NC0006254_Permit (Issuance)_20081013

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NPDES Permit: NC0006254
Document Type: �'Perrnit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Speculative Limits
Complete File - Historical
Instream Assessment (67B)
Environmental Assessment (EA)
Permit
History e
Document Date: October 13, 2008
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cowsteat on the reverse ride

�GF WA7-�c Michael F. Easley
Govemor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
0 't Coleen H. Sullins, Director
Division of Water Quality
October 13,2008
Mr. Doug Bush,Vice-President
Omni Supply Inc.
P.O. Box 99
Patterson,North Carolina 28661
Subject: Issuance of NPDES Permit NCO006254
Omni Supply WV[?
Caldwell County
Dear Mr.Bush,
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 October 15, 2007 (or as subsequently amended).
This final permit includes no major changes from the draft permit sent to you on August 13, 2.008:
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 pernvt 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 Sergei Chemikov at telephone number
[phone],extension 594.
Sincerely,
Coleen H. Sullins
CC Central Files
NPDES Files
Asheville Regional Office-Surface Water Protection
N.C.Division of Water Quality 1 NPDES Unit Phone:[phone]
1617 Mail Service Center,Raleigh,NC 27699-1617 fax:[phone]
Internet:h2o.enr.state.nc.us DENR Customer Service Center: 1800 623-7748

Permit NCO006254
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 provisions 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,
Omni Supply Incorporated
is hereby authorized to discharge wastewater from a facility located at the
Omni Supply Incorporated
1425 Yadkin River Road
Patterson
Caldwell County
to receiving waters designated as the Yadkin River in the Yadkin-Pee Dee River Basin.
in accordance with effluent limitations, monitoring requirements, and other conditions set forth
in Parts 1, II, III, and IV hereof.
This permit shall become effective November 1, 2008.
This permit and authorization to discharge shall expire at midnight on September 30, 2013.
Signed this day October 13, 2008_
lw oteen H. Sullins, Director
ivision of Water Quality
By Authority of the Environmental Management Commission

'f T
Permit NC0006254
SUPPLEMENT TO PERMIT COVER SHEET
• t N
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
Omni SuEply Incorporated
is hereby authorized to:
1. Continue to operate an existing 0.450 MGD wastewater treatment facility consisting of
the following:
• Influent pump
• Two septic tank pumps
• Dual fiber settling basins
• Mechanically aerated lagoon
• Polishing pond
• Effluent flume
• ' Continuous flow measuring device
Facility is located at Omni Supply Incorporated, 1425 Yadkin River Road, Patterson,
Caldwell County.
2. Continue to discharge process wastewater through outfall 001 and non-contact cooling
water through outfall 002.
3. Discharge from said treatment works at the location specified on the attached map into
the Yadkin River, which is classified C-Trout waters in the Yadkin-Pee Dee River Basin.

