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Home My WebLink AboutNCG510390_Permit issuance_20161014Weaver, Charles From: Weaver, Charles Sent: Friday, October 14, 2016 10:04 AM To: 'ed.kuhn@contractor.p66.com' Cc: 'Frans Lowman' Subject: renewal of NCG510390 / Circle K store #8379 Attachments: NCG510000 Tech Bulletin Final 2016.pdf, NCG510000 Final Signed.pdf Importance: High Attached you will find the updated version of NPDES General Permit NCG510000, effective 10/1/2016. Discard any previous versions of the General Permit and use this version until further notice. You do not need a reprinted Certificate of Coverage, as the one issued to you in 2012 is still applicable. If you have any questions about this matter, simply reply to this message. Charles H. Weaver Environmental Specialist N.C. Division of Water Resources N.C. Department of Environmental Quality 919-807-6391 chades.weaver(aDncdenr.00v (physical address) 512 North Salisbury Street, Raleigh, NC 27604 (mailing address)1617 Mail Service Center, Raleigh, NC 27699-1617 0 ~Nothing Compares .... Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. Weaver, Charles From: Microsoft Outlook To: ' ed.ku h n @ contractor. p66.com' Sent: Friday, October 14, 2016 10:04 AM Subject: Relayed: renewal of NCG510390 / Circle K store #8379 Delivery to these recipients or groups is complete, but no delivery notification was sent by the destination server: 'ed.kuhn(o)contractor.p66.com' (ed.kuhn(a)contractor.p66.com) Subject: renewal of NCG510390 / Circle K store #8379 I J renewal of NCG510390 / Cic.. Water Resources ENVIRONMENTAL QUALITY PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary S. JAY ZIMMERMAN Director Mr. Ed Kuhn Phillips 66 Company 4215-1 Stuart Andrew Blvd. Charlotte, NC 28217 Dear Mr. Kuhn: RECEIVED/NCDEQ/DWR March 28, 2016 APR 0 7 2016 Water Quality Permitting Section Subject: Compliance Evaluation Inspection Phillips 66 Company — Circle K Store Ground water remediation NPDES Permit No. NCG510390 Mecklenburg County Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted at the subject facility on March 21, 2016 by Ori Tuvia and Ed Watson. Frans Lowman and Joe Vickers cooperation during the site visit was much appreciated. Please advise the staff involved with this NPDES Permit by forwarding a copy of the enclosed report. The report should be self-explanatory; however, should you have any questions concerning this report, please do not hesitate to contact Ori Tuvia at (704) 235-2190, or at ori.tuvia(a ncdenr.gov. Sincerely, Ori Tuvia, Environmental Engineer Mooresville Regional Office Division of Water Resources, DEQ cc: NPDES (Derek Denard) MRO Files Mooresville Regional Office Location: 610 Fast Center Ave., Suite 301 Mooresville, NC 28115 Phone: (704) 663-1699 \ I = (704) 663-6040 \ Customer Service: 1-877-623-6748 Intemet www.ncwaterquality.org United States Environmental Protection Agency Form Approved. EPA Washington, D.C. 20460 OMB No. 2040-0057 Water Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 U 2 15 1 3 1 NCG510390 111 12 16/03/21 17 18 Li I 19 Li 20I I 211111 I I 1 1 1 111 I I III I I I I I I I I l I l l 1 I 11.1 111 1 1 I Ids Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserver! 67 J1.o 701d I 71 IN I 72 UN 731 II !74 75 80 __LU Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES Dermit Number) 11:30AM 16/03/21 11/10/12 Circle K Store #E8379 101 Belmont -Mount Hotly Rd Exit Time/Date Permit Expiration Date Belmont NC 28012 12:30PM 16/03/21 16/09/30 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data l/l Frans Lowman/// Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Ed Kuhn,1338 Hundred Oaks Dr Charlotte NC 28217/1704-676-0502/7046760704 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program Facility Site Review Effluent/Receiving Waters Laboratory Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Offce/Phone and Fax Numbers Date Edward Watson MRO GWlll 06 A Tuvia .. - MRO WQIr704-663-1699/ `Z Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date W. Corey Basinger MRO WQ1/704-235-2194/ EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. tc�'� i Page# NPDES yrlmo/day Inspection Type (Cont.) 1 31 NCG510390 I11 12 16/03/21 17 18 1 C i Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Notes by Ed Watson: Groundwater samples for this system are able to be collected at influent, effluent and mid -point sampling ports. The system is secured, clean and well kept. The system is supplied by twelve Recovery Wells (RWs) that transfer influent water to the remediation system through a trenched network. Inspection of the RWs revealed the presence of water in the well gallery boxes of the two wells that were viewed during the site visit. The recovery well galleries need to be adapted to prevent