NCG530156_Regional Office Historical File 2007 to 2017

ROY COOPER
Governor
MIC:HAEL S. REGAN
Secretary
S. JAY Z[M:MERMAN
Director
February 9, 2017
Glenn Tatum Jr.
925 McClelland Creek Road
Andrews, NC 28901
SUBJECT: Compliance Evaluation Inspection
Fourcreeks Trout Farm
Permit No: NCG530156
Cherokee County
Dear Mr. Tatum:
Enclosed please fmd a copy of the Compliance Evaluation Inspection form from the inspection
conducted on February 3, 2017. The Compliance Evaluation Inspection was conducted by Kevin
Mitchell of the Asheville Regional Office. The facility is in compliance with permit NCG530156.
However, there are items in the attached report that need your attention.
Please refer to the enclosed inspection report for observations and comments. If you or your
staff have any questions, please call me at 828-296-4650.
Sincerely,
Kevin Mitchell
Environmental Specialist
Asheville Regional Office
Enc.
cc: MSC 1617-Central Files -Basement
Asheville Files
Skip Thompson — NC State University Cooperative Extension (via email)
David Allen — Manager (via email)
G:\WR\WQ\Cherokee\Wastewater\General\NCG53 Trout Farms\Four Creeks NCG530156\Site Inspection 2.3.17\CEI.02.03.17 Four Creeks
NCG530156.docx
1^Wthft,C4xn
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
828-296-4500

United States Environmental Protection Agency
Form Approved. ;
E P A!� Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires B-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day, Inspection Type Inspector Fac Type
1 IN I 2 15 1 3 I NCG530156 I11 12 17/02/03 17 18 (r 19' G 20I '
21I I I �6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ----Reserved —
67
� 71 Lj 72 L ,, 73I I 174 75
I 70 [LJ l - ! I I 1
80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
10:30AM 17/02/03
12/08/01
Fourcreeks Trout Farm
Exit Time/Date
Permit Expiration Date
925 McClelland Ck Rd
11`.15AM 17/02/03
17/07/31
Andrews NC 28901
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
David Allen,925 McClelland Ck Rd Andrews NC 28901//828-321-4662/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
® Operations & Maintenance N Records/Reports Self -Monitoring, Program ! Facility Site Review
® Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Robert Mitchell ARO WQ///
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
3 11 3 18 12 17 �
NCG530156 17/02/0 (;l (Cont.)
I !J
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The inspction was scheduled as a follow up inspection for the facility not being in compliance with
NCG530156. Monitoring records were provided to Kevin Mitchell with the ARID on January 18, 2017.
David Allen (manager) has been working with Skip Thompson (NC State University) to improve solids
management at the facility. He has changed the type of feed he is using which should reduce solids by
40%. Raceways were also well maintained. The Division recommends that the settling basin be
maintained more frequently.
I,
Page# 2

Permit: NCG530156 Owner - Facility: Fourcreeks Trout Farm
Inspection Date: 02/03/2017 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable 0 ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: The inspction was scheduled as a follow up inspection for the facility not being in
compliance with NCG530156 Monitoring records were provided to Kevin Mitchell with the
ARO on January 18 2017 David Allen (manager) has been working with Skip Thompson
(NC State University) to improve solids management at the facility.
Page# 3

Water Resources
ENVIRONMENTAL QVAUTY
September 27, 2016
Glenn Tatum Jr.
925 McClelland Creek Road
Andrews, NC 28901
SUBJECT: Compliance Evaluation Inspection
Fourcreeks Trout Farm
Permit No: NCG530156
Cherokee County
PAT MCCRORY
crovemor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
Dear Mr. Tatum:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
September 21, 2016. The Compliance Evaluation Inspection was conducted by Kevin Mitchell and Tim Fox of
the Asheville Regional Office. The facility is in non-compliance with permit NCG530156. Effluent monitoring
data is required to be kept onsite for a minimum of three years. In addition, measurable solids were noted
downstream of the outfall in McClelland Creek. You are advised to contact Skip Thompson with NC State
University - Haywood County Cooperative Extension to discuss best management practices to improve solids
management at your facility. A follow up inspection is scheduled for January 2017 to ensure that your facility
is in compliance. I have attached a copy of the permit and technical bulletin for your review of permit
requirements. Thank you for your assistance during the inspection. Contact information for Skip Thompson is
below:
Skip Thompson
NC State University
589 Raccoon Road, Suite 118
Waynesville, NC 28786
828-456-3575
[e-mail]
Please refer to the enclosed inspection report for observations and comments. If you or your staff have any
questions, please call me at 828-296-4650.
Sincerely,.
Kevin Mitchell
Environmental Specialist
Asheville Regional Office
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. Highway 70 Swananoa, NC 28778
8292964500

Enc.
cc: MSC 1617-Central Files -Basement
I
Asheville Files
Skip Thompson — NC State University Cooperative Extension
David Allen - Manager
G:1WR1WQ1Cherokce\Wastewater\Genera[ NCG53 Trout FarmsWour Creeks NCG530156tCEIA9.27.16 FourCreeks NCG530156.docx

