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HomeMy WebLinkAboutNC0089729_Other Correspondence_20190314cow CHARLOTTE. March 14, 2019 Mr. Edward Watson NCDEQ, Division of Water Resources Mooresville Regional Office 610 East Center Street, Suite 301 Mooresville, North Carolina 28115 serfiche CITY OF CHARLOTTE ENGINEERING & PROPERTY MANAGEMENT RE: Notice of Violation Tracking Number: NOV-2019-LV-0019 Issued March 1, 2019 Myrtle/Morehead Storm Discharge NPDES Permit No. NCO089729 Mecklenburg County Dear Mr. Watson: CJAR 13 H19 A`O:?Rt55Vif.LE RPGIONAL OFFICL The City of Charlotte (City) is submitting the attached discharge monitoring reports (DMRs) in response to the above mentioned "Notice", NOV-2019-LV-0019. The construction dewatering and treatment system has not yet started. The six DMRs indicate a "no flow" status and will continue to until the system is activated. The City is currently going through the process to submit monthly eDMRS. Copies of the signatory of delegation and ORC designation forms are also attached. If you have any questions, please feel free to contact me directly at (704) 651-4366 or doierotti(2charlottenc. gov. nohofas'Pierotti, L.G. Env onmental Services Manager City of Charlotte Engineering & Property Management Attachments: DMRs 600 East Fourth Street I Charlotte, NC 28202 1 PH: 704.336.2291 1 FAX: 704.353.0473 EFFLUENT / o f'46t-J NPDL_S PLRN1IT N0. NC0089720 DIS('.I-I.ARGG NO. 0011002 V10NTH SEPTEMBER YEAR 2018 F ACILIT Y N A'Mf MYRTLEIMOREHEAD STORM DRAINAGE IMPROVEMENT CLASS C C'OON I Y MECK LEN BURG CERTIFIED L.AROR.ATORY (1)__TBD C FR"fIF1CA t10A S'O. _. (list additional labora[ories on the backside page 2 of this Conn) OPERAI-01t IN RGSPONSIHLE CI-IARGG (OR(`) Alatt Westendorf GRAD. Pic-1 (TRTIFIC'A'IION NO, 978697 PERSON(S)COLLECIINGSAMFL6S__�---7NIA ORC PHONE 704-906-4241 CHECK DOA IF ORC FIAS CHANGED 1 I \0I IAW I DISCIt Ut(;t FRO)L sI I I NfaiIORIGINAI IntlONE COPY to: {ill CE.N" I'It{I FILES x DIVISION OFWA I tit RESOURCES (SIGNAILI UtffOPERA I R. RISP t�7n GF) DATE 1617 NIAIL SERVICE CGN'tER RY'1' it IS SIGN'ATVRP, I CER'FIF Y I HAT'IRIS RKPOID IS RALEMO, SC 27699-1617 ACCCRA'ILANDCOMPLEIP, 'TD'OIE REST Ot A1YKNO9'I.EDG€. 40050 000111 UIWIIO SUOfiO TOW310 00610 00570 31616 00300 00600 OUfifiS _ - E s GLO\q t" ,, ENT UR PARAMETER CODEAROVE 7... Jv SAME. AND UNI I S IIEILOM' JC OA. tV.',j '/+Y. 0- r R0 40 FC See 0 4+i Permit FIRS FIRS V/11IN %ICn C VNITS UG11. MCA. AIGIL AIGIL #A00111. AIGA. MCL MWL _ 2 4 1 6 _ 10 --- I 1 W 12 13 Id 16 _ I7 �' IS 19_- '--- — 20 21 22 — 23 24 zs 216 29 _ 9 .39 MAXIIIUN — Al lNI NI L11 Crzmp _ ` \Inm61. Linut � D%A R P000 MR-1 (08 1+) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, ifapplicable) X Contpliam All monitoring data and sampling frequencies do NOT meet pernat requirements EJ Noncompliant The pennihce shall report to the Director or the appropriate Regional Office tmynoncompliance that potentially threatens public health or the environment. Any information shall be provided orally widrin 24 hours front the little the peruittec became a vaie of the circumstances, A written submission shall also be provided within 5 days of file time the perntiace becomes aware of the circumstances. If the facility is noncmnpliant, please attach if list of corrective actions being taken and it time -table for improvements to be made as requit-ed by Pm-t II.E.6 of flip NPD.ES permit. "9 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 propcilygather and