NCG150025_COMPLETE FILE - HISTORICAL_20170901

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
/V '�� �GjOoa �J
DOC TYPE
�4. HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ DO) � O � O
YYYYMMDD

Energy, Minerat &
Land Resources
ENVIRONMENTAL QUALITY
September 1, 2017
Montgomery County
Attn: Matthew Woodard
102 E Spring St
Troy, NC 27371
ROY COOPER
L7uvernrsr
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Oirwor
Subject: NPDES Stormwater Permit Coverage Renewal COC #NCG150025
Dear Permittee:
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:
ral-land-resourceslenergy-mineral-land-
pgrMits.1stormwater-.Vermits.Inpt ' . 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.l.and Resources
5I2 N. Salisbury Street 1 1612 Mall Service Center I Raleigh, North Carolina 276994IM2
9197079200

� 11
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
Stormwate'r Permitting Program at [phone].
Sincerely,
for Tracy E. Davis, P.E., C.P.M.
cc: Stormwater Program files
!``Nothing Ciampares...-�,..
State of Nortli Carolina I Environmental Quality I Energy, Mineral and i and Rmurces
Sit N. Salisbury Street 11612 Mail Service Center I Raleigh, North Carolina 27699.102
919 707 9200

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES
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,
Montgomery County
is hereby authorized to discharge stormwater from a facility, located at:
Montgomery County Airport
262 Airport Rd
Star
Montgomery County
-to receiving waters -designated as -Lick Creek; class•C waters -in -the Yadkin -River -Basin, -in -
accordance with the effluent limitations; monitoring requirements, and other conditions
set forth in Parts I, I1,11I, IV, V, and VI of General Permit No. NCG150000 as attached.
This Certificate of Coverage [COQ 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.
T6op 1&"r
for Tracy E. Davis, P.E., CPM
Director, Division of Energy, Mineral, and Land Resources
By the Authority of the Environmental Management Commission

Division of Energy, Mineral & Land Resources
Land Quality Sect ion/Stormwater Permitting
NCDENR
National Pollutant Discharge Elimination System
E•+n.ro»NE»* a.+D Nwt�pµ f7rsa�+ces
DN"-,
PERMIT NAMEIOWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Dale Received
Year
Month
Da
I, Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
1 1 5 10 1 Oj 2 j..5
11. Permit status flEjar to requested change.
a. Permit issued to (company name):
b. Person legally responsible for permit:
e. Facility name (diseharge):
d. Facility address:
e. Facility contact person:
Monteomery Count
Matthew _M Woodard
First MI Last
County Manager
Title
102 East Spring Street
Permit Holder Mailing Address
Troy NC 27371
City State Zip ^�
[phone] [phone]
Phone Fax
_ Montgomery County Airport -
-262 Airport Road
Address
Star NC 27356
City State 'Lip
Kevin Mcneill [phone]ext253
First / MI / Last
Phone
I11. Please provide the following for the requested change (revised permit).
a. Request for change is a result of. ❑ Change in ownership of the facility
❑ Name change of the facility or owner
!f other please explain: Change in permit contact and permit billing contact
b. Permit issued to (company name): Montgomery County
c. Person legally responsible for permit: Matthew M Woodard
First M I last
�.
County Manager .._
Title
102 East Spring Street
Permit. Holder Mailing Address
Troy
NC 27371
City
State "Lip
(M) 576-4221
same as previous (not enough rootn)_
Phone
E-mail Address
d. I acility name (discharge):
Montgomery County Airporty
e. Facility address:
262 Airport Road
Address
Star
NC 27356
City
Sinte Zip
f. Facility contact person:'
Kevin
Mcneill
First
Mi Last
(910) 572-
1393ext253
same as previous (not enough room)
Phone
E-mail Address
Revised Jan. 27, 2014

