Loading...
HomeMy WebLinkAboutNC0071005_application_20230807EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119 N CO071005 LYNNBROOK ESTATES OMB No. 2040-0004 Form U.S. Environmental Protection Agency 2A �=/EPA Application for NPDES Permit to Discharge Wastewater NPDES NEW AND EXISTING PUBLICLY OWNED TREATMENT WORKS 1. BASIC APPLICATION •- i INFORMATIONSECTION Facility name 1.1 LYNNBROOK ESTATES Mailing address (street or P.O. box) 43 LYNNBROOK WAY City or town State ZIP code c w COLUMBUS INC 28722 E L Contact name (first and last) Title Phone number Email address c JOAN BECK HOME OWNER (828) 859-6328 JKBECK11@GMAIL.COM w Location address (street, route number, or other specific identifier) ❑ Same as mailing address cvv w NCSR 1135 City or town State ZIP code COLUMBUS INC 28722 1.2 Is this application for a facility that has yet to commence discharge? ❑ Yes 4 See instructions on data submission 0 No requirements for new dischargers. 1.3 Is applicant different from entity listed under Item 1.1 above? Yes ® No 4 SKIP to Item 1.4. Applicant name Applicant address (street or P.O. box) 0 E City or town State ZIP code 0 c Contact name (first and last) Title Phone number Email address Q a a 1.4 Is the applicant the facility's owner, operator, or both? (Check only one response.) D Owner ❑ Operator ® Both 1.5 To which entity should the NPDES permitting authority send correspondence? (Check only one response.) ❑ Facility Applicant ❑ Facility and applicant (they are one and the same) 1.6 Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit H number for each.) E as Existing Environmental Permits a NPDES (discharges to surface 0 ( g ❑ RCRA (hazardous waste) UIC (underground injection ❑ ( g 1 15 water) control) CD E NCO071005 c ❑ PSD (air emissions) ❑ Nonattainment program (CAA) ❑ NESHAPs (CAA) w a� Ocean dumping (MPRSA) ❑ D04) ge or fill (CWA Section ❑ Other (specify) w❑ EPA Form 3510-2A (Revised 3-19) Page 1 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119 NCO071005 LYNNBROOK ESTATES OMB No. 2040-0004 1.7 Provide the collection system information requested below for the treatment works. Municipality Population Collection System Type Ownership Status Served Served (indicate percentage) 13 100 % separate sanitary sewer ❑' Own ❑I Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ❑ Maintain % separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain 3 ❑ Unknown ❑ Own ❑ Maintain % separate sanitary sewer ElOwn 1-1Maintain IL % combined storm and sanitary sewer ❑ Own ❑ Maintain R ❑ Unknown ❑ Own ❑ Maintain d% separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain cn ❑ Unknown ❑ Own ❑ Maintain Total 13 Population i� Served Separate Sanitary Sewer System Combined Storm and Sanitary Sewer Total percentage of each type of sewer line (in miles) 100 % o 1.8 Is the treatment works located in Indian Country? 3 0 U ElYes No 1.9 Does the facility discharge to a receiving water that flows through Indian Country? c ❑ Yes No 1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate 009 mgd w y Annual Average Flow Rates (Actual) Two Years Ago Last Year This Year c .001 mgd .0005 mgd .001 mgd _o Maximum Daily Flow Rates (Actual) Two Years Ago Last Year This Year .001 mgd .001 mgd .0014 mgd W 1.11 Provide the total number of effluent discharge points to waters of the United States by type. Total Number of Effluent Discharge Points by Type T Combined Sewer Constructed T Treated Effluent Untreated Effluent Overflows Bypasses Emergency s Overflows Ln 0 1 0 0 0 0 EPA Form 3510-2A (Revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO071005 LYNNBROOK ESTATES OMB No. 2040-0004 Outfalls Other Than to Waters of the United States 1.12 Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets for discharge to waters of the United States? ❑ Yes a No 4 SKIP to Item 1.14. 