evaluate the information submitted. Based on my inquiry of the person or persons who manager) the system, or those persons directly responsible four gathering the infontfation, the information submited is. to the best of my knowledge and belief, me, accurate, and complete. I am aware drat there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." DougPierotti, PC, Pennittee (Please prhrf or type) k AA 3 C3 Sign t o Permitter"" Date (Requiunless submitted electronically) 600 East 4th St, Char9otte, NC 28202 704.651-4366 d ier0- i@aci.c larlotte.nous 8/31/2023 Ile, mince Address Phone Number e-mail address permit Expiration Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LAI20RA17ORITS Certification No. Certification No. Certification No. Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visiting htlp:+`portal.ncdenr.oig/web,'wq%swp.ps/ttpdes=appfomu. Use mdy units of msasuremenl designated in the reporting f-acilav's NPD6S permit for reporting darn. * No FIon7Discharge Front Site: Cheek this box if no discharge occurs and, as it result, them are no (lira to be entered for all of the pranrcters on the DM for the cntirc monitoring peri(d. ** ORC On Site?: ORC must visit facilityand document visitation of facility as required per I5A NCAC 86 .P204, ** Slgnanue of Permittee: If signed by other than the perimuce, then the delegation of the signatory aubority nmst be on file with the stale per 15A NCAC 213 .0506 b)(2)(D). Page 2 EFFLUENT NPDESPERNIH NO, NCO089729 DISCIIAR(jLNO. 001/012 NIONTH OCTOBER YEAR 2018 FM 1111Y N.ANIE MYRTUMOREHEAD STORM DRAINAGE IMPROVEMENT CLASS C COUNTY 't ECKIENBURG CERI IFIED I A130RAIORY (I) THD _ CFRI'IFICATION NO,. (list additional I bonnonesonthe backside page 2 of this tot in) OPERATOR N RESPONSIBLE: CHARGE (OR() 0latt westendorf GRAD P7C-1 CERTIFICATION N'O. 978097 P[ RSON(S) COITFCI`ING S MPI.FS_ NIA ORC PHONE 704-906-4241 CHECK BOX if ORC HAS CHANGED SO I LOM 1111V 11 %RGt. FRO;U SI I I-: Mail LORIGINAL and ONE ... " VIFN:CFNTtVIILES DIVISION OFVAtl 1R RLSOURCLS TLiIGKWft1ft[O 01,1_RAIORINAnPONSIBLLC41AFtGLI DAI-F 16111 A(1. SEItVI11 C'ENI 1;H Nl' fill$ SIC;3dTfI<P:,1('€ttl'Ifl"1'tLtT TIIIS Rta'OR'I' IS RA L1TCt1 :A'C 276')9.16I7 AC'(URATEARDCOMPLETE TO TDE RFSI'(1FMS'AVO1PLrOGE. 50050 00010 OU40U Sp060 OU310 00610 NOW 31616 UO)Ob U06U0 00065 g FLOW G G En TSR PAItpgL(F.Ii CODS dRO\T If -' FIT,�. Z \AMF.A\D UM IS RFI,OtP ISe❑✓• Oo1' OCvO ON C v. U C i see C y A�ofaUon Permit IIRS HRSI YAh\ I AIGD C UNITS UGIL ---- MWL -"-- 4161, _.� dIGA. #,100MI Mt✓L MG'L tIGA. ��._.._ 1 4 S 6 7 4 t 12 14 15 16 17 I9 20 21 — 22lip 3 24 26 27 28 2`) 1 %ERAGE MAXIMUM ! MINIMUM C. DWR F,mt 11R-I (US 0) Facility Stahrs: (Please check one of the follonving) All moniourng data and sampling frequencies meet permit requirements (including weekly averages, if applicable) X Compliant All monitoring data and sampling fiequencies do NOT meet pemut requirements Noncompliant The pernninee shall repot to the Director or the appropriate Regional Office nnynoncompliance that potentially threatens public health or the environment. Any information shall he provided orally within 24 hours fiom the time the permince became aware of the circumstances. A nvritten submission shall also be provided within 5 days of the time the penmittee becomes aware of the circumstances. If the facility is noncompliant, please attach it list of corrective actions being taken and a time -(able for improvements to be made as required by- Part ILR.6 