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HomeMy WebLinkAboutNC0080691_Permit Issuance_20050511W AT Michael F. Easley, Governor r Witham G. Ross Jr., Secretary ■ 1 ■ V North Carolina Department of Environment and Natural Resources Alan W- Klimek, P. E. Director Division of Water Quality May 11, 2005 Mr. Michael Myers Heater Utilities, Inc. PO Box 4889 Cary, North Carolina 27519 Subject. Issuance of NPDES Permit NC0080691 Windemere Subdivision WWTP Iredell County Dear Mr. Myers: 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 May 9, 1994 (or as subsequently amended). This final permit includes no major changes from the draft permit sent to you on March 10, 2005. This permit does include spill notification requirements and daily monitoring for fecal coliform. We received and reviewed your letter dated March 31, 2005 regarding the draft permits. However, the addition of the daily fecal coliform monitoring is the result of a policy decision, and is applied to all package plant discharges to class B waters of Lake Norman upon permit renewal, therefore, this requirement can not be changed at this time. After the collection of data over a period of at least two summers, you may submit the findings and request a reevaluation of the daily fecal coliform monitoring requirement. 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 other permits which may be required by the Division of Water Quality or permits requited by the Division of Land Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any questions concerning this permit, please contact Karen Rust at telephone number (919) 733-5083, extension 361. Sincerely, ORIGINAL SIGNED BY Mark McIntire Alan W, KI#ek, P.E. cc: Central Files Mooresville Regional Office/Surface Water Protection Section NPDFS Files o°` Carolina NMorally N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Phone: (919) 733-7015 customer Service Internet httplWo.emstate.nc.us 512 N. Salisbury St. Raleigh, NC 27604 Fax: (919) 733-0719 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer Permit NCO080691 a STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY 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, Heater Utilities, Inc. is hereby authorized to discharge wastewater from a facility located at the Windemere Subdivision WNWP Heronwood Road East Monbo Iredell County to receiving waters designated as the Catawba River in the Catawba 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 June 1, 2005. This permit and authorization to discharge shall expire at midnight on March 31, 2010. Signed this day May 11, 2005. ORIGINAL SIGNED BY Mark McIntire Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Permit NCO080691 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. Heater Utilities, Inc., is hereby authorized to: 1. Continue to operate an existing 0.090 MGD wastewater treatment system that includes the following components: ➢ Bar screen ➢ Flow equalization tank ➢ Dual aeration tanks ➢ Dual clarifiers ➢ Tertiary sand filter ➢ Chlorine tablet disinfection (dual units) ➢ Aerated sludge holding tank ➢ Dechlorination equipment ➢ Flow measuring device with a totalizer ➢ Post -aeration ➢ Standby power generator This wastewater treatment system is located at the Windemere Subdivision WWTP on Heronwood Road near East Monbo in Iredell County. 2. Discharge from said treatment works at the location specified on the attached map into the Catawba River, classified WS-IV & B CA waters in the Catawba River Basin. Latitude: 35°40'W' N C 0 0 806 91 jFacility Longitude: 80°57'55" Quad# E15NW Location AAW Receiving Stream: Catawba River Heater Utilities Stream Class: WS-N & B CA Subbasin: 30832 Windemere Subdivision North SCALE 1 :24000 Permit NCO080691 A. (I.