Loading...
HomeMy WebLinkAboutNCG520095_Regional Office Physical File Scan Up To 6/5/2020 /,aizTad �' . { • ra �J ,t,: NCDENR s4 2010 North Carolina Department of Environment and Natural Rq;�)o Division of Water Quality Bever) Eaves Perdue Coleen H. Sullins <<I��E. r t. y Director � t,r i cat ,�eeFre�i�lan Governor � _ _ - Secretary :a. December 30,2009 CERTIFIED MAIL 7009-1680-0002-2464-5671 RETURN RECEIPT REQUESTED BRAD D WICKHAM BRAD WICKHAM'S TOPSOIL SERVICE 1134 HWY 221 SOUTH RUTHERFORDTON, NC 28139 SUBJECT: FINAL NOTICE-Delinquent Annual Fee NPDES Permit`NCG520081 (2008) NPDES Permit NCG520095(2007&2008) Rutherfordton County Dear Mr.Wickham: This letter is being sent out to facilities that have not yet paid their Annual Compliance Monitoring Fee. This fee requirement is documented in your current permit in Part II. B. 14. Your total annual fees owed,for the two (2)permitted facilities referenced above,is 300.00.Copies of each invoice for each permitted facility previously sent by the Division's Budget Office are attached. Failure to pay the annual fee-is grounds for revocation of your permit,as documented in part II. B.13 and Il. B. 14. This matter must be promptly resolved.You will not receive any additional late payment fee request correspondence. This letter serves as final notice that the Division will refer the fee noted above to the North Carolina Attorney General's Office for collection through the courts unless payment is received by January 30,2010. Additional actions to revoke your operating permits will be initiated as well as referral for collection. Make checks payable to NC DENR;include the permit numbers and invoice numbers on the check. Send the fee payment to: Mrs. Fran McPherson Annual Administering and Compliance Fee Coordinator(919-807-6321) 1617 Mail Service Center Raleigh,NC 27699-1617 (919-807-6321) If you have evidence that the fee has already been paid, please contact me at 919-807-6387 or bob.guerra(a ncdenr..qov. Sincerely, 63�,,,&�z Bob Guerra,Western NPDES Unit Enclosure: Invoice#2008PR008021,2008PR000915 and 2009PR000844 cc: Central Files NPDES File Roger Edwards,Asheville Regional Office,Surface Water Protection 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Location:512 N.Salisbury St.Raleigh,North Carolina 27604 One Phone:919-807-6387\FAX:919.807.6495\Customer Service:1-877-623-6748 NofthQuohna Internet:www.ncwaterquality.org /�/ An Equal Opportunity 1 Affirmative Action Employer NaturalI ff NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES 2 0 0 8 P R 0 0 8 0 2 1 INVOICE Annual Permit Fee Overdue This annual fee is required by the North Carolina Administrative Code. It covers the administrative costs associated with your permit. It is required of any person holding a permit for any time during the annual fee period,regardless of the facility's operating status. Failure to pay the fee by the due date will subject the permit to revocation. Operating without a valid permit is a violation and is subject to a$10,000 per day fine. If the permit is revoked and you later decide a permit is needed,you must reapply,with the understanding the permit request may be denied due to changes in environmental,regulatory,or modeling conditions. Permit Number: NCG520081 Annual Fee Period: 2008-07-01 to 2009-06-30 Rutherford County Invoice Date: 08/21/08 1 st Street Due Date: 09/20/08 Brad D.Wickham Annual Fee: $100.00 Brad Wickham's Topland Service 1134 Hwy 221 S Rutherfordton,NC 28139 Notes: 1. A$25.00 processing fee will be charged for returned checks in accordance with the North Carolina General Statute 25-3-512. 