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Home My WebLink AboutNC0089648_Application_20160616 June 13, 2016 Ieidos North Carolina Department of Environmental Quality RECEIVEDINCDEQIDVVR Division of Waste Management JUN 16 2016 UST Section Winston-Salem Regional Office Water Quality 450 West Hanes Mill Road, Suite 300 Permitting Section Winston-Salem,NC 27105 Attention: Mr. Michael Rogers Subject: Engineering Alternatives Analysis (EAA) and Copy of NPDES permit application Former Center Gulf Service Station 5901 Old U.S. Highway 52 Welcome, Davidson County,North Carolina Chevron Facility No. 205281 Dear Mr. Rogers: Leidos Inc., on behalf of Chevron Environmental Management Company(Chevron) is pleased to provide the included Engineering Alternatives Analysis (EAA) and copy of NPDES permit application. The site is located at the intersection of Old U.S. Highway 52 and Center Church Road in Welcome, Davidson County,North Carolina as shown on Figure 1. The subject facility, formerly known as the Center Gulf Service Station, is now operated as the Welcome Service Center. The Welcome Service Center provides routine automobile maintenance and inspection services, but no longer conducts retail fuel sales. The service center is attached to a mini-strip mall and consists of two garage bays, an office, and restroom facilities. It is constructed of brick and built on a concrete slab. A beauty shop, a barbershop, and a dry cleaning store occupy the remainder or the mini-strip mall. These enterprises are constructed of brick and underlain by a basement and partial crawl space. Mrs. Flossie Pinnix owns the mini-strip mall and subject property. The site and nearby properties are shown on Figure 2. The site is adjacent to two residential properties: the King property to the west and the Koontz property to the north. Included with the EAA is the completed Local Government Review form (Attachment A) and NPDES Permit Application (Attachment B) for the above referenced site. DETERMINATION OF PROPOSED DISCHARGE ELIGIBILITY Before beginning any engineering evaluation of alternatives, you must first determine if the proposed wastewater discharge will be allowed. Otherwise, time and money may Michael Rogers—NCDEQ Engineering Alternatives Analysis(EAA) June 13,2016 Chevron Facility 205281 Page 2 of 9 be spent needlessly for an EAA preparation that will ultimately be rejected on the basis of existing water quality restrictions. There are several potential restrictions to a wastewater discharge to surface waters, including: • Zero flow stream restrictions [15A NCAC 2B.0206(d)(2)] apply to oxygen- consuming waste in zero-flow streams. In order to determine streamflow at the proposed discharge location, contact the U.S. Geological Survey at 919- 571-4000. Proposed discharge locations were reviewed using North Carolina Surface water classification resources. Initial surface discharge is to Reedy Creek (Stream index 12-96-(0.4)) which is classified as a class C waterbody. Reedy Creek flows into the Yadkin River approximately 5 miles from original discharge point. The Yadkin River (Stream Index 12-(93.7)) which is classified as a class WS-IV waterbody. Discharged fluid will be treated to non-detect levels for hydrocarbon chemicals of concern. Discharged fluid is not oxygen consuming. • Receiving stream classification restrictions [e.g., ORW, WS, SA, NSW, and HQ class waters have various discharge restrictions or require stricter treatment standards]. Stream