United States Environmenial Prolection Agency
Form Approved.
EPA Washington, D.C. 2=0
OMB No. 2040-0057
! Water Compliance Inspection Report
Approval expires6-31-OB
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yrfmolday Inspection Type Inspector Far, Type
1 IN 1 2 J5 1 3 I NCG530156 111 12 16f09121 17 18 L1 19 1 G I 20
211 1 1 1 1L1 1 I 1 1 1 1 1 I 1 1 I 1 1 1 1 I 1 1 1 1 1 I 1 1 1 L I I I I I 11.1 1 1
Inspection Work Days Facility Self -Monitoring Evaluation Rating B7 QA — -Reserved
I I 72 t ti � 731 I 174 75 80
67 7071 J
LJ I I I
Section B: FacilityDateLJ
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
02:3CPM 16/09121
12108/01
Fourcreeks Trout Farm
Exit Time/Date
Permit Expiration Date
925 McClelland Ck Rd
03:30PM 16/09121
17107l31
Andrews NC P890 t
Name(&) of Onsits Representative(s)fTities(s)!Phone and Fax Number(s)
Other Facility Date
1!!
Name, Address of Responsible Otficial/TitlelPhcne and Fax Number
Contacted
David Allen,925 McClelland Ck Rd Andrews NC 289018828-321-46621
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
® Operations 8 Maintenance RecordsfReports ® Self -Monitoring Program ! Facility Site Review
EffluentlRecemng Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signatures) of Inspectors) Age ncyfOfficelPhone and Fax Numbers Date
Robert K Mitchell ARO WQlll
Signature of Management Q A Reviewer Ageney10fficWPhone and Fax Numbers Date
EPA Form 3580-3 (Rev 9-94) Previous editions are obsolete.
Page# 1

NPDES
yrlmolday Inspection Type
31 Ncc5aotas I19 1210,09,21 17 18I t (Cont.)
Section D: Summary of FindingfComments (Attach additional sheets of narrative and checkllsts as necessary)
Site was inspected on September 21, 2016 by Kevin Mitchell and Tim Fox with the Asheville Regional
Office. David Allen and Glenn Tatum were present during the inspection.
No monitoring records were kept onsite and measurable solids were noted in the stream at the effluent
pipe. The Division recommends maintaining solids buildup in the raceways and lagoon more
freq
uently.
The Division Is requiring the permittee to contact Skip Thompson with North Carolina State Cooperative
Extension to improve solids management at. your facility.
Page# 2

Permit: NICG530156 Owner - Facility: Fourcreeks Trout Farm
Inspection Date: 0912112016 Inspection Type: Compliance Evaluation
Operations & Maintenance
Yes No NA NE
Is the plant generally clean with acceptable housekeeping?
0
❑
❑
❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
❑
N
❑
❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: No monitoring records were being kept on site.
Effluent Pipe
Yes Na NA NE
Is right of way to the out fall properly maintained?
M
❑
❑
❑
Are the receiving water free of foam other than trace amounts and other debris?
❑
❑
❑
If effluent (diffuser pipes are required) are they operating properly?
❑
❑.
❑
Comment: Receiving waters downstream of effluent pipe contained measurable solids.
Page# 3

Coverage Under This Permit
This permit covers point source discharges from fish
packing end iinsing and/or seafood packing and rinsing
operations, fish fauns and any other similar discliarge.
This permit does not apply to seafood or fisli processing
facilities; requiring an individual NPDIIS permit.
This general permit covers concentrated agrtafie animal
production (CARP) faeliities (fish farms, or b,atcbmiu)
in ponds, racewals, net pens; recirculating system, flow -
through systems, submerged cage systems or similar
structures, and any similar facilities that produce fish or
aquatic aziitnals; thai meet the following criteria: -
• Cold -water species fhcilties that produce a
mWmum20,400 lbs (9,0t kilos) bmost weight of
aquatic animals per year, feed more than 5,000 lbs
(2,269 kilos) of food per calendar month, and
discharge more than 30 days per year.
Warm -water species facilities that produce a
minimum 100,000lbs (45,3 50 kilos) harvest -weight
of aquatic animals per year, and discharge at least
30 days per year.
NOTE: The Director may designate any cold or
warm water aquatic Wmal production facility a
concentrated aquatic animal production facility, or may require an individual NPDES pwrnit, upon
detcnnining that it is a significant contributor of
pollution to the surface waters of North Carolina.
Chant. from Previpus General Pgilrr,�'
Important changes from the previous permit include:
• In Part 1, Section, Chas been edited and reformatted
to cf arify which facilities qualify under this permit.
• In Part Il, Section B, to b,c.and d. have been edited
to clarify, and updated to include revised penalty
amounts.
NPDIJS permlttlae prourarn's 041MOW
1. To reduce pollutant loads entering waters of the state,
2. To educate the pemaitted community about
stormwater and wastewater pollutants,
3. To encouraging Best Management Practices (BbWs)
to minimize pollutants in stormwater and wastewater
discharges, and
4. To-prioritizoproblem areas using analytical data to
assess discharge contribuiiom.
Key Partial Ite�uiremgnts
• Permittee shall satisfy annual parameter monitoring
and effluent sampling requirements (fait I, Section A)
Permittee shall collect all samples before the effluent
joins, or is diluted by, any other wastestream, water
or substance (Part II, Section D:1).
The Pennittee shall give notice to the Division of any -
planned physical system alterations or additions that
could 40ficantly increase the quantity of pollutants
discharged, or introduce new pollutants to the
discharge (Part II, Section B:3}.
® The Penitittee must report any/all permit limit or
monitoring exceedences to the Division within 24
hours from, the time he/she becomes first aware of the
limit exceedence (Part II, Section 13,6).
The P&mittee shall evaluate its need tocomply, if
required, under Part V, Special Conditions -Best
Management Practices (BMPs).
YkeguentlY Asked Questions
1) Do i need to submit monitoring results annually?
No. You do not have to submit monitoring reports for
this permit, however all monitoring data and
analytical results must be kept on site for three
years. While there are no standardized Discharge
Monitoring Repoits (DMRs) for this permit, the
Division may request to review these data and
recbrds at any time (Part 11, Section E l). Special
Coadidons and reporting requirements apply to
facilities that produce a ininimum.100,000 Its
(45,359 kilos) harvest -weight of aquatic animals per
year (see Part V).