2. Non-Payment of this fee by the payment due date will initiate the permit revocation process. 3. Remit payment to: NCDENR-Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 4. Should you have any questions"regarding this invoice,please contact the Annual Administering and Compliance Fee Coordinator at 919-807-6321. (Return This Portion With Check) ANNUAL PERMIT INVOICE 1111111111111111111111111111 2 0 0 8 P R 0 0 8 0 2 1 Overdue Permit Number: NCG520081 Annual Fee Period: 2008-07-01 to 2009-06-30 Rutherford County 1st Street Invoice Date: 08/21/08 Due Date: 09/20/08 Annual Fee: $100.00 Brad D.Wickham Brad Wickham's Topland Service Check Number: 1134 Hwy 221 S Rutherfordton,NC 28139 IPIMA NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley,Governor William G. Ross,Jr.,Secretary Alan W.Klimek, P.E., Director January 11,2007 Brad Wickham Brad Wickham's Topland Service 1134 Highway 221 South Rutherfordton,NC 28139 Subject: Renewal Notice l General Permit NCG520000 Certificate of Coverage NCG520081 Rutherford County Dear Permittee: You are receiving this notice because your company currently operates a dredging operation covered under the subject General Permit for the discharge of sand-dredging runoff. NCG520000 will expire on July 31,2007. Federal(40 CFR 122.41)and North Carolina(15A NCAC 2H.0105(e)) regulations require that permit renewal applications be filed at least 180 days prior to expiration of the current permit. To satisfy this requirement,the Division must receive a renewal request postmarked no later than February 1,2007. The Certificate of Coverage(CoC)specific to your operation was last issued on July 20,2006. The Division needs information from you to determine if coverage under NCG520000 is still necessary. ➢ If your property still has a wastewater system like the ones described in the enclosed Technical Bulletin,you must renew the subject CoC. Complete the enclosed form and submit it to the address on the form. If you are not sure what type of system your property has,contact Larry Frost in the NC DENR Asheville Regional Office at (828)296-4500. That person[or other staff members]can help you determine if you should renew your CoC. If this site has been shut down and no further dredging will occur,contact me at the address or phone number listed below to request rescission of the CoC. Please verify that the provided information is correct, or make corrections on the attached form. Complete the additional questions,then sign and date the form. The completed form should be submitted to the address listed below the signature block. If you have any questions concerning this matter,please contact me at the telephone number or e-mail address listed below. Sincerely, _.. Charles H.Weaver,Jr. i ll E JAN� � 17 � 21?O7 NPDES Unit cc: Central Files vdn�r < -- i Psheyille Regional Off-ice/Larry Frost NPDES file _ 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 TOne .1� 512 North Salisbury Street,Raleigh,North Carolina 27604 O hCarolina Phone: 919 733-5083,extension 511/FAX 919 733-071 9/charles.weaver@ncmail.net An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper SOC PRIORITY PROJECT: YeoNo IF YES, SOC NUMBER TO: NPDES UNIT WATER QUALITY SECTION ATTENTION: Sergei Chernikov DATE: June 13, 2006 NPDES STAFF REPORT AND RECOMMENDATION Rutherford COUNTY PERMIT NUMBER NCG520081 PART I - GENERAL INFORMATION 1. Facility and Address: Brad Wickham's Topland Services 1 st Street Site . 