WQCS00329_Response CEI_Correspondence_20190715

Town of -0. agrjbille
DONALD B. STREET
MAYOR
RANDY LANSING
TOWN MANAGER
July 15, 2019
Erin Deck
Division of Water Resources
3800 Barret Drive
1628 Mail Service Center
Raleigh, NC 27699
Dear Ms. Deck,
MDA
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Naas* ttdoo
TOWN COUNCIL
LOUISE W. HINTON
KATE C. BURNS
CHARLES P. TAYLOR
LARRY D. TAYLOR
NC Dept ofFnvironmental Quality
JUL t � 20
Raleigh Regional Office
Enclosed please find the Town of Nashville's completed Operator in Responsible Charge form
for its waste water collection system — WQCS0329.
Also regarding to the Town of Nashville informing its waste water users about protecting the
waste water collection system from fats, oils, and grease, the Town's FOG power point will run
on the Nashville local access channel 3 times a day the week of August 11 h and again the week
of February 16t'. On the Town's August and February utility bills there will be a message
directing Nashville waste water users to view the FOG power point playing on the local access
channel. Notice of the FOG power point running on the local access channel will also be put in
the Nashville Graphic Newspaper's "Community Events" the week it is playing on the local
access channel. Finally, Nashville's Library, Police, Fire, and Parks & Recreation Facebook
pages will also invite their followers to view the FOG power point on the local access channel
the week it is playing.
If you have any questions or concerns regarding Nashville's ORC form on the planned public
awareness methods for Nashville's FOG, please call me at 252-459-4511, ext. 233. Thank you.
Sincerely, `
Randy Lansing
Town Manager
499 S. Barnes Street, P.O. Box 987, Nashville, NC 27856 Telephone: [phone]

Water Pollution Control System Operator Designation Form
WPCSOCC?/
NCAC 15A 8G .0201
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Permitter Owner/Officer Name: /u1�� , rt.5l'/!1r 1° �
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Mailing Address: � ,�(f / �� ! ` t, 9 �'
City:A1&1q1'0State: Alz Zip: ,.�� �: - Phone #• _ A ,
Email address: .'}r►sirr�i7n c�.
............uu........yiffe...............#�r#.wu........u...................................................................................
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Facility Name: ��� C>� /�-fC/_/r I Permit#:G.
County: Ala
.................................................................................................................................................
SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM!
-,Facility Type/Grade (CHECK ONLY ONE):
Biological Collection` Physical/Chemical Surface Irrigation Land Application
................................................................................................................................................
Operator in Responsible Charge (ORC)
Print Full Name: ti �r� 'i Email: 4C
Certificate Type/ Grade i Number: 65 la M `2. 0 Work Phone #:
Date:_-7 —,6 ­6?
"I certify tha"gree to my designation as the Operator in Responsible Charge for the facility noted. I understand and will abide by the rules
and regulations pertaining to the responsibilities of the ORC as set forth in I SA NCAC 08G .0204 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operators Certification Commission."
.................................................................................................................................................
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name:
Email:
Certificate Type / Grade / Number: Work Phone #:
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
..................................................................................................................................................
Mail, fax or entail the WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-16I8 Fax: [phone]
oral to: Email: [e-mail]
Mail or fax a cony to the Asheville
Fayetteville
Mooresville
Raleigh
appropriate Regional Ofee: 2090 US Hwy 70
225 Green St
610 E Center Ave
3800 Barrett Dr
Swanmanoa 28778
Suite 714
Suite 301
Raleigh 27609
Fax: [phone]
Fayetteville 28301-5043
Mooresville 28115
Fax: 919S71.4718
Phone:[phone]
Fax:[phone]
Fax:[phone]
Phone:[phone]
Phone:[phone]
Phone.[phone]
Washington
Wilmington
Winston-Salem
943 Washington Sq Mall
127 Cardinal Dr
450 W. Hanes Mall Rd
Washington 27889
Wilmington 28405-2845
Winston-Salem 27105
Fax:[phone]
Fax:[phone]
Fax:[phone]
Phone:[phone]
Phone:[phone]
Phone:[phone]
Revised 05-2015