NC0084832_Renewal (Application)_20201110

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MICHAEL S.REGAN +•<<'*„ -
Secretary °r, , -''4
S. DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
November 10, 2020
Zdenko Peros
Attn: Zdenko Peros, Owner
PO Box 222
Roaring Gap, NC 28668-0222
Subject: Permit Renewal
Application No. NC0084832
Nikola's Restaurant WWTP
Alleghany County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 30, 2020 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Siinccerely,
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Charles Weaver
Administrative Assistant
Water Quality Permitting Section
cc: Jessica Mize-Research &Analytical Lab., Inc.
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RESEARCh & ANAI.yTICAl
11111 LAbORATORIES, INC.
OAnalytical/Process Consultations
RECEIVED
October 28, 2020 NOV 0 5 2020
N.C. DENR NCDEQ/DWR/NPDES
Division of Water Quality\
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NPDES Permit Renewal Application
Nikola's Restaurant&High Meadows Inn
Permit No. NC0084832
Allegany County
Enclosed are one (1) signed original and two (2) copies of the NPDES Permit
Application: Form D requested renewal of NPDES Permit No.NC0084832 for the wastewater
treatment plant at Nikola's Restaurant & High Meadows Inn. There have been no significant
changes to the wastewater treatment facility.
If you have any questions concerning this application renewal,please so advise.
Sincerely,
Research &Analytical Laboratories, Inc.
Jessica A. Mize
Authorized Agent
JM
Cc. Zdenko Peros
P.O. Box 473 • 106 Short Street• Kernersville, North Carolina • 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit NC0084832
If you are completing this form in computer use the TAB key or the up - down arrows to moue from one
field to the next. To check the boxes, click your mouse on top ofthe box. Otherwise,pleaseprint or type.
1. Contact Information:
Owner Name Zdenko Peros
Facility Name Nikola's Restaurant & High Meadows Inn WWTP RECEIVED
Mailing Address P.O. Box 222 NOV 0 5 7020
City Roaring Gap
State / Zip Code North Carolina/28668
Telephone Number [phone]
Fax Number ( )
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 10498 Highway 21 South
City Roaring Gap
State / Zip Code NC/ 28668
County Alleghany
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Research &Analytical Laboratories, Inc.
Mailing Address 106 Short Street
City Kernersville
State / Zip Code NC/27284
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 3
Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ® Number of Employees 5
Residential ❑ Number of Homes
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Restaurant (120 seats)
Hotel (120 rooms)
Number of persons served: 1,000
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Laurel Branch in Subbasin of the New River Basin
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS,
nitrogen and phosphorus. If the space provided is not sufficient, attach the description of
the treatment system in a separate sheet of paper.
*0.025 MGD wastewater treatment system
1. Aeration Basin with Diffused Air
2. Secondary Clarifier with Sludge Air Lifts and in-plant pumps
3. Chlorination
4. Dechlorination
2 of 3 Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.025 MGD
Annual Average daily flow 0.003 MGD (for the previous 3 years)
Maximum daily flow 0.020 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average
over the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) 33.9 10.02 Mg/L
Fecal Coliform 5 1.13 Mg/L
Total Suspended Solids 15.2 7.6 Mg/L
Temperature (Summer) 24 19.89 °C
Temperature (Winter) 9.5 7.6 °C
pH 7.6 N/A Standard Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Jessica Mize Administrative Assistant , R &A Laboratories, Inc.
Printed name of Person Signing Title
/0 ,36/gOgC)
7114i;
Signa f Applicant Date
North Caro a General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001
provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
3of3
Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.025 MGD
Annual Average daily flow 0.003 MGD (for the previous 3 years)
Maximum daily flow 0.020 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average
over the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) 33.9 10.02 Mg/L
Fecal Coliform 5 1.13 Mg/L
Total Suspended Solids 15.2 7.6 Mg/L
Temperature (Summer) 24 19.89 °C
Temperature (Winter) 9.5 7.6 °C
pH 7.6 N/A Standard Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Jessica Mize Administrative Assistant , R &A Laboratories, Inc.
Printed name of Person Signing Title
� r
736/gog.c)
Signa f Applicant Date
North Caro a General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article,shall be
guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001
provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
3of3
Form-D 11/12

RESEARCh & ANAEyTICAL
LAbORATORIES, INC.
IPA
Analytical/Process Consultations
SLUDGE MANAGEMENT PLAN
Nikola's Restaurant & High Meadows Inn
WASTEWATER TREAMENT PLANT
NPDES PERMIT NO. NC0084832
Sludge from the Nikola's Restaurant & High Meadows Inn, wastewater treatment plant is
disposed of in the following way:
1. Sludge generated from High Meadows Inn WWTP through the activated sludge
process is removed periodically.
2. Since there is no on-site digester available for wasting, the plant is cut off and
allowed to settle for 24hrs.
3. Thickened sludge is then removed directly from the bottom of the aeration basin
by septic tank truck. Manifest documents are maintained to verify date of sludge
removal, volume pumped, location of approved facility (i.e. municipal WWTP)
receiving sludge, and cost of sludge hauling/disposal.
P.O. Box 473 • 106 Short Street• Kernersville, North Carolina • 27284 • 336-996-2841 • Fax [phone]
vwwv.randalabs.com