NCS000416_APPLICATION_20170619

STORMWATER DIVISION CODING SHEET
M54 PERMITS
PERMIT NO.
Ij�S
DOC TYPE
0 FINAL PERMIT
❑ ANNUAL REPORT
PPLICATION
❑ COMPLIANCE
❑ OTHER
DOC DATE
❑ a() / (O 6 1 /
YYYYMMDD

Odom,
Town of
an
i Growing our future. Nourishing our roots.
102 Town 1-hill Drive - l elancl, North Carolina 28451
[phone] - Fax [phone]
6-19-2017
Mr. Mike Randall
Division of Energy, Minerals and Land Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Town of Leland NPDES Phase 11 Permit ReneNval
Dear Mr. Randall,
Enclosed please find a copy of the To%vn of Leland's Draft Rcne%val Phase 11 application and
permit. If you should have any questions at all, please do not hesitate to contact me.
Sincerely,
Steven Spruill
Public Services Manager
RtFCejV
SUN 2 C7
2017
DENR'sroR a�0 QUAL y
PERMITTING
Bmida 13oreman Pat Ratleman Michael Callahan
,%lavor Xlavor Pro Tem Councilmember
Bob Campbell Bob Corristoa David A. Hollis
Councilmember Councilmember Town �4ana<�cr

NPDES STORMWATER PERMIT RENEWAL APPLICATION FORM
This application form is for use by Local Governments seeking NPDES stormwater permit coverage for
Regulated Public Entities (RPE) pursuant to Title 15A North Carolina Administrative Code 2H .0126. A
complete application package includes this form and one copy of a Narrative of The Stormwater
Management Program. The required Narrative of The Stormwater Management Program is described
in Section VII of this form.
I. NAME OF LOCAL GOVERNMENT, PERMIT NUMBER, AND EXPIRATION DATE
Name of Local Government
Town of Leland
Permit Number
NCS000416
Expiration Date
11-20-2017
II. CO -PERMIT APPLICATION STATUS INFORMATION
(Complete this section only if co -permitting)
a. Do you intend to co -permit
with another regulated public
❑ Yes ® No
entity?
RECEIVED
b. If yes, name of regulated
public entity
JUN 2 2017
c. If yes, have legal
agreements been finalized
DENR-LAND QUALITY
❑ Yes ❑ No STORMWATER PERMITTIN
between the co- ermittees?
III. RELIANCE ON ANOTHER ENTITY TO SATISFY ONE OR MORE OF YOUR PERMIT
OBLIGATIONS (If more than one, attach additional sheets)
a. Do you intend that another
entity perform one or more
❑ Yes ® No
of your permit obligations?
b. If yes, identify each entity and the element they will be implementing
• Name of Entity
• Element they will
implement
• Contact Person
• Contact Address
• Contact Telephone
Number
c. Are legal agreements in
place to establish
❑ Yes ❑ No
responsibilities?
Page 1
SWU-264 June 17, 2015

NPDES RPE Stormwater Permit Application
IV. DELEGATION OF AUTHORITY (OPTIONAL)
The signing official may delegate permit implementation authority to an appropriate staff member.
This delegation must name a specific person, their title/position. Documentation of board action
delegating permit authority to this person/position must be provided.
a. Name of person to which permit
authority has been delegated
b. Title/position of person above
V. SIGNING OFFICIAL'S STATEMENT
If authority for the NPDES stormwater permit has been appropriately delegated through
board action and documented in this permit application, the person/position listed in Section
IV above may sign the official statement below.
I 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 manage 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. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations.
Signature
Name
David Hollis
Title
Town Manager
Street Address
102 Town Hall Dr
PO Box
City
Leland
State
NC
Zip
28451
Telephone
910-371-0148
E-Mail
[e-mail]
VI. LOCAL GOVERNMENT CONTACT INFORMATION
Provide the following information for the person/position that will be responsible for day to day
implementation and oversight of the stormwater program.
a.
Name of Contact Person
Gary Vidmar
b.
Title
Community and Economic Development Director
c.
Street Address
102 Town Hall Dr
d.
PO Box
e.
City
Leland
f.
State
NC
g.
Zip
28451
h.
Telephone Number
910-371-3390
j.
E-Mail Address
gvidmar(atownofleland.com
Page 2
SWU-264 June 17, 2015

