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HomeMy WebLinkAboutWQ0011655_Renewal Application_20230906Initial Review Reviewer nathaniel.thorn burg Is this submittal an application? (Excluding additional information.) * Yes No Permit Number (IR) * WQ0011655 Applicant/Permittee East Carolina Council, Boy Scouts of America, Inc. Applicant/Permittee Address PO Box 1698 Kinston NC 28503 Is the owner in BIMS? Yes No Is the facility in BIMS? Yes No Owner Type Organization Facility Name Camp Boddie WWTF County Beaufort Fee Category Major Is this a complete application?* Yes No Signature Authority Signature Authority Title Signature Authority Email Document Type (if non -application) Email Notifications Does this need review by the hydrogeologist? * Yes No Regional Office CO Reviewer Admin Reviewer Fee Amount $0 Complete App Date 09/06/2023 Below list any additional email address that need notification about a new project. Email Address Comments to be added to email notfication Comments for Admin Comments for RO Comments for Reviewer Comments for Applicant Submittal Form Project Contact Information Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence. Name* Benjamin Davis Email Address* badavis68@gmail.com Project Information ......................... Application/Document Type* New (Fee Required) Modification - Major (Fee Required) Renewal with Major Modification (Fee Required) Annual Report Additional Information Other Phone Number* 2529172396 Modification - Minor Renewal GW-59, NDMR, NDMLR, NDAR-1, N DAR-2 Residual Annual Report Change of Ownership We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form. https://edoes.deq.nc.gov/Forms/NonDischarge_Monitoring_Report Permit Type:* Wastewater Irrigation High -Rate Infiltration Other Wastewater Reclaimed Water Closed -Loop Recycle Residuals Single -Family Residence Wastewater Other Irrigation Permit Number:* WQ0011655 Has Current Existing permit number Applicant/Permittee * East Carolina Council, Boy Scouts of America, Inc. Applicant/Permittee Address* PO Box 1698 Kinston NC 28503 Facility Name* Camp Boddie WWTF Please provide comments/notes on your current submittal below. At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here. (Application Form, Engineering Plans, Specifications, Calculations, Etc.) Photo.pdf 78.3MB Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger than upload limit. * By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has been received by the Non -Discharge Branch. Application fees must be submitted by check or money order and made payable to the North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts of the application in correct order (as specified by the application). Mail payment to: NCDEQ — Division of Water Resources Attn: Non -Discharge Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Signature Submission Date 9/6/2023 DWR State of North Carolina Department of Environmental Quality Division of Water Resources Division of Water Resources 15A NCAC 02T-0500- WASTEWATER IRRIGATION SYSTEM -RENEWAL Pursuant to ISA NCAC 02T 0107(b), if the application does not include all required information and the aecewary supporting documentation, the application shall be returned. The application and attachments shall be prepared in amorcham with ISA NCAC 02T .0100, 15A NCAC 02T .0500, and Division Policies. For more information, visit the Water Quality Permitting Section's Non -Discharge Branch website. The Applicant shall submit an eleciroai copy of rive application and attachments uploaded as a single Portable DocumentFormat (PDF)file to h[tps://¢does den nc c/F /N D' h B M1S b 'tt I Form-Ver2, or ¢mailed to Non-Disch R t (� d tf less Iham 20 megabytes (MB). L APplicont East Carolina Council, lncJCamp Boddie 2. Permit No.: W00011655 3. Signature authority: G. Dwayne Jones Phone number: (252) 933-6901 Office Title: CEO Email: Dwayne.JonesQscouting.org 4. Mailing address: PO Box 1698 City: Kinston State: NC Zip:28503- 5. Contact pemon:B jamin Davis Primary phone number:(252) 917-2396 Cell Email: badav1s68@gmaiicom Secondary phone number:( ) - Select 1. Physical address: 419 Camp Bonner Boy Scout Rd. City: NC 2. Treatment facility coordinates to the sixth dechnal deg — Latitude: 35.26° Longitude:-76.56- County: Blooms Parcel No.: Creek State: NC Zip: 27814- Method: Unknown I 1. Permitted flow: 18000 GPD (The maximum allowablepaw based on what has been permitted) 2. As -built flow: 18000 GPD (The maximum allowable flow basedon what has been constructed) 3. Average flow: 1020 GPD (The average ofell reportedflows on