NC0029190_Permit (Issuance)_20040611

NPDES DOCYNENT SCANNIN& COVER SHEET
NPDES Permit: NC0029190
I-77 Rest Area WWTP
Document Type:, ' ermit Issuance'
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Staff Report
201 Facilities Plan
Instream Assessment (67B)
Environmental Assessment (EA)
Permit
History
Document Date: June 11, 2004
This document is printed oa rewae paper-iXIaore may
coateat oa the reve=�e Bide

o�0F WA7-� Michael F. Easley,Governor
State of North Carolina
William G. Ross,Jr., Secretary
rDepartment of Environment and Natural Resources
7
Alan W.Klimek,P.E., Director
Division of Water Quality
June U,2004
Mr. Michael A. Pettyjohn, P.E.
NCDOT—Highway Division 17
P.O. Box 250
N. Wilkesboro,NC 28659
Subject: Issuance of NPDES Permit
NCO029190
Surry County Rest Area
Surry County
Dear Mr. Pettyjohn:
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly,we are forwarding the attached NPDES discharge permit. This permit is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated May 9, 1994 (or
as subsequently amended).
This final permit includes no major changes from the draft permit sent to you on April "17,
2004.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty
(30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes,and filed with the Office of
Administrative Hearings(6714 Mail Service Center, Raleigh,North Carolina 27699-6714). Unless such
demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division
may require modification or revocation and reissuance of the permit. 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, the 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 Toya Fields at telephone number(919) 733-5083,extension 551.
Sincerely,
ORIGINAL SIGNED BY
Tom BeInick
Alan W. Klimek, P.E.
cc: Central Files
Winston-Salem Regional Office/Water Quality Section
f NPDES"Unit`I
North Carolina Division of Water Quality [phone]
1617 Mail Service Center FAX[phone]
Raleigh, North Carolina 27699-1617 On the Internet at http://h2o.enr.state.nc.us/

NCO029190
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER 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,
N.0 Department of Transportation
is hereby authorized to discharge wastewater from a facility located at
DOT I-77 Rest Area
On Interstate 77
Southeast of Lambsburg
Surry County
to receiving waters designated as Naked Run in the Yadkin-Pee Dee River Basin in accordance
with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 1I,
III and IV hereof.
This permit shall become effective July 1, 2004.
This permit and authorization to discharge shall expire at midnight on February 28, 2009.
Signed this day June 11, 2004.
ORIGINAL SIGNED BY
Tom Belnick
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

NCO029190
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility,whether for operation or discharge are hereby revoked.As of this permit
issuance,any previously issued permit bearing this number is no longer effective.Therefore,the exclusive authority to
operate and discharge from this facility arises under the permit conditions, requirements, terms,and provisions included
herein.
N.C. Department of Transportation is hereby authorized to:
1. Continue to operate a 0.030 MGD wastewater treatment facility consisting of the
following components:
• A comminutor
Parallel extended aeration basin
Parallel clarifiers
Dosing tank
• Two surface sandfilters
Chlorine metering pump
Tablet-type dechlorinator
Chlorine contact chamber
• Step aeration
The facility is located at DOT I-77 Rest Area, on Interstate 77, southeast of Lambsburg, Surry
County.
2. Discharge from said treatment works at the location specified on the attached map into
Naked Run, classified WS-IV Trout waters in the Yadkin-Pee Dee River Basin.

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NC DOT 1-77 Rest Area - NC0029190 ! i
FacilityMIN
;\€ �>`
a I3rsi �^
Location m =
USGS Quad Name: Cana Lat.: 36°33'54"
Receiving Stream: Naked Run Long.: 80°44'47"
Stream Class: WS-IV Trout Not to SCALE
Subbasin: Yadkin- Pee Dee - 030703 North

NCO029190
A (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is
authorized to discharge from outfall(s)serial number 001. Such discharges shall be limited and monitored by the
Permittee as specified below:
EFFLUENT LIMITS MONITORING.REQUIREMENTS.
CHARACTERISTICS
Monthly Weekly Daily Measurement Sample Sample
Average, Average :Maximum Fre uenc Type
Locationr
Flow 0.030 MGD Continuous Recording I or E
BODs 30.0 mg/L 45.0 mg/L Weekly Composite E
Total Suspended Solids 30.0 mg/L 45.0 mg/L Weekly Composite E
NH3 as N Weekly Composite E
Dissolved Oxygen2 Weekly Grab E, U, D
Fecal Coliform 200/100 ml 400/100 ml Weekly Grab E
(geometric mean)
pH Between 6 and 9 s.u. 2/Month Grab E
Total Residual Chlorine 28 µg/L 2/Week Grab E
Temperature°C Daily Grab E
Tempera lure°C Weekly Grab U,D
Chronic Toxicity3 Quarterly Composite E
Total Nitrogen (NC2+
NO3+TKN) Quarterly Composite E
Total Phosphorus Quarterly Composite E
Notes:
1. Sampling locations:E =Effluent,U =upstream 50 feet above the discharge location,D=100 feet below the discharge
point before the VA DOT rest stop discharge.
2. The daily dissolved oxygen effluent concentration shall not be less than 2.0 mg/L.
3. Chronic Toxicity (Ceriodaphnia)P/F at 13.0%;February,May, August,November;See Special Condition A (2)of the
Supplement to Effluent Limitations.
All samples collected should be of a representative discharge.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

