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HomeMy WebLinkAboutNC0049905_Permit Issuance_20040524OF w A TF,� Michael F. Easley Oa pG v-`"^ Governor 7 uwt�, William G. Ross, Jr., Secretary I r NCDENR North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E., Director Division of Water Quality May 24, 2004 Mr. Larry Ettel Terminal Manager Associated Asphalt, Inc. 1825 Jake Alexander Blvd. Salisbury, North Carolina 28147 Subject: Issuance of NPDES Permit NC0049905 Associated Asphalt Salisbury Terminal Rowan County Dear Mr. Ettel: 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 May 9, 1994 (or as subsequently amended). This final permit includes no major changes from the draft permit sent to you on March 17, 2004. 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 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 (919) 733-5083, extension 594. cc: NPDES Unit 17 Mooresville Regional Office/Water Quality Section Central Files N. C. Division of Water Quality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 Internet: h2o.enrstate.nc,us Sincerely, ORIGINAL SIGNED BY SUSAN A. WILSOr Alan W. Klimek, P.E. Phone: (919) 733-5083 fax: (919) 733.0719 DENR Customer Service Center: 1 800 623-7748 Permit No. NC0049905 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, Associated Asphalt, Inc. is hereby authorized to discharge wastewater from a facility located at Associated Asphalt- Salisbury Terminal 1825 Jake Alexander Blvd. Salisbury, North Carolina Rowan County to receiving waters designated as an unnamed tributary to Grants Creek 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. The permit shall become effective July 1, 2004. This permit and the authorization to discharge shall expire at midnight on June 30, 2009. Signed this day May 24, 2004. ORIGINAL SIGNED BY SUSAN A. WILSON Alan Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Permit No. NC0049905 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. Associated Asphalt, Inc. is hereby authorized to: 1. Continue to operate an existing 0.1 MGD spill containment basin with piping and manual gate valve, located at Salisbury Terminal, 1825 Jake Alexander Blvd., Salisbury, Rowan County, and; 2. Discharge boiler blowdown water and stormwater from spill containment structures from said treatment works (via Outfall 001) into an unnamed tributary to Grants Creek, a Class C water in the Yadkin Pee Dee River Basin, at the location specified on the attached map. Latitude: 35° 41' 03" Longitude: 80° 30' 35" USGS Quad #:_ E16NE SubBasin #: 03-07-04 Receiving Stream: UT Grants Creek Stream Class: C Nt Inman Asphalt, Inc. Salisbury Terminal NC0049905 Rowan County Permit No. NC0049905 SECTION A(1). EFFLUENT LIIVIITATIONS AND MON$'TORING REQUIREMENTS Beginning on the effective date of this permit and lasting u it expiration, the Permittee is authorized to discharge stormwater and boiler blowdown water from Outfall 001. Such discharges shall b limited and monitored by the Permittee as specified below: u +i A .•, , , , 'S` ". EFFLUENT CHARACTERISTICS `'.r}.! e ;i.l r.: ,r t r • , '1',:b' `,�7S1F?.I{ - r,: f� h..'L.�!.. it i� ; iii1l�.�lA1Fr. .. j,.f_i V :� E Nh. "" �,zsr, . •4i sit s4wiiw wieniE1 r • `r �f.�11yJ��{' ;' I~ , c• s` O V r ti , _ L. t i MONITORING REQUIREMENTS ' - .. :._ at t, uw •C F'i �•,. `44 } T 1,1:1)'� ;� � 1C art `o�r��fi Average ,:, l� _ r , :7i 3j , ,1 �� 1Ie,i ir, , ` . ive,r e' , �-`'r 'Dail, k �+, . , y,. . , Maximum . Nleasuretnent :Frequency - . Sample Type Sample Location' Flow Quarterly Estimate E Total Suspended Residue 45.0 mg/L 67.5 mg/L Quarterly Grab E Total Residual Chlorine2 Quarterly Grab E Oil and Grease 45.0 mg/L \ 1 67.5 mg/L Quarterly Grab E Turbidity 50 NTU Quarterly Grab E Temperature3 Quarterly Grab E pH4 Quarterly Grab E Footnotes: 1. Sample locations: E- Effluent, I- Influent. 