NCG180148_COMPLETE FILE - HISTORICAL_20110929

- STORMWATER DIVISION CODING SHEET -
RESCISSIONS .
PERMIT NO.
DOC TYPE
❑COMPLETE FILE -HISTORICAL
DATE OF
RESCISSION
❑ ��,�
YYYYMMDD

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Govemor Director
September 29, 2011
Councill Company, LLC
Attn: Mr. Tim Surratt
P.O. Box 398
Denton, NC 27239
Subject: No -Exposure Certifications NCGNE0815 & NCGNE081-61
Rescission of Permits NCG180147 & NCG1'80148
Councill Company Plant 1 & Plant 3
Davidson County
Dear Mr. Surratt:
Dee Freeman
Secretary
The Division has reviewed your submittal of the applications for No -Exposure Certification for exclusion
from NPDES stormwater permitting. Based on your submittal and signed certifications of no exposure at the
above referenced facilities, the Division is granting your conditional exclusion from permitting as provided
for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina regulations. We are also
hereby rescinding your current permit Certificates of Coverage, NCG180147 and NCG180148.
Please note that by our acceptance of your no -exposure certifications, you are obligated to maintain no -
exposure conditions at both facilities. If conditions change such that either or both of the facilities can no
longer qualify for no -exposure exclusion, you are obligated to immediately obtain NPDES permit coverage
for any stormwater discharge(s). Otherwise, the discharge(s) becomes subject to enforcement as an un-
permitted discharge. You must self re -certify annually using the included form, or obtain NPDES permit
coverage for any stormwater discharges. The annual self re -certification statements do not need to be
submitted to DWQ, unless requested.
Your conditional exclusions from permitting do not affect the facilities' legal requirements to obtain
environmental permits that may be required under other federal, state, or local regulations or ordinances.
If you have any questions or need further information, please contact Jenifer Carter at [phone], or at
[e-mail]
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: WSRO-files
SWP Central Files
Stormwater Permitting Unit: No- Exposure File
Fran McPherson — Budget Office
Nlorth Carolina Division of Water Quality, I insion-Saivm Regional Uwe
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: S36.771-5000! 4X: 336-77 i-48301 Customer Service: 1-877-623-67-.8
interne: www.nmaterquality.org
NorthCarolina
Naturally
;.n Equal Opportunity 1 A, mative klion Enployer

IF
AT A
Division of Water Quality / Surface Water Protection
NCDENRNational Pollutant Discharge Elimination System
,k­ a..,. NO EXPOSURE CERTIFICATION for Exclusion
rxVpl Mf.1r +.m WCL", t'b�o _ft
NCGNE0000
NO EXPOSURE CERTIFICATION
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
Certificate of coverage
NICIGINIE o
National Pollutant Discharge Elimination System application for exclusion from a Stormwater Permit based
on NO EXPOSURE:
Submission of this No Exposure Certification constitutes notification that your facility does not require a
permit for stormwater discharges associated with industrial activity in the State of North Carolina because
it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility means all
industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to
prevent exposure to rain, snow, snowmelt, and/or runoff.
For permitted facilities in North Carolina, DWO must approve your application for No
Exposure Certification before this exclusion is effective. Until you are issued a No
Exposure Certification and your NPDES permit is rescinded, your facility must continue
to abide by the terms and conditions of the current permit.
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 with locked or non -operational taps or valves; adequately maintained
vehicles used in material handling; and final products, other than products that would be mobilized in
stormwater 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
outtalls. 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, you
certify that a condition of no exposure exists at this facility or site and are obligated to comply with the
terms and conditions of 40 CFR 122.26(g).
For questions, please contact the DWO Regional Office for your area. (See page 6)
(Please print or type)
1) Mailing address of owner/operator address to which all certification correspondence will be mailed):
Name C.ounc; LL C
Contact
Street Address
City
Telephone No.
Email
SW U-NF• 12Aug2010
is
?I G . Box 39 A
33Iv 85 - 2 5 5
`I-irnsut'i'a �6J Co��c� il. co►ry� J� f�jj/]
RECEIVED Page t of 7 S�� 2 ��ir
N.C. Dent of ENR
SEP 2 9 20i1 DENR- WATER OUAtITY
Winston-Safem
f 1 LAN" ANO sTORKWAiER BRANCH
jl
Regional Milt,
State N.C. ZIP Code 2-12-39
Fax: _-33 (o_ <3s9- S13t

