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Home My WebLink AboutNCG110123_COMPLETE FILE - HISTORICAL_20121105STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V �� 1 o a 0 DOC TYPE 1 HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ YYYYM MDD f DENR-FRO io NOV" 202 u-mencamy DWQ 111-111 OFFICE OF THE TREATMENT PLANTS DIRECTOR November 5, 2012 Mark Brantley Environmental Senior Specialist Surface Water Protection Section Fayetteville Regional Office 225 Green Street, Suite 714 Fayetteville, NC 28301 Re.- Compliance Evaluation:lnspection,NCG.1'.10123 Dear Mark: Please find enclosed the Sloiihwiiter-Polldtib, and have implemented. WelligVealso started�s g 1-1 to-,, ; required by the Stormwaterpermit. IQ6Uhq� 19561 2t 1$ 16 1967 Pi6ehfion,Plan (SPPO) That we have developed jiffictifig the qualitatRe nitoring that is c any,;,que§tion please lctN know. 4z Sincerely, Robert Ellis City of Laurinburg Treatment Plants Director 603 LAUCHWOOD DRIVE 0 P.O. BOX 249 0 LAURINBURG, N.C. 28353 0 PHONE: 91OIZ77-0214 0 FAX 910/277-3633 0 City Of Laurinburg Stormwater Pollution Prevention Plan SWPP Contacts: Robert Ellis Director of Water and Wastewater Treatment (910) 291-1716 Ricky Odom Chief Operator (910) 291-1718 Facility Information: Leith Creek Wastewater Plant 525 Hall Street Laurinburg N.C. 28352 (910) 276-3522 Latitude: 34 degrees 45'52" Longitude: 79 degrees 26'49" County: Scotland Stream Class: C; Sw Receiving Stream: Leith Creek Sub -basin: 03-07-55 Lumber River Basin Stream Index: 14-33 Potential Pollutant Sources: ' Sodium Hypochlorite 12% - 15% Secondary Containment: The 5,500 gallon bulk storage tank is surrounded by a I6'xI8'x3.5' concrete containment which has a capacity of 5,760 gallons. Chemical Delivery: Sodium Hypochlorite is delivered by tanker truck. The truck backs up to our fill line for the bulk tank and makes the connection and off loads the sodium hypochlorite using the trucks air pressure. Best management Practice (BMP) Any spillage from the bulk storage tank will be held in the concrete containment area until the leak is fixed and the product can be pumped back into the bulk storage tank or to the day tanks as needed. Contact # Water/Waste Water Department 910-280-0898 Ellis, Robert -Director Water/Waste 910-384-4151 Murray, Brianne Water/Waste 910-280-2752 On Call Personnel Water/Waste 910-373-7775 McQuage, Stacey -Director Water/Waste/Streets 910-258-2017 Maynor, Tim Water Distribution 910-506-9197 Adkins, Mitchell Water Distribution 910-610-5778 Johnson, Phillip Water Distribution 910-318-9691 Strickland, Mitchell Water Distribution 910-280-0921 Clark, Deon Water Distribution 910-384-1829 Hill, Wayman Water Distribution 910-217-0380 _ On Call Personnel Water Distribution 910-217-0794 On Call Personnel Water Distribution 910-217-1417 Higgenbottom, Ronald Streets/Hwy 910-318-4369 Smith, Tyrone Streets/Hwy P• 3 1 � '� IS. I f • I S 11, v1 -41 P i i r nj f #J N P—Gj 41. 0 0 Q 0 �;Y -.,,KCity2 - A,5- L 41kift i hb. u r g: A GRUffiv Mdfiffiorift�R geq P _ingi�W it 4JAM , F 9 1 % 'f— :'6' arg racterl EigV in 0 rDisc _pi Color Semi -Annual SDO Odor Semi -Annual SDO Clarity Semi -Annual SDO Floating Solids Semi -Annual SDO Suspended Solids Semi -Annual SDO Foam Semi -Annual SDO Oil Sheen Semi -Annual SDO Other obvious indicators of Semi -Annual SDO lstormwater pollution * Observation To Be Performed In the Spring (Between April - June) and Fall (Between Sept. - Nov.) 1 Being the Best and 10 Being the Worst "Monitoring Location: Qualitative monitoring shall be performed at each stormwater discharge outfall (SDO) regardless of representative outfall status. f, rJ CELL PHONE ASSIGNMENTS 2012 Phone Number Name Department ADMINISTRATION 280-1802 Ed Burchins City Manager 