NCG110039_COMPLETE FILE - HISTORICAL_20170727 (2)

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT N0.
Iv b D 3
DOC TYPE
LS( HISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
n a9 1 -7 b
YYYYMMDD

MMMA
NCDENR
Nx" Cwv=-Daw�maTa
EMMowmcff WP "utm. rawi eu
Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or If the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible individual' mean?
The person is either:
• the responsible corporate officer (for a corporation);
• the principle executive officer or ranking elected official (for a municipality, state, federal or other public
agency);
• the general partner or proprietor (for a partnership or sole proprietorship);
• or, the duly authorized representative of one of the above.
1) Enter the permit number for which this change In Legally Responsible Individual ("Owner Affiliation")
applies:
Individual Permit
N I C 1 S
2) Facility Information:
(or) Certificate of Coverage
NC I Grloo
Facility name: — ` Pp t kcf Confo r
Company/Owner Organization: rl r-ctV
Facility address:
Address
3a
City State Zip
To find the current legally responsible person associated with your permit, go to this website:
http://Portal,ncdenr.org/web/Ir/sw-permit-contacts and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual:
F rst M1 L t
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit: l� , In
First MI Last
Page 1 of 2
SW U-OW N ERAFFI L-25July2014

NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
tn+o rn UL , 11- `,es 3
Title
P.D. AK L ti
Mailing Address
a C—
City State Zip
c 10)A�3652 4
Telephone E-mail Address .,[•�nt��
s 100 ;_xa -��- G.L Us
Fax Number
5) Reason for this change:
A result of: Le Employee or management change
❑ Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
attest that this application for this change in Owner Affiliation
(person egally responsible for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understan that if all re red parts of this form are not completed, this change may not be
processed. Y/ A
-?-16h24-
Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call 919-707-9220 or visit the website at:
http:llportal.ncdenr.orWweb/lr/stonn ater
Page 2 of 2
SW U-OW NE RAFF IL-25July209 4

NORTH CAROLINA
June 28, 2017
North Carolina Department of Environmental Quality
Division of Energy, Mineral and Land Resources
Stormwater
1612 Mail Service Center
Raleigh, NC 27699-1612
Subject: Permitting Signature Authority Change: City of Clinton
To Whom It May Concern:
The current signature authority for the City of Clinton, Mr. Jeff Vreugdenhil will be retiring from his
position with the City as of July 28, 2017. As an appropriate signing official for the City of Clinton, as
designated by 15A NCAC 2T .0106, I hereby delegate authority to sign and certify all permit applications,
reports or other permit related documents to the following staff for the following permit types, permit
numbers, and approved programs:
Position
Person Currently in Position
Permit Type or Permit Number
Clinton Utilities Superintendent
Michael Christopher Medlin
NPDES Stormwater Permits:
NCG l 10000, COC
NCG 110039, Larkins Water
Pollution Control
NCG 110000, COC
NCG080675, Clinton City —
Public Works Complex
Should you have questions regarding this designation, you may contact me at [phone] x3002.
Thank you for your attention to this matter.
Sincerely,
Luther arling, Mayor, City of Clinton
Office of the Mayor
221 Lisbon St.
Clinton, NC 28328
Telephone - [phone]
Facsimile - [phone]
www.cityofclintonnc.us

CL.INTUN
July 6, 2017
NCDEQ/DEMLR
Stormwater
1612 Mail Service Center
Raleigh, NC 27699-1612
RE: City of Clinton Signature Authority Change
To Whom It May Concern:
Enclosed, please find a letter from the Mayor of Clinton, NC regarding a change to the signature authority for
the City of Clinton NPDES Stormwater certificates of converage. The Director of Public Works and Utilities, Mr.
Jeff Vreugdenhil, will be leaving this position as of July 28th, 2017, and the Clinton Utilities Superintendent, Mr.
Michael Christopher (Chris) Medlin, has been designated as the replacement signature authority.
Contact information for Chris Medlin is as follows:
M. Christopher Medlin
Clinton Utilities Superintendent
P.O. Box 199
200 West John Street
Clinton, NC 28329
Phone: [phone] X3059
Fax: [phone]
Email: [e-mail]
Copies of the enclosed letter have also been provided to DWR/PERCS, DWR/WQP and DWR/PWS. Emails have
been sent to inspectors and additional appropriate personnel at our regional office.
Please do not hesitate to contact me should you require additional information.
Thank you,
c
liG
Lisa A. Osthues
Environmental Programs Manager
Iisao @ cityofclinto nnc.us
Clinton Environmental Programs
P.O. Box 199
Clinton, NC 28329
Telephone - [phone]
Facsimile - [phone]
www.cityofclintonnc.us
.4cA�-'- A.toC-&7l '-

