WQ0014543_Residual Annual Report 2018_20190215

CITY of WNW
NORTH CAROLIINA
January 30, 2019
Attention:, Troy Doby
NCDWR
Water Quality Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1636
RE: Annual Report for 2018
City of Statesville Land Application (WQ0014543)
FEB 1 5 2019
Non -Discharge
Permitting Unit
FEB 2019
GpIFORASECTION
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Dear Mr.'Doby:
Enclosed, you will find a copy of the required forms and lab data for the City of Statesville Land
Application,.permit #WQ0014543. This land application program has never been utilized. However, the
City of Statesville wishes to keep this permit active in case of an emergency.
This permit was compliant for the year.
Should you require more information, or if further action is required, please contact me at 704-078-3438.
Sincerely,.. .
Ken Galloway
WWTP Supervisor, Fourth Creek WWTP
PO Box 1111 • Statesville, NC 28687 • ci.statesville.nc.us

GENERAL INFORMATION
LAND APPLICATION
CALENDAR YEAR 2018
Permit No. WQ0014543
FACILITY NAME: Fourth Creek WWTP-NPDES NCO031836
Third Creek WWTP- NPDES NCO020591
LOCATION: 693 Bell Farm Rd.
444 Third Creek Rd.
MAILING ADDRESS:
P. O. Box 1111
Statesville, NC 28687-1111
[phone]
[phone]
RESPONSIBLE OFFICIAL:
Andy Smith, Operations Manager
Dept. of Water Resources
P. O. Box 1 l 11
Statesville, NC 28687-1111
[phone]
FACILITY OPERATOR:
Ken Galloway
P. O. Box I l I I
Statesville, NC 28687-1111
[phone]
RESIDUALS ORC:
Ken Galloway
P. O. Box I111
Statesville, NC 28687-1111
[phone]
APPLICATION:
Land Application
No Residuals land applied in 2018.
J
R

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0014543 County: Iredell Year: 2018
Facility Name (as shown on permit): Fourth Creek WWTP
Land Application Operator: Ken Galloway Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
❑ Yes 0 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summa
Total number of application fields in thepermit:
Total number of fields utilized for land application during the year:
Total amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year:
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 201g' with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. ❑ Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503
regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Quality.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as '
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty=of;l"aw, that the above information is, to the best of my knowledge and belief, true, accuri&
and complete. I am aware fiat there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
Permittee Name and Title (type or print)
Signature of Permittee
Date
Signature of Prepare Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)