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Home My WebLink AboutNCG500075_complete file-historical_20151019A r Weaver, Charles From: Weaver, Charles Sent: Monday, October 19, 20151:43 PM To:'tthompson@championindustries.com' Subject: renewal of NCG500075 / Champion Industries Attachments: NCG50 Final 093015.pdf, Technical Bulletin - NCG500000 2015.doc Importance: High Attached you will find the updated version of NPDES General Permit NCG500000, effective 10/1/2015. Discard any previous versions of the General Permit and use this version until further notice. You do not need a reprinted Certificate of Coverage, as the one issued to you in 2007 is still applicable. Thank you for your patience during the longer -than -expected renewal period. If you have any questions about this matter, simply reply to this message. Charles H. Weaver NPDES Unit 1 Weaver, Charles From: Microsoft Outlook To: tthompson@championindustries.com Sent: Monday, October 19, 2015 1:44 PM Subject: Relayed: renewal of NCG500075 / Champion Industries Delivery to these recipients or groups is complete, but no delivery notification was sent by the destination server: tthompsonCabchampionindustries.com (tthompson(o)chamoionindustries.com) Subject: renewal of NCG500075 / Champion Industries JI renewal of NCG500075 / Ch... NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary October 17, 2011 Tom Thompson Champion Industries 3765 Champion Blvd. Winston-Salem, NC 27105 Subject: Compliance Evaluation Inspections NPDES General Stormwater Permit NCG030000 Certificate of Coverage NCG030271 & NPDES General Wastewater Permit NCG500000 Certificate of Coverage NCG500075 Champion Industries Forsyth County Dear Mr. Thompson: Gary Hudson of the Winston-Salem Regional Office of the NC.Division of Water Quality (DWQ) conducted compliance evaluation inspections (CEI) at the subject facility on the subject permits on September 30, 2011. Your assistance and cooperation during the inspection was greatly appreciated. Inspection checklists are attached for your records and inspection findings are summarized below. 2. The facility is located at 3765 Champion Blvd., in Winston-Salem, Forsyth County, North Carolina. Stormwater related to industrial activity is discharged to Lewis Creek, which is currently classified as Class C waters in the Yadkin Pee Dee River basin. General Stormwater Permit NCG030000, Certificate of Coverage NCG030271 Documentation & Monitoring Review 1. Permit Champion Industries holds Certificate of Coverage # NCG030271 for the discharge of stormwater from the facility. The General Permit became effective November 1, 2007 and expires October 31, 2012. 2. Records/Reports Part II, Section A of the permit requires the development of a Stormwater Pollution Prevention Plan. A copy of the SPPP for Champion Industries was available for review during the inspection. The plan appeared thorough and complete. 3. Facility Site Review The site appeared clean and well managed. No concerns or problems were noted. North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-77IA6301 Customer Service: 1-877-623-6748 Intemet www.nawaterquality.org An Equal Opportunity \ Affirmative Action Employer NorthCarolina Naturally Champion Industries Attn: Tom Thompson Compliance Evaluation Inspections NCG030271 and NCG500075 10/18/2011 Page 2 of 2 4. Effluent/Receiving Waters Stormwater leaves the Champion Industries property reaching Lewis Creek, Class "C" waters in the Yadkin Pee Dee River Basin. 5. Monitoring Program Part II, Section C of the permit requires semi-annual qualitative (visual) monitoring to be performed and documented once in the spring (April- June) and once in the fall (September — November). A records review during the inspection showed that Champion Industries had performed and documented the required qualitative monitoring in 2010 and 2011. Please note that you are not required to submit these forms to the Division, however, the records must be kept on file at the facility for a period of five years. Part II, Section B of the permit requires that analytical monitoring be performed. A review of the facility files found that the analytical monitoring has been conducted as required. The analytical monitoring listed in Section. D of the permit for on -site vehicle maintenance operations is not required since Champion Industries does not use more than 55 gallons of new motor oil per month when averaged over the calendar year. General Wastewater Permit NCG500000 Certificate of Coverage NCG500075 Documentation & Monitoring Review All documentation and monitoring reports for this permit were complete and thorough. Our office appreciates the efforts by Champion Industries to comply with the NPDES General Stormwater Permit. If you have any questions concerning this letter, please contact Gary Hudson or me at (336) 771-5000. Sincerely, W. Corey Basinger Regional Supervisor Surface Water Protection Section cc: SWP—WSRO Central Files Stormwater Permitting Unit NPDES Permitting Unit Compliance Inspection Report Permit: NCG030271 Effective: 11/01/07 Expiration: 10/31/12 Owner: Champion Industries Inc SOC: Effective: Expiration: Facility: Champion Industries County: Forsyth 3765 Champion Blvd Region: Winston-Salem Winston Salem NC 27115 Contact Person: Malvern K Timm Title: Phone: 910-661-1556 Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 09/3012011 Primary Inspector: Gary Hudson Secondary Inspector(s): Certification: Phone: Entry Time: 10:00 AM Exit Time: 11:30 AM Phone: J Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Metal Fabrication Stormwater Discharge COC Facility Status: ■ Compliant Q Not Compliant Question Areas: N Storm Water (See attachment summary) Page: 1 Permit: NCG030271 Owner - Facility: Champion Industries Inc inanarfinn nafa• nwAn»ni 1 insnsction Tvoe: Compliance Evaluation Reason for Visit: Routine Inspection Summary: Page: 2 Permit: NCG030271 Owner- Facility: Champion Industries Inc Inspection Date: 09/30/2011 Inspection Type: Compliance Evaluation Reason for Visit: Routine Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? ■ n 0 Q # Does the Plan include a General Location (USGS) map? ■ 0 11 Q # Does the Plan include a "Narrative Description of Practices"? ■ 0 ❑ 11 # Does the Plan include a detailed site map including outfall locations and drainage areas? ■ Q ❑ 0 # Does the Plan include a list of significant spills occurring during the past 3 years? . ■ Q ❑ 0 # Has the facility evaluated feasible alternatives to current practices? ■ ❑ Q # Does the facility provide all necessary secondary containment? ■ 0 Q Q # Does the Plan include a BMP summary? ■ 0 Q Q # Does the Plan include a Spill Prevention and Response Plan (SPRP)? ■ n n 0 # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ■ C3 0 Q # Does the facility provide and document Employee Training? ■ 0 Q Q # Does the Plan include a list of Responsible Party(s)? ■ Q Q Q # Is the Plan reviewed and updated annually? ■ 0 11 ❑ # Does the Plan include a Stormwater Facility Inspection Program? ■ Q Q 11 Has the Stormwater Pollution Prevention Plan been implemented? ■ n Q Q Comment: Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? . ■ Q Q Comment: . Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? ■ Q Q 0 # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? n ❑ ■ ❑ Comment: Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? ■ ❑ ❑ ❑ # Were all outfalls observed during the inspection? ■ 0 ❑ 0 # If the facility has representative outfall status, is it properly documented by the Division? 0 Q ■ 0 # Has the facility evaluated all illicit (non stormwater) discharges? ■ D 0 Q Comment: . Page: 3 United States Environmental Protection Agency Form Approved. EPA Washington, D.C. 20460 OMB No. 2040-0057 Wafter Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yrlmo/day Inspection Type Inspector Fac Type 1 I _I 2 1.51 31 NCG500075 Ill 121 11/09/30 117 18I Cj 19us 20U Remarks 211111 11111111 11111111111i 11111111111111 1 I 1 11111J6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved 67I 169 70 U 711 I 72 L N I 73 W 74 751 I I I I I J-1 80 �— Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 10:00 AM 11/09/30 07/08/01 Champion Industries Exit Time/Date Permit Expiration Date 3765 Champion Blvd Winston Salem NC 27115 11.30 AM 11/09/30 12/07/31 Name(s) of Onsite Representative(s)rrities(s)/Phone and Fax Number(s) Other Facility Data Name, Address of Responsible Officialfritle/Phone and Fax Number Malvern K Timm,PO Box 4149 Winston Salem NC Contacted J 27115//919-661-1556/3367449673 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Operations & Maintenance Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Gary Hudson WSRO WQ/// Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type ` 3I NCG500075 I11 12) 11/09/30 1 17 18ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) All records were complete and accurate. Page # 2 I 2 Permit: NCG500075 Owner - Facility: Champion Industries Inspection Date: 09/30/2011 Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0000 Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge 0 13 ■ Q .fudge, and other that are applicable? Comment: . Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new application? Q n ■ IsAhe facility as described in the permit? Q 11 ■ ❑ # Are there any special conditions for the permit? Cl ■ 0 13 Is access to the plant site restricted to the general public? ■ ❑ ❑ Q Is the inspector granted access to all areas for inspection? ■ Q ❑ 0 Comment: . Page # 3 eM� NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr., Secretary Coleen H. Sullins, Director July 23,2007 Tom Thompson Champion Industries, Inc. 3765 Champion Boulevard Winston-Salem, NC 27115 Subject: Renewal of coverage / General Permit NCG500000 Champion Industries Certificate of Coverage NCG500075 Forsyth County Dear Permittee: In accordance with your renewal application [received on December 13, 20061, the Division is renewing Certificate of Coverage (CoC) NCG500075 to discharge under NCG500000. This CoC is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended]. If any parts, measurement frequencies or sampling requirements contained in this General Permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, the certificate of coverage shall be final and binding. Please take notice that this Certificate of Coverage is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the certificate of coverage. 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 permit that may be required. If you have any questions concerning the requirements of the General Permit, please contact Jim McKay [919 733-5083, extension 595 or, iames.mckav@ncmail.netl. Sincerely, -A�- for Coleen H. Sullins cc: Central Files Winston-Salem Regional Office / Surface Water Protection NPDES file 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One 512 Noah Salisbury Street, Raleigh, North Carolina 27604 NofffiCarolina Phone: 919 733-5063 / FAX 919 733-0719 / Intemet: www.ncwaterquality.org Naturally An Equal Opportunity/Affirmative Action Employer — 50% Recycled/100% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NCG500000 CERTIFICATE OF COVERAGE NCG500075 TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER BLOWDOWN, CONDENSATE AND SIMILAR WASTEWATERS 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, Champion Industries, Inc. is hereby authorized to discharge from a facility located at Champion Industries 3765 Champion Boulevard Winston-Salem Forsyth County to receiving waters designated as Leak Fork Creek in subbasin 30704 of the Yadkin River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This certificate of coverage shall become effective August 1, 2007. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day July 23, 2007. for Coleen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission DEC -I z zj, NCDENR ( North Carolina Department of Environment an Rtt'lIRM's RED Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr., Secretary Alan W. Klimek, P.E., Director NOTICE OF RENEWAL INTENT Application for renewal of existing coverage under General Permit NCG500000 Existing Certificate of Coverage (CoC): NCG500 d 7S� (Please print or type) 1) _ Mailing address' of facility owner/operator: Company Name C(i4/+77D/On! 1�D U5/2/ES Si I C , Owner Name L�4/d /An/O A6E/Z / / Street Addressl/%y�/S%�ZEEi%lo_/s City i b ✓>-5T&I Vr- SA Z fr' I State (✓ C ZIPCode Telephone Number 33 fro /SS4 Fax: .330 /Z ! yy 7I6o 73 Email address ee11,f17P1czV.11✓Du,S7e1 i , e-On'% Address to which all permit correspondence should be mailed 2) Location of facility producing discharge: Facility Name eAaI-V7>/Onl -Tl JP rivoi6S Facility Contact l /�o�Sav� 7/ram Street Address 3 /(,,S— CNH�'7D/OJ QL I/�. City �JnS✓O—s,9LE1+-1 State111C_ ZIP Code County 2 h ''fya''1\\ Telephone Number(mo Fax(33 7VL/ - .n 6 %3 Email address % %—h/�DS �s e—C %1�1-7 'eJ .7_ Dp 3) Description of Discharge: a) Is the discharge directly to the receiving stream? ❑ Yes .No (If no, submit a site map with the pathway to the potential receiving waters clearly marked. This includes tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the only viable means of discharge.) b) Number of discharge outfalls (ditches, pipes, channels, etc. that convey wastewater from the property): c) What type of wastewater is discharged? Indicate which discharge points, if more than one. ❑ Non -contact cooling water XBoiler Blowdown Outfall(s) #: _ Outfall (s) Page f of 3 a NCG500000 renewal application ❑ Cooling Tower Blowdown Outfall (s) #: ❑ Condensate Outfall (s) #: 51 Other Outfall (s) #:� (Please describe "Other") B?