NC0038997_Permit Issuance_20090309

NCDENR.
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Govern6r Director
March 9, 2009
Mr. Steve Plummer
General Manager
Roaring Gap Club, Inc.
P.O. Box 129
Roaring Gap NC 28668
Subject: NPDES Permit Issuance
Permit NCO038997
Roaring Gap Club WWTP
Alleghany County
Dear Mr. Plummer:
Dee Freeman
Secretary
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached NPDES discharge 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 U.S. Environmental Protection Agency
dated October 17,' 2007 (or as subsequently amended.)
The permit authorizes Roaring Gap Club, Inc. to discharge domestic wastewater from the
Roaring Gap Club WWTP to an unnamed tributary to Mitchell River a class B Trout ORW water in
the Yadkin -Pee Dee River Basin. The permit includes discharge limitations/or monitoring for flow,
BOD5, ammonia nitrogen, total suspended solids (TSS), total residual chlorine, and fecal coliform.
The following procedure has been recently implemented by DWQ: Total residual chlorine (TRC)
compliance level changed to 50 ua/1. Effective March 1, 2008, the Division received EPA approval
to allow a 50ug/1 TRC compliance level. This change is due to analytical difficulties with TRC
measurements. Facilities will still be required to report actual results on their monthly discharge
monitoring report (DMR) submittals, but for compliance purposes, all TRC values below 50 ug/l will
be treated as zero. A footnote regarding this change has been added to the effluent limitations page
in the permit.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] \ FAX: [phone] \ Customer Service:1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer Nahzrallff

The following modification from the draft permit of January 14+h is included in the final permit.
• The components of the wastewater treatment plant: dosing tanks with pumps,
recirculation tank with pumps and flow totalizer are now included in the Supplement to
Permit Cover Sheet.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within
thirty (30) days following receipt of this letter. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
office of Administrative Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714.
Unless such a demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable. The Division may require modification
revocation and reissuance of the permit. 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 permits may be required.
If you have any questions or need additional information, please contact Ms. Jacquelyn
Nowell at telephone number [phone] or email [e-mail].
Sincerely,
oleen H. Sullins
Attachments
cc: NPDES File/NC0038997
Winston Salem Regional Office/Surface Water Protection Section
Central Files

Permit No. NCO038997
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
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,
Roaring Gap Club, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Roaring Gap Club Wastewater Treatment Plant
Roaring Gap
Alleghany County
to receiving waters designated as an unnamed tributary to Mitchell River in the Yadkin -Pee Dee River
Basin
in -accordance -with effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
H, III, and IV hereof.
The permit shall become effective April 1, 2009.
This permit and the authorization to discharge shall expire at midnight on December 31, 2013.
Signed this day March 9, 2009.
Co een H. Sullins, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NCO038997
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked. As
of this permit issuance, any previously issued permit bearing this number is no longer.effective. Therefore, the
exclusive authority to operate and discharge from this facility arises under the permit conditions,
requirements, terms, and provisions included herein.
Roaring Gap Club, Inc.
is hereby authorized to: -
1. Continue to operate a 0.013 MGD.wastewater treatment system consisting of:
• a septic tank
• dosing tank with pumps
• dual sand filters
• recirculation tank with pumps
• flow totalizer
• UV disinfection
•. tablet chlorination and dechlorination (backup system)
The facility is located at Roaring -Gap Club, Highway 21, Roaring Gap, Alleghany County,
and
2. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to the Mitchell River, which is classified as B-Trout ORW waters in the
Yadkin -Pee Dee River Basin.

j
SCALE 1:24000
Latitude: 36°25'21 "
Longitude: 80157'58"
Quad #: B 15NW, "Roaring Gap"
Stream Class: B-Tr-ORW
Receiving Stream: UT to Mitchell River

Permit No. NCO038997
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS — FINAL
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge domestic wastewater from outfall 001. Such discharges shall be limited and
monitored by the Permittee as specified below:
EFFLUENT
CHARACTERISTICS
EFFLUENT LIMITATIONS
MONITORING REQUIREMENTS
Monthly
Average
Weekly
Average
Daily
Maximum
Measurement
Fre uenc
Sample Type
Sample
Location
Flow
0.013 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5-day (20°C)
30.0 m /L
45.0 m
2/Month
Grab
Effluent
Total Suspended Solids
30.0 m /L
45.0 m /L
2/Month
Grab
Effluent
NH3 as N
2/Month
Grab
Effluent
Fecal Coliform
(geometric mean)
200/100 mL
400/100 rrL
2/Month
Grab
Effluent
Total Residual
Chlorinel.z
17 µg/L
2/Week
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
Total Nitrogen (NO2 +
NO3 + TKN)
Quarterly
Grab
Effluent
Total Phosphorus
Quarterly
Grab
Effluent
g
2/Month
Grab
Effluent
Footnotes:
1. Monitoring requirements apply only if chlorine is added to the treatment system.
2. The Division shall consider all effluent total residual chlorine values reported below 50 µg/1 to
be in compliance with the permit. However, the Permittee shall continue to record and submit
all values reported by a North Carolina certified laboratory (including field certified), even if
these values fall below 50 µg/l.
3. The pH shall not be less than 6.0 standard units or greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