NCGNE0000 No Exposure Certification
2) Location of facility producing discharge:
Facility Name LoLkACi11 Corot n LLC-
Facility Contact Mft-, SL rrat%
Facility Street Address Mot t _Noi'fl^ 0.;n-'Siry�o_t
City --'I>eAiuv\ State .G. ZIP Code 2_ 12-39
County _-Do v Faso r _
Telephone No. 33(0 %59- Z155 Fax: 33(a 859- S113
Email ~I-i,r.SurrA �� Go unG:11. Go n1
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 roadway intersection). 109 So1n'f� 't'o 3)e-A40v\ , +k&rA o +� Alorq k_
Ma,'A S r9_-e_k- . Pla,,-4 r„); It lo- o r +L,Q_ s-IL'AIAA >"_ off 1 a 9 .
(A copy of a map with the facility clearly located on it should be Mcluded with the certification application.)
4) Is the facility located on Native American Lands? ❑ Yes U6,10
5) Is this a Federal facility? ❑ Yes EEKNo
6) Latitude 350 3$ r 7.(cfl Longitude $0 0 0(flf (%�� (deg., min., seconds)
7) This NPDES No Exposure Exclusion application applies to which of the following:
❑ New or Proposed Facility Date operation is to begin
I" Existing Date operation began ( `(38
❑ Renewal of existing No Exposure Certification Certification No.: NCGNE
8) Was this facility or site ever covered under an NPDES Stormwater Permit? ❑ Yes ❑ No
If yes, what is the NPDES Permit Number? NCG t Sa f S
9) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: Z S 1 2-
10) Provide a brief description of the t pes of industrial activities and products produced at this facilit
`rk;s _T+ 1
prod&L*. 5 bet us
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
M No
❑ Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility:
�V A -follow- L&r ova q A,2 s+,oA * 10 ; I do A('-�
(_OrAA%A.;v\oY +o mQo_i `l e_ olua(.*-T caA=ohs
MaAufa CA t4'6t +qKe_ :
Page 2of7
5WU-NE-12Aug2010
TOrP.Se.4P, 0,Ay Pr OWe VPV\
-Fair No Ey'?oSURE SLOuld

NCGNE0000 No Exposure Certification
Exposure Checklists (12. - 14.)
12) Are any of the fallowing materials or activities exposed to precipitation, now or in the foreseeable
future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not
eligible for the no exposure exclusion.
a. Using, storing, or cleaning industrial machinery or equipment, and areas where ❑ Yes ErNo
residuals from using, storing or cleaning industrial machinery or equipment remain
and are exposed to stormwater
b. Materials or residuals on the ground or in stormwater inlets from spills/leaks ❑ Yes & No
c. Materials or products from past industrial activity ❑ Yes eNo
d. Material handling equipment (except adequately maintained vehicles) ❑ Yes 52%o
e. Materials or products during loading/unloading or transporting activities ❑ Yes G"No
f. Materials or products stored outdoors (except final products intended for outside ❑ Yes VNo
use [e.g., new cars] where exposure to stormwater does not result in the discharge
of pollutants)
g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, ❑ Yes E�I`No
and similar containers
h. Materials or products handled/stored on roads or railways owned or maintained by ❑ Yes B"No
the discharger
i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) ❑ Yes eNo
j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes 12(No
k. Particulate matter or visible deposits of residuals from roof stacks and/or vents not ❑ Yes E(No
otherwise regulated (i.e., under an air quality control permit) and evident in the
stormwater outflow
I. Empty containers that previously contained materials that are not properly stored ❑ Yes C"No
(i.e., not closed and stored upside down to prevent precipitation accumulation)
m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes R'No
stored outside, has the facility had any releases in the past three (3) years?
13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not
eligible for the no exposure exclusion.
a. Are exterior ASTs and piping free of rust, damaged or weathered coating, pits, or ErYes ❑ No ❑ NIA
deterioration, or evidence of leaks?
b. Is secondary containment provided for all exterior ASTs? If so, is it free of any &,,Yes ❑ No ❑ N/A
cracks, holes, or evidence of leaks, and are drain valves maintained locked shut?
Page 3 of 7
5WU-NE-12Aug2010

NCGNE0000 No Exposure Certification
14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the
no exposure exclusion.
a. is secondary containment provided for all single above ground storage
93'Yes ❑ No ❑ NIA
containers (including drums, barrels, etc.) with a capacity of more than 660-
gallons?
b. Is secondary containment provided for above ground storage containers stored
VYes ❑ No ❑ NIA
in close proximity to each other with a combined capacity of more than 1,320-
gallons?
c. Is secondary containment provided for Title III Section 313 Superfund
El"Yes ❑ No ❑ NIA
Amendments and Reauthorization Act (SARA) water priority chemicals'?
d. Is secondary containment provided for hazardous substances" designated in 40
9/Yes ❑ No EI NIA
CFR §116?
e. Are release valves on all secondary containment structures locked?
O"Yes ❑ No ❑ NIA
15) Hazardous Waste:
a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ Yes R No
b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste ❑ Yes H'No
generated per month) of hazardous waste?
c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste
generated per month) of hazardous waste?
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:
Footnotes to Questions 14) c. & d.
❑ Yes ti No
'Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for de minimis amounts of certain substances,
and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR
§372.38.
"Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require
secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities
of the hazardous substances listed in 40 CFR §117.3.
Page 4 of 7
SWU-NE-12Aug2010

