NC0047759_Renewal Application_20170124

WaterResources
ENVIRONMENTAL QUALITY
January 24, 2017
Mr. Neil L. Pruitt, Jr.
Pruitt
PO Box 100
Sea Level, NC 28577
Subject: Permit Renewal
Application No. NCO047759
Pruitthealth at Sealevel WWTP
Carteret County
Dear Mr. Pruitt:
ROY COOPER
Governor
MICHAL S. REGAN.
Secrelary
S. JAY ZIMMERMAN
Director
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on January 24, 2017. The primary reviewer for this renewal
application is John Hennessy.
The primary reviewer will review your application, and he 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 permit
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 John Hennessy at 919-807-6377 or [e-mail].
Sincerely,
Zai !%Cie 0ua
Wren Thedford
Wastewater Branch
cc: Central Files
NPDES
Wilmington Regional Office
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

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 INCO047753
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
Pruitt
Facility Name
Pruitt Health at Sea Level
Mailing Address
PO Box 100
City
Sea LevelDEOI®WR
State / Zip Code
North Carolina 28577
i n ni 4 W7
Telephone Number
[phone]
Fax Number
[phone]
permitiingSecti®n
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 468 HWY 70 East
City
Sea Level
State / Zip Code
North Carolina 28577
County
Carteret
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 Same
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
1 of 4 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
❑
Number of Homes
School.
❑ .
Number of Students/Staff
Other XX Explain:
lv ursing
home
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Pruitt Health Facility
Sea Level Pharmacy
Eastern Carteret Medical Center
Number of persons served: 90
5. Type of collection system
XX Separate (sanitary sewer only)
6. Outfall Information:
Number of separate discharge points
❑ Combined (storm sewer and sanitary sewer)
n
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes XX No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Nelson Bay
8. Frequency of Discharge: XX 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.
• INFLUENT PUMP STATION
• AERATED EQUALIZATION BASIN
• FLOW SPLITTER BOX
• .0 14 MGD EXTENDED AIR PACKAGE PLANT
• DUAL TERTIARY FILTERS
• CHLORINE CONTACT CHAMBER
• CLEAR WELL, MUD WELL AND AEROBIC DIGESTER
• PARSHALL FLUME WITH FLOW MEASUREMENT
2 of 4 Form -D 11112

NPDES APPLICATION - DORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
3 of 4 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 .014 MGD
Annual Average daily flow MGD (for the previous 3 years)
Maximum daily flow MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes
XX 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 curre tlyintiourpermit. Mark other parameters "N/A".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODS)
45.0 mg/1
30.0 mg/1
WEEKLY
Enterococci
35/ 100 ml
276/100 ml
WEEKLY
Total Suspended Solids
30.0 mg/1
45.0 mg/1
WEEKLY
NH3asN
2/MONTH
Temperature
WEEKLY
pH
2/MONTH
TOTAL RESIDUAL CHLORINE 13 ug/1
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO047759
PSD (CAA)
Non -attainment program (CAA )
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
DAILY
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
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.)
4 of 4 Form -D 11112