PAPDES PERMIT NAME/OWNERSHIP CHANGE FORM
.' Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Chris 1. I-lildreth
First MI Last
Director Of Public Utilities & facilities
'fide
102 East Ste; Street
Mailing Address
Troy NC 27371
City state 'Lip
[phone] clrris.hildreth a montgornerycountync.�
Phone E-mail Address
V Will the permitted. facility continue'to conduct the same industrial activities conducted prior
to this ownership or name change?
Z Yes
❑ No (please explain)
VI. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required frar both name change and/or ownership change
requests.
❑ Legal documentation ofthe transfer of ownership (Stich as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient .f-or an ownership change:
The certifications below trust be completed and signed by troth the permit holder prior'to the change, and
the new applicant in the case of an ownership change request. For a name change regtiest, the signed
Applicant's. Certification is sufficient,
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest thrit this application for a name/ownership change has been reviewed and is accurate and
complete,to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not inchided, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
1, Matthew Woodard, attest that this application f-or a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that If all required parts of this
application.are not completed and that if rill required supporting information is not included, this application
package will be returned as -incomplete.
3/25/201
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE'I'O:
Division of l'anergy, Mineral and I.,and Resources
stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC DENlLR has the followinL contact information in uur Permit Database for your nermit as of 3/25/2015.
Permit Number. NCGIS0025
Permit Type: Air TransgortaVg[l Stormwater Discharge COC
Facility Name: Montgomery County Alroort
Facility Addressi: 262 Alm on rt Rd
Facility Address2:
City, state & Zip: Star, 77�Sfi
Owner Information Details:
Owner Name: MontgomeryCounty
Owner Type: Non -Government ???
Owner Type Group: Organization
Owner Affiliation: Matthew M Woodard Title: County Manager
Addressi: 102 E Spring 5t
Address2:
City, State & Zip: Troy. NC 27371
Work Phone: [phone] Fax: [phone]
Email Address: mpllh=,woodard(o)montgpme[ycountync.com
Contact Name Ml Address
Phone EAN
9"
Matthew M County Manager 102 E Spring 5t, Troy, NC 27371
910-576-4221 910-576-4566
matthew.woodard@
Woodard
montgomerycountyn
C.Com
ac111ty Contact Person(sr)
Contact Name i1tIS Address
Phone
ICE!
Kevin McNeill Facility Management 102 E. Spring St., Troy, NC 27371
Supervisor
910-572-1393 910-576-4566
kevin.mcneill@montg
ext 253
omerycountync.com
Contact Name M Address Phone Fax En &H
Chris Hildreth Dir. of Public Utilities & 102 E Spring St, Troy, NC 27371 910-220-7103 910-576-4566 Chris. hi ldreth@ montg
Facilities omerycountync.com
permit BIIHng Co tact
Contact Name Ile Addres Pbgn Ems Small
Chris Hildreth Dir. of Public Utilites & 102 E, Spring St., Troy, NC 27371 910-220-7103 910-576-4566 chris.hildreth@montgo
Facilities merycount nnc.com
3/25/2015 Page

Alexander, Laura
From: Chris Hildreth <[e-mail]>
Sent: Thursday, March 26, 2015 11:02 AM
To: Alexander, Laura
Cc: 'Matthew Woodard'; 'Doshia Haywood'
Subject: RE: NCDENR Permit No. NCG150025 - Montgomery County Airport
Attachments: me -Owner -Change -Form 03-25-2015.pdf; NCG150025 Permit Contacts
ummary 03-25-2015 Requested.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Laura,
Attached is a Name/Owner Change Form that reflects a change in the Permit Contact Person. I did not see an area to
request a change in the Permit Billing Contact. Therefore, I have attached a Permit Contact Summary sheet that shows
all our requests in red. Please advise if you will need any additional information to make these changes. The original
form is being mailed.
Thanks,
Chris Hildreth
Director of Public Utilities & Facilities
Montgomery County
724 Hydra Road
Mt.Gilead, NC 27306
910.439.6197 (o)
910.220.7103 (m)
chris.hildreth mont omen count nc.com
From: Alexander, Laura Imailto,laura alexanderCCncdenr.aov1
Sent: Wednesday, March 25, 2015 10:15 AM
To: Chris Hildreth
Cc: Matthew Woodard; Doshia Haywood
Subject: RE: NCDENR Permit No. NCG150025 - Montgomery County Airport
Chris,
Thanks for your call today! I have attached the form you can fill out so that we have updated contact information. Fill
out the bottom half since there is no ownership change.
http://portal.ncdenr.org/group/Ir/stormwater-gp-renewals - This will show you all renewal information. Your current
COC (Certificate of Coverage) is listed on page 23 but I've attached a copy for you.
http://portal.ncdenr.org/web/Ir/sw-permit-contacts - This is a good place to see your current contact information. Type
in your permit number and you should see permit contact sheet.
We have had trouble with our system renewing our permits and showing active instead of expired. Hopefully, this issue
will be worked out soon. Your permit is active!

