NCG110130_COMPLETE FILE - HISTORICAL_20170215

STORMWATER DIVISION CODING SHEET
RESCISSIONS
PERMIT NO.
/j C 611,113 �
DOC TYPE
❑ COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑ O-0 / f7 0 J -
YYYYMMDD

Energy, Mineral &
Land Resources
ENVIRONMENTAL QUALITY
Mr. Heath R. Jenkins
Town of Stanley
109 Lola Street
Stanley, NC 28164
Dear Mr. Jenkins:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
February 15, 2017
Subject: Rescission of NPDES Stormwater Permit
Certificate of Coverage Number NCG110130
Gaston County
On June 29, 2016, the Division of Energy, Mineral and Land Resources received your request to
rescind your coverage under Certificate of Coverage Number NCG110130. In accordance with your
request, Certificate of Coverage Number NCG110130 is rescinded effective immediately.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 us at 919-707-9200, or the Stormwater staff
in our Mooresville Regional Office [phone].
cc: Mooresville Regional Office
Stormwater Permitting Program
Central Files - w/attachments
Sincerely,
ORIGINAL SIGNED BY
BETHANY GEORGOULIAS
for Tracy E. Davis, PE, CPM, Director
Division of Energy, Mineral and Land Resources
Nothing Compares,
State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources
512 N. Salisbury Street 1 1612 Mail Service Center I Raleigh, North Carolina 27699-1612
919 707 9200

VVV
Division of Energy, Mineral & Land Resources
r
LandQuality Section/Stormwater Permitting Program
NC®ENR
National Pollutant Discharge Elimination System
NO _ C-0— oe,•.Rr�err. or
EifNRONYCNT WD NRLRI RMOlw
RESCISSION REQUEST FORM
FOR AGENCY USE ONLY
Date Received
Year
Month Da
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies:
Individual Permit (or) Certificate of Coverage
N C I 5 .N I C G L, 111 Q 1 3 0
2) Owner/Facility Information: * Final correspondence will be mailed to the address noted below
Owner/Facility Name Ta Wtn c2 J� 5 F, - t c
Facility Contact 1-6"4A, P,- J "k"'" S
Street Address Oct1Lol., S+ecet-
City 5+a„ l c y State N C ZIP Code 28 14 4
County Gas+or. E-mail Address k;-5@+VW_04 s+-.,,..It,,o,,�
Telephone No. -70`t Z 3 - 4 -771 Fax: -7o% 2G'3-9 L L
3) Reason for rescission request (This is required information. Attach separate sheet if necessary):
❑ Facility closed or is closing on .�(�` 771 . All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
❑ Facility sold to 7777k-,77:.. , on F771 . If the facility will continue operations under the new owner it
may be more appropriate to request an ownership change to reissue to permit to the new owner.
® Other:
el—Ir
1,a`s b,Le. -. c%-A 44,, N1Pn1=S
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rl q,-, -! . 1b i c . All W 4slkly-% v i,S_ •�..r A��
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4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. m familiar)NA1 the information contained in this request and to the best of my knowledge and belief
such informatio true, m and accurate.
Signature
I -I L.4`, R_ Riw��wS
Print or type name of person signing above
Please return this completed rescission request form to
bate Uba`61
Z.,itir t`,.-, Te v -. vv\,,, —,.
Title
NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-161R EC E IV E n
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
Phone: [phone] l FAX: [phone]
An Equal opportunity L Affirmative Action Employer
JUN ?.y �u►
DENR-LAND OUP.' �Ty
STORMWATER PERIV;:

Alexander, Laura
From: Khan, Zahid
Sent: Tuesday, September 06, 2016 9:59 AM
To: Alexander, Laura
Subject: F : N� CG110I30 R scission Request -Town of Stanley WWTP
Attachments: NCG110130',Stanley WWTP_Rescission Reg uest_Denia1 8-30-16.pdf,
SKM_C224e16081214460.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Laura,
Please see E-mail by Holliday. Recommendation of denial. Thanks
Zahid
From: Keen, Holliday V
Sent: Thursday, September 01, 2016 2:48 PM i
To: Khan, Zahid <[e-mail]> 4
f
Subject: NCG110130-Rescission Request_Towri of Stanley WWTP
Attached. is the report regarding the rescission request for Certificate of Coverage NCG110130.
Upon inspection of the facility, I found that there are still several materials being stored outside exposed to rainwater.
Because these materials could potentially affect stormwater discharge, I recommend that this rescission request be
denied until all materials are either removed oriplaced under complete and permanent cover.
Holliday Keen
Environmental Specialist
Land Quality Section, Mooresville Regional Office
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
Phone: [phone]
Email: Hollida�L.KeenCa3NCDEN R.gov
Good Afternoon Zahid,
Please see attached rescission request for the Town of Stanley - Wastewater Treatment Plant.
Have a good weekend. Thanks!
Laura Alexander
Administrative Assistant
Stormwater Permitting Program !
North Carolina Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality
919 807 6368 Office
919 807 6494 Fax
[e-mail]
512 North Salisbury Street
1612 Mail Service Center
Raleigh, North Carolina 27699

Compliance Inspection Report
Permit: NCG110130 Effective: 06/01/13 Expiration: 05/31/18 Owner: Town of Stanley
SOC: Effective: Expiration: Facility: Town of Stanley VONTP
County: Gaston 109 Lola St
Region: Mooresville
Stanley NC 28164
Contact Person: Craig Lee Roseberry Title: Public Works Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 08/30/2016
Primary Inspector: Holliday Keen
Secondary Inspector(s):
Certification:
Phone:
Entry Time: 08:OOAM Exit Time: 08:30AM
. Phone:
Reason for Inspection: Routine Inspection Type: Technical Assislance
Permit Inspection Type: Municipal WWTP > 1MGD. Stormwater Discharge, COC
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
■ Storm Water
(See attachment summary)
Page: 1

permit; NCG110130 Owner . Facility: Town of Stanley
fnspection Dato: 0813012016 Inspectlon Typo : Technical Assistance Reason for Visit: Routine
Inspection Summary:
This inspection was conducted per the request to rescind certificate of coverage NCG110130. This has been requested
because the Wastewater Treatment Plant has been decommissioned and is no longer being used as a treatment facility,
Request for this rescission should be denied due to material storage on site that could affect stormwater runoff including
storage of used tires, an open dumpster containing metal and electronics, and large pipes previously used in the
wastewater treatment facility.
Prior to rescinding the Certificate of Coverage, these materials need to be removed from the site or placed under cover to
prevent any effect from stormwater contact.
Page: 2

4
-V�
Vio Frzereilly Ft[Lce
Office of Town Manager
June 24, 2016
NPDES Permit Coverage Rescission
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, NC 27699-1612
Re: Certificate of Coverage #NCG110130 Rescission Request
"Town of Stanley Lola Street Wastewater Treatment Plant
Dear Sir or Madam,
Heath R. Jenkins
This letter is a request to rescind Certificate of Coverage #NCG110130 for the Town of
Stanley's Lola Street Wastewater Treatment Plant. This facility has been decommissioned and
NPDES Wastewater Discharge Permit NC0020036 for the facility was rescinded June 7, 2016.
Wastewater from this site is being conveyed to the City of Gastonia's Long Creek WWTP for
treatment.
Since the Lola Street W WTP no longer falls under the Treatment Works category of General
Permit NCGI 10000,1 ask that the certificate of coverage be rescinded. Attached with this letter
are a Rescission Request Form and a copy of the rescission letter for NPDES Wastewater
Discharge Permit NC0020036.
If you have questions or concerns, please contact me.
Sigce ely,
f-lcpth R. Jenkins
In erim Town M,
Certified Mail: 7014 0150 0002 0276 0807
RECEIVED
JUN 2 9 2016
DENR•LAND QOAU Y
GTORMWA'1 ER PEPNITTINQ