318-3427 Tippett, Jenny City Clerk FINANCE 217-0660 Carpenter, Cindy Finance HUMAN RESOURCES Vacant Human Resources PLANNINGIZONING 217-1077 Brandt Deese Community Development 610-5199 Mac McInnis Planning 318-6449 Rodney Byrd Grounds Min.lCem, GIS 206-0981 Pierce Tim GIS PUBLIC WORKS 384-2970 Haywood, Harold -Director General Services Dir. 384-2171 Monroe, James Sanitation 318-8731 Strickland Tony Sanitation 373-7775 Mc ua a Stacey- Irec or WaterlSewer, Streets 217-1417 Hi enbottom, Ronald- Streets/Hw 318-4369 Smith, Tyrone SIreets/Hwy 258-2017 Ma nor Tim Water/Sewer 506-9197 Adkins, Mitchell Water Distribution 610-5778 Johnson Phillip Water Distributlon 318-9691 Strickland Mitchell Water Distribution 280-0921 Clark DeOn Water Distribution 384-1829 Hill, Wa man Water Distribution 217-0380 On Call 217-0794 On Call 610-7302 Smith Robert ElectriclFibor 280-8336 Li hthell. Jason Electric 280-1216 Williams Delton Electric 217-4415 Quick, Teddy Electric 280-2957 Morrison, Brian Electric 318-5059 Locklear, Jerry Electric 217-2086 Mishus, Mitchell Electric 217-2451 Munro Josh Electric POLICE DEPARTMENT 280.3298 Chief Evans Johnny PD 534-7613 Cap. Monroe, Kim PD 670-2886 Adm. Support, Howell Llsa PD 506-6954 Lt. Strickland, Rodney PD 280-4702 Lt. Sessoms, Cliff PD 217-9331 Lt. Williams Duke PD 280-2657 Lt. Butler Jason PD 506-7446 Identification Officer, Torres, Victor PD 4524619 Torres Victor home PD 843-439.2793 Det, Larry Bowman PD 217-9031 Det, Lt. Godwin, Marc PD 280.0299 Det. Tucker, Rodney PD 536-5418 Det. Zabilosk ,Merica PO 384-9314 Strickland, Chris K-9 PD 706-1205 Munger, James K-9 PD 610-9751 Wilkerson, Craig K-9 PD 280-2195 Hardy, David PD Rescue 373-7120 Strickland Kevin Water/Waste Water 280.0898 Ellis Robert -Director WastelWater 384-4151 Murray,Brianne Waste/Water 280-2752 On Call WaterlWastewater Consumer Billing 318-1830 Simmons Tomm -Mana er Consumer Billing 785-4406 Gale, Harry Consumer Billing 280-0359 On Call Consumer Billing Cemeta 291-2593 Byrd,Rodney ICemetary Fire Department 280-8149 I Gibson, Rand Fire 217-4120 1J. Evans lintranet A F_ NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman Governor Director Secretary September 27, 2012 City of Laurinburg Attn: Mr. Robert Ellis P. 0. Box 249 Laurinburg, NC 28353 Subject: COMPLIANCE EVALUATION INSPECTION City of Laurinburg Laurinburg Leith Creek WWTP, COC NCG110123 NPDES Stormwater General Permit-NCG110000 Scotland County Dear Mr. Ellis: On September 20, 2012, a site inspection was conducted for the Leith Creek WWTP located on 525 Hall Street, Scotland County, North Carolina. A copy of the Compliance Inspection Report is enclosed for your review. Permit coverage authorizes the discharge of stormwater from the facility to receiving waters designated as Leith Creek, a Class C Creek in the Lumber River Basin. The site visit and file review revealed that the subject facility is covered by NPDES Stormwater General Permit-NCG110000, Certificate of Coverage-NCG110123. As a result of the inspection, the facility was found to be in non-compliance with the conditions of the NCG110000 permit. Please refer to the enclosed Compliance Inspection Report for additional comments and observations made during the inspection. As a result of the site inspection, the following permit conditions have not been met: 1) Stormwater Pollution Prevention Plan (SPPP) A Stormwater Pollution Prevention Plan (SPPP) has not been developed, recorded, or properly implemented. 