WQ0004438_Application_20211215

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 01-20
This form is for renewal without modification for all non -discharge system permits, except 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:
Permittee: James Washburn / ST Wooten Corporation
2. Signature authority's name: Robert L. Hunt Jr. per 15A NCAC 02T .0106(b)_Title: Division Mana_,er
Primary Telephone number: 252) 637-4294 Select Secondary number: (_) _- Select
Email Address: robert.huntQstwcorp.com
3. Permittee's mailing address: PO Box 2408
City: Wilson State: NC Zip: 27894-2408
4. Billing address (if different from above):
City: State: Zip: -
5. Contact person's name (if different from signature authority): Title:
Primary Telephone number: () — Select Secondary number: (_)
Email Address:
H. PERMIT INFORMATION:
1. Existing permit number: WQ000004438
2. Has the facility been constructed? XYes or ❑ No
Select
If yes, has the facility been constructed in accordance with the permit and the Division -approved plans and specifications?
[15A NCAC 02T .01101 XrYes 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 ZNo
Has the Permittee had a name change or has the permit changed ownership? ❑ Yes or XNo
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. 15A NCAC 02T .0115 a 1
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 A_ reement FORM: HOA1 and a copy of the proposed or
approved Articles of Incorporation, Declarations, and By-laws 15A NCAC 02T .0115 c
• For Developers of lots to be sold— Operational Agreement FORM: DEV 115A NCAC 02T .0115 h
FORM: NDSR 01-20 Page 1 of 4

DWR
Division of Water Resources
6. Does the facility treat and dispose of industrial wastewater?
If yes, complete items below. If no, skip to the next section.
Indicate the approximate percentage of wastewater makeup:
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 01-20
Industrial: % Domestic:100% Stormwater: %
For all industrial wastewater sources (excluding those permitted under a pretreatment permit), 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
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 W'No
If yes, a permit modification request shall be submitted to the Division. (G.S. 143.-215.1(d)1
III. SITE MAP:
1. Provide an updated site map in accordance with 15A NCAC 02T .0105(d) that shows the following (if applicable):
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, and scale
OK Topographic contours on all disposal sites
❑ 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
[kl� 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)
LKLatitude and longitude coordinates of all monitoring wells (decimal degrees to 6 digits)
eLocation 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
❑ 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 (excludes
Local Program permitted facilities). Include all reclaimed water distribution line and reclaimed water utilization permit
numbers.
FORM: NDSR 01-20 Page 2 of 4

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 01-20
IV. GROUNDWATER MONITORING WELLS
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 Status
Latitude a
Longitude a
Gradient
Location
0
0
0
0
0
0
0
0
0
0
0
0
0
0
O
0
O
0
0
0
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 CNrNo
If yes, provide copies of all documents and complete the table below:
Document
Type
Grantor or
Parcel No.
Grantee
Expiration
Date
County
Registered
Deed
Book
Deed Page
Document
Description a
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:
Is reclaimed water utilized on property not controlled by the generator? ❑ Yes or ❑ No elf -
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 01-20 Page 3 of 4

