NCG150011_COMPLETE FILE - HISTORICAL_20170901

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v C& psOp
DOC TYPE
HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ Jo 19 n � o k
YYYYMMDD

r
Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
September 1, 2017
City of Clinton
Attn: Christopher Medlin
PO Box 199
Clinton, NC 28329
ROY COOPER
Governor
MICHAEL S. REGAN
Seavary,
Subject: NPDES Stormwater Permit Coverage Renewal COC #NCG150011
Dear Permittee:
TRACY DAVIS
Dirvetor
For coverage under Stormwater General Permit NCG150000, the Division of Energy,
Mineral, and Land Resources (DEMLR) is forwarding herewith the reissued Certificate of
Coverage (COC). 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 October 15, 2007 (or as
subsequently amended.) A new Certificate of Coverage (COC) is included with this
letter.
You must print a copy of the new NCG150000 General Permit from our website here:
httD://deo.nc.gov/about/divisions/enerizv-mineral-land-resources/energv-mineral-lai
permits jstormwater- ep emits f npdes-industrial-sw. In addition to the full permit, the 2017
print package on the website includes a Technical Bulletin and Qualitative Monitoring
Report Forms.
The General Permit authorizes discharges of stormwater, and it specifies your obligations
with respect to discharge controls, management, monitoring, and record keeping. Please
review the new permit to familiarize yourself with all changes in the reissued permit. Your
facility has six months from receipt of the permit to update your Stormwater Pollution
Prevention Plan (SPPP) to reflect any new permit requirements.
�Nothing Compares
SState of North Carolina I Environmental Quality I Energy. Mineral and Lane] Resourcea
512 N. Sulisbury Street 1 1612 Mall Service Center 4 Ralel9h, North Carolina 27699.1612
919 707 9200

Your coverage under the General Permit is transferable only through the specific action of
DEMLR. This permit does not affect the legal requirements to obtain other permits which
may be required by the N.C. Department of Environmental Quality (DEQ), nor does it
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 the DEMLR
Stormwater Permitting Program at [phone].
cc: Stormwater Program files
Sincerely,
for Tracy E. Davis, P.E., C.P.M.
!">''Nothing Compares,._.
State oFNorth Carolina I Environmental QuAy I Energy, Mineral and Land Resources
512 N. Salisbury Street 11612 Maii Service Center I Raleigh, North Carollim 27699-tbi2
qlq 707 9200

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
STORMWATER DISCHARGES
►:__ ►:._ ' P111 IFWki11 16 1 10F.1► _ _U
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,
City of Clinton
is hereby authorized to discharge stormwater from a facility located at:
Clinton Sampson Airport
115 Sampson Airport Rd
Clinton
Sampson County
- ---to receiving waters designated as Great Coharie Creek (Blackmans Pond), class C;Sw
waters in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts 1,11,111, IV, V, and VI of General Permit
No. NCG150000 as attached.
This Certificate of Coverage (COC) shall become effective September 1, 2017.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 1, 2017.
r6)k v�dw
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

1
Division of Energy, Mineral, and Land Resources
r
Land Quality Section 1 Stormwater Program
National Pollutant Discharge Elimination System (NPDES)
Energy, Mineral & PERMIT:OWNER AFFILIATION DESIGNATION FORM
EVIRO Res O QUALIT (Individual Legally Responsible for Permit)
ENVIRONMENTAL QUALITY
FOR AGENCY USE ONLY
Date Received
Year
I Month
Da
Use this form. if there has been:
NUCHANGE 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 fdrrn. Instead, you must flit 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); pp
• the principle executive officer or ranking elected official (for a municipality, statPx aEr lic
agency); JUL3
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
STO
MR -LAND CWaI~iTY
1) Enter the permit number for which this change in Legally Responsible Indi iduua]"PROBE&iVtfllANen")
applies:
Individual Permit
N .C, S
2) Facility Information:
Facility name:
Company/Owner Organization:
Facility address:
(or) Certificate of Coverage
N.1 C 19 ,500
&%non Sacn�A CPO +-
r dc-+.-
Address
i 11� iu rl )jc,
City State Zip
To find the current legally responsible person associated with your permit, go to this wcbsitc:
http://deq.ne.l±ov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permits/stonnwater-pro rg am
and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: U
first M I t
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit: (i)t� e_ C ,S-Vop6c (h e Jt. (t'/�
First MI I Last
Page 1 of 2
S W U-O WNERAFFIL-23March2017