1.13 Provide the location of each surface impoundment and associated discharge information in the table below. Surface Impoundment Location and Discharge Data Average Daily Volume Continuous or Intermittent Location Discharged to Surface (check one) Impoundment ❑ Continuous gpd ❑ Intermittent ❑ Continuous gpd ❑ Intermittent gpd ❑ Continuous � -a ❑ Intermittent w 1.14 Is wastewater applied to land? CD ❑ Yes 0 No SKIP to Item 1.16. c 1.15 Provide the land application site and discharge data requested below. Q- Land Application Site and Discharge Data Continuous or ° Location Size Average Daily Volume Intermittent a, Applied (check one) N acres gpd❑ ❑ Continuous o Intermittent acres gpdElIntermittent El Continuous o N acres gpd❑ El Continuous Intermittent 1.16 Is effluent transported to another facility for treatment prior to discharge? o ElYes No 4 SKIP to Item 1.21. 1.17 Describe the means by which the effluent is transported (e.g., tank truck, pipe). 1.18 Is the effluent transported by a party other than the applicant? ❑ Yes ❑ No 4 SKIP to Item 1.20. 1.19 Provide information on the transporter below. Transporter Data Entity name Mailing address (street or P.O. box) City or town State ZIP code Contact name (first and last) Title Phone number Email address EPA Form 3510-2A (Revised 3-19) Page 3 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 N CO071005 LYN N B R00 K ESTATES OMB No. 2040-0004 1.20 In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the receiving facility. Receiving Facility Data Facility name Mailing address (street or P.O. box) d City or town State ZIP code _ 0 Contact name (first and last) Title 0 t d Phone number Email address NPDES number of receiving facility (if any) ❑ None Average daily flow rate mgd CL 0 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do not 0 have outlets to waters of the United States (e.g., underground percolation, underground injection)? s ❑ Yes D No 4 SKIP to Item 1.23. c 1.22 Provide information in the table below on these other disposal methods. 4) Information on Other Disposal Methods o Disposal Location of Size of Annual Average Continuous or Intermittent 0 Method Description Disposal Site Disposal Site Daily Discharge Volume (check one) R acres 9pd ❑ Continuous 3 ❑ Intermittent ElContinuous acres gpd ❑ Intermittent acres gp d ElContinuous ❑ Intermittent 1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and when.) ❑ Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section Section 301(h)) 302(b)(2)) [� Not applicable 1.24 Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a contractor? ❑ Yes D No 4SKIP to Section 2. 1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational and maintenance responsibilities. Contractor Information Contractor 1 Contractor 2 Contractor 3 = 0 Contractor name (company name Mailing address (street or P.O. box) 0 City, state, and ZIP R L code c Contact name (first and last Phone number Email address Operational and maintenance responsibilities of contractor EPA Form 3510-2A (Revised 3-19) Page 4 EPA Identification Number NPDES Permit Number Facility Name Fo m Approved 03/05119 NCO071005 LYNNBROOK ESTATES OMB No.2040-0004 ADDITIONALSECTION 2. ORI c Outfalls to Waters of the United States = 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd? a0 c ❑ Yes No -+ SKIP to Section 3. c 2.2 Provide the treatment works' current average daily volume of inflow Average Daily Volume of Inflow and Infiltration and infiltration. gpd = Indicate the steps the facility is taking to minimize inflow and infiltration. R 3 0 c s 2.3 Have you attached a topographic map to this application that contains all the required information? (See instructions for M Q specific requirements.) o Q- 0 ElYes ElNo 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information? R o (See instructions for specific requirements.) LL R 3 ❑ Yes ❑ No 2.5 Are improvements to the facility scheduled? ❑ Yes ❑ No 4 SKIP to Section 3. Briefly list and describe the scheduled improvements. c 0 .R 1. W d E °' 2. E w 0 3. d 4. 2.6 Provide scheduled or actual dates of completion for improvements. Scheduled or Actual Dates of Completion for Improvements Scheduled Affected Begin End Begin Attainment of > o Improvement Outfalls Construction Construction Discharge Operational CL E (from above) (list l numberber)y (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) Level (MMIDDIYYYY) 1. d co 2. 3. 4. 2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your response. ❑ Yes ❑ No ❑ None required or applicable Explanation: EPA Form 3510-2A (Revised 3-19) Page 5 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 N CO071005 LY N N B ROO K ESTATES OMB No. 2040-0004 INFORMATIONSECTION 3. 