2) Do I need to employ a Certified Waxteve4ter You.al4y also contact your local Division of Water
Treatment Plait Operator? Qullitykcgiond office at:
Not at this.time. The Division's Operator Training
and Cortification Unit doe "currently pecluire a
certi5ed opera#or f$ a lities. However, iho
rcquirem' t ramaim 1 tlae it with clarification,
in the .event ihat iutur(4e-e ' fzcation is deemed
necessary (Part 11, Soo'don
3) Where do I find my q,,trem# clissifieadoa7
The stream classification, i.e. WS;-I V, C; Tr, eta. can
usually b e found in the,,i i eat : Coverage.
you are unsure of youriaalflption, yDu Gail}
contact the MRS Program." '-
4) Do I need to use a North Carolina -certified lab to
analyze samples?
Yes, allorth Carolina -certified lab must be used to
perform analytical monitoring. However, p6C values
[the only exception] should 6e measured in the field
because satnple degradation is -likely over time and
during transport•tcr the laboratory, A list of certified
labs ik, available from the Division.
") What if I sell my business or the name of my
business changes? .
Aghev111e_
828.296.4500
Mooresville:
704-663-1699
winston�salem:
' 336 771-5000
RaJAgh:
919-791-4200 -
Fayett yillw
910-433-3300
Washin&u:
252-946-6491
Wilmington:
910-796-721; 5
Othef Information about.North Carolina`sNPDE
General Permits Program
Find the following documents by contacting the NPIMBS
Program (919-807-6300).
• Copiea of General Permits and Fact Shcets
NCCT500000 —Non-contact coaling seater, bailer
blowdowa, cooling tower blowdown,
condensate, hydroeleciria clams
NC0510000—Giw ndwatarRemedia(ion
NCO520000 — Sand Dredging'
NCG530000 — FishIffo oodpacking and rinsing
fish farms
If your business name or, ownership ehaugeg, you NCG550000 — Single family residences
must complete a Narne Ownership Change Form.
This mirror madificationrecaires the Director's d Previous General Permit Technical BuIlelins
approval. Forms are available by contacting the
NPI)ES Program at [phone]. The Division maintains a website on the World Wide
Web at h JI artaLncdenr.o vveblw is s!n s.
6) When does raypermtit expire? l;llow do I renew it? Also try e DEN Girstamex Service Canter (1-877-623-
Find the pw-"t expiration date on the first page of 6748).
the General Permit. This General Permit expires on �. v`�
July 31, 2012. Approximately 190 days prior to For industry=speciiic•iut'o:nnationa an minimizing pollutants,
expiration, the Division will mail you a notice, Contact the North Carolina Office of Pollution Prevention
requesting you to apply far renewal. and Environmental Assistance (9I9715-6500). or on the
Internet at http-//www.p2pays.org,
Qther rnformatlon
For additional information, please contact us at;
N.C. DENRI DWQI NPDBS Program
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Phone: (919) 807�6300
Fax:' [phone]

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NC G 5 3 000 0
to discharge from seafood packing and rinsing, aquatic animal farms,
and similarly treated wastewaters under the
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES
in compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission and the Federal Water Pollution Control Act, as amended, this permit is hereby issued to all
owners or operators, hereafter Pennittees, covered by this permit as evidenced by receipt of a Certificate
of Coverage (CoC) issued by the Environmental Management Commission to allow the discharge of.
wastewater in accordance with the effluent limitations, monitoring requirements, and other conditions
set forth in parts 1, II, III and. W hereof.
This permit shall become effective August 1, 2012.
This permit shall expire at midnight on July 31, 2017,
Qrj jaa ! i Fred Ay MaU ]iif g&ew c
for Charles Wakild, P,E,, Director
Division of Water Quality
By Authority of the Environmental Management Commission

General Permit NCG530000
PART I
MONITORING, CONTROLS, AND LIMITATIONS FOR PERAUTTED DISCHARGES
SECTION A. EFFLUENT LIMITATIONS AND MONITORING R1;QIIIREMENTS
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to
discharge from outfalls numbered serially beginning with 001. Such discharges shall be limited and monitorred-by the
Permittee as specified below:
AliCi
PTF
r . �.� s
�; [[. 114�i '� �
� s �q�Y`1 �' 1 `l��µ��
� �t �i � � l
{�•' � f l l iF�
� �t'��
Totala I . Solid
1 1 _
Footnotes:
(1) Although annual reporting to the Division is not required, routine records maintenance (see Section E) is required,
each item to be kept onsite for a minimum three (3) years, available for inspection upon request by the Division.
(2) If the Permittee discharges to a stream classified as High Quality Waters (HQW), the Daily Maximum limit for Total
Suspended Solids shall not exceed 20.0 mglL. If the discharge is to waters classified as Tr (Trout), the Daily
Maximum limit for Total Suspended Solids shall not exceed 10.0 mglL [See Certificate of Coverage (CoC) cover
letter for receiving -stream classification].
(3) Daily Average effluent concentration of Dissolved Oxygen shall not fall below 6.0 mg/L.
General Conditions:
a. Effluent pH for classified Freshwater shall not fail below 6.0 nor exceed 9.0 standard units.
b. Effluent pH for clmaified saltwater shall not fall below 6.9 nor exceed &5 standard units. `
c. The Permiltee shall discharge no floating solids or foam.
d. CAAP facilities discharging to it waterbody classified Nutrient Sensitive Waters (NSW) small use low -phosphorus
food [see Certificate ofCoverage for receiving -stream classiflcationJ.
e. No fish/seafood offal or fish/seafood carcasses shall discharge from anyfacility covered by this General Permit.
NOTE: Special Condition - Section E: This Certificate of Coverage (CoC) requires the Permittee to submit
to the Division a written plan addressing Operation and Maintenance Best Management Practices (BMPs) in
accord with Part 1, Section E. of this permit. Compliance with Section H. shall commence on the anniversary
of the effective date, one (1) year from the issuance of the Certificate of Coverage (CoC).
SLU1;Q1v S SCHOLIi 1(U 1 COMPLIANCE
1. The Pen nittee shall comply with Final Effluent Limitations by the effective date of the Certificate of Coverage.
2. Permittee shall at all times provide the planning, scheduling and maintenance necessary to operate the existing -facilities
in accordance with Part Il.C.2 and Part V of this permit.
Page 2 of Pages
8/1/2012

