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HomeMy WebLinkAboutNC0038300_Permit Issuance_20161130Water Resources ENVIRONMENTAL QUALITY November 30, 2016 Mr. James R. Edwards S.S. Construction and Rental 1808 Pinecrest St Burlington, NC 27215 PAT MCCRORY DONALD R. VAN DER VAART Sru'Jurr S. JAY ZIMMERMAN Subject: Issuance of NPDES Permit NCO038300 S.S. Mobile Home Park WWTP Chatham County Class WW-2 Dear Mr. Edwards: Oirn¢m 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 October 15, 2007 (or as subsequently amended). This final permit includes no major changes from the draft permit sent to you on August 10, 2016. 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 any other Federal, State, or Local governmental permit that may be required- If you have any questions concerning this permit, please contact Charles H. Weaver at telephone number (919) 807-6391. Sinc ely, S. Jay Zimmerman, P. . Director, Division of Water Resources cc: Central Files Raleigh Regional Office NPDES Unit State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center I Raleigh, NC 27699-1617 919 807 6300 919-807-6389 FAX https:lldeq.nc.govlaboutldivisionslwater-resourceslwater-resources-permits/wastewater-bmchlnpdes-wastewater-permits Permit NCO038300 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES 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, S.S. Construction & Rental, Inc. is hereby authorized to discharge wastewater from a facility located at S.S. Mobile Home Park 241 Graham Moore Road Staley Chatham County to receiving waters designated as an unnamed tributary to Brush Creek in subbasin 03-06-09 of the Cape Fear River basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. - This permit shall become effective January 1, 2017. This permit and authorization to discharge shall expire at midnight on September 30, 2021. Signed this day November may Zimmerman, P. G�- Director, Division of Water Resources By Authority of the Environmental Management Commission Page 1 of 8 Permit NCO038300 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. S.S. Construction & Rental, Inc. is hereby authorized to: 1. Continue to operate an existing 0.01 MGD wastewater treatment facility that includes the following components: ♦ Aeration basin [5341 gallons] ♦ Clarifier [1260 gallons] ♦ Tablet chlorinator ♦ Chlorine contact chamber [718 gallons] ♦ Post aeration in contact chamber [when needed] ♦ Detention polishing sand filter [when needed] ♦ Tablet dechlorination ♦ Poly tank [ 1010 gallons] ♦ Concrete tank for sludge holding [2000 gallons] The facility is located at S.S. Mobile Home Park (241 Graham Moore Road, Staley) in Chatham County. 2. Discharge from said treatment works at the location specified on the attached map into an unnamed tributary to Brush Creek, currently classified C waters in the Cape Fear River basin. Page 2 of 8 Permit NCO038300 f Part I A. (1.) i EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS 1[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.] During the period beginning on the effective date of this 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: fiN4NITRIG=REQl11REMENTS [PCS cadJ' Monthly Average Daily �laxi�num. Measurement' $ample Type'- Sam �`Location2 P. uen Flow 50050 0.01 MGD Weekly Instantaneous Influent or Effluent BOD, 5 dly (20°C) CO310 30.0 mg/L 45.0 mg/L Weekly Composite Effluent Total Sus ended Solids CO530 30.0 mg/L 45.0 mg/L Weekly Composite Effluent NHs as N C0610 Weekly Composite Effluent Dissolved Oxygen 00300 Daily average > 5.0 mg/L - Weekly Grab Effluent Dissolved. 0xygen Weekly Grab Upstream & [003001 Downstream Fecal Coliform [31616] p 200/100 ml 400/100 ml Weekly Grab Effluent eometri mean Total Res ual Chlorine TRC 5 060 2 17 /l µg 2/Week Grab Effluent Temperature (C) 00010 ; Daily Grab Effluent Temperature (°C) Weekly Grab Upstream & 00010 Downstream Chronic Tx1c1ty3 Quarterly Composite Effluent GP38 3 H 00400 >> 6.0 and < 9.0 standard units Weekly Grab Effluent Footnotes: 1. No later than December 21, 2016, the permittee shall begin submitting discharge monitoring reports electronically using the Division's eDMR system [see A. (4)]. 2. Upstream samples shall be collected 50 feet above the outfall. Downstream samples shall be collected 100 feet below the outfall. 3. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with the Rermit. However, the Permittee shall continue to record and submit all values reported by a North Carolina certified laboratory (including field certified), even if these values fall below 50 µg/ L. 4. Chronic Toxicity (Ceriodaphnia) P/F at 90% with testing in February, May, August, and November (see A. (3)). There shall be no discharge of floating solids or visible foam in other than trace amounts. E Page 3 of 8 i Permit NCO038300 i A. (2) PERMIT RE -OPENER: SUPPLEMENTARY NUTRIENT MONITORING [NCGS 143-215.1 ] Pursuant to N.C. Gen. Stat. Section 143-215.1 and the implementing rules found in'�the 15A of the North Carolina Administrative Code � specifically, Subchapter 2H s ecificall 15A NCAC 2I T.0112 P (b) (1) and 2H.0114 (a), and Part II sections B-12 and B-13 of this Permit, the Directo ; may reopen this permit to require supplemental nutrient monitoring of the discharge. The additional monitoring will be to support water quality modeling efforts within the. Cape, Fear River Basin, and shall be consistent with a monitoring plan developed jointly by the Division and affected stakeholders. ' A. (3) CHRONIC TOXICITY PERMIT LIMIT (Quarterly) [15A NCAC 02B.0200 et seq.] The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to Ceriodaphnia dubia at an effluent concentration of 90%. The permit holder shall perform at a minimum, quarterllu monitoring using test procedures outlined in the "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Devised December 2010, or subsequent versions or "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised- December 2010) or subsequent versions. The tests will be performed during the months of February, May, August, and November. These months signify the first month of each three-month toxicity testing quarter assigned to the facility. Effluent sampling for this testing must be obtained during representative effluent discharge and shall be performed at the NPDES permitted final effluent discharge below all treatment processes. If the test procedure performed as the first test of any single quarter results in failure or ChV below the permit limit, then multiple -concentration testing shall be performed at a minimum, in each of the two following months as described in "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised-Dec4mber 2010) or subsequent versions. All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge Monitoring Form (MR-1) for the months in which tests were performed, using the parameter code TGP3B for the pass/fail results and THP3B for the ChronicValue. Additionally, DWR Form AT-3 (original) is to be sent to the following address: i Attention: North Carolina Division of Water Resources Water Sciences Section/Aquatic Toxicology Branch 1621 Mail Service Center Raleigh, NC 27699-1621 Completed Aquatic Toxicity Test Forms shall be filed with the Water Sciences Section no later than 30 days after the end of the reporting period for which the report is made. ; Test data shall be complete, accurate, include all supporting chemical/physical measurements and all concentration/response data, and be certified by laboratory Page 4 of 8 Permit NCO038300 supervi,or and ORC or approved designate signature. Total residual chlorine of the, effluent toxicitysample must be measured and reported if chlorine is employed for disinfection of the waste s�eam. i Should ;there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the permittee will complete the information located at the top of the aquatics toxicity (AT) test form indicating the facility name, permit number, pipe number, county,; and the month/year of the report with the notation of "No Flow" in the comment area of the fdrm. The report shall be submitted to the Water Sciences Section at the address cited above. i Should �he permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be required during the following month. Assessment of toxicity compliance is based 04 the toxicity testing quarter, which is the three month time interval that begins on the first day of the month in which toxicity testing is required by this permit and continues until the final day of the third month. Should :'any test data from this monitoring requirement or tests performed by the North Caroling Division of Water Resources indicate potential impacts to the receiving stream, this permit Lay be re -opened and modified to include alternate monitoring requirements or limits. NOTE: 'Failure to achieve test conditions as specified in the cited document, such as minimum control organism survival, minimum control organism reproduction, and appropriate environmental