of the NPDES permit. "t 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 managed 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." t or type) Penuitteeera Date less submitted electronically) 600 East 4th St. Charlotte NC 28202 704-651-4366 doiero =' Charhadotte nc us 8/31/2023 Penrintee Address Phone Nwnber e-mail address Permit FxEini rion Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES Certification No. Certification No. Certification No. Certification No. PARANIE:TER CODES Parameter Code assistance may be obtained by calling the NPDLS Unit at (919) 807-6300 or by visiting http: "portal.ncdenr.org,web%wglstvpfpsrnpdca?appfoms. t se only units ofineasurement desianatcd in thereporling facility's NPDES pennit for reporting data. No tlowiDischarge Prom Site: Check this box if no discharge occurs and, as a result, there are no data to be enteral for all of the pmanmejs or. the UMK for the entire monitoring period. ORC On Site?: 012C must visit facility and document visitation of facility ax required per 15ANCAC 86.02(14, Signature of Permittee: If signed by other than the pcnnittce, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(1))(2)(D). Page 2 EF l.uE n'r o €=1ew-j NPDES PERMIT NO. Nc098972s DISCI IARGH NO. 001/002 MON1'Ii NOVEMBER YEAR 2018 IACI H FY NAMEMYRTIEIMOREHEAD STORM DRAINAGE IMPROVEMENT CLASS C COUNTY MECKLEN11URC CHRTIFIFI) I ARORATORY (I)__.TRZ CER IIF'ICA I ION NO. (list additional laboiatoties on (lie backside page 2 of this foil) OPERAI"OR IN RESPONSI01_L' CHARGE (OR(') Matt Westendorf PERSON(S) COLLECT 1\G SAM PI. FSNIA CHECK BOX IFORC HAS (II NGF1D Mail ORIGINAL and ONE COPY to: ,A", 1r�' A] IN: CEN Ill V FILES x DIVISION ISION OF it 1TER RESOURCES t51GNAl hit ; OP GRAD. Pic-i CERTIFICATION NO..-978697_ _ ORC PllONF 104-906-4241 IK) 19.IA,4CIMitC, li FliOpi J I E'° x 1(17 MAll, SERVICE CE\"IEll i UYfHIS Nt\,\TGIiF:,iti Rl'll'Y"1'll:\i fII1S 1t4:POR'1' IS R 41.F.IGH NC 276994617 i ACCURM ANDCOMIIFIt't0'i111 nFS1 }il'KhOWL6DG1>. DWR Fonn MR -I ((I805) 12 Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet pemnit requirements line Iuding weekly averages, irappIicable) X Compliant All monitoring data and sampling frequcuciev do NOT meet permit requirentents El Noncompliant The penuittce shall report to the Director orthe appropriate Regional Otlia^ auy moneompliancc that potentially threatens public health or the envirounnent. Any information shall be provided orally within 24 hours from the time the penrintee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is nancnmpliaot, please attach a list of corrective actions being taken and a tine -table rot, improvements to be made as required by Part ILE.6 of the NPD1S permit. "9 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 managed the system, or those persons directly responsible forgathering the information, the information submitted is, to the best of any knondedge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Doug Pierotti, PG Pomnittee (Pie ise prat or type) �to i3 r I S g na re of Permiltee*** Date (Regt red unless submitted electronically) 600 East 4th St. Charlotte, NC 28202 704.651-4366 dolorouf dd.clnar!otte.nc.us 8/31/2023 11com tee Address Phone Number c-mail address Permit Bpinnion Date Count lied Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES Certification No. Certification No. Certification No. Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDL•'S Unit at (919) 807-6300 or by visiting http:7iportal.ttedenr.orgiwebiwq,swp,"ps;npdcs''appfornrs. Use only units of measurement designated in the reposing &cility's NPDGS pennit for reporting data, * No Flowrllischarge Prom Site: Check this box if at, discharge occurs and, as a result, there are nu data to be entered for all of the parameters on the DM R for the entire rxati toeing periml. *k OR( On She?: ORC must visit facility and document visitation of facility as required per 15A NCAC SG .)204. *** Signature of Perminee: If signed by other than the pe niece. then the dvicgation ofthe signatory authority most be on file with the state per 15A NCAC 2B .0506(b)(2)(1)). Pace 2 EFFLUENT NPDES PFRNIIT NO. NC0089729 DISCHARGE NO. 0011002 NIONTH DECF.,MBER YEAR 2018 FAC.ILIIYNAMI-MYRTLEIMOREHEADSTORMDRAINAGEIMPROVEMENT CLASS._..0 COUti Y IYIECICLENBURG CERTIFIED LABORATORY (1)_TBD C E,Rl719C'Al ION N0. (list additional laboratories on the backsidepage 2 of this form) OPERATOR IN RESPONSIDI.H CHARGE (ORC), ,Xlatt Westendorf PLISON(S)COL LECIIAGSANIPLESNIA ('HECK BOX IF ORC HAS ( HANGED Mail ORIGINAL and ONE COP]lo: rX CENTRAL utrs 9 DIVISION OF WATER R RESOt ftCES 1SI(i.'A L L GRAD.Pic.i CERIIFICA'I ION NO. 978697 ORC P110S1: 704-906-4241 V0I 10M i DISCIL1RbIi FNO6I fit F ° tell MAIL SERVICE CLNIER 131 1'InS SI( �,V CRP:, I L 6RI'I n'TIiA C IniS REPORT 19 RALEIGH NC 27091617 AC('DRAIE AND COM LEIP: TOINh RNSP OFMYKROWLEDGE. DWR Fnnn MR-] (0 05) 3- 2-1y FaciIithStatus: (Please check one of the following) All nxmiloring, data and samp I ing hequ ircie� meet pemrit requirements (utclud i n,"vekly hverag d'applicable) Compliant All monitoring, data and sampling frequencies do NOT nice penntI requirements D Noncompliant The pennittee . shall reprna to the DiIccIor or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 bents from the lime the perm ittee became aware of the oicuinstances. rA m then submission shall also be provided mithin 5 days oft lie time the pennittee becomes atxmrc of the circumstances. If the facility is nmucompliant, please attach a list of corrective actions being taken and a time -table 1'01• improvements to be matte as required by Part 11.Is.6 of the NPDES permit. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervisiou in accordance with it .system designed to assure that qualified personnel properly gather and evaluatethe information submitted. Based on my inquiry of the person or persons who managed the systear, or those persons directly responsible for gathering the information, the information submitted is, to tire best of my knmadedge and belief; true, accurate, and complete. 1 am aware that there are significant pe.nahies for submitting false infomtation, including the possibility of fines and imprisonment for knowing violations." unless submitted electronically) 600 East 4th St. Charlotte. NC 25202 704-651-4366 dpferoni tDv charlotte .na_ its 8/31/2023 Pcmmee Addreis Phone Number a -mail addles Permil Expiration Date i Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES Certification No. Certification No. Certification No. Certification No. PARAiMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 807-6300 or by visitia htipJ/portal.ucdettcorg;wcb'xtgrsep'psh)pdes appforms. . lise only units of measurement deiigoated in tiro reporting f rdlity's NPDES pennh for reporting (],art \n PlmclUischarge Pram Site: C'herk this 0ax itlw dischnrgc oealrs and, a, a resuh. drerc arc no dat+r m be entered ?ix all of the parameters on the DM for the entire monitoring period ORC On Site?: OR( ' must visit facilityand docanter:t visitation of facility "i rapuired per I.; A NCAC SG.0204. Signature of Permittee: If signed by other than the pennittee, then the delegation of the sigmoory amlim ay must boon file with the state per 1 SA NC'AC 213 .050 6(b)(2)(D). Page 2 EFFLUENT N'PDES PERMIT NO. N00089728 DISCHARGE: NO. 0000 2 NION'IN_ JANUARY YEA (t 2019 I'ACIIITYNAMEMYRTOE(MOREHEAD STORM DRAINAGE IMPROVEMENT CLASS C COUNTY. 