surface water from rainfall to be allowed to enter into the gallery box as were are unable to authorize this type of water from being allowed to enter the recovery wells. The outfall for this system enters into an unnamed tributary of Fites Creek a class WS-IV CA stream in Subbasin 03-08-34 of the Catawba River basin. We were able to observe the discharge and there was no presence of foam, solids or odors at the outfall. Page# 2 Permit: NCG510390 Inspection Date: 03/21/2016 Owner - Facility: Circle K Store #8379 Inspection Type: Compilance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new M ❑ ❑ ❑ application? Is the facility as described in the permit? M ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ 0 ❑ ❑ Is access to the plant site restricted to the general public? M ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? M ❑ ❑ ❑ Comment: Permit is effective until Sept. 23, 2016. Application for permit renewal has been submitted. Record Keeeing Yes No NA NE Are records kept and maintained as required by the permit? 0 ❑ ❑ ❑ Is all required information readily available, complete and current? M ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? M ❑ ❑' ❑ Are analytical results consistent with data reported on DMRs? ❑ ❑ 0 ❑ Is the chain -of -custody complete? 0 ❑ ❑ ❑ Dates, times and location of sampling Name of individual performing the sampling Results of analysis and calibration Dates of analysis Name of person performing analyses Transported COCs Are DMRs complete: do they include all permit parameters? ❑ ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ Cl 0 ❑ (if the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑ 0 ❑ on each shift? Is the ORC visitation log available and current? ❑ ❑ ❑ Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ M ❑ Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ 0 ❑ Is a copy of the current NPDES permit available on site? 0 ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑ Comment: Records reviewed for the years 2014-2015. All records were well kept and maintained. _ Chain of Custody must indicate that ice is used. as a preservative for the samples that are being sent for lab analysis. Laboratory Yes No NA NE Page# 3 Permit: NCG510390 Inspection Date: 03/2112016 Owner - Facility. Circle K Store t#8379 Inspection Type: Compliance Evaluation Laboratory Are field parameters performed by certified personnel or laboratory? Are all other parameters(excluding field parameters) performed by a certified lab? # Is the facility using a contract lab? # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? Incubator (Fecal Coliform) set-to 44.5 degrees Celsius+/- 0.2 degrees? Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? Comment: Lancaster Laboratories Derforms sample analysis using USEPA methods. Effluent Sampling Is composite sampling flow proportional? Is sample collected below all treatment units? Is proper volume collected? Is the tubing clean? # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type representative)? Yes No NA NE ❑ ❑ M ❑ ❑ ❑ M ❑ Yes No NA NE ❑ ❑ 013 ❑ ❑ ❑ ❑ ❑ ❑ ■ ■ ❑ ❑ ❑ ■❑❑❑ Comment: SamDles are collected using grab method. Samples are maintained at proper temperatures for transport to lab facility. Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? M ❑ ❑ ❑ Is flow meter calibrated annually? M ❑ ❑ ❑ Is the flow meter operational? M ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ❑ Comment: PRM flowmeter was last calibrated 12/07/2105 by PRM. Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? M ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑ Comment: The outfall for this system enters into an unnamed tributary of Res Creek a class WS-IV CA stream in Subbasin 03-08-34 of the Catawba River basin. We were able to observe the discharge and there was no presence of foam, solids or odors at the outfall. Page# 4 Permit: NCG510390 Inspection Date: 03/21/2016 Owner - Facility: Circle K Store #8379 Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ M ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: The system is supplied by twelve Recovery Wells (RWs) transferinq influent water to the remediation system through a trenched network. Inspection of the two RWs that were reviewed during the inspection, revealed the presence of water in the well gallery boxes of the two wells. The recovery well Qalleries need to be adapted to prevent surface water from rainfall to be allowed to enter into the gallery. Page# 5 PHILLIPS I / March 11, 2016 Mr. Charles Weaver North Carolina Department of Environmental Quality Division of Waste Resources — Water Quality Permitting Section 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Consultant for Phillips 66 Sites in North Carolina Dear Mr. Weaver: Risk Management and