NCG520099_Regional Office Historical File Pre 2018

Y.
Environmental
Qualiti
November 20, 2015
Mr. Ford, Glenn
Glenn Sand Company
1362 Ellis Ferry Road
Shelby, NC 28152
PAT MCCRORY
j, � Govcrnvr
DONALD R. VAN .DER vAART
se€mti ry .
Subject: ' Compliance Evaluation Inspection
.Glenn Sand Company
NPDES Permit No. NCG520099
Cleveland County
Dear Mr. Glenn:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted at
the subject facility on November 19, 2015 by Mr. Ori Tuvia. .
The report should be. self-explanatory; however, should you have any questions concerning
this report, please do not hesitate to contact Ori Tuvia at [phone], or at ori.tuviagncdenr.gov.
Sincerely,
. 0'o"
Michael L. Parker, Regional Supervisor
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, DEQ
Enclosure:
Inspection Report
cc: MSC 1617-Central Files/Basement
Cleveland County Health Department
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] \ Fax: [phone] \ Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
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 IN I 2 15 1 3 I NCG520099 I11 121 15/11/19 I17 18 ICI 19 I C I 20I
211111 1 1 1 1 1 111 1 1 1 1 1 I I I I I I I 1 I I I I I I I I I I II I I I I 1166
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 CIA ------ Reserved-----------
67 701d I 71 �ti � 7-2L N � 73I 1 I74 75 80
L-1 I L1J
Section B: FacilityData
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES Dermit Number)
11:20AM 15/11/19
12/08/08
Glenn Sand Company
Exit Time/Date
Permit Expiration Date
1487 Ellis Ferry Rd
12:OOPM 15/11/19
15/07/31
Shelby NC 28152
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
Ford Glenn,1362 Ellis Ferry Rd Shelby NC 28152//704-487-0775/7044878868
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit S Flow Measurement Operations & Maintenance N Records/Reports
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
Ori A Tuvia MRO WQ//704-663-1699/
may-...
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#

NPDES yr/mo/day Inspection Type
NCG520099 I11 121 15,11/19 117 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page#

Permit: NCG520099 Owner - Facility: Glenn Sand Company
Inspection Date: 11/19/2015 Inspection Type: Compliance Evaluation
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new.
application?
Is the facility as described in the permit?
# Are there any special conditions' for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment:
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment The facility was well maintained and operated at the time of the inspection.
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and -current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
Has the facility submitted its annual compliance report to users and DWQ?
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Yes No NA NE
❑ ❑ ■ ❑
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• ❑ ❑ ❑
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Yes No NA NE
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Yes No NA NE
•
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Page# 3

r
Y
Permit: NCG520099 Owner - Facility: Glenn Sand Company
Inspection Date: 11/19/2015 Inspection Type:. Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ 0 ❑
Comment: Facility uses stopwatch and bucket flow measurement, records of biannually flow
measurement of the pest 4 years are kept on site.
Lagoons
Yes No NA NE
Type of lagoons?
# Number of, lagoons in operation at time of visit?
2
Are lagoons operated in?
Series
# Is a re -circulation line present?
❑
❑
M❑
Is lagoon free of excessive floating materials?
0
❑
❑_
❑
# Are baffles between ponds or effluent baffles adjustable?
❑
❑
E
❑
Are dike slopes clear of woody vegetation?0
❑
❑
❑
Are weeds controlled around the edge of the lagoon? :
❑
❑
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Are dikes free of seepage?
M
❑
❑
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Are dikes free of erosion?
M
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Are dikes free of burrowing animals?
❑
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.❑
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple
❑
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M
❑
locations?
# If excessive algae is present, has barley straw been used to help control the growth?
❑
❑
0
❑
Is the lagoon surface free of weeds?
❑
❑
❑
Is the lagoon free of short circuiting?
E
❑
❑
❑
Comment: 2 settling ponds in series well maintained.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ❑ ❑ ❑
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:
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
❑
❑
E
❑
Is flow meter calibrated annually?
❑
❑
❑
Is the flow meter operational?
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❑M
❑
(If units are separated) Does the chart recorder match the flow meter?
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M
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Page# 4

Permit: NCG520099
Inspection Date: 11/19/2015
Owner - Facility: Glenn Sand Company
Inspection Type: Compliance Evaluation
Flow Measurement - Effluent Yes No NA NE
Comment: Flow measured using stop watch and bucket method, flow discharged into, big Broad river
Page#

