NC0064246_Permit Issuance_20180622

Kra -
Water Resources
ENVIRONMENTAL OUALITY
June 22, 2018
Mr. Joel M. Pace
13262 Buffalo Road
Clayton, NC 27527
ROY COOPER
Gmrenmr
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
hitertm Director
Subject: Issuance of NPDES Permit NCO064246
Pace Mobile Home Park WWTP
Johnston County
Class WW-2
Dear Mr. Pace:
Division personnel have reviewed and approved your application for renewal of the subject permit.
This permit renewal 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 significant changes from the draft permit previously sent to
you on May 1, 2018.
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 H. Weaver at telephone number (919)
807-6391.
cc: Central Files
NPDES files
erely,
Linda Culpepper
Interim Director, Division of Water Resources
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc.govlabouttdivisionstwater-resourceslwater-resources-permitslwastewater-branchlnpdes-wastewater-permits

Permit NCO064246
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
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,
Joel M. Pace
is hereby authorized to discharge wastewater from a facility located at the
Pace Mobile Home Park W WTP
15026 Buffalo Road
Clayton
Johnston County
to receiving waters designated as and unnamed tributary to Buffalo Creek in sub -basin 03-
04-06 of the Neuse River Basin in accordance with effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III, and IV hereof.
This permit modification is effective August 1, 2018.
This permit and authorization to discharge shall expire at midnight on April 30, 2023.
Signed this day June 22, 2018
g7da Culpepper, Interim Dir for
Director, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 8

Permit NCO064246
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.
Joel M. Pace is hereby authorized to:
1. Continue to operate an existing 0.015 MGD wastewater treatment system that includes
the following components:
♦ Continuous flow meter system
♦ Manual bar screen
♦ Equalization tank
♦ Dual aeration chambers
♦ Dual clarifiers
♦ Aerated sludge holding tank
♦ Dual air blowers
♦ Dual tablet chlorinator
♦ Tablet dechlorinator
♦ Audible visual alarms
♦ Electrical hook-up for portable generator
♦ Portable generator (kept off -site)
This Class -2 facility is located at the Pace Mobile Home Park WWTP (15026 Buffalo
Road) in Johnston County.
2. Discharge from said treatment works via Outfall 001 at the location specified on the
attached map into an unnamed tributary to Buffalo Creek (Stream Index 27-57-16-(3)), a
waterbody currently classified C-NSW waters in sub -basin 03-04-06 (HUC 0302020115)
of the Neuse River Basin.
Page 2 of 8

