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HomeMy WebLinkAboutNC0056618_Permit Issuance_20031112OF WArFR NCDENR Mr. Jim Highley Carolina Water Service, Inc. of NC P.O. Box 240908 Charlotte, North Carolina 28224 Dear Mr. Highley: Michael F. Easley Governor William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E., Director Division of Water Quality November 12, 2003 Subject: Issuance of NPDES Permit NCO056618 Carolina Pines Estates WWTP Craven County 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 the following changes from the draft permit sent to you on September 24, 2003: ➢ The stream classification has been corrected to SB-Swamp NSW. ➢ Footnote 4 in section A. (1) has been deleted, as it was not applicable to the Total Phosphorus monitoring at 0.125 MGD. This permit includes a TRC limit that will take effect on June 1, 2005. If you wish to install dechlorination equipment, the Division has promulgated a simplified approval process for such projects. Guidance for approval of dechlorination projects is attached. 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 Charles Weaver at telephone number (919) 733-5083, extension 511. Sincerely, ORIGINAL SIGNED BY SUSAN A. WILSON Alan W. Klimek, P.E. cc: Central Files Washington Regional Office/Water Quality Section NPDES Unit N. C. Division of Water Quality / NPDES Unit Phone: (919) 733-5083 1617 Mail Service Center, Raleigh, NC 27699-1617 fax: (919) 733-0719 Internet: h2o.enr.state. nc.us DENR Customer Service Center: 1 800 623-7748 Permit NCO056618 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, Carolina W- -2te.. Soyiee, aaav !no „f N• �'G'-' is hereby authorized to discharge wastewater from a facility located at the Carolina Pines Estates WWTP NCSR 1176 north of Havelock Craven County to receiving waters designated as the Neuse River in the Neuse River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and W hereof. This permit shall become effective Dec , 2003. Zor 3 This permit and authorization to discharge shall expire at midnight on June 30�A6� Signed this day Novemb 3. ORIGINAL SIGNED BY SUSAN A. WILSON Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Pen -nit NCO056618 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. Carolina TTaterInc. -of N is hereby authorized to: 1. Continue to operate an existing 0.125 MGD wastewater treatment system with the following components: ➢ Manual bar screen ➢ Dual 75,000-gallon aeration basins ➢ Dual clarifiers ➢ Tablet chlorination ➢ Sludge digester ➢ Effluent flow measurement/recorder ➢ Backup power suqqAy- ➢ Effluent pump station ➢ Submerged effluent diffuser The facility is located north of Havelock at the Carolina Pines Estates WWTP off NCSR 1176 in Craven County. 2. After receiving an additional Authorization to Construct from the Division, construct and operate a 0.5 MGD wastewater treatment system. 3. Discharge from said treatment works at the location specified on the attached map into the Neuse River, classified SB-Swamp NSW waters in the Neuse River Basin. � I 0 Latitude: 34"58'15" NCO056618 Longitude: 76"56'05" Quad: Havelock, N.C. (143/A/u)) Carolina Pines WV\/ -FP Stream Class:' N -3,0; �SO f-TAOIH3 Sub basin; 34*02- V3-01f-fo Receiving Stream: SB.Su Amp I P1614sr iuvrk MYN-A Facility Location NORM SCALE 1:214000 Pem-AL NCO056618 Dl4ii--)p A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (0.125 MGD) During the period beginning on the effective date of this permit and lasting until expansion above 0.125 MGD or expiration, the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below: EFFLUENT CHARACTERISTICS LIMITS MONITORING REQUIREMENTS Monthly Average Daily Maximum Measurement Frequency Sample Type Sample Location Flow 0.125 MGD Weekly Instantaneous Influent or Effluent Total Monthly Flow Monitor & Report Monthly Calculated Influent or Effluent BOD, 5-day (202C) 30.0 mg/L 45.0 mg/L Weekly Composite Effluent Total Suspended Residue 30.0 mg/L 45.0 mg/L Weekly Composite Effluent NH3 as N Weekly Composite Effluent Eaeal Eafiform E944ococc r (geometric mean) -296 /-38A cal 397100 -40&1440()Lml 2:fl0 ioo Weekly Grab Effluent Total Residual Chlorine' 13 jig/L 2/Week Grab Effluent Temperature (2C) Weekly Grab Effluent TKN Monitor & Report (mg/L) Weekly Composite Effluent NO2-N + NO3-N Monitor & Report (mg/L) Weekly Composite Effluent TN2 Monitor & Report (mg/L) Monthly Monitor & Report (lb/month) .,n'thly Monitor & Report Ib/ ear' Annually Composite Effluent TN Load3 Calculated alculated Effluent Effl ent Total Phosphorus Monitor & Report (mg/L) Mo y site EKbnt pH4 Weekly Grab Effluent Al)1, ?