NC0006548_Permit (Issuance)_20090820

NPDES DOCUMENT SCANNING COVER :SHEET
NPDES Permit:
NC0006548
Wayne Farms / Dobson facility
Document Type:
Permit Issuance M`
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Plan of Action
Instream Assessment
(67b)
Speculative Limits
Environmental Assessment (EA)
Permit
History
Document Date:
August 20, 2009
This document is printed on reuse paper - ignore any
content on the' ew-erse side

ern
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Govemor Director Secretary
August 20, 2009
Mr. Guy Hinton, VP Operations
Wayne Farms, LLC
802 East Atkins Street
Dobson, NC 27017
Subject: Issuance of NPDES Permit NC0006548
Wayne farms/Dobson Plant
Surry County
Dear Mr. Hinton:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U.S. Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
This final permit includes no major changes from the draft permit sent to you on July 1, 2009.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable
to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt
of this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh,
North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal requirements
to obtain other permits which may be required by the Division of Water Quality or permits required by the
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org.
An Equal Opportunity 1 Affirmative Action Employer
Nose Carolina
�tura!!y

Division of Land Resources, the Coastal Area Management Act or any other Federal or Local governmental permit
that may be required. If you have any questions concerning this permit, please contact Sergei Chernikov at
telephone number [phone].
cc: WSRO-Surface Water Protection
NPDES File
Central Files
Aquatic Toxicology Unit (e-copy)
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604•
Phone: [phone] FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
Naturally

Permit NC0006548
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Wayne Farms, LLC
is hereby authorized to discharge wastewater from a facility located at
Wayne Farms
802 East Atkins Street
Dobson
Surry County
to receiving waters designated as the Fisher River in the Yadkin -Pee Dee River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective October 1, 2009.
This permit and authorization to discharge shall expire at midnight on December 31, 2013.
Signed this day August 20, 2009.
74}
oleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0006548
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the
permit conditions, requirements, terms, and provisions included herein.
Wayne Farms, LLC, is hereby authorized to:
1. Continue to operate an existing 0.70 MGD wastewater treatment facility with the
following components:
• Primary 8s secondary rotary screens
• Dissolved air floatation unit with chemical addition
• Equalization basin
• Aeration basin
• Biological nitrification
• Final clarifiers
• Chlorination
• Dechlorination
• Sludge storage lagoon
• Continuous flow meter
• Effluent pump station
The facility is located at Wayne Farms - Dobson Plant on 802 East Atkins Street,
Dobson, in Surry County.
2. Discharge from said treatment works at the location specified on the attached map
into the Fisher River, classified C waters in the Yadkin -Pee Dee River Basin.

Latitude: 36"24'37"
] ,ongitutic: 80"41'22"
Quad: Dobson, N.C.
Stream Class: C
Subbasin: 03-07-02
Receiving Stream: Fisher River
NC0006548
Wayne Farms
Dobson PLant
MAP NOT TO SCALE

