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HomeMy WebLinkAboutNC0066362_Permit (Issuance)_20160120PAT MCCRORY Water Resources ENVIRONMENTAL QUALITY January 20, 2016 Mr. Nathan Benson P.O. Box 1090 Mountain Home, NC 28758 Governor DONALD R. VAN DER VAART Secretary S. JAY ZIMMERMAN Director Subject: Issuance of NPDES Permit NC0066362 Benson Apartments WWTP 161 Brookside Camp Road, Hendersonville 28792 Henderson County Dear Mr. Benson: The Division of Water Resources (the Division) hereby issues the attached NPDES permit for the subject facility. 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. The Division understands that you have made no significant changes to your facility since the last permit renewal. We have made the following updates to your previous permit: • updated the facility description (see supplement to cover sheet) and map • updated parameter codes in Section A. (1.) • added Electronic Reporting - Discharge Monitoring Reports page [Section A. (2.)]. Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and specify that, if a state does not establish a system to receive such submittals, then peiniittees must submit DMRs electronically to the Environmental Protection Agency (EPA). The Division anticipates that these regulations will be adopted and is beginning implementation. The requirement to begin reporting discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report (eDMR) internet application has been added to your NPDES permit. [See Special Condition A. (2.)] For information on eDMR, registering for eDMR and obtaining an eDMR user account, please visit the following web page: http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr. For information on EPA's proposed NPDES Electronic Reporting Rule, please visit the following web site: http://www2.epa.gov/compliance/proposed-npdes-electronic-reporting-rule. If any parts, measurement frequencies, or sampling requirements contained in this permit are unacceptable, you have the right to an adjudicatory hearing, upon written request submitted within thirty (30) days after receiving this letter. Your request must take the form of a written petition conforming to Chapter 150B of North Carolina General Statutes, and you must file it with the Office of Administrative 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Phone: 919-807-6300 \ Internet: www.ncwaterquality.org An Equal Opportunity \ Affinnative Action Employer — Made in part by recycled paper Mr. Benson January 20, 2016 Page 2 of 2 Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such a demand is made, this peiniit shall remain 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 Resources or any other Federal, State, or Local governmental permits that may be required. If you have questions, or if we can be of further service, please contact Derek Denard at [derek.denard@ncdenr.gov] or call (919) 807-6307. Resp ctfully, S. Jay Zimmerman, P.Gector Division of Water Resources, NCDEQ Enclosure: NPDES Permit NC0066362 (Issuance Final) hc: Central Files NPDES Program Files ARO Files/ Attn: Landon Davidson NPDES Permit NC0066362 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES PERMIT TO DISCHARGE WASTEWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) 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, Nathan Benson is hereby authorized to discharge wastewater from a facility located at the Benson Apartments WWTP 161 Brookside Camp Road, Hendersonville 28792 Henderson County to receiving waters designated as an unnamed tributary to Mud Creek in the French Broad River Basin, in accordance with effluent limits, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This permit shall become effective March 1, 2016. This permit and authorization to discharge shall expire at midnight on December 31, 2020. Signed this day January 20, 2016. !J�y Zimmerman, P.G., Director 'Division of Water Resources By Authority of the Environmental Management Commission Page 1 of 5 NPDES Permit NC0066362 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 