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Home My WebLink AboutApplication - 11/9/2012 (2)W State of North Carolina Department of Environment and Natural Resources Division of Water Quality ��3A' � NCDENR Domestic Wastewater Pump and Haul Application INSTRUCTIONS FOR FORM: The Division of Water Quality will not accept this application unless all the instructions are followed. Plans and specifications must be prepared in accordance with 15A NCAC 2T .0200, all applicable general statutes, and good engineering practices. Failure to submit all of the required items will lead to additional processing time for the permit application or in the application being returned as incomplete. A. Application Form: -'Submit one original and one copy of the completed and appropriately executed application form. The Division of Water Quality (Division) will only accept complete application packages. ✓The project name should be consistent with the project name on any plans, letter of flow acceptance, operational agreements, etc. B. Application Fee (New and Renewal Packages): -/The appropriate application fee is $810 for flows <10,000 GPD and $1,310 for flows >10,000 GPD. ✓ Submit the check payable to: North Carolina Department of Environment and Natural Resources (NCDENR). C. Cover Letter: -'Submit a cover letter explaining the circumstances associated with this pump and haul request as required by 15A NCAC 2T.0204. Please note that pump and haul permits are not acceptable as a long term domestic wastewater treatment alternative. D. Receiving Facility: ✓ Submit a letter from the owner/authority of the receiving wastewater treatment facility stating that the pumped and hauled wastewater will be accepted and specifying the volume of wastewater that will be accepted. E. Contract Hauler: ✓ Submit a letter or contract from the hauler stating his capability and willingness to perform the pumping and hauling. F. Detailed Plans and Specifications: ,"Submit two sets of detailed plans and specifications that have been signed, sealed, and dated by a Licensed NC Professional Engineer. ✓Plans must include the following minimum items: a general location map and a diagram of the components associated with the pump and haul activity (drains, piping, tanks, pumps). ,/The tank detail should indicate the high water alarm (both audible and visual or an auto dialer). THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS: Form: P&H 01/12 Surface Water Protection Supervisor WIRO Regional Office Department of Environment and Natural Resources s'F-IVE NOV a q 2012 Page 1 of 4 I. I1� NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Al P! W?AFA ENR Division of Water Quality WIRO Regional Office Non -Discharge Pump and Haul Permit Application Application Number: (to be completed by DWQ for new projects) GENERAL INFORMATION: 1. Applicant (corporation, individual, other): Onslow Water and Sewer Authority 2. Print owners or signing official's name and title (person legally responsible for the facility and its compliance): Billy Joe Farmer, Executive Director 3. Mailing address of applicant: PO Box 1415 City: Jacksonville State: NC Zip: 28540 Telephone number: (910) 937-7532 Facsimile number: ( ) Email Address: 131`armer(2 ,onwasa.com 4. Project name (facility or establishment): Summerhouse 5. County where project is located: Onslow 6. Fee submitted: $ (See Instruction B.) 7. Name and complete address of engineering firm: ONWASA Engineering Division PO Box 1415 City: Jacksonville State: NC Zip: 28540 Telephone number: (910) 937-7525 Facsimile number: (910) 455-5607 8. Name and affiliation of contact person who can answer questions about project: Matthew E. Hypes, PE — Engineering Director Email Address: mhypes(a)onwasa.com PERMIT INFORMATION: 1. If this application is being submitted as a result of a modification to or renewal of an existing permit, please provide the existing permit number and the issuance date 2. Specify whether the applicant is: public XXX or private Form: P&H 01/12 Page 2 of 5 III. 1. 2. 3. 4. 5. IV. V 1 2 3 4 2 INFORMATION ON WASTEWATER: Nature of wastewater: 100% Domestic % Commercial % Other waste (specify): % Industrial Please provide a one or two -word description specifying the origin of the wastewater (school, restaurant, apartments, commercial): residential development Volume of wastewater generated by this project: 80,000/week approx. 11,430 gallons per day. Explanation of how wastewater flow was determined: maximum volume that Holly Ridge WWTP ORC has agreed to accept. Description of any pretreatment of wastewater prior to pumping and hauling: N/A TREATMENT FACILITY INFORMATION: Name of treatment facility receiving wastewater: Holly Ridge WTF NPDES permit number of treatment facility: W00019907 Treatment facility contact person and telephone no: Allen Rhue (910) 937-7575 County where treatment facility is located: Onslow CONTRACT HAULER INFORMATION: Name of owner/company of transporting (hauler) vehicle: ONWASA Mailing address of hauler: P O Box 1415, Jacksonville NC 28540 3. Telephone number of hauler: 91 4. VI. 1. 