-p C,E,S.S R- E.2 d) Volume of discharge per each discharge point (in GPD): *001: #002: gio - #003: #004 4) Please check the type of chemical [s] added to the wastewater for treatment, per each separate discharge point (if applicable, use separate sheet): ❑ Chlorine ❑ Biocides ❑ Corrosion inhibitors ❑ Algaecide ❑ Other A None 5) If any box in item (4) above [other than None] was checked, a completed Biocide 101 Form and manufacturers' information on the additive must be submitted to the following address for approval: NC DENR / DWQ / Environmental Sciences Section Aquatic Toxicology Unit 1621 Mail Service Center Raleigh, NC 27699-1621 6) Is there any type of treatment being provided to the wastewater before discharge (i.e., retention ponds, settling ponds, etc.)? ❑ Yes IgNo (If yes, please include design specifics (i.e., design volume, retention time, surface area, etc.) with submittal package. Existing treatment facilities should be described in detail. ) 7) Discharge Frequency: a) The discharge is: X Continuous .�' Intermittent ❑ Seasonal* i) If the discharge is intermittent, describe when the discharge will occur: Pl'o c6S s w411g2 IS P,Z 4117a4 P-9j 1 Te s f / 15 N e F.S , d n e //�16 10V -D . w2.4601L 62 6lo"Art,.J ii)'�; *Ch6ek-the inoiith(s) the-dis-charge� occurs: 0 Jan '❑ Feb"`❑'-Ma"r: ❑Apr �Vlay Jun ❑ J`ul ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. ❑ Dec. b) How many days per week is there a discharge? .5 c) Please check the days discharge occurs: ❑ Sat. ❑ Sun. X Mon. CKTue. X Wed. X Thu. )91 Fri. 8) Receiving stream[s]: a) To what body or bodies of water creek, tre river, lake, etc.) does the facility discharge wastewater? If the site discharges wastewater to a separate storm sewer system (4S), name the operator of the 4S (e.g. City of Raleigh). C 9!,60<K b) Stream Classification: ,G611< OrGeZ.1C Page 2 of 3 NCG500000 renewal application Additional Application Requirements: %JI-1 /� The following information must be included in triplicate [original + 2 copies] with this app ic'etmn be returned as incomplete. ➢ Site map. If the discharge is not directly to a stream, the pathway to the receiving stream must be clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point. ➢ Authorization for representatives. If this application will be submitted by a consulting engineer (or engineering firm), include documentation from the Permittee showing that the consultant submitting the application has been designated an Authorized Representative of the applicant. Certification I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: /a r r TNt7r �s�4o� Title: /C4 e i /' i i <-- e (Signature of Applicant) (Date Signed) North Carolina General Statute 143-215.6 b (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document filed 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, fora similar offense.) This Notice of Renewal Intent does NOT require a separate fee. The permitted facility already pays an annual fee for coverage under NCG500000. Mail the original and two copies of the entire package to: Mr. Charles H. Weaver NC DENR / DWQ / NPDES 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Page 3 of 3 OR Gd—sl stNj e_ , 27116— ��v 14,63 30 (0 (a / — ) 15-1574 ,I/ -k- OUMALL 2\ Loom DocKs.(2 TFALL LOADING Do h V_ GRA== /< 4_ < 64 A 0 F4LL\ UT Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources March 8, 2007 CERTIFIED MAIL 7006 0100 0001 8758 6870 RETURN RECEIPT REQUESTED Tom Thompson Champion Industries P 0 Box 4149 Winston Salem NC 27115 Subject: NOTICE OF VIOLATION: NOV-2007-DV-0020 Compliance Evaluation Inspection Champion Industries Permit No. NCG500075 Forsyth County Dear Mr. Thompson: Alan W. Klimek, P.E. Director Division of Water Quality I I 1 4 LOCI L�6E; ia�Nii DEtd4 — V? aTER C: Lffy During the permit renewal process for Permit No. NCG500075 it was discovered that the Champion facility located at 3765 Champion Blvd, Winston Salem NC was discharging contact process water to Leak Fork Creek, a Class C water in the Yadkin River Basin. DWQ has no record of your having a valid permit for the discharge of wastewater at the location noted above. The facility was found to be in violation of permit NCG500075 for the following: Compliance issues found during the inspection are: Inspection Area Compliance Issue Permit Illicit discharge, discharging without a permit. Dischareint? Without a Permit You are hereby advised that the discharge of wastewater without benefit of a permit from DWQ constitutes a violation of North Carolina General Statute (NCGS) § 143-215,1. Control of sources of water pollution; permits required (a) Activities for Which Permits Required. — No person shall do any of the following things or carry out any of the following activities unless that person has received a permit from the Commission and has complied with all conditions set forth in the permit: (1) Make any outlets into the waters of the State. (2) Construct or operate any sewer system, treatment works, or disposal system within the State. 