NCG080128_COMPLETE FILE - HISTORICAL_20171117

STORMWATER DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO.
C b D I 0
DOC TYPE
COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ c2 / 1 / �]
YYYYMMDD

L"'Division of Energy, Mineral and Land Resources
and Quality Section / Stormwater Permitting Program
Pollutant Discharge Elimination System (NPDES)
��r 'I-Y&
FOR AGENCY USE ONLY
Date Received
Nwx.. DN°LI Do TMr ^r or PERMIT OWNER AFFILIATION DESIGNATION FORM I
(Individual Legally Responsible for Permit)
if NO CHANGE in company or facility ownership or name has occurred.
If a Name Change and/or Ownership Transfer at the facility has prompted this change, do
NOT use this form. You must fill out the Name -Ownership Change Form and provide all
necessary supporting documentation instead.
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner
Affiliation") applies:
Individual Permit
N C S O 8 0 112 S
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) Certificate of Coverage
N C G
(.IOZr,a CRr20L.TNr: STATE 001 V ` VJAVZ
N C S'rA111— VU Isr7L"" -
CAMA * PV- -1534.o
Address
IZA�E16,-t KX 2-7c,g5
City State Zip
To find the current legally responsible person associated with your permit; go to this website:
http://Portal.ncdenr.orp/web/ir/sw-permit-contacts and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: -SAc-K COUey
First MI Last
4) NEW OWNER AFFILIATION (Legally responsible for the permit):
Person legally responsible for this permit:
irst MI Last
C '1ZG=Ta2.OF DZSjr�,/ Awl C9w+STn-Vr-ls GJ.�yIl-e
Title
CA,AAPO5 3ov -IZRo
Mailing Address
Ra�ctc��-t r.�c- Z7(n4s
City State zip
(qlq ) 513-03-7q ancJ/_Snex V_nc-50"ndu
Telephone E-mail Address
(g19 ) 515-33gS"
Pas Number
Page I of 2
SW U-OW NERAFFI L-22May2014

NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
5) Reason for this change:
A result of: '® Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
If other please explain:
What does "legally responsible person" mean?
That 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 that person above.
The certification below must be completed and signed by the permit
holder.
PERMITTEE CERTIFICATION:
I, 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. I understand that if all required parts of this form are not completed, this change may not be
processed..
U�t3� 17
Signature Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please visit our website:
fittp:Hportal.ncdenr.org/web/ir/storinwater
Page 2 of 2
SW U-OW NERAFFIL-22May2014

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Resources General Permit No. NCG080000
Datesubmitted
CERTIFICATE OF COVERAGE NO. NCG08 0 1 2 8
FACILITY NAME MOTOR POOL
COUNTY WAKE
PERSON COLLECTING SAMPLES SCOTT JENNINGS
LABORATORY ENCO Lab Cert. q CC,05252 -01 5,; l
Comments on sample collection or analysis:
ROCKY BRANCH OUTFALL
SAMPLE COLLECTION YEAR �-019
SAMPLE PERIOD I& Jan -June ❑ July-Dec
In r_��g. or ❑ Monthly' (month)
r uNJjLR�i1V �6,CLA55 ❑ORW ❑HQW ❑Trout ❑PNA
t ! ❑Zero -flow ❑Water Supply ❑SA
APR 2 8 2019 ❑other
WR SE
AL
DFILESPLEASE REMEMBER TO SIGN ON THE REVERSE 4
wR
cTlon)
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?® yes Do
(if yes, report your analytical results in the table immediately below)
Part A: Vehicle Maintenance Areas Monitoring Requirements (If applicable)
❑ No discharge this period'
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00530
00400
00556
Total Suspended
Solids, mg/L
pH,
Standard units
Non -Polar Oil and Grease/TPH EPA
Method 1664 (SGT-HEM), mg/L
New Motor Oil Usage,
Annual average gal/mo
Benchmark
50 or 100 see permit
Within 6.0 —9.0
15
LA
2 t
I
(..2
G 1.50
Part B: Oil/water Separators and Secondary Containment Areas at Petroleum Bulk Stations and Terminals (If applicable)
Outfall
No.
Date
Sample Collected,
mo/dd/yr
00556
00530
00400
Non -Polar Oil and Grease/TPH EPA Method
1664 (SGT-HEM), mg/L
Total Suspended Solids,
mg/L
pH,
Standard units
Permit Limit
15
50 or 100 see permit
6.0-9.0
t For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
SWU-250 last revised April 11, 2013
Page 1 of 2

STORM EVENT CHARACTERISTICS:
Date' -I 2119 (first event sampled)
Total Event Precipitation (inches): . cilD
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
FOR PART AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMA
in the case of "No Discharge" reports) to:
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
all "No Discharge" reports, within 30 do
the lab results (or at end of
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"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 gather and evaluate 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 fines and imprisonment for knowing violations."
v/Z-21i 9
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-250 last revised April 11, 2013
Page 2 of 2

