NC0040045_Renewal (Application)_20190620

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Dir"for
Sherry W. Freeman, Secretary
Bills Truck Stop Inc
1210 Snider Kines Rd
Linwood, NC 27299
Subject: Permit Renewal
Application No. NCO040045
Bill's Truck Stop WWTP
Davidson County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
June 20, 2019
The Water Quality Permitting Section acknowledges the June 3, 2019 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. 15OB-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
1EQ
Sincerely,
N4AC, 6�&�
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
North Csroriins Dspartmsnt of Envirorkmenta3 Quabty I Divisaon of 1'.ater Rssaumss
1Ysnston F_rn kearonai 0ffioe 1 450 West Hanes 1124 Road, Snit= 30D I WinstonSe?ern, North Carotins 27105
33977fi 9800

f NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to: RECEIVED/NCDEA/DWR
NC DEQ / DWR / NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
JUN 0 3 1019
NPDES Permit INCOO a oo water Quality
Permitting Section
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
'P-, 0 b 2Y + W alG e-r
Facility Name
_�>i I6 -Fr" 5 ion . z o r-
Mailing Address
12 L d sn; ae t k6 fvGS
City
L.i nLJ d 0 d
State / Zip Code
r(G Z (1-2 9 q
Telephone Number
Fax Number
(33 G) q 56 b o 5
e-mail Address
ruher� e walsGr�m u,W�
2. Location of facility producing discharge:
Check here if same address as above 0'
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 Lk,(r Wr)grd
Mailing Address 6 0 Z
City %1U t\ Mnn
V
State / Zip Code lYC 217246
Telephone Number 23g 0 8/VZ
Fax Number
e-mail Address Let 1wk0_,& 4o k0g.Cc m
1 of 3 Form-D 6/2017

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 applyr
Industrial
❑
Number of Employees
Commercial
Number of Employees 3 (�
Residential
❑
Number of Homes
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Number of persons served: IEQ - Z 0 0
5. Type of collection system
Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points
Outfall Identification number(s) 0 0
Is the outfall equipped with a diffuser? ❑ Yes 2140
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
5 ID Cre-e k,
S. Frequency of Discharge: [d 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. 0064fAUCAO OPQrafe, 1? um
ao isrhfig 0, 0d to q j was4e_ Water ` veal mej)j
P -N,a+ in �I kde s the,iLloe,v tng comp©nen�s ;
G►�as� �c�s
ption 5ef'�� � ant�j
�00o G�abOfl r�c.ir la ng d©5"15 -+anst. c.��,Fh ci�a l ��:S9pmP Ps
p' x o50' r6 C j`rCu / t-fl0 j sU-r-FGzf-P- Sand t`I'
�ab�ef- Chloriti2fio&� d c&Chlorina*o,
2 of 3 f lou3 r► e,45 aett-LC d" v (tu Form-D 6/2017

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow . 0040 MGD
Annual Average daily flow , OOOSZ MGD (for the previous 3 years)
Maximum daily flow 1000174 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes R 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 Mast :36 mr>nthS fnr nnrnmatonz riirrOnthi in ,in,ir nar if AA.,,-L- ..fl, "nri n»
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODs)
Fecal Coliform
%• 3
3
L
Total Suspended Solids
/ O
L
Temperature (Summer)
;2p
2 2 .5
G
Temperature (Winter)
/0
/ 3
G
pH
& S�
13. List all permits, construction approvals and/or applications:
Type
Permit Number
Type
Permit Number
Hazardous Waste (RCRA)
NA
NESHAPS (CAA)
Ktq
UIC (SDWA)
NA
Ocean Dumping (MPRSA)
/V A
NPDES
NG()0 %JQ tj S
Dredge or fill (Section 404 or CWA)
KA
PSD (CAA)
91q
Other
Non -attainment program (CAA) lYA
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.
of Person Signing
Signature of
Title
,5�-24•2opj
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.)
3 of 3 Form-D 6/2017

Q
NCO040045 - BiLVs Truck Stop WWTP
Latitude: 350 44' 59" Longitude: 80' 21' 12"
Stream Class: C Subbasin: 03-07-04
Receiving Stream: South Potts Creek
USGS Quad: Southmont, N.C.
River Basin: Yadkin -- Pee Dee
Facility �`♦
Location
[not to scale]
Not& I Davidson County