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HomeMy WebLinkAboutNCG060322_COMPLETE FILE - HISTORICAL_20140304STORMWATER DIVISION CODING SHEET RESCISSIONS PERMIT NO. 0 �3�� DOC TYPE p COMPLETE FILE -HISTORICAL DATE OF RESCISSION YYYYMMDD ��A NC®ENR North Carolina Department of Environment and Natural Resources Division of Energy, Mineral and Land Resources Land Quality Section Tracy E. Davis, PE, CPM Director March 4, 2014 Michael Wilkinson Durham Coca-Cola Bottling Company 3214 Hillsborough Rd Durharn, NC 27705 Pat McCrory, Govenor John Skvada, III Secretary Subject: Rescission of NPDES Stormwater Pert -nit Certificate of Coverage Number NCG060322 Durham Coca-Cola Bottling Company Durham County Dear Mr. Wilkinson: On October 23, 2013, the Division of Energy, Mineral and Land Resources received your request to rescind your coverage under Certificate of Coverage Number NCG060322. In accordance with your request, Certificate of Coverage Number NCG060322 is rescinded effective immediately. Operating a treatment facility, discharging wastewater or discharging specific types of stormwater to waters of the State without valid coverage under an NPDES permit is against federal and state laws and could result in fines. If something changes and your facility would again require stormwater or wastewater discharge permit coverage, you should notify this office immediately. We will be happy to assist you in assuring the proper permit coverage. If the facility is in the process of being sold, you will be performing a public service if you would inform the new or prospective owners of their potential need for NPDES permit coverage. If you have questions about this matter, please contact Julie Ventaloro at 919-807-6370, or the Stormwater staff in our Raleigh Regional Office at 919-791-4200. Sincerely, ORIGINAL SIGNED M KEN PICKLE for "Tracy E. Davis, P.E., CPM cc: Raleigh Regional Office — D. Parnell Stormwater Permitting Program Central Files - wiattachments 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 - 919-707-9200 I FAX: 919-715-8801 512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http:l/portal.ncdenr.or, twq ebllrl An Equal Opportunity l Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper Ventaloro, Julie From: Parnell, David Sent: Friday, February 28, 2014 11:09 AM To: Ventaloro, Julie Cc: Holley, John; Bennett, Bradley Subject: RE: Rescission Requests Follow Up Flag: Follow up Flag Status: Flagged Julie, I visited the Durham Coca Cola site yesterday. They are open as a distribution center with NO production. The product is bottled in other facilities and brought to this site for distribution to retailers. As no production is currently conducted, I see no problem with rescinding their permit. Let me know if all agree within the SPP. Dave From: Ventaloro, Julie Sent: Thursday, February 27, 2014 9:26 AM To: Parnell, David Subject: RE: Rescission Requests Great, thanks Dave. I'll be sure to copy you on all these requests going forward. From: Parnell, David Sent: Thursday, February 27, 2014 9:22 AM To: Ventaloro, Julie; Holley, John Subject: RE: Rescission Requests Julie, Please copy me on all rescissions. I will have someone look at them or go myself. Joe Dupree was at the Jerry Bulluck Sand Pit in December with Chris Pullinger. Although they were not there for a rescission of the NPDES, Joe reports that they closed out the mining permit — and there were not stormwater issues — rescind the permit. Durham Coca Cola — no action as of yet that I know of. Thanks Jule. Dave From: Ventaloro, Julie Sent: Wednesday, February 26, 2014 1:40 PM To: Holley, John Cc: Parnell, David Subject: FW: Rescission Requests John, Just checking in on the status of these two requests. Has the RRO had an opportunity to verify whether these facilities are eligible for rescission? Thank you, Julie From: Ventaloro, Julie Sent: Friday, January 10, 2014 1:28 PM To: Holley, John Subject: Rescission Requests John, We've received rescission requests for two permits in your region. NCG020334 Jerry Bulluck Sand Pit in Edgecombe County. The Land Quality Section of DEMLR has determined that the mine has been satisfactorily reclaimed, and they have been released from further reclamation responsibility as of 9/26/2013. In case you need it, the facility contact is Jerry Bulluck, phone 252-442-6102, email mbulluck@�aol.com NCG060322 Durham Coca-Cola Bottling Company in Durham County. Production has stopped at the plant, and they are now a distribution facility only. The facility contact is Michael Wilkinson, phone 919-226-1522, email michaelw@durhamcoke.com. Please let me know if the Raleigh Regional Office recommends rescission of these permits. Thank you Julie Ventaloro Sturmwater Permitting Unit NC Division of Energy, Mineral, and Land