controls, shall constitute an invalid test and will require immediate follow-up testing to be completed no later than the last day of the month following the month of the initial monitoring. i A. (4) ` ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS [NCGS 143-215.1 (b)] Federaliregulations require electronic submittal of all discharge monitoring reports (DMRs) and program reports and specify that, if a state does not establish a system to receive such submittals, then permittees must submit monitoring data and reports electronically to the Environmental Protection Agency (EPA) . The final NPDES Electronic Reporting Rule was adopted and became effective on December 21, 2015. NOTE: ,This special condition supplements or supersedes the following sections within Part II of this permit ( Standard Conditions for NPDES Permits) : i • Section B. (11.) Signatory Requirements • ;Section D. (2.) Reporting • 'Section D. (6.) Records Retention • Section E. (5.) Monitoring Reports Page 5 of 8 Permit NC0038300 i 1. Reportina Requirements [Supersedes Section D. (2.1 and Section E. (5.) (all Effective December 21, 2016, the permittee shall report discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report (eDMR) internet application. Monitoring results obtained during the previous month(s) shall be summarized for ;each month and submitted electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and submit DMRs electronically using the internet. Until such time that the state's eDMR application is compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be required to submit all discharge monitoring data to the state electronically using eDMR and will be required to complete the eDMR submission by printing, signing, and submitting one signed original and a copy of the computer printed eDMR to the following address: NC DENR / Division of Water Resources / Water Quality Permitting Section ATTENTION: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 If a permittee is unable to use the eDMR system due to a demonstrated hardship oar due to the facility being physically located in an area where less than 10 percent of the, households have broadband access, then a temporary waiver from the NPDES electronic reporting requirements may be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1. 1, 2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be submitted to the mailing address above. See "How to Request a Waiver from Electronic Reporting" section below. Regardless of the submission method, the first DMR is due on the last day of the month following the issuance of the permit or in the case of a new facility, on the last day of the month following the commencement of discharge. i Starting on December 21, 2020, the permittee must electronically report the following compliance monitoring data and reports, when applicable: • Sewer Overflow/ Bypass Event Reports; • Pretreatment Program Annual Reports; and • Clean Water Act (CWA) Section 316(b) Annual Reports. The permittee may seek an electronic reporting waiver from the Division (see "Howto Request a Waiver from Electronic Reporting" section below) . 2. Electronic Submissions In accordance with 40 CFR 122.41(1) (9), the permittee must identify the initial reci ' ient at the time of each electronic submission. The permittee should use the EPA's websife resources to identify the initial recipient for the electronic submission. Page 6 of 8 1 Permit NC0038300 Initial recipient of electronic NPDES information from NPDES-regulated facilities means the entity (EPA or the state authorized by EPA to implement the NPDES program) that is the esignated entity for receiving electronic NPDES data [see 40 CFR 127.2(b)]. EPAI plans to establish a website that will also link to the appropriate electronic reporting tool tor. each type of electronic submission and for each state. Instructions on how to access and use the appropriate electronic reporting tool will be available as well. Information on EPA's NPDES Electronic Reporting Rule is found at: l Elec onic submissions must start by the dates listed in the "Reporting Requirements" section above. i r 3. Hovt to Request a Waiver from Electronic Reportine The' 'ermittee may seek a temporary electronic reporting waiver from the Division. To obtain an electronic reporting waiver, a permittee must first submit an electronic repIg waiver request to the Division. Requests for temporary electronic reporting wai ,ers. must be submitted