NCG110128_COMPLETE FILE - HISTORICAL_20140714

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/V � � / p 19, D
DOC TYPE
"ISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ 010LI � �
YYYYMMDD

.-..�.r
din��rrrrrrrrr
NCDENR
GIo� AND NN 1h�
Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
FOR AGENCY USE ONLY
Dale Received
Year
Monlh
Day
if NO CHANGE in company or facility ownership or name has occurred.
If a Name Change and/or Ownership Transfer at the facility has prompted this change, do
NOT use this form. You must fill out the Name -Ownership Change Form and provide all
necessary supporting documentation instead.'
1) Enter the permit number for which this change in Legally Responsible Individual ("Owner
Affiliation") applies:
Individual Permit (orj Certificate of Coverage
`N °C S N',C. G' I ,3�g
2) Facility Information:
Facility name: W
Company/Owner Organization:
Facility address: Creek
Address,
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://portal.ncdenr.orgfweb/ir/sw-permit-contacts and,ru.n the Permit Contact Summary Report. .
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: kr} �L-
First MI Last'
4) NEW OWNER AFFILIATION'(Legally responsible for the permit):
Person legally responsible for this permit: hQ n i \ k J
First MI
y .p r
it] r
M ling Address
RECEIVED yeyitycu-1r �iC s 7z*
JUL 14 2014 Cc�775�eC��yelc���1�,�@C%��a�
,+ = Telephone' p E-mail Address nC, 0%i
DENR-LAND QUALITY a
STORMWATER PiRMITTING Fax Number
Page I of 2
SW U-OW NERAFFIL-22May2014

NPDESStormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility. Name/Ownership Change)
57 Reason for this change:
A result of: [ /Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other'
, If other please explain:
What does "legalty responsible person" mean?
That person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality,
State, Federal, or other public agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or the duly authorized representative of that person above.
The certification below must be completed and signed by the permit
holder.
PERMITTEE CERTIFICATION:
I, ai11 I1 �Q brle.� , attest that this application for this change in Owner Affiliation
(person legally res nsible For the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all required parts of this form are not completed, this change may not be
processed.
Signature Date
...................................
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please visit our website:
http:///portal . ncden r. orWweb/l r/stormwater
Page 2 of 2
SM-OWNERAFFIL-22May2014

�f
FILE�,/
!fCDEWR
North Carolina Department of Environment and Natural. Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Charles Wakild, P. E
Director
March 8, 2012
The Honorable John Steele, Jr. Mayor
Town of Cleveland
Post Office Box 429
Cleveland, North Carolina 27013
NDn-2d)2-PC-- oozz
Subject: Notice of Deficiency
Compliance Evaluation Inspection
Town of Cleveland WWTP
Stormwater Permit No. NCG 110128
Rowan County, NC
Dear Mayor Steele:
Dee Freeman
Secretary
Enclosed is a copy of the Compliance Evaluation Inspection Report for the inspection conducted at the
subject facility on March 6, 2012 by John Lesley of this office.
The following deficiencies were found during the inspection:
1. The Stormwater Pollution Prevention Plan was not updated in 2011.
2. Employee training was not conducted in 2011.
3. The stormwater facility inspection was not documented.
Please submit a response by no later than March 30, 2012 detailing activities the Town is taking to
ensure that the conditions of the stormwater are being consistently met. In responding please address your
response to Ms. Marcia Allocco of this office.
Mooresville Regional Office
Location: 610 East Canter Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] i Fax; (7041663-6(14()
lnterner. h2p:1l)o taa1.nodenr,of9MebAva
Art Equal Opportunity 1 Affirmative Action Employer — 50n16 Recycled/] 014. Post Consumer paper
On
e
NCarolina
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1
The report should be self-explanatory; however, should you have any questions concerning this report,
please do not hesitate to contact Mr. Lesley at 704-663-1699.
Sincerely,
Robert B. Krebs
Surface Water Protection
Regional Supervisor
Enclosure
cc: Central Files
NPS-ACO
JL

iI
Compliance Inspection Report
Permit: NCG110128 Effective: 06/01/08 Expiration: 05/31/13 Owner: Town of Cleveland
SOC: Effective: Expfration: Facility: Town of Cleveland WWTP
County: Rowan 625 Third Creek Church Rd
Region: Mooresville
Cleveland NC 27013
Contact Person: John Steele Title: Mayor Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name
Related Permits:
Cathy G Payne
Certification:
Inspection Date: 03/06/2012 EntryTime: 10:00 AM Exit Time: 12:10 PM
Phone:
Phone: [phone]
Primary Inspector: John E Lesle " Phone: [phone]
Secondary Inspector(s):
lJ Ext.2198
Marcia Allocco Phone: [phone] Ext.2204
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Municipal WWTP > 1MGD, Stormwater Discharge, COC
Facility Status: Q Compliant ■ Not Compliant
Question Areas;
0 Storm Water
(See attachment summary)
Page: 1