D. W.
Division of Water Resources
Vl. RELATED PERMITS
State: of North Ca~ rt)hna
Dci) ertutertt of Em ironmelx$al Quality
Ditlisiotz of Water Resnrtrees
NON4)ISC[IARGE SYSTEM RENEWAL
FORM: NDSlt 01-20
1. If this perrnit has interactions with other wastewater permits (collection sysiems, NYD> S, etc.), complete the table below
(provide additional pages if necessary):
Permit Type_ Pertnit No. _ Descri tion
2. Does the facility have an approved flow reduction it Sit NC:e�C {)2 Ij, i l,�U? ❑ 'Yes or M' No
if yes, attach the measured monthly average apiount of wastewater flow contributed per unit for the 12 mQu.ths prior to permit
renewal. if any of these monthly averages are witlun 20% of (lie approved value, the Permittee shall provide a reevatuation of
the reduced flow value using the mediodol.ogy applied to the original flow reduction application. Also, attach a copy of the
flow reduction approval letter.
APPLICANT'S CURTII! 1CATION 1.5A NCAC 02T A10fr(b)
1, James Washburn / Manay.r, attest that this renewal application has been reviewed by me, .and is accurate and complete to the best of
my knowledge. € 'understand that any. tmauthorized discharge of wastewater from this non -discharge systern to surface waters or the
land. may result in an enforcement action that may include civil. penalties, injunctive relief, and/.or criminal prosecution. ] 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 retuned to m.e as incomplete. i further certify that the Applicant or any
parent, subsidiary, or other affiliate of the Applicant.has not been convicted of an epvironmoriml crime, has not abandoned a wastemter
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 1113-213;6A and I43-) iS�Gi3, 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 $I0,000 as well as civil penalties up to $?5,000 per violation. The Applicant's Certification shall be signed in accordance with
15A NCAC 02T .0106,(b). Per I5A t ICAC 02T .01.0&), an altern.ate person may be designated as the signing official if a delegation
I.etter is p rov.ided fy n a person who m/eggs the criteria in 15A NCA.t,,.{.)2
Signature: ---- .. , ``- 6�1 Y ✓ — _ Dale: J. " fie) "
'ri-JE COMPLI,TE1) Al?PLICATION ANB:SUPPOR'1'1NG DOCU'MENTATCO]N Si AL:L. BE SUBMITTED TO:
NORTH CA.ROLINA DEPARTMENTOF ENVIRONMIsNTAL QUA-LI "Y
DIVISION OF WATER RESOURCES
WA.T.EIR QUALITY PERMITTING SECTION
NON-.I)'ISCi=JARG-E BRANCH
By U.S. Postal Service: By Courier: l)v Email:
Nou-Discharge Branch Non -Discharge Branch -- Archdale 942W Ncni-I)isch�lrs�c__Tt��c7rtsCC�ncdci3i .end
1617 Mail Service Center 512 N. Salisbury St.
Raleigh, NC 27G99-16.17- Raleikh, NC 27604
TELEPHONE N0IA.B.I R: [phone]
FORM: N.DSR.01-20 Page 4 of

V'ater Resoarres
July 24, 2017
JAMES WASHBURN—ENVIRONMENTAL COMPLIANCE MANAGER
S.T. WOOTEN CORPORATION
POST OFFICE Box 2408
WILsoN, NORTH C_gROLINA 27894-2408
Dear Mr. Washburn:
ROY COOPER
GoJ ve"70).
MICHAEL S. REGAN
S. JAY ZIMMERMAN
Director
Subject: Permit No. WQ0004438
New Bern Asphalt Plant WWTF
Wastewater Irrigation System
Craven County
In accordance with your permit renewal request received May 2, 2017, we are forwarding herewith
Permit No. WQ0004438 dated July 24, 2017, to the S.T. Wooten Corporation for the continued operation
of the subject wastewater treatment and irrigation facilities. Please note that this renewed permit shall
become effective on August 1, 2017 (i.e. the day after the expiration date of the existing permit).
This permit shall be effective from August 1, 2017 until July 31, 2022, shall void Permit No.
WQ0004438 issued August 29, 2008, and shall be subject to the conditions and limitations as specified
therein. Please pay attention to the monitoring requirements listed in Attachments A and B they may differ
from the previous permit issuance. Failure to establish an adequate system for collecting and maintaining
the required operational information shall result in future compliance problems.
Please note the ffolloR ing permit conditions have been removed since the last permit issuance
dated August 29, 2008:
Old Condition 111.13 —In the event that the UV disinfection unit fails to adequately disinfect
the wastewater, the unit shall be repaired or the Permittee shall submit a major modification
request to switch to chlorine disinfection.
Please note the following permit conditions are new since the last permit issuance dated
August 29, 2008:
> Condition I1.9 — Requires the Permittee to ensure any landowner Who is not the Permittee and
owns land within the compliance boundary to execute and file with the Craven County Register
of Deeds an easement running with the land.
> Condition I11.12 — If an embankment, berm, pipe run, erosion control area, or surface water
diversion is necessary, then a protective vegetative cover shall be established and maintained
on that earthen embankment.
> Condition W.2 —Requires a Division certified laboratory to conduct all laboratory analyses for
the required effluent, groundwater or surface water parameters.
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6332

