 27893
[phone]
GREEN ENGINEERING PROIECrNO. OSS625

TABLE OF CONTENTS
1. SITE PLAN
2. STORMWATER MANAGEMENT PLAN 4
3. SPILL PREVENTION AND RESPONSE PLAN 5
4. PREVENTATIVE MAINTENANCE
AND GOOD HOUSEKEEPING PROGRAM 6
5. EMPLOYEE TRAINING
6. RESPONSIBLE PARTY
7. PLAN AMENDMENT
8. FACILITY INSPECTION PROGRAM
9. IMPLEMENTATION
FIGURE 1: General Location Map
FIGURE 2: Wastewater Treatment Plant Stormwater System
EXHIBIT A: Certification of Stormwater Outfall
7
7
7
8
0

Stormwater Pollution Prevention Plan
Weldon Wastewater Treatment Plant
Town of Weldon
Halifax County, NC
August 14, 2006
This Stormwater Pollution Prevention Plan is prepared in accordance with and follows
the Format of Part II Monitoring, Controls, and Limitations for Permitted Discharges,
Section A: Stormwater Pollution Prevention Plan found on pages Part II 1 through 5 of
the Town of Weldon's General Stormwater Permit No. NCGI10000 issued by the NC
Division of Water Quality on September 23, 2005.
1. SITE PLAN
(a.) A general location map of the wastewater treatment plant existing facilities is
provided in Figure I which shows the location of the wastewater treatment
plant in relationship to transportation routes and the receiving water to which
the stormwater outfall discharges, the Roanoke River. The latitude and
longitude of the discharge point is 36' 25' 24" and 77' 34' 39" respectively.
(b.) The Town of Weldon stores chemicals at the wastewater treatment plant that
are necessary for the operation and maintenance of facility.
Town of Weldon Stormwater Pollution Prevention Plan
Page 1 of 8

Table 1: List of Chemicals Stored on Site
Description of Chemicals
Purpose
Location
Stored on sitc
1. Two (2) five gallon
Lubrication of the
Operations Building
containers of turbine oil.
rotors in the aeration
basin.
2. Four (4) 150 pound
Disinfection
Chemical Feed
cylinders of gaseous chlorine
Building
C12
3. Four (4) 150 pound
Dechlorination
Chemical Feed
cylinders of gaseous sulfur
Building
dioxide SOz)
4. sodium hydroxide
pH adjustment
Small Chemical Feed
(NaOH)
Building near the
Animal Shelter
Small amounts of other chemicals are stored on site such as reagents in the
laboratory, cleaning supplies, etc. that will not be included in this report.
The turbine oil is purchased by the operations personal, brought to the plant
site by them and stored in the Operations Building. The chlorine and sulfur
dioxide 150 pound containers are brought to the plant site by a commercial
truck and offloaded to the Chemical Feed Facility. The same is true for
sodium hydroxide (caustic soda). Only quantities necessary for immediate
use are stored on site. There is no long term storage of these or other
chemicals on site.
There are no chemicals stored outside exposed and unprotected. There are no
outside process areas involving chemicals. Chemical use is contained within
dedicated structures. No dust or particulates are generated at this facility.
Town of Weldon Stormwater Pollution Prevention Plan
Page 2 of 8

Waste sludge is stored in an in -ground concrete sludge holding basin. A
licensed sludge disposal company pumps the sludge from the holding basin
into trucks for land application off site.
(c.) Figure 2 shows the existing stormwater system to scale as well as the existing
wastewater treatment plant facilities. The storm water system consists of 11
catch basins; 15 and 30 inch diameter stormwater pipe; one sediment trap,
several rock check dams and one discharge to the Roanoke River. The
latitude and longitude of the discharge point is 36' 25' 24" and 77' 34' 39"
respectively.
Stormwater from a private farm upstream of the wastewater treatment plant is
captured in catch basin # 1 and conveyed around the wastewater treatment
plant. All other stormwater within the wastewater treatment plant is captured
in the catch basins and conveyed offsite through the sediment trap to the
discharge point.
(d.) There have been no spills or leaks at the wastewater treatment plant during the
3 previous years.
(e.) Certification that the stormwater outfall has been evaluated for the presence of
non-stormwater discharges is found in Exhibit A. Non-stormwater discharges
have not been found at the outfall.
Town of Weldon Stormwater Pollution Prevention Plan
Page 3 of 8