585 Waughtovm street Winston-Salem, NC 27107 336-771-4600 (Telephone) 336-7714630 (Fax) (6) Cause or permit any waste, directly or indirectly, to be discharged to or in any manner intermixed with the waters of the State in violation of the water quality standards applicable to the assigned classifications or in violation of any effluent standards or limitations established for any point source, unless allowed as a condition of any permit, special order or other appropriate instrument issued or entered into by the Commission under the provisions of this Article. The enforcement options available to DWQ for violations of the previously referenced statutes are found at NCGS 143-215.6 A, B, and C, and include civil penalties, criminal penalties, and or injunctive relief. The civil penalties for violations such as these may be as high as $25,000.00 Per day per violation. You must immediately take whatever steps are necessary to stop the unvermitted discharge of wastewater at the site. This Office requests that you respond to this letter, in writing within 10 days of receipt of this Notice. Your response should include the following items: • Please clearly discuss your efforts to abate/stem impacts to surface waters. Furnish any supporting documents that show repairs made and related services performed at that time. If you wish to present any additional explanation for the violations cited, or if you believe there are other factors which should be considered, please send such information to me in writing within (10) days following receipt of this letter. Any additional information will be reviewed, and, if an enforcement action is deemed appropriate, this information, along with other relevant information, will be forwarded to the Director of DWQ with the enforcement package for his consideration. Should you have any questions on this matter, contact Rose Pruitt at (336) 771-5000. Sincerely, r Steve W. Tedder Water Quality Supervisor Winston-Salem Region Division of Water Quality Cc: Charles Weaver, NPDES Central Files WSRO United States Environmental Protection Agency Form Approved. EPA Washington, D.C. 20460 OMB No. 2040-0057 Water Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 U 2 I5I 31 NCG500075 Ill 121 07/03/08 117 181C 191GI 201 �! �.! U 1=! LJ Remarks 2111111111IIIIIIIIII111 1111IIIIII111111IIIll 1 Ills Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved 671 169 70 U 71 U 72I NI 73 LU 74 75I I I I I I I 180 Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 12:00 AM 07/03/08 02/08/01 Champion Industries Exit Time/Date Permit Expiration Date 3765 Champion Blvd Winston Salem NC 27115 12:00 AM 07/03/08 07/07/31 Name(s) of Onsite Representative(syTides(syPhone and Fax Number(s) Other Facility Data Name, Address of Responsible OffciaUfitie/Phone and Fax Number Malvern K Timm,PO Box 4149 Winston Salem NC Contacted 27115//919-661-1556/3367449673 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Pollution Prevention Facility Site Review Section D: SummarV of Finding/Comments Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Rose Pruitt WSRO WQ//336-771-5000/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES . yr/mo/day .' Inspection Type 1 3I NCG500075 I11 12I 07/03/08 117 18' C Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) During permit renewal process permitee indicated the facility was discharging "process water". Process water from daily testing of dishwashing machines being discharged to Leak Fork Creek. Water from WS Utilities is sent to boiler then to dishwashing machines for test then to stream. Illicit discharge of process waste water. Page # 2 Permit. NCG500075 Owner -Facility: Champion Industries Inspection Date: 03/08/2007 Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new application? ■ O Is the facility as described in the permit? 0 ■ Q Q # Are there any special conditions for the permit? 0 O ■ 0 Is access to the plant site restricted to the general public? 0 Q Q 0 Is the inspector granted access to all areas for inspection? 