WQ0004910_Application_20210414

RECEIVED1NCDEWWR
April 9, 2021
Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Permit Renewal
Town of Woodland WWTF
Permit No: WQ0004910
Wastewater Irrigation System
Northampton County
Dear Non -Discharge Branch,
APR 1 3 2021
Non -Discharge
Permitting Unit
The Town of Woodland is submitting the permit renewal application for the Town of
Woodland WWTP, WQ0004910, which expires on September 30, 2021. The Town has
the following comments regarding the permit renewal:
• The Town has had recent staffing changes in the public works department which
delayed completion of the renewal process.
• The Town could not find a map that met the requirements for an updated map as
specified in Section III of the renewal application. An engineering firm has been
engaged and when the updated map is completed, it will be forwarded to your
office.
We thank you for your consideration of these issues. With the recent staff changes,
Covid-19 restrictions and several other issues, a timely review of the permit renewal
requirements were not possible. If you have any questions or comments, please let me
know.
Sincerely,
Randy Beale, 11 ayor
Town of Woodland
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This form is for renewal without modification for all non -discharge system permits, except Residuals
Management and Single -Family Residence Wastewater Irrigation System permits.
For more information, visit the Water Quality Permitting Section's Non -Discharge Branch Wehsite.
I. PERMITTEE INFORMATION:
Cell
1. Permittee: Town of Woodland
2. Signature authority's name: Randy Beale per 15A NCAC 02T .0106(b) Title: Mayor
Primary Telephone number: [phone] Office Secondary number: [phone]
Email Address: biso rlb'uhotmail.com
1. Permittee's mailing address: PO Box 297
City: Woodland State: NC Zip: 27897-7161
1. Billing address (if different from above):
City: State: Zip: -
1. Contact person's name (if different from signature authority): Raymond Eaton Title: WWTP
ORC
Primary Telephone number: [phone] Cell Secondary number: (2� 398-7903
Office
Email Address: wtownhall(u_mchsi.com
I. PERMIT INFORMATION:
1. Existing permit number: WQ0004910
2. Has the facility been constructed? Yes or No
If yes, has the facility been constructed in accordance with the permit and the Division -approved
plans and specifications? [ 15A NCAC 02T .0110] Yes or No
If no, a formal permit modification request shall be submitted to the Division.
1, Has any of the property ownership within the facility and/or disposal area changed from what is
indicated in the current permit (Attachment B — disposal field owner/lessee)? Yes or No
Has the Permittee had a name change or has the permit changed ownership? Yes or No
If yes to either, a permit modification request shall be submitted to the Division. [15A NCAC
02T .01051
1. Is this facility a Privately -Owned Public Utility? Yes or No
If yes, provide two copies of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility
franchise. [15ANCACO2T.0115(a)(1)]
1, Is the Permittee a Home/Property Owners' Associations or Developers of lots to be sold? Yes or
No
If yes, provide the following:
• For Home/Property Owners' Associations — Operational Agreement (FORM: HOA) and a
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copy of the proposed or approved Articles of Incorporation, Declarations, and By-laws [15A
NCAC 02T .0115(c)1
• For Developers of lots to be sold — Operational Agreement FORM: DEV j15A NCAC
02T .0115(b)1

1. Does the facility treat and dispose of industrial wastewater? NO
If yes, complete items below. If no, skip to the next section.
Indicate the approximate Vercentgge of wastewater makeup:
Industrial: % Domestic: % Stormwater: %
For all industrial wastewater sources (excludiag those permitted under a pretreatmentpermit),
provide a detailed industrial process description including_
• An overview of the manufacturing process
• An inventory of all materials used for manufacture, including chemicals and biological
matter
• An overview of cleaning and treatment methodology, including an inventory of treatment
materials and compounds
Has the nature of wastes e.g., chap a in industrial processes, introduction of new materials or
chemicals, etc.) described in the approved permit application(s) changed? Yes or No
If yes, a permit modification request shall be submitted to the Division. TG.S. 141-215.1(d)T
I. SITE MAP:
• Provide an updated site map in accordance with 15A NCAC 02T .0105(d) that shows the
following (if applicable
The site map is not required to be signed or sealed by a Professional Engineer. However, the map
must indicate the source of information. For example, parcel lines taken from a county GIS map
should reference the GIS website.
Legend, north arrow, and scale
Topographic contours on all disposal sites
Soil mapping units on all disposal sites
All facility -related structures and fences within the treatment, storage, and disposal areas
All habitable residences and places of assembly within 500 feet of all treatment, storage, and
irrigations sites
Location of all wells, streams (ephemeral, intermittent, and perennial), springs, lakes, ponds,
ditches, and other surface drainage features within 500 feet of all waste treatment, storage, and
disposal site(s)
Latitude and longitude coordinates of all monitoring wells (decimal degrees to 6 digits)
Location and identification of major components of the waste disposal system
The wetted perimeter of all irrigation fields with field names (named according to the
approved permit)
Location and ownership of property boundaries within 500 feet of the disposal area (including
road/rail right-of-ways)
The delineation of compliance and review boundaries
Distance measurements verifying all setbacks are being met
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Stormwater drainage controls
100-year floodplain
For reclaimed water generation 12ennits, provide a separate map showing all distribution lines
and utilization permit locations that are connected to the water generation facility and are
permitted by the Non -Discharge Branch (excludes Local Program permitted facilities).
Include all reclaimed water distribution line and reclaimed water utilization permit numbers.

