NCG080134_COMPLETE FILE - HISTORICAL_20121115

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. /v Cc 08�O
DOC TYPE I :P5. HISTORICAL FILE
❑ MONITORING REPORTS
DOG DATE ❑ aYc'? m
YYYYMMDD

U
NCDENR .
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
November 15, 2012
Robert Lawrence -General Manager
2032 Highway 48
Pleasant Hill, NC 27866
Subject: Compliance Evaluation Inspection
Pilot Travel Centers, LLC #68
Certificate of Coverage No: NCG080134
Northhampton County
Dear Mr. Lawrence:
Dee Freeman
Secretary
On November 14, 2012, Thomas Ascenzo of the Raleigh Regional Office (RRO) conducted a
compliance inspection (CEI) of Pilot Travel Centers #68. stormwater pollution program. The
assistance of yourself was appreciated as it facilitated the inspection process.
The Pilot Travel Centers #68. facility discharges stormwater to receiving waters designated as
Jacks Swamp in the Chowan River Basin. The site also is permitted for an oil water separator.
The following observations were made:
1. The Stormwater Pollution Prevention Plan (SP3) was reviewed and revealed the
following
• The plan contained the required general location map that included outfall
location and drainage areas.
• Employee training is conducted online. (Note: employee training is required to
be conducted annually and documented in the (SP3) plan).
• List of responsible parties for Emergency spill response notification.
• Plan included Stormwater Facility Inspection reports.
• A Best Management Practices summary, current certificate of coverage, and
narrative description of practices were also available for review.
• A Spill prevention response plan was also available for review.
• (SP3) Plan is being updated annually and as needed.
Naurally
y`Carolina
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone [phone] Customer Service
Internet: www,ncwaterquality.org 1628 Mail Service Center Raleigh, NC 27699-1628 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper

Pilot Travel Center #68 CEI
NCG080134 Page 2 of 2 .
2. Qualitative monitoring was conducted on February 23, 2012 and May 21, 2012. As per
permit requirements.
3. Analytical Monitoring was conducted on November 11, 2012. No other analytical results
were noted for 2012 due to dry conditions at the facility.
4. Outfall #1 was observed to contain stormwater from a recent rainfall with no signs of a
sheen. Outfall #2 was dry.
5. No spills were noted for a three year period. Include this information on a page in the
SP3 Plan.
Please continue your diligence in the Stormwater Pollution Prevention Plan. Should you or
your staff have any questions regarding this inspection or this correspondence, please do not
hesitate to contact me at 919-791-4256 or you can e-mail me at [e-mail].
Attachment: Compliance Inspection Reports
CC
Raleigh Regional Office SWP
Ms. Melody Mayville -Compliance Officer
Pilot Travel Centers LLC.
5508 Lonas Drive
Knoxville, Tenn. 37909
Sincerely,
Thomas Ascenzo
Environmental Specialist
Surface Water Protection

Compliance Inspection Report
Permit: NCG0801, 34 Effective: 11/01/07 Expiration: 10/31/12 Owner: Pilot Travel Centers LLC
SOC: Effective: Expiration: Facility: Pilot Travel Centers LLC #68
County: Northampton Rt 1 Box 202
Region: Raleigh
Pleasant Hill NC 27866
Contact PerSCn: James T Asbury Title: Phone: [phone]
Directions to Facilky:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Rnpresentative(s):
Related Permits:
Inspection Dete: 1111412012 Entry Time: 10:45 AM Exit Time: 11:15 AM
Primary lnspsctor: tom ascenzo Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Transportation wNehicle Maintenance/Petroleum Bulk/Oil
Water Separator Stormwater Discharge COC
Facility Status: ® Compliant U Not Compliant
Question .bra _s:
M Storm Water
(See attachment summary)
Page: 1

Permit: i`lCQ080134 Owner - Facility: Pilot Travel Centers LLC
Inspection Date: 11/14/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Permit is in renewal process with the Division.
Page: 2