perinit conditions, requirements, terms, and provisions included herein. Nathan Benson is hereby authorized to: 1. continue to operate an existing 0.008 MGD wastewater treatment system with the following components; • septic tank/flow equalization tank [6,000 gallons] • manual bar screen • extended aeration basin [8,250 gallon]. • dual blowers providing diffused air [52 cfm each] • rectangular clarifier with skimmer and sludge return [1,639 gallon] • aerobic digestor [1,400 gallon] • hypochlorite tablet chlorinator • chlorine contact chamber [800 gallon] • sodium sulfite tablet dechlorinator • effluent pump station with high water alarms • portable stand-by generator located at the Benson Apartments WWTP, 161 Brookside Camp Road, Hendersonville, Henderson County, 2. discharge from said treatment works at the location specified on the attached map into an unnamed tributary to Mud Creek [6-55], a waterbody classified C located within Subbasin 04-03-02 [HUC: 060101050303] of the French Broad River Basin. Page 2 of 5 NPDES Permit NC0066362 PART I A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS [15A NCAC 02B .0400 et seq., 02B .0500 et seq.] During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited, monitored and reportedl by the Permittee as specified below: EFFLUENT CHARACTERISTICS [Parameter Codes] LIMITS MONITORING REQUIREMENTS1 Monthly Average Daily Maximum Measurement Frequency Sample Type Sample Location2 Flow (MGD) 50050 0.008 MGD Weekly Instantaneous I or E Total Residual Chlorine (TRC) 3 (µg/L) 50060 28 µg/L 3 2/week Grab E Temperature (°C) 00010 Weekly Grab E pH (su) 00400 > 6.0 and < 9.0 standard units Weekly Grab E BOD, 5-day (20°C) (mg/L) C0310 30.0 mg/L 45.0 mg/L Weekly Grab I & E Total Suspended Solids (TSS) (mg/L) C0530 30.0 mg/L 45.0 mg/L Weekly Grab E NH3-N (April 1-October 31) (mg/L) C0610 5.4 mg/L 27.0 mg/L Weekly Grab I & E NH3-N (November 1-March 31) (mg/L) C0610 14.5 mg/L 35.0 mg/L Weekly Grab I & E Fecal Coliform (#/100m1) 4 31616 200/100 ml 400/100 ml 2/Month Grab E Footnotes: 1. No later than 270 days from the effective date of this permit, begin submitting discharge monitoring reports electronically using NC DWR's eDMR application system. See Special Condition A. (2.). 2. E = Effluent; I = Influent; U = Upstream; and D = Downstream. 3. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with the permit. However, the Permittee shall continue to record and submit all values reported by North Carolina certified test methods (including field certified), even if these values fall below 50 fig/L. 4. Fecal Coliform shall be calculated using the geometric mean, according to the procedure detailed in Part II. Section A. Conditions: • There shall be no discharge of floating solids or foam visible in other than trace amounts. Page 3 of 5 NPDES Permit NC0066362 A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS [G. S . 143-215.1(b)] Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and specify that, if a state does not establish a system to receive such submittals, then permittees must submit DMRs electronically to the Environmental Protection Agency (EPA). The Division adopted these regulations in 2013. NOTE: This special condition supplements or supersedes the following sections within Part II of this permit (Standard Conditions for NPDES Permits): • Section B. (11.) • Section D. (2.) • Section D. (6.) • Section E. (5.) Signatory Requirements Reporting Records Retention Monitoring Reports 1. Reporting [Supersedes Section D. (2.) and Section E. (5.) (a)1 Beginning no later than 270 days from the effective date of this permit, the permittee shall report discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report (eDMR) internet application. Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and submit DMRs electronically using the internet. Until such time that the state's eDMR application is compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be required to submit all discharge monitoring data to the state electronically using eDMR and will be required to complete the eDMR submission by printing, signing, and submitting one signed original and a copy of the computer printed eDMR to the following address: NC DEQ / DWR / Infolination Processing Unit ATTENTION: Central Files / eDMR 1617 Mail Service Center Raleigh, North Carolina 27699-1617 If a,peilnittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being physically located in an area where less than 10 percent of the households have broadband access, then a temporary waiver from the NPDES electronic reporting requirements may be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be submitted to the mailing address above. Requests for temporary waivers from the NPDES electronic reporting requirements must be submitted in writing to the Division for written approval at least sixty (60) days prior to the date the facility would be required under this permit to begin using eDMR. Temporary waivers shall be valid for twelve (12) months and shall thereupon expire. At such time, DMRs shall be submitted Page 4 of 5 NPDES Permit NC0066362 electronically to the Division unless the permittee re -applies for and is granted a new temporary waiver by the Division. Infotination on eDMR and application for a temporary waiver from the NPDES electronic reporting requirements is found on the following web page: http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr Regardless of the submission method, the first DMR is due on the last day of the month following the issuance of the permit or in the case of a new facility, on the last day of the month following the commencement of discharge. 2. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section B. (11.) (d)1 All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II, Section B. (11.)(a) or by a duly authorized representative of that person as described in Part II, Section B. (11.)(b). A person, and not a position, must be delegated signatory authority for eDMR reporting purposes. For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user account and login credentials to access the eDMR system. For more information on North Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit the following web page: http://portal.ncdenr.org/web/wq/admin/bog/ipu/edrnr Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the following certification [40 CFR 122.22] . NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted 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." 3. Records Retention [Supplements Section D. (6.)1 The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These records or copies shall be maintained for a period of at least 3 years from the date of the report. This period may be extended by request of the Director at any time [40 CFR 122.41]. Page 5 of 5 Nathan Benson Benson Apartments WWTP 161 Brookside Camp Road, Hendersonville 28792 Receiving Stream: Stream Segment: Drainage Basin: Latitude: State Grid/USGS Quad: UT Mud Creek 6-55 French Broad 35° 21' 54" F9SW / Hendersonville, NC Stream Class: C Sub -Basin: HUC: Longitude: 04-03-02 060101050303 82° 28' 54" Facility Location Scale 1:24,000 North NPDES Permit NC0066362 Henderson County Denard, Derek Aqo From: Heim, Tim Sent: Tuesday, December 22, 2015 10:52 AM To: Denard, Derek; Davidson, Landon; Kinney, Maureen Subject: RE: Draft NC0066362 Benson Apartments WWTP Derek, I have reviewed this and have no additional comments. Regards -Tim Tim Heim, P.E. Environmental Engineer — Asheville Regional Office Water Quality Regional Operations Section NCDEQ — Division of Water Resources 828 296 4500 office email: tim.heim(a�ncdenr.gov 2090 U.S. Hwy. 70 Swannanoa, N.C. 28778 r., Nothing Compares.,,,._ Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Denard, Derek Sent: Monday, December 07, 2015 3:21 PM To: Davidson, Landon <landon.davidson@ncdenr.gov>; Heim, Tim <Tim.Heim@ncdenr.gov>; Kinney, Maureen <Maureen.Kinney@ncdenr.gov> Subject: Draft NC0066362 Benson Apartments WWTP Please find the attached draft documents for NC0066362 Benson Apartments WWTP. Please provide your