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ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S_REGAN
Secretwy
LINDA CULPEPPER
Interim Director
September 05, 2018
Ronald Holt, ORC
Town of Pilot Mountain
124 W Main St
Pilot Mtn, NC 27041
Subject: Permit Renewal
Application No. NC0068365
Pilot Mountain WTP
Surry County
Dear Applicant:
The Water Quality Permitting Section acknowledges the August 22, 2018 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 1506-3 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.The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
310pu Qx4444\,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
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North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300
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Town of Pilot Mountain
124 West Main Street
Pilot Mountain, N.C. 27041
August 14,2018
NCDENR/DWQ RECEIVEDIDENRIDWR
NPDES Unit AUG 22 2018
1617 Mail Service Center
Raleigh,N.C. 27699-1617 Water Resources
permitting Section
Subject: NPDES Permit Renewal Application for NC 0068365
Enclosed please find our application for renewal of NPDES Permit NC 0068365. If
possible we would like this permit renewed the same as our current permit. If you have
any questions concerning this application please contact me at 336-368-4041.
Yours truly,
*Diva Pa--
Ronald Holt
ORC
NPDES APPLICATION FOR PERMIT RENEWAL - FORM A
For Publicly Owned Treatment Works (POTW) or other treatment systems treating
domestic wastes < 0.1 MGD with no pretreatment program.
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INC0068365
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 Town of Pilot Mountain
Facility Name Pilot Mountain Water Plant
Mailing Address 124 West Main Street
City Pilot Mountain
State / Zip Code NC
Telephone Number (336)368-4592
Fax Number ( )
e-mail Address pudhead0822@yahoo.com
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road Hwy 52 By Pass
City Pilot Mountain
State / Zip Code NC
County Surry
3. t 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 Town of Pilot Mountain
Mailing Address 124 West Main Street
City Pilot Mountain
State / Zip Code NC
Telephone Number (336)368-4592
Fax Number (336)368-9532
4. Population served: 1450
NPDES APPLICATION FOR PERMIT RENEWAL - FORM A
For Publicly Owned Treatment Works (POTW) or other treatment systems treating
domestic wastes < 0.1 MGD with no pretreatment program.
5. Do you receive industrial waste?
® No ❑ Yes (if you have an approved pre-treatment program, must complete Form 2A)
6. Type of collection system
❑ Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
7. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
8. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Tom's Creek
9. Frequency of Discharge: ❑ Continuous ® Intermittent
If intermittent:
Days per week discharge occurs: 1 day every 2 weeks Duration: 8 Hrs.
10.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.
Gravity thickener with plate settlers.
Eight sand drying beds.
Earthen sedimentation lagoon.
11. Flow Information:
Treatment Plant Design flow N/A MGD
Annual Average daily flow .008 MGD (for the previous 3 years)
Maximum daily flow .206 MGD (for the previous 3 years)
12. Is this facility located on Indian country?
0 Yes ® No
•
NPDES APPLICATION FOR PERMIT RENEWAL - FORM A
For Publicly Owned Treatment Works (POTW) or other treatment systems treating
domestic wastes < 0.1 MGD with no pretreatment program.
13. Effluent Data
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.Effluent testing data must be based on at least three samples
and must be no more than four and one half years old.
Parameter Daily Monthly Units of Number of
Maximum Average Measurement Samples
Biochemical Oxygen Demand N/A N/A N/A N/A
(BODS)
Fecal Coliform N/A N/A N/A N/A
Total Suspended Solids 5.4 2.47 mg/1 10
Temperature (Summer) 24.5 23.4 C 8
Temperature (Winter) 12.3 10.9 C 8
pH 7.1 7.0 Std/Units 10
14. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping(MPRSA)
NPDES NC0068365 Dredge or fill(Section 404 or CWA)
PSD (CAA) Special Order of Consent(SOC)
Non-attainment program (CAA) Other
15. 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.
Ronald Holt ORC
Printed name of Person Signing Title
4,0 `P y/2 ao'p
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 knowly 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.)
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Town of Pilot Mountain . ,. .
Water Treatment Plant (WTP) Facility _, �
Location •.fes .--.
953 West Hwy 52 Bypass,Pilot Mountain 27041 ,;;..t w••
Receiving Stream: Toms Creek Stream Segment 12-72-14-(4) Scale 1'24,000 �w
Drainage Basin Yadkin-Pee Dee River Basin Sub-Basin: 03-07-03
Latitude: 36°24'01" Longitude: 80°29'17" , r , I I NPDES Permit NC0068365