I�
NCDENR
hh� eynu" oc.+uen+o+r a
twit mrw Mb NFup4 ftscufte"
Division of Energy, Mineral and Land Resources
Land Quality Section / Stormwater Permitting Program
National Pollutant Discharge Elimination System (NPDES)
PERMIT OWNER AFFILIATION DESIGNATION FORM
(Individual Legally Responsible for Permit)
Use this form if there has been:
FOR AGENCY USE ONLY
Date Received
Year
Month
as
NO CHANGE in facility ownership or facility name, but the individual
who is legally responsible for the permit has changed.
If the name of the facility has changed, or if the ownership of the facility has changed,
do NOT use this form. Instead, you must fill out a Name -Ownership Change Form
and submit the completed form with all required documentation.
What does "legally responsible Individual" mean?
The person is either:
• the responsible corporate officer (for a corporation); nn���+ CC'',, II
• the principle executive officer or ranking elected official {for a municipality, stat�dtkrtll�lVEAiic
agency}; ` t� � �0��
• the general partner or proprietor (for a partnership or sole proprietorship); IUL
• or, the duly authorized representative of one of the above. MR -LAND OMITY
1) Enter the permit number for which this change in Legally Responsible Indivfu�rvn R laRon-)
applies:
Individual Permit (or) Certificate of Coverage
N I C j S N I C I G S
2) Facility Information:
Facility name: lc L Ofvl_��
Company/Owner Organization: I
Facility address: T�^ �� ��f1fl S40eg
Address
L t'i-f� ft + [_
City � State ^� Zip —
To find the current legally responsible person associated with your permit, go to this website:
http:Hportal.ncdenr.org/web/Ir/sw-permit-contacts and run the Permit Contact Summary Report.
3) OLD OWNER AFFILIATION that should be removed:
Previous legally responsible individual: 1 i, i
first MI L
-d
4) NEW OWNER AFFILIATION (legally responsible for the permit):
Person legally responsible for this permit:
First MI Last
Page I of 2
SW U-OW NERAFFIL-25J uly2014

f
NPDES Stormwater Permit OWNER AFFILATION DESIGNATION Form
(if no Facility Name/Ownership Change)
Tille
L L Mailing 4ddress4�2t�382
City State Zip
Telephone E-mail Address Gt {Il fmfx.
(q 10) Soo?-- 38oRS"- u s
Fax Number
5) Reason for this change:
A result of: mployee or management change
❑ Inappropriate or incorrect designation before
❑ Other
If other please explain:
The certification below must be completed and signed by the permit holder.
PERMITTEE CERTIFICATION:
I, VV d7 A1 , attest that this application for this change in Owner Affiliation
(person legally response le for the permit) has been reviewed and is accurate and complete to the best of my
knowledge. I understand t if all required parts of this form are not completed, this change may not be
processed. �� _ „/
//// V /5ianature Date
PLEASE SEND THE COMPLETED FORM TO:
Division of Energy, Mineral and Land Resources
Stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
For more information or staff contacts, please call 919-707-9220 or visit the website at:
htip:Hportal.nedenr.orWweb/ir/stonnwater
5 W U -O W N E RAF F I L-25J my 2014
Page 2 of 2

it �)11613,IIJ
May 14, 2013
Mr. Ken Pickle
Stormwater
r .•i a ar '�
•.:. • it • L • • •
Jeff Vreugdenhil
Director of Public Works
and Utilities
Nell Carroll
Wastewater
Superintendent and
ORC
Lisa Osthues
Environmental Programs
Manager
S�2�o/3
Shy •� J �
/✓'-' 75
North Car ina Department of Environment and Natural Resources
Divisi of Water Quality "�'�'�S
We ds and Stormwater Branch
17 Mail Service Center
Raleigh, NC 27699-1617
Subject: Permit Signature Authority Change
Dear Mr. Pickle, J 7`
Enclosed, please find a letter from the Mayor of Clinton, NC regarding a change to the signature authority
for the City of Clinton Stormwater permits. The City Manager of Clinton, Mr. John Connet, will be leaving
this position as of May 241b, 2013, and the Director of Public Works and Utilities, Mr. Jeff Vreugdenhil, has
been designated as the signature authority until such time as a new City Manager is chosen.
A copy of this letter has also been provided to Ms. Belinda Henson of the Fayetteville Regional Office.
Should you have any questions, please do not hesitate to contact me at the phone number listed below, or
you may also contact our Mayor, Lew Starling or Mr. Jeff Vreugdenhil at the numbers provided in the
signature authority designation letter.
Thank you,
;4- z-027 zow I I z V1,;; Z' � -
Lisa A. Osthues
Environmental Programs Manager
City of Clinton
[phone]
pa-z-g
2W MR
MAY 2 0 2013