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG520000
CERTIFICATE OF COVERAGE NCG520099
DISCHARGE OF IN -STREAM SAND MINING WASTEWATER, ASSOCIATED STORMWATER
AND SIMILAR DISCHARGES 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,
Glenn Sand Company
is hereby authorized to discharge instream mining wastewater from the following facility:
Glenn Sand Company
1487 Ellis Ferry Rd
Shelby
Cleveland County
to receiving waters. designated as the Broad River, a class C stream in subbasin 03-08-04 of the
Broad River Basin. All discharges shall be 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 June 22, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 22, 2016
for
-irmuur, ,.,,.vision of water tt,esources
By Authority of the Environmental Management Commission

Water Resources
ENVIRONMENTAL GU ALITY
Mr. Ford Glenn
Glenn Sand Company
1362 Ellis Ferry Rd
Shelby, NC 28152
Dear Permittee:
PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
Oil"" "m
RECEIVEDINCDENRIDWR
June 22,• 2016 j U N � 0 2016
we os
MOORCSVILLE REGIONAL OFFICE
Subject: Renewal of coverage / General Permit NCG520000
Glenn Sand Company
Certificate of Coverage NCG520099
Cleveland County
The Division hereby renews Certificate of Coverage (CoC) NCG520099 to discharge under General
Permit NCG520000. 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 October 15, 2007 [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 Mooresville 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 any other Federal, State, or Local
governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact John
Hennessy [919 807-6307 or [e-mail]].
qerSinely,
for.ay Zimmerman, P.G.
Director, Division of Water Resources
cc: Jlooresvalle IiegionalOffic
NPDES file
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.nc. gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

Department of Environmental Quality
Division of Water Resources
General Permit NCG520099
Semi -Annual Flow Measurements
Date Gallons Per Minute
8/6/2015
675
2/10/2016
700
8/18/2016
700
2/17/2017
675
8/24/2017
690
2/20/2018
700

v , - I \ 'V�- `)
NCDENR���
Division of Water Quality j, �
Semi -Annual Flow Measurements �� V , ��
Sample type - Estimate
Sample location - Effluent
Date Gallons Per Minute
8/8/2011
660
2/6/2012
675
8/15/2012
690
2/5/2013
670
8/29/2013
665
2/17/2014
675
9/2/2014
660
2/26/2015
680
9/9/2015
685

}�
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Ford Glenn
Glenn Forest Products, Inc.
1362 Ellis Ferry Road
Shelby, NC 28152
Dear Mr. Glenn:
?iv's i°)I"t o1 k a or Quafity
Coleen 1-l. Sullins
Director
July 8, 2011
Subject: Compliance Evaluation Inspection
Glenn Sand Company .
NPDES General Permit NCG520099
Cleveland. County, North Carolina
Dee Freeman
Secretary
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection conducted at the
subject facility on July 6, 2011, by Ms. Donna Hood of this Office.
This report should be self-explanatory; however, should you have any questions concerning the report, please
do not hesitate to contact Ms. Hood or me at [phone].
Sincerely,
Robert B. Krebs
Surface Water Protection Regional Supervisor
Enclosure
DH
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748
Internet: wtitiw.ncwaterquality.org
An Equal Opportunity', Affirmative Action Employer-50% Recycicu110% Post Consumer paper
One
North, .ctroli is
f, dot

OR
United States Environmental ?roiection Agency I
Form Approved.
EPA Washington, D.C. 20460
ONIS 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/molday Inspection Type Inspector Fac Type
1 I NI 2 I sI 31 NCG520099 111 121 11/07/06 117 181 cI 191 SI 20l II
Remarks
211IIIIIII11111111IIIIIIII IIII IIIIIIIIIIII IIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA ---------- —----- -------- Reserved-------------
67 I 2.0 169 70I 4 I 711 I 72 I N I 73 W 74 711 I I I I I I 180
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)
07/12/11
01:00 PM 11/07/06
Glenn Sand Company
1487 Ellis Ferry Rd
Exit Time/Date
Permit Expiration Date
Shelby NC 28152
02:30 PM 11/07/06
12/07/31
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
Ford Glenn,1362 Ellis Ferry Rd Shelby NC
28152//704-487-0775/7044878868 Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
M1, Permit Flow Measurement? Operations & Maintenance Records/Reports
ffi Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
;1
a
Name(s),and Signature(s) of Inspector(s) ,_' Agency/Office/Phone and Fax Numbers Date r
jf ,
Don a Hoo� � j / .r% MRO WQ//704-663-1699 Ext.2193/
J
J
Da
Fax Numbers e
Signature of Management Q A Reviewe Agency/Office/Phone and
Jfarr is Allocc�o—-"� Ll� MRO WQ//704-663-1699 Ext.2204/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page 11 1