NCO029190
SUPPLEMENT TO EFFLUENT LIMITATIONS
AND MONITORING REQUIREMENTS
SPECIAL CONDITIONS
A(2). CHRONIC TOXICITY PERMIT LIMIT (QRTRLY)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to Ceriodaphnia
dubia at an effluent concentration of 13.0
The permit holder shall perform at a minimum,quarterh monitoring using test procedures outlined in the"North Carolina
Ceriodaphnia Chronic Effluent Bioassay Procedure,"Revised February 1998,or subsequent versions or"North Carolina Phase
II Chronic Whole Effluent Toxicity Test Procedure" (Revised-February 1998)or subsequent versions.The tests will be
performed during the months of February, May,August and November. Effluent sampling for this testing shall be performed at
the NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the permit limit,then
multiple-concentration testing shall be performed at a minimum, in each of the two following months as described in"North
Carolina Phase 11 Chronic Whole Effluent Toxicity Test Procedure" (Revised-February 1998)or subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the highest concentration
having no detectable impairment of reproduction or survival and the lowest concentration that does have a detectable
impairment of reproduction or survival.The definition of"detectable impairment,"collection methods,exposure regimes,
and further statistical methods are specified in the"North Carolina Phase 11 Chronic Whole Effluent Toxicity Test Procedure"
(Revised-February 1998)or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge Monitoring Form
(MR-1)for the months in which tests were performed,using the parameter code TGP3B for the pass/fail results and THP3B
for the Chronic Value. Additionally, DWQ Form AT-3(original)is to be sent to the following address:
Attention: North Carolina Division of Water Quality
Environmental Sciences Branch
1621 Mail Service Center
Raleigh,North Carolina 27699-1621
Completed Aquatic Toxicity'rest Forms shall be filed with the Environmental Sciences Branch no later than 30 days after the
end of the reporting period for which the report is made.
Test data shall be complete,accurate, include all supporting chemical/physical measurements and all concentration/response
data,and be certified by laboratory supervisor and ORC or approved designate signature.Total residual chlorine of the
effluent toxicity sample must be measured and reported if chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required,the permittee
will complete the information located at the top of the aquatic toxicity(AT)test form indicating the facility name,permit
number,pipe number,county,and the month/year of the report with the notation of"No Flow"in the comment area of the
form.The report shall be submitted to the Environmental Sciences Branch at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required,monitoring will be required
during the following month.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of Water Quality
indicate potential impacts to the receiving stream, this permit may be re-opened and modified to include alternate monitoring
requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document,such as minimum control organism survival,
minimum control organism reproduction,and appropriate environmental controls,shall constitute an invalid test and will
require immediate follow-up testing to be completed no later than the last day of the month following the month of the initial
monitoring.

�QF WATF�p Michael F. Easley,Governor
State of North Carolina
William G. Ross,Jr.,Secretary
Department of Environment and Natural Resources
7
O _ Alan W.Klimek,P.E., Director
Division of Water Quality
April 14, 2004 SFCF
D !FD
MEMORANDUM N.C. D0pt• Ot 1 HNR
APR 19 2004
To: Lee Spencer -Salem
NC DENR / DEH / Regional Engineer N+i nsnstonton Office
Winston-Salem Regional Office Regional
From: Toya Fields
NPDES Unit
Subject: Review of NPDES Permit NCO029190
NC DOT I-77 Rest Area
Please indicate below your agency's position or viewpoint on the proposed permit modification
and return this form by May 14, 2004. If you have any questions on the proposed
modification, please contact me at the telephone number or e-mail address listed at the bottom
of this page.
RESPONSE: (Check one)
oncur with the issuance of this permit provided the facility is operated and maintained
properly, the stated effluent limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
❑ Concurs with issuance of the above permit, provided the following conditions are met:
❑ Opposes the issuance of the above permit, based on reasons stated below, or attached:
SignedZz_ iis/�=K .� Date: ( zo 0
g —
North Carolina Division of Water Quality tova fieldsOncmail net - [phone] z551
1617 Mail Service Center FAX[phone]
Raleigh, North Carolina 27699-1617 On the Internet at http://h2o.enr.state.nc.us/