Permit NCO064246
Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 02B.0500 et seq.]
During the period beginning on the effective date of this 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
eDMR Cade
EFFLUENT LIMITS
MONITORING REQUIREMENTS
Monthly
Avers a
Daily
Maximum
Unit of
Measure
Measurement
Frequency
Sample
Tye
Sample
Location2
Flow 50050 l
0.015
MGD
Continuous
Recorder
or
Influent t
Effluent
Total Months Flow [82220
Y ]
-
MG/month
Monthly
Recorder or
Calculated
Influent or
Effluent
BOD, 5-Day (20 Deg. C) [CO310 ]
9
13.5
mg/L
Weekly
Grab
Effluent
Total Suspended Solids [CO5301
30
45
mg/L
Weekly
Grab
Effluent
Ammonia Nitrogen (as N) [00610]
(April 1- October 31
2
10
mg/L
Weekly
Grab
Effluent
Ammonia Nitrogen (as N) [00610]
November 1- March 31
4
20
mg/L
Weekly
Grab
Effluent
Fecal Coliform (geometric mean) [31616]
200
400
#/100m1
Weekly
Grab
Effluent
Total Residual Chlorine (TRC) 3 [50060]
17
Ng/L
2 X week
Grab
Effluent
Temperature [00010]
degrees C
Weekly
Grab
Effluent
Dissolved Oxygen [00300]
Daily average > 5.0 mg/L
mg/L
Weekly
Grab
Effluent
Total Phosphorus (as P) [C0665]
mg/L
Monthly
Grab
Effluent
Total Nitrogen4 (as N) [C0600]
mg/L
Monthly
Grab
Effluent
[QM600]
Total Nitrogen Loads
[Qy600]
pounds/month
Monthly
Calculated
Effluent
pounds/year
Annually
Calculated
Effluent
Total Kjeldahl Nitrogen (as N) [00625]
mg/L
Monthly
Grab
Effluent
NO2 +NO3 (as N) [00630]
mg/L
Monthly
Grab
Effluent
pH [00400]
> 6.0 and < 9.0
standard units
Weekly
Grab
Effluent
Temperature [00010]
degrees C
Weekly
Grab
U & D
Dissolved Oxygen [00300]
mg/L
Weekly
Grab
U & D
Footnotes:
1. The permittee shall submit discharge monitoring reports electronically using the NC eDMR system
application system [see A. (5)].
2. U: at least 100 feet upstream from the outfall. D: at least 300 feet downstream from the outfall.
3. The facility shall report all effluent TRC values reported by a North Carolina certified laboratory
including field certified. However, effluent values < 50 µg/L will be treated as zero for compliance
purposes.
4. For a given wastewater sample, TN = TKN + NO3-N + NO2-N, where TN is Total Nitrogen, TKN is
Total Kjeldahl Nitrogen, and NO3-N and NO2-N are Nitrate and Nitrite Nitrogen, respectively.
5. TN Load is the mass quantity of Total Nitrogen discharged [see A. (2)].
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 3 of 8

Permit NCO064246
A. (2) CALCULATION OF TOTAL NITROGEN LOADS
[NCGS 143-215.1 (b)]
a. The Permittee shall calculate monthly and annual TN Loads as follows:
(1) Monthly TN Load (pounds/month) = TN x TMF x 8.34
where:
TN = the average Total Nitrogen concentration (mg/L) of the
composite samples collected during the month
TMF = the Total Monthly Flow of wastewater discharged during the
month (MG/month)
8.34 = conversion factor, from (mg/L x MG) to pounds
(2) Annual TN Load (pounds/year) = Sum of the 12 Monthly TN Loads for the
calendar year
b. The Permittee shall report monthly Total Nitrogen results (mg/L and pounds/month)
in the appropriate discharge monitoring report for each month and shall report each
year's annual results (pounds/year) with the December report for that year.
A. (3) TOTAL NITROGEN ALLOCATIONS
[NCGS 143-215.1 (b)]
The following table lists the Total Nitrogen (TN) allocation(s) assigned to, acquired by, or
transferred to the Permittee in accordance with the Neuse River nutrient management
rule (T15A NCAC 0213.0234) and the status of each as of permit issuance. For
compliance purposes, this table does not supercede any TN limits) established
elsewhere in this permit or in the NPDES permit of a compliance association of which
the Permittee is a Co-Permittee Member.
ALLOCATION
TYPE
SOURCE
DATE
ALLOCATION AMOUNT (1)
STATUS
Estuary
Discharge
(poundslyear)
(poundslyear)
Base
Assigned by Rule
1217/1997;
152
303
Active
(T15A NCAC 02B .0234)
4/1/2003 1
1-
Footnote:
1. Transport Factor = 50%
Page 4 of 8

Permit NCO064246
A. (4) OUTFALL SIGNAGE
[G.S. 143-215.1 (b)]
The permittee shall maintain permanent signage identifying outfall 001 as a wastewater
discharge point. Unless otherwise approved in writing by the Director, the signage shall
conform to the following specifications:
1. It shall be located in reasonable proximity to the outfall.
2. It shall be clearly visible to persons on the adjoining property and in or near the
surrounding waters and, toward that end, shall:
• be two-sided
• be located at least 3 feet above ground level
• at least two feet by two feet (2 ft x 2 ft) in size
• consist of black letters on a white field; the word "notice" to be at least 3 inches tall
and the remaining words to be at least 2 1/4 inches tall
3. The signage shall contain, at a minimum, the following information:
4.
NOTICE
T' 110 IS A WASTEWATER DISCHARGE POINT
PACE MOBILE HOME PARK
WASTEWATER TREATMENT PLANT
NPDES PERMIT NCO064246
< local contact number for the facility >
NORTH CAROLINA
DIVISION OF WATER RESOURCES
RALEIGH REGIONAL OFFICE
919-791-4200
A. (5) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and program reports. The final NPDES Electronic Reporting Rule was adopted and became
effective on December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part
lI of this permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
Page 5 of 8

