WQ0041745_Pump and Haul Permit Issuance_20200615

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
June 15, 2020
Jordan C. Scott, P.E. — Resident Engineer
North Carolina Department of Transportation
Division 9 Construction
403 Polo Road
Winston-Salem, North Carolina 27105
SUBJECT: Wastewater Pump & Haul Permit Application
Macy Grove Road Extension
Forsyth County
Permit No. WQ0041745
Dear Mr. Scott:
In accordance with your permit application received June 5, 2020, we are forwarding herewith
Permit No. WQ0041745, dated June 15, 2020, to the North Carolina Department of Transportation
(NCDOT) for the time -limited operation of a domestic wastewater pump and haul operation. This
permit shall become effective June 15, 2020 and will expire on December 12, 2020; shall void
previously issued Permit No. WQ0041287 which expired on June 12, 2020; and shall be
subject to the conditions and limitations as specified therein. This cover letter shall be
considered a part of this permit and is therefore incorporated therein by reference.
Please pay particular attention to Permit Condition 13, which requires accurate record keeping and
reporting. Also note Permit Condition 18, which requires that the facilities associated with the
pump and haul activities be inspected and pumped as often as necessary to prevent any
malfunctions, overflows, or nuisances.
Permission is hereby granted to the NCDOT for the operation of:
• A domestic wastewater pump and haul operation for two 900-gallon in -ground septic
holding tanks at the Hayworth -Miller Funeral Home located at 141 Smith Edwards Road.
The septic field for the system will need to be removed due to the construction of the Macy
Grove Road extension. The septic holding tanks will be water -tight sealed from the septic
distribution lines. The NCDOT will coordinate with the City of Winston-Salem to install
a new public gravity sewer line and will provide Hayworth Miller a service connection
once this line is complete.
• The anticipated flow for this pump and haul operation is a maximum of 1,600 gallons per
day gallons per day or less of domestic wastewater generated in the funeral Home. It is the
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rvahrI, cARoLIna
Department el Environmental ouar�
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105
336.776.9800

Permittee's responsibility to notify the Division within 24 hours if the flow volume
estimated above is exceeded by any amount on any day.
• The wastewater collected by this system shall be pumped by Transou Septic and
transported to the City of Winston-Salem Archie-Elledge Wastewater Treatment Facility
for final treatment.
• Please notify this office when the construction is complete and the pump and haul
operation is no longer necessary.
This permit shall become voidable unless the agreements between Transou Septic, NCDOT, and
the City of Winston-Salem Archie-Elledge Wastewater Treatment Facility for the pumping,
hauling and/or final treatment of wastewater are in full force and effect.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150B of
North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be
final and binding.
If you have any questions regarding this permit or require any additional information, please
contact Jim Gonsiewski or me by phone at [phone].
Sincerely,
ELDocuSigned by:
OA, 7 SMICr
145B49E225C94EA...
for S. Daniel Smith, Director
Division of Water Resources
by Lon T. Snider
Regional Supervisor, Water Quality Regional Operations
Division of Water Resources
cc: Forsyth County Health Department (Electronic Copy)
WSRO Electronic Files
Laserfiche Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
DOMESTIC WASTEWATER PUMP & HAUL PERMIT
PERMIT No. WQ0041745
This permit shall be effective June 15, 2020, will expire on December 12, 2020, and shall
be subject to the following specified conditions and limitations:
1. This permit shall become voidable unless the subject pump and haul activities are
carried out in a manner that has been approved by this Division.
2. This permit is effective only with respect to the nature and volume of wastes described
in the application dated June 5, 2020 and other supporting data.
3. The facilities shall be properly maintained and operated at all times.
4. This permit is NOT transferable. In the event that there is a desire for the facilities
to change ownership, or there is a name change of the Permittee, a formal request
must be submitted to the Division.
5. No type, kind or quantity of wastewater other than the pumped and hauled wastewater
from the NCDOT shall be included in these pump and haul activities.
6. This permit shall become voidable unless the agreements between Transou Septic,
NCDOT, and the City of Winston-Salem Archie Elledge Wastewater Treatment
Facility for the pumping, hauling and/or final treatment of wastewater are in full force
and effect.
7. In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, NCDOT shall cease operation of all pump and haul activities
and take such immediate corrective actions as may be required by this Division.
8. The wastewater collected by this system shall be properly treated in the City of
Winston-Salem Archie Elledge Wastewater Treatment Facility (NC0037834) for
final treatment and disposal.
9. NCDOT is liable for any damages caused by a spill or failure of the pump and haul
operations.
10. Adequate inspection, maintenance, and cleaning shall be provided by NCDOT to
ensure proper operation of the subject facilities.

