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HomeMy WebLinkAboutWQ0034102_Application_20210226DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources NUN -DISCHARGE SYSTEM RENEWAL FORM: NDSR 01I-20 This form is for renewal without modifn*ation for ail non-dise he rge system permits, except Residuals Management and Single- F'amily Reaidemee Wastewater Irrigation System permits. For mare information. visit the Water Quality Permitting Section's .Vyri-Ur.scJ�u1 sit 8xur�. Jr It cbsrl4. 1. PERMITTEE INFORMATION: L Permittw: Town of Fremont 2. Signature authority's Heine: W. Darr•ag Flowers per 15A NCAC 021 _0.1 I16I-bMtle: Mayor Primary Telephone number'. (9M 242-5151 Select Email Address: ,w�iarrania:cn�i;ar�rtiaii.cc�m Permittee's mailing address: P.Q. Box d City: Fremont State: NC Zip:17 30-L819 1 Billing address (if dif Brent from above): City: Stare: Zip: - Secondary number: (�Ug 738-3181 Select 4. Contact person's name (if different from signature authority): Michael McAllister Title: Principal Project_Mansg-er Primary Telephone number:) 772- Select Email Address: rrtmeallist is rnesco.corn IL PERMIT INFORMATION: Existing permit number: 'WQ0034102 1 Has the facility been construcled? ® Yes or ❑ No 5=ordJ t number: (252)289-0781 Select If yes, has the facility been coesMicted in accordance with the permit and the Division -approved plans and specifications'' [15A NCAC.a2T.6110] EYes orQNo if no, a formal permit mod ifcitinn request shall be submitted to the Division. 3_ Has any of the property ownership within the facility andlor 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 Z No IFyes to either, a perrnit modification request shall be submitted to the Division_ [ 15A NLAC 02T L105j 4. Is this facility a Privately -Owned Public Utility? ❑ Yes or O NO If yes, provide two copies of the Certificate ofPnhlic Convenience and Necessity from the NQi1h Carohna Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise. [ l 5A N C A C 02 1 .01 15(alLD] 5. Is the Perrnittee a HomelPropmly Owners' Associations or Developers of lots to he sold? ❑ Yes or [O NG If yes, provide the following: + For Home/Property Owners' Associations — Ope.rational Agreement (FORM;110A and a copy of the proposed or approved Articles of Incorporation, DmImmtions, and By-laws [I SA NCAC 02T .01 15ic11 Fur Developers of lots lobo sold — s }LLT <t'cytlal Apreamem (FORM: 17f:Y} [1 SA_1�ICAC 02T .t I I Sfi�}] FORM. NDSR01-24 Page 1 o14 DWR Division of Water Resulwces 6. Does the facility treat and dispose of industrial wastewater? NO If yes, complete items below. [Fno, skip to the next cation. Indicate the appruximate percentage of wastewater rrtakeu#: Industrial: °!c Domestic7100% stormwater; % State of Nort:ln Carolina Department of Environmental Quality Aivision of Water Resources NON-D[SCHARGE SYSTEM RENEWAL f0RNI: NDSR 01-20 For all industrial wastewater sources (excluding those permitted under a pretreatment PetM4 provide a detaRed industrial ptocess description including: ■ An nverview of the manufacturing process An inventory of all materials used for manufacture, including chcrni:cais and biological matter • An overview of cleaning and tt'catment methodology, including an inventory of treatment materials and compounds Has the nature of wastes (e.g., change in industrial processes, introduction or new materials or chernienIs, etc.) described in the approved permit application($) Ct"ged? ❑ Yes or Q No If yes, a petit modification request shall he suhmitt:ed to the Division. IC.S, 141-215. L[dll Ill. SITE MAP: 1. Provide an updated site trap in accordance with 1.5 A NCAL' I121 .6 f 05(d! that shows the foilowirg (if applicable); The site map is not required to be signed or sea}eel by a Professional Engineer. However, the snap must indicate the source of information. For example, parcel lines taken from a county GiS map should refiemnce the GIS website. ® L.egmd, north arrow, and scale 19 Topographic contours on all disposal sites 0 Sail mapping units on all disposal sites M All facility -related structures and fences within the treatment, storage, and disposal areas ® AIL habitable residences and places of assembly within 500 Feet of all treatment, storage, and irrigations sites * Location of all wells, streams (ephemeral, intennittent, and perennial), springs, lakes, ponds, ditches, and other surface drainage features within 500 feet of all waste treatment, storage, and disposal ske(s) * Latitude