Permit NCO064246
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Re uirements Lquipersedes Section D. - 12.1 and Section E. 5.(afl
The permittee shall report 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:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail. Service Center
Raleigh, North Carolina 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. See "How to
Request a Waiver from Electronic Reporting" section below.
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.
Starting on December 21, 2020, the permittee must electronically report the following
compliance monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
• Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to
Request a Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(1)(9), the permittee must identify the initial recipient
at the time of each electronic submission. The permittee should use the EPA's website
resources to identify the initial recipient for the electronic submission.
Page 6 of 8

Permit NCO064246
Initial recipient of electronic NPDES information from NPDES-regulated facilities means
the entity (EPA or the state authorized by EPA to implement the NPDES program) that is
the designated entity for receiving electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting
tool for each type of electronic submission and for each state. Instructions on how to
access and use the appropriate electronic reporting tool will be available as well.
Information on EPA's NPDES Electronic Reporting Rule is found at:
http: / lwww2.epa.gov/compliance/final-national-pollutant-discharge-elimination-Ustem-
npdes-electronic-reporting-rule.
Electronic submissions must start by the dates listed in the "Reporting Requirements"
section above.
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To
obtain an electronic reporting waiver, a permittee must first submit an electronic
reporting waiver request to the Division. Requests for temporary electronic reporting
waivers 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
submitting monitoring data and reports. The duration of a temporary waiver shall not
exceed 5 years and shall thereupon expire. At such time, monitoring data and reports
shall be submitted electronically to the Division unless the permittee re -applies for and is
granted a new temporary electronic reporting waiver by the Division. Approved electronic
reporting waivers are not transferrable. Only permittees with an approved reporting
waiver request may submit monitoring data and reports on paper to the Division for the
period that the approved reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are
found on the following web page:
http://deg.nc.gov/aboutZdivisionsZwater-resourcesZedmr
4. 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: / / decl.nc.gov/ about/ divisions /water -resources / edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system
shall make the following certification [40 CFR 122.221. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
Page 7 of 8

Permit NCO064246
"I cerinfy, 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 fines and
imprisonment for knowing violations."
5. Records Retention [Supplennents Section D. (6.)]
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 122.411.
Page 8 of 8

v . \ \Y l l v
[ELM
NCO064246 - Pace Mobile Home Park
Latitude: 35°4238.16" Sub -Basin: 03-04-06
Longitude: 7802253.27" Stream Class: C-NSW
USGS Quad: Clayton, N.C.
Receiving Stream: UT to Buffalo Creek
r r, U -)
it.
�� �. r
c
c
Archt
White h
335' •_ • •38 �
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tl
If \\
Facility 1
Location
Aj_..1/L Johnston County
vWL�� Map not to scale

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
Natalie Norberg - 4/18/2018
Charles H. Weaver — 6/20/2018
Permit Number
NCO064246
Facility Name
Pace Mobile Home Park
Basin Name/Sub-basin number
03-04-06
Receiving Stream
UT Buffalo Creek
Stream Classification in Permit
C NSW
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
No
Does permit have toxicity testing?.
No
Does permit have Special Conditions?
Neuse nutrient conditions
Does permit have instream monitoring?.
Yes — temperature and dissolved oxygen
Is the stream impaired (on 303(d) list)?
For whatparameter?
No
Any obvious compliance concerns?
Yes — multiple limit and monitoring violations
from April 2015 to March 2018. Ten NOV
cases from 2015 to 2018.
Any permit modifications since lastpermit?
None
New expiration date
4/30/2023
Comments on Draft Permit
• Citations have been added.
• eDMR language has been added as A. (5).
• A. (6) has been removed.
Final permit
• No comments received. Minor formatting
changes only.