11. NCDOT or its designee, shall inspect the pump and haul collection facilities to
prevent malfunctions and deterioration, operator errors, and discharges that may
cause or lead to the release of wastes to the environment, a threat to human health, or
a nuisance.
12. Any duly authorized officer, employee, or representative of the Division of Water
Resources may, upon presentation of credentials, enter and inspect any property,
premises, or place on or related to the pump and haul collection facilities at any
reasonable time for the purpose of determining compliance with the Division's
approval; may inspect or copy any records that must be maintained under the terms
and conditions of this permit; and may obtain samples.
13. An accurate record of the pump and haul activities must be maintained by NCDOT
indicating:
• Date and times wastewater is removed from the facility
• Name of contract hauler
• Name of facility receiving wastewater
• Volume of wastewater removed
• An inspection log including the date and time of inspections, observations made,
and any maintenance, repairs, or corrective actions taken by the Permittee.
These records shall be submitted quarterly by the following Wednesday to the Water Quality
Regional Operations Supervisor, at address 450 West Hanes Mill Road, Suite 300, Winston-
Salem, NC 27105
14. Failure to abide by the conditions and limitations contained in this permit may subject
NCDOT to appropriate enforcement actions available to the Division.
15. The granting of this permit does not preclude NCOT from complying with any and
all statutes, rules, regulations, or ordinances, which may be imposed by other
government agencies (local, state, and federal), which have jurisdiction.
16. Noncompliance Notification: NCDOT shall report by telephone to the Winston-
Salem Regional Office, telephone no. [phone], as soon as possible, but in no
case more than twenty-four (24) hours or on the next working day following the
occurrence or first knowledge of the occurrence of any of the following:
a. Any process unit failure, due to known or unknown reasons, that render the
facility incapable of adequate wastewater storage and/or treatment such as
failures of tanks, piping, pumps, etc.
b. Any failure of a pumping station, sewer line, etc., resulting in a spill or by-pass
directly to receiving waters without treatment of all or any portion of the
influent to such station or facility.

17. Persons reporting such occurrences by telephone shall also file a written report in
letter form within five (5) business days following first knowledge of the occurrence.
This report must outline the actions taken or proposed to be taken to ensure that the
problem does not recur.
18. The facilities associated with the pump and haul activities shall be inspected and
pumped as often as necessary to prevent malfunctions, overflows, or nuisances.
19. Should ownership or financial circumstances change during this permit, immediate
notification should be made to the regional office.
20. When these pump and haul activities are no longer necessary, please send written
notification to:
Water Quality Regional Supervisor
Winston-Salem Regional Office
NCDEQ-DWR
450 W. Hanes Mill Rd, Suite 300
Winston-Salem, NC 27105
21. Sixty (60) days prior to the expiration of this permit (i.e. October 13, 2020), a
status report of the permanent wastewater treatment system shall be submitted to the
Winston-Salem Regional Office. This report shall include:
i.Anticipated flows; and
ii.Proposed start-up date; or
iii.Other alternatives being considered for permanent or temporary treatment of
wastewater.
Permit issued this the 15th day of June 2020, with a Permit Effective date of June 15, 2020.
EDocuSigned by:
.—o, T SMJcr
145B49E225C94EA...
for S. Daniel Smith, Director
Division of Water Resources
by Lon T. Snider
Regional Supervisor, Water Quality Regional Operations
Division of Water Resources