NCO029190
Subject: NCO029190
From: John Giorgino <[e-mail]>
Date: Thu, 20 May 2004 14:42:02 -0400
To: Toya Fields <[e-mail]>
Toya,
I have reviewed the following: NCO029190 - Surry County Rest Area
I have no comments on it . Thanks for forwarding it to us .
-John
John Giorgino
Environmental Biologist
North Carolina Division of Water Quality
Aquatic Toxicology Unit
Mailing Address :
1621 MSC
Raleigh, NC 27699-1621
Office: 919 733-2136
Fax: [phone]
Email : John.Giorgino@ncmail .net
Web Page : http : //www. esb. enr. state .nc .us
I of 1 5/20/2004 2:51 PM

NORTH CAROLINA
FORSYTH COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State, duly
commissioned, qualified, and authorized by law to administer oaths, personally
appeared D.H. Stanfield, who being duly sworn, deposes and says: that he is
Controller of the Winston-Salem Journal, engaged in the publishing of a newspaper
known as Winston-Salem Journal, published, issued and entered as second class mail
in the City of Winston-Salem, in said County and State: that he is authorized to
make this affidavit and swom statement: that the notice or other legal advertisement,
a true copy of which is attached hereto, was published in Winston-Salem Journal on
the following dates:
April 17, 2004
and that the said newspaper in which such notice, paper document, or legal
advertisement was published was, at the time of each and every such publication, a
newspaper meeting all the requirements and qualifications of Section 1-597 of the
General Statues of North Carolina and was a qualified newspaper within the meaning
of Section 1-597 of the general statues of North Carolina. r , =-'PuauC NOTICE
STATE OF NORM CAROt1NA
ENVIRONMenAL MANAGEMENT COMMISSIO WNPOES UNIT
/f�� //��� t = - 1e1TMAiL'SERVICECeRER
This 19th day of April, 2004 WY�\ V� "RALEIGN, FINTENT.TO1
v - NOTIFICATIGN OFINTE 1611 ISSUE +
(signature of perso y aking affidavit) u1a:14 rP�aw Sat-
1.21.Public Ism,9250seat I saindends_aid ragda.
hors,the WithCaroima Emkonmertal Management Cernmsaon pm
poses=to.sse a.National,PdMam Dsrhmge Eiminamn:5
Sworn to and subscribed before me, this 19th der of A 2004 NPDES wit=�wmHda�aPbuapemDn(s)�edoe ;
Y P femre a5.der hem 0uembbh dare Df umrotcdl
Wmtencomments adrg the piopaser111Mehwdlbeacceple"ng
+30 days aRertha pu hC data NGas Mbe.All comments rMamJ pnor
to Get Ma idle coiaidened-in lbe fins)determinations regantlinif line pm g
posed Parma The Deader of the NC Dn+snn of Water td+anr/may de:
title to Mid a"ic meetigkx the Proposed park slWdthe UMsk u
Notey�� iic necase asayuaaam degree Npdta umeresL,,,. , :-..a.
to ,/ Caplet of fa drab parrot eM Other aLpflOmng il�lormaLM on m0 u5ed
t',°f'�4.. -V`;RaayN CauMy -.,^i,-xirsa� •+.+ "to daemirremr�d tuore preseutmthedrzftperma are avetabkiyonm
ra gk24 i ry q ,p- Head Yob Perk,la�s`agpspgetl bgrepnaew�l A 6NPOES perch quest aue payment of the costs of rapmducUan.Mal comments and(o
at diii� O •$/'}..y{}Y3r•a+Ffi'""� u armned to I�oML Itle Creek m Ne PadlarvePe�o givaa t8ashu. addrrs4 err ial Abatant0hawa(819)TSi-50&T.e#era:on 520�;
LTheYaco,Irro(P.0iBm T64MPoa Plebe;NC2l0af)by azakatlbre 8 dna�y f
newel of NPDEES ppaerrtrN NCD061"formeN mF Cater s12 aCuneMy B005Ammona as Nrtmgen Total RasidaOi CNorma Total Peaseird-Cd MNPDEpamaryxnber(attadad)maM r>rnmwxa�
l 6S.ryryCaaM:Tha`HreraaGadraokydis haaedwastevel¢itD IStluam'mxy MaF Face)
Cal
we q paybn�e6tN fnnlo .TL sdet, ton Nna fedp,,,Rmay also wsh the Division of Water Qua4ly d:.