2. 3. 4. 5. 6. 7. Provide the typical hauling volume of the vehicle: Contract Hauler (2 trucks) — 7500 gal/load and 4000 gal/load ONWASA Hauler - 2,400 gallons/load GENERAL PROJECT INFORMATION Brief project description: Summerhouse, a residential PUD, was designed and constructed to include 1,029 residential lots approximately 4 years ago. Explanation of why pump and haul is being requested: Only 6 houses and the clubhouse currently exist. With this meager wastewater flow, the 0.1 MGD MBR units cannot be started un and run in compliance with hermit requirements. Specify how long the pump and haul permit will be needed (maximum of six months): until the recommended 0.03 MGD of actual wastewater flow is realized It is understood that the pump -and -haul operation will last loner than 6 months for this Project. What will be the permanent method of wastewater disposal once the pump and haul activities have ceased?: Operation of the Summerhouse WRF and hieh rate infiltration ponds Date that permanent disposal method will be available: Currently in place, but can't be operated — see 2 & 3, above Have permits/approvals for the permanent disposal method been obtained? XXX Yes; Permit No. WQ0029945 Permitting agency DWO/APS/LAU No; Pending permit No. Permitting agency What type of tank or container will the wastewater be pumped from and what is the volume of this container? Existing concrete sewage Pump Station Nos.2, 3, and 4 in the Summerhouse at Everett Bay Development Form: P&H 01/12 Page 3 of 5 Is the tank or container already in place or will it be installed for these activities? Existing What type of high water alarms do the containers have? Audible and visual YES Auto dialer YES VII. OWNER'S SIGNATURE: Applicant's Signature and Certification: I, Timothy Webb , attest that this application for Summerhouse has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned to me as incomplete. Note: In accordance with NC General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to $25 0 violation. Signature: Date: 9' VIII. PROFESSIONAL ENGINEER'S CERTIFICATION: I, Matthew E. Hypes PE , attest that this application for Summerhouse has been reviewed by me and is accurate, complete and consistent with the information supplied in the engineering plans, calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best ofmy knowledge the proposed design has been prepared in accordance with the applicable regulations. Although certain portions of this submittal package may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that I have reviewed this material and have fudged it to be consistent with the proposed design. Note: In accordance with NC General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. North Carolina Professional Engineer's seal signature and date: ®� Form: P&H 01/12 Page 4 of 5 DIVISION OF WATER QUALITY REGIONAL OFFICES Asheville Regional Office SWP Supervisor 2090 US Highway 70 Swannanoa, NC 28778 Phone: (828) 251-6208 Fax: (828) 251-6452 Avery Macon Buncombe Madison Burke McDowell Caldwell Mitchell Cherokee Polk Clay Rutherford Graham Swain Haywood Transylvania Henderson Yancey Jackson Raleigh Regional Office Office SWP Supervisor 3800 Barrett Drive Raleigh, NC 27609 Phone: (919) 571-4700 Fax: (919) 571-4718 Chatham Durham Edgecombe Franklin Granville Halifax Johnston Lee Nash Northampton Orange Person Vance Wake Warren Wilson Winston-Salem Regional Office SWP Supervisor 585 Waughtown Street Winston-Salem, NC 27107 Phone: (336) 771-5000 Fax: (336) 771-4630 Alamance Alleghany Ashe Caswell Davidson Davie Forsyth Guilford Rockingham Randolph Stokes Surry Watauga Wilkes Yadkin Fayetteville Regional Office SWP Supervisor 225 Green Street, Suite 714 Fayetteville, NC 28301-5043 Phone: (910) 486-1541 Fax: (910) 486-0707 Anson Moore Bladen Robeson Cumberland Richmond Harnett Sampson Hoke Scotland Montgomery Washington Regional Office SWP Supervisor 943 Washington Square Mall Washington, NC 27889 Phone: (252) 946-6481 Fax: (252) 946-9215 Beaufort Bertie Camden Chowan Craven Currituck Dare Gates Greene Hertford Hyde Jones Lenoir Martin Pamlico Pasquotank Perquimans Pitt Tyrell Washington Wayne Form: P&H 01/12 Page 5 of 5 Mooresville Regional Office SWP Supervisor 610 East Center Avenue, Suite 301 Mooresville, NC 28115 Phone: (704) 663-1699 Fax: (704) 663-6040 Alexander Lincoln Cabarrus Mecklenburg Catawba Rowan Cleveland Stanly Gaston Union Iredell Wilmington Regional SWP Supervisor 127 Cardinal Drive Extension Wilmington, NC 28405-2845 Phone: (910) 796-7215 Fax: (910) 350-2004 Brunswick New Hanover Carteret Onslow Columbus Pender Duplin