1
Permit: NCG030134 Owner - Facility: Pilot Travel Centers LLC
Inspection mate: 11/14/2012 Inspection Type: Compliance Evaluatfon Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Pfan?
# Does the ?lan 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 13MP summary?
# Does the P:an include a Spill Prevention and Response Plan (SPRP)?
# Does the Flan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the Facility provide and document Employee Training?
# Does titre 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: Training is conducted online. Document attendance with a form in a section
in the SP3 plan. No spills reported in a three year period. Document the information in
the SP3.
Qualitative Monitoring
Has the tacility conducted its Qualitative Monitoring semi-annually?
Comment: Qualitatitive monitoring was conducted semi-annually as per permit
requirements on 2/23/2012, and 5/21/2012
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicie Maintenance areas?
Comment: Analytical monitoring was conducted on 2F24k'194-2-and on 11/7/2012.
Permit and Outfalls
# 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?
3 ❑ ❑ ❑
Yes No NA NE
®❑❑❑
❑❑❑®
Yes No NA NE
Page: 3

I
7ermit: iNCGO80134 Owner -Facility: Pilot Travel Centers LLC
Inspection Hate: 11/14/2012 inspection Type: Compliance Evaluation Reason for Visit: Routine
# Has the facility evaluated all illicit (non stormwater) discharges?
Comment: Outfall #1 contained slight turbid stormwater. Negative signs of petroleum
noted. Out€all #2 was dry.
m ❑ ❑ ❑
Page: 4

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
August 23, 2002
GARY DOUGLAS
PILOT TRAVEL CENTERS LLC #68
5508 LONAS ROAD
KNOXVILLE, TN 37909
Subject: NPDES Stormwater Permit Renewal
Pilot Travel Centers LLC #68
COC Number NCGO80134
Northampton County
Dcar Permittee:
In response to your renewal application for continued coverage under general permit NCG080000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215. l and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983,
The following information is included with your permit package:
A new Certificate of Coverage
A copy of General Stormwater Permit NCG080000
A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division 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 DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Delonda Alexander of the Central Office
Stormwater and Generai Permits Unit at [phone], ext. 584
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Raleigh Regional Office
ern
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1-800.623-7748

Michael F. Easley, Governor
�Q�O R0G William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
C9 err
Gregory J. Thorpe, Ph.D.
Acting Director
'r Division of Water Quality
December 27, 2001
!Ol-hN HFAL141S .i h�/ � '' �•
I MRO MARKETING CO ' � 19
SPRINGFILLD, OH 45501
Suh'cct: NITE'S Stormwater Permit Renev,;al,'-
FMRO MARK1 PING CO
CC)C Nuanher NCCJOSOI 34 y � ✓
Northampton Counly
Dcar PCrntitice:
Your facility is Currently covered for stoI'll rvvatCr dISChargc under General Permit NCG(160000. This hermit expires
on Augusl 31, 2002. The Division staff is currently in the process of rcWriIing this hermit and iS SChcdulCrl w haVC
the permit rCiSSncd by hale summer of 2OU2. Once the permit is reissncd, your facility would be cligible for
continued Cnvera1•C under the reissued permit.
In order- to assure your Continued covcragC under the gCncral purnrit, you must apply to the Division ol- Water
(duality (DWO) for renewal of your per-mil coverage. To make this rcncwal pl-OCCSS Casio, WC are informing YOU in
advanCc that your permit will hC expiring. I1tlClo5ed you will find a General Permit Coverage Renewal
Application Porrn. The application must be completed and returned IS)' Nlarch 4, 2002 in order to ISSUI'C Cnntinucd
arvCragC unelcr the general permit.
t-adore to request ICr1eWal within this time period may result in a Civil assessntcrrt uhal least $250.00. Larger
penalties may he assessed depending on the dclinqucncy of the request. Discharge ol'slormwaler from your facility
williout Cover:11*C under a valid stormwater NPDIES permit would constitute a violation of NCGS 143-215.1 and
Could result in assessments ol, civil penalties ol, up to $1l1,Offi) per clay.
PlCasc note that rCCcnt I'Cdcr.d ICE-islation has extended the "no Cxposur-C CxClusion" to all operators of indusu-ial
facilities in anv of Ilse I I categories of "Storm water dischargCS associalcd Willi indtrStrial aClivity," (CxCCpt
construction actiVitiCS). If you fCCI your facility Can Certify a condilion of "no exposure", i.e. file facilty industrial
malcri:rEs and operations are not exposed to stormwatCr, you can apply for ChC no Cxposure CxChusion. For additional
information contact the Central OlTice Storniwater Staff mufthcr listed below or check the Slormwater A-, General
Permits Unit Wei) Site al lrtlha/h2o.cnr.statc.nc.us/Su/stornrwaler.html
If the subject stormwatcr discharge to waters of lhC slate has been Ccrntinated, please complete the enclosed
Rescission Request Form. Mailin4- instructions arc listed on the hottonr of, file form. You will be notified when the
rescission process has hccn completed.
If you h,IVC any quCS6011S rct'ardin- the permit renewal procedures please conlact .hoc Alhiston nfahc Raleigh
Ret-ional Officc at 919-571-4700 or Delonda Alexander of 1lic Central Office Sturmwater Unit at [phone],
cxl. 584
Sincerely.
Bradley 13cnlett, Supervisor
Slornrwalcr and General Permits Unit
cc: Ccu[ra] FiICs
Raleigh Rc4sion,rl Ot'liC'c
yxx
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] CaSlDmer Service
1-800-623-7748