2. STORMWATER MANAGEMENT PLAN
(a.) Feasibility Study
An onsite evaluation was conducted of the chemicals utilized at the
wastewater treatment plan, the method of operations and storage practices
employed on site. The Town of Weldon's operation staff is properly
managing ,the chemicals stored on site. There is no direct potential
contamination of stormwater by the chemicals utilized on site. No changes to
the existing operations and storage practices are recommended.
(b.) Secondary Containment Schedule
There is no requirement for a secondary containment schedule for the bulk
storage of liquid materials at the Weldon wastewater treatment plant.
(c.) Best Management Practices (BMP) Summary
No non-stormwater discharges were identified at the existing sediment trap or
discharge point. All chemicals used at the wastewater treatment plant are
properly managed and stored by the operations staff. No spills or leaks have
occurred within the last three (3) years at the wastewater treatment plant. No
structural BMPs are necessary at the wastewater treatment plant at this time.
The following non-structural BMPs are recommended as good practice to
follow by the operations staff on a continuous basis.
Town of Weldon Stormwater Pollution Prevention Plan
Page 4 of 8

Table 2: Non -Structural BMPs
1. Eliminate exposure of materials and equipment wherever possible by
moving materials and equipment to indoor locations.
2. Practice good housekeeping on -site. Keep materials handled and
stored at the facility in an orderly fashion.
3. Examine process and exchange hazardous materials for non -hazardous
ones wherever possible.
4. Establish routine leak and maintenance checks to minimize the chance
of spills before they occur. When spills do occur, clean them up
immediately.
5. Establish bulk storage tank protocols that minimize the risk of spills
during loading and unloading procedures.
6. Store used pallets and process waste dumpsters inside or under a roof
where water cannot flow on or around them.
3. SPILL PREVENTION AND RESPONSE PLAN
(a.) Conduct an Annual Inspection of the Plant Facilities.
(b.) Update the SPPP based on the Annual Review.
(c.) The Director of Public Utilities (DPU) shall have overall responsibility for
implementing the Spill Prevention and Response Plan.
(d.) The Chief Operator shall have day-to-day responsibility for operating
procedures and controlling potential contamination of stormwater.
(e.) If an accidental chemical spill results in potential stormwater contamination the
Chief Operator shall take immediate steps to protect the spill from entering the
catch basins. This shall initially consist of placing impervious protection devices
around the catch basins affected by the spill. These devices shall be on hand at
the wastewater treatment plant at all times. The Chief Operator shall then
contact the DPU for instructions on spill clean up and follow-up measures.
Town of Weldon Stormwater Pollution Prevention Plan
Page 5 of 8

(f) Contact the Division of Water Quality if the accidental spill results in any water
quality violation.
(g.) A post evaluation shall be conducted after the spill cleanup has been completed
to determine the cause of the spill and to take necessary measures to adjust
operation and maintenance procedures to eliminate as much as possible the
potential for contamination to stormwater.
4. PREVENTATIVE MAINTENANCE AND GOOD HOUSEKEEPING
PROGRAM
The Town of Weldon's operation and maintenance staff at the wastewater treatment
plant consist of the Director of Public Utilities (DPU) and two operators. Both
operators at the wastewater treatment plant are responsible for conducting an
assessment of potential pollutant sources once per month. The assessment shall
consist of a walk through of the wastewater treatment plant facility documenting any
changes in the use and storage of chemicals at the wastewater treatment plant. Any
changes shall be noted and identified to the DPU who shall perform the following
actions upon notification of any changes.
I , Visually inspect the change to verify if they are the result of approved operational
procedures.
2. Identify if the changes will become permanent.
3. Review the non-structural BMPs to take immediate action as necessary to prevent
potential contamination of stormwater.
4. If needed consult the Town Engineer to modify the Stormwater Pollution
Prevention Plan as necessary to incorporate measures to prevent potential
contamination of stormwater.
Town of Weldon Stormwater Pollution Prevention Plan
Page 6 of 8

5. EMPLOYEE TRAINING
The DPU shall conduct annual training on proper spill response, cleanup procedures and
preventative maintenance activities.
6. RESPONSIBLE PARTY
The DPU shall be responsible for the overall coordination, development, implementation,
and revision to the SPPP. The DUP shall utilize the Town Engineer as necessary for
review and updating components of the SPPP.
7. PLAN AMENDMENT
The Town of Weldon shall amend the SPPP whenever there is a change in design,
construction, operation, or maintenance at the wastewater treatment plant which has a
significant effect on the potential for the discharge of pollutants to the Roanoke River.
The SPPP shall be reviewed by the Town Engineer on an annual basis.
8. FACILITY INSPECTION PROGRAM
The DPU shall conduct an inspection of all stormwater systems on the following
schedule:
Number of Inspections Season Date
First Annual Inspection Fall (Sept. — Nov.) October I"
Second Annual Inspection Spring (Apr. — Jun.) May Ist
Town of Weldon Stormwater Pollution Prevention Plain
Page 7 of 8