11 F,C:IQ EiSiHURG CERTIFIED LABORATORY (I) '1BD CERTIFICATION A'O. (list additional laboratories on the hacksideipage 2 of this firm) OPERATOR IN RESPONSIBLECHARGE (ORC) Matt Westentlorf PERSON(S) COL 1 FCTING SAMPLES NIA CHECK BOX IF ORC. ILAS CHANGED Wil ORIGINAL and ONE COPY to: >FTC CkNIRAIIIItS : f/ i DIVISION OFB CTF R R£SOCR(CFS (. IGN.A ) 1617MAILSER ICI Ct NIIR RS""Jill SN.SA'1'6RF RAI,IiiC:If. NC 27699-1617 .ACCCRAIE AND CM DWR Farm MR-1 if* 0S GRAD:Prcat CER1l FICA FlON'NO. 978697 ORC PHONE_ 704-906-4241 NO I LAW I DI�Cll CERTIFY'rHATTRIS REPORF IS 'CF.T6: TO fitk: IFF.S'1' OF ht S' RNONT,GUGIa 3- /2 - t? Facility Status: (Please check one of tie following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) Compliant All monitoring data and sampling frequencies do NOT nroct permit requirements El Noncompliant The penninae shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any infbrntation shalt be provided orally within 24 hours front the lime the permittee became mvme of the circumstances. A written submission shall also be provided within 5 days of the time die permittee becomes awme of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part ILE.6 of the tNI'DES permit. "9 certify, under penalty of law, that this document and all attachments were prepared under niy direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based or ivy inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the inforniatimt submitted is, to die best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties loot submitting false information, including the possibility of fines and imprisonmenl for knowing violations." PG or )fpennittea*** Date unless submitted electronically) 600 East 4th St. Charlotte. NC 28202 704.651-4366 dnierotti d.char(oite:nau{s 8/31/2023 Penuince Addays Phone Number mail address Pennit Expinnion Dafe Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL, CERTIFIED LABORATORIES Certification No. Certification No. Certification No. Certification No. PARAMETER CODF,S Parameter Code assistance may be obtained by calling the NPDFS Unit at (919) 807-6300 or by visiting http:hportalmedemaof-Lweb. `wcl1'swprpsl)pdeueppfornis. Use only units of measurement designated in the reporting facility's NPDES permit for repining data. * No PlowlDischarge Pram Site: (heck this box if no discharge occur and, as a result. dicre ate no data 1a he entered Cur all of the parmnctere on the DMR (or the entire monitoring p��rind_ ** ORC On Site?: ORC trust visit tacility and document visitation of facilLy as required per I SA NCAC SG .0204. Signature of Permittee: If signed by other than the permittee, then the delegafion of the sigmtoiN awhoriquntil be on file with the state per l5A NC'AC 2B .0506(b)(2)(1)). Pa,c 2 N z) t' 1 Cie+J NPDES PERMIT NO. _ NCO089729 DISCHAR(7FNO. 0011002 MOtiTH FEBRUART YFAR 2019 I ACIIA I N NAML MYRTLEIMORENEAD 5TORM DRAINAGE IMPROVEMENT CLASS C COUNTY HECKLE NBURC (CRIIFIGDLA730RATORY(I) IT[) ('GRf1FICAIION .NO. (list additional laboratories on the