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HomeMy WebLinkAboutNCG100220_COMPLETE FILE - HISTORICAL_20121015STORMWATER DIVISION CODING SHEET RESCISSIONS . PERMIT NO. N C V I V v C�d-o DOC TYPE COMPLETE FILE - HISTORICAL DATE OF RESCISSION ❑ j 10 1c) ) 0 5 YYYYMMDD North Carolina Beverly Eaves Perdue Governor Thomas Cooper Cooper's Body Shop 1326 Sapona Rd Fayetteville, NC 28312 Dear Permiee: r41 NC®ENR Department of Environment and Division of Water Quality Charles Wakild, P.E. Director October 15, 2012 ®ENR-FRO OCT 11 9 2012 Natural Resources Dwo Subject: Rescission of NPDES Stormwater Permit Certificate of Coverage Number NCG 100220 Cooper's Body Shop Cumberland County Dee Freeman Secretary On 7/26/2012, the Division of Water Quality received your request to rescind your coverage under Certificate of Coverage Number NCG 100220. In accordance with your request, Certificate of Coverage Number NCG 100220 is rescinded effective immediately. Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to waters of the State without valid coverage under an NPDES permit will subject the responsible party to a civil penalty of up to $25,000 per day. It is the intention of DWQ that enforcement proceedings will occur for persons that have voluntarily relinquished permit coverage when, in fact, continuing permit coverage was necessary. If, in retrospect, you feel the site still requires permit coverage, you should notify this office immediately. Furthermore, if in the future you wish to again discharge to the State's surface waters, you must first apply for and receive a new NPDES permit. If the facility is in the process of being sold, you will be performing a public service if you would inform the new or prospective owners of their potential need for NPDES permit coverage. If you have questions about this matter, please contact Boyd Devane at (919) 807-6373, or the Water Quality staff in our Fayetteville Regional Office at NPDES SW. Sincerely, 4 for Charles Wakild, P.E., Director cc: Fayetteville Regional Office Stormwater Permitting Unit DWQ Central Files - w/attachments Fran McPherson, DWQ Budget Office - please waive applicable fees Wetlands and Slormwater Branch 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-6300 1 FAX: 919-607-6494 Internet: www.ncwaterquality.org NorthCarolina Naturally An Equal Opportunity 1 ABrtmative Action Employer Compliance Inspection Report Permit: NCGl00220 Effective: 09/07/11 Expiration: 10/31/12 Owner: Thomas E Cooper SOC: Effective: Expiration: Facility: Cooper's Body Shop County: Cumberland 1326 Sapona Rd Region: Fayetteville Fayetteville NC 28312 Contact Person: Thomas E Cooper Title: Phone: 910-483-0606 Directions to Facility: System Classifications: Primary ORC: Certification: Phone: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 07/23/2012 Entry Time: 10:00 AM Exit Time: 11:30 AM Primary Inspector: Trent Allen,eu��. Phone: 910-433-3300 Secondary Inspector(s): Mike Lawyer'%i� Phone: 910-433-3300 Exj_7- 9 332'Y Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Used Motor Vehicle Parts Stormwater Discharge COC Facility Status: D Compliant 0 Not Compliant Question Areas: Storm Water (See attachment summary) Page: 1 Permit: NCGl00220 Inspection Date: 07/23/2012 Inspection Summary: Owner -Facility: Thomas E Cooper Inspection Type: Compliance Evaluation Reason for Visit: Routine A site visit was made to this facility to determine if a permit was necessary. It appears that this facility does not have a stormwater outfall, and a rescission form was left with the owner to fill out and send back to Raleigh. 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: Yes No NA NE n n n ■ nn■n 0 0M 71 0 0 0 M Page:2 ri .w r NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins RECEIV reernan Governor Director ecretary SEP 14 2011 September 7, 2011 Mr. Thomas E. Cooper, Jr. DFNR-FAYETTEVILLE REGIONAL OFHCb Cooper's Body Shop 1326 Sapona Road Fayetteville, NC 28312 Subject: General Permit No. NCG100000 Cooper's Body Shop COC NCG100220 Cumberland County Dear Mr. Cooper: In accordance with your application for a discharge permit received on August 29, 2011, 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 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 Robert Patterson at telephone number (919) 807-6375, or by email at robert.patterson@ncdenr.gov. Sincerely, ORIGINAL SIGNED B) KEN PICKLE for Coleen H. Sullins cc: Fayetteville Regional Office, Mike Lawyer Central Files Stormwater Permitting Unit Files Wetlands and Stonnwater Branch 1617 Wt Service Center, Raleigh, N, nh Carolina 27699-1617 _ocation. i12 N. Salisbury'.:. Paleigr, North Carolina : 7604 Phone: 91 F-807-63001 FAX. 9 9801 6494l Customei 3ervice:'-877-623-6748 nternet. www rimaterqua',;fy,org One NoahCarolina �Jatl.