General Permit NC0530000
SECTION C. APPLICABILITY
1. This General Permit covers point -source discharges from Concentrated Aquatic Animal Production (CRAP) facilities,
seafood/fish packing and rinsing operations, and any other discharge deemed by the Division to be similar.
2. A Concentrated Aquatic Animal Production (CRAP) facility, subject to the NPDES program is defined, but not
limited to, a hatchery, fish farm, pond, raceway, net pen, submerged cage system, recirculating system, flaw -through
system, or similarly structured facility that meet Cold- or Warm -Water definitions and criteria_
a. Cold -Water species facilities that meet or exceed all three (3) of tho following:
(1) produce a minimum 20,000 lbs (9,072 kilos) harvest -weight of aquatic animals per year, and
(2) feed more than 5,000 lbs (2,268 kilos) of fish food per calendar month, and
(3) discharge more than 30 days per year.
b. Warm -Water species facilities that meet or exceed both ofthe following:
(1) produce a minimum 100,000 lbs. (45,359 kilos) harvest -weight of aquatic animals per year, and
(2) discharge more than 30 days per year.
c. The Director may designate any cold or warm water aquatic animal production facility a concentrated aquatic
animal production facility, or may require an individual NPDES permit, upon determining that it is a significant
contributor of pollution to the surface waters of North Carolina,
3. This General Permit does not apply to seafood/fish processing (requiring regulation under Federal Guidelines), and/or to
CAAP facilities deemed to require an individual NPDES permit-. Facilities not meeting the minimum requirements of
CAAF, as herein defined, are exempt from monitoring and reporting under this permit.
SECTION D DISCHARGE CHARACTERISTICS
1. Artiaitiec Covered by This General Permit
This General Permit covers point source discharges originating from seafood patking & rinsing operations, as
defined by ISANCAC 2H .0103 (19), and from fish farms and hatcheries defined as concentrated aquatic animal
prodduciion (CAAF) facility s with production levels above specified m Yinrums (see permit Part 1, Section C.
a. Applicability, , b.,and c. , and other discha s deemed similar b the Director.
This General Pea-mit specifically excludes seafood/fish-processing deemed process-contacl waste -generating
activities (including but not limited to, gutting, cutting, picking, shacking, cooking, steaming, rendering) requiring an
individual NPDES permit under 40 CFR 408, Subparts A through AG, or other facility deemed by the Division to
require an individual NPDES permit.
2. Geo ra hic Areas Covered _by This (leneral Permit
This General permit covers discharges located within the political boundary of the State of North Carolina.
(Exception: Discharges located on the Cherokee Indian Tribal Reservation subject to permitting by the US
Environmental Protection Agency.)
3. Receiving Waters
Receiving waters include all surface waters of the State ofNorth Carolina including separate municipal storm sewer
systems conveying water to these surface waters.
4. Wastewater Characteristics
Discharges consist of seafoodlfish rinse water or wash -down water only, or effluents from Concentrated Aquatic
Animal Production (CARP) facilities, as defined by this permit. These wastewaters may contain solids as mud, sand
or vegetation, fish Food and drugs, accumulated during or after the hatchery and recovery of fish or seafood,
Page 3 of 5.Pagas
8)1/2012

General Permit NCG530000
SECTION E. SPECIAL CONDITION— BEST MANAGEMENT PRACTICES (BMP) PLAN
Fish food -production facilities defined by this permit as Concentrated Aquatic Animal Production (CAAP) facilities (See
Part I, Section C., Applicability), shall develop and maintain a written BMP plan describing how to achieve compliance
with EPA 40 CFR Sec. 43I.11(a) through (e) or Sec. 451.21(a) through (h). Subject to this Part, the Permittee shall certify
in writing to the Division that a BMP Plan has been developed and implemented, and make the plan available to the Division.
This permit also defines narrative conditions to address the potential for CAAP wastewaters to impact the environment such
as equipment/component failure and spilled materials (drugs, pesticides, fish carcasses, viscera, excess feed, feed bags,
packaging materials, netting and/or other wastes). The following summarizes these narrative limitations to be addressed or
referenced in the BMP Plan,
1. Q,peration and -Maintenance HMI' Plan Within one (1) year of the CoC effective data, the CRAP facility owner or
designated operator must developed and implement an Operations and Maintenance BMP Plan, as defined herein (in
accord with 40CFR 451.3), and certify in writing by submitting a copy of this plan to the Division. The BhV Plan shall
include regular records keeping; each sample, analysis, measurement, report or application to remain onsite for a
minimum of three (3) years, available for Division inspection. This BMP Plan shall address, at a minimum, the following:
a. Materials Management — CAAP facilities shall ensure proper storage of drugs, pesticides and feed to prevent spills
and any resulting discharges of drugs and pesticides. The BMP plan shall describe how the facility minimizes solids
discharges through feed management, and how it complies with prohibitions on the discarding of feedbags and/or
other solid waste materials. Net pens must minimize the accumulation of uneaten feed beneath the pens through
active feed -monitoring and management strategies.
b. Inspection and Maintain of Facilities and Containment Structures - The Permittee shall provide inspection and
regular maintenance ofall CAAP production and treatment systems to prevent structural damage.
c. Spill Response and Prevention — The Pennittee. shall define and implement procedures, and acquire any relevant
materials and equipment necessary to contain and respond to loss of fish, fish parts and offal, feed, pesticides, drugs,
or other materials potentially hazardous to the waters of the state.
d. Training— The Permittee shall train personnel in the responsible use and handling of materials, effective facility
inspections, and maintenance of CAAP systems (as described above). Training shall include documenting and
reporting to the Division any spill, containment-structum failure, or drug use (see Reporting PXquirsements)..
2. Reporiing I3eauirements Asa means to prevent adverse impacts in the receiving stream, the Division requires reporting
of facility damage, material spills, Voluntary or involuntary drug testing, and drug use. The Division expects facilities to
implement proper storage 1br these products, and implement procedures for containing, cleaning and disposing of spilled
material. CAAP facilities shall make oral and written reports to the Division (See 40 CFR 451.3), as follows.
a. Spills the Permittee shall alert the Division to any loss of hazardous materials such drugs, pesticides or feed with
Potential impact to the environment. The Permittee shall make an oral report to the Division within 24 houra of the
spill's occurrence followed by a written report within 5 days The report shall identify the material spilled and
estimate the amount (40 CFR 451.3). Upon receiving the oral report, the Division may on a case -by -case basis, differ -
the requirement for a written report.
b. Damage or Breach of Containment Structures — the Permittee shall alert the Division to any damage to
containment structures such as banns, containers, ponds or nets that results in a loss ofmaterials hazardous to the
receiving stream. The Permittee shall make an oral report to the Division within 24 hours of the spill's occurrence
followed by a written report within 5 days. The report shall identify the material spilled and estimate the amount
spilled (40 CFR 451.3). Upon receiving the oral report, the Division may on a case -by -case basis, difilLr the
requirement for a written report,
e. Participation in INAD Testing and the Use of Extralabel Drugs - CAAP facilities must notify the Division in
writing within 5 days of volunteering to participate iu investigational new animal drug (DIAD) testing, in
accordance with 40 CFR 451.3. The Permittee shall report the intended use of INADs and any extralabel drugs both
orally and in writing, Bawd on the oral report, the Division may implement site -specific action, as warranted. The
written report shall identify and confirm the use of the drug, and provide more Complete data for future analysis. and
measures control.
INAD or Extralabel Drug Reporting Exception: If the Division has already approved a Permittee's use of a
specific INAD or extmiabel drug, additional approval to treat another species, or to treat another disease using this
Page 4 of 5 Pages
8/1/2012

