18_P-C permit issuance documentation

City of GokCsboro
P.O. Drawer A
North Carofina
Cat 27533-9701
[phone]
July 24, 2013
Lee Smith
County Manager,
P. O.Box 227
Goldsboro,NC 27533
Re: The City of Goldsboro's Local Stormwater Discharge Permit
Dear Stormwater Discharge Permit Holder:
Our records indicate that you have a City Stormwater Discharge Permit that was issued five or more years ago. According to
the Unified Development Ordinance, Section 6.15.18,Permits issued under that section"shall be valid from the date of
issuance for five(5)years,except that permits issued for removal or abandonment shall be permanent.Permit renewal
applications shall be submitted 30 days prior to the expiration date,or upon any change of the owner/operator,which ever
first occurs."
You are hereby notified that your City of Goldsboro Stormwater Discharge permit has been renewed for an additional five
(5)years. No other action is required on your part. If there have been any changes to the information submitted in the
original application,you are requested to complete the attached City of Goldsboro Stormwater Permit Update and submit it
to the City Planning Department,ATTN: City Engineer. After 30 days from the date of this letter,non-submittal shall be
taken as evidence that there have been no changes to the original permit documentation.
The following is quoted for reference.
6.5.14 PERMIT REQUIRED
No property owner or operator shall commence land disturbing activities, as defined in The City of Goldsboro Stormwater
Management Program,before receiving a stormwater management permit and meeting the requirements of this ordinance.A
stormwater management permit will also be required for construction,alteration,operation,maintenance,removal,or
abandonment of any stormwater management structure(also known as a Best Management Practice or BMP)that has been,
or is planned to be,put into operation after July 1,2007.However,all BMPs that have been reviewed under The City of
Goldsboro Stormwater Management Program prior to the enactment of this ordinance shall be deemed permitted from the
date the site development plan was approved by the City Engineer.
If you have any questions,please contact the undersigned. Thank you for your assistance.
Sincerely,
LAIna rk"
Rama K Chittilla,PE,PLS.
Civil Engineer
City of Goldsboro
Phone: [phone]

c� co/o7 CITY USE
City of Goldsboro Stormwater Permit Information Update ONLY
SUBMIT ONLY IF THE PERMIT INFORMATION HAS CHANGED! Tracking
a �. Number
PLEASE TYPE OR PRINT
1. APPLICANT NAME AND MAILING ADDRESS:
Street Address or P.O.Box
City State ZIP Code
Telephone with area code) Fax Num er with area code
2. OWNER NAME AND MAILING ADDRESS: 3. RESPONSIBLE PARTY NAME FOR PERMIT(if different from 2)
Email: Street Address or P.O.Box
Street Address
Additional Street Address Additional Street Address or P.O.Box Information
City State Zip Code City, State I ZIP Code
Telephone(with area code) Telephone with area code
Fax Number with area code) Fax Number with area code
4. Permit review fee is not required.
5. Have any of the following changed? If so,provide a copy of the changed document:along with this renewal request.
• Site Plan showing BMP locations,drainage areas,outfalls,and related information Yes_No
• Deed restrictions and protective covenants Yes_No_
• Maintenance agreement Yes_No_
• Operations and maintenance procedures Yes No_
• Responsible parties(owner and operator) Yes_No
6. BMP Status
• Is/are all BMP(s)approved under the original Permit still in use? Yes_ No_
• Istare any BMP(s)approved under the original Permit NOT working? Yes_No
• Have any BMP(s)been modified? Yes_No
• Have any BMP(s)been cited for needing Maintenance? Yes No_
• If a BMP has been cited for needing maintenance,has it been corrected? Yes_No
7. Maintenance agreement review:does it still contain the following? Yes_No_
gi• Provide for access to the facility for periodic inspection by the City Enneer or their contractor or agent. The City will inspect each
BMP at least annually..
• Provide for regular or special assessments of property owners.
• Describe how the owner/operator will keep records of the installation,maintenance,and repair of BMPs,retain those records for at
least five(5)years,and will be made available to the City Engineer.

