NC0060691_Permit Issuance_20131113

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder
Governor Director
November 13, 2013
Mr. Wayne Gentry
MVP Group International, Inc.
435 Gentry Road
Ellcin, NC 28621
Subject: Issuance of NPDES Permit NCO060691
MVP Group International, Inc. WWTP
Surry County
Dear Mr. Gentry:
John E. Skvarla, III
Secretary
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 contains the following changes to its terms from those found in the draft permit sent to
you on September 25, 2013.
• 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
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 final
NPDES permit. [See Special Condition A. (4.)] For information on eDMR, registering for eDMR
and obtaining an eDMR user account, please visit the following web page:
bM2://portal.nedenr.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. ovg /compliance/proposed-npdes-electronic-reporting-rule.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604
Phone: [phone] l FAX: [phone]
Internet: www.newaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

Mr. Wayne Gentry
NC0060691 Permit Renewal 2013
p. 2
• Condition A. (5.) has been added to the permit, stating the "permit may be reopened and modified to
implement nutrient requirements in accordance with any future TMDL and/or nutrient management
strategy for High Rock Lake."
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 Resources 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 Bob Sledge at telephone number (919)
807-6398, or via e-mail at [e-mail].
S7Aomas
. Reeder
cc: Central Files
Winston-Salem Regional Office/Water Quality
NPDES File

Permit NCO060691
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions 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,
MVP Group International
is hereby authorized to discharge wastewater from a facility located at the .
MVP Group International WWTP
430 Gentry Lane
Elkin
Surry County
to receiving waters designated as the Yadkin 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.
The permit shall become effective January 1, 2014.
This permit and the authorization to discharge shall expire at midnight on December 31, 2018.
Signed this day November 13, 2013.
A. Reeder, Director
of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 8

Permit NCO060691
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.
MVP Group International
is hereby authorized to:
1. Continue to discharge non -contact cooling water from outfall 001, and
2. Operate two (2) existing 0.01 MGD wastewater treatment facilities
The first consisting of:
• Bar screen
• Aerated equalization basin
• Extended aeration
• Clarifier
• Aerated sludge holding basin
• Chlorine contact tank
• V-notch weir
The second consisting of:
• Equalization basin
• Aeration chamber
• Clarifier
• Sludge holding chamber
• Chlorine contact chamber
for a combined treatment capacity of 0.02 MGD
This facility is located at the MVP International WWTP, 430 Gentry Lane, in Elkin, in Surry
County.
3. After receiving an Authorization to Construct (ATC) from the Division of 'Water Resources,
increase the treatment plant capacity by adding a 0.01 MGD treatment plant for an ultimate design
capacity of 0.03 MGD, and
4. Discharge from said treatment works at the location specified on the attached map into the Yadkin
River, which is classified Class C waters in the Yadkin -Pee Dee River Basin.
Page 2 of 8

Permit NCO060691
PART I
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL
During the period beginning on the effective date of this permit and lasting until expiration, the.
permittee is authorized to discharge; non -contact cooling water from outfall 001. Such discharges
shall be limited and monitored) by the Permittee as specified below:
.. EFFLUENT C.~HARACTERISTICS' r,
LIMITS
;MONI,T�©RING,REQAUIREIENTS
,
,a
l
Monthly
D_"ally
Measurement
Sample
2
Sample Locatiort
_ r Paramete�Cod! ��
`Average ,
�Maximumr
Frequency
- Type
�
Flow 50050
Semi-annually
Estimate
l or E
Total Residual Chlorine3 50060
Semi-annually
Grab
E
Temperature (,C)4 00010
Semi-annually
Grab
. E
pH 00400
>_ 6.0 and <_ 9.0 standard units
Semi-annually
Grab
E
Fnntn rites
1. No later than 90 days from the effective date of this permit, begin submitting discharge monitoring
reports electronically using NC DWR's eDMR application system. See Condition A: (4.).
2. Sample locations: E-Effluent, I -Influent
3. Monitoring requirements apply only if chlorine is added to the cooling water.
4. The temperature of the effluent shall not cause an increase in the temperature of the receiving stream of
more than 2.8°C and in no case cause the ambient water temperature to exceed 29°C.
THERE SHALL BE NO CHROMIUM, ZINC, OR COPPER ADDED TO THE COOLING
WATER EXCEPT AS PRE -APPROVED ADDITIVES TO BIOCIDAL COMPOUNDS.
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 additional additive in the discharge which may be toxic to
aquatic life (other than additives previously approved by .the Division). Such notification shall
include completion of Biocide Worksheet Form 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 discharge of floating solids or visible foam in other than trace amounts.
Page 3 of 8