2) Qualitative Monitoring Qualitative monitoring has not been conducted and recorded in accordance with permit requirements. Required Corrective Actions: • Develop and properly Implement a stormwater pollution prevention plan as soon as possible • Begin the Qualitative Monitoring requirements as required by the stormwater permit, NCG110000. Location: 225 Green Street, Suite 714, Fayetteville, North Carolina 26301 Phone: 910.433.33001 FAX: 910.486.0707 L Customer Service:1-677-623.674E Internet: htlp:Rportal.ncdenr.orglwe5lwq An Equal Opportunity 1 Alrirmative Action Employer oe N. Carolirta atura!!y Mr. Ellis Page 2 September 27, 2012 Please be advised that violations of the NPDES Stormwater General Permit are subject to a civil penalty assessment of up to $25,000 per day for each violation. If you or your staff has any questions, comments, or needs assistance with understanding any aspect of your permit, please contact me at (910) 433-3327 or by e-mail at mark.brantley®ncdenr.gov. Sincerely, Mark Brantley Environmental Senior Specialist Surface Water Protection Section Fayetteville Regional Office Enclosure cc: FRO -Surface Water Protection Niki Maher-WBS Compliance & Permits Unit DWQ Central Files Compliance Inspection Report Permit: NCG110123 Effective: 12/08/08 Expiration: 05/31/13 Owner: City of Laurinburg SOC: Effective: Expiration: Facility: Leith Creek WWTP County. Scotland Hail St Extension Region: Fayetteville Laurinburg NC 28352 Contact Person: Robert A. Ellis Title: Phone: 910-276-9374 Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Certification: Phone: Inspection Date: 09/20/2012 EntryTime: 10:00 AM Exit Time: 10:45 AM Primary Inspector: Mark Brantley ,(3 _ Phone: 9100--4�33-3300 }: ,g32--7 Mike Lawye' ! Phone: 910-433-3300 Exl'72� Reason for Inspection: Routine Inspection Type: Compliance Evaluation _350 Permit Inspection Type: Municipal WWTP > 1 MGD, Stormwater Discharge, COC Facility Status: ❑ Compliant ■ Not Compliant Question Areas: Storm Water (See attachment summary) Page: 1 Permit: NCG110123 Owner - Facility: City of Laurinburg Inspection Date: 09/20/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: As a result of the site inspection, the following permit conditions have not been met: 1) Stormwater Pollution Prevention Plan (SPPP) A Stormwater Pollution Prevention Plan (SPPP) has not been developed, recorded, or properly implemented. 2) Qualitative Monitoring Qualitative monitoring has not been conducted and recorded in accordance with permit requirements. Required Corrective Actions: Develop and properly implement a stormwater pollution prevention plan as soon as possible Begin the Qualitative Monitoring requirements as required by the stormwater permit, NCG110000. Page; 2 Permit: NCGI10123 Owner - Facility: City of Laurinburg Inspection Date: 09/20/2012 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? ❑ ■ ❑ Cl # 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: Requirements for the stormwater pollution and prevention plans were reviewed and the facility committed to develop their plan as required by the permit Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ❑ ■ ❑ ❑ Comment: The facility agreed to begin monitoring as required by the permit. Permit and Outfails 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? ❑ ❑ 0 ■ # If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ■ ❑ # Has the facility evaluated all illicit (non slormwater) discharges? ■ ❑ ❑ ❑ Comment: Page: 3 March 7, 2008 Mr. Robert Ellis Treatment Plants Director Town of Laurinburg P.O. Box 249 Laurinburg, North Carolina 28353 Michael F. Easley, Governor William G. Ross Jr., secretary North Carolina Department of Environment and Natural Resources Coieen H. Sullins, Director Division of Water Quality DENR-FRO MAR 13 2008 DING Subject: General Permit No. NCG 110000 Town of Laurinburg Leith Creek WWTP COC No. NCG110123 Scotland County Dear Mr. Ellis: In accordance with your application for a discharge permit received on February 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 (919) 733-5083 ext. 382. SirMCkNAL SIGNED BY BRADLEY BENNETT Coleeri H. Sullins cc: Fayetteville Regional Office Central Files Stormwater Permitting Unit Files Attachments North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-5083 Internet: www.nmateuatity.org Location: 512 N. Salisbury St, Raleigh, NC 27604 Fax (919) 733-9612 twtCarolina rallly Customer Service 1-877-623.6748 An Equal OpportunitylAffirmative Action Employer— 506 Aecycledl101% Post Consumer Paper 4:Q STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG110000 CERTIFICATE OF COVERAGE No. NCG110123 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 Laurinburg is hereby authorized to discharge stormwater from a facility located at Town of Laurinburg Leith Creek WWTP 525 Hall Street .Laurinburg Scotland County to receiving waters designated Leith Creek, a Class C creek, Lumber River Basin; in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III, IV, V and VI of General Permit No. NCGI 10000, as attached. This Certificate of Coverage shall become effective March, 7, 2008. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day March 7, 2008. ORIGINAL SIGNED BY BRADLEY BENNETT Coleen H, Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission i �� °i._n �iF'. �� s �' ��; :1s t� f,'�F' •all^d sr.;• City of Laurinburg Leith Creek WWTP � fps '+ •_ �-ram' ri �. -•w. ny�f� ._ .. ... .-.-�nFF F.'^' I,i F 'Pr..+ r •. � s r � t ra+, Latitude:34045'S2" NCG110123 Facility Longitude: 79026 49 `r County: Scotland City of Laurinburg Y; • °.Y �y: Location .. '=o Stream Class: C; Sw Leith Creek WWTP Receiving Stream: Leith Creek Sub -basin: 03-07-55 (Lumber River Basin) Stream Index: 14-33 NOT sldlED Re. NCG`iyi•0123 City of Laurinburg Subject: Re: NCG110123 City of Laurinburg From: Mike Lawyer <Mike.Lawyer@ncmail.net> Date: Mon, 03 Mar 2008 08:33:04 -0500 To: Bill Diuguid <bill. diuguid@ncmail. net> CC: Mark Brantley <mark.brantley@ncmail.net> Good morning Bill. One of my this facility needed permit personnel to submit the NOI confirmed the information on issuance of permit coverage. Thanks, Mike Bill Diuguid wrote: fellow staff members, Mark Brantley, recognized that coverage, but did not have it. So, he advised facility as soon as possible. Glad to see that they did. I just the NOI with Mark and we recommend proceeding with Mike Lawyer, Fayetteville 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, 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 NCG110123 City of Laurinburg Leith Creek WWTP 525 Hall Street Laurinburg If you need any more issue the permit b Thanks. Bill Diuguid y 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: 919-733-5083, ex 382 Fax: 919-733-9612 Michael Lawyer Environmental Specialist NCDENR-Division of Water Quality I can issue their COC. I am regional office reviews and permit. 1 of 2 3/4/2008 10:57 AM ReINCG'1-0123 City of Laurinburg Surface Water Protection Section Fayetteville Regional Office Direct: (910)433-3329 Main: (910)433-3300 Fax: (910)486-0707 of 2 3/4/2008 10:57 AM Division of Water Quality / Water Quality Section NCDENKNational Pollutant Discharge Elimination System NMtH CAROL— DEP TMCNT OF ENVIpO 'EW Yin J tlVURl R(SOUNCC5 NCGI 10000 NOTICE OF INTENT VOR AGI NCY USG ONLY Date Rcccivcd Ycar Month Da Ccrtilicum nl'Cuvera � N Check N Amount ' Permit A%%i and to National Pollutant Discharge Elimination System application for coverage under General Permit NCG110000: STORMWATER DISCHARGES associated with activities classified as: Treatment Works treating domestic sewage or any other sewage sludge or wastewater treatment device or system, used in the storage, treatment, recycling, and reclamation of municipal or domestic sewage, with a design flow of 1.0 