INAD or extralabel drug, ig not necessary provided that the Pennittee maintain similar treatment conditions and
restrict the dosage not -to -exceed the approved dosage (See 40 CPR 451.3).
SECTION F. NOTICE OF INTENT
Individuals intending to obtain coverage under this General Permit shall submit allotice of Intent (NOT) and an Application
for Certificate of Coverage (CoQ. A current version of these documents can be obtained by contacting the Surface Water
Protection Section I Point Source Branch / NPDBS Unit 919-807-6394, or maybe downloaded from the Internet at:
httn:IJnvrtal.nc�g�urorgtlweb/w sw�lns/nndeslap fp orms.
NOIs must be signed and submitted to:
Point Source Branch / NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Ap'piieants who have submitted an NOl are not authorized to discharge until the Division issues a Certificate of Coverage.
In general, the NOI shall include the following information:
1. The mailing address and telephone number for the owner and/or operator.
2. The facility name, address and telephone number where the discharge will occur.
3. The permit number of any NPDES permit(s) for any discharge(s) from the site.
4. A description of the discharge, including the number of discharge points, the volume of discharge, the
frequency of discharge and any treatment methods applied prior to discharge.
5. . The name of the receiving waters and the stream classification (if known).
6. An analysis of non -discharge alternatives, including connection to a regional sewer collection system,
subsurface disposal and spray irrigation.
7. A 7.5-minute aeries USGS topographic map clearly indicating the discharge location.
S. Final plans and specifications for the treatment system including all major components (if applicable).
9. Certification that the information cantained in the NOT is true, complete, and accurate.
Page 5 of 5 Pages
81U2012

Division of Water Quality / Water Quality Section
NCDENR National Pollutant Discharge Elimination System
No C—ouNA DEWArt wmr oP
ENNWONMCM ANO umvm L ftE ftczs NCG53000
0
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for i
NCG530000: Seafood packing and rinsing, fish farms and similar
(Please print or type)
1) Mailing address* of owner/operator:
Company Name 1—aLLrQXe_e_Y,,.S I rc
Owner Name ( j e,,, _at'Cyjj Jr.
Street Address P 6. R Aq -1 L, 4 V
City A rvd t S pfF'=
Telephone No. v _ _j 9L
* Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
FOR AGENCY USE ONLY
Date Received
Year
Month
Da
Certificate of Covers
e
N
Check #
Amowrtt
Permit Assigned to
w
etae g Ger Prrrtit " 4
O
tew 7-
0`
State MC ZIP Code
Fax:
Facility Name F; aLx CreeK-s I r-ou t EQ lrM
Facility Contact _ Ockyid %4 //gn' . tr
Street Address
City _ State ZIP Code d1b'4Q
County
Telephone No. z, ,(r ( Fax: i
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). ern r r519 F . a
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) This NPDES permit application applies to which of the following
® New or Proposed
❑ Modification
Please describe the modification:
❑ Renewal
Please specify existing permit number and original issue date:
5) What Is the nature of the business applying for this permit?j�_y� Firm
6) Does this facility have any other NPDES permits?
[A No
❑ Yes
If yes, list the permit numbers for all current NPDES permits;for this facility:

iNCG530000 N.O.I.
7) Description of Discharge:
a) Is the discharge directly to the receiving water? 0 Yes ❑
If no, submit a site map with the pathway to the potential receing waters clearly asked. This
includes tracing the pathway of the storm sewer to the discharge point, if the„storm sewer is the
only viable means of discharge.
b) Number of discharge points (ditches, pipes, channels, etc. that convey wastewater from the
property): 0-np Pi P c
c) Volume offf discarge per each discharge point (in GPD):
#1:5 42: #3: #4
d) Please describe the type of wastewater is being discharged, be specific (include any known
pollutants present in the discharge). t r r Ac.` hS
e) What type of wastewater is discharged?
❑ Crab washing ❑ Table washing ❑ Fish washing IN Fish farm water
❑ Other:
f) Is there any treatment being applied to the wastewater before discharge (check the type of
treatment in use).
❑ Settling pond ❑ Treatment Equipment ❑ Screens
❑ Floor screens ❑ None
IN Other: Qu.ies(_e4 Z.rrne-s
g) How much of the volume discharged is treated (state in percent)?
h) If any box in item (f.) above, other than none, was checked, please include design specifics (i.e.,
design volume, retention time, surface area, etc.) with submittal package. Existing treatment
facilities should be described in detail. Design criteria and operational data (including
calculations) should be provided to ensure that the facility can comply with the requirements of the
General Permit.
The treatment shall be sufficient to meet with the limits set by the general permits. The trapping
efficiency should be greater than 75%. The surface area should be as large as possible to insure
sedimentation occurs. To secure optimum efficiency the flow length of the basin to the basin
width should have a ratio of 2:1
Note: Construction of any wastewater treatment facilities requires submission of three (3) sets
of plans and specifications along with the application. Design of treatment facilities must
comply with requirements of 15A NCAC 2H .0138. If construction applies to this
discharge, include the three sets of plans and specifications with this application.
8) Discharge Frequency:
a) The discharge is: 1% Continuous ❑ Intermittent ❑ Seasonal
i) If the discharge is intermittent, describe when the discharge will occur.
ii) If seasonal check the month(s) the discharge occurs. ❑ Jan. ❑ Feb. ❑ Mar. ❑ Apr.
❑ May ❑ Jun. ❑ Jul. ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. ❑ Dec.

44CG530000 N.O.I.
b) How many days per week is there a discharge?
c) Please check the days discharge occurs:
❑ Sat. ❑ Sun. ❑ Mon. ❑ Tue. ❑ Wed. ❑ Thu. ❑ Fri.
9) Receiving waters:
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges into? If the site wastewater discharges to a se arat , storm sewer system
(4S), name the operator of the 4S (e.g. City of Raleigh). e eveek-
,r 1
b) Stream Classification: G O►y 3 E_5 - Tr
10) Alternatives to Direct Discharge: bloi A v,,,j j a.61e,
Address the feasibility of implementing each of the following non -discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating
that a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's "Guidance For the Evaluation of Wastewater Disposal Alternatives".
11) Additional Application Requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be returned as incomplete.
a) 7.5 minute series USGS topographic map (or a photocopied portion thereof) with discharge
location clearly indicated.
b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a stone sewer to its discharge point.
c) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (Or firm) submitting the application
has been designated an authorized Representative of the applicant.
d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a
North Carolina registered Professional Engineer and stamped -"Final Design -Not released for
construction".
e) Final specifications for all major treatment components (if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a
narrative description of the treatment system to be constructed.
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:a,i/ i t n r i
Title: F(xr MQ na CVe1"
. 1.1 Q ®i
(Date Signed)
(Signature of Applicant)

r4A
A%4
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
July 30, 2007
Glen Tatum, Jr.
P.O. Box 2648
Andrews, NC 28901
Subject: Renewal of coverage / General Permit NCG530000
Fourcreeks Trout Farm
Certificate of Coverage NCG530156
Cherokee County
Dear Permittee:
In accordance with your renewal application [received on May 11, 20071, the Division is renewing
Certificate of Coverage (CoC) NCG530156 to discharge under NCG530000. This CoC is issued pursuant to the
requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Asheville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact Joe
Corporon [919 733-5083, extension 597 or [e-mail]].
Sincerely,
for Coleen H.
cc: Central Files
Asheville Regional Office / Surface Water Protection
NPDES file
m�
J U L 3 1 2007 1 sJ
WATER QUALITY SECTION
ASHEVILLE REG'ONIAL OFFICE
.,.,.,.:=s..�sr
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 �,.: 1ne_
512 North Salisbury Street, Raleigh, North Carolina 27604 - NOI"Ch1CaY'Ohri-
Phone:. [phone] /FAX [phone] /Internet: www.ncwaterquality.org An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Aahmally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG530000
CERTIFICATE OF COVERAGE NCG530156
DISCHARGE SEAFOOD PACKING & RINSING, FISH FARM AND SIMILAR WASTEWATERS
UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Glen Tatum, Jr.
is hereby authorized to discharge trout farm wastewater from a facility located at
Fourcreeks Trout Farm
925 McClellan Creek Road
Cherokee County
to receiving waters designated as McClellan Creek in subbasin 04-05-02 of the Hiwassee
River Basin in accordance with the effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, IiI and IV hereof.
This certificate of coverage shall become effective August 1, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day July 30, 2007.
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Glen Tatum, Jr.
Fourcreeks Trout Farm
P. O. Box 2648
Andrews, NC 28901
Michael F. Easley
Governor
©R William G. Ross, Jr., Secretary
MWENR North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
. Division of Water" Quality
' 1T�
�I
May 11, 2007 al I t y '
�I l
07 ;
a
:L Lr L'
Subject: General Permit No. NCG530000
Certificate of Coverage NCG530156
Fourcreeks Trout Farm
Cherokee County
Dear Mr. Tatum:
In accordance with your application for discharge, the Division is forwarding herewith the subject Certificate of
Coverage to discharge under the subject state-NPDES general permit. This permit is issued pursuant to the
requirements of North Carolina General Statue 143-215 .1 and the Memorandum of Agreement between North
Carolina and the US Environmental Protection agency dated May 9, 1994 (or as subsequently amended).
The following information is included with your permit package:
■ A copy of the Certificate of Coverage for your treatment facility
■ A copy of General Wastewater Discharge Permit NCG530000
■ A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG530000
If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to
you, you have the right to request an individual permit by submitting an individual permit application. Unless such
demand is made, the certificate of coverage shall be final and binding.
This CoC is not transferable except after notice to the Division of Water Quality. The Division may require
modification or revocation and reissuance of the CoC. Please note: NCG530000 will expire on July 31, 2007.
Given the short time between this modification and the expiration date, the Division has also added your name to the
list of facilities to be covered under the renewed version of NCG530000. You do NOT need to file an additional
application. A copy of the new permit will be sent to you after July 31, 2007. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or permits required by
the Division of Land Resources, Coastal Area Management Act or any other Federal or Local governmental permit
that may be required.
If you have any questions concerning this permit, please contact Jim McKay at telephone number 919/733-5083,
extension 595, or by email at [e-mail].
cc: Central Files
NPDES General Permit Files
Asheville Regional Office, Surface Water Protection
N. C. Division of Water Quality / NPDES Program
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet: h2o.enr.state.nc.us
Sincerely,
✓, 1,
; Alan W. Klimek, P.E.
Phone: [phone] Ext. 595
fax: [phone]
DENR Customer Service Center: 1 800 623-7748