comments, if any, to me no later than January 8, 2015. Thanks, Derek Denard Environmental Specialist Compliance & Expedited Permitting Unit N.C. Division of Water Resources N.C. Department of Environmental Quality 919 807 6307 office derek.denardna ncdenr.gov 1 Public Notice North Carolina Environmental Commission/NPDES 1617 Mal ilt Service tr Raleigh, NC 27699-1617 Notice of aNDES Watewae Permit The North Carolina Environmental Man- agement Commission proposes to issue a NPDES wastewater discharge permit to the person(s) listed below. Written com- ments 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 Re- sources (DWR) may hold a public hearing should there be a sig- nificant degree of pub- lic• interest. Please mail comments an- d/or information re- quests to D W R at the !above address. Inter- ested persons may vis- it the D W R at 512 N. Salisbury Street, Ra- leigh, NC to review in- formation on file. Additional information on NPDES permits and this notice may be found on our website: http: //portal.ncdenr.o rg/web/wq/swp/ps/np des/calendar, or by calling (919) 807-6304. Bild-tmoreHendeInvestmrsonvillentes, Lt, I Henderson County, re- quested to renew per- mit NC0076082 for the Bear Wallow Valley Mobile Home Pork WWTP discharging !treated domestic west- ewater to a UT to Clear Creek, French Broad River Basin. Nathan Benson, Hen- dersonville, Brookside Camp Rd, Henderson! County, applied to re- new NPDES permit for Benson Apart- ments WWTP (NC00663621 discharg- ing treated domestic wastewater to Mud Creek, French Broad River Basin. Transylvania Utilities, Inc. requested expan- sion and renewal of NPDES permit NC0024295 for the Con- nestee Falls WWTP No.1 in Transylvania County; this per-, mined discharge is treated domestic I wast- ewater to the French Broad River, in the French Broad River Basin, December 6, 2015 (3503) I .45I IC\'II.LE CII1IZEN-TJMIES VOICE OF THE MOUNTAINS • CITIZEN-TIME.S.com AFFIDAVIT OF PUBLICATION BUNCOMBE COUNTY SS. NORTH CAROLINA Before the undersigned, a Notary Public of said County and State, duly commissioned, qualified and authorized by law to administer oaths, personally appeared Kelly Loveland, who, being first duly sworn, deposes and says: that she is the Staff Accountant of The Asheville Citizen -Times, engaged in publication of a newspaper known as The Asheville Citizen -Times, published, issued, and entered as first class mail in the City of Asheville, in said County and State; that she 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 Asheville Citizen -Times on the following date: December 6t1' 2015. And that the said newspaper in which said notice, paper, document or legal advertisement was published was, at the time of each and every publication, a newspaper meeting all of the requirements and qualifications of Section 1-597 of the General Statues of North Carolina and was a qualified newspaper within the meaning of Section 1-597 of the General Statutes of North Carolina. Signed this 8th dayf December, 2015 I (Signature of pbrson nlaking1iffidavit) Sworn to and subscribed before me the 8t11 day of December, 2015. _ otary Publi y Commission expires the 5t1i day of October, 2018. (828) 232-5830 I (828) 253-5092 FAX 14 O. HENRY AVE. I P.O. BOX 2090 I ASHEVILLE, NC 28802 I (800) 800-4204 «) GANVEIT • DEQ / DWR / NPDES EXPEDITED FACT SHEET - NPDES PERMIT DEVELOPMENT NPDES Permit NC0066362 Derek Denard, Compliance & Expedited Permitting Unit / 919-807-6307 01 Dec2015 Facility Information Applicant/Facility Name Nathan Benson Benson Apartments WWTP Applicant Address P.O. Box 1090, Mountain Horne, NC 28758 Facility Address 161 Brookside Camp Road, Hendersonville 28792 Permitted Flow (MGD) 0.008 MGD Type of Waste 100% Domestic Wastewater Discharge Facility Class WW-2 County Henderson Permit Status Renewal Regional Office ARO Stream Characteristics Receiving Stream UT Mud Creek Stream Classification C Stream Segment [6-55] Drainage basin French Broad Summer 7Q10 (cfs) 0.07 Subbasin 04-03-02 Winter 7Q10 (cfs) 0.1 Use Support Impaired for Fish Tissue