NCG110047_COMPLETE FILE - HISTORICAL_20121121

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
fl/C�
DOC TYPE
HISTORICAL FILE 77
❑ MONITORING REPORTS
DOC DATE
0 Qo)j
YYYYMMDD

AN =
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
Bruce Radford
The Town of Apex
PO Box 250
Apex, NC 27502
November 21, 2012
Subject: Permit Renewal Application Fee Return
Permit NCG 110047
Apex Water Reclamation Facility
Wake County
Your fee, submitted as part of your request for a General Permit renewal received on November 07, 2012 is
being returned due to:
❑ Check for $100.00 made payable to NCDENR is missing.
❑ Application is incomplete.
❑ Application package is missing the supporting documents.
❑ Missing copy of county map or USGS quad sheet with facility clearly marked.
❑ Other Permit renewal applications for NPDES stormwater permits do not require renewal fees. This fee is
being returned. Your check is enclosed. You will receive additional information from our Division in the next
few weeks associated with the hermit renewal process.
Please return the complete package of information so we can continue processing your request. If you have any
additional questions, please contact Bradley Bennett at 919-807-6378.
cc:
Wetlands and Stonnwater Branch
1617 Mail Service Center, Ralegh, North Carolina 27699.1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer service: 1-877-623-6748
Internet: www.ncwaterqua4ty.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
)Vaturallry

182852
CHECK NO.

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NCDENR
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Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG110000
FOR AGENCY USG ONLY
Date Received
Year
month Da
Certificate of Covers e
Check #
Amount
Permit Assigned to
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG110000:
STORMWATER DISCHARGES associated with activities classified as:
Treatment Works treating domestic sewage or any other sewage sludge or wastewater treatment
device or system, used in the storage, treatment, recycling, and reclamation of municipal or
domestic sewage, with a design flow of 1.0 million gallons per day or more, or required to have an
approved pretreatment program under Title 40 Code of Federal Regulations (CFR) Part 403,
including lands dedicated to the disposal of sewage sludge that is located within the confines of
the facility; and like activities deemed by DWQ to be similar in the process and/or the exposure of
raw materials, products, by-products, or waste materials.
(Please print or type)
1) Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Name Bruce Radford
Street Address 73 Hunter Street (Mating Address: P.O. Box 250)
City Apex State NC ZIP Code 27502
Telephone No. [phone] Fax: [phone]
E-mail Address [e-mail]
2) Location of facility producing discharge:
Facility Name Apex Water Reclamation Facility
Facility Contact John Cratch
Contact E-mail [e-mail]
Street Address 300 Pristine Water Drive
City Apex State NC ZIP Code 27502
County Wake
Telephone No. [phone] Fax: [phone]
3) Physical Location Information:
Please provide a narrative description of how to get to the facility (use street names, state road numbers, and
distance and direction from a roadway intersection). From US-1S, take Exit 95 for NC 55. Turn left onto NC 55/E. Williams street
and proceed approximately 0.4 miles. Turn left onto Pristine Water Drive. The Apex Water Reclamation Facility will be on your right.
(A copy of a county map or USGS quad sheet with facitity clearly located on the map is required to be submitted with this application)
4) Latitude 35deg 42' 32.5044- Longitude -78deg 50' 3.2064- (degrees, minutes, seconds)
5) This NPDES Permit Application applies to which of the following :
❑ New or Proposed Facility Date operation is to begin
Q Existing
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Last Revised 711
t&

NCG110000 N.O.I.
6) Standard Industrial Classification:
Provide the 4 digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial
activity at this facility
SIC Code: 4 9 5 2
7) Provide a brief narrative description of the types of industrial activities and products manufactured at
this faCility: The Apex water Reclamation Facility treats wastewater from residential, commercial, and industrial sources located in the Town of
Apex. The treated effluent is discharged into an unnamed tributary to Middle Creek. Biosolids are produced and are land applied in accordance with
the Town's land application permit (wQt)001060),
8) Discharge points 1 Receiving waters:
How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 2
9) Receiving waters:
What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility stormwater
discharges end up in? An unnamed tributary to Middle Creek.
If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm
sewer system (e.g. City of Raleigh municipal storm sewer). NIA
10) Does this facility have any other NPDES permits?
❑ No
0 Yes
If yes, list the permit numbers for all current NPDES permits for this facility: Nc0o64050
11) Does this facility have any Non -Discharge permits (ex: recycle permits)?
❑ No
0 Yes
If yes, list the permit numbers for all current Non -Discharge permits for this facility: w00121863&wo0001060
12) Does this facility employ any best management practices for stormwater control?
❑ No
❑✓ Yes
If yes, please briefly describe: Proper raw chemical and fuel storage with secondary containment; good housekeeping; periodic
and routine inspections of processes and equipment; proper labeling of storage containers; active SPCC plan; active sewer collection
system O&M program; easily accessible spill cleanup kits; valves in catch basins; roof drainage to grassed lawn areas.
13) Does this facility have a Stormwater Pollution Prevention Plan?
❑ No
✓❑ Yes
If yes, when was it implemented? June 25, 2004
14) Are vehicle maintenance activities occurring at this facility? i
Q No ❑ Yes R wwo nn
15) Hazardous Waste: PC&II
a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility?
✓❑No ❑Yes fe�tv,rt, CC�
Page 2 of 4
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NCG110000 N.0.1.
b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of
hazardous waste?
❑✓ No ❑Yes
c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of
hazardous waste?
✓❑ No ❑ Yes
d) If you answered yes to questions b. or c., please provide the following information:
Type(s) of waste:
How is material stored:
Where is material stored:
How many disposal shipments per year:
Name of transport / disposal vendor: _
Vendor address:
16) Certification:
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false
statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the
[Environmental Management] Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to
exceed ten thousand dollars ($10,000).
I hereby request coverage under the referenced General Permit. I understand that coverage under this permit
will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is tru complete, and accur
Printed Name of Person Signing: Y Gf
Title: 1 e LlA j) � a (j- „
(Signature of Applicant)
ov
(Date Signe )
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to NCDENR
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NCG110000 N.O.I.
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
✓❑ Check for $100 made payable to NCDENR
❑✓ This completed application and all supporting documents
Q Copy of county map or USGS quad sheet with location of facility clearly marked on map
Mail the entire package to:
Stormwater and General Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Note
The submission of this document does not guarantee the issuance of an NPDES permit.
For questions, please contact the DWO Central Office or Regional Office for your area.
DWO Regional Office Contact Information:
Asheville Office ......
[phone]
Fayetteville Office ...
[phone]
Mooresville Office
... [phone]
Raleigh Office ........ [phone]
Washington Office
...[phone]
Wilmington Office ...
[phone]
Winston-Salem ......
[phone]
Central Office .........(919)
807-6300
Page 4 of 4
SWU-226-071408 Last Revised 7/14/2008

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