NC0030848_Renewal Application_20210819

y.a-- SEATo-
C„� m n,
ROY COOPER
Governor III
.J ELIZABETH S.BISER �`. �..�,' _
Secretory a„n.«
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
August 19, 2021
James Vannoy & Sons Construction
Attn: James Maloney, General Counsel
PO Box 635
Jefferson, NC 28640-0635
Subject: Permit Renewal
Application No. NC0030848
Jefferson Apparel Company WWTP
Ashe County
Dear Applicant:
The Water Quality Permitting Section acknowledges the August 19, 2021 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.
Sincerely�
iU i.#1
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
DE Q' North Carolina Department of Environmental Quality Division of Water Resources
Winston-Salem Regional Office 1450 West Hanes Mill Road.Suite 300'Winston-Salem North Carolina 27105
t`...�.t+....r * V 336.776.9800
I

11/441".40 James B. Maloney, General Counsel
James R. Vannoy & Sons Construction Company, Inc.*
1608 Hwy 221 North, P.O. Box 635,Jefferson, NC 28640
VAN N OY [phone] ext. 4265 (phone) / [phone] (fax)
ucTiON jim . maloney@jrvannoy . com
*Licensed/qualified in all 48 contiguous states.NC License No. 3810
August 10, 2021 RECEIVED
N.C. Department of Environmental and Natural Resources AUG 1 9 2021
Division of Water Quality
Attn: Permit Renewals NCDEQ/DWRINPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: (Late) Renewal of NPDES Permit # NCOO 30848
Jefferson Apparel WWTP
Class WW-2
Ashe County
Dear Sir/Madam;
Please find attached a renewal application for the above-referenced permit, and a
check for the yearly fee. Our employee who normally handles this (Sonny Coldiron) has
been out of work for awhile (caring for his wife who is seriously ill), so I have been on my
own and in the dark with this (very late) renewal. Tricia Lowery of the Winston-Salem
Office has been most patient and helpful, but I am not sure if I have included everything
that we need for this renewal. We are striving to get back into compliance, so please
contact me by whatever means you deem most convenient if I need to send a different
form or if there is anything else I need to provide or do to renew this permit. This facility
has not operated / discharged in over 20 years, but we have always kept this permit active
in case someone ever decides to try to get the system operating again...
Thank you!
Si erely,
es . aloney
JBM/yls
Enclosure
CC: Tricia Lowery, NCDEQ Division Water R- ounces
Winston-Salem Regional Office
450 Hanes Mill Rd., Suite 300
Winston-Salem, NC 27105