Compliance Inspection Report
Permit: NCG110130 Effective: 06/01/13 Expiration: 05/31/18 Owner: Town of Stanley
SOC; Effective: Expiration: Facility: Town of Stanley VWVfP
County: Gaston 109 Lola St
Region: Mooresville
Stanley NC 28184
Contact Person: Craig Lee Roseberry Title: Public Works Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits;
Inspection Datw 12/07/2016
Primary Inspector: Holliday Keen
Secondary inspector(s):
Certification: , Phone:
Entry Time: 08:00AM Exit Time: 09:00AM
Phone:
Reason for Inspection: Routine Inspection Typo: Compliance Evaluation
Permit Inspection Type: Municipal VW TP ? 1 MGD, Stormwater Discharge, COC
Facility Status: e Compliant Not Compliant
Question Areas:
Other
(See attachment summary)
Page; 1

permit. NCG110130 Owner • Facility: Town of Stanley
Inspection Date: 12/0712016 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
This inspection was conducted to re-evaluate the potential to rescind the stormwater permit at this facility. Upon inspection,
I found that the barrels and other materials relating to the Wastewater Treatment Plant being stored on site have been
removed and I recommend that this stormwater permit be rescinded.
Page: 2

w A r'�.qQr✓
7
> r
June 27, 2008
Mr. Wilce B. Martin, Public Works Director
Town of Stanley
114 S. Main Street
Stanley, North Carolina 28164
Michael F. Easley, Governor
William G. Ross Jr„ Secretary
North Carolina Department of Environment and Natural Resources
Coleen If. Sullins, Director
Division of Water Quality
Subject: General Permit No. NCG110000
Town of Stanley W WTP
COC No. NCG110130
Gaston County
Dear Mr. Martin:
In accordance with your application for a discharge permit received on May 20, 2008, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state —
NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US
Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the
Division of Water Quality. The Division of Water Quality may require modification or revocation and
reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain
other permits which may be required by the Division of Water Quality or permits required by the
Division of Land Resources, Coastal Area Management Act or any other federal or local governmental
permit that may be required.
If you have any questions concerning this permit, please contact Bill Diuguid at telephone
number [phone] ext. 382.
SincerGINAL SIGNED BY
KE�� PICKI-F
Coleen H. Sullins
cc: Mooresville Regional Office
Central Tiles
'Stormwater Permitting Unit Files
Attachments
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone]
Internet: Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
one
rlorthCarolina
Mrrra!!Y
Customer Service
1.877-623-6748
An Equal Opportungt Afrmat)ve Action Employer — 50% Recycled110% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG110000
CERTIFICATE OF COVERAGE No. NCGI 10130
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 14.3-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Town of Stanley WWTP
is hereby authorized to discharge stormwater from a facility located at
Town of Stanley WWTP
109 Iola Street
Stanley
Gaston County
to receiving waters designated as the Mauney Creek, a Class WS-IV creek, Catawba River Basin; in accordance with
the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, 111, IV, V and VI of
General Permit No, NCG 1 10000, as attached.
This Certificate of Coverage shall become effective June 27, 2008.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 27, 2008.
ORIGINAL SIGNED BY
KEN PICKLE
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

AN lzn� LI6A
T Towiiown of Stanley WWTP
of Ile
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IN
79?
M a U n. e Y
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rid
Latitude. 35'21'46
Longitude: 81'06'38" NCG110130
County: -Gaston Town of Stanley WWTP Facility
Stream Class: WS-1V Location
Receiving Stream: Nbuncy Creek to South Fork Catawba
River.
Sub -basin: 03-08-35 (Catawba River Basin) 140T ICAUD
Stream Index: 11-129-15-5

