NCG550102_wasteload allocation_19840111

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Facility Name:
Existing M
Proposed E2
NPDES WASTE LOAD ALLOCATION
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Permit No. APi n �3 , - Pipe No
engineer. Date Rec. I
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Date:
ire", County: ��&/_':
Design Capacity (M95): 50 6/,u Industrial (% of Flow): Domestic (% of Flow):��
Receiving Stream: 11 i ILO 11)06 /—nd N-6, Class: Sub -Basin: 3 "CJ� i DFy�
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Reference USGS Quad: ( S (Please attach) Requestor: ,(ice+" rn<< Cr,� Regional Office
(Guideline limitations, if applicable, are to be listed on the back of this form.)
Design Temp.: :2 4 lot?� Drainage Area: 0. 3 o 2 Avg. Streamflow:
7Q10: 0, 04C f5 Winter 7Q10: 30Q2:
Location of D.O.mininmum (miles below outfall.): Slope: -
Velocity (fps): U Kl (base e, per day, 200C): K2 (base e, per day, 200C):
Effluent
Characteristics
Monthly
Average
Comments
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Q
Fe cd cull
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Effluent Monthly
Characteristics Average Comments
Original Allocation•�•1
Revised Allocation Q Da(Ple of Revision(s)
(Please attach previous allocation) P L
/ Confirmation
i
r l t� Prepared By: R wed By:_.a+« Date:
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FACILITY NAME
TYPE OF HASTE
STATUS
RECEIVING STREAM:
STREAM CLASS
SUBBASI N
COUNTY
REGIONAL OFFICE
REOUESTOR
DATE OF REQUEST
SLATE RESIDENCE
DOPIES7IC.
EXISTING
UT NF DEEP RIVER
A -II
030603
FORSYTH
NINSTON-SALEM
HELEN FOWLER
12114
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REQUEST NO.: 695
MODELER : CHH
DRAINAGE AREA (SO.MI.)
7Q10 (C•FS)
HINTER 7010 (C.FS)
.30r22 ('CFS)
.3
.04
RECOMMENDED EFFLUENT LIMITS*+**+tom=+*+*++**
HASTEFLOH (MGD)
.00045
ry
E C E
I V E D
5-DAY SOD (MGIL)
30
R
AMMONIA NITROGEN (MGIL)
} DISSOLVED OXYGEN (MOIL)
P1N 9 i994
} TSS CMGIL)
30
FECAL COLIFORf7 (#J100 ML) :
1000
WATER QUALITY SECTION
pH (STANDARD UNITS)
6-9
O?EW.TiCN95RANCH
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COMMENTc.
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REVIEWED AND APPROVED BY :
1-10DELEP DATE (Zrl7-83;
--------------------------------
MODELING GROUP LEADER_ __ _ DATE_�a-a� ?3
REGIONAL SUPERVISOR - �a DATE g
PERMITS & ENGINEERING__ j DATE_-- %_��
DIVISION DIRECTOR DATE

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cc: Permits and Engineering
-Tec .m-'==� -uppor-t -Branch
County Health Dept.
Central Files
WSRO
SOC PRIORITY PROJECT: Yes No X
If Yes, SOC No.
To: Permits and Engineering Unit
Water Quality Section
Attention: Mack Wiggins
Date: July 6, 1993
NPDES STAFF REPORT AND RECOMMENDATION
County Forsyth
Permit No.-Nt=4-3Z l:-
PART I - GENERAL INFORMATION u L G S o t �-
1. Facility and Address: Gary M. Slate SFR
1701 Brookford Road
Kernersville, N.C. 27284
2. Date of Investigation: 930706
3. Report Prepared by: David Russell, WSRO
4. Persons Contacted and Telephone Number: Mrs. Gary Slate
[phone]
5. Directions to Site: From Winston-Salem travel I-40 east to
Kernersville. Travel south on Hwy. 66 to Brookford Rd.,
turn left and travel 0.9 mile to 1701 Brookford Rd. on the
left.
6. Discharge Points(s), List for all discharge points:
Latitude: 360 04' 59" Longitude: 800 03' 1111
U.S.G.S. Quad No. C18SE U.S.G.S. Quad Name Kernersville
7. Site size and expansion area consistent with application ?
X Yes _ No If No, explain:
8. Topography (relationship to flood plain included): The
house is located in an upland area but the back of the lot
is lowland position adjacent to the creek.
9. Location of nearest dwelling:'
less �n,, /000

