Loading...
HomeMy WebLinkAboutNC0086690_Issuance of Permit_20030918OF W ArF9 Michael F. Easley Governor \0� r NCDENR William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources O < Alan W. Klimek, P.E., Director Division of Water Quality September 18, 2003 Mr. Jerry H. Tweed Heater Utilities, Inc. P.O. Drawer 4889 Cary, North Carolina 27519 Subject: Issuance of NPDES Permit NCO086690 Stansted Well #2 WTP Wake County Dear Mr. Tweed: 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 major changes from the draft permit sent to you on July 23, 2003: ➢ The monitoring frequencies for Total Nitrogen (IN), TN components and Total Phosphorus have been reduced to semi-annually, based on the minimal flow (<5000 gallons/day) from your facility. • This reduction in sampling frequency makes it imperative that representative samples are collected. Collect the TN and TP samples on days when flow is monitored. • Data from the semi-annual samples will be used to calculate the TN load for the facility. The Permittee should maintain accurate estimates of the total discharge each month (total monthly flow, or TMF). The TMF values will be multiplied by the TN values for the semi-annual samples to calculate a TN load for the facility. This permit includes a TRC limit that will take effect on May 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 (919) 733-5083, extension 511. cc: Central Files Raleigh Regional Office/Water Quality Section NPDES Unit Kent Penny / Wake County Environmental Services N. C. Division of Water Quality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699.1617 Internet: h2o.enr.state. nc.us Sincerely, ORIGINAL SIGNED BY Tom BeInick Alan W. Klimek, P.E. Phone: (919) 733-5083 tax: (919) 733-0719 DENR Customer Service Center. 1 800 623-7748 Permit NCO086690 um 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, Heater Utilities, Inc. is hereby authorized to discharge wastewater from a facility located at the Stansted Subdivision Well #2 Stansted Drive north of Fuquay-Varina Wake County to receiving waters designated as an unnamed tributary to Basal Creek in the Neuse River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, I1, III and IV hereof. This permit shall become effective November 1, 2003. This permit and authorization to discharge shall expire at midnight on April 30, 2008. Signed this day September 18, 2003. ORIGINAL SIGNED BY Tom Belnick Alan W. Klimek, P.E., Director Division of Water 9uality By Authority of the Environmental Management Commission Permit NCO086690 SUPPLEMENT TO PERMIT COVER SHEET All previous NPDE5 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. Heater Utilities, Inc. is hereby authorized to: 1. Operate a well -water treatment system with a discharge of filter -backwash wastewater. This facility is located at the Stansted Subdivision Well #2 on Stansted Drive north of Fuquay-Varina in Wake County. 2. Discharge at the location specified on the attached map into an unnamed tributary to Basal Creek, classified B-NSW waters in the Neuse River Basin. Quad #: F-23N W Receiving Stream: UT Basal Creek Stream Class: B-NSW Subbasin: 30403 NCO086690 Heater Utilities Stansted Well #2 Facility Location f SCALE 1:24000 Permit NCO086690 A. (1.) EFFLUENT LEWTATIONS AND MONITORING REQUIREMENTS During the period beginning on the effective date of the permit 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 for each outfall: Effluent Characteristics LIMITS MONITORING REQUIREMENTS Monthly Average Daily Maximum Measurement Frequency Sample Type Sample Location Flow Monthly Estimate Effluent Total Suspended Solids 30.0 mg/L 45.0 mg/L Quarterly Grab Effluent Settleable Solids 0.1 mVL 0.2 ml/L Quarterly Grab Effluent Iron Quarterly Grab Effluent Total Residual Chlorines 17 pg/L Quarterly Grab Effluent Turbidity 50 NTU Quarterly Grab Effluent Total Nitrogen (TN) 2 Monitor & Report (mg/L) Semi-annually Grab Effluent Total Monthly Flow 2 Monitor & Report milliongallons/month) Monthly Calculated Effluent Nitrate/Nitrite Nitrogen2 (NO2 + NO3) Monitor & Report (mg/L) Semi-annually Grab Effluent Total Kjeldahl Nitrogen (TKN)2 Monitor & Report (mg/L) Semi-annually Grab Effluent TN bad (pounds/month) 2 Monitor & Report (pounds per month Monthly Calculated Effluent TN load (poundslyear) 2 Monitor & Report (pounds per ear Annually Calculated Effluent Total Phosphorus Monitor & Report (mg/L) Semi-annually Grab Effluent Footnotes: 1. Limit takes effect May 1, 2005. Permittee will monitor TRC until the limit takes effect. 