�rallr� 1 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG100000 CERTIFICATE OF COVERAGE No. NCGl00220 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, Thomas E. Cooper, Jr. is hereby authorized to discharge stormwater from a facility located at Cooper's Body Shop 1326 Sapona Road Fayetteville Cumberland County to receiving waters designated as Buzzard Branch, a class C water in the Cape Fear 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. NCG100000 as attached. This certificate of coverage shall become effective September 7, 2011. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this the 7`h day of September, 2011. ORIGINAL SIGNED Bl KEN PICKLE for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission NCGl00220 Map Scale 1:24,000 Thomas E. Cooper, Jr. Cooper's Body Shop Latitude: 350 02' 30" N Longitude: 780 51' 03" W County: Cumberland Receiving Stream: Buzzard Branch Index No.: 18-A-3 Stream Class: C Sub -basin: 03-06-15 (Cape Fear River Basin) ���irtir■,�r�a��ilir���:J Facility Location • ram.. • •,4 r,. I (90 ' It %- � � a � ram_ _ •. a. ., lob 1 "I3, r.� 'i I 'i► _b •t�, s t�1����y♦ y� ; � ° � ? _ S "• • ii) 1 _ 1 � ' r�• �`' ♦! a ..ti • _ � � • ,I I• M. r t ����•. � 'a !� Pi_ , �i. .� r ' �Y. , 7y- e. '" , • • 1 hL-- :Ol1 Lawyer, Mike From: Lawyer, Mike Sent: Wednesday, September 07, 2011 10:21 AM To: Patterson, Robert Subject: RE: NCG100220 - Cooper's Body Shop No objections to issuance of coverage under general permit. Mike Michael Lawyer, CPSWQ Environmental Specialist NCDENR-Division of Water Quality Surface Water Protection Section Fayetteville Regional Office Direct: (910) 433-3329 Main: (910) 433-3300 Fax: (910) 486-0707 e-mail: mike.lawyer@ncdenr.aov Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties unless the content is exempt by statute or other regulation. From: Patterson, Robert Sent: Friday, September 02, 2011 10:08 AM To: Lawyer, Mike Subject: NCGl00220 - Cooper's Body Shop Mike, Please see NOI attached. We have received an application for coverage of an existing facility under NCG 10 from Thomas E. Cooper, Jr. The facility drains to Buzzard Branch (class Cr) in Fayetteville (Cumberland County). They are a small quantity generator. They are called a body shop, but from the aerials it looks like a junkyard. Does the FRO have any concerns about issuing this facility a COC for this general permit? Thanks! Robert D. Patterson, PE Environmental Engineer NCDENR I DWQ I Stormwater Permitting 1617 Mail Service Center, Raleigh, NC 27699-1617 Mail 1 512 N. Salisbury St, Raleigh, NC 27604 1 91h Floor Location &, Pnrcels (919) 807-6375 Phone 1 (919) 807-6494 Fax I Robert.Patterson!e ncdenr.t;ov Email I hitti://portal.nc(lenr.org/web/wg/ws/su Website rA Betbre printing this email, please consider your budget and the environment. 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 unless the content is exempt by statute or other regulation. � {' ��'l � L� a(l� �PiL (�'1 �,� 7 �a . fs) 901 lat 901011 Imo' ': U)'!1 ±A NCDENR C��•siR�11 q N,a,n.� fl[nati\ Division of Water Quality / Water Quality Section Nadoi)al Pollutant Discharge Elimination 8ystern NCG100000 IOa AGENCY: USE DNLY Ytu hlm�lh D_' Cmi nt orcorna oo a, ClinkM Aoetiiii 4.1 Al a rsrM NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit NCG100000: j STORMWATER DISCHARGES associated with activities classified as: Il SIC 5015 Used Motor Vehicle Parts SIC 5093 Automobile Wrecking for Scrap (except as'specitied below) The following activities are specifically excluded from eoveragg under this General Permit: Q Establishments, primarily engaged in the wholesale trade of metal waste and scrap, iron and steel scrap, and fk nonferrous metal scrap (hereafter referred to as the metal waste recycling industry) Standard Industrial Classification Code '• A portion of SIC 5093 (Please print or type) t a 1) Mailing address of owneer/operator NameF—IL Street Address _��a�S Dnnrl Cit Telephone No. � 2 1� //e State. ( 7_IP Code. �-b'�—D61i/p Fax:, — Address to which all permit correspondence will be mailed 2) Location of facility producing discharge: - Facility Name .51104 Facility Contact — `JrJ��Q� pf. Street Address City - State —IV(:- ,.ZIPCode- County [tq>berand- Telephone No. 510_ a2lp Q-� Fax: 3) Physical Location Information: Please provide a narrative descln`ptiomdf how:to,get to the laclhly,(use street names state road numbers ,anB; distance and direction from a roadwayintersection ) '101 alrnrs E�rT 0 / .w S� t1ar,''k.bi, rl /3 (A copy ova county map or USGS quail sheet wah facility clearly located on the map is re1.quired to be submitted with this application) 4) This NPDES Permit Application applies to which of the following L7 New or Proposed Facility Date operation is to begin 'E3"Existing 5) Standard Industrial Classification: p L/$� Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes Ih ar 9rir�� activity at this facility_ a SIC Code:_ _ A1117' AUG; ,'q] 2011. O�RA��WAtlty; Page 1. of 3 swu-225-1of 7G a �`�r'"!TERBRgrycH NCG100000 N.O.I. 6) Provrde'a brief narrative descrlptron of the types ofindusirial activities, and prodq s'manutactured at c} :thrsfacility l.3nr.