10. Receiving stream or affected surface waters: UT to West
Fork Deep River
a. Classification WSIII o3-0�-00
b. River Basin and Subbasin No.: RGA 98
C. Describe receiving stream features and pertinent
downstream uses: The stream flows through a rural
residential area.
Part II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of Wastewater to be permitted: 0.00045 MGD
(Ultimate Design Capacity)
b. What is the current permitted capacity of the Waste
Water Treatment facility? 0.00045 gpd
C. Actual treatment capacity of the current facility
(current design capacity)? 0.00045 gpd
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two
years.
e. Please provide a description of existing or
substantially constructed wastewater treatment
facilities: Septic tank, 391 square foot subsurface
sandfilter, disinfection unit.
f. Please provide a description of proposed wastewater
treatment facilities.
g. Possible toxic impacts to surface waters:
h. Pretreatment Program (POTWs only):
in development approved
should be required not needed
2. Residuals handling and utilization/disposal scheme: Septic
tank pumped by septage hauler. Septic tank pumped by
septage hauler.
a. If residuals are being land applied, please specify DEM
Permit No.
Residuals Contractor
Telephone No.
NPDES Permit Staff Report
Version 10/92
Page 2

•
` b. Residuals stabilization: PSRP PFRP
Other
c . Landfill:
d. Other disposal/utilization scheme. (Specify):
3. Treatment plant classification (attach completed rating
sheet). SFR - not classified
4. SIC Code(s): 4952
Primary 04 Secondary
Main Treatment Unit Code:
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant
Funds or are any public monies involved. (municipals only)?
2. Special monitoring or limitations (including toxicity)
requests:
3. Important SOC, JOC or Compliance Schedule dates: (Please
indicate)
Date
Submission of Plans and Specifications _
Begin Construction
Complete Construction
4. Alternative Analysis Evaluation: Has the facility evaluated
all of the non -discharge options available. Please provide
regional perspective for each option evaluated.
Spray Irrigation: Insufficient surface area.
Connection to Regional Sewer System: No sewer nearby.
Subsurface: Unsuitable soils
Other disposal options:
5. Other Special Items:
NPDES Permit Staff Report
Version 10/92
Page 3

PART IV - EVALUATION AND RECOMMENDATIONS
The site was visited 930706. No odors or discolored water
were observed. Mrs. Slate said chlorine tablets are routinely
put into chlorination. (She had chlorine supply on hand).
Recommend permit be reissued.
Sign tureof/report preparer
Water Quality Regional Supervisor
Date
NPDES Permit Staff Report
Version 10/92
Page 4

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A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final
During the period beginning on the effective date of the Permit and lasting until expiration,
permittee is authorized to discharge from outfall(s) serial number(s). 001.
Such discharges shall be limited and monitored by the permlttee as specified below:
Effluent Characteristics
Discharae Limitations Monitoring Requirements
Kg/day (lbs/day) Other Units (Specify) Measurement Sample Sample
Daily Avg. Da y Max. Daily Avg. Daily Max. Frequency - Location
Flow
BOD, 5Day, 200C
TSS
Fecal Coliform (geometric mean)
450 GPD
30 mg/l 45 mg/l
30 mg/l 45 mg/l
1000/100 ml 2000/100 ml
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The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units
and shall be monitored n/a.
There shall be no discharge of floating solids or visible foam in other than trace amounts.