NC0077615_Permit Issuance_20050105

® 'All
m
NCDENR
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
January 5, 2005
Mr. Homer Prevette
Homers Truck Stop
306 Stamey Farm Road
Statesville, North Carolina 28625
Subject Issuance of NPDES Permit NCO077615
Homer's Truck Stop W WTP
Iredell County
Dear Mr. Prevette:
Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly,
we are forwarding the attached NPDES discharge permit. 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 U.S. Environmental
Protection Agency dated May 9, 1994 (or as subsequently amended).
This final permit includes no major changes from the draft permit sent to you on November 10, 2004.
The Total Residual Chlorine limit in this permit takes effect August 1, 2006. If you wish to install dechlorination equipment to
help your facility comply with this limit, consult the enclosed guidance document.
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 150E 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 other
permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, the
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 Charles Weaver at telephone number [phone], extension 511.
Sincerely,
ORIGINAL SIGNED BY
SUSAN A. WILSON
Alan W. Klimek, P.E.
cc: Central Files
Mooresville Regional Office/Water Quality Section
NPDES Unit 4
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCaTolina
Phone: [phone] /FAX [phone] / Internet: h2o.enr.state.nc.us �aturallr�
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper

Permit NCO077615
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
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,
Mr. Homer Prevette
is hereby authorized to discharge wastewater from a facility located at
Homer's Truck Stop of Statesville, LLC
Stamey Farm Road at I-40
Statesville
Iredell County
to receiving waters designated as Third Creek in the Yadkin Pee Dee River Basin in accordance with effluent
limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective February 1, 2005.
This permit and authorization to discharge shall expire at midnight on March 31, 2009.
Signed this day January 5, 2005.
ORIGINAL. SIGNED By
SUSAN A. "LSON
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO077615
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.
Mr. Homer Prevette is hereby authorized to:
1. Continue operation of an existing 0.025 MGD wastewater treatment facility that includes the
following components:
➢ Grease trap
➢ Grinder pump tank
➢ Flow equalization tank with bar screen
➢ Aeration basin
➢ Clarifier with sludge return
➢ Aerated sludge holding tank
➢ Chlorine contact basin with tablet chlorination
This facility is located at Homer's Truck Stop of Statesville, LLC, off Stamey Farm Road at I-
40 near Statesville in Iredell County.
2. Discharge from said treatment works at the location specified on the attached map into Third
Creek, currently a class C water in the Yadkin -Pee Dee River Basin.

Permit NCO077615
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on February 1, 2005 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:
PAR (METE
00C 1ARGE
- QI T EG1U i C :r
]
i I
r
..7��'_..�i`1 < _ .:tom _ 1
l-
Y. _;'�
erement
S�Yp
,
,=S
OR
�: ,�:�
;.lAt►e a x: - �` I Ximu ;
aL
Flow
0.025 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5-Day, 200C
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Oil and Grease
30.0 mg/L
60.0 mg/L
2/Month
Grab
Effluent
NH3-N
2/Month
Grab
Effluent
Fecal Coliform
200/100 ml
400/100 ml
Weekly
Grab
Effluent
(geometric mean
Total Residual Chlorine
28 Ng/L
2/Week
Grab
Effluent
(TRQ I
Temperature
Weekly
Grab
Effluent
Total Nitrogen
Quarterly
Grab
Effluent
NO2+NO3+TKN
Total Phosphorus
Quarterly
Grab
Effluent
MBAS
Monthly
Grab
Effluent
pH
> 6.0 and < 9.0 standard units
Weekly
Grab
Effluent
NOTES:
1. The TRC limit takes effect August 1, 2006. Until then, the permittee shall monitor TRC [with no
effluent limit].
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE
AMOUNTS.