Permit: NCG110128 Owner -Facility: Town of Cleveland
Inspection Date: 03/06/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary.
Page: 2

5
Permit: NCG110128 Owner - Facility: Town of Cleveland
Inspection Date: 03/06/2012 inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan? ■ ❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
■ ❑
❑
❑
# Does the Plan include a "Narrative Description of Practices"?
■ ❑
❑
❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■ ❑
❑
❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ ❑
■
❑
# Has the facility evaluated feasible alternatives to current practices?
❑
❑
■
❑
# Does the facility provide all necessary secondary containment?
■
❑
❑
❑
# Does the Plan include a BMP summary?
■
❑
❑
❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
❑
❑
❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
❑
❑
❑
# Does the facility provide and document Employee Training?
❑
■
❑
❑
# Does the Plan include a list of Responsible Party(s)?
■
❑
❑
❑
# Is the Plan reviewed and updated annually?
❑
■
❑
Cl
# Does the Plan include a Stormwater Facility Inspection Program?
❑
■
❑
❑
Has the Stormwater Pollution Prevention Plan been implemented?
■
❑
Q
❑
Comment: The plan has not been updated since May 26, 2010. Be advised that the
plan must be updated annually.
Employee training has not been conducted annually as required by the permit.
The stormwater facility inspection has not been documented as required by the permit.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ■ ❑ ❑ ❑
Comment: Monitoring was conducted as required on April 10, 2011 and September 6,
2011.
Permit and Outfalls
Yes
No
NA
NI
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■
❑
❑
❑
# Were all outfalls observed during the inspection?
■
❑
❑
❑
# If the facility has representative outfall status, is it properly documented by the Division?
❑
❑
■
❑
# Has the facility evaluated all illicit (non stormwater) discharges?
■
❑
❑
❑
Comment:
Page: 3

Town of Cleveland
302 East Main Street
P.O. Box,429
Cleveland, NC 27013
(704)2784777 ,
November 2, 2010
Ms. Marcia Allocco
NCDENR
610 East Center Ave.
Mooresville, NC 28115
Subject: Compliance Evaluation Inspectio n-Sto rm water Permit NCG110128
Dear Ms. Allocco:
RECEIVED
DIVISION OF WATER QUALITY
NOV 0 8 2010
SITUP SECTION
MOORESViLLE REGIONAL OFFICE
This letter is in reference to the compliance evaluation conducted of the stormwater program at the
Town of Cleveland on October:8, 2010 by Mr. Wes Bell.
A comment was made under the Stormwater Pollution Prevention Plan section of the report pertaining
to the update of the SPPP. An update of the plan was made by Town Clerk, Cathy Payne, on May 26,
2010. A copy is enclosed for our review.
It was noted that the facility inspections were not properly documented. A copy of each facility
inspection report is enclosed for your review. These reports were not presented at the time of
inspection. The ORC did not have his file available but has found the file since the inspection. He has
been instructed about proper documentation and record keeping to avoid this happening again.
A comment was made under the Permits and Outfalls section of the report with regard to the storage of
screenings removed from the plant. Currently open containers are used for collection of screenings.
We are obtaining,disposable containers for this. After collection of the screening they will be disposed
of in the dumpster on site.
Puddles of wastewater (drippings) from the bar screen will be diverted to the collection can via a
fabricated funnel system. The maintenance staff is working on this now.
Thank you for your attention in this matter. If you have any questions, I may be reached at 704-278-
4777 or you may contact the WWTP ORC Mr. Pete Rich at 704-881-4598.
Sincerely,
John I. Steele, Jr.
Mayor
enc