Hg; Benthos Fair; Fish Community 30Q2 (cfs) - 303(d) Listed Average Flow (cfs) 38 State Grid F9SW IWC (%) 15.05% USGS Topo Quad Hendersonville, NC Facility Summary This facility is a minor facility (flow <1 MGD) that receives 100% domestic waste from 25 apartment units facility with 62 residents. The design capacity of the treatment system is 0.008 MGD. No significant changes have been made to this facility since the last permit renewal. The facility consists of the following wastewater treatment units: • septic tank/flow equalization tank [6,000 gallons] • manual bar screen • extended aeration basin [8,250 gallon] • dual blowers providing diffused air [52 cfm each] • rectangular clarifier with skimmer and sludge return [1,639 gallon] • aerobic digestor [1,400 gallon] • hypochlorite tablet chlorinator • chlorine contact chamber [800 gallon] • sodium sulfite tablet dechlorinator • effluent pump station with high water alarms • portable stand-by generator Monthly average FLOW (MGD) — Last 36 months Aug2012-Ju12015: [Ave 0.0020 MGD; Maximum, Monthly average flow = 0.0071 MGD] Fact Sheet Renewal 2015 -- NPDES Permit NC0066362 Page 1 Toxicity — Not required Renewal Summary — This permit reflects discharge at Outfall 001. DWR updated the following: • updated the facility description (see supplement to cover sheet) and map • updated parameter codes in Section A. (1.) • added Electronic Reporting - Discharge Monitoring Reports page [Section A. (2.)]. Stream — Discharge from Benson Apartments WWTP for outfall 001 is into an unnamed tributary to Mud Creek [Stream Segment 6-55]. The segment is listed as impaired supporting in the 2014 North Carolina 303(d) List for Fish Tissue Mercury, Benthos Fair and Fish Community. RPA — A Reasonable Potential Analysis (RPA) was not applicable for any parameters for this permit renewal. Implementation of 2012 Statewide Mercury TMDL — Benson Apartments WWTP was not required to sample for mercury in the previous permit. Monitoring for Mercury is not required for this permit because it does not serve a municipality. The renewal application indicated "other" for the facility generating wastewater and "separate (sanitary sewer only)" for type of collection system. The WWTP serves Benson Apartments with 25 units (62 residents). The facility does not serve any industries or dental offices. Stream Segment 6-55 is impaired for Fish Tissue Mercury. Compliance History — See attachments for Violation History 2/01/2011 to 09/30/2015 and Permit Enforcement History Details by Owner. Fact Sheet Renewal 2015 -- NPDES NC0066362 Page 2 IWC Calculations Facility: Benson ApartmentsWWTP NC0066362 Prepared By: Derek Denard Enter Design Flow (MGD): Enter s7Q10 (cfs): Enter w7Q10 (cfs): 0.008 0.07 0.1 Total Residual Chlorine (TRC) Daily Maximum Limit (ug/I) s7Q10 (CFS) DESIGN FLOW (MGD) DESIGN FLOW (CFS) STREAM STD (UG/L) Upstream Bkgd (ug/I) IWC (%) Allowable Conc. (ug/I) Fecal Coliform Monthly Average Limit: (If DF >331; Monitor) (If DF<331; Limit) Dilution Factor (DF) 0.07 0.008 0.0124 17.0 0 15.05 113 Ammonia (Summer) Monthly Average Limit (mg NH3-N/I) s7Q10 (CFS) DESIGN FLOW (MGD) DESIGN FLOW (CFS) STREAM STD (MG/L) Upstream Bkgd (mg/I) IWC (%) Allowable Conc. (mg/I) Ammonia (Winter) Monthly Average Limit (mg NH3-N/I) w7Q10 (CFS) 200/100m1 DESIGN FLOW (MGD) DESIGN FLOW (CFS) STREAM STD (MG/L) 6.65 Upstream Bkgd (mg/I) IWC (%) Allowable Conc. (mg/I) Total Residual Chlorine 1. Cap Daily Max limit at 28 ug/I to protect for acute toxicity Ammonia (as NH3-N) 1. If Allowable Conc > 35 mg/I, Monitor Only 2. Monthly Avg limit x 3 = Weekly Avg limit (Municipals); capped at 35 mg/I 3. Monthly Avg limit x 5 = Daily Max limit (Non-Munis); capped at 35 mg/I 4. BAT for Minor Domestics: 2 mg/I (summer) and 4 mg/I (winter) 5. BAT for Major Municipals: 1 mg/I (year-round) 0.07 0.008 0.0124 1.0 0.22 15.05 5.4 0.1 0.008 0.0124 1.8 0.22 11.03 14.5 Fecal Coliform 1. Monthly Avg limit x 2 = 400/100 ml = Weekly Avg limit (Municipals) = Daily Max limit (Non -Muni) NPDES Server/Current Versions/WLA; TB 1/16/2009 ( 24' Permit Reviewer Notes - Derek Denard Permit Number: /VC 0 ty 6,,6 76 2 Applicant/Facility Name: ti IL14Nq'{a 41‘*1 D C 4 t l i pi 1,1-4.