The inspections will be conducted either by the DPU personally, or the DPU shall have
the Town Engineer conduct the inspection. The inspections shall be documented
recording the date and time of the inspection, individual(s) performing the inspection and
a narrative description of the facility's stormwater control systems, plant equipment and
systems. Records of these inspections shall be incorporated into the SPPP and shall be
kept on file for five (5) years.
The stormwater discharge characteristic monitoring as required in Part II of the General
Stormwater Permit identified above shall be performed in addition to the facility
inspections.
9. IMPLEMENTATION
The Town of Weldon shall document all monitoring, measurements, inspections and
maintenance activities and training provided to employees, including the log of the
sampling data and of activities taken to implement BMPs. Such documentation shall be
kept on -site for a period of five (5) years and made available to the Division of Water
Quality upon request.
Town of Weldon Stormwater Pollution Prevention Plan
Page 8 of 8

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CERTIFICATION OF STORMWATER OUTFALL
WELDON WASTEWATER TREATMENT PLANT
TOWN OF WELDON, NC
REF: TO WHOM IT MAY CONERN
DATE: August 28, 2006
The Town of Weldon owns and operates a wastewater treatment plant (WWTP) located
at 525 River Road, Weldon, NC 27890 under NPDES Permit NC0025721. On
September 23, 2005 this plant was certified by the Division of Water Quality to operate
under General Storm Water Permit No. NCG110000-
This Certification is provided by Green Engineering pursuant to Part II, Section A part 1
(e) on behalf of the Town of Weldon. The plant was inspected by Kurt Wright, PE of
Green Engineering with Donald Crowder, Director of Public Utilities and ORC of the
WWTP.
This certifies that the stormwater outfall located at the Weldon Wastewater Treatment
Plant with Lat: 360 25' 24" and Long: 77' 34' 39" has been evaluated for the presence of
non-stormwater discharges.
To the best of my knowledge and belief, no non-stormwater charges appear to be
present at this outfall.
K Wright, PE
'.0pIIIIIP1t10r,
11
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1 11694
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Re: Weldon SW Permit Status
C
t
Subject: Re: Weldon SW Permit Status
From: Bethany Georgoulias<[e-mail]>
Date: Mon, 17 Apr 2006 16:23:00 -0400 F-OX t f '
To: Myrl Nisely <[e-mail]> Inw
CC: Sarah Young <[e-mail]> �C b
Sure thing, Myrl! The number is...
NCG110086. (Jonathan had issued it).
I'm not sure what to do about the No Exposure that shouldn't be in review... Sarah,
how do we kill that one in BIMS?
-BG
Myrl Nisely wrote:
Bethany,
I created a good bit of confusion for the Weldon WWTP a while back by erroneously
guiding them to apply for a no exposure permit. BIMS shows that permit NCGNE0242
is under review. In reality, that should have been "killed off" and NCGll
something should have been (was?) issued to them. The ORC has an engineer working
on the SP3 manual, so I think they have actually received it. Would you have time
to find the NCGll COC number in the next few days?
Thanks,
Myrl
1 of 1 4/17/2006 4:39 PM

Michael F. Easley, Governor
o�0� w A rf�,Q�
0 Nii� _C�
September 23, 2005
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Mr. Donald L. Crowder I e — -
Comark Building Systems Inc:
PO Box 551� :=
Weldon, NC 27890
co Subject: General Permit No. NCGI 10000
Town of Weldon WWTP
COC NCG 110086
Halifax County
Dear Mr. Crowder:
In a letter dated August 2, 2005,1 mentioned that your facility may be eligible for a no -
exposure certification. We received your no -exposure certification on August 25, 2005. Upon
further review from the Raleigh regional office, it has been determined that your facility should
not receive a no -exposure certification. I apologize for any confusion surrounding this issue.
We are denying your request for a no -exposure certification and are issuing a certificate of
coverage under the general stormwater permit for waste water treatment plants (NCG110000).
In accordance with your application for a discharge permit received on March 3, 2005 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).
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 Jonathan Diggs at
telephone number [phone] ext. 537.
Sincerely,
ORIGINAL SIGNED BY f
BRADLEY BENNETT
Alan W. Klimek, P.E..;
CC' RaleigtEE:e—gional-Office
Central Files
Stormwater Permitting Unit Files Northcarorna
Natundil
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer service
Internet: h2o.enr.statemc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10%a Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGI10000
CERTIFICATE OF COVERAGE NO. NCG110086
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,
Town of Weldon
is hereby authorized to discharge stormwater from a facility located at
Town of Weldon WWTP
525 River Road
Weldon
Halifax County
to receiving waters designated as Roanoke River, a class C water in the Roanoke River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III,
IV, V, and VI of General Permit No. NCG110000 as attached.
This Certificate of Coverage shall become effective September 23, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 23, 2005.
ORIGINAL SIGNED BY
BRADLEY BENNETT
Alan W. Klimek, Director
Division of Water Qualityz `
By Authority of the Environmental Management Commission