classifications are available on the DWR classification and Standards/Rule Review Branch website: (http://portal.ncdenr.org/web/wq/ps/csu), while wastewater discharge restrictions for various stream classifications are presented in state regulations [15A NCAC 2B.0200]. Proposed discharge location Reedy Creek is a class C waterbody per NC Surface Water Classification. Reedy Creek(Stream index 12-96-(0.4) is not an impaired water body. Engineering estimates indicate that the remedial system would generate a steady state flow of 12 to 20 gallons per minute (gpm). • • Basinwide Water Quality Plans. These basin-specific plans list NPDES permitting strategies that may limit wastewater discharges to particular streams within the basin due to lack of stream assimilative capacity, etc. Basin plans are available on the DWR website, or you may contact the DWR Basinwide Planning Branch(http://portal.ncdenr.org/web/wq/ps/bpu).. The Yadkin- Pee Dee River Basinwide Water Quality Plans have been completed in May 1998 (Cycle 1), March 2003 (Cycle 2), and July 2008 (Cycle 3). The July 2008 Basinwide Water Quality Plan was reviewed and Reedy Creek (Stream index 12-96-(0.4)) was not referenced as waterbody with limited wastewater requirements. • Impaired waters and TMDLs. Certain waterbodies listed as impaired on the 303(d) list and/or subject to impending TMDLs may have wastewater discharge restrictions. The list of 303(d) impaired waters is located on the DWR website, or you may contact the DWR Modeling and Assessment Branch(http://portal.ncdenr.org/web/wq/ps/mtu). Michael Rogers--NCDEQ Engineering Alternatives Analysis(EAA) June 13,2016 Chevron Facility 205281 Page 3 of 9 Reedy Creek and the Yadkin River are not listed on the 303(d) listed waters data base per the EPA NC 303(d) listed waters for reporting year 2014. Additionally Reedy Creek and the Yadkin River are not listed on the 303(d) list per the Draft 2016 Integrated Report 303(d) list review GIS. The nearest 303(d) identified impaired listed waterbody is approximately six miles downstream from the intersection of Reedy Creek and the Yadkin River. Per the 2014 DWR Integrated Report from a point 0.5 mile upstream of U.S Hwy 64 to a point 0.3 mile downstream of US Hwy 64 (Davidson County water supply intake) (Classification WS-IV;CA, Index #12-(97.5)). • Presence of Endangered Species. If endangered species are present in the proposed discharge location, there may be wastewater discharge restrictions. Endangered species information may be included in the Basinwide Water Quality Plan, or you may contact the U.S. Fish and Wildlife Service (919- 856-4520), N.C. Wildlife Resources Commission (919-733-3633), or the N.C.Natural Heritage Program (919-733- 7701). The Yadkin—Pee Dee River Basin plan 2008 does not identify any endangered species in the proposed discharge location Reedy Creek or at the intersection of the Yadkin River. ALLOWABLE DISCHARGE CRITERIA Provide a description of the proposed project. If the project will be constructed in phases, provide a schedule for constructing each additional phase, and provide the projected flow per phase. Construction of recovery wells, system trenching, and remedial compound will be completed in a one to two month period. There will be no phase discharge of hydrocarbon. Discharge at initial startup per engineering estimates will be 60 gallons per minute (gpm). As the system reaches steady state operation the discharge will reduce to 10 to 20 