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
l,-I4p % S
Title
r � Mailing Ad zn � ��
- �,�:_ 9
City State Zip
Telephone E-mail Address f7c, W
(Ctlo) 59C?-3FAS'
Fax Number
5) Reason for this change:
A result of: L_7 employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
1, f h-AVA C_ 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 required parts of this form are not completed, this change may not be
processed. t ,
a r.
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral, and Land Resources
Stormwater Program
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/divisions/energy-mineral-land-resources/stormwater
Page 2 of 2
S W U-OWNERAFFIL-23Mar2017

CITY OF CLINTON
P.O. Box 199
Clinton, North Carolina 28329-0199
www. cityofclintonnc. us
910-592-1961
July 12, 2011
Ms. Belinda Henson, Regional Supervisor
NCDENR
225 Green Street, Suite 714
Fayetteville, NC 28301
RE: NOV — 2011- PC — 03.9
Clinton — Sampson Airport
Dear Ms. Henson:
Clinton
u4mmcft
I III
2007
JUL 15 2011
DWO
Please allow this letter to serve as a response to your Notice of Violation dated June 28, 2011.
The Clinton -Sampson Airport was issued a Notice of Violation due to the fact that qualitative
monitoring was not conducted within one year of the issuance of the permit on January 8, 2010.
It was our understanding that the monitoring was not required until year two (2) of our permit.
Based on my conversation with Mr. Lawyer many airports had the same understanding but were
obviously mistaken. It is the intention of the Clinton -Sampson Airport to begin qualitative
monitoring as specified in our Storm Water Pollution Prevention Plan (SWPPP) immediately.
Thank you for your attention in this matter. If you have any questions or need additional
information, please feel free to contact me at [phone].
1 ere ,
ohn F. Connet
City Manager
JFC/mlm
cc: Airport Advisory Board
Ed Causey, Sampson County Manager
Lee Cannady, Sampson County Public Works Director

w
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins
Governor Director
June 28, 2011
CERTIFIED MAIL: 7009 0820 0000 2473 8138
RETURN RECEIPT REQUESTED
City of Clinton
Attn: John Connet, City Manager/Interim Airport Director
221 Lisbon Street
Clinton, NC 28329
Subject: NOTICE OF VIOLATION (NOV-2011-PC-0391)
Clinton Sampson Airport, COC-NCGI50011
NPDES Stormwater General Permit-NCG150000
Sampson County
Dear Mr. Connet:
Dee Freeman
Secretary
On June 27, 2011, Michael Lawyer from the Fayetteville Regional Office of the Division of Water
Quality conducted a site inspection for the Clinton Sampson Airport facility located at 115 Sampson
Airport Road, Clinton, Sampson County, North Carolina. A copy of the Compliance Inspection Report
is enclosed for your review. Along with yourself, Mr. Jim Naylor, FBO, was also present during the
inspection and your and his time and assistance is greatly appreciated. Permit coverage authorizes the
discharge of stormwater from the facility to receiving waters designated as Great Coharie Creek, a Class
C;Sw water in the Cape Fear River Basin. The site visit and file review revealed that the subject facility
is covered by NPDES Stormwater General Permit-NCG150000, Certificate of Coverage-NCG 150011.
Accordingly, the following observations and/or permit conditions violation(s) were noted during the
Division of Water Quality inspection:
1) Stormwater Pollution Prevention Plan (SWPPP)
A Stormwater Pollution Prevention Plan (SWPPP) has been developed, recorded, and properly
lYes ■ No ❑ (implementation not evaluated, see comments on inspection report)i
2) Qualitative Monitoring
Qualitative monitoring has been conducted and recorded in accordance with permit requirements.
es❑No■
Location: 225 Green Street, Suite 714, Fayetteville, North Carolina 28301
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Intemet: http:#portal,ncdenr.orglweblwq
Nor thCarolina
An Equal Opportunity 1Afrmative ktion Employer