NPDES RPE Stormwater Permit Application
VII. NARRATIVE STORMWATER MANAGEMENT PROGRAM
Attach one copy of a narrative describing the stormwater management program. The report must
be presented in the following order.
I. Population and Estimated Growth Rate
2. Jurisdictional Area
3. Describe Stormwater Conveyance System
4. Estimated Land Use
5. Identify the Receiving Streams
6. Identify TMDLs (if applicable)
7. Identify impaired streams, likely sources, and existing programs that address the impairment
(if applicable)
8. List any existing water quality programs
9. Identify and describe any partnerships and/or inter -local agreements
10. Describe any state programs
11. Identify any other entity that the regulated public entity relies on to implement or manage its
stormwater program.
12. Identify points of contacts
13. Describe the public education and outreach program
14. Describe the public involvement and participation program.
15. Describe the Illicit Discharge Detection and Elimination Program.
16. Describe the post -construction stormwater program
Describe practices to inspect and maintain municipally -owned facilities
17. Describe practices to inspect and maintain structural stormwater control devices
18. Describe practices to reduce polluted stormwater runoff from municipally -owned streets,
roads, and public parking lots, piped and vegetative conveyances, manholes, cleanouts, drop
inlets, and drainage structures.
19. Describe any training programs for municipal staff.
20. Describe spill response procedures for those at Municipally Owned and/or Operated Facilities
as well as those in the public right-of-way.
Page 3
SWU-264 June 17, 2015

Program Narrative
1. Population and Estimated Growth Rate
a. Population: 17,154
b. Growth Rate: 26.81%
2. Jurisdictional Area
a. 20 sq miles
3. Describe Stormwater Conveyance System
a. In the original Town limits, stormwater is carried through a mixture of roadside
ditches and piping. In most of these areas stormwater sheet flows across the
shoulder into these ditches and drain into smaller tributaries. Newer
developments in the Town, under NCDEQ or Town stormwater regulations, use
curb and gutter with catchbasins, grassed swales, retention ponds and other
appropriate devices; which are privately owned by the developer or homeowners
association. These devices then drain to local tributaries and streams.
4. Estimated Land Use
a. Residential = 40%, Commercial = 3%,
Institutional = 2%, Open Space = 55%.
5. Identify the Receiving Streams
Fish
Consumptic
Receiving Stream
Water
Stream
Aquatic Life Use
Recreation Use
Use Suppoi
Name
Classification
Segment
Support Rating
Support Rating
Rating
Cape Fear River
SC
18-(71)a
I
S
I
Brunswick River
SC
18-77
1
S
I
Sturgeon Creek
C;Sw
18-77-1
NO
NO
I
Mill Creek
C;Sw
18-77-1-1
NO
NO
I
Banton Branch
C;Sw
18-77-1-1-2
NO
NO
I
Jackeys Creek
C;Sw
18-77-3
NO
NO
I
Piney Branch
C;Sw
18-77-3-1
NO
NO
[
Mallory Creek
C;Sw
18-78
NO
NO
l
Little Mallory
Creek (Beaverdam
Branch)
C;Sw
18-78-1
NO
NO
I
Town Creek
(Rattlesnake
Branch)
C;Sw
18-81
S
NO
I
Morgan Branch
C;Sw
18-81-7
NO
NO
I
Bishop Branch
C;Sw
18-81-7-1
NO
NO
I
Goodland Branch
C;Sw
18-81-8
NO
NO
I
6. Identify TMDLs (if applicable)
7. Identify impaired streams, likely sources, and existing programs that address the
impairment (if applicable)
(303d) The Cape Fear River [18-(71)a] From upstream mouth of Toomers Creek to Snows Cut: Low Disolve
Oxygen, Low PH