NCGNE0000 No Exposure Certification
16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the
no exposure exclusion. A more in-depth evaluation of the site circumstances may be required.
a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes i(No
b. Does your facility have coal piles on site?
c. Does your facility store other fuel sources outside in piles, such as wood chips,
sawdust, etc.?
d. Does your facility have air emissions associated with its industrial activity (e.g.,
degreasing operations, plating, painting and metal finishing)? If so, describe the
industrial activity:
e. If you answered yes to d., are those emissions permitted by an Air Quality Permit?
Please specify:
f. Please list any other environmental program permits (federal, state, etc.) not
specified earlier in this application (such as Hazardous Waste Permits, etc.):
Permit: Program:
Permit: Program:
Permit:
Program:
Permit:
Program:
Permit:
Program:
Permit:
Program:
Permit:
Program:
Page 5 of 7
sW U-NE-12Aug2010
❑ Yes E9 No
❑ Yes R�No
❑ Yes M_"No
❑ Yes C"No ❑ NIA

NCGNE0000 No Exposure Certification
17) Certification:
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 stormwater permitting.
certify under penalty of law that there are no discharges of stormwater 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 annually self re-certi No Exposure and, if requested, submit the re -certification to
DWQ or 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 North Carolina Division of Water Quality, 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.
In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under
an NPDES permit prior to any point source discharge of stormwater 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.
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, complete, and accurate.
Printed Name of Person Signing: T.' M SLArral
Title: F{- R. 1Aa-No,G p _
(Signature of Applicant) (Date Signed)
Please note: This application for the No Exposure Exclusion is subject to approval by the
NCDENR Regional Office prior to issuance. The Regional Office may inspect your facility for
compliance with no exposure conditions prior to that approval. The Regional Office may also
inspect your facility at any time in the future for compliance with the No Exposure Exclusion.
North Carolina General Statute 143-215.6 B(f) 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 Class 2 misdemeanor which may include a fine
not to exceed ten thousand dollars ($10,000).
There is currently no fee for a No Exposure Exclusion.
Page 6 of 7
SWU-NE-12Aug2010

Facilities Map
Councill LLC phone: [phone]
PO Box 398 far: 33618S9-5289 Corporate Office
Denton, NC 27239 fax: [phone] Plant #1
fax: [phone] Plant #21Personnel
47
�-
l
109
Plant 3
Corporate
Office
�e
Carter -Davis Road
' Personnel Office located at
Facility on Fourth Street.
Fourth St
Plant 2 c
C
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T
Flat Swamp Rd.
S31isburyStmet
Peacock Ave.
Plant I
'
�E
47
a
a1
1
109
II
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1 j 1
r Receiving �.
Li
Shipping
jar------- `i
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Plant 1
Q i
267 Councill Access Road
I o 1
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, Office I
1 II
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I_ _______________________________________
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Plant 2
--J
236 Notch Jones Street
Pet see Shipping
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Receiving ,
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L----_.--._J L______________________________
------------------------------------------------------------
North 3ones Sheet
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1 1 I
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Plant 3 r
L 1161 North Main Street
Shipping &
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----J----------------
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Office I I
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---' I------------------------J
North Main Street
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Corporate Office
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North Main Street

NCGNE0000 No Exposure Certification
Final Checklist
This application should include the following items:
[g This completed application and all supporting documentation.
A map with the location of the facility clearly marked.
2/ If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8.
Mail the entire package to:
Stormwater Permitting 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 a No Exposure Exclusion.
For questions, please contact the DWQ 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)
946-6481
Wilmington Office ...
[phone]
Winston-Salem ......
(336).771-5000
Central Office .........(919)
807-6300
Page 7of7
S W U-N E-12Aug2010