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS — FINAL During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Pern—ddee as specified below: ,EFFLUENT :CHARACTERISTICS.. LIMITS MONITORING - REQUIREMENTS -2 t Monthly -Average., Daily Max�m�iM Measurement Fr uenc Sampley*Type, F : , fi . Sample Location „� ., Flow 0.090 MGD Continuous Recording Influent or Effluent BOD, 5 day (20°C) 15.0 mg/L 22.5 mg/L Weekly Composite Effluent Total Suspended Residue 30.0 mg/L 45.0 mg/L Weekly Composite Effluent NHs as N 4.0 mg/L 20.0 mg/L Weekly Composite Effluent Dissolved Oxygen l Weekly Grab Effluent Fecal Coliform (geometric mean) (April 1- October 31 200 / 100 ml 400 / 100 ml Daily2 Grab Effluent Fecal Coliform (geometric mean) November 1- March 31 200 / 100 ml 400 / 100 ml Weekly Grab Effluent Total Residual Chlorine 28,ug/L 2/Week Grab Effluent Temperature Weekly Grab Effluent Total Nitrogen (NO2+NO3+TKN) Quarterly Composite Effluent Total Phosphorus Quarterly Composite Effluent pH3 Weekly Grab Effluent Footnotes: 1. The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/L. 2. Daily is defined as seven (7) days per week including Saturday, Sunday, and Holidays during the summer months and 5 days per week during the winter months. 3. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units. There shall be no discharge of floating solids or visible foam in other than trace amounts. A. (2.) SPECIAL CONDITION — Spill Notification (a) Contacting Public Health Directors The facility must notify the Iredell, Mecklenburg, and Catawba County Public Health Directors within 12 hours of first knowledge by the owner/operator of any discharge of untreated wastewater to waters of the State or a discharge from the wastewater treatment plant that has not received adequate disinfection due to a malfunctioning treatment unit. The County Public Health Directors can be contacted using the following information: Permit NCO080691 Current Information for Iredell, and Mecklenburg County Health Directors Iredell County Health Director 318 Turnersburg Highway Statesville, NC 28625 Phone Number: 704-878-5300 Catawba County Health Director 3070 Eleventh Avenue Drive SE Hickory, NC 28602 Phone Number: 828-695-5800 (b) Public Notification Mecklenburg County Health Director 249 Billingsley Road Charlotte, NC 28211 Phone number: 704-336-5103 The facility must notify the public of untreated wastewater spills. Wastewater facility owners or operators must issue a press release after a discharge to surface waters of 1,000 gallons within 48 hours of first knowledge of the spill by the owner/operator. The press release must be issued to "all electronic and print news media outlets that provide general coverage in the counties (Iredell, Mecklenburg, and Catawba) where the discharge occurred." A copy of the press release must be maintained for one year by the owner/operator. This press release is required in addition to the permit requirement of contacting the North Carolina Division of Water Quality (DWQ). If a discharge of 15,000 gallons or more reaches surface water, a public notice is required in addition to the press release. The public notice must be placed in a newspaper having general circulation in the County in which the discharge occurred and the county immediately downstream. At a minimum the notice should be published in the newspaper of general circulation in Iredell, and Mecklenburg Counties. If a discharge of 1,000,000 gallons of wastewater or more reaches surface waters, the DWQ regional office must be contacted to determine in what additional counties, if any, a public notice must be published. A copy of these public notices and proof of publication must be sent to the DWQ to the attention of "Pretreatment, Emergency Response, and Collection Systems Unit" at 1617 Mail Service Center, Raleigh, North Carolina 27699 within 30 days of publication. The minimum content of the notice is the location of the discharge, estimated volume, water body affected and steps taken to prevent future discharges. 8VWRUVMV1AL MgIV GSWE7VT COMSSlGntINMOWT 1617M41L SEFMC E CiVT64 F14LBGFJ IC276991617 AK 17RC470VGFINTBVT TOISSLEA WM WA5TEW47E13FEFW ' Ch the !oasis d tfraraugh staff mWeNand C,gvd Sale 149M, Rid/c 1 law92-500and other laWul swr WcbandrW.lalias, fire fz ; NYM (Mina Envr>nrrne #d pawtoissueaAbMrat�R F E B 7 2005 Mart Us&aWaimirradon &�ttern(AFVM wastewater dsthar�e�perrrit ro the per- cia�sfromifiepubl1S d#8d nos noft Wfitten oornrrents negate ftprgoasedp=ft oeptedwrti130alayys after the publish otate of this notice All coarnents received prior to ftdtearearsi WW1nthe fitter deterrirraGias n9 6t a dreprapasedpe rector of the NCavision of Mer CLalitymay deaide to haldapublicmeeti lbrt!