0000 Comment: Discharging process wastewater to stream. Page # 3 State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross Jr., Secretary Alan W. Klimek, P.E. Director July 26, 2002 MALVERN K TIMM CHAMPION INDUSTRIES P0BOX 4149 WINSTON SALEM, NC 27115 4 •• NC ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Subject: Reissue - NPDES Wastewater Discharge Permit Champion Industries COC Number NCG500075 Forsyth County Dear Permittee: In response to your renewal application for continued coverage under general permit NCG500000, the Division of Water Quality (DWQ) is forwarding herewith the reissued wastewater general permit Certificate of Coverage (COC). This COC is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated May 9, 1994 (or as subsquently amended). The following information is included with your permit package: A copy of the Certificate of Coverage for your treatment facility * A copy of General Wastewater Discharge Permit NCG500000 * A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG500000 Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit package please contact Aisha Lau of the Central Office Stormwater and General Permits Unit at (919) 733-5083, ext. 578 Sincerely, for Alan W. Klimek, P.E. cc: Central Files Stormwater & General Permits Unit Files Winston-Salem Regional Office 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-0719 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG500000 CERTIFICATE OF COVERAGE No. NCG500075 TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER BLOWDOWN, CONDENSATE AND SIMILAR WASTEWATERS 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, CHAMPION INDUSTRIES is hereby authorized to discharge NON -CONTACT COOLING WATER / CONDENSATE AND BOILER BLOWDOWN water or similar wastewater from a facility located at CHAMPION INDUSTRIES 3765 CHAMPION BLVD WINSTON SALEM FORSYTH COUNTY to receiving waters designated as Leak Fork Creek, a class C water, in the Yadkin - Pee Dee River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, H, III, and IV of General Permit No. NCG500000 as attached. This certificate of coverage shall become effective August 1, 2002. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day July 26, 2002. for Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission State of North Carolina Department of Environment, Health and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Wayne McDevitt, Secretary A. Preston Howard, Jr., P.E., Director David E. Hill Champion Industries P.O. Box 4149 Winston-Salem, NC 27115 Dear Permittee: e�� E:)EHNR July 24, 1997 Subject: Certificate of Coverage No. NCG500075 Renewal of General Permit Champion Industries Forsyth County In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding the enclosed General Permit. This renewal is valid until July 31, 2002. This permit is issued pur§uant 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 December 6,1983. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, this certificate of coverage shall be final and binding. The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage. If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional Office listed below at (910) 771-4600. Once discharge from your facility has ceased, this permit may be rescinded. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality, the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any questions concerning this permit, please contact the NPDES Group at the address below. Sincerely, 4 A. Preston Howard, Jr., P.E. cc: Central Files Winston-Salem NPDES File Regional Office Facility Assessment Unit P.O. Box 29535, Raleigh, North Carolina 27626-0535 (919) 733-5083 FAX (919) 733-0719 p&e®dem.ehnr.state.nc.us An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG500000 CERTIFICATE OF COVERAGE NO. NCG500075 TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER BLOWDOWN, CONDENSATE, W(E M PT STORMWATER, COOLING WATERS ASSOCIATED WITH HYDROELECTRIC OPERATIONS, AND SIMILAR WASTEWATERS 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, Champion Industries is hereby authorized to discharge non -contact cooling water, condensate, boiler blowdown and other similar wastewaters from a facility located at Champion Industries 3765 Champion Boulevard Winston-Salett, Forsyth County to receiving waters designated as subbasin 30704 in the Yadkin River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV of General Permit No. NCG500000 as attached. 