in writing to the Division for written approval at least sixty (60) ;days prior to the date the facility would be required under this permit to begin submitting monitoring data and reports. The duration of a temporary waiver shall not, exc4ed 5 years and shall thereupon expire. At such time, monitoring data and reports shall be submitted electronically to the Division unless the permittee re -applies for and is granted a new temporary electronic reporting waiver by the Division. Approved electronic repoyting waivers are not transferrable. Only permittees with an approved reporting wai `er request may submit monitoring data and reports on paper to the Division forthe peri. d that the approved reporting waiver request is effective. 4` Information on eDMR and the application for a temporary electronic reporting waiver are found on the following web page: r htt deg.nc.gov/about/divisions/water-resources/­echnr 4. Si atory Requirements (Supplements Section B. (11.1 M and Supersedes Section B, 11 All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II, Section B. (11.) (a) or by a duly authorized representative of that person as described in Part II, Section B. (11.)(b). A person, and not a position, must be del e ated signatory authority for eDMR reporting purposes. For eDMR submissions, the person signing and submitting the DMR must obtain an eD1V R user account and login credentials to access the eDMR system. For more information on North Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit the following web page: httti.-//deg.nc.gov/about/divisionsZwater-resourcesIedmr Page 7 of 8 Permit NC9038300 i Certification. Any person submitting an electronic DMR using the state's eDMR sMstem CFR 122.22 . NO OTHER STATEMENTS OF shall make the following certification o [40 ] , CERTIFICATION WILL BE ACCEPTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are signAcant penalties for submitting false information, including the possibility of fines and ' imprisonment for knowing violations. " 5. Records Retention [Supplements Section D. (6.)l The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These records or copies shall be maintained for a period of at least 3 years from the date of the report. This period may be extended by request of the Director at any time [40 CFR 122.41]. Page 8 of 8 USGS Quad: Coleridge, N.C. Latitude: 35044'18" Longitude: 79°32'08" Stream Class: C Subbasin: 03-06-09 Receiving Stream: UT Brush Creek NCO038300 S.S. Mobile Home Park Facility Location .sal_ •, irf� � i:. , A J OAM Chatham County Map not to scale Public l ce Iti r. e....i....._ mental Management Com- _ missiorVNPDES Unit 1817 Mall Service Center Raleigh, NC 27888-1 Notice of Intent to Issue e NPDES Wastewater PermitJ rr The North Carolina Envlron- �'In1■- mental Management Com- mission proposes to Issue ■ NPDES wastewater dis- charge permit to the person(s) listed below. Writ- Affidavit Of Publication: Lee County, North Carolina ten comments regarding the proposed permit will be ac- the t dlishuntil 30datdays his nno- erald is a newspaper with a general circulation to actual paid subscribers admitted to the tice. The Director of the NC it in the Periodicals class in Lee County. The Sanford Herald has been published at least one Division of Water Re- sources (DWR) may hold ■ idar week for at least 25 of the 26 consecutive weeks immediately. preceding the date of this public hearing should them be a significant degree of affidavit. public Interest Please mail f comments and/or Informa- tion requests to DWR at the Classified Advertising Representative of The Sanford Herald, a newspaper published in Lee erso address. interested e of North Carolina, being dui sworn, deposes and says: that the attached advertisement of persons may visit trre DWR $ Y P y : at 512 N. Sellsbury Street, notice, in the action entitled: Raleigh, NC to review In- formation on file. Additional Information on NPDES lta pate �U•✓t�� v� J mentl this notice may W Vi"1 ��V'( \.AA6 found pn our webelte: http //dec,ne.govlabout/divi- a Ions/witter-rosourcea/we- ter-resources- perhi Ite/wastewater- branch/npdes- wastewater/public- notices,or by calling (818) 807-WO4. Town of Broadway requea- ted NC00 9242 foal rBrrooadway It had in e aforesaid newspaper once a week for L consecutive weeks, beginn�,i,,n�jwith Weer In Lee County; this .e _ ay of ZG l b , and ending with the issue dated the '"clay of permitted edischargeCounty; Is ter tad domestic a- Ol e{— ZOO ter to Daniels Creekek,, Cape Fear River Basin. SS Construction & Rental requested renewal of permit ,.t NC00_383001SS Mobile Homa teceived of w)(trt- ' 171R1� pL, - A C D6N 1z Creek/Cape Fear River Basin. Currently fecal cell- $ �^ form and total residual 1 SS , the cost of the above publication. chlorine are water qualay limited. By: Traci Chamberlin, Classified Advertising Representative Sworn to and subscribed before me, thisZ day of RODNEY A MS Nowry ldft�• My Ofl F.