Other Observations:
Please refer to the enclosed Compliance Inspection Report for additional comments and observations
made during the inspection.
Requested Response:
You are asked to respond to this office, in writing, within 30 calendar days from receipt of this notice.
Your response should include a Plan of Action to address the aforementioned violation along with a
reasonable time frame that you expect to be in full compliance with the conditions of the NCG 150000
general permit.
Thank you for your attention to this matter. This office requires that the violation as detailed above
be properly resolved. This violation and any future violations are subject to a civil penalty
assessment of up to $25,000 per day for each violation. Should you have any questions regarding this
matter, please contact Mr. Lawyer or myself at [phone].
Sincerely,
Belinda S. Henson
Regional Supervisor
Surface Water Protection Section
BSH: ML/ml
Enclosure
cc: FRO -Surface Water Protection
Katie Merritt-WBS Compliance & Permits Unit
DWQ Central Files
■ Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Dellvery Is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to:
M4 Jihn &nn e t
AA1 Li s'6on S f-
G%��� NC .2kS q
Postal
RECEIPT
co
m
(Domestic"CERTIFIEDOMAIL.
.CoverageProvided)
a
OFFICIAL
USE
rn
SPostage
S
rLi
Certified Fee
C3
Return Receipt Fee
(Endorsement Required)
Pestmerk
Here
L7
Restricted Delivery Fee
(Endorsement Required)
rvCID
Total Postage & Fees is
S , E 9
Er
of To
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0
or Po sox No. / ,�is'o6on .f&
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................. ....... ._....�_..
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.........................
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❑ went
A. Sig qae"�
❑Addressee
B. Received by (Prfnted Name) I C. Date of Delivery
/-4vtA1,e aRe, �{O0 1 -7-5- I (
D. is delivery address different from Item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
■ Certified Mall ❑ Express Mall
❑ Registered ■ Return Receipt for Merchandise
❑ Insured Mai! ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ yes
z. ArticleNumber i) i � ; ` i s t70'09a9 ldlBi 1t 6000 12473 8138 i
(Nnsfer fi6m service fabeo
PS Form 3811, February 2004 Domestic Return Receipt
<toa�ti;xSJFtsao

Compliance Inspection Report
Permit: NCG150011 Effective: 01/08/10 Expiration: 08/31/14 Owner: City of Clinton
SOC: Effective: Expiration: Facility: Clinton Sampson Airport
County: Sampson 115 Sampson Airport Rd
Region: Fayetteville
Clinton NC 28328
Contact Person: John F Connet Title: City Manager Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On-Slte Representative(s):
On -site representative
On -site representative
Related Permits:
John F Connet
Jim Naylor
Certification:
Phone:
Phone: [phone]
Phone: [phone]
Inspection bate: 06/2712611 Ent Time: 10:00 AM Exit Time: 11:35 AM
Primary Inspector: Mike Lawyer Phone: [phone]
E*,nT
Secondary Inspector(s): ,33e--?
Belinda S Henson Phone: [phone] E�t12t7
Reason for Inspection: Routine inspection Type: Compliance Evaluation
Permit Inspection Type: Air Transportation Stormwaler Discharge COC
Facility Status: ❑ Compliant ■ Not Compliant
Question Areas:
E Storm Water
(See attachment summary)
Page: 1

Permit: NCG150011 Owner- Facility: City of Clinton
Inspection Date: 06/27/2011 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Inspection conducted to ensure compliance with the conditions of the NCG150000 general stormwater permit for General
Aviation facilities. Met with Mr. John Connet, City Manager/Interim Airport Director, and Mr. Jim Naylor, FBO. Reviewed
facility's Stormwater Pollution Prevention Plan (SWPPP), which was developed by WK Dickson and finalized in May 2011,
The SWPPP appeared to contain all permit -required components and was very detailed, yet easy to follow. Facility has a
total of six outfalls, three of which were determined to be non -industrial outfalls leaving three to be monitored per the
conditions of the permit, A non-stormwater assessment of all outfalls was conducted in February 2011. There were no
records of any Qualitative (visual) Monitoring during the first year of permit coverage, which was issued on January 8,
2010. Mr. Connet was informed that although the permit contains a compliance schedule of 12 months to develop a
SWPPP and provide any necessary secondary containment all other conditions of the permit became effective
immediately upon issuance of coverage. It was also relayed that a Notice of Violation would be issued for failure to
conduct monitoring during the first year of coverage. Observations were made of the facility's fuel storage/fueling area and
the three outfalls that receive runoff from industrial activity areas.
Page: 2