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. Nan Miller
Boaedman Petroleum, Inc.
1804 Gordon Hwy
Augusta, GA 30914
Dear Mr. Miller:
!Elf
[DEHNR
RECEIVED
March 4,1994 MAR 0 8 1994
DEHIYR.RAL RO
Subject: General Permit No. NCG080000
Boardman Petroleum, Inc.
COC NCG080134.
Northampton County
In accordance with your application for discharge permit received on December 10, 1993, we are
forwarding herewith the subject certificate of coverage 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
December 6, 1983.
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 Environmental Management. The Division of Environmental Management 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 Environmental Management 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 Mr. Bill Mills at telephone number 919/733-
5083.
Sincerely,
Original Signed BY
Coieen H. Sullins
A. Preston Howard, Jr., P. E.
cc: �aleigh.Regign_ office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DMSION OF ENVIRONMENTAL MANAGEMENT
STORMWATER DISCHARGES
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,
Boardman Petroleum, Inc.
is hereby authorized to continue operation of an oil water separator and discharge stormwater from a facility located at
Smile Gas, Inc. # 68
Intersection of Interstate 95 and Highway 48
Pleasant Hill
Northampton County
to receiving waters designated as Jacks Swamp in the Chowan River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II,11I
and IV of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective March 4, 1994
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 4, 1994
Original Signed By
Coleen Ft. Sullins
A. Preston Howard, Jr., P.E.
Division of Environmental Management
By Authority of the Environmental Management Commission

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State of North Carolina
-Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
March 4, 1994
Mr. Nan Miller
Boaedman Petroleum, Inc.
1804 Gordon Hwy
Augusta, GA 30914
&14
EDEHNR
Subject: General Permit No. NCG080000
Boardman Petroleum, Inc.
COC NC6080134
Northampton County
Dear Mr. Miller:
In accordance with your application for discharge permit received on December 10, 1993, we are
forwarding herewith the subject certificate of coverage 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
December 6, 1983.
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 Environmental Management. The Division of Environmental Management 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 Environmental Management 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 Mr. Bill Mills at telephone number 919/733-
5083.
Sincerely,
Qrigtnal Signed i BY
Coleen H.
A. Preston Howard, Jr., P. E.
cc: Raleigh Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
STORMWATER DISCHARGES
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,
Boardman Petroleum, Inc.
is hereby authorized to continue operation of an oil water separator and discharge stormwater from a facility located at
Smile Gas, Inc. # 68
Intersection of interstate 95 and Highway 48
Pleasant Hill
Northampton County
to receiving waters designated as Jacks Swamp in the Chowan River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV of General Permit No. NCGO80000 as attached.
This certificate of coverage shall become effective March 4, 1994
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 4, 1994
Original 519Steiid44Bs
Goleer
A. Preston Howard, Jr., P.E.
Division of Environmental Management
By Authority of the Environmental Management Commission