2. Monitoring requirements apply only if chlorine is added to the treatment system. 3. The temperature of the effluent shall be regulated so as not to cause an inrease in the temperature of the receiving stream of more than 2.8°C and in no case cause the ambient water temperature to exceed 32°C. 1 4. The pH shall not be less than 6.0 standard units nor greater than 9.0 sta dard units. The permittee shall obtain authorization from the Division prior to the use of any chemical additive in the discharge. The permittee shall notify the Director in writing at least ninety (90) days prior to instituting use of any additional4dditive in the discharge which may be toxic to aquatic life (other than additives previously approved by the Division). Such notification shall include Fompletion of Biocide Worksheet 101 (if applicable), a copy of the MSDS for the additive, and a map indicating the discharge point and receiving stream. There shall be no chromium, zinc, or copper added to the discharge except as pre -approved additives to biocidal compounds. There shall be no discharge of floating solids or visible foam in other than trace amounts. i f') r s MAR 3 0 2004 ' a is ur [ ENR-WP. fl:Ra C'L",'. flV �:CJrIC i'•'. "��- U�. vxm=romm�� -o i;`c:� o m o �• c = v o c o .,... -._... - - F IDAVIrcmr�c��nE �Z��� �Z ���o€��o,oro�� ooy"m .•� E 'CAN c �x v�ymwUcna-mcUA,a -p c84) C7m E3 -Z- ro cmbbmym a>-.� •�oa >,TiiOmU'rn `°S .v a¢W Nmmm�oc .50N 39 N? cmNro mm �-mY`-m�o..c-oro �SU. `�E�,n NCDENR/DWQ/NPDES Attn: Valery Stephens 1617 Mail Service Center Raleigh, NC 27699-1617 #50387 Due: $85.90 m_ O M - Oe 7r:u) E n ron a =ro no-o �e cm m5 tm ¢¢-N cv� .. rlc (1) •O m coEmm a mm.. Ci _ Y g c_ D O io N m 'Pp m o C. o N -L O m-N - m ro O % p, m m N O v oc ��Ecc ,-•�Eo�om W¢mm°'3�2 m vas oa v�V > ,c . mW C 0 o• ac¢y-N cL ro m oral,~- m - N Z- N Qj U« m e. a3 0.,... O m v O F L C m 7 r 1, a L C m�m3mmoa0-=0 > 'mrvg�mgti c0 w Nma �mm moC, ici- CIainrnaZS-EgbiciaiNtui-EFc`mW.1?Z• EFm-•.-vv-'crarmn`6 `- ' 3a o c it r'ni.5�cd,acaugt.vt (1.2mocm_�:.mmom°o€i°m co nu J.. 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'$ m� € - > -E€ iov>�.� ,E m R T NORTH CAROLINA ROWAN COUNTY Before the undersigned a Notary Public of said County and State, duly commissioned, qualified, and authorized by law to administer oaths, personally appeared WINFRED MENTION, who being first duly swom, deposes and says that he is ASSISTANT ADVERTISING DIRECTOR of the Salisbury Post, published, issued and entered as second class mail in the City of Salisbury, 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 Salisbury Post, on the following dates: March 19, 2004 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 of 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. Swom and subscribed before me This 25th day of March, 2004 -(04. ce_ mritt.6--) z etA,L, T. YkLii-ce My Commission Expires NOTARY PUBLIC a-av—oq PO Box 4639 • Salisbury, NC 28145-4639 (704) 633-8950 hereunto North Carolina ) ss Mecklenburg County) The Knight Publishing Co., Inc. Charlotte, NC Affidavit of Publication THE CHARLOTTE OBSERVER NCDENR/DWD/BUDGET OFFICE ACCOUNTS PAYABLE 1617 MAIL SERVICE CENTER RALEIGH NC 27699-1617 REFERENCE: 30019881 5084027 Public notice Before the undersigned, a Notary Public of said County and State, duly authorized to administer oaths affirmations, etc., personally appeared, being duly sworn or affirmed according to law, doth depose and say that he/she is a representative of the Knight Publishing Company a corporation organized and doing business under the taws of the State of Delaware, and publishing a newspaper known as The Charlotte Observer in the city of Charlotte, County of Mecklenburg and State of North Carolina and that as such he/she is familiar with the books, records, files and business of