NCG150047_COMPLETE FILE - HISTORICAL_20170726

STORMWATER DIVISION CODING SHEET
NCG PERMITS.
PERMIT NO. /V 15 O'Qy
DOC TYPE HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE ❑
YYYYMMDD

Division of Energy, Mineral, and Land Resources
�• Land Quality Section 1 Stormwater Program
National Pollutant Discharge Elimination System (NPDES)
Energy, Mineral & PERMIT OWNER AFFILIATION DESIGNATION FORM
Land Resources
ENWRONMENTAL OUMAY (Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Received
Year
Mordh 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 ownershi of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally 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.
I) 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 I I I N I C I G I l S ©4
2) Facility Information: ',�C�1
Facility name: jut
Company/Owner Organization: %)
Facility address: Address
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
bttp://deg.nc. ov/about/divisions/enemy-mineral-land-resources/energy -mineral-land-permits/stonnwater-program
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Daw 14z� M G r i 4 , o
First MI Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit:
i-Z Q. tl E . S w c.r ; N ek p.1)
First MI Last
Page 1 of 2
S W U-O W NE RAF F 1L-2 3March20l 7

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
Title
y3 aaa `L.ow(lec Ay 1 cJ t on PkW 1'
Mailing Address
NQu..) L(Ondne) nc Z�g12'—
city State Zip
'704)g8a- nl3 k S LJoLr t, n 4 ein +0nIYea.A+Y
Telephone E-mail Ad ess
(704) q$3-ysco 1 cJ
Fax number
5) Reason for this change:
A result of: 19 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, h-AJ .�i.✓�9�/n��Zc.C� , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my.
knowledge. 1 understand that if all required parts of this form are not completed, this change may not be
processed.
Signature Da/to
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral, and Land Resources
Stormwater Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the website at:
htt ://de .ne. ov/about/divisions/ener -mineral-land-resources/stormwater
Page 2 of 2
S W U-O WNERAFFU,23Mar2017

ARM 9HR
North Carolina Department of Environment and Natural
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 26, 2010
Mr. David Griffin, Airport Manager
Stanly County Airport
38512 Aviation Drive
New London, North Carolina 28127
Resources
Dee Freeman
Secretary
Subject: General Permit No. NCG150000
Stanly County Airport
COC No. NCG150047
Stanly County
Dear Mr. Griffin:
In accordance with your application for a discharge permit received on Dec 1, 2009, we are forwarding
herewith the subject certificate of coverage (COC) 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).
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
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 Bill Diuguid at telephone number
[phone].
Sincerel &IGINAL SIGNED BY
KEN PICKLE
Colleen H. Sullins
cc: Mooresville Regional Office
Central Files
'�Stormwater Permitting Unit Files 1
Attachments
1617 Mail Service Center, Raleigh, Ncrlh Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Prone: 919-807-63001 FAX: [phone] Customer Service: 1-877-623.6748 North Carol ilia
Internet: www.ncwaterquality.org - 'J+'}��l`�� /I�
An EquaE Opportunity 1 Affirmative Action Employer � �/ `

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG150000
CERTIFICATE OF COVERAGE No. NCG150047
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,
Stanly County Airport Authority
is hereby authorized to discharge stormwater from a facility located at
Stanley County Airport
38512 Aviation Drive
New London
Stanly County
to receiving waters designated as Little Mountain Creek, a Class C; WS-IV Creek, Pee -Dee .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 March 26, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 26, 2010.
ORIGINAL SIGNED BY
KEN PICKLE
Coleen H, Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Albemarle-Stanly
County Airport
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4744 PARKWAY PLAZA BCXM"APA SLM 350
CHARLCnrMN3RIHG1R0hU ZU17
PHONE 7044Z"M FAX: 7044Z6 M

Diuguid, Bill
From: Parker, Michael
Sent: Monday, January 25, 2010 3:46 PM
To: Diuguid, Bill
Subject: RE: NCG150047 Stanly County Airport NOI
no
Issue the COC.
Mike
From: Krebs, Rob
Sent: Friday, January 15, 2010 9:31 AM
To: Parker, Michael
Cc: Browder, Dee; Bou-ghazale, Samar
Subject: FW: NCGIS0047 Stanly County Airport NOI
Mike,
Please take or assign. There are several more.
All- please log these in!!!!!
Rob
From: Diuguid, Bill
Sent: Tuesday, January 12, 2010 3:17 PM
To: Krebs, Rob
Subject: NCG150047 Stanly County Airport NOI
Rob Krebs, Mooresville Regional Office:
Please review the attached NOI application with the objective of responding to me with a recommendation to issue the
permit. I recognize that you may not visit each new permittee during this NOI review, but it affords you the opportunity
to log the permit into your regional database and add the facility to a future monitoring and compliance visit schedule.
Therefore, your recommendation now to issue the permit serves as your acknowledgement that (1) the facility is located
in your region, (2) that there are no current complaints outstanding about the facility that have not been dealt with, and
(3) that the facility may ultimately be inspected by the regional staff. I've also attached a scanned copy of the NOI and a
location map for your review.
COC # I Facility Location City/County
NCG150047 Stanly County Airport 38512 Aviation Drive New London/Stanly
If you need any more info, give me a call. If you could send me a recommendation to issue the permit by 02/12/2010,
I'd appreciate it, so I can issue their COC. I cannot issue the permit until the respective regional office reviews and
comments back to me with a recommendation to issue the permit.
Thanks