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Home My WebLink AboutWQ0009267_Application_20220328Non -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 Permit Number (IR) * WQ0009267 Applicant/Permittee City of Jacksonville Applicant/Permittee Address PO Box 128, Jacksonville, NC 28541 Is the owner in BIMS? Yes No Is the facility in BIMS? Yes No Owner Type Facility Name County Fee Category Is this a complete application?* Yes No Signature Authority Signature Authority Title Signature Authority Email Document Type (if non -application) Email Notifications Does this need review by the hydrogeologist?* Regional Office CO Reviewer Admin Reviewer Municipal City of Jacksonville WWTF Onslow Yes No Fee Amount $0 Complete App Date 03/28/2022 Below list any additional email address that need notification about a new project. Email Address Comments to be added to email notfication Comments for Admin Comments for RO Comments for Reviewer Comments for Applicant 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* Amy Palaschak Email Address* Phone Number* apalaschak@jacksonvillenc.gov 910-938-3620 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.deq.nc.gov/Forms/NonDischarge_Monitoring_Report Permit Type: * Permit Number: * Applicant/Permittee * Wastewater Irrigation Other Wastewater Closed -Loop Recycle Single -Family Residence Wastewater Irrigation City of Jacksonville WQ0009267 Has Current Existing permit number Applicant/Permittee Address* PO Box 128, Jacksonville, NC 28541 Facility Name* City of Jacksonville WWTF Please provide comments/notes on your current submittal below. 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.) W00009267 March 2021 Permit Renewal Application Signed.pdf 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. 4.11MB * 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 3/28/2022 DIVIt State of North Carolina Department of Environmental Quality Division of Water Resources Division of Water Resources 15A NCAC 02T .0500 — WASTEWATER IRRIGATION SYSTEM — RENEWAL FORM: WWIS-R 02-21 Pursuant to 15A NCAC 02T .0107(b), if the application does not include all required information and the necessary supporting documentation, the application shall be returned. The application and attachments shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .0500, and Division Policies. For more information, visit the Water Quality Permitting Section's Non -Discharge Branch website. The Applicant shall submit an electronic copy of the application and attachments uploaded as a single Portable Document Format (PDF) file to https://edocs.dec .nc.gov/Forms/NonDischarge-Branch-Submittal- Form-Vert, or emailed to Non-Discharge.Reportsna,ncdenr.gov if less than 20 megabytes (MB). SECTION I APPLICANT INFORMATION — 1. Applicant: City of Jacksonville Wastewater Land Treatment System 2. Permit No.: WQ0009267 3. Signature Phone number: authority: (910) Wally 938-5260 Hansen Office Title: Email: Public whansen@jacksonvillenc.gov Services Director 4. Mailing address: PO Box 128 City: Jacksonville State: NC Zip: 28541-128 5. Contact Primary person: phone number: Wally Hansen (910) 938-5260 Office Email: Secondary whansen@jacksonvillenc.gov phone number: (910) 388-8171 Cell SECTION H — FACILITY INFORMATION Physical address: 716 Firetower Road City: Jacksonville Treatment facility coordinates to the sixth decimal degree: Latitude: 34.780228° County: Onslow State: NC Longitude: -77.546340° Method: Address matching Parcel No.: 308-19 Zip: 28540-9229 SECTION III FLOW INFORMATION — 1. Permitted flow: 9000000 GPD (The maximum allowable flow based on what has been permitted) 2. As -built flow: 9000000 GPD (The MaXi17111111 allowable flow based on what has been constructed) 3. Average flow: 4851507 GPD (The average of all reported flows o)l the previous calendar year's NDMRs) 4. Hydraulic capacity: 54 % (Divide the average flow in Item 3 by the As -built flow in Item 2) 5. Wastewater composition: Domestic : 78 % Industrial: 