NC0039551_Report_19920929

� '.tLgfiLOyWLti.'r�- it
RECEIVED
cc: Permits and Engineering OCT 0 1 1992
Technical Support Branch
County Health Dept. TECHNICAL SUPPORT BRANCH
Central Files
WSRO
ate September 29, 1992
NPDES STAFF REPORT AND RECOMMENDATIONS
County Forsyth
NPDES Permit No. 0039551
PART I - GENERAL INFORMATION
1. Facility and Address:
Richard D. Townsend (Residence)
1239 Pine Knolls Road
Kernersville, N.C. 27284
2 . Date of Investigation: August 12, 1992
3 . Report Prepared by: James C. Watson, Environmental Engineer
4. Persons Contacted and Telephone Number:
Richard D. Townsend, Owner
(919) 996-5362
5. Directions to Site:
The residence is located approximately 4 miles north of
Kernersville, N.C. west of Piney Grove Road (NCSR 1969) in
the Pine Knolls Development. The attached USGS map extract
indicates
6. Discharge Point(s) - List for all discharge points
Latitude: 36° 10 ' 43" Longitude: 80° 03 ' 59It
Attach a USGS Map Extract and indicated treatment
plant site and discharge point on map.
USGS Quad No. C-18NE or USGS Quad Name Belews Creek Quad.
7. Size (land available for expansion and upgrading) :
Approximately 0. 59 acres.
8. Topography (relationship to flood plain included) :
The residence is in an upland position and has a slope of 12
- 15% to the south. The location is well above any expected
flood plain.

9 . Location of nearest dwelling: The nearest dwelling is the
adjacent property owner, approximately 300 feet NW and
downstream.
10. Receiving stream or affected surface waters: UT to Belews
Creek
a. Classification: "C"
b. River Basin and Subbasin No. : Roanoke (030201)
c. Describe receiving stream features and pertinent
downstream uses: Well defined stream bed approximately
2 feet wide. Flow is moderately fast, approximately 3
inches deep. Source of water is three (3) springs
located at a higher elevation. There are no known
downstream uses in the immediate area.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
% Industrial
a. Volume of Wastewater: 0. 000450 MGD (Design Capacity)
b. Types and quantities of industrial wastewater: N/A
c. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only) : N/A
in development approved
should be required not needed
2 . Production rates (industrial discharges only) in
pounds per day: N/A
a. Highest month in the last 12 months: lbs/day
b. highest year in last 5 years: lbs/day
3 . Description of industrial process (for industries only)
and applicable CFR Part and Subpart: N/A
4 . Type of treatment (specify whether proposed or
existing) : This is a private dwelling with a 900 gallon
capacity precast septic tank; followed by a 391 square foot
sub-surface sand filter with a model 100 sanuril
disinfection unit with a 30 minute retention tank.

5. Sludge handling and disposal scheme: Septic tank sludges
are removed by a commercial firm and taken to the nearest
municipal wastewater treatment plant for disposal.
6 . Treatment plant classification: (attach completed rating
sheet) This is a private dwelling discharge.
7 . SIC Code (s) 4952
Wastewater Code (s) Primary 04 Secondary
Main Treatment Unit Code: 4 4 0 0 7
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction
Grants Funds (municipals only) ? N/A
2 . Special monitoring requests: N/A
3 . Additional effluent limits requests: N/A
4 . Other: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
I recommend that the permit be re-issued in accordance with
the waste load allocation.
Sign ure of report preparer
/27
Water Quality Regional upervisor
qyo —9-zi
Date

•
,A. ( ). 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(s) serial number(s) 001. Such discharges shall be limited
•
and monitored by the Permittee as specified.below:
•
Effluent Characteristics ; Discharge Limitations Monitoring Requirements
Rg/day (lbs/day) Other Units (Specify) Measurement Sample *Sample
Monthly Avg. Weekly Avg. Monthly Avg. Weekly Avg. Frequency Type Location
Flow , 450 MGD
i
BOD, '5Day, 20 Degrees C , 30.0 mg/1 45.0 mg/1
TSS ` ' 30.0 mg/1 45.0 mg/1
Fecal Coliform (geometric :mean) 1000.0/100 ml 2000.0/100 ml
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for
continuous.-disinfection .of- •the effluent. - ...
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.
M3 NC0039551
A

NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM . Amluila eta
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D �
Mcc , I L1 m to 13F?h-ll ,
AGE
MSE pat[ it C t i vt n
to be filed only by services. .ihotesate and retail trade,
and other commercial establishments iivclodine vessels q t 1 e 1 -I
10.
• Ca t- r//�
i/.io .vo
00 sot attempt to complete this fora without reading the accompealing lestroctleses
Please print or tyss
1. Name, address, end teleohor+e weber of facility producing discharge
A. Mae Real+lit c b 1 `TB w> ff-.aD
0. Street address Jai 1 :kJ/S sima �I
C. City Sr ' O. State�''C '
E. County it. 21► 677a24
G. Telephone No. 919 , 9%"S.3(.r'I-
Area
Code 'u
..
2. SIC _.. --
���� -
(teave blank) :.
o
3. Itoeiber of eeoloytes . rt?drti
4. Nature of business ' iL14f t�atiec.
S. (a) Check here if discharge occurs all year,,, or
(b) Check the month(s) discharge occurs:
1.0 January 2.0 t'eb►i ar 3.01tardi 4.0 hor11 S.0 Myr
6.0June 7.0Ju1y 0.0Aupist 9.oSeptember 10.0October
• 11.0 ho v orb*r 12.0 De cosbe►
(c) Mow many days per wet: .
1.01 2.0 2.3 3.0 4-5. 1 6-f •
6. Types of waste water discharged to surface waters only (check es aoolicable)
VulFlow, ga'to:+s pa d
r operatirg day ischa Created before
iatharging (percent)
Dischargeperoperatiattng day 0.1-999 1000.1999 6000-S999 10,000- 90,000 roil 0.1- 30- 65- 9S•
operating 49,999 or mire 29.9 64.9 94.9 100
(1) (2) (9) (4) (6) (6) (7) (6) (9) (10)
A. Sanitary, daily '7S�
average
0. Cooling water, etc.,
daily average
C. Other dlsCharge(s), . • •
daily average;
Specify ii LI_ ]
0. Maximum per opoperat- ti
big day for combined
discharge (all types)

•
9. If any of the tomes of aesta 1dentified le item t. either treated or •
treated. are discharged to places ether then surface voters, check helot
as applicable.
Wsta ester is discharged to: •.1.1111! 1O00-4N 4000.4W 10,000-49.m 60,000 er more
(1) (1) (2) (4) ($)
A. P .l L f pr l ce,rrr system
M, :M+.a•,.pti awl wr11
•
vow
C. Septlr tent
O. Evaporation lagoon or pond •
I. Other, specify: •
0. 060Pbor of separate discharge points:
A l •.O2-3 C.o 4-t 0.o t or more
•
4. Mane of receiving water or waters h>prhn� Tf; 44�; 1 � tie (.
.10. Does your discharge contain or is it possible fir your discharge to contain
one or more of the following substances Allan a result of your opergtlens.
activities, or processes: avoa+la, cyan , a uminua beryllium, Maio,
chromium, copper, lead, mercury, nickel, selenium, tile, pawls, ell end
grease, end chlorine'(residual).
Cayes 0.j•no
1 certify that I an fammilliar with the lnforeatioe contained in the applfcatiom and
that to the best of it1 knowledge and belief such information is true, Cosvlete, end
accurate.
►rinted Kasie of Person Signing
-. ,M.
Title
•
Date pots ,lion Signed
43- o iit: mt
North Carolina General Statute 143-215.6 Cb) (2)1rovides that: Ahy person laho knowingly makes
any false statement rep 3�ti on,or card cat on a y applic„atton, 'rscord, report, plan,
or other document files or required to be laintat.ned under Article 21 or regulations of the
'Environmental Ttansgeraent Complieston iplpra* n,g that Article, or vho falsifies, taapars with.
or kgc ly renders inaccurate any recording or Lonitoritg 4 vice or tethod required to be
rperated or chainta1ned under Ay +ale• 21:of r°c letioaa of the !nvironitentel )ia.nage t Co i.s�
iraplcmenti'ng that Article, ali •be' .tv of s iledamtar,or punishable by elite not to exceed
51mm, or by imprisonmftnt not to exceed six onths or by both. (18 U.S.C. Section 1011 pro,'
a punishment by a fine oi•:not more than $10,000 or i, rih on t not riore than 5 years, or both
for a sinilar offense.)
• •

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