NC0088579_Renewal (Application)_20170504

Water Resources
ENVIRONMENTAL QUALITY
May 04, 2017
Mr. Scott Sullivan, Manager
JS North Land, LLC
PO Box 3659
Wilmington, NC 28406-3649
Subject: Renewal Application
Application No. NCO088579
Stonebridge WWTP
Watauga County
Dear Permittee:
ROY COOPER
MICHAEL S. REGAN
S. JAY ZIMMERMAN
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on May 04, 2017. The primary reviewer for this renewal
application is Anjali Orlando.
The primary reviewer will review your application, and she will contact you if additional
information is required to complete your permit renewal. Per G.S. 150B-3 your current permit
does not expire until permit decision on the application is made. Continuation of the current permit
is contingent on timely and sufficient application for renewal of the current permit.
Please respond in a timely manner to requests for additional information necessary to
complete the permit application. If you have any additional questions concerning renewal of the
subject permit, please contact Anjali Orlando at 919-807-6388 or [e-mail].
Sincerely,
?Am %&ec
Wren Thedford
Wastewater Branch
cc: Central Files
NPDES
Winston-Salem Regional Office
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

JS North Land, LLC
P.O. Box 3649
Wilmington, NC 28406
Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NPDES Permit NCO088579
This is to request renewal of Permit NCO088579 (Stone Bridge WWTP) in Watauga County. No facilities
exist and there are none under construction at this time.
Sincerely,
Scott C. Sullivan RECEIVED/NCDEQ/DWR
Manager, JS North Land, LLC
MAY 0 4 2017
Water (duality
Permitting Section

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Resources I NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit C0088579
If you are completing this form in computer use the TAB key or the up
- down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box.
Otherwise, please print or type.
1. Contact Information:
Owner Name JS North Land, LLC
Facility Name Stonebridge WWTP
Mailing Address P.O. Box 3649
City Wilmington
State / Zip Code NC 28406-3649
Telephone Number 910-762-2676
Fax Number 910-762-2680
e-mail Address sc-ga?cameronco.com
RECEIVED/NCDEQ/DWR
martin(a;cameronco. com
MAY 0 42011
Permitting Section
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 950 Shulls Mill Road (No Facility,
Permit Only)
City Boone
State / Zip Code NC 28607
County Watauga
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name (No Facility, Permit Only)
Mailing Address
City
State / Zip Code
Telephone Number ( )
Fax Number
1 of 5 Form -D 11/12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
e-mail Address SC A CA) Cq M C ro" Co . C, a wl
2 of 5 Form -D 11/12

® NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
❑
Number of Homes
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Number of persons served:
5. Type of collection system
❑ Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points
Outfall Identification number(s) _
Is the outfall equipped with a diffuser? ❑ Yes ❑ No
7. Name of receiving stream(s) (NEW q licants: Provide a map shouting the exact location of each
outfall):
S. Frequency of Discharge: ❑ Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
3 of 5 Form -D 11/12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow
Annual Average daily flow
Maximum daily flow
MGD
MGD (for the previous 3 years)
MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ❑ No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICAN'T'S: Provide the highest single reading (Daily Maximum) and Monthly Average
overthe st 36 months for parameters currentlq in your f)er nit. Mark other oarameters "N/_A".
Parameter Daily Monthly Units of
e Maximum Average Measurement
Biochemical Oxygen Demand (BODS)
Fecal Coliform
Total Suspended Solids
Temperature (Summer)
Temperature (Winter)
T_
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
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.
SG a4� c Sv 11; v.c., M 4f VA 4 T.< V—
Printed name of Person Signing
0
Title
of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) states: 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
4 of 5 Form -D 11/12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
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, for a similar offense.)
5 of 5 Form -D 11112