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Home My WebLink AboutNCG510070_Permit issuance_20111018NCDENR North Carolina Department of Environment and Division of Water Quality Beverly Eaves Perdue, Governor Coleen H. Sullins, Director October 18, 2011 Mr. Dennis Poythress Dixie Grocery, Inc. 4730 NC Hwy 39 S Gillburg, NC 27536 Natural Resources Dee Freeman, Secretary Subject: NPDES General Permit NCG510000 Certificate of Coverage (CoC) NCG510070 Dixie Grocery Vance County Dear Permittee: The Division received your request for renewal of NCG510070 on March 15, 2011. The revised General Permit was signed on September 206, 2011 and took effect October 1, 2011. This renewed 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 October 15, 2007 (or as subsequently amended]. A copy of the NCG510000 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 CoC 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 Once discharge from your facility has ceased, this CoC may be rescinded.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 H. Weaver at the telephone number or e-mail address listed below. S' cerely r� Coleen H. S s cc: Raleigh Regional Office — Surface Water Protection NPDES file 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One 512 North Salisbury Street, Raleigh, North Carolina 27604InternNO Carolina Phone: et 19-807.6391 /ualiX 91 atura!!� Phone: 919-807.6391 /FAX 919 807-6495 chades.weaver@ncdenr.gov 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 NCG510000 CERTIFICATE OF COVERAGE NCG510070 TO DISCHARGE PETROLEUM CONTAMINATED GROUNDWATER 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, 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 4730 NC Hwy 39 S Gillburg Vance County to receiving waters designated as Gills Little Mill Creek, a class C-NSW stream in subbasin 03-03- 01 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 take effect on October 18, 2011. This Certificate of Coverage shall expire on September 30, 2016. Signed this day, October 18, 2011 �r Colee ulhns, Director Divi6ofl of Water Quality By Authority of the Environmental Management Commission ENVIRONMENTAL March 11, 2011 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, emsenv.com 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 Senior Project Manager OWV4 Attachments (3) M:\7023-dixie\NPDES Files\7023 NPDES Permit Renew 2011.doc V MAR 15 2011 NEW YORK PENNSYLVANIA NORTH CAROLINA EMS ENVIRONMENTAL INC. • 117 South Hoover Road • Durham. NC 27703-3350 • [office) 919.596.0470 • (fax) 919.596.0578 FINWANC DENR / DWQ / Water Quality Section ON as National Pollutant Discharge Elimination System NCDENR NowrH CAaouwA Dror NCG510000 EwwmmmD r wwo NRURIL RE50URCE6 RENEWAL application for coverage under General Permit NCG510000 [remediation projects treating petroleum -contaminated groundwater] (Please print or type) Certificate of Coverage number: NCG510070 1) Mailing address of site Owner: Company Name: Dixie Grocery, Inc. Company Contact: Mr. Dennis Poythress Street Address: 4730 NC Highway 39 South City: Gi.11bura State: NC ZIP Code: 27536 Telephone No.: 252-213-0016 Fax: e-mail address: 2) Location of remediation site producing discharge: Facility Name: Dixie Grocery Facility Contact: Mr. Dennis Poythress Street Address: 4730 NC Highway 39 South City: Gillburg State: NC ZIP Code: 27536 County: Vance County Telephone No.: 252-213-0016 Fax: e-mail address: 3) System operator / Consultant ID [if different from Owner]: Company Name: EMS Environmental, Inc. Company Contact: Mr. Scott Werley Street Address: 117 South Hoover Road City: Durham State: NC ZIP Code: 27703 County: Durham Telephone No.: 919-596-0470 Fax: 919-596-0578 e-mail address: SWerleyGemsenv.com 4) Site ranking & ID: 0 a V 15 [2 O GW incident #:7489 Site Ranking [if available] :High 765 D MAR 15 Z011 Date of most recent discharge: March 11 2011 _ 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: Scott Werley Title: Senior Project Manager: EMS Environmental, Inc. (Signature of App� t) March 11, 2011 (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 $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 $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) DWQDWQDWQDWQDWQDWQDWQDWQDWQDWQDWQDWQ Mail THIS COMPLETED FORM to: Mr. Charles H. Weaver NC DENR / DWQ / NPDES 1617 Mail Service Center Raleigh, North Carolina 27699-1617 NPDESNP.DESNPDESNP,DES,NPDESNPDESNPDESNPDESNPDES For electronic copies of this form or the NCG510000 Fact Sheet, send a request to: charles.weaver@ncdenr.gov Page 2 of 2 O NEE.O PW-13 PW-14 N (ABANDONED) '2 xEDCESEm O NS aErhia PW-12 Ias4 AscrvuL PW-23 O NS PW-22 NS PW-11 O NS ArYaeG B R. Mwm Mwm B O PS B NS BRENDA PW-S De x[..Rm RnW� QIRCURCXPCERY O NS ® '\\ PNS-1 PW-2 Mw.ro SrEN£NeaN ONB ' O O INS GB O PW-3 M* PW-S 0 \ DENMa (ABANDONED) b I \ GILLBURfi GROCERY C\' PW-B 1 ��' RE1 Lvs (ABANDONED) wvReLn v.RO (ABANDONED) PW-16 O NS MT BE =8.1 UGIL PW-21 RWda D \ 1 LfW. �� eMYFaD \ PW 6 D MW-eo O .I ID UMW-IDR` b OIxIE B GROCERY ewa \ NWm (ABANDONED) NO$ NCOS •Gl,leuq \ PW-t7 DIXIE GROCERY WILLLiM90n NB QG- PW-10 UNDFRGROUNO CONDURS \ B PW-1B \\\ METALO�•TREATMENT UNR MNDOCDMENIEDWELLHWSES AS MW-7Db MONITORING WELL NOTES RW-1D B SOIL VAPOR EXTRACTION AND 1.) 12 POTABLE SAMPLES COLLECTED EACH SEMI-ANNUAL PERIOD. POT WELLS: 15, 10,22. AND23 GROUNDWATER RECOVERY WELPW-19TOTE EMLANNUAL 2O10 EVENT. PLED INSAMPLE O ND O COLLND 2.) LE COLLECTED APPROXIMATE NO O L003.) E=26 W/ANPOTABLEYWELL MTBE=260 uyL W/ANALYTCAL RESULTS ON 612,ESAMPLES ON BI22010. NS DENOTES A WELL THAT WAS NOT SAMPLED. 12 I.D. MUNICIPAL NLIIN\ (ALL DETECTED COMPOUNDS SHOWN IN PPS) 4.) ALL DETECTED COMPOUNDS ARE SHOWNIN \ SCALE(FEET) ------- — TREATED GROUNDWATER UCM1 (PPS) \0 25®0 DISCHARGE LINE DIS12"I.D. MUNICIPAL TREATED GROUNDWATER DISCHARGED AT GILL LITT♦' WATERLINE FIGURE 11. POTABLE WATER WELL SUPPLY WELL DETECTIONS MAP - 6/2/2010 PROJECT NO: 7023 MODIFIED BY: SMW Ili DIXIE GROCERY, GILLBURG, NORTH CAROLINA DATE: 7/6/10 ENNIRDNMENTAt 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 Nr"LA 3 Perto me known and known to me to be the person desc ,' e�-/j execute in and who executed the foregoing instrument, and acknowledge to and before me that h d said instrument for the purposes therein expr �Il!!1//l,�///! HE.�a WITNESS my and ffi eal, this day of JMLdA.D.,20�y �� •••gyp TA.9 '•.•� Notary Public *: ®� My Commission Expires A 0r STATE OF COUNTY OF ,� YYl - _ AUe 0D