Let me know if you have any other questions.
Thank you!
Laura Alexander
Stormwater Permitting Program
NC Division of Energy, Mineral and Land Resources
1612 Mail Service Center
Raleigh, NC 27699-1612
[phone]
From: Chris Hildreth [maiIto: [e-mail]]
Sent: Wednesday, March 25, 2015 9:32 AM
To: Alexander, Laura
Cc: Matthew Woodard; Doshia Haywood
Subject: NCDENR Permit No. NCG150025 - Montgomery County Airport
Laura,
It was nice to speak with you this morning. Per our conversation, the administration of this permit is transferring from
our former Flight Based Operator (Mr. Don Bennett) to Montgomery County's Facility Management Department. Please
forward any forms required for us to transfer contact information and mailing address at you convenience. Also, from
web research I've done, it appears this permit expired in 2014. Please confirm, and forward any renewal forms
required Thanks for your help.
Chris Hildreth
Director of Public utilities & Facilities
Montgomery County
724 Hydro Road
Mt.Gilead, NC 27306
910.439.6197 (o)
910.220.7103 (m)
[e-mail]

�. A
Division of Energy, Mineral & Land Resources
�1 Quality Section/Stormwater Permitting
National Pollutant Discharge Elimination System
NCDENR
NW. .CT—N. ,M`N.01 PERMIT NAME/OWNERSHIP CHANGE FORM
�vi.gHMeHi Ylo NA111.LL R£]W11CC3
FOR AGENCY USE ONLY
Date Received
Year Month
Da
I. Please enter the permit number for which the change is requested.
NPDES Permit
(or) Certificate of Coverage
1 5 1
0
0
2 5
Il. Permit status grlor to requested change.
a. Permit issued to (company name):
Montgomery County
b. Person legally responsible for permit:
Matthew M Woodard
First MI Last
County Manager
RECEIVED
Title
102 East Spring Street
APR 0 6 2015
Permit Holder Mailing Address
Troy NC 27371
DENR-LAND QUALITY
City State Zip
STORMWATERPERM17TING
[phone] T [phone]
Phone Fax
c. Facility name (discharge):
Mont ome Coun Airport
d. Facility address;
262 Airport Road
Address
Star NC 27356
City State Zip
e. Facility contact person;
Kevin Mcneill [phone]ext253
First / MI / Last Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of:
❑ Change in ownership of the facility
❑ Name change of the facility or owner
If other please explain: Change in permit contact and permit billing contact
b. Permit issued to (company name):
Montgomery County
c. Person legally responsible for permit:
Matthew M Woodard
First MI Last
County Manager
Title
102 East Spring Street
Permit Holder Mailing Address
Troy_NC 27371
City State Zip
[phone] same as previous (not enough room)
Phone E-mail Address
d. Facility name (discharge):
Montgomea CounAirporty
e. Facility address:
262 Airport Road
Address
Star NC 27356
City State Zip
f. Facility contact person:
Kevin Mcneill
First MI Last
(910) 5 72-
1393ext253 same as previous (not enough room) _
Phone E-mail Address
Revised Jan, 27, 2014

