NC0085952_Renewal (Application)_20200511 (2)

(45V 00 02, ,
ROY COOPER �'
Governor - k3
MICHAEL S.REGAN
Secretary
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
May 11, 2020
TA Operating, LLC
Attn: Rob Proges, Dir.
24601 Center Rdg Rd Ste 200
Cleveland, OH 44145
Subject: Permit Renewal
Application No. NC0085952
Candler Travel Center
Buncombe County
Dear Applicant:
The Water Quality Permitting Section acknowledges the May 11, 2020 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the_current permit is contingent on timely and sufficient application for renewal of the current permit.The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a-
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deo.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker: .
Sinc rely,0 p
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Robert Gertzen,Jr.-Utility Services
ec: WQPS Laserfiche File w/application
NorthC ro9irtsDepartnea tofEnvronrnentslcu'slaty I Divs:ortofYlaterReso4rw_s
2y DE. .) Ashawi.i,Re final Dffa 12O94 U.S.7oeriNt hws} I Swarnanos,.North c ran�ra 28778
�....b..� /"• 828-2ao-45o0

ff7 .._ •
ROY COOPER ., '-
Governor
MICHAEL S.REGAN `�. *n„..»a•,,,
Secretary
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
May 11, 2020
TA Operating, LLC
Attn: Rob Proges, Dir.
24601 Center Rdg Rd Ste 200
Cleveland, OH 44145
Subject: Permit Renewal
Application No. NC0085952
Candler Travel Center
Buncombe County
Dear Applicant:
The Water Quality Permitting Section acknowledges the May 11, 2020 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Robert Gertzen, Jr.-Utility Services
ec: WQPS Laserfiche File w/application
North,:aro ra Departrrertof Envaonrrenta Qua ty I D vson of Water Fesaurks
�„E
✓rr"rj Ashev,a Regcna.Dff a 2(59D U.S.7fl kgh�ay 5�arnanos,Non Caro rs 28778
828-296-45OO

tti�� O 2501 Chicago St.Suite 4
Valparaiso,IN.46383
Ph:[phone]-Fax:[phone]
www.utilitvservicescoro.com
May 6,2020
Wren Thedford
NC DENR
Division of Water Quality
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Candler Travel Center-NPDES Permit#NC0085952
Travel Centers of America (TA)has enclosed a NPDES permit renewal application for the following facility:
Candler Travel Center
153 Wiggins Rd.
Candler,NC.28715
NPDES Permit#NC0085952
One change to note is the removal of the effluent tertiary filter. Said filter malfunctioned and was deemed not cost
efficient to rebuild.This tertiary filter is not needed to consistently meet the total suspended solids permit limit.
If you have any further questions regarding our proposed levee management plan, please do not hesitate to contact
us.
Best Regards,
UTILITY SERVICES
Bob Gerrzen
Agent for TA Operating LLC
Cc: Rob Porges,Environmental Associate,TA Operating LLC
Enclosure
Utility Services—"One Solution"

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
NC DEQ / DWR / NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit NC00 85952
If you are completing this form in computer use the TAB key or the up -down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise,please print or type.
1. Contact Information:
Owner Name HPT TA Properties Trust
Facility Name Candler Travel Center
Mailing Address 24601 Center Ridge Road, Suite 200
City Westlake
State / Zip Code OH 4 414 5-5 6 3 4
Telephone Number (440) 8 0 8-4 411
Fax Number ( 440) 808-3307
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 153 Wiggins Road
City Candler
State / Zip Code NC 28715
County Buncombe
3. Operator Information:
Name of the firm,public organization or other entity that operates the facility. (Note that this is not referring
to the Operator in Responsible Charge or ORC)
Name Utility Services
Mailing Address 2501 Chicago St . , Suite 4
City Valparaiso
State / Zip Code IN 46383
Telephone Number (219) 7 5 9-019 3
Fax Number (219) 759-0292
e-mail Address [e-mail]
l of 3 Form-D 6/2017

