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Home My WebLink AboutNC0047279_Permit Issuance_20140920A A NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor Mr. Charles G. Bradshaw C&J Bradshaw, LLC 6659 Private School Rd Oxford, N.C. 27565 Dear Permittee: John E. Skvarla III Secretary September 20, 2014 Subject: Issuance of NPDES Permit NCO047279 Heritage Meadows WWTP Granville County Class WW-2 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 15, 2007 (or as subsequently amended). This final permit includes no major changes from the draft permit sent to you on July 2, 2014. 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 demand is made, this decision shall be final and binding. Please note that this permit is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to obtain any other Federal, State, or Local governmental permit that may be required. If you have any questions concerning this permit, please contact Charles Weaver at telephone number (919) 807- 6391. Since ly, Thomas A. Reeder, Direc Division of Water Resources cc: Central Files Raleigh Regional Office NPDES Unit 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North Carolina 27604 Phone: 919 807-63001 FAX 919 807.64891 hfp://pogal.ncdenr.orgtweblwq An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper Permit NCO047279 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER RESOURCES PERMIT TO DISCHARGE WASTEWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provisions 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, C & J Bradshaw, LLC is hereby authorized to discharge wastewater from a facility located at the Heritage Meadows WWTP 6659 Private School Road Oxford Granville County to receiving waters designated as an unnamed tributary to the North Fork Tar River in subbasin 03-03-01 of the Tar -Pamlico River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This permit shall become effective November 1, 2014. This permit and authorization to discharge shall expire at midnight on September 30, 2019. Signed this day September 20, 2014 Th das A. Reeder, Direct _ Division of Water Resourc57_ By Authority of the Environmental Management Commission 1 of 6 Permit NCO047279 SUPPLEMENT TO PERMIT COVER SHEET All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked, and as of this 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. C & J Bradshaw, LLC is hereby authorized to: 1. Continue to operate an existing 0.01 MGD wastewater treatment facility with the following components: ♦ Influent tank with bar screen ♦ Two influent pumps ♦ Two aeration blowers ♦ Two aeration basins ♦ Two digesters, 800 gallons each ♦ Two clarifiers ♦ Effluent tank with chlorine dispenser ♦ Dechlorination This facility is located at the Heritage Meadows WWTP (6659 Private School Road) near Oxford in Granville County. 2. Discharge from said treatment works at the location specified on the attached map into an unnamed tributary to the North Fork Tar River, classified WS-IV NSW waters in the Tar -Pamlico River Basin.' 2 of 6 Permit NCO047279 A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored' by the Permittee as specified below: PARAMETER LIMITS MONITORING REQUIREMENTS (Parameter Code) Monthly Daily Measurement Sample Type Sample Average Maximum Frequency Location Flow 50050 0.01 MGD Weekly Instantaneous Influent or Effluent BOD, 5-day (20°C) (00310) 5.0 mg/L 7.5 mg/L Weekly Grab Effluent (April 1— October 31 BOD, 5-day (20°C) (00310) 10.0 mg/L 15.0 mg/L Weekly Grab Effluent November 1— March 31 Total Suspended Solids 00530 30.0 m /L 45.0 m /L Weekly Grab Effluent NH3 as N (00610) 2.0 mg/L 10.0 mg/L Weekly Grab Effluent (April 1— October 31 NH3 as N (00610) 4.0 mg/L 20.0 mg/L Weekly Grab Effluent November 1— March 31 Dissolved Oxygen 00300 Daily average > 6.0 m /L Weekly Grab Effluent Dissolved Oxygen 00300 Weekly Grab U & D Fecal Coliform (31616) 2001100 ml 400 / 100 ml 2/Month Grab Effluent eometric mean Total Residual Chlorine3 50060 17 /L 2/Week Grab Effluent Temperature °C 00010 Daily Grab Effluent Temperature °C 00010 Weekly Grab U & D Total Kjeldahl Nitrogen (TKN) Monthly Grab Effluent 00625 Nitrate / Nitrite Nitrogen (00630) Monthly Grab Effluent NO2-N + NO3-N Total Nitrogen (00600) Monthly Calculated Effluent NO2-N+NO3-N+TKN Total Phosphorus 00665 Monthly Grab Effluent H 00400 > 6.0 and < 9.0 standard units Weekly Grab Effluent Footnotes: 1. No later than 270 days from the effective date of this permit, the permittee shall begin submitting discharge monitoring reports electronically using the Division's eDMR system [see A. (3)]. 