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Home My WebLink AboutWQ0039053_Residual Annual Report 2021_20220119Non -Discharge Branch Upload/Submittal Form NORTH CAROLINA EnWrvnmemfal Qualify Version 2 - Revised June 23, 2020 Initial Review Reviewer Thornburg, Nathaniel D Is this submittal an application? (Excluding additional information.)* Yes No If not an application what is the submittal type?* Annual Report Residual Annual Report Additional Information Other Annual Report Year* 2021 Permit Number (IR) * WQ0039053 Applicant/Permittee Bio-Nomic Services, Inc. Email Notifications Does this need review by the hydrogeologist?* Yes No Regional Office CO Reviewer Admin Reviewer Submittal Form Project Contact Information Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence. Name* Martin Mabe Email Address* martin@willcoxmabesoil.com Project Information Application/Document Type * New (Fee Required) Modification - Major (Fee Required) Renewal with Major Modification (Fee Required) Annual Report Additional Information Other Phone Number* 3363121396 Modification - Minor Renewal GW-59, NDMR, NDMLR, NDAR-1, NDAR-2 Residual Annual Report Change of Ownership We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form. https://edocs.deg.nc.gov/Forms/NonDischarge_Monitoring_Report Permit Type: * Permit Number: * Applicant/Permittee Address* Facility Name* Wastewater Irrigation Other Wastewater Closed -Loop Recycle Single -Family Residence Wastewater Irrigation W00039053 Has Current Existing permit number 530 Woodlawn Street, Belmont, NC 28012 Bio-Nomic Services Class A Residuals Program Please provide comments/notes on your current submittal below. Bio-Nomic Services, Inc. DCAR WQ0039053 - 2021 Annual Report High -Rate Infiltration Reclaimed Water Residuals Other At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here. * (Application Form, Engineering Plans, Specifications, Calculations, Etc.) 2021 Annual Report WO0039053.pdf 635.7KB Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger than upload limit. By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has been received by the Non - Discharge Branch. Application fees must be submitted by check or money order and made payable to the North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts of the application in correct order (as specified by the application). Mail payment to: NCDEQ — Division of Water Resources Attn: Non -Discharge Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Signature Submission Date 1/19/2022 2021 ANNUAL REPORT LAND APPLICATION PROGRAM BIO-NOMIC SERVICES, INC. PERMIT #WQ0039053 Prepared For: Bio-Nomic Services 530 Woodlawn St Belmont, NC 28012 Compiled By: Willcox & Mabe Soil Solutions, PLLC 7231B Summerfield Road Summerfield, North Carolina 27358 January 2022 willcox&mabe SOIL SOLUTIONS January 19, 2022 NCDEQ-DWR Non -Discharge Branch 512 North Salisbury Street 9th Floor, Office #942X Raleigh, North Carolina 27604 Attention: Non -Discharge Permitting Unit Reference: 2021 LAND APPLICATION ANNUAL REPORT Bio-Nomic Services, Inc. Permit No. WQ0039053 WMSS Project No. 15-18 Ph: 09 Non -Discharge Permitting Unit: Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting all monitoring and reporting requirements as specified in the above referenced permit on behalf of Bio-Nomic Services, Inc. (Bio- Nomics) for the above referenced permit. WMSS compiled this report using data gathered during the compliance year by Bio-Nomics. This data includes: 1) Class A Annual Distribution and Marketing / Surface Disposal Certification and Summary Form (DMSDF). Bio-Nomics did not land apply any residuals under this permit during the calendar year of 2021. If there is any further information required or questions regarding this annual report please do not hesitate to contact the Bio-Nomic Services, Inc. or WMSS for further assistance. Sincerely, Willcox & Mabe Soil Solutions, PLLC Martin Mabe NC Land Application/Residuals Operator #22753 Enclosures Shared\WMSS Projects\2015\15-18 Bio-Nomics\Phase 09 - BNS Class A Permit\2021 Annual Report\2021 ANNUAL REPORT.doc Wilcox & Mabe Soil Solutions, PLLC / 7231 B Summerheld Road / Summerfield, NC 27358 / Rob 336.339.9128 or Martin 336.312.1396 /www.willcoxmabesoil.com TABLE OF CONTENTS SECTION NO. TITLE I DMSDF DMSDF CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM WQ PERMIT #: WQ0039053 FACILITY NAME: BIO-NOMIC SERVICES, INC. PHONE: (704) 529-0000 COUNTY: GASTON OPERATOR: Vaughn "Buck" Stevenson - Vice President FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C) ❑ Distribution and Marketing (complete Parts A, B, and C) Was the facility in operation during the past calendar year? Yes ❑ No Cl —► If No skip parts A, B, C and certify form below Part A*: Part B*: Month Sources(s) (include NPDES # if applicable) Volume (dry tons) Recipient Information Amendment/ Bulking Agent Residual In Product Out Name(s) Volume (dry tons) Intended use(s) January February March April May June July August September October November _ December Total from FORM DMSDF (sup) Totals: Annual (dry tons): 0 0 0 ............ ....•.... 0 Amendment(s) used: Bulking Agent(s) used: * If more space is required, attach additional information sheets (FORM DMSDF (supp)): Part C: Facility was compliant during the past calendar year with all conditions of the land application permit Ei Yes* (including but not limited to items 1-3 below) issued by the Division of Water Resources: I. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached. 2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Resources. 3. No contravention of Ground Water Quality Standards occurred at a monitoring well. "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee /19 Total Number of Form DMSDF (Supp) ❑ No ► If No, Explain in Narritive Date Signature of Preparer** Date (if different from Permittee) **Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) *NO LAND APPLICATION OCCURRED DURING THE 2021 CALENDAR YEAR DENR FORM DMSDF (12/2006)