&-V- I 3S"�p /UOML Footnotes: /2 . This limit will become effective June 1, 2005. Until then, the permittee shall monitor TRC [with no effluent limit]. 2. For a given wastewater sample, TN = TKN + NO2-N + NO3-N, where TN is Total Nitrogen and TKN is Total Kjeldahl Nitrogen. 3. TN Load is the mass load of Total Nitrogen discharged in a given period of time [see condition A. (3)]. The annual TN Load limit shall become effective with the calendar year beginning on January 1, 2003. Compliance with this limit shall be determined in accordance with condition A. (4). 4. The pH shall not be less than 6.8 standard units nor greater than 8.5 standard units. There shall be no discharge of floating solids or visible foam in other than trace amounts Permit NC0056618 �r4;k .4 T06 A. (2) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (0.5 MGD) During the period beginning upon expansion to 0.50 MGD and lasting until expiration, the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below: EFFLUENT CHARACTERISTICS LIMITS MONITORING REQUIREMENTS Monthly Average Daily Maximum Measurement Fre uency Sample Type Sample Location Flow 0.5 MGD Weekly Instantaneous Influent or Effluent Total Monthly Flow Monitor & Report Monthly Calculated Influent or Effluent BOD, 5-day (202C) (April 1 - October 31 5.0 mg/L 7.5 mg/L Weekly Composite Effluent BOD, 5-day (202C) November 1 - March 31 10.0 mg/L 15.0 mg/L Weekly Composite Effluent Total Suspended Residue 30.0 mg/L 45.0 mg/L Weekly Composite Effluent NH3 as N (April 1 - October 31 2.0 mg/L 10.0 mg/L Weekly Composite Effluent NH3 as N November 1 - March 31 4.0 mg/L 20.0 mg/L Weekly Composite Effluent Dissolved Oxygen' Weekly Grab Effluent 1=_�farrn (geometric mean -266-H,69+e1 3S ►�0 4894480+ 1 2 /i�o Weekly Grab Effluent Total Residual Chlorine 13 Ng/L 2/Week Grab Effluent Temperature ('C) Daily Grab Effluent TKN Monitor & Report (mg/L) Weekly Composite Effluent NO2-N + NO3-N Monitor & Report (mg/L) Weekly Composite Effluent TN2 Monitor & Report (mg/L) Monthly Composite Effluent TN Load3 -5 .3.2 11,r Monitor & Report (lb/month) (lb/year Monthly Annually Calculated Calculated Effluent Effluent Total Phosphorus4 2.0 mg/L (quarterly average) Weekly Composite Effluent pH5 Weekly Grab Effluent Footnotes: xt;Y "JtfOCocc i �iM4 ( � iimbv{- �ffcP - f 1. The daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/L. 2. For a given wastewater sample, TN = TKN + NO2-N + NO3-N, where TN is Total Nitrogen and TKN is Total Kjeldahl Nitrogen. 3. TN Load is the mass load of Total Nitrogen discharged in a given period of time [see condition A. (3)]. The annual TN Load limit shall become effective with the calendar year beginning on January 1, 2003. Compliance with this limit shall be determined in accordance with condition A. (4). 4. The quarterly average for total phosphorus shall be the average of composite samples collected during each calendar quarter (January -March, April -June, July -September, October -December). 