and longitude coordinates of al I monitoring wells (decimal degrees to 6 digits) * Location and identification ofmajor 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 bow3daries within 500 feet of the disposal area (including roadhad right-of-ways) ® The delineation of compliance and review boundaries 0 Distance mmurements verifying all setbacks are being met IR Stormwater drainage controls ® tU0-year flooilplain ❑ For reclaimed water generation -permits, 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 (exclude3 Locat Program permitted facilities). (nckide all reclaimed water distirlbation line and reclaimed water utilization permit numbers. FORM, ND5R 01-20 Page 2 of DWR Plvision of Water Resources IV. GROUNDWATER MONITORING WELLS State of North Carolina Department ofEnviranmental Quality Division of Water Rmarcea NON -DISCHARGE SYSTEM RENEWAL FORM. NDSR 01-20 1. Does the facility have a proposed or existing groundwater monitoring well network? ® Yes or[-] No If no, skip to next sect Eon, If yes, complete the followingtable (NOTE - This table may be expanded for additional wells): Well Name Status Latitude.) Longitude' Gradient L*Cs lou No. I Active 35.545782° -77,9547900 Down Gradient Dn Compliance Bd y. No.2 Active 35.5418920 -77.959342" Down Gradient On Complianee_BdY. No- 3 Actfv_e 35.540654" -77.9557430 Daym Gradient On Compliancy Bdy. No.4 Active 35.542700 -77.953667° Down Gradient On Cam fiance Bd . Select - lent 5.clect Select - Select Select Select ° - ° Select select Select - Select Select Select - S_elct Sete t Select Select a. Coordinates must be in NADS3 and have 6 dmimal degrees V. SETBACK WAIVERS, EASEMENTS, AND LEASES: 1. does the permit have any setback waivers, easements, or leases? C Yes or [D No lfyes, provide copies of all documents and complete the table below: ument te Grantor or Parcel No. Grantee Expiration Date County R istered Deed Book Deed Page Document Description Select Select Select Soled Select select Select a. The document description shall list any reduced setbacks with distance, eke. 2, For reclaimed water utilizalion perrrnis: Is reclaimed water utilized un property oot controlled by the generator? ❑ Yes or M No A lease, casement, oragreernent must be provided allowing for the utilimlon ofreelsimed water on the property or within the facility. For irrigation ofreclairned water, an easement is rewired per 1 A NCAC 02U .0 0.1(0). All documents shall be listed in the table above. FOXM: NDSR 0 1 -20 Page 3 of DWR Division of Water Resources VI. RELATED PERMITS State of North Carolina Department of Environmental Quality Division of Water Resources NON-D] SC H ARG E SYSTEM RENE,NVAL FORM. NDSR 01-20 1. If this permit has interactions with gather wastewater permits (collection systems, NPI)ES, etc_), complete the table below (provide additional pages ifnmessary): Permit Type Permit ND. Desert loCY Collection System WQCS410298 Fremont Sanitary Sewer Collection System 2. Does the facility have an approved flaw reduction [I 5A NCAC UZI _01 1 d(0l'- ❑ Yes or ® No If yes, attach the measured monthly average amount of wastewater flow contributed per unit for the I months prior to permit renewal. I f any ofthese monthly averages are within 20% of the approved value, the Pertrtittee 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 I SA NC AC 02T .0106(b► I, W. Darron Flowers, Msyor, attest that this renewal application has been reviewed by me, and is accurate and complete to the Bost of my knowledge. I understand that any unauthorized discharge of wastewater from this non -disc barge 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 Iim against the Division of Water resources should a condition of this permit be violated. I also understated that it' ail required parts of'this application are not completed, this application may be returned to me as incomplete. 