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NANDO Sal
MEDIA COMPANY Re�e��2781
consult. strategize. deliver.
AFFIDAVIT OF PUBLICATION
AccauMp
I Ad Number
I Identification
PO
Cols
Lin as
10481-1
0003644265
Wastewater Permit/ Neuse River/ Neuse River Basin
1
64
Attention:
DEPARTMENT OF WATER RESOURCES
1617 MAIL SERVICE CENTER
RALEIGH, NC 276991617
N60: MCy 11818
j,
�p-cARy ?
"UBOC,
ON CO..y`
STATE OF NORTH CAROLINA
COUNTY OF WAKE
Before the undersigned, a Notary Public of
Johnston County, North Carolina, duty
commissioned and authorized to administer
oaths, affirmations, etc., personally appeared
BETSY WOMBLE, who being duly sworn or
affirmed, according to law, doth depose and
say that he or she is Accounts Receivable
Specialist of the News & Observer Publishing
Company, a corporation organized and doing
business under the laws of the State of
North Carolina, and publishing a newspaper
known as The News & Observer, Wake
County and State aforesaid, the said
newspaper in which such notice, paper,
document, or legal advertisement was
published was, at the lime of each and every
such publication, a newspaper meeting all of
the requirements and qualifications of Section
1-597 of the General Statutes of North
Carolina and was a qualified newspaper
within the meaning of Section 1597 of the
General Statutes of North Carolina, and that
as such he or she makes this affidavit and is
familiar with the books, files and business of
said corporation and by reference to the files
of said publication the attached advertisement
for DEPARTMENT OF WATER RESOURCES
was Inserted in the aforesaid newspaper on
dates as follows:
Insertion(s)
Published On:
May 03, 2018
BETSY WOMBLE, Accounts Receivable
Specialist
Sworn to and subscribed before me this
3rd day of May, 2018
Expires: 6/8/2021
Notary

NPDES APPLICATION- FORM D
For pris•ately-owned treatment nIstcm. treating 100% domestic waatewatcn <1.0 MGD
Mail the complete application to:
NC DEQ / DWR l NPDES
1617 Mall Sen ice Center, Raleigh. NC 27699.1617
NPDES Permit NCOU fto qD y SO
it thu am eomplelupl this farm in cantpmer are the TAB key or dm up -(hewn armws to mwe from anellfehi to the next To
check the barer, click your nuntse tut top of the bar. Otherwix, pleatc print or Ape.
1. Contact Information:
owrier Name J4c ,Paces
Facilih Nmae pe /e 14` -e
Mailing Ad&v a _ 1 '�, G _.; ✓4,IU M
Ctty
State t Zip Crate _
lcleph,mcNmnbcr()
ft%f -e . a / j
��� . /� 7
Fax Number ()
c mailAddress _
// , h �7i-
-3,00 fq« tr4ln7,5 &110,L. C" Ofi
2 Lneationoffacnih producing discharge:
Check here if xarne nddrex us above /� Df�
Surwt Address or State Road l s�)(j J4 uJi'4//C jCc%
City C /g i
Stnu: l Zip Crate �• � > 7
Comm
hn s7 cr,7
3. Operator Information:
\irmr of the firm. public rrarcnd aonn ar nther emrn- dwt operate, the facility• t\irm chef thIA 1s not m/i rri> g w the Operolrr
in Resptat.rible ('home ar OORO /�
Name _ 7teuy%%.J
Mailiryt Address r // I".
City _
Stale 17,ip Cra1c 7
Teleph ne, Number t t C 1 f C' — Cjul . - `]/ 3 /
Fax Number (i 1 r !"
e-mail Addrem