�V ,k.r 7) Discharge poirits / Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the properly? What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stdrmwater discharges end up in? n /lA If the site stormwater diselharges`to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). 8) Does this facility have any other NPDES permits? 10 No ❑ Yes If yes, list the permit numbers for all current NPDES permits for. this facility: _ 9) Does this facility have any Non -Discharge permits (ex: recycle permits)? ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: 10) DD�oessty �this facility employ any best management practices for stormwater control? �Jo 1 O-VY4 / If yes, please briefly describer 11) Doe sAhis facility have a Stormwater Pollution Prevention Plan? No, Yes If yes, when was it implemented? 12) Are vehicle maintenance activities occurring at this facility? ft}�rJo;, ❑ Yes - 13) Hazardous Waste: a) Is tthhis facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardousmaste generated per month) of hazardous waastte�e5 Q No bd Yes. c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous.waste? No ^ ❑ Yes d) If you answered yes to questions.b. or c., please provide the following information: Type(s) of waste: 0/9� Page 2 of 3 SWU-225-101701 NCG100000 N.O.I. How is material stored: ( an L Where is material stored: 6''r2L S How many disposal shipments per year: Name of transport / disposal vendor: Vendor address: 57%J 9: Clint, 14) Certification: North Carolina General Statute 143-215.6 b (1) 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 Article 21 or regulations of the Environmental' Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any — recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the f Environmental Management Commission Implementing that Article, shall he guilty of a misdemeanor punishable by a i fine not to exceed s10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.O. Section 1001 provides 1 a punishment by a tine ui r,ot more than $10,000 or imprisonment not more Ihan 5 years, or bolh, for a similar offense.) I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an «- individual permit. t 'i 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, completepand accurate. j Printed eofPerson Signing Zin?ll Title:(2m(&J of (Signature of Applicant) —� (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR Final Checklist, This application will be returned as incomplete unless all of the.following items have been included: L" Check for $100 made payable to NCDENR This completed application and all supporting documents Copy of county map or USGS quad sheet with location of facility clearly, marked on map Mail the entire package to: Slormwater 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 an NPDES permit. Page 3 ot.3 S W U-225:101701 , I Postal "'PERTIFIEDMAIL. RECEIPT C3(Domestic Mail Only; No Insurance Coverage • rl •:4d o' CIO �p�j ry� FFI �c pp pp pp QQAL� USE M ~ 7 Postage $ ru CeNfied Fee ' C3rk C3 Return Receipt Fee (Endowment Required) Pos m C3 Restricted Delivery Fee (Endorsement Required) rd �)11 ' C3C fL ra Total Postage & Fees $ C3 Er - Sent To G (\� - �.ilieef.Apt.Na�l�nS---I-,s_-- 0 O r• or PO Box No. F fin-__SJIiyL{1�:i1� "" a.J.._. ca �......\.�" __._... ciry"sieie;ziaa r )o. AUgeat 2L ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired ■ Print your name and address on the �Ne so that we can return the card to yo TlfN ■ Attach this card to the back of the mailpleop, - or on the front if space permits. a. 1. Article Addressed to: OF29� ✓`/� n Fq � P P-LA.)6 . F1 ❑ Agent ❑ Addm. m item 1? L.1 Yes below: ❑ No #;' ervice Type ertified Mall ❑ Express Mail ❑ Registered )<Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Ertm Fee) ❑ Yes 2. Article Number r- _. - — __ _-- — (rmnsfer 6om service label) 7 0 0 9 0 8 2 0 DODO 2473 8190 1 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 Division of Water Quality / Water Quality Section 1=- NCDENRNational Pollutant Discharge Elimination System nomm tnw.., ov.,�r.crvr or E.nnow..u.r.xo Nmwu. ge_w„ecca NCG100000 NOTICE OF INTENT FOR AGENCY USE ONLY Date Received Year Month Da Cervficetc of Covera e N Chcck a Amount Pemdt Assi ed to National Pollutant Discharge Elimination System application for coverage under General Permit NCG100000: STORMWATER DISCHARGES associated with activities classified as: SIC 5015 Used Motor Vehicle Parts SIC 5093 Automobile Wrecking for Scrap (except as specified below) The following activities are specifically excluded from coverage under this General Permit: Establishments primarily engaged in the wholesale trade of metal waste and scrap, iron and steel scrap, and nonferrous metal scrap (hereafter referred to as the metal waste recycling industry) 'Standard Industrial Classification Code A portion of SIC 5093 (Please print or type) 1) Mailing address of owner/operator: Name Street Address City Telephone No. 