(303d) The Brunswick River [18-77] from source to the Cape Fear River: Low Dissolved Oxygen, Low PH
(303d) Town Creek [18-811 from source to the Cape Fear River: Mercury
8. List any existing water quality programs
a. Town of Leland Cama Land Use Plan: As required by the 1974 CAMA Act, was
updated and approved in 1999. The plan presents an analysis of existing
conditions and sets policies for growth and development with consideration for
the environment and resource protection. The plan is currently in the process of
being updated.
b. Because Leland is located in a coastal county, it has been under the jurisdiction
of NCDENR's stormwater management rules and CAMA's water quality
regulations since the late 1980's.
c. The Town adopted a Post Construction Stormwater Management Ordinance and
an Illicit Discharge Ordinance in 2009
9. Identify and describe any partnerships and/or inter -local agreements
10. Describe any state programs
a. The Town relies on the state for implementation of the Construction Site Runoff
Controls.
11. Identify any other entity that the regulated public entity relies on to implement or
manage its Stormwater program.
a. Cape Fear River Watch provides educational programs for the town under a paid
contract
12. Identify points of contacts
a. Stormwater Administrator:
i. Gary Vidmar, Community and Economic Development Director
ii. 102 Town Hall Dr.
iii. Leland, NC 28451
iv. 910-371-3390
v.g_ [e-mail]
b. Signing Official
i. David Hollis, Town Manager
ii. 102 Town Hall Dr.
iii. Leland, NC 28451
iv. 910-371-0148
v. [e-mail]
13. Describe the public education and outreach program
a. The target audience for the public outreach program includes general citizenry,
homeowner associations, commercial and industrial entities, schools, developers
and recreational operations. These groups were chosen because of the land use
percentages in the Town, population makeup, visual observations, monitoring
records and surrounding community programs.

b. The target pollutant sources the program will address are pet waste, septic and
sanitary sewer, lawn care practices, vehicle maintenance, and construction site
runoff. Other sources will be addressed as needed.
c. A webpage and printed educational materials are maintained to circulate
stormwater information and gain support. These are readily available at various
locations and distributed through the mail and are tailored to audiences
identified. A stormwater newsletter section is distributed as well as other
materials identified. The public will be involved by a Utilities advisory committee,
workshops, stream and street cleanings, stormdrain marking, and tree
giveaways. Presentations will be given at various community groups. It is the
goal of the program to reach at least 70% of the Town.
14. Describe the public involvement and participation program.
a. Materials will -be distributed without regard for economic or social status.
Targeted groups will be the general citizenry, homeowner associations,
commercial and industrial entities, schools, developers and recreational
operations. Educational materials may be developed to include a Spanish
version.
b. The public will be involved in the program through a stormwater advisory
committee, workshops, stream and street cleanings, stormdrain marking, stream
restorations, and tree giveaways. Presentations will be given at various
community groups. All events and meetings will be advertised. It is the goal of
the program to reach at least 70% of the Town.
15. Describe the Illicit Discharge Detection and Elimination Program.
a. An ordinance has been adopted to regulate illicit discharges based on the
NCDENR model ordinance.
b. Enforcement will be handled by the Stormwater Manager and include a schedule
of fines and fees as well as procedures for illicit discharges. Routine inspections,
monitoring, and complaints will be the main avenues for detection.
c. Priority areas will be determined using the Storm Sewer System Map, field
observations, business privilege licenses, development permits, complaints,
water samples, and any other available information. Procedures for the
detection of illicit discharges will be based on the Illicit Discharge Detection and
Elimination Manual developed by the Center for Watershed Protection and the
University of Alabama in October 2004. Legal procedures for the elimination of
these discharges is outlined in the ordinance. Specific elimination technical
procedures will be determined on an individual basis.
d. Non-stormwater discharges as identified in the permit not to have significant
effects on water quality are exempt from the illicit discharge ordinance.
16. Describe the post -construction stormwater program
a. The post construction stormwater ordinance was adopted in 2009 and is
modeled after the States Model Stormwater Ordinance. Permits are issued
pursuant to this ordinance.
17. Describe practices to inspect and maintain municipally -owned facilities

a. Facility maintenance staff routinely inspects town facilities for leaks, spills,
erosion, and other issues that may affect the environment.
b. Any issues are scheduled for repair as soon as practical.
18. Describe practices to inspect and maintain structural stormwater control devices
a. Town owned structural stormwater controls are inspected after rain events. Any
deficiencies are scheduled for repair as soon as practical.
19. Describe practices to reduce polluted stormwater runoff from municipally -owned
streets, roads, and public parking lots, piped and vegetative conveyances, manholes,
cleanouts, drop inlets, and drainage structures.
a. The Town contracts for routine street sweeping of the main road in Town.
b. Parking lots are routinely blown off.
c. Piped and vegetative conveyances are routinely monitored for blockages,
erosion, or other issues and scheduled for repair as soon as practical.
d. Vegetative conveyances are mowed on a routine basis.
e. Public education is provided to reduce pollution of streets and conveyances.
20. Describe any training programs for municipal staff.
a. Staff tasked with stormwater management attend training and certification
courses routinely.
b. Stormwater related workshops are held occasionally for other staff.
21. Describe spill response procedures for those at Municipally Owned and/or Operated
Facilities as well as those in the public right-of-way.
a. Staff that may encounter spills receive training to respond appropriately.
b. Spill kits and supplies are available at facilities where a spill is likely to occur.
c. Public Services staff have spill kits in their work vehicles.
d. The Town of Leland Fire Department takes the lead role spill cleanups along right
of ways.
e. Spills that require reporting are recorded and reported to the appropriate
regulatory agency.