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
August 23, 2002
DUANE KNUDSON
NORTH CAROLINA STATE UNIV-WAKE
CAMPUS BOX 8007
RALEIGH, NC 27695
Subject: NPDES Stormwater Permit Renewal
North Carolina State Univ-Wake
COC NumberNCGO80128
Wake County
Dear Permittee:
In response to your renewal application for continued coverage under general permit NCG080000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued Stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the slate of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
A new Certificate of Coverage
A copy of General Stormwater Permit NCG080000
A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division 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 DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Delonda Alexander of the Central Office
Stormwater and General Permits Unit at [phone], ext. 584
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Raleigh Regional Office
ern
NC ERR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800.623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCG080128
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,
NORTH CAROLINA STATE UNIVERSITY
is hereby authorized to discharge stormwater from a facility located at
NORTH CAROLINA STATE UNIV-WAKE
SULLIVAN DR
RALEIGH
WAKECOUNTY
to receiving waters designated as Rocky Branch, a class C NSW stream, in the Neuse River Basin in accordance
with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, 111, IV, V, and VI
of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective September I, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 23, 2002.
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

W ATo 9
�-w�-/�.Yn 'I
r
DUANE KNUDSON
NORTH CAROLINA STATE UNIV-WAKE
CAMPUS BOX 8007
RALEIGH. NC 27695
Dear Pennitice:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
December 27. 2001
Subject: NPDES Sturmwuter Permit Renewal
NORTH CAROLINA STATE UNIV-WAKE.
COC Number NCGO80128
Wake County
Your 1:lcility is currently covered for stormwater discharge under General Permit NCG080000. "this permit expires
on August 31. 2002. "I'hc Division staff is currently in the process ol' rewriting this permit and is scheduled to have
the permit reissued by Into annnler of 2002. Once the permit is reissued, your loeility would he eligible for
continued coverage under the I-CIJ$nCd permit.
In order to assure your continued coverage under the general pu'mit, you mast apply m file Division of Wale
Quality (DWQ) for renewal of your permit coverage. To make this renewal process easier, we are informing you in
advance that your permit will he expiring. Enclosed you will find it General Permit Coverage Renewal
Application Form. The ❑pplic;nion must be completed and returned by March 4. 2002 in order to assure continued
coverage under the general permit.
Failure to request renewal within this time period nhay result in it civil assessment ofat lest $250.00. Large'
penalties may be assessed depending on the delinquency of the request. Discharge of slormwaler from your facility
without coverage under a valid slormwater NPDES permit wool (I cunstiItuc it violation oh NCGS 143-215.1 :Ind
could result in ❑ssessmenls of civil penahics of up to $10.000 per. cloy.
Please note that recent Ibderd legislation has extended the "no exposure exclusion" to ell operalols of industrial
facilities in any of the I I carogorics of"storm water discharges associalcd with industrial activity," (except
construction activities). If you feel your facility can certify a condition of "no exposure". i.e. the facilly industrial
materials and operations arc not exposed to stonmwater, you can apply for the no exposure exclusion. For additional
into[ million contact the Central Office Stormwater Staff member listed below or check the Stotinwaler & General
Permits Unit Well Site at hltp://li2o.car.StZitC.nc.us/su/stornnvater.hunl
If the subject stonnwater discharge to waters of the stale has been Icnminaed, please complete the enclosed
Rescission Request Form. Mailing instructions are listed on the huttom of the tihrm. You will he notified when the
rescission process has been completed.
It- cool have Mly qucslions regarding the permit renewal procc(lures please contact Joe Alhiston of the Raleigh
Regional Office al 919-571-4700 of Delonda Alexander of the Central ( Mice Slunmwalcr Unit at [phone],
cxl.584
Sincerely.
Bra(Iley Benncn. Supervisor
Slonmwalcr and Genera Permits Unit
cc: Central Files
Raeigh Regional Office
vxx
e;A
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800-623-7748

State of North Carolina
Department of Environment,
Healthand Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
November 29, 1993
Mr. David Rainer
NCSU
Campus Box 7201
Raleigh, NC 27695
Subject: General Permit No. NCG080000
NCSU
COC NCG080128
Wake County
Dear Mr. Rainer:
In accordance with your application for discharge permit received on September 27, 1993, 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
December 6, 1983.
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 Environmental Management. The Division of Environmental Management 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 Environmental Management 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 Mr. Bill Mills at telephone number 919/733-
5083.
Sincerely,
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P. E.
cc: Raleigh Regional Office
Wake County
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
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,
North Carolina State University
is hereby authorized to continue operation of an oil water separator and discharge stormwater from a facility located at
NCSU Motor Pool
Sullivan Drive
Raleigh
Wake County
to receiving waters designated as Rocky Branch in the Neuse River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCG080000 as attached.
This Certificate of Coverage shall become effective November 29, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day November 29, 1993.
Original Signed By
Coleen H. Sullins
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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