From Cathy Payne ([e-mail]
Sent: Wednesday, May 26, 2010 2:07 PM
To: Dena Myers
Subject: Stormwater Pollution Prevention Plan Update
Attachments: Cleveland SPPP.doc
I have updated the member roster on our plan (required annual update). The plan is attached. I assume Pete has a copy
at the plant since it is required so I will make a copy of the first 2 pages which show the new dates and put it in Statesville
Analytical's box -here at Town Hall so -that he can replace them. I assume he is doing the required monitoring and it is
ready for an inspection. Wes Bell inspected on 2a27-09 so we are due.
Let me know if I need to do anything else that you know of for compliance.
Cathy Payne, Town Clerk
Town of Cleveland
70427E-4777
clev_ela_n_dclerk0bellsouth. net

."., R
V �CL"n o'pcit a- k'
Stormwater Pollution Prevention Plan
FACILITY INFORMATION Facility Name: Town of Cleveland WWTP
Owner: Town of Cleveland
Type Facility: Municipal
Address: 625 Third Creek Road
Cleveland, NC 27013 - T
Phone No.1 Fax No.: 704-278-4777 / 704-278-0078
E-mail: [e-mail]
CONTACT INFORMATION Responsible Party: Cathy -Payne, Clerk, Town of CI_evelang
Phone No.: 704-278A777
Mobile No.:
Pager No.:
PERMIT INFORMATION General Permit No.: NCG110000
Certificate of Coverage No.: NCG11Q128 _
Effective Date of Coverage: June 1 2008
STORMWATER POLLUTION PLAN (SPPP) DETAILS
Date Implemented (within 12 months of effective date of coverage): _ June 1. 2009
SPPP must be updated annually after date implemented. Owner shall review/update SPPP in the
first part of April of each year to comply (see Part XIV). SPPP shall be kept on -site of facility and
be readily accessible.
(Date of Annual Update: May 26,2010
Date of Annuai Update:
jDate of Annual Update:
Parts Updated: Member Roster
Parts Updated: �^
Parts Updated:
Date of Annual Update: Parts Updated:
Date of Annual Update: Parts Updated:
General Information Page 1

PART XVI: REQUIRED SIGNATURES
: ., l... ., rs• ; ,.., a}� 6r . ee _} v n e i i ,i^ilA°�: i`fr. �q�
Instructions: For a municipality, State, Federal, or other, public agency,�the}.SfofillW�teP'Pbllutioh, �rCrt s
Prevention Plan -shall be signed and certified -by elth�er a}prii�cipaf'+ezecliIV,pfflcer or ranking'
elected official or by a duly autiiorized,represenia'
"I certify, under penalty of Ipw, that this document and all attachments we're prepared under my direction
or supervision in accordance with a system designed to assure that a 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 -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."
f 4 -
Signature:
Print Name: Cathy Payne _
Title: Town Clerk
Date: May 26. 2010
Required Signature Page 30

a oo (� TY-0- I V-) nc�
PART XIII: EMPLOYEE TRAINING
Completed by: -�itn i �_ ram[ �C�r Date: 17 To
Title:
Instructions: At a minimum, training for employees involved in any of the facility's operations that have the potential to contaminate stormwater
runoff shall be provided annually. The training shall include proper spill response and cleanup procedures and preventative
maintenance activities. Training should be documented on this worksheet.
1 Brief Description of Training Program 1
Training Program 1 Topic ! Materials (e.g., video, discussion, etc) j Training Date(s)
' Facility Personnel
�
�in Charge of Training
Facility Personnel
in Attendance
t'S -I��rl L" iI I ►�- �
ID D 15c)
�
,
V :-+e .�,�;4—
L
3
,i
E
Employee Training Page 24

Stormwater Discharge Outfall (SDO)
{qualitative Monitoring Report
Permit No.: N/Cl_l 1_J I_ _I 1 1 or Certificate of Coverage No.: N/GC11� 1 CICCJIIG�I
Facility Name:
County: i G5Phone No. _ _Z,(_9,-
Inspector:
Date of Inspection: - J
Time of Inspection: o
Total Event Precipitation (inches): _- _!2_
Was this a Representative Storm Event? (See information below) ErYes ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
1. Outfall Description:
Outfall No. �� Structure (pipe, ditch, etc.)
Receiving Stream: p
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): -c1 rE
Pa;e 1 of 2

4. Clarity: Choose the number which hest describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
i 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where l is no solids and 5 is extremely muddy:
1 �? 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes �A
9. Is there evidence of erosion or deposition at the outfall? Yes 10
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242-05) 305