'the lAtle Fisher Firrer intcaYedhe'Pai Oe9Pwa Baru BOD, lWa Clueek _ abglt NCWB0a;11a8 bewOtn the twat 0ft
LYnernt' The mM,Wllrap&Itro ry.0.Drawer 4889,Croy,NC m S B W am.and 5'OD part to reslew uraonnaibn an Ns:- �•
total suspxrded solids,dT and grotto ab ldat rasxhd dderre ere pBea br ne of NPDES
waterquaBYanded,ThsdisNwga may aEed haaaaaaoaAansnrttis NM1YTP'In FoiayN Pann'1 NCIXIBMDJ PNcB "Dawdson OaunNRfi Sl .: . '::
n of the YaCkinPea Dee River.Balm. 'att ox I Nit Cm� tT ppeeen iec d tied Oevklaen Cw Schdob,PO BkOr 1,Lsiuugron,NC fat applied;
Paco watiRwalerb MTIGeek idfia YatlknPee Oea R:ver Basco Ctrnm- fw ffmaw of POES perm:T NC0042145,fa b Mldway.ElammutNy;
NC OapaMapt ol.TcouspoM6on(PEST 11'dt ten4c Rd¢gh, y 800;total suspentletl soGds;'srmuaua niopgan and total residual t Sduddt,WWTP n D.,dson Thy penntred IadM dkd+agas
NC TI6119)ha apphedMnaw.rafdNP0E5 pama NCQQ8196kr Nit dibeue.0wata quabtY kneed.THatlstluaga aged Murealom tradedwaslnva O(W-cmwn ttmy(O teaard Craekinthe Ytl
Ad-
the SunYIC4vaMJRest Area*1A9Jpwrtaeed fairy,. 0030 lore in this partlon of teYeEkin Pee Dea RNer Basat — ldhPee.Dee River Basin.?C BOPaniinerea nioognn'andtoaS
MGD dtreared wastewater to Naked Run m the Yadlq{Pee fiw Scarlet Acres Mobile Hann SuodlNNDa Naga kd a'rea of iE uasbtel di' . areYTater µtMY PanteO.dpa`disch maya0art)w,
Bass CarenNy DgDam that residddubrkx areweten'ptnhrylendad' — I NPDES permit NC0061204.W a permital fad' ❑ ea '•a'='.
Thedadaipo mayaEedhmre moce0at5mtlupaEonofthayadvil AL S� wmLLwelci lti anumamed hibUtaly tD EE9Qaak lMiuthe YadbhPee Oea B�Re mrJri Sbp tom'9aPpfed bi•naiw•3t�a�M1s NPPES pauA3;
Pce Dee Rive.f0asin a€.r' �(=MW'. J`e^"k "r Rwa Basuv
The Suny County.Boats:Cf,Eduwddn�P0 BOa 866 ibbam HC CusrOny BO05,`Amnxva as NIDeyan,Total Residual N(Xb40D45.The parrtBad lamy.dsdaTges named wastewater fdi
2y01 hats letl ha eenewal of NPOFS peinna NO704/04T(or the ,NOrt CNo na,Total Suspended Said�and Fed CofRam era watt pual�ly South PM5 CRdc m the YatllunPee Dee RNA Rasa Cumartty B005;
North Sit tigliSCmdNNTP_•This� faaAydsdwr0aha�ty F FO Immtetl Th dsdargamey atteq,lutaealbcehawin tivs parson Ofb171 Tota flosidualCNaue Total SuspeMed 5o6ds and Fecal Cod are
e00ernest¢wastewAerbblewatb G4e�e infinity alkhi?w Dee RNet - ' {{yy •..1 1 TR' 3(a•-?^-?' .z' water9-.. hmaed;TH9 discharge may a0e B aflocauors.in Gus
Haan Cueneray teal mLbmeMtotal resdim{dilwnesrawataque� 0H Hgh Point kwftk? ak Cmte%`_lac applied br'eeriarWdere NP02J Po+Don mawm Pats Leak ':-�.� - +'!a =£ ".';.j• -,
Imaed.Tids nEscnargema/ertect tunes eiocaawam NS Domquat High
pertuttadfadgdsrlarges Dotted wastswefa 'DaNOwn Canmy SdetlR PO am MSI;Cminpton�NC has�app6ad'
q to Rah Fork Fee Oee Rner Barn Cu ODSAmmo br nenwwal Ofol NPDES pixmt NC0 0 41 629 16 i6 Eve ed Day Sdrool.
Sonars 'ru as NO, tat total uesitlual dtlann0 are ware. Imted Thin: WWTP_in Dantlson(',amry:Tins pamutted h�TM disdtarpas heated
Yagmla D0T,(1C01 Fast�ma teeL Ndnmanid V0.ffi191 has ap; dsstltlwwgwa nyy�pd fUua eAowno,s In tivs porton W R{rh FM[,i5 wasbweta in an unremed mbiaary to Hamby Creek n the YadkimPn0
PESe for, of NPDES pemd NCOR li tW1far the'NT Rest Area Wamt,Tachnoto8ka(,yTiO tmbppinJTtl;YMatan3alFm NC 221 { . Dee fliver Basco. _ BOD anmasa. ad Wal resdd
V treat FaaNs�thh Carts Tina parrvoed{a�aydsdaDaso0A MOO has applie0 loirmewel of NP0E5 Perm2 N�0 ?fr the Sae�iu dJorirua arewAa _Iviited Theo may aired Gmae slam-:
N treated vmsswater roNakediknbthe YatlkcrPre DeeRria Bmir[� Bps PaM9gro�mdxaterremedanonstein Fasylh('gaay Ttis pa- -wain its panOn of watan5had F ��t. IV_a 9�1
Lti BOO,tammonaa r"ainavid idol maidual dnknne are water, matedfacity tlscharges 0301 MGO of treated w��lewataroSalem OuaB Run Who,HMO ark,hasapP4edlit-reTw,walohSNPDE$R-
't N the Yadla�itPee Des FN�Ba s +'r?.i'515 n. Creek in me Yadkm'Pse Dee River Basn.Cu y he pahe alM are min NCWIOM Tfs f>e!nmetl t^dty dlchwgas treated.1,water to
The Cdu �BomdNE _ i water poly limited This discharge may aaAflgadd Myg docatons.ft Miller Cieek In the YadknPw Dee ikver Basin:CYarerdy B0D5:Ammo-
Sunry ny dt P.O.Bin 96q'Oobacn,'NC Person of the YadbnPee,Dee River Bit 1_1-'rY
2TU1TI has applied flat DTNPDES Partd NC0041B04 fondue.Flat .TM Wbdan$alem/.FP a�<tIN:- ma is Nbogerl,TOW RasiAal Ctsbr4e Thal Suspended Solids and
Rock EJementery$chmIWNfP Tfis Permmed 7edTM d�erges treat, abg Drt OiWmskmfSalem;'CounlY0B5oard PfapE�0 tool
:X4ofor
nm.l of Feed CO.1.thew 21 MeeruC=Tr �isdwBaplMa�funie,
e0 dome6awaNevetaroannrvante4 to Cho Cmakmihe , NPDES Perms NCOIX9aeZl for the OM RaMnood Elan nSdmol. DaNtlecn Lpmy Schagd0.!PO Bm P06/.Ler�iBan,SNCtas`
Yad! rvPee Dee Fria Basn Curerayfa-W wham iswata qunBy6n4: TH.pit-bed WV dsUN`arggeess treated dmiesh,wastewater to anon �In iaisxad d NPOES pernul NCW1 291wts Pilot Elanavery.
k nee Thsdsd�erge may affeddmrea4oauarsnGnpalkmNCharq ranted Mhuntaryb Fide Cree'c'n Ve YatlkinPae Dee River Basil Ca- tNYTP.in DawQson.Caurry•Ttis pamXrod.fxdMd tr
G :eS(-ifisti`'.Wilkmr $Ts`t"� t\� mreni0ryy aAA101b8OBen aridbd colAonn arewatagwGy footed This wastewater fo JmnMs_Cteekmthe YaAdnlPea Dee Rwa in:Gli-
Courak' + drscfi may Mae e4aae0nsndis portionN Fares Creek, tautly ammorea ndnogm and ldatresduslchbnr:e arewata gushy Wy
The Roering Gap Club.lno�P O.Box 129 goa6q Gep,NCZBE60)hac eG Etv `t, `Davie County +i. e r :T', Md.THsdsdwge mMalledhaure aGoraBasmihs porbonNihewa
appled for renewal N NPDES Pem?t NC.�br.Gb ROamg Gap The Dmia County Braid of Education Ier5hOd s
r.Club nN9kas !Tina fad d'sdua es treated waste ff222p0 G1e y�aek Moc��•CqusaY permmetl M g NC=81 bps applied 1.tens"of NPDFSpama NC4=1162fathe Cappin Stovall Seefoo� reM hasappled br rerswel Nils
ware m the arematl 1nbuNry to the Mitdsl Rrva n tie YadlanPee� NSRam H DMie Eomenaary:Sdiad Tins Pamvtle�d taciay tlschar�s NPDES PerrM N�A218.The Permdad fatality dsdarae5 treaeed
Dee Rrver&ain.Cwremy BO tmNsapendedsolitli:anti tobl resdI tieabdWmesLi..awetatoanumamedrebutaiyb Greasy Gaek m Wastewater t0 an unnamed ttnnMbdnaa�a to Reedy Creek m tte4alMnPee
d chbnuuearawara qua6ry limited,Thsd ge may aped Merit ak` the Yatl Pse Doe Aw Basil e4i BOD ammaJa"dtrogen and Dee River Balieammly BOD5, tal Residuaal CNome-Total Sus.
locations in ffds ponoon of der YadlanPm Poe Rrm B�an. 2. fed dAomn are water quaaN Tmaatl TFa dsdiarge may al'eG hmre PeMM Solids and FOW Cdtmm are wda,qualM hmrted,Ths_ds-
aEoaGons in its portion of y Creek + t avenge may ailed Moe a9aabana m the PMan Of Aexdy Lreek:. ?
WSJ:Aprll tT,ZW4 c „ _ � < Hi11toP.Lmin6 Center fits Vied hx renewal of
,he NPOESParmh
NC00%M. he pamittetl lacdrty dsdargas heated waslevimerM an
vmai isd.tribNay to Yadkin RiMr in gal adknPee Dee Firer as at
Cuiwdy BODS Atismaina as Nitrogen.Toilet Readd Chbrnd::TOW
SusoeNed Solids..TolaiPtns➢hcrua Y'np Fat Ca ory arewator;qu:!:

NORTH CAROLINA PUB UC NOTICE
STATE OF NORTH :NC`DepeiD`aOf
SURRY COUNTY CAROLINA ATmnsportanp —mq7>
ENVIRONMENTAL r iMad Service Center,
MANAGEMENT 27889)
COMMISSION/ I hee led for renewal
AFFIDAVIT OF PUBLICATION NPDES UNIT m a�l°IVWf permit
1617 MAIL SERVICE NCO029190 for' the
.(
CENTER Sury County Rest 1
RALEIGH,NC Area. This permitted
Before the undersigned, a Notary Public of said County and State, duly 27699.1617 facility discharges
NOTIFICATION OF 0.030 MGD of treated
commissioned, qualified and authorized by law to administer oaths, INTENT TO ISSUE , wastewater to Naked.
personally appeared Ferris W. Simpson who being first riot NPDES Run In the Yadkln-Pee.
P Y PP g Y WASTEWATER Dee . River Basin.
sworn, deposes and says: that he(she) is Business Manager PERMIT Cunenny eoD and
(Publisher or other officer or employee authorized to make affidavit) of On . the basis of total residu@I„rbla 11
thorough, staff review late - water yuelny
MOUNT AIRY NEWSPAPERS, INC., engaged in the publication of a and application of NC late This Alscharge
P may axes future
General Statute porno of In Mis,
newspaper known as MOUNT AIRY NEWS, published, issued, and 1143.21,Public law sz- ��„ of the vedldn-
entered as periodicals class mail in the city of Mount Ai in said Count 500 and other lawful f Pee Dee River Bastn.�f
P Y Airy Y stenaerds_ and
and State; that he (she) is authorized to make this affidavit and sworn regulations; me rberi; virg nia�WT (1401
Carolina Environmental
statement; that the notice or other legal advertisement, a true c0 of Management ��: ;East bound' Street,
$ PY rest bound
VA. 23219
Commission proposes has applied for renewal
which is attached hereto, was published in MOUNT AIRY NEWS on the to issue a National of I penis
followingdates: Elimination
Pollutant Discharge N00039420 for the I.
Elimination System 77 Rest Area WWTP in
(NPDES) wastewater; W
Forsyth County. This
discharge permit to the permitted facility
person(s) 5 teddays
from discharges O.Wwart MGM
effective 45 days from to treated wastewater
the publish data of this to Naked run in the
notice. Yadkin-Pee Dee River
Basin. currently BOD,
Written comments ammonia nitrogen and
regarding the proposed total residual chlorine
permit will be accepted are water quality
and that the said newspaper in which such notice, paper, document or until 30 days after the limited. This discharge
publish date of this may affect future
legal advertisement was published was, at the time of each and every notice. All comments allocations In this
such publication, a newspaper meetin all of the requirements and received prior to that portion of the Yadkin-
date are considered in Pee Dee River Basin.
qualifications of Section 1-597 of the General Statutes of North Carolina the final determinations
q regarding the proposed The Surry County
and was a qualified newspaper within the meaning of Section 1-597 of permit. The Director of Board of Education(P.
the NC Division of 0. Box 364, Dobson,
the General Statutes of North Carolina. Water Duality may 27017) has applied for
decide to hold a public renewal of NPDES
meeting for the. permit NCO041904 for
This day of 2004 proposed perms the Flat Rock
should the Division Elementary School
receive a significant WWTP. Thls pennifted
degree of - public facility discharges..
interest. treated domestic
wastewater to -an
Signature of person making affid i Copies of the draft unnamed tributary to
Permit and other Champ Creek In the
supporting information Yadkin-Pee Dee River
Sworn to and sub cribed before me, this day of on file used to Basin. Currently fecal
n 1 n determine conditions, coliform is water Gusilly
2004 present in the draft limited. This discharge
'I permit are available may affect future
upon request and allocations in this 1
payment of the cost of portion of Champ:
reproduction. Mail Creek.
comments and/or
Notary Public requests for. The Sorry County
information to the NC Board of Education (P. p
Division of Water 0. Box 364, Dobson /
Quality at the above 27017) has applied for v
address or call Ms. renewal of NPDES
My Commission expires: August 17, 2004 Valery Stephens at permit NCO041947 for
(919) 733-5083, North Surry High
extension 520. Please School High School
/A include the NPDES WWTP. This permitted
�FJ` a permit number facility discharges
�15 t4 CLM17 15 5�m o05�ii z 9" (attached) in any treated domestic
. m05;0m6aon,'om.m r m=C'm'3_.gro xm ID
communication. wastewater to Stewans
a, o mQ ie^ n.Z.?m z rm< Car011na Interested persons Creek in the Yadkin
m$m m= o 0.o_?m m m z ii u ' may also visit the Pee Dee River Basin.
r� 3 m mmsTm J �om„ F_ Division. of Water Currently fecal colilorm
g Mai
�_
v'di m m'm ti c ?1 m n w ^'ii g P. a 3 duality at 512 N. and total residual
m o O' n '"Dram f X�3m m P Salisbury street, chlorine are water
a r'n m f vi m o c m.nmomzm m^ Raleigh, NC 27604. quality limited. This
a5 sm`mnect
ORMU-m`'co'M& 50 hours ofb8:00 am. and futetween the ure allocation in this
m o : 5:00 p.m. to review portion of Stewarte
information on file. Creek.