1 I 3.1 Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.) Outfall Number 001 Outfall Number Outfall Number State NORTH CAROLINA County POLK 0 City or town COLUMBUS 0 w Distance from shore D ft. ft. ft. n L Depth below surface 2 ft. ft. ft. c Average daily flow rate .0005 mgd mgd mgd Latitude 35° 14' 28" N ] ° ° ' " Longitude 82° 13' 56" W] " 3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges? R c ❑ Yes No 4 SKIP to Item 3.4. d 3.3 If so, provide the following information for each applicable outfall. 'c Outfall Number Outfall Number Outfall Number Number of times per year .L discharge occurs a Average duration of each 0 discharge (specify units) Average flow of each mgd mgd mgd R discharge co in which discharge occurs occurs 3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser? ❑ Yes D No 4 SKIP to Item 3.6. 3.5 Briefly describe the diffuser type at each applicable outfall. d CL Outfall Number Outfall Number Outfall Number d 0 ui 3 6 Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more d =i discharge points? 3:: Yes ❑ No 4SKIP to Section 6. EPA Form 3510-2A (Revised 3-19) Page 6 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO071005 LYNNBROOK ESTATES OMB No. 2040-0004 3.7 Provide the receiving water and related information (if known) for each outfall. Outfall Number 001 Outfall Number Outfall Number Receiving water name SKYUKA CREEK Name of watershed, river, 0 or stream system BROAD RIVER BRP U.S. Soil Conservation y Service 14-digit watershed 03050105150010 o code L Name of state management/river basin BROAD U.S. Geological Survey 8-digit hydrologic 03050105 cataloging unit code Critical low flow (acute) cfs cfs cfs Critical low flow (chronic) cfs cfs cfs Total hardness at critical mg/L of mg/L of mg/L of low flow CaCO3 CaCO3 CaCO3 3.8 Provide the following information describing the treatment provided for discharges from each outfall. Outfall Number 001 Outfall Number Outfall Number Highest Level of D Primary ❑ Primary ❑ Primary Treatment (check all that ❑ Equivalent to ❑ Equivalent to ❑ Equivalent to apply per outfall) secondary secondary secondary ❑ Secondary ❑ Secondary ❑ Secondary ❑ Advanced ❑ Advanced ❑ Advanced ❑ Other (specify) ❑ Other (specify) ❑ Other (specify) QDesign Removal Rates by Outfall 4) d BOD5 or CBOD5 85 % % % d E m TSS 85 % % % F-- ❑ Not applicable ❑ Not applicable ❑ Not applicable Phosphorus % % ° /o ❑ Not applicable ❑ Not applicable ❑ Not applicable Nitrogen % % ° /o Other (specify) ❑ Not applicable ❑ Not applicable ❑ Not applicable EPA Form 3510-2A (Revised 3-19) Page 7 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05119 NCO071005 LYNNBROOK ESTATES OMB No. 2040-0004 3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by season, describe below. d 3 C O c Outfall Number 001 Outfall Number Outfall Number O L Disinfection type CHLORINE d = Seasons used ALL d E w Dechlorination used? ❑ Not applicable ❑ Not applicable ❑ Not applicable ~ ❑ Yes ❑ Yes ❑ Yes [� No ❑ No ❑ No 3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package? © Yes ❑ No 3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's discharges or on any receiving water near the discharge points? ❑ Yes D No 4 SKIP to Item 3.13. 3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's discharges by outfall number or of the receiving water near the discharge points. Outfall Number Outfall Number Outfall Number Acute Chronic Acute Chronic Acute Chronic Number of tests of discharge water Number of tests of receiving water 3.13 Does the treatment works have a design flow greater than or equal to 0.1 mgd? R ❑ Yes No 4 SKIP to Item 3.16. 0 3.14 Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have = reasonable potential to discharge chlorine in its effluent? ❑ Yes -* Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine. F- 3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application package? w ❑ Yes ❑ No 3.16 Does one or more of the following conditions apply? • The facility has a design flow greater than or equal to 1 mgd. • The POTW has an approved pretreatment program or is required to develop such a program. • The NPDES permitting authority has informed the POTW that it must sample for the parameters in Table C, must sample other additional parameters (Table D), or submit the results of WET tests for acute or chronic toxicity for each of its discharge outfalls (Table E). ❑ Yes 4 Complete Tables C, D, and E as [� No 4 SKIP to Section 4. applicable. 