Permit: NCG150011 Owner - Facility: City of Clinton
Inspection Date: 06/27/2011 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?
■
❑
1313
# Does the Plan include a General Location (USGS) reap?
■
❑
❑ ❑
# 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 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: items such as employee training, annual reviewtupdate and
implementation were not evaluated due to the recent development of the facility's
SWPPP in May 2011.
Qualitative Monitoring
Yes
No
NA NE
Has the facility conducted its Qualitative Monitoring semi-annually?
❑
■
. ❑ ❑
Comment: At the time of inspection, there was no documentation of monitoring
conducted during the first year of coverage.
Permit and Outfalis
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?
■
❑
❑ ❑
# If the facility has representative outfall status, is it properly documented by the Division?
❑
❑
■ ❑
# Has the facility evaluated all illicit (non stormwater) discharges?
■
❑
❑ ❑
Comment: Facility has 6 total outfalls, however only 3 have been identified as
receiving flow from industrial activity areas. These 3 outfalls were observed during the
inspection.
Page: 3

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Goleen H. Sullins
Governor Director
January 8, 2010 ®EN R- FRO
JAN 19 2010
Mr. John Connet
City of Clinton DW
221 Lisbon Street
Clinton, NC 28329
Subject: General Permit No. NCG150000
Clinton Sampson Airport
COC NCG150011
Sampson County
Dear Mr. Connet:
Dee Freeman
Secretary
In accordance with your, application for a discharge permit received on December 8, 2009,
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 October 15, 2007 (or as subsequently amended).
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 Brian Lowther at
telephone number [phone].
Sincerely,
ORIGINAL SIGNED BY
KEN PICKLE
for Coleen H. Sullins
cc: Fayetteville Regional Office
Central Files
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch One 7
1617 Mail Service Center, Raleigh, North Carolina 27699,1617 North Carolina
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1.877-623.6748 . / aturall /
Internet: www.ncwaterquality.org f� �/

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG150000
CERTIFICATE OF COVERAGE No. NCG150011
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,
City of Clinton
is hereby authorized to discharge stormwater and from a facility located at
Clinton Sampson Airport
115 Sampson Airport Road
Clinton, NC
Sampson County
to receiving waters designated as Great Coharie Creek, a class C Sw water in the Cape Fear 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. NCG150000 as attached.
This certificate of coverage shall become effective January 8, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day January 8, 2010.
ORIGINAL SIGNED BY
KEN PICKLE
for Coleen H. Sullins., Director
Division of Water Quality
By the Authority of the Environmental Management Commission

LOCATION MAP:
f-
NCG150011
H
S
W scare 1:24, 000
City of Clinton
Clinton Sampson Airport
Latl tide: 341158' 29" N
Longitude: 780 21' 46" W
County: Sampson
Receiving Stream: Great: Coharie Creek
Stream Class: C Sw
Sub -bag n; 03-C6-19 (Cape Fear River Basin)
Fa cil I ty Lora tion

Lowther, Brian
From:
Lawyer, Mike
Sent:
Thursday, January 07, 2010 9:38 AM
To:
Lowther, Brian
Cc:
Henson, Belinda
Subject:
RE: SW General Permit NCG150011
Brian,
Spoke with John Connet, City Manager, and his consultant the other day about their NOI and went over the specific
conditions of the new NCG15 permit. According to Mr. Connet who is also serving as the Interim Airport Director, there
is very little activity at this airport and minimal staff. I feel that they are fully aware of the requirements and with the
help of their consultant should be able to comply with the general permit. The FRO recommends issuance of coverage.
Thanks,
Mike
Michael Lawyer
Environmental Specialist
NCDENR-Division of Water Quality
Surface Water Protection Section
Fayetteville Regional Office
Direct: [phone]
Main: [phone]
Fax: [phone]
e-mail: mike.lawyer@ncdenr.,gov (please note that my e-mail address has changed)
*E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Lowther, Brian
Sent: Tuesday, December 15, 2009 2:49 PM
To: Lawyer, Mike
Subject: SW General Permit NCG150011
Mike,
We've received an NOI from the City of Clinton for the Clinton Sampson Airport. The site
discharges stormwater into the Great Coharie Creek (C; Sw). The NOI is attached. '
Does the Fayetteville Regional Office have any concerns about issuing this facility a COC for
this general permit, and are there any potential impacts to wetlands? If we don't receive any
objections, we'll issue the COC in 30 days.
Brian
Brian C. Lowther
i

Environmental Engineer
NCDENR � DWQ I Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Email: brian.lowther a ncdenngov
Website: httl2://h2o.enr.state.nc.us/su/stonnwater.html
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties.