Permit No.. N1rjj!! 1,J
Facility Name:
County: D c(
Inspector:
Date of Inspection:
Time of Inspection: _ Y
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
D,VJLI or Certificate of
Phone No.
G- Y
Total Event Precipitation (inches): 'r' , b
No.:
Was this a Representative Storm Event? (See information below) Yes ❑ No
r
Please check your Permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A sinele storm event may contain un to 10 consecutive hours of no meciaitation.
By this signature. I certify that this report is accurate and
(Signature of Permittee or Designee)
to the best of my knowledge:
1. Outfall Description:
Outfall No. _ i . Structure (pipe, ditch, etc.) _ 2�!
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors ( brown, blue, etc.) and tint
(light, medium, dark) as descriptors: r ,t. d T" /u -
3. Odor- Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.):
Page 1 of 2
SWU-242.M 1308

4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
01 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge'? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes �o
9. Is there evidence of erosion or deposition at the outfall? Yes
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam oil sheen, or erosion/deposition may be
indicative of pollutant exposure. 'these conditions warrant further investigation.
Page 2 of 2
S W U-242-D513(1t1

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Permit No.: ►�i ��s/ 11 �1 UI GI I� or Certificate of Coverage No.: L4jQQ1zj_1_.4dJLe_Z1
Facility Name: 4'2• = c) _ j 46 0 T-1/1 O phone No. ?© y/ "P 7S' 5-1Fa P
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): a
Was this a Representative Storm Event? (See information below) ®• Yes ❑ No
Please check your permit to verify ijQualitative Monitoring must be performed during a representative
storm event (requiremenu vary).
i A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that 1I
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature, I certify that this report is accurate and complete to the
%best of my knowledge:
(Signature of Permittee or Designee)
I. Outfall Descripdon:
Outfall No. - f Structure (pipe, ditch, etc.) / / � /V
Receiving Stream: _ - .? 11� a _--- C . K, f- -
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the
(light, medium, dark) as descriptors: &L
using basic colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): u
Pagc I of 2
S W U-242.051.M8

4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
C 1 2 3 4 5
5. Floating Solids: Choose the number which hest describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: .
.) 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 3 4 5
7. is there any foam in the stormwater discharge'? Yes
8. is there an oil sheen in the stormwater discharge? Yes
9. is there evidence of erosion or deposition at the outfail? Yes
14. Other Obvious Indicators or Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam. oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-N2A51Vt

NCDENR
FILEOK---
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governcr Director Secretary
October 25, 2010
The Honorable John Steele, Jr., Mayor
Town of Cleveland
Post Office Box 429
Cleveland, North Carolina 27013
Subject: Compliance Evaluation Inspection
Cleveland W WTP
Stormwater Permit No. NCG110128
Rowan County, NC
Dear Mayor Steele:
Enclosed is a copy of the Compliance Evaluation Inspection Report for the inspection conducted at
the subject facility on October 8, 2010 by Mr. Wes Bell of this Office. Please advise the facility's
Operator -in -Responsible Charge by forwarding a copy of the enclosed report.
It is requested that a:written response be submitted to this Office by November 15, 2010, addressing
the deficiencies noted in the Stormwater Pollution Prevention Plan Section and the housekeeping discrepancies
noted in the Permit/Outfall Section of the attached report. In responding to this report, please address your
comments to the attention of Ms. Marcia Allocco.
The report should be self-explanatory; however, should you have any questions concerning this report,
please do not hesitate to contact Mr. Bell at [phone].
A-r Robert B. Krebs
Surface Water Protection Regional Supervisor
Enclosure:
Inspection Report
cc: Rowan County Health Department
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115 One
Phone: [phone] Fax: (704) 663a401 Customer Serke:1.877-623.6748 NorthCarolina
Internet: h1tpJlportaf.ncdencorgfwebtwq �/ a artl LJ "Na l,
An Equal Opportunity 1 Affirmative Action Employer - 50 Racycled116% Post Consumer paper

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W i � � ~

I
Compiiance Inspection Report
Permit: NCG110128 Effective: 06/01/08 Expiration: 05/31/13 Owner: Town of Cleveland
SOC: Effective: Expiration: Facility: Town of Cleveland WWTP
County: Rowan 625 Third Creek Church Rd
Region: Mooresville
Cleveland NC 27013
Contact Person: John Steele Title: Mayor Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
On -site representative Peter Rich Phone: [phone]
Related Permits:
Inspection Date: 1010812010 Ent Time: 08:45 AM Exit Time: 1115 AM
Primary Inspector: Wesley N Bell 1 D 2 l Rhone: Ezt 2 9 1B99
Secondary Inspector{s}:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Municipal WWTP > 1 MGO, Stormwater D�scharge, COC
Facility Status: Q Compliant ■ Not Compliant
Question Areas:
N Storm Water
(See attachment summary)
Page: 1