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial 0 Number of Employees
Commercial ® Number of Employees 2 0
Residential 0 Number of Homes
School 0 Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Restaurants, bathrooms, showers
Number of persons served: Transient
5. Type of collection system
x❑ Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 0 01
Is the outfall equipped with a diffuser? ❑ Yes ❑x No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Unnamed tributary to George Branch in the French Broad River Basin
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities,provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
A 0 . 025 MGD extended aeration wastewater treatment plant consisting of;
a 6, 260 gallon aerated equalization basin, bar screen, flow splitter box, a
31, 250 gallon aeration basin configured in two tanks, dual secondary
clarifiers, a 530 gallon chlorine contact tank, dechlorination, 3, 800 gallon
sludge holding tank, standby power supply.
2 of 3 Form-D 6/2017

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow • 0 2 5 MGD
Annual Average daily flow . 0 0 6 MGD (for the previous 3 years)
Maximum daily flow . 015 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes x❑ No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum)and Monthly Average
over the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) 2 0 .2 2 . 9 6 MG/L
Fecal Coliform 228 10 . 1 CFU/100ML
Total Suspended Solids 25 .7 4 . 72 MG/L
Temperature (Summer) 2 6 21 .4 C
Temperature (Winter) 18 12 . 6 C
pH 8 . 3 7 .2 UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping(MPRSA)
NPDES NC 0 0 8 5 9 5 2 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the best
of my knowledge and belief such information is true, complete, and accurate.
Robert Gertzen Jr. TA Agent, Utility Services
Printed name of Person Signing Title
/�6Clo/tty¢� ¢yL Q. 5/6/2020
Signature o /ppl t Date
North Carolina General Statute 143-215.6 (b)(2)states: Any person who knowingly makes any false statement representation, or certification in any
application, record,report, plan,or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article,or who falsifies,tampers with,or knowingly renders inaccurate any recording or monitoring device or method required
to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a
misdemeanor punishable by a fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001 provides a
punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
3 of 3 Form-D 6/2017

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
SLUDGE MANAGEMENT PLAN
Waste sludge is maintained in an aerobic digester. Digested sludge is manually decanted and
pumped by a licensed septic hauler when needed. All sludge pumped and hauled is properly
disposed of at a local municipal WWTP.
3 of 4 Form-D 6/2017

N.C. Department of Environmental Quality
Division of Water Resources
Electronic Signature Agreement
NORTH CAROLINA Instructions and Submittal Form
favawaignatG my
This form is used to request that the N.C. Division of Water Resources(NCDWR)grant electronic
signature credentials to the individuals outlined in the form for NPDES wastewater permittees. The
Electronic Signature Agreement(ESA)must be submitted in hard copy form with original notarized
signatures for each individual requesting the credentials. For the most recent version of this form
please check NCDWR's website at:httos://dea.nc.aov/about/divisions/water-resources/edmr/forms-and-reports
Please use the following instructions as a checklist to ensure that all required information is included.
Following these instructions will help provide a quicker review time and reduce the need for additional
information requests.
❑ Section A.Owner/Organization Information
- Provide the Owner/Organization information requested. The Owner is the legal entity to which
permits have been issued and may be an individual or organization.
This section requires a Responsible Official. For an organization the information provided
should be the person with legal signature authority in accordance with 40 CFR 122.22.
▪ This section requires an email address for the responsible official. Email will be the primary
contact method so you must assure that any changes or updates to email addresses are
provided to NCDWR in a timely manner.
C] Section B.Agreement Conditions
Please read these conditions carefully as they outline the terms of the electronic submittal
credentials.
❑ Section C.Permit/Facility Information
- Provide information on the facilities and wastewater NPDES permits associated with the Owner/
Organization indicated in Section A of the form. If you need more space a supplemental page
that may be used and attached is available on our eDMR website at:
https://dect.nc.eov/about/divisions/water-resources/edmr/forms-and-reports
- If there will be a document submitter other than the responsible official,then please indicate
the individual's name in this section in the last Column.
❑ Section D.Responsible Official Signature
-. Provide the information,signature and notarization for the responsible official as designated
throughout the form.
- You must return this section with original signatures,copies will not be accepted.
A responsible official will be granted electronic submittal credentials even if other submitters
are included in the form.
❑ Section E.Submitter Signature
-• If you are only requesting electronic submittal credentials for the responsible official,then you
do not need to complete Section E.
Instructions Page i