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
September 23, 2011
Councill Company LLC
Attn: Mr. Tim Surratt
P.O. Box 398
Denton, NC 27239
SUBJECT: Compliance Evaluation Inspection
Councill Company Facilities
NPDES Permit No. NCG180147 (Councill Acess Road) IN
NPDES Permit No. NCGI80145 (N Jones Street)
NPDES Permit No. NCG180148 (N Main Street) lA
Davidson County
Dear Mr. Surratt:
Dee Freeman
Secretary
Compliance Evaluation Inspections were performed at Councill Company's facilities in Denton, North Carolina on
September 20, 2011 by Jenifer Carter of the Winston-Salem Regional Office. You were present for the inspections.
The purpose of the inspections was to review compliance with the National Pollutant Discharge Elimination System
(NPDES) General Stormwater Permits.
You took over your current position in 2010 and have been in the process of updating, and renewing the
implementation of each SWPPP, including staff training and visual monitoring of the outfails. Since there is no
vehicle maintenance performed at any of the facilities, no analytical monitoring is required.
It was noted that the facility on N Main Street was used for warehousing only and easily qualifies for No Exposure
Certification. If you apply for and receive such certification, and should the facility be used for manufacturing again,
you would be required to make sure the facility continues to meet the qualifications for the certification, or apply for
a new NPDES General Stormwater Permit.
You seemed to have a good grasp on the requirements of the permit. Your efforts to understand and implement
them are appreciated. Please contact Jenifer Carter at [phone] with questions regarding these inspections.
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem ,Regional Office
Division of Water Quality
cc: SWP-Central Files
WSRO-Files
NPS Assistance & Compliance Oversight Unit
North Carolina Division of Water Quality, Winston-Salem'Regional Office One
Location: 585 Waughtown Street, Winston-Salem, NC 27107 NorthCarolina
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748 Naturally
Internet: http://pc)rtal.ncdenr.org/web/wq
An Equal Opportunity 1 Affimiative Action Emptayer

Carter, Jenifer
From: Carter, Jenifer
Sent: Tuesday, September 20, 2011 2:39 PM
To: '[e-mail]'
Subject: No Exposure Certification
Attachments: No Exposure Self Recent Form.cloc; No Exposure Self Recent Info.pdf; No Exposure
Application.pdf
Tim,
Thanks for showing me around each of Counciil Company's facilities. I've attached the application for No Exposure
Certification at plant #3. Also attached is information about the related self -recertification form we talked about, as well
as a copy of the form itself. Again, please do not hesitate to contact me with any questions.
Jenifer Carter
Before 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.
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
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.

Compliance Inspection Report
Permit: NCG180148 E ective: 09/01/09
SOC: ective:
County: av
Region: Winston-Salem
Contact Person: Steve -ea Fore
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
On -site representative Tim Surratt
Related Permits:
Expiration: 08/31/14 Owner: Council] Company LLC
Expiration: Facility: Councill Company LLC Plant ##3
1161 N Main St
Title:
Inspection Date: 09/20/2011 Entry Time: 10:00 AM
Primary Inspector: ,lenifer Carter
Secondary Inspector(s):
Denton NC 27239
Phone: [phone]
tExt_3072�
Certification:
Exit Time: 12:30 PM
Phone:
Phone: [phone]
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Furniture and Fixtures Stormwater Discharge COC
Facility Status: ■ Compliant [ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
Page: 1

Permit: NCGI B0148 Owner - Facility: Councill Company LLC
Inspection Date: 0912012011 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
One outfall noted in the SPPP. This facility easily qualifies for No Exposure Certification, as it is currently only used as a
holding facility. Even if operations were to start back up, ail that would be added is a dumpster. Mr. Surratt understood
that anything other than household trash would have to be covered to maintain no exposure certification.
An application for No Exposure Certification was emailed to Mr. Surratt
Page: 2

Permit: NCG180148 Owner - Facility: Councill Company LLC
Inspection Date: 09/2012011 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?
■
n
n
n
# Does the Plan include a General Location (USGS) map?
■
n
n
n
# Does the Plan include a "Narrative Description of Practices"?
■
n
n
n
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
n
n
n
# Does the Plan include a list of significant spills occurring during the past 3 years?
■
❑
n
11
# Has the facility evaluated feasible alternatives to current practices?
■
n
n
n
# Does the facility provide all necessary secondary containment?
■
n
n
n
# Does the Plan include a BMP summary?
■
n
n
n
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
n
n
n
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
n
n
n
# Does the facility provide and document Employee Training?
■
n
n
n
# Does the Plan include a list of Responsible Party(s)?
■
n
n
n
# Is the Plan reviewed and updated annually?
n
■
n
n
# Does the Plan include a Stormwater Facility Inspection Program?
■
n
n
n
Has the Stormwater Pollution Prevention Plan been im lamented?
■
n
n
n
p
Comment: Mr. Surratt took over his current responsibilities recently and was in the
process of updating the SPPP.
Qualitative Monitorin
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 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:
❑non
nn■n
Yes No NA NE
■ n n n
■nnn
nn■n
■nnn
Page: 3