State of North Carolina
Department of Environment & Natural Resources
Division of Water Quality
OFFIC USE ONLY
Date Rec'd
03 - 0-7 - 0 3
Fee Paid
4, -41, , 4oL
Permit Number
" 4 1 c.
NPDES STORMWATER PERMIT APPLICATION FORM
This application form is for use by public bodies seeking NPDES stormwater permit coverage for Regulated Public
Entities (RPE) pursuant to Title 15A North Carolina Administrative Code 2H .0126. A complete application
package includes this form and three copies of the narrative documentation required in Section X of this form.
This application form, completed in accordance with Instructions for completing NPDES Small MS4 Stormwater
Permit Application (SWU-270) and the accompanying narrative documentation, completed in accordance with
Instructions for Preparing the Comprehensive Stormwater Management Program Report (SWU-268) are both
required for the application package to be considered a complete application submittal. Incomplete application
submittals may be returned to the applicant.
I. APPLICANT STATUS INFORMATION
a.
Name of Public Entity
Town of Leland, North Carolina
Seeking Permit Coverage
b.
Ownership Status (federal,
Local
state or local
c.
Type of Public Entity (city,
Town
town, county, prison, school,
etc.
d.
Federal Standard Industrial
SIC 91 - 97
Classification Code
e.
County(s)
Brunswick
f.
Jurisdictional Area (square
6.74
miles
g.
Population
Permanent
4170 (Office of State Budget and
Management)
Seasonal (if available)
N/A
h.
Ten-year Growth Rate
10.9% Annual Average (Based on US Census for 1990
and Office of State Budget Management for 2002
i.
Located on Indian Lands?
❑ Yes No
II. RPE / MS4 SYSTEM INFORMATION
a.
Storm Sewer Service Area
(square miles
2.23 (estimated areas based on Powell Bill Map)
b.
River Basin(s)
Cape Fear
c.
Number of Primary Receiving
Streams
4 (Sturgeon Creek, Brunswick River, Mill Creek, Jackey's Creek)
d.
Estimated eercenta a of jurisdictional
area containing the following four land use activities:
•
Residential
500/0
•
Commercial
20% -- - -
•
Industrial
5%
•
Open Space
25%--
Total =
100% II
e.
Are there significant water
quality issues listed in the
attached application report?
LI, l;i - 7 20
❑ Yes No
Page 1
SWU-264-103102

NPDES RPE Stormwater Permit Application
III. EXISTING LOCAL WATER QUALITY PROGRAMS
a. Local Nutrient Sensitive Waters Strategy
❑ Yes No
b. Local Water Supply Watershed Program
W Yes ❑ No (N. Brunswick Sanita
c. Delegated Erosion and Sediment Control Program
❑ Yes JXI No
d. CAMA Land Use Plan
Yes ❑ No
IV. CO -PERMIT APPLICATION STATUS INFORMATION
(Complete this section only if co -permitting)
a. Do you intend to co -permit with
El Yes No
a permitted Phase I entity?
b. If so, provide the name and permit number of that entity:
• Name of Phase I MSS+
• NPDES Permit Number
c. Do you intend to co -permit
El Yes No
with another Phase II entity?
d. If so, provide the name(s) of
the entity:
e. Have legal agreements been
finalized between the co-
❑ Yes ❑ No
rmittees?
V. RELIANCE ON ANOTHER ENTITY TO SATISFY ONE OR MORE OF YOUR PERMIT OBLIGATIONS
(If more than one, attach additional sheets)
a. Do you intend that another
entity perform one or more of
our permit obligations?
❑ Yes No
I
b. If yes, identify each entity and
the element they will be implementing
• Name of Entity
• Element they will
implement
• Contact Person
• Contact Address
• Contact Telephone Number
c. Are legal agreements in place
to establish responsibilities?
❑ Yes ❑ No
VI. DELEGATION OF AUTHORITY (OPTIONAL)
The signing official may delegate permit implementation authority to an appropriate staff member. This
delegation must name a specific person and position and include documentation of the delegation action
through board action.
a. Name of person to which permit authority
David Hewett
has been delegated
b. Title/position of person above
Leland Town Manager
c. Documentation of board action delegating permit authority to this person/position must be
provided in the attached application report.
Page 2