- If you are requesting electronic submittal credentials for one or more individuals other than the
responsible official,then those individuals must be included in Section C with the
permits/facilities they will have electronic responsibilities for.
- NCDWR must be notified in writing of delegations of signature authority. If you are providing
information for a Submitter that does not already have documentation of this authority on file
with the NCDWR then you may be asked to provide this documentation
- You must include the Section E Submitter Signature page for each submitter listed in Section C.
Provide the information,signature and notarization for the submitter as designated.
You must return this section with original signatures,copies will not be accepted.
❑ Questions
- If you have any questions about the NCDWR ESA submittal process, please contact us at:
- Phone: [phone]
▪ Email: eDMRadmin(tncdenr.ttov
❑ SUBMIT COMPLETED FORM TO:
Information Processing Unit
Attn: Electronic Signature Agreements
1617 Mail Service Center
Raleigh, NC 27699-1617
Instructions Page ii

N.C. Department of Environmental Quality
Division of Water Resources
Electronic Signature Agreement
Federal regulations require that electronic documents must have valid electronic signatures if Title 40 of
the Code of Federal Regulations requires handwritten signatures on the paper documents they replace.
Valid electronic signature refers to an electronic signature on an electronic document that has been
created with an electronic signature credential.
This Electronic Signature Agreement,when finalized and approved,will allow the individuals with
electronic signature credentials to sign electronically a variety of required permit documents in lieu of the
submittal of signed paper copies. The submittal of Electronic Discharge Monitoring Reports(eDMR)
will be available once your electronic signature credentials are in place. Some agreements for document
submittals or acceptance,as noted in the Agreement Conditions(Section B.),are not currently available
electronically but are included here to have the agreements in place and to avoid the need to complete
future submittal of agreement forms when these systems are initiated.
A. Owner/Organization Information
Owner/Organization Name: TA Operating,LLC
Responsible Official: Rob Forges
(as identified in accordance with 40 CFR 122.22)
Street Address: 24601 Center Ridge Rd. Suite 200
City: Westlake _
State/Zip: _ Ohio,44145
Phone Number: [phone]
Email Address: [e-mail]
*email will be the primary method of contact for the electronic
submittal process so it is important to have an accurate email
available at all times
B. Agreement Conditions
To receive and accept the required electronic signature credential,consisting of a user name and
password,issued by the North Carolina Division of Water Resources(NCDWR) in order to sign
electronic documents submitted to NCDWR's Electronic Document Systems and to receive electronic
documents from NCDWR's systems;
The Responsible Official and Submitter(if applicable)named in this form do herby:
1. Understand that this Electronic Signature Agreement requires me to submit electronic documents to
NCDWR's approved eDMR system under the authorized program in lieu of paper submissions.
2. Understand that this Electronic Signature Agreement requires me to accept electronic transmissions,
in lieu of paper transmissions of all permits,permit modifications,authorizations to construct,and
any other correspondence related to reviewing and processing permits from NCDWR.This
authorization will not become effective until NCDWR establishes a system for processing electronic
documents;I am notified in writing from NCDWR that use of the electronic systems has officially
been initiated;and North Carolina rules and statutes are changed to allow the implementation of
electronic submittal and acceptance of documents.
NCDWR Electronic Submittal Agreement Version 1 Page 1

