NCG110053_COMPLETE FILE - HISTORICAL_20121221

- STORMWATER-DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO..
JvD 5 3
DOC TYPE
),COMPLETE FILE - HISTORICAL
DATE OF
.RESCISSION
❑ rU �a �a
YYYYMMDD
0

DENR-FRCS
DEC 31 2012
r
NCDENR
North Carolina Department of Environment and
Beverly Eaves Perdue
Governor
William Ammons
Town of Roseboro
101 West Pleasant St.
Roseboro, NC 28382
Dear Permittee:
Division of Water Quality
Charles Wakild, P.E.
Director
December 21, 2012 .
Natural Resources
Subject: Rescission of NPDES Stormwater Permit
DWQ
Certificate of Coverage Number NCG 110053
Town of Roseboro
Sampson County
Dee Freeman
Secretary
On, the Division of Water Quality received your request to rescind your coverage under Certificate of
Coverage Number NCG 110053. In accordance with your request, Certificate of Coverage Number
NCG 110053 is rescinded effective immediately.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 is against federal and state laws and
could result in fines. If something changes and your facility would again require Stormwater or
wastewater discharge permit coverage, you should notify this office immediately. We will be happy to
assist you in assuring the proper permit coverage.
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 me at [phone], or the Water Quality staff
in our Fayetteville Regional Office.
Sincerely,
6 J`b4 -
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 Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: 9IM07-6494
Internet: w .nmateroualhy.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
)Vaturallry

,. 10/22/2012 15:40 9104860707
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NC®ENR RESCISSION REQUEST FORM
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Please fill out and return Phis form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit nurhber to which this request applies:
individual Permit (or)
CertificateofCoverage
r �nI� a"d''. 1 1 n 0 5
u
2) Owner/Facility Information: ' Final correspondence will he moiled to the address noted below
Owner/Facility Name TOWN OF R
Facility Contact WILLI
Street Address 1 pl,EASANT ST.
City ROSEBO State N. C.,E-mail Address . ZIP Code 759R9 -
County SAMPSON liiiciacksonl@T ,-cam
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5 do9,
Telephone No. 910 590 — 7808 Fax: 10 5,
3) Reason for rescission request (This is reauired information. Attach separate sheet if necessary):
❑ Facility closed or is closing on . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to on . If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
® Other: Facility is designed for less than 1,000,000 g o
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such Information is true, complete and accurate.
Date /h - -9
signature
wI
Title 7 .=Et
Print or type name of person signing above {f I�'
Please return this completed rescission request form to: SW NPDES Permit Coverage Rescissit) ! O r 1 9 6 70ii
Stormwater Permitting Unit
1617 Mall Service Center DENR
Raleigh, North Carolina 27699-1617 Wetland, h S o _iwalet Branch
1617 MBII Scrviee Center, Ralelgh, North Camlinn 27699-1017 One
Location: 512 N. Salitury 51, Ralcigh, North Carolina 27601
Phone: 91"07.63001 FAR: 919-a07.64921 Customer service: 1.877-623-6748 NortaNr�fohna
Internal: wYN,.ncwaterqu0tV-(ug �{.0 �fhfCu ally
An Equl Opponunity 1 MlInxllya Adlon Employor
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10/22/2012 15:40 9104060707
NC DENR
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aala FOceivna
t .Division of Water Quality /Surface Water Protection vaal Monet oe
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,—I- National P011utonl.Dischargc Elimination Sy
Nstem
1f� RESCISSION REQUEST FORM
Please fill out and return [his form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies: Certificate of Coverage
Individual Permit (or)
r tg 1 1 0 0 5 3_
2) owner/Facility Information: " Final correspondence willbe moi/edto theaddress noted below
Owner/Facility Name TOWN OF R
Facility Contact WILLI
Street Address 101 WEST PTEASA ST.
city ROSEBO1in _ State Mumt zip Code 737 -
F-mail Address biicia
County SAMPSON cksonita_v:,hnn_com
Telephone No. 910 590 — 7808 Fax: 10 595 SR97
3) Reason for rescission request (This is reauired information. Attach separate sheet if necessary):
❑ Facility closed or is closing on ZM _. All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility solo to _,•, _ on —. If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
® Other: Facility is designed for less than l 000 000 eallons_a-d,iiy
4) Certification: I -
1, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such Information is true, complete and accurate.
Dale
Signature
WII �1
Title E .. �.
.> 1 / i
Print or type name of person signing above .__..,.
Please return this completed rescission request form to: SW NPDES Permit Coverage Rescissio)
Stormwater Permitting Unit i i
1617 Mall Service Center D6N4- bV,T(3F' G;Iau1i
Raleigh, North Carolina 27699-1617 �vyotlands&;,t2;,,irvate,_Oranch.
1G17Mau SeNiae Conte,.Ralal h,Noah Carotinn276994017 One
LOc3110n: 512 N. SeliSbu y St. Raleigh. North Ceiollna 2760a Phone:[phone]t FAX: 919A07-64921Cusmer Sorvice: 1.877-6236748 NorthCall`OJIRl
Internal: www.ncwatorqualtrniq bl `
An Equul 000munily 1 MlRalmo Adon Employoi ..