*ms May o5, &t ry My Commission Expires FACT SHEET FOR EXPEDITED PERMIT RENEWALS This form must be completed by Permit Writers for all expedited permits which do not require full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc) that can be administratively renewed with minor changes, but can include facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance concerns). Basic Information for Expedited Permit Renewals Permit Writer/Date Charles H. Weaver — 8/4/2016 Permit Number NCO038300 Facility Name S.S. Mobile Home Park WWTP Basin Name/Sub-basin number Cape Fear / 03-06-09 Receiving Stream UT Brush Creek Stream Classification in Permit C Does permit need Daily Maximum NH3 limits? N/A Does permit need TRC limits/language? No — already resent Does permit have toxicity testing? Yes. One test failure in 2015; all other tests passed. Does permit have Special Conditions? Cape Fear nutrient reo ener Does permit have instream monitoring? Dissolved Oxygen and Temperature. Is the stream impaired on 303(d) list)? No Any obvious compliance concerns? Two enforcements during this permit cycle. Three NOVs during this permit cycle for BOD, most recently in September 2013. Any permit mods since lastpermit? None New expiration date 9/30/2021 Comments received on Draft Permit? Added eDMR requirements Added regulatory citations Updated component descriptions Most Commonly Used Expedited Language: • 303(d) lan2ua2e for Draft/Final Cover Letters: "Please note that Cane Creek is listed as an impaired waterbody on the North Carolina 303(d) Impaired Waters List. Addressing impaired waters is a high priority with the Division, and instream data will continue to be evaluated. If there is noncompliance with this permit's effluent limits and stream impairment can be attributed to your facility, then mitigative measures may be required". Whole Effluent Toxicity Testing and Self Monitoring Summary Roxboro WWTP NCO021024/001 County: Person Region: FRO Basin: ROA05 MarJun Sep Dec SOC_JOC: Ced7dPF Begin: 7/1/2013 chr lim: 90% NonComp: Single 7010: 0.0 PF: 5.0 IWC: 100 Freq: Q l F M A M l l A S 0 N D 2011 • • Fail >100(P) >100 Pass • " Pass • * Pass 2012 ' • Pass " " Pass " * Pass • * Pass 2013 ' ' Pass • • Pass ' • Pass • ' Pass 2014 ` Pass " • Pass ' • Pass • ' Pass 2015 • ' Pass ' • Pass ' ' Pass ' ' Pass 2016 ' " Pass Rutherfordton WWfP NCO025909/001 County: Rutherford Region: ARO Basin: BRD02 Jan Apr Jul Oct SOCJOC: Ceri7dPF Begin: 12/1/2008 chr llm:<0.8 mgd@ NonComp: Single 7Q30: 1.7 PF: 3.0 IWC: 71 Freq: Q J F M A M J J A S O N D 2011 Pass • • Pass ' • Pass ` • Pass ' 2012 Pass ' • Pass • >100(P) Pass 31.8(P) Pass 2013 Pass ' ' Pass • ' Pass ' ' Pass 2014 Pass ' ' Pass ' ' Pass • • Pass • ' 2015 Pass * • Pass ' 4 Pass : * Pass 2016 Pass • • Pass S.S. Mobile Home Park NCO038300/001 County: Chatham Region: RRO Basin: CPF09 Feb May Aug Nov SOC_JOC: Ced7dPF Begin: 12/1/2006 chr lim: 90% NonComp: Single 7Q30: 0.0 PF: 0.01 IWC: 100 Freq: Q J F M A M J J A S 0 N D 2011 • Pass • Pass ' Pass " " Pass ' 2012 ' Pass ' " Pass * " Pass ' • Pass ' 2013 " Pass ' " Pass ' Pass * " Pass ' 2014 i Pass : ± Pass j ; Pass ' " Pass ; 2015 Pass Pass Fail >100 >100 Pass 2026 ` Pass ' " Pass ' • • • ' ' ' Salisbury -Rowan Regional WWrP N00023884/001 County: Rowan Region: MRO Basin: YAD04 MarJun Sep Dec SOCJOC: Ceri7dPF Begin: 12/1/2014 chr lim: 5.3%; exp 20 NonComp: Single 7Q30: 263.5 PF: 12.5 IWC: 5.3 Freq: Q l F M A M J J A S 0 N D 2011 • • Pass " ` Pass " ' Pass • • Pass 2012 ' • Pass • * Pass " ' Pass • • Pass 2013 " " Pass • Pass ' ' Pass " ' Pass 2014 " " Pass • • Pass • ' Pass ' ' Pass 2015 ' • Pass • • Pass ' • Pass " ' Pass 2016 ` ' Pass • • • • ' ' • ' " Page 117 of 149 i SS Construction and Rental, Inc. Post Office Box 810 Siler City, NC 27344 March 21, 2016 Ms. Wren Thedford NC DEQ/ DWR /NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subj: NPDES Permit NC0038300 SS Construction and Rental, Inc. Chatham County R1C8D/NCDEQ/DWq MAR 2 3. 