2. U: at least 100 feet upstream from the outfall. D: at least 300 feet downstream from the outfall. 3. Limit and monitoring requirements apply only if chlorine or chlorine derivative is added during the treatment process. The Division shall consider all effluent TRC values reported < 50 µg/L 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 jag/L. THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS. 3 of 6 Permit NCO047279 A. (2) NUTRIENT REDUCTION REQUIREMENT Dischargers to the Tar -Pamlico River are subject to the requirements, terms, and conditions of the Tar -Pamlico Nutrient Sensitive Waters (NSW) Implementation Strategy: Phase III adopted April 14, 2005. Non-members of the Tar -Pamlico Association will maintain or receive permit effluent limits for Total Nitrogen and for Total Phosphorus concentrations as defined in the Strategy. Any revisions to the Strategy during the life of this permit are applicable. If requirements other than those listed in this permit are adopted as part of a revision to the Strategy, the Division reserves the right to reopen this permit and include those requirements. If requirements other than those listed in this permit are adopted to prevent localized adverse impacts to water quality, the Division reserves the right to reopen this permit and include those requirements. A. (3) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and specify that, if a state does not establish a system to receive such submittals, then permittees must submit DMRs electronically to the Environmental Protection Agency (EPA). The Division anticipates that these regulations will be adopted and is beginning implementation. NOTE: This special condition supplements or supersedes the following sections within Part II of this permit (Standard Conditions for NPDES Permits): • Section B. (11.) Signatory Requirements • Section D. (2.) Reporting • Section D. (6.) Records Retention . • Section E. (5.) Monitoring Reports 1. Reporting FSupersedes Section D. (2.) and Section E. (5.) (a)] Beginning no later than'270 days from the effective date of this permit, the permittee shall begin reporting discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report (eDMR) internet application. Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted electronically_ using eDMR. The eDMR system allows permitted facilities to enter monitoring data and submit DMRs electronically using the internet. Until such time that the state's eDMR application is compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be required to submit all discharge monitoring data to the state electronically using eDMR and will be required to complete the eDMR submission by printing, signing, and submitting one signed .original and a copy of the computer -printed eDMR to the following address: 4 of 6 Permit NCO047279 NC DENR / Division of Water Resources / Information Processing Unit ATTENTION: Central Files / eDMR 1617 Mail Service Center Raleigh, NC 27699-1617 If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being physically located in an area where less than 10 percent of the households have broadband access, then a temporary waiver from the NPDES electronic reporting requirements may be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be submitted to the mailing address above. Requests for temporary waivers from the NPDES electronic reporting requirements must be submitted in writing to the Division for written approval at least sixty (60) days prior to the date the facility would be required under this permit to begin using eDMR. Temporary waivers shall be valid for twelve (12) months and shall thereupon expire. At such time, DMRs shall be submitted electronically to the Division unless the p ermittee re -applies for and is granted a new temporary waiver by the Division. Information on eDMR and application for a temporary waiver from the NPDES electronic reporting requirements is found on the following web page: http://portal.ncdenr.org/web/wg/admin/bog/ipu/edmr Regardless of the submission method, the first DMR is due on the last day of the month following the issuance of the permit or in the case of a new facility, on the last day of the month following the commencement of discharge. 2. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section B. 11. d All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II, Section B. (11.) (a) or by a duly authorized representative of that person as described in Part II, Section B. (11.)(b). A person, and not a position, must be delegated signatory authority for eDMR reporting purposes. For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user account and login credentials to access the eDMR system. For more information on North Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit the following web page: http:IZportal.ncdenr.org/web/wq/`admin/bog/ipu/edmr Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED: "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 5 of 6 Permit NCO047279 penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 3. Records Retention [Supplements Section D. (6.1] The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These records or copies. shall be maintained for a period of at least 3 years from the date of the report. This period may be extended by request of the Director at any time [40 CFR 122.41]. 6 of 6 / ,. l r ; -�'; • l r 7r r r /;, • ,' 1 `I } - J (r'' "` S - `I% r ' _.c`�I„ _1 \ a . ti t . •, vw• � �• / i. ` � �` 1'1 !��/' •`•; \'• \ 11}I �� err'+ r� lil / .` � �! �• � c '• �`_•- 1 �,.•J f I ..� J �'`�\ '•.� t • ji f / r{ll � t11��1`' t ,. '.'� } ; � rr�'. !�_�' '% � '��•-� � r,'y � . 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Weaver, Jr. NPDES Unit Subject: Review of Draft NPDES Permit NCO047279 Heritage Meadows WWTP Granville County John E. Skvada III, Secretary Please indicate below your agency's position or viewpoint on the draft permit and return this form by July 31, 2014. If you have any questions on the draft permit, please contact me at the telephone number or e-mail address listed at the bottom of this page. §§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§ RESPONSE: (Check one) Concur with the issuance of this permit provided the facility is operated and maintained properly, the stated effluent limits are met prior to discharge, and the discharge does not contravene the designated water quality standards. ❑ Concurs with issuance of the above permit, provided the following conditions are met: ❑ Opposes the issuance of the above permit, based on reasons stated below, or attached: laq 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 807-6391 (fax) 919 807.6489 VISIT as ON THE INTERNET @ HTTPIIKRTAL.NGeENR eRGIWEBAve Charles weaver@ ncdenr.gov An Equal Opponunity/Af irmative Action Employer - 50%Recyded110% Post Consumer Paper 94Cft,1[erafb+zun WEARiEDuiHAM NCDENR-HS WATER RESOURCES MAIL SERVICE CENTER #1617 RALEIGH, NC 27604-1634 Reference: 30512330 Affidavit of Publication State of North Carolina, Durham County To Whom it May Concern: this is to certify the advertisement attached hereto has been published in The Herald Sun On the follgwirw dates: Sworn to on tl is / ' da / y of LJ Y .2014 Herald -Sun Representative Sworn to and Subs_cfibed before me this 5 day of JIA 2014 10 Notary Public NOTARY MY <� COMMISSION EXPIRES r Isar a 3, 20,tt P�-lB�.tG Aj, Public Notice North Carolina Environment- al Management Cornmis- sionlNPDES Unit 1617 Mail Service Center Raleigh, NC 276 -1 617 Notice of Intent to Issue a NPDES Wastewater Permit The North Carolina Environ- mental Management Commis- sion proposes to issue a NP- DES wastewater discharge permit to the person(s) listed below. Written comments re- garding the proposed permit will be :accepted until 30 days after the publish date of this notice. The Director of the NC Division of Water Resources (DWR) may hold a public hear- ing should there be a signific- ant degree of public interest. Please mail comments and/or information requests to DWR at the above address. Inter- ested persons may visit the DWR at 512 N. Salisbury Street, Raleigh, NC to review information on file. Additional information on NPDES per- mits and this notice may be found on our website: hftp.