PUBLIC NOTICE
STATE OF NORTH CAROLINA
j ENVIRONMENTAL MANAGEMENT
COMMISSION/NPDES UNIT.
11617 MAIL SERVICE CENTER
RALEIGN; NC27699-1617.
- NOTIFICATION OF, INTENT"' '-'"``— — -- "
TO'ISSUEA'NPDES f ,
WASTEWATER PERMIT,
On'the basis of thorough staff;re- .
i view and application of NC,.General
Statute 143.215:1-' and 15A NCAC
102H_0109- and other lawful 'stan-
jdards, and regulations,, the. North _
'Carolina Environmental Manage-
ment commission proposes to' issue
'a National Pollutant `Discharge.
,.Elimination •System.- (NP.DES)
,wastewater discharge permit to the
person(s) listed below effective 45
kdays from, the. publish date of this','
(notice.
Written comments regarding the i
proposed permit will be accepted
until 30 days after the publish date
of this notice. All comments,'received
I prior to that date are considered in
(the.final determinations regarding
the proposed permit. The Director of ,-
:the NC Division of,Water Quality --
,may decide to hold a public meeting
for the proposed permit; ;should the
Division receive a significant degree,
of public interest.
Publisher"I'S Affidavit
State of North Carolina, Wilkes County.
Personally appeared before me the Undersigned JULIUS C. HUBBARD, JR.
and/or JOHN W. HUBBARD Co -Publishers of WILKES JOURNAL -PATRIOT,
a public newspaper of general circulation, printed and published in North
Wilkesboro, in the county aforesaid who, being duly sworn, upon his oath, sayeth
that the notice of which the attached is a true copy, was duly published, in said
paper for / �yinsertions successively, the first of which publication
was on the / r� day of 20 and the
last on the day of 20
Publication Fee $ $: ,
-6.y �t
Co -Publisher of Wilkes Journal -Patriot
.••o•���Q�G'�t��•�.e. Subscribed and sworn to before me j!-"�/J 20 /
Notary
_ Notary Public
Public
�� My Commission expires rc)rflmissiori Expires 10-03-2099

Copies of the draft permit and
other supporting information on file
used to determine conditions pre-
sent in the draft permit are available
upon request and payment of the
costs of reproduction. Mail com-
ments and/or requests for informa-
tion to the NC Division of Water
Quality at the above address or call
Dina Sprinkle [phone] at the
Point Source Branch. Please include
the NPDES permit number (below)
in any communication. Interested
persons may also visit the Division
of Water Quality at 512 N. Salisbury
Street, Raleigh, N.C. 27604-1148
between the hours of 8:00 a.m. and
5:00 p.m. to review information on
file.
The Roaring Gap Club, Inc (P.O.
Box 129, Roaring Gap, N.C., 28668)
has applied for renewal of NPDES
permit NC0038997 for the Roaring
Gap Club WWTP in Wilkes County.
This permitted facility discharges
treated domestic wastewater to the
unnamed tributary to the Mitchell
River in the Yadkin -Pee Dee River
Basin. Currently BOD, total sus-
pended solids, fecal coliform and
total residual chlorine are water
quality limited. This discharge may
affect future allocations in this por-
tion of the Yadkin -Pee Dee River
Basin.
The Town of North Wilkesboro,
P.O. Box 218, North Wilkesboro,
North Carolina, 28659, has applied
for renewal of its permit, North
Wilkesboro - Thurman St. Waste-
water Treatment Plant - NPDES No.
NC0020761, discharging treated
municipal wastewater to the Yadkin
River in the Yadkin River Basin.
Ammonia, fecal coliform, and resid-
ual chlorine are water quality limited.
This discharge may affect future dis-
charges in this portion of the basin.
1-16-tt(F)

DENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES No. NCO038997
FacHity Information
Applicant/ FaciliName:
Roaring Gap Club, Inc/ Roaring Gap
Club WWTP
Applicant Address:
P.O. Drawer 129, Roaring Gap, NC
28668
Facility Address:
Same as above
Permitted Flow
0.013 MGD
Type of Waste:
100% Domestic )
Facility/ Permit Status:
Renewal
County:
Alle han
Miscellaneous
Receiving Stream:
UT Mitchell
River
Regional Office:
WSRO
Stream Classification:
B Trout ORW
Quad
B 15NW
Roaring Gap
303(d) Listed?:
NO
Permit Writer:
1 Jackie Nowell
Subbasin:
030702
Date:
January 6, 2009
Drainage Area (mi2):
<0.1
Summer 7Q 10 (cfs)
0
Winter 7Q10 (cfs):
0
Average Flow (cfs):
1
IWC ft:
100
Primary SIC Code:
4952
SUMMARY
Roaring Gap Club operates a 0.013 MGD wastewater treatment facility that discharges into the
unnamed tributary to Mitchell River in the Yadkin -Pee Dee River Basin. The discharge is
seasonal discharges from May through October. There are 38 homes and an inn/restaurant.
The WWTP serves about 150 people.
Existing limits are:
BOD5=30 mg/1
TSS=30 mg/1
NH monitoring
Fecal =200/ 100m1
TRC=17 ug/1
pH=6-9 SU
RECEIVING STREAM
The Roaring Gap Club WWTP discharges into UT Mitchell River, a class B Trout ORW stream.
Historical review of the permit shows that the facility discharges to into the ground not a
designated stream.
Roaring Gap Club WWTP
NPDES Renewal
Page 1

BACKGROUND
Ammonia limits had been recommended in a 1996 renewal and facility proposed a new
discharge point into the Mitchell River. After review and discussion, staff conclusion was for
facility to continue to discharge at the UT without ammonia limits. The facility did a plant
optimization study to make sure that BOD5 concentrations were reduced. It was recommended
that outfall not be relocated because the effluent is absorbed into the ground before it reaches
the UT in most cases. It was determined that the current flow and treatment is not resulting in
significant environmental impact. Based on the previous DWQ staff decisions and facility
compliance record, recommend the renewal of existing limits and monitoring requirements.
See attached with more in-depth notes from 1996 and 1999 renewals.
TOXICITY TESTING:
Not required
COMPLIANCE SUMMARY:
A review of compliance data for the last three years ( 2006-2008) showed that there were very
few permit limit violations. Exceedances of the fecal coliform limit occurred in July 2005 and
September 2006, however, no other limits violations have occurred since then.
There were some monitoring frequency violations in 2005 and 2006.
Overall, the facility has been well maintained and operated.
INSTREAM MONITORING:
Not required
PROPOSED CHANGES:
None
PROPOSED SCHEDULE FOR PERMIT ISSUANCE:
Draft Permit to Public Notice: January 14, 2009 (est.)
Permit Scheduled to Issue (Tentative): April 1, 2009 (est.)
STATE CONTACT:
If you have any questions on any of the above information or on the attached permit, please
contact J kie Nowell at [phone].
N DATE: ! /Mo
CE
NAME: DATE:
Roaring Gap Club WWTP
NPDES Renewal
Page 2

Effluent Data for Roaring Gap Club (2006-2008)
Month
Day
Year
NH3-N Mo. avg
Month
Day
Year
Total N
Qrtr Avg
Month
Day
Year
Total P
Qrtr Avg.
6
7
2006
0.1
5
25
2006
5.77
5
25
2006
3.05
6
27
2006
0.2
7
6
2006
14.9
7
6
2006
5.85
7
6
2006
4.4
10
17
2006
14.91
11.86
10
17
2006
5.4
4.77
7
18
2006
3.9 4.15
6
5
2007
22.2
6
5
2007
4.01
8
8
2006
0.7
7
3
2007
6.55
7
3
2007
5.5
8
22
2006
0.7
10
2
2007
9.885
12.88
10
2
2007
5.35
4.95
9
6
2006
0.7
5
28
2008
13.88
5
28
2008
4.7
9
19
2006
0.2
7
1
2008
16.03
14.96
7
1
2008
4.8
4.75
10
4
2006
0.4
10
17
2006
0.8
6
5
2007
0.3
6
19
2007
0.4
7
3
2007
0.7
7
17
2007
0.3
8
7
2007
0.4
8
21
2007
0.5
9
4
2007
0.6
9
18
2007
0.1
10
2
2007
0.2
10
16
2007
0.1
5
28
2008
0.5
6
3
2008
0.3
6
17
2008
0.2
7
1
2008
0.5
7
11
2008
0.8
8
5
2008
0.9
8
18
2008
1.3
9
2
2008
3.3
9
16
2008
0.3 1.8
averag
0.82069
jmn 11/19/2008