-1-ia.-.1-j Permit Status: /(tPI, etot, C✓t Regional Office: g a Latitude: '3C 2 l 1S `/ Longitude: Z l 5, ci !i Facility Class: IV W '''I County: I-1" c.v.. i(tv-c Tv, Outfall: /, � � ( l../ 6�� Flow: d G 0 o& 44 4 p Applicant Address: Facility Address: , / ' n J % l R C� f,-,frt-gc-d6 Ca-i-s / ' ©�i/, y4,, iir ii, A,. 1 •le_ �� G.$75 Type of Waste: /7I7 ('i— Stream Notes Receiving Stream: ( +c4c Stream Segment: 5 Stream Classification: C..' Drainage Basin: 1-/-e'''‘Gl-i et/Ok4 Summer 7Q10 (cfs): P., O Subbasin: V Lt '12 � /� Z V Winter 7Q10 (cfs): � � I HUC Code: 06 E70Olb.-O3o'3 30Q2 (cfs): ,.,_ State Grid: 4 Average Flow (cfs): USGS Topo Quad: /it,IWC / (%): 303 (d): / _ Use: "eV l'Air f Notes 5 ------> -1,7k441.1V/1 (;-) riti 7-255,1 e- I / 4* 10 -‘1,444.441 C pat, ' I�'✓� 1 � Mailing Address P. O. Box 1090 City Mountain Home N O V 1 3 2015 State / Zip Code NC 28758 vVater Qual° Telephone Number 828-693-5493 Permitting Sedon Fax Number 828-693-1302 e-mail Address fl (€ / i)SUr //fgL,4 . �l f 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 #C0066362 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 Nathan Benson Facility Name Mailing Address City State / Zip Code Telephone Number Fax Number e-mail Address Benson Apartments P. O. Box 1090 Mountain Home NC 28758 828-693-5493 828-693-1302 2. Location of facility producing discharge: Check here if same address as above ❑ Street Address or State Road 161 Brookside Camp Road City State / Zip Code County Hendersonville NC 28791 Henderson 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 Nathan Benson RECEIVED/DENR/DWR 1 of 3 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 x Number of Homes School Number of Students/ Staff Other Explain: i Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): Apartment complex Number of persons served: 06 5. Type of collection system X 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 X No 7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each outfall): Unnamed tributary to Mud Creek in the French Broad River Basin 8. Frequency of Discharge: X 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. A 0.008 MGD facility with septic tank/flow equalization tank(6,000 gallons), manual bar screen, extended aeration basin (8250 gallon), dual blowers providing diffused air (52 cfm each), rectangular clarifier with skimmer and sludge return (1639 gallon), aerobic digestor (1400 gallon), hypochiorite table chlorinator, chlorine contact chamber (800 gallon), sodium sulfite tablet dechlorinator, effluent pump station with high water alarms, portable stand-by generator. 2 of 3 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 0.008 MGD Annual Average daily flow .003 MGD (for the previous 3 years) Maximum daily flow .028 MGD (for the previous 3 years) 11. Is this facility located on Indian country? ❑ Yes X 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 currentl in your permit. Mark other parameters "NIA" Parameter Daily Maximum Monthly Average Units of Measurement Biochemical Oxygen Demand (BODE,) 43.2 20.2 MG / L Fecal Coliform 91 5.7 CFU/ 100ML Total Suspended Solids 46.0 28.2 MG/L Temperature (Summer) 26.0 23.8 C Temperature (Winter) 15.5 12.7 C pH 8.2 7.5 units 13. List all permits, construction approvals and/or applications: Type Hazardous Waste (RCRA) UIC (SDWA) NPDES PSD (CAA) Non -attainment program (CAA) Permit Number NC0066362 14. APPLICANT CERTIFICATION Type NESHAPS (CAA) Ocean Dumping (MPRSA) Dredge or fill (Section 404 or CWA) Other Per:mit Number I certify that I am familiar with the information contained in the application and that to the bes y - owledge and elief such information is true, complete, and accurate. n d name of Person Signing McM€ e,-,&cv Signature of Applicant CI Con Title %I- /3-/s-- Date North Carolina General Statute 143-215.6 (bX2) 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.) 3 of 3 Form-D 11/12