Re: NCG 1 10130 "Town of Stanley WWTP
Subject: Re: NCG1 10130 Town of Stanley WWTP
From: Michael Parker <michael.park era ncmall. net>
Date: Mon, 23 Jun 2008 08:37:06 -0400
To: Bill Diuguid <bill.diuguid a ncmail.net>
Ball
Feel free to issue the COC.
Mike
Bill Diuguid wrote:
Michael Parker, Mooresville Regional Office;
Please review the attached NOT application with the objective of responding to me
with a recommendation to issue the permit. I recognize that you may not visit each
new permittee during this NOI review, but it affords you the opportunity to log
the permit into .your regional database and add the facility to a future monitoring
and compliance visit schedule. Therefore, your recommendation now to issue the
permit serves as your acknowledgement that (1) the facility is located in your
region, (2) that there are no current complaints outstanding about the facility
that have not been dealt with, and (3) that the facility may ultimately be
inspected by the regional staff. I've also attached a scanned copy of the NCI and
a location map for your review.
COC 4
Facility
Location
City/County
NCGI10130 Town of Stanley WWTP
1.09 Lola Street
Stanley/Gaston
If you need any more info, give me a call. If you could send me a recommendation
to issue the permit by 7/10/2008, I'd appreciate it, so I can issue their COC. I
am not allowed to issue the permit until the respecti.ve'regional office reviews
and comments back to me with a recommendation to isse the permit.
Thanks.
Bill D
William H. Di.uguid, AICP
Community Planner, Wetlands and Stormwater Branch
Divi.s.i.on of. Water. Quality
Department of Environment and Natural. Resources
1617 Mail Service Center
Raleigh North Carolina 27699-1617
Phone: [phone], ex 382
Fax: [phone]
Michael. Parker - M:i.ch� el . l>arkerCncmaal ., et
Environmental Engineer II
North Carolina Dept. of Environment & Natural Resources
Division of Water Quality
61.0 East Center. Avenue
Suite 301
Mooresville, NC 281.15
Ph: ('704) 663-1699 Fax: [phone]
l o1'2 6/23/2008 9:28 AM

Town of Stanley
Established November 14, 1855
MAYOR
TOWN MANAGER
Frank M. Guida
"A Friendly Place"
Robert Greback
POLICE CHIEF
COUNCIL
Heath R. Jenkins
Daniel K. Hawley
Bud Pate
Jim MCGinis
O `
—
Finance Director
Joe Wallace
David J. Williams
Charles A. Withers
c� `.
Fire Chief
Anthonyallard
Y
Public Works Director
April 23, 2008
��`
9P
9� a
Stormwater Permitting Unit
DWQ
P
1617 Mail Service Center
Raleigh, NC 27699-1617
To Whom It May Concern:
An inspection of the Town of Stanley's WWTP (permit # NC0020036) was performed on April 22, 2008
by John Lesley of the DENR Regional Office in Mooresville, NC. John informed me that since our
facility had an approved pretreatment program we needed to apply for a stormwater discharge permit
for the Town VWVfP. Therefore, the attached application for that permit is attached.
The Town of Stanley only has one industry that only discharges two times per year to our VWVfP. The
Town has hired a consultant AquaLaurene, Inc. to manage that program for us. I have also included a
copy of the Annual Pretreatment Inspection Report by John Lesley in June of 2007. All additional
information was supplied by AquaLaurene as requested in John's report.
Should you require additional information please contact me.
W-
og�'
artin
Public Works Director
Town of Stanley
[e-mail]
704-263-0298
P,O, BOX 279 : 114 S. MAIN STREET: STANLEY, N.C. 28164 : 704-263-4779 : FAX [phone]

