NCG150006_COMPLETE FILE - HISTORICAL_20170701

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PEWIT NO.
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DOC TYPE
[9 HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
0 do -7 Op 01
YYYYMMDD

Division of Energy, Mineral, and Land Resources
Land Quality Section / Stormwater Program
gas
_ National Pollutant Discharge Elimination System (NPDES)
Energy, Mineral& PERMIT OWNER AFFILIATION DESIGNATION FORM
Land Resources
ENVIRONMENTAL QUALITY (Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must rill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legaliy responsible-individual"mean?
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
l) Enter the permit number for which this change in Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit (or) Certificate of Coverage
N I C I S I I I I I N I C I G 1 t< 5 d( Q
2) Facility Information:
Facility name: � ^l l� 0 rqot 4 � s 9 10,1a) �: r o r^
Company/Owner Orga4r1_zation: �� �'� oo 1s Q Ong A;
Facility address: ',�L 31 Z 5 &(' cr a ' rf i4; a r'
Address -
NR=,�_- P��M orgc}� fan /il � Z�G SS
Srt(3FtMR City State — Zip
To find the current legally responsible person associated with your permit, go to this website:
http.-//deq_nc.gov/about/divisions/enemy-mineral-land-resources/energy-mineral-land-12ennits/stonnwater-program
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: A )fix NWztl
First MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit
Page 1 of 2
First M1 Last
S W U-OWNE.RAFF11 23March2017

W
NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
Title
// MailingAddress
�Prc(r✓�YcJA) c-
�Q
(� City �State L Zip
1 )
(RZ9° )-75 - `o�g
� W77 -F[�p �40h�115 �rrrT �CfM
Telephone E-mail Address
Fax Number
5) Reason for this change:
A result of:
Employee or management change
Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
I, ,Ur 1�17 Z- 1-�, �7 'Le— 4 , attest that this application for this change in Owner Affiliation
(person legally responsible for-t/be permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of.this form are not completed, this change may not be
processed. , I`
Signatur
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral, and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Date
For more information or staff contacts, please call [phone] or visit the website at:
http://deq.nc.gov/about/divisions/energy-mineral-land-resources/stonnwater
S W U-O W Nri R AFF 1Ir23 Mar20 t 7
Page 2 of 2

• •
&A
■ CDEN !
North Carolina Department of Environment and -Natural Resources
Division of Water Quality
Beverly'Eaves-.Perdue Coleen H. Sullins
Governor Director
January 15, 2010
Mr. Alex Nelson
Foothills Regional Airport Authority
P.O. Box 3448
Morganton; NC 28680
Subject: General Permit No. NCG150000
Foothills Regional Airport Authority
COC NCG150006
Caldwell & Burke County
Dear Mr. Nelson:
Dee Freeman
Secretary
In accordance with your application for a discharge permit received on December 3, 2010,
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 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 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 pen -nits required by the Division of Land Resources,
Coastal Area Management Act or any other federal or local goverrunental permit that may be.
required.
If you have any questions concerning this permit, please contact Jennifer Jones at
telephone number [phone]-
.. siVFiIGIf1lAL
KEN Plc"
for Coleen H. Sullins
cc: Asheville Regional Office, Roger Edwards
Central Files
Stonnwater Permitting Unit Files ;
Wetlands and Stormwater Branch One
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 North Carol I n ci
Location: 512 N. Salisbury : Raleigh, 494Northk Carolina r Service:
y ���� f+����
Phone: 919$07-63t7fl 1 FAX: 919$p7-6494 4 Customer Service: 1$77$23-6748 j!/'?'I
Internet: www,ncwaterquality.org

r ti
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
-DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGI50000
CERTIFICATE OF COVERAGE No. NCGI50006
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,
Foothills Regional Airport Authority
is hereby authorized to discharge stormwater from a facility located at:
Foothills Regional Airport Authority
3566 Morganton Lenoir Airport Avenue
Morganton
Caldwell & Burke Counties
to receiving waters designated as a UT to Jumping Branch, a class WS-IV water in the Catawba
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. NCG150000 as
attached.
This certificate of coverage shall become effective January 15, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 15, 2010.
ORIGINAL. SIGNED BY
KEN PICKLE
for Coleen H. Sullins., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

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Foothills Regional Airport Authority
Morganton, NC
Latitude: 350 49' 14" N
Longitude: 811 36[ 4311 W
County: Caldwell & Burke Counties
Receiving Stream: LIT to Jumping Branch
Stream Class: WS-1V
Sub -basin: 03-08-31 (Catawba River Basin)
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Facility
Facility Location

Jones, Jennifer
From: Edwards, Roger
Sent: Monday, January 11, 2010 6:47 AM
To: Jones, Jennifer
Cc: Wiggs, Linda
Subject: RE: NCG150006 Foothills Regional Airport Authority February 8 2010
Jennifer,
ARO-SWP has no objections to the issuance of this permit. ARO-SWP will address any issue upon inspection of the facility.
Thanks,
Roger Edwards - Roger. [e-mail]
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Water Quality - Surface Water Protection
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
{Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and therefore may be disclosed to third
parties.
From: Jones, Jennifer
Sent: Friday, January 08, 2010 4:37 PM
To: Edwards, Roger
Cc: Jones, Jennifer
Subject: NCG150006 Foothills Regional Airport Authority February 8 2010
Hii Roger,
We've received an NOI from the Foothills Regional .Airport Authority for their airport in Morganton (Caldwell County) for coverage Under
NCGl5 (airport general permit). The site discharges stormwater into a UT to Jumping Branch (WS-M. The NOT is attached.

Site Location Map
Foothills Regional Airport,,
X.
:, r .� l,n
. f.. �� to Co Y, � •^! � . r
L
W-. ui�q
CA 7'
RIVER
Drexel, NC Quadrangle
Site Acreage m 1,076 +1- acres
Airport located within Catawba River Basin

Slte Location Map
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Foothills Regional Airport
y_••.
-i
C4
RIVER
Drexel, NC Quadrangle
Site Acreage m 1,076 +/- acres
Airport located within Catawba River Basin