WQ0040031_Issuance of Permit_20180531

WQ0040031
tram Category
.on -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ted.cashion
Coastal SWRule
Central Files: APS _ SWP
5/31/2018
Permit Tracking Slip
Status
Project Type
In review
New Project
Version
Permit Classification
A
Individual
Permit Contact Affiliation
Permitted Flow RECEIVED/DENR/DWR
11,760 JUN 0 7 2018
Facility
Facility Name Major/Minor PerrP099 Section
Crawford Townes Minor Raleigh
Location Address County
Franklin
Facility Contact Affiliation
Owner
Owner Name
Owner Type
Franklin County Public Utilities Government - County
Owner Affiliation
Christopher Doherty
Director Public Utilites
1630 US Hwy 1
Dates/Events Youngsville NC 27596
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
6/4/2018 5/18/2018
6/4/2018 6/4/2018
Regulated Activities
Requested /Received Events
Subdivision
Additional information requested 5/30118
Wastewater collection
Additional information received 5/31/18
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

Primary Reviewer
Central Files APS _ SWP
ted.cashion
6/5/2018
Permit Number WQ0040036
Permit Tracking Slip
Program Category
Status Project Type
Non -discharge
In review New Project
Permit Type
Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
A Individual
Primary Reviewer
Permit Contact Affiliation
ted.cashion
RECEIVEDIDENR/DW
Coastal SWRuIe
JUN 0 7 2018
Permitted Flow
Water Resources
0
Permitting Section
Facility
Facility Name
Major/Minor Region
2017 Sewer Line Replacements
Minor Raleigh
Location Address
County
Granville
Facility Contact Affiliation
Owner
Owner Name Owner Type
City of Oxford Government - Municipal
Owner Affiliation
Amy Ratliff
Engineer
PO Box 506
Dates/Events Oxford NC 27565
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
6/6/2018 5/1/2018 6/6/2018 6/6/2018
Regulated Activities Requested /Received Events
Wastewater collection Additional information requested
Additional information received
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

Central Files: APS SWP
6/1/2018
Permit Number WQ0039131 Permit Tracking Slip
Program Category
Status Project Type
Non -discharge In review Major modification
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
Primary Reviewer
ted.cashion
Coastal SWRule
Permitted Flow
0
Facility
Version Permit Classification
C Individual
Permit Contact AfRlFin_F_1VED/DENR/DWR
JUN 0 7 2018
Water Resources
Permitting Section
Facility Name Major/Minor Region
Hillsborough Street Water Main Replacement g
Minor Raleigh
Location Address
County
Orange
Chapel Hill NC 27514 Facility Contact Affiliation
Owner
Owner Name
Orange Water and Sewer Authority Owner Type
Government - County
Owner Affiliation
Ed Kerwin
Director Executive
Dates/Events 400 Jones Ferry Rd
Carrboro NC 27510200
Scheduled
Orig Issue App Received Draft Initiated Issuance
Public Notice Issue Effective Expiration
3/31/2017 3/28/2018
6/4/2018 6/4/2018
Regulated Activities Requested /Received Events
Wastewater collection Additional information requested 5/14/18
Additional information received 5/31/18
Outfall
Waterbody Name Streamindex Number Current Class
Subbasin

TABLE 1
Town Of Benson
IWS CHECKLIST Check if long form was received Description of Business
(X)
Mav 11 WH R
C:\Users\Mmorris\Documents\OneDrive - Town of Bensop, NC\Pretreatment\rndustial waste survey\Industrial Wastewater Survey Summary Table for submission to PERCS.doc
If Non -Domestic
Flow Discharge
Industry Name
Check if
Approx.
(include all industries
Not in
process
P
Explanation of wh y SIU permi
P
sent short forms and all
Service
Check
Date
or other
�
or isn't needed
industries in NC
Area or
if No
short
Check if
non-
(i.e. Non contact cooling water
Manufacturers
not in
Sewer
form
Date of
Date long
Domestic
domestic
metal finishing or non -
business
Service
was
site
form was
Flow only
Flow
Description of
categorical, <25,000 gpd an(
Register)
X
received
visit
received
X
d
Business
<5% MAHL
X
X
Wholesaler of
Banner Machinery Corp
laundry equip
Banner Wielding and
X
X
Machine Shop
Machine works
Carolina Eastern —
X
X
Fertilizer Blending
Benson
5/31/18
5/31/18
X
60
Sheet Metal
Non categorical <25,000gpd
Hamlin Sheet Metal
Fabrication
House of Autry Mills
X
Corn milling plant
Inc.
Martin Marietta
X
X
Rock Quarry
Materials
X
X
Boat manufacturer
May craft Fiberglass
X
X
Meat processor
McLamb's Abattoir
National Rebar
X
Office Building only
Fabricators Inc.
Has SIU Permit
Polymer Group Inc.
5/31/18
5/31/18
0.1
Commercial Printing
Non categorical <25,000gpd
The Coun Press
5/31/18
5/31/18
50
Commercial Printing
Non categorical <25,000gpd
BN Printing
C:\Users\Mmorris\Documents\OneDrive - Town of Bensop, NC\Pretreatment\rndustial waste survey\Industrial Wastewater Survey Summary Table for submission to PERCS.doc

