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Home My WebLink AboutWQ0023896_Application_20200318Ih1L'3 Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE SYSTEM RENEWAL FORM: NDSR 01-20 This form is for renewal without modification for all non -discharge system permits, except Residuals Management and Single - Family Residence Wastewater Irrigation System permits. For more information, visit the Water Quality Permitting Section's Non -Discharge Branch Website. I. PERMITTEE INFORMATION: 1. Permittee: The University of North Carolina at Chapel Hill 2. Signature authority's name: George E. Battle, III per 15A NCAC 02T .0106(b) Title: Vice Chancellor of Institutional Integrity & Risk Management Primary Telephone number: (919) 445-1248 Office Secondary number: (919) 962-3795 Office Email Address: bg attle(a)ad.unc.edu 3. Permittee's mailing address: 200 E. Cameron Avenue, Campus Box 1000 City: Chapel Hill State: NC Zip: 27599-1000 4. Billing address (if different from above): UNC Environment, Health and Safety, 1120 Estes Drive, Campus Box 1650 City: Chapel Hill State: NC Zip: 27599-1650 5. Contact person's name (if different from signature authority): J. Laurence Daw Title: Environmental Compliance Officer Primary Telephone number: (919) 962-6666 Office Email Address: JLDAW(a,ehs.unc.edu II. PERMIT INFORMATION: 1. Existing permit number: WQ0023896 2. Has the facility been constructed? ® Yes or ❑ No Secondary number: (919) 883-7019 Cell If yes, has the facility been constructed in accordance with the permit and the Division -approved plans and specifications? [15A NCAC 02T .0110] ® Yes or ❑ No If no, a formal permit modification request shall be submitted to the Division. 3. Has any of the property ownership within the facility and/or disposal area changed from what is indicated in the current permit (Attachment B — disposal field owner/lessee)? ❑ Yes or ® No Has the Permittee had a name change or has the permit changed ownership? ❑ Yes or ® No If yes to either, a permit modification request shall be submitted to the Division. [15A NCAC 02T .0105] 4. Is this facility a Privately -Owned Public Utility? ❑ Yes or ®No If yes, provide two copies of the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise. [15A NCAC 02T .0115(a)(1)] 5. Is the Permittee a Home/Property Owners' Associations or Developers of lots to be sold? ❑ Yes or ® No If yes, provide the following: • For Home/Property Owners' Associations — Operational Agreement (FORM: HOA) and a copy of the proposed or approved Articles of Incorporation, Declarations, and By-laws [15A NCAC 02T .0115(c)] • For Developers of lots to be sold — Operational Agreement (FORM: DEV) [15A NCAC 02T .0115(b)] FORM: NDSR 01-20 Page 1 of 4 State of North Carolina Ih1L'3 Division of Water Resources 6. Does the facility treat and dispose of industrial wastewater? No If yes, complete items below. If no, skip to the next section. Indicate the approximate percentage of wastewater makeup: Industrial: % Domestic: % Stormwater: % Department of Environmental Quality Division of Water Resources NON -DISCHARGE SYSTEM RENEWAL FORM: NDSR 01-20 For all industrial wastewater sources (excluding those permitted under a pretreatment permit), provide a detailed industrial process description including: • An overview of the manufacturing process • An inventory of all materials used for manufacture, including chemicals and biological matter • An overview of cleaning and treatment methodology, including an inventory of treatment materials and compounds Has the nature of wastes (e.g., change in industrial processes, introduction of new materials or chemicals, etc.) described in the approved permit application(s) changed? ❑ Yes or ❑ No If yes, a permit modification request shall be submitted to the Division. FG.S. 141-215.1(d III. SITE MAP: 1. Provide an updated site map in accordance with 15A NCAC 02T .0105(d) that shows the following (if applicable): The site map is not required to be signed or sealed by a Professional Engineer. However, the map must indicate the source of information. For example, parcel lines taken from a county GIS map should reference the GIS website. ® Legend, north arrow, and scale ® Topographic contours on all disposal sites ® Soil mapping units on all disposal sites ® All facility -related