NC0085928_Reference Notice_20150407

RECEIVEDIDENRIDWR
APR 1 3 2015
TRUTZSCHLER
Water Quality
P rmitting Section
aAIIENo©Qa UNUEETE © I[IA[ 0Elgo
P.O. BOX 669228 • CHARLOTTE, N.C. 28266
NC DENR /DRW/NPDES
Reference Notice CP1348
EID 56-0932757
April 7, 2015
To Whom It May Concern:
We hereby request renewal of our NPDES Permit. During the
past five year our operations have only changed with regard to a
moderate expansion of our capacity. Discharge issues have
remained as they were at the time of our last application.
Yours truly,
Jo Gugl elmetti
H.R. Manager
191fttl MfNfRF'S f:HAPFI RflAf)•TFI FPHf1NF•704—'19-4.521 •FAX [phone]

NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
Mail the complete application to:
N. C. Department of Environment and Natural Resources REr'
Division of Water Quality / NPDES Unit ED/pEN�pwR
1617 Mail Service Center, Raleigh, NC 27699-1617
4 PR I 2015
NPDES Permit Number�NC00 X58 p Water Quality
• slitting Section
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 -+otfr tcce Tru et zSettlek- tk•c
r!',
Facility Name A sm.ev t cat. T}v g't i s.-%4 t•w i t
Mailing Address P.b , 6 t„4 (p 6412$
City CLat.Litt e t •.
State / Zip Code IV zetto
Telephone Number (toy )3 44 - tt S 2
Fax Number (-uy ) 3at - S302
•drinaintidz'A§' -, . r ;-•+1'1•.; i�, ?r w, r r. •
S(35..e•seta � Q+ - `Cr a e• [ 5 e 4 lft. co t,
r +•
,•�'. 1 ♦ :r:l.•. No'ft ''. .4.1* 1Sf.�: .•¢••tb l.t , v.., . ••1!V i. ♦ .MV a 1..
2. Location of facility,pioducing discharge: r 1
•sem>-.•bdxl, w'. �•:�; 4• •$$•• r•r . 4 N#.J� .y ►it? i•f.I .11. *.1!` t r� .,t;
Check here if same as above IR +. y . 01..11°, .- , „41,
Street Address or State Road t22oc t1/4.0v-eV (.gt( e.pari
City C+%-.t%.1
State / Zip Code /G G Z2 t ti
County M e AA.%by`s
•
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name rte A►tta,. T.u ett�L.le`f tM t .
Mailing Address P.6 . B .1 L6122.6
City CLut..kfr't't-t
State / Zip Code N L 'i eUo C
Telephone Number (-tblq) tet. LLS Z t
Fax Number (10k ) Me • S307
4. Ownership Status:
Federal ❑ State El Privat0Er Public 0
Page 1 of 3 C-GW 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
•
NPDES Permit NumberNCOO
If you are completing this form in computer use the TAB key for 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 ' .{Atpvtca•a Trued zscta", tike
1i.'
Facility Name A *4e••tcet• 1$-v ctt Seltt'eL1 ilk L
Mailing Address P•0 . 6 eq. (o6ettis
City
State / Zip Code NC zQL(o
Telephone Number (toy )3 RQ tl S2 t
Fax Number (Nor.)(18 y ) 3a t - 53o 2 _ )
'ertriaittA'ddi'e?ts j ! ,4r ,"• *.• :'4 f•) �'A 1 1},.
J sDS l.tl aat T! a■1'..� _ `[rvtt• 5tta�+!` . COH
,s! ; !• ;r;J.'. . 1.•, N0. '•; .,,' 1-413: 1 N
••93 •f . • "— , ••, ;. . N11�. . a'Sr .. 41
2. Location of facility,pfoducing discharge: _
•��: !%Mb ';. /' $ #
`-4-% i" ' r•1':4-• •., N4,. -,y . ►,e� i $.4 i0. 'lt ! ii •rf;
Check here if same as above
Street Address or State Road V2•200 v••••re! C1/4w.trt( t4.4t
City Ckim.I ahC
•
State / Zip Code 6i)e- Z$2 1 t(
County Me ds4N •
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name A Kt a-ic.. - T•v et-c sei e`t tv►t .
Mailing Address e.b • e (..122.8
City Ckca..l,.t-t.e.
State / Zip Code N L 'LP up C
Telephone Number (-bli() len. it S Z 1
Fax Number (by ) ytt • 5307
4. Ownership Status:
Federal 0 State ❑ Private Public 0
Page I of 3 C-GW 03/05

II/F *
NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
13. 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.
LL L. Irvc.,(t,4 it e*t W V. AMA.%el.
Printed name of P r on Signing Title
t DI til AttAtif ellillS
Si ature of App 'cant 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 $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.)
• . .;sir
Page 3 of 3 C-GW 03105

April 7 , 2015
SUBJ: American Truetzschler' s Sludge Management ;
The only sludge generated at this facility is the
sewerage septic tank. The sludge is disposed of by
Stanley Environmental as required and that is
approximately once each year .
t(1) 44"41)1144
John L Guglielmetti , H . R. Manager