WQ0006785_Application_20210506

RECEIVEDINCDEQIDWR
MAY 0 6 2021
Non -Discharge
Permitting Unit
April 13, 2021
Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Permit Renewal
Town of Murfreesboro WWTF
Permit No: WQ0006785
Wastewater Irrigation System
Hertford County
Dear Non -Discharge Branch,
The Town of Murfreesboro is submitting the permit renewal application for the Town of
Murfreesboro WWTP, WQ0006785, which expires on April 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.
Sincere
Raymond Raymond S. Eaton, ORC
Town of Murfreesboro

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 05-20
This form is for renewal without modification for all non -discharge system permits, exce t Residuals Management and Single -
Family Residence Wastewater Irrigation System permits.
For more information, visit the Water Quality Permitting Section's Non -Discharge Branch Website.
I. PERMITTEE INFORMATION:
1. Permittee: Town of murfreesboro
2. Signature authority's name: Raymond S. Eaton per 15A NCAC 02T .0106ib1
Primary Telephone number: 252 398-7559 Cell
Email Address: reaton[wmurfreesboronc.net
3. Permittee's mailing address: PO Box 6
City: Murfreesboro State: NC
4. Billing address (if different from above):
City: State: Zip:
Secondary number: [phone] Cell
Zip: 27855-.
5. Contact person's name (if different from signature authority): Title:
Primary Telephone number: (_) _- Select Secondary number: (� _- Select
Email Address:
H. PERMIT INFORMATION:
Title: ORC
1. Existing permit number: WQ0006785
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?
[ 5A NCAC 02T .0110] ® Yes or ❑ No
If no, a formal permit modification request shall be submitted to the Division.
3. 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 .0105]
4. 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. [ ' C 0 2 T .0115tai{ IA
5. 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 1 and a copy of the proposed or
approved Articles of Incorporation, Declarations, and By-laws [15A NCAC 02T .01151
• For Developers of lots to be sold —Operational Agreement {FORM: DEV'1 [15A NCAC 02T .0115(b �]
FORM: NDSR 05-20 Page 1 of 4

LLIALTiLl
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 05-20
6. Does the facility treat and dispose of industrial wastewater? If yes, complete items below. If no, skip to the next section.
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
Indicate the approximate percentage of wastewater makeup:
Industrial: % Domestic: % Stormwater: %
Has the nature of wastes (e.g., change 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. fG.S. 141-215.1(d)]
III. SITE MAP:
1. Provide an updated site map in accordance with 15A NCAC 02T .0105(r' , that shows the following:
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, scale, and legible in black and white
❑ Topographic contour intervals not exceeding 10 feet or 25 percent of total site relief
❑ 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
❑ Stormwater drainage controls
❑ 100-year floodplain (if applicable)
❑ For reclaimed water generation permits only, 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.
FORM: NDSR 05-20 Page 2 of 4

State of North Carolina
nWR
Division of Water Resources
IV. GROUNDWATER MONITORING WELLS
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 05-20
1. 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
1
Status
Active
Latitude e
Longitude e
Gradient
Location
36.46058"
-77.0739490
Down Gradient
Inside Compliance Boun
2
Active
36.4602580
-77.0757930
Down Gradient
Inside Compliance Boun
4
Active
36.481960
-77.0782050
Down Gradient
Inside Com fiance Boung
5
Active
36.461191°
-77.078495"
Down Gradient
Inside Com lance Boun
10
Active
36.4659020
-77.0848210
Down Gradient
Inside Compliance Boun
11
Active
36.4565040
-77.0783000
Up Gradient
Inside Compliance Boun
12
Active
36.4559900
-77.0649010
Down Gradient
Inside Compliance Boun
Select
0-
Select
Select
Select
-
Select
Select
Select
-
Select
Select
a. Coordinates must be in NAD83 and have 6 decimal degrees
V. SETBACK WAIVERS, EASEMENTS, AND LEASES:
1. 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
T
Grantor or
Parcel No.
Grantee
Expiration
Date
County
Registered
I Deed
Book
Deed Page
Document
Descri on'
Select
Select
Select
Select
Select
Select
Select
a. The document description shall list any reduced setbacks with distance, etc.
2. For reclaimed water utilization permits only:
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.
FORM: NDSR 05-20 Page 3 of 4

Division of Water Resources
VI. RELATED PERMITS
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 05-20
1. If this permit has interactions with other wastewater permits (collection systems, NPDES, etc.), complete the table below
(provide additional pages if necessary):
Permit Type Permit No. Description
W CS00286 collection,manage and transport of domestic wastewater
Collection system Q from the Town of Murreesboro i
2. Does the facility have an approved flow reduction [15A NCAC 02T .0114(t)]? ❑ Yes or Q 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(bl
I, A Aw-% Cabs^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 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 143-215.61, 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 may be designated as the signing official if a delegation
letter is provided from a perg6n who meats the criteria in 15A NCAC 02T .0106cb1
Signature: �� /ra CIS X� Date:
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
By Upload By Email:
haps://edocs.deq.nc.gov/Forms/NonDischarge-Branch-Submittal- Non-Discharge.Reportsci ,ncdenr.Lc;
Form
TELEPHONE NUMBER: [phone]
FORM: NDSR 05-20 Page 4 of 4

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