structures and fences within the treatment, storage, and disposal areas ® All habitable residences and places of assembly within 500 feet of all treatment, storage, and irrigations sites ® Location of all wells, streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, ditches, and other surface drainage features within 500 feet of all waste treatment, storage, and disposal site(s) ® Latitude and longitude coordinates of all monitoring wells (decimal degrees to 6 digits) ® Location and identification of major components of the waste disposal system ® The wetted perimeter of all irrigation fields with field names (named according to the approved permit) ® Location and ownership of property boundaries within 500 feet of the disposal area (including road/rail right-of-ways) ® The delineation of compliance and review boundaries ® Distance measurements verifying all setbacks are being met ® Stormwater drainage controls ® 100-year floodplain ❑ For reclaimed water generation permits, provide a separate map showing all distribution lines and utilization permit locations that are connected to the water generation facility and are permitted by the Non -Discharge Branch (excludes Local Program permitted facilities). Include all reclaimed water distribution line and reclaimed water utilization permit numbers. FORM: NDSR 01-20 Page 2 of 4 Ih1L'3 Division of Water Resources TV. GROUNDWATER MONITORING WELLS State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE SYSTEM RENEWAL FORM: NDSR 01-20 1. Does the facility have a proposed or existing groundwater monitoring well network? ® Yes or ❑ No If no, skip to next section. If yes, complete the following table (NOTE — This table may be expanded for additional wells): Well Name Status Latitude a Longitude a Gradient Location MW-1 Active 35.9045230 -79.2424540 Up Gradient Inside Compliance Boun MW-3 Active 35.9025410 -79.2410650 Down Gradient On Review Boundary MW-4 Active 35.9027850 -79.2418780 Cross Gradient On Review Boundary MW-5 Active 35.9039150 -79.2395360 Down Gradient Inside Review Boundary MW-6 Active 35.9043960 -79.2391720 Down Gradient Inside Compliance Boun Select o- 0Select Select Select o- 0Select Select Select o- 0Select Select Select o- 0Select Select Select o- 0Select Select a. Coordinates must be in NAD83 and have 6 decimal degrees V. SETBACK WAIVERS, EASEMENTS, AND LEASES: 1. Does the permit have any setback waivers, easements, or leases? ❑ Yes or ® No If yes, provide copies of all documents and complete the table below: Document Type Grantor or Parcel No. Grantee Expiration Date County Registered Deed Book Deed Page Document Description a Select Select Select Select Select Select Select a. The document description shall list any reduced setbacks with distance, etc. 2. For reclaimed water utilization permits: Is reclaimed water utilized on property not controlled by the generator? ❑ Yes or ❑ No A lease, easement, or agreement must be provided allowing for the utilization of reclaimed water on the property or within the facility. For irrigation of reclaimed water, an easement is required per 15A NCAC 02U .0501(6). All documents shall be listed in the table above. FORM: NDSR 01-20 Page 3 of 4 State of North Carolina DWR Division of Water Resources VI. RELATED PERMITS Department of Environmental Quality Division of Water Resources NON -DISCHARGE SYSTEM RENEWAL FORM: NDSR 01-20 1. If this permit has interactions with other wastewater permits (collection systems, NPDES, etc.), complete the table below (provide additional pages if necessary): Permit Type Permit No. Description NA 2. Does the facility have an approved flow reduction [15A NCAC 02T .0114(f)1? ❑ Yes or ®No If yes, attach the measured monthly average amount of wastewater flow contributed per unit for the 12 months prior to permit renewal. If any of these monthly averages are within 20% of the approved value, the Permittee shall provide a reevaluation of the reduced flow value using the methodology applied to the original flow reduction application. Also, attach a copy of the flow reduction approval letter. APPLICANT'S CERTIFICATION 15A NCAC 02T .0106(b) I, Georee E. Battle. III , attest that this renewal application has been reviewed by me, and is accurate and complete to the best of my knowledge. I understand that any