0 % Stormwater: 22 % SECTION IV — BILLING INFORMATION Billing address: PO Box 128 City: Jacksonville State: NC Zip: 28541-128 Verify the Applicant does not have any overdue annual fees: https://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wq-epayments Pursuant to 15A NCAC 02T .0120(c), permits for renewing facilities shall not be granted if the Applicant or any affiliation has an unpaid annual fee. FORM: WWIS-R 02-21 Page 1 of 6 SECTION V OPERATOR IN RESPONSIBLE CHARGE (ORC) INFORMATION 1. ORC: Brandon D. Davis Mailing address. PO Box 128 City: Jacksonville Phone number: (910) 330-6308 Office Grade: SI Certification No.: 1002072 State: NC Zip: 28541 128 Email: wbrown@jacksonvillenc gov 2. Back -Up ORC: Donnie Marshburn Mailing address. PO Box 128 City: Jacksonville Phone number: (910) 389-7942 Cell Grade: SI Certification No.: 1006234 State: NC Zip: 28541 0128 Email. bddavis@Jacksonvillenc.gov SECTION VI OPEN -ATMOSPHERE STRUCTURES — 1. List necessary. all open -atmosphere treatment and storage structures associated with the renewing permit. Attach additional sheets if Parcel No. Liner Type Freeboard (ft) Latitude Longitude Type Volume (gal) Select Select 0- . ° Select Select - ° Select Select - . ° Select Select - ° SECTION VII — RELATED PERMITS 1. List Attach all wastewater additional sheets permits if (i.e., sewer, collection necessary. system, NPDES, residuals) that have interactions with the renewing permit. Permit Type Permit No. Relationship Type WQCS00268 Discharging collection system Collection System Select Select Select Select Select Select SECTION MONITORING VHI WELLS — 1. List all groundwater monitoring wells associated with the renewing per nit. Attach additional sheets if necessary. Well Name Parcel No. Status Gradient Location Latitude Longitude Select Select Select ° - ° Select Select Select . ° - ° Select Select Select ° - . ° Select Select Select ° - ° Select Select Select 0 - ° Select Select Select 0 - ° Select Select Select 0 - ° Select Select Select . ° ° Select Select Select ° - ° Select Select Select ° - . ° Select Select Select ° - . ° FORM: WWIS-R 02-21 Page 2 of 6 ADDITIONAL SHEET Section VI - OPEN -ATMOSPHERE STRUCTURES 1. List all open -atmosphere treatment and storage structures associated with the renewing permit. Type Parcel No. Volume (gal) Liner Type Freeboard (ft) Latitude Longitude Treatment 036084 200 (gpm) Full, concrete N/A 34.773380 -77.549985 Treatment 036084 200 (gpm) Full, concrete N/A 34.773406 -77.550071 Treatment 036084 4500000 Full, synthetic N/A 34.774922 -77.550535 Treatment 036084 4500000 Full, synthetic N/A 34.774389 -77.551190 Treatment 036084 4500000 Full, synthetic N/A 34.773926 -77.551654 Treatment 036084 3000000 Full, synthetic N/A 34.774356 -77.549651 Treatment 036084 3000000 Full, synthetic N/A 34.773839 -77.550363 Treatment 036084 3000000 Full, synthetic N/A 34.773240 -77.551137 Storage 036084 108000000 Half, synthetic 2 34.777112 -77.552213 Storage 036084 254000000 Half, synthetic 2 34.779396 -77.548501 Storage 027501 360000000 Half, synthetic 2 34.770164 -77.548406 ADDITIONAL SHEET Section VIII - MONITORING WELLS 1. List all groundwater monitoring wells associated with the renewing permit. Well Name Parcel No. Status Gradient Location Latitude Longitude MW1 036084 Active Downgradient On Compliance Boundary 34.803191 -77.578673 MW2 036084 Active Downgradient On Compliance Boundary 34.788819 -77.577626 MW3 036084 Active Cross gradient Inside Field 34.787201 -77.570964 MW4 036084 Active Downgradient On Compliance Boundary 34.768070 -77.573914 MW5 036084 Active Downgradient On Compliance Boundary 34.755887 -77.558781 MW6 036084 Active Downgradient On Compliance Boundary 34.753888 -77.579815 MW7 036084 Active Downgradient 34.735900 -77.598946 On Compliance Boundary MW8 036084 Active Downgradient N/A 34.777588 -77.546408 MW9 036084 Active Downgradient N/A 34.778159 -77.546598 MW10 036084 Active Downgradient N/A 34.779205 -77.546503 MW11 036084 Active