NCS000559_APPLICATION_20120130

STORMWATER DIVISION CODING SHEET
M54 PERMITS
PERMIT NO.
DOC TYPE
❑FINAL PERMIT
❑ NUALREPORT.
APPLICATION
0 COMPLIANCE
❑ OTHER
DOC DATE
❑ Dj-) �a Q
YYYYMMDD

State of North Carolina OFFIC USE ONLY '
Department of Environment & Natural Resources Date Rec'd
Division of Water Quality Fee Paid $8LnD *90%13
• Permit Number ,jL5o005Sq
NPDES STORMWATER PERMIT APPLICATION FORM
40
•
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
The Town of Clayton
D
Seeking Permit Coverage
lid 2 nn
b.
Ownership Status (federal,
Local
` �Ll ly L&
N,
state or local
.
c.
Type of Public Entity (city,
Town
«sry . D 2012
town, county, prison, school,
yy� bl NR WArER
SANDS
etc.
run „ . Q!lALfTy`
d.
Federal Standard Industrial'
SIC 91 - 97
Classification Code
e.
County(s)
Johnston
f.
Jurisdictional Area (square
13.61 (Town Limits) 46.08 (ETJ)
miles
g.
Population
Permanent
16,116 (2010 U.S. Census)
Seasonal (if available)
N/A
h.
Ten-year Growth Rate
131.1% (2000 to 2010 U.S. Census)
i.
Located on Indian Lands?
❑ Yes ® No
II. RPE / MS4 SYSTEM INFORMATION
a.
Storm Sewer Service Area
(square miles
59.69
b.
River Basin(s)
Neuse River
c.
Number of Primary Receiving
Streams
4
d.
Estimated percentage of Jurisdictional
area containing the following four land use activities:
•
Residential
29%
•
Commercial
4%
•
Industrial
3%
•
Open Space
64%
Total =
100%
e.
Are there significant water
quality issues listed in the
attached application report?
❑ Yes ® No
SWU-264-103102
Page 1

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
® Yes ❑ No
c. Delegated Erosion and Sediment Control Program
❑ Yes ® No
d. CAMA Land Use Plan
❑ Yes M 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
ermittees?
V. RELIANCE ON ANOTHER ENTITY TO SATISFY ONE OR MORE OF YOUR PERMIT OBLIGATIONS
(If more than one, attach additional sheets) 0
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
NC Clean Water Education Partnership / Johnston County
• Element they will implement
Public Education & Outreach / Review, Permitting, Inspection
• Contact Person
Sarah Bruce / Jamie Guerrero
• Contact Address
POB 12276, RTP NC 27709 / POB 2263, Smithfield NC 27577
• Contact Telephone Number
919-558-9343 / 919-989-5075
c. Are legal agreements in place
to establish responsibilities? to
®No (membership in NCCWEP / MOA with Jo Co)
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
has been delegated
b. Title/position of person above
c. Documentation of board action delegating permit authority to this person/position must be
provided in the attached application report.
G I
Page 2
SWU-264-103102

NPDES RPE Stormwater Permit Application
• VII. SIGNING OFFICIAL'S STATEMENT
C.
0
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 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
►�
s �
Name
R. Steven Biggs
Title
Town Manager
Street Address
111 East Second Street
PO Box
POB 879
City
Clayton
State
NC
Zip
27528
Telephone
919-553-5002
Fax
919-553-8919
E-Mail
[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
John McCullen / Jamie Guerrero
b.
Title
Town Engineer / Johnston County Stormwater Administrator
c.
Street Address
111 East Second Street 1309 East Market Street
d.
PO Box
POB 879 / POB 2263
e.
City
Clayton / Smithfield
f.
State
NC
g.
Zip
27528 / 27577
h.
Telephone Number
919-553-5002 / 919-989-5075
i.
Fax Number
919-553-1720 / 919-934-7174
j.
E-Mail Address
jmcullenCa1townofclaytonnc.org / jam ie.guerrero johnstonnc.com
SWU-264-103102
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
N/A
Management Program
N/A
b.
UIC program under SDWA
c.
NPDES Wastewater Discharge
NPDES 0025453
Permit Number
d.
Prevention of Significant
N/A
Deterioration (PSD) Program
N/A
e.
Non Attainment Program
f.
National Emission Standards for
N/A
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
N/A
section 404 of CWA
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.
TABLE OF CONTENTS
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
3. EXISTING WATER QUALITY PROGRAMS
3.1. Local Programs
3.2. State programs
•
Ci,
Page 4
SWU-264-103102