NPDES RPE Stormwater Permit Application
VII. SIGNING OFFICIAL'S STATEMENT
Please see the application instructions to determine who has signatory authority for this permit
application. If authority for the NPDES stormwater permit has been appropriately delegated through
board action and documented in this permit application, the person/position listed in Section VI above
may sign the official statement below.
I 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 infom7at7on submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the infonnation submitted is, to the best of my knowledge and belief, true, accurate,
and complete I am a re that there are significant penalties for submitting false information,
induding the possibil" of fines and imprison hent for knowing violations.
Signature
_
Name
David ewett
Title
Leland Town Manager
Street Address
102 Town Hall Drive
PO Box
City
Leland
State
North Carolina
Zip
28451
Telephone
910-371-0148
Fax
910-371-1073
E-Mai I
dhewett@townoflela nd.com
VIII. MS4 CONTACT INFORMATION
Provide the following information for the person/position that will be responsible for day to day
implementation and oversight of the stormwater program.
a.
Name of Contact
Person
David Hewett
b.
Title
Leland Town Manager
c.
Street Address
102 Town Hall Drive
d.
PO Box
e.
City
Leland
f.
State
North Carolina
g.
Zip
28451
h.
Telephone Number
910-371-0148
i.
Fax Number
910-371-1073
j.
E-Mail Address
[e-mail]
Page 3

NPDES RPE Stormwater Permit Application
IX. PERMITS AND CONSTRUCTION APPROVALS
List permits or construction approvals received or applied for under the following programs. Include contact
name if different than the person listed in Item VIII. If further space needed, attach additional sheets.
a.
RCRA Hazardous Waste
none
Management Program
none
b.
UIC program under SDWA
c.
NPDES Wastewater Discharge
none
Permit Number
d.
Prevention of Significant
none
Deterioration (PSD) Program
none
e.
Non Attainment Program
f.
National Emission Standards for
none
Hazardous Pollutants (NESHAPS)
reconstruction approval
g.
Ocean dumping permits under the
N/A
Marine Protection Research and
Sanctuaries Act
h.
Dredge or fill permits under
Nationwide Permits for Sanitary Sewer Installation
section 404 of CWA
Action ID: 199901562 and 199901563
X. NARRATIVE APPLICATION SUPPLEMENT: STORMWATER MANAGEMENT PROGRAM REPORT
Attach three copies of a comprehensive report detailing the proposed stormwater management program for
the five-year permit term. The report shall be formatted in accordance with the Table of Contents shown
below. The required narrative information for each section is provided in the Instructions for Preparing the
Comprehensive Stormwater Management Program Report (SWU-268). The report must be assembled in the
following order, bound with tabs identifying each section by name, and include a Table of Contents with
page numbers for each entry.
1. STORM SEWER SYSTEM INFORMATION
1.1. Population Served
1.2. Growth Rate
1.3. Jurisdictional and MS4 Service Areas
1.4. MS4 Conveyance System
1.5. Land Use Composition Estimates
1.6. Estimate Methodology
1.7. TMDL Identification
2. RECEIVING STREAMS
TABLE OF CONTENTS
Page 4

NPDES RPE Stormwater Permit Application
3. EXISTING WATER QUALITY PROGRAMS
3.1. Local Programs
3.2. State programs
4. PERMITTING INFORMATION
4.1. Responsible Party Contact List
4.2. Organizational Chart
4.3. Signing Official
4.4. Duly Authorized Representative
S. Co -Permitting Information (if applicable)
5.1. Co-Permittees
5.2. Legal Agreements
5.3. Responsible Parties
6. Reliance on Other Government Entity
6.1. Name of Entity
6.2. Measure Implemented
6.3. Contact Information
6.4. Legal Agreements
7. STORMWATER MANAGEMENT PROGRAM
7.1. Public Education and Outreach on Storm Water Impacts
7.2. Public Involvement and Participation
7.3. Illicit Discharge Detection and Elimination
7.4. Construction Site Stormwater Runoff Control
7.5. Post -Construction Storm Water Management in New Development and Redevelopment
7.6. Pollution Prevention/Good Housekeeping for Municipal Operations
Page 5