communities, and have shown very few discernable water quality stressors. The South Prong Lewis Fork
fish community site at SR 1154 also improved in rating from Good to Excellent.
A few miles southwest of Wilkesboro, the benthic site at NC 18 on Moravian Creek has produced three
consecutive Good -Fair ratings, and may be showing subtle signs of declining water quality in that
agricultural watershed. The benthic site in Wilkesboro (Yadkin River at NC 18/268) has fluctuated
between Good -Fair and Good since 1984, and is the only biological monitoring station in the Yadkin River
Headwater HUC that improved two whole ratings in 2006; rising to Excellent.
The biological assessments of the Mulberry Creek watershed indicate good water quality. The creek was
sampled for the first time for fish in 2006 at SR 1002 and received a rating of Good. Further downstream
at NC 268, the stream has been rated Excellent for its benthic community on three occasions, and shows
no signs of water quality stressors. The Roaring River at SR 1990 moved from Good to Excellent, and
has been showing trends of stable or improving water quality since first sampled in 1983. The Middle
Prong Roaring River fish community site rated Excellent for the second time in a row, after an initial 1996
rating of Good in this rural mountain watershed. The fish community of Big Bugaboo Creek just outside
of Rhonda at SR 1924 was sampled for the first time in 2006, and earned a rating of Good.
Bound by Elkin and Jonesville, the Yadkin River at US 21 has been sampled for benthic
macroinvertebrates on three occasions since 1996. This urban river site has maintained a rating of Good
since the 2001 assessment, and has shown slight improvement over a ten-year period. The Elkin Creek
tributary just upstream of this site has been sampled for its benthic community at NC 268 and further
upstream for fish at SR 2044. The lower site has maintained a Good -Fair rating over three basinwide
cycles and continues to show its urban influences. The new fish community site located about three
miles upstream at SR 2044 is classified as WS-II; HQW, and was rated Good in 2006.
Streams in the northernmost areas of the Yadkin River Headwater HUC and especially the northwest
comer of Surry County are typified by rural montane characteristics, and in general, exhibit good water
quality. The upper Mitchell River watershed in western Surry County, much of which is classified as ORW
(above the South Fork Mitchell confluence), has benefited from extensive restoration and conservation
efforts. There are four biological monitoring stations located throughout the Mitchell River watershed.
The upper Mitchell River site at SR 1330 retained its third consecutive Good rating for benthos in 2006,
and improved to a rating of Excellent based on the fish community. In fact, water quality (as indicated by
the fish community) has shown a steady improvement over three assessments, from Good -Fair in 1996 to
Excellent in 2006, and can be attributed to the ongoing conservation and habitat restoration efforts.
Further downstream at the SR 1003 crossing, the 2006 benthic assessment of the Mitchell River
indicated a return to a previous rating of Good (1987 and 1996) after one Excellent rating in 2001 based
on low flows and the lack of nonpoint pollution inputs. The fish community of South Fork Mitchell River
was sampled for the first time in 2006 at SR 1301, and was rated Excellent.
Snow Creek is a tributary to the lower Mitchell River that was rated Good -Fair for benthos at SR 1121 in
2001 and 2006 (a decline from a Good rating in 1996). This site however, which drains a primarily
forested and agricultural watershed, was rated Excellent for fish in 2006.
The upper Fisher River watershed drains the rural extreme northwest corner of Surry County. The 2006
fish community site located at SR 1331 retained its water quality rating of Excellent, and is showing no
discernable signs of stressors. However, the water quality ratings at two benthos sites further
downstream (US 601 and NC 268) declined from Good in 2001 to Good -Fair in 2006 based on low flow
and sedimentation (upstream residential construction), respectively. Originating in Virginia, the Little
Fisher River retained its water quality ratings of Good (as indicated by the fish community) and Good -Fair
(as indicated by benthic macroinvertebrates), but was noted as having an increased amount of interstitial
sediment than in 2001. Although not sampled since the 1996 basinwide cycle, the fish community of
Cody Creek (a tributary to the Little Fisher River) showed a slight water quality improvement, with an
increase in rating from Good to Excellent.
NCDENR, Division of Water Quality
Basinwide Assessment Report - Yadkin River Basin - April 2006
12