gpm. Applicant name, mailing address,phone number, contact person Atique ur Rehman Chevron EMC 4800 Fournace Place Bellaire, TX 77401 Facility name, address,county, phone number, contact person Chevron Facility 205281 5901 Old US Highway 52 Welcome, NC 27295 Richard O'Keefe Leidos Inc. (770) 452-5836 EAA preparer's name,mailing address, phone number, contact person Michael Rogers—NCDEQ Engineering Alternatives Analysis(EAA) June 13,2016 Chevron Facility 205281 Page 8 of 9 whether the facility can operate a land application system during the dry season when streamflows are at their lowest and provide less dilution, and operate an NPDES discharge system during the wet season when soils may not be as amenable to land application and the receiving stream provides its greatest dilution. There are no technically feasible combinations of the above options to be paired with NPDES program permitting currently available. Michael Rogers—NCDEQ Engineering Alternatives Analysis(EAA) June 13,2016 Chevron Facility 205281 Page 9 of 9 Please contact the undersigned at okeefer@leidos.com or 770-452-5836 or Atique ur Rehman of Chevron at 713-432-2319, if you have any questions or require additional information. Sincerely, LEIDOS,INC. t lei) Richard O'Keefe Senior Project Manager cc: Atique ur Rehman,Chevron Charles Weaver,NPDES Complex Permitting Unit 205281 Project File Enclosures: Figure 1. Site Location Map Figure 2. Aerial Photograph Figure 3. Existing POTW connection Table 1. Summary of Groundwater Analytical Results—November 2015 Attachment A. Local Government Review Form Attachment B. NPDES Permit Application—Short form C-GW Attachment C. Engineering Specification Sheets ✓P00- "IEW RO oN m t �;S F SITE \J Jl �jjj 11 0 1 500 FOOT RADIUSn tx\. 500 FOOT RADIUS, 1 4�Q a ld NOTE: BASE MAP FROM THE WELCOME, NC USGS 7 1/2 MIN TOPOGRAPHIC OUADRANGLE 2010. 15 0' 0 1 00' SCALE IN FEET FORMER GU�LIFF TY SERVIaCE STATION 5901 OLD US HWY 52. WELCOME, NC FrrF1 C%ROL SITE LOCATION MAP Y e 2mi 205281-007.dn leidos a fque W. Closest POTW Connection Gravity Feed Sanitary Sewer Potential Run of pipe to connect to Sanitary Sewer (from the corner of service station to connection is —660 ft Force Main Sanitary Sewer Line from pump station Tables: Table 1 Summary of Groundwater Analytical Resume - November, 2D15 Chevron Facility No. 206281 Old Hlghway 62 and Center Church Road Compound NCDENR NCDENR NCOENR ID 0CL L 2L L Surha Walar MPE-1 RW-1 MW-i MRF2 MWJ A1WJ YWJ I MWJ I MWJ M1N-10 MW-11 MYy-13 EM 62008 I.GVLI Benzene 5,000 i 119 20,000 20,000 16,000 NS PSH 110 190 c10 NS It NS 14 oluene 260,000 600 - 24.000 21.DDO 16,000 NS PSH 22 1,600 19D NS <1.0 NS <1A EHlylbenzere 89,500 600 _ 1,800 1,500 1.900 NS PSH 32 7700 390 NS <1.0 NS 25 yl.nea (Mal) 85,5o0 Soo - 8.900 7,400 10,ODO NS PSH 98 10DOO 1400 NS 15.0 NS c5,0 ethyl tart -butyl eNar 20,0f10 20 19 7,900 3,000 520 NS PSH <10 <ZS <10 NS <1,0 NS <1:0 Isopropyl elver 70000 70 - <200 <200 <200 NS PSH 16 125 .10 NS <10 NS -10 aVechlOroeNehe ]DO 0.7 0.7 <2DO <200 530 NS PSH It d5 111) NS ITO NS 18 dchlomethene 3,D00 3 2.5 <200 <200 220 NS PSH <t 0 25 00 NS <1.O NS <t0 's1,2-Dlchlbroemene 70,000 70 330 <200 <200 700 NS PSH <1.0 125 110 NS <1.0 NS <10 1]-dMlomethana 400 OA 0,38 e200. I= <200 AS PSH 3.5 c25 <70 NS <1.0 NS <10 1,1-Okhllaro0tlare B4OW B 6.700 <200 r10O Q(q NS PSH q.0 <25 <10 NS <1.0 NS <10 Ethanol 4.000,OOD 4,0DO - <20D00 120000 <20000 NS PSH 3,ODO Q,500 -10D0 NS 1103 NS -100 Ethyl tertbutyl alcohol