Resources 1617 Mail Service Center, Raleigh, NC 27699-1617 Phone: (919) 807-6370 Fax: (919) 807-6494 Wehsite: htt wat rsu 1 water hed.n . v E-177ail correspondence to and fi,o7n this address may be subject to the North Carofinu Public Records Low and may be disclosed to third parties. NC®ENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Hager Rand Durham Coca-Cola Bottling Company 3214 Hillsborough Rd Durham, NC 27705 Dear Permittee: Division of Water Quality Charles Wakild, R E. Director December 4, 2012 Dee Freeman Secretary Subject: NPDES Stormwater Permit Coverage Renewal Durham Coca-Cola Bottling Company COC Number NCG060322 Durham County In response to your renewal application for continued coverage under stormwater General Permit NCG060000 the Division of Water Quality (DWQ) is forwarding herewith the reissued General Permit. This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October 15, 2007 (or as subsequently amended). The following information is included with your permit package: • A new Certificate of Coverage (COC) • A copy of General Permit NCG060000 • A copy of the Technical Bulletin for the General Permit • Two copies of the Discharge Monitoring Report (DMR) Form • Two copies of the Qualitative Monitoring Report Form The General Permit authorizes discharges of stormwater, and it specifies your obligations for discharge controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the permit to update your current SPPP to reflect all new permit requirements. The first sample period of your permit begins January 1, 2013. Your facility must sample a "measureable storm event" beginning during the periods beginning January 1 and July 1 of every year (or, if applicable, report "No Flow," as outlined in Part III, Section E). Also, please note that Tier 3 Actions in Part II of your permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this permit and do not count prior exceedances. The more significant changes in the General Permit since your last COC was issued are noted either in the Draft Permit Fact Sheet that accompanied the public notice (http://portal.ncdenr.org/web/wg/ws/su/current- notices), or in the Response'to Comments / Summary of Changes and Technical Bulletin documents that are posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit http://Portal.ncdenr.org/web/wq/ws/su/-npdessw (click on `General Permits' tab) to review that information for your specific General Permit carefully. 1617 Mail Service Center, Ralegh, North Carolina 27699-107 Location; 512 N, Salisbury St. Raleigh, Worth Carolina 27604 Phone: 919. M7-63001 FAX: 919-807-C, 492 Internet: wv,^u.novater ualit org An Equal OF; , rtu r.:lv 4 /4rmalive Acton F n q 'Syr` One NorthCai,61 ina naturally Hager Rand i December 4, 2012 Page 2 of 2 Some of the changes include: Part II: • Section A: The Stormwater Pollution Prevention Plan (SPPP) section, if applicable, has been updated to the most current language of our permits. Additional conditions for specific industry sectors have been added to the SPPP requirements in some cases. • Sections B, C: Failure to perform analytical stormwater monitoring may result in the Division requiring that the permittee begin a monthly sampling scheme. • Sections B, C: A lower TSS benchmark of 50 mg/I for HQW, ORW, PNA and Tr Waters applies to these more sensitive waters. • Sections B, C: The monitoring parameter Oil & Grease (O&G) has been replaced by the parameter Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in some cases, other analytical monitoring requirements. • Sections B, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined in the "Definitions" section of the permit. • Sections B, C: The term "Representative Storm Event" has been replaced by "Measurable Storm Event." A measurable storm event is defined in the permit. • Section D: If the permittee fails to respond effectively to problems identified by qualitative monitoring, DWQ may require the permittee to perform corrective action. Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit, including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and Maintenance obligations; and Definitions. Please note that all samples analyzed in accordance with the terms of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on the Stormwater Permitting Unit's website above. DMR forms must be delivered to the Division no later than 30 days from the date the facility receives the sampling results from the laboratory. Also note that existing permittees do not need to submit a renewal request prior to expiration unless directed by the Division. Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit does not affect the legal requirements to obtain other permits which may be required by DENR, 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 Division's Stormwater Permitting Unit at (919) 807-6300. Sincerely, for Charles Wakild, P.E. cc: DWQ Central Files Stormwater Permitting Unit Files Raleigh Regional Office STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE No. NCG060322 STORM WATER 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, Durham Coca-Cola Bottling Company is hereby authorized to discharge stormwater from a facility located at: Durham Coca-Cola Bottling Company 3214 Hillsborough Rd Durham Durham County to receiving waters designated as Ellerbe Creek, a class C;NSW waterbody in the Neuse River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, 111, and IV of General Permit No. NCG060000 as attached. This certificate of coverage shall become effective December 4, 2012. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this 41h day of December, 2012. for Charles Wakild, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Governor Coleen H. Sullins Director' November 12, 2010 Mr. Arthur Paunter Durham Coca-Cola Bottling Company 3214.Hillsborough Rd Durham, NC 27705 Dear Mr. Paunter: Dee Freeman Secretary Subject: General Pennit No. NCG060000 Durham Coca-Cola Bottling Company COC NCG060322 Durham County In accordance with your application for a discharge pcnnit received on September 14, 2010, 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. Per the requirements of the Neuse Kipanan Butter 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 2B .0233. Diffuse flow requirements are described in Chapter 8 of the North Carolina Stormwater BMP Manual, available at: http://portal.ncdenr.or.L,lweb/wq/ws/suibnip-manual. 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. Wetlands and Stormwater Branch One 1617 Mail Service Center, Raleigh, North Carolina 27699.1617 North Carrol i na Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 �lltlll�7���f Phone: 919-807-63001 FAX: 919-507-6494 1 Customer Service: 1-877-623-6748 Internet: www ncwaterquiity.org Mr. Arthur Paunter Durham Coca-Cola Bottlins Co—NCG0060322 September 24, 2010 If you have any questions concerning this permit, please contact Brian Lowther at telephone number (919) 807-6368. Sincerely, fa- Coleen H. Sullins cc: Raleigh Regional Office Central Files Stormwater Pennitting Unit Files STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE No. NC6060322 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, Durham Coca-Cola Bottling Company is hereby authorized to discharge stormwater from a facility located at Durham Coca-Cola Bottling Co 3214 Hillsborough Rd Durham, NC Durham County to receiving waters designated as Ellerbe Creek, a class C; NSW water in the Neuse 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. NCG060000 as attached. This certificate of coverage shall become effective November 12, 2010 This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day November 12, 2010. for Coleen H. Sullins, Director Division of Water Quality By the Authority of the Environmental Management Commission L V k-, AA I U iN IVI A Y: -77 f 14L - ­J�Lj P4 �!,� A. k1c- z 46- er U9 T777= M. - 9466 TO%w, .. - I ­ , ­,- v j xx 7 j % V41. 7A A v, el Ii�E -Y rl iti4,s ^4_1 ur-o - I 4 41 ,J ZIP'. N7 -7 7, It L I Djrha rn Coca-Cola Bottling Co �,k 81-1 L +_4 L 4- IL,4 LIZ- I IT -•- -, I ,1Is` .. " J, �% -, -, -;; TV t Y f; 0 V. 9. A _4 NCG060322 Durham Coca-Cola Bottling Co Lab hide: 360 f 10" N Lonaitude: 780 56' 36" W Gourity: Durharn Receiving Stream: Ellerbe Creek r. Stream Class: C. PGW Sub -basin: 03-04-01 (N,�use River Basin) Fa cil i ty Loca tio n At-v Ecale 1:24, 000 F Division of Water Quality / Surface Water ' • �w Protection Section NCDENR ' National Pollutant Discharge Elimination System r...nw•,rt...n Mvr.n� n.w..r..s NCGO60000 NOTICE QF INTENT i �t a FOR AGENCY USE ONLY Date Received Year Munlh IT, I Cenitieate of Cuvcru Check N I I Anxwnl tXXM I et 1 6 Permit -.i d to f ,� National Pollutant Discharge Elimination System application for coverage under General Permit NCG O60000: STORMWATER DISCHARGES associated with activities classified as: SIC (Standard Industrial Classification) 20 Food and Kindred Products SIC 21 Tobacco Products SIC 283 Drugs SIC 284 Soaps, Detergents, & Cleaning Preparations; Perfumes, Cosmetics, & Other Toilet Preparations SIC 422 Public Warehousing and Storage (except 4226) For questions, please contact the DINO Regional Office for your area. See page 4. 1) Mailing address of owner/operator Name Street Address City Telephone No. 2) Location of facility producing discharge: Facility Name Facility Contact Street Address rEi County Telephone No. Email 3) Physical Location Information: (Please print or type) ' Al. c, _ ZIP Code I `) 919 302 79 3._ Siaie r+r• C r ZiP Code Please provide a narrative description of how to get to the facility (use street names, state road numbe distance and direction from a roadway intersection). 