Upgradient On Compliance Boundary 34.812613 -77.602563 MW12 036084 Active Upgradient On Compliance Boundary 34.757600 -77.599327 MW13 036084 Active Upgradient 34.779967 -77.551547 On Compliance Boundary MW14 036084 Active Downgradient 34.772448 -77.553927 On Compliance Boundary MW15 021690 Active Cross gradient Inside Field 34.799955 -77.592188 MW16 021689 Active Upgradient On Compliance Boundary 34.798622 -77.615317 MW17 021689 Active Cross gradient 34.798146 -77.610748 On Compliance Boundary SECTION IX FIE DS IRRIGATION - 1. List all irrigation fields associated with the renewing permit. Attach additional sheets if necessary. Field County Parcel No. Deeded Owner Area Cover Crop Latitude Longitude 1 Onslow 036084 City of Jacksonville 106.15 Loblolly Pine 34.810833° -77.599167° 2 Onslow 036084 City of Jacksonville 51 26 Loblolly Pine 34.806944° -77.591389° 3 Onslow 036084 City of Jacksonville 117.37 Loblolly Pine 34.810556° -77.584444° 4 Onslow 015084 City of Jacksonville 45.21 Loblolly Pine 34.810833° -77.577778° 5 Onslow 036084 City of Jacksonville 77.33 Loblolly Pine 34.811667° -77.539444° 6 Onslow 036084 City of Jacksonville 53.79 Loblolly Pine 34.805556° -77.567222° 7 Onslow 021690 City of Jacksonville 90.20 Loblolly Pine 34.797776° -77.607500° 8 Onslow 021690 City ofJacksonville 96.91 Loblolly Pine 34.800556° -77.597778° 9 Onslow 021690 City of Jacksonville 34.65 Loblolly Pine 34.801667° -77.592222° 10 Onslow 036084 City of Jacksonville 88.55 Loblolly Pine 34.798889° -77.584772° 11 Onslow 036084 City ofJacksonville 76.78 Loblolly Pine 34.791389° -77.581667° 12 Onslow 036084 City ofJacksonville 100.32 Loblolly Pine 34.787222° -77.587500° 13 Onslow 036084 City of Jacksonville 64.68 Loblolly Pine 34.783889° -77.582500° 14 Onslow 036084 City of Jacksonville 74.14 Loblolly Pine 34.786389° -77.577222° 15 Onslow 036084 City of Jacksonville 76.56 Loblolly Pine 34.786667° -77.568611 ° 16 Onslow 036084 City of Jacksonville 68.09 Loblolly Pine 34.782500° -77.597222° 17 Onslow 036084 City of Jacksonville 78.76 Loblolly Pine 34.730560° -77.573889° 18 Onslow 036084 City of Jacksonville 73.04 Loblolly Pine 34.773333° -77.569722° 19 Onslow 036084 City of Jacksonville 78.10 Loblolly Pine 34.777500° -77.562778° 20 Onslow 036084 City of Jacksonville 84.70 Loblolly Pine 34.768330° -77.568333° 21 Onslow 036084 City ofJacksonville 90.42 Loblolly Pine 34.764167° -77.563611° 22 Onslow 036084 City ofJacksonville 121.44 Loblolly Pine 34.758889° -77.561667° 23 Onslow 036084 City of Jacksonville 102.85 Loblolly Pine 34.762778° -77.585833° 24 Onslow 036084 City of Jacksonville 95.81 Loblolly Pine 34.758333° -77.588333° 25 Onslow 036084 City of Jacksonville 89.87 Loblolly Pine 34.751667° -77.585000° 26 Onslow 036084 City of Jacksonville 70.29 Loblolly Pine 34.748056° -77.591944° 27 Onslow 036084 City of Jacksonville 107.36 Loblolly Pine 34.743056° -77.594444° 28 Onslow 036084 City of Jacksonville 117.04 Loblolly Pine 34.736667° -77.604722° ° • 0 0 0 0 0 • 0 • 0 • 0 • 0 • 0 0 • • 0 0 o • • 0 Acreage: 2331.67 Total FORM: WWIS-R 02-21 Page 3 of 6 ATTACHMENT A — SITE MAP Was the facility originally permitted or had a major modification issued after September 1, 2006? ] Yes — Pursuant to 15A NCAC 02T .0105(d), submit a site map pursuant to the requirements in 15A NCAC 02T .0504(d). These requirements are: ❑ A scaled map of the site with topographic contour intervals not exceeding 10 feet or 25 percent of total site relief and showing all facility -related structures and fences within the wastewater treatment, storage, and irrigation areas. ❑ Soil mapping units shown on all irrigation sites. ❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of all wastewater treatment, storage, and irrigation sites. ❑ Delineation of the compliance and review boundaries per 15A NCAC 02L .0107 and .0108, and 15A NCAC 02T .0506(c) if applicable. ❑ Setbacks as required by 15A NCAC 02T .0506. ❑ Site property boundaries within 500 feet of all wastewater treatment, storage, and