unauthorized discharge of wastewater from this non -discharge system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed, this application may be returned to me as incomplete. I further certify that the Applicant or any parent, subsidiary, or other affiliate of the Applicant has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and does not have any overdue annual fees. NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T 0106 c an alternate person may be designated as the signing official if a delegation letter is provided from a person who meets criteria in 15A NCAC 02T .0106(b) (� Signature Date: THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NON -DISCHARGE BRANCH By U.S. Postal Service: By Courier: By Email: Non -Discharge Branch Non -Discharge Branch — Archdale 942W Non-Discharge.Reportsnncdenr.gov 1617 Mail Service Center 512 N. Salisbury St. Raleigh, NC 27699-1617 Raleigh, NC 27604 TELEPHONE NUMBER: (919) 707-3654 FORM: NDSR 01-20 Page 4 of 4 The University of North Carolina at Chapel Hill II Bingham Facility Wastewater I j System Improvements Orange County, NC _ s 03/2014 1 inch = 250 feet Feet 0 125 250 500 QBus Stops Orange County Parcels J New Monitoring Wells Well Setback O 50' Setback J Existing Monitoring Wells 0 100' Setback Potable Wells fill.. 150' Setback °"�200' Surface Water Monitoring Setback U500' Area of Interest — Sanitary Sewer Wastewater Treatment Plant — Potable Water Piping Effluent Storage Basin — Effluent Forcemain Q Irrigation Pump Station 0-0 Fenceline Wet Weather Storage Basin — Irrigation Layout ® Wetlands (survey) — Drip Irrigation Layout 0 Existing Building Footprints --- Stream (County GIS) Existing Paved Area — Stream (survey) UNC Owned Property Streets Habitable Residences Not Within 500 2-ft Contour Habitable Residences Within 500 feet 10-ft Contour 0 100' Buffer from Bus Stops Compliance Boundary Georgeville Soils Review Boundary Herndon Soils Q Bingham Property Boundary Revision 1 10/2011 Revision 2 01/2013 Revision 3 11 /2013 Revision 4 03/2014 MCKIM&CREED Any habitable residence or place of public assembly under separate ownership or not to be maintained 100 feet 100 feet 320 feet 406 feet as partof the Project site Any habitable residence or place of public assembly under separate ownership to be maintained as part — 15 feet — 201 feet of the roectsit. A rivate or ublic water supply source 100 feet 100 feet 325 feet 250 feet Surface Waters (streams- intermittent and perennial, perennial water bodies, and wetlands 50 feet 100 feet 50 feet 100- feet >T Groundwater lowering ditches (where the bottom of V. the ditch intersects the SH — 100 feet — WA Subsurface roundwaterlowerin drainage stems — i 100 feet i i WA Surface water diversions (ephemeral streams, _ 25 feet — 100+feet or cuts 1993 Orange Chapel Clover Garden Road - I LEE I i I Ellin I I' P r I\\ I►c a l p Erin a ul 52a 526 524 + I I 1 rrr_�r�r4� 1 1 Dry y^lb 2119 Orange Chapel Clover Garden Road 1106, Surface Water Monitoring Location 3 MW-6 \� �4'► J Long.-79.239172 CO • S �� iv Lat. 35.904396 00 Exist MW-1 ��\ X �,� 17.40' water depth yoti I 492.88' top of well casing 00 elevation as (To Remain Active) g - Lon 79.242454 � 4 — Surface Water Monitoring ,\8a - Lat. 35.904523 �_ • �00 Location 1 MW-500 522.80 top of well casing elevation ' Long.-79.239536 0 �■ h N _ ,1 Lat.35.903915 6600 Maynard Farm Road 19.00' water depth 489.95' top of well casing elevation or � �� ► � * North Star Training Center Exist MW-2 (Leath Property) ; ��\ I Be Abandoned) MW-4 Long.-79.241878 Long.-79.239519 Lat.35.902785 0 1 _! Lat.35.903087 18.60' water depth] ` 491.42' top of well casing elevation + II 512.79' top of well casing elevationalp it •: ` e� A F'r►� �/� y0° 1 Surface Water Monitoring Location 2 Z ' n MW-3 1808 Orange Chapel p Long.-79.241065 tij l f� Clover Garden Road m Lat. 35.902541 482 j0 — NO G)17.50' water depth A — 497.11' top of well casing elevation 0 �, �� RI)\ 6627 Maynard Farm Road a � ` ► 516 ` f 6703 Maynard Farm Road NC Control Monument p �� O R 1 Fo6 15 feet ITA sp Long.-79.24158 So��NERNtR�( Lat. 35.89819 a — 10feet — 160eet feet 150 — eet00 — 150+ feetSSE — 20 feet — WA 15 feet 120 feet y°z 1711 Orange Chapel Clover Garden Road �JSurface Water Monitoring �j Location 4 SEAL CA , �pEESS1 lj SEAL �= 013260 r4G I NO., C