2916 Weer Q981 Pemmuln8 secft Dear Ms. Thedford: This letter serves as an official request for renewal of the permit to operate the above referenced facility. A signed original copy and two copies of all documents are attached hereto. A nanative description of the sludge management plan for the facility is described as follows. Sludge (or other solids) generated during wastewater treatment are stored in a %000 gallon holding tank, supemated, discharged and hauled to a local treatment plant by a licensed hauler. Please contact us if you have any questions or need additional information. JRE je Attachments k rely s R. Edwards dent 0 NPDES APPLICATION - FORM D For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD Mail the complete application to: N. C. DENR / Division of Water Resources / NPDES Program RECENWINCDEA/DWR 1617 Mail Service Center, Raleigh, NC 27699-1617 R 2 � 20�� NPDES Permit C0038300 MAR weteroue If you are completing this form in computer use the TAB key or the up - down arrows to Noya e 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 SS Construction and Rental Facility Name SS Mobile Park Mailing Address 1808 Pinecrest Street City Burlington State / Zip Code North Carolina 27215 Telephone Number (336) 260-3396 Fax Number (336) 227-1202 e-mail Address Triplejconstr@aol.com 2. Location of facility producing discharge: Check here if same address as above ❑ Street Address or State Road 241 Graham Moore Rd. City Staley State / Zip Code North Carolina 27355 County Chatham 3. Operator Information: Naive of the firm, public organization or other entity that operates the facility. (Note that this is not referring to the Operator in Responsible Charge or ORQ Name SS Construction and Rental Inc. Mailing Address 1808 Pinecrest Street - City Burlington State / Zip Code North Carolina 27215 Telephone Number t (336) 260-3396 Fax Number (336) 227-1202 e-mail Address Trinleiconstif&,,aol.com 1 of 4 %_ Form-D 912013 6 , 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 applyj. Industrial ❑ Number of Employees Commercial ❑ Number of Employees Residential X Number of Homes 32 School ❑ Number of Students/ Staff Other ❑ Explain: Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping ceriters, restaurants, etc.): Mobile Home Park Number of persons served: 72 5. Type of collection system X Separate (sanitary sewer only) i ❑ Combined (storm sewer and sanitary sewer) 6. Outfall Information: Number of separate discharge points 1 Outfall Identification number(s) 001 Is the outfall equipped with a diffuser? ❑ Yes X No 7. Name of receiving streams) (NEW applicants: Provide a map showing the exact location of each outfallJ. An unnamed tributary leading into Brush Creek and then into Cape Fear River Basin. (See Attac Map S. Frequency of Discharge: X Continuous ❑ Intermittent If intermittent: Days per week discharge occurs: 7 Duration: 1 , 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. Aeration Basin (5,341 gals.); Clarifier (1260 gals.); tablet chlorinator; Chlorine contact chamber (718 gals); Post aeration in contact chamber when needed; Detention polishing sand filter when needed; tablet Dechlorinator; Poly tank (1,010. Gals.); Concrete tank for sludge holding (2,000 gals.). 2 of 4 Form-D 912013 W NPDES APPLICATION - FORM D ' For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD 10. Flow Information: Treatment Plant Design flow 0.01 MGD Annual Average daily flow 0.0036 MGD (for the previous 3 years) Maximum daily flow 0.0058 MGD (for the previous 3 years) 11. Is this facility located on Indian country? ❑ Yes X 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. RLNEWAL APPUCAMM provide the highest single reading (Daily Maadmum) and Monthly Average over AL_. —_...a of w.w.-��e�iM N�f•IffYfd�dre .+.rrsr,tt�sf „n�.r nr�rm�t_ Mnrk nthvr nnmmo_tprct "N/A�. Parameter - Daily Maximum Monthly Averse Units of Measurement Biochemical Oxygen Demand (BODs) 45.0 mg/ L 30.0 mg/ L Weekly Fecal Coliform 400 100 ml 200 100 m1 Week . s of WM12apoa 04 ; .4 . , . R 45-P rag M. se Y Dail Temperature (Winter) Daily PH >6.0 and <9.0 Weekly 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 NCO038300 Dredge or fill (Section 404 or CWA) PSD (CAA) Other ATC No. 03800ACA 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. James R. Edwards President Printed name of Person Signing n Title ' -r /7'1 /I t Date r 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 rfiethod 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.) t 4 of 4 Form-D 9l2013