NC0066362_Renewal (Application)_20151113

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 Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit 000066362
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
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
Nathan Benson
Facility Name
Benson Apartments
Mailing Address
P. O. Box 1090
City
Mountain Home
State / Zip Code
NC 28758
Telephone Number
828-693-5493
Fax Number
828-693-1302
e-mail Address
- I /-
(1 ,xh c i � enS drr iZ 61.I S Q2 ilh
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 161 Brookside Camp Road
City Hendersonville
State / Zip Code NC 28791
County Henderson
3. Operator Information:
Name 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 ORC)
Name Nathan Benson RE(__FIVFf1/DENROWR
Mailing Address P. O. Box 1090
City Mountain Home NOV 1 3 2015
State / Zip Code NC 28758water QUaI'
nrmittiecti
Telephone Number 828-693-5493 Pe9 Son
Fax Number 828-693-1302
e-mail Address e -,
1 of 3 Form-D 11/12

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 apply):
Industrial Number of Employees
Commercial Number of Employees
Residential x Number of Homes a Q�
School Number of Students/Staff
Other Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park,
restaurants, etc.):
Apartment complex
Number of persons served: 1Qd
S. Type of collection system i
X Separate (sanitary sewer only) ❑ 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 stream(s) (NEW applicants: Provide a map showing the exact location of each
outfallJ
Unnamed tributary to Mud Creek in the French Broad River Basin
8. Frequency of Discharge: X Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration: _
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.
A 0.008 MGD facility with septic tank/flow equalization tank(6,000 gallons), manual bar
screen, extended aeration basin (8250 gallon), dual blowers providing diffused air (52 cfm
each), rectangular clarifier with skimmer and sludge return (1639 gallon), aerobic
digestor (1400 gallon), hypochlorite table chlorinator, chlorine contact chamber (800
gallon), sodium sulfite tablet dechlorinator, effluent pump station with high water
alarms, portable stand-by generator.
2of3
Form-D 11112

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.008 MGD
Annual Average daily flow .003 MGD (for the previous 3 years)
Maximum daily flow .028 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.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average over
the past 36 months for parameters currentlu in uour permit. Mark other parameters "N/A".
Parameter
Daily
Maximum
Monthly
Avera a
Units of
Measurement
Biochemical Oxygen Demand (BOD;)
43.2
20.2
MG/L
Fecal Coliform
91
5.7
CFU/ 100ML
Total Suspended Solids
46.0
28.2
MG/L
Temperature (Summer)
26.0
23.8
C
Temperature (Winter)
15.5
12.7
C
pH
8.2
7.5
units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NCO066362
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
that I am familiar with the information contained in the application, and that to the
y mowledge and elief such information is true, complete, and accurate.
' QGJn F2
name of Person Signing
of
1- 1 - /
Date
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 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 $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.)
3of3
Form-D 11/12

PAT MCCRORY
3;a
Water Resources
ENVIRONMENTAL QUALITY
Nathan Benson
Benson Apartments
PO Box 1090
Mountain Home, NC 28758
Dear Permittee:
Governor
DONALD R. VAN DER VAART
Secretai3,
S. JAY ZIMMERMAN
November 30, 2015 Director
Subject: Acknowledgement of Permit Renewal
Application No. NCO066362
Benson Apartments
Henderson County
The Water Quality Permitting Section has received your permit renewal application on November
13, 2015. A member of the NPDES Unit will review your application. They will contact you if additional
information is required to complete your permit renewal. Per G.S. 150B-3 your current permit does not
expire until permit decision on the application is made. Continuation of the current pen -nit is contingent on
timely and sufficient application for renewal of the current permit. Please respond in a timely manner to
requests for additional information necessary to complete the permit application.
If you have any additional questions concerning renewal of the subject permit, please contact Wren
Thedford at 919-807-6304 or [e-mail].
Sincerely,
Wr6vx-, Tki e of fo-ro�
Wren Thedford
Wastewater Branch
cc: Central Files
sie.VJMO, Regional Office, Water Quality Regional Operations Section
NPDES Unit
State of North Carolina I Environmental Quality I Water Resources
1617 Mad Service Center I Raleigh, North Carolina 27699-1617
919-807-6300