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Markers
Name: Weldon WW7P
Short Name: WldnWW
Coordinates: 0360 25' 20.53" N, 0770 34' 42.36" W
Comment: Weldon WW7P NCG110086, subbasin 03-02-08, Roanoke River Basin, Halifax County,
Roanoke River, Class C, USGS quad Roanoke Rapids

w A r�Rp�
CO
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Mr. Donald L. Crowder
Town of Weldon
PO Box 551
Weldon, NC 27890
Dear Mr. Crowder:
Michael F. Easley. Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
August 2, 2005
x G �.
.5 r i rr
co Q
Subject: General Permit,&'6ANCG1100003
Town of Weldon �WWTP -
COC NCG110085 -
Halifax County
We received your Notice of Intent for the NCGI 10000 stormwater permit for wastewater
treatment plants on March 4, 2005. 1 apologize for the length of time it has taken the Division to
respond to your NOI. Myr] Nisely of the Raleigh Regional Office conducted a site visit at your
facility on May 20, 2005, and he advised me that your facility would qualify for a no -exposure
certification. I am writing this letter to inform you of his comments, and I have attached the no -
exposure certification form for your review. Please inform me if you would like to receive your
stormwater permit or if you would like to certify that no -exposure conditions at your facility
exist. The no -exposure form does not require any fees.
If you have any questions concerning the stormwater permit or the no -exposure
certification, please contact me at telephone number [phone] ext. 537.
Sincerely,
Jonathan A. Diggs
CC' Raleigh Regional Office
Central Files
Stormwater Permitting Unit Files
NNo hCarolina
aturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.nc.us 512 N. Salisbury St, Raleigh, NC 27604 FAX [phone]
An Equal opporlunitylAffirmative Action Employer — 50% Recycled1100% Post Consumer Paper

NPDES STAFF REPORT AND RECOMMENDATIONS
FOR Weldon WWTP
Date: May 20, 2005
To: Stormwater and General Permits Unit
Attention: Jonathan Diggs
Report Prepared by: Myrl Nisely
County: Halifax
Permit No. NCG110086
GENERAL INFORMATION
This WWTP will almost certainly qualify for a No Exposure Certification. Chemicals in the
plant include caustic stored in a small building near the influent structure, chlorine and sulfur
dioxide safely stored in a brick building for disinfection, and oil for equipment inside the
maintenance building. Sludge handling has a collection drain system that returns any spillage to
the head of the plant.
The facility has stormwater collection drains strategically located throughout the plant that take
rainwater to a retention pond at the northeast corner of the site before release to the Roanoke
River.

Re: Weldon WWTP No Exposure
Subject: Re: Weldon WWTP No Exposure
From: Myrl Nisely <[e-mail]>
Date: Wed, 31 Aug 2005 14:42:53 -0400
To: sarah young <[e-mail]>, Jonathan Diggs <[e-mail]>, Bradley
Bennett <[e-mail]>
CC: Ken Schuster <[e-mail]>
Folks, Ken S. and I have talked this PM, and he has convinced me that we cannot
really offer No Exposure unless an entire facility is under roof. To do so, even
case by case, will get into very subjective calls and enforcement difficulties. I
was wrong in urging Don Crowder at Weldon to make this application. We should deny
it and go back to the application they made for the NCGll permit. Sorry for the
delay!
Myrl
sarah young wrote:
sounds good Myrl
Sarah M. Young
Processing Assistant NCDENR Division of Water Quality
Wetlands and Stormwater Branch
[phone] x502
[e-mail]
http://h2o.enr.state.nc.us/
Myrl Nisely wrote:
OK. My personal opinion is that many WWTPs, especially Majors, keep materials
stored inside and have good housekeeping. In a recent staff meeting, though,
several opinions were expressed. 1) since EPA thinks this sector should have a
permit, who are we to waive it? 2) there are still opportunities to spill
sludge and otherwise contaminate stormwater. So, Ken S. said we should seldom,
if ever, go for a No Exposure. I'd still like to discuss (argue?!) it some
more, and see what Bradley thinks. So will talk to you tomo--oops, I am going
to be away tomorrow. Can we talk on Friday?
Myrl
sarah young wrote:
Myrl-
Jonathan and I would like to wait until Bradley comes back tomorrow, as he
has more knowledge when it comes to issuing no -exposures for wastewater
treatment plants than we do. We will give you a call tomorrow. Thanks, Sarah
Myrl A. Nisely <-
Environmental Chemist II NC DENR - Div. Water Quality Raleigh Regional Office 1628
Mail Service Center Raleigh, NC 27699-1628 Telephone: [phone], x4255
Fax: [phone]
mvr1.niselv9ncmail.net
1 of 1 9/6/2005 12:16 PM

