DEQ-CFW_00059680

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State of North Carolina
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0�\ �ss(g'k Department of Environmental Quality
�P Division of Water Resources
Division of Water Resources 1 AC 02T .1100 — DISTRIBUTION OF CLASS A RESIDUALS
FORM: DCAR 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: Chemours Company - Fayetteville Works
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
Q Federal ❑ State ❑ Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Ellis H. McGauhv Title: Plant Manager
Applicant's mailing address: 22828 NC Hwy 87 W
City: Favetteville State: NC Zip: 28306-7332
Telephone number: 910) 678-1224 Email Address: [e-mail]
2. Consultant's name: License Number (for P.E.):
Affiliation: ❑ On Staff ❑ Retained (Firm: _)
Consultant's mailing address:
City: State: Zip: -
Telephone number: C—) Email Address:
3. Fee submitted: $0.00 (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ❑ modified, ® renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00035431
Date of most -recently issued permit: 09-16-2015
Date of most -recently certified Attachment A (if different than the permit):
111. FACILITY INFORMATION:
1. Name of residuals processing facility: Chemours Company - Fayetteville Works
City: Fayetteville State: NC Zip: 28306-7332
Coordinates: Latitude: 34' 50' 38" Longitude: 780 50,12"
Datum: Level of accuracy:
Method of measurement:
County where facility is located: Bladen
2. Facility contact (person familiar with residuals preparation):
Name: Michael E. Johnson Title: environmental Manager
Mailing address: 22828 NC Hwy 87 W
City: FUgtteville State: NC Zip: 28306-7332
Telephone number: 910 678-1155 E-mail address: [e-mail]
FORM: DCAR 06-16 Pagel of 3
DEQ-CFW 00059680

3. Is the residual process facility also the generator? ® Yes; ❑ No
If No, please specify delivery frequency and quantity of residual to be processed:
4. Length ofresiduals storage at facility: 2190 days (Note: the Division requires minimum 30 days storage in units that are separate
from treatment system, i.e. not in clarifiers, aeration basins, etc.)
IV. RESIDUALS QUALITY INFORMATION:
1. Specify how these residuals will be distributed:
❑ sold or given away in bags or other containers; ❑ lawn (bulk); ❑ home garden (bulk);
® other (explain); Exclusive land application at the permitted facility
Note: Bulk residuals shall mean residuals that are transported and not sold or giving away in a bag or other receptacles with a
load capacity of one metric ton or less.
2. Complete the following if residuals are to be mixed with other materials:
Type of Materials Amounts to be added
per 1.0 dry ton of residuals (dry ton)
3. Approximate amounts of the residuals received and processed at the facility: 1500 (average) dry tons per year.
4. Approximate amounts of the final product (processed residuals) to be distributed: 9257 dry tons per year.
5. Provide a description of the onsite storage management plan for the treated residuals (including estimated average and
maximum storage times prior to distribution): The residuals from the Chemours river water treatment plant are accumulated in
one of two in exound surface impoundments (sediment basins) The residuals are accumulated exclusively in one sediment
basin for 6-7 years and then subsequent residuals are sent to the second sediment basin. The residuals in the first sediment
basin are then allowed to dewater and dry for 6-7 years at which time the residuals are excavated and land applied on an
undeveloped area of the facilit . The land applied residuals are seeded with rye grass.
6. Does the facility have a stormwater management plan? ❑ Yes; ® No
Explain whether the treatment and storage areas are under roof or how stormwater runoff will be handled: All stormwater from
the Chemours Company - Fayetteville Works is discharged through the facility's final effluent Outfa11002 that is monitored,
limited and regulated by the Chemours NPDES Permit NC0003573.
V. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the attached Residuals Source Certification and all associated documentation.
Residuals Source
Certification
FORM: DCAR 06-16 Page 2 of 3
DEQ-CFW 00059681

Professional Engineer's Certification: (Application Involving New or Changes to Treatment or Storage Units)
attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I further attest that to the best of my knowledge
the proposed design has been prepared in accordance with the applicable regulations. Although certain portions ofthis submittal package
may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that I have reviewed
this material and have judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Seal, Signature, and Date:
Applicant's Certification:
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
Yes ❑ No, Explain; �s
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(Signature Authority's
attest that this application for
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has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false
statement, representation, or certification fp any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties }' to $25,OOQ per violation.
Signature:
7)laUJ Date: �zy>
FORM: DCAR 06-16
Page 3 of 3
DEQ-CFW 00059682