5. The pH shall not be less than 6.8 standard units nor greater than 8.5 standard units. There shall be no discharge of floating solids or visible foam in other than trace amounts. kqs mar jeer m:i 5 ho,cGd �l v'e j fj jw(��.n:�- SG 307 /J / o d nit rye ne tod - Permit NCO056618 A. (3) CALCULATION OF TOTAL NITROGEN LOADS a. The Permittee shall calculate monthly and annual TN Loads as follows: L Monthly TN Load (pounds/month) = TN x TMF x 8.34 Where: TN = average TN concentration (mg/L) of the composite samples collected during the month TMF = Total Monthly Flow of wastewater discharged during the month (MG/month) 8.34 = conversion factor, from (mg/L x MG) to pounds ii. Annual TN Load (pounds/year) = Sum of the 12 Monthly TN Loads for the calendar year b. The Permittee shall report monthly Total Nitrogen results (mg/L and pounds/month) in the discharge monitoring report for that month and shall report each year's annual results (pounds/year) in the December report for that year. A. (4) ANNUAL LINUTS FOR TOTAL NITROGEN (a) TN limits for NPDES dischargers in the Neuse River basin are as prescribed in the basin's Nutrient Management Strategy rule for wastewater treatment facilities, T15A NCAC 2B .0234. (b) The Permittee's TN discharge is governed by this Permit unless the Permittee is a member and co-permittee of an approved compliance association, in which case its TN discharge is governed by the association's group NPDES permit and the limits therein. (c) TN limits for NPDES dischargers in the Neuse River basin are annual, calendar -year limits. All such limits in effect on January 1 of a given year remain in effect for the entire calendar year. Changes in TN limits become effective on January 1 of the year following permit modification and remain in effect for the full year. Similarly, changes in membership in a compliance association become effective on January 1 of the year following the change and remain in effect for the full year. (d) For any given calendar year, the Permittee shall be in compliance with the annual TN Load limit in this Permit if: (1) the Permittee's annual TN Load is less than or equal to said limit, or (2) the Permittee is a Member of a compliance association and a Co-Permittee to the association's group NPDES permit. (e) The Permittee's effective TN limit (if any) may change due to changes in its TN allocation or membership changes in a compliance association. (1) The Permittee may notify the Division and request a modification of this Permit to incorporate allowable changes in its TN Load limit. Allowable changes include those resulting from purchase of TN allocation from the Wetlands Restoration Fund; purchase, sale, trade, or lease of allocation between the Permittee and other dischargers; regionalization; and other transactions approved by the Division. (2) If the Permittee intends to join or leave a compliance association, the Division must be notified of the proposed change. (3) Upon receipt of timely and proper notification, the Division will modify the affected permits) as necessary to incorporate the allowable changes in TN limits or to reflect the change in membership. a. The Division must receive notification no later. than August 31 for changes proposed for the following calendar year. b. Notification shall be sent to: NCDWQ / NPDES Unit Attn: Neuse River Basin Coordinator 1617 Mail Service Center Raleigh, NC 27699-1617 (f) For the purpose of permit compliance, an association's Co-Permittee Members in a calendar year (and the Permittee's membership status) shall be as defined in its group NPDES permit. The roster and the members' TN allocations will be updated annually and in accordance with state and federal program requirements. (g) The TN monitoring and reporting requirements in this Permit remain in effect until expiration of this Permit and are not affected by the Permittee's membership in a compliance association. I AFFIDAVIT OF PUBLICATIO NORTH CAROLINA. Wake County. ) Ss. rvunroc,r+nury �r m To ISSUE A NPDES WASTEWATERreni PERMIT On the basis of thorough staff review and application of NC General Statute 143.21 Public law 92-5W and other lawful standards and regulations,. the North Carolina Environ- mental Management Commission proposes to issue a National pollutant Discharge Elimination System (NPDES) wastewater discharge permit to the Person(s) 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 date of this notice. All comments received prior to that date are considered in the final determinations regarding the proposed permit. The Director of the NC Division of Water Quality may decide to hold a public meeting for the proposed permit