1 st Street Caroleen, NC 28019 Mailing: Brad D. Wickham 1134 Hwy 221 South Rutherfordton NC 28139 2. Date of Investigation: 04/04/06 3. Report Prepared By: Larry Frost 4. Persons Contacted and Telephone Number: Brad.Wickham 828.429.5521 828.286.3758 5. Directions to Site: US Hwy 74 Business to Old Caroleen Road to 1st Street in Caroleen. The site is the impoundment at the Caroleen dam. 6. Discharge Point(s), List for all discharge points: Latitude: N35 degrees 17.114' Longitude: W81 degrees 48.075' Attach a USGS map extract and indicate treatment facility site and discharge point on map. U.S.G.S. Quad No. U.S.G.S. Quad Name Forest City 7. Site size and expansion area consistent with application? XX Yes No If No, explain: 8. Topography (relationship to flood plain included): Site is above the flood plain in the -1- impoundment bank. 9. Location of nearest dwelling: 100 feet north of the site 10. Receiving stream or affected surface waters: Second Broad River a. Classification: WS-IV b. River Basin and Subbasin No.: Broad River Basin C. Describe receiving stream features and pertinent downstream uses: this is the impoundment for the now abandoned Caroleen Mill the site is a trap for sediments in the river PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS 1. a. Volume of wastewater to be permitted No discharge /possible stormwater MGD (Ultimate Design Capacity) 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): -2- 3. Treatment plant classification (attach completed rating sheet): N/A 4. SIC Codes(s): N/A 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. Spray Irrigation: Connection to Regional Sewer System: Subsurface: Other disposal options: 5. Other Special Items: -3- i PART IV - EVALUATION AND RECOMMENDATIONS This is a sand dredge operation. The operator uses a track hoe to remove sand from the river places it on the stream bank and screens it prior to sale. The water from the wet sand drains back to the river by way of the sanding substrate; there is no discharge point. Stormwater is treated in the same manner. The regional office recommends the issuance of the permit. 0. o /,�Ag Sign ture of Report Preparer Water'Quality Regional Supervisor 6 t 3 06 Date -4- Page 1.of 1 Send To Printer Back To TerraServer Change to 11x17 Print Size Show Grid Lines Change to Portrait ZUSGS 8 km SE of Forest City, North Carolina United States 01 Jul 1996 ` �\ � .,,�•`� .,.-- -J: ,�:..x�-. art, �...,,� t. ``^•y '� ! ! r+•'' ~�`ti..r`f.; r ,t 1 f i ••�' .'r �'r'� ".f." %� S s Ik i .'4�,1 6 r :i-:. _•�, � It ti � � , t' �� �` �'s Via• � :.�-°� „1 ,� � ,-_ I. r: .. 11 ri I 5t ,• ! ? u Ir -ti."'a t•� .f - , •., `h- .LI • ,' \,L'*, :r�• 'j \ y� f' f '•, `--� � r 1 / .,,,,..,�• :/. �{ ::.... i it .1 � �'� i \�� tr }t rp , t 1 :. �; !1 } fft�� ,,,,..^..�r;' �'` � :t t 1 't i� t• 5 s ,if s t li {r1 � [ 1. • {: ",,, ` i 'Y :.`i 1'. 1/ • ,,, ,.. +.. .,. k� t �s �a � t ,.,,,._ y a..� �`+,_._.+-•""s r ,+'• j,+ "^\,_.' t..L «t.�• � i• / }. . t s• � y •. I f�,., , �., * �i•s j is Y ;.�� .� _�,. o -•�.� ^. �.,jr,/'r � _ ■ � —....rt' i `� �.` yam.. 4 ti��A — YY r ���r ,• �t }.+.y �, ,� + � �' 'r �• '0 N. ~�+, slit- A"/r?