NPDES PERMIT NAME/OWNERSHIP CHANGE FORM
age 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Chris L Hildreth
First M 1 Last
Director Of Public Utilities & Facilities
'ritie
102 East Spring Street
Mailing Address
NC 27371
City State Zip
[phone] chris.hildreth@montgomerycountync.
Phone E-mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change"
® Yes
❑ No (please explain)
VI Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request, Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
I, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
APPLICANT CERTIFICATION
I, Matthew Woodard, attest that this application for a name/ownership change has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information is not included, this application
package will be returned as incomplete.
t d 3/25/201
Signature Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27, 2014

L
A7i;A
Division of Energy, Mineral & Land Resources
Land Quality SectionlStormwater Permitting
�"�
NC
National Pollutant Discharge Elimination System
1b.w G,o„w, Of�M.4Wt0.
Cxnao«w[-* •moo N.•wti [hsp�accs
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Dale Received
Year
Month
Da
I. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
1 5 0 0 2 5
11. Permit status prior to requested change.
a. Permit issued to (company name): Montgomery County
b. Person legally responsible for permit: Matthew M Woodard
First Mt Last
County Manager
Title
102 East Spring Street
Permit Holder Mailing Address -
Troy NC 27371
City State Zip
[phone] [phone]
Phone Fax
c. Facility name (discharge): Montgomery County Airport _
d. Facility address: T 262 Airport Road
Address
Star NC 27356
City State 'Gip
e. Facility contact person: Kevin Mcneill [phone]ext253
First I Ml 1 Last Phone
Ill. Please provide the following for the requested change (revised permit).
a. Request for change is a result of: ❑ Change in ownership of the facility
❑ Name change of the fac_iIity-qr.Qyvn
!f olher please explain: Ci _n e AM"r
b. Permit issued to (company name):
c. Person legally responsible for permit:
d. Facility name (discharge):
e. Facility address:
f, Facility contact person:
Montgomery County
Matthew M Woodard
First MI last
County Manager
Title
102 East Spring Street
Permit holder Mailing Address
Troy NC 27371
City State Zip
(910� 576_4221 sarttc as previous (not enough room)
Phone t:-mail Address
Montgomery COMAX Air ort .
262 Air otti Road
Address
Star NC 27356
City slate Zip
Kevin Mcneill
First MI Last
(910) 572-
1393ext253 sarne as previous (not enough room)
Phone F`,-mait Address
Revised Jan. 27, 2014

.NPDES PERMIT NAMEIOWNERSHIP CHANGE FORM
Page 2 of 2
IV. Permit contact information (if different from the person legally responsible for the permit)
Permit contact: Chris L Hildreth
.. first "—_-----._MI._..�.�__..__- Last �.
Director Of Public Utilities & Facilities
'title �
I U2 Fast SI)ring Street
Moiling Address
Troy NC 27371
City stole zip
(9 I0) 220-7103 chrls.hild_retlirr montgomerycOL111tylIC.
11I10ne F-moil Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
to this ownership or name change?
® Yes
❑ No (please explain)
Re uirecl Items: '11141S APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
Vi' ARE INCOMPLETE OR MISSING:
❑ This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for ao ownership change request. Articles of incorporation are
not sufficient for an ownership change.
The certifications below must be completed and signed by Iloth the permit holder prior to the change, and
the new applicant in the case of an ownership change regnest, For a name change request, the signed
Applicant's Certification is sufficient.
PiERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that dais application for aname/owriershll) change has been reviewed and is accurate and
complete to the best ol'my knowledge. I understand that if all required harts of this application are not
completed and that if all required supporting informa(ion is not included, this application package will be
returned as incomplete.
Signature Dow
APPLICANTCly RTTFICATION
I, Matthew Woodard, attest that this application for a name/ownership cliange has been reviewed and is
accurate and complete to the best of my knowledge. I understand that if all required parts ol'this
application are not completed and that ifall required supporting infiOrrnation is not included, this application
package will be returned as incomplete.
_
3/25/201
Signature
Date
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral mid Land Resources
Stormwatcr Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan. 27. 201 d