Permit NCO060691
A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL
During the period beginning on the effective date of this permit and lasting until expansion above 0.02
MGD, the permittee is authorized to discharge domestic wastewater from outfal1002. Such discharges
shall be limited and monitored) by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
• y'
_d Pa[ameter Cotle
LIMITS :_
MONITORING REQUI.REMENT$�
Monthlys
__,,,AC e y
_9,
j _Daily
Maximum -
Measurement
Frey uenc
q Y
Sample Type
�,
,Sample
Locaion,-
Flow (MGD) 50050
0.02
Weekly
Instantaneous
I or E
BOD, 5-day, 201 C C0310
30.0 mg/L
45.0 mg/L
Weekly
Grab
E
Total Suspended Solids C0530
30.0 mg/L
45.0 mg/L
Weekly
Grab
E
NH3 as N C0610
2/Month
Grab
E
pH 00400
>_ 6.0 and 5 9.0 standard units
Weekly
Grab
E
Temperature (°C) 00010
Weekly
Grab
E
Total Nitrogen (NO2+NO3+TKN) C0600
Quarterly
Grab
E
Total Phosphorus C0665
Quarterly
Grab
E
Total Residual Chlorine3,4 50060
28 lag/L
2/Week
Grab
E
Footnotes:
1. No later than 90 days from the effective date of this permit, begin submitting discharge monitoring
reports electronically using NC DWR's eDMR application system. See Condition A. (4.).
2. Sample locations: E-Effluent, I -Influent
1 Monitoring/limit apply only if chlorine is used for disinfection. .
4. The Division shall consider all effluent TRC values reported below 50 µg/1 to be in compliance with the
permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina
certified laboratory (including field certified), even if these values fall below 50 µg/l.
There shall be no discharge of floating solids or visible foam in other than trace amounts
Page 4 of 8

Permit NCO060691
A. (3.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL
During the period beginning upon expansion above 0.02 MGD and lasting until expiration, the
permittee is authorized to discharge domestie wastewater from outfall 002. Such discharges shall be
limited and monitoredl_ by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
,
��
Monthl Y
Dail Y
'Measurement;
' �
r Sample r.
Average
Maximum'
v
tSam, le T e
p Yp
e r
Locationz
Parameter Cotle
,
< <Frequency
Flow (MGD) 50050
0.03
Weekly
Instantaneous
I or E
BOD, 5-day, 201 C C0310
30.0 mg/L
45.0 mg/L
Weekly
Grab
E
Total Suspended Solids C0530
30.0 mg/L-
45.0 mg/L
Weekly
Grab
E
NH3 as N C0610
2/Month
Grab
E
pH 00400
>_ 6.0 and <_ 9.0 standard units
Weekly
Grab
E
Temperature (°C) 00010
Weekly
Grab
E
Total Nitrogen (NO2+NO3+TKN) C0600
Quarterly
Grab
E
Total Phosphorus C0665.
;
Quarterly
Grab
E
Total Residual. Chlorine3A 50060
28 Hg/L
2/Week
Grab
E
Footnotes:
1. No later than 90 days from the effective date of this permit, begin submitting discharge monitoring
reports electronically using NC DWR's eDMR application system. See Condition A. (4.).
2. Sample locations: E-Effluent, I -Influent
3. Monitoring/limit apply only if chlorine is used for disinfection.
4. The Division shall consider all effluent TRC values reported below 50 µg/1 to be in compliance with the.
permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina
certified laboratory (including field certified), even if these values fall below 50 µg/l.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 5'of 8-