Lawyer, Mike
From:
Lawyer, Mike
Sent:
Thursday, January 07, 2010 9:38 AM
To:
Lowther, Brian
Cc:
Henson, Belinda
Subject:
RE: SW General Permit NCG150011
Brian,
Spoke with John Connet, City Manager, and his consultant the other day about their NO1 and went over the specific
conditions of the new NCG15 permit. According to Mr. Connet who is also serving as the Interim Airport Director, there
is very little activity at this airport and minimal staff. I feel that they are fully aware of the requirements and with the
help of their consultant should be able to comply with the general permit. The FRO recommends issuance of coverage.
Thanks,
Mike
Michael Lawyer
Environmental Specialist
NCDENR-Division of Water Quality
Surface Water Protection Section
i ayetteville Regional Office
Direct: [phone]
Main: [phone]
Fax: [phone]
e-mail: [e-mail] (please note that my e-mail address has changed)
*E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Lowther, Brian
Sent: Tuesday, December 15, 2009 2:49 PM
To: Lawyer, Mike
Subject: SW General Permit NCG150011
Mike,
We've received an NOI from the City of Clinton for the Clinton Sampson Airport. The site
discharges stormwater into the Great Coharie Creek (C; Sw). The NOI is attached.
Does the Fayetteville Regional Office have any concerns about issuing this facility a COC for
this general permit, and are there any potential impacts to wetlands? If we don't receive any
objections, we'll issue the COC in 30 days.
Brian
Brian C. Lowther

1„ r twft
Environmental Engineer
NCDENR � DWQ I Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Email: brian.lowther.c ncdciir. ,,ov
Website: littp://Ii2o.ciir.state.11c.us/sulstormw iter.]Itml
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties.

