NC0064246_20180405_Renewal Application

NPDES APPLICATION-FORM D
For privately-owned treatment systems treating 100%domestic wastew atcrs<to MGD
Mail the complete application to:
NC DEQ/DWR/NPDES
1617 Mail Sere ice Center,Raleigh,NC 2769 .1617
NPDES Permit NCOD(e gay
If you are completrrzg this form in computer use the TAB key or the up–down arrows to move from on.field to the nEtt. To
check the Gtccrs,sick your mouse on top of the bar.Otherwise,please print or type.
1. Contact Information:
Owner Name )".6.c , Pae
Facility NurttePC1,e€ /110, of r ei t'2:"7
Mailing Address )
Cit}' _ l.- 1 )+ 164
State i Zip Cads _ f rt. ?7 5'27
lehplxne Number() 61/7 - f�?7 --deg j"
Fax Number t) �i ��?�t ,c7c)I
t�rnuil rhddaess
— JG'('_/ Atee !CV/71S ,4o, . c
2 Location of facility producing discharge:
Check here if same addro:us above
d 4 n
Street Address or State]toad )cbA f/t: (,
City %tea'y-1-09
ante/Zip Code f)7
Cutatate -�G- �7 �
h 0 72
3.Operator Information:
.'a+rrc'cif iln farm.public o"t anization or other caw that operates thefaellitu (Note that thi,c is not rafrrring to the Oprrakr
in Responsible Charge or ORC)
Name '►?Jy Ji}{l 4
Mailing Address — X94. CG,-,A•4 e_ e IPe t,x Dii.
City
Stale I Zip Codi:
Telephone Number 0 (L f/Lj 9b1 37
C>
Fax Number t t
c-mAddre:ae

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10.Flow Information: ✓
$,CIi
Treatment Plant Design flow . MGD
Annual Average daily flott�aL 11'IGI) rfor the previous 3 years)
Muaimurn daily flow MGI)(for lits:ptwiou,3 year,;)
11 Is this facility tnrited on Indian country?
Yes
12. Effluent Data
rANTIC-IA-TS:Prnxle eltzrtr far tlx p uarnciert L'ue[L 1-ecal ColEforrn,Trmpe narnz ural pH shall he grab cc far far all other
prir+uraetrrs:t-hrrrreinrprrsltesanyrint,,+holt be rrs,•<!,Ifrnrire tlrarrr rz++r, urnitscrt is N7,0170187011 ritih'm(crrmrrrrraa.lmr rrihh rnr•rmr,
IJonly paw carahsis a Rpurh.i rl jrryrt as dally nrarinatnai
fjE:VEW-41.APPL IC4NTS: Provide ihr irtshes,circle wading(Dark A ltirtmum)urd:l(txrail.; .(wrap.ot't'r tin past 3
montkc dor parittrr•lerc eurnvrtit.an yourpr'rrii. A lark other paranrcfers
Parameter Dom' �1utt�y J.tuts of iMe acerrrcnent
4taxtmum .\ craw:
P,iochrrntcal Osv[;eti L)ctttand ifiO1),) !}; j� / , /
Frcul Cultfu m Oc C) 7,0 ►J.41,/r
loud Sttsix:rxls:d Solx1.; ?• L).- j 'l3 ,n f G
cf
TClli)'crature(Summer) 7q. 1 ??, I
C !
lemperature(Wrnten
pit ?. (.." 5 jai 4
13 List all permits,construction approvals andinr applications:
Ts pc' Permit Number Type Permit Number
1tatmdotta Wavle rILC1tA) `mrSI1APS(Cera)
!JIG ISD AA) (helm 1)umprn;((MPRSA)
NPL)1--5 Ail((06. ?yet,. 17rsdFenr fill(Section 1N c Cs:,h)
PsD Olher
N,urarrarnment Fogram(CAA)
94 APPLICANT CERTIFICATION
I certify that I am familiar with the Information contained in the application and that to the be of my knowledge and
!Idler,uck infurniatlon 1a truck complete,and acrerra1e.
ke
1'rin1L-d mane of titter Signing Title