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o�oF w A rFRo�
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
GARY DOUGLAS
PILOT TRAVEL CENTERS LLC #68
5508 LONAS ROAD
KNOXVILLE, TN 37909
Dear Permittee:
Alan W. Klimek, P.E., Director
Division of Water Quality
August 23, 2002
Subject: NPDES Stormwater Permit Renewal
Pilot Travel Centers LLC #68
COC Number NCGO80134
Northampton County
In response to your renewal application for continued coverage under general permit NCG080000, the Division of
Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983.
The following information is included with your permit package:
A new Certificate of Coverage
A copy of General Stormwater Permit NCG080000
A copy of a Technical Bulletin for the general permit
Your coverage under this general permit is not transferable except after notice to DWQ. The Division 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 DENR or relieve the permittee from responsibility
for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or
decree.
If you have any questions regarding this permit package please contact Delonda Alexander of the Central Office
Stormwater and General Permits Unit at [phone], ext. 584
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater & General Permits Unit Files
Raleigh Regional Office
R
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1-800-623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCG080134
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,
PILOT TRAVEL CENTERS LLC
is hereby authorized to discharge stormwater from a facility located at
PILOT TRAVEL CENTERS LLC #68
R'r 1 13OX 202
PLEASANT HILL
NORTHAMPTON COUNTY
to receiving waters designated as Jacks Swamp, a class C NSW stream, in the Chowan River Basin in accordance
With the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, III, IV, V, and V1
of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective September 1, 2002.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 23, 2002.
for Alan W. Klimck, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

F W�IrF Michael F. Easley, Governor
� 9QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
7
Gregory J. Thorpe, Ph.D.
a � Acting Director
Division of Water Quality
Dccernbcr 27. 200E
JOE-IN HELMS
EMRO MARKFT[ NG CO
P O B(_)X 1500
SPRINGFI LD, OH 45501
Subject: NPDES Stornnvatcr i'crntit Renewal
LMRO MARKETING CO
COC Nurnher NCGOW 134
Norlt.unpton County
Dcar I'cr'ntittce:
Your facility is currently covered for storntwtt(er discharge under General Permit NCGO80000. This hermit cxl)ires
on Au"ust 31, 2002, 'I'll,; Division staff is currently in the process of rcwriting this permit and is schCilulccl to have
the permit reissued by lute Sumner of 2002. Once the permit is reissued, your facility would he Cli�,ible for
conlinuCd coverager e undthe. reissued permit.
In order to assure your continued covcragC under the gClICrill pu'11111, you must apply to the Division of Water
Quality (DWQ) for renewal of -your permit -coverage, To inake this renewal process Casio, WC arc infurntittg, you in
advance (hut your perntil will be expiring. Enclosed you will find a General Permit Coverage Renewal
Application Form. The application must he conipicled and returned by March 4, 2002 in order to.LSSurC continued
coverage under the general permit.
F0ilurC to request renewal within this time period inuy result in a civil assessment of at least $250.00. Larocr
Penalties may be assessed depending on the delinquency of the request. Discharge of slorrnwatcr from your facility
withotN coverage under n valid slorntwalci, NPDES perntil would constitute .t violation of NCGS 143-215.1 and
could result in assCssntcnts 01-civil penalties of up to $10.000 per day.
PICasc note that recent f'edCral legislation has extended the "no exposure exclusion" to all operators of industrial
f,rciIitics in any of the 1 1 categories oI— storill water tlischur-ges associalcd with industrial activity," (except
construction activiliCs). 11-you led your I'ac'ilily can certify .t Condition of "no CxfxOsurC% i.e. the lacilty industrial
materials and operations .ire not exposed to storntwatcr, you can apply for the no CxposurC Cxclusion- For additional
information contact the Central Ot'lice Slorntwater StalT member- listed below or check the Stormwater & General
Perinits knit Web Site at httpa/h2o.enr.st;ttC.ne.us/su/stormwater.htntl
If llrc subject storntwatcr discharge to waters of-thc slate has been terminated, please complete the enclosed
Rescission Request Form. Mailing instructions are listed cm lie bottom of the form. You will be notified when the
rescission process has been completed.
[]'You have any questions regarding the permit renewal procedures please contact Joe Alhislon of the Raleigh
Rcoional Office at 919-571-4700 err- Delonda Alexander of the Central (_)fficc Storntwatcr Unit at [phone]-
exl. 584
$iuc'rrely.
Bradicy Bennett, Supervisor
Slorntwatcr and GCncral 11crntits Unit
cc: CCttlrl Files
Raiciglt ReCitenal (Khcc
®MA
NCDENR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1- 800-623.7748