t0ODO 10 - 14000 <4000 14000 AS PSH 120 ISM <200 NS 120. NS -20 Ethyl terlburyl ether 47.000 47 - 200 1200 <200 NS PSH <1 0 <26 <70 NS ITO NS <1 0 Any alcohol 40,000 40 - <1000 12,000 23,01DO NS PSH 1,100 850 t50. NS 1S.0 NS <50 ert-amyl methyl ether 12800 128 - 5200 1.700 <200 NS PSH <1 0 45 <10 NS <10 NS <1:0 -Buryl&ruhd 10,000 10 - 12000 0000 <2000 NS PSH 110 1260 -100 NS <10 NS <10 -Butyl Formate 40,000 40 - 14000 14000 14000 NS PSH <20 <S00 QDO NS 120 NS <20 ns-1,2-Oichlomallnene 1DO.000 1DD 140 <200 <2D0 <200 AS PSH -1.0 <25 00 NS <1 0 NS <1 0 inlchlonde 30 003 003 1200 <200 <200 NS I PSH 110 <25 <10 NS It NS <1.0 667t EN Jerre OlWomid. SO 002 002 0.031 0.24 100 NS PSH <0019 <0020 0.39 NS <0019 NS <0.019 6MOB Imn NA NA 5.3 11 9.1 NS PSH 57 32 15 NS 11 NS 59 Man anew NA NA 200 63 76 77 NS PSH 4.7 1.8 33 NS 0As NS 43 GoWN CNent IL Nitrate as NA NA to,000 <0.050 <0.050 <Om NS PSH <0.950 050 -0M NS 19 NS <0050 anal Aleallrnty NA NA - 150 100 110 NS PSH 32 23 57 NS 21 NS 52 Ferric Imn NA NA - .010 1010 <0.10 NS PSH 37 31 14 NS 10 NS 4.1 Nicole as NA NA 27 ID 10 10,10 1010 N8 PSH <0.10 11) 10 10.10 NS <010 NS <0.10 Nlbate y Nimte as N NA NA - <0.060 <0.050 -0050 NS PSH ]-,0 <0.050 <0.050 <0.050 NS 1.9 NS 4 050 unw. NA NA - <50 ISO <5.0 NS PSH <5.0 <5,0 <50 NS 76 NS -5.0 Famous Iron NA NA - 56 11 11 NS PSH 20 1.3 1.2 NS 085 NS 18 SuMde NA NA <1.0 00 It NS PSH <1 0 <1 0 '10 NS <1 0 NS <1 0 Methane NA NA - S6 56 370 NS PSH 12 14 T.3 NS 13 NS 120 Ethan. NA NA -- <1.0 �1.0 05 NS PSH <1.0 <10 10 NS <10 NS <10 Em lelce NA NA 1.0 <1.0 89 NS PSH <10 <10 <1.0 NS <1.0 NS <10 5C8 ahphancs NA NA -- 67000 69,000 48.000 NS PSH 1710 16000 1100 NS <26 NS 59 9C12 aliphatcs NA NA - 11,000 11.000 13.000 NS PSH T90 12000 3300 NS <tt NS 21 MCI ammatc, NA NA 4,400 3,800 ],000 NS PSH 1100 6600 woo NS <70 NS 38 Nita.: PSN -Pnu. Sip.n4a H,d-b- GCL-.-Canarrimebn L.vel VOC.-WW.W.,gene mn,pounp. by EPA MraM BMta. E06 - Mom O W raMe. by EPA MI ten t V -Vend. vwnNum HYdr-bans Oy NC 110A M<Ilwb n -Ma aarwNn ,A.-Mbey.mr pn Per turd xaWLb. edd Wwa iMlub <axeNrabn a®Ms Te GCL Lewis- MP41.Ara P23 wen red sampled am to PSH MlwLona lawn Mw.10-.0 Amgbe dole bab0 abaWCYe v.9.l ore Table 1 Summary of Groundwater Analytical Results - November, 2016 Chevron Facility No. 205261 Old Highway 52 and Center Church Road - Bill, .. :..-10 ._..:1M MY-14 NW-15 MW-15 MAT MW-19 MY-10 75W-1 TMP-2 TMPJ PZ-2 PZ-3 PZ-4 e S,WO 1 1.19 PSH 19 NS 7,/00 NS <10 N,WO PSH PSH PSH PSH ]W e 250.000 600 - PSH 12 NS 9W NS <1.0 350W PSH PSI{ PSH PSH 3,500 nzene 84,5W 600 - PSH <10 NS 7W NS <1.0 2.BW PSH PSH PSH PSH 220 s Hotel) 85,500 6W - PSH 5.6 NS 1,7W NS <5;0 14,W0 PSH PSH PSH PSH 6,800 hdt-0tyl ether rEthaw 20.000 20 19 PSH 110 NS 580 HIS TO 510 PSH PSH PSH PSH 25 yl emer 70,000 70 - PSH <1.0 NS <50 NS 0.0 <250 PSH PSH PSH PSH <25 tao700 07 0.7 PSH <1.0 NS <50 NS <1.0 <250 PSH PSH PSH PSH <2Wraethene 3,OW 3.0 2.6 PSH <10 NS 480 NS <1,0 1250. PSH PSH PSH PSH <25 -Oi60.= 60 330 PSH <1.0 NS 2.SW NS 0.0 <250 PSH PSH PSH PSH Q5 hloroadene 7QW0 70 0.W PSH <10 NS <50 NS 0.0 42M PSH PSH PSH PSH 25 hloraatddrm 6,000 6 6.700 PSH <1.0 NS <W NS <70 <2N PSH PSH PSH PSH <25 l 4.000.000 4,000 - PSH <100 NS <50W NS <iW 25000 PSH PSH PSH PSH 4500 Ethyl tart -butyl alcohol 10,000 10 - PSH <20 NS <1000 NS <20 <5000 PSH PSH PSH PSH <5W Ethyl tart- tyl either 47.0W 47 - PSH <1.0 NS <50 NS <1.0 <250 PSH PSH PSH PSH 25 -Amyl alcolof 4.()W 40 - PSH 140 NS 9,2W NS <5.0 <1300 PSH PSH PSH PSH <1W ert-amyl r ea l ether 12,600 128 - PSH 4.9 NS <W NS <1.0 1200 PSH PSH PSH PSH <25 d-Butyl alcolrol to.