NC0077615_Renewal Application_20180918 (2)

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ROY COOPER ' NORTH CAROLINA
Governor Environmental Quality
MICHAEL S.REGAN
Secretmy
LINDA CULPEPPER
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.
Sincrrerely,
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Wren Thedford
Administrative Assistant
Water Quality Permitting Section
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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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} NPDES APPLICATION - FORM D
For privately-ow ed treatrt;lent systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DEIjR / Division of Water Quality / NPDES Unit
1617 Mall Service Center, Raleigh, NC 27699-1617
NPDES Permit NC0077615
If you are completing t is form in computer use the TAB key or the up— down arrows to move from one
field to the next. To ch=ck the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Informat on: 6��CE61/ED/®ENP/®VI/R
Owner Name f - c� (�(> .�,v� SEP 20��
Facility Name Origin Food Group, LLC W®tit Resources
Mailing Address PO Bpx 7621 Permitting Section
City Statesville
State / Zip Code NC 48687
Telephone Number ('W tai) 74Zr .. 'dc
Fax Number (704
e-mail Address i "�"�,?C.n 1 1 e nt•u.?.It c .e
2. Location of facili y producing discharge:
Check here if same a.dress as above ❑
Street Address or Stale Road 1 306 Stamey Farm Rd
City I
Statesville
State / Zip Code NC 28687
County
Iredell
3. Operator Inform:tion:
Name of the firm,pub/c organization or other entity that operates the facility. (Note that this is not referring
to the Operator in Res!onsible Carge or ORC)
Name Envirolink Inc
Mailing Address 4700 Homewood Ct Suite 108
City Raleigh
State / Zip Code NC 7609
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
Form-D 11/12
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iPDES APPLICATION - FORM D
For privately-o ned treatjment systems treating 100% domestic wastewaters <1.0 MOD
4. Description of w,stewater:
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Facilit. Generati _ WastevJater(check all that apply):
Industrial CI !Number of Employees .6 4,
Commercial ■ 1 Number of Employees
Residential ■ i Number of Homes
School ■ Number of Students/Staff
Other ■ )Explain:
Describe the source(si of wastevi ater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.): I
Domestic waste at 0 025 MGD manufacturing facility.
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Number of persons 'erved: .t6
5. Type of collectio system 1
® Separate (san tary sewer{only) 0 Combined (storm sewer and sanitary sewer)
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6. Outfall Informat n: !
Number of separ to dischaige points 1
1
Outfall Identiic 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
outfalls
Third Creek i
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8. Frequency of Dis harge: i 0 Continuous ® Intermittent
If intermittent:
Days per week dis harge ocdurs: 0 Duration:
There has not been a :y flow on the plant until recently. The ORC will store the wastewater in the EQ until
there is enough wast: ater to treat. Effluent flow is sampled during a discharge event.
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9. Describe the tre:tment sy tem
List all installed comp.'nents, inc uding capacities,provide design removal for BOD, TSS, nitrogen and
phosphorus. If the sp 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 tablet dichlorination.
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Form-D 11/12
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INPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information: j
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Treatment Plant Design flow 0.025 MGD
Annual Average daily flodv 0.000 MGD (for the previous 3 years)
Maximum daily flow 0.045 MGD (for the previous 3 years)
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11. Is this facility located ons Indian country?
❑ Yes i® No
12. Effluent Data
NEW APPLICANTS:Provide data fr the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 2 -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: Prov)de the highest single reading(Daily Maximum)and Monthly Average
over the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Daily Monthly Units of
Parameter Maximum Average Measurement
Biochemical Oxygen Demand!(BODS) 18 18 mg/L
Fecal Coliform ! <1 1 #/100
Total Suspended Solids j 44 44 mg/L
Temperature (Summer) I 22.6 22.6 Deg C
Temperature (Winter) I N/A N/A Deg C
pH ; 7.7 N/A SU
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13. List all permits, construction approvals and/or applications:
Type Pe#mit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS(CAA)
UIC (SDWA)
Ocean Dumping(MPRSA)
NPDES NC0077615 Dredge or fill(Section 404 or CWA)
PSD (CAA) I Other
Non-attainment program(CAA)
14. APPLICANT CERTIFICATION
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I certify that I am familiar with the information contained in the application and that to the best
of my knowledge and belief sdch information is true, complete, and accurate.
Printed name of Person Signing Title
Signature of Applicant '--- Date
North Carolina General Statute 143-215.6(bp) states: Any person who knowingly makes any false statement representation, or certification in any
application,record,report,plan or other docurnent 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 $r regulations of the Environmental Management Commission implementing that Article,shall be guilty of a
misdemeanor punishable by a f ne 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$25,0001or imprisonment not more than 5 years,or both,for a similar offense.)
4of4 Form-D 11/12