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Home My WebLink AboutNCG560066_Application_20210831 r dtiSTAT 4 ROY COOPER I• tl`' Governor � • 11ti` p ELIZABETH S.BISER - Secretary °� - S.DANIEL SMITH - NORTH CAROLINA Director Environmental Quality • August 31, 2021 Surry Yadkin Electric Membership Corporation Attn: Ricky Bowman, VP of Operations 510 S Main St Dobson, NC 27017 Subject: Permit Renewal Application No. NCG560066 Surry-Yadkin EMC Vegetation Control Surry County Dear Applicant: The Water Quality Permitting Section acknowledges receipt of your application for a new NPDES WW permit, including supporting documentation and your check number 24849 in the amount of$100.00 as payment of the application fee. These items were received in our offices on August 31, 2021. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch.The permit writer will contact you if additional information is required to complete evaluation of your application. Your timely and direct response to any such request will help to expedite the review process. Please note that acceptance of the application does not guarantee a NPDES permit will be issued for the proposed activity. A permit will only be issued following a complete review of the application, concluding the proposed discharge is allowable per applicable statutes and rules. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https://deq.nc.gov/perm its-reg u lations/perm it-g u ida nce/envi ron me nta l-a ppl icatio n-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. Sincerely, XVitt Wren Thedford Administrative Assistant Water Quality Permitting Section cc: Central Files w/application ec: WQPS Laserfiche File w/application DECO NorthWmston-Sal Carolina DepartmentRegionalOffice of Environmental1450West Qualityf.Ti I RoadDivisionSuite of Water300(Resources em Hanesll , Winston-Salem,North Carolina 27105 336.776.9800 �F Division of Water Resources FOR AGENCY USE ONLY �� National Pollutant Discharge Elimination System (NPDES) Date Received NCDENRApplication for Coverage Under General Permit Year Month Day c90a( 0 8 31 N CG 560000 Certificate of Coverage Pesticides NCG 5 6 v o (i 4P Check# Amount NOTICE OF INTENT a y g �� Assigned To: Required by 15A NCAC 02H .0127(d);term definition see 15A NCAC 02H .0103(19) -- (Please print or type) 1) Mailing address of applicant'(address to which all correspondence should be mailed): Company Name Surry-Yadkin Electric Membership Corporation Owner Name Kenny Lee Mosley Street Address 510 South Main Street City Dobson State NC ZIP Code 27017 Telephone# 336-356-5256 Fax# 336-356-4081 Cell # 336-401-6249 Email kennymosley@syemc.com '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-to-day 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: [Required by 15A NCAC 02H .0105(c)(1)] RECEIVED a) For what type[s] of pesticide-related discharge are you requesting coverage? AUG 3 1 2021 ❑ Mosquito/flying insect pest control Acres: (adulticide applications only) NCDEQIDWRINPDES ❑ Aquatic Weed/Algae control Acres: ❑ Aquatic Weed/Algae control Linear miles: ❑ Aquatic Nuisance Animal Control Acres: ❑ Aquatic Nuisance Animal Control Linear miles: ❑ Forest Canopy Pest Control Acres: ® Intrusive Vegetation Control Linear miles: 1000/yr.+32 acres bareground (substation lots) 3) Have you prepared a Pesticide Discharge Management Plan? ® Yes ❑ No (The plan must be prepared no later than April 1, 2012.) [certification and signature shall be completed on the following page] NCG560000 New 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: Ricky Bowman Title: Vice President of Operations (Please review 15A NCAC 02H.0106(e)for authorized signing officials) FicCity .[ 8/19/2021 (Signature of Applicant) (Date Signed) North Carolina General Statute 6 143-215.6B 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 this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article;or who falsifies,tampers with,or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Article, shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars($10,000). 18 U.S.C. Section 1001 provides a punishment by a fine or imprisonment not more than 5 years, or both, for a similar offense. Application must be accompanied by a check or money order for$100.00 fuer G.S. & 143-215.3(a)(1 b)1 made payable to: NCDENR • • • • • Mail this application and one copy of the entire package(with check) to: NC DENR/DWR/ Water Quality Permitting Section 1617 Mail Service Center Raleigh,North Carolina 27699-1617 Attn: Charles Weaver ELECTRONIC SUBMISSIONS: If you wish to complete and submit this application electronically,submit it to: charles.weaver@ncdenr.gov Your application can be received and reviewed electronically. However,the Certificate of Coverage(CoC)cannot be issued until the application fee is received per G.S. $ 143-215.3(a)(lb). ELECTRONIC RECEIPT OF CoC Do you wish to receive your CoC electronically? ® Yes-CoC will be sent to the e-mail address provided above. ❑ No-CoC and a copy of permit NCG560000 will be sent via USPS. Page 2 of 2 Revised 9/1/13