'his certificate of coverage shall become effective August 1,1997. This certificate of coverage shall remain in effect for the duration of the General Permit. Signed this day July 24,1997. A. Preston Howard, Jr., P.E., Director Division of Water Quality By Authority of the Environmental Management Commission DEM-P & E Fax:919-733-0719 Mar 7 '97 17:10 P.02i02 Letter to RANDAL G DUGGINS Jan_ 9; 1 7 NCG500075 lvweFl ?/ /?7/7 INVOICE FOR RENEWAL OF NPDES PERMTr ❑ Check here if:you do NOT wish to renew this permit. J} J�[pOZO Please return this page along with a letter documenting your reasons for not requesting renewal to: Mr. Charles H. Weaver, Jr. Division of Water Quality/WQ Section NPDES Group Post Office Box 29535 Raleigh, North Carolina 27626-0535 [t]Check here if you wish to renew this permit. Please verify that the following information is documented accurately: .y RANDAL G DUGGINS CHAMPION INDUSTRTES P.O. Box 4149 WINSTON-SALEM, NC 27115 Phone number-. (919) 661-1556 Fax number: e-mail address: RANDAL G DUGGINS CHAMPION INDUSTRIES 3765 CHAMPION BOULEVARD WINSTON-SALEM, NC 27115 No revision required. D-Revision required. (Please specify below-) �A u,�l r Pz 13-x \azinl5� f S,1.ley .(QC.oZi//J ®+No revision required. P'lfevision required. (Please specify below.) 7-bAUiI E a,,// blttrx u S-�r'�e5 W.rgs,lv,u • SA/em Me J-210s— Please return this page with your letter requesting renewal, and $400 fee (payable to NCDEHNR) to: Mr. Charles H. Weaver, Jr. Division of Water Quality/WQ Section NPDES Group Post Office Box 79535 Raleigh, NorthCarolina 27626.0535 Signature of applicant or authorized representative£'r"" Date 3 —/0 -7 7 Champion The Dishwashing Machine Specialists March 10, 1997 Mr. Charles H Weaver, Jr. Division of Water Quality/WQ Section NPDES Group P O Box 29535 Raleigh, NC 27626-0535 RE: NPDES Permit No. NCG500075 Dear Director: P.O. Box 4149 Winston-Salem, North Carolina 27115-4149 Tel: 910 661-1556 Fax: 910 661-1979 J y✓ S trn This letter and information attached is a request for renewal of our dis- charge permit. I would like to thank you for your assistance in this renewal. Sincerely, Q�1£ David E. Hill Facility Manager Enclosures State of North Carolina Department of Environment, Health and Natural Resources Division of Environmental Management 512 North Salisbury Street - Raleigh, North Carolina 27604 James B. Hunt, Jr., Governor Randal G. Duggins P0Box 4149 Winston-Salem, NC 27115 Dear Mr. Duggins: Jonathan B. Howes, Secretary March 19, 1993 Subject: General Permit No. NCG500000 Champion Industries, Inc. COC NCG500075 Forsyth County In accordance with your application for discharge permit received on December 4, 1992, we are forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. Issuance of this certificate of coverage supercedes the individual NPDES permit No. NC0006718. 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 US Environmental Protection agency dated December 6,1983. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, this certificate of coverage shall be final and binding. Please take notice that this certificate of coverage is not transferable except after notice to the Division of Environmental Management. The Divsion of Environmental Management may require modification or revocation and reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required. Pollution Prevention Pays P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-7015 An Equal Opportunity Affirmative Action Employer If you have any questions concerning this permit, please contact Mr. Greg Nizich at telephone number 919/733-5083. Sincerely, original Si nediBs Coleen H. A. Preston Howard, Jr. Director cc: Winston-Salem Regional Office STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT -�-- �--- 1 / --�: _ ►i ► III TO DISCHARGE NON -CONTACT COOLING WATER, COOLING TOWER AND BOILER BLOWDOWN, CONDENSATE AND SIMILIAR WASTEWATERS UNDER THE 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, Champion Industries, Incorporated is hereby authorized to continue operation of a treatment system for the generation of non -contact cooling waters, boiler water blowdown or similar waste streams with the discharge of treated wastewater from a facility located at Champion Boulevard Winston - Salem Forsyth County to receiving waters designated as Leak Fork Creek in the Yadkin -Pee Dee River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV of General Permit No. NCG500000 as attached. This certificate of coverage shall become effective March 19, 1993 This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day March 19, 1993 Signed BY Coieen H. Sullins A. Preston Howard, Jr., P.E., Acting Director Division of Environmental Management By Authority of the Environmental Management Commission 304 •' \ / , • • �� .v._/� ., 'rig/:fit ��i ' � • �r ` , 'v�1 � o ,t •• �, ` � Uri � • 11 � i l �ji '' • • /i/r Y n 3 � .