CITY OF CLMON �Cllinntytonn
P.O. Box 199
Clinton, North Carolina 28329.0199
www. eityofclintonna us
910.592.1961
2007
May 10, 2013
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Wetlands and Stormwater Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Permitting Signature Authority Change: City of Clinton
To Whom It May Concern:
As an appropriate signing official for the City of Clinton, as designated by 15A NCAC 2T .0106, I hereby
delegate authority to sign and certify all permit applications, reports or other permit related documents to
the following staff for the following permit types, permit numbers, and approved programs:
Position
Person Currently in
Permit Type or Permit
Position
Number
Public Works and Utilities
Jeff Vreugdenhil
NPDES Stormwater Permits:
Director
. NCG110000, COC
NCG110039, Larkins
Water Pollution Control
NCGI10000, COC
NCG080675, Clinton City
— Public Works Complex
Should you have questions regarding this designation, you may contact me at [phone] x3002, or
Mr. Jeff Vreugdenhil at [phone] x3052. Thank you for your attention to this matter.
Luther.1 Starling
Ma or, City of Clinton
cc: Fayetteville Regional Office, Belinda Henson

0� W A F-F Michael F. Easley, Govemor
William G. Ross Jr., Secretary
rNorth Carolina Department of Environment and Natural Resources
Q Coleen H. Sullins, Director
Division of Water Quality
November 12, 2007
Chris Doherty, Public Works Director
Norman Larkins Water Pollution Control Facility
P. O. Box 199
Clinton, NC 28329
Subject: COMPLIANCE EVALUATION INSPECTION
City of Clinton
Norman Larkins Water Pollution Control Facility
NPDES Stormwater General Permit-NCG110039
Sampson County
Dear Mr. Doherty:
On November 6, 2007, Trent Allen, Environmental Engineer, and Mark Brantley, Environmental
Chemist, from the Fayetteville Regional Office of the Division of Water Quality, conducted a site
inspection at the Norman Larkins Water Pollution Control Facility located in Sampson County, North
Carolina. Neil Carroll and Regina Fortune were also present during the inspection and their time and
assistance was greatly appreciated. Stormwater from this facility drains to Williams Old Mill Branch, a
Class C; SW waters located in the Cape River Basin, The site visit and file review revealed that the
subject project is covered by NPDES Stormwater General Permit-NCG110039
Accordingly, the following observations were noted during the Division of Water Quality
inspection (please see the attached addendum for information about your permit):
1) Stormwater Pollution Prevention Plan (SPPP)
A Stormwater Pollution Prevention Plan (SPPP) has been developed, recorded, and properly
implemented.
es ■ No ❑
2) Qualitative Monitoring
Qualitative monitoring has been conducted and recorded in accordance with permit requirements.
Yes No❑
COMMENTS
• Facility needs to review and update storm water pollution prevention plan at least annually.
Please conduct and document employee training on issues pertaining to the facility's storm water
permit.
• The facility needs to continue to maintain the qualitative monitoring inspection schedule. No;YhCarolina,
,Xaturally
North Carolina Division of Water Quality 225 Green Street, Suite 714 Fayetteville, NC 2 83 01-5043 Phone [phone] Customer Service
Internet: wtiv"%ncwoterquality.ora Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled110% Post Consumer Paper

Page 2
Mr. Doherty '
Noveml)er 12, 2007
Other Observations:
Please refer to the enclosed Compliance Inspection Report for additional observations and comments.
Please be advised that violations of the NPDES General Permit are subject to a civil
penalty assessment of up to $25,000 per day for each violation. If you or your staff has any
questions, comments, or needs assistance with understanding any aspect of your permit, please do not
hesitate to contact me at (910-) 433-3327.
Sincerely,
[��' 011 il
Mark Brantley
Environmental Chemist
Surface Water Protection Section
Fayetteville Regional Office
l3nclosure
cc: Neil Carroll, ORC
FRO -Surface Water Protection
NPS-Assistance & Compliance Oversight Unit

