NC0029190_Renewal Application_20181016

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ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S_REGAN
Secretary
LINDA CULPEPPER
Inrerirn Director
October 16, 2018
Travis Chrisawn, Engineer
NC DOT Division 11
PO Box 250
North Wilkesboro, NC 28659-0250
Subject: Permit Renewal
Application No. N00029190
Surry County Rest Area
Surry County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 16, 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://dea.nc.gov/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,
,ak,ypeaRic
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
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North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
NC DEQ / DWR/ NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INC0029190
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 Travis Chrisawn
Facility Name I-77 Rest Area/Welcome Center, SBL @ NC/VA line
Mailing Address PO Box 250
City North Wilkesboro
State / Zip Code NC / 28659
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above El
Street Address or State Road I-77, SBL @ MM 105
• City Lowgap
State / Zip Code NC / 27024
County Surry
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 - North Carolina Department of Transportation--- --
Mailing Address PO Box 250
City North Wilkesboro
State / Zip Code NC / 28659 •
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 4 Form-D 6/2017

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' STATE OF NORTH CAROLINA
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DEPARTMENT OF TRANSPORTATION
ROY COOPER JAMES H.TROGDON,III
GOVERNOR SECRETARY
To Whom It May Concern,
Pursuant to the renewal application process set forth by the North Carolina Department
of Environmental Resources-Division of Water Resources,the North Carolina
Department of Transportation requests renewal of NPDES permit NC0029190.
No changes have been made at this facility subsequent to the issuance of the most
recent permit.
• Respectfully,
L-11 - lo-— — lo- ll- 18 - ---
Travis Chrisawn
Roadside Environmental Engineer
•
Mailing Address: Telephone:[phone] Location:
NC DEPARTMENT OF TRANSPORTATION Fax:[phone] 801 STATESVILLE ROAD
DIVISION 11 Customer Service:1-877-368-4968 NORTH WILKESBORO,NC 28659
POST OFFICE BOX 250
, NORTH WILKESBORO,NC 28659 Website:www.ncdotgov

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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 El Number of Homes
School ❑ Number of Students/Staff •
Other ® Explain: Rest Area
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Public Rest Area
Number of persons served:
5. Type of collection system
® Separate (sanitary sewer only) El 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? ❑ Yes ® No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfalls
Naked Run Creek •
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed component`s, 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.
• Communator •
• Bar screen
• Parallel clarifier
• Sand filter bed (2 - alternating)
• Chlorine injection system-
• Chlorine contact chamber
• Contact dichlorination
• Step aeration
2 of 4 Form-D 612017

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NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters<1.0 MGD
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3 of 4 Form-D 6/2017

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER JAMES H.TROGDON,III
GOVERNOR SECRETARY
Subject: Sludge Management Plan
Accumulated sludge at the WWTP is removed from the holding area by a licensed
professional pumping service. Sludge is transported to a treatment plant operated by
Town of Dobson,North Carolina where it is discharged into the municipal system. The
municipal treatment facility provides a record of the discharge volume.
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to- 11- 1E
Travis Chrisawn
Roadside Environmental Engineer
Mailing Address: Telephone'[phone] Location:
NC DEPARTMENT OF TRANSPORTATION Fax:[phone] 801 STATESVILLE ROAD
DIVISION 11 Customer Service:1-877-368-4968 NORTH WILKESBORO,NC 28659
POST OFFICE BOX 250
NORTH WILKESBORO,NC 28659 Website:www nedot.Kov

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NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.030 MGD
Annual Average daily flow 0.005 MGD (for the previous 3 years)
Maximum daily flow 0.016 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) 39 6.74 mg/L
Fecal Coliform 1500 2.67 geometric mean
Total Suspended Solids 46 2.07 mg/L
Temperature (Summer) n/a
Temperature (Winter) n/a
pH 8.8
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 NC0029190 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. - - ---
Travis Chrisawn Roadside Environmental Engineer
Printed name of Person Signing Title
10
Signature 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 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.)
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4 of 4 - Form-D 6/2017