Permit: NC0110128 owner • Facility: Town of Cleveland
Inspection Date: 10108/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

I
Permit: NCG110128 Owner - Facility: Town of Cleveland
Inspection Date: 10/08/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: The records of the Stormwater Pollution Prevention Plan (SPPP) were
organized and well maintained. The SPPP was last updated in ,tune 09. No employee
training was performed in 2009. Facility stormwater inspections were not properly
documented in 2009 and the first 6-month period in 2010. The SPPP Coordinator must
ensure the following is documented: annual employee training, twice per year facility
stormwater inspections, a 3 year history of spills (even if no spills occurred for a
particular year), and the overall SPPP updates (annual basis).
■❑❑❑
■❑❑❑
■❑❑❑
■❑❑❑
■❑❑❑
■
❑
❑ ❑
❑
❑
■ ❑
■
❑
❑ Cl
■❑❑❑
■❑❑❑
❑■❑❑
■
Cl
❑ ❑
■❑❑❑
■❑❑❑
■❑❑❑
Qualitative Monitoring Yes No NA NE
-.Has-the facili;ty_conducted its Qualitative Monitoring semi-annually? ■ ❑ Cl ❑
Comment: The last qualitative monitoring event was performed on 611110.
Analytical Monitoring
Yes
No
NA NE
Has the facility conducted its Analytical monitoring?
❑
❑
■ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
❑
0
■ ❑
Comment:
Permit and Outfalls
Yes
No
NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■
❑
❑ ❑
# Were all outfalls observed during the inspection?
■
❑
❑ ❑
Page: 3

Permit: NCG110129 Owner - Facility: Town of Cleveland
Inspection Date: 10/08/2010 Inspection Type: Compliance Evaluation Reason for Visit: Routine
# If the facility has representative outfall status, is it properly documented by the Division? 0 ❑ ■ n
# Has the facility evaluated all illicit {non stormwater} discharges? ■ 0 0 n
Comment: The facililty has designated one stormwater outfall. No discharges were
observed. The facility last evaluated the stormwater outfall for non-stormwater
discharges on 611109. The puddles of wastewater (drippings) from the bar screen
compaction system was observed on the concrete walkway. In addition, the wastewater
scum/grease removed from the chlorine contact chamber and the debris removed from
the secondary clarifier were being stored outside in open containers. Note: No
wastewater debris was observed on the ground. The housekeeping measures around
the bar screen area needs improvement and the open containers of wastewater debris
should either be properly disposed or stored under cover prior to final disposal.
Pages 4

,0
RCDENR
North Caro[ina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 4, 2009
The Honorable James A. Brown, Mayor
Town of Cleveland
Post Office Box 429
Cleveland, North Carolina 27013
Subject: Compliance Evaluation Inspection
Cleveland WWTP
Stormwater Permit No. NCG110128
Rowan County, NC
Dear Mayor Brown:
Enclosed is a copy of the Compliance Evaluation Inspection Report for the inspection
conducted at the subject facility on February 27, 2009 by Mr. Wes Bell of this Office. Please
advise the facility's Operator -in -Responsible Charge by forwarding a copy of the enclosed report.
The report should be self-explanatory; however, should you have any questions concerning
this report, please do not hesitate to contact Mr. Bell at [phone].
Sincerely,
Robert B. Krebs
Surface Water Protection Regional Supervisor
Enclosure:
Inspection Report
cc: Rowan County Health Department
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresv{Ile, NC 28115 One
Phone: [phone] Fax: [phone] Customer Service: 1-877.623-6748 NorthCaroli.na
Internet: www.ncwaterquality.org Naturally Equal Opportunity lAiriemative Action Employer— 50% Recycled170% Post Consumer paper

Permit: NCG11012B
SOC:
County: Rowan
Region: Mooresville
Compliance Inspection Report
Effective: 06/01/08 Expiration: 05/31/13 Owner: Town of Cleveland
Effective: Expiration:, Facility: Town of Cleveland WWTP
625 Third Creek Church Rd
Contact Person: James A Brown
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
On -site representative
Related Permits:
Inspection Date: 02/27/2009
Primary Inspector: Wesley N Bell
Secondary Inspector(s):
Title: Mayor
Peter A Rich
Entry Time:111:48 AM
7
Certification:
Cleveland NC 27013
Phone: [phone]
Phone:
Phone: [phone]
Exit Time: 01:50 PM
Phone: [phone]
Ext.2192
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Municipal WWCP > 1MGD, Stormwater Discharge, COC
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: 1