^� plp *"__, ....Y°•yf .._' /.-,. -"'-,�-.:ey.:'+�:. �. ■ -7 .. ., 6 faY'('r•►i w r i \ "'Y�_.i•, ,s��� + ..` .. f,.A: `"°rl. <j'� r,,j � I.t,I y_ •� s -' �, ►� * ,. + .` WICKHAM CAROLEEN SITE I „• t.; , `w k, NCG520081 RUTHERFORD 1V\� 44 1 ' r *r Ll y.�,hYlr `tl.r R1 r'4 L:—F e +`Y •f; - ;:k `r lr 4� _ 4�~ *y \y .�,*{:::t'r:i '►�': y f•'�?':1 yr'. ■I. i 'ti.. `�;•,,;.:. - ry� +, �...�. ^'_.,t' i �' �' 1 �,M tt 4 i � •,1E1 ! '/ Y � ' - '-,3- i'�•1 LLL 'S,_. . ` _ � *' ''�y � P /f+•1 b, ��•.�t - 'y:��_Ir �:+': pJ' � R f { ._.3T„+' -„�r. w... + d1 t 11 � ! s ��� .r. ✓t r� �:\ 1�t;r ,� � �r,r -- _ � � ;, tii '_.R�� t�t�r *-�!*...+••,� ��; 4' "'�• � .. ^l, 't ^r'+rY,� _ i? jib � 5 •� ;`f +`y������i� sti :�� �� � ,�t r � ..t - z�s F ! •+.�■ r .ti_�Y-•'��� ..•.'^.•�y" � � >�■ ++ E -lot_ Ar LN ;� '+ ., -"'4 1.. r• ;t r, f;. r. :_�.�.� s,.. �_-1~•ti, �<;..-.,-._ham..,,�..... �pW�j,��+ � a .t4(+e .+ t,\�'+'tr •�y[ ;+ �f ,•` , �Pik � p,�r \� S''., �� + ;r '\.• ••t ��•*✓r e• { ( � � �. `' *< . .✓�z:. +,t'', l r't.,"<`, t '�,. J '{r t: I� �.���. ^+'.` a'..��r■ �'-� '`, �fli ,i. .. — *Srr,.,_.='+ {'1 J � ,•:Y.-'r r?_.'ri � e. ]: .? r:r-. 1�:'Fi y •� t •f "y_ t Q` 5KM 0' 1,25Mi Image courtesy of the U.S. Geological Survey © 2004 Microsoft Corporation. Terms of Use Privacy Statement N35 17 07 W81 48 05 NCG520081 RUTHERFORD Fl .//l�.171l1/1T T71.TT I%Y United States Environmental Protection Agency Ep A Washington,D.C.20460 Form Approved. r_A OMB No.2040-0057 Water Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding(i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 I NI 2 I-1 31 NCG520081 111 121 06/04/04 117 18 rl 191 c1 20I —� Remarks J -! 21111111111111111111111111111111111111 Jill 11111116 Inspection Work Days Facility Self-Monitoring Evaluation Rating 131 CIA ---------------------------Reserved---------------------- 67I 169 70 U 711 I 72I N I 73I I 174 751 I I I I I I 180 Section B: Facility Data W 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) Brad Wickham's Topland Service - 1st Street 10:45 AM 06/04/04 1st Street Caroleen Rd Exit Time/Date Permit Expiration Date Caroleen NC 28019 11:00 AM 06/04/04 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 Brad D Wickham,1134 Hwyy 221 S Rutherfordton NC Contacted 28139//828-429-5521/8282863758 Yes Section C: Areas Evaluated During Inspection(Check only those areas evaluated) Facility Site Review Section D: Summary of Find in /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 Larry Frost ARO WQ//828-296-4500 Ext.4658/ ��/ do Signature of Manageme t ' Revie er Agency/Office/Phone and Fax Numbers Date V� , 7� Keith Haynes '; �� ARO WQ//828-296-4500/ •�J EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. Page# 1 NPDES yr/mo/day Inspection Type 2 3I NCG520081 I11 12I 06/04/04 I17 18ICI Section D: Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary) -The purpose of this inspection was to map the site of the sand dredging operation - N35 17.114' -W81 48.075' -The site is currently in use. The permittee is dredging sand from behind the Caroleen Dam on the Second Broad River. Permittee is utilizing a floating dredge on this site. The permittee has a pit for dewatering sand. Page# 2 Michael F.Easley G Governor William G.Ross Jr.,Secretary f North Carolina Department of Environment and Natural.Resources A—n .