should the Division receive a significant degree of public interest. , are the costs of reproduction. Mail comments and/or requests for information to the NC Division of Water Quality at the above address or call Ms Valero Stephens at (919) 733-5083, Tt��-rniSion 520, Please include the NPDES permit number oxttached) in any communication. interested persons may also visit the Division of Water Quality at 512 N. Salisbury Street, Raleigh, NC 27604-1148 between the hours of 8:00 a.m. and 5:00 p.m. to review information on file. The Carolina Water Systems, Inc. (P.O. Box 240908, Chorlgtte, NC J262,24) hat applied for renewal of NPDES Permi NCOO it for the airfield Harbgro Subdivision WWTP in Craven County. 'Phis, permitted facility dis- chory2s treated wastewater to the Upper Broad Creek in u the . use River Basin. Currently BOD; total nitrogen, total pbasphorus and total residual chlorine are water quality..timited. This discharge may affect future alloca- tions in this portion of the Neuse River Basin. NPDE5 Permit Number NCO056418, Carolina Water Ser- vice, Inc. of NC (Carolina pines Estates WWTP) has applied for a permit renewal for a facility located in Craven County discharging treated wastewater into the Neuse River in the Neuse River Basin. Currently, BOD5, ammonia, fecal coliform and total residual chlorine ore water quality limited. This discharge may affect future allocation in this portion of the receiving stream. NPDES Permit Number NC0056545, City of New Bern (Trent R iver W WTP) has appl ied fora permit renewal for a facility located in Craven County discharging treated wastewater into the Trent R iver in The Neuse River Basin. Currently, SOD5, ammonia, fecal coliform and total residual chlorine are water quality limited. This discharge may affect future allocations in this portion of the receiv- ing stream. NPDES Permit Number NC0070084, City of New Bern (Stately Pines WWTP) has applied for a permit renewal fora facility located in Craven County discharging treated wastewater into the Neuse River in the Neuse River Basin: Currently, BOD5, ammonia, fecal coliform and total residual chlorine are water quality limited. This discharge may affect future allocations in this portion of the receiv- ing stream. NPDES Perinit number NC0049662, Heater Utilities, InE. (Hawthorne Subdivision WWTP) has applied for a permit renewa(for a facility located in Wake County discharging wastewater into Upper Barton Creek in thq Neuse River Basin. Currently, BOD5, ammonia, fecal coliformand and total residual chlorine are water quality limited. This discharge may affect future allocations in this portion of the receiving stream. NPDES Permit Number NCO060526, Pope Industrial park has applied for a permit renewal for a facility located in Wake County discharging treated wastewater into an unnamed tributary to+swift Creek in the Neuse River Basin. Currently, BOD5, ammonia, fecal coliform and total residual chlorine are water quality limited. This discharge may affect future allocations in this portion of 1 the receiving stream. McMurry Fabrics, Inc. (NC0023710) has applied for re- newal of its NPD perrnit discharging to the Roanoke River within the oamtke. River Basin. No discharge parameters are water quality limited. This effluent may affect future wctewater discharge allocations to this receiving streaRl. N&O: September $7, 2903 CQ' OCT (ENR- T OUR E BRANCH Before the undersigned, a Notary Public of Johnston County North Carolina, duly commissioned and authorized to administer oaths, affirmations, etc., personally appeared Ivy Marsch, who, being duly sworn or affirmed, according to law, doth depose and say that she is Billing Manager -Legal Advertising of The News and Observer a corporation organized and doing business under the Laws of the State of North Carolina, and publishing a newspaper known as The News and Observer, in the City of Raleigh , Wake County and State aforesaid, 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, and that as such she makes this affidavit; that she is familiar with the books, files and business of said corporation and by reference to the files of said publication the attached advertisement for NC DIVISION OF WATER QUALITY was inserted in the aforesaid newspaper on dates as follows: 09/27/03 Account Number: 73350831 ie books and files of the aforesaid Corporation and publication. 