NCG020607_COMPLETE FILE - HISTORICAL_20120402

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

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Stevenson Weeks
PO Box 360
Beaufort, NC 28516-0360
Dear Permittee:
Division of Water Quality
Charles Wakild, P.E.
Director
April 2, 2012
Subject: NPDES Stormwater Permit Coverage Renewal
Old Wineberry ine - Bea rt
Permit Nut er NCG020607
Carteret oun
Dee Freeman
Secretary
Your facility was covered for Stormwater discharge under NPDES Permit NCG020607, however, this
permit expired on 1213112009. To assure consideration for continuing coverage under your permit, you
must apply to the Division of Water Quality (DWQ) for renewal of your permit. Enclosed you will find a
permit Renewal Application Form, Supplemental Information request, and a Stormwater Pollution
Prevention Plan Certification for your facility. Filing the application form along with the requested
supplemental information will constitute your application for renewal of this permit, ,
The application and supplemental information must be completed and returned to DWQ by May
15, 2012. Failure to request renewal within this time period will result in the inactivation of your expired
permit in our system. Discharge of stormwater without coverage under a valid stormwater NPDES permit
constitutes a violation of N.C. General Statute 143-215.1 and may result in the assessment of civil
penalties of up to S25,000 per day.
If you have any questions regarding penrut renewal procedures please contact Jennifer Jones of the
Stormwater Permitting Unit at [e-mail] or [phone].
Sincerely,,
Bradley Bennett, Supervisor
Stormwater Permitting Unit
Cc: Central Files
SPU Files
1617 Mall Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh. North Carolina 27604 �7One
9.8 Phone: [phone]FAX: 9107.6m 4921CustoerService;1-877-623-F748 Nb Carolina
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Internet: wwv+.ncwaterquality.org '� �tmrn rlt
An E4ual Wporlumty 1 Affirmative Action Employer �

Permit Coverage
Renewal Application Form
p4vr�re9 National Pollutant Discharge Elimination System Permit Number
Stormwater Discharge Permit
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The following is the owner affiliation information currently in our database for your facility. Please review this information carefully and make all
corrections/additions as necessary in the space provided to the right of the current information.
Owner Affiliation Information * Reissued Permit will be mailed to the owner address
Owner / Organization Name:
Owner Contact: Stevenson Weeks
Mailing Address: PO Box 360
Beaufort, NC 28516-0360
Phone Number: [phone]
Fax Number:
E-mail address:
Facility/Permit Contact Information
If there has been any change to your facility/ permit contact information, please indicate updates in the space provided below,
Facility Name:
Facility Physical Address
Facility Contact:
Mailing Address:
Phone Number:
Fax Number:
E-mail address:
Impaired Waters/T,MDL
Does this facility discharge to waters listed as impaired or waters with a finalized TMDL? 0 Yes 0 No ❑ Don't Know
(For information on these waters refer to hap://h2o.enr.state. nc.iis/su/lmparred YVrrters_TMDLI j
CERTIFICATION
1 certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief such information is true,
complete and accurate.
Signature
Print or type name of person signing above
Please return this completed renewal application form to:
Date
Title
Stormwater Permitting Unit
Attn: Jennifer Jones
1617 Mail Service Center
Raleigh, North Carolina 27699-1617