3. Understand that this Electronic Signature Agreement requires me to submit electronic all necessary
information for processing of NPDES application including information for renewal of existing
permits,modification to existing permits,and applications for new discharge permits.The submittals
may include all necessary applications and supporting documentation to NCDWR's approved system
for electronic submittals in lieu of paper submissions.This authorization will not become effective
until NCDWR establishes a system for processing electronic documents;I am notified in writing from
NCDWR that use of the electronic systems has officially been initiated;and North Carolina rules and
statutes are changed to allow the implementation of electronic submittal and acceptance of
documents.
4. Understand that this Electronic Signature Agreement requires me to accept electronic submissions,in
lieu of paper submissions,of all Notices of Deficiency,Notices of violations,Civil Penalty
Assessments,and any other correspondence related to compliance with federal and state water quality
laws and regulations that might be sent by NCDWR.This authorization will not become effective
until NCDWR establishes a system for processing electronic documents;1 am notified in writing from
NCDWR that use of the electronic systems has officially been initiated;and North Carolina rules and
statutes are changed to allow the implementation of electronic submittal and acceptance of
documents.
5. Agree to protect both the electronic signature credential,consisting of my user name and password,
and security questions and answers,from compromise and from use by anyone except me.
Specifically,I agree to maintain the secrecy of my electronic signature credential and security
questions and answers; i will not divulge or delegate my credential or security questions and answers
to any other individual; I will not store my credential or security questions and answers in an
unprotected location;and I will not allow my electronic signature credential or security questions and
answers to be written into computer scripts to achieve automated log-in.
6. Understand and agree that I will be held as legally bound,obligated,and responsible for the use of my
electronic signature as I would be using my hand-written signature.
7. Understand that I will be informed through my registered email address whenever my user name or
password has been modified.
8. Understand that eDMR reports the last date my user name and password were used immediately after
successfully logging into eDMR.
9. Agree to contact the NCDWR eDMR Administrator via email at [e-mail] as soon
as possible,but no later than 24 hours,after suspecting or determining that my user name and/or
password have become lost, stolen or otherwise compromised.
10. Agree that I will review the contents of all electronic submissions prior to submission.
11. Understand that I will automatically receive an email receipt at my registered email address from the
NCDWR's eDMR system for any submission that contains a valid electronic signature,identifying
the document received,the signatory,and the date and time of receipt.
12. Agree to contact the NCDWR eDMR Administrator via email at [e-mail] ncdenr.gov if I do not
receive an email receipt as specified above within five(5)business days for any electronically signed
submission using my credentials.
I3. Agree that if I received an email notification for an activity that I do not believe that I performed, I
will notify the NCDWR eDMR Administrator via email at [e-mail] as soon as
possible,but no later than 24 hours,after receipt.
NCDWR Electronic Submittal Agreement Version 1 Page 2

14. Agree to report.within 24 hours of discovery,any evidence of discrepancy between any electronic
document I have signed and submitted and what the NCDWR eDMR has received from me by
contacting the NCDWR eDMR Administrator via email at eDMRadmin(a,ncdenr.gov.
15. Understand that the NCDWR eDMR's system will automatically reject any electronic document
submitted without a valid electronic signature if such signature is required.
16. Agree to contact the NCDWR eDMR Administrator via email at [e-mail] within
ten working days if my duties change and I no longer need to interact with eDMR on behalf of my
organization.
17. Agree to notify the NCDWR eDMR Administrator via email at [e-mail] if 1 cease
to represent the regulated entity specified above as signatory of that organization's electronic
submissions as soon as this change in relationship occurs.
18. Understand that the NCDWR may contact the Organization's Responsible Official,who signs below
to authorize me as a signatory for the Owner/Organization,in order to verify my identity.
19. Agree to retain a copy of this signed agreement as long as I continue to represent the regulated entity
specified above as signatory of the Organization's electronic submissions.
20. Certify that I have the authority to enter into this Agreement on behalf of the Organization identified
above,and I am a signatory authorized to represent that Organization,and I am able to sign and
submit reports and other information on behalf of that Organization in the capacity required by statute
and/or regulation.
C. Permit/Facility Information
Approval under this Electronic Signature Agreement is applicable to the following permits and if
applicable to the Submitters,if noted here and in Section E:
Permit
Number' Facility Name Facility Address Submitter2(if applicable)
NC0085952 Candler Travel Center 153 Wiggins Rd,Candler, Robert Gertzen Jr.
NC 28715
1. You may only include permits associated with One owner. If more space is needed for additional permits or submitters you
may attach separate pages. A supplemental sheet is available at:https:l/deo.nc.gov/about/divisions/water-
resources/edmr/forms-and-renons
2. A separate Section E must be included for each Submitter in order to obtain a hard copy signature and notarization for all
entities. If more than one individual will have submitter permissions for the same permit,then indicate this on separate
rows.
NCDWR Electronic Submittal Agreement Version 1 Page 3