NC Division of Energy, Mineral and Land Resources
NPDES Stormwater Permit Contacts Summary
NC i)H.'MLR has the roIiowine contact information in our Permit Dotxhase foryour permit as of3/25/2015.
Permit Number: NCG150025
Permit Type: Air Transportation Stormwater Discharge COC
Facility Name: Mg0taomery County Airpart
Facility Addressl: 262, Airport Rd
Facility Address2:
City, State & Zip: Star. NC 27356
Owner Name:
Owner Type:
MontaamerysoLntY
Non -Government ???
Owner Type Group: Organization
(Hesppnsikle corporal gffiopr�p n I Ee oxecutrve orflcer or rankin elett�ed o cl`]pener�" a; par#ner or3pro'pr etor; �
or ny other par on with delegated Ign tory�author ty from,tha,leg_ liy„�,,re eponsib�p � < -a. � < ,�,s
Owner Affiliation: Matthew M Woodard Title: County Manager
Addressl: 102 E Sorina 5t
Address2:
City, State & Zip: Troy, NC 27371
Work Phone: [phone] Fax: [phone]
Email Address: matthew.woodard(@montgomervcountvnc.com
o►nrner Goatact PersonRi) esa s.: --v
Contact Name IM2 A Phone f PA Email
Matthew M County Manager 102 E Spring St, Troy, NC 27371 910-576-4221 910-576-4566 matthew.woodard@
Woodard montgomerycountyn
Cc=
Contact Name I IA Addresi Phone fi Emai1
Kevin McNeill Facility Management 102 E. Spring St., Troy, NC 27371 910-572-1393 910-576-4566 kevin.mcneill@montg
Supervisor ext 253
omerycountynccom
ermitCnntact Persons) „ :. x,xMxlru s
Contact Name =12 Address Phone Fax BMAH
Chris Hildreth Dir, of public Utilities & 102 E Spring St, Troy, NC 27371 910-220-7103 910-576-4566 chris.hildreth@montg
Facilities omerycountync.com
erml Billing Contact. a,, e� :;
Contact Name IWA Addrag Phone Esu EMAU
Chris Hildreth Dir, of Public Utilites & 102 E. Spring 5t., Troy, NC 27371 910-220-7103 910-576-4566 chris.hildreth@montgo
Facilities merycountync.con7
3/25/2015 Page

A'746JAA
Division of Energy, Mineral & Land Resources
Land Quality Section/Stormwater Permitting
National Pollutant Discharge Elimination System
stem g y
. a
�C— -ft�
PERMIT NAME/OWNERSHIP CHANGE FORM
FOR AGENCY USE ONLY
Date Received
Year
Month
Oay
1. Please enter the permit number for which the change is requested.
NPDES Permit (or) Certificate of Coverage
r -5o 0 25
11, Permit status prior to requested change.
a. Permit issued to (company name): an-1Cq CWu nhj
b. Person legally responsible for permit: La,n C-L Mt*ziar
c. Facility name (discharge)
d. Facility address:
e. Facility contact person:
First MI Last
'ritl �
1 ca &!2t si�
Permit Bolder Mailing ddress
'r NC 273gr
cily State Zip
(910 9 1 o ) 574!0 4,%
Phone Im
Address
+j G
City State Zip
Ar (Qto )4jS g882_
First / MI / Last Phone
I l I. Please provide the following for the requested change (revised permit).
a. Request for change is a result of- ❑ Change in ownership of the facility
2r Name change of the facility or owner
If other please explain:
b. Permit issued to (company name):
c. Person legally responsible for permit:
RECEIVED
MAY 16 2014
DENR-LAND QUALITY
STORMWATER PERMITTING
Facility name (discharge):
Facility address:
f. Facility contact person:
0
First MI Last
'title
102 &S&�
�+rec�
Permit Holder MakIng Address
Tl2.l
4G z73g i
aily
State Zip 8
(910) 51L 42—Z1
_ rne:,-1+F�rw1•woada,dl@thto,clr�on,, ,,,iy•te.
Phone
E-mail Address
Address
14G 1735i�
City
State Zip
keyi fl
M c-IJ e t I 6
First
M] Last k
(1 l0 ) 57Z—I 313 6&, 253 kev�n.rnc.net I I QM omer�[ouwhj
Phone
E-mail Address CctrA.
IV. Permit contact information (if different from the person legally responsible for the permit)
Revised Jan. 27, 2014