•:rah■ ,�� a�� --_ � A A H w x `lick r Y.�_ NPDES WASTE LOAD ALLOCATION r J veer 7 a4Rg� 2" Facility Name: �/10 m i n fr & n F r Existing r1CGS00e) -15 Proposed O Permit No.: Pipe No.: County: Design Capacity (MGD) : _ J. Industrial (% of Flnn ow) : � �, i Q f��a�P/ Lbmestic ( % of Flow) i Receiving Stream: _ -; r �,�r Class: Reference USGS Quad: C.to ot-2 (Please attach) L Sub -Basin: Requestor: i :�>;° f J, Regional Office %i Mo (Guideline limitations, if applicable, are to be listed on the back of this form.) Design 2bmp.: Drainage Area (mi2): Avg. Streamf low (cfs): 7Q10 (cfs) 0 , ( e:�5 Winter 7Q10 (cfs) 30Q2 (cfs ) Location of D.O. minimum (miles below outfall): Slope (fpm) Velocity (fps): K1 (base e, per day): K2 (base e. Der day): L-SY Effluent Characteristics Monthly Average Comments le w a.�4V2 `(� C lA �J C. vja`' `i�V' 01 Allocation Revised Allocation OComments: O Effluent Characteristics :'onthly Lverage Comments -t recea• � .�;1_ . 9S�1�IN�1 � Confirmation O ed B I t f vvl Reviewed By: 1 F a _Date: � , �o � & Prepared y —� to 4003. 10 41 C3 l 10 A L. 4100 v Knotl OeRno '` l Sd03fn 6 Kim I kptl if 11 0 ts%l Bond 9 0 reelt jrs-• 6 K. -, IMF i Water 2 1, IV op'. • [non nlr oINow— s1—7- InIt" Ion I High PonVidw p 'to.1L! AC I f, Atcod, • 1. welca 44 Thomosdi • I I 62 jr ".4 i jai see lit ~Chi'Li AIR Q 870 000 a 5f- C—io FEET irld r�(71 cp Ile fe 04 6 Gn lit r A & .,% ,I L P1 419 w1i Y. An—, X see ell REQUEST NO. 121.1 ** *********** *#* WASTELOAD ALLOCATION APPROVAL FORM FACILITY NAME TYPE OF WASTE COUNTY REGIONAL OFFICE DECEIVING STREAM 7010 1 0.1 CFS DRAINAGE. AREA CHAMPION INDUSTRIES,INC. BOILER BLOWDOWN FORSYTH WINSTON-SALEM REOUESTOR : HEL..EN LEAK FORK CREEK SUBBAST.N : 030704 W7010 : CFS 3002 SO.MI. STREAM CLASS :C RECEIVED N.C. Dept. NRCD AUG 6 1984 Vivr Enviromr:'nAl Management Winston-Salem Reg. Office CFS kK************#*** RECOMMENDED EFFLUENT LIMITS #*KK**********#*****k** WASTE:FL_OW(S) (MGD) .01 TEMPERATURE: DISCHARGE SHALL DOD-5 (MG/L) : NOT CAUSE THE RECEIVING WATERS (MG/ L_) R E C E EED 2.8C E TO CWATER I D.O. gB¢VtJTHEfiNATURAL TEMP.? PH (SU) : 6-4 AND AT NO TIME TO EXCEED 29C. FECAL COLIFORM (/100ML): _a+g84 TSS (MG/L) : 11'ATER QUALITY SECTION OPEWATO nRANCH FACILITY IS : PROPOSED ( 7 EXISTING { NEW ( ) LIMITS ARE : REVISION ( >/ CONFIRMATION ( ) OF THOSE PREVIOUSLY ISSUED REVIEWED AND RECOMMENDED BY: MODELER --.- --- - DATE 0_.3 -h — v SLIF'ERVISORrMODEL.ING GROUP.......... REGIONAL SUPERVISOR : !.:� i_.d 'G � DATE 4071_ PERMITS MANAGER :.._... �G_ _........._DATE State of North Carolina Department of Environment, Health and Natural Resources Division of Environmental Management 512 North Salisbury Street • Raleigh, North Carolina 27604 James B. Hunt, Jr., Governor Randal G. Duggins P0Box 4149 Winston-Salem, NC 27115 Dear Mr. Duggins: Jonathan B. Howes, Secretary March 19, 1993 Subject: General Permit No. NCG500000 Champion Industries, Inc. COC NCG500075 Forsyth County In accordance with your application for discharge permit received on December 4, 1992, we are forwarding herewith the subject certificate of coverage to discharge under the subject state - NPDES general permit. Issuance of thiscertificate of coverage supercedes the individual NPDES permit No. NC0006718. Ti This permit s issued pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated December 6, 1983. If any parts, measurement frequencies or samplingrequirements contained in this permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, this certificate of coverage shall be final and binding. . Please take notice that this certificate of coverage is not transferable except after notice to the Division of Environmental Management. The Divsion of Environmental Management may require modification or revocation and reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Environmental Management or permits required by the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit that may be required. Pollution Prevention Pays P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-7j3-7015 An Equal Opportunity Affirmative Action Employer If you have any questions concerning this permit, please contact Mr. Greg Nizich at telephone number 9191733-5083. cc: Winston-Salem Regional Office Sincerely, original Signed BY Coe,estonlHoward, Jr. Director