= 10 PSH 18 NS <fiW NS <10 <25W PSH PSH PSH PSH 4W bast-Flutyl Formate 40,00D 40 - PSH <20 NS 0000 NS <20 <50W PSH PSH PSH PSH <SW 1,2-DlWbmethene 100.000 1W 140 PSH <10 NS <50 NS 00 <250 PSH PSH PSH PSH <25 In l chlontle W 0.03 003 PSH 0.0 NS <50 NS 00 250 PSH I PSH I PSH PSH <25 EDO SPIt 0300 Eth19ne OV.,alde 1 N a 002 PSH 10020 NS 0.W NS -0.019 12 PSH PSH PSH PSH <0020 55108 Iron NA NA PSH ]b NS 11 NS NA 54 PSH PSH PSH PSH 22 Man anese NA NA 200 PSH 048 NS 64 NS NA 42 PSH PSH PSH PSH 12 Nitrate as NA NA 10.1100 PSH 0.080 NS <0050 NS NA <0.010 PSH PSH PSH PSH <0.050 OW Akalmay NA NA - PSH 49 NS 1N NS NA 180 PSH PSH PSH PSH 1N Fenic Iron NA NA -- PSH 73 NS 7.3 NS NA 1.4 PSH PSH PSH PSH 020 Ni me as N NA NA 27 PSH <0.10 NS <0.10 NS NA <0.10 PSH. PSH PSH PSH <0.10 Nitrate I Nitrate as N NA NA - PSH 0.0e0 NS 4,050 NS NA <0.050 PSH PSH PSH PSH -0 ON ulfala NA NA - PSH <5.0 NS <50 NS NA <50 PSH PSH PSH PSH 18 Ferrous Iron NA NA - PSH 026 NS 3.7 NS NA 40 PSH PSH PSH PSH 2.0 Sulfide NA NA PSH <10 NS 00 NS NA 0 0 PSH PSH PSH PSH <10 175 Methane NA NA - PSH 15 NS 300 NS 0 V 31 PSH PSH PSH PSH 58 Ethane NA NA - PSH <1.1 NS <1 0 NS <1 0 <1 0 PSH PSH PSH PSH 00 Ethylene NA NA PSH 00 NS 1.4 NS a1.0 41 PSH PSH PSH PSH '10 VPN itell SCB a"nahci NA NA - PSH 140 NS 12,W 09W NS 26 69,W0 P5H P5H PSH PSH 170W 9C12allphab. NA NA -- PSH 12 NS 1 NS <11 15,OW PSH PSH PSH PSH 150W 9-C10ammeb. NA NA PSH 40 NS 12W NS <].0 7,6W PSH PSH PSH PSH 150W xa«: PSH . PNx ape. HyEracuEonc Ia% Q.can'a .W. Law WX.. VaWY.,Wc rompurq. by EPA M.MW BUTS v.,try W+ IYbIwrNe by EPA Mrtln4 a VPM � ValMtle PMYum Hy4rx11Mn. by NC. %1 MMMa ma4.-MYYpryn,`aew .,A- Mkrgralp P.r NM. M-No -M. BaN.IM1ub c-anbotta. I W. Nr aLL LacMimr Mw.14 anal PL3-nal nuelM 4u.m PSH chaopm. Lor.um MVF19 w. nra Beova. aue b ana olaR d Pp.2 e12 Attachment A: Local Government Review Form ON co tvelti � 411011, ,pr 441(1514 0 DAVIDSON COUNTY BOARD OF COMMISSIONERS Post Office Box 1067 Lexington, North Carolina 27293 (336)242-2200 STEVE JARVIS,CHAIRMAN ZEB M.HANNER LARRY POTTS,VICE-CHAIRMAN COUNTY MANAGER LANCE BARRETT FRED D.MCCLURE STEVE SHELL DON W.TRUELL TODD YATES May 19, 2016 Richard O'Keefe Senior Project Manager leidos 2295 Parkdale Drive, Suite 300 Atlanta, GA 30345 RE: NPDES Discharge Permit Former Center Gulf Service Station 5901 Old U.S. Highway 52 Welcome, Davidson County, North Carolina Chevron Facility No. 205281 Dear Mr. O'Keefe, Attached is Attachment A. Local Government Review Form completed on behalf of Davidson County. Please let me know if there is any additional information you need from us. Sincerely, Debbie Harris Clerk to the Board :djh enclosure • Attachment A. Local Government Review Form General Statute Overview North Carolina General Statute 143-215.1 (c)(6) allows input from local governments in the issuance of NPDES Permits for non-municipal domestic wastewater treatment facilities. Specifically, the Environmental Management Commission (EMC)may not act on an application for a new non-municipal domestic wastewater discharge facility until it has received a written statement from each city and county government having jurisdiction over any part of the lands on which the proposed facility and its appurtenances are to be located. The written statement shall document whether the city or county has a zoning or subdivision ordinance in effect and (if such an ordinance is in effect) whether the proposed