>e he OL ��p�edpemr7 i�an neaa�e a sigr�nt ab- greedpLdicirtee,t 0 esdthe&aftpermitand other aXparting irWr ation on he usedtod te►nrnecori- dd" present 1n the daft per- nitareava7adeeporr Mgi9st andpay ial of the costs of rgxoddicn Iloiloanrro artrups firifiame e err to thee Divrsiar of 4r CtdGry at theabove aotd m Bryant orcall N&. Cardyn at 9*7336= evvrrsrmsm Please include the NPDES permit number (attaaheoq fi any communication. Interested parser may also .. visit the ayslon of Water ty sbury at 512 At SalI7604- Streelt Rateigh, AfC 1140 between the hours of . awana-05. 70 mtorewew kYamntiononf a CM" RverSasn. 0AEU FWert.till7ies, Inc (FOVraw ly t30D, and total residual erg Cary, AC2751SP has .chlorine are water quali ty q#1ed1armreKddAPC0 limited This dsaha w may penrit NC0056154 for the affedfulureallocationsinths _ BddgeportWWTPinlnedell portico of the Catawba Rver CbLdy. 7Uspelrrittedfaairrty e d%ha► esaagn3otmaared wEWewater to Catawba Rver Puler Ltititie.% Mr. X Dw in the Catawba Rver Basin. er4M, Cary, I C27519j has Qlr mWBM ammantrt- aopliedforffwv ofAFC0 iermitNGb0130691 for the gn andidalnasiddcHartne araweterqudWfirdted This Wi ndemere Subdivision dwharge may affect future WNTPin lnsalell This s may affect allboOdns in this permitted facility pother ofawba Rver aaglVCDtrea,'edwedteweter Briar toC &ar+ba Rverin ftCat- awbaRverBasin. Currently lbtertbrlbes: inc (r-ODM* BOO, armroria ritrogen, and er4SK Cary, AC27519) has rota► res+oa d diame are v.& applied far renewal cf APDBS tergLdityArdted •7hisds- pemmtmoACW4772fiortheCla- MaW may affect We 116- �tiZ rel Head MIYP in lrecWl cabers in this pporthion of the Oxi t y_ 77is pr=milted facility Chtawba RveraWa dsd ranges 0.1 &W treated wastewater to Lake Abmran Chrdna V{d w& iti Inc. of (lads C7aekA" in the Cat North Carolina ((PO Box awbaRver& dn. C u eendy 24= O7addte; TCZM), WO amm "a dtrogert and ties qW0edforrenewel of its bW re§1d d* rime a e v.& NPOES permit (number NIX tergadfityfmited 7hsdr, lo- dr.�rt VSbN =in 0xdy in this portionmayawkArof the meed dsd iarging to an wrna( butary Lake Ca- C�awba Rw tin. trre the Qlaw, Heater ti ties, /M (lO Box LRi ba RverH Basin This Willy 48M Cary, AC27519) has qx ratesa well watertreat- W#1ed1ormwAddAPC0 meet system with a dsdrarge permit AC007=.�5 for the AIL of bltsrbadcwash westewew. Qnsffy,Tdall sddOO, a axt r Island MWP`in 1Ae- dellCberty. 71&pwrittedfa- nne 1s waterquality limited cilih� dscharge a 015 MGD 71is dxhargem3yafled fit- breaj�dwes<ewetertoCafEw lure glows in thspardan ba Rver (Lake AtawW) in the dtheC Rve'Baser Cava t a (iv / C&) NORTH CAROLINA IREDELL COUNTY AFFIDAVIT OF PUBLICATION Before the undersigned, a Notary Public of said County and State, duly commissioned, qualified, and authorized by law to administer oaths, per- sonally appeared Kimberly P. Ownbey who being first duly sworn, deposes and says: that she is an employee authorized to make this statement by Media General Newspapers, Inc. engaged in the publication of a newspaper known as the Statesville Record & Landmark published, issued, and entered as second class mail in the city of Statesville in said County adn State, that she is authorized to make this affidavit and sworn statement; that the notice or other legal advertisement, a true copy of which is attached hereto, was published in the Statesville Record & Landmark on the following dates: and that the said newspaper in which such notice, paper, document, or legal advertisement was published was at the time of each and every such publication, a newspaper meeting all of the requirements and qualifications of Section 1-597 of the General Statues of North Carolina and was a qualified newspaper within the meaning of Section 1-597 of 'the Greater Statues of North Carolina. This ., day oo\Qr1-SnNLh'- 205 (Signature ofloerson making affid0it) Sworn