Permit NCO060691
A. (4.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
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 anticipates that these
regulations will be adopted and is beginning implementation in late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part If of this permit
(Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Reporting
Records Retention
Monitoring Reports
1. Reporting [Supersedes Section D. (2.) and Section E. (5.) (a)1
Beginning no later than 90 days from the effective date of this permit, the perinittee shall begin reporting
discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report
(eDMR) intemet application.
Monitoring results obtained during the previous month(s) shall be sununarized for each month and
submitted electronically using eDMR. The eDMR system allows pennitted 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 DENR / DWR / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee 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 perniit to begin using eDMR. Temporary waivers shall be valid. for twelve (12) months
and shall thereupon expire. At such time, DMRs shall be submitted electronically to the Division unless the
permittee re -applies for and is granted a new temporary waiver by the Division.
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
http://portal.nodenr.or web/wq/admin/bog/i u/edmr
Page 6 of 8

Permit NCO060691
A. (4.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS, continued
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. (I 1.)(a) or by a duly authorized representative of that person as described in Part II, Section B.
(I 1.)(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 pager
hM2://portal.nddenr.org/web/wq/admin/bog/ipu/edmr
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:
7 certify, underpenalty 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 orpersons 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.)] -
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].
A. (5.).Nutrient Reopener for High Rock Lake
This permit may be reopened and modified to implement nutrient requirements in accordance with any
future TMDL and/or nutrient management strategy for High Rock Lake.
Page 7 of 8

Permit NCO060691
CD
MVP Group Iner" tldiiauNC006 .06",
USES Quad Name B15SE, Elktn North
(001 )t'LA:%36,9_5"i6""..
Receiving Stream
"
Syb,.b.d6l6:,Yadk'ih"'Pde D66
Facility
L66tk
Y'
County
Page 8 of 8

NORTH CAROLINA
SURRY COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State, duly
commissioned, qualified and authorized by law to administer oaths,
personally appeared Ferris W. Simpson who being first duly
sworn, deposes and says: that he (she) is Business Manager
(Publisher or other officer or employee authorized to make affidavit) of
HEARTLAND PUBLICATIONS, LLC, engaged in the publication of a
newspaper known as MOUNT AIRY NEWS, published, issued, and
entered as periodicals class mail in the city of Mount Airy in said County
and State; that he (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 MOUNT AIRY NEWS on the
following dates:
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.
This �. day of G 52013
Signature of person making
Sworn to and subscribed before me, this T day of
oafib�,�_ 2013
1
Notar ublic
My Commission expires: January 15, 2018 '
BRIDGET HENDERSON
NOTARY PUBLIC
Yadkin County
North Carolina
My Commission Expires January 16, 2018
I' Public'Notice
I North Carolina Environmental
I Management Commission/
•� NPDES Unit
11617 Mail Service Center
Raleigh, NC 27699-1617
Notice of 'Intent to Issue"a
NPDES
Wastewater Permit
The North Carolina Environ-
mental Management Commis- i
sign proposes to isbue a NP- i
DES wastewater discharge
permit to the person(s) listed i
below. Written comments re-•
garding the proposed, permit
will be,accepted until 30 days
after the publish date of this
notice. The Director of the NC I
Division of Water Resources
(DWR) may hold a public hear- '
ing should there be a signific-
ant degree of public, interest. ,
Please mail comments and/or
information requests to DWR
at the above address. Inter-
ested. persons may visit the
DWR at'512'N. Salisbury
Street, Raleigh, NC to review
information on file. Additional
information on NPDES per-
mits and this notice may be
found on our website: -
htto://portal.ncdenr org/web/wq
/swp/ps/npdes/calendar, or by
calling {919) 807-6390. The
Town of Dobson requested re-
newal of permit NCO021326 for
the Town of Dobson WWTP• in
Surry County; this permitted
discharge is treated wastewa-
ter to Cody Creek in the
Yadkin -Pee Dee River basin. -
MVP Group International re-
quested renewal of permit
NCO060691 for its wastewater
treatment plant in Surry
County, this permitted dis-
charge is treated wastewater
to the Yadkin River in the
Yadkin -Pee Dee River Basin.
Publish September 28, 2013 I