Industry Name
(include all industries
sent short forms and all
industries in NC
Manufacturers
Register)
Check if
Not in
Service
Area or
not in
business
Check
if No
Sewer
Service
X
Date
short
form
was
received
Date of
site
visit
Date long
form was
received
Check if
Domestic
Flow only
X
If Non -Domestic
Flow Discharge
Approx.
process
or other
non-
domestic
Flow
d
Description of
Business
Explanation of why SIU permi
or isn't needed
(i.e. Non contact cooling water
metal finishing or non -
categorical, <25,000 gpd an(
<5% MAHL
Cloverleaf Cold Storage
5/31/18
5/31/18
X
Commercial
Refrigeration
Non categorical <25,OOOgpd
Benton Card Company
5/31/18
5/31/18
1
Commercial Printing
Non categorical <25,OOOgpd
Quality Stone Veneer
5/31/18
5/31/18
400
Stone Manufacturing
All water used in process is it
materials not sewer
John Deere Turf Care
X
Assemble mowers
C:\Users\Mmorris\Documents\OneDrive - Town of Bens(2, NC\Pretreatment\Industial waste survey\Industrial Wastewater Survey Summary Table for submission to PERCS.doc

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are entering the
Town of Benson Wastewater Plant. This form must be completed
(POTW Name)
in accordance with section 52.032 of our Sewer Use Ordinance (NC Model Section 5.7). Our Sewer Use
Ordinance can be examined during normal business hours at the address listed below. If you have any
question or concerns while completing the form please contact Paul Allen
919-894-2373 Monday thru Friday.
(Pretreatment Contact and Phone Number)
Name of Business Quality Stone Veneer
Address 500 South Market Street
City/State/Zip Code Benson NC 27504
Telephone: [phone] Fax:
Number of Employees
13
What Standard Industrial Classification (SIC) Code(s) do you report under:
Briefly describe your business include products manufactured or services performed
Manufacture Stone Veneer
Please list all water uses and approximate volume used in gallons per day for each use, including facility
wash down water.
Water Use
Volume Used (gallons per
day)
Process: Making Stone Veneer
o 0
Facility Wash down
Domestic(bathrooms, cafeteria)
o '-�6
Total:
508
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports to the
Sewer Authority. Authorized Representative is defined as a Person responsible for Principle Business
decisions or other policy decisions for the facility.
To the Best of m owledge t e information on this form is true and accurate,
Signature Date S %— / gr
Title Craw 4,/
Return this form within 30 days to: Benson WWTP Attn Paul Allen
(Wastewater Treatment Plant)
PO Box69
(Street)
Benson NC 27504
(City/Statdzip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
IWS Short Form
Filename: IWS Short Form
Revision Date: September 1, 1993

