NCG160220_Last Page of NOI_20140910

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NCG160000 N.0.1.
Final Checklist
This application will be returned as incomplete unless all of the following hems have been included.
Please do not ask us to "hold" an incomplete application in anticipation of a check under separate cover.
❑ Check for $100 made payable to NCDENR
❑ This completed application signed by the applicant, and all supporting documents
❑ A site diagram showing, at a minimum, (existing or proposed):
(a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls
(corresponding to which drainage areas), (d) runoff conveyance structures, (a) areas where materials are
stored, (f) Impervious areas, (g) site property lines, (h) vehicle and equipment maintenance, blasting,
painting, and washing areas, and (I) location of activities listed In 7b.
❑ Copy of county map or USGS quad sheet (preferred) with location of facility clearly marked on map
Please mail the entire package to:
stormwater Permitting Program
Division of Energy, Mineral, and Land Resources
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Please note:
The submission of this document does not guarantee the Issuance of NPDES permit coverage.
For quesfions, please contact the DEMLR Regional Office for your area.
To visit our website please go to htleJlporfaLncdenr orst/web/lr/stormwater
DEMLR Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office ...
[phone]
Raleigh Office ........
[phone]
Washington Office ...(252)
946-6481
Wilmington Office ...
[phone]
Winston-Salem .....
[phone]
Central Office .........
[phone]
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SWU-234-030009 Last revised 09/10/14