to and subscribed before me, this day of 20 .CAS NotaryPub Commission expires: �"' �� oky a Heater Utilities WATER AND WASTEWATER SERVICES Ms. Karen Rust N.C. Division of Water Quality Eastern NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 202 MacKenan Court Cary, North Carolina 27 511 phone: 919.467.7854 fax: 919.460.1788 March 31, 2005 APR 5 2005 DE - WATER QUALITY POINT SOURCE BRANCH , Re: Draft Permits - NC0056154, NC0074772, NC0075205, NCO080691 Bridgeport WWTP, Diamond Head WWTP, Alexander Island WWTP, Windemere WWTP, Iredell County Dear Ms. Rust: I have received your letter dated March 10, 2005, and the changes to the draft permit for the Bridgeport permit only. I did not receive modified permits for the other three systems although they were mentioned in your letter. It is my understanding pursuant to your letter "that since the issuance'of the permit for Highway 150 WWTP the Division has received numerous requests from concerned citizens asking that these same conditions apply to all discharges to Lake Norman where treatment is performed using package plants." Therefore, the Division is revising our previously issued draft permits to include increased requirements including daily testing for fecal coliform. Heater Utilities, Inc. (Heater) strongly objects to a requirement for daily fecal coliform testing. This means that Heater will have to grab a sample from each plant every day and deliver it to our contract laboratory for analysis. These fecal samples have a six -hour holding time. This is very costly in operator time due to having to transport these samples everyday. These plants are discharging relatively small quantities of high quality effluent into Lake Norman and have an excellent record of compliance with all parameters, including fecal coliform. Performing daily tests for fecal coliform on grab samples from each of these plants is a costly exercise providing no additional protection to the environment. It would simply drive up the rates to our customers. Page Two Ms. Karen Rust March 31, 2005 If the rates to Heater's customers are increased to cover this additional cost, there will be other concerned citizens that may not want to pay for this non -beneficial testing. Please reconsider the requirement for daily fecal coliform testing in these permits. Sincerely, Je y H. Tweed V e President JHT/rt FACT SHEET FOR EXPEDITED RENEWAL Permit Number C0 e80 6 9/ Facility Name GV � /&^t eww 7 P Reviewer M�le? 7f� Basin/Sub-basin o ? - v8 - 3 Z Receiving Stream CZU74�. Stream Classification in permit Stream Classification in BIMS Is the stream impaired (listed on 303(d))? ND Is stream monitoring required? Do they need NH3 limit(s)? y�S Do they need TRC limit(s)? o Do they have whole -effluent toxicity testing? No Are there special conditions? NO Any obvious compliance concerns? A16 Existing Expiration Date 3 Z�S Proposed Expiration Date �o Miscellaneous Comments: If expedited, is this simpler per it or a more difficult one? To: Permits and Engineering Unit Water Quality Section Attention: Carolyn Bryant SOC Priority Project: No Date: December 1, 2004 NPDES STAFF REPORT AND RECOMMENDATIONS County: Iredell a NPDES Permit No.: NCO080691 MRO No.: 04-51 PART I - GENERAL INFORMATION Facility and address: Windemere Development % Heater Utilities, Inc. Post Office Drawer 4889 Cary, N.C. 28673 2. Date of investigation: November 30, 2004 3. Report prepared by: Michael L. Parker, Environ. Engr. II p � � [ I I N DEC 9 2004 OENR - WATER QUALITY POINT SOURCE BRANCH Person contacted and telephone number: Tony Parker, (704) 489-9401. 5. Directions to site: From the junction of SR 1332 and SR 1328 near the community of East Monbo, travel west on SR 1328 approximately 0.3 mile and turn left onto SR 2728 (Windemere Rd.). Travel approx. 200 yards on SR 2728 and turn left onto Heronwood Rd. (no SR number). The WWTP site is located on the left side of Heronwood Rd. after traveling - 'Amile. 