1 -, 0 � 7i. � L-t,)d41 t I o-P-1�- a.jl CnA4lnjM4P DHSS c-.4u (a1 Atlr -fin It SQLcaid TA4-CiCL;cAt'. T -to tdf ; u.s hot•orc!& Red - Tu r a1 P?•-W iLm—Y- a t�qi4% to copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application.) 4) Latitude, 14 bf it./R_- Longitude 7S SL 35 - Sj W (deg, min; sec) 5) This NPDES Permit Application applies to which of the following: ❑.. New or Proposed Facility Date operation is to begin L`T ? Existing �'ciiarrcfx :, �' r j Page 1 of 4 SWU-221-071408 East revised 7/1448 and 1, Tu ,-N 2,'s.f � ,-:sl NCG060000 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: 7) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: 0—A1-4onr&ieQ_ .�B4f hrr:•JK5 8) Discharge points 1 Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? >I What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater discharges end up in? f Z1_ e° t•- he _ _ c gp �Q_ _ k ' _ Receiving water classification: Is this a 303(d) listed stream? Has a TMDL been approved for this watershed? 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). 9) Does this facility have any other NPDES permits? X No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: 10) Does this facility have any Non -Discharge permits (ex: recycle permit)? f0 © Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: 11) Does this facility employ any best management practices for stormwater control? ❑ No [Kes (Show any structural BMPs on the site diagram.) If yes, please briefly describe: 5.'LAC Se r-e a �'v r^ 516nm 12) Does this facility have a Stormwater Pollution Prevention Plan? E' No ❑ Yes If yes, when was it implemented? 13) Are vehicle maintenance activities occurring at this facility? ❑ No 18 Yes 14) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? ❑ No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg, of hazardous waste generated per month) of hazardous waste? E No ❑ Yes Page 2 of 4 SWU-221-071408 Last revised 7l14l08 S' 0 9 z 0 � � 1 .O 4 04 s 7-A iLI-I.Ply LOX1"Ol Da iK. 2E�o Ake, (jan1LA.L"/L �A�AQr� A l 7 1 a'Q l r (� 7 1 se J,QIF C ITFFTrr-x-1 -WyAIZ6 A1. .3 .21-1 N. Lts%cr o �� Qu44,gr4 ALA A a ro r I I i J b \ 7 •S 1 O 1 gFS LE` F . � J N C R A WFORD SPRINKLER CO. f i o► YA1LIr H, 7NC. � R A E E i G Fi , N. C. "DURHAM COCA �COLA .BOTTLING CO. ©URHAM CC—Wrc&BOTTLING CO. ACCOUNTS PAYABLE YOUR INVOICE NUMBER INVOICE DATE INVOICE AMOUNT DISCOUNT TAKEN NET CHECK AMOUNT NOTICE OF INTENT - NATICNAL POLLUTANT DISCHARGE APPLICATION 100.00 100.00 112000-4108-0010 DURHAM &a- ro&BOTTLING CO. - ACCOUNTS PAYABLE YOUR INVOICE:" - _ _ " NUMBER-" . . INVOICE DATE. ' . INVOICE AMOUNT-' f , DISCOUNT TAKEN .: NET CHECK'AMOUNT NOTICE OF INTENT - NATI AL POLLUTANT DISCHARGE APPLI ATION 100.00 100.00 112000-4108-0010 �JRBC CENTURA'BANK4 6685 DURHAMC(�`:`+,BOTTLING CO " :'` ,Durham r r titi ? j�sy i - r .DURHAM,]NORTH:CAROLINA'27705 r' .!�"• 1. �f - _ •. s � � lam: .•�� - -� r - -f�VOID IF NOT.CASHED, WITHIN 90 �AYS� =`- a - PAYONE HUNDRED. DOLLARS. AND. =; - DURHAM�BOTTLING CO L F n•' -.� ti r r:;-f v-j� ay' 1 -�.'- y- -F+= c j. :f:r r f cy.�. s: TO THE'-NCDENR= ORDEit A, I' DATE' � CONTROL `- CNECK;AMOUNT�L ` r� ;-1'15098 ` $100 00 Lowther, Brian From: Wiggins, Mack Sent: Wednesday. November 10, 2010 11:50 AM To: Lowther, Brian Subject: RE: SW General Permit NCG060322 Proceed to issue. Thanks. Mack From: Lowther, Brian Sent: Tuesday, November 09, 2010 5:03 PM To: Wiggins, Mack Subject: RE: SW General Permit NCG060322 Hey Mack, It has been over 30 days but I wanted to check with you and see if you still wanted time to comment on this permit application before you issue it. Please let me know.' Brian Brian C. Lowther Erivironniental Engineer NCDI NR I DWQ I Stormwater Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 512 N. Salisbury St, Raleigh, NC 27604 Phone: (919) 807-63168 Email: brian.lowth�r(u)ncclenr.gov Website: littp://portal.iicdetir.org/\vcb/wq/ws/su E-mail correspondence to and from this address may he subject to the North Carolina Public Records Law and may he disclosed to third parties. From: Lowther, Brian Sent: Wednesday, September 22, 2010 10:52 AM To: Wiggins, Mack Subject: SW General Permit NCG060322 Mack, We've received an NOI from Durham Coca-Cola Bottling CO for their facility in Durham, Durham County. The site discharges stormwater into the Ellerbe Creek (C; NSW). The NOI is attached. Does the Raleigh 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 1 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." e� G,,% e Name (Print name) '�,\a,-Ni- 1,A avnc, er Title (Prig title) AA-,- 7A -ao-lo ( gnature) (Date) "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ature of Permittee) -Z�2:52 , ( ie) SWU-245-031308 Page 2 of 2