Permit: NCO006254
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS 10011
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001 [process water]. Such discharges shall be limited and monitored by
the Permittee as specified below:
PARAMETER LIMITS NTONITORII\'G REQUIREMENTS
Monthly Average Daily Maximum Measurement Sample Sample
Fre uencv Type Location
Flow 0.450 MGD Weekly Continuous Effluent
BOD, 5 day,200C 177.5pounds/day 342.5pounds/day Weekly Composite Effluent
Total Suspended Solids 230.0pounds/day 426.3pounds/day Weekly Composite Effluent
Pentachloro henoll 0.08pounds/day Weekly Composite Effluent
Trichloro henoll 0.03pounds/day Weekly Composite Effluent
H 6.0—9.0 standard units Weekly Grab Effluent
Total Residual Chlorinez 2/Week Grab Effluent
Temperature,°C3 Weekly- Grab Effluent
Chronic Toxicit a Quarterly Composite Effluent
Footnotes:
1. If chlorophenolic-containing biocides are used at the facility, monitoring for pentachlorophenols and trichlorophenols
shall commence immediately for the duration of the use of the biocides and for a period of not less than two months
after discontinuing use of the biocides.
2. Monitoring for chlorine is required only if pentachlorophenol and trichlorophenoI are used.
3. The temperature of the effluent shall be such as not to cause an increase in the temperature of the receiving stream of
more than 0.5°C and in no case cause the ambient water temperature to exceed 20'C.
4. Chronic Toxicity(Ceriodaphnia)P/F at 8%;March,June, September,and December; See A.(3.)
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS 10021
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 002 [non-contact cooling water]. Such discharges shall be limited and
monitored by the Permittee as specified below:
PARAMETER LIMITS MONITORING REQUIREMENTS
Monthly Daily Measurement Sample Sample Location
Average Maximum Fre uencv Type
Flow Monthly Instantaneous Influent or Effluent .
Temperature,°Cz Monthly Grab Effluent,U&D
Total Residual Chlorine3 28 IL Monthly Grab Effluent
H 6.0—9.0 standard units Monthly Grab Effluent
Footnotes:
I U: Upstream at least 50 feet from the outfall. D: downstream at least 200 feet from the outfall.
2 The temperature of the effluent shall be such as not to cause an increase in the temperature of the receiving stream of
more than 0.5°C and in no case cause the ambient water temperature to exceed 20°C.
3 Monitoring/limits for total residual chlorine apply only if pentachlorophenol/trichlorophenol are used.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Permit NCO006254 '
A. (3) CHRONIC TOXICITY PERMIT LIMIT (Quarterly)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to
Ceiiodaphnia dubia at an effluent concentration of 8.0 %.
The permit holder shall perform at a minimum,quarterly monitoring using test procedures outlined in the"North Carolina
Ceriodaphnia Chronic Effluent Bioassay Procedure,"Revised February 1998,or subsequent versions or"North Carolina
Phase Il Chronic Whole Effluent Toxicity Test Procedure"(Revised-February 1998)or subsequent versions.The tests will
be performed during the months of March,June,September,and December. 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 II 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. If reporting pass/fail results using the parameter code TGP3B,
DWQ Form AT-1 (original)is sent to the below address. if reporting Chronic Value results using the parameter code
THP311, DWQ Form AT-3 (original) is to be sent to the following address:
Attention: NC DENR/DWQ/Environmental Sciences Section
1621 Mail Service Center
Raleigh,North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section 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 Section 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.
If the Permittee monitors any pollutant more frequently then required by this permit, the results of such monitoring shall be
included in the calculation R.reporting of the data submitted on the DMR&all AT Forms submitted.
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.