City of Gofdsboro
P.O. Drawer A
Worth CaroCtna
27533-9701
cRa�`� [phone]
October 11,2007
Lee Smith
County Manager,
P. O.Box 227
Goldsboro,NC 27533
Subject: Stormwater Permit for Animal Shelter, Clingman Street.
Dear Mr. Smith,
Attached is the Stormwater Permit for stormwater discharges under the stormwater management
program for the City of Goldsboro.Please note prior to the issuance of Certificate of Occupancy,
all BUT as-built certifications,recorded easements and maintenance covenant must be submitted
to the engineering department.
If you have any questions concerning this matter,please contact me.
Sincerely,
Rama K Chittilla,PE
(Civil Engineer)
Attachments:
cc: Jeffrey Kornegay,PE
Terry Gallimore,PE, City Engineer
James P.Rowe,Jr.Assistant Planning Director

cti Gej ao Engineering Department,City of Goldsboro
STORM WATER MANAGEMENT PERMIT
+.fir APPLICATION
ASE TYPE OR PRINT
PPLICANT NAME AND MAILING ADDRESS:
County of Wayne
,t Address or P.O.Box
P.O. Box 227
State ZIP Code
Goldsboro NC 27533
phone (with area code) Fax Number (with area code)
[phone] [phone]
OWNER NAME AND MAILING ADDRESS: 3. RESPONSIBLE PARTY NAME FOR PERMIT(if different from 2)
my of Wayne
.t Address Street Address or P.O. ox
Box 227
tional Street Address Additional Street Address or P.O. Box Information
State Zip Code City State ZIP Code
Jsboro NC 27533
ohone(with area code) Telephone(wit area code)
i)731-1435
Number(with area code) Fax Number(with area code)
I)731-1446
Non-refundable permit review fee
Stormwater Management Plan
• Site Plan showing BMP locations,construction details and specifications,drainage areas and directions, outfalls,and related information
• For detention and retention structures,stage routing and storage
• Calculations for reduction of peak runoff for the 1-year,24-hour storm event and reduction in nitrogen loading
• Operations and maintenance procedures,and periodic maintenance schedules
• Responsible parties(owner and operator). if a multimember association such as a Homeowner,Property Owner,Condominium or Master
Association is proposed,the owner or developer must submit Articles of Incorporation for the Association,and Declaration of Covenants
and Restrictions,or such other organizational and operational documents that affirmatively assign authority and responsibility for the
operation and maintenance of the stormmwater management system.
Deed restrictions and protective covenants
• Show recorded drainage easements for storrnwater management structures.
• Provide a copy of the formal maintenance covenant that provides for the maintenance of all storrmwater management facilities.
Maintenance agreement
• Provide for access to the facility for periodic inspection by the City Engineer or their contractor or agent. The City will inspect each BMP at
least annually..
Provide for regular or special assessments of property owners.
• Describe how the owner/operator will keep records of the installation,maintenance,and repair of BMPs, retain those records for at least five
(5)years,and will be made available to the City Engineer.
CERTIFICATION
"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. l am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for having knowledge of violations."
Applicant Name: William" ee" Smith "I Title: Countv Manaeor
Applicant Signature: Date: 11
Owner/RP Signature: Date:
(if different from applicant signature)