Permit NC0006548
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until permit expiration, the
Permittee is authorized to discharge treated wastewater from Outfall 001. Such discharges shall be
limited and monitored by the Permittee as specified below:
EFFLUENT LIMITATIONS
, ' MONITORING REQUIREMENTS
PARAMETER : `
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample Location'.
Flow
0.7 MGD
Continuous
Recording
Effluent
BOD, 5-day, 20°C
16.0 mg/L
26.0 mglL
3/Week
Composite
Effluent
Total Suspended Solids
20.0 mg/L
• 30.0 mglL
3NVeek
Composite
Effluent
Oil and Grease
8.0 mg/L
14.0 mg/L
3NVeek
Grab
Effluent
NH3-N
4.0 mg/L
8.0 mglL
3NVeek
Composite
Effluent
Total Residual Chlorine
28 pg/L
3NVeek
Grab
Effluent
Fecal Coliforrn
(geometric mean)
200/100mL
400/100mL
3NVeek
Grab
Effluent
Temperature
•
3/Week
Grab
Effluent
pH2
3NVeek
Grab
Effluent
Total Nitrogen
(NO2+NO3+TKN)
103 mglL
147 mglL
Weekly
Composite
Effluent •
.
Total Phosphorus
Weekly
Composite
Effluent
Chronic Toxicity3
Quarterly
Composite
Effluent
Temperature
Monthly
Grab
Upstream & Downstream
Dissolved Oxygen
Monthly
Grab
Upstream & Downstream
Notes:
1. Upstream = at NCSR 2258 bridge. Downstream = at NCSR 1100 bridge.
2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
3. Chronic Toxicity (Ceriodaphnia) limit at 4.5% with testing in January, April, July, and October (see
A. (2).
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Permit NC0006548 '
A. (2) CHRONIC TOXICITY PERMIT LIMIT (Quarterly)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to
Ceriodaphnia dubia at an effluent concentration of 4.5 %.
The permit holder shall perform at a minimum, quarterly monitoring using test procedures outlined in the "North
Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or subsequent versions or
"North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent
versions. The tests will be performed during the months of January, April, July and October. Effluent
sampling for this testing shall be performed at the NPDES permitted final effluent discharge below all treatment
processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the permit
limit, then multiple -concentration testing shall be performed at a minimum, in each of the two following months
as described in "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998)
or subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the highest
concentration having no detectable impairment of reproduction or survival and the lowest concentration that does
have a detectable impairment of reproduction or survival. The definition of "detectable impairment," collection
methods, exposure regimes, and further statistical methods are specified in the "North Carolina Phase II Chronic
Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge
Monitoring Form (MR-1) for the months in which tests were performed, using the parameter code TGP3B for the
pass/fail results and THP3B for the Chronic Value. Additionally, DWQ Form AT-3 (original) is to be sent to the
following address:
Attention: NC DENR / DWQ / Environmental Sciences Section
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Branch no later than 30
days after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate signature.
Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for
disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the
permittee will complete the information located at the top of the aquatic toxicity (AT) test form indicating the
facility name, permit number, pipe number, county, and the month/year of the report with the notation of "No
Flow" in the comment area of the form. The report shall be submitted to the Environmental Sciences Branch at
the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be
required during the following month. Should any test data from this monitoring requirement or tests performed
by the North Carolina Division of Water Quality indicate potential impacts to the receiving stream, this permit
may be re -opened and modified to include alternate monitoring requirements or limits.
If the Permittee monitors any pollutant more frequently then required by this permit, the results of such
monitoring shall be included in the calculation & reporting of the data submitted on the DMR & all AT Forms
submitted.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism
survival, minimum control organism reproduction, and appropriate environmental controls, shall constitute an
invalid test and will require immediate follow-up testing to be completed no later than the last day of the month
following the month of the initial monitoring.

Winston-Salem Journal
Advertising Affidavit
Winston-Salem Journal
P.O Box 3159
Winston-Salem, NC 27102
NCDENR/DWQ/POINT SOURCE BRANCH
ATTN: DINA SPRINKLE
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
Account Number
3376309
Date
July 03, 2009
Date Category
Description
Ad Size
Total Cost
07/03/2009
Legal Notices
PUBLIC NOTICE North Carolina Environment
2 x 33 L
237.45
PUBLIC NOTICE
North CaralRua Environmental
Management Commission/NPDES t1Nt
1617 Mall Service Center
Raleigh, NC 27699-1617
Notice of latent to Issue a
NPDES Wastewater Penult
The North Carolina Environmental k ement
Commission proposes to issue a NPDES evrater
discharge permit to the person(s) listed below.
Written comments regarding the proposed permit
will be accepted until 30 days after the publish date
of this notice. The Director of the NC Division of
Water Quality (DWQ) may hold a public hearing
should there be a signiticant degree of public in-
terest Please mall comments and/or information
requests to DWQ at the above address. Interested
persons mayvisit the DWQ at 512 N. Salisbury
Street, Raleih, NC to review. Information on file.
Additional information an NPDES permits and this
notice may be found on our website: www.ncwater
quaiity.org, or by calling [phone].
Wayne Farms, LLC requested renewal of permit
NC0006548 for Dobson Plant in Surry County; this
facility discharge is treated industrial wastewater
to Fisher River, Yadkin River Basin.
WStr Judy 3, 2009
Media General Operations, Inc.
Publisher of the
Winston-Salem Journal
Forsyth County
Before the undersigned, a Notary Public of Forsyth County, North Carolina, duly
commissioned, qualified, and authorized by law to administer oaths, personally appeared
D.H. Stanfield, who by being duly sworn deposes and says: that he is Controller of the
Winston-Salem Journal, engaged in the publishing of a newspaper known as Winston-Salem
Journal, published, issued and entered as second class mail in the City of Winston-Salem, in
said County and State: that he is authorized to make this affidavit and sworn statement: that
the notice or other legal advertisement, a true copy of which is attached hereto, was
published in the Winston-Salem Journal on the following dates:
07/03/2009
and that the said newspaper in which such notice, paper document, or legal advertisement
was published was, at the time of each and every such publication, a newspaper meeting all
the requirements and qualifications of Section 1-597 of the General Statutes of North
Carolina and was a qualified newspaper within the meaning of Section 1-597 of the General
Statutes of North Carolina.
This 3th day of July, 2009
4,1CL
(signature of pers n m i s idavit)
Sworn to and subscribed before me, this 3th day of July, 2009
My Commission expires
Public)
KIMALEY JOHNSON
NOTARY PUBLIC
FORSYTH COUNTY
MY COMMISSION EXPIRE
STATE OF NORTH CAR LI G
•
THIS IS NOT A BILL. PLEASE PAY FROM I O C . N YU

