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Home My WebLink AboutNC0032361_Renewal (Application)_20150804 /, EVERGREEN., F O U N D A T 1 O N 28A Oak Street,Waynesville, NC 28786.828-456-8005 August 4, 2015 Wren Thedford NCDENR/DWR/NPDES Unit 1617 Mail Service Center RECEIVEDIDENROWR Raleigh NC 27699-1617 AUG 11 2015 Water Quality Permitting Section Ms. Thedford, We are requesting the renewal of our permit to operate the Waste Water Treatment Plant at the facility of Balsam Center for Hope and Recovery 91 Timberlane Rd Waynesville, NC 28786 Enclosed are the copies per your requests. If anything further is required, please contact me. Thank you, fSv1 Don Smith Facility Maintenance Coordinator/Evergreen Foundation (828) 550-6795 ZEVERGREEN F O U N O A T I O N 28A Oak Street,Waynesville, NC 28786 e 828-456-8005 August 4,2015 RECEIVEDOENROWR AUG 11 2015 Evergreen Foundation gives due permission and authority to: Water Quality Permitting Section Environmental Inc. PO Box 954 Cullowhee, NC 28723 to provide all needed information to NC DENR/DWR/NPDES Unit concerning License Renewal of Balsam Center for Hope and Recovery Waste Water Treatment Plant. 0.v,,� _ Don Smith Facility Maintenance Coordinator/Evergreen Foundation 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 000032361 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 Evergreen Foundation Facility Name Balsam Center Mailing Address 28 A Oak St City Waynesville State / Zip Code North Carolina 28786 Telephone Number 828-456-8005 Fax Number 828-456-9225 DWI e-mail Address dcoleman@evergeennc.org U(i ! ! LUf Water Quality 2. Location of facility producing discharge: Permitting Section Check here if same address as above ❑ Street Address or State Road 91 Timberlane Rd City Waynesville State / Zip Code North Carolina County Haywood 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 Appalachian Community Services Mailing Address 750 US HWY 64 West City Murphy State / Zip Code North Carolina Telephone Number 828-735-0808 Fax Number e-mail Address Duncan.sumpter@acswnc.com 1 of 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 20-2S Residential Number of Homes School ❑ Number of Students/Staff Other ® Explain: 'Favi i Wei Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): D{=fi•c_es And ®'(,zRti�y�t eR�s�s F��•l��-y 5. Type of collection system ® 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 ® No 7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each outfall): Richland Creek 8. Frequency of Discharge: ® Continuous ❑ Intermittent If intermittent: Days per week discharge occurs: 7 Duration: Continuous 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. 1. 0.01 MGD extended aeration wastewater treatment plant consisting of the following treatment components: • Septic tank flow equalization • Bar screen • Aeration basin with single blower providing diffused air • Clarifier with skimmer and sludge returns • Tablet chlorine disinfection • Chlorine contact basin • Tablet dechlorination 2 of 5 Form-D 11/12 NPDES APPLICATION - FORM D For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD 2. The facility is located at The Balsam Center for Hope and Recovery, off Timberlane Road west of Waynesville in Haywood County. 3. Discharge from said treatment works at the location specified on the attached map into Richland Creek, currently classified B waters in hydrologic unit 06010106 of the French Broad River Basin. 3 of 5 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 0.010 MGD Annual Average daily flow 0.0027 MGD (for the previous 3 years) Maximum daily flow 0.0050 MGD (for the previous 3 years) 11. Is this facility located on Indian country? ❑ Yes ® 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 current/ in your permit. Mark other parameters "N/A". Parameter Daily Monthly Units of Maximum Average Measurement Biochemical Oxygen Demand (BODS) 15.2 7.9 Mg/l Fecal Coliform 184 67.6 Ml Total Suspended Solids 41.5 16.7 Mg/l .Temperature (Year-Round) 23 22.6 Temperature (Winter) pH 6.9 Standard Units 13. List all permits, construction approvals and/or applications: Type Permit Number Type Permit Number Hazardous Waste (RCRA) NESHAPS (CAA) UIC (SDWA) Ocean Dumping (MPRSA) NPDES NCO032361 Dredge or fill (Section 404 or CWA) PSD (CAA) Other Non-attainment program (CAA) 14. APPLICANT CERTIFICATION 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. FA< MR 6oaP j;,.Afvp, - Eve Qyx-E^ Printed name of Person Signing Title � av'\ P . 9 - 4- Signature of Applicant Date 4 of 5 Form-D 11/12 NPDES APPLICATION - FORM D For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD 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.) 5 of 5 Form-D 11/12 11E.a. ENVIRONMENTAL Inc. Mailing Address: PO Box 954, Cullowhee,NC 28723 Physical Address: 2675 Skyland Drive, Sylva,NC 28779 (828)586-5588 Physical Address: 240-D Swannanoa River Road,Asheville,NC 28805 (828)350-8704 Toll Free: (800)213-4035,Fax: (828)586-0800,Email: 9, g ;: http://www environmentalinc.info/ Sludge Management Plan July 28, 2015 Re: NPDES Permit INCO0323671 Evergreen Foundation Balsam Center 28 A Oak St Waynesville North Carolina 28786 Sludge is pumped out of the clarifier and aeration basin. The solids are pumped and hauled by a licensed septage management firm. The solids are disposed of at a local municipality facility. Signature: &,/—/k &aut�- Mark Teague, Environmental,fnc. Contract Operational Firm � 14- Outfall 001 0 . Tom` }� � + ♦ L tp = Y�. lye}��• - I r JC0032361 - The Balsam Center WWTP Facility -V Location _ Yr Latitude: 35°26'25" Sub-Basin: 04-03-05 Longitude: 83004'22" Hydrologic Unit:06010106 Quad Number: F6NE River Basin: French Broad Haywood County Stream Class: B ot& Receiving Stream: Richland Creek ✓r Map not to scale NC®ENR North Carolina Department of Environment and Natural Resources Pat McCrory Donald R. van der Vaart Governor Secretary August 10,2015 Don P. Smith Evergreen Foundation Balsam Center 28 A Oak Street Waynesville,NC 28786 Subject: Acknowledgement of Permit Renewal Permit NCO032361 Haywood County Dear Permittee: The NPDES Unit received your permit renewal application on August 11, 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. You should expect to receive a draft permit approximately 30-45 days before your existing permit expires. If you have any additional questions concerning renewal of the subject permit, please contact Charles Weaver at(919) 807-6391. Sincerely, Wl�evv T��-ZO�OYOL Wren Thedford Wastewater Branch cc: Central Files Asheville Regional Office ':NPDES Unit 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Location-512 N.Salisbury St Raleigh,North Carolina 27604 Phone:919-807-63001 Fax-919-807-6492/Customer Service.1-877-623-6748 Internet:www.ncwater.orq An Equal OpportunitytAffirmative Action Employer