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Home My WebLink AboutNCG510070_Permit issuance_20060929W ATFR P 7 �w v� —I � Y Dennis Poythress Dixie Grocery, Inc. 4730 NC Highway 39 South Gillburg, NC 27536 Dear Permittee: Michael F. Easley Governor William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources Allan W. Klimek, P.E., Director Division of Water Quality September 29, 2006 Subject: General Permit NCG510000 Certificate of Coverage NCG510070 Dixie Grocery Vance County The Division received your request for renewal of the subject Certificate of Coverage (CoC) on March 17, 2006. The revised General Permit was signed on September 20th, 2006 and takes effect October 1, 2006. Accordingly, we are forwarding the attached CoC to discharge under NCG510000. This CoC 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 May 9, 1994. A copy of the renewed General Permit is enclosed, as well as an updated Technical Bulletin. The Technical Bulletin summarizes the changes from the previous version of NCG510000. 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 CoC is not transferable except after notice to the Division. You must notify the Division if you sell or otherwise transfer ownership of the permitted facility. The Division may require modification or reissuance of the CoC. If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional Office listed below. Once discharge from your facility has ceased, this permit may be rescinded.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 government. If you have any questions concerning this permit, please contact Charles Weaver at the telephone number or e-mail address listed below. Sincerely, /'.. -76 �� .r Alan W. Klimek cc: Central Files Ralei h Re 'onal Office — Surface Water Protection aff 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 733-5083, extension 511 (fax) 919 733-0719 An Equal Opportunity Affirmative Action Employer e-mail: charles.weaverOncmail.net STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NCG510000 CERTIFICATE OF COVERAGE NCG510070 TO DISCHARGE PETROLEUM CONTAMINATED GROUNDWATER AND SIMILAR WASTEWATERS UNDERTHE NATIONAL POLLUTANT DISCHARGE ELEVIINATION 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, Dixie Grocery, Inc. is hereby authorized to operate a groundwater remediation system for petroleum -contaminated groundwater or similar waste streams that will discharge treated wastewater from the Dixie Grocery Vance County to receiving waters designated as Gills Little Mill Creek, a class C-NSW stream in subbasin 30301 of the Tar -Pamlico River Basin. All discharges shall be in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV of General Permit NCG510000 as attached. This certificate of coverage shall become effective October 1, 2006. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day, September 29, 2006. �. Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission ENVIRONMENTAL INC. March 15, 2006 Mr. Charles H. Weaver NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RE: CoC Renewal for NCG510070 Incident # 7489 Dixie Grocery 4730 NC Hwy. 39 South, Gillburg, NC 27536 Dear Mr. Weaver, Please accept the following correspondence as our client's intent to renew the NPDES permit associated with the groundwater remediation system located at the Dixie Grocery site. Additional data including a site map depicting the layout of the system's effluent discharge line has been included along with documentation signed by Dixie Grocery, Inc. designating EMS Environmental, Inc. as an Authorized Representative. If you have any further questions, or if you require any additional information please contact me at (919) 596-0470. Sincerely, EMS Environmental, Inc. Scott Werley Project Manager Attachments (3) \\Server\c\7000-7199jobs\7023\7023 NPDES Permit Renew.doc 117 South Hoover Road • Durham, North Carolina 27703 • (919) 596-0470 • Fax (919)- 596-0578 March 6, 2006 North Carolina Department of Environment, Health and Natural Resources Division of Environmental Management Groundwater Section P.O. Box 29535 Raleigh, North Carolina 27626-0535 Re: Authorized Representative of Dixie Grocery, Inc. Dear Sir/Madam: This is to certify that EMS Environmental, Inc., is an AUTHORIZED REPRESENTATIVE of Dixie Grocery, Inc., for the purposes of obtaining coverage under NPDES Permit NCG510000. Sincerely, Dixie Grocery Inc. Dennis Po s President Before me personally appeared Nn v0 3 Pn�jkL`' to me known and known to me to be the person desc ' ed.in and who executed the foregoing instrument, and acknowledge to and before me that Kvf kK executed said instrument for the purposes therein expr \`\``��,,ii .