NPDES yr/mo/day Inspection Type
NCG520099 I11 121 11/07/06 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

I
Permit: NCG520099 Owner- Facility: Glenn Sand Company
Inspection Date: 07/06/2011 Inspection Type: Compliance EEraluation
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). I las the permittee subrnitted a new application?
[I
E)
i`4
Is the facility as described in the permit?
❑
❑
n
# Are there any special conditions for the permit?
rl
n
❑
Is access to the plant site restricted to the general public?
n
-
Is the inspector granted access to all areas for inspection?
M
Is the chain -of -custody complete?
❑
❑
M ❑
Dates, times and location of sampling
rl
Name of individual performing the sampling
n
Results of analysis and calibration
❑
Dates of analysis
n
Name of person performing analyses
f_l
Transported COCs
Are DMRs complete: do they include all permit parameters?
❑
n
En ❑
Has the facility submitted its annual compliance report to users and DWO?
❑
n
0 ❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
nrffl
n
Is the ORC visitation log available and current?
❑
[i
Ej[I
Is the ORC certified at grade equal to or higher than the facility classification?
n
❑
n
Is the backup operator certified at one grade less or greater than the facility classification?
Page # 3

Permit: NCG520099 Owner - Facility: Glenn Sand Company
Inspection Date: 07/06/2011 Inspection Type: Compliance Evaluation
Record Keeping
Yes No
NA
NE
Is a ropy of the current NPDES permit available on site?
n
n
n
Facility has copy of previous year's Annual Report on file for review?
n
n
n
Comment:
Lagoon s
Yes No
NA
NE
Type of lagoons?
# Number of lagoons in operation at time of visit?
2
Are lagoons operated in?
Series
# Is a re -circulation line.present?
n
n
n
Is lagoon free of excessive floating materials?
n
❑
❑
# Are baffles between ponds or effluent baffles adjustable?
n
n
ri
n
Are dike slopes clear of woody vegetation?
❑
❑
Are weeds controlled around the edge of the lagoon?
3
❑
El
❑
Are dikes free of seepage?
Eq
0—n
Are dikes free of erosion?
n
n
n
Are dikes free of burrowing animals?
l
n
❑
n
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
# If excessive algae is present, has barley straw been used to help control the growth?
❑
❑
Is the lagoon surface free of weeds?
❑
❑
❑
Is the lagoon free of short circuiting?
n
n
n
Comment:
Flow Measurement - Effluent
Yes
No
NA NE
# Is flow meter used for reporting?
❑
❑
EN
❑
Is flow meter calibrated annually?
❑
❑
n
Is the flow meter operational?
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
n
n
Comment: The facility has not monitored flow. At the time of the inspection, the facility
owners were instructed on the'bucket and stop watch' method of flow measurement as
well as proper documentation and record retention. Should any questions arise about
flow monitoring and documentation, please contact the inspector.
Effluent Pipe
Yes
No
NA NE
Is right of way to the outfall properly maintained?
n
n
n
Page # 4

I
Permit: NCG520099
Inspection Date: 07/06/2011
Effluent Pipe
owner -Facility: Glenn Sand Company
Inspection Type: Compliance Evaluation
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: The effluent flow channel had no residual sand sedimentation and the
receiving stream appeared unaffected by the discharge on the day of the inspection.
0 U ❑ ❑
nnn
Page # 5

�OF W AT Fq
co
//��O, G
(&,Pr
T
Mr. Ford H. Glenn
Glenn Forest Products, Inc.
1363 Ellis Ferry Road
Shelby, NC 28157 .
Dear Mr. Glenn:
Michael F. Easley, Governor
sham G oss entzilllr'�ecldi--D
ecr
lvlu
North Carolina Depart Qentaes
rt�
Division of Water Quality
September 6, 2007 SEP 1 1 2007
. NC DENR MR®
M-Surface Water Protection
Subject: General Permit No. NCG520000
Certificate of Coverage NCG520099
Glenn Sand Company
Cleveland County
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 NCG520000
■ A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG520000
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.
Although the current General Permit for Sand Dredging activities (NCG520000) expired July 31, 2007, your
permit is being issued with those same requirements. The newly issued General "Permit for Sand Dredging
activities will be forwarded to you at a later date.
Please take notice that this Certificate of Coverage is not transferable except after notice to the Division of Water
Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate
of coverage. 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 Robert Guerra at telephone number 919/733-
5083, extension 539.
Sincerely, p
IV )
oleen H. Sullins, Director
cc: Central Files .
NPDES General Permit Files
Mooresville Regional OfficeS.urface Water Protection
N��onhItCarolina
dvatumllk
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncwaterguality.org Location: 512 N. SalisburySt. Raleigh, NC 27604 Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT.OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG520000
CERTIFICATE OF COVERAGE NO. NCG520099
TO DISCHARGE SAND DREDGING WASTEWATER 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,
Glenn. Forest Products, Inc.
is hereby authorized to operate a treatment system consisting of a sediment basin and discharge channel
with the discharge of treated wastewater from a facility located at
Glenn Sand Company
1487 Ellis Ferry Road
Cleveland County
to receiving waters designated as the Broad River, classified C waters in the Broad River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts
I, H, III and IV hereof.
This certificate of coverage shall become effective September 6, 2007.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 6, 2007.
VL,eofeen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Glenn Sand Company
Sand Dredging Operations
Latitude: 350 10' 54" N State Grid: Boiling Springs
Longitude: 810 37' 30" W Permitted Flow: N/A
Receivine Stream: Broad River Drainage Basin: Broad River Basin
Stream Class: C Sub -Basin: 03-08-04
Ir�2�rR"LTiP f*jp n7zb
L•
'=
scale
'DNo. 11`•
Cleveland •

