NCG560031_Regional Office Historical File Pre 2018

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North Carolina Department of Enviro nrnent and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman,
Governor Director Secretary
April 11, 2012
RI_cEtvEo
DIVISION OG` QUALITY
Mr. Jimmy R. Brown
APR 17 2012
EnergyUnited EMC
P.O. Box 1831
fVi0ORESVILLE ear'GiO�iAL OFFICE
Statesville, NC 28687 _
Subject: Issuance of Certificate of Coverage NCG560031
EnergyUnited Vegetation Control
Iredell County
Dear Permittee:
The Division has received and approved your for coverage under General Permit
NCG560000. The Division hereby issues Certificate of Coverage (CoC) NCG560031 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].
If any parts, measurement frequencies or sampling requirements contained in this General
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, the CoC shall be final and
binding.
If you have any questions concerning the requirements of the General Permit, please
contact Jeff Poupart [919 807-6309 or [e-mail].
cc: o sville Regional Office _7
NPDES iJnit �_4�.�r
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
An Equal Opportunity/Affirmative Action Employer
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les Wakild, P.E.
Internet: http://www,ncwaterquality,org
Phone: [phone] / FAX [phone]
[e-mail]
50% Recycled/10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG560000
CERTIFICATE OF COVERAGE NC.G560031
TO DTSCHARGE PESTICIDE PRODUCTS UNDER THE
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, the
EnergyUnited EMC
EnergyUnited Vegetation Control
is hereby authorized to discharge pesticides related'to
Intrusive Vegetation Control
to waters of the State in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III and IV hereof.
This Certificate of Coverage covers all pesticide discharge events after April 12, 2012.
This Certificate of Coverage shall expire October 31, 2016.
Signed this day April 11, 2012
for Cs Wakild, P.E., Direct
vision of Water Quality
By Authority of the Environmental Management Commission

A 4 0 Q
Vol
TOO 1 3
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
NOTICE OF INTENT
Application for coverage under General Permit NCG560000
(Please print or type)
1) Mailing address* of applicant':
Company Name EnergyUnited EMC
Owner Name Jimmy R. Brown
Street Address P.O. Box 1831
City Statesville State NC ZIP Code 28687
Telephone Number 800-522-3793 ext. 1280 Fax:
Email address [e-mail]
Address to which all permit correspondence should be mailed.
'Applicants generally include both (1) the entity with control over the financing for, or the decision to perform pesticide applications, including the
ability to modify those decisions, that results in a discharge to waters of the State and (2) the entity with day -today operational control of or who performs
activities (e.g., the application of pesticides) that are necessary to ensure compliance with the permit (e.g., they are authorized to direct workers to carry out
activities required by the permit or perform such activities themselves).
2) Description of Discharge:
a) For what type[s] of pesticide -related discharge are you requesting coverage?
❑ Mosquito / flying insect pest control Acres:
(adulticide applications only)
❑ Aquatic Weed / Algae control Acres
❑ Aquatic Weed / Algae control Linear miles:
❑Aquatic Nuisance Animal Control Acres:
❑ Aquatic iJuisance'Animal Control Linear miles:
❑ Forest Canopy Pest Control
X Intrusive Vegetation Control
Acres:
Linear miles: 800+
APR 2 2012
3) Have you prepared a Pesticide Discharge Management Plan? X xes ❑ No
(the plan must be prepared no later than April 1, 2012.)
[certification and signature shall be completed on the following page]
13- 4 -F 7

NCG560000 application
Certification
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: Jimmy R. Brown
Title: Director of Maintenance Services
(Date Signed)
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 $25,000, 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 $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
Mail this original and one copy, along with a check payable to NC DENR for
$100.00, to:
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
ELECTRONIC SUBMISSIONS:
If you wish to complete and submit this application electronically, submit it to:
[e-mail]
Your application can be received and reviewed electronically. However, the Certificate of
Coverage (CoC) cannot be issued until the application fee is received.
ELECTRONIC RECEIPT OF COC
Do you wish to receive your CoC electronically? ❑.Yes X No
If Yes, your CoC will be sent to the e-mail address your provide.
If No, the CoC and a copy of permit NCG560000 will be sent to you via U.S. Mail.