NCDENR
E� ..007 ❑ ti
VPFL Rely .CE$
NOTICE OF INTENT_
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NCG.150000
FOR AGENCY USE ONLY
Duic Received
Year I
Moudt
Day
CcrtiFeaw oi'Covernge
Check u
Ainou zl
- 71p L
iL —
Permit Assi med to
-Cut �r
National Pollutant Discharge Elimination System application for coverage under General Permit
NCGI60000:
STORMWATER DISCHARGES associated with activities classified as:
SIC' (Standard Industrial Classification) Code 45 Air Transportation Facilities including air transportation,
scheduled, and air courier (SIC 4512 and 4513); air transportation, non scheduled (SIC 4522); airports,
flying fields, except those maintained by aviation clubs, and airport terminal services including: air traffic
control, except government; aircraft storage at airports; aircraft upholstery repair; airfreight handling at
airports; airport hangar rental; airport leasing, if operating airport; airport terminal services; and hangar
operations; and airport and aircraft service and maintenance including: aircraft cleaning and janitorial
service; aircraft servlcinglrepairing, except on a factory basis; vehicle maintenance shops (including
vehicle and equipment rehabilitation mechanical repairs, painting, fueling, lubrication); and material
handling facilities.
For questions, please contact the DWO Regional Office for your area. (See page 4)
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name City of Clinton
Owner Contact John Connet
Street Address 221 Lisbon Street --�
City Clinton State NC ZIP Code _26329- i� p
Telephone No. [phone] Fax: [phone] fir'.. _
E-mail Address ^[e-mail].
2) Location of facility producing discharge:
r�
Facility Name Clinton Sampson Airport
Facility Contact John Connet, City ManageNlnterim Airport Director 1 t
Street Address 115 Sampson Airport Road
City Clinton State —NC ZIP Code �28328
County Sampson - --
Telephone No. [phone] Fax: NIA
Email NIA
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). 1.40 to US-701 (16 mi) to Rt. 241Sunset Ave (1 mi) to
Airport Rd/State Rd 1262 (1 mil to Main St./State Rd 1228 (0.3 mil to Sampson Airport Road/State Rd
1291. (A copy of a county map or USGS quad sheet with facility clearly located on the map Is a required part of this application.)
4) Latitude N340 58' 28.62" Longitude W78° 21' 45.98" (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following
❑ New or Proposed Facility Date operation is to begin
X Existing
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NCG150000 N.O.I.
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code; 4522
7) Services and Activites
a) Provide a brief narrative description of the types of industrial activities and products
manufactured at this facility. Aircraft fueling, maintenance washing, storage, and crop dusting
b) Check all services and activities offered or allowed at this facility
❑ Scheduled air transportation X Aircraft service and maintenance
❑ Air courier X Aircraft cleaning and janitorial services
X Non-scheduled air transportation
X Airport terminal services
X Aircraft storage
❑ Aircraft upholstery services
❑ Airfreight handling
X Airport hangar rental
❑ Airport leasing
8) Discharge points 1 Receiving waters:
❑ Aircraft and/or vehicle rehabilitation
X Aircraft and vehicle maintenance
X Aircraft and/or vehicle fueling
X Aircraft and/or vehicle lubrication
❑ Aircraft and/or vehicle painting
X Aircraft and/or vehicle mechanical repair
❑ Material handlinq facilities
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, fake, etc.) that the facility stormwater discharges
end up in? _Great Coharie Creek
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer
system (e.g. City of Raleigh municipal storm sewer),
Receiving water classification (if known):
9) Does this facility
a) Have an untreated wastewater discharge? XNo ❑Yes
b) Have a treated wastewater discharge? XNo ❑Yes
If yes, list the permit number.
c) Have a wastewater discharge from a recycle system? XNo ❑Yes
If yes, list the permit number.
d) Have a non -discharge permit? XNo ❑Yes
If yes, list the permit number.
e) Discharge wastewater to a municipal wastewater collection system? XNo ❑Yes
If yes, list the municipality and permit number
Note: Stormwater discharge permit NCG150000 does not authorize the discharge of any wastewater
Vra If this site discharges wastewater, you must obtain the appropriate wastewater discharge permit in
addition to coverage for stormwater discharges under NCG1500001
10) Does this facility employ any best management practices for stormwater control?
XNo ❑Yes
If yes, please briefly describe:
Page 2 of 4
SWU-234-030909
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NCG150000 N.O.I.
11) Does this facility have a Stormwater Pollution Prevention Plan?
XNo ❑Yes XBeing Developed
If yes, when was it implemented? If being developed, when will it be implemented? December 2010
12) Hazardous Waste;
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
XNo ❑Yes
b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month)
of hazardous waste?
XNo ❑Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
XNo oyes
d) Is hazardous waste stored in the 100-year flood plain?
XNo ❑Yes If yes, include information to demonstrate protection from flooding.
e) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport 1 disposal vendor:
Vendor address:
13) Certification:
North Carolina General Statute 143.216.6 B(I) provides that:
Any person who knowingly makes any false statement, representation, or certifications in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of
a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate
any recording or monitoring device or method required to be operated or maintained under this Article or rues of the [Environmental
Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten
thousand dollars ($10,000).
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.
Pr Nam oWPe;pnMgning!�:, John ConnetTt i ongerim Airport Director
(S(gn ure of A plicant) (D`ate Signed) 14
Notice of 06nt must be accompanied by a check or money order for $100,00 made payable to:
NCDENR
Page 3 of 4
SWU-234.030909 Last revised 3/9109

NCG160000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100 made payable to NCDENR
❑ This completed application and ail supporting documents
❑ Copy of county map or USGS quad sheet (preferred) 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.
For questions, please contact the D WQ Regional Office for your area.
DWQ Regional Office Contact Information:
Asheville Office ...... [phone]
Fayetteville Office
... [phone]
Mooresville Office
... [phone]
Raleigh Office ........
[phone]
Washington Office
...[phone]
Wilmington Office
... [phone]
Winston-Salem ......
[phone]
Central office .........
[phone]
Page 4 of 4
SWU-234-030909 Last revised 319109

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