OWAT�RQG
1`
June 18, 2007
Mr. Wilce Martin
Public Works Director
Town of Stanley
Post Office Box 279
Stanley, North Carolina 28164
Michael F. Easley, Governer
William G. Ross Jr.. Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Subject: Pretreatment Compliance
Inspection Report
Town of Stanley
NPDES Permit No. NC0020036
Gaston County, NC
Dear Mr. Martin:
Enclosed is a copy of the Pretreatment Compliance Inspection Report for the inspection
of the Town of Stanley approved Industrial Pretreatment Program on June 15, 2007 by John
Lesley of this Office.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Mr. Lesley or me at [phone].
Sincerely,
poi Robert B. Krebs
Regional Supervisor
Surface Water Protection Section
Enclosure
cc: Central Files
Dana Folley, Pretreatment Group
Gaston County Health Department
JL
No"rthCarolina
MCDM ,Naturally
Mooresville Regional Office Division of Water Quality Phone [phone] Customer Service
Internet: :ore 610 East Center Ave. Suite 301 Mooresville, NC 26115 Fax [phone]
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Ate,
NCDENR
wa r�R
NORTH CAROLINA DNISION OF WATER QUALITY `0 of o7
PRETREATMENT COMPLIANCE INSPECTION (PCI) REPORT
5 �
BACKGROUND INFORMATION [Complete Prior To PCI; Review Prop -ram Info Database Sheet(s)l
1. Control Authority (POTW) Name: Town of Stanley
2. Control Authority Representative(s): Laurene Rhyne, Wilce Martin, Steve Poareb
Telephone: [phone] Fax: [phone] E-mail: [e-mail]
3. Title(s): Consultant - Aqua Laurene, Public Works Director, Wastewater Treatment ORC
4. Last Inspection Date: 12 /02 /2005 inspection Type: ® PCI ❑ Audit
5. Has Program Completed All Requirements from the Previous Inspection or Program Info Sheet(s)? ® Yes ❑ No
6. Is POTW under an Order That Includes Pretreatment Conditions? ❑ Yes ® No
Order Type and Number: Are Milestone Dates Being Met? ❑ Yes ❑ No ® NA
PCS CODING
Trans.Code Main Program Permit Number MMfDD/YY Inspec,Type Inspector Fac. Tyl
L NJ 1 N I r; 1 0 1 0 1 z 1 0 1 0 1 3 1 6 1 1 06 1 I r, 1 07 1 LP__.1 L-91-i I I I
(DTIA) (TYPI INSP)
7. Current Number Of Significant industrial Users STUB ? 1
(FAG
SIUS
8. Current Number Of Categorical Industrial Users CIUs ?
1
CTUS
9. Number of STUB Not Inspected By POTW in the Last Calendar Year?
0
10. Number of SIUs Not Sam led By POTW in the Last Calendar Year?
0
11. Enter the Higher Number of 9 or 10
0
NOIN
12. Number of SIUs With No IUP, or With an Expired IUP
0
NOCM
13. Number of SIUs in SNC for Either Reporting or Limits Violations During Either of the Last 2
Semi -Annual Periods Total Number of STUB in SNC
0
PSNC
14. Number of STUs in SNC For Reportins During Either of the Last 2 Semi -Annual Periods
0
MSNC
15, Number of STUB In SNC For Limits Violations During Either of the Last 2 Semi -Annual Periods
0
SNPS
16. Number of STUB In SNC For Both Reporting and Limits Violations During Either of the Last 2
Semi-annual Periods
0
POTW INTERVIEW
17. Since the Last PCI, has the POTW had any POTW Permit Limits Violations? ® Yes ❑ No
if Yes, What are the Parameters and How are these Problems Being Addressed? Toxicity test failures: in 4/06;
(See Comments Section) 7/06; 4/07 and 5/07
18. Since the Last PCI, has the POTW had any Problems Related to an Industrial ❑ Yes ® No
Discharge (Interference, Pass -Through, Blockage, Citizens' Complaints, Increased The toxicity issues are not linked
Sludge Production, Etc.)? to the SIU
If Yes, How are these Problems Being Addressed?
19. Which Industries have been in SNC during either of the Last 2 Semi- SNC for Limits: None
Annual Periods? Have any Industries in SNC (During Either of the Last SNC for Reporting: None
2 Semi -Annual Periods) Not Been Published for Public Notice? Not Published: None
(May refer to PAR if Excessive STUs in SNC)
20. Which Industries are on Compliance Schedules or Orders? For all SIUs on an
Order, Has a Signed Copy of the Order been sent to the Division?
21. Are Any Permits Or Civil Penalties Currently Under Adjudication? If Yes, Which
Ones?
Filcname: Stanley PC] 0607
Revised: 6/30/98
NA
❑ Yes ® No
Page 1