4Bifling'lManager-Legal Advertising Sworn or affirmed to, and subscribed before me, this 29 day of SEPTEMBER , 2003 AD In Testimony Whereof, I have hereunto set my hand and affixed my official seal, the day and year aforesaid. �J Notary Public My commission expires 2°d day of July, 2005. C�5 NCO056618 - Carolina Pines WWTP Subject: NC0056618 - Carolina Pines WWTP Date: Mon, 15 Sep 2003 14:27:55 -0400 From: Christie Jackson <christie.jackson@ncmail.net> Organization: NC DENR DWQ To: Kristin Jarman <Kristin.Jarman@ncmail.net> Hi Kristin - I'm trying to do the renewal for this facility. It looks like they had a special condition in the last permit to submit a wastewater management plan. I don't see a record of receiving it. Did you get it? Let me know how you'd like to proceed with the renewal... Thanks, Christie fusot9c, V-apmak? 6(-[2403 gWt1rv� �Y l/U(.���? ��i 1, � Say *a� W)eq 9 V1 6C pacr I r hav� S�hI qe6i (4 wit( yc�LLbm'(4, i l I rer�n lam Ua-F 1��tJ00 I S Veco v god C'1 9 b I S6"s -��a � 9 y hh "-0 hB,� tuwmr 4 � ff n,� - aI�l� cep 1 of 1 9/ 15/03 2:30 PN SOC PRIORITY PROJECT: YES NO_X_ IF YES, SOC. NO. To: Permits and Engineering Unit - - Water Quality Section j Attn: Christie Jackson MAR - 7 2003 Date: March 4, 2003 NPDES STAFF REPORT AND RECOMMENDATION Craven County Permit No. NCO056618 PART I - GENERAL INFORMATION 1. Facility and Address: Carolina Pines WWTP P.O. Box 240908 Charlotte NC 28224 2. 3. 4. 5. 6. 7. 8 Date of Investigation: Report Prepared by: February 21, 2003 Kristin Jarman Person(s) contacted and telephone number(s): Mr. Gerald Underwood - ORC (252) 727-1979 Directions to Site: The treatment facility is located near the end of NCSR 1176 on the south bank of the Neuse River. Discharge Point: Pipe 001 Latitude: 34 58' 15" Longitude: 76 56' 05" Attach a USGS map extract and indicate treatment facility site and discharge point on map. USGS Quad. No. Y3I013 USGS Quad Name: Havelock NC Site size and expansion area consistent with application? X Yes No If No, explain: Topography (relationship to flood plain included): The site is approximately 25 feet above mean sea -level. 9. Location of nearest dwelling: approx. 1 /2 mile. 4-a.5E 10. Receiving stream or affected surface waters: diver a. Classification: SB Sw NSW b. River Basin and Subbasin No.: 03-04-10 C. Describe receiving stream features and pertinent downstream uses: the river is used for boating, sport and commercial fishing, swimming and skiing. PART II —DESCRIPTION OF DISCARGE AND TREATMENT WORKS 1. a. Volume of Wastewater to be permitted: .125 MGD b. What is the current permitted capacity of the Wastewater Treatment facility? .125 MGD C. Actual treatment capacity of the current facility (current design capacity)? .125 MGD d. Date(s) and construction activities allowed by previous Authorizations to Construct issued in the previous two years: NA e. Please provide a description of existing or substantially constructed wastewater treatment facilities: Manual bar screen, dual 75,000 GPD aeration basins, each consisting of an aeration basin and secondary clarifier, tablet chlorination system, sludge digestion, effluent flow meter, backup generator and effluent pump station with ultimate disposal through a submerged effluent diffuser. f. Please provide a description of proposed wastewater treatment facilities: None g. Possible toxic impacts to surface waters: Chlorine h. Pretreatment Program (POTWs only): N/A 2. Residuals handling and utilization/disposal scheme: a. If residuals are being land applied, please specify DWQ permit no. ND0069761 Residuals Contractor: Biotech, Columbia SC Telephone No. b. Residuals stabilization: PSRP_ PFRP Other C. Landfill: d. Other disposal/utilization scheme (Specify): 3. Treatment plant classification (attach completed rating sheet): Grade II Biological WPCS 4. SIC Code: 4952 Wastewater Code of actual wastewater, not particular facilities. 