4. Dtacriptiunofwaitewater:
Facility Centratinu
Waste%atenrherk al( that app(y
Indwshiul
Numberol'Emplo%,x:
Commercial
Nwnlx r of Fmplovets
eaten 't
Numb6T of Homed
School
Number of StudcaLdStaff
Other
I:xplam —
um sinr.,O"M tqf
J3
7
er of persons served.
F. T)pe of collection system
tewata (e7umrplc. aubdivixummnbtle home pork, ala)pputtt ccnten, redataauts, etc.).
ok arate i mnitan sewer only)
6. Ourfali lnfurmution:
Combimd txuwm w%Nv.T and sanitan sv %urI
Number of separate discharuc point%
Outfull ldcatificatiun numher(s)
It the outfall equipped with a diffuser" Yes /ho /
7. Name of recei%ing stream(s) /lyFN'aan/icmtts: Pnnulr a map .rhaa•!ng the rsact location �feraeh rnn/a7fi:
° vrinyA-ted f-rtb,to C1-ee.
8. Frequency of Discharge: Cantinoou% t W mittens
11 inwinutteta. V
I lax per weed discharge twcuis, I htmuon
9. Describe the treatment system
lisr all installed c ;cop t•rto, including capacines, pnn•ide design n•mmvl f% BOD, DS, rto»gen awl phntpltnnrs. If the
apace prm ided is not =0r,enf. afrach the deacrfpfirm of rho treamtent n stent in a separnlr sheet ajpaper
`%h-�i,".ceo, f/nett," 5ys7'&M - A.,/ -t4b/r¢-Chlbri')?.Ace
16 PCC - tie C�j %•I s'fGGf
Av d • b l"- t_), §,,'4 / a hv-►"
Dtxter,44fct7 diwmlerj,0(7,5w�;��!/�t�
-P•3lalie G
'Our, %/n ('u
.Actk UfpTOI �s Wr 3coel'-fAl,
P,l swe)

10. Flow Information: . C15
Tmalment Plant Design now _MGD
Annual Avcrage daih' flow'sf7MGD (for the previous." year.)
Cr
Maiimum dailyflow MGD (for the previou i years)
11. Is this facility looted on Indian country"
%is o
12. Effluent Data
A'EW.4PPLjCA:5,T4;: PmvnE <hao for die P®amcrem @ued Peen! Coltfomr. TmTemmm amlPll s)hdl hegrab sampltt for all other
Prorum•vrs : bl~ C Mradte aanwi tf .droll be nxd If rfa,w dwrn ore weihrtls is rrponed mpnn ddly marimrmr mhl mrerd4v rrvenrg.•
if a C molvns s rcpunnl. npw as drib nhranum
(fk'NEN!Al. APM.i'CANTS: Pnn•nle thr higfh•sr.singh wading (Dadv.tfa canon) tmd.kfonthlt . brroge ore•r the Putt 315
rf1.. G,. .f.... ..fir Y..L.m.ir llrrrhnshur narametLrs �L\'A"
Paminder
Dail)
Maiiraunl
\IonlfJy
Avimaae
Unil�of Mea-atnaatnt
Biochemical Oxygen Demand (ROT),)
aalColiform
'C>�. •�
u
local Suslrcwcd SubtLa
, (�
3
7cmptmttrro (Summer)
r✓
'temperature ( Winter)
1
L
Pit
L
S
13- List all permits, construction appruvals and/or applications:
Type Permit Numbrr T\pe Permit Numlwr
I iosardeus W'asic (RCRA) NFMIAPS (CAA)
UIC (SDW'A) Dccan Dumping (MPRSA)
NI VES ikedve or fill (Section OW m C WA )
PSD ICAAI Other
Non•artamment pmgnm (CAA)
13. APPLICANT CERTIFICATION
1 certify that I ere familiar with the inrormattan contained In the application and that to the test of my knowledge and
belief such Infarmedon Is true, complete. and accurate.
Primal numc of arnou Sgmuil; T�t!c