vn° ti sat as C 6- / v
_N
9nVU ted tates Environmental Protection Agency or Approved
NPDES aA �t�aZ Washington, DC 20460
OMB o.2040-0211
FORM Awl E E CERTIFICATION for Exclusion from
3510-11 �(
ES Storm Water Permitting
Submission of this No Exposure Certification constitutes notice that the entity identified in Section A does not require permit authorization for its storm water
discharges associated with industrial activity in the State identified in Section B under EPA's Storm Water Multi -Sector General Permit due to the existence
of a condition of no exposure.
A condition of no exposure exists at an industrial facility when all industrial materials and activities are protected by a storm resistant shelter to prevent
exposure to rain, snow, snowmelt, and/or runoff. Industrial materials or activities include, but are not limited to, material handling equipment or activities,
industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage,
loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is
not required for the following industrial materials and activities:
— drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed"
means banded or otherwise secured and without operational taps or valves;
— adequately maintained vehicles used in material handling; and
— final products, other than products that would be mobilized in storm water discharges (e.g., rock salt).
A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is
available on a facility -wide basis only, not for individual outfalls. If any industrial activities or materials are or will be exposed to precipitation, the facility is
not eligible for the no exposure exclusion.
By signing and submitting this No Exposure Certification form, the entity in Section A is certifying that a condition of no exposure exists at its facility or site,
and is obligated to comply with the terms and conditions of 40 CFR 122.26(g),
ALL INFORMATION MUST BE PROVIDED ON THIS FORM.
Detailed instructions for completing this form and obtaining the no exposure exclusion are provided on pages 3 and 4.
A. Facility Operator Information tt���
1. Name: 2. Phone: 12151 l 513 11,1314171
3. Mailing Address: a. Street: IP PU xl 515 ) I I I I I I, I I I I I I II_I I I I I II II I
b. City. [Q] Q.i 1i I� 10 ItL1! I I I I I I l I I I I I I I I c. State: Ty d. Zip Code: {eZ 17 9 19
1 1 1 1 1
B. Facility/Site Location Information ' _\ ] 1, ] 1 1
1. Facility Name: PIP- lU lair) I WAIS I l i9_i0iA 1 i1 I rl I l I rl�. t 1r1'►itin I► I �I�A\
2. a. Street Address: is1a151 �IN 1 lIIe1 r1 I!`I act Id I I I I I I i I I I I Iilil I/n1 I I II I I v l
b. City: WQ11_ i�l0l rX I I I I I I I I I I I! I 1 I 1 c. County: 19IJ91 if I-i I& /V I I �
d. State: LI � e. Zip Code: Q, 171 1?[7101 — I 1 I I
3. Is the facility located on Indian Lands? Yes ❑ No
4. Is this a Federal facility? Yes ❑ No
��!p� I�.crI���� 1� t�
5. a. Latitude: 5 1 �I o � � - b. Longitude: ti t f t—J � u * l 0`
6. a. Was the facility or site previously covered under an NPDES storm water permit? Yes ❑ No X]
b. If yes, enter NPDES permit number:
7. SIC/Activity Codes: Primary: I I __l__ l_ Secondary (if applicable): 1 I I
8. Total size of site associated with industrial activity: t, acres
9. a. Have you paved or roofed over a formerly exposed, pervious area in order to qualify for the no exposure exclusion? Yes ❑ No b4
b. If yes, please indicate approximately how much area was paved or roofed over. Completing this question does not disqualify you for the no exposure
exclusion. However, your permitting authority may use this information in considering whether storm water discharges from your site are likely to have
an adverse impact on water quality, in which case you could be required to obtain permit coverage.
Less than one acre ❑ One to five acres ❑ More than five acres ❑
EPA Form 3510.11 (10.99) Page 1 of 4

