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HomeMy WebLinkAboutNC0023281_Renewal (Application)_20170213NPDES APPLICATION - FORM D For privat ely=a�wned treatment systems treating 100% domestic wastewaters <1.0 MGD Mail the complete application to: N. C. DENR / Division of Water Quality) :NPDES Unit �a 1617 Mail Service Center, Raleigh, NC 27699-1617 NPDES PermftOCO)AI are comm ng this form in computer use the TAB key or the up - down arrows to move from one to n'o check the boxes, click your mouse on top of the box Otherwise, please print or type. :Co:-tadt information: G'__ dame --Eng Address State E Zip Code elephone Number Fax Number e-mail Address (`d2S) 9c18 - 2c07bc> ( ) l IIA FEB 13 2017 s _ 0 ,.., water C3saaiif 2. Location of facility producing discharge: _. -Check here if same address as above Street Address or State Road 1 1-1 a h we u 1-2G Not -4-h n F 1 oco Citt - 12co hh nSvi 112 State j Zip Code2- County :LA \ r�� 3. Operator Information: "acne 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 ORQ Named MI -=-Ring Address l'A 0% �C OCLCI Cits State Zip Code relephoneNumber N69-06) A95- Z�dD Fax Number i (, e -mall Address - 1 of 3 Form -D 11112 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 ® Explain: VAnsD Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): `pq g,t �C� i-�c�2 H a K-4 1-6-tal u►I�Qtts Number of persons served: 5. Type of collection system " Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer) 6. Outfall Information: Number of separate discharge points Outfall Identification number(s) © Q Is the outfall equipped with a diffuser? ❑ Yes X No 7. Name of receiving: stream(s) (NEED applicants: Provide a map showing the exact location of each outfall):, o L. f P �e ��J'1 t1+P_5S I` USP 0 W) "7n 8. Frequency of Discharge: M Continuous' ❑ Intermittent If intermittent: Days per week discharge occurs: 3 fg 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. I�2NC, 0a odate r4kid Sklmn-eR S 2of3 Form -D 11/12 NPDES APPLICATION - FORM D For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD 10. Flow Information: Treatment Plant Design flow _,Oa_MGD Annual Average daily flow 40 C 3A_MGD (for the previous 3 years) Maximum daily flowit Q�MGD (for the previous 3 years) 11. Is this facility located on Indian country? ❑ Yes - 4 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 hast 36 months for parameters currently in uour permit. Mark other parameters "N/A". Parameter Daily Maximum Monthly Average Units of Measurement Biochemical Oxygen Demand (BODS) a(p� 9rj M ) L Fecal Coliform Total Suspended Solids l j . Q Temperature (Summer) a� j �Q (j u--> Temperature (Winter) J,9 1 p , �' e) 5 U S pH 13. List all permits, construction approvals and/or applications: Type Permit Number Type Hazardous Waste (RCRA) NESHAPS (CAA) UIC (SDWA) Ocean Dumping (MPRSA) NPDES NCpp '3a18 Dredge or fill (Section 404 or CWA) PSD (CAA) Other Non -attainment program (CAA) 14. APPLICANT CERTIFICATION 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. Printed name of Person Signing Title v 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 in 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.) 3 of 3 Form -D 11/12 Water Resources ENVIRONMENTAL QUALITY February 14, 2017 Robin Turner & Adrian Bailey Historic Tapoco Lodge 14981 Tapoco Road Robbinsville, NC 28771 ROY COOPER MICHAEL S. REGAN S. JAY ZIMMERMAN Subject: Permit Renewal Application No. NCO023281 Tapoco Lodge & Village WWTP Graham County Dear Permittee: The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on February 13, 2017. The primary reviewer for this renewal application is Charles Weaver. 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. If you have any additional questions concerning renewal of the subject permit, please contact Charles Weaver at 919-807-6391 or Charles.Weaver@ncdenr.gov. cc: Central Files NPDES Asheville Regional Office Sincerely, Wren Thedford Wastewater Branch State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919-807-6300