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Bob Sledge 9/19/2013
Permit Number
NCO060691
Facility Name
MVP Group International WWTP
Basin Name/Sub-basin number
Yadkin- Pee Dee 03-07-02
Receiving Stream
Yadkin River
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
Alread included*
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Expansion page
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
No
Any permit mods since last permit9
No
Current expiration date
12/31/2013
New expiration date
12/3 018
Comments received on Draft Permit?
Yes No If Yes, discuss response with
Sue ' or
Facility used to be known as Blyth Homescents International. Name change 4/11/2013.
*Discharge has huge dilution (12,354.8:1), therefore no fecal coliform monitoring and
use of chlorine/TRC monitoring is optional.

t
NCO060691
Facility: Candle Corporation of America
Discharge to: Yadkin River
Stream class and index #: C, 12-53 (416156)
Residual Chlorine Ammonia as NH_3
(summer)
7Q10 (CFS)
383
7Q10 (CFS)
383
DESIGN FLOW (MGD)
0.02
DESIGN FLOW (MGD)
0.02
DESIGN FLOW (CFS)
0.031
DESIGN FLOW (CFS)
0.031
STREAM STD (UG/L)
17.0
STREAM STD (MG/L)
1.0
UPS BACKGROUND LEVEL (UG/L
0
UPS BACKGROUND LEVEL (MG/L)
0.22
IWC (%)
0.01
IWC (%)
0.01
Allowable Conc. (ug/l)
210,049
Allowable Concentration (mg/1)
9,638
minimum = 2
Ammonia as NH3
(winter)
7Q10 (CFS)
535
Fecal Limit
Not Required
DESIGN FLOW (MGD)
0.02
Ratio of 12354.8 :1
DESIGN FLOW (CFS)
0.031
STREAM STD (MG/L)
1.8
UPS BACKGROUND LEVEL. (MG/L)
0.22
IWC (%) "
0.01
Allowable Concentration (mg/1)
27,270
minimum = 4

MVP Group Int.
430 Gentry Road
Elkin, N.C. 28621
Dear Mr. Weaver,
June 24, 2013
This application is being submitted to request permit renewal for MVP Group Int.
(formerly Blyth HomeScents International). The Permit number is NCO060691 for
the wastewater plant. There have not been any changes to the facility since the
last renewal.
Thankyou

NPDES PEWUT APPLICATION — SHORT FORM C — Minor
MinorindustriaL. Xudustrial
-Lfacturing andeommeraW facilities.
Man the compnete appmeation to-
N. C. DBNR / DivWo,2 of Water Quality / MWES Unit
2617 Man Service Center, Raleigh, NC 27699-1617
NPDES Permft Number Fm—c-off e-� -o
Please print or type.
I- Contact luffibrination:
Owner Name �p 3 1-11
Facffity Name v W
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
2. Locationof facility producing dischamo:
Check here if same as above'e'
Street Address or State Road
City
State / Zip Code
County.
3. Operator formation:
Name Of Me ft7T4 consultant or other ,tty t,,,,t operates the
zbL. Charge or ORC) facff'tY- (Note that this is '-Lot 7-e
Operator in Responsferrmg to the
Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
4. OwnaraWp Status.
Federal ❑
page I of 5
----------
33,
.State 0
Privateer Public C]
G-MI 10108

NPDES PERAUT APPLICATION - SHORT FORK C - Minor Indus
Minor industrial, manuffacturin-and commercial facilities.
5. Standard Industrial ClassiScation (SIC) code(s).
5. Number off employees: 9
7. Describe the treatment system List all installed waste treatment Components with capacities,
descri6e the processes that gate wastewatem Ythe space proaided is not Sint attach a
separate sheet ofpaper paper With the system descripfion.
,fix f �;iJ�3 � ��� f•?�� �`,'�-,4�.;
g- Is fmcilfty covered under federal effluent limitation guidelines?- No © Yes
If Yes, specify the categoryP
9- Principal products) producedz- S
Principal raw material(s) consome& z 4_-4
Brnefly descrs�e the maanfactoring process(esp
I
I Page 2 of
GMt 10/08