FACT SHEET FOR EXPEDITED RENEWAL
Permit Number 90
Facility Name VO 00%- azlc-�
Reviewer
Basin/Sub-basin
Receiving Stream
Is the stream impaired (listed on 303(d))? AfU
Is stream monitoring required? Alf
Do they need NH3 limit(s)? A10
Do they need TRC limit(s)? tYI,ff1A1r-
Do they have whole-effluent toxicity testing? YCj
Are there special conditions? Ef
Any obvious compliance concerns? Ap
Existing Expiration Date 4 p U
Proposed Expiration Date
Miscellaneous Comments:
Circle one: EXPEDITE DO NOT EXPEDITE ,
If expedited, is this a simpler permit or a more difficult one?

r� MAR 15 2004
STATE OF NORTH CAROLINA � J
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY DIVISION OF HIGHWAYS LYNDO TIPPETI'
GOVERNOR SECRETARY
MARCH 8, 2004
Mr. Charles H. Weaver, Jr.
NPDES Permits Unit
Permits and Engineering Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Attn: Valery Stephens
Subject: Renewal of NPDES Permit No. NC 0029190,
1-77 Surry County Rest Area/Welcome Center South of the NCNA State Line
Dear Mr. Weaver:
The NC Department of Environment and Natural Resources has advised us by letter of August 15,
2003 that the NPDES Permit Number NCO029190 for the 1-77 Surry County Rest Area will expire on
June 30, 2004.
This is to request a renewal for the NPDES permit at this facility. We do not anticipate any major
changes in this system. Sludge removal from this treatment plant is by private license septic hauler.
Quotations are requested from private haulers within the area and purchase orders area issued by
DOT Purchasing Unit. The licensed private hauler is required to furnish a certification, along with the
invoice, that the material was properly disposed of in an approved system. The discharge point will not
change and the volume may increase slightly.
Attached are three copies of the completed renewal application form, one signed and two copies.
Your attention and consideration of this request Will be greatly appreciated.
Sincerely,
M. A. Pettyjohn, PE
Division Engineer
Division Eleven
MAPM/OA/JLW/KLA:kla
cc: Don Lee
Michelle Anderson
P.O.Box 250,NORTH W ILKESBORO,NC 28659
TELEPHONE [phone] FAx [phone]