Wa ter Resources
ENVIRONMENTAL 4UALITY
December 14, 2017
Joel Pace
Joel Merle Pace
13262 Buffalo Rd
Clayton, NC 27520-6917
Subject: Permit Renewal
Application No. NCO064246
Pace Mobile Home Park
Johnston County
Dear Applicant:
ROY COOPER
Gm-ermr
NUCIH�EL S. BEGAN
secretan
LR\TDA CULPEPPER
Interim Director
The Water Quality Permitting Section acknowledges the December 13, 2017 receipt of your permit renewal application
and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 15OB-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.
The permit writer will contact you if additional information is required to complete your permit renewal. Please respond
in a timely manner to requests for additional information necessary to allow a complete review of the application and
renewal of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.clov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application(RRO)
ec: WQPS Laserfiche File w/application
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

November 1, 2017
Pace Mobile Home Park
15026 Buffalo Rd
Clayton NC 27527
RECEIVENDENRIDWR
DEC 13 2017
Water Resources
permitting Section
Please let this letter stand as a request for renewal application for a Waste Water Plant at the facility
listed above, Pace Mobile Home Park.
Sincerely,
qwUO&4z----'
Joel Pace

November 1, 2017
Pace Mobile Home Park
15026 Buffalo Rd
Clayton NC 27527
Please see below description of sludge management plan for the facility listed above, Pace Mobile Home
Park
Johnson's Septic Service, 12232 US 70 Bus Hwy W Clayton, NC 27520,919-550-2023, Hauls all sludge
and solids to the Johnston County treatment plant.
Sincerely,
F046--11
Joe ace
RECESvED/DEj4p/DWR
DEC A 3 2017
Water Resources
Permitting Section

i
NPDES APPLICATION = FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DEQ / DWR / NPDES
1617 Mail Service Center, Raleigh, NC 27649-1617
NPDES Permit NC00 6wcIL4 (_Q
If you are completing this form in computer use the 7AB key or the up — down ariYnvs to move from one field to the next. 7'o
check the boxes, click your mouse on top of the box Otherwise, please print or type.
1. Contact Information:
Owner Name
Facility Name
Mailing Address �7
city
State / Zip Code
Telephone Number Q jp
Fax Number Q i/� I. ,j�y'' 70/ ,-
e-mail Address _ r��� -• G ol
2 Location of facility producing discharge:
Check here if same address as above ✓�
Street Address or State Road '' / e? /
01 --
city _ C'
State / Zip Code
county
At EC'ejV6D D W
DEC
Pt.ater
980U,',
.9
117
3. Operator Information:
Name of the firm, pubhc organization or other entity that operates the facility (Note that this is not referring to the Operator
in Responsible Charge or ORQ
Name
v
Mailing Address
City
State / Zip Code
Telephone Number Q
Fax Number Q
e-mail Address

S
10. Flow Information:
Treatment dant Desi n flow MGD
:�.�ri
Annual Average daily flow GD (for the previous 3 years)
Maximum daily How MGD (for the previous 3 years)
11. Is this facility located on I country?
In I
Yes No
12. Effluent Data
NEW APPLICANTS.• Prowde data for the parameters listed Fecal Colifonrg Temperature and pH shall be grab samples, for all other
partmieters 24-hour composite samplmg shall be used If more than one analysis is reported report daily rnatamum and monthly average
If only one analysis is reported, report as daily marimum.
RENEWAI APl PLICA(: Provide the highest single reading (Daily Maxitrrimi) and Monthly Average over the past 36
mnnthc fn;- nriramnt,,re ri ngn0v in vniar nermit_ R Uark nther narnmeters `W/A "
Parameter
Daily
Monthly Units of Measurement
Maximum Average
Biochemical Oxy ;en Demand (BOD)
Fecal Coliform
. Lvo
wq
Total Suspended Solids
(
Temperature (Summer)
'1
C
Temperature (Winter)
pH
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
NESHAPS (CAA)
Ocean Dumping (MPRSA)
/U j& & Dredge or fill (Section 404 or CWA)
J Q"' �-- Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
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.
Joe,
Printed name of Person Signing
Si f Applicant
Date ll� hl7