PRETREATMENT PROGRAM ELEMENTS REVIEW- Please review POTW files and complete the following:
Program Element
Date of Last Approval
Date Next Due, If Applicable
Headworks Analysis (HWA)
3/28/03
1011/07
Industrial Waste Survey (IWS)
9/24/99
10/1/07
Sewer Use Ordinance (SUO)
1 /11 /95
6/l /07
Enforcement Response Plan (ERP)
1/11195
Long Term Monitoring Plan (LIMP)
6/12/02
LTM.P FELE REVIEW:
22. Is the LTMP Monitoring Being Conducted at Appropriate Locations and Frequencies? ® Yes ❑ No
23. Should any Pollutants of Concern be Eliminated from or Added to the LIMP? ❑ Yes ® No
If yes, which ones? Eliminated: Added:
24. Are Correct Detection Levels being used for all LTMP Monitoring? ® Yes ❑ No
25. Is the LTMP Data Maintained in a Table or Equivalent? ® Yes ❑ No Is the Table Adequate? ® Yes ❑ No
INDUSTRIAL USER PERMIT_CPJPYFILE REVIEW(3 IUP FILE REVIEWS OR I PILE REVIEW AND 1 iU INSPECTION)
26. User Name
1. Outdoor Lifestyles 2. 3.
27, IUP Number
004
_
28. Does File Contain Current Permit?
® Yes ❑ _N_o_jj ❑ Yes ❑ No
❑ Yes ❑ No
29. Permit Expiration Date
7131/08
_
30. Cate orical Standard A2plied I.E. 40 CFR, Etc. Or N/A
433.17
31. Does File Contain Permit Application Completed Within One Year Prior
to Pen-ait Issue Date?
® Yes ❑ No Yes ❑ No
Yes No
32. Does File Contain an Inspection Completed Within Last Calendar Year?
® Yes ❑ No ❑ Yes No
❑ Yes ❑ No
33. a. Does the File Contain a Slug Control Plan?
b. If No, is One Needed? (See Ins ection Form from POT
a. ®Yes []No
b. ❑Yes ❑No
a. ❑Yes ❑No
b. ❑Yes ❑No
a. ❑Yes ❑No
b. []Yes ❑No
34. For 40 CFR 413 and 433 TTO Certifiers, Does File Contain a Toxic
Organic Mana ement Plan TONIP)?
®Yes❑No❑N/A ❑Yes❑No❑NIA
❑Yes❑No❑NIA
35. a. Does File Contain Original Permit Review Letter from the Division?
b. All Issues Resolved?
a. ®Yes ❑No
b.❑Yes❑No❑NIA
a. ❑Yes ❑No
b.❑Yes❑NoON/A
a. ❑Yes ❑No
b.❑Yes❑MPON/A
36. During the Most Recent Semi -Annual Period, Did the POTW Complete
its Sampling as Required b [UP?
® Yes ❑ No
❑ Yes ❑ No
❑ Yes El No
37. Does File Contain POTW Sampling Cbain-Of-CustodyForms?
® Yes ❑ No 11 ❑ Yes ❑ No
I El Yes Nc
38. During the Most Recent Semi -Annual Period, Did the SIU Complete its
Sampling as Required tX fUP?
®YesCrNo❑NIA
❑Yes❑No❑NIA
❑Yes❑NcONO
39. Does Sam2ling Indicate Flow or Production?
®Yes❑No❑NIA ❑Yes❑No❑N/A
❑Yes❑No❑N0
40. During the Most Recent Semi -Annual Period, Did the POTW identify
All Non -Compliance from Both POTW and SIU Sampling?
Yes ❑ No
® NA
0 Yes ❑
I ❑ No NA
Yes Nc
❑ NA
41. a. Was the POTW Notified by SIU (Within 24 Hours) of All Self-
Monitoring Violations?
b. Did Industry Resam le Within 30 Days?
a.❑Yes❑No®NIA
b. ❑Yes ❑No
a_❑Yes❑NoON/A
b. ❑Yes ❑No
a.❑Yes❑No❑N/E
b. ❑Yes []No
42. Was the SIU Promptly Notified of Any Violations (Per ERP)?
❑Yes❑No®NIA
❑Yes❑No❑N/A
❑Yes❑NOON/,
43. During the Most Recent Semi -Annual Period, Was the SIU in SNC?
Yes ® No 11
❑ Yes D No
7Yes N.
44. During the Most Recent Semi -Annual Period, Was Enforcement Taken
as Specified in the POTWs ERP?
❑Yes❑NOON/A
11
❑Yes❑No❑N/A
❑Yes❑No❑N/.
45. Does the File Contain Penalty Assessment Notices?
❑Yes❑No®NIA
❑Yes❑No❑N/A
❑Yes❑No❑Nl.
46. Does The File Contain Proof Of Penalty Collection?
❑Yes❑No®NIA
❑Yes❑No❑MA ji ❑Yes❑No❑N/
4T a. Does the File Contain Any Current Enforcement Orders?
b. Is SW in Compliance with Order?
a.0Yes0No0N/A
b.❑Yes❑NoMN1A
a.❑Yes❑No❑N/A
b.❑Yes❑No❑NIA
a.❑Ycs❑No❑NI.
b_0Yes0No11N/
48. Did the POTW Representative Have Difficulty in Obtaining Any of This
Requested Information For You?
Yes ®No
❑Yes ❑ NoYes
❑ 1\
Filename: Stanley PCl 0607 Page 2
Revised: 6/30198

