WQ0032723_More Information (Received)_20210830

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — DISTRIBUTION OF CLASS A RESIDUALS
FORM: DCAR 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: City of Reidsville
Applicant type:
o
Individual
Federal
El Corporation
[] State
in General Partnership d Privately -Owned Public Utility
Z Municipal Q', County
Signature authority's name per 15A NCAC 02T ,0106: Summer Woodard Title: City Manager
Applicant's mailing address: 1100 Vance Street
City: Reidsville State: NC Zip: 27320-
Telephone number: [phone] Email Address: swoodardAreidsvillenc.gov
2. Consultant's name: Brent Collins License Number (for P.E.):
Affiliation: d On Staff ,, Retained (Firm: EMA Resources Inc.)
Consultant's mailing address: 755 Yadkinville Rd
City: Mocksville State: NC Zip: 27028-
Telephone number: [phone] Email Address: [e-mail]
3. Fee submitted: SO (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): new,
modified, E renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WO0032723
Date of most -recently issued permit: 09/23/2016
Date of most -recently certified Attachment A (if different than the permit): 09/23/2016
III. FACILITY INFORMATION:
1. Name of residuals processing facility: Reidsville WTP
City: Reidsville State: NC Zip: 27320-
Coordinates: Latitude: 36° 17' 02" Longitude: 79° 39' 36"
Datum: NAD83 Level of accuracy: nearest second
Method of measurement: GPS
County where facility is located: Rockingham
2, Facility contact (person familiar with residuals preparation):
Name: Scott Jewell Title: WWTP Superintendent
Mailing address: 278 Reid Lake Rd.
City: Reidsville State: NC Zip: 27320-
Telephone number: [phone] E-mail address: [e-mail]
FORM: DCAR 06-16 Page 1 of 3

3. Is the residual process facility also the generator? Yes; 0 No
If No, please specify delivery frequency and quantity of residual to be processed:
4. Length of residuals storage at facility: 700 days (Note: the Division requires minimum 30 days storage in units that are
separate from treatment system, i.e. not in clarifiers, aeration basins, etc.)
IV. RESIDUALS QUALITY INFORMATION:
1. Specify how these residuals will be distributed:
] sold or given away in bags or other containers; El lawn (bulk); ID home garden (bulk);
Ej other (explain); Land applied at agronomic rates per this permit— W00032723
Note: Bulk residuals shall mean residuals that are transported and not sold or giving away in a bag or other receptacles with a
Toad capacity of one metric ton or less.
2. Complete the following if residuals are to be mixed with other materials:
Type of Materials
Amounts to be added
per 1.0 dry ton of residuals (dry ton)
3. Approximate amounts of the residuals received and processed at the facility: 200 dry tons per year.
4. Approximate amounts of the final product (processed residuals) to be distributed: 200 dry tons per year.
5. Provide a description of the onsite storage management plan for the treated residuals (including estimated average and
maximum storage times prior to distribution): Two — 1.25 MG sludge lagoons with an average storage time of 12 months and
a maximum of 27 months,
6. Does the facility have a stormwater management plan? 'l Yes; El No
Explain whether the treatment and storage areas are under roof or how stormwater runoff will be handled
V. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the attached Residuals Source Certification and all associated documentation.
RSC 06-16.doc
FORM: DCAR 06-16
Page 2 of 3

Professional Engineer's Certification: (Application Involving New or Changes to Treatment or Storage Units)
, attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I further attest that to the best of my knowledge
the proposed design has been prepared in accordance with the applicable regulations. Although certain portions of this submittal
package may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that I
have reviewed this material and have judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Seal, Signature, and Date:
Applicant's Certification:
The applicant or any affiliate 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 do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
El Yes 0 No, Explain;
I, Summer Woodard — City Manager UNPMek 1fC,C'V=CCU C\( L\C `CSC
(Signature Authority's Name — PLEASE PRINT) itle)
attest that this application for City of Reidsville WTP
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water
Resources may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes
unless specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate
enforcement action, which 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 and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Note: In accordance with North Carolina General Statutes §143-215.6A and §143-215.6B, any person who knowingly makes any
false statement, representation, or certification in any app,j tton sh ll 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 00 per violMion.
Date:
PA" 7,(0
FORM: DCAR 06-16
Page 3 of 3

Residuals Information Sheet
Generator: City of Reidsville WTP
Facility: Reidsville WTP
Address: 278 Reid Lake Rd
Reidsville, NC 27320
Phone: [phone]
Contact: Scott Jewell
Land Application Contractor: EMA Resources Inc.
755 Yadkinville Rd
Mocksville, NC 27028
Phone: [phone]
Contact: Brent Collins
Please Note: The application of these residuals is only allowed in accordance with subject permit.
(WQ0032723), a Distribution of Class A Residuals (DCAR))
All applicable setbacks in accordance with 15A NCAC 02T .1108(b) will be adhered and is the
responsibility of the land application contractor.
Application rates shall be applied at agronomic rates for intended uses.
No residuals shall be applied to any site that is flooded, frozen, or snow covered.
Adequate procedures will be implemented to prevent surface runoff of residuals in any surface waters.
The attached residuals analysis report is a summary of major and micro -nutrients available in the
residuals.
If you have any questions concerning this information, you may contact EMA Resources Inc, at the
number listed above.

When the material is applied, the following setbacks shall be adhered to by the land application
contractor
Setback Description
Setback in feet
Private or public water supply
100
Surface waters (streams — intermittent and
perennial, perennial waterbodies and wetlands
100
Surface water diversions (ephemeral streams,
waterways and ditches)
25
Groundwater lowering ditches (where the
bottom of the ditch intersects the SHWT)
25
Wells with exception to monitoring wells
100
Bedrock outcrop
25