001-- Primary_01 _ Secondary Main Treatment Unit Code: 0603 PART III —OTHER PERTINTENT INFORMATION 1. Is this facility being constructed with Construction Grant Funds or are any public monies involved? (municipals only) NA 2. Special monitoring or limitations (including toxicity) requests: None 3. Additional effluent limits requested: None 4. Other: PART IV —EVALUATION AND RECOMMENDATION The Washington Regional Office recommends that this permit be reissued. Please send a copy of the draft permit to this office before the Public Notice is issued. Signatuly Report Preparer A, ie 2�7'?� Water Quality Regional Supervisor 3/"'Y�'-3 Date CAROLINA WATER SERVICE, INC. Tr j ANCAFFILIATE Oi UIIILII �IICSOIIIl1Co Regional Office: 5701 Westpark Dr., Suite 101 P.O. Box 240908 Charlotte, NC 28224 Telephone: (704) 525-7990 FAX: (704) 525-8174 January 23, 2003 Mr. Charles H. Weaver, Jr. NC DENR / Water Quality / NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Notice of Renewal Intent Carolina Pines Subdivision WWTP NPDES Permit NCO056618 Craven County Dear Mr. Weaver: Carolina Water Service, Inc. of NC is hereby requesting renewal of the aforementioned permit. Enclosed are one signed original and two copies of this letter, the application, and our sludge management plan. If you should need additional information regarding the permit renewal application or have questions about the information I have provided, please contact me by calling 704-525- 7990, extension 221. rl, Jim Highley Sr. Regional anager c: Carl Daniel CAROLINA WATER SERVICE, INC. AN AFfiHA711 OF UirIILII FIICsSpll Regional Office: 5701 Westpark Dr., Suite 101 P.O. Box 240908 Charlotte, NC 28224 Telephone: (704) 525-7990 FAX: (704) 525-8174 January 23, 2003 Mr. Charles H. Weaver, Jr. NC DENR/Water Quality/NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Carolina Pines Subdivision .WWTP NPDES Permit No. NCO056618 Sludge Management Plan Dear Mr. Weaver: Please be advised that sludge generated at the aforementioned facility is removed and disposed of by: Bio-Tech, Inc. 151 Old Wire Road West Columbia, SC 29172 803-796-8925 If you should need additional information regarding our sludge management program, please contact me by calling 704-525-7990, extension 221. � rely Jim Highley Senior Region Manager NPDES PERMIT APPLICATION - SHORT FORM D To be filed only by dischargers of 100% domestic wastewater (<1 MGD flow) 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 NCOO S/ (if known) Please print or type 1. Mailing address of applicant/permittee: Facility Name Owner Name Street Address City State ZIP Code Telephone Number Fax Number e-mail Address 2. Location of facility producing discharge: Name (If different from above) Facility Contact Person Street Address or State Road City / Zip Code County Telephone Number 3. Reason for application: (!%e ) :eve g? Expansion/Modification Existing Unpermitted Discharge Renewal `� New Facility * Please provide a description of the expansion/modification: 4. Description of the existing treatment facilities (list all installed components with capacities): Page 1 of 2 Version 1112000 NPDES PERMIT APPLICATION - SHORT FORM D To be filed only by dischargers of 100% domestic wastewater (<1 MGD flow) 5. Description of wastewater (check all that apply): Type of Facility Generating Wastewater Industrial Number of Employees Commercial Number of Employees Residential Number of Homes / School Number of Students/Staff Other Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.): t�L�/Pl� d/teS/Cl 101,7 6. Number of separate wastewater discharge pipes (wastewater outfalls): 7. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each outfall: 8. Name of receiving stream(s) (Provide a map showing the exact location of each outfall): h 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. WAN Name of Person North Carolina General Statute 143-215.6E 0 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 1112000