said Corporation and by reference to the files of the attached following is files of the Publication. said publication advertisement was inserted. The correctly copied from the books and aforesaid Corporation and PUBLISHED ON: 03/20 AD SPACE: 82 LINE FILED ON: 3/ NAME: In Testimony Whereof I have day and year afo -said. TiTLE: DATE: set my hand and affixed my (,0(0„, s: Fy L 7OOZ 0 2 PUBLIC NOTICE . STATE OF NORTH CAROIJNA ENVIRONMNTAL MANAGEMENT COMMISSION/NPDESUNIT • I617.MAIL SERVICE CENTER - • RALEJGH. NO 27699-1617 NOTIFICATION OF INTENT TO ISSUEA NPDES.WASTEWA-ER PERMIT On the basis of lhoioegh 'staff review and application 'of NC General Statute 143.21, Public taw 92-500 and other lawful standards and re(u- lations, the North Carolina -ETN1nonrnnental. Management .Comrnisson .. proposes -to issue':a National' Pollutant Discharge Etiminattott System (NPDES) wastawasterilitchartd permit In therpersoit(e) listed below effective 45 days from the publish date of this notice. Written Comments regarding the proposed permit will be accepted until 30 days after the publish data of Wrn s notice. All comentsrecefved prior to that date are considered in the final determinations regarding the pro- posed permit The Director of the NC Division of Water Quality may decide 10 hold' a public' meeting for the pniposed'pemUt should the Division receive a signdtcant degree of public interest Copies of the draft pemAt and "other suOriorling infeirriadon on fife used to determine conditions present in the draft permit are available upon regiieSt'arid 'payment of the-of-ieliioduc66iti Mall -coihi ei85 and/or requests 1orjnforma toe to the NC Division of Water Quality at the above address or call Ms. Valery Stephens at (919) 733.5083, extension • 520. Please.incrude the NPDES permit number (attached) iri anY corm munication. Interested persons may also visit the Division of Water . Quality at 512N. Salisbury Street, Raleigh, NC 27640.1148 between the hours of 8:00 a.m. and 5:00p.m. to review htormatton on file. The Associated Aspheiti Inc (1825 Jake Alexander Blvd., Salisbury, NC 28147) has applied for renewal of NPDES t NG00.49905 for the (Oman Asphalt Salisbury Terminal In ROwari [.�otKityiThis pettntteil laci - tty discharges bailer blowdown water and stwrmwa(er to the unnamed tributary to GrantsCreek In the yadkln Pee -Doe River Basin. Cumrr�arnty� ol1 and grease, and total suspended residua are water qualfy limbed. This discharge may affect M,re allocations in this portion of the Yadkin Pee -Dee Rover Baas. seaL, the kte Commission Expires May 17, ?Ord;, My Commission Expires: _/_/_ SOC PRIORITY PROJECT: NO To: Permits and Engineering Unit Water Quality Section Attention: Sergei Chernikov Date: January 23, 2004 NPDES STAFF REPORT AND RECOMMENDATIONS County: Rowan NPDES Permit No.: NC0049905 MRO No.: 04-03 PART I - GENERAL INFORMATION 1. Facility and address: Associated Asphalt, Inc (formerly Inman Asphalt) 1825 Jake Alexander Blvd Salisbury, NC 28147 2. Date of investigation: January 22, 2004 3. Report prepared by: B. Dee Browder, Environ. Engr. I 4. Person contacted and telephone number: Larry Ettel, (704)636-0781 5. Directions to site: From the junction of Highway 150 and Jake Alexander Blvd. (Highway 70/601) in Salisbury, travel north on Jake Alexander Blvd approximately 1.8 miles. Associated Asphalt, Inc. is on the left side (west) of the road. 6. Discharge point(s), List for all discharge points: - Latitude: 35° 41' 03" Longitude: 80° 30' 34" Attach a USGS Map Extract and indicate treatment plant site and discharge point on map. N/A USGS Quad No.: E 16 NE Rowan Mills, NC 7. Site size and expansion area consistent with application: Yes. 8. Topography (relationship to flood plain included): Slopes from 1 to 2%. The site is not located in a flood plain. Page Two 9. Location of