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately-owned dischargers of 100% domestic wastewater (<1 MGD flow)
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
http://h2o.enr.state.nc.us/NPDES/
North Carolina NPDES Permit Number NC00 29190
Please print or type
1. Contact Information:
Facility Name NCDOT Highway Rest Area/Welcome Ctr., I-77 Surry County
Owner Name Mailing Address: Michael A. Pettyjohn, PE, Division Engineer- Div 11
Street Address PO Box 250
City North Wilkesboro
State / Zip Code NC/28659
Telephone Number ( 336 ) 667-9111
Fax Number ( 336 ) 667-4549 r-----e-mail Address met ohnodot.state.nc.us
Operator Name Michelle P. Anderson i l•. I i j
Street Address PO Box 250 MAR 15 2004
City North Wilkesboro
State / Zip Code NC/28659 f IP-S>du:fta?GUF.L;TY
County Wilkes
Telephone Number ( 336) 835-6206, Ext. 236
2. Location of facility producing discharge:
Check here if same as above ❑
Facility Name (If different from above) NCDOT Rest Area/Welcome Center
Street Address or State Road I-77 Surry County, .5 mile south of NC/VA State Line
City
State / Zip Code NC
County Surry
3. Reason for application:
Expansion/Modification ' Existing Unpermitted Discharge
Renewal X New Facility
' Provide a description of the expansion/modification:
N/A

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately-owned dischargers of 100% domestic wastewater (<1 MGD flow)
4. Description of the existing treatment facilities (list all installed components with
capacities):
Extended aeration package wastewater treatment facility 0.030 mgd consisting of
communitor, parallel extended aeration basins, parallel clarifiers, dosing tank, two surface
sandfilters, chlorination (chlorine solution by hypochlorinator metering pump), chlorine
contact chamber, tablet-type dechlorinator and step aeration.
5. Description of wastewater (check all that applyr.
Type of Facility Generating Wastewater
Industrial Number of Employees
Commercial Number of Employees
Residential Number of Homes
School Number of Students/Staff
Other X
Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.):
Interstate Rest rArea-and•Welcome Center with toilet facilities.
6. List all permits, construction approvals and/or applications (check all that apply):
Type Permit Number Type Permit Number
RCRA Non-Attainment
UIC Ocean Dumping
NPDES NCO029190 Dredge/Fill Permits
PSD Other
NESHAPS
7. Number of separate wastewater discharge pipes (wastewater outfalls):
One (1) discharge into naked run.
8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
N/A

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately-owned dischargers of 100% domestic wastewater (<1 MGD flow)
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfal(p
Discharge into naked run, westside of 1-77 in the Yadkin Pee Dee River Basin
10. Is this facility located on Native American lands? (check one)
YES ❑ NO [0
I certify that I am familiar with the information contained in the application and that to
the best of my knowledge and belief such information is true, complete, and accurate.
Michael A. Pettyjohn, PE
Printed Name of Person Signing
Division Engineer, Division Eleven
Title
Signature of Applicant Date Signed
North Carolina General Statute 143215.6(b)(2)provides that: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$10,000,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$10,000 or
imprisonment not more than 5 years,or both for a similar offense.)

D � �
r
19 2001STATE OF NORTH CAROLINA
ATER OUAIITYINN I OF TRANSPORTATION
URCE BRANC
MICHAEL F. EASLEY LYNDO TIPPETT
GOVERNOR SECRETARY
October 15, 2001
Ms. Valery Stephens
NCDENR/Water Quality
Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NPDES Permits for NCDOT Facilities
Permit No. NC-0028614Vadkin County Rest Area I-77
Permit No. NC-00286061tr�dell County Rest Area I-77
Permit No. NC-0029190�1urry County Rest Area/Welcome Center I-77
Permit No. NC-00248050aywood County Rest Area/Welcome Center 1-40
Permit No. NC-0024791 Sampson County Rest Area US-421
Dear Ms. Stephens:
The contact person for all of the above noted permits is currently listed as
Mr. W. D. Johnson, State Roadside Environmental Engineer for the Department of
Transportation. As of September 30'h, 2001, Mr. Johnson is retired from that position.
Mr. Don-G. Lee is the new State Roadside Environmental Engineer for the Department of
Transportation. Please replace Mr. Johnson's name as contact person with
Mr. Don G. Lee. All other information should remain the same.
Thank you for your assistance with this matter. If you have any questions or
comments, please don't hesitate to contact me at 733-2920.
Sinc rely, Q
Ys. Jennifer Pitts
Rest Area Program Coordinator
cc: Mr. Don G. Lee
Mr. Charles L. Tomlinson
MAILING ADDRESS: TELEPHONE: [phone] LOCATION:
NC DEPARTMENT OF TRANSPORTATION FAX: [phone] TRANSPORTATION BUILDING
ROADSIDE ENVIRONMENTAL UNIT I SOUTH W ILMINGTON STREET
1557 WIL SERVICE CENTER WEBSITE.- WD➢W.DOT.STATE.NC.US RALOGH NC