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE NCG530156
GENERAL PERMIT NO. NCG530000
TO DISCHARGE SEAFOOD PACKING AND RINSING, FISH FARMS AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations
promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution
Control Act, as amended,
Fourcreeks Trout Farm
is hereby authorized to discharge wastewater from FISH OR SEAFOOD FARM ponds/ pools/ tanks from a facility located at
Fourcreeks Trout Farm
925 McClellan Ck. Rd.
Andrews, NC 28901
Cherokee County
to receiving waters designated as McClellan Creek in the Hiwassee River Basin classified as C, Trout in accordance with the
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV of General Permit
NCG530000 as attached.
This certificate of coverage shall become effective May 11, 2007
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 11, 2007.
Ar; Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

190
Facility Information Facility
Latitude: 35 10' 1.29" . Sub -Basin: 04-05-02 Location
Longitude: 830 49' 0.35"
Quad Name: G03NE, Andrews
Fourcreeks Trout farm
Stream Class: C, Trout ,, NCG530156
Receiving Stream: McClellan Creek, Hiwassee River Basin North Cherokee county
_. . .

SOC PRIORITY PROJECT: No
IF YES, SOC NUMBER
TO: NPDES UNIT
WATER QUALITY SECTION
ATTENTION: Jim McKay
DATE: April 30, 2007
NPDES STAFF REPORT AND RECOMMENDATION
CHEROKEE COUNTY
PERMIT NUMBER NCG530156
PART I - GENERAL INFORMATION
1. Facility and Address: Fourcreeks Trout Farm
925 McClellan Creek Road
Andrews, North Carolina 28901
Mailing: same as above
2. Date of Investigation: March 7, 2007
3. Report Prepared By: Keith Haynes
4. Persons Contacted and Telephone Number: Dave Allen & Glenn Tatum
828.894.8209
5. Directions to Site: From Business 19E in Andrews take Pisgah Road (SR 1507) to
McClellan Road (SR 1509) farm is at end of road.
6. Discharge Point(s), List for all discharge points: See topo for only outfall
Latitude: N 35 10' 1.29" degrees Longitude: W 83 49' 0.35"degrees
Attach a USGS map extract and indicate treatment facility site and discharge point on map
U.S.G.S. Quad No. GO3NE5 U.S.G.S. Quad Name Andrews
7. Site size and expansion area consistent with application?
XX Yes No If No, explain:
8. Topography (relationship to flood plain included): Site is on sloping land, adjacent to
McClellan Creek
9. Location of nearest dwelling: 1000 feet downstream of the site
-1-

10. Receiving stream or affected surface waters: McClellan Creek -(22)
a. Classification: C Trout
b. River Basin and Subbasin No.: Hiwassee HIW02 04-05-02
C. Describe receiving stream features and pertinent downstream uses:
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted
No discharge /possible stormwater MGD (Ultimate Design Capacity) NA
b. What is the current permitted capacity of the Wastewater Treatment facility? N/A
C. Actual treatment capacity of the current facility (current design capacity N/A
d. Date(s) and construction activities allowed by previous Authorizations to Construct
issued in the previous two years: N/A
e. Please provide a description of existing or substantially constructed wastewater
treatment facilities: NONE
f. Please provide a description of proposed wastewater treatment facilities: NONE
g. Possible toxic impacts to surface waters: NONE
h. Pretreatment Program (POTWs only):
in development approved
should be required not needed
2. Residuals handling and utilization/disposal scheme: N/A
a. If residuals are being land applied, please specify DWQ Permit Number
Residuals Contractor
Telephone Number
b. Residuals stabilization: PSRP PFRP OTHER
C. Landfill:
d. Other disposal/utilization scheme (Specify):
3. Treatment plant classification (attach completed rating sheet): N/A
4. SIC Codes(s): N/A
-2-

Primary Secondary
Main Treatment Unit Code:
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or are any public monies
involved. (municipals only)? N/A
2. Special monitoring or limitations (including toxicity) requests: None
3. Important SOC, JOC, or Compliance Schedule dates: (Please indicate)
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
4. Alternative Analysis Evaluation: Has the facility evaluated all of the non -discharge options
available. Please provide regional perspective for each option evaluated. N/A
Spray Irrigation:
Connection to Regional Sewer System:
Subsurface:
Other disposal options:
5. Other Special Items:
-3-

PART IV EVALUATION AND RECOMMENDATIONS
Facility is an existing trout farming operation. The farm currently meets BMP for disposal of waste.
The regional office recommends the issuance of the permit.
0
Signature of R port Preparer
(�.
Wat Quality Regional Supervisor
Date
0