nearest dwelling: No dwelling within 500 feet of the site. 10. Receiving stream or affected surface waters: Unnamed Tributary to Grants Creek a. Classification: C b. River Basin and Subbasin No.: Yadkin 03-07-04 c. Describe receiving stream features and pertinent downstream uses: The discharge is into a dry ditch. General Class C uses downstream. PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS 1. a. Volume of wastewater: N/A(Design Capacity) b. What is the current permitted capacity: N/A MGD c. Actual treatment capacity of current facility (current design capacity): N/A MGD d. Date(s) and construction activities allowed by previous ATCs issued in the previous two years: N/A e. Description of existing or substantially constructed WWT facilities: The facility consists of a spill containment basin (capacity 500,000 gallons) and a series of subsurface drainage pipes leading to the basin. Effluent is discharged from the containment basin into a dry ditch by a manual gate valve. Wastewater collected in the containment basin consists primarily of storm water runoffand approximately 1,500 gpd boiler blow -down water. f. Description of proposed WWT facilities: N/A g. Possible toxic impacts to surface waters: None expected. h. Pretreatment program (POTWs only): Not Needed. 2. Residual handling and utilization/disposal scheme: No residual are produced at this facility. a. If residuals are being land applied specify DEM Permit No. N/A. Residuals contractor: N/A Telephone No. ( )N/A b. Residuals stabilization: PSRP PFRP c. Landfill: N/A 3. Treatment plant classification: 0 Page Three 4. SIC Code(s): 2951 Wastewater Code(s): 73 16 5. MTU Code(s): 00000 PART III - OTHER PERTINENT INFORMATION 1. Is this facility being constructed with construction grant funds or are any public monies involved (municipals only)? No 2. Special monitoring or limitations (including toxicity) requests: None at this time. 3. Important SOC/JOC or compliance schedule dates: N/A Submission of plans and specifications Begin construction Complete construction 4. Alternative analysis evaluation a. Spray irrigation: N/A b. Connect to regional sewer system: N/A c. Subsurface: N/A d. Other disposal options: N/A PART IV - EVALUATION AND RECOMMENDATIONS The permittee is applying for renewal of the permit to discharge waste . It is recommended that the permit be renewed as requested. This stormwater basin does not normally discharge primarily due to its large size. In 1999 additional storage was added to this basin to accommodate growth of the asphalt facility. The basin is designed for failure of both 300,000 gallon storage tanks on site. Currently the facility has 500,000 gallons of storage in the containment basin. Signature of Report Preparer Water Quality Regio h:ldsrldsi991.dsr Supervisor //dDte4 Date NCDENR / DWQ FACT SHEET FOR NPDES PERMIT DEVELOPMENT Inman Asphalt, Inc. NPDES No. NC0049905 Facility Information (1.) Facility Name: Associated Asphalt- Salisbury Terminal (2.) Permitted Flow (MGD): 0.1 (6.) County: Rowan (3.) Facility Class: 1 (7.) Regional Office: Mooresville (4.) Facility Status: (New or existing) Renewal (8.) USGS Topo Quad: EI6NE (Rowan Mills) (5.) Permit Status: (i.e., New, Modification, or Renewal) Renewal Stream Characteristics (1.) Receiving Stream: unnamed tributary to Grants Creek (2.) Subbasin: 030704 (8.) Drainage Area (mi2): <0.1 (3.) Index No.: 12-110 (9.) Summer 7010 (cfs) 0 (4.) Stream Classification: 0 (10.) Winter 7010 (cfs): 0 (5.) 303(d) Listed: Yes (turbidity) (11.) 30Q2 (cfs): 0 (6.) 