2. See A. (2) for Total Nitrogen monitoring and reporting requirements. All samples collected should be from a representative discharge event. There shall be no discharge of floating solids or visible foam in other than trace amounts. Permit NCO086690 A. (2) CALCULATION OF TOTAL NITROGEN LOADS a. The Permittee shall calculate monthly and annual TN Loads as follows: i. Monthly TN Load (pounds/month) = TN x TMF x 8.34 where: TN = TN concentration (mg/L) of the sample collected during the semi-annual monitoring event. Use the TN value for the month in which the sample was taken and successive months until another TN sample is collected. TMF = Total Monthly Flow of wastewater discharged during the month (MG/month). If all discharges are not recorded at the facility, document the calculation(s) used to determine total monthly flow. 8.34 = conversion factor, from (mg/L x MG) to pounds ii. Annual TN Load (pounds/year) = Sum of the 12 Monthly (calculated) TN Loads for the calendar year b. The Permittee shall report the semi-annual Total Nitrogen results in the discharge monitoring report (DMR) for that month. The calculated pounds of TN load per month will be reported on each month's DMR. The Permittee shall report each year's annual results (pounds per year) on the December DMR I NPDES REGIONAL WATER QUAL TY SEP 2 4 STAFF REPORT AND RECOMMEND TIONS (This form is best filled out on computer, rather than liard-copy) Date: 09/09/03 To: NPDES Discharge Permitting Unit Attn. NPDES Reviewer: Charles Weaver County: Wake Permitee: Heater Utilities - Stansted Sub. Application/ Permit No.: NCO086690 Staff Report Prepared By: Wilson Mize SOC Priority Project? (Y/1) No If Yes, SOC No. A. GENERAL INFORMATION 1. This application is (check all that apply): 0 New ® Renewal ❑ Modification 2. Was a site visit conducted in order to prepare this report? ® Yes or 0 No. a. Date of site visit: 09/05/2003 b. Person contacted and telephone number: No one was contacted at this time, site visited by only DWQ personnel. c. Site visit conducted by: Wilson Mize d. Inspection Report Attached: ® Yes or ❑ No. 3. Keeping BIMS Accurate: Is the following BIMS information (a. through e. below) correct? ® Yes or EJ No. If No, please either indicate that it is correct on the current application or the existing permit or provide the details. If none can be supplied, please explain: Discharge Poin • (FL this section only if BIMS or Application Info is incorrect or missing) a. Location OK on Application F], OK on Existing Permit ®, or provide Location: b. Driving Directions OK on Application F�, OK on Existing Permit F], or provide Driving Directions (please be accurate): From Raleigh, take US HWY. 1 South to Apex, take the Ten Ten Rd. exit. From the exit turn right onto Ten Ten Rd. (SR 1010) and proceed approximately sixteen miles, turn right onto Holly Springs Rd. (SR 1152). Proceed approximately ten miles on Holly Springs Rd., turn left onto Sunset Lake Rd. (SR 1301). Proceed approximately eight miles and Stansted Subdivision will be on the right, enter via Beretta Lane. c. USGS Quadrangle Map name and number OK on Application ❑, OK on Existing Permit ®, or provide USGS Quadrangle Map name and number: d. Latitude/Longitude OK on Application ❑, (check at hM&//topgzone.com These are often inaccurate) OK on Existing Permit ®, or provide Latitude: Longitude: e. Receiving Stream OK on Application F], OK on Existing Permit ®, or provide Receiving Stream or affected waters: a. Stream Classification: B-NSW b. River Basin and Sub basin No.: Neuse River Basin - 03/04/03 NPDES REGIONAL WATER QUALITY STAFF REPORT AND RECOMMENDATIONS c. Describe receiving stream features and downstream uses: B. DF4C'RTPTION OF FACILITIES AND WASLM (renewals and modifications only) 1. Describe the existing treatment facility: Filter backwash