NCDENR / DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
Wayne Farms, LLC
NPDES No. NC0006548
ity Information
(1.) Facility Name:
Wayne Farms
(2.) Permitted Flow,MGD:
0.70 MGD
(6.) County:
Surry
(3.) Facility Class:
III
(7.) Regional Office:
Winston-Salem
(4.) Facility Status:
Existing
(8.) USGS Topo Quad:
B16NW
(5.) Permit Status:
Renewal
(9) USGS Site:
Dobson
ream
haracte�
sties
(1.) Receiving Stream:
Fisher River
(2.) Subbasin:
030702
(8.) Drainage Area (mi2):
109
(3.) Index No.:
12-63-9
(9.) Summer 7Q10 (cfs)
23
(4.) Stream Class:
C
(10.) Winter 7Q10 (cfs):
34
(5.) 303(d) Listed:
NO
(11.) 30Q2 (cfs):
48
(6.) 305(b) Status:
NA
(12.) Average Flow (cfs):
141
(7.) Use Support:
(13.) IWC (%):
4.5%
SUMMARY
This is a minor renewal for a poultry processor (0.70 MGD). The discharge is 100% industrial, with
domestic wastewater piped to city sewer. The facility discharges via Outfall 001 to Fisher River
(Class C), which is not listed on the 2003 303 (d) list. New guidelines for the Poultry Industry were
published in 2003. The permit limits for this renewal were established in accordance with these
newly published regulations for Poultry Processing.
INSTREAM MONITORING
Instream monitoring is required for temperature and dissolved oxygen. An analysis of DO,
temperature and conductivity data showed that the facility has no noticeable effect on the receiving
stream.
TOXICITY TESTING:
Type of Toxicity Test:
Existing Limit:
Recommended Limit:
Monitoring Schedule:
Chronic Phase II
001: Chronic ChV @ 4.5%
001: Chronic ChV @ 4.5%
January, April, July, and October
This facility has been consistently passing all toxicity tests.
COMPLIANCE HISTORY
The facility has a negative compliance record. It has some difficulties meeting requirements of the
new effluent guidelines. The WWTP experienced a number of cold weather upsets. In order to
address this issue the facility will be purchasing "cold weather bugs" from Maryland Biochemical.
They are also planning to install telemetry on every electrical and mechanical device in the plant.

NPDES PERMIT FACT SHEET Wayne Farms LLC
Page 2 NPDES No. NC0006548
PROPOSED CHANGES:
• Monitoring Frequencies: No changes are proposed.
• Instram Monitoring: No changes are proposed.
• Limits: No changes are proposed.
EFFLUENT GUIDELINES LIMITS:
The technology based limits for Ammonia, BOD, TSS, Fecal Coliform, Total Nitrogen and O&G
were established according to the 40 CFR Part 432, Subpart K (Poultry First Processing). Both BAT
and BPT limits apply according to Mary Rubin (EPA, Engineering and Analytical Division, 202-566-
1050). New limits are concentration based.
PROPOSED SCHEDULE FOR PERMIT ISSUANCE:
Draft Permit to Public Notice: Jule 1, 2009 (est.)
Permit Scheduled to Issue: August 24, 2009 (est.)
STATE CONTACT:
If you have any questions on any of the above information or on the attached permit, please contact
Sergei Chernikov at [phone].
REGIONAL OFFICE COMMENT:
NAME: DATE:
Page 2
Version: June 5, 2009