State of North Carolina I OFFIC USE ONLY
Department of Environment & Natural Resources Date Rec'd
Division of Water Quality Fee Paid
Permit Number
NPDES STORMWATER PERMIT APPLICATION FORM
This application form is for use by public bodies seeking NPDES stormwater permit coverage for Regulated Public
Entities (RPE) pursuant to Title 15A North Carolina Administrative Code 2H .0126. A complete application
package includes this form and three copies of the narrative documentation required in Section X of this form.
This application form, completed in accordance with Instructions for completing NPDES Small MS4 Stormwater
Permit Application (SWU-270) and the accompanying narrative documentation, completed in accordance with
Instructions for Preparing the Comprehensive Stormwater Management Program Report (SWU-268) are both
required for the application package to be considered a complete application submittal. Incomplete application
submittals may be returned to the applicant.
I. APPLICANT STATUS INFORMATION
a.
Name of Public Entity
Town of Leland, North Carolina
Seeking Permit Coverage
b.
Ownership Status (federal,
Local
state or local
c.
Type of Public Entity (city,
Town
town, county, prison, school,
etc.
d.
Federal Standard Industrial
SIC 91 - 97
Classification Code
e.
County(s)
Brunswick
.�
f.
Jurisdictional Area (square
6.74
miles
; '' 4170—(Off ice of State Budget and
g. Population
-
Permanent ..s
VMana ement
Seasonal (if available)
N/A
h.
Ten-year Growth Rate
10.9% Annual Average (Based on US Census for 1990
and Office of State Budget Management for 2002
i.
Located on Indian Lands?
❑,Yes No
II. RPE / MS4 SYSTEM INFORMATION
a.
Storm Sewer Service Area
(square miles
2.23 (estimated areas based on Powell Bill Map)
b.
River Basin(s)
Cape Fear
c.
Number of Primary Receiving
Streams
4 (Sturgeon Creek, Brunswick River, Mill Creek, Jackey's-Creek)
;t ,
d.
Estimated percentage of jurisdictional area containing the following four land use activities:
•
Residential
50%
•
Commercial
20%
•
Industrial
5%
•
Open Space
25%
Total =
100%
e.
Are there significant water
quality issues -listed in the
attached application report?
❑ Yes] No
/
Page 1
` SWU-264-103102
`f

NPDES RPE Stormwater Permit Application
III. EXISTING LOCAL WATER QUALITY PROGRAMS
a. Local Nutrient Sensitive Waters Strategy
❑ Yes
M
No
b. Local Water Supply Watershed Program
Yes
❑
No N. Brunswick Sanity
c. Delegated Erosion and Sediment Control Program
❑ Yes N No
d. CAMA Land Use Plan
Yes ❑ No
IV. CO -PERMIT APPLICATION STATUS INFORMATION
(Complete this section only if co -permitting)
a. Do you intend to co -permit with
❑ Yes No
a permitted Phase I entity?
b. If so, provide the name and permit number of that entity:
• Name of Phase I MS4
• NPDES Permit Number
c. Do you intend to co -permit
Yes No
with another Phase II entity?
d. If so, provide the name(s) of
the entity:
e. Have legal agreements been
finalized between the co-
❑ Yes ❑ No
rmittees?
V. RELIANCE ON ANOTHER ENTITY TO SATISFY ONE OR MORE OF YOUR PERMIT OBLIGATIONS
(If more than one, attach additional sheets)
a. Do you intend that another
entity perform one or more of
our permit obligations?
❑ Yes No
b. If yes, identify each entity and the element they will be implementing
• Name of Entity
• Element they will
implement
• Contact Person
• Contact Address
• Contact Telephone Number
c. Are legal agreements in place
to establish responsibilities?
❑ Yes ❑ No
VI. DELEGATION OF AUTHORITY (OPTIONAL)
The signing official may delegate permit implementation authority to an appropriate staff member. This
delegation must name a specific person and position and include documentation of the delegation action
through board action.
a. Name of person to which permit authority David Hewett
has been del2gated
b. Title/position of person above Leland Town Manager
c. Documentation of board action delegating permit authority to this person/position must be
provided in the attached application report.
Page 2

