NC0064599_Renewal Request 2015_20150121

• LAKE NORMAN MOTEL
4491 SLANTING BRIDGE ROAD
SHERRILLS FORD,NC 28673
January 21, 2015 RECEIVED/DENR/DWR
MAR 2 3 2015
Mrs. Wren Thedford Water Quality
NCDENR/DWR/NPDES Unit Permitting or
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mrs. Thedford:
Please accept this letter as a request for renewal of the Lake Norman Motel Wastewater
Treatment Plant NPDES Permit#NC0064599.
There have been no operational or design changes at the facility since the issuance of the
last permit.
Sincerely,
Anthony Genaro
Manager
Lake Norman Motel

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 INC0064599
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 Helena Genaro
Facility Name Lake Norman Motel
Mailing Address 4491 Slanting Bridge Road
City Sherrills Ford
State / Zip Code North Carolina 28673
Telephone Number [phone] RECEIVEDIDENRIDWR
Fax Number MAR 2 3 2015
e-mail Address [e-mail]
Water Quality
Permitting Secfior
2. Location of facility producing discharge:
Check here if same address as above
Street Address or State Road
City
State / Zip Code
County Catawba
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 Lake Norman Motel
Mailing Address 4491 Slanting Bridge Road
City Sherrills Ford
State / Zip Code North Carolina 28673
Telephone Number [phone]
Fax Number
e-mail Address [e-mail]
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 ❑ Number of Homes
School ❑ Number of Students/Staff
Other ® Explain: 20 Motel
Staff
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Motel and Restaurant.
100% Domestic Sewage.
Number of persons served: 120
5. Type of collection system
® 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 ® No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall
Directly into Lake Norman in the Catawba River Basin at 4491 Slanting Bridge Road
8. Frequency of Discharge: ® 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.
- Sludge holding tank(2,000 gal)
-Manual bar screen
-Activated sludge aeration basin-(7,500 gal)
-Rectangular clarifier(1,250 gal)
- Chlorine contact basin-tube/tablet feed-(500 gal)
-In-line dechlorination-tube/tablet feed
Note: Overall design removal = 90%
2 of 3 Form-D 11112

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.0075 MGD
Annual Average daily flow 0.003 MGD (for the previous 3 years)
Maximum daily flow 0.007 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® 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 currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BODS) 41.3 6.8 mg/L
Fecal Coliform 330 6.6 Colonies/100 mL
Total Suspended Solids 73 13.3 mg/L
Temperature (Summer) 29 25 C°
Temperature (Winter) 17 14 C°
pH 8.0 6.8 su's
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping(MPRSA)
NPDES NC0064599 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
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.
Anthony Genaro Manager
Printed name of Person Signing Title
- 27 /
Signature of Ap t Date
North Carolina G ral Statute 143-215.6(b)(2)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

• Sludge Management Plan
For: Lake Norman Motel Wastewater Treatment Plant
NPDES Permit#NC0064599
Date: January 21, 2015
The waste sludge produced at the treatment facility is removed directly from the sludge
holding tank by Stanley Environmental Solution, Inc. of Stanley,NC(Gaston County—License
# SDTS 36-04) and disposed of at Earth Farms facility in Dallas,NC.
By: Anthony Genaro
Lake Norman Motel
4491 Slanting Bridge Road
Sherrills Ford,NC 28673

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
March 24,2015
Helena Genaro
Lake Norman Motel
4491 Slanting Bridge Road
Sherrils Ford,NC 28673
Subject: Acknowledgement of Permit Renewal
Permit NC0064599
Catawba County
Dear Permittee:
The NPDES Unit received your permit renewal application on March 23, 2015. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to
complete your permit renewal. You should expect to receive a draft permit approximately 30-45 days
before your existing permit expires.
If you have any additional questions concerning renewal of the subject permit,please contact Maureen
Kinney(919) 807-6388.
Sincerely,
W r CAA.TIAtzl fo-rob
Wren Thedford
Wastewater Branch
cc: Central Files
Mooresville Regional Office
NPDES Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St Raleigh,North Carolina 27604
Phone:[phone]\Fax:[phone]/Customer Service:1-877-623-6748 "' •
Internet::www.ncwater.orq
An Equal OpportunitylAffirmative Action Employer