NPDZS PERNIFT APPLICATION - SHORT FORK C - Minor Industrial
Elinor industrials manufacturing and commercial facilities.
10. Amount of principal product proancted or raw materbn consumed
xzfte amounts consumed am
Product Produced or Raw
Consumed
per Day cao od©
per Month^
per Year o D O.00
11. Frequency of discharge: Continuous ❑
If i�ermitteat; �T
Days per week discharge oceors-
roarict - n over the last three ears .
Product Ptodueed or Raw Ifaterial
Consumed
Ct
1:0�7000 oo�
aao 0 ov
Itatesaeittent �''-
Duration:
12. Tapes of wastewater discharged to surface waters onny
Discharge
Sanitary - monthly average
IEEE
/ :3-
Utility water, etc. - monthly. average
Process water - monthly average
Stormwater — monthly average
Other — monthly average
Explain:
Average
Flow
13. ! Number of separate discharge points° - Put& l Identification number) - 5 r� :D
14. f lame of receiving streams) (provide a map showbzg the exact Zvcation o
butt a and longitude): each
f outfalt bwAaffn9
Page 3 d5
C-MI 10/08

RPDES PERMIT APPIWATION - SHORT FORM C - Minor Industrial
Minor indeswal' maaniactur. and commercial facmities.
25. Effluent Data [for new or proposed discharges]
Alovide datafor theparameters listed TanpauftIre andpHshall be 9 s P :forall ofFterparameters 24-hour
composite sampling shaI[ be used. If mone than one analysis is reported report daily maximum and ma>rthly auerage.
If onhj one analysis is reported report as daily 7naximun2
NOTZ. Perfidttees requawng renewal should complete the table ONLY for the parameters
currentiff moaitorrA SummartZe the past 3 years of effluent data.
Parameter
Daffy •
MontLly
Haaimua,
Average
Biochemical Oxygen Demand (GODS)
�f
Chemical Oxygen Demand (COD)
, �l
Total Organic Carbon
_
11A
Total Suspended Solids
39
Amrmoaia as N
J
Temperature (Summer)
e
p.j
Temnerat re (Win �
P�
H
Fecal Cohforla (If sanitary waste is
Present)
Total Residual Chlorine (ff chlorine is
used)
,f
Units of
Measurement
Qa '{ s€
i'd'� none ynoaMUCable ovals and%r appHcatioos (check all that aPPkJ �prouu�e permit
Type
Hazardous Waste (RCRA) .
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
Permit Number T*Ve
NESHAPS (CAJ4
Ocean. Dumping WRSA) -
%A :L" ' y Dredge or IM (Section 404 or CWA)
Other
Permit Nam%er
tanY chemicaas that may dt' a�rplairc source andpoten
�tial
}� ire list amd
s
e
Page 4 of 5
C-MI 10108

NPI]ES PERPUT APPLICATIOX - SHORT FORM C - Minor Ittdtustrial
Minor industrial, manufacturing and commereW facnium
1S. IS this facrfity located on Indian c ounfryp (check one)
i
Yes ❑No
19. AppUvant Certification
I cer>13:4' that I am familiar with t7'w information contained in the application and that to the
best of my lknoarledge and belief such iaforanation is true, complete, and accurate.
Printed name of Person Signing .title
Signature of Applicant
Date
North statement �a General Statute 143-215.6 (b)(2) provides that Any person who Imo
representation, or certification in any application. �g1Y manes any false
required to be maintained under Article —91 or �' report, Ply or ether document fles or
implementing that Article, or who. falsifies, tampersregulations of the Environmental Management Commission
monitoring device or method required to be o , or knowingly readers inaccurate any recording or
Environmental Management Commission implem crated or that Article, be tamed under Article 21 or regulations of the
by a fine not to exceed $25,000, or9t1$ty of a misdemeanor punishable
1001 provides a e imprisonment not to exceed six months, or by both. (18 U.S.C. Section
punishment by a fine of not more "than $r25,000 or imponznent not more than 5 years, or both,
for a similar offense.)
Page 5 of 5
GMi 10108

MVP Group Int.
The sludge management plan is as follows:
Sludge is produced at the wastewater plant. It is removed to a holding
compartment attached to the plant. After the sludge is thickened, a licensed
septic hauler is contacted. He pumps out the sludge and it is hauled to a municipal
wastewater plant.
Thank you