NPDES RPE Stormwater Permit Application
VII. SIGNING OFFICIAL'S STATEMENT
Please see the application instructions to determine who has signatory authority for this permit
application. If authority for the NPDES stormwater permit has been appropriately delegated through
board action and documented in this permit application, the person/position listed in Section VI above
may sign the official statement below.
I 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 infuriation submitted. Based on my inquiry of the person or
persons who manage the system, or those persons direcYy responsible forgathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate,
and complete. I am a re that there are significant penalties for submitting false information,
induding the possibil' of f le and it on�ient for knowing violationsI .
Signature
Name
avid Pewett 'V
Title
Leland Town Manager
Street Address
102 Town Hall Drive
PO Box
City
Leland
State
North Carolina
Zip
28451
Telephone
910-371-0148
Fax
910-371•-1073
E-Ma i I
[e-mail]
VIII. MS4 CONTACT INFORMATION
Provide the following information for the person/position that will be responsible for day to day
implementation and oversight of the stormwater program.
a.
Name of Contact
Person
David Hewett
b.
Title
Leland Town Manager
c.
Street Address
102 Town Hall Drive
d.
PO Box
C.
City
Leland
f.
State
North Carolina
g.
Zip
28451
h.
Telephone Number
910-371-0148
i.
Fax Number
910-371-1073
j.
E-Mail Address
[e-mail]
Page 3

NPDES RPE Stormwater Permit Application
IX. PERMITS AND CONSTRUCTION APPROVALS
List permits or construction approvals received or applied for under the following programs. Include contact
name if different than the person listed in Item VIII. If further space needed, attach additional sheets.
a.
RCRA Hazardous Waste
none
Management Program
none
b.
UIC program under SDWA
c.
NPDES Wastewater Discharge
none
Permit Number
d.
Prevention of Significant
none
Deterioration (PSD) Program
none
e.
Non Attainment Program
f.
National Emission Standards for
none
Hazardous Pollutants (NESHAPS)
reconstruction approval
g.
Ocean dumping permits under the
N/A
Marine Protection Research and
Sanctuaries Act
h.
Dredge or fill permits under
Nationwide Permits for Sanitary Sewer Installation
section 404 of CWA
Action ID: 199901562 and 199901563
X. NARRATIVE APPLICATION SUPPLEMENT: STORMWATER MANAGEMENT PROGRAM REPORT
Attach three copies of a comprehensive report detailing the proposed stormwater management program for
the five-year permit term. The report shall be formatted in accordance with the Table of Contents shown
below. The required narrative information for each section is provided in the Instructions for Preparing the
Comprehensive Stormwater Management Program Report (SWU-268). The report must be assembled in the
following order, bound with tabs identifying each section by name, and include a Table of Contents with
page numbers for each entry.
STORM SEWER SYSTEM INFORMATION
1.1. Population Served
1.2. Growth Rate
1.3. Jurisdictional and MS4 Service Areas
1.4. MS4 Conveyance System
1.5. Land Use Composition Estimates
1.6. Estimate Methodology
1.7. TMDL Identification
2. RECEIVING STREAMS
TABLE OF CONTENTS
Page 4

NPDES RPE Stormwater Permit Application
3. EXISTING WATER QUALITY PROGRAMS
3.1. Local Programs
3.2. State programs
4. PERMITTING INFORMATION
4.1. Responsible Party Contact List
4.2. Organizational Chart
4.3. Signing Official
4.4. Duly Authorized Representative
S. Co -Permitting Information (if applicable)
5.1. Co-Permittees
5.2. Legal Agreements
5.3. Responsible Parties
6. Reliance on Other Government Entity
6.1. Name of Entity
6.2. Measure Implemented
6.3. Contact Information
6.4. Legal Agreements
7. STORMWATER MANAGEMENT PROGRAM
7.1. Public Education and Outreach on Storm Water Impacts
7.2. Public Involvement and Participation
7.3. Illicit Discharge Detection and Elimination
7.4. Construction Site Stormwater Runoff Control
7.5. Post -Construction Storm Water Management in New Development and Redevelopment
7.6. Pollution Prevention/Good Housekeeping for Municipal Operations
Page 5