Chernikov, Sergei
From: Hudson, Gary
Sent: Thursday, June 04, 2009 1:46 PM
To: Chernikov, Sergei
Subject: RE: Wayne Farms/Dobson Plant, NC0006548
Segei,
This is what he was referring to with the "cold weather upsets". Most of the violations occurred in Feb 08 ($7705.00
enforcement), and Jan 09 (NOV). I called him back to ask about any plans for abatement, and he said that starting this
winter, they were going to purchase "Cold Weather Bugs" from Maryland Biochemical and feed them throughout the
winter (their contact at M.B. is Ken Ferrell). Also, they requested and received a Technical Assistance visit from our
Wastewater Treatment Plant Consultant (Marc Stokes) on December 10, 2008.
Thanks,
Gary
From: Chernikov, Sergei
Sent: Thursday, June 04, 2009 12:22 PM
To: Hudson, Gary
Subject: RE: Wayne Farms/Dobson Plant, NC0006548
Gary,
What about significant number of BOD and ammonia violations this year and last years? I talking about dozens of
violations.
Sergei
Sergei Chernikov, Ph.D.
Environmental Engineer II
NPDES-West
Phone: [phone], fax [phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
Express mail: 512 North Salisbury St.
Raleigh, NC 27606
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Hudson, Gary
Sent: Thursday, June 04, 2009 12:20 PM
To: Chernikov, Sergei
Cc: Tedder, Steve
Subject: RE: Wayne Farms/Dobson Plant, NC0006548
Good Afternoon Sergei,
1

The oil & grease violations that occurred in December and January turned out to be all lab errors and the lab did send us
a letter. I have just talked to the ORC about the string of TSS violations and he said that a blower starter had tripped out
over a weekend, and they are in the process of installing telemetry on every electro/mechanical device on the entire
plant (with a tentative completion in August). He also has problems annually with cold weather upsets. He said that he
did not intend on applying for a SOC. Let me know if I can be of more help.
Thanks,
Gary
From: Chernikov, Sergei
Sent: Thursday, June 04, 2009 11:10 AM
To: Hudson, Gary
Cc: Weaver, Charles; Belnick, Tom
Subject: Wayne Farms/Dobson Plant, NC0006548
Gary,
I am working on the renewal of the Wayne Farms permit. They have extremely bad compliance history. Are they
planning to make any imprivements to the plant to meet effluent guidelines that have been imposed on them on
January 1, 2006? Did they apply for SOC?
Thank you!
Sergei
Sergei Chernikov, Ph.D.
Environmental Engineer II
NPDES-West
Phone: [phone], fax [phone]
1617 Mail Service Center
Raleigh, NC 27699-1617
Express mail: 512 North Salisbury St.
Raleigh, NC 27606
fi
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
2

WAYNE FARMS LLC
4110 Continental Drive, Oakwood, Georgia 30566, Building B [phone]
September 2, 2008
North Carolina Department of Environment and Natural Resources
DWQ / Point Source Branch
1617 Mail Service Center
Raleigh, NC 37699-1617
Re: NPDES Permit Renewal — Permit No. NC0006548
Wayne Farms LLC — Dobson Fresh Plant
Dobson (Surry County), North Carolina
To Whom It May Concern:
Please find enclosed herewith a completed permit renewal application for the referenced Wayne
Farms LLC — Fresh Poultry Plant in Dobson, NC. This facility has experienced no changes in the
production operations or wastewater treatment plant operations since the issuance of the current
permit.
This facility is not classified as a Primary Industry (Appendices A-D of 40 CFR part 122), and does
not require a Priority Pollutants Analysis.
As a by-product, Waste Activated Sludge is generated and handled as follows:
Thickened Sludge from the clarifiers is stored for decanting in two poly -lined basins. A contract
hauling and application company (currently Synagro, Inc.) removes the sludge for land application at
agronomic rates on approved properties. Additional details in the sludge management and the
requirements of Permit No. WQ0004609 are available upon request.
Please do not hesitate to contact me at [phone] if you have any questions, or wish to further
discuss these matters.
cerely,
...), AA,
Russell G. Dickson, PE
Manager — Environmental Compliance and Engineering
Wayne Farms LLC
Enc.
cc: Mr. Bruckie Ashburn
Mr. Paul Nordin
File

