NCS000448_Weaverville Renewal Application_20220426

The Town of Weaverville
N O R T H C A R O L I N A
30 South Main Street • Weaverville, NC 28787 (PO Box 338)
[phone] • Fax [phone]
www.weavervillenc.org
April 26, 2022
DEQ-DEMLR Stormwater Program
Attn: MS4 Permitting
1612 Mail Service Center
Raleigh, NC 27699-1612
Re: NPDES Permit No. 000448
NPDES MS4 Permit Application Form - Renewal
Dear Ladies and Gentlemen:
Enclosed please find the Town of Weaverville’s NPDES MS4 Permit Application for renewal of the
above-referenced permit.
In the attached email dated 25 April 2022 Ms. Powell indicated that your office just needs the
application and not the draft SWMP as the SWMP is already on file. A hard copy is, nonetheless,
provided with the application as requested on the form, but an electronic copy is not. Please advise
if one is needed as it can be easily emailed.
The Town’s draft SWMP was submitted to DEQ for review on 16 March 2021 and it is my
understanding that that we are in the queue with a review anticipated not earlier than June 2022.
The Town has not made any changes to the draft as we are awaiting that review and any comments
by your office.
I respectfully request that this application be accepted by your office even though it is being
submitted after the normal deadline. I have been in communication with Ms. Powell routinely over
the last year regarding our NPDES permit and our draft SWMP with an expectation that DEQ’s work
would be completed in time for a new permit to be issued to replace the current one that happened
to expire in February 2022. We did not appreciate that a separate renewal application also needed
to be submitted until the Town was made aware of that on April 22, 2022.
Please let me know if you need any other documentation from the Town related to its MS4 NPDES
permit, or any other matter pending with your division of DEQ related to the Town of Weaverville.
Sincerely,
Jennifer O. Jackson
Town Attorney
cc: Patrick Fitzsimmons, Mayor
Selena D. Coffey, Town Manager
Dale Pennell, Public Works Director
Page 1 of 2
NPDES MS4 Permit Application Form
National Pollutant Discharge Elimination System (NPDES)
Municipal Separate Storm Sewer System (MS4)
Please complete the information below and submit this form along with the required supplemental information
to the address indicated.
Part I: Permittee Information
Current Permit No. NCS
MS4 Name
Owner Name*
Owner Title
Street Address
City, State, Zip
Phone Number
E-mail Address
* The owner must be a principal executive officer or ranking elected official for the city/town/entity that
owns/operates the permitted MS4. Any permit enforcement actions will be sent to the owner on record.
Part II: Primary Contact**
Contact Name
Contact Title
Employer
Street Address
City, State, Zip
Phone Number
E-mail Address
** The primary contact is the responsible party who will oversee the day-to-day permit compliance and
Stormwater Management Program implementation. With the exception of enforcement actions, permit
communications originating from NCDEQ will be sent to the primary contact and will be copied to the other
contacts listed below.
Part III: Other Contacts
Contact Name
E-mail Address
Contact Name
E-mail Address
Part IV: Required Supplemental Information
Submit one (1) hard copy and one (1) electronic copy of a Draft Stormwater Management Plan (SWMP)
with this permit application. The Draft SWMP must be in the current NCDEQ SWMP Template format
and shall include all required information in order for the permit renewal application to be considered
complete.
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Page 2 of 2
Part V: Certification
By my signature below I hereby 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. I am also aware that incomplete permit renewal
applications, inclusive of the required Draft SWMP, will not be processed and will be returned to the
permittee.
տ I am a ranking elected official for the permitted MS4.
܆ I am a principal executive officer for the permitted MS4.
տ I am a duly authorized representative for the permitted MS4 and have attached the authorization
made in writing by the permit owner listed in Part I of this application, which specifies me as (check
one):
տ A specific individual having overall responsibility for the stormwater permit.
տ A specific position having overall responsibility for the stormwater permit.
Signature:*
Print Name:
Title:
Signed this WK day of $SULO20
* Please note that an original signature is required on this form, any required supplemental information, and any
representative authorization. Photocopies cannot be accepted.
Return this completed form along with the required supplemental information to:
DEQ-DEMLR Stormwater Program
Attn: MS4 Permitting
1612 Mail Service Center
Raleigh, NC 27699-1612
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