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NPDES I NO EXPOSURE CERTIFICATION for Exclusion from Form Approved
FORM �-,EPA OMB No.2D44-D2i 1
3510-11 NPDES Storm Water Permitting
C. Exposure Checklist
Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future?
(Please check either "Yes" or "No" in the appropriate box.) If you answer "Yes" to any of these questions
(1) through (11), you are not eligible for the no exposure exclusion.
Yes
No
1. Using, storing or cleaning industrial machinery or equipment, and areas where residuals from using, storing{
or cleaning industrial machinery or equipment remain and are exposed to storm water
2. Materials or residuals on the ground or in storm water inlets from spills/leaks
3. Materials or products from past industrial activity
IJ
4. Material handling equipment (except adequately maintained vehicles)
5. Materials or products during loading/unloading or transporting activities
El
I?
6. Materials or products stored outdoors (except final products intended for outside use (e.g., new cars] where
exposure to storm water does not result in the discharge of pollutants)
JON
7. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers
54
6. Materials or products handled/stored on roads or railways owned or maintained by the discharger
El
9. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters))
10. Application or disposal of process wastewater (unless otherwise permitted)
ling
11. Particulate matter or visible deposits of residuals from roof stacks and/or vents not otherwise regulated
El
Z.
(i.e., under an air quality control permit) and evident in the storm water outflow
D. Certification Statement
I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an
exclusion from NPDES storm water permitting.
I certify under penalty of law that there are no discharges of storm water contaminated by exposure to industrial activities or materials from the industrial
facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)).
I understand that I am obligated to submit a no exposure certification form once every five years to the NPDES permitting authority and, if requested, to
the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that I must
allow the NPDES permitting authority, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no
exposure and to make such inspection reports publicly available upon request. I understand that I must obtain coverage under an NPDES permit prior
to any point source discharge of storm water from the facility.
Additionally, 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 gathered and evaluated 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 fine and imprisonment for knowing violations.
Print Name: DiblAlAil 161 1-1 icir' wle-IC I I I. I I I I I I I I I I I I I_I
Date: 0 IV 1910 I
EPA Form 3510-11 (10-99) Page 2 of 4