irrigation sites. ❑ All habitable residences or places of public assembly within 500 feet of all treatment, storage, and irrigation sites. No — Skip Attachment A. 1 ATTACHMENT B - SIGNATURE AUTHORITY DELEGATION Does the signature authority in Section I, Item 3 meet the requirements pursuant to 15A NCAC 02T .0106(b)? �I Yes — Skip Attachment B. ❑ No — Submit a delegation letter pursuant to 15A NCAC 02T .0106(c) authorizing the signature authority to sign. ATTACHMENT C - FLOW REDUCTION Does the existing permit include an approved flow reduction? ❑ Yes — Submit a copy of the flow reduction approval letter, as well as the measured monthly average amount of wastewater flow contributed per unit for the 12 months prior to permit renewal. If any of these monthly averages are within 20% of the approved flow reduction value, the Permittee shall provide a reevaluation of the reduced flow value pursuant to the requirements in 15A NCAC 02T .0114(f). ►� No — Skip Attachment C. ATTACHMENT D - CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY Is the Applicant a Privately -Owned Public Utility? ❑ Yes — Pursuant to 15A NCAC 02T .0115(a)(1), submit the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise. /1 No — Skip Attachment D. ATTACHMENT E - OPERATIONAL AGREEMENT Is the Applicant a Home/Property Owners' Association or Developer of Lots to be Sold? ❑ Yes (Home/Property Owners' Association) — Pursuant to 15A NCAC 02T .01 15(a)(2), submit an executed Operational Agreement (FORM: HOA). Pursuant to 15A NCAC 02T .0115(c), if the applicant is a legally formed Homeowners' or Property Owner's Association, submit a copy of the Articles of Incorporation, Declarations, and By-laws. ❑ Yes (Developer of Lots to be Sold) — Pursuant to 15A NCAC 02T .0115(a)(2), submit an executed Operational Agreement (FORM: DEV). Pursuant to 15A NCAC 02T .0115(b), if the applicant is a developer of lots to be sold, submit a copy of the Articles of Incorporation, Declarations, and By-laws. /1 No — Skip Attachment E. FORM: WWIS-R 02-21 Page 4 of 6 ATTACHMENT F — DEMONSTRATION OF FUTURE WASTEWATER TREATMENT CAPACITIES Is the applicant a municipality, county, sanitary district, or public utility? Yes — Proceed to the next question. ❑ No — Skip Attachment F. Does the hydraulic capacity in Section III, Item 4 exceed 70%? ❑ Yes (the hydraulic capacity is greater than 70%, but less than 80%) — Pursuant to 15A NCAC 02T .0118(1), prior to exceeding 80 percent of the system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee shall submit an engineering evaluation of their future wastewater treatment, utilization, and disposal needs. This evaluation shall outline plans for meeting future wastewater treatment, utilization, or disposal needs by either expansion of the existing system, elimination or reduction of extraneous flows, or water conservation and shall include the source of funding for the improvements. If expansion is not proposed or is proposed for a later date, a justification shall be made that wastewater treatment needs will be met based on past growth records and future growth projections, and as appropriate, shall include conservation plans or other measures to achieve waste flow reductions. ❑ Yes (the hydraulic capacity greater than 80%) — Proceed to the next question. ►� No — Skip Attachment F. If answered Yes above, does the hydraulic capacity in Section III, Item 4 exceed 80%? ❑ Yes (the hydraulic capacity is greater than 80%) — Pursuant to 15A NCAC 02T .0118(2), prior to exceeding 90 percent of the system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee shall obtain all permits needed for the expansion of the wastewater treatment, utilization, or disposal system and, if construction is needed, submit final plans and specifications for expansion, including a construction schedule. If expansion is not proposed or is proposed for a later date, a justification shall be made that wastewater treatment needs will be met based on past