EPA Identification Number NPDES Permit Number Fadlity Name Form Approved 03/05/19
NCO()30848 Jefferson Apparel OMB No.2040-0004
Form U.S.Environmental Protection Agency
1 4"/EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 12
treatment works? 1. . treating domestic sewage?
If yes,STOP.Do NOT complete No If yes,STOP.Do NOT No
Form 1.Complete Form 2A. complete Form 1.Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
E operation or a concentrated aquatic animal commercial,mining,or silvicultural facility that is
a production facility? currently discharging process wastewater?
Yes 4 Complete Form 1 No Yes 4 Complete Form No
o and Form 2B. 1 and Form 2C.
c 1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
c mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
cI=1 Yes 4 Complete Form 1 ❑✓ No ❑ Yes 4 Complete Form ❑� No
and Form 2D. 1 and Form 2E.
1.2.5 Is the facility a new or existing facility whose RECEIVED
'— discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater and AUG 1 9 2021
non-stormwater?
Yes 4 Complete Form 1 ❑✓ No and Form 2F NCDEQIDWRINPDES
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15 .
SECTION 2.NAME,MAILING ADDRESS,AND LOCATION(40 CFR 122.21(f)(2))
2.1 Facility Name
Jefferson Apparel
2.2 EPA Identification Number
0
0
—J
2.3 Facility Contact
Name(first and last) Title Phone number
James B.Maloney General Counsel [phone]
Email address
[e-mail]
2.4 Facility Mailing Address
Street or P.O.box
PO Box 635
City or town State ZIP code
Jefferson NC 28640
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC00 30848 Jefferson Apparel OMB No.2040-0004
d 2.5 Facility Location
Street,route number,or other specific identifier
Q v 226 Jefferson Apparel Road
c o County name County code(if known)
f6 Ashe
a City or town State ZIP code
A Jefferson North Carolina 28640
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description(optional)
4225 Building currently used for storage;no occupants since its purchase in 2001.
(Used to be clothing manufacturing facility).No operation,flow,or discharge
- since before 2001.
0
U
N
3.2 NAICS Code(s) Description(optional)
-a
ca 493110 Building currently used for storage;no occupants since its purchase in 2001.
N
(Used to be clothing manufacturing facility).No operation,flow,or discharge
since before 2001.
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4))
4.1 Name of Operator
Tim Church
0 4.2 Is the name you listed in Item 4.1 also the owner?
❑ Yes ❑✓ No
4.3 Operator Status
❑ Public—federal ❑ Public—state ❑✓ Other public(specify)county
o 0 Private 0 Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
Street or P.O.Box
R
1233 Highway 16 South
o
w City or town State ZIP code
o v Jefferson NC 28640
cc
o Email address of operator
[e-mail]
SECTION 5.INDIAN LAND(40 CFR 122.21(f)(5))
c c 5.1 Is the facility located on Indian Land?
ca
c ❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCOO 30848 Jefferson Apparel OMB No.2040-0004
SECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
o w water) fluids)
2 NCO()30848
w ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
a.
*x ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
SECTION 7.MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
0 specific requirements.)
❑✓ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTION 8. NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8.1 Describe the nature of your business.
Jefferson Apparel used to be a clothing manufacturing facility,and this system was designed for approximately 150
employees with discharge into nearby Dog Creek.The facility has not operated since long before it was purchased by
c my employers in 2001,however,and it has been used as a general warehouse and storage facility since that time,
with no operation or discharge.
m
0
C,
is
SECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
❑ Yes ✓❑ No 4 SKIP to Item 10.1.
d 2
2 9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
a, 40 CFR 125,Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
o Y
O NPDES permitting authority to determine what specific information needs to be submitted and when.)
U C
SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
c ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
CD
ce Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑✓ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Fadlity Name Form Approved 03/05/19
NCOO 30848 Jefferson Apparel OMB No.2040-0004
SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
11.1 In Column 1 below,mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 Column 2
❑✓ Section 1:Activities Requiring an NPDES Permit ❑ w/attachments
❑✓ Section 2:Name,Mailing Address,and Location ❑ w/attachments
❑✓ Section 3:SIC Codes ❑ w/attachments
❑✓ Section 4:Operator Information ❑ w/attachments
O Section 5: Indian Land ❑ w/attachments
❑✓ Section 6: Existing Environmental Permits ❑ w/attachments
w/topographic
R 0Section 7:Map ❑✓ map ❑ w/additional attachments
U)
o ❑✓ Section 8:Nature of Business ❑ wl attachments
❑✓ Section 9:Cooling Water Intake Structures ❑ w/attachments
CD
�' ❑✓ Section 10:Variance Requests ❑ w/attachments
❑✓ Section 11:Checklist and Certification Statement ❑ wl attachments
Y
d 11.2 Certification Statement
I 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 fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
James Brent Maloney Secretary/Treasurer/General Counsel
Sig Date signed
07/21/2021
EPA Form 3510-1(revised 3-19) Page 4

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NC0030848 - Jefferson Apparel WWTP Facility
I Latitude: 36°26'39" Sub-Basin: 05-07-01 - i Location
Longitude: 80°24'04" River Basin: New
USGS Quad: Jefferson,N.C. Hydrologic Unit: 05050001
Stream Class: C-Trout+
Receiving Stream: Dog Creek A/_ l� Ashe County
/L Map not to scale