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number
NC0006548
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
Wayne Farms LLC
Wayne Farms LLC - Dobson Fresh Plant
PO Box 383
Dobson
NC 27017
[phone]
[phone]
Bruckie.Ashburn®WayneFarms. com
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road 802 East Atkins Street
City
State / Zip Code
County
Dobson
NC 27017
Surry
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
N/A
( )
Page 1 of 4 C-MI 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
4. Ownership Status:
Federal ❑ State ❑ Private ® Public ❑
5. Standard Industrial Classification (SIC) code(s): 2015
6. Number of employees: 800
7. Describe the treatment system List all installed waste treatment components with capacities,
describe the processes that generate wastewaters. If the space provided is not sufficient attach a
separate sheet of paper with the system description.
Primary / Secondary Rotary Screens; Dissolved Air Floatation with Chemical
Flocculation; Equalization Basin; Aeration Basin; Biological Nitrification; Final Clarifers;
Chlorination; Dechlorination; Waste Sludge Storage Lagoons; Effluent Flow Metering; and
Effluent Lift Station
8. Is facility covered under federal effluent limitation guidelines? No ❑ Yes
If yes, specify the category? Meat and Poultry Products
9. Principal product(s) produced: Processed Poultry
Principal raw material(s) consumed: Poultry (Chicken)
Briefly describe the manufacturing process(es):
Live chickens are received for processing into products for shipment to customers. Major processes
include: slaughter, scalding, defeathering, evisceration, partitioning, sizing, deboning, flash- freezing,
packaging, storage and shipping.
Page 2 of 4 C-MI 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
10. Amount of principal product produced or raw material consumed
(List specific amounts consumed and/or units of production over the last three years)
Product Produced or Raw Material
Consumed
(AVERAGE)
Product Produced or Raw Material
Consumed
(PEAK)
per Day
125,000 Birds/Day
135,000 Birds/Day
per Month
2,500,000 Birds/Month
3,000,000 Birds/Month
per Year
30,000,000 Birds/Year
36,000,000 Birds/Year
11. Frequency of discharge: Continuous ® Intermittent ❑
If intermittent:
Days per week discharge occurs: 7 Duration: 24 hours/day
12. Types of wastewater discharged to surface waters only
Discharge
Flow
(GALLONS PER DAY)
Sanitary - monthly average
Utility water, etc. - monthly average
Process water - monthly average
450,000 GPD (historical usage)
Stormwater - monthly average
Other - monthly average
Explain:
•
Monthly Average
total discharge (all types)
13. Number of separate discharge points: 1
Outfall Identification number(s) 001
14. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Fisher River (Yadkin - Pee Dee River Basin) - see attached map.
Page 3 of 4
C-MI 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
15. Effluent Data
Provide data for the parameters listed. 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)
17
10.4
mg/1 (DMR 6/08)
Chemical Oxygen Demand (COD)
Not DMR Spec.
Total Organic Carbon
Not DMR Spec.
Total Suspended Solids
13
7.7
mg/1 (DMR 6/08)
Ammonia as N
1.1
0.6
mg/1 (DMR 6/08)
Temperature (Summer)
26
25
C - (DMR 7/08)
Temperature (Winter)
15
11
C - (DMR 1/08)
pH
Std. (DMR 6/08)
Fecal Coliform (If sanitary waste is
present)
40
11.4
Co1/100 ml (6/08)
Total Residual Chlorine (if chlorine is
used)
19
7
mg/1 (DMR 6/08)
16. List all permits, construction approvals and/or applications (check all that apply and provide permit
numbers or check none if not applicable):
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
Permit Number
NPDES NCG060185 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other SM 05134R07
Non -attainment program (CAA)
17. List any chemicals that may be discharged (Please list and explain source and potential
amounts.)
Residual Chlorine (disinfection)
Sulfur Dioxide (dechlorination)
Polyamines (TSS coagulation at Clarifier)
18. Is this facility located on Indian country? (check one)
Yes ❑ No IZ
Page 4 of 4 C-MI 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
19. 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.
Guy Hinton VP - Operations
Printed name of Person Sig g Title
Signatu ,='o A
an
deity/
North Carolina General Statute 143-215.6 (b)(2) provides that: 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.)
Page 5 of 4 C-MI 03/05

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for expedited permit renewal
Reviewer/Date
ec t s, 4/Vio y
Permit Number
Ncoao C.V $
Facility Name
We.,y he Farr.) L < (-
Basin Name/Sub-basin number
yakt ' 1)j .
0 z 4-7 a 2-
Receiving Stream
F, Act RN*"
Stream Classification in Permit
e,
Does permit need NH3 limits?
•y h e J luto d 1 c1 Lsh a h
Does permit need TRC limits?
Pi 4
Does permit have toxicity testing?
e 3
Does permit have Special Conditions?
i3
Does permit have instream monitoring?
iei
Is the stream impaired (on 303(d) list)?
a
Any obvious compliance concerns?
N p
Any permit mods since last permit?
N,
Existing expiration date
i Z 4 z$/ 0%
New expiration date
t245 1/ t3
' New permit effective date
Miscellaneous Comments
A-4 c 1,, T,L - nmi $V" -k M04+,C,I 4ac.\4-7 4.4,—, i for
YES_ This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
name/ownership changes). Include conventional WTPs in this group. •
YES_ This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case -by -case decision.
S I/ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipal/industrial)
• Minor Municipals with pretreatment program
or Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)
YES_ This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
name/ownership changes). Include conventional WTPs in this group. •
YES_ This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case -by -case decision.
S I/ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipal/industrial)
• Minor Municipals with pretreatment program
or Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)