NCG110165_Application_20240325

FOR AGENCY USE ONLY SI dl(rW
NCG11 0 t G 5 444f�
Assigned to: q- cDov,
ARO FRO MRO RRO WARO WIRO WSRO
Division of Energy, Mineral, and Land Resources Land Quality Section
National Pollutant Discharge Elimination System
NCG110000 Notice of Intent
This General Permit covers STORMWATER DISCHARGES associated with activities classified as: Treatment Works
treating domestic sewage or any other sewage sludge of wastewater treatment device or system, used in the
storage, treatment, recycling, and reclamation of municipal or domestic sewage, with a design flow of 1.0 million
gallons per day or more, or required to have an approved pretreatment program under Title 40 Code of Federal
Regulations(CFR)Part 403, including lands dedicated to the disposal of sewage sludge that is located within the
confines of the facility;and like activities deemed by DEMLR to be similar in the process and/or the exposure of
raw materials,products, by-products, or waste materials. You can find information on the DEMLR Stormwater
Program at deq.nc.gov/SW.
Directions: Print or type all entries on this application. Send the original,signed application with all required
items listed in Item (6) below to: NCDEMLR Stormwater Program, 1612 MSC, Raleigh,NC 27699-1612. The
submission of this application does not guarantee coverage under the General Permit. Prior to coverage under
this General Permit a site inspection will be conducted.
1. Owner/Operator(to whom all permit correspondence will be mailed):
Name of legal organizational entity: Legally responsible person as signed in Item(7) below:
Johnston County Chandra C.Farmer,PE
Street address: City: State: . Zip Code:
309 E.Market Street Smithfield NC 27577
Telephone number: Email address:
919-989-5075 [e-mail]
Type of Ownership:
Government A
G(County ❑ Federal ❑Municipal ❑State xss
Non-government
❑ Business(If ownership is business,a copy of NCSOS report must be included with this application)
❑ Individual
2. Industrial Facility (facility being permitted):
Facility name: Facility environmental contact:
210 Wastewater Treatment Facility Dan Wall
Street address: City: State: Zip Code:
409 County Home Road Smithfield NC 27577
Parcel Identification Number(PIN): County:
15I08028C Johnston County
Telephone number: Email address:
919-989-5075 [e-mail]
4-digit SIC code:4952 Facility is: Date operation is to begin or began:
W Activity Code:TCK New ❑ Proposed ❑Existing June 2024
Latitude of entrance: Longitude of entrance:
Entrance 1:35.506255 Entrance 2:35.50743 Entrance 1:-78.429775 Entrance 2:-78.42974
Page 1 of 5

Brief description of the types of industrial activities and products manufactured at this facility:
Wastewater treatment including filtration,biological nutrient removal,disinfection,as well as chemical feed and storage.
If the stormwater discharges to a municipal separate storm sewer system(MS4),name the operator of the MS4:
V N/A
3. Consultant(if applicable):
Name of consultant: Consulting firm:
Mary E.Sadler,PE Hazen and Sawyer
Street address: City: State: Zip Code:
4011 Westchase Blvd Ste 500 Raleigh NC 27607
Telephone number: Email address:
[phone] [e-mail]
4. Outfall(s)At least one outfall is required to be eligible for coverage.
3-4 digit identifier: Name of receiving water: Classification: This water is impaired.
SO-1 Unnamed Tributary of Middle Creek C;NSW G✓This watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35.506437 -78.426354
Brief description of the industrial activities that drain to this outfall:
Wastewater treatment and chemical storage
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes 9No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
3-4 digit identifier: Name of receiving water: Classification: This water is impaired.
SO-2 . Unnamed Tributary of Middle Creek C; NSW WThis watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35.506865 -78.426345
Brief description of the industrial activities that drain to this outfall:
Wastewater treatment: disinfection
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes 9 No
If yes,how many gallons of new motor oil are used each month when averaged over:the calendar year?
3-4 digit identifier: Name of receiving water: Classification: This water is impaired.
SO-3 Unnamed Tributary of Middle Creek C;NSW gThis watershed has a TMDL.
Latitude of outfall: Longitude of outfall:
35.507564 78.426171
Brief description of the industrial activities that drain to this outfall:
Sludge storage and dewatering
Do Vehicle Maintenance Activities occur in the drainage area of this outfall? ❑ Yes Ef No
If yes,how many gallons of new motor oil are used each month when averaged over the calendar year?
All outfalls must be listed and at least one outfall is required. Additional outfalls may be added in the section
"Additional Outfalls"found on the last page of this NOI.
Page 2 of 5