1 further certify 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 aetnual fees. NOTE - In accordance with General Statutes 1 a3-215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in Ray application package shall be guilty of 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 Certificatiop shall be signed in accordance with -% h L AC 0 T_0 1 f5[iLL)�. per 15A NCAC Qj ,U 146Lij, an aiteniate person maybe designated as the signing officiul if a delegation letter is provided from a person who meets the criteria in 15A NCAC 021-01063b1 Sigruature: a^ . Date; 1 - T14F COMPLETED APPLICATION AND S[IPPORTING DOCUMENTATION SHALL BE SUBMITTED TO NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NUN -DISCHARGE BRANCH By U.S. Postal Service: By Courler= By Email: Non -Discharge Branch Nan -Discharge Branch - Archdale 942W ) fl«llischaree.l£eocrts(r ncdenr.. ay 1617 Mail Service Center 512 N_ Salisbury St. Raleigh, NC 27699-1617 Raleigh., NC 27604 TELlEPHONE NUMDER. (919) 707-3664 FOW: NDSR 0 1-20 Page 4 of4 Soil Map —Wayne County, North Carolina 3: o a (Fremont VWVTP - Spray Field) 231500 231600 231700 231800 231900 232000 232100 232200 232300 232400 232500 232600 232700 232800 35° 32' S0" N I I I I 35° 32' 50" N g 8 �p ZVp r MC. ' g - 1:tilCC.1 �7 g Soil MaN may not he valid at this sc+ale. 35° 32' 22" N 35° 32' 22" N 231500 231600 231700 231800 231900 232000 232100 232200 232300 232400 232500 232600 232700 Map Scale: 1:6,060 if printed on A landscape (11" x 8.5") sheet. KD Meters N 0 50 100 200 300 A Feet 0 2y0 y00 1000 1500 Map projection: Web Mercator Gomer000rdinates: WGS84 Edge tics: UTM Zone 18N WGS84 USDA Natural Resources Web Soil Survey 2/26/2021 Conservation Service National Cooperative Soil Survey Pagel of 3 MAP LEGEND Area of Interest (AOI) 0 Area of Interest (AOI) Soils Soil Map Unit Polygons Soil Map Unit Lines Soil Map Unit Points Special Point Features Blowout Borrow Pit Clay Spot Closed Depression Gravel Pit Gravelly Spot 0 Landfill A. Lava Flow Marsh or swamp Mine or Quarry Miscellaneous Water Perennial Water Rock Outcrop Saline Spot Sandy Spot Severely Eroded Spot Sinkhole Slide or Slip Sodic Spot Soil Map —Wayne County, North Carolina (Fremont WVVTP - Spray Field) MAP INFORMATION Spoil Area The soil surveys that comprise your AOI were mapped at 1:20,000. Stony Spot th Very Stony Spot Warning: Soil Map may not be valid at this scale. Wet Spot Enlargement of maps beyond the scale of mapping can cause misunderstanding of the detail of mapping and accuracy of soil 4� Other line placement. The maps do not show the small areas of Special Line Features contrasting soils that could have been shown at a more detailed scale. Water Features Streams and Canals Please rely on the bar scale on each map sheet for map measurements. Transportation — Rails Source of Map: Natural Resources Conservation Service Web Soil Survey URL: . 0 Interstate Highways Coordinate System: Web Mercator (EPSG:3857) US Routes Maps from the Web Soil Survey are based on the Web Mercator Major Roads projection, which preserves direction and shape but distorts distance and area. A projection that preserves area, such as the Local Roads Albers equal-area conic projection, should be used if more accurate calculations of distance or area are required. Background Aerial Photography This product is generated from the USDA-NRCS certified data as of the version date(s) listed below. Soil Survey Area: Wayne County, North Carolina Survey Area Data: Version 18, Jun 3, 2020 Soil map units are labeled (as space allows) for map scales 1:50,000 or larger. Date(s) aerial images were photographed: Apr 23, 2015—Feb 25, 2017 The orthophoto or other base map on which the soil lines were compiled and digitized probably differs from the background imagery displayed on these maps. As a result, some minor shifting of map unit boundaries may be evident. USDA Natural Resources Web Soil Survey 2/26/2021 Conservation Service National Cooperative Soil Survey Page 2 of 3 Soil Map —Wayne County, North Carolina Fremont WWTP - Spray Field Map Unit Legend Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI AyA Aycock very fine sandy loam, 0 to 2 percent slopes 31.0 18.6% AyB2 Aycock very fine sandy loam, 2 to 6 percent slopes, eroded 2.7 1.6% Ba Barclay very fine sandy loam 9.0 5.4% Bb Bibb sandy loam 35.9 21.5% CrC2 Craven sandy loam, 6 to 10 percent slopes, eroded (Gritney) 9.1 5.5% Ex Exum very fine sandy loam 16.5 9.9% Na Nahunta very fine sandy loam 11.5 6.9% NoA Norfolk loamy sand, 0 to 2 percent slopes 7.4 4.4% NoB Norfolk loamy sand, 2 to 6 percent slopes 14.3 8.6% NrB2 Norfolk sandy loam, 2 to 6 percent slopes, eroded 0.0 0.0% RuA Ruston loamy sand, 0 to 2 percent slopes (Orangeburg) 13.6 8.1 % RuB Ruston loamy sand, 2 to 6 percent slopes (Orangeburg) 4.2 2.5% W Water 7.2 4.3% WaB Wagram loamy sand, 0 to 6 percent slopes 4.6 2.7% Totals for Area of Interest 167.1 100.0% USDA Natural Resources Web Soil Survey 2/26/2021 Conservation Service National Cooperative Soil Survey Page 3 of 3