SOC PRIORITY PROJECT: Yes —No x
If Yes, SOC No.
To: Permits and Engineering Unit
Water Quality Section
Attention: Bob Guerra
Date: June 28, 2007
NPDES STAFF REPORT AND RECOMMENDATION
County: Cleveland
Permit No. NCG520099
PART I - GENERAL INFORMATION
1. Facility and address: Glenn Sand Company
.1362 Ellis Ferry Road
Shelby, NC 28152
2. Date of investigation: June 26, 2007
3. Report prepared by: Samar Bou-Ghazale, Env. Engineer I
4. Persons contacted and telephone number: Mr. Ford Glenn, Owner, Tel # [phone]
5. Directions to site: From the intersection of I-85 and I-77 in Charlotte, travel south on I-
85 and to exit 100/Shelby. Turn right on Blacksburg Hwy (SC-5) and travel 2.1 miles.
Continue on Shelby Hwy (SC-18) approximately 1.6 miles. Continue on S Lafayette
Street (NC-18) approximately 1.5 miles and turn left on Randall Road. Travel
approximately 1.4 miles and turn left on Mt. Sinai Ch. Rd. and travel approximately 0.7
miles and bear left on Ellis Ferry Road. Travel approximately 0.8 miles to site located at
the end of the road.
6. Discharge point(s). List for all discharge points:
Latitude: 35°10' 54" Longitude: 81' 3730"
Attach a U.S.G.S. map extract and indicate treatment facility site and discharge point on
map.
U.S.G.S. Quad No.: F 14 SE U.S.G.S. Name: Blacksburg North, NC -SC
7. Site size and expansion are consistent with application? Yes x No_ If No, explain:

8
0
Topography (relationship to flood plain included): Gently rolling, 2-4% slopes. The site
is located in a flood plain.
Location of nearest dwelling: The nearest dwelling is greater than 1000 feet from the site.
10. Receiving stream or affected surface waters: Broad River
a. Classification: C
b. River Basin and Subbasin No.:
C. Describe receiving stream features and pertinent downstream uses: The receiving
River is approximately 250 feet wide with a sandy bottom. Downstream uses are
typical for class C waters.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted: 0.3 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)? 0.3.
MGD
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: The proposed treatment facility consists of classifier and a
settling pond for the sand dredging operation.
f. Please provide a description of proposed wastewater treatment facilities: N/A
g. Possible toxic impacts to surface waters: N/A
h. Pretreatment Program (POTWs only): N/A ,
2. Residuals handling and utilization/disposal scheme: N/A
3. Treatment plant classification (attach completed rating sheet): N/A
4. SIC Code(s): 1442

RT III - OTHER PERTINENT INFORMATION
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: N/A
3. Important SOC, JOC or Compliance Schedule dates: N/A
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
5. Air Quality and/or Groundwater concerns or hazardous materials utilized at this facility
that may impact water quality, air quality, or groundwater: No AQ or GW concerns, nor
are hazardous materials utilized at this facility.
PART IV - EVALUATION AND RECOMMENDATIONS
Glenn Sand Company is applying for an NPDES permit to discharge water from a settling
basin used in a sand dredging operation. The basin design has been approved by the Land
Quality Section for settling capacity and trapping efficiency.
It is recommended that the permit be issued.
Signature of Report
Water Protection
Page 3

