HomeMy WebLinkAboutWQ0011869_Residual Annual Report 2021_20220209Non -Discharge Branch Upload/Submittal Form
NORTH CAROLINA
En.anmemfal 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) * WQ0011869
Applicant/Permittee Cape Fear Public Utility Authority
Email Notifications
Does this need review by the hydrogeologist?* Yes • No
Regional Office
CO Reviewer
Admin Reviewer
Wilmington
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*
Elizabeth Severt
Email Address* Phone Number*
eliabeth.severt@cfpua.org 9103225513
Project Information
Application/Document Type *
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
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: *
Wastewater Irrigation
Other Wastewater
Closed -Loop Recycle
Single -Family Residence Wastewater
Irrigation
Permit Number:* WQ0011869
Has Current Existing permit number
Applicant/Permittee Address* WQ0011869
Facility Name* CFPUA Class A Residuals Program
Please provide comments/notes on your current submittal below.
No Land application occurred during the 2021 reporting period.
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.)
Signed DEQ Report -Permit No. WQ0011869.pdf 171.41KB
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 2/9/2022
Mileage Fear
Public Utility Authority
Stewardship. Sustainability. Service.
January 27, 2021
NC DEQ Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Annual Biosolids Report
Permit No. WQ0011869 — Residuals Distribution Class A
To Whom It May Concern:
Enclosed is a copy of the Cape Fear Public Utility Authority's Annual Biosolids Report summarizing our
performance for the twelve-month period of January 1, 2021 through December 31, 2021. CFPUA did
not operate the Class A facility during this reporting period. No land application occurred during the
reporting period; all solids were disposed in a municipal landfill.
If you have any questions or comments concerning this report, please feel free to contact me at 910-
332-6574 or Elizabeth Severt at 910-332-6420.
Sincerely,
7i,14 542
Matthew P. Hourihan, P.E.
Assistant Operations Director
Cape Fear Public Utility Authority
235 Government Center Drive, Wilmington, NC 28403
www.cfpua.org
CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0011869 FACILITY NAME: Cape Fear Public Utility Authority
PHONE: 910-332-6697 COUNTY: New Hanover OPERATOR: Milton S. Vann Jr.
FACILITY TYPE (please check one): 0 Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
0 Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar y ear? Yes a No ' _ + 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
i
February
March
April
May
June
July
August
September
October
November
_
December
Total from FORM DMSDF (sup)
Totals:
Annual (dry tons):
0
0
0
`;
0 J
Amendment(s) used:
Bulking Agent(s) used:
DMSDF (Supp)
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit
(including but not limited to items 1-3 below) issued by the Division of Water Resources:
Yes
° No If No, Explain in Narritive
1. 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."
M . �.. vd , fa)/9
Signature of Permittee Date
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Signature ofPreparer**
(if different from Permittee)
Date
DENR FORM DMSDF (12/2006)