backside; page 2 of this Conn) OPERATOR 1\ RESPONSI[3LF CHARGE; (ORo _Mitt( WestendorfGRAD Pic.1 CERTIFICATION TO._978697,_ _ PERSON(S) ('OLLECTING SAMPLES N� OR(' PlIONF; 704.9(16.42A1 C'IJECK BOX IF ORC HAS CHANGED <p I I (liv ' DB('11 UiG6: Fl2O31 Sil'P: Mail ORIGINAL, and ONE. COPY to: ATTR: CIaNTRAL FILES x > /f J��"� - 1Z DIVISION OFN'ATER KNOCKYS (SIGNAI UR. AF PLRAIO JN RESPONSIBLE CHARGE) DVIF 1617 MAIL SERVICE CENTE R HY THIS SIGNA'[ UNE, I CER nFlTIIA"r IIIIS REPORT' IS RALEIGH. NC 27699,1617 A[CV'RA'lIt ANTI CONIPI,ERi TO'HIERFSI' OFNIVENC%%1COGE. 50050 00010 00400 L50060 00310 00610 11(I530 31616 00301E 00600 W665 S FLO4N {!_ Z r FN7tRP RANIMER CODE .AIIO%E �G! �w q �C Sa/. X NINE AND II. NITS BELOW S OC M V 4_ o 5 O uAninlion { V :J p 7 g See O Permit Hlis IIIis Yfn/N MD C 1 ONUS UG1. NT(;1C :NGlL MGA. A!IUU.\IL N(:/L NIGH. \IGiL 2 1 ?f 9 10 EL 12 13 Id 16 IS 19 I; 20 27 2.1 :. 24 27 z9 A%ERVGE MAXIMUM _ NININV:N C n P Limit VIm.1 u6h LinOt DNVR Fomi MR-! !05 1151 facility Status: (Please check one of rite following) All monitorow data and sampling, frequencies meet permit requirements (including weekly averages. if applicable) Compliant All monitoring data and samplin^_ tienuencies do NO'f nieei permit requirements Nonconnplinat The pernrittee shall report to the Director or the appropriate Regional Offiec anynonconytliance that potentially threatens public health or die environment. Any information shall be provided orally willon 24 hours from the time the pennittee became aware of the circuntsnurces. A vniten subnricsion .shall also be provided within 5 days of the tins the pennitlee becomes aware of the eirewnstances. If the facility is noncoorpliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part ILE.6 of the NPDES permit. "9 certify. under penalty of law, that this documrent 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 managed the system, or those persons directly responsible for gathering the information, the information subrmitted is. to the best of no: knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false infonnation, including the possibility of fines and inipriscnnrent for knowing violations." or type) unless submitted electronically) 600 East 4th St. Charlotte, NC 28202 704-651-4366 d ierat(Qu harlotte.nc_us 8/3112023 Pcnniaee Address Phone Number e-nail addrt4s Pemtit B.cphation Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES Certification No. Certification No. Certification No. Certification No. PAILAVIETER CODES Paranietcr Code assistance stay be obtained by calling the NPD[S Unit at (919) 807-6300 or by visiting htgr' portaLnedem.erg%web%wq�step�pknlydes%appfonns. lice only units of measurement designawd in the reporting facility's NPDFS permit for reporting data. ,a Fhim"Discharge from Site: Check this box if no discharge oecur; and, as a result, there are no data to be eotared for all of the pmaineters on the DM for the entire monitoring period. "* ORC On Site?: ORC nnist visit racility oral document v°nation of thcility as required per I5A NCAC 8,G 0204'. a'a* Signature of Permiitee: It signed by other than the pennince_ then the delegation of the sigmdop auwhority must be on file with (lie state per I5A NCAC 213 .0i06(b)(2)(D). Paget March 12, 2019 Wastewater Branch Water Quality Permitting Section Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 CITY OF CHARLOTTE ENGINEERING & PROPERTY MANAGEMENT Subject: Delegation of Signature Authority MYRTLEIMOREHEAD STORM DRAINAGE