S. Other Facility Conditions(check all that apply and explain accordingly):
This facility has other NPDES permits.
If checked, list the permit numbers for all current NPDES permits:
NC0030716
This facility has Non-Discharge permits(e.g. recycle permit).
If checked,list the permit numbers for all current Non-Discharge permits:
W 0019632 W 50060
❑This facility uses best management practices or structural stormwater control measures.
If checked, briefly describe the practices/measures and show on site diagram:
❑This facility has a stormwater Pollution Prevention Plan(SWPPP).
If checked, please list the date the SWPPP was implemented:
Please note:The SWPPP will be completed by April 2024,prior to the commencement of discharge operations.
❑This facility stores hazardous waste in the 100-year floodplain.
If checked, describe how the area is protected from flooding:
❑This facility is a(mark all that apply)
❑ Hazardous Waste Generation Facility
❑ Hazardous Waste Treatment Facility
❑ Hazardous Waste Storage Facility
❑ Hazardous Waste Disposal Facility
If checked, indicate:
Kilograms of waste generated each month: Type(s)of waste:
N/A N/A
How material is stored: Where material is stored:
N/A N/A
Number of waste shipments per year: Name of transport/disposal vendor:
N/A N/A
Transport/disposal vendor EPA ID: Vendor address:
N/A N/A
❑This facility is located on a Brownfield or Superfund site
If checked, briefly describe the site conditions
N/A
6. Required Items(Application will be returned unless all of the following items have been included):
CfCheck for$120 made payable to NCDEQ
❑ Copy of most recent Annual Report to the NC Secretary of State N/A
Cif This completed application and any supporting documentation
A site diagram showing,at a minimum,existing and proposed:
a) outline of drainage areas
b) surface waters
c) stormwater management structures
d) location of stormwater outfalls corresponding to the drainage areas
e) runoff conveyance features
f) areas where industrial process materials are stored
g) impervious areas
h) site property lines
[Copy of county map or USGS quad sheet with the location of the facility clearly marked
Page 3 of 5

7. Applicant Certification:
North Carolina General Statute 143-215.6E(i)provides that: Any person who knowingly makes any false statement,
representation,or certification in any application,record,report,plan,or other document filed or required to be maintained
under this Article or a rule implementing this Article. . .shall be guilty of a Class 2 misdemeanor which may include a fine not
to exceed ten thousand dollars($10,000).
Under penalty of law,I certify that:
2rl am the person responsible for the permitted industrial activity,for satisfying the requirements of this permit,and for any
civil or criminal penalties incurred due to violations of this permit.
CifThe information submitted in this N01 is,to the best of my knowledge and belief,true,accurate, and complete based on
my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the
information.
16 will abide by all conditions of the NCG110000 permit.I understand that coverage under this permit will constitute the
permit requirements for the discharge(s)and is enforceable in the same manner as an individual permit.
Idl hereby request coverage under the NCG110000 General Permit.
Printed Name of Applicant: Chandra C. Farmer
Title: Johnston County Department of Public Utilities -Director
,,wh
(Signature of Applicant) (Date Signed)
Mail the entire package to: DEMLR—Stormwater Program x
Department of Environmental Quality
1612 Mail Service Center
Raleigh, NC 27699 161Z
i�4i3)`id`re�,x3 «e't tiva YL>i'y faz,�,r?$<2'
V,
Page 4 of S

C.0ra"aw 1&6w�
DEPARTMENT OF PUBLIC UTILITIES
PO BOX 2263
SMITHFIELD, NC 27577
[phone]
March 22, 2024
NC DEMLR —Stormwater Program
1612 Mail Service Center
Raleigh 27699-1612
Re: Johnston County
210 Wastewater Treatment Facility
To Whom It May Concern:
Please find enclosed the application permit for NCG110000 for Johnston County's 210 Wastewater
Treatment Facility. Please also find enclosed check#130734 in the amount of$120.00. The new
WWTF is under construction, and we anticipate it to come on-line in June of 2024.
Please contact me at 909-209-8333 or [e-mail], if you have any
questions or need additional information.
Sincerely,
Chandra C. Farmer, PE
Director of Utilities
cc: Mary Sadler, PE, Hazen & Sawyer
Kim Rineer, PE—Johnston County
Enclosures