million gallons per day or more, or required to have an approved pretreatment program under Title 40 Code of Federal Regulations (CFR) Part 403, including lands dedicated to the disposal of sewage sludge that is located within the confines of the facility. (Please print or type) 1) Mailing address of owner/operator: Name C-T-T,( D P �1 ut2 L►J F'�J.i;C: Street Address 3C; -�; -V' ,'c lu�yH <. i t7.C. , City LAu,Zx,:,�uf�l ,,,.... . Telephone No. I'll iL 'X`fV- 2) Location of facility producing discharge: + l Facility Name �..E1-t'N �CC1 W Facility Contact = L.0 .: S Street Address f 7-S H At L-L i f:_ - City — L'P'U 2_%.tieSLk{ZL, County ci L-AsJ1-3 Telephone No. qc xi C)al 3) Physical Location Information: State _N C, ZIP Code _-�K'5.S i Fax: c't I {= -�.`71L J �; 4- Address to which all permit correspondence w II be mailed State N L ZIP Code Fax: 111 ( 0 Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). FACIA 1 8-t5 rAL E. Ct4eIep 57M ALL_ T . - j. +. 7i-F4T c-,N Au— Tr,--c-G (AFT oN 1�k FWA 0 7- (A copy o1 a county map or USGS quad sheet with Facility clearly located on [he Map is required to be submitted with this applicatior) 4) This NPDES Permit Application applies to which of the following: ❑New or Proposed Facility Date operation is to begin VExisting 5) Standard Industrial Classification: Provide the 4 digit Standard industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: _ _ );/A S W U-226-101701 Page 1 of 3 NCG110000 N.O.I. 6) Provide a brief narrativdescription of the types of industrial activities and products manufactured at this facility: _____ _,�j 7) Discharge points 1 Receiving waters: How many discharge points (ditches, pipes, channels, etc,) convey stormwater from the property? 1. What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? Lc-j:T a L_.EGr:: If the site stormwater discharges to a separate storm sewer syste , name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). _ . T 8) Does this facility have any other NPDES permits? ❑ No &14es If yes, list the permit numbers for all current NPDES permits for this facility: i�tLaG �w7 7 ; , /�!L CU,Ll�t'i 9) Does this facility have any Non -Discharge permits (ex: recycle permits)? (Q/No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: 10) Does this facility employ any best management practices for stormwater control? L� Igo ❑ Yes If yes, please briefly describe: 11) Does this facility have a Stormwater Pollution Prevention Plan? I�'No ❑ Yes If yes, when was it implemented? 12) Are vehicle maintenance activities occurring at this facility? WIN o ❑ Yes 13) Hazardous Waste: a) Is thhli� facility a Hazardous Waste Treatment, Storage, or Disposal Facility? 1 ' Nc ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of h�azza dous waste? k+�' No ❑Yes c) Is this facility a large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of h�azar ous waste? No ❑ Yes d) If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: Page.2 of 3 SW U-226-101701 NCG110000 N.O.I. How is material stored: Where is material stored: How many disposal shipments per year: Name of transport f disposal vendor: Vendor address: 14) Certification: North Carolina General Statute 143.215.6 b (i) provides that: Any person who knowingly makes any false slatem6nl, representation, or certification in any application, record, report, plan or other document filed or required to be maintained under Arlicle 21 or regulations of the Environmental Management Commission implementing that Article, or who lalsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both, (18 U.S.C. Section 1001 provides a punishmerol by a fine of riot more than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) I her request coverage under the referenced General Permit. f understand that coverage under this permit will constitute the pormit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person, Signing�ul'.