NCG110151_COMPLETE FILE - HISTORICAL_20110207

North Carolina
Beverly Eaves Perdue
Governor
Mr. Ron Worthington
West Brunswick Regional
-.V*YA
NCDENR
Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
February 7, 2011
PO Box 249 — Wastewater Treatment Division
Bolivia, NC 28422
Dear Mr. Worthington:
Dee Freeman
Secretary
- v
FEB 09
1?01y
1
Subject: General Pen -nit No. NCGI 10000
West Brunswick Regional WRF
COC NCG 110151
Brunswick County
In accordancc with your application for a discharge permit received on January 26, 2011,
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 Agencv dated October 15, 2007 (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 ce. tifcate 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 pen -nit that may be
required.
If you have any questions concerning this permit, please contact Robert Patterson at
telephone number [phone]; or at [e-mail].
Sincerely,
ORIGINAL SIGNED S11
for Coleen H. SullWl PICKLE
cc: Wilmington Regional Office - Linda Willis
Central Files
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N Salisbury St. Ralegh, North Carolina 27604
Phone: 91H07-63001 FAX [phone] Customer Service: 1-877.623-6748
Intemet: www.ncwaterquality.org
onr NthCarolina
;Vatlzrally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG110000
CERTIFICATE OF COVERAGE No. NCG110151
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,
West Brunswick Regional
is hereby authorized to discharge stonnwater from a facility located at
West Brunswick Regional WRF
235 Grey Water Road
Supply
Brunswick County
to receiving waters &-signated as Royal Oak Swamp & a UT to Lockwoods Folly River, class C;
SW & SC; HQW waters, respectively, in the Lumber River Basin, in accordance with the
efiiuent lin-11tatiolls, iiiouitoring 1'equireiuefus, and uiiicr Conditions set 1,011,11 ill Parts 1, ii, ill, IV,
V, and VI of General Permit No. NCG 110000 as attached.
This certificate of coverage shall become effective February 7, 2011.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this the 71h day of February, 2011.
ORIGINAL SIGNED BN
KEN PICKLE
for Coleen H. Sullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission

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NCG110151
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Map Scale 1:24,000
West Brunswick Regional
West Brunswick Regional WRF
Latitude: 340 01' 38" N
Longitude: 78" 16' 22" W
Co;snty: Brunswick
Receiving Stream: Royal Oak Swamp / UT to Lockwoods
Folly River
Stream Index No.: 15-25-1-12 / 15-25-1-(11)
Stream Class: C; SW / SC; HQW
qi lh-haGin- n i_n7-c;4 (I i lmhPr River R;min)
Facility Location

Patterson, Robert
From: Willis, Linda
Sent: Friday, February 04, 2011 11:18 AM
To: Patterson, Robert
Subject: RE: NCG110151 - West Brunswick Regional
No, we asked them to apply. r
THX
LW
From: Patterson, Robert
Sent: Wednesday, February 02, 2011 2:05 PM
To: Willis, Linda
Subject: NCG110151 - West Brunswick Regional
Linda,
Please see NOI attached.
We have received an application for coverage of an existing facility under NCG 11 from West Brunswick Regional. The
facility has two sw outfalls; one drains to Royal Oak Swamp (class C; Sw) and the other to a UT to Lockwoods Folly River
(SC; HQW) in Supply (Brunswick County). They currently also have a non -discharge ww permit, WQ0023693. No vehicle
maintenance or haz waste. Does the WiRO have any concerns about issuing this facility a COC for this general permit?
Thanks!
Robert D. Patterson, PE
Environmental Engineer
NCDENR I DWQ j Stormwater Permitting
1617 Mail Service Center, Raleigh, NC 27699-1617 {Mail)
512 N. Salisbury St, Raleigh, NC 27604 1 9th Floor (Location &. Parcels)
[phone] Phone f (919' 807-6494 Fax I Robert. Patt.ersonu:ncdenr.gov Email
Website: http://Pot-tal,ncdenr.org/weblwq/ws/su
ABefore printing this email, please consider your budget and the environment.
If you must print, please print only what you need and save ink with the free Eco-Font.
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.
Robert D. Patterson., PE
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting
1617 Mail Service Center, Raleigh, NC 27699-1617 {Mail}
512 N. Salisbury St, Raleigh, NC 27604 1 9th Floor (Location &. Parcels)
[phone] Phone [phone] V-ax I Robert. Pattersonumcdenr. Gov Erna iI
Wcbsitc: http_I/portal.ncdenr.org/webZw(i/wslsu
hA Before printing this email, please consider your budget and the environment.
E-maH correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: NIQI CI IQ/Q/QI-QI 01 or Certificat , of Coverage No.: NIC/GlC2l-(2l d /J/Jz /1
Facility N f `
County: Q, J" t r Phon6 No.
Inspector:
Date of Inspection: - 7 770
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of 6m-Littee or Designee)
1. Outfall Description
Outfall No. .J Structure (pipe, ditch, etc.)
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color
Describe the color of the discharge using basic colors (red, brown,
dark) as descriptors: - _-
etc.) and tint (light, medium,
<K""' ,l
3. Odor
Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor,
etc.) .0 J a '6-
4. Clarity
Choose the number which best describes the clarity of the discharge where I is clear and 10 is very
cloudy:
1 2 0 4 5 6 7 8 9 10
Page 1
SWU-242•104599