NPDES Instructions for the NO EXPOSURE CERTIFICATION for Form Approved
351°0-1^] .'"`.EPA OMB No.2040-0211
Exclusion from NPDES Storm Water Permitting
Who May File a No Exposure Certification Section B. Facility/Site Location Information
Federal law at 40 CFF1 Part 122.26 prohibits point source discharges of 1. Enter the official or legal name of the facility or site.
storm water associated with industrial activity to waters of the U.S. without
a National Pollutant Discharge Elimination System (NPDES) permit. However, 2. Enter the complete street address (if no street address exists, provide
NPDES permit coverage is not required for discharges of storm water a geographic description (e.g., Intersection of Routes 9 and 551), city,
associated with industrial activities identified at 40 CFR 122.26(b)(14)(i)- county, state, and zip code. Do not use a P.O. Sox number.
(ix) and (xi) if the discharger can certify that a condition of "no exposure"
exists at the industrial facility or site. 3. Indicate whether the facility is located on Indian Lands.
Storm water discharges from construction activities identified in 40 CFR
122.26(b)(14)(x) and (b)(15) are not eligible for the no exposure exclusion.
Obtaining and Maintaining the No Exposure Exclusion
This form is used to certify that a condition of no exposure exists at the
industrial facility or site described herein. This certification is only applicable
in jurisdictions where EPA is the NPDES permitting authority and must be
re -submitted at least once every five years.
The industrial facility operator must maintain a condition of no exposure at
its facility or site in order for the no exposure exclusion to remain applicable.
If conditions change resulting in the exposure of materials and activities to
storm water, the facility operator must obtain coverage under an NPDES
storm water permit immediately.
Where to File the No Exposure Certification Form
Mail the completed no exposure certification form to:
Storm Water No Exposure Certification (4203)
USEPA
401 M Street, SW
Washington, D.C. 20460
Completing the Form
You must type or print, using uppercase letters, in appropriate areas only.
Enter only one character per space (i.e., between the marks). Abbreviate
if necessary to stay within the number of characters allowed for each item.
Use one space for breaks between words. One form must be completed
for each facility or site for which you are seeking to certify a condition of no
exposure. Additional guidance on completing this form can be accessed
through EPA's web site at www.epa.govlowm/sw. Please make sure you
have addressed all applicable questions and have made a photocopy for
your records before sending the completed form to the above address.
Section A. Facility Operator Information
1. Provide the legal name of the person, firm, public organization, or any
other entity that operates the facility or site described in this certification.
The name of the operator may or may not be the same as the name of
the facility. The operator is the legal entity that controls the facility's
operation, rather than the plant or site manager.
2. Provide the telephone number of the facility operator.
3. Provide the mailing address of the operator (P.O. Box numbers may be
used). Include the city, state, and zip code. All correspondence will
be sent to this address.
4. Indicate whether the industrial facility is operated by a department or
agency of the Federal Government (see also Section 313 of the Clean
Water Act).
5. Enter the latitude and longitude of the approximate center of the facility
or site in degrees/minutes/seconds. Latitude and longitude can
be obtained from United States Geological Survey (USGS) quadrangle
or topographic maps, by calling 1-(888) ASK-USGS, or by accessing
EPA's web site at hitp://www.epa,gov/owm/swfindustry/index.htm and
selecting Latitude and Longitude Finders under the Resources/Permit
section.
Latitude and longitude for a facility in decimal form must be converted
to degrees (1), minutes ('), and seconds (") for proper entry on
the certification form. To convert decimal latitude or longitude to
degrees/minutes/seconds, follow the steps in the following example.
Example: Convert decimal latitude 45.1234567 to degrees (°), minutes
(% and seconds (").
a) The numbers to the left of the decimal point are the degrees: 45°.
b) To obtain minutes, multiply the first four numbers to the right of the
decimal point by 0,006: 1234 x 0.006 = 7.404,
c) The numbers to the left of the decimal point in the result obtained
in (b) are the minutes: 7'.
d) To obtain seconds, multiply the remaining three numbers to the
right of the decimal from the result obtained in (b) by 0.06:
404 x 0.06 = 24.24. Since the numbers to the right of the decimal
point are not used, the result is 24".
e) The conversion for 45.1234567 = 45° 7' 24".
6. Indicate whether the facility was previously covered under an NPDES
storm water permit. If so, include the permit number.
7. Enter the 4-digit SIC code which identifies the facility's primary activity,
and second 4-digit SIC code identifying the facility's secondary activity,
if applicable. SIC codes can be obtained from the Standard Industrial
Classification Manual, 1987.
8. Enter the total size of the site associated with industrial activity in acres.
Acreage may be determined by dividing square footage by 43,560, as
demonstrated in the following example.
Example: Convert 54,450 ft2 to acres
Divide 54,450 h2 by 43,560 square feet per acre:
54,450 ft2 + 43,560 ft2/acre = 1.25 acres.
9. Check "Yes" or "No" as appropriate to indicate whether you have paved
or roofed over a formerly exposed, pervious area (i.e.. lawn, meadow,
dirt or gravel road/parking lot) in order to qualify for no exposure. If yes,
also indicate approximately how much area was paved or roofed over
and is now impervious area.
EPA Form 3510-11 (10-99) Page 3 of 4

0
NPDES I Instructions for the NO EXPOSURE CERTIFICATION for Form Approved
FORM -,EPA OMB No.2044-0211
3510-11 Exclusion from NPDES Storm Water Permitting
Section C. Exposure Checklist
Check "Yes" or "No" as appropriate to describe the exposure conditions at
your facility. If you answer "Yes" to ANY of the questions (1) through (11)
in this section, a potential for exposure exists at your site and you cannot
certify to a condition of no exposure. You must obtain (or already have)
coverage under an NPDES storm water permit. After obtaining permit
coverage, you can institute modifications to eliminate the potential for a
discharge of storm water exposed to industrial activity, and then certify to
a condition of no exposure.
Section D. Certification Statement
Federal statutes provide for severe penalties for submitting false information
on this application form. Federal regulations require this application to be
signed as follows:
For a corporation: by a responsible corporate officer, which means:
(i) president, secretary, treasurer, or vice-president of the corporation
in charge of a principal business function, or any other person
who performs similar policy or decision making functions for the
corporation, or
(ii) the manager of one or more manufacturing, production, or
operating facilities, provided the manager is authorized to make
management decisions which govern the operation of the
regulated facility including having the explicit or implicit duty of
making major capital investment recommendations, and initiating
and directing other comprehensive measures to assure long
term environmental compliance with environmental laws and
regulations; the manager can ensure that the necessary systems
are established or actions taken to gather complete and accurate
information for permit application requirements; and where
authority to sign documents has been assigned or delegated to
the manager in accordance with corporate procedures;
For a partnership or sole proprietorship: by a general partner or the
proprietor; or
For a municipal, State, Federal, or other public facility: by either a
principal executive or ranking elected official.
Paperwork Reduction Act Notice
Public reporting burden for this certification is estimated to average 1.0 hour
per certification, including time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Burden means the total time,
effort, or financial resources expended by persons to generate, maintain,
retain, or disclose to provide information to or for a Federal agency. This
includes the time needed to review instructions; develop, acquire, install,
and utilize technology and systems for the purposes of collecting, validating,
and verifying information, processing and maintaining information, and
disclosing and providing information: adjust the existing ways to comply with
any previously applicable instructions and requirements; train personnel to
be able to respond to a collection of information; search data sources;
complete and review the collection of information; and transmit or otherwise
disclose the information. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it
displays a currently valid OMB control number, Send comments regarding
the burden estimate, any other aspect of the collection of information, or
suggestions for improving this form, including any suggestions which may
increase or reduce this burden to: Director, OPPE Regulatory Information
Division (2137), USEPA, 401 M Street, SW, Washington, D.C. 20460,
Include the OMB control number of this form on any correspondence. Do
not send the completed No Exposure Certification form to this address.
EPA Form 3510-11 (10-99) Page 4 of 4