3.17 Have you completed monitoring for all applicable Table C pollutants and attached the results to this application package? ❑ Yes ❑ No 3.18 Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and attached the results to this application package? ❑ Yes ❑ No additional sampling required by NPDES permitting authority. EPA Form 3510-2A (Revised 3-19) Page 8 817/23, 6:00 PM 5can_20230729.png EPA Identification Number NPDES Permit Number Facility Name Form Approved 03105119 N00071005 LYNNBROOK ESTATES OMB No. 2040-00M 5.7 Provide the Information in the table below for each of your CSO outfalis. r— 050 0utia1l Number C50 0utfaft Nuna6®s C50 0utfall Nurnber _ — Receiving water name��� f Name of watershed! streams stem U.S. Soil Conservation © Unknown © Unknown © Unknown Service 14-digit watershed code } if known Name of state mana ementtriver basin U.S, Geological Survey ❑ Unknown Ci Unknown © unknown. 8-Digit Hydrologic Unit Code if known Description of known water quality impacts on receiving stream by CSO (see instructions for I exam les SECTION 6. CHECKLIST i CERTIFICATION O B 6.1 I in Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not i all applicants are required to provide attachments. - Column 1 Column 2 - � I jmm Section 1: Sasic Application a ❑ wl variance request(s) ® w/ additional attachments j Information for Ail W(icants Section 2: Additional ❑ ❑ w! topographic map ❑ wi process flow diagram i Information ❑ wl additional attachments j w/ Table A ® w! Table D ! Section 3: Information on ® I. ❑ w1 Table B ® w/ Table E I Effluent Discharges I w1 Table C ❑ w1 additional attachments Section 4: Industrial ❑ w1 SiU and NSM attachments ❑ w! Table F i ❑ Discharges and Hazardous n Wastes ❑ wl additional attachments i _ ❑ Section 5: Combined Sewer ❑ w! CSO map © wl additional attachments Overflows ❑ w1 CSO system diagram i i Section 6: Checklist and ❑`� ® wl attachments Certification Statement _ 6.2 Certification Statement t certify underpenaity of law that this document and ah attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted. Based or, my inquiry of the person or persons who manage the system, or those persons directly responsible forgathering the intonnation, the information submitted is, io the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and im fisontnent for knowing violations. Name (print or type first and last name) C)icial title 9OAN BECK HOME OWNER Signature Date signed I EPA Roan 3510.2A (Revised 3-14) Page 72 https:/Imail.google.com/maillu/0/#search/jkbeckl I°/a40gmail.com/FMfcgzGtwMgllchxdkmpTXrLrXcHrKTr?projector=l &messagePartic =0.1 111 EPA Identification Number NPDES Permit Number Facility Name Outfall Number NCO071005 LYNNBROOK ESTATES Form Approved 03/05/19 OMB No. 2040-0004 �' •� Maximum Daily Discharge Pollutant Value Units Average Daily Discharge Analytical ML or MDL Include units Methods ( ) Value Units Number of Samples Biochemical oxygen demand ❑ BOD5 or ❑ CBOD5 (report one) 27.26 MG/L 9.84 MG/L 26 Q,ML 5210B MG/L ❑MDL Fecal coliform 6 CFU/100 MILS 3 CFU/100MLS 26 9222D U/100MLS 13,ML ❑ MDL Design flow rate .009 MGD .001 MGD 52 pH (minimum) 6.0 Su pH (maximum) 7.4 SU Temperature (winter) 15.32 C 14.45 C 26 Temperature (summer) 21.7 C 18.05 C 26 Total suspended solids (TSS) 13.84 MG/L 10.87 MG/L 26 Ld ML 2540D MG/L ❑MDL 1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2A (Revised 3-19) Page 13 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCO071005 LYNNBROOK ESTATES OMB No.2040-0004 TABLE D. ADDITIONAL POLLUTANTS AS REQUIRED•DAUTHORITY Maximum Daily Discharge Average Daily Discharge Pollutant Analytical ML or MDL Number of (list) Value Units Value Units Method' (include units) Samples E' No additional sampling is required by NPDES permitting authority. ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL 1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2A (Revised 3-19) Page 23