-/Ipo:rtal,ncdenr.org/Web/`wq /swp/p:s/npdes/calendar, or by calling �(919) 807-6390. C .I Bradshaw, LLC requested re- newal of NP ES permit I'C0o4'2791Heritage Iead- ows W TP/Granville County, Facility discharges to an un- named tributary to the North Fork. Tar River/Tar-Pamlico River Basin. Currently fecal coliform, dissolved oxygen, total residual chlorine, ammo- nia -nitrogen, and BOD are wa- ter quality limited. H-S: 7-4-14 qf, • FACT SHEET FOR EXPEDITED PERMIT RENEWALS This form must be completed by Permit Writers for all expedited permits which do not require full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc) that can be administratively renewed with minor changes, but can include facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance concerns). Basic Information for Expedited Permit Renewals Permit Writer/Date Charles H. Weaver 6/30/2014 Permit Number NCO047279 Facility Name Heritage Meadows WWTP Basin Name/Sub-basin number 03-03-01 -Receiving Stream UT North Fork Tar River Stream Classification in Permit WS-IV NSW Does permit need Daily Max NH3 limits? No — already resent Does permit need TRC limits/lan e? No — already resent Does permit have toxicity testing? No Does permit have Special Conditions? Tar Pamlico nutrient reo ever Does permit have instream monitoring? Temperature and Dissolved Oxygen Is the stream impaired (on 303(d) list)? For whatparameter.? Yes. Fair bioclassification; stream impaired for Aquatic Life Any obvious compliance concerns? One enforcement case since 2010. Two other violations during the same period yielded NOVs. No severe problems noted. Any permit modifications since lastpermit? None New expiration date 9/30/2019 Continents on Draft Permit ➢ Added eDMR requirements Most Commonly Used Expedited Language: • 303(d) language for DraftlFinal Cover Letters: "Please note that the receiving stream is listed as an impaired waterbody on the North Carolina 303(d) Impaired Waters List. Addressing impaired waters is a high priority with the Division, and instream data will continue to be evaluated. If there is noncompliance with permitted effluent limits and stream impairment can be attributed to your facility, then mitigative measures may be required". TRC language for Compliance Level for Cover Letters/Effluent Sheet Footnote: `The facility shall report all effluent TRC values reported by a NC certified laboratory including field certified. However, effluent values < 50 µg/L will be treated as zero for compliance purposes." This page has been printed on scrap paper to save money and reduce our program's environmental impact Disregard any content on the back of this page. 2012 North Carolina 303(d) List -Category 5 Roanoke River Basin 10-digit Watershed 0301010602 Upper Lake Gaston -Roanoke River > AU Number I I Description Length or Area Units Classification Category Category Rating Use Reason for Rating Parameter Year > 23-10a Smith Creek From source to Cabin Branch 6.1 FW Miles C 5 5 Impaired Aquatic Life Fair Bioclassification Ecological/biological Integrity Benthos 2002 Roanoke River Basin 8-digit Subbasin 03010107 Roanoke River Basin 10-digit Watershed 0301010701 12-digit Subwatershed 030101070105 > 23-30b Quankey Creek From Little Quankey Creek to Roanoke River 3.4 5 Impaired Aquatic Life Roanoke River Basin > 23-(26)b3 ROANOKE RIVER 5 Impaired Aquatic Life Roanoke River Basin Fair Bioclassification Ecological/biological Integrity Benthos Roanoke River Quankey Creek -Roanoke River Occoneechee Neck -Roanoke Rive FW Miles C 5 1998 10-digit Watershed 0301010705 Conoho Creek -Roanoke River 12-digit Subwatershed 030101070509 City of Williamston-Roanoke Rive From Hwy 17 bridge at Williamston to the 18 mile marker at Jamesville 17.8 FW Miles C Standard Violation Low Dissolved Oxygen 2008 10-digit Watershed 12-digit Subwatershed 0301010709 030101070903 > 26 ALBEMARLE SOUND Freshwater portion of Albemarle Sound formerly part of Chowan River 6.5 Basin 15600.4 acres 5 Impaired Fish Consumption Standard Violation Dioxin Tar -Pamlico River Basin 8-digitSubbasin 03020101 Tar -Pamlico River Basin 10-digit Watershed 0302010101 5 Plymouth -Roanoke River Town of Plymouth -Roanoke Rive FW Miles B;NSW 5 2008 1 Tar River Headwaters Aycock Creek -Tar River 12-digit Subwatershed 030201010104 North Fork Tar River > 28-5a North Fork Tar River From source to 0.2 miles south of US 158 5.9 FW Miles WS-IV;NSW 5 5 Impaired Aquatic Life Fair Bioclassification Ecological/biological Integrity Benthos 2010 Friday, August 24, 2012 Approved by EPA August 10, 2012 