6. Discharge point(s), list for all discharge points: - Latitude: 35 ° 40' 04" Longitude: 800 57' 55" Attach a USGS Map Extract and indicate treatment plant site and discharge point on map. USGS Quad No.: E 15 NW Size (land available for expansion and upgrading): There is minimal area available for expansion of the WWTP, if necessary. Topography (relationship to flood plain included): Hilly, 3-12% slopes. The WWTP site is located above any nearby flood plain. Page Two 9. Location of nearest dwelling: No dwellings currently exist within 500+ feet of the WWTP site. 10. Receiving stream or affected surface waters: Catawba River (Lake Norman) a. Classification: WS-IV and B, CA b. River basin and subbasin no.: Catawba 03-08-32 C. Describe receiving stream features and pertinent downstream uses: The lake is used for a variety of recreational activities, as specified by its assigned WS-IV, B classification (ie..swimming, wading, boating), and as a water supply; although the nearest water supply intake is several miles downstream. There are two permitted WWTP outfalls located approx. 1.5 miles above this proposed facility (NC0071528 - existing and NCO078603 - proposed). PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS 1. a. Volume of wastewater: 0.090 MGD (Design Capacity) b. What is the current permitted capacity: 0.090 MGD C. Actual treatment capacity of current facility (current design capacity): 0.090 MGD d. Date(s) and construction activities allowed by previous ATCs issued in the previous two years: There have been no ATCs issued for this facility in the past two years. e. Description of existing or substantially constructed WWT facilities: a bar screen followed by a flow equalization tank, dual aeration tanks, dual clarifiers, a tertiary sand filter, tablet chlorine disinfection (dual units) with contact tank, an aerated sludge holding tank, dechlorination, a flow measuring device with totalizer, post aeration, and a portable stand-by power generator. f. Description of proposed WWT facilities: There are no WWT facilities proposed at this time. g. Possible toxic impacts to surface waters: Chlorine is added to the waste stream, however, dechlorination is provided. h. Pretreatment Program (POTWs only): Not required. 2. Residual handling and utilization/disposal scheme: Residuals are removed when necessary by Liquid Waste, Inc. and taken for disposal to either a CMU WWT facility or by land application at a site in Anson County under the authority of DWQ permit no. WQ0014843. 3. Treatment plant classification: Class II 4. SIC code(s): 4952 Wastewater code(s): 05, 06 MTU code(s): 06107 Page Three PART III - OTHER PERTINENT INFORMATION 1. Is this facility being constructed with Construction Grants Funds (municipals only)? Public monies were not used in the construction of this facility. 2. Special monitoring requests: No additional monitoring is being recommended at this time. 3. Additional effluent limits requests: None at this time. PART IV - EVALUATION AND RECOMMENDATIONS Heater Utilities requests renewal of the subject permit. There have been no changes to the permit and/or the WWTP since the permit was last renewed nor are any proposed at this time. The Windemere development currently consists of a mixture of condominium and single family units located on the shores of Lake Norman. For whatever reason, this development has not built -out as quickly as originally thought, which has resulted in the existing WWTP averaging less than half of it's daily design capacity. Additional residential construction (outside of the Windemere development) has generated some additional flow, however, the WWTP is nowhere near design capacity. In light of the litigation about the Highway 150 WWTP (NC0074900), effluent limitations for this discharge into Lake Norman should be based on "modeling" rather than BPJ. Pending receipt and approval of the draft permit, and concurrence by the Division of Environmental Health, it is recommended that the NPDES Permit be reissued. Surface Wate uality Regional Supervisor Date hAdsr\dsr04\windmem.sr Heater 202 MacaCourt Cary, Northh Carolina 27511 ®� U,/,,,,t,eS phone: .460.17.7854 't far: e:9.460.1788 WATER AND WASTEWATER SERVICES P.O. Drawer4889, Cary, NC27519 June 8, 2004 