the previous calendar year's NDMRs) 4. Hydraulic capacity: 0.06 %(Divide the averageflow in Item 3 by the Asbuilt flow in Item 2) 5. Wastewater composition: Domestic: 100% Industrial: % Slonnwater: % -_ ' SECTION IV BILLING INFORMATION 1. Billing address: PO Box 1698 City: Kinston State: NC Zip: 28503- 2. Verify the Applicant does not have any overdue annual fees: htt -//d / b hdivi ons/war s/ t - - ts/ - nents Pursuant to 15A NCAC 02Ts012(-L permits for renewing f ilities shall not be granted ifthe Applicant or any affiliation has an unpaid armual fee. FORM: W WIS-R 02-21 Page 1 of6 SECTION V—OPERATOR IN RESPONSIBLE ORC: Benjamin Davis Mailing address: 1520 Leggett Rd. City: Washington Phone number: (252) 917-2396 Cell Back -Up ORC: Wayne Black Mailing address: 8866 Hwy 99 N City: Pantego Phone number: (252) 943-8650 Cell CHARGE (ORC) INFORMATION Grade: Spray Certification No.: 18551 State: NC Zip: 27889-8660 Email: badavis68@gmsil.com Grade : Spray — No.: 15579 State: NC Zip:27860- _. _ Email: WBlack@washingtonnagm S6CTEON VI-.1)PEPj AT O$PHERE STRIICTE t Ust all p tmosphe tre tmcnt d to ge structures assoaated m neces �, the renewing permit. Attach additional sheets if Type Parcel No. Volume (gal) Liner Type Freeboard (ft) Latitude Loagimde Treatment/Stgrage 1,2205476 Full, symheuc 8 35.26°-76.56- Select Select Select Select o _ o Select Select o Lis'a wastewater p is (i.e, sew ,collection system, NPDES, residuals) that have interactions with the renewing permit. Attach additional sheers ifnecessary. Permit Type Permit No. Relationship Type Select Select Select Select Select Select Select Select 1EMONa FORM: WWIS-R02-21 FORM: WWIS-R02-21 ATTACHMCNT A —SITE MAP_ — — - W. the facility onginally permitted or had a m for modtficabon t su d a .. ❑Yes — Pursuant to lSANCAC 02T OIOSfd), submitasite s e fter September 1,2006? requirements are; rnaP Pursuant to the requirements in lSA NCAC 02 f 0504E I1. These ❑ Ascaled map "the sitewithtopographic contour intervals not exceeding l0 fcet or25 percent oftotal site reliefand showing all facility -related shvctures and fences within the wastewater treatment, storage, and Percent- areas ❑ Soil mapping units shown on all irrigation sites. ❑ The location of all wells (including usage and constmction detaita if available), streams (ephemeral, internittrnt, and perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of all wastewater treatment, storage, and nrigatmr, sites. ❑ Delineation of the compliance and review boundaries per 15A NCAC 02L 0107 and .0L0g and 15A NCAC 02T 0506( ) fapplicable. ❑ Setbacks as required by 15A NCAC 02T 0506. [ISite property boundaries within 500 feet of all wastewater treatrnent storage, and irrigation sites. ❑ All habitable residences or places cfpublic assembly within 500 feet ofall treatment, storage, and irrigation sites ® No — Skip Attachment A. ffATTACHMENT B—SIGNATURE AUTHORITY e e authority in Section 1, Itan 3 meet the requiremeuts pursuant to 15A NCAC 02T 0I06(b)? tachment B. d ileeahon letter pursuant to ISA NCAC 02T 0106fc1 authorizing the signature authority to sign. Does the existing permit include an approved flow reduction? Q Yes — Submit a copy of the flow reduction approval letter, st well as the measured monthly average amount ofwastewater flow contributed per unit for the 12 months priorm permit renewal. If any ofthese monthly averages are within 20% ofthe approved flow reduction value, the Pemtince shall provide a reevaluation of the reduced flow valae pursuant to the regmremams in 15A NCAC 02T .0114(t). ® No— Skip Attachment C. ATTACHM PICATE OF PUBLI Is the Applicant a Privately -Owned Public Utility? ❑ Yes — Pursuant to 15A NCAC 02T of 15(a)(1), submit the Certificate of Public Convenience and Necessity firm the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise. ® No —Skip Attachment D. ERATIONAL AGREEMENT, Is the Applicant a Home/Property Owners' Association or Developer of Lots to be Sold? ❑yes (Home/Property Owners' Association)—Pwsuanttol-ANCAC 02T011I -s,t 1. submit an executed Op t"al--o" (FORM' HOA). Pursuant to 15A NCAC 02T 0115(c), if the applicant is a legally formed Homeowners or Property Association submit a copy ofthe Articles of Incorporation, Declamtions, and By-laws. ant ❑ Yes (Developer of Lots to be Sold) — Pmsuan[ to 15A NCAC 02T 0115(e)(2), submit an executed O d A (FORM DEV). Pursuant to 15A NCAC 02T OI ISfbl, if the applicant is a developer of lots m be sold, submit a copy of the Articles of Inwrpomtion, Declarations, and By-laws. ® No —Skip Attacbment E. Page4 of6 FORM: W WIS-R 02-21