Permit: NCG110128 Owner - Facility: Town of Cleveland
Inspection Date: 02/27/2009 Inspection Type: Compliance Evaluation Reason for Visit: Rouline
Inspection Summary:
Page: 2

Permit: NCGl t0128 Owner - Facility: Town of Cleveland
Inspection bate: 02/2712009 inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
Cl ❑ ❑ ■
# Does the Plan include a General Location (USGS) map?
❑ ❑ ❑ ■
# Does the Plan include a "Narrative Description of Practices"?
❑ ❑ ❑ ■
# Does the Plan include a detailed site map including outfall locations and drainage areas?
❑ ❑ ❑ ■
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑ ❑ ❑ ■
# Has the facility evaluated feasible alternatives to current practices?
❑ Cl ❑ ■
# Does the facility provide all necessary secondary containment?
❑ Cl ❑ ■
# Does the Plan include a BMP summary?
❑ ❑ ❑ ■
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑ ❑ ❑ ■
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
❑ ❑ ❑ ■
# Does the facility provide and document Employee Training?
❑ ❑ ❑ ■
# Does the Plan include a list of Responsible Party(s)?
❑ ❑ ❑ ■
# Is the Plan reviewed and updated annually?
❑ Cl ❑ ■
# Does the Plan include a Stormwater Facility Inspection Program?
Cl ❑ ❑ ■
Has the Stormwater Pollution Prevention Plan been implemented?
❑ ❑ ❑ ■
Comment: The subject stormwater permit was issued to the Town on 6/1/08. The
Town/facility staff are in the process of developing a Stormwater Pollution Prevention
Plan (SPPP). The Townlfacility staff must ensure all components (including monitoring,
facility inspections, employee training, listing of spills, updates, etc.) of the SPPP are
addressed and documented.
Open buckets of wastewater debris (grease, scum, etc.) were observed adjacent to the
chlorination area. The buckets should either be provided with lids or placed under
shelter to prevent any spillages and/or potential exposures to stormwater runoff. In
addition, the facility staff must ensure that any wastewater debris spilled onto the ground
is immediately cleaned up.
Qualitative Monitoring
Yes No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
■ ❑
❑
❑
Comment: The last qualitative monitoring event was performed on 8/26/08,
Analytical Monitoring
Yes No
NA
NE
Has the facility conducted its Analytical monitoring?
❑ ❑
■
❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
❑ ❑
■
Cl
Comment: No vehicle maintenance activities are conducted at this facility.
Page: 3

ri
Permit. NCG110128 Owner • Faculty: Town of Cleveland
Inspection Date: 0212712009 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Permit and Outfalls Yes No NA NE
# Is a copy of the Permit and the Certificate of Coverage available at the site? ■ ❑ ❑ ❑
# Were all outfalls observed during the inspection? 0000,
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ■ ❑
# Has the facility evaluated all illicit (non stormwater) discharges? Cl ❑ ❑ M
Comment: The facility has designated one stormwater outfall. No discharges were
observed at the time of the inspection. The facility's SPPP documentation should
include the certification of the annual evaluations of the stormwater drainage system for
non-stormwater discharges.
Page: 4