NORTH CAROLINA,
CALDIVEIJ_ COUNTY,
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said
o yr County and State. duly commissioned, qualified, and
ff authorized by law to administer oaths, personally
h
!'x v
Cathy Fagan
appeared.........•.,....,.
who being first duly sworn, deposes and says: that he
is Advertising Director
of Lenoir Newslkipers. Inc.,engaged in the publication
of a newspaper know as Lenoir News-Topic.-published,
issued, and entered as second class mail in the City of
Lenoir,in said County and Slate;that he is authorized to
make this affidavit and sworn statement;that the notice
s or other legal advertisement, a true copy of which is
4 attached hereto,was published in Lenoir News-Topic on
the following dates:
............•.........
and that the said newspaper in which such notice,paper,
document,or legal advertisement was published was,at
the time of each and every publication, a newspaper
meeting all of the requirements and qualifications of
Section 1-597 of the General Statutes of North Carolina
and was a qualified newspaper within the meaning of
Section 1-597 of the General Statutes of North Carolina.
This ......20.... ...............day of.......Aug 2008
..............................................• i
Sworn to and subscribed before me,this...........2t1'?.
day of.."..... August,�tE•,•,s :.....................2008
rlrJy`,....,........... �
.•.............
M)r C(Mlriii��[Ml e7Cpires:..l _ .. :: ......
n • � • cam
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ry f' PUBLIC NOTICE
L.STATE,OFNORTH CAROILINA
T I ENVIRONMENTAL MANAGEMENT.'COMMISSIONINPDES.UNiT
f s4! (tlz t 1fY1 i t..J3�
1fiR1ALM.AfGH f±ICV27699 1ti17R }7v
NOTIFICATION OFJNTENT TO'ISSUE`A'NPDESj`WASTEWATER PERMITi ,Ii `
I�aG-Ar C , p$ tHhhk Et�.:rFriu•ffp'r 1 t r,S t L T 4
• ri ,'� � z'e•- ,kt �,, :.� ,i„"' 4 �6.&'' ,..,r,ir•r,f .�trj t Yi
On the basis of thorough staff review;and applicationt of NC Generai'8tatu#e
i 143 215::1aand;,lSAjNCAC 021 i:0109<anif other lawful tandards and regulations thek
North Carolina Envirorimental Management!Commission propose$#iD ssue a National
Pollutant ischarge Elimmateon'System(IVPDES)wastewater.discharge permst t.1 the; ;
persons}listed tielow effective'45 days`from the publish date of this ngtice��' i€ .
F ij 4 ,i.. .k. L< r'{''I-V i r 2.. 4 F:, lr 'yft ,rr e 2 ,y
,.Y.Y,«':.T. .. 1x.3..'tia�': r-, i 'x,7' xsr '+ r <r' d Qrjy`�1'TIi7 ..'.
Written'oomments"r'egarding the,proposed permit will be accepted until 30:days after t ;
;the publish datetgf thrs�notice •All comments received pnor,tb that date are.cbnsid'�� :°s •
eyed in''the finaf determinat
ions re ardiri ro sed, rmit Ths Directar�of,the r '
. _ r z 9 9 the P
,NC Division of Watei Quality may decide tD hold a public meeting fvr,the propos-dfit u
permit shouid,the;Divislon r@calve a pigrnticant'degree of public interesFt
Cs,:�.s'fa ,'rfr}j : i' :L
nCopies offthe draft permit and ottier,supporting mformati�Dn onFfile usedito determine ;
`conditions presenttin the draft perrnrt are available upcin�r"equest arudlpayment�oftF y,
the costs ofjreproduction Mail"commerits and/or requests for_information.to the
4�Division of Water-,Qualrty,at;t(�e abDve address or call`Qlna 5prinldeL(919�807��304 L ,
ir.. !..1 _r ara MfY Lri-"�- .v4s '3*'t, `n !
at the Pginf;Source Branch Please tndude theiNPDES permitnumber-(below}in any ,
t sr Y of t c t real ud. r - t+•. +. .--.sti.•-[. n,.a? t F xi,
communication iflnterested persons tmay also visit the�D�v}stowof6Water' ual ty�af
512�N�Saiisbury Street;F2aleigh, NC 276041148 betweentthe hDurs of 8 00 a'm' an'
m tor !
t- e ..._,.. Y. : r fig, +Ty. ?, '•hie�+, 3 r -. i . ;
5:00 p eview informafiai#on fife � � F, f k } r �1,* e{ 'i {bs`r•
,r•.i'� f t yfrj > ,i�.
y.. � !���'�•�'L3„ra£}..5c`ZJzrzGE
,la e ,Iw ? �f�•:}• rl�vt:�l.:.r° �. r�
;ThdPatterson Schaal Inb [PO Box;500 Patterson;Nc 2866V05r00 has appiledxf
for renewal of NPDES.permit+NCO043125,forrts WWTPnaCalbwell CountyThis
permitted facdctydischaigercs treatedd�oinestic,rwastewater to me Yadkin River in, a t.
-Yadkin River Basin ,Cun ently�tgtai�resiaGM c>?lonne�is,water gbality limited This
discharge may affect future allocation s�'in this pprtiono[ff�the Yadkin River
�''' sE`r.'t�yn, t �i•t.* _ M:ryr s'3.4�.�tK�! t�l e�'��L 'rik �'. 7r � k'3 w� iUsL�r ti���'-R�,�S:si(��s�,g,.•, �
,Camp�Carofwood'inc [1181�;CampCarofwood;Rd tLenorr�NC�28645]rhas appl�edYfar�;
tenewal;of iVPDES permit iVC0035938for UWWfi'�n Caifiniel!CounryTh;s perrnrt- ;
lted facility disctia!I .treated wastewater to Co've Branch in the Yadkin Pee©ees `f
. r r1•-. �t<:rsnr-S.aLrc iuv �,. .r! E- r;� •r'
River•Basrn Currently`'.io't residual chfonne;:,feca!coliftJ and;ammonia,rutrogen
i ax ear-r.+° x. •r- L+ L -a�s.a. i -.rr ssr�•::r
are water quaLty,Eimit -d This discharge;may affect future allocations in this portion ofs
ttie watershed t Ns� 4,
E Owl
,
r 1 MI"uE rst t z �t°s i,
`� ' :['- -F,lLsx �t�. ..S
it The Caldwell Co>�nty Schools[1914 Hickory;8oulevard SW; engir,;NCF28645]Lhaveit s
I Kapp hed for renewal of fVPDES p xrmrt NC004119D}fot#tile ICngs.CreelcAElen entary:+ L
� hool WV TP,This permitted+facifity:discharges treated do"mesttc wastewater�to� -
�YKirigs;Creek rn the Yadkin Pee€?eetliver�Basiri'tCurrentlyfecal ooliformaridtotal re-
sidual chlDnne are water quality IimitedThis discharge may affect future allocations z;
,..sr+v ,r 'ti xo" .yw 7,y f r- a .s. M.,w
Ul
Y 1 `'"'e
i min this portiDndof�Kings Creeks,dcrx` �
? t1 ',f
Omni Supply incorporated at P O Box 99 Patterson NC 28661 has a lied fo0t
k renewal��of NPDES perrni#NC00062 o 1t�Qmni SupplY}fnc+farality_in�Eyaldwell.;�
CquntyzThis permitted fadllity,discharges,treated�ndustrYal;wastewaterand r,�roaz�-j
gcontac#'cooing water to the Yadkin River,rn the Yadkin.'-Pee Dee RI Basin r tour mow#
reritly�otal residuaE chlonne�a water quality limited �Thrs discharge may affectfu#rare��
�
rallo tIDnS In tflslportiDCn,of the waters
,Fssy � Tl 't '" `i] t}�.2iraa '�'rk ."!• .+ys���t - ,-Czjct ri`,irk
r The Caidweil County Schoos
ls{[191a,Ffickory Boulevaro SWL'enorr NG'28645j have
,,Lappfied for renewal of l�l?DES!permit NC00411,31 Efdt thpO appy,Valley Elerri entary
i i'Schi'ool WWTP This permitted faciiity'discharges treated domestic wastewater to
P
;the Yadkin River in the Yadkin'P.ee Dee`River f3asin'�Currently no parameters
i I water quality hrnited This discharge may affect`future allocations in this portion of they ,
'! •� -',,i't
Yadkin River :i,.L'� �..�< .�� � .!.°l= �� J� �.� tx� � � �"s,�,}f�,; •
� ... ...-r.:Ji R.S- c,tv .�"•:i k ,•_},. .„+e. �', t �"ix71��i.'�`r'�:t.%a •ems', �..`.L..�'�.}t
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� � ....z._ �. . .t:.Se .54.-cd<<x-�.r'•.-, _1:..t�;' .;'b"`.. -.[�=�,'+#":".e`iF:;.,..va.,L.y-... w. ..�. ..<

DENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES No.NCO006254
Facility Information
Applicant/Facility Name: Omni Su ply Inc. WWTP /River Road Site
Applicant Address: P.O. Box 99, Patterson,NC 28661
Facility Address: 1425 Yadkin River Road, Patterson,NC 28661
Permitted Flow 0.450 MGD
Type of Waste. Industrial (100%)
Facility/Permit Status: Class 11/Active; Renewal
County: Caldwell County
Miscellaneous
Receiving Stream: Yadkin River Regional Office: Asheville (ARO
Stream Classification: C-Tr State Grid/USGS Quad: C12SE/Buffalo Cove
303(d) Listed? No Permit Writer: Ser ei Chemikov
Subbasin: 03-07-01 Date: August 1, 2008
Drainage Area (mi): 25
7Q10 (cfs) 8
30Q2 (cfs)
Average Flow(cfs): 43
IWC (%}: 8%
Lat. 360 00'00"N Long. 81°33' 39"W
SUMMARY
The Omni Supply WW. TP is permitted to discharge 0.45 MOD of process water through Outfall
001, and non-contact cooling water through Outfall 002. The current permit was issued February
11, 2005 and expires September 30, 2008. The Permittee submitted its renewal application,
Short Form C, on April 1, 2008.
COMPLIANCE SUMMARY:
DMRs have been reviewed for the period January 2004 through June 2008. The facility has an excellent
compliance record.
A compliance evaluation inspection conducted on April 28, 2008 found that the facility is in compliance.
WASTELOAD ALLOCATION:
The Division prepared the last WLA for this facility in 1993. Previous limits were based on
effluent guidelines (430.2, Subpart T) and water quality standards, and include limits for flow,
BOD5, TSS, pH, total residual chlorine, pentachlorophenol, and trichlorophenol. A revision of
40 CFR now makes the applicable portion for this industry (Tissue from wastepaper) 40 CFR
430.102, Subpart J (Secondary fiber Non-Deink). Current limits have been derived based on
guidelines and water quality standards and include limits for flow, BOD5, TSS, pH, total residual
chlorine, pentachlorophenol, and trichlorophenol.
TOXICITY TESTING:
Type of Toxicity Test: Chronic P/F
Existing Limit: 001: Chronic P/F @ 8%
Recommended Limit: 001: Chronic P/F @ 8%
Monitoring Schedule: March, June, September and December
The facility has been consistently passing its WET test.
Fact Sheet
NPDES NC0006254 Rena+'al
Page I