CYAO
FlFLtCN OWCE
SEATED= .
ACKi HC4FDJN4
Bw1 M04TAL
C0 MSSM/N=DESLNT
1617h4LS9MCE
CBVMR
riN-BG'i AC276991617
AMRCAVOVOFIN B
701SR EAAFM;
VOWTEW E iFOW
Ch the Lass dt ormghsfe
review and aop'irationof AC
Cenwd SlaVe 14321, Rdlc
law 92-500 and other IawU
star dsa-dregUafiots,the
AbfhCardinaBlvirarrntal
&bWg3r8t conrrissonpo-
paastoiss ea Word Rt-
lWart DisdtargeEfironation
ran(AFDE..1l wastewater
sd1age(.&mf fo ttep3-
s#'s)1sWU9avdfs0U e45
tlY�rpf 6�ce. fhe pdish date of
Witten CaTualts re93Id/g
thept�p nitwNtrex-
cepfW"39daysafterthe
puffisl N date of this notice.
WI mrrrCiYs r sEdpim to
f/dmteaeoa-siu:h %ft
fird deternirdi=remdrg
It�pgxisrlpani. TheO-
re for of the ACOMsion of
Water Odityrrey dadae to
t tdd a pdio msefrrg for the
?9XS9dP nifsWdtred-
wscn a eaagifiraid
gcedpdicirfavd
visit
The Sfates ville Ado Auction
(�trs,W,W1br �w
a'dp3rri3is fACCOAR its
in lreda'IquNy. Ns
pardtted fed'lify dsdarges
tr�feddaleahowa sleweta
to RRh Greek in the Yaddn-
Pee-Dee Ri ver Basin.
Onafly ECOa anto-
gEn, Iadfmliharnawtdaf2
sICLd dtpl/BaEwsaQdl-
tylinitai Th's dsit; Je
aXaY fifue allttatias in thrs
portrondFilth On*
NORTH CAROLINA
IREDELL COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said
County and State, duly commissioned, qualified,
and authorized by law to administer oaths, per-
sonally appeared Kimberly P. ownbey who
being first duly sworn, deposes and says: that
she is an employee authorized to make this
statement by Media General Newspapers, Inc.
engaged in the. publication of a newspaper
known as the Statesville Record & Landmark
published, issued, and entered as second class
mail in the city of Statesville in said County adn .
State, that she is authorized to make this affidavit
and sworn statement; that the notice or other
legal advertisement, a true copy of which is
attached hereto, was published in the States,*Iivr
Record & Landmark on the following.dateCz'
and that the said newspaper in which such
notice, paper, document, or legal advertisement
was published was at the time of each and every
such publication, a newspaper meeting all of the
requirements and 4ualifications of Section 1-597
of the General Statues of North Carolina and was
a qualified newspaper within the meaning of
Section 1-597 of the Greater Statues of North
Carolina.
`Th'is_\\D—day r�lc-��t11�lt�1Wi1\ ,20
(Signature of rson making affidaw
Sworn to and subscribed before me, this JP--
day of 2011*
Notary bli p i
Commission expires:

SOC PRIORITY PROJECT: Yes-NoX
If Yes, SOC No.
To: Permits and Engineering Unit
Water Quality Section
Attention: Valery Stephens
Date: January 12, 2004
NPDES STAFF REPORT AND RECOMMENDATION
County: Iredell
MRO# 03-98
Permit No. NC0077615
PART I - GENERAL INFORMATION
l . Facility and address: Homers Truck Stop
306 Stamey Farm Road
Statesville, N.C. 28625
2. Date of investigation: January 8, 2004
3. Report prepared by: Samar Bou-Ghazale, Env. Engineer I
JA N 1 5 2004
4. Persons contacted and telephone number: Mr. Jerry Rogers, ORC; Tel# [phone]
5. Directions to site: From Mooresville travel I-77 north to the intersection of I-40. Proceed
west approximately 6 miles on I-40 to exit 146 (Stamey Farm Road S.R. 1512). The
restaurant is located in the southeast quadrant of this intersection. To reach the WWTP
proceed on Stamey Faun Road approximately 0.4 mile to the intersection with Gilbert Road
(S.R 1513). Turn left on Gilbert Road and travel approximately 0.25 mile to a dirt road
located on the left behind a church. The W WTP is located at the end of this dirt Road
G43
Discharge point(s). List for all discharge points:
Latitude: 35' 4T 08" Longitude: 80' 5725"
Attach a U.S.G.S. map extract and indicate treatment facility site and discharge point on map.
U.S.G.S. Quad No.: D 15 SW U.S.G.S. Name: Statesville West
7. Site size and expansion are consistent with application?
Yes.XNNo_ If No, explain:

8. Topography (relationship to flood plain included): Hilly, 5-12% slopes; The facility is not
located within the 100 year flood plain.
9. Location of nearest dwelling: None within 1000 fleet of the discharge location.
10. Receiving stream or affected surface waters: Thud Creek_
a. Classification: C
b. River Basin and Subbasin No.: Yadkin; 03-07-06
C. Descnibe receiving stream features and pertinent downstream uses: The receiving
stream contained good flow at the time of inspection. There are four known
discharges above this discharge point. Pertinent downstream uses are those typical for
Class C water (secondary recreation, agriculture, etc.)
PART U - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted: 0.025 MGD (Ultimate Design Capacity)
b. What is the current permitted capacity of the wastewater treatment facility. 0.025
MGD
C. Actual treatment capacity of the current facility (current design capacity)? 0.025 MGD
d. Date(s) and construction activities allowed by previous Authorizations to Construct
issued in the previous two years: N/A
e. Please provide a description of existing or substantially constructed wastewater
treatment facilities: The existing treatment consists of a grease trap, grinder pump
tank, flow equalization tank with a bar screen, aeration basin, clarifier with sludge
return, aerated sludge holding tank, and a chlorine contact basin with tablet
chlorination.
f. Please provide a description of proposed wastewater treatment facilities: N/A
g. Possible toxic impacts to surface waters: None other than chlorine.
h. Pretreatment Program (POTWs only): N/A
2. Residuals handling and utilization/disposal scheme:
Sludge and grease is removed by Lentz Septic Tank Service and is disposed at the Town of
Elkin WWTP.
3. Treatment plant classification (no change from previous rating ): Class U
4. SIC Code(s): 5541, 5812