305(b) Status: NA (12.) Average Flow (cfs): <0.1 (7.) Use Support: (13.) IWC (%): 100 Conditions Incorporated into Permit Renewal No changes are proposed. Summary • This is a minor renewal for an industrial facility that receives liquid asphalt in bulk, then stores it in storage tanks (> 1 MG) before shipping to asphalt plants via tank truck. There is no onsite manufacturing of asphalt. The only potential wastestreams would be stormwater collected from the bulk storage containment areas, and a small amount of boiler blowdown. Both of these wastestreams are piped to a 100,000-gal spill containment basin, which discharges as needed via manual gate valve. DMRs for the period January 1, 2001 through June 31, 2003 indicate no reported discharge. • When the facility discharges, the treated wastewater would go to an unnamed trib to Grants Creek> Yadkin River>High Rock Lake. The receiving ditch is a zero -flow stream (both 7Q10 and 30Q2 = 0). The Region believes any discharge would infiltrate into the ground before reaching Grants Creek. The entire Grants Creek is listed in the 2002 integrated 303(d)/305 (b) report as impaired for fecal, turbidity, and sediment. • Based on the history of limited discharge, NPDES is recommending permit renewal with no permit changes. Although the discharge is located above High Rock Lake, nutrient monitoring was not added, since it is not domestic waste and discharges appear to be limited. NPDES PERMIT FACT SHEET Inman Asphalt, Inc. Page 2 NPDES No. NC0049905 Region Data. • MRO (Wes Bell) conducted a Compliance Evaluation Inspection (CEI) on February 25, 1999 and reported no major concerns and good O&M. The report stated that there has been no discharge over the past 4 years, and recommended removal of instream monitoring. No new inspections have been conducted since then. Proposed Schedule for Permit Issuance Draft Permit to Public Notice: Permit Scheduled to Issue: State Contact If you have any questions on any of the above information or on the attached permit, please contact Sergei Chernikov at (919) 733-5038, extension 594. Copies of the following are attached to provide further information on the permit development: • Existing permit effluent sheets with changes noted (existing facilities only) • Draft Permit Regional Office Comments The region recommended that the permit is renewed as requested. Regional Recommendation by: Signature Reviewed and accepted by: Date Regional Supervisor: Signature Date NPDES Unit Supervisor: Signature Date Page 2 Version: March 16, 2004 FACT SHEET FOR TXPEDITED RENEWAL Permit Number /'?nc— Facility Name firtotil-- Reviewer .1114 Basin/Sub-basinY/f0 0 r Receiving Stream Cr-- , c- - %C. Is the stream impaired (listed on 303(d))? YO Is stream monitoring required? AfQ Do they need NH3 limit(s)? N6 Do they need TRC limit(s)? NO Do they have whole -effluent toxicity testing? 1v O Are there special conditions? NO Any obvious compliance concerns? NO Existing Expiration Date 47�/ 7a/o Proposed Expiration Date g,�3dia , Miscellaneous Comments: Circle one: DO NOT EXPEDITE If expedited, is this a simpler permit or a more difficult one? old RTP ENVIRONMENTAL ASSOCIATES, INC.® AIR • WATER • SOLID WASTE CONSULTANTS 1900 South Highway 14, Suite 4-6 Greer, SC 29650 December 22, 2003 Mr. Charles H. Weaver, Jr. NC DEHNR / DWQ / NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 Dear Mr. Weaver: (864) 848-1303 Fax: (864) 848-1311 [5,__..5' C E 1 ' 'q zr.10 nDEC 3 0 2003 ftI i j DENR-WATER OUAL1TY POINT SOURCE BRANC`A Enclosed is the application form for the renewal of the NPDES permit for Associated Asphalt, Inc. located in Salisbury, North Carolina (formerly Inman Asphalt Inc.). The facility operations have not changed. The facility does not have a sludge management plan, since this is only storm water which collects in the spill containment basins, and the facility does not generate sludge. Please renew the NPDES permit for the Associated Asphalt, Inc., Salisbury, NC facility. If you have any questions, please call Mr. Larry Ettel at Inman Asphalt (704) 636- 0781, or me at (864) 848-1303. Sincerely, RTP ENVIRONMENTAL ASSOCIATES, INC.