NC0032191_Renewal (Application)_20170523

Water Resources
ENVIRONMENTAL QUALITY
ROY COOPER
Gorentar
MICHAEL S. REGAN
Secreimy
S. JAY ZIMMERMAN
Director
May 23, 2017
Mr. Don Holder, Executive Dir.
Hebron Colony Ministries, Inc.
356 Old Turnpike Road
Boone, NC 28607
Subject: Permit Renewal Application
Application No. NCO032191
Hebron Colony & Grace Home WWTP
Watauga County
Dear Mr. Holder:
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on May 19, 2017. The primary reviewer for this renewal
application is Brianna Young.
The primary reviewer will review your application, and she 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 Brianna at 919-807-6388 or [e-mail].
Sincerely,
W*" '%4
Wren Thedford
Wastewater Branch
cc: Central Files
NPDES
Winston-Salem 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

NC DENR / DWR / NPDES
Renewal Application Checl�i,WR
RECE,VEOIN�DE
Hebron Colon MAY 19 2017
The following items are REQUIRED for a renewal packages: Quality
n
pecm%n%n9
o A cover letter requesting renewal of the permit and documenting any changes at the facility since
issuance of the last permit. Submit one signed original and two copies.
o The completed application form (copy attached), signed by the permittee or an Authorized
Representative. Submit one signed original and two copies.
o If an Authorized Representative (such as a consulting engineer or environmental consultant) prepares
the renewal package, written documentation must be provided showing the authority delegated to the
Authorized Representative (see Part II.B.11.b of the existing NPDES permit).
o A narrative description of the sludge management plan for the facility. Describe how sludge (or other
solids) generated during wastewater treatment are handled and disposed. If your facility has no such
plan (or the permitted facility does not generate any solids), explain this in writing. Submit one signed
original and two copies.
The followin¢ items must be submitted bN- anv Municipal or Industrial facilities _dischal�ina
process wastewater:
o Industrial facilities classified as Primary Industries (see Appendices A D to Title 40 of the Code of
Federal Regulations, Part 122) and ALL Municipal facilities with a permitted flow >_ 1.0 MGD must
submit a Priority Pollutant Analysis (PPA) in accordance with 40 CFR Part 122.21.
The above requirement does NOT apply to non -industrial facilities.
Send the completed renewal package to:
Wren Thedford
NC DENR / DWR / NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617

Water Quality Lab & Operations, Inc.
P.O. Box 1167/ 1522 Tynecastle Highway
Banner Elk, NC 28604
Ph. 828-898-6277 Fax [phone]
May 3, 2017
Wren Thedford
NCDENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Hebron Colony and Grace Home WWTP Permit Renewal
Mr. Thedford:
Please find enclosed an application for the permit renewal for Hebron Colony and Grace
Home WWTP. All items on the checklist are included with the permit renewal. There
have been no significant changes to the facility since the previous permit cycle.
If we can be of further assistance, please do not hesitate to contact us.
Sincerely,
Jadd Brewer
Signatory Authority

Water Quality Lab & Operations, Inc.
P.O. Box 1167/ 1522 Tynecastle Highway
Banner Elk, NC 28604
Ph. 828-898-6277 Fax [phone]
HEBRON COLONY `V`VTP SLUDGE MANAGEMENT
Sludge is managed via a commercial hauler, Triple T located on 1372 NC Hwy 194
N, Boone, NC 28607.

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 NCO032191
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
Facilitv Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Don Holder, Executive Director
Hebron Colony Ministries WWTP
356 Old Turnpike Road
Boone
NC 28607
[phone]
[phone]
dholdexCahebroncolony. org
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 351 Old Turnpike Road
City Boone
State / Zip Code NC 28607
County Watauga
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 Water Quality Lab and Operations
Mailing Address P.O. Box 1167
City Banner Elk
State / Zip Code NC 28604
Telephone Number [phone]
Fax Number [phone]
e-mail Address waterqualitylabsCyahoo.com
1 of 3 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
®
Explain: Ministry
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Residential ministry -based rehabilitation facility
Number of persons served: a_,x 25-30
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):
Watauga River, in the Watauga River Basin
8. Frequency of Discharge: ® 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 bar screen, equalization basin, dual (2) diffused -air aeration basin, dual (2)
clarifiers [recirculating], UV disinfection, [back up] chlorination/chlorine contact
chamber/dechlor, flow measurement device, standby generator
2 of 3 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 0.009285 MGD
Annual Average daily flow 0.0043 _MGD (for the previous 3 years)
Maximum daily flow 0.0083 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 currently in dour permit. Mark other t_�arameters "N/_A".
th_
Parameter Daily Monthly Units of
Maximum _ Average Measurement
Biochemical Oxygen Demand (BOD;) 13.4 7.15 mg/L
Fecal Coliform 119 39 cuf/ 100mL
Total Suspended Solids 15 10.8 mg/L
Temperature (Summer) 28 26 Degrees Celcius
Temperature (Winter)
pH
16
M
12
7.4
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO032191 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
Degrees Celcius
s/u
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.
Jadd Brewer
Printed name of Person Signing
Sig'hature of Applicant
Signator, -
Title
Date
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.)
3 of 3 Form -D 11/12

ti -if wf cul e IL J. J! 0LO70114 /Jz) MLbKUN UULUNY HAUE 02102
Water Quality Lab & Operations, Inc.
P.O. Box 116711522 Tynecastle Highway
Banner Elk, NC 28604
Ph. 828-898-6277 Fax [phone]
1:, the undersigned. do hereby give my permission and grant my authority as the Executive
Director of Hebron Colony Ministries to Jadd Brcw•er, Co-Owner/Operator of Water
Quality Lab and Operations, Inc. to complete, sign and submit the Wastewater Permit
Rencwal Application for Hebron Colony Ministries WWTP for 2017.
This is the day of K � 2017.
Primed Name and Title: Don Holder, Executive Director
Signature: `�• L