NC0022497_Application_20150406

CROSS COUNTRY CAMPGROUND
6254 HWY 150 EAST
• DENVER,NC 28037
March 26, 2015 ,
RECEIVED!DENR1DWR
Mrs. Wren Thedford
NCDENR/DWR/NPDES Unit 4PR - 6 2015
1617 Mail Service Center
Raleigh, NC 27699-1617 permitting Section
Dear Mrs. Wren Thedford:
Please accept this letter as a request for renewal of the Cross Country Campground
Wastewater Treatment Plant NPDES Permit#NC0022497.
There have been no operational or design changes at the facility since the issuance of the
last permit.
Sincerely,
onna Day 6°3--)7
Manager
r-=�==� _•uiiiucr [phone]
Fax Number
e-mail Address [e-mail]
YG� pground.com
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 0 Number of Employees
Residential ❑ Number of Homes
School ❑ Number of Students/Staff
Other ® Explain: Cpgd
4 Staff
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
100% Domestic Waste from Campsites.
Number of persons served: 200
5. Type of collection system
® Separate (sanitary sewer only) El Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points
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):
Reedy Creek in Lake Norman (Catawba River Basin)
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.
-Manual bar screen
-Activated sludge aeration basins-(65,000 gal)
- Clarifier with skimmer 85 sludge return(5,000 gal)
-Multi-purpose basin(50,000 gal). Can be used as a sludge holding basin or flow equalization basin
- Chlorine contact chamber with tablet feed(1,250 gal)
-Flow chamber utilized for flow measurement, sampling, and dechlorination(100 gal)
2 of 3 Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.065 MGD
Annual Average daily flow 0.015 MGD (for the previous 3 years)
Maximum daily flow 0.048 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) 33.2 4.1 mg/L
Fecal Coliform 290 5.6 Colonies/100 mL
Total Suspended Solids 42 9.0 mg/L
Temperature (Summer) 26 20 C°
Temperature (Winter) min 7.0 14 C°
pH 7.5 7.0 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 NC0022497 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.
Donna Day Manager
Printed name of Person Signing Title
3136A
ignature of Applicant ate
North Carolina General 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: Cross Country Campground Wastewater Treatment Plant
NPDES Permit#NC0022497
Date: March 26, 2015
The waste sludge produced at the treatment facility is removed directly from the aeration
basins by Robert's Septic Service of Hickory,NC (Catawba County—License#NCS00294) and
discharged into the City of Newton(Catawba County) sewage collection system.
By: Donna Day
Manager (11'�`G
Cross Country Campground