NC0047759_Renewal (Application)_20220118

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ROY COOPER (/ `'
Governor g c7/�' �(
ELIZABETH S.BISER ` �- 11
Secretary
S.DANIEL SMITH NORTHCAROLINA
Director Environmental Quality
January 18, 2022
Pruitthealth-Sea Level, LLC
Attn: Nena Hancock,Administrator •
PO Box 100
Sea Leve, NC 28577
Subject: Permit Renewal
Application No. NC0047759
PruittHealth at Sealevel WWTP
Carteret County
Dear Applicant:
The Water Quality Permitting Section acknowledges the January 18, 2022 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
hops://deq.nc.gov/permits-regulations/permit-guidance/environments I-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sinc�e�r/el�y, 01
IV
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
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- E C16 North Carolina Department 0f EmlronmenW Quality I Division of Water Resources
/�J/( Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington North Carolina 28405
X. .o�\ �.� 9107967215
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NPDES 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 NC0047759
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 Pruitt
Facility Name Pruitt Health at Sea Level
Mailing Address PO Box 100
City Sea Level
'`ECEIVE®
State / Zip Code North Carolina 28577 JAI 18 2022
Telephone Number [phone]
NCDEQ/DWRINPDES
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 468 HWY 70 East
City Sea Level
State / Zip Code North Carolina 28577
County Carteret
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 Pruitt
Mailing Address PO BOX 100
City SEA LEVEL
State / Zip Code NC 28577
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 4 Form-D 11/12

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
School ❑ Number of Students/Staff
Other XX Explain: Nursing
home
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Pruitt Health Facility
Sea Level Pharmacy
Eastern Carteret Medical Center
Number of persons served: 90
5. Type of collection system
XX 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 XX No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Nelson Bay
8. Frequency of Discharge: XX 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.
• INFLUENT PUMP STATION
• AERATED EQUALIZATION BASIN
• FLOW SPLITTER BOX
• .014 MGD EXTENDED AIR PACKAGE PLANT
• DUAL TERTIARY FILTERS
• CHLORINE CONTACT CHAMBER
• CLEARWELL, MUDWELL AND AEROBIC DIGESTER
• PARSHALL FLUME WITH FLOW MEASUREMENT
2 of 4 Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Sludge Management Plan:
Pruitt contracts Craven AG Inc. in craven county to remove, stabilize and dispose of
sludges generated at the plant.
3 of 4 Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .014 MGD
Annual Average daily flow .006 MGD (for the previous 3 years)
Maximum daily flow .012 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes XX No
12. Effluent Data
NEW APPLICANTS: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.
RENEWAL APPLICANTS: Provide the highest single reading(Daily Maximum) and Monthly Average
over the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) 67 mg/1 7.55 mg/1 WEEKLY
Enterococci 2420/100m1 6.25/100m1 WEEKLY
Total Suspended Solids 12 mg/1 2.07 mg/1 WEEKLY
NH3asN 11.5 .133 2/MONTH
Temperature 32 18.76 WEEKLY
pH 8.66 8.33 2/MONTH
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping(MPRSA)
NPDES NC0047759 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
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bes of my knlwledge a d belief such information is true, complete, and accurate.
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Printe name'of Person Signing Title
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Signature of A plicant Date
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.)
4 of 4 Form-D 11/12