facility is consistent with the ordinance. The EMC shall not approve a permit application for any facility which a city or county has determined to be inconsistent with zoning or subdivision ordinances unless the approval of such application is determined to have statewide significance and is in the best interest of the State. Isutrucdons to the Applicant: Prior to submitting an application for a NPDES Permit for a proposed facility, the applicant shall request that both the nearby city and county government complete this form. The applicant must: • Submit a copy of the permit application (with a written request for this form to be completed)to the clerk of the city and the county by certified mail,return receipt requested. • If either (or both) local government(s) fail(s) to mail the completed form,as evidenced by the postmark on the certified mail card(s),within 15 days after receiving and signing for the certified mail,the applicant may submit the application to the NPDES Unit. • As evidence to the Commission that the local govemment(s)failed to respond within 15 days,the applicant shall submit a copy of the certified mail card along with a notarized letter stating that the local govemment(s) failed to respond within the 15-day period. Instructions to the Local Government The nearby city and/or county government which may have or has jurisdiction over any part of the land on which the proposed facility or its appurtenances are to be located is required to complete and return this form to the applicant within 15 days of receipt The form must be signed and notarized. Name of local government Davidson County (City/County) Does the city/county have jurisdiction over any part of the land on which the proposed facility and its appurtenances are to be located? Yes [X] No[ ] If no,please sign this form,have it notarized,and return it to the applicant. Does the city/county have in effect a zoning or subdivision ordinance? Yes[X] No [ ] If there is a zoning or subdivision ordinance in effect,is the plan for the proposed facility consistent with the ordinance? Yes[X] No [ ] Date5-17-2016 Signature ity Manager/County Manager) State of North Carolina County of _ Davidson On this 17th day of May 2016 personally appeared before me,the said name Zeb M. Manner to me known and known to me to be the person described in and who executed the foregoing document and he(or she)acknowledged that he(or she)executed the same and being duly sworn by me,made oath that the statements in the foregoing document are true. My Commission expires 3-8-2020 .(Signature of Notary Public) / .r.��Q $OTggk 4":;;;;.-; ges sS Puso EAA Guidance Doom 8 of 8 vision:April 2014 ��4i ON COON 0\`� Attachment B: NPDES Permit Application — Short form C — GW NPDES PERMIT APPLICATION - SHORT FORM C - GW For discharges associated with groundwater treatment facilities. Mail the complete application to: N. C. Department of Environment and Natural Resources Division of Water Quality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 NPDES Permit Number NCOOQlCoc{QQ 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 Chevron EMC - Atique ur Rehman Facility Name Center BP- Former Gulf Chevron Facility #205281 Mailing Address 4800 Fournace Place, E536A City Bellaire RECEIVEDINCDEQIDWR State / Zip Code Texas, 77401 JUN 16 2016 Telephone Number (713)432-2319 Water Quality Fax Number ( ) Permitting Section e-mail Address atiq@chevron.com 2. Location of facility producing discharge: Check here if same as above ❑ Street Address or State Road 5901 Old US Highway 52 City Welcome State / Zip Code North Carolina, 271295 aiy7 County Davidson 3. Operator Information: Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the Operator in Responsible Charge or ORC) Name Leidos Inc. - Richard O'Keefe Mailing Address 2295 Parklake Drive, Suite 300 City Atlanta State / Zip Code Georgia, 30345 Telephone Number (770)452-5836 Fax Number ( ) 4. Ownership Status: Federal E] State ❑ Private ® Public ❑ Page I of 3 C-GW 03/05 NPDES PERMIT APPLICATION - SHORT FORM C - GW For discharges associated with groundwater treatment facilities. 5. Products recovered: Gasoline ® Diesel fuel D Solvents ® Other 6. Number of separate discharge points: 1 Outfall Identification numbers) outfall-1 7. Frequency of discharge: Continuous ® Intermittent 0 If intermittent: Days per week discharge occurs: _ Duration: 8. Treatment System Design flow MGD 9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including latitude and longitude): Reedy Creek 10. Please list all additives to the treatment system, including chemicals or nutrients, that have the potential to be discharged. BIER Chlorinated Solvents 11. Is this facility located on Indian country? (check one) Yes ❑ No 12. Additional Information All applicants (including renewals): > A USGS topographical map (or copy of the relevant portion) which shows all outfalls > A summary of the most recent analytical results (effluent data, if available) containing the maximum values for each chemical detected NEW Applicants only: > Engineering Alternative Analysis > Description of remediation treatment system components, capacities, and removal efficiency for detected compounds. > If the treatment system will discharge to a storm sewer, written approval from the municipality responsible for the sewer. > A list of any chemicals found in detectable amounts at the site, with the maximum observed concentration reported for each chemical (the most recent sample must be collected less than one year prior to the date of this application) > For petroleum-contaminated sites-Analyses for Volatile Organic Compounds (VOC) should be performed. Analyses for any fuel additives likely to be present at the site and for phenol and lead should also be performed. > For sites contaminated with solvents or other contaminants- EPA Method 624/625 analysis should be performed. Page 2 of 3 C-GW 03/05 EPEES PERMIT APPLICATION - SHORT FORM C - OW For discharges associated with groundwater treatment facilities. 13. Applicant Certification I certify that I am f&miller with the information contained in the application and that to the best of my knowledge and belief such information is true, complete, and accurate. Atioue ur Rehman Chevron EMC Project Manager Printed name of Person Signing Title Gill 2-o ) 4 Signature of Applicant Date North 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 not 00, or bo h. 18 U.S.C. Section 1001 providesto exceed a punishment a fine oimprisonment no more than$25,000 or imprisonment not more than 5 years,or both, Pro byP for a similar offense.) Pap 3 of 3 C-OW 03105 Attachment C: Engineering Specification Sheets F.1.�R,..a. a _ M F. -- - ----- _�_T___ T_________ r_____i ----- roil, r u niIm _ 1 IR I N F _ nw Nna,FYa,� °:.yaw e.J ! ua ,mTrm 2 ITi® T� oon�r[iw�iu e�R.rxnrror� RWRMY,]IV M ',,•• 1N ]NR6f iEfL IOCYM .✓gals m.