Dear Mrs. Sprinkle,
May 5,2008
This application is being submitted to request permit renewal for Roaring Gap Club,
Inc.. The Permit number is NCO038997 for the wastewater plant. There have not been
any changes to the facility since the last renewal.
Thank you,
(�a �Z&��
MAY 23 2008 tJ I
f
t
I OENR - Y ATER P(� �t"T SOi1A,
UALl�Y
-_ ,

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit C00 ?';' r
Please print or type.
1. Contact Information:
Owner Name 9oA4il►(6 6W C s -TAtc.
Facility Name "4;AASP CC.uA
Mailing Address Pp &x /,)Lq
city J?bAg/`NG
State / Zip Code A/L
Telephone Number (33(.) -1463- ;)a/(
Fax Number ( )
e-mail Address
2. Location of facility producing discharge: 2 3 2008
Check here if same address as above MAY
Street Address or State Road
city DE '
State / Zip Code POD
NT
County
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
�4�
7A4.4sj(&
Mailing Address
9-94,
L f,)%12CL AVA9_ Do
City
'<%�
PO �
State / Zip Code
/PLC
;)f6 76
Telephone Number
?q- _ y-A*?
Fax Number
( )
1 of 3 Form-D 4/05

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewate(check all that apply).
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential []r Number of Homes 39 . .
School ❑ Number of Students/Staff
Other ® Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.): -TAW V- 1401WE-5 `ZO
Population served: I'S0
S. of collection system
Typ7eparate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number se to discharge points
Outfall Identification number(s)
Is the outfall equipped with a diffuser? ❑ Yes [Rio
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfallr
^71CI1644- U�1
8. Frequency of Discharge: ❑ Continuous intermittent
If intermittent:
Days per week discharge occurs: Duration: 5E�dA4-- JLly4 �/ tea
3. 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 papen
0.0/,3 M6 0 5 7�C T4 NK,, DC)S%llI G 774x/k W i'Tt/ f-0'41'4s;
,eA11tWi A1.c- Sep R: 4e� S W,0 f=;1--TE s`, 4kr-L-i4CU(-A770iV -fAWC
? d 7)�Z EX , UV D �r.�,`,�i �c�o,cd EA+CCv€07—t� AA- ,
2of3
Form-D 4/05

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design now d, Dl3 MGD
Annual Average daily flow , 00 5 / MGD (for the previous 3 years)
Maximum daily flow D, 15 (a MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes [Ij-No
12. Effluent Data
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.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODs)
�'
14-
Fecal Coliform
%
(
# M4-
Total Suspended Solids
5
/•
/;4L
Temperature (Summer)
Temperature (Winter)
pH
Cv,
to • S
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 (Sec4ioth4q`,diti-CWA)
PSD (CAA)
Other 1` ti
Non -attainment program (CAA)
MAY 2
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained ia;-,the gp ication and that to the
best of my knowled a and belief such information is true, complift -r;otiid accvurate-
,S—t U I V Ke"\Er (Situ, ,'h C-s k .
Printed name of Person Signing Title
r1Z t S^2f'-o0-
Signature of Applicant Date
North Carolina General Statute 143-215.6 (bX2) 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 Emrvorurie ntat Management
nmmissinn imply .rating that Article, or who falsifies, tampers with, or knowly 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 implemenfing 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 impbx vent rat more than 5 yeas, or both, for a sin" offense.)
3 of 3 Form-D 4105

Roaring Gap Club Inc.
The sludge management plan for this system is as follows:
Sludge is removed on an annual basis. A licensed septage hauler is contacted, the sludge
is removed and disposed of at a wastewater treatment plant.
Thank you,
9 W E
M AY 2 3 2008'
d
DFiR - WATFR RLIALITY y�

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Racie Tnfnrmatinn to determine nntentinl for expedited nermit renewal
Reviewer/Date
Permit Number
ID 0
G-
Facility Name
CAP
e L1 W1 'TP
Basin Name/Sub-basin number
O 3-`014— vZ
Receiving Stream
U' ►
Stream Classification in Permit
R (-
Does permit need NH3 limits?
Does permit need TRC limits?
rs
Does permit have toxicity testing?
740
Does permit have Special Conditions?
L`'4 o
Does permit have instream monitoring?
0
Is the stream impaired (on 303(d) list)?
Any obvious compliance concerns?
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Any permit mods since last permit?
N, 0
Existing expiration date
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New expiration date
0 rL 3 I , 20 13
New permit effective date
Miscellaneous Comments
YES_ This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
name/ownership changes). Include conventional WTPs in this group.
YES This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case -by -case -decision.
YES_ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipal/industrial)
• Minor Municipals with pretreatment program
• Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006. (NPDES Server/Current Versions/Expedited Fact Sheet)
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