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No. 3) Physical Location Information: State ZIP -Code Fax: Address to which all permit correspondence will be mailed State ZIP Code Fax: 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). (A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application) 4) This NPDES Permit Application applies to which of the following : ❑ New or Proposed Facility Date operation is to begin ❑ Existing 5) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: Page 1 of 3 swu-zzs-t at 7oI s� HC®ENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor CERTIFIED MAIL: 7009 0820 0000 2473 8190 RETURN RECEIPT REQUESTED Cooper's Auto Salvage 1326 Saporta Road Fayetteville, NC 28312 Division of Water Quality Coleen H. Sullins Director August 2,2011 Subject: Notification of Stormwater Permit Coverage Requirement-NCG100000 Cooper's Auto Salvage Cumberland County Dear Owner: Dee Freeman Secretary The Fayetteville Regional Office of the Division of Water Quality has been notified that you are conducting a business involving the sale of used motor vehicle parts at a facility named Cooper's Auto Salvage located on Sapona Road in Fayetteville, Cumberland County, NC. The purpose of this letter is to advise you that coverage under the NCG100000 General Stormwater Permit is required for all owners or operators of stormwater point source discharges associated with activities classified as establishments primarily engaged in activities classified as Used Motor Vehicle Parts [Standard Industrial Classification (SIC) 50151 and Automobile Wrecking for Scrap (a portion of SIC 5093). Enclosed with this letter is a copy of the Notice of Intent (NOI) application to obtain coverage under the NCG100000 general permit. Within 30 calendar days from receipt of this letter, a completed NOI application should be submitted to the Stormwater Permitting Unit at the address listed on the form. Failure to obtain coverage, if applicable, could result in the issuance of a Notice of Violation for discharging stormwater without a permit, which is subject to the assessment of civil penalties of up to $25,000 per day, per violation. Should you have any questions or need assistance in this matter, please contact me at 910-433-3329 or by e-mail at mike.lawyer@ncdenr.gov. //// Sincerely, / ( Michael Lawyer, CPSWQ Environmental Specialist Enclosure cc: City of Fayetteville Stormwater Division Stormwater Permitting Unit FRO -Surface Water Protection Section Location: 225 Green Street, Suite 714, Fayetteville. North Carolina 28301 Phone: 91 OA33-33001 FAX: 91OA86-07071 Customer Service: 1-877-623-6748 Internet: http:llportal.ncdenrorglweb!wq An Equal OppoMnily t At irmative Action Employer One Not-thCarolina Natimally NCG100000 N.O.I. 6) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: 7) Discharge points / Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). 8) Does this facility have any other NPDES permits? ❑ No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: _ 9) Does this facility have any Non -Discharge permits (ex: recycle permits)? ❑ No ❑ Yes It yes, list the permit numbers for all current Non -Discharge permits for this facility: 10) Does this facility employ any best management practices for stormwater control? ❑ No ❑ Yes If yes, please briefly describe: 11) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No ❑ Yes If yes, when was it implemented? 12) Are vehicle maintenance activities occurring at this facility? ❑ No ❑ Yes 13) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? ❑ No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? ❑ No ❑ Yes d) If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: Page 2 of 3 SW U-225-101701 NCG100000 N.O.I. How is material stored: _ Where is material stored: How many disposal shipments per year: Name of transport f disposal vendor: _ Vendor address: 14) Certification: North Carolina General Statute 143-215.6 b (i) 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 Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both, (18 U S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. 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: Title: (Signature of Applicant) (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR Final Checklist This application will be returned as incomplete unless all of the following items have been included: ❑ Check for $100 made payable to NCDENR ❑ This completed application and all supporting documents ❑ Copy of county map or USGS quad sheet with location of facility clearly marked on map 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 an NPDES permit. Page 3 of 3 S W U-225-101701