SUMMARY OF PROPOSED CHANGES
• Adjusted limits for BOD;, Total Suspended Solids, Pentachloropbenol, and
Trichlorophenol as dictated by effluent guidelines using production data (please see
attached).
• Toxicity language will be updated in A.(3.)
PROPOSED SCHEDULE FOR PERMIT ISSUANCE
Draft Permit to Public Notice: August 13, 2008 (est.)
Permit Scheduled to Issue: Ocotber 6, 2008 (est.)
NPDES DIVISION CONTACT
If you have questions regarding any of the above information or on the attached permit, please contact
Sergei Chernikov at(919) 807-6393.
REGIONAL OFFICE COMMENTS
NAME: DATE:
Fact Sheet
NPDES NC 006254 Renewal
Page 2

000 2 S y
C,+;uY, } �2 Otis/d - 2 u� 1 e S 1j _ Y-,Y,- 1 CQii,ti
IL
25 ITs 1,'t2. Ids

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
Mail the complete application to.
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NCOW76.254-
Please print or type.
1. Contact Information:
Owner Name rV*1 1
Facility Name `j�{>-r�t{Z,5 Or Z k.SS V E
Mailing Address p 80.E R a
city PA
State / Zip Code C Z 160 6 `
Telephone Number
p Fax Number _ r� 7 _ y•g 1 B
e-mail Address O OY►y n S S UP P 1-t44l n t- • COS
2. . .Location of facility producing discharge:_
Check here if same as above ❑
Street Address or State Road ILA? 5- V4:N pY_y h
City _ $3'-�� o Ly
State / Zip Code �1a.19(otcl
County Cw-Low EI'
3. Operator Information:
Name of the firm, consultant or other entity that operates_the facility. (Note that_this is not referring to the
Operator in Responsible Charge or ORQ'
Name
Mailing Address Ri"%Mff 1; 1 V
City
State / Zip Code
Telephone Number
Fax Number
POINT SOUIReE 13MR ! NCH
4. Ownership Status:
Federal ❑ State ❑ Private Public ❑
Page t of 5 C-MI 03105

