NCG120013_Representative Outfall Status Renewal_20210811

FOR AGENCY USE ONLY
NC
ARO FRO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
Representative Outfall Status (ROS) Renewal Certification Form
Please complete this form if you want to maintain current ROS designations.
Directions: Print or type all entries on this certification form. Attach this form and a copy of the original ROS
approval documentation to the Stormwater Upload Form.
North Carolina General Statute 143-215.613 (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 this Article or a rule implementing this Article ... shall be guilty of a Class 2
misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000).
Under penalty of law, I certify that:
I, as an authorized representative, request renewal of the ROS designations currently granted to the subject
facility.
No site or activity modifications that impact the characteristics of stormwater discharges from the
representative outfalls have occurred at 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.
Facilitv Name: City of Greensboro - White Street Landfill
Permit Number: NCG-120013
Printed Name of Person SifzninR: Lorien R. Deaton
Title: Environmental Compliance Specialist
(Signature of Permittee)
NORTH CAROLINA
Department of Environmental duality
8-11-2021
(Date Signed)

O` V VA,C1 Beverly Eaves Perdue, Governor
O� QG State of North Carolina
� y Dee Freeman, Secretary
Department of Environment and Natural Resources
' f Coleen H. Sullins., Director
Division of Water Ouality
28 January 2010
Mr. Allan Williams, Director of Water Resources
City of Greensboro
P.O. Box 3136
Greensboro, NC 27402
Subject: NPDES Stormwater Permit
Permit No. NCG120013
Representative Outfall Status Request
White Street Landfill
Guilford County
Dear Mr. Williams:
The Winston-Salem Regional Office staff have reviewed your request dated January 20, 2010 for a
determination that stormwater discharge outfall (SDO) 001 be granted representative outfall status for
stormwater outfalls 002, 003 and 006. Based on the information and maps provided and a site visit
conducted on January 8, 2010, we are approving this request. In accordance with 40 CFR §122.21(g)(7),
you are authorized to sample outfall number 001 as a representative outfall. This approval is effective
with the next sampling event. We also errant to remind you that the permit still requires Qualitative
Monitoring be performed at all SDOS, regardless of representative status.
Please remember that any actions you initiate in response to benchmark exceedances as directed in the
tiered response provisions of your permit must address all drainage areas represented by SDO 001, where
appropriate.
Please append this letter to your Stormwater Pollution Prevention Plan (SPPP) or permit to document
that representative outfall status has been approved. If changes in drainage areas, structures,
processes, storage practices, or other activities occur that significantly alter the basis of this approval,
representative outfall status may no Ionger be valid. You should either resume sampling at all SDOs,
or reapply to this office for representative outfall status based on updated information. If you have any
questions or comments concerning this letter, please contact me at [phone] or at
corey,[e-mail].
Sincerely,
Ct/eve W. Tedder
Water Quality Supervisor
cc: Winston-Salem Regional Office
Stormwater Permitting Unit, Central Files
Lewis Walker, White Street Landfill Compliance Supervisor one
Lisa Ennis, S&ME No hCarolina
"VIVAfr'allb,
North Carolina Division of Water Quality 585 Waughtown Street Phone [phone] Customer Service
Internet: "vw.ncwaterquali , .org Winston-Salem, NC 27107 Fax [phone]
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