growth records and future growth projections, and as appropriate, shall include conservation plans or other specific measures to achieve waste flow reductions. No — Skip Attachment F. ATTACHMENT G — EASEMENT, ENCROACHMENT, AND LEASE AGREEMENTS Does the Permittee own all of the land associated with the wastewater collection, treatment, conveyance, and irrigation system? Yes — Skip Attachment G. No — Pursuant to 15A NCAC 02T .0116(c), provide a copy of all easements, lease agreements, and encroachment agreements allowing the Permittee to operate and maintain the wastewater collection, treatment, conveyance, and irrigation system on property not owned by the Permittee. ATTACHMENT H — AFFILIATIONS Are the Permittee's affiliations of record correct? Check affiliations. Yes — Skip Attachment H. No — Provide the corrected affiliations and their contact information. ATTACHMENT I — COMPLIANCE SCHEDULES Does the existing permit include any Compliance Schedules? (See Section I of the most recently issued permit) Yes — Submit documentation that the compliance schedules have been met. No — Skip Attachment I. ATTACHMENT J — CIVIL PENALTIES AND OUTSTANDING VIOLATIONS Does the Permittee have any existing civil penalties or outstanding violations? Yes (civil penalties) — Submit payment for the civil penalty, or proof of remission request. Yes (violations) — Submit a copy of your response to the Notice of Violation. No — Skip Attachment J. FORM: WWIS-R 02-21 Page 5 of 6 ATTACHMENT K — INDUSTRIAL WASTEWATER Does the wastewater composition in Section III, Item 5 include any industrial wastewater? Yes — Proceed to the next question. No — Skip Attachment K. Has the nature of the industrial wastewater changed since the last permit issuance (i.e., changes in industrial process, introduction of new materials or chemicals, etc.)? ❑ Yes — Provide a chemical analysis of the wastewater pursuant to the requirements in 15A NCAC 02T .0504(h). Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process; and an overview of the cleaning and treatment methodology. ❑ No — Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process; and an overview of the cleaning and treatment methodology. ATTACHMENT L — SETBACK WAIVERS Does the existing permit include setback waivers? Yes — Pursuant to 15A NCAC 02T .0506(d), provide setbacks waivers that have been written, notarized, signed by all parties involved, and recorded with the county Register of Deeds. Waivers involving the compliance boundary shall be in accordance with 15A NCAC 02L .0107. No — Skip Attachment L. APPLICANT'S CERTIFICATION I, (,zjsa. /Ft-a-frt.-5 < vi_. attest that this application (Signature authority s name as noted in Section I, Item 3) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application package are not completed, and that if all required supporting information and attachments are not included, this application package will be returned as incomplete. I further certify pursuant to 15A NCAC 02T .0120(b), that the applicant, or any parent, subsidiary, or other affiliate of the applicant has: not been convicted of environmental crimes under; not previously abandoned a wastewater treatment facility without properly closing the facility; not paid a civil penalty; not been compliant with any compliance schedule in a permit, settlement agreement, or order; not paid an annual fee. Note: The Applicant's Certification shall be signed pursuant to 15A NCAC 02T .0106(b). An alternate person may be delegated as the signing official if a letter is provided pursuant to 15A NCAC 02T .0106(c). Pursuant to § 143-215.6A and § 143-215.6B, 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 $10,000 as well as civil penalties up to $25,000 per violation. Date: 3/2-T( .202- Z Signature: THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA: Email: Non-Discharge.Reports(a�ncdenr.gov Laserfiche Upload: https://edocs.deq.nc.gov/Forms/NonDischarge-Branch- Submittal-Form-Vert FORM: WWIS-R 02-21 Page 6 of 6