HomeMy WebLinkAboutNC0029190_Fact Sheet_20190506DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Emily DelDuco 12/19/2018
Permit Number
NCO029190
Facility Name
N.C. DOT / I-77 Rest Area WWTP
Basin Name/Sub-basin number
03-07-03
Receiving Stream
Naked Run Creek
Stream Classification in Permit
WS-IV Trout
Does permit need Daily Max NH3 limits?
N / A
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
Yes. All tests passed since May 2010.
Does permit have Special Conditions?
No
Does permit have instream monitoring?
Dissolved Oxygen, Temperature
Is the stream impaired (on 303(d) list)?
For whatparameter?
No
Any obvious compliance concerns?
Any permit modifications since last permit?
None.
New expiration date
2/28/2023
Comments on Draft Permit
➢ Added HUC and stream index
➢ Added regulatory citations
➢ Updated parameter codes
➢ Updated outfall map
➢ Updated section A.(4.)
DocuSign Envelope ID: 80ADOE71-C91F-44D6-90CA-49316A247808
NORTH CAROLINA
SURRY COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State, duly
commissioned, qualified and authorized by law to administer oaths,
personally appeared Sandra Hurley who being first duly
sworn, deposes and says: that he (she) is Regional Publisher
(Publisher or other officer or employee authorized to make affidavit) of
ADAMS PUBLISHING GROUP, LLC, engaged in the publication of a
newspaper known as MOUNT AIRY NEWS, published, issued, and
entered as periodicals class mail in the city of Mount Airy in said County
and State; that he (she) is authorized to make this affidavit and sworn
statement; that the notice or other legal advertisement, a true copy of which
is attached hereto, was published in MOUNT AIRY NEWS on the
following dates:. i
and that the said newspaper in which such notice, paper, document or
legal advertisement was published was, at the time of each and every such
publication, a newspaper meeting all of the requirements and
qualifications of Section 1-597 of the General Statutes of North Carolina
and was a qualified newspaper within the meaning of Section 1-597 of the
General Statutes of North Carolina.
This day of _, 2019
Signature of person making affidavit
Sworn to and subscribed before me, this t( day of
F40111 ZIA 12019
i
Notary Public
My Commission expires: January 18, 2023
FERMS W. S!MPSON
. NOTARY Pt3BUG
.$lJFRRY COUNT`(, N.C.
CLIPPING OF
LEGAL
ADVERTISEMENT
ATTACHED HERE
Public Notice
North Carolina Environment-
al Management
Commisslon/NPI7ES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
The North Carolina Environ-
mental Management Commis-
sion proposes to issue a NP-
DES wastewater discharge
permit to the person(s) listed
below. Written comments re-
garding the proposed permit
will be accepted until 30 days
after the publish date of this
notice. The Director of the NC
Division of Water Resources
(DWR) may hold a public hear-
ing should there be a signific-
ant degree of public interest.
Please mail comments and/or
information requests to DWR
at the above address. Inter-
ested persons may visit the
DWR at 512 N. Salisbury
Street, Raleigh, NC to review
information on file. Additional
information on NPDES per-
mits and this notice may be
found on our website:
hftp:/Ideq. nc.gov/about/divi-
sions/water-resources/water-
resources-permits/wastewater-
branch/npdes-wastewater/pub-
lic-notices,or by calling (919)
707-6301. NCO029190: NC
DOT requested renewal of NP-
DES permit NCO029190/1-77
Surry County Rest Area. Facil-
ity discharges to Naked
Run/Yadkin-Pee Dee River
Basin. Currently dissolved
oxygen, fecal coiiform, and
total residual chlorine are wa-
ter quality limited.
Publish: 01/20/22019
DocuSign Envelope ID: 80ADOE71-C91F-44D6-90CA-49316A247808
From:
man, Jeff
To:
DelDuco, Emilv
Cc:
Hudson, Eric; Kaufman, Tammv
Subject:
FW: PWS comments NPDES NCO029190
Date:
Thursday, March 21, 2019 5:38:06 PM
Attachments:
29190draft 2018.doc
29190draft 2018.doc
29190 Expedited Fact Sheet.doc
imaoeO03.pno
Re: DOT 1-77 Rest Area WWTP (renewal), NC0029190, Near VA line, Surry County
Emily,
We concur with the permit provided the facility is operated and maintained properly, the stated
effluent limits are met, and the discharge does not contravene designated water quality standards.
Thank you for providing the permit for our review.
Jeff H. Bryan, P.E.
Assistant Regional Engineer
Public Water Supply Section
Department of Environmental Quality
336 776 9663 office
336 403 1092 mobile
0eff. bryan&ncdenr.gov
Winston Salem Regional Office
450 W. Hanes Mill Road, Suite 300
Winston Salem, INC 27105
'Nothing Compares_.
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: DelDuco, Emily
Sent: Tuesday, March 12, 2019 2:19 PM
To: Bryan, Jeff <jeff.bryan@ncdenr.gov>
Subject: PWS comments NCO029190
Hi Jeff,
DocuSign Envelope ID: 80ADOE71-C91F-44D6-90CA-49316A247808
NCO029190 / Surry County Rest Area is a grade II Biological WPCS facility in Surry County which
discharges into Naked Run Creek, currently classified WS-IV; Tr.