O I:T-23—'2012 00 :59 AN RO'3EBORO 9105253133 P.01
OCT-11-2012 15:35 From: To:19105253133 Paae:l/l
THE
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WOOTEN FAX
COMPANY
FINGINICAINIT Mark Brantley A MMOAS
xtt NCnF,NR—DWQ Front: -adm3WffiiQw
P t 4 N a N a Fayetteville Rcgiunal Office
a a C a 1 r p c r u a e Fawn (910) 06-0707 'CS:
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Re: tAC,k14M D \S
troity CC: Buck Ammons
Roseboro, North Carolina 910) 125-3133
❑ Urgent ® As Requested ❑ Please Commcnt ❑ Please Reply
According to record drawings for the oxisting WWTP in Roseboro, NC, the rated
design capacity is 0.70 Mill average daily flow. The trermitted capacity from the
NPDES permit records available on the NCDP.NR website is 0.490 MOD.
Pleaso let me know if you have any questions.
11 arly Ilan of tnic, fax trarsmissi0n 13 Miming or not clearly received, please cell 919.828.0511

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OUT-23-2012 08 :59
AM ROSEBORO '3105253133
„ 10/22/2012 15:40
9104860707 NC DERR
OUR
t�
A vision of Water Quality / Surfhce Water Protection
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tar on i
NCDENR
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National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Indlvldultl Permit (or) Certificate of Coverage
1
2) Owner/Faelllty lnfof tnStlon: 'Final corropondernm Cool be maned to the oddness noted btbw
Owner/Feclllty Name TO
Facility Contact W
Street Address 101 WE(;T PLEASANT
city RO RBORO State _X„q„_„ZIP Code ?9987
county 9A1,740N _ E-mail Address bpc+Ackgnnl (ova ^n Corn
Telephone No. 910 590 - 7809 __ Fax: (910) 575—SR97
3) Reason for readMlon request (This Is rtgulklg information. Attach separate sheet If necessary):
© Faollity closed or Is closing on = _. All industrial adivitie9 have ceased such that no discharges of
stormwater are contaminated by exposure to industrial Activities or materiai9.
P.02
❑ Facility sold to 11 on M'. If the tadlity will continue operations under the new owner I
may be more appropriate to request an ownership change to rslseue to permit to the new owner.
® Other: Facility is designed for lees t
4) certification:
1, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwster Permit for the
sub)ect facility. I am familiar with the Information contained In this request and to the best of my kfrowledge and belief
such information is true, complete and accurate.
Signature �i /— Date
WI
Prim Or type name of person signing above Title
please return this Completed rescission MCI" form to: SW NPDES Permit Coverage Resclsslon
SWrmwaterPermlttfngUnit
1617 Mall Service Censer
Raldgh, North Carolina 27699.1617
lei? Moll 6onIW Center, flo"ll, North Ctwlim 27690.161 r le
1_009 n: $12 N. 591110181. R910th. Nero C9rollr427604 *eor h Caro na
Prom:glgsR7.6a001 FAX: 919-aa7•54921Cunme or aenloe: l•aT.6 47fa Jd ►t�7 /t
Irl9f"el: wrw,ncwAmryuelay.mg N4 {�
M E4u11 tlp/M0 1 ANrmuw Add 119ar0'

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_a WA I-P-
y
I
Michael F. Easley
Governor
7
O
Ms. Drenda Ammons, Town Clerk
Town of Roseboro
101 W. Pleasant Street
Roseboro, NC 28382
Dear Ms. Ammons:
William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
'JUN 2 5 2003
June 23, 2003�-_ —
lw• ,4 1 i.•R
Subject: General Permit No. NCG110000
Town of Roseboro WWTP
COC NCG 110053
Sampson County
In accordance with your application for discharge permit received on March 11, 2003, 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 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 Mack Wiggins at telephone number 919/733-
5083 ext. 542.
cc: Fayetteville Regional Office
`Central Files
Stormwater and General Permits Unit Files
S, ly,
)
; f lek SIGNED BY
WILLIAM C.
MILLS
Alan W. Klimek, P.E.
.•..
04
NCDEMR
Customer Service
1 800 623-7748
.Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG110000
CERTIFICATE OF COVERAGE No. NCGI10053
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
Incompliance 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,
Town of Roseboro
is hereby authorized to discharge stormwater from a facility located at
Town of Roseboro WWTP
723 East Roseboro Street
Roseboro
Sampson County
to receiving waters designated as Little Coharie Creek, a class C SWP water in the Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, I1, III,
IV, V, and VI of General Permit No. NCG 110000 as attached.
This certificate of coverage shall become effective June 23, 2003
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 23, 2003ORIGINAL SIGNED BY
WILLIAM C. MILLS
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

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