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are entering the
Town of Benson Wastewater Plant. This form must be completed
(POTW Name)
in accordance with section 52.032 of our Sewer Use Ordinance (NC Model Section 5.7). Our Sewer Use
Ordinance can be examined during normal business hours at the address listed below. If you have any
question or concerns while completing the form please contact Paul Allen
919-894-2373 Monday thru Friday.
(Pretreatment Contact and Phone Number)
Name of Business House of Autry Mills Inc
Address 7000 US Hwy 301
City/State/Zip Code Four Oaks NC 27524
Telephone: [phone] Fax:
Number of Employees /P r
What Standard Industrial Classification (SIC) Code(s) do you report under:
Briefly describe your business include products manufactured or services performed
Dry Goods Manufacturer
Please list all water uses and approximate volume used in gallons per day for each use, including facility
wash down water.
Water Use
Volume Used (gallons per
da)
Process:
Facility Wash down
Domestic(bathrooms, cafeteria)
C1
Total:
881
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports to the
Sewer Authority. Authorized Representative is defined as a Person responsible for Principle Business
decisions or other policy decisions for the facility.
To the Best of my knowledge Pe information on this form is true and accurate,
Signatur?\/
Date - f
Title Y l /1 o v c. o v� S
Return this form withid 30 days to: Benson WWTP Attn Paul Allen
(Wastewater Treatment Plant)
PO Box69
(Street)
Benson NC 27504
(City/State/zip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
MS Short Form
Filename: MS Short Form
Revision Date: September 1, 1993
11

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are entering the
Town of Benson Wastewater Plant. This form must be completed
(POTW Name)
in accordance with section 52.032 of our Sewer Use Ordinance (NC Model Section 5.7). Our Sewer Use
Ordinance can be examined during normal business hours at the address listed below. If you have any
question or concerns while completing the form please contact Paul Allen
919-894-2373 Monday thru Friday.
(Pretreatment Contact and Phone Number)
Name of Business B & N Printing A '7
Address 611 Chicopee Rd
City/State/Zip Code Benson NC. 27504
Telephone: [phone] Fax:
Number of Employees '1 y
What Standard Industrial Classification (SIC) Code(s) do you report under:
Briefly describe your business include products manufactured or services performed
Commercial Printing
Please list all water uses and approximate volume used in gallons per day for each use, including facility
wash down water.
Water Use
Volume Used (gallons per
day)
Process: Plate Processor
50
Facility Wash down
Domestic(bathrooms, cafeteria)
119
Total:
169
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports to the
Sewer Authority. Authorized Representative is defined as a Person responsible for Principle Business
decisions or other policy decisions for the facility.
To the Best of my knowledge the information on this form is true and accurate,
Signatur�_ Date
Title v p
Return this form within 30 days to: Benson WWTP Attn Paul Allen
(Wastewater Treatment Plant)
PO Box69
(Street)
Benson NC 27504
(City/State/Zip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
IWS Short Form
Filename: IWS Short Form
Revision Date: September 1, 1993

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are entering the
Town of Benson Wastewater Plant. This form must be completed
(POTW Name)
in accordance with section 52.032 of our Sewer Use Ordinance (NC Model Section 5.7). Our Sewer Use
Ordinance can be examined during normal business hours at the address listed below. If you have any
question or concerns while completing the form please contact Paul Allen
919-894-2373 Monday thru Friday.
(Pretreatment Contact and Phone Number)
Name of Business Benton Card Company
Address 105 South Wall Street
City/State/Zip Code Benson NC. 27504
Telephone: [phone] Fax:
Number of Employees %
What Standard Industrial Classification (SIC) Code(s) do you report under:
Briefly describe your business include products manufactured or services performed
Commercial Printing
Please list all water uses and approximate volume used in gallons per day for each use, including facility
wash down water.
Water Use
Volume Used (gallons per
day)
Process:
Facility Wash down
Domestic(bathrooms, cafeteria)
5F
Total:
56
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports to the
Sewer Authority. Authorized Representative is defined as a Person responsible for Principle Business
decisions or other policy decisions for the facility.
To the Best of knowledge the information on this form is true and accurate,
Signature r Date 3hr
Title U";APSS
Return this form within 30 days to:
Benson WWTP Attn Paul Allen
(Wastewater Treatment Plant)
PO Box69
(Street)
Benson NC 27504
(City/Statelzip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
IWS Short Form
Filename: IWS Short Form
Revision Date: September 1, 1993