NPDES RPE Stormwater Permit Application
4. PERMITTING INFORMATION
. 4.1. Responsible Party Contact List
4.2. Organizational Chart
4.3. Signing Official
4.4. Duly Authorized Representative
E
U
5. 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
SWU-264-103102

r-I
LJ
lr
NPDES PHASE II COMP I IIIENSIVE
STORMWATER MANAGEMENT PROGRAM
0
y�
0

• State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Small Municipal Separate Storm Sewer System
NPDES STORMWATER Permit Application Form
This application form is for use by public bodies seeking NPDES Stormwater permit
coverage for small municipal separate storm sewer systems pursuant to Title 15A North
Carolina Administrative Code 2H.0126. A complete application form includes three
copies of the narrative documentation required in Sectio X of the application form. This
application and the accompanying narrative documentation must be completed in
accordance with Instructions for Completing For SWU-264 to be considered a
complete application submittal. Incomplete application submittals may be returned to the
applicant.
0
0

•
1.
1.1
1.2
1.3
1.4
1.5
1.6
1.7
2.
3.
3.1
3.2
4.
4.1
4.2
4.3
4.4
5.
6.
6.1
6.2
6.3
0 6.4
NPDES PHASE II COMPREHENSIVE
STORM WATER MANAGEMENT PROGRAM REPORT
TABLE OF !ONTENT�S
STORM SEWER SYSTEM INFORMATION
Population Served
Growth Rate
Jurisdictional and MS4 Service Area
MS4 Conveyance System
Land Use Composition Estimates
Estimate Methodology
TMDL Identification
ti
RECEIVING STREAMS
EXISTING WATER QUALITY PROGRAM
Local Programs
State Programs
P ERM ITTI�%41NFORMATION
Duly Authorized Repri
CO -PERMITTING IN]
Reliance on Other`Govi
Name of Entity
Measures Implemented
Contact Information
Legal Agreements
tative
tMATION (NIA)
rent Entity
PAGE
1
1
1
1
1
1
1
2
2
2
2
3
A-1
4
4
4
4
4
4
4

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-Const. SW Management in New Development & Redevelopment
7.6
Pollution Prevention/Good Housekeeping for Municipal?operations
5
5
6
6
7
7

• 2. RECEIVING STREAMS
1. Receiving Stream Name: Big Arm Creek -- from source to Marks Creek
Stream Index #: 27-38-1
Water Quality Classification: C NSW
0
I�
U
2. Receiving Stream Name: Little Creek — from source to Swift Creek
Stream Index #: 27-43-12
Water Quality Classification: C NSW
3. Receiving Stream Name: Marks Creek — source teuse River
Stream Index #: 27-38
Water Quality Classification: C NSW%
4. Receiving Stream Name: Neuse River =from Beddingfield Creek to 0.2 miles past SR 1700
Stream Index #: 27-(36)
Water Quality Classification: WS V NSW,
5. Receiving Stream Name: Meuse River — 0'21
Stream Index #: 27-(38.5)
Water Quality Classification: WS-1�U,NSW
3. EXISTING WA
3.1 Local Program
Water Supply Watersh
RW
Delegated�E,�"roon and Seth
Riparian Buffers: Yes
CAMA Land Csel lan: No
ITY
Program: No
past SR 1700 t6'114 miles past SR 1908
6

•
r-I
u
e
4. PERMITTING INFORMATION
4.1 Contacts
Timothy S. Simpson, PE Public Works & Utilities Director
tsimpson ,,townofclaytonnc.org
John W. McCullen, PE Town Engineer
imccullen(u7townofclaytonnc.org
Chris N. Rowland Construction Inspector
crow Iand u,townof'claytonnc.org
Timothy R. Walden Engineering Technician v.
twaldenn.townofclaytonnc.org
,fir
David DeYoung, AICP PlanningsDiirector
ddeyoun , u,townofclaytonnc.org
R. Steven Biggs Town Manager';,
.� s.
Nancy Medlin
919-553-1530
919-553-1545
919-553-1545
919-553-1545
919-553-1545
91`9-553-5002
919-553-5002
3

0 4.2 Organization Chart — see Appendix
U
0
4.3 Signing Official
R. Steven Biggs, Town Manager
I I I East Second Street
PO Box 879
Clayton, NC 27528
919-553-5002
919-5538919 fax
stevebiggs(rr,townofclaytonne.org
4.4 Duly Authorized Representative
No authorized representative (s) have been desi
5. CO -PERMITTING INFORMATION
The Town of Clayton does not intend to share
fulfill its NPDES Phase II permit obligations,
applicable. 0
6. RELIANCE ON
6.1 Name of Ent
NC Clean Water Ed
6.2 M
Public Et
6.3 Contact In
Ms. Sarah B e
PO Box 12276
RTP NC 27709
919-558-9343
sbruce a,tjcog_org
V
at thisNtime.
elides with anoth
��co-permitting 1
Cou
municipality to
irmation is not
, Permitting & Inspection (Johnston County)
Mr:Jamie Guerrero, PE
PO Box 2263
Smithfield, NC 27577
919-989-5075
[e-mail]
6.4 Legal Agreements
The Town of Clayton has established the relationship with NCCWEP by the payment of
annual per capita dues membership dues.
The Town and Johnston County have entered into a Inter -Local Agreement to support their
participation in the stormwater program (see Appendix)
4