G. W. UGHNNYJ DRAPER, JR,
MAYOR
NEAL C. PHILLIPS
TOWN ADMINISTRATOR
LINDA W. GRIFFIN
CLERK
KAY TRIPP
TAX COLLECTOR
Mr. Jonathan A. Diggs
NCDENR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
afvn of Welbalt
109 WASHINGTON AVENUE
P.O. BOX 551
WELDON, N.C. 27890
PH. 252-536.4836
August 19, 2005
Subject: General Permit No. NCG 110000
Town of Weldon W WTP
COG NCGI 10086
Halifax County
Dear Mr. Diggs:
COMMISSIONER:
DOCK M. BROWN
EUGENE B. GRANT, JR.
MICHAEL D. HARGROVE
JULIA M. MEACHAM
HATTIE A. SQUIRE
L2
S y 9f1V
mgmm)g M
Enclosed for your review and processing is the required "No Exposure Certification"
form for Exclusion from NPDES Storm Water Permitting.
Should you have any questions or comments concerning this matter, please contact me at
[phone] or dlcrowderoncol.net.
Sincerely,
Donald L. Crowder
Public Utilities Director
Town of Weldon

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
August 2, 2005
Mr. Donald L. Crowder
Town of Weldon
PO Box 551
Weldon, NC 27890
Subject: General Permit No. NCG110000
Town of Weldon WWTP
COC NCG 110086
Halifax County
Dear Mr. Crowder:
We received your Notice of Intent for the NCG 110000 stormwater permit for wastewater
treatment plants on March 4, 2005. 1 apologize for the length of time it has taken the Division to
respond to your NOI. Myrl Nisely of the Raleigh Regional Office conducted a site visit at your
facility on May 20, 2005, and he advised me that your facility would qualify for a no -exposure
certification. I am writing this letter to inform you of his comments, and I have attached the no -
exposure certification form for your review. Please inform me if you would like to receive your
stormwater permit or if you would like to certify that no -exposure conditions at your facility
exist. The no -exposure form does not require any fees.
If you have any questions concerning the stormwater permit or the no -exposure
certification, please contact me at telephone number [phone] ext. 537.
Sincerely,
. Qwz_
Jonathan A. Diggs
cc: Raleigh Regional Office
Central Files
Stormwater Permitting Unit Files
Na hCarolina
Naturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699.1617 Phone [phone] Customer Service
Internet: h2o.enr.state.ne.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal OpportunitylAlfirmaNe Action Employer — 50% Recycled110% Post Consumer Paper

NPDES STAFF REPORT AND RECOMMENDATIONS
FOR Weldon WWTP
Date: May 20, 2005
To: Stormwater and General Permits Unit
Attention: Jonathan Diggs
Report Prepared by: Myrl Nisely
County: Halifax
Permit No. NCGI10086
GENERAL INFORMATION
This WWTP will almost certainly qualify for a No Exposure Certification. Chemicals in the
plant include caustic stored in a small building near the influent structure, chlorine and sulfur
dioxide safely stored in a brick building for disinfection, and oil for equipment inside the
maintenance building. Sludge handling has a collection drain system that returns any spillage to
the head of the plant.
The facility has stormwater collection drains strategically located throughout the plant that take
rainwater to a retention pond at the northeast corner of the site before release to the Roanoke
River.