WQ0009098_Staff Report_20221027

DocuSign Envelope ID: 1860D45C-211 F-46DA-9DC8-B23A4C1 C4546
State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Environmental Staff Report
Quality
To: ❑ NPDES Unit ® Non -Discharge Unit
Attn: Ehsan Bagheri
From: Chris Smith
Raleigh Regional Office
Application No.: WQ0009098
Facility name: 8420 James Rest Home WWTF
Note: This form has been adapted from the non -discharge facility staff report to document the review of both non -
discharge and NPDES permit applications and/or renewals. Please complete all sections as they are applicable.
L GENERAL AND SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
a. Date of site visit: October 10, 2022
b. Site visit conducted by: Chris Smith
c. Inspection report attached'? ❑ Yes or ® No
d. Person contacted: Chris McGee and their contact information: [phone]
e. Driving directions: 8420 James Rest Home Rd., New Hill, NC 27562
2. Discharge Point(s):
Latitude: Longitude:
Latitude: Longitude:
3. Receiving stream or affected surface waters:
Classification:
River Basin and Subbasin No.
Describe receiving stream features and pertinent downstream uses:
FORM: WQROSSR 04-14 Page 1 of 5

DocuSign Envelope ID: 1860D45C-211 F-46DA-9DC8-B23A4C1 C4546
III. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ❑ Yes ❑ No ® N/A
ORC: Certificate #: Backup ORC: Certificate #:
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ❑ Yes or ❑ No ® N/A
If no, please explain:
Description of existing facilities:
Proposed flow: N/A
Current permitted flow: 2,500 GPD
Explain anything observed during the site visit that needs to be addressed by the permit, or that may be important
for the permit writer to know (i.e., equipment condition, function, maintenance, a change in facility ownership,
etc.)
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or ❑ No
If no, please explain:
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ® Yes or ❑ No
If yes, please explain:
5. Is the residuals management plan adequate? ❑ Yes or ❑ No ® N/A
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No
If no, please explain:
7. Is the existing groundwater monitoring program adequate? ❑ Yes ❑ No ® N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ® No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No
If no, please explain:
10. Were monitoring wells properly constructed and located? ❑ Yes ❑ No ® N/A
If no, please explain:
FORM: WQROSSR 04-14 Page 2 of 5

DocuSign Envelope ID: 1860D45C-211 F-46DA-9DC8-B23A4C1 C4546
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑ No ® N/A
If no, please complete the followina (expand table if necessarv):
Monitoring Well
Latitude
Longitude
0 , „
0 , rr
0
0
0
0
0
0
0
0
12. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? ❑ Yes or ❑ No
® N/A
Please summarize any findings resulting from this review:
Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable.
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No
If yes, please explain:
14. Check all that apply:
❑ No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
If the facility has had compliance problems during the permit cycle, please explain the status. Has the RO been
working with the Permittee? Is a solution underway or in place?
Have all compliance dates/conditions in the existing permit been satisfied? ❑ Yes ❑ No ® N/A
If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ❑ No ® N/A
If yes, please explain:
16. Possible toxic impacts to surface waters:
17. Pretreatment Program (POTWs only):
FORM: WQROSSR 04-14 Page 3 of 5

DocuSign Envelope ID: 1860D45C-211 F-46DA-9DC8-B23A4C1 C4546
IV. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
If yes, please explain:
2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an
additional information request:
Item Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
❑ Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
® Issue
Signed by:
❑ Deny (Please state reasons: ) F�"Y'I's ' MA_
6. Signature of report preparer: DgcuSi9,ned-by,_
Signature of regional supervisor: n t At A' �-
Date: 1012712022 B2916HAB32144F...
1D427000DBE94E9...
FORM: WQROSSR 04-14 Page 4 of 5

DocuSign Envelope ID: 1860D45C-211 F-46DA-9DC8-B23A4C1 C4546
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
This staff report has been prepared to satisfy the requirements for a permit renewal and transfer of permit ownership. The
system is not in use and is being removed as soon as possible for permit recission.
FORM: WQROSSR 04-14 Page 5 of 5