Division of Water Quality 1 Water Quality Section
NC®ENR National Pollutant Discharge Elimination System
NOTICE OF INTENT
FOR AGLNCY USE ONLY
Date Receive
Year
MURth
Da
Ceniftcute UICUYnu
.,
Check N Amu t
Pe Msi J to
rs
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG 110000:
STORMWATER DISCHARGES associated with activities classified as:
Treatment Works treating domestic sewage or any other sewage sludge or wastewater treatment
device or system, used in the storage, treatment, recycling, and reclamation of.municipal or
domestic sewage, with a design flow of 1.0 million gallons per day or more, or required to have an
approved pretreatment program under Title 40 Code of Federal Regulations (CFR) Part 403,
including lands dedicated to the disposal of sewage sludge that is located within the confines of
the facility; and like activities deemed by DWO to be similar in the process and/or the exposure of
raw materials, products, by-products, or waste materials.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name W-6S r C K"� e g f"O rl A)
Street Address P 0 [3C j 9 LJr, SF _,J - E- rr-LA-1k
City )\:-1; ;cam State L ZIP Code -4'i3 q Z -'?-
Telephone No. cl to 1 S'S - 19 2-1 Fax: C\ 10 �LS z
E-mail Address _ 1 i %c,--) g_�J) I7'r C n S co , +'1 e-
2) Location of facility producing discharge:
Facility Name WEST 0C I`�,_, C-A W R
Facility Contact R u t� k_„01- "Ct T
Contact E-mail t'�,)o,r4ti,;�,e }c, C , 5 C �e 4
Street Address 2 35 G-e -a RL=o,�A
City 5 State C ZIP Code D'�- `I L
County ��. • s `, i-1�, _ _ _
Telephone No. q! ° _ Z�Y - y 'Z 1 Fax: 0 -7SSA 7q 2 -1
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadwa intersection). AT w Z-8 5u �fij` ,-­_ � � U car"" k
�yL r44 l�C u��-�i.� ,5 Gr�U L)i1ta� ICC1 l��s_e
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
o i rr
4) Latitude 3T_ 3 C fq Longitude 7 j Z Z W(degrees, minutes, seconds)
5) This NPOES Permit Application applies to which of the following:
❑ New or Proposed. Facility Dale operation is to begin r wa g'ipuen2lm
0 Existing 1y 1i3€k3LVM - aN30
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SWU-226-071408 Revls0d _ 09
+041 4".'J
c.• RV-'_1

A
NCG110000 N.O.I.
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this
ti facility
SIC Code:
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
thic fnrilifv-
8) Discharge points / Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? z
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Lccw.,�A5 lly ll�y .nr_
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer).
10) Does this facility have any other NPDES permits?
5d No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility: _
I } Does this facility have any Non -Discharge permits (ex: recycle permits)?
❑ No
1P Yes
If yes, list the permit numbers for all current. Non- Discharge permits for this facility:
12) Does this facility employ any best management practices for stormwater control?
I-1 [\in
® Yes (}
If yes, please briefly
1 describe: 5 �' ° �� ��� Srii GZ��U, t 0.
�dl,�-_r.d-'��-, S (:N1i c-r-,�
13) Does this facility have a Stormwater Pollution Prevention Plan?
Ill No
❑ Yes
If yes, when was it implemented?
14) Are vehicle maintenance activities occurring at this facility?
M No ❑ Yes
15) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
® No ❑ Yes
Page 2 of 4
SWU-226-071408 Last Revised 7/14/2008

v
NCG110000 N.O.I.
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
171 No ❑ Yes
c) Is this "facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
M No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor:
Vendor address:
16) Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article-; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management) Commission implementing this Article shall be guilty of a Gass 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, compete, and accurgie,
Printed Name of Person Signing: Uj-
Title:
(Signature of Apptica ) (Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR
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r
NCG110000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and all supporting documents
❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWO Central Office or Regional Office for your area.
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-Wl
Wilmington Office...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Ip-- 0-c'm
Page 4 of 4
SWU•2-26-071408 Last Revised 7/1412008
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