Page 95 of 170 Heritage Meadows Rest Home 6659 Pri vafie School Rd. Oxford NC 27565 (919) 693-5918 March 25, 2014 Mr. Wren Thedford NCDENR- DWQ NPDES Unit 1617 Mail Service Center Raleigh NC 27699-1617 Dear Mr. Thedford: Please find enclosed the renewal package / application for NPDES permit # NC0047279, Heritage Meadows Rest home WWTP. No modification has occurred to the system since the last permit renewal. If you should have any questions regarding this information please feel free to contact Dennis Wilson plant ORC at (919) 691-1520. Sincerely, Charles Bradshaw C&J Bradshaw, LLC DBA Heritage Meadows RECEIVEDIDENRIDWR MAR 31 2014 Water Res$e�� Permitting 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 NC00 L1'19-19 If you are completing this form in computer use the TAB key or the up - down arrows to move from one field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type. 1. Contact Information: Owner Name Charles Bradshaw (C & J Bradshaw LLC) Facility Name Heritage Meadows Resthome WWTP Mailing Address 6659 Private School Rd City Oxford State / Zip Code NC 27565 Telephone Number (919)693-5918 Fax Number (919)693-3749 e-mail Address heritagemeadows®live.com 2. Location of facility producing discharge: Check here if same address as above Street Address or State Road city State / Zip Code 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 Wilson's Wastewater Services Mailing Address PO Box 112 City Oxford State / Zip Code NC 27565 Telephone Number (919)691-1520 Fax Number ( ) 1 of 4 Form-D 1106 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 18 Residential ® Number of Homes 3 School ❑ Number of Students/Staff Other ® Explain: Residents 45 Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.) : Residential Homes, Domesticwaste from rest home Population served: 54 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) (Provide a map showing the exact location of each outfall): un named tributary to north fork of Tar River 8. Frequency of Discharge: ❑ Continuous ® Intermittent If intermittent: Days per week discharge occurs: 7 Duration: Every 2 hours 9. Describe the treatment system List all installed components, including capacity, 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. Influent tank with Bar Screen Effleun Tank With Chlorine Dispenser Two influent Pumps (2) Dechlorination Dispenser (1) Two Aeration blowers (2) Two Aeration Basins (2) Two 800 gallon Digesters (2) Two Clarifiers (2) *This is an old system original design criteria is unknown.* 2 of 4 Form-D 1/06 NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD 10. Flow Information: Treatment Plant Design flow Al MGD Annual Average daily flow .005 MGD (for the previous 3 years) Maximum daily flow .015 MGD (for the previous 3 years) 11. Is this facility located on Indian country? ❑ Yes ® No 12. Effluent Data Provide data for the parameters listed. Fecal Coltform, Temperature and pH shall be grab samples, for all other parameters 24-hour composite sampling shall be used. Effluent testing data must be based on at least three samples and must be no more than four and one half years old. Parameter Daily Maximum Monthly Average Units of Measurement Number of Samples Biochemical Oxygen Demand (BOD5) 4.3 3.6 mg/1 5 Fecal Coliform 1 1 / 100 ml 5 Total Suspended Solids 4.3 4.2 mg/l 5 Temperature (Summer) 27 24.8 Deg. C 20 Temperature (Winter) 15 10.9 Deg. C 20 pH 7.2 7.0 units 5 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 NCO047279 Dredge or fill (Section 404 or CWA) PSD (CAA) Special Order of Consent (SOC) Non -attainment program (CAA) Other 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. Charles Bradshaw Owner Printed name of Person Signing Title 3 of 4 Form-D 1106 NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD Signature of Applicant Date North Carolina 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 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 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.) 4 of 4 Form-D 1/06 Heritage Meadows Sludge Management Plan Sludge is deverted from the aeration basin on a regular basis, and is collected in the digesters where it is aerated until time for disposal. After filling the tank with concentrated sludge the sludge is then hauled to The City of Oxford's wastewater treatment via septic tank truck for final disposal.