IMPROVEMENT NPDES Number NCO089729 To Whom It May Concern: By notice of this letter, I hereby delegate signatory authority to the following individual for all permit applications, discharge monitoring reports, and other information relating to the operations at the subject facility as required by all applicable federal, state, and local environmental agencies specifically with the requirements for signatory authority as specified in 15A NCAC 213.0506. Doug Pierotti, PG Environmental Manager 600 East 41h St. Charlotte, NC 28202 dpierotti@ci.charlotte.nc.us 704-651-4366 If you have any questions regarding this letter, please feel free to contact me at 704-336-3938. Sincerely, Mike Davis, PE City Engineer 600 East 4 h St. Charlotte, NC 28202 madavis@charlottene.gov cc: Mooresville Regional Office, Water Quality Permitting Section www.charmeck.nc.us 1 600 East Fourth Street I Charlotte, NC 28202 I PH:704.336.2291 I FAX:704.353.0473 Water Pollution Control System Operator Designation Form WPCSOCC NCAC 15A 8G .0201 Permittee Owner/Officer Name: Doug Pierotti, PG Mailing Address: City: Charlotte State: NC Zip: 28202 Phone #: 704-651-4366 Email address: d i rotti t 1 Signature: Date: t5 l ...........................:.................................................................................................................... Facility Name: MWTLEIMOREHEAD STORM DRAINAGE IMPROVEMENT Permit #: NCO089729 County: Mecklenburg ................................................................................................................................................. SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM! Facility Type/Grade (CHECK ONLY ONE): Biological Collection Physical/Chemical Surface Irrigation Land Application Operator in Responsible Charge (ORC) Print Full Name: Matt Westendorf Email: mwestendorf@harthickman.coin Certificate Type / Grade / Number: P/C-1 #978697 Work Phone #: 704-906-4241 "I certify that I agree to my designation as the Operator in Responsible Charge for the facility noted. I understand and will abide by the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 080 .0204 and failing to do so can result in Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." ................................................................................................................................................. Back -Up Operator in Responsible Charge (BU ORC) Print Full Name: Chase Goodwin Email: cgoodwin(i�harthickman.com Certificate Type / Grade / Number: P/C-1 #1005920 Work Phone #: 919-721-0008 "I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." ...................................... Mail, fax or entail the WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618 Fax: 919.715.2726 on inaI to: Email: certadminAncdenr.eov Mail or fax a LQ to the Asheville appropriate Regional Office. 2090 US Hwy 70 Swannanoa 28778 Fax: 828.299.7043 Phone: 828.296.4500 Washington 943 Washington Sq Mall Washington 27889 Fax: 252.946.9215 Phone: 252.946.6481 Fayetteville 225 Green St Suite 714 Fayetteville 28301-5043 Fax: 910.486.0707 Phone: 910.433.3300 Wilmington 127 Cardinal Dr Wilmington 28405-2845 Fax: 910.350.2004 Phone: 910.796.7215 Mooresville 610 E Center Ave Suite 301 Mooresville 28115 Fax: 704.663.6040 Phone: 704.663.1699 Winston-Salem 450 W. Hanes Mall Rd Winston-Salem 27105 Fax: 336.776.9797 Phone: 336.776.9800 Raleigh 3800 Barrett Dr Raleigh 27609 Fax: 919.571.4718 Phone:919.791.4200 Revised 05-2015