D. Responsible Official Signature
The Responsible Official,as identified in accordance with 40 CFR 122.22,is the appropriate individual
with the authority to sign and submit reports for the organization.
[, RI 6 R r (printed name),have the authority to enter into this
Agreement for TA Operaling L L. ((honer/Organization Name).
1 request the NCDWR grant me and, if included in Sections C and E of this form,the named Submitter(s),
an electronic signature credential to submit and accept documents electronically on behalf of my
organization.
1 acknowledge that I,and the individual(s)named in Sections C and E(if applicable),work at/for my
organization and have authority to submit and accept electronic documents and act as a signatory for
purposes of the NCDWR's electronic document systems.6
By submitting this application, I, o t"D r je,s (printed name),have read,
understand,and accept the terms and conditions of this Electronic Signature Agreement. 1 certify under
penalty of law that I have personally examined and am familiar with the information submitted in this
application and all attachments and that,based on my inquiry of those persons immediately responsible
for obtaining the information contained in the application,I believe that the information is true,accurate
and complete.I am aware that there are significant penalties for submitting false information, including
the possibility of fine and imprisonment. Rob Pots
Director of Ernrironmental Services
esponsible 0 icff ial Signature TitleTA Operating LC Date
C Por e.s -tfl►-peki. cool 'No• SO -3 368'
Email Address Phone Number
*email will be the primary method of contact for the electronic submittal process so it is important to have an accurate email
available at all times
If you are a current eDMR submitter please provide your User Id:
User Id
Subscribed and sworn to before me this 7 day of /i'A V , 20 /9
``1`�PRIAC fs'i,' �
Will Knuckles
`� ! �1 W`s Signature of Notary Public
Notary Public
State of Ohio lam'1-4 ;,✓✓C
s `" '' : My Commission Expires
r��q ,,:!? Printed Name of Notary Public
�i11EtF`ON�� June 26,2022
My Commission Expires: 6/ e 6/ZZ
(SEAL)
NCDWR Electronic Submittal Agreement Version 1 Page 4

E. Submitter Signature
The Submitter(electronic signature applicant)is a user other than the Responsible Official who submits
this agreement to request to sign reports electronically. The Submitter is given signatory authority by an
individual identified as the Responsible Official by the Owner/Organization to sign reports and other
information and to accept electronic documents.
I, Robert L Gertzen Jr. (printed name),am authorized by the Responsible Official
name in this document,who does have the authority under the applicable standards,to enter into this
agreement for TA Operating LLC (Owner/Organization Name).
By submitting this application,I, Robert L Gertzen Jr. (printed name),have read,
understand, and accept the terms and conditions of this Electronic Signature Agreement. I certify under
penalty of law that I have personally examined and am familiar with the information submitted in this
application and all attachments and that,based on my inquiry of those persons immediately responsible
for obtaining the information contained in the application,l believe that the information is true,accurate
and complete. 1 am aware that there are significant penalties for submitting false information, including
the possibility of fine and imprisonment.
i
��`' (' ' ,-.../ President 5/8/2019
Submitter Signature Title Date
[e-mail] 219-759-0193
Email Address Phone Number
*email will be the primary method of contact for the electronic submittal process so it is important to have an accurate email
available at all times
If you are a current eDMR submitter please provide your User Id: [e-mail]_
User Id
Subscribed and sworn to before me this 8th day of__ May , 20 19 .
eVni,"',G SYDNEY LEDSOME Si tur ofNotary Public
`�►'.•.•Vie'% Notary Public.State of Indiana
*:SEAL•" Porter County
.fCommission Number 0715281
�'',,Yiat�•° My Commission Expires al Qq / � ^
PrinteHyc\n
Name of Notary Public
41
My Commission Expires: .? 4. 1O' wC�`�
(SEAL)
NCDWR Electronic Submittal Agreement Version 1 Page 5