Please send me any comments when you are able.
Please note that we're transitioning to paperless communication. As such, NPDES will no longer
send the separate approval memo for PWS comments on this permit draft. The email response from
you (or another PWS contact) will suffice to document the draft permit review by PWS.
Thanks for your help, and let me know if you have any questions.
Emily DelDuco
Division of Water Resources
Department of Environmental Quality
919-707-9125
emiIy.deIduco(@ncdenr.goov
'Nothing Compares,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S- REGAN
Secretary
LI NDA CULPEPPER
Interim 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://deg.nc.ciov/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.
ec: WQPS Laserfiche File w/application
Sincerely,
'A P141
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
.xrm+caaaPaDmuvr\
� Q
r
/-
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300
DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808
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 000029190
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 @ NCf VA line
Mailing Address
PO Box 250
City
North Wilkesboro
State / Zip Code
NC / 28659
Telephone Number
(336) 903-9228
Fax Number
(336) 903-9239
e-mail Address
twchrisawn@ncdot.gov
2. Location of facility producing discharge:
Check here if same address as above ❑
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 ORQ
Name North Carolina Department of Transportation-_ -
Mailing Address PO Box 250
City North Wilkesboro
State / Zip Code NC / 28659
Telephone Number (336) 903-9229
Fax Number (336) 903-9239
e-mail Address twchrisawn@ncdot.gov
1 of 4 Form-D 6/2017
DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808
�%rFM1
�T 9
� 2t
STATE OF NORTH CAROLINA
DEPARTWNT OF TRANSPORTATION
ROY COOPER
GOVERNOR
To Whom It May Concern,
JAMES H. TROGDom III
SECRETARY
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,
—`-/� — — 10-11- 18 -- --- —
Travis Chrisawn
Roadside Environmental Engineer
MallhngAddress: Telephone: (336) 903-9101 Location:
NC DEPARTMENT OF TRANSPORTATION Fax: (336) 667-4549 801 STATESVILLE ROAD
DIVISION 11 Customer Service: 1-877-368-4968 NORTH WILKESBORO, NC 28659
POST OFFICE BOX 250
NORTH WILKESBORO, NC 28659 Website: wwwxcdotcov
DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808 ,
NPDES APPLICATION - F01M 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
❑
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) ❑ 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
?. Name of receiving stream(s) (NEW appiicants: Provide a map showing the exact location of each
outfallr
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 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.
• 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
DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
3 of 4 Form-D 6/2017
DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER
GOVERNOR
Subject: Sludge Management Plan
JAMEs H. TROGDON, III
SECRETARY
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.
-- Id - it- la
Travis Chrisawn
Roadside Environmental Engineer
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
DIVISION 11
POST OFFICE BOX 250
NORTH WILKESBORO, NC 28659
Telephone, (336)903-9101
Fax: (336) 667-4549
Customer Service: 1-877-3684968
Website: wtvwncdoteov
Location:
801 STATESVILLE ROAD
NORTH WILKESBORO, NC 28659
DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808
I.
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 vast 36 months for parameters currently in uour vermit. Mark other parameters "N/A'.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
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
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NCO029190
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
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
Signature of Applicant
Date
- it -
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, orwho falsifies, tampers with, or knowingly renders inaccurale 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.)
4 of 4 Form-D 6/2017
DocuSign Envelope ID: 80ADOE71-C91F-44D6-90CA-49316A247808
Permit Enforcement History by Permit
Permit: NC0029190
Facility:
Surry County Rest Area
Owner:
NC DOT Division 11
Region: Winston-Salem
County:
Surry
Penalty
Remission
Enforcement EMC
Collection
Has
Assessment Penalty
Enforcement
Request
Conference Hearing
Memo Sent
Payment
Case
Case Approved Amount
Costs
Damages
Received
Held Held
To AGO
Total Paid
Balance Due
Plan
Closed
LV-2001-0178 05/14/01 $1,000.00
$48.00
$0.00
06/12/01
08/29/01
$1,048.00
$0.00
No
10/26/01
LV-2001-0225 06/20/01 $4,500.00
$48.00
$0.00
07/02/01
08/29/01
$3,298.00
$0.00
No
10/26/01
LV-2002-0460 09/26/02 $250.00
$75.64
11/06/02
12/04/02
$325.64
$0.00
No
03/04/03
LV-2002-0623 12/09/02 $250.00
$76.00
12/20/02
02/05/03
$326.00
$0.00
No
02/24/04
LV-2003-0661 10/17/03 $200.00
$83.00
$283.00
$0.00
No
04/21/04
LV-2004-0068 02/02/04 $100.00
$94.00
$194.00
$0.00
No
06/18/04
LV-2004-0251 07/01/04 $1,500.00
$94.00
$1,594.00
$0.00
No
08/03/04
LV-2005-0132 03/29/05 $500.00
$94.00
$594.00
$0.00
No
04/28/05
Total Cases: 8 $8,300.00
$612.64
$7,662.64
$0.00
Total Penalties:
$8,912.64
Total Penalties after
$7,662.64