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
June 9, 2008
The Honorable .lames A. Brown, Mayor
Town of Cleveland
Post Office Box 429
Cleveland, NC 27013
Subject: General Stormwater Permit
Town of Cramerton WWTP
COC No. NCGI10128
Rowan County
Dear Mayor Brown:
Coleen H. Sullins, Director
Division of Water Quality
Our records indicate that you have been issued the subject Certificate of Coverage (COC)
under General Permit (GP) No. NCGI 10000 from the North Carolina Division of Water Quality to
discharge stormwater associated with industrial activities performed at your facility. The purpose of
this letter is to advise you of the importance of the GP and the liabilities in the event of failure to
comply with the teens and conditions of the GP. If you have not already done so, it is suggested that
you thoroughly read the GP. Of particular importance are Part II and Part III, Sections A & B.
Part II is titled "MONITORING, CONTROLS, AND LIMITATIONS FOR PERMITTED
DISCHARGERS". Part II, Section A discusses the need to develop a Stormwater Pollution
Prevention Plan (SPPP), which includes, but is not limited to the following components: a site plan, a
stormwater lnanagement plan, a spill prevention and response plan, preventative maintenance and
good housekeeping program, and employee training. Specific guidance as to the information to be
included in each plan is also listed in this Section. Section B sets forth the qualitative monitoring that
should be performed at all outfalls that discharge stormwater runoff. Section C establishes analytical
monitoring requirements for facilities that have vehicle maintenance areas and use more than 55
gallons of new motor oil per month.
Part III of the GP consists of general conditions and definitions consistent with all GPs, which
are applicable to your SW discharge. These conditions also include special reporting requirements in
the event of noncompliance, bypassing of treatment works (if applicable), and other conditions that
pertain to your stormwater discharge. In Part III, Section B (2), please note that GPs are not
transferable. If you, as the permittee, cease to need this COC (for example: your facility has closed),
then you should request that the COC be rescinded. It should also be noted that the GP requires that
any monitoring data be retained by the permittee for a period of three (3) years and made available to
a Division representative upon request. If you haven't already done so, please note that any analytical
and/or qualitative monitoring as required by this GP should begin upon commencement of your SW
discharge as a result of a representative storm event.
ei� Noo thCaro ina
NCDENRatura�ly
Mooresville Regional Office Division of Water Quality Phone [phone] Customer Service
Internet: www.ncwateraualitv.ore 610 East Center Ave, Suite 301 Mooresville, NC 29115 Fax [phone]
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Mayor Brown
June 9, 2008
Page Two
Failure to comply with. the terms and conditions of any NPDES Permit may subject the
permittee to enforcement action pursuant to Section 143-215.6 of the North Carolina General Statutes
in the form of civil penalties of up to $25,000 per violation. Criminal penalties may also be
recommended for violations determined to be intentional or willful. If you find that you are unable to
comply with the terms and conditions of the GP, you should contact this Office immediately.
Lastly, when representatives from this Office contact you in order to conduct an inspection of
your facility, you should be prepared to demonstrate compliance with all terms and conditions
included in the GI'. If an inspection is scheduled at your facility, the inspection will focus on
evaluating the following items (if applicable): Stormwater Pollution Prevention Plan, stormwater
outfall locations, a review of any qualitative and/or analytical monitoring data required by the GP,
and any other activities that may be required by the GP that are unique to your discharge. This
information should be readily available if requested by a Division representative.
Copies of the GPs and associated documents can be accessed from the following web page:
http://h2o.enr.state. ne_us/su/l+orms Documents.htm#sswmp. If you have any questions, please contact
the Mooresville Regional Office at [phone].
Sincerely,
for Robert B. Krebs
Regional Supervisor
Surface Water Protection
Imlp

o�oF w A
r
o �
The Honorable James A. Brown, Mayor
Town of Cleveland
P.O. Box 429
Cleveland, North Carolina 27013
Dear Mayor Brown:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
rpm tt,
�ii�r1,, Ur +s
Dlvl R6jf a uJune 1, 2008 RL
U U N - 5 2008
NC DENR MRO
DWG -Surface Water Protection
Subject: General Permit No. NCG i 10000
Town of Cleveland WWTP
COC No. NCG110128
Rowan County
In accordance with your application for a discharge permit received on April 21, 2008, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state
NPDES general permit. This permit 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 May 9, 1994 (or as subsequently amended),
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 certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable'except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain
other permits which may be required by the Division of Water Quality or permits required by the
Division of Land Resources, Coastal Area Management Act or any other federal or local governmental
permit that may be required.
If you have any questions concerning this permit, please contact Bill Diuguid at telephone
number [phone] ext. 382.
Sbff&WAL SIGNED BY
BRADLEY BENNETT
Coleen H. Sullins
cc: Mooresville Regional Office
Central Files
Stormwater Permitting Unit Piles
Attachments
NOnehCara ina
,aturaly
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncwateMualit .or Location: 512 N. Salisbury St, Raleigh, NC 27604 Fax [phone]
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r"
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG110000
CERTIFICATE OF COVERAGE No. NCG110128
STORMWATER DISCHARGES
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,
Town of Cleveland WWTP
is hereby authorized to discharge stormwater from a facility located at
Town of Cleveland WWTP
625 Third Creek Church Road
Cleveland
Rowan County
to receiving waters designated as the Third Creek, a Class C creek, Yadkin River Basin; in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, II1, IV, V and VI of
General Permit No. NCG 1 10000, as attached.
This Certificate of Coverage shall become effective June 1, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 1, 2008,
ORIGINAL SIGNED BY
BRADLEY RFNNETT
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Town of Cleveland
County: Rowan
Location
Stream Class: C WWTP
Re c c iving Stream: Third Creek to Yadkin River.
Sub -basin: 03-07-06 (Yadkin River Basin) NOT ICALID
Stream Index: 12-108-20-4