�'t'�Z� C i�i .S Ti0e: I iz.C-AT f'i Li\, 6 t� -Aj\D f 's r?�.> i C. 7-c.' (Signature of Applicant) (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR Final Checklist This application will be returned as incomplete unless all of the following items have been included: f Check for $100 made payable to NCDENR This completed application and all supporting documents Copy of county map or USGS quad sheet with location of facility clearly marked on map Mail the entire package to: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee the issuance of an NPDES permit. SWU-226-10170 1 Page 3 of 3 Latiludc: 34° 45' 00" Longitude: 790 27' 45" NJ USCS Quad #: 1121SW River Basin 0: 03-07-55 Receiving Stream: ' >iig-Shoc Hccl Creek Strewn Class: C Swamp Z:� City of Laurinburg Leith Creek WWTP Scotland County NCO020656 Vj Division of Water Quality / Water Quality Section NCDENRNational Pollutant Discharge Elimination System Now�w C—w - De► w[wr or f_wv.wo«wew..wu Nm Mw Rrnouwecf NCG110000 NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under NCG 110000: STORMWATER DISCHARGES associated with activities classified as: FOR AGENCY USE; ONLY Dale Received Year I Month I a Cerlificate of coverage L Check tt I Amount Permit Assigned to Ll 11+1 to i 1 itCD omo Treatment Works treating domestic sewage or any other sewage sludge or wastew4m tnAJt - 0 device or system, used in the storage, treatment, recycling, and reclamation of i ipal-rer CK domestic sewage, with a design flow of 1.0 million gallons per day or more, or reclui approved pretreatment program under Title 40 Code of Federal Regulations (C including lands dedicated to the disposal of sewage sludge that is located within the confines of the facility. (Please print or type) 1) Mailing address of owner/operator: Name C2T'`( DP LAuR213uP—v Street Address .305 YJ . CND=I.4 -,M 1P.O. 8oK City LA k1RX#3e QR&, _ State NC _ ZIP Code -. 38393 �r Telephone No. Cl 10 2tto - EL-3,;Lq Fax: cl 10 _ k l(0-403� 4 ` Address to which all permit correspondence wilt be mailed 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No, 3) Physical Location Information: Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). F901n q0l 1345. *i4tF E,CFFU,ieN : Ti- 7-0 ALL- i 0 z33-14-1 caN ALL . TP*LP— Le-E" oIJ ITT ODA 0 M P" (A copy of a county map or USGS quad sheet with lacility clearly located on the map is required to be submitted with this application) 4) This NPDES Permit Application applies to which of the following : ❑ New or Proposed Facility Date operation is to begin l3 Existing 5) Standard Industrial Classification: Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: _ ` _ tj/A Page 1 of 3 5 W U-226-101701 NCG110000 N.O.I. 6) Provide a brief this facility: _ description of the types of Industrial activities and products manufactured at 7) Discharge points I Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? L.Exr " &-r." If the site stormwater discharges to a separate storm sewer syste name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer). 918 8) Does this facility have any other NPDES permits? ❑ No {/Yes If yes, list the permit numbers for all current NPDES permits for this facility: 9) Does this facility have any Non -Discharge permits (ex: recycle permits)? L No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: 10) Does this facility employ any best management practices for stormwater control? R No ❑ Yes If yes, please briefly describe: 11) Does this facility have a Stormwater Pollution Prevention Plan? @4 ❑ Yes If yes, when was it implemented? 12) Are vehicle maintenance activities occurring at this facility? 