■
■ \rr■0w 140
NORTH CAROUM DrnARrMMN OF
E—maim Nr ma N=AR R�
Division of Water Quality / Water Q}ra`�ity'PSection.
Lu�Q6/`
National Pollutant Discharge Elimination System
NOTICE OF INTENT
National Pollutant Dischar
NCG520000: In -stream sand
-` NCG520000
�Zvb 9q
Elimination System
(Please print or type)
1) Mailing address of owner/operator:
Company Name:
Contact Person:
Street Address:
City:
Telephone No.:
At
FOR AGENCY USE ONLY
Date Received
.:Year-_
Month1
Da
260�1a
e
Ceriffrcate of Covers
'17Check #
I Amount
Permit Assigned to
APR 2 7 2C617
v
m�
t it
t a ers;;0 .5
9 bD t`
n1
N
-_
1512 C-il:s Ft.,jo 12d.
S 1.1h.0 t State: /fa ZIP Code: Z -P!s l
Fax: 70 if- 4 F 7- PN S
2) Location of facility producing discharge:
Facility Name: G & n
Contact Person: Ar-e"4 C Ct„ n
Street Address: /4Y-? ' Elks F11ry
City: S L/b4, State: NC ZIP Code: Z F/s 2
County:
Telephone No.: 70 l f Q 7- 0 7 7 S Fax: 70 4 7- WY
3) Permit Contact (complete this section if permit contact is different from facility contact) :
Contact Person:
Street Address:
City:
County:
Telephone No.:
State: ZIP Code:
Fax:.
. 9
4). Physical location information:
A copy of an USGS quad map or county map with the facility clearly located on the map IS REQUIRED to
be submitted with this application.
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): i G [ f - A
3 /Vl: /ds f. N.`: b," f?d TJ--„ 2a t rid
5) This NPDES permit application applies to which of the following
B" New or Proposed ❑ Modification
Please describe the modification:
❑ Renewal
Please specify existing permit number and original issue date: n� `',' N
U
APR p v 2001 k
Page 1 of 4
SWU-214-080102

3520000 N.0.1.
)oes this facility have any other NPDES permits, including stormwater general permits?
V No ❑- Yes
If yes, list the permit numbers for this facility:
7) Description of Discharge:
a) Will stormwater also be discharged? ❑ Yes GeNo
If yes, does stormwater drain to a settling pond prior to discharge? ❑ Yes ❑ No
b) Is the sand washed or rinsed on the bank after removal from the stream? VYes ❑ No
c) Is the discharge directly to the receiving water? SYes ❑ No
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.
d) Number of discharge points (ditches, pipes, channels, etc. that convey wastewater from the property):
e) Volume of discharge per each discharge point (in GPD):
#1: 00, -no D #2: #3: #4
f) Please describe the type of process the sand dredging wastewater is being discharged from, be
specific. S r •.jjd .. �I * -f t r i S a. S cy.. ;i t d i L A.y,
`�-
g) Is there any treatment being applied to the wastewater before discharge (check the type of treatment
in use).
VSettling pond ❑ Lagoon ❑Other []None
(Please describe "Other")
h) How much of the volume discharged is treated (state in percent)? /0 0 fo
i) 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.
8) Discharge Frequency:
a) The discharge is: . ❑ Continuous Vintermittent ❑ Seasonal
i) If the discharge is intermittent, describe when the discharge will occur:
�nJv vv4A drir A2 . 1 s r n ""Erafi._ol1-
If seasonal check the month(s) the discharge occurs: ❑ Jan. ❑ Feb. ❑ Mar. ❑ Apr
❑ May ❑ Jun. ❑ Jul. ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. ❑ Dec.
Page 2 of 4
SWU214-080102

3520000 N.O.I.
�) Please check the days discharge occurs:
❑ Sat. ❑ Sun. I`Mon. PrTue. ErWed. 10"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 end up in? If the site wastewater dischargers to a separate storm sewer
system (4S), name the operator of the 4S (e.g..City of Raleigh). ,C3 r a a IN ✓e
b) Stream Classification (WS-IV, C, etc.): C
10) Alternatives to Direct Discharge: j„ie vio no F 1►�,c. +c.ces 5/ +o / s c�-c • c��lccf%o�
/� Sy/Sttir► a..,l if r S hot hraS,N�e f'a•' y'vhs...f:.e�
Address the feasibility of implementing each of the following non -discharge alternatives
kcal d
a) Connection to a Regional Sewer Collection System + • P-od
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 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 1 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 711"EXC
erso0 Signing: (—oTitle: J eL, 7
(Signature of Applicant)
�( -( -9 ~g 7
(Date Signed)
Page 3 of 4
SWU-214-080102

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