ADDENDUM
The National Pollutant Discharge Elimination System (NPDES) program was established under the
federal Clean Water Act and then delegated to the Division of Water Quality for implementation in
North Carolina. The NPDES permitting program for stormwater discharges was established in 1990.
Phase I focuses on site and operations planning to reduce pollutant sources.
Through the NPDES permitting program industrial facilities that fall into one of the subject ten
categories are required to obtain permit coverage under a general permit or an individual permit,
depending upon the facilities SIC code and the industrial activity occurring at the facility. There are
currently 19 active general stormwater permits in North Carolina. One condition that is applicable to
both the general permits and individual stormwater permits is the requirement to develop and implement
site -specific comprehensive stormwater pollution prevention plans (SPPP). These plans are required to
include a comprehensive evaluation of the site and operations to reduce pollutant sources and prevent
pollutant discharge,
Copies of the general permits and accompanying documents can be accessed from the following
webpage: http://h2o.enr.state.ne.us/su/Fomis Documents.htm Permit text, technical bulletins, discharge
monitoring forms, and a Notice of Intent [which is the application of for coverage under a NPDES
General Stormwater Permit] can be found at this web site.
The following items are a subset of permit requirements and are listed to assist you and help bring your
attention to certain permitting issues, process and condition requirements of your permit. That said;
please see the above -mentioned web site in order to obtain a copy of the permit such that you may fully
comply with all the conditions therein. Failure to properly comply with conditions of the permit, like
those bulleted below, constitutes violations and is subject civil penalty assessment of up to
$25,000.00 per day.
• Industrial facilities that fall into one of the subject ten categories are required to obtain permit
coverage under a general NPDES stormwater permit or an individual NPDES stormwaterrpermit
• All persons desiring to have facilities covered by a General Permit must register with the
Division of Water Quality (DWQ) by the filing of a Notice of Intent (NOI) and Applicable Fees.
• This Notice of intent (NO1) must be submitted and a Certificate of Coverage issued prior to any
discharge of stormwater associated with the industrial activity, process wastewater, and/or mine
dewatering.
• Once the Notice of Intent is received, DWQ will review and determine whether a Certificate of
Coverage (COC) may be issued. If this Certificate of Coverage is issued the facility is covered
by the General Permit. That is, the permittee is authorized to discharge stormwater, process
wastewater, and/or mine dewatering pursuant to the type of General Permit until the permit
expires or is modified or revoked.
• Any other point source discharge to surface water of the state is prohibited unless it is an
allowable non-stormwater discharge or is covered by another permit, authorization or approval.
• There are currently 19 active general permits. Permit conditions vary accordingly; however, most
of the permits have following condition requirements (you must read your entire permit to ensure
full compliance):
o Development and compliance with the Stormwater Pollution Prevention Plan

o Collection, reporting, and recording of Analytical Monitoring
o Collection, reporting and recording of Qualitative Monitoring
o Collection, reporting and recording of Vehicle Maintenance Monitoring
o Records -- Visual monitoring shall be documented and records maintained at the facility
along with the Stormwater Pollution Prevention Plan. Copies of the analytical monitoring
results shall also be maintained on -site. The Permittee shall retain records of all
monitoring information, including all calibration and maintenance records and all original
strip chart recordings for continuous monitoring instrumentation, and copies of all reports
required by this general permit for a period of least 5 years for the date of the sample
measurement, report or application.
o Expiration — The permittee is not authorized to discharge after the expiration date of the
general permit. In order to receive automatic authorization to discharge beyond the
expiration date, the permittee shall submit forms and fees as are required by the agency
authorized to issue permits no later than 180-days prior to expiration date. Any permittee
that has not requested renewal at least 180 days prior to expiration, or any permittee that
does not have a permit after the expiration and has not requested renewal at'least 180
days prior to expiration, will be subject to enforcement. Failure to renew your permit is
a violation.
o- Transfer — The Certificate of Coverage (COC) issued pursuant to this general permit is
not transferable to any person expect after notice to and approval by the Director. The
Director may require modification or revocation and reissuance of the Certificate of
Coverage to change the name and incorporate such other requirements as may be
necessary under the Clean Water Act. The Permit is NOT transferable,
o Name Change, Closure or Facility Ownership change — Permittee is required to notify the
Division in writing in the event the permitted facility is sold or closed, The Division of
Water Quality views changes of name or ownership as a modification that requires the
Director's approval and reissuance of the permit. Name and ownership changes required
you to complete a Name/ownership Change Form from the Division and mail it back to
the Division of Water Quality along with all appropriate information.
o Proper Operation and Maintenance is a requirement of the permit.