={ T Alan Klimek,P.E. Acting Director Division of Water Quality February 28, 2006 Brad Wickham, Owner 1134 Highway 221 South Rutherfordton, NC 28139 Subject: Application No. NCG520081 Brad Wickham's Top Land Service Rutheford County Dear Mr. Wickham: This is to acknowledge receipt of the following documents on November 21, 2005: X Completed Notice of Intent(Application form), Engineering Proposal (for proposed control facilities), Request for certificate of coverage X_ Application processing fee of $80.00. Engineering Economics Alternatives Analysis, Engineering Plans and Specifications _ Local Government Signoff, Source Reduction and Recycling, / _ Interbasin Transfer, 3 :5 / �► cf Service and repair receipts. The items checked below are needed before review can begin: Completed Notice of Intent(Application Form), Q '7 Engineering proposal (see attachment), Application Processing Fee of$50.00, Delegation of Authority(see attached), Biocide Sheet(see attached), Engineering Economics Alternatives Analysis, _ Engineering Plans and Specifications Local Government Signoff, _ Source Reduction and Recycling, Interbasin Transfer, o IV,i:� NOIJ7SJ1'1 l�i' II ENV Other: i P. j 900Z l - w NCDENR Customer Service Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 '(919)733-7015 1 800 623-7748 F WATF9p Mich O' William G.Ross Jr.,Se. > r—.l North Carolina Department of Environment and Natural Resou.,\ Alan Klimek,P.E. Acting Director Division of Water Quality This application has been assigned to Sergei Chernikov (919/733-5083) Ext. 594 of our NPDES Unit for review. You will be advised of any comments, recommendations, questions or other information necessary for the review of the application. 1 am, by copy of this letter, requesting that our Regional Office Supervisor prepare a staff report and recommendations regarding this discharge. If you have any questions regarding this application, please contact the review person listed above. / incerely, Sergei Chernikov,Ph.D. Environmental Engineer II NPDES-West cc: Asheville'Regional Office/Surface Water Protection NCDENR Customer Service Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 (919)733-7015 1 800 623-7748 FOR AGENCY USE ONLY Date Received • Year Vionth I Day Division of Water Quality/Water Quality Section i lA� Certificate of Coverage NCDENR National Pollutant Discharge Elimination System N C b y Check# Amount NORTH CAROLINA DEPARTMENT OF O ENVIRONMENT mo NATURAL RESOURCES Pem»t Assigned to NCG520000 NOTICE OF INTENT National Pollutant Discharge Elimination System application for coverage under General Permit NCG520000: Sand Dredging operations and similar point source discharges (Please print or type) 1) Mailing address*of owner/operator: Company Name 1L rnr C ,Q- Owner Name ir Street Address 2,, City State ZIP Code S 3 Telephone No. Fax: A- *Address to which all permit correspondence will be mailed 2) Location of facility producing discharge: Facility Name A� , ).t m �(� Q nC( :� J)rV 1 C 42— Facility Contact Street Address 5�' S I City StatenjC_ ZIP Code County Telephone Not 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 : - - a New or Proposed ❑ Modification �R X LJu1� Please describe the modification: RO ❑ 0A Fit))Renewal ��, Please specify existing permit number and original issue date: V 5) Does this facility have any other NPDES permits? "KI No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: �I��oidivo � »iA -isv NOLODS Ail-MO H-UVAA 6) Description of Discharge: I 900Z a) Is the discharge directly to the receiving water? Ye ❑ No -11 5.