¢musM l 1M1101 F �u • n <r I 1 ' }I_arm _________am _t 110,ASEBLRBWMLO.BN6YtlIM111 j .:�' ----------------- eRe APLIFFI RKNKErsw2arns• i YYLHSMFa0FI0Yd m'w2w I ulinw` - FnYeeM-IM r----- .♦R_'" �.F.a.r.r... urw uxc 2 wrz`� 6 rirwi �enw d 1 I ,q .Li. .k Q O%d00 m-m Mwn[c,m 41KV11C0'0�AUNR CL1C14.1101NW )M90WlCllIC n aGY r� Ml0n.WimaMRM ImTw.unava Mwwla,l ® xnmun OF'..`. n.[11 OtlNil�K.N1FBYlNr0l l...1 �vp/.p�yJV`� �O' V nMMM0..1W �. gabmY�O^ �� EIMP.O.Y9N rIY, e.wmNas �� rsppMq.oUm1 leklm ON( PIWE OFf10Ea� ]01 VH(MU,GI.'pIM OYl RIOQ. iENNE55EE 1I011 (ew) Rex-9051 CNEMLN EMVIC IIYENIA�Y4a0EYFM CWVYI. MW WP F vVLF ® NMumYew� c4PW.orRw.unava YwIY �.v0 nwrWMMIEY MwR BfIINPE. 1F1A5 LNENNy IKNM1 N0. 205201 ECMrtR Wlf SFNK[ SLRMF S9J1 OLp LL5. WGIY/1Y 52 ® aFq.,,w, riramrwiMwaµx0in�1 F(/�8.y�� rwwMM,.. wnallw..oe WELLCME, NgfM GRgIW MKEB6RM 4 �w �•..""F.u..o.mY..w 90s0k 1161PIIAEMIAIpN oi=mFw� P-/\L rL�l N ��eM� rro r .r.... I.D. Iran I ON. I Menwcerer I Stock �WpmSM wt Controls LL bbd electrical nein*including ria6b frequency dikes for Mo 20-IP rotary claw bbaaa. /Mb System CP-1 P oI ni 1 CusbNA MagniAic motor for amp poop aid AWS pump.Alen Bradley Meroloyx PLC and panel- mounted operator Mefce terminal ripened in a NEMA 4 er re. LL Med electrical armlet sib Alen Bradley Maologix PLC and prrFmdmbd oraraor Interface ndwater System CP-2 Cho Paned 1 Cuebm NA terminal murex'in a IEMA4 dmr-in-door a cbeura. Magnetic mpbr starters for belch perry, discharge puny and AS draft blower. Mar Pneumatic 9-001 b P-007 Pr gun Edractbn 7 OED APRT-Shpt being,Top shat body pneumatic pump W 1'OD Squid discharge alb FRP perry casing. Mc OM 9 TP-101 ANIS Pump 1 Liberty APM 58 1.5 IP,23W,&*t 3 phase program cagy pap capable of 15 gpo M 20 psi. TP-201 Bach Pump 1 Ehea ECDU Doe coupled,abides ebb 1.519,230 VAC,80 It 3 phase TEFC rotor. TP-401 DYehrgs Pimp 1 Elmira ECDU Chs coupled,asides beel,31P,230 VAC,80 It,3 phase TEFC rob. Mearanimi Equipment AC-100 Ar Cenrpseor 1 Ingersoll-Rend UP&TAS-150 '7.5IP rotary rsewcountss'gbh 80 ger maim tank fiver.regdab,pressure gauge.moisture saparbr and 3-ary solenoid whet,28 chap 125 pail,230 VAC.c Itr,3 peae. bv Wallann Tao 20 IP Wary ctvbs stocked on a veiled aadnumtm r . Each blamer:300 actin @ 20'fig VP-702 Blower Package2 Busch Ml5028vacuum One W Priory Claw inlet cuOSolberg paricubi fiber vile iOre.Nkal pressure dicabOne e 240-gabn err-water spent with onion bet controls and high-high lee1 atom watt Ina site glass. BF-p1A1B Bag Fairs 4 Shako BES-2-SB-304-8 Filar gaencamimin g of Mo paha of(2)92 size beg fillers in praM 2'kbtlwM Rings. 1O%rrw�DccNE IGru1 GAC-801 b 1,000 be.Liquid pas granter acibid carbaNesiel paled ler 75 pig nix opening pressure. F Vn RCS �C¶V1` Carbon Adsorbs, 4 Teta,* AF-1000 ntrrn an36, tt aid. MA FOR C$ AS-350 Pk StripOar 1 CED EZ-Tray 1e.rss 'LowpreMe fly stripper capable of>95%renew @ 40 gpm(dMm cac«rrbr podded sepraleb). OXd00 Catalytic Oxidiser 1 Faintest Fabo B00 600-cnm electric catalytic oidlae Tanks T-1 Cowan 8eprabor 7 Nitro Olp AOM 3SS718V-1H Paas corrugated gels abater aeprebr raid for noimrm design flow of 40 gpn. Cratucled o 12 gauge 304 stainless Abel WM 2"Inlet and outlet fittings. Include options'r dl reservoir. Td Bach Tank 1 Generic NA 300-gallonW vertical poli E Mt sealed Irdrmb ger by access port v� OAK NOGF OFFICE e®n , idiot M1 LABORATORY DNM IQIWi w+ams.TEC0-031])ea (1035)H2-9031 an: CHEVRON ENVIRONMENTAL CaCOMPANY4* MCO FOAM.CE PLACE eWM.TEXASEI I: CHEVRON[KAKI M.205201 FORMERSTATION GULF SERVICE STA 5901 CAD U 4H CA52 WELCOME.NORTH CAROLINA as P-3 err