wastewater discharge from a well. 2. Are there appropriately certified ORCs for the facilities? ® Yes or ❑ No. Operator in Charge: Ricky Scarborough Certificate # (Available in BIMS or Certification Website) Back- Operator in Charge: Certificate # 3. Does the facility have operational or compliance problems? Please comment: No Summarize your BIMS review of monitoring data (Notice(s) of violation within the last permit cycle; Current enforcement action(s)): Are they currently under SOC, Currently under JOC, ❑ Currently under moratorium E]? Have all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with? ❑ Yes or ® No. If no, please explain: 4. Residuals Treatment: PSRP ❑ (Process to Significantly Reduce Pathogens, Class B) or PFRP (Process to Further Reduce Pathogens, Class A)? Are they liquid or dewatered to a cake? Land Applied? Yes No ❑ If so, list Non -Discharge Permit No. Contractor Used: Landfilled? Yes ❑ No0 If yes, where? Other? Adequate Digester Capacity? Yes ❑ No Sludge Storage Capacity? Yes ❑ No Please comment on current operational practices: 5. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑ Yes or ® No. If yes, please explain: i o e rel 1 1 iT a. gel ) i 1. Alternative Analysis Evaluation: has the facility evaluated the non -discharge options available? Give regional perspective for each option evaluated: Spray Irrigation: NA Connect to Regional Sewer System: Not available FORM: NPDES-RRO 06/03 2 NPDES REGIONAL WATER QUALITY STAFF REPORT AND RECOMMENDATIONS Subsurface: NA Other Disposal Options: NA 2. Provide any additional narrative regarding your review of the application: NA 3. List any items that you would like NPDES Unit to obtain through an additional information request. Make sure that you provide a reason for each item: 4. List specific Permit requirements that you recommend to be removed from the permit when issued. Make sure that you provide a reason for each condition: Removal 5. List specific special requirements or compliance schedules that you recommend to be included in the permit when issued. Make sure that you provide a reason for each special condition: 6. Recommendation: Hold, pending receipt and review of additional information by regional office; Hold, pending review and approval of required additional information by NPDES permitting office; ® Issue; 0 Deny. If deny, please state reasons: Reminder: attach inspection report if Yes was checked for 2 d. 111.1 7. Signature of report preparer: 'j , Signature of WQS regional sL FORM: NPDES-RRO 06/03 3 cam' AFFIDAVIT OF PUBLICATION NORTH CAROLINA. Wake County. ) Ss. Beforethe undersigned, a Notary Public of Johnston ` PUBLIC NOTICE STATE OF NORTH CAROLINA County North Carolina, duly commissioned and authorized to ENVIRONMENTAL MANAGEMENT SVICECOCNENTERONMPDES UNIT administer oaths, affirmations, etc., personally appeared Ivy ItALEIGFf, NC2769Marsch, who, being duly sworn or affirmed, according to law, NOTIFICATION OF INTENT TO ISSUEE A NPDES WASTEWATER PERMIT � On the basis of thorough staff review and application of NC General Statute 143.21, Public' law 92-500and other lawful standards and regulations, the North Carolina Environmental loth depose and say that she is Billing Manager -Legal Management Commission proposes to issue a National Pollutant Discharge Elimination System (NPDES) wastewater discharge Permit to the Person(s)listed Wow effective 451 Advertising of The News and Observer a corporation days from the publish date of this notice. Written comments regarding the proposed permit will be accepted until 30 days after the', organized and doing business under the Laws of the State of 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 North Carolina, and publishing a newspaper known as The Water Quality may decide to hold a public meeting for the proposed permit should the Division receive a significant degree of public interest. News and Observer, in the City of Raleigh Wake Copies of the draft permit and other supporting information on file used to determine County and State aforesaid, the said newspaper In which such conditions present in the draft permit are available upon request and payment of the costs of