o�o�wAT�RQc
r
0 -c
June l , 2008
The Honorable James A. Brown, Mayor
Town of Cleveland
P.O. Box 429
Cleveland, North Carolina 27013
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Subject: General Permit No. NCG110000
Town of Cleveland WWTP
COC No. NCG114128
Rowan County
Dear Mayor Brown:
In accordance with your application for a discharge permit received on April 21, 2008, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject -state —
NPDES general permit. This permit 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 May 9, 1994 (or as subsequently amended).
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 certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain
other permits which may be required by the Division of Water Quality or permits required by the
Division of Land Resources, Coastal Area Management Act or any other federal or local governmental
permit that may be required.
If you have any questions concerning this permit, please contact Bill Diuguid at telephone
number [phone] ext, 382.
Sincerely,
ORIGINAL SIGNED IBY
BRADLEY BFNNETT
Coleen H. Sullins
cc: Mooresville Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
NonehCaro ina
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.newaterqualitv.Ora location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal OpportunitylANirmative Action Employer — 50% Recycled110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG110000
CERTIFICATE OF COVERAGE No. NCG110128
STORMWATER DISCHARGES
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,
Town of Cleveland WWTP
is hereby authorized to discharge stormwater from a facility located at
Town of Cleveland WWTP
625 Third Creek Church Road
Cleveland
Rowan County
to receiving waters designated as the Third Creek, a Class C creek, Yadkin River Basin; in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, III, IV, V and VI of
General Permit No. NCG110000, as attached.
This Certificate of Coverage shall become effective June 1, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 1, 2008.
ORIGIDAFY w iNEn
IGNF
BRA
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Latitude:35°44'37" NCG110128 Facility
Longitude: 80140'59"<.
County: Rowan Town of Cleveland Location
Stream Class: C WWTP ;
Receiving Stream: Third Creek to Yadkin River.
Sub -basin: 03-07-06 (Yadkin River Basin) NOT ICALED
Steam Index: 12-108-20-4

Re: NCG110128 Town of Cleveland WWTP
Subject: Re: NCG110128 Town of Cleveland WWTP
From: Michael Parker <[e-mail]>
Date: Fri, 09 May 2008 13:03 :23 -0400
To: Bill Diuguid <[e-mail]>
Bill,
Feel free to move forwardwith issuance of the COC.
Mike
Bill Diuguid wrote:
I Michael Parker, Mooresville Regional Office:
Please review the attached NOI application with the objective of responding to me
with a recommendation to issue the permit. I recognize that you may not visit each
new permittee during this NOI review, but it affords you the opportunity to log
the permit into your regional database and add the facility to a future monitoring
and compliance visit schedule. Therefore, your recommendation now to issue the
permit serves as your acknowledgement that (1) the facility is located in your
region, (2) that there are no current complaints outstanding about the facility
that have not been dealt with, and (3) that the facility may ultimately be
inspected by the regional staff. I've also attached a scanned copy of the NOI and
a location map for your review.
COC #
Facility
Location
City/County
NCGI10128 Town of Cleveland WWTP
625 Third Creek Church Road
Cleveland/gown
If you need any more info, give me a call. If you could send me a recommendation
to issue the permit by 6/08/2008, I'd appreciate it, so I can issue their COC. I
am not allowed to issue the permit until the respective regional office reviews
and comments back to me with a recommendation to isse the permit.
Thanks.
Bill Diuguid
William H. Diuguid, AICP
Community Planner, Wetlands and Stormwater Branch
Division of Water Quality
Department of Environment and Natural Resources
1617 Mail Service Center
Raleigh North Carolina 27699-1617
Phone: [phone], ex 382
Fax: [phone]
Michael- Parker - [e-mail]
Environmental Engineer II
North Carolina Dept. of Environment & Natural Resources
Division of Water Quality
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Ph: [phone] Fax: [phone]
1 of 1 5/9/2008 1:02 PM