NC0032808_Renewal Application_20170524

Water Resources
ENVIRONMENTAL QUALITY
May 24, 2017
Mr. Williams H. Mills, ORC
Western Valley Properties, LLC.
505 Ranching Cove Road
Sylva, NC 28779
Subject: Permit Renewal
Application No. NCO032808
Morningstar of Jackson
Jackson County
Dear Mr. Mills:
ROY COOPER
Governor
MICHAEL S. REGAN
Acting Secretary
S. JAY ZIMMERMAN
Director
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on May 15, 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 at 919-807-6391 or [e-mail].
cc: Central Files
NPDES
Asheville Regional Office
Sincerely,
2Gtrm 7&0,zd
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

RECEIVED/NCDEQ/®WR
MAY 15 2017
Water Quality
Permitting Section
S
,•

2
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to: RECEIVEDINCDEQ/DWR
N. C. DENR / Division of Water Resources / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617 MAY 1 5' 2017
NPDES Permit XC -00 Water Quality
Permitting Section
if you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the neat. To check the boxes. click your mouse on top of the box. Othenuise, please print or type.
I. Contact Information:
O«Tner Name
Facility Name
Mailing Address
City
101
�- l-� l ,
5)"
State
/tvt�
State / Zip Code 729
Telephone Number
Fax Number i
e-mail Address
2. Location of facility producing disc :
Check here if same address as above
Street Address or State Road
Cite
State j Zip Code
Counts•
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
Mailing AddressL11'Cr rCs,vI11� 1"(/ )11 • '!`
Citi- S `.
State / Zip Code VL_ �
Telephone Number (f,)r) 4%)6 �3' U
Fax Number ([I
e-mail Address
1 of ` Form -D 1112

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 ,L�_1/ Explain: kc-S1116'Pe
Describe the source(si of wastewater (example: subdivision, mobile home park, shopping centers.
restaurants, etc.):
Number of persons served:�
S. Type of collection system
Fr -Separate (sanitary- sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points _ '/f -_
Outfall Identification number(s)
Is the outfall equipped with a diffuser? ❑ Yes 1�0
7. Name of receiving stream(s) (MW applicants: Provide a map shounng the exact location of each
outfall f:
a4
S. 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.
Ae r, -/-,or, % (4.5-"4fLck,+C-v' I W- ceJ-11h ce Kt S'yr�)k u3f�
2of3
Form -G 11112

S
� r
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .Q0 S— MGD
Annual Average daily flow - ' O,;� _MGD (for the previous 3 years)
Maximum daily flow,O�MGD (for the previous 3 years)
11. Is this facility located on co�Ind' n country?
❑ Yes
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 zjour�uermit. Mark otherarameters "N/A"_
Parameter Daily Monthly Units of
-- Maximum Average i Measurement
Biochemical Oxygen Demand (BOD,)
-14
Fecal Coliform
Total Suspended Solids �5'S—
Temperature (Summer(
Temperature (Winter)
pH
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHA,PS (CAAI
LAIC (SDWAi Ocean Dumping (MPRSAI
NPDES GOO'. , ,D 5,' Dredge or fill (Section 404 or CWA)
PSD (CAA} Other
Non -attainment program (CAAi
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.
C
Printed name of'Person
Signing Title
Signature of Applicant 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 118 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. i
3 of 3 Form -D 11112

Requesting renewal of the permit No. NC0031-808.
We request no chances in the permit at the facility since the facility has a very good
record. We request no changes in testing, at the facility since it has a very stood record
William Mills, ORC
Description of the sludge management sludge at the facility is handled by a Septic tank
truck, and disposed of at Tuckaseigee Fater and Sewer Authority Wt's' [? No. 1, North
River Road, Sylva, NC.

i
N
103 10'
1 Latitude: 35'23'33" Stream Class: C
Longitude: 83'09'58" Subbasin: 040402
C-pjad # F6NNV
Receiving Stream: Blanton Branch
iv
305
uvO t (
AJC -
Facility
Location
NC0032806 F-nsley Adult Care Center \4AN7P
Jackson Count-,•