reproduction. Mail comments and/or requests for information to the NC Division of notice, paper, document, or legal advertisement was published Water Quality at the above address or call Ms. Volery Stephens at (919) 733-5083, extension 520. Please include the NPDES permit number (attached) In any communication. Interested persons may also visit the Division of Water Quality at 512 N. Salisbury Street, was, at the time of each and every such publication, a Raleigh, NC 27604-1148 between the hours of 8:00 a.m. and 5:00 p.m. to review information on file. newspaper meeting all of the requirements and qualifications The Town of Fuquay Varina's Terrible Creek WWTP (NCOQW16), has applied for renewal of Section 1-597 of the General Statutes of North Carolina and of its Permit discharging to Terrible Creek In the Neuse River Basin. Currently, BOD, ammonia nitrogen, total nitrogen and total phosphorus are water quality limited. this. discharge may affect future allocations In the receiving stream. 1 was a qualified newspaper within the meaning of Section I - Heater Utilities, Inc. has applied for renewal of NPDES permit NCO055701 for the 597 of the General Statutes of North Carolina,and that as such Nottingham Forest WTP. This permitted facility discharges filter -back wash wastewater to an unnamed tributary to Swift Creek in the Neuse River Basin. Currently total residual, she makes this affidavit that she is familiar with the books chlorine is water quality limited. This discharge may affect future allocations in fhisl s , portion ater of swift creek. I files and business of said corporation and by reference to the Heater Utilities, Inc. has applied for renewal of NPDES permit NC0086690foriheStanstead � Well *2 WTP. This permitted facility discharges- filter -backwash wastewater to one files of said publication the attached advertisement for NC unnamed tributary to Basal Creek in the Neuse River Basin. Currently total residuoll P chlorine iswaterquality limited. this discharge may affect future al locations inthispoftion DIVISION OF WATER QUALITY was inserted in the of Basal Creek. Heater Utilities, Inc. has applied for renewal of NPDES permit NCW73679 for the Oak aforesaid newspaper on dates as follows: 07/25/03 Hollow WTP. This permitted facility discharges filter -backwash wastewater to an' unnamed tributary to Middle Creek int he Neuse River Basin. Currently total residua chlorlr(e is water quality limited. This discharge may affect future allocations in 4l Portion of Middle creek. Account Number: 73350831 Heater Utilities, iNc. has applied for renewal of NPDES Permit NCO082996 for the; Hollybrook WTP. This permitted facility discharges filter -backwash wastewater to on' unnamed tributary to Middle Creek in the Neuse River Basin. Currently total residual chlorine Is waierAuality I imited. this discharge may affect future of locations in this portion of Middle Creek. Mr. Joseph Thompson (9520 Penny Road, Raleigh, NC 27606) has applied for renewal of NPDES permit NC0083747 for the Twin Lake WTP. This permitted facility discharges, filter -backwash wastewater to an unnamed tributary to Basal Creek in the Neuse River Basin. Currently total residual chlorine is water quality limited. Thisdischorge may affect future allocations in this Portion of Basal Creek. Carolina Water Service, Inc. of NC hasapplied for renewal of NPDES permit NC0086266for the Woodtrace Water System WTP. This Permitted facility discharges filter -backwash wastewater to an unnamed tributary to Little River in the Neuse River Basin. Currently total residual chlorine is water quality limited. This discharge may affect future allocations In this Portion of the Little River. First Craven Sanitary District has applied for renewal of NPDES permit NCO060321 for its WTP. This permitted facility discharges filter -backwash wastewater to an unnamed tributary to Duck Creek in the Neuse River Basin. Currently total residual chlorine iswater quality limited. This discharge may affect future allocations in this portion of Duck Creek. 