® Cheryl C. Buehring Project Manager cc: Larry Ettel - AAI, Salisbury 2305.04/npdes.Itr/2305-1 NPDES PERMIT APPLICATION - SHORT FORM C For manufacturing or commercial facilities with a discharge <1 MGD (or WTPs) N. C. Department of Environment and Natural Resources Division of Water Quality/ NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 North Carolina NPDES Permit Number Please print or type 1. Applicant and facility producing discharge NCOO 49905 A. Name: Associated Asphalt, Inc. (formerly Inman Asphalt) B. Mailing address of applicant: Street address: 1825 Jake Alexander Blvd City: Salisbury County: Rowan State: NC Zip Code: 28147 Telephone Number ( 704 ) 636-0781 Fax Number ( 704 ) 636-2087 e-mail address NA C. Location of facility: Contact Person Larry Ettel Street : 1825 Jake Alexander Blvd City: Salisbury County: Rowan State: NA Zip Code: 28147 Telephone Number ( 704 ) 636-0781 2. Standard Industrial Classification (SIC) code(s): 2951. 3. Number of employees: 9 4. Principal product(s) produced: Liquid asphalt storage terminal Principal raw material(s) consumed: None consumed — storage & transfer only 5. Principal process(es): liquid asphalt is shipped in by rail, stored in tanks and shipped out in tank trucks 6. Amount of principal product produced (or raw material consumed) (List specific amounts consumed and/or units of production) Product Produced or Raw Material Consumed (AVERAGE) Product Produced or Raw Material Consumed (PEAK) per Day per Month per Year 91,000 tons 7. Check here if discharge occurs all year ❑ , or stormwater only discharged when it does not evaporate — can occur in any month, usually only released once per year or less. Circle the month(s) in which discharge occurs: January February March April May June July August September October November December Page 1 of 2 Version —11/2000 NPDES PERMIT APPLICATION - SHORT FORM C For manufacturing or commercial facilities with a discharge <1 MGD (or WTPs) Days per week discharge occurs: NA NOTE: If the facility has separate discharge points (outfalls) or multiple industrial processes, include a schematic diagram of wastewater flow at the facility. 8. Types of wastewater discharged to surface waters only (check as applicable). Discharge per operating day Flow (GALLONS PER OPERATING DAY) Volume treated before discharging (PERCENT) Sanitary - daily average Cooling water, etc. - daily average Process water - daily average Maximum per operating day for total discharge (all types) SW released only when it does not evaporate — usually once per year or less No treatment 9. If any of the types of wastewater identified in item 8 (either treated or untreated) are discharged to places other than surface waters, record the amount(s) discharged below: A. Municipal sewer system gpd B. Underground well gpd C. Septic tank gpd D. Evaporation lagoon or pond gpd E. Other, specify gpd 10. Number of separate discharge points: 2 11. Name of receiving stream(s): Unnamed tributary to Grant's Creek 12. Does your discharge contain or is it possible for your discharge to contain one or more of the following substances added as a result of your operations, activities, or processes? Circle all that apply: Stormwater only, none expected aluminum ammonia beryllium cadmium chromium chlorine (residual) copper cyanide lead mercury nickel oil and grease phenols selenium zinc None of the above 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. 6.(2 J 4 . r Printed name of Person Signing Title } 2- h /0 ignre of Ap�licant Date Nor fi Carolina Genera Statute 143-215.68 (i) 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 $10,000, 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 $10,000 or imprisonment not more than 5 years, or both, for a similar offense.) Page 2 of 2 Version -11/2000