Mr. James Washburn
July 24, 2017
Page 2 of 2
> Condition VI.8 -This condition notifies the Permittee that this permit is subject to revocation
or unilateral modification upon 60 days notice from the Division Director, in whole or part for
the requirements listed in 15A NCAC 02T .0110.
Condition VI.9 - This condition notifies the Permittee that unless the Division Director grants
a variance, expansion of the permitted facilities contained herein shall not be granted if the
Permittee: has been convicted of an environmental crime; has previously abandoned a
wastewater treatment facility; has not paid a civil penalty; is non -compliant with a permit
schedule; or has not paid an annual fee.
PPI 001 —Total Nitrogen and Total Phosphorous have been added to effluent monitoring.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit_ This request shall be in the form of written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this permit, please contact Ashley Kabat at (919)
807-6348 or ashley.kabat�ia.ncdenr.gov.
Sincerely,
Say Zimmerman, P.G., Director
Division of Water Resources
cc. Craven County Health Department (Electronic Copy)
Washington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

NORTH CARO?LINA
EPd's"R01�1'i�ENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
WASTEWATER IMGAT1ON SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
S.T. Wooten Corporation
Craven County
FOR THE
continued operation of a 450 gallon per day (GPD) wastewater treatment and irrigation facility consisting
of
a 1,200 gallon baffled septic tank; a 20 foot by 9 foot recirculation sand filter with a maximum recirculation
rate of 3:1; a 1,200 gallon recirculation tank with a 10.8 gallon per minute (GPM) submersible pump and
high water alarms; an ultraviolet (UV) disinfection system; a 2,000 gallon submersible pump and high water alarms; a 0.45 acre pump tank with a 15.2 GPM
spray irrigation field with eight sprinklers, each with
a radius of 33 feet; and all associated piping, valves, controls, and appurtenances
to serve the New Bern Asphalt Plant WWTF, with no discharge of wastes to surface waters, pursuant to the
application received May 2, 2017, and in conformity with the project plans, specifications, and other
supporting data subsequently fled and approved by the Department of Environmental Quality and
considered a part of this permit.
This permit shall be effective from August 1, 2017 until July 31, 2022, shall void Permit No. WQ000443 8
issued August 29; 2008, and shall be subject to the following specified conditions and limitations:
L SC1i1EIDULES
1. No later than six months prior to the expiration of this permit, the Permittee shall request renewof
al
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application.
[ 15A NCAC 02T. 0 1 05(d), 02T .0106, 02T .0109, 02T .0115(c)]
2. If dewatering operations cease at the Martin Marietta Quarry, contact the Washington Regional Off ce,
Water Quality Regional Operations Section, at [phone]. The installation of monitor wells nay
be necessary, f l5A NCAC 02T .0108(b)(1)]
WQ0004438 Version 4.0 Shell Version 151201
Page 1 of 8

H. PERFORMANCE STANDARDS
The subject non -discharge facilities shall be effectively maintained and operated at all times so there is
no discharge to surface waters, nor any contravention of groundwater or surface water standards. In
the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions due
to improper operation and maintenance, or failure of the irrigation areas to adequately assimilate the
effluent, the Permittee shall take immediate corrective actions including Division required actions, such
as the construction of additional or replacement wastewater treatment or irrigation facilities. [G.S. 143-
215.1, 143-213.3(a)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface
water resulting from the operation of this facility. [ 15A NCAC 02B .0200, 02L .0100]
3. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T
.0108(b)(1)]
4. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
Attachment B. [ 15A NCAC 02T .0505(c)]
5. 'This disposal system was individually permitted on or after December 30, 1983; therefore, the
compliance boundary is established at either 250 feet from the effluent disposal area, or 50 feet within
the property boundary, whichever is closest to the effluent disposal area. An exceedanee of
groundwater standards at or beyond the compliance boundary is subject to remediation action according
to I SA NCAC 02L .0106(d)(2) as well as enforcement actions in accordance with North Carolina
General Statute 143-215.6A through 143-215.6C, [15A NCAC 02L .0106(d)(2), 02L .0107(b)]
6. In accordance with 15A NCAC 02L .0108, the review boundary is established midway between the
compliance boundary and the effluent disposal area. Any exceedance of groundwater standards at the
review boundary shall require action in accordance with 15A NCAC 02L .0106. [15A NCAC 02L
.0106, 02L .0108]
7. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary. [15A NCAC 02L .0107(c)]
8. In accordance with 15A NCAC 02L .0107(d), no swells, excluding Division approved monitoring wells,
shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g). [ 15A NCAC 02L .0107]
Except as provided for in 15A NCAC 02L .0107(g), the Permittee shall ensure any landowner who is
not the Permittee and owns land within the compliance boundary shall execute and file with the Craven
County Register of Deeds an easement running with the land containing the following items:
a. A notice of the permit and number or other description as allowed in 15A NCAC 02L .0I07(f)(1);
b. Prohibits construction and operation of water supply wells within the compliance boundary; and
c. Reserves the right ofthe Permittee or the State to enter the property within the compliance boundary
for purposes related to the permit.
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed.
[15A NCAC 02L .0107(f)]
WQ0004438 Version 4.0 Shell Version 151201 Page 2 of 8

10. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for irrigation sites permitted under 15A NCAC 02H .0200 shall be as follows (all
distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 400
ii. Surface waters: 100
iii. Any well with exception of monitoring wells: 100
iv. Any property line: 150
v. Public right of way: 50
[I 5A NCAC 02H .02190)]
b. The setbacks for storage and treatment units permitted under 15A NCAC 02H .0200 shall be as
follows (all distances in feet):
L Any well with exception of monitoring wells: 100
ii. Any property line: 50
{15A NCAC 02H .02190)]
HL OPERATION AND MALNTENANCE REOMRE V1fENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater resulting
from the operation of this facility. The Permittee shall maintain an Operation and Maintenance Plan,
which at a minimum shall include operational functions, maintenance schedules, safety measures and
a spill response plan. [15A NCAC 02T .0507]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Perinittee shall designate and employ a certified operator in responsible charge (ORC) and one or more
certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 080.0200, and shall comply with all other conditions specified in the
previously cited rules. [15A NCAC 02T .0117]
3. A suitable year round vegetative cover shall be maintained at all times, such that crop health is
optimized, allows for even distribution of effluent and allows inspection of the irrigation system. [15A
NCAC 02T .0108(b)(1)]
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites listed
17
in Attachment B. [I5A NCAC 02T .0108(b)(1)]
5. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff. [I5A NCAC 02T .0108(b)(1)]
6. All irrigation equipment shall be tested and calibrated at least once per permit cycle. Calibration records
shall be maintained at the facility for a period of no less than five years, and shall be made available to
the Division upon request. [I5A NCAC 02T .0108(b)(1)]
7. Only effluent from the New Bern Asphalt Plant WWTF shall be irrigated on the sites listed in
Attachment B. [G.S. 143-215.11
8. No automobiles or machinery shall be allowed on the irrigation sites except during equipment
installation or while maintenance is being performed. [15A NCAC 02T .0108(b)(1)]
WQ0004438 Version 4.0 Shell Version 151201 Page 3 of 8