0 --r"
t
#p

r
NPDES PERMI',', NAME/OWNERSHIP CHANGE FORM
Page 2 of 2
Permit contact: ?tfro,n i t~{e. t+�,rb&
first AMI Last
Title
Mailing Address
City State 'Lip
Phone I; -mail Address
V. Will the permitted facility continue to conduct the same industrial activities conducted prior
tot s ownership or name change?
Yes
❑ No (please explain)
V1 Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS
ARONCOMPLETE OR MISSING:
Er This completed application is required for both name change and/or ownership change
requests.
❑ Legal documentation of the transfer of ownership (such as relevant pages of a contract deed,
or a bill of sale) is required for an ownership change request. Articles of incorporation are
not sufficient for an ownership change.
......................................................................................................................
The certifications below must be completed and signed by both the permit holder prior to the change, and
the new applicant in the case of an ownership change request. For a name change request, the signed
Applicant's Certification is sufficient.
PERMITTEE CERTIFICATION (Permit holder prior to ownership change):
1, , attest that this application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
1,APPLICANvw TCERTIFICATION
I; , attest�t`ha'tihts application for a name/ownership change has been reviewed and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information is not included, this application package will be
returned as incomplete.
Signature Date
.....................................
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
Revised Jan, 27, 2014

North Carolina
Beverly Eaves Perdue
Governor
NCDEEIR
Department of Environment and Natural Resources
Division of Water Quality
Colleen H. Sullins
Director
January 8, 2010
Mr. Lance Metzler
Montgomery County Manager
102 E Spring Street, 3r1 Floor Admin, Bldg.
Troy, North Carolina 27371
Dear Mr. Metzler:
Dee Freeman
Secretary
0SiVF?,Fr
A1V 19 2010
D wo
Subject: General Permit No. NCG150000
Montgomery County Airport
COC NCG150025
Montgomery County
In accordance with your application for a discharge permit received on November 19, 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).
r
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.
Per the requirements of the Neuse Riparian Buffer Rule, all stormwater drainage to stream
buffers, from portions of this site that have been constructed after July 22, 1997, must be discharged
through a correctly designed level spreader or another device that meets diffuse flow requirements per
15A NCAC 213 .0233. Diffuse flow requirements are described in Chapter 8 of the North Carolina
Stormwater BMP Manual, available at: htt2://h2o.enr.state.nc.us/su/bmp forms,htm.
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 Cory Larsen at [phone]
or [e-mail].
Sincerely,-f.
ORIGINAL SIGNED BY
KEN PICKLE
for Coleen H. Sullins -
cc: Fayetteville Regional Office, Mike Lawyer
Central Files
Stormwater Permitting Unit Files
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699.1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877.623.6748
Internet: www.ncwaterquallt .org
One
NorthCarolina
Naturally

Y , .Z
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG150000
CERTIFICATE OF COVERAGE No. NCGI50025
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,
MONTGOMERY COUNTY
is hereby authorized to discharge stormwater from a facility. located at
Montgomery County Airport
262 Airport Road
Star, NC
Montgomery County
to receiving waters designated as Lick Creek, a class C water in the. Yadkin -Pee Dee River Basin,
in accordance with the effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, II, III, IV, V, and VI of General Permit No, NCG 150000 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:
0 . , V,
NCG150025
.,�rt
W ` � i,
S
Ndap Srafe 1,20,000
f
dial
r ' � f• , � ICJ
Montgomery County Airport
Oz
RAl :J '' ,•4v 5 Uryl 1 s
fir¢ ,V
r
.j
MONTGOMERY COUNTY
MONTGOMERY COUNTY AIRPORT
Latitude; 3511 23' 04" N
Longitude; 790 47' 24" W
County, Montgomery
Receiving Stream; Lick Creek
Stream Class; C
Sub -basin; 03-07-15 (Yadkin -Pee Dee River Basin)
Facility Location