Remediation Philips 66 Company 420 S. Keeler, 1670 PB Bartlesville, OK 74004 Phillips 66 Company (Phillips 66) has retained ATC Associates of North Carolina, P.C. (ATC) to provide environmental consulting services for the following sites with active groundwater pump and treat remediation systems located within the Mooresville Regional Office jurisdiction: NCDEQ Incident No. Phillips 66 RM&R No. Address County 15635 0528 5639 Statesville Avenue, Charlotte Mecklenburg 10848 2748 101 Mount Holly Road, Belmont Gaston Please update your files as needed with with following consultant contact information: Mr. Dave Hunter, P.G. ATC Associates of North Carolina, P.C. 7606 Whitehall Executive Center Drive, Suite 800 Charlotte, North Carolina 28273 If you have any questions, please contact Mr. Edward M. Kuhn, Contract Program Manager for Phillips 66 at the following address: 1338 Hundred Oaks Drive, Suite A Charlotte, North Carolina 28217 Since ely, /� _ , ?11;niar5� %Mr. Beck East Regional Manager Risk Management and Remediation cc: Edward M. Kuhn, Contract Program Manager for Phillips 66 ATC Associates of North Carolina, P.C. Mecklenburg County Department of Environmental Protection Qom,�r NCDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Director Secretary NOTICE OF RENEWAL INTENT [Required by 15A NCAC 02H .0127(d)l; [term definition see 15A NCAC 02H .0103(1911 Application for renewal of existing coverage under General Permit NCG510000 Existing Certificate of Coverage (CoQ: NCG510 3 9 t7 (Please print or type) 1) Mailing address of site Owner: (address to which all correspondence should be mailed) Company Name Phillips 66 Company Company Contact Ed Kuhn Street Address 1338 Hundred Oaks Drive, Suite A City Charlotte State NC ZIP 28217 Telephone # 704-676-0502 Fax # 704-676-0704 Cell/Mobile # 704-975-3000 Email Ed.Kuhn@contractor.p66.com 2) Location of remediation site producing discharge: Facility Contact See System Operator/Consultant ID Section Street Address 101 Belmont -Mt. Holly Road City Belmont State NC ZIP 28012 County Gaston Telephone # See Sect 3 Fax # See Sect 3 3) System operator / Consultant ED: (ifdifferentfrom Owner) Company Name ATC Associates of North Carolina P.C. Street Address 7606 Whitehall Executive Center Drive, Suite 800 City Charlotte State NC ZIP 28273- County Mecklenburg Telephone # 704-529-3200 Fax # 704 529 3272 Email frans.lowman@atcassociates.com Page 1 of 2 Revised911h3 NCG510000 Renewal Application 4) Site ranking & ID: GW incident #: 10848 Site Ranking (if available): H180D Date of most recent discharge: March 11, 2016 Additional Application Requirements: The following information must be included in duplicate [original + 1 copy] with this application or it will be returned as incomplete. ➢ Site map: Clearly showing the path of the remediation system effluent from the site to its discharge point ➢ Authorization for representatives. If this application will be submitted by a consulting engineer (or engineering firm), include documentation from the Permittee showing that the consultant submitting the application has been designated an Authorized Representative of the applicant. .a �l�11i I.BI [011117 C17►1 I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: William Beck Title: East Region Manager, RM&R (Signature of Applicant) North Carolina General Statute 143-215.6 b (i) provides that: March 11, 2016 (Date Signed) Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document fled 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 US.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.) This Notice of Renewal Intent does NOT require a separate fee. The permitted facility already pays an annual fee for coverage under NCG510000. Mail this application and one copy of the entire package to: NC DENR / DWR / Water Quality Permitting Section 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Attn: Charles Weaver Page 2 of 2 Revised 911113 LATITUDE N 35' 15' 52" MAP PRODUCED USING 2010 7.5 MINUTE MOUNT HOLLY, LONGITUDE W 81' 02- 31" NORTH CAROUNA USGS QUADRANGLE UTM COORDINATES: ZONE 17 496115E 3902074N SCALE 1:24 000 1 15 0 KILOMETERS i 2 1D:p 500 0 METERS 1000 2n 1 05 0 I MILES ,m 1071 O lom 20A1 3077 411 50W 617LO 7000 m SOLO 10:110 FEET FIGURE 1 SITE LOCATION MAP � �� PHILLIPS 66 RM 2745 101 MT. HOLLY RD. ASSOCIATES OF NORTH CAROUNA. P.C. B ELM ON T, NC 28012 ChWiotta, North Carona 28M po4> 529�0o FAX p04) 57111"3Z72 IIRMR2748SLM AF BC I AS SHOWN 105/26/11 1089.75118.2748 EXPLANATION Q MONRORINO WELL (SN OW) n E� Q MONRORINC WELL (DEEP) u w N RECOVERY WELL n n � 8n 01 ai p �SN aa0 N 'o ^�N 4� O o� „a u m oa d , GW29 bw�ie ^ N ® NE]O sy,+'i•0 W20 QGW33 RW0 W � p Z a n z RWOG LL a GW34 GW37 w �_ = o w ,. 4GW30 Q - m — 0] ' N $�RW09 W07 W21Q GW3k 0GW22 RW12 in RWIO16 RW11O SO4£ IN