CITY OF GOLDSBORO
DEPARTMENT OF ENGINEERING
STORMWATER SECTION
STORMWATER PERMIT NO.2007-1
FOR STORMWATER DISCHARGES UNDER THE
STORMWATER MANAGEMENT PROGRAM
In compliance with the provisions of Stormwater Discharge Permit NCS00396 issued by the State of North
Carolina and the City of Goldsboro Ordinance 2007—48,
County of Wayne
is hereby authorized to discharge stormwater from a facility,commercial or residential complex,or other
development located at
Animal Shelter,
Clingman Street
Goldsboro,North Carolina 27534
to receiving waters as shown on approved plans on file with the City and in accordance to limitations placed
on the discharge and other conditions set forth in this permit and in the approved plans on file with the City
and as noted on deeds and covenants duly recorded with the Register of Deeds of Wayne County.
This permit shall become effective October 11,2007,and shall remain in effect for a period of five years
until October 11,20012.
Signed this 11 day of October,2007
vz�- dZ44vw-
Terry Gall' re
City of Goldsboro
City Engineer
NOTE: PRIOR TO THE ISSUANCE OF THE CERTIFICATE OF OCCUPENCY, All BMP CERTFICATIONS,
RECORDED EASEMENTS AND FORMAL MAINTENANCE COVENANT MUST BE SUBMITTED.

This permit authorizes the discharge of storm water from the permittee% separate storm water drainage system,
storm water commingled with discharges authorized under other NPDES permits, and specific non-storm water
discharges provided these discharges do not contribute to a violation of North Carolina's Water Quality Standards
(was).
The following non-storm water discharges are authorized by this permit, provided these discharges do not contribute
to a violation of state Water Quality Standards: water line flushing, landscape irrigation runoff, diverted stream flows,
rising groundwater, uncontaminated groundwater infiltration (as defined by 40 CFR 35.2005(20)), pumped
groundwater (except for groundwater cleanups), discharges from potable water sources, foundation drains, air
conditioning condensate, irrigation water, springs, water from crawl space pumps, footing drains, lawn watering
runoff,water from non-commercial car washing,flows from riparian habitats and wetlands,residential swimming pool
discharges and other dechlorinated swimming pool discharges, residual street wash waters,and discharges or flows
from emergency fire fighting activities.
This permit does not relieve the permittee from responsibility for compliance with any other applicable federal, state,
or local law,rule,standard,ordinance,order,judgment or decree.
1 y
The City of Goldsboro Ordinance§6.5.14 provides for penalties upon violation of the City's Stormwater Management
Program:"Any person who is found in violation of any provision of this chapter, rule, regulation or order duly adopted
or issued pursuant to this chapter shall be guilty of a misdemeanor, punishable by a fine not to exceed$500. Each
violation shall be a separate offense.".
The Federal Clean Water Act of 1977 (P.L. 95-217), as amended, Section 309(c)(4), states: "Any person who
knowingly makes false material statement, representation, or certification in any application, record, report, plan, or
other document filed or required to be maintained under this act or who knowingly falsifies,tampers with, or renders
inaccurate any monitoring device or method required to be maintained under this act, shall upon conviction, be
punished by a fine not more than$10,000,or by imprisonment for not more than 2 years,or by both. If a conviction
of a person is for a violation committed after a first conviction of such person under this paragraph, punishment shall
be a fine of not more than$20,000 per day of violation,or by imprisonment of not more than 4 years,or by both."
The following items submitted and/or prepared by the permittee are a part of this permit and are enforceable as such:
• Stormwater Management Plan
o Site Plan showing BMP locations,construction details and specifications, drainage areas
and directions, outfalls, and related information
o For detention and retention structures, stage routing and storage
o Calculations for reduction of peak runoff for the 1-year, 24-hour storm event and
reduction in nitrogen loading
o Operations and maintenance procedures, and periodic maintenance schedules
o Responsible parties(owner and operator). If a multimember association such as a
Homeowner, Property Owner, Condominium or Master Association is proposed, the