Lawyer, Mike
From:
Lawyer, Mike
Sent:
Thursday, January 07, 2010 9:43 AM
To:
Larsen, Cory
Cc:
Henson, Belinda
Subject:
RE: Montgomery County Airport NCG150025
Cory,
Spoke with Lance Metzler, County Manager, the other day regarding his application for coverage under the new NCG15
permit for the Montgomery County Airport. I had also spoken with a Ms. Rebecca Kramer who is their consultant putting
together an SWPPP and providing technical assistance regarding permit conditions. They seem to be well aware of the
new permit and its requirements. Therefore, the FRO recommends issuance of permit 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: [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: Larsen, Cory
Sent: Tuesday, December 22, 2009 11:13 AM
To: Lawyer, Mike
Subject: Montgomery County Airport NCG150025
Mike,
Montgomery county has applied for coverage of their airport under our new NCG150000 permit. I have no problems
issuing the COC on my end. Any comments or concerns from FRO on this one? Please let me know when you get a
chance. Thanks.
Cory
Cory Larsen
Environmental Engineer
NCDENR I DWQ I Stormwater Permitting Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
512 N. Salisbury St, Raleigh, NC 27604
Phone: [phone]
Fax: [phone]

Aer"WA
Atw
NCDENR
NOTICE OF INTENT
Division of Water Quality / Surface Water Protection
National Pollutant Discharge Elimination System
NCG150000
FOR AGENCY USE ONLY
Date Received
Year
Month
Day
L. a
1
I c
Certificate of Coverage
Check 0
Amaunt
OG �� bf1,�,
Perrnkt Assigned to
National Pollutant Discharge Elimination System application for coverage under General Permit NCG150000:
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
servicing/repairing, except on a factory basis; vehicle maintenance shops (including vehicle and equipment
rehabilitation mechanical repaint, 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 Monteomery Countv
Owner Contact
Street Address
Mr. Lance Metzler- County Manager `'2 -
102 E. Spring Street, 3rd Floor Administration Building
City Troy State NC ZIP Code 27371
Telephone No 910 576-4221 Fax: [phone]
E-mail Address [e-mail]
2) Location of facility producing discharge:
Facility Name Montgomery County Airport
Facility Contact Mr. Don Bennett
Street Address ' 262 Airport Road _
City Star _ State NC ZIP Code 27356
County Montgomery
Telephone No 910 428-9882 Fax: [phone]
E-mail Address [e-mail]
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). At intersection of NC 24 E (Eliscoe Road11US 220 Alt (N. Main
Street), head north on US 220 Alt K Main Street) toward Star for 2.1 miles. Turn left at NC 1376 (Airport Road). The
airport is on the daht.
(A Copy of a county map or USGS quad sheet with facility dearly located on the reap is a requited part of this application.)
4) Latitude 35-23-04.7560 NLongitude
079.47-24.9435 W
Page 1 of 4
(degrees, minutes, seconds)
SM-234-051309 Last revised 51113/09

NCGI50000 N.O.I.
5) This NPDES Permit Application applies to which of the following:
Cl New or Proposed Facility Dale operation is to begin
(K Existing
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: 14 15 12 12
7) Services and Activities
a) Provide a brief narrative description of the types of industrial activities and products manufactured at this
facility. Vehicle maintenance and fueling, non -manufacturing.
b) Check all services and activities offered or allowed at this facility
❑ Scheduled air transportation ❑x Aircraft service and maintenance
❑ Air courier
❑x Non-scheduled air transportation
❑x Airport terminal services
I] Aircraft storage
❑ Aircraft upholstery services
❑ Airfreight handling
El Airport hangar rental
® Airport leasing
ll Aircraft cleaning and janitorial services
❑ Aircraft and/or vehicle rehabilitation
i] Aircraft and vehicle maintenance
R1 Aircraft and/or vehicle fueling
21 Aircraft and/or vehicle lubrication
❑ Aircraft and/or vehicle painting
0 Aircraft and/or vehicle mechanical repair
❑ Material handling facilities
81 Discharge points I Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 9
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? Lick Creek, Unnamed Tributaries to Lick 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). NIA
Receiving water classification (if known):G
9) Does this facility
a) Have an untreated wastewater discharge? ®No ❑Yes
b) Have a treated wastewater discharge? EINo ❑Yes
If yes, list the permit number.
c) Have a wastewater discharge from a recycle system? ®No ❑Yes
If yes, list the permit number.
d) Have a non -discharge permit? ❑x No ❑Yes
If yes, list the permit number,
e) Discharge wastewater to a municipal wastewater collection system? ®No ❑Yes
0
If yes, list the municipality and permit number
Note: Stormwater discharge permit NCG150000 does not authorize the discharge of any
wastewater. If this site discharges wastewater, you must obtain the appropriate wastewater
discharge permit in addition to coverage for stormwater discharges under NCG150000.
Page 2 of 4
SWU-234-051309 Las[ revised 319109