9. Public access to the irrigation sites and wastewater treatment facilities shall be prohibited. [ 15A NCAC
02T .0505(q)]
10. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .I 100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .0508. [ 15A NCAC 02T .0508, 02T .1100]
11. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited. [15A NCAC 02T .05050)]
12. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs, and
other woody vegetation shall not be allowed to grow on the earthen dikes or embankments. Earthen
embankment areas shall be kept moved or otherwise controlled and accessible. [I5A NCAC 02T
.0108(b)(1)]
13. if the sprinkler heads fail to achieve the design diameter of 66 feet due to obstructions, the obstructions
shall be removed or the sprinkler heads shall be raised and supported to such a height that the design
diameter is achieved. [ 15A NCAC 02T .0108(b)(1)]
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, planttissue, soil and surface water analyses)
necessary to ensure groundwater and surface water protection shall be established, and an acceptable
sampling reporting schedule shall be followed. [I5A NCAC 02T .0108(c)]
2. A Division certified laboratory shall conduct all laboratory analyses for the required effluent,
groundwater or surface water parameters. [I5A NCAC 02H 0800]
3. Flow through the treatment facility shall be continuously monitored, and daily average flow values
shall be reported on Form NDMR. Flow may be estimated from water use records, provided the
Permittee's water use is metered. Daily average flow values shall be calculated by dividing the monthly
metered water usage by the number of days in the month. [15A NCAC 02'F .0105(k), 02T .0108(c)]
4. The Permittee shall monitor the effluent from the subject facilities at the frequencies and locations for
the parameters specified in Attachment A. [ 15A NCAC 02T .0108(c)]
5. The Permittee shall maintain adequate records tracking the amount of effluent irrigated. At a minimum,
these records shall include the following information for each irrigation site listed in Attachment B:
a. Date of irrigation;
b. Volume of effluent irrigated;
c. Site irrigated;
d. Length of time site is irrigated;
e. Continuous weekly, monthly, and year-to-date hydraulic (inches/acre) Ioadings;
f. Continuous monthly and year-to-date loadings for any non -hydraulic parameter specifically
limited in Attachment B;
g. Weather conditions; and
h. Maintenance of cover crops.
[I5A NCAC 02T .0108(c)]
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Three copies of all monitoring data (as specified in Conditions IV.3. and IVA.) on Form NDMR for
each PPI and three copies of all operation and disposal records (as specified in Condition IV.5.) on
Form NDAR-1 for every site in Attachment B shall be submitted on or before the last day of the
following month. If no activities occurred during the monitoring month, monitoring reports are still
required documenting the absence of the activity. All information shall be submitted to the following
address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[ 15A NCAC 02T .0105(1)]
A record shall be maintained of all residuals removed from this facility. This record shall be maintained
at the facility for a period of no less than five years, and shall be made available to the Division upon
request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
[15A NCAC 02T .0I08(b)(1)]
8. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for a
period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Visual observations of the plant and plant site; and
b. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing, inspections
and cleanings, etc.).
[ I5A NCAC 02T .0108(b)(1)]
9. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each irrigation site listed in Attachment B. These results shall be maintained at the facility for a period
of no less than five years, and shall be made available to the Division upon request. At a minimum, the
Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
[I5A NCAC 02T .0108(c)]
WQ0004438 Version 4.0 Shell Version 151201 Page 5 of 8

10. Noncompliance Notification:
The Permittee shall report by telephone to the Washington Regional Office, telephone number (252)
946-6481., as soon as possible but in no case more than 24 hours, or on the next working day folloying
the occurrence or first knowledge of the occurrence of any of the following:
a. Treatment of wastes abnormal in quantity or characteristic, including the known passage of a
hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
e. Ponding in or runoff from the irrigation sites.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone]. Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
betaken to ensure the problem does not recur. [I5A NCAC 02T .0105(1), 02T .0108(b)(1)]
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and irrigation facilities. [15A NCAC 02T .0108(b)]
2. The Permittee or their designee shall inspect the wastewater treatment and irrigation facilities to prevent
malfunctions, facility deterioration and operator errors resulting in discharges, which may cause the
release of wastes to the environment, a threat to human health or a public nuisance. The Permittee shall
maintain an inspection log that includes, at a minimum, the date and time of inspection, observations
made, and any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this
inspection log for a period of five years from the date of the inspection, and this log she be made
available to the Division upon request. [15A NCAC 02T .0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and irrigation facilities
permitted herein at any reasonable time for the purpose of determining compliance with this permit,
may inspect or copy any records required to be maintained under the terms and conditions ofthis permit,
and may collect groundwater, surface water or leachate samples. [G.S. 143-21.5.3(a)(2)]
VI. GENERA!.. CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statutes 143-215.6A to
143-215.6C. [G.& 143-215.6A to 143-215.6C]
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with the
conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to I5A NCAC 02T .0105(n).
[G.S. 143-21.5.1]
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4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules in
15A NCAC 02D .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and
under General Permit NCG010000; any requirements pertaining to wetlands under 15A NCAC 02B
.0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of the
General Statutes. [15A NCAC 02T .0105(c)(6)]
In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner. [15A NCAC
02T .0104]
6. The Permittee shall retain a set of Division approved plans and specifications for the life ofthe facilities
permitted herein. [15A NCAC 02T .0108(b)(1)]
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority. [15A NCAC 02T
.01050)]
8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110. [15A NCAC 02T .0110]
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b). [15A
NCAC 02T .0120]
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to pay
the annual fee accordingly shall be cause for the Division to revoke this permit. [I5A NCAC 02T
.0105(e)(3)]
Permit issued this the 24'b day of July 2017
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
7 S. Jay Zimmerman, P.G., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0004438
WQ0004438 Version 4.0 Shell Version 151201 Page 7 of 8

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