Mr. Charles Weaver NCDENR/Water Quality/NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Permit Renewal- - NPDES Permit NC-0080691 Windemere WWTP - Iredell County Dear Valery: As owner of the above -referenced facility, Heater Utilities, Inc. request renewal of the discharge permit. The sludge management plan for this facility is the removal of liquid sludge from an aerobic digester, as needed, by Liquid Waste, Inc. and disposed of at CMUD or by land application in Anson County, under Permit No. WQ0014843. If I can provide further information, please contact me at 919.467.8712, Ext. 37 or e-mail at jhtweed@aquaamerica.com. Sincerely, hVV" y �. weT ed President JHT/rt NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D To be filed only by privately -owned dischargers of 100% domestic wastewater (< 1 MGD flow) N. C. Department of Environment and Natural Resources Division of Water Quality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 http: / / h2o.enr.state.nc.us/ NPDES/ North Carolina NPDES Permit Number I NC00 80691 Please print or type 1. Contact Information: Facility Name Windemere WWTP Owner Name Heater Utilities, Inc. (Jerry Tweed) Street Address P.O. Drawer 4889 City Cary State_/ ZiCode� _ __ North Carolina 275,19. - - - .... - Telophone.Number ( -919) 467-7854 Fax Number ( 919) 460-1788 e-mail Address Pubweed(a�aquaamerica.com Operator Name John Martin c/o Heater Utilities, Inc. Street Address P.O. Drawer 4889 city Cary State / Zip Code North Carolina 27519 County Telephone Number ( ) 2. Location of facility producing discharge: Check here if same as above ❑ Facility Name (If different from above) Windemere Subdivision WWTP Street Address or State Road Hearonwood Road City East Mombo State / Zip Code North Carolina County Iredell 3. Reason for application: Expansion/Modification * Existing Unpermitted Discharge Renewal X New Facility * Please provide a description of the expansion/modification: N/A Page 1 of 3 Version 12102 NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D To be filed only by privately -owned dischargers of 100% domestic wastewater (< 1 MGD flow) 4. Description of the existing treatment facilities (list all installed components with capacities): 0.090 MGD WWTP with bar screen, flow equalization tank, dual aeration tanks, dual clarifiers, tertiary sand filter, dual chlorine tablet disinfection, aerated sludge holding tank, dechlorination equipment flow measuring device, post aeration and standby power generator. 5. Description of wastewater (check all that apply): Type of Facility Generating Wastewater Industrial Number of Employees Commercial - - _ Number of Employees - Residential- X Number of Homes School Number of Students/Staff Other Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.): Subdivision 6. List all permits, construction approvals and/or applications (check all that apply): TYRe Permit Number Type RCRA Non -Attainment UIC Ocean Dumping NPDES NCO080691 Dredge/Fill Permits PSD Other NESHAPS Permit Number 7. Number of separate wastewater discharge pipes (wastewater outfalls): One 8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each outfall: .N/A Page 2 of 3 Version 12102 NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D To be filed only by privately -owned dischargers of 100% domestic wastewater (< 1 MGD flow) 9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall): Catawba River 10. Is this facility located on Native American lands? (check one) YES [:1 NO [Z] I certify that I am familiar with the information contained in the application and that to the -hest- of f kno b edge -and belief -such _informatio a -a tie, complete, and accurate. - -- - =-- Jerry H. Tweed Printed Name of Person Signing Vice President Title a_'00� Sigqtdre ookpplicant 6�i' o Date -Signed Signe N91h Carolina General Statute 143-215.6(b)(2) provides that: 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 $10,000, 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 $10,000 or imprisonment not more than 5 years, or both for a similar offense.) 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