NC0088757_Renewal Application_20210125

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Resources / NPDES Program
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INCO088757
If you are completing this form in computer use the TAB key or the up - down arrows to moue from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
French Broad River Group of NC LLP
Facility Name
Riverview Development WWTP
Mailing Address
7340 NE 4th Court - B
City
Miami
State / Zip Code
Florida
Telephone Number
(561-)239-8614
Fax Number
(305-397-1767)
e-mail Address
radickmanriamicon.us
2. Location of facility producing discharge:
Check here if same address as above ❑ n/a no facility
Street Address or State Road
City
State / Zip Code
County Buncombe
3. Operator Information: not applicable
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name N/A
Mailing Address
City
State / Zip Code
Telephone Number ( )
Fax Number ( )
e-mail Address
1 of 3 Form-D 9/2013

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply): not applicable
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
❑
Number of Homes
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Number of persons served:
5. Type of collection system
❑ Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer) A
applicable
6. Outfall Information: not applicable
Number of separate discharge points
Outfall Identification number(s)
Is the outfall equipped with a diffuser? ❑ Yes ❑ No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfallr
French Broad River (not applicable)
S. Frequency of Discharge: ❑ Continuous ❑ Intermittent not applicable
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal forBOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
not applicable
2 of 3 Form-D 912013

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information: not applicable
Treatment Plant Design flow MGD
Annual Average daily flow MGD (for the previous 3 years)
Maximum daily flow MGD (for the previous 3 years)
11. Is this facility located on Ind}'an country?
❑ Yes no No
12. Effluent Data not applicable
NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all otherparameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average
over the past 36 months for parameters currentlu in uour permit. Mark other parameters "NIA".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODs)
Fecal Coliform
Total Suspended Solids
Temperature (Summer)
Temperature (Winter)
pH
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO088757
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
I certify that Ism famili5r/with the information contained in the application and that to the
best of my ledge a belief such information is true, complete, and accurate.
Signature of Applicant
Title
Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-D 912013

January 22, 2021
N.C, DENR
Division of Water Resources
NPDES Program
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE NPDES Application — Form D Permit No. 88757 French Broad River Group of NC LLP
Attn : Mr. Charles Weaver
Dear Mr. Weaver,
There is no wastewater facility at our location. There is no narrative description of the sludge
management plan at this point.
Thank you.
7re rs,
Ross F Adickman
French Broad River Group of NC LLP
7430 NE 4th Court — B
Miami, Florida 33138
Phone [phone]
[e-mail]

January 22, 2021
N.C, DENR
Division of Water Resources
NPDES Program
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE NPDES Application — Form D Permit No. 88757
Attn : Mr. Charles Weaver
Dear Mr. Weaver,
French Broad River Group of NC LLP is requesting to renew our paid permit NPDES #88797 which was
expired. There have been no changes since the issuance of the last permit. There is no wastewater
facility at our location.
Thank you.
Since ely yours,
Ross F Adickman
French Broad River Group of NC LLP
7430 NE 4`h Court— B
Miami, Florida 33138
Phone [phone]
[e-mail]