NCG160000 N.O.I.
10) Does this facility employ any best management practices for stormwater control?
©No oyes
If yes, please briefly describe:
11) Does this facility have a stormwater Pollution Prevention Plan?
ONo Dyes ❑x Being Developed
If yes, when was it implemented? If being developed, when will it be implemented? 12 months from Certificate
12) Hazardous Waste:
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
ONo Dyes
b) is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
®No Dyes
c) Is this facility a Large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of
hazardous waste?
ONO Dyes
d) Is hazardous waste stored in the 100-year flood plain?
0No Dyes 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 143.215.6 B(i) 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 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 rules of the IEnvironmenlai
Managementl Commission implementing this Article shall be guilty of a Glass 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.
of Person Signing: Mr. Lance Metzler
Count'v M
of
//• /,P. 0S
(Date Signed)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR
Page 3 of 4
SWU-23"51309 Last revised 3l9109

NCG150000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
C7x Check for $100 made payable to NCDENR
® This completed application and all supporting documents
❑x 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 questlans, please contact the DWQ Regional Office for your area.
DWQ Regional Office Coni<act Information:
Asheville Office ...... [phone] Winston-Salem
Fayetteville Office ... [phone]
Mooresville Office ... [phone]
Raleigh Office ........ [phone] lie
a�j;a;,ille
Washington Office ...[phone] , . ,• — - .
Wilmington Office ... [phone] _
Winston-Salem ...... [phone] ;_F'
Central Office .........[phone]
Page 4 of 4
SWU-234-051309 Last revised 319109

mom` ft %W um"Ift wwoYITUt 0a0 i = l
MUM vrvujrViawdi 0 Ali Nf 31YOS dual Punb
atatvrun"r�7p onma�tina � ohn�a�m
J�tJ�g�g1,�g�1, j�odxrd
000� a oo� 000�
�junoD AjawoSjuoW
13,
'I: f .�� `.r r ; i,-..�. �', '�,, YI IreY� � +�� � �, _ -� ,Y �1• �� � of �/
6.
.s��s 4.r"•� s:. ,;w„d ..+ ! �i �R r+'„+-••'.'L.° X-
•� a ._s�+ � - �,� .... , I `i � r i y �.r �' . - _
• '��,• � ,��.��� _ ,� � � •� - � ( 'r lot: ..�. •"�� � 1 � i . * .-_.
--• rile '4*�I •,'�. '� ^ti'' 'Pr" r+ 1 ;0. In ,
7.
• .,ter �'`�- � ��` �, If � W. � r....., {� ; .
' -.� �' It `k � e•'� I f �:1,•�z.�,• ~ _ � �. ;•y�;
AiNfloc

NCG15OO25
Map Scale 1:20, 000
MONTGOMERY COUNTY
MONTGOMERY COUNTY AIRPORT
Latitude: 351 23'04" N
Longitude: 790 47' 24" W
County: Montgomery
Receiving Stream: Lick Creek
Stream Class: C
Sub -basin: 03-07-15 (Yadkin -Pee Dee River Basin)
Facility Location