'The City of Havelock has applied for renewal of NPDES permit NC0002917 for its a books and files of the aforesaid Corporation and publication. Lvnnwayne WTP. This permitted facility discharges filter -backwash wastewater to the Southwest Prong of Slocum Creek in the Neuse River Basin. Currently total residual chlorine is water quality limited. This discharge may affect future allocations in this portion of Slocum Creek. The City of Havelock has applied for renewal of NPDES permit NCO078131 for its Brown -� Boulevard WTP. This permitted facility discharges filter -backwash wastewater to McCotter Canal (to Hancock Creek) in the Neuse River Basin. Currently total residual �i�� chlorine is water quality limited. This discharge may affect future allocations in this-------L portion of Hancock Creek. _._.....____._._......._.. _. N&O: July 25, 2W3 _ _ I ! Billing Wanager-Legal Advertising SEAL Sworn or affirmed to, and subscribed before me, this 28 day of JULY , 2003 AD In Testimony Whereof, I have hereunto set my hand and affixed my official seal, the day and year aforesaid. 4?yNotary Public My commission expires 2nd day of July, 2005. Well wafter Filter Backwash Pem►' .............. To: "Charles Weaver (E-mail)" <Charles.Weaver@ncmail.net> Charles: Heater has 5 pending renewals of discharge permits for the backwash water form canister type iron filters on community drinking water wells. These are very small intermittent discharges which have little to no impact on the environment and when time permits, we would like to investigate the possibility of covering these type permits under a general permit. They are not at all like water treatment plant discharge from a typical surface water treatment plant such as those operated by cities. Each of these permits requires a chlorine limit to be implemented within 18 months which would require installation of chlorine removal equipment on each of these systems. This seems extreme for these small intermittent discharges. Please consider exempting these systems form the chlorine policy due to the insignificance of the discharge. The five permits that Heater has pending are as follows along with my comments: (1) Waterfall Plantation - Permit NC0085863 This draft permit issued on 7/16/03 requires monthly monitoring for everything but TSS which is 2/month and residual chlorine which is required weekly. All of the other draft permits (except Nottingham Forest as discussed below) and existing permits generally require quarterly monitoring for everything including residual chlorine. The Waterfall Plantation draft also includes a monitoring requirement for Aluminum which seems inappropriate since this is not a surface water treatment plant and would not have any aluminum. Please consider changing the monitoring frequency for Waterfall Plantation to quarterly for all parameters, eliminating the Aluminum monitoring requirement, and eliminating the chlorine limit as discussed above. (2) Nottingham Forest - Permit NC0055701 This draft permit issued on 7/23/03 requires quarterly monitoring on everything except TSS and Iron which are required monthly. Please consider changing the monitoring frequency for TSS and Iron to quarterly and eliminating the chlorine limit as discussed above. (3) Oak Hollow - Permit NC0073679 This draft permit issued on 7/23/03 requires quarterly monitoring on all parameters which Heater believes is appropriate for this type facility. Please consider eliminating the chlorine limit as discussed above. (4) Hollybrook - Permit NCO082996 This draft permit issued on 7/23/03 requires quarterly monitoring on all parameters which Heater believes is appropriate for this type facility. Please consider eliminating the chlorine limit as discussed above. (5) Stanatead Well #2 - NCO086690 This draft permit issued on 7/23/03 requires quarterly monitoring on all parameters which Heater believes is appropriate for this type facility. Please consider eliminating the chlorine limit as discussed above. Thank you for any consideration of my requests. If I can provide further information regarding these systems please contact me by email at jtweed@huinc.com or by telephone at 919 467 8712 ext. 37. Thanks Jerry 1 of 2 8/4/2003 7:11 AM Permit NCO055701 A. (2) CALCULATION OF TOTAL NITROGEN LOADS a. The Permittee