WQ0039924_2019 Residual Annual Report_20200225

Initial Review
INITIAL REVIEW
Reviewer Williams, Kendall
Is this submittal an application? (Excluding additional information.)*
r Yes r No
If not an application r Annual Report
what is the submittal r Residual Annual Report
type?* r Additional Information
r Other
Annual Report 2019
Year*
Date Paper Copy 2/25/2020
Received:*
Project Number* WQ0039924
Email Notifications
Does this need review by the hydrogeologist?*
r Yes r No
Regional Office
CO Reviewer
Admin Reviewer [e-mail]

Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirrration of receipt, and other issues.
....................................................................................................................................................................................................................................................................................................................................................................................................
Name * Robert T. Branch
Email Address*
[e-mail]
Project Information
Submittal Type* f New Permit Application
r Renewal
r Annual Report
r Other
Permit Type * r Wastewater Irrigation
r Other Wastewater
r Closed -Loop Recycle
r Single -Family Residence
Wastewater Irrigation
Is a paper copy of the application being submitted?
r Yes r Nor N/A
Permit Number* WQ0039924
ApplicantTermittee * von Drehle Corporation
Facility Name * von Drehle Cordova
Phone Number*
336.312-9007
r Modification (Major or Minor)
r Additional Information
r Residual Annual Report
r High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
Please attach all information required or requested for this submittal to be review here.
Application Four► Engineering Rans, Specifications, Calculations, Etc.)
vd_a_2019ar.pdf 81.27KB
upload only 1 RDF document. NL@iple docurrents rrust be combined into one RDF file.

For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contactthe reviewer or Tessa Monday. If a paper 2-pol cation is required,
be advised, applications accepted for pre -review until both the paper and elect-c-ii.- --ol:ies have been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments {talcs, soils report, specs, etc.]
o One full-size engineering plan set
o One 11x17" engineering plan set
o One extra set of specifications
o Fee (if required)
Mailine address:
Division of Water Resources ! Division of Water Resources
Non -Discharge Branch I Non -Discharge Branch
1617 Mail Service Center I Att: Nathaniel Thornburg, P Floor, Office #942W
- =
Raleigh, NC 27699-1617 S12 N.5alisburySt.
For questions or problems contact Tessa Monday attessa.monday@)ncdenr.Qov or 919.707.3560.
* rJ By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. I also confirm that the uploaded document is a single PDF with
all parts of the application in correct order (as specified by the application).
Signature
Submission Date 2/20/2020

BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd, Suite 103-291, Rock Hill, SC 29732
PHONE [phone]
February 20, 2020
North Carolina Department of Environmental Quality
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Reference: 2019 LAND APPLICATION ANNUAL REPORT
Von Drehle Corporation.
Cordova, North Carolina
Permit No. WQ0039924
BR&S Project No. 2014-110
Information Processing Unit:
Branch Residuals & Soils is submitting all monitoring and reporting information as required in
the referenced permit on behalf of Von Drehle Corporation for their facility in Cordova, North
Carolina. This report includes: Distribution and Marketing Certification and Summary Form.
There were no distributions made in 2019.
If any further information is required regarding this land application program, please do not
hesitate to contact me at [phone].
Sincer ly,
S
Robert T. Branch, L.S.S.
Land Application/Residuals Operator
#15676
RTB
Enclosures

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORIN
WQ PERMIT #: WQ0039924 FACILITY NAME: von Drehle Corporation
PHONE: [phone] COUNTY: Richmond OPERATOR: Belger Farm
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
@ Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes 'El No ZI —I- If No skip parts A, B, C and certify form below
Part A*:
Part B*:
Month
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulling Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s
January
February
March
April
May
June
July
August
September
October
November
December
Total from FORM DMSDF (sup)l
0
0
0
0
Totals:
Annual (dry tons):
0
0
0
0
Amendment(s) used:
Bulking Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)):
Part C:
1-otal Number of corm DMZSlir (Nupp)1
Facility was compliant during the past calendar year with all conditions of the land application permit p Yes
(including but not limited to items 1-3 below) issued by the Division of Water Quality: ElNo If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Quality.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
2 lq zazo 2 -S=�v
SignXue of Permittee Date Signature of Preparer** Date
(if different from Permittee)
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DFNR FORM OMSDF (19120061