NCG510207_Permit issuance_20111012

NIMA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor Coleen H. Sullins, Director Dee Freeman, Secretary
October 12, 2011
Mr. Michael A. Martin
Colonial Pipeline Company
P.O. Box 87
Paw Creek, NC 28130-0087
Subject: NPDES General Permit NCG510000
Certificate of Coverage (CoC) NGG510207
Charlotte Delivery Facility
Mecklenburg County
Dear Permittee:
The Division received your request for renewal of NCG510207 on March 29, 2011. The revised General
Permit was signed on September 206, 2011 and took effect October 1, 2011. This renewed CoC 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 October 15, 2007 [or
as subsequently amended].
A copy of the NCG510000 is enclosed, as well as an updated Technical Bulletin. The Technical
Bulletin summarizes the changes from the previous version of NCG510000. 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 CoC shall be final and binding.
The CoC is not transferable except after notice to the Division. You must notify the Division if you sell
or otherwise transfer ownership of the permitted facility. The Division may require modification or reissuance
of the CoC.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the
Regional Office listed below. Once discharge from your facility has ceased, this CoC may be rescinded. This
permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources, Coastal Area Management Act or any other Federal or Local
government. If you have any questions concerning this permit, please contact Charles H. Weaver at the
telephone number or e-mail address listed below.
S
in),
f . Su4MS
cc: Mooresville Regional Office - Surface Water Protection
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NO Carolina
Internet: ual
Phone: [phone] /FAX [phone]
chades.weaver@ncdencgov
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An Equal OpportunitylAffirmative Action Employer- 50% Recycled/10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG510000
CERTIFICATE OF COVERAGE NCG510207
TO DISCHARGE PETROLEUM CONTAMINATED GROUNDWATER AND SIMILAR WASTEWATERS
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,
Colonial Pipeline Company
is hereby authorized to operate a groundwater remediation system for petroleum -contaminated groundwater
or similar waste streams that will discharge treated wastewater from the
Charlotte Delivery Facility
7524 Kenstead Circle
Charlotte
Mecklenburg County
to receiving waters designated as an unnamed tributary to Gum Branch, a class WS-IV stream in
subbasin 03-08-34 of the Catawba River Basin.
All discharges shall be in accordance with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III and IV of General Permit NCG510000 as attached.
This Certificate of Coverage shall take effect on October 12, 2011.
This Certificate of Coverage shall expire on September 30, 2016.
Signed this day, October 12, 2011
foT Colee . Sullins, Director
Di " ' n of Water Quality
C57-
By Authority of the Environmental Management Commission

AGa
NC DENR / DWQ / Water Quality Section
National Pollutant Discharge Elimination System
NCDENP* NCG510000
E RONM[T- NNOR4 RES RC[S
RENEWAL application for coverage under General Permit NCG510000
[remediation projects treating petroleum -contaminated groundwater]
(Please print or type) Certificate of Coverage number: �J(f G 5 / o 267
1) Mailing address of site Owner:
Company Name: CoLoNJq(_ P(PEuue Co.
Company Contact: MCLI): A. MA/L'flh(— Oi�ERArIIms MIrNkCrEll
Street Address: PAvO 87 '75)-4 KENSTEA6 C(tCL€
City: PA kl CkEEK State: MC ZIP Code: 2 $ f 30
Telephone No.: 70 4 3 7 ;L - FG (o Fax: 704 3 7 c? - S2. s 9
e-mail address: [Minot rf'% to C co (prlee-- . co M
2) Location of remediation site producing discharge:
Facility Name: COLON(AL hkt4klE CA.— C
Facility Contact: J-O V M W • Cv c 82E A rH
Street Address: %5 2 4 (CEt a s rE A D C I ki
City: G• k L o r rF
County: C KLEN b UkG
Telephone No.: 70 4 379 - 52 S 9
e-mail address: i e- u 1 bre ct @ co I P i PG
ERY 1 *ciL(TY
E
State: tJC ZIP Code: 7-g 7-% 1+
Fax: 7 0 4
3) System operator / Consultant ID [if different from Owner]:
Company Name:
Company Contact:
Street Address:
City:
County:
Telephone No.:
e-mail address:
4) Site ranking & ID:
GW incident #:
Site Ranking [if available]
Date of most recent discharge: -3 — / 7 - 20 1 1
State: ZIP Code:
Fax:
Q�@�od
MAR 2 9 2011
Additional data required:
a) A site map clearly showing the path of the remediation system effluent from the site to its
discharge point.
b) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the current permittee showing that the person[s] submitting the
application has been designated an Authorized Representative.
Page 1 of 2

NCG510000 renewal 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:
Title: 0%0p.i o- o vts IA4&, C%a C V,
(Signat
North Carolina General Statute 143-215.6 B (i) provides that:
to Signed)
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 $10,000, 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 $10,000 or imprisonment not more than 5 years, or both, for a similar offense.)
DWQDWQDWQDWQDWQDWQDWQDWQDWQDWQDWQDWQ
Mail THIS COMPLETED FORM to:
Mr. Charles H. Weaver
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
NPDESNPDESNPDESNPDESNPDESNPDESNPDESNPDESNPDES
For electronic copies of this form or the NCG510000 Fact Sheet, send a request to:
[e-mail]
Page 2 of 2

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