NC0038822_Renewal Application_20180805

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ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S_REGAN
Secretly.,.
LINDA CtJLPEPPER
Interim Director
August 29, 2018
Billy Payne
Central Care Inc
139 Apex Ln
Mount Airy, NC 27030
Subject: Permit Renewal
Application No. NC0038822
Central Care WWTP
Surry County
Dear Applicant:
The Water Quality Permitting Section acknowledges the August 28, 2018 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. 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.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.gov/permits-requlations/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.
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Sincerely,
-&Araft, d
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
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1= DEQ
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-707-6301

RESEARCh & ANAlyTICAL
LABORATORIES, INC.
- Analytical/Process Consultations
August s,2018 RECEIVED/DENR/DWR
AUG 2t8 2018
Mr. Charles H. Weaver,Jr. Water Resources
NPDES Unit permitting Section
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Renewal of NPDES Permit No.NC0038822
Central Care WWTP
Dear Mr. Weaver,
In response to your request for NPDES Permit Renewal concerning Central Care WWTP
(NPDES Permit No. NC0038822), Research &Analytical Laboratories, Inc. (RAL) has prepared
the enclosed required renewal package information for your review. The signed application form
in triplicate and a description of the method of sludge disposal are all attached.
Sincerely,
Research &Analytical Labs
James M. Cheshire
Authorized Agent
J MC/jm
Cc. David Payne , Central Care Inc.
P.O Box 473• 106 Short Street•Kernersville,North Carolina 27284.336-996-2841 •Fax [phone]
www.randalabs.com

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 Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit(NC0038822
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 Central Care, Inc.
Facility Name Central Care WWTP
Mailing Address 139 Apex Lane
City Mt. Airy
State / Zip Code NC / 27030
Telephone Number [phone]
Fax Number [phone]
e-mail Address
2. Location of facility producing discharge:
Check here if same address as above
Street Address or State Road
City
State / Zip Code
County
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 Research&Analytical Laboratories, Inc.
Mailing Address 106 Short Street
City Kernersville
State / Zip Code NC / 27284
Telephone Number [phone]
Fax Number [phone]
e-mail Address info®randalabs.com
1 of 3 Form-011112

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 0 Number of Employees
Commercial ® Number of Employees 5-10
Residential ® Number of Homes 5
School 0 Number of Students/Staff
Other 0 Explain:
Describe the source(s) of wastewater(example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Number of persons served: 10-20
5. Type of collection system
® Separate (sanitary sewer only) 0 Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? 0 Yes ® No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Unnamed Tributary to Stewarts Creek
8. Frequency of Discharge: ❑ Continuous ® Intermittent
If intermittent:
Days per week discharge occurs: Random Duration: Random
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.
0.010 Wastewater Facility consisting of the following:
• Septic Tank
• Dosing Chamber
• Surface Sandfilter
• Tablet Chlorination
• Tablet Declorination
2 of 3 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 0.010 MGD
Annual Average daily flow 0.0018 MGD (for the previous 3 years)
Maximum daily flow 0.0086 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 APPLICANTS: Provide the highest single reading(Daily Maximum)and Monthly Average over
the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BODS) 40 7.27 mg/L
Fecal Coliform 2 2420 MPN/100 ml
Total Suspended Solids 2.8 16.4 mg/L
Temperature (Summer) 19.5 28 . °C
Temperature (Winter) 11.26 19 °C
pH 7.8 N/A Std. Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste(RCRA) NESHAPS(CAA)
UIC(SDWA) Ocean Dumping(MPRSA)
NPDES NC0038822 Dredge or fill(Section 404 or CWA)
PSD(CAA) 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.
James M. Cheshire Authorized Agent
Printed name of Person Signing Title
• _ _ /717 Ai*,__.
8/24/2018
Signa .. - •` Applicant Date
North C. . a General Statute 143-215.6 (b)(2)states:My 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$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.)
3 of 3 Foran-D 11112

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NC0O38822 - Central, Care, Inc. -�-
Facility
Latitude: 36°27'11" Sub-Basin: 03-07-03 Location
Longitude: 80°38'52" River Basin: Yadkin-Pee Dee
USGS Quad: Dobson Stream Class: C
Receiving Stream_ liT to Stewarts Creek tiVtutthSurry County
Map not to Scale

RESEARCIi & ANALYTICAL
y.
' ., LAbORATORIES, INC.
Analytical/Process Consultations
SLUDGE MANAGEMENT PLAN
CENTRAL CARE, INC.
WASTEWATER TREATMENT PLANT
NPDES PERMIT NO. NC0038822
Sludge from the Central Care wastewater treatment plant (WWTP) is disposed of in the
following way:
Central Care WWTP consists of a documented sludge hauling subcontractor
(V&S Septic, Inc.) who periodically removes digested sludge from septic tank and
delivers waste sludge to a documented or approved wastewater treatment
facility. Information found in documented log includes date, time, volume of
sludge removed and location, date and time sludge transported to final
destination. The designated ORC coordinates the frequency in which digested
sludge is removed.
P.O. Box 473• 106 Short Street•Kernersville,North Carolina 27284•336-996-2841 •Fax [phone]
www.randalabs.com