HomeMy WebLinkAboutNC0043257_Renewal (Application)_20210520NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit
NC0043257
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Nature Trail Associates
Nature Trail MHC WWTP
524 Meadow Ave. Loop
Banner Elk
NC 28604
828/ 733-5028
(919)869-1572
tarmatt@aol.com
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 326 Nature Trail
City Chapel Hill
State / Zip Code NC 27517
County Chatham
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name The Carlyle Group / Matthew Raynor
Mailing Address 524 Meadow Ave. Loop
City Banner Elk
State / Zip Code NC / 28604
Telephone Number (828) 733-5028
Fax Number (919)869-1572
Form-D 05/08
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NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ® Number of Homes 200
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Mobile Home Park
Population served: 800
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes
❑ No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Cub Creek
8. Frequency of Discharge: ❑ Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
Aerated equalization into split sided four plug flow activated sludge chambers in series.
Clarification into post -aeration into chlorination then de -chlorination then discharged
into creek.
Form-D 05/08
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NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.04 MGD
Annual Average daily flow 0.031 MGD (for the previous 3 years)
Maximum daily flow 0.077 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ❑ No
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum
and monthly average. If only one analysis is reported, report as daily maximum.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
32 (Feb 2020)
5.1
Mg/1
Fecal Coliform
2419 (Aug 2019)
3.5
#/ 100m1
Total Suspended Solids
82 (Jun 2020)
6.9
Mg/1
Temperature (Summer)
26.7 (July 2020)
17
Celsius
Temperature (Winter)
12 (Jan 20)
14
Celsius
pH
7.6 (Jun 2020)
7.0
units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NC0043257 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
Permit Number
14. 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.
Matthew E. Raynor Environmental Director
Pringed name of Pers n Signing Title
Iratiezi
Si nature of Appli nt
North Carolina General Statute 143-215.6 (b)(2) states: 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.)
Form-D 05/08
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