shall calculate quarterly and annual TN Loads as follows: L Quarterly TN Load (pounds/quarter) = TN x Qw x Days x 8.34 where: TN = the average TN concentration (mg/L) of the sample(s) collected during the quarter Qw = The average daily discharge flow for the quarter Days = The number of discharge days during the quarter 8.34 = conversion factor, from (mg/L x MG) to pounds ii. Annual TN Load (pounds/year) = Sum of the Quarterly TN Loads for the calendar year b. The Permittee shall report quarterly Total Nitrogen results (mg/L and pounds/quarter) in the appropriate discharge monitoring report. The Permittee shall report each year's annual results (pounds per year) in the December report for that year. -7 W Heater Utilities WATER AND WASTEWATER SERVICES October 23, 20 Mrs. Valery Stephens NCDENR/Water Quality/Point Source Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Permit Renewal - NPDES Permit NC 0086690 Stanstead Well #2 WTP - Wake County Dear Valery: 202 MacKenan Court Cary, North Carolina 27511 phone: 919.46 7 7854 fax: 919.460.1788 P.O. Drawer 4889, Cary, NC 27519 tit i� ocCT8 2002 00LITY FG',irY SOiI`riCE Bs2AflCH The above -referenced facility involves the backwash from iron and manganese filters on a community well located in Stanstead subdivision. The iron and manganese residue in the backwash water is captured on a sand filter. There is no sludge production. The iron and manganese residue is periodically raked from the top of the sand filter and disposed of in a landfill. Heater Utilities (Heater), at this and other similar facilities is required to perform quarterly monitoring on most parameters. Heater requests renewal of this permit with a continued quarterly monitoring frequency. If I can provide further information, please contact me at 919-467-8712. Ext. 37. Sincerely, ?Jer H.Tweed e President JHT/rt 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 NC00 86690 A. Name Heater Utilities, Inc. (Stanstead Well #2 WTP) Attn: Jerry Tweed B. Mailing address of applicant: Street address P.O. Drawer 4889 City Cary CountyWake State North Carolina Zip Code 27519 Telephone Number ( 919 ) 467-7854 Fax Number ( 919) 460-1788 e-mail address _ltweed(c�huinc.com C. Location of facility: Contact Person Reid Campbell (Heater Utilities, Inc. Street Stanstead Drive. North of Fuauav Varina City County Wake State North Carolina Zip Code Telephone Number ( 919 } 467-8712, Ext. 39 2. Standard Industrial Classification (SIC) code(s): 4941 3. Number of employees: N/A 4. Principal product(s) produced: Drinking Water Principal raw material(s) consumed: N/A 5. Principal process(es): Iron/Manganese Removal Filtration 6. Amount of principal product produced or raw material consumed !List snacifin amnuntc nnncnmari andlnr nnitc of nrnrjtrr #i^n1 Product Produced or Raw Material Consumed AVERAGE Product Produced or Raw Material Consumed PEAK per Da per Month per Year 7. Check here if discharge occurs all year X , or Circle the month(s) in which discharge occurs: January February May June July. August March April September October November December Days per week discharge occurs: Three Days per week NOTE: If the facility has separate discharge points (outfalls) or multiple industrial processes, include a schematic diagram of wastewater flow at the facility. Page 1 of 2 Version -6-99 NPDES PERMIT APPLICATION - SHORT FORM C For manufacturing or commercial facilities with a discharge < 1 MGD (or WTPs) 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 1,700 Zero Maximum per operating day for total discharge (all types) 6,300 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 and D. Evaporation lagoon or pond and E. Other, specify. gpd 10. Number of separate discharge points: One 11. Name of receiving stream(s): Unnamed Tributary to Basal Creek — Neuse River Basin 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: aluminum ammonia beryllium cadmium chromium <a��� 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. Jerry H. Tweed Vice President Printed name of Person Signing Title SianWre of A Vicant 0 Date North Carolina General Statute 143-215.6 (b)(2) 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 —6-99