NCG080786_COMPLETE FILE - HISTORICAL_20070202

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IVC&D SD 7Y�
DOC TYPE
� HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ aou �a
YYYYMMDD

o�oF w A rFRQG
r
o 1411: 1c
February 2, 2007
Mr. Matt Zube
Republic Services of North Carolina, LLC
1220 Commerce Street SW Suite A
Conover, NC 28613
Dear Mr. Zube:
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
Subject: General Permit No. NCGO80000
GDS - Washington
COC No. NCG080786
Beaufort County
In accordance with your application for a discharge permit received on October 11, 2006
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 Aisha Lau at telephone
number [phone] ext. 578.
Sincerel
Alan W. Klimek, P.E.
cc: Washington Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments N�" hCarolina
Natrrra!!Y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet; h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycledl10% Post Consumer Paper

I
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCGO80000
CERTIFICATE OF COVERAGE No. NCGO80786
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,
Republic Services of North Carolina
is hereby authorized to discharge stormwater from a facility located at
GDS - Washington
450 Flanders Filter Road
Washington
Beaufort County
to receiving waters designated as Mitchell Branch, class C Sw NSW water, in the Tar -Pamlico River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, 111, IV,
V, VI and VII of General Permit No. NCGO80000 as attached.
This certificate of coverage shall become effective February 2, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 2, 2007. - -
Gr iiGITNIA r �Y
BRACYLEY BENNEI1
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Michael F. Easley, Governor
.y o�oF w A r�RQG
o iql:� -c
February 2, 2007
Mr. Matt Zube
Republic Services of North Carolina, LLC
1220 Commerce Street SW Suite A
Conover, NC 28613
Dear Mr. Zube:
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: General Permit No. NCG080000
GDS - Plymouth
COC No. NCG080784
Washington County
In accordance with your application for a discharge permit received on October 11, 2006
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 Aisha Lau at telephone
number [phone] ext. 578.
Sincerely,
Alan W. Klimek, P.E.
cc: Washington Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments No°hCarolma
Natum!!y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2oenr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal OpportunitylAffirmative Action Employer — 50% Recycled110% Post Consumer Paper

GDS.—Washington
(Republic ,Services of NC)
IWMI
Latitude:35°5S'26", NCG�S�l86
Longitude:77°06'34" -"Facility
County: Beaufort GDS - Washington Location .
Stream Class:.0 Sw NSW
Receiving Stream: Mitchell Branch
Sub -basin: 03-03-06 (Tar -Pamlico River Basin) North Not. scaled

W A r�gQt✓ Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
0 Alan W. Klimek, P.E. Director
Division of Water Quality
February 2, 2007
Mr. Matt Zube
Republic Services of North Carolina, LLC
1220 Commerce Street SW Suite A
Conover, NC 28613
Subject: General Permit No. NCG080000
GDS - Washington
COC No. NCGO80786
Beaufort County
Dear Mr. Zube:
In accordance with your application for a discharge permit received on October 11, 2006
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 Aisha Lau at telephone
number [phone] ext. 578,
Sincerely,
FIGNE-:1 By
Alan W.^Klimek, P.E.
cc: Washington Regional Office
Central Files
Stormwater Permitting Unit Files
Attachments
One
Npi Caro ina
Xtarally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50°% RecycleN10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG080000
CERTIFICATE OF COVERAGE No. NCG080786
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,
Republic Services of North Carolina
is hereby authorized to discharge stormwater from a facility located at
GDS - Washington
450 Flanders Filter Road
Washington
Beaufort County
to receiving waters designated as Mitchell Branch, class C Sw NSW water, in the Tar -Pamlico River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, 111, IV,
V, VI and VII of General Permit No. NCG080000 as attached.
This certificate of coverage shall become effective February 2, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 2, 2007.
Alan W. Klimek, Directgr
Division of Water Quality
By Authority of the Environmental Management Commission

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1 ��+_ L.r1 �`u:u, a�. A a, in:.,/"
Latitude: 35°55'26"------�
Longitude; 77'0G'34" NCiGO80786 Facility;' €�',
County: Beaufort GDS - Washington Location
Stream Class: C Sw NSW
Receiving Stream: Mitchell Branch
Sub -basin: 03-03-06 (Tar -Pamlico River Basin) North
Not scald

Division of Energy, Mineral, and Land Resources
Land Quality Section 1 Stormwater Program
National Pollutant Discharge Elimination System (NPDES)
Energy. Mineral & PERMIT OWNER AFFILIATION DESIGNATION FORM
Land Resources
ENVIRONMENTAL OVALITY (Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual" mean?
The person is either:
• the responsible corporate officer (for a corporation); �e�
• the principle executive officer or ranking elected official (for a municipality, state, feR EG
agency); FEB 0 8 201� g''"g ✓
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above. DENR-LAND
ppQURRALITY
1) Enter the permit number for which this change in Legally Responsible IndividuaIJANVATMli'l nING
applies:
Individual Permit
,. I
i N,;i;i", rl: I 1!
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(0r) Certificate of Coverage
Q 18 10 7 8 fi
GDS -Washington
Republic Services of North Carolina, LLC��
450 Flanders Filter Rd
Address
Washington NC 27889
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://deq.n_c.gov/about/divisions/energy-lni nera l-1 and-resources/energy-ini neral-land-permits/stormwater-program
and run the Permit Contact Summary Report,
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: Drew Isenhour
First Ml Last
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit:
Joseph Dehner
First MI Last
Page I of 2
5WU-OWNERAFFIL,23March2017

� . ';V
NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
5) Reason for this change:
A result of:
If olher please explain:
General Manager
Title
5111 Chin Page Road
Mailing Address
Durham NC 27703
City Slate Zip
( 919 ) 433-0914 [e-mail]
Telephone E-mail Address
919 1 991-1036
Fax Number
El Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
1, Joe Dehner , attest that this application for this change in Owner Affiliation
(person legally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand that if all require"arts of this form are not completed, this change may not be
Signature // Date
PLEASE SEND THE COMPLETED FORM TO:
DEMLR - Stormwater Program
Dept. of Environmental Quality
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call [phone] or visit the website
at: http://deg.nc.gov/about/divisioiis/energy-mineral-land-resources/stormwater
Page 2 of 2
SWU-OWNERAFFIIr23Maf2D11