NC0077615_Renewal Application_20180918

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ROY COOPER ' NORTH CAROLINA
Governor Environmental Quality
MICHAEL S-REGAN
Secretory
LINDA CIJLPEPPER
Interim Director
September 18, 2018
David Tupman, Plant Manager
Origin Food Group LLC
PO Box 7621
Statesville, NC 28687
Subject: Permit Renewal
Application No. NC0077615
Origin Food Group, LLC
Iredell County
Dear Applicant:
The Water Quality Permitting Section acknowledges the September 18, 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. 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. 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.
Sinc((erely,
in�
fitu‘91-aVS-0.)
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
DEQ'?.)
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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NPDES APPLICATION - FORM D
For privately-ow ed treatir►ent systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Maul Service Center, Raleigh, NC 27699-161'7
NPDES Permit *C0077615
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I e you to the next. To chick t is the boxorm es, click your mouse on top of the box. Otherwise, please print orrtype.
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1. Contact Informat on:
computer use the TAB key or the up-dow�n ECrr E&VED/®���/®UUR
Owner Name SEP 2010
FacilityName Origin Food'Group, LLC
Water Resources
Mailing Address PO Bpx 7621 Permitting Section
City Statesville
State / Zip Code NC 28687
Telephone Number (7"! 7. 9
Fax Number (7°4
e-mail Address Vripnck„A. t3ONOl:1 •
2. Location of facili y producing discharge:
Check here if same a.dress as above 0
Street Address or Stale Road 306 Stamey Farm Rd
City I
Statesville
State / Zip Code
NC 28687
County I Iredell
3. Operator Inform:tion:
Name of the firm,publ c organization or other entity that operates the facility. (Note that this is not referring
to the Operator in Res!onsible Charge or ORC)
Name Envifolink Inc
Mailing Address 470Q Homewood Ct Suite 108
City Rale gh
State / Zip Code NC 7609
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail] `
Form-D 11/12
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NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MOD
4. Description of wastewater:I
Facility Generating Wasteater(check all that apply):
Industrial Z j Number of Employees b 4
Commercial ] I Number of Employees
Residential ] i Number of Homes
School ] INumber of Students/Staff
Other ] I Explain:
Describe the source(s) of wastevirater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.): 1
Domestic waste at 0 025 MGD;manufacturing facility.
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Number of persons served: 1)6
5. Type of collectio system i
® Separate (san'tary sewer only) 0 Combined (storm sewer and sanitary sewer)
6. Outfall Informat .n:
Number of separ:to discharrge points 1
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Outfall Identific:tion number(s) 001
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Is the outfall eq ipped with a diffuser? 0 Yes ® No
7. Name of receivin• stream(S) (NEW applicants:Provide a map showing the exact location of each
outfall):
Third Creek i
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8. Frequency of Dis harge: 1 ❑ Continuous ® Intermittent
If intermittent:
Days per week dis harge occurs: 0 Duration:
There has not been any flow onhe plant until recently. The ORC will store the wastewater in the EQ until
there is enough wast-water to teat . Effluent flow is sampled during a discharge event.
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9. Describe the tre:tment sytem
List all installed comp.'nents, inc(uding capacities,provide design removal for BOD, TSS, nitrogen and
phosphorus. If the sp i ce provided is not sufficient, attach the description of the treatment system in a
separate sheet of pap:r.
2 of 4 Form-D 11112

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NPDES APPLICATION - FORM D
For privately-ow ed treatment systems treating 100% domestic wastewaters <1.0 MGD
0.025 MGD with gr-ase trap, duplex submersible pump station and force main, influent
bar screen, weir inl-t flow splitter box, equalization tank with pumps, aeration basin,
clarifier with sludg- return holding tank, chlorine contact basin with tablet chlorination,
dechlorination fu •e with tal#let dichlorination.
Form-13 11112
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NPDES APPLICATION - FORM D
For privately-o ned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Informati n:
Treatment Plan Design flow 0.025 MGD
Annual Average daily florin 0.000 MGD (for the previous 3 years)
Maximum daily flow 0.005 MGD (for the previous 3 years)
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11. Is this facility located oni Indian country?
❑ Yes i No
12. Effluent Data i
NEW APPLICANTS:Prc vide data f�r the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples,for all other pc.rameters 24-hour composite sampling shall be used. If more than one analysis rs reported,
report daily maximum and monthly'average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provfde the highest single reading(Daily Maximum)and Monthly Average
over the past 36 months for par tmeters currently in your permit. Mark other parameters "N/A".
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Daily Monthly Units of
Parameter Maximum Average Measurement
Biochemical Oxygen Demand!(BODS) 18 18 mg/L
Fecal Coliformi <1 1 #/100
Total Suspended Solids j 44 44 mg/L
Temperature (Summer) 22.6 22.6 Deg C
Temperature (Winter) I N/A N/A Deg C
pH i 7.7 N/A SU
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13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
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Hazardous Waste(RCRA) NESHAPS (CAA)
UIC (SDWA) , Ocean Dumping(MPRSA)
NPDES NC0077615 Dredge or fill(Section 404 or CWA)
PSD (CAA) j Other
Non-attainment program(CAA)
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14. APPLICANT CERTIFICATION
I certify that I am familiar wits the information contained in the application and that to the best
of my knowledge and belief such information is true, complete, and accurate.
Printed name of Person Signing; Title
`2/140
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 c$r 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 mora than$25,000 pr imprisonment not more than 5 years,or both,for a similar offense.)
4of4 Form-D 11/12
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