Prnnary:10 Secondary:13
Main Treatment Unit Code: 06007
PART III - OTHER PERTINENT INFORMATION
Is this facility being constructed with Construction Grant Funds or are any public monies
involved (municipals only)? N/A
2. Special monitoring or limitations (including toxicity) requests: N/A
3. Important SOC, JOC or Compliance Schedule dates: (please indicate) N/A
4. Alternative Analysis Evaluation: Has the facility evaluated all of the non -discharge options
available. Please provide regional perspective for each option evaluated. N/A
5. Air Quality and/or Groundwater concerns or hazardous materials utilized at this facility that
may impact water quality, air quality, or groundwater: No AQ or GW concerns nor are
hazardous materials utilized at this facility.
PART IV - EVALUATION AND RECOMMENDATIONS
The Penmittee, Homers Truck Stop, is applying to renew the permit to discharge treated
domestic wastewater. The wastewater treatment plant was in good operational condition, and no
problems were noted at the time of inspection. No detrimental effect on the stream was observed by
the discharge. It should be noted that the original proposal for the W WTP was for a Restaurant and a
Motel. The Motel was never built and at this time the WWTP is serving the restaurant and the truck
stop.
It is recommended that the subject permit be renewed as requested.
Signature of R rt Preparer
Water Quality gional Supervisor
Date

10/06/2003 14:19 704-871-8103
P O 80x 5068, SlalesvMe, NC 2e087. Fn, g Ina 871-8813
HOMERS TRUCK STOP PAG� 01
I
To: �{ ti< Sia*Clye From
k�e6l,.�rf�Wfe+ hler,ielr Jul
pages: /
Ra; 1il pla = earl: r Re-i-14w/1l cot
&O-Wilt ❑ For Review ❑ please Comment ❑ Plea e Rom
❑please Re a
• Comments:
l?ePP: Sfkdge m?1-3R3eMe-K.3T PaC67761s?
AadPr-_z S$p,;C 7,,q.AjC SeW Ce, s The-31Ltd3e-Pro
6vw y/aSrc PMP41- ar Gwe14S2 7i2r11? Rudd. l"ga,,5
S {h g i r
ra oti•e of iwe LoeF+r:aap a;rker
llr T a.e"7a4rJ •s a �,F ✓K6oreA�, �e,nlc
0/CeOic!'0W2r,Ale , 10nJ��sr� r}C
rns s7-Q,pkeN•s, YF �Ca� Nel,� ,=� e,• ���.�asQ Q, 4+aT ?C.T R�,�
.366ST.4Nney
Stra�et✓;II4, Ne, - Rbzi
i

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewaterFRl1G; flgv)
N. C. Department of Environment and Natural Resources,
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617 SEP 30 2003
http://h2o.enr.state.nc.us/NPDES/
North Carolina NPDES Permit Number INCOO--
Please print or type
1. Contact Information:
Facility Name
Owner Name , i _ _ _ %Af? , . , ..r•�r,
Street Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Operator Name
Street Address
City
State / Zip Code
County
Telephone Number
day ) 81/ •- 2W ff
70y ) V ZL - 90 B
eTe&zy kQeys smi= m;,zle,
/2'i 82ta KT S. i . /'p. i;lnY 2,29
S`%T- se a; I I e
ri) k7,21n- Y62y
2. Location of facility producing discharge:
Check here if same as above
Facility Name of different from above)
Street Address or State Road
City
State / Zip Code
County
3. Reason for application:
Expansion/Modification * Existing Unpermitted Discharge
Renewal New Facility
* Provide a description of the expansion/modification:
Page 1 of 3 Version 12102

R
NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be Fled only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
A C IP+ JC$ C S7-rWA#K dAf Me '�ir?nl1LA) ee e 1)ae y JZ X3"q x,'N
10. -Is this facility located on Native American lands? (check one)
YES ❑ NO Er
I certify that I am familiar with the information contained in the application and that to
the best of my knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing
Title
of
4-,2c-v,3
Date Signed
North Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes any false statement representation, or
certification in any application, record, report, plan, or other document files 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.)
Page 3 of 3 Version 12102

FACT SHEET FOR EXPEDITED RENEWAL
Permit Number
I(I007 61 jr
Facility Name
tG k ,�' f,,�d�•!
Reviewer
Basin/Sub-basin]
p OE
Receiving Stream
Is the stream impaired (listed on 303(d))?
Mr .
Is stream monitoring required?
0
Do they need NH3 limit(s)?
p ,
Do they need TRC limit(s)?
Do they have whole -effluent toxicity testing?
p ,
Are there special conditions?
0 ,
Any obvious compliance concerns?
v ,
Existing Expiration Date
Proposed Expiration Date
Miscellaneous Comments:
Circle one: �XP� DO NOT EXPEDITE
If expedited, is this simpler per or a more difficult one?