�_�._n_e__._�_��______ Page 1 of 4 _ Illl 04/05 _000 N.O.I. If no, submit a site map with the pathway to the potential receiving waters clearly marked. 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): 61")9.. c) Volume of discharge per each discharge point(in GPD): #15L'L4_.� Y2 #3: #4 d) Please describe the type of process the sand dredging wastewater is being discharged from, be specific. '7 -')— � a As f m e) Is there any treatment being applied to the wastewater before discharge(check the type of treatment in use). ❑ Settling pond ❑ Lagoon `'lone ❑Other: f) How much of the volume discharged is treated (state in percent)? 111 g) If any box in item (e.)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. 7) Discharge Frequency: a) The discharge is: ❑ 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. b) How many days per week is there a discharge? UeL4 c) Please check the days discharge occurs: ❑ Sat. ❑ Sun. ❑ Mon. '15'Tue�Wed. ❑ Thu. ❑ Fri. 04/05 Page 2 of 4 _u000 N.O.I. 8) Receiving waters: a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility wastewater discharges end up in? If the site wastewater discharges to a separate storm sewer system (4S), name the operator of the 4S (e.g. City of Raleigh). r _ b) Stream Classification: 9) Alternatives to Direct Discharge: 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". 10) 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 storm 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: -Bra(I L M Title: (Signature of Applicant) ( ate Sig ed) 04/05 Page 3 of 4 -G520000 N.O.I. North Carolina General Statute 143-215.6 b (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document filed or required to be maintained under 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.) Notice of Intent must be accompanied by a check or money order for$80.00 made payable to: NCDENR Mail three (3) copies of the entire package to: NPDES Permits Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Final Checklist This application will be returned as incomplete unless all of the following items have been included: ❑ Check for$80 made payable to NCDENR ❑ 3 copies of county map or USGS quad sheet with location of facility clearly marked on map ❑ 3 copies of this completed application and all supporting documents ❑ 3 sets of plans and specifications signed and sealed by a North Carolina P.E. ❑ Thorough responses to items 1-10 on this application ❑ Alternatives analysis including present value of costs for all alternatives Note The submission of this document does not guarantee the issuance of an NPDES permit 04/05 Page 4 of 4 11��j� � �-�� L ���� ���-� �_ � � �I p ��U�� � 2�� �-�i� a��` � �� � �01' _ . ��_.. . __ C> L�C i 1 �—� - , __--�' Page 1 of 1 Send To Printer Back To TerraServer Change to 11x17 Print Size Show Grid Lines Change to Portrait ZUSGS 8 km SE of Forest City, North.Carolina United States 01 Jul 1996 _ ,t1 '° -hti .,:+ , .'- -' _ � 1 .. ,, • , err��.,. � ,". 1�1 ` '�---•r ;`• -��._ Fr.+''P ..Y' -.�.r ♦ 1 J • 7r n'nr r •4 IV y � yy�,, s t� ti1Yr•,�„���"`+„�`*,w _'. 'ii1 �'; ''': '1 _ � •. �L�• t F.,l'7 .1 t -.., ^.� .r'� i �',.._ f � f .,*- % f y , '",� f � tr•+t. V i ,. r } � .r° t 1.157111 `,�� �.; �`. •� h� `,,,y` 1 ��•�� � t <� r �°�i•i t {�1 � � �h 17 }de{ "•1 t1_ _.r'i f � '"" + ~" � t i r1 -j A. tt "�, 'it t`n '3"'s4 1 rf .y�_._.i �� { X ��.1'r"' s.,,.