6d No ❑ Yes 13) Hazardous Waste: a) Iss Zo facility a Hazardous Waste Treatment, Storage, or Disposal Facility? Ind ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month) of h�azza dous waste? r No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of h�azarOus waste? 62 No ❑ Yes d) If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: Page 2 of 3 SWU-226-101701 NCG110000 N.O.I. How is material stored: Where is material stored: How many disposal shipments per year: Name of transport / disposal vendor: Vendor address: 14) Certification: North Carolina General Statute 143-215.6 b (1) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document filed or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment not more than 5 years, or both, for a similar oilense.) I hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing-:Ro6L-- iz--r E L,-X -S Title:--RL4�ATN6NT 7Lfj-\—,r 'S i7sL>.c—G7oP— (Signature of Applicant) (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR Final Checklist This application will be returned as Incomplete unless all of the following Items have been included: 2-1--Check for $100 made payable to NCDENR Imo. This completed application and all supporting documents Q"" Copy of county map or USGS quad sheet with location of facility clearly marked on map Mall the entire package to: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee the issuance of an NPDES permit. Page 3 of 3 5 W U-226.10170 f Latitude: Longitude: USGS Quad #: River Basin #: Receiving Stream: Strewn Class: 340 45' DD" 790 27' 45" H21SW 03-07-55 Big Shoe Neel Creek -C Swamp City of Laurinburg Leith Creek WWTP Scotland County NCO020656 F +�(I di�� Y ii , � ~f�Y. .1 r.'r y • . r ,,Ito r " l4TcNcfir �a��t A C. It ..,.- I • ✓ 4 1 •g ' ~ t' sf c 10011 Eulopn Tuchnululglou on=} j 0 2008 Tole Atl�a� cook IC I,Yia4gu 0 2008 Dlg#IIDIGIU17u Puinlur 34"45'4$. l t" N 7V26'46.79' W uluv 203 11 Slraug,ring 1111111111 100% Equ ult 5092 It it„rr - „�.. � � - ..�.: �i *�• '. i'�'•�! r.e._ xi %r -v'� ra .� ^::� y , v1y � ' �.* � �� _ ' L2�"�T,r� � •� ^��. � 3r � A "i 4! �V ��:f� .1 -17 , '� � • t �� Y� " � f r+^- � C;� f � �� sr F< w ' '"-� i r"*-. . - -�y,� q �� -3iyi,.;'. '. ,• aY . do No-� <�-_• ;Y F - City of Launnburg 1p. dF Yet, �.,t+ 4w,y��i4i Leith Creek WAWP y� n•"d, .��j, '. � �J.'.. �'� �Qll ; °-.T_-£�""Y1�s '1 �' tii �.� �� Y'��41'�a1Y •Y _ �� qY � J y� �'-'1�*�'' r91.�--+.:rs'• +� �'.44 "r-. ''?'r ,.'�,5`i �,-44.1 'e' r ��,''•i+' - ;,,,y _`l'' .kY'.'"y,�w!,",�'-i} n,',]�'y��+_j '�.y"r rq. 1vf6 ?F": "4 :.q:.- ri� s 'r., z✓''x {%" , s!A; •� ,� a'IC✓"'` ""t. { w, r P 7� L YSM"; ry, •?i „ r s>* � si �� '�A, d �t ,�lr}� ��' !d .';E�`'�'F�r�+•> f�l'`�i'+y - 4 i �. v ��+ss,`.'*� � � . � 3`TaSq��r � � ` �� - i� �`x�gu�.;r� ! . _ I� �,yL i U4. -�� d.- 'i'Pc1 ' �•,fll•• +'Cis ��• � r Ir 01 4�46 AX 1►� - L � 5 9iy f Op -41 ! * � '''� � .!:'!'# , �.� �• * �+�d; "'I , .� ,/ �� .ix � , �� +�,,; ,` it �. ! ��s •!!l,..i�! h• rr''r a► ' k? °�� .�, rn �� rti �r"ti ni► ' ,� � .a "' cr?�a!�,k i� .,"vE w ,�'4�`� ' � Ys;,p+,�Ca.0 4v� rw�rr ;'�*�j � •"� y�� uv v'� 'f4'c ; wi•r�.,,.''� Y 4��:'.� r � .�-d.2; �.s4 r�,t-,� a' !w c. Y+� r 3 � - •r `� V 9�. �� ' `tr�n�s� L +c!�`� ', 5 4 tr b i r - �� 5� ! 't,;.'�yVr - 1� � � -+,il'��y -. •a��'g, ','y(:'. , ram, " �",t -' `'i V +" F � � `� �� i� �.lR CM'� ' �'�' a"1,` `� Iiv,i[ �3 +�4'. � '�T �` �" �•i�il T':.�T1j Y P. ,. �r � ,r� °-.. amp-... arr '�•.,r+r�. r .. sx"i +:. �+�' - � rr ' f, '>• 1,��"� ci!l O,Atr ' E Latitude: 3404552" Longitude: 79126'49" N CG 110123 Facility o County: Scotland City of Laurinburg Location Stream Class: C; Sw Leith Creek WWTP Receiving Stream: Leith Creek Sub -basin: 03-07-55 (Lumber River Basin) Stream Index: 14-33 NOT !!Al.ED