FILE REN EW COMMENTS:
The STU was inspected by the POTW on 1218/06.
Outdoor Lifestyles Slug and Spill Control Plan and the Toxic Organics Management Plan should be reviewed and updated it
necessary annually.
PCl SUMMARY AND COMMENTS:
PCi Comments:
The Pretreatment Prog-ram Information Data Base Program Contacts should be updated to include: Wilce Martin, Public Work
Director— 704-263-0186 Laurene Rhyne, consultant 704-621-7331 and Steve Poarch O C 704-263-0186 Ed Hum hri Larsot
Harseyt and James Harrill should be removed from the list.
The Program appeared to be well managed.
Outdoor Lifestyles, the POTW's onlySTU, discharges one to two times per year (batch discharge), All samples are split between thi
POTW and the STU.
Requirements:
See the Program Elements Review Section of this report.
Require that Outdoor Lifestyles revise/update the Slaa and Spill Control Plan and the'lbxic Organic Management Plan to make i
mare current.
The POTW must designate Merson (Tow�_Offical or Employee? to act as the contact Person for the Town. Please submit thi
information to John Lesley of the Mooresville Regional Office and Dana Folley of the PERCS Unit by later than July31, 2001
Recommendations: A Toxicity Identification Evaluation should be conducted to identify toxic constituents in the influent.
NOD: ❑ Yes ® No
NOV: ❑ Yes ® No
QNCR: [:]Yes ® No
POTW Rating:
Satisfactory ® Marginal ❑ Unsatisfactory ❑
PCi COMPLETED BY: �' DATE: June 15, 2007
oh ley, Mooresville Regio al fiice
Filename: Stanley PC[ 0607 Page 3
Revised: 6130198

Michael F. Easley, Governor
O�O� W A r�9QG
May 2, 2008
Mr. Wilce B. Martin
Town of Stanley
114 S. Main St.
Stanley, NC 28164
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Colcen 11. Sullins, Director
Division of Water Quality
Subject: New Permit Request
Permit NCG110000
Your request for a new NPDES General Permit received on is being returned due
to:
U Check for $100.00 made payable to NCDENR is missing.
❑ Application is incomplete.
❑ plication package is missing the supporting documents.
Missing copy of county map or USGS quad sheet with facility clearly marked.
❑ Other
Please return the information so we can continue processing your request. If you have any
additional questions, please contact Bradley Bennett at [phone] extension 525, or Sarah
Young at [phone] extension 502.
DWQ Stormwater Permi ing Unit
Np��nahhCarolina
Naturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr,state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone].623.6748
An Equal OpportunitylAf:rmative Action Employer — 50% Recycledl10% Post Consumer Paper