``��A HE/��'Qi WITNESS my and ffic' this day of i1' dA.D.,20� ' No Tq q), '• Notary Public = ' My Commission Expires 0� STATE OF COUNTY OFF 'PUe L1G ei4iyq�tl C�V�•('`�� NC DENR / DWQ / Water Quality Section National Pollutant Discharge Elimination System NCDENR NCG510000 �w FxNPOMM[wf u.o XOWµ Fcwuwces RENEWAL application for coverage under General Permit NCG510000 [remediation projects treating petroleum -contaminated groundwater] (Please print or type) 1) Mailing address of site Owner: Company Name: Company Contact: Street Address: City: Telephone No.: e-mail address: 2) Location of remediation site producing discharge: Facility Name: Facility Contact: Street Address: City: County: Telephone No.: e-mail address: State: C ZIP Code: Fax: 3) System operator / Consultant ID [if different from Owner]: Company Name: Company Contact: Street Address: City: County: Telephone No.: e-mail address: D�c-hc.+•� State:�MC ZIPCode: 77703 9/? s5%7-0N70 Fax: P rn SC040 4) Site ranking & ID: GW incident #: �y �01 Site Ranking (A - E): N A(e57 Date of most recent site ranking: \31 ateA Date of most recent discharge: CV c e Additional data required: a) A site map clearly showing the path of the remediation system effluent from the site to its discharge point. b) If this application is being submitted by a consulting engineer (or engineering firm), include documentation from the current permittee showing that the person[s] submitting the application has been designated an Authorized Representative. Page 1 of 2 NCG510000 renewal application 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: Vess� Title:.Nlw.•.�te(- (Signature of Applicant) North Carolina General Statute 143-215.6 B (i) provides that: 3.4Lo(o (Date Signed) 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 $10,000, 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 $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) )WQ,10W011)WQ,IIWCIA IWCJ1IWQIIWQ10WQ.10 W GIIWCJ1)WQ10W0 Mail THIS COMPLETED FORM to: Mr. Charles H. Weaver, Jr. NC DENR / DWQ / NPDES 1617 Mail Service Center Raleigh, North Carolina 27699-1617 \11/Ia\!I/I:i\!IIE.5\Lei) lsi\91110Et OLD IIIEi Lip III ELN!IlEai\rDES For electronic copies of this form or the NCG510000 Fact Sheet, send a request to: charles.weaver@ncmail.net Page 2 of 2 2� tP O N2 S PW-tW-12 ae O NS PW-01 i vN.ea O S ca�eu+D wv.x Mw.sO raocEm a. w+uwNs 6 PW-1 PW-2 EVFNSCx NS O N$ p aS mx00 yV� Nwlo p I I I 1' \ t1 ♦ ♦ Mw.w INS O PW-10 LTncw PW-8 vv+D �\ Dixs GIOE IDERY (ABANDONED) DIXIE ORODERY LNDEROROWOCONDUITS \. METALA V TREATMENT UNIT \ / SNORT 39 / BAN (AABANDONED) PW-S (ABANDONED) PW (ABANDONED) �N UM`JSEE BORE O elreEaovE PW-144S PW-1. / 1,2 DICHLOROETHANE• 1.2� PW-22 NDO F�,wv+l PW-15 1.2 DICHLOROETHANE= 0.60 u9L wnsew PW-1dD MTBE=22uyL -\ —EFFLUENT DI=MROE LINE MW-1D O MONITORINGWELL NOTES \� RW-10 6 SOIL VAPOR EXTRACTION AND I.) POTABLE SAMPLES NOT COLLECTED \�\ PW-S o GROUNDWATER RECOVERY WEL DURING 2ND SEMFANNUAL EVENT. APPROXIMATE LOCATION OF \\ PW- \\\• MTBE=1.1u wR. p POTABLE WELL 2.) POTABLE SAMPLES COLLECTED 12' I.D. MUNICIPAL WATER LINE p S NO W1 RESULTS OF EPA 524.2, MTBE AND IPE ANALYSIS ON5114M. S \\ NO DENOTES NOT DETECTED I.) NS DENOTESAWELL THAT WAS NOT SAMPLED. 'Q \\, TREATED GROUNDWATER \\ SCALE(FEET) sj \�\• I.)ALL DETECTED COMPOUNDSARE SHOWN 0 2550 t00 DISCHARGE LINE IN UOri(PPB) TREATED GROUNDWATER DISCHPROED O ® -----12"I. D. MUN ICIPAL ATGILLLITTLEMILLCREEK \' WATERLINE FIGURE 2. POTABLE WATER WELL AND MONITORING WELL LOCATION MAP PROJECT NO: 7023 DIXIE GROCERY, GILLBURG, NORTH CAROLINA MODIFIED BY: RLD DATE: 1/17/03 ElrvwcxlErrta.lNc.