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Home My WebLink AboutNCG110148_COMPLETE FILE - HISTORICAL_20130408STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT N0. DOC TYPE �I HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑�o1�'V�O YYYYMMDD IVIAr rA 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 David Hamilton Town of West Jefferson PO Box 490 01 South Jefferson Avenue West Jefferson, NC 28694 April 8, 2013 Subject: Permit Renewal Application Fee Return Permit NCG 110148 Town of West Jefferson WWTP Ashe County Your fee, submitted as part of your request for a General Permit renewal received on January 28, 2013 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. 111 Other Permit renewal applications for NPDES stormwater permits do not require renewal fees. This fee is being returned. Your check is enclosed. 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 Stormwater Branch 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location:512 N. Salisbury St. Ralegh, North Carolina 27604 Phone: 91 M07-63001 FAX: 919-807-6494 4 Customer Service: 1-877-623-6748 Internet: www.ncwatercluality org An Equal opportunity L Affirmative Action Employer NonrthCarolina Natura!!Y TOWN OF WEST JEFFERSON Date Inv NoADesc. P.O. No. 01/25/20.13 1-21-1-31permit renew Amt 100.00 . 14423 Check - :14423 01/25/2013 Total Amt: 100.00 MAYOR Dale Baldwin ATTORNEY David Paletta TOWN MANAGER Brantley Price January 21, 2013 TOWN OF WEST JEFFERSON "Prosperity, Growth, Achievement" Stormwater and General -Permits •Unit Division of Water Quality 1617Mail Service Center Raleigh, NC 27699-1617 Sir, SUS ALDERMEN Calvin Green Tom Hartman Lester Mullis Stephen Shoemaker Brett Summey ,\A v ArO prwi c9irj ur-j �0 IMr. t"- V6, 0 sar VIC&-. . ,4- ¢.h1dw l uv E 1.4 dh .n.1; �j Rj it. C kI c IC Please find enclosed the application for renewal of our Stormwater Permit under General Permit NCG 110000. A check for the amount of $100.00 is included. Thank you, l IUG6i1 oEu� David Hamilton .�— Town of West .lefferson.NC 28694 PH- 336-246-3558 Email-wwtp@townofwj.com Post Office Box 490 01 South Jefferson Avenue West Jefferson, NC 28694 Telephone: 336-246-3551 www.townofwj.com m 1. ' .�.i• � `• � f v Division of Water Quality 1 Water Quality Section NCDENR National Pollutant Discharge Elimination System F ..� FaMOURCM NCGlI0000 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 ownerloperator (address to which all Rermit correspondence will be mailed): Name Town of West Jefferson Street Address 01 South Jefferson Ave. PO Box 490 City West Jefferson StateNC ZIP Code 28694 Telephone No. 336-246-3551 Fax: 336-246-4409 E-mail Address admin@townofwj.com 2) Location of facility producing discharge: Facility Name Facility Contact Contact E-mail Street Address City County Telephone No. Town of West Jefferson WWTP David Hamilton. wwtp@townofwj.com 335 Clearwater Drive West Jefferson StateNC ZIP Code 28694 Ashe 336-246-3558 3) Physical Location Information: Fax.336-246-3558 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). 221 Business % mile from last traffic light on North Jefferson Ave. (A copy of a county map or USGS quad sheet with facility clearly located on the map Is required to be submitted with this appllcatlon) 4) Latitude 36 24' 35 » Longitude 18 29' 26 » seconds) 5) This NPDES Permit Application applies to which of the following I D 1'A - WATER QUALITY NCG110000 N.O.I. ❑ New or Proposed Facility Date operation is to begin X Existing 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: 7) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: 8) Discharge points ! Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 1 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? Unknown Tributary of tittle Buffalo 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). 10) Does this facility have any other NPDES permits? ❑ No X Yes If yes, list the permit numbers for all current NPDES permits for this facility: NC 0020451 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? ❑ No X Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: WQ 0019471 12) Does this facility employ any best management practices for stormwater control? X No ❑ Yes If yes, please briefly describe: 13) Does this facility have a Stormwater Pollution Prevention Plan? X No ❑ Yes If yes, when was it implemented? 14) Are vehicle maintenance activities occurring at this facility? X No Yes 15) Hazardous Waste: NCG110000 N.O.I. a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? X No Cl Yes b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? X No ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste generated per month) of hazardous waste? X 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: M ^ How many disposal shipments per year: Name of transport 1 disposal vendor: Vendor address: 16) Certification: North Carolina General Statute 143-216.6 b (1) 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 rutemaking 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 true, complete, and accurate. Printed Name of Person Signing: —David Hamilton Title: ORC r- (Signature of Applicant) J-.27 ! I (Date Signed) Notice of Intent must be accompanied by a check or money order for $100.00 matoq p.gya to NCDENR' R..-- !1 ..i A r 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 ❑ 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 DWQ Central Office or Regional Office for your area. DWQ RRgional Office Contact information: Asheville Office ...... (828) 296-4500 Fayetteville Office ._. (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) W-6481 Wilmington Office ... (910) 796-7215 Winston-Salem ...... (336) 771-5000 Central Office ......... (919) 807-6300 ram__— w _t . : e 40 50 N 30 30 S. :T6W,eir % Q flu Lq S Town of West Jefferson WWIp % t NCG110148 is ow 44PP V v r 41P e r, Fj tt i r 3 t 30�`\ SV A335f Longitu: 3612"de: 81029-D- NCGI10148 Facility County: Ache Town of West Location Stream Class: Q Tr+ Jefferson WVVffP Receiving Stmanc an unnamed w1urary to I=k Buffalo Creek, Stream Indem 10-2-20-1 NOT WALID Sub -basin: 05-07-02 (New River Basin); Map by Bill Diuguid