I
Permit: NCG110039
SOC:
County: Sampson
Region: Fayetteville
Compliance Inspection Report
Effective: 04/25/03 Expiration: 04/30/08 Owner: City of Clinton
Effective: Expiration: Facility: Clinton City - Larkins Water Pollution Control
Facility
123 VIlbranch Rd
Contact Person: Wayne A Hollowell
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Clinton NC 283290199
Title: Director of Public Works � Phone: [phone]
Certification:
Phone:
Inspection Date: 11/06/2007 Entry Time: 11:00 AM Exit Time: 11:30 AM
Primary Inspector: Mark Brantley %)jp„� �n,t �r. �7 `�'T Phone: [phone]
Secondary Inspector(s): Ext.727
Trent Allen �� _ �3 _ D7 Phone:
Belinda S Henson-'s?a[+ II - 13e7 Phone: [phone] Ext.726
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Municipal WWTP n 1MGD, Stormwater Discharge, COC
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
® Storm Water
(See attachment summary)
Page: 1

Permit: NCG110039 Owner - Facility: City of Clinton
Inspection Date: 11/06/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
COMMENTS
Facility needs to review and update storm water pollution prevention plan at least annually.
Please conduct and document employee training on issues pertaining to the facility's storm water permit.
The facility needs to continue to maintain the qualitative monitoring inspection schedule.
Page: 2

Permit: NCG110039 Owner - Facility: City of Clinton
Inspection Date: 11/06/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes
No
NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
0
U
n
❑
# Does the Plan include a General location (USGS) map?
■
❑
❑
0
# Does the Plan include a "Narrative Description of Practices"?
■
fl
n
❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
■
❑
❑
❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑
❑
■
❑
# Has the facility evaluated feasible alternatives to current practices?
■
❑
❑
❑
# Does the facility provide all necessary secondary containment?
■
❑
❑
❑
# Does the Plan include a BMP summary?
■
❑
❑
❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
■
❑
n
n
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
n
❑
n
# Does the facility provide and document Employee Training?
❑
■
❑
❑
# Does the Plan include a list of Responsible Party(s)?
®
❑
❑
❑
# Is the Plan reviewed and updated annually?
❑
■
❑
❑
# Does the Plan include a Stormwater Facility Inspection Program?
■
❑
n
n
Has the Stormwater Pollution Prevention Plan been implemented?
■
n
❑
n
Comment: Please conduct and document employee training concerning stormwater
management practices. Please review and update stormwater plan at least annually,
Please maintain inspection schedule.
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
❑
■
0
❑
Comment: Please conduct qualitative monitoring semi-annually.
Analytical Monitoring
Yes
No
NA
NE
Has the facility conducted its Analytical monitoring?
❑
Q
■
❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
❑
n
■
❑
Comment:
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■ ❑
❑
0
# Were all outfalls observed during the inspection?
■ ❑l
0
0
# If the facility has representative. outfall status, is it properly documented by the Division?
❑ ❑
■
0
# Has the facility evaluated all illicit (non stormwater) discharges?
■ ❑
❑
❑
Page: 3

Permit: NCG110039 Owner • Facility: City of Clinton
Inspection Date: 11/06/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Comment:
Page: 4

1�
Michael F. Easley
Governor
William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
APR 3 0 2003 i
April 25, 2003
Mr. Wayne A. Hallowell
Director of Public Works & Utilities
PO Box 199
Clinton, NC 28329-3825
Subject: General Permit No. NCG110000
Larkins Water Pollution Control Facility
COC NCG110039
Sampson County
Dear Mr. Hallowell. -
In accordance with your application for discharge permit received on February 28, 2003, 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 December 6, 1983.
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 Mack Wiggins at telephone number gign33-
5083 ext. 542.
Sincerely,
- - �yr,.:r �►� ,,,� �«+y. tell. Ca.
nil t I ,
W'611
Alan W. Klimek, P.E.
cc: Fayetteville Regional Office
Central Files
Stormwater and General Permits Unit Files
A
P•t(:1�El;tlt
Customer Service
1 800 623-7748
Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 {919) 733-7015

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG110000
CERTIFICATE OF COVERAGE No. NCG110039
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
City of Clinton
is hereby authorized to discharge stormwater from a facility located at
Larkins Water Pollution Control Facility
123 Millbranch Road
Clinton
Sampson County
to receiving waters designated as an unnamed tributary to Williams Old Mill Branch, a class C SWP water in the
Cape Fear River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, III,
IV, V, and VI of General Permit No. NCGI00000 as attached.
This certificate of coverage shall become effective April 25, 2003
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 25, 2003 * �"'' "'•
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

f`--------
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Markers
Name: Discharge Site-NCG110039
Short Name: Dschrg
Coordinates: 035' 00' 20.7" N, 078' 20' 41.8" W
Comment: Larkins Water Pollution Control Facility., Subbasin 030619, Cape Fear River
Basin, Sampson County, Williams Old Mill Branch, Class C-SWP, Quad G25SE