._.. ...._.
9
Mr. David Allen, Manager
Fourcreeks Trout Farm
925 McClennan Creek Road
Andrews, NC 28901
Dear Mr. Allen:
Michael F. Easley
©pwA Governor
NC AENR William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
March 29, 2007
Subject:
Application Acknowledgement
General Permit Coverage
COC# NCG530156
Fourcreeks Trout Farm
Cherokee County
The Division of Water Quality has received your application for coverage under General
Permit NCG530000. The application has been assigned to Jim McKay with the NPDES Unit.
We are reviewing your application and will contact you if additional information is needed in the
process. By copy of this letter, we are also requesting a Staff Report from the Ashville
Regional Office.
If you have any questions concerning your application, please contact me at telephone
number (919)-733-5083, ext. 595 (e-mail: [e-mail]).
Sincerely,
Jim McKay
NPDES Unit
cc: NPDES General Permit Files
Ashville Regional Office, Surface Water Protection'
N. C. Division of Water Quality / NPDES Unit Phone: [phone]
1617 Mail Service Center, Raleigh, NC 27699-1617 fax: [phone]
Internet: h2o.enr.state.nc.us DENR Customer Service Center: 1 800 623-7748

'� Division
of Water Quality / Water Quality Section
Ca""ENR National Pollutant Discharge Elimination System
Nn GROU DE TMEW Or
ENVIRONMENT-D NRuRu RESOURCES
NCG530000
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG530000: Seafood packing and rinsing, fish farms and similar wastewaters
(Please print or type)
1) Mailing address of owner/operator:
Company Name -act r _r�Nk t 1 rj�� iyy y
Owner Name G;]Ela;_,_�c�i�m JC�OWt1�tf`
Street Address QUO.
City State_ ZIP Code �;�
Telephone Na _�_ Fax:
Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name O � c� tt.r (' re nl.L r-_"- -
Facility Contact r
Street Address
City State
County �, ZIP Code 9 �I
Telephone No.
Fax:
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).
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) This NPDES permit application applies to which of the following
N New or Proposed
❑ Modification
Please describe the modification:
❑ Renewal
Please specify existing permit number and original issue date:
5) What is the nature of the business applying for this permit?
6) Does this facility have any other NPDES permits?
[� No
❑ Yes
If yes, list the permit numbers for all current NPDES permits;for this facility:

NCG530000 N.O.I.
7) Description of Discharge:
a) Is the discharge directly to the receiving water? CS Yes ❑ No
If no, submit a site map with the pathway to the potential receivin
g waters clearly marked. This
includes tracing the pathway of the storm sewer to the discharge point, if th
only viable means of discharge, a storm sewer is the
b) Number of discharge points (ditches, pipes, channels -Pi, etc. that c
Property): Qi. convey wastewater from the
c) Volume of discharge per each discharge point (in GPD ..
#3:�_
d) Please describe the type of wa#,1
stewater is being discharged, be specific in
Pollutants resent in the discharge). ri _Wte r_ (include any known
e) What type of wastewater is discharged?
El Crab washing ❑Table washing ❑ Fish washing
shm
El Other: g IN, Fish farm water
fl Is there any treatment being applied to the wastewater before discharge (check the
El Settling type of
treatment in use),
g pond ❑ Treatment Equipment
O Floor screens ❑ None ❑ Screens
IN Other. 01 , i a — I
g) How much of the volume discharged is treated (state in percent)?
h) If any box in item (f.) above, other than none, was checked, Please include design specifics (i.e.,
design volume, retention time, surface area, etc.) with submittal package. Existing treatment
facilities should be described in detail. Design criteria and operational data
(including
calculations) should be provided to ensure that the facility can comply with the
General Permit,
requirements of the
The treatment shall be sufficient to meet with the limits set by the general permits. The trapping
efficiency should be greater than 75%. The surface area should
be as large as possible to insure
sedimentation occurs. To secure optimum efficiency the flow length
width should have a of basin ratio of 2:1 the s n to the basin
Note: Construction of any wastewater treatment facilities requires
of plans and specifications along with the application, Design Ofrtreatme t fame cilities sets
th
comply with requirements of 15A NCAC 2H .0138. If construction applies to this es must
discharge, include the three sets of plans and specifications with this a lie
8) Discharge Frequency: pp anon.
a) The discharge is: C9 Continuous
i) If the discharge is intermittent, describe ❑when t e'ttdiEl Seasonal
schar
ge will occur:
If seasonal check the months)i the discharge occurs: ❑ J
El ElJun. ElJul. ❑ Au . ❑ an. ❑Feb. ❑Mar. ❑Apr.
9 Sept. O Oct. _ 13 Nov. El Dec.

' ' NCG530000 N.O.I.
b) How many days per week is there a discharge?
c) Please check the days discharge occurs:
❑ Sat. ❑ Sun. ❑ Mon. ❑ Tue. ❑ Wed. ❑ Thu. ❑ Fri.
9) Receiving waters:
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges into? If the site wastewater discharges to a se arat storm sewer system
(4S), name the operator of the 4S (e.g. City of Raleigh). re
b) Stream Classification:
10) Alternatives to Direct Discharge:
A16i A ✓a.i `a.6ic-
Address the feasibility of implementing each of the following non -discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating
that a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's "Guidance For the Evaluation of Wastewater Disposal Altematives"
11) Additional Application Requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be returned as incomplete,
a) 7.5 minute series USGS topographic map (or a photocopied portion thereof) with discharge
location clearly indicated.
b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point. be
c) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (Or firm) submitting the application
has been designated an authorized Representative of the applicant.
d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a
North Carolina registered Professional Engineer and stamped -"Final Design -Not released for
construction".
e) Final specifications for all major treatment components (if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a
narrative description of the treatment system to be constructed.
I certify that I am familiar with the information contained in this application and that to the best of m
knowledge and belief such information is true, complete, and accurate. y
Printed Name of Person Signing: �aiil iill r►
Title: ar Q r^-
a
(Signature of Applicant)
(Date Signed)

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