NPDES PERMIT APPLICATION - SHORT FORM C -- Minor Industrial
Minor industrial, manufacturing and commercial facilities.
5. Standard Industrial Classification (SIC) code(s): ZGZ 10 $C6
6. Number of employees: 1J.5
7. Describe the treatment system List all installed waste treatment components with capacities,
describe the processes that generate wastewaters. If the space pros ided is not sufficient attach a
separate sheet of paper with the system,description.
- 5� ��r✓�ro 4�c.2s PT-�o n A-n D 1�.�s TRr�T��n �fi
B. Is facility covered under federal effluent limitation guidelines? No [ Yes ❑
If yes, specify the category?
9. Principal product(s) produced: -T%5SVE 17 2EQ,
Principal raw material(s) consumed: ?HPCg, CRFcy`oet� CpQa VO�
Briefly describe the manufacturing process(es):
S� t iA-1--19ct� s�Rc P T�tfln . _ rP Cam`
r -
Page 2 of 5 C-ME 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
10. Amount of principal product produced or raw material consumed
List s eci c amounts consumed and/or units of roduction over the last three ears
Product Produced or Raw Material Product Produced or Raw Material
Consumed Consumed
AVERAGE PEAK
per Day 12. • 5 u E 5 � rti
per Month 7 5 -tOVti —T1 S u E —v n.S
per Year y SOO Ta V1.S T 1 S u 5` 4 00 T'o n S
11. Frequency of discharge: Continuous Intermittent ❑
If intermittent:
Days per week discharge occurs: r7 Duration: 3(o5—f'!R
12. Types'of wastewater discharged to surface waters only
Discharge Flow
GALLONS PER DAY
Sanitary -..monthly average d
Utility water, etc. - monthly average
Process water - monthly average Cl Sr Ob0
Stormwater-monthly average O
Other- monthly average
Explain: (Ion -trOnj-.-te,-r
cwc,iNC� w�.T-P- 37 000
Monthly Average
total discharge (all types)
13. Number of separate discharge points: 1 Outfall Identification numbers) p42-
14. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitudep
SEE �r� C� Q�CrE � . . . • . . . .
Page 3 of 5 C-MI 03105

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
15, Effluent Data
Provide data for the parameters listed. Temperature and pH shall be grab samples,for all other parameters 24-hour
composite sampling shall be used. If more than one analysts is reported, report daily maximum and monthly average.
If only one analysis is reported, report as daily maximum.
Daily Monthly, Units of
Parameter Maximum Average Measurement
Biochemical Oxygen Demand,(BOD5) 5•'. Q L3S
Chemical Oxygen Demand (COD) VA V1n
Total Organic Carbon yl In, PIN A
Total Suspended Solids Ol5, 3 3� 3 L3S oq
Ammonia as N Yl tq n �q
Temperature (Summer) 25• '7 D C.
Temperature (Winter) . LA 06 77 o
PH ? . Z 5U �S
Fecal Coliform (If sanitary waste is
present) N I V1 /14 Vl
Total Residual Chlorine (if chlorine is h
used) IA Vl /W Y1/i4
16. List all Permits, construction approvals and/or applications (check all that apply and provide permit
numbers or check none if not applicable}:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
17. List any chemicals that may be discharged (Please list and explain source and potential
amounts.)
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Page 4 of 5 C-MI 03105

NPDES PERMIT-APPLICATION - SHORT FORM C. -- Minor Industrial
Minor industrial, manufacturing and commercial facilities.
18. Is this facility located on Indian country? (check one)
Yes ❑ No [�
19. Applicant Certification
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.
Printed name of Person Signing Title
X�L"
Signature Applicant Date
North Carolina General Statute 143-215.6 (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 $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.)
Page 5 of 5 CU 03105

A
Omni Supply, Inc.
PO Box 99
Patterson, NC 28661
Ph(828)758-5151 Fx(828)757-4818
This facility produces tissue paper for industrial applications and water is used.in the paper
making process. The excess water is then pumped into a holding tank in the building where it is
treated with a floculant and is then pumped into 1 of 2 fiber traps where the floculant causes the
fiber to float so the water can be removed to an aeration lagoon.
After this process the water drains into a polishing pond for final settlement of any excess fiber.
The exit of water from this pond is the point of daily testing from an outside independent testing
company before it is returned to the Yadkin River.
Under our previous permit illustration there are two discharge points to the river. The upper one,
.001,is now closed because of construction of a new bridge in that location by the NC DOT.

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Omni Supply, Inc.
PO Box 99
Patterson, NC 28661
Ph(828)758-5151 Fx(828-757-4818
The manufacturing process starts with placing bales of paper fiber into a pulper and mixing it
with water to break it down into a pulp. It is then pumped onto a series of belts where the water is
removed by suction, pressure and heat. It is then wound up on a roll as tissue paper.