I. GROUNDWATER MONITORING WELLS
• Does the facility have a proposed or existing groundwater monitoring well network? Yes or No
If no, skip to next section.
If yes, complete the following table (NOTE — This table may be expanded for additional wells):
Well Name
Status
Latitude a
Longitude a
Gradient
Location
36.4838889
-77.3772222
MWI
Active
0
20
Down
Inside
36.5255555
MW3
Active
1-77.3761111
Down
Inside
MW6
Active
06.5175000077.4469444
—U2
Inside
MW8
Active
06.5675000077.4294444
Down
Inside
36.5719444
-77.3825000
MW9
Active
Down
Outside
0
0
0
0
0
0
0
_ 0
0
0
• Coordinates must be in NAD83 and have 6 decimal degrees
I. SETBACK WAIVERS, EASEMENTS, AND LEASES:
• Does the permit have any setback waivers, easements, or leases? Yes or No
If yes, provide copies of all documents and complete the table below:
Document
Type
Grantor or Expiration County Deed
Grantee Parcel No. Date Registered Book
5
Deed Page Docun
Descrip

• The document description shall list any reduced setbacks with distance, etc.
• For reclaimed water utilization permits:
Is reclaimed water utilized on property not controlled by the generator? Yes or No
A lease, easement, or agreement must be provided allowing for the utilization of reclaimed water
on the property or within the facility. For irrigation of reclaimed water, an easement is required
per 15A NCAC 02U .0501(6). All documents shall be listed in the table above.
I. RELATED PERMITS
• If this permit has interactions with other wastewater permits (collection systems, NPDES, etc.),
complete the table below (provide additional pages if necessary):
Permit Type I Permit No.
Collection System I WWCSD0030 I Deemed permit for collection system
• Does the facility have an approved flow reduction [15A NCAC 02T .0114(f)]? Yes or No
If yes, attach the measured monthly average amount of wastewater flow contributed per unit for the
12 months prior to permit renewal. If any of these monthly averages are within 20% of the
approved value, the Permittee shall provide a reevaluation of the reduced flow value using the
methodology applied to the original flow reduction application. Also, attach a copy of the flow
reduction approval letter.
APPLICANT'S CERTIFICATION 15A NCAC 02T .0106(b)
I, Randy Beale , attest that this renewal application has been reviewed by me, and is accurate and
complete to the best of my knowledge. I understand that any unauthorized discharge of wastewater from
this non -discharge system to surface waters or the land may result in an enforcement action that may include
civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of
Water Resources should a condition of this permit be violated. I also understand that if all required parts of
this application are not completed, this application may be returned to me as incomplete. I further certify
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that the Applicant or any parent, subsidiary, or other affiliate of the Applicant has not been convicted of an
environmental crime, has not abandoned a wastewater facility without proper closure, does not have an
outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any
active compliance schedule, and does not have any overdue annual fees.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly
makes any false statement, representation, or certification in any application package shall be guilty of a
Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to
$25,000 per violation. The Applicant's Certification shall be signed in accordance with 15A NCAC
02T .0106(b). Per 15A NCAC 02T .0106(c), an alternate person maybe designated as the signing official
if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b)
Signature: _ Date: "t f I I Z,OZ
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE
SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE BRANCH
B► U.S. Postal Service: By Courier: BI Email:
Non -Discharge Branch Non -Discharge Branch— Archdale 942W Non-Dischar.e.Re ortstiincdenr.
1617 Mail Service Center 512 N. Salisbury St.
Raleigh, NC 27699-1617 Raleigh, NC 27604
TELEPHONE NUMBER: [phone]
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