owner or developer must submit Articles of Incorporation for the Association, and
Declaration of Covenants and Restrictions, or such other organizational and operational
documents that affirmatively assign authority and responsibility for the operation and
maintenance of the stormwater management system.
• Deed restrictions and protective covenants
o All stormwater management structures shall be located in recorded drainage easements
for the purposes of operation and maintenance and shall have recorded access
easements to the nearest public right-of-way. These easements shall be granted in favor
of the party responsible for operating and maintaining the stormwater management
structures and shall include access for City Inspectors and Department of Engineering
Personnel.
o Maintenance of all stormwater management facilities shall be ensured through the
creation of a formal maintenance covenant that must be approved by the City Engineer
and recorded into the land record.
• Maintenance agreement
o The agreement shall provide for access to the facility at reasonable times for periodic
inspection by the City Engineer or their contractor or agent. The City will inspect each
BMP at least annually as provided by other Ordinances and the City's Phase II
Stormwater Discharge Permit.The City Council has established an annual inspection fee
of$100.00 per BMP.
o The agreement shall provide for regular or special assessments of property owners to
ensure that the facility is maintained in proper working condition to meet design
standards and any other provisions established by The City of Goldsboro Stormwater
Management Program.
o The agreement shall require that owner/operators keep records of the installation,
maintenance, and repair of BMPs,and retain those records for at least five(5)years.
These records shall be made available to the City Engineer during inspection of the
facility and at other reasonable times upon request.
The permittee will notify the City Engineer orally or in writing within 24 hours of the time the permittee became aware
of any circumstance that creates a situation of non-compliance with this permit. The permittee will provide a written
report of the circumstances of non-compliance within five days of becoming aware of the circumstance. The written
report will contain a description of the non-compliance and its cause including dates and times;if the non-compliance
has been corrected and if not,when it is anticipated to be corrected;and steps to be taken to prevent a reoccurrence
of the non-compliance.
All records, reports, and documentation that the permittee either creates or receives concerning this permit will be
retained by the permittee for a period of five years.
The permittee will report any change of address and/or change of phone number to the City Engineer within 30 days
of the change. If the permittee anticipates a change or transfer of ownership that affects this permit,the permittee will
contact the City Engineer 30 days prior to the anticipated change and provide the City Engineer with all the relevant
information on the anticipated change.
If the permittee is not the Responsible Party as shown on the permit application, the Responsible Party will also
report any change of address and/or change of phone number to the City Engineer within 30 days of the change.
i

The permittee will operate and maintain all BMPs detailed in the Stormwater Management Plan in accordance with
the operations and maintenance procedures found in the Stormwater Management Plan. Records of maintenance
activities will be kept for a period of five years and are subject to inspection by the City as described in the
Maintenance agreement and by other City ordinances.
The following City of Goldsboro Ordinance is quoted for your information:
§96.03 PUBLIC NUISANCES.
(C) Stormwater treatment,retention or impoundment devices(Structural Best Management Practice(BIUP)).
4) Inspections and annual inspection fee.
(a) The Building Inspector(or other authorized agent of the city) has full power and authority to enter
upon a premise housing a BMP for the purpose of inspecting the BMP on an annual basis. The City Council has
established an annual inspection fee of$100 per structural BMP to fund this additional inspection program.
(b) In addition,the Building Inspector may enter the site as necessary to document improperly operating
BMPs,follow up on scheduled maintenance activities,or to conduct maintenance themselves.
WSW
The permittee must comply with all conditions of this permit. Any permit non-compliance constitutes a violation and is
grounds for enforcement, for permit termination, revocation, reissuance, or modification, or denial of permit upon
reapplication.
This permit does not convey any property rights in either real or personal property, or any exclusive privileges, nor
does it authorize any injury to private property or any invasion of personal rights, nor any infringement of federal,
state or local laws or regulations.
The provisions of this permit are severable, and if any provision of this permit, or the application of any provision of
this permit to any circumstances is held Invalid, the application of such provision to other circumstances, and the
remainder of this permit,shall not be affected thereby.
The permittee'shall take all reasonable steps to minimize or prevent any discharge in violation of this permit that has
a reasonable likelihood of adversely affecting human health or the environment.