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are entering the
Town of Benson Wastewater Plant. This form must be completed
(POTW Name)
in accordance with section 52.032 of our Sewer Use Ordinance (NC Model Section 5.7). Our Sewer Use
Ordinance can be examined during normal business hours at the address listed below. If you have any
question or concerns while completing the form please contact Paul Allen
919-894-2373 Monday thru Friday.
(Pretreatment Contact and Phone Number)
Name of Business Hamlin Sheet Metal Comnanv Inc.
Address 200 North Walton Ave.
City/State/Zip Code Benson NC 27504
Telephone: [phone] Fax:
Number of Employees i
What Standard Industrial Classification (SIC) Code(s) do you report under:
3 4 4 4 , ____ ,
Briefly describe your business include products manufactured or services performed
Hvac Duct Manufacturer
Please list all water uses and approximate volume used in gallons per day for each use, including facility
washdown water.
Water Use
Volume Used (gallons per
day)
Process: Make u Water for Equipment & CoolingSystem ps P
4
Facili Washdown
Domestic(bathrooms, cafeteria) S 'Z P5-4 r
1/00
Total:
463
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports to the
Sewer Authority. Authorized Representative is defined as a Person responsible for Principle Business
decisions or other policy decisions for the facility.
To the Best ofmy owle e ' formation on this form is true and accurate,
Signature �/ ^Date
Title 4 e -t p-,
Return tnis torm wittim m Gays to: tsenson w w i r Attn. rant Auen
(Wastewater Treatment Plant)
PO Box69
(Street)
Benson NC 27504
(City/State/Zip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
IWS Short Form
Filename: IWS Short Form
Revision Date: September 1, 1993

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are entering the
Town of Benson Wastewater Plant. This form must be completed
(POTW Name)
in accordance with section 52.032 of our Sewer Use Ordinance (NC Model Section 5.7). Our Sewer Use
Ordinance can be examined during normal business hours at the address listed below. If you have any
question or concerns while completing the form please contact Paul Allen
919-894-2373 Monday thru Friday.
(Pretreatment Contact and Phone Number)
Name of Business The County Press Inc.
Address 114 South Market St
City/State/Zip Code Benson NC. 27504
Telephone: [phone] Fax:
Number of Employees
What Standard Industrial Classification (SIC) Code(s) do you report under:
Briefly describe your business include products manufactured or services performed
News Paper and Commercial Printing
Please list all water uses and approximate volume used in gallons per day for each use, including facility
wash down water.
Water Use
Volume Used (gallons per
day)
Process: Offset plate developer wash off
0.1
Facility Wash down
Domestic(bathrooms, cafeteria)
34.9
Total:
35
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports to the
Sewer Authority. Authorized Representative is defined as a Person responsible for Principle Business
decisions or other policy decisions for the facility.
To the Best of )my,�kn/o�w.leed�e thea information on this form is true and accurate,
Signature �""�`� k�{/.Z,t10 Date - 3f/ ��
Title
Return this form within 30 days to: Benson WWTP Attn: Paul Allen
(Wastewater Treatment Plant)
PO Box69
(Street)
Benson NC 27504
(City/Statetzip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
IWS Short Form
Filename: IWS Short Form
Revision Date: September 1, 1993

Industrial Waste Survey Short Form
This form has been sent to your business to determine types and sources of wastewater that are entering the
Town of Benson Wastewater Plant. This form must be completed
(POTW Name)
in accordance with section 52.032 of our Sewer Use Ordinance (NC Model Section 5.7). Our Sewer Use
Ordinance can be examined during normal business hours at the address listed below. If you have any
question or concerns while completing the form please contact Paul Allen
919-894-2373 Monday thru Friday.
(Pretreatment Contact and Phone Number)
Name of Business Clover Leaf Cold Storaee
Address 444 Gilbert Rd
City/State/Zip Code Benson NC. 27504
Telephone: [phone] Fax:
Number of Employees 0
What Standard Industrial Classification (SIC) Code(s) do you report under:
Briefly describe your business include products manufactured or services performed
Refrigerated warehouse
Please list all water uses and approximate volume used in gallons per day for each use, including facility
wash down water.
Water Use
Volume Used (gallons per
day)
Process: Cooler
f96--
Facility Wash down
Domestic(bathrooms, cafeteria)
31,
Total:
311
Our Sewer Use Ordinance requires that an Authorized Representative of the User sign all reports to the
Sewer Authority. Authorized Representative is defined as a Person responsible for Principle Business
decisions or other policy decisions for the facility.
To the Best of y knowle a the information on this form is true and accurate,
Signature.% ti Date.S a3/
Title
Return this form within 30 days to:
Benson WWTP Attn Paul Allen
(Wastewater Treatment Plant)
PO Box69
(Street)
Benson NC 27504
(City/State/Zip)
Failure to return this form is enforceable in accordance with the Sewer Use Ordinance.
IWS Short Form
Filename: IWS Short Form
Revision Date: September 1, 1993