�''ti, ,,F,v }. ''' ,•`� -`... t�� t `�: _ '``'*•.y;! S �' y I yrj• fJa J $ '",i i�i'� ```y' 1.�.•, r' . �I e t t . �� s3 t .t t'i •` r r !I i .t F � F �;A �•f;" ,wy t �` ���.., q f�•^ � i i � t;••:� j 4,�Vy ` K ., ; -`,__..r ��r Jl k.c,__,.,,.r: ..'-. ,r :+...�'t„� f>' ",.� y.. { � ,.1 +y��:'r ,n�4"• _, * �r:'I t r1K a°.,. .��• 1I i t , ,l "`'.S,.:r 1{' .rJ� ?rt,/i '.% yy yi •' r Y. _r'?. ,t j' S *.._ '.'_rr .t _J !rp j yt ;1 ti t } i '••:x r., + f Y1 are k. j 'ram �t T 1'-t3' .�� �•,.r'. _.w' pit r F F_... y °t, /i{_Y/1 { ."�}._. M�{. P• M1 _ —i,.i S�s:�F�1�a�� • �.� ivy. }r '_ { 1 R`e �"'+.t� .' �,. f _., ""— ,'�- + _f'r,i ••y'• --•. ��! it rr• r X,t4 r •� .°..:..`_ I.ty,,. :�i £.:= :l ?:�t°y l y� Tt`^kd II �r{ r' `��' .6S r A ip WICKHAM CAROLEEN SITE r„ r ►? �' t y ` +}f{jtr( } NCG520081 RUTHERFORD + _ *alb' ' 1y°' _ 10 r r 1 ' ,� ��}� '� � l#s t4.�`°4 °�- 1�. ,..t E * - ! IF_ a 4.... �ri•�A i { , '1 `•'�+.+ �i 'f, f� b ..•- �.. .lR'�' -,# 1ST°'C" sc/�• VV# r'V� `f ,,-r,`�,�� i " •t; { t i - k-t ~. '!�' `.4 •`y' ,•Yt yy�,'F'fl/ ' i ,`.f+j'-9�.i :r a �: ,f " f - R• -'r+r -t �. '7,-.i ec J14 r •Y py �1t' _ .•' �,V ,� ti� t�Y ���:71�f {�r!i...:. / � ,�,�._'"�'�.,r.^ � ',l r f f r !l �,+ 1"`!al. ' ( .l•:tfii i.�tfp r �I \ k. j� r.�..• • �l._.d+�" . w 'L. • — i, '�..� ,r�/'S. r .•^',I',_„_p' � y 4,r' r •�>tA �, .o.-,,.. !°'�.'s. 1+ ~�� ti .1� _-f,s �, ��iY' N- . �1..,�.._ f � 14 't..\ty}. k \ ``•t'_...f �..��1•.4'u! 't 1° �,. i ir.' a.�3+i� ,1"t .� t ti. I. 0' '.SKm 0' 1.25Mi Image courtesy of the U.S. Geological Survey © 2004 Microsoft Corporation. Terms of Use Privacy Statement N35 17 07 W81 48 05 NOG520081 RUTHERFORD file://C:\DOCUME-1\LFrost\LOCALS-1\Temp\0506CCL2.htm 4/6/2006 —ourtesy of the USGS Page 1 of 1 Send'To printer Bark'1'o"FerraServer Change to 11x17 Print Size Show Grid Lines Change to Portrait ZUSGS 7 km SE of Fores ted States 14 Mar 1998 x s 9yir^, g s �v 6 � F w. WICKHAM CAROLEEN SITE NCG520081 RUTHERFORD MOMM s: fi 1 r a w o' zoom 0' zooyd Image courtesy of the U.S. Geological Survey Q 2004 Microsoft Corporation. Terms of Use Privacy Statement N35 17 07 W81 48 05 NGG520081 RUTHERFORD httD://terraserver.microsoft.com/Drintimasze.asox?T=I&S=l I&X=1068&Y=9762&Z=17&P=7+km+SE+of... 4/6/2006 Ew ^1! tO mow - Mow C:: i_ � y s t• ?Z :"' r t ^R 1u33�ry l E t � ✓ `Ei r}ji"F, .�i '`�7t�' 1:?l� rt -r a{k is � il , " � pill, k }cm y :. � Ir r i �T r 'f. a { r� 7b 4 Fr ti,Y x ''� Tf Ai: a< Et rc r i� 1 r' £}b k 1 Y c 1 t7r \ { z x 'S'a '+.j Rr�, S �r f @ 1 Ye tt� �3 i E. t,-1 h Tt i �"rr`f f�F ,f ,sf t�+ a' B ,I '.F' "C ��.Ifit�1- } t �! 1`- S /a e'r� �` r�< n 4 r��° Nb`. v 1 x ra r t ---._...a,.,,_.. :.1 h '�c, r �9 r �"�4}1+�'�M1{ s.� �*a 4i'•ea'i' ,yam. � t i �r:.��,.x�k � 1 ..n �S�etm�f• t �4,,rjv� i!t � _ C .F..A IRS, sit sm ow, a �;' i or5°•�J}�� '�� �tr" '�`�+'� �,y 1 y z �',. ,.�} 7c's 7'v' I 1 r a c d rrr��rin m1 �r s7t MEMO to aln 6 - ' � "_�-, a�{ -�r-r���_.tom, `�.y`Y" � �-r �.4., w*i'Ea �7,�`i�\4�t�'��' 3 •y �' 4 a xp n „�#�'tip L�S�jr�`� 's a»J �' `„� u �,,•v.r£��- ra-. N r- ���""'t�+- e �� -. r ������ '�r'• 'ra'�r } `���sw ��t"r3�..S,r�l.. !g �,zasr 1 *- f i - . f '1 'f t rTt tlr i iS { h j T of G r r 11 ii�fr�r 7Y# -� i �r`Y•y--` - ,� x, ��ai�.ii � a .e { _ 'v' � 'N w an 5,X '�q-*� t� f. "" - i-._.t ¢t� P� " 4 -' -t.4z d9t.: � :�i� s '`i y .srt$r 3 xk`+,i. o-t y t ✓'x) t +�.r .4 ti�YFiI sr �:''f t< �� +•'.`.j�4,.�Ft`1 7�, t