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RO1.7 COOPER NORTH CAROLINA
Gore,nor Environmental Quality
MICHAEL S_REGAN
Secretory
LINDA CULPEPPER
Interim Director
January 08, 2019
Maryjane, Kurlander
K B I LLC Kurlander Boggs Investments LLC
Silver Maples Community
2812 Plantation Rd
Subject: Permit Renewal
Application No. NC0047091
Silver Maples Community
Cabarrus County
Dear Applicant:
The Water Quality Permitting Section acknowledges the December 21, 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.
Sincerely,
,i Ii
Wren Thedford ,
Administrative Assistant
Water Quality Permitting Section
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
NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
NC DEQ / DWR / NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit NC00q)c1
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 �f L Liz
Facility Name (3r l Yec MaitVeAg Mb 6;/4 4,9,71a-leS
Mailing Address g/a j .,��n
City LIO/Jet,
State / Zip Code 11/C 00T340 2 7
Telephone Number (' 7156 - 55 7_ ,
Fax Number (70 4 63 9 44.5-
e-mail Address s lvea-m, ,,l 01,13 - &ni
2. Location of facility producing discharge:
Check here if same address as above ®'
Street Address or State Road ECEIVED!PENiR/DWR
City DEC 21 2018
State / Zip Code Water Resourrps
County Permitting Section
3. 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)
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Name e.A bl�✓oti ,_:T.
Mailing Address /MO 6060d hurs f
City g9r) i..
State / Zip Code +� 2.E3 116
Telephone Number (01 � - , 4" 5-
Fax Number ( )
e-mail Address dM dwelt-erg) sot CCni
I of 3 Form-D 6/2017
NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential [ Number of Homes
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.): me j„; e. Horn . Per a/
Number of persons served: 3 5O
5. Tye of collection system
[Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points l
Outfall Identification number(s)
Is the outfall equipped with a diffuser? ❑ Yes [r No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
ocJ 4 ver - map allacAeat
--
8. Frequency of Discharge: Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs_ Duration:
9. 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.
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2 of 3 EN/in 61fOliki �e./(1.,9 reIn en 7L Form-D 6/2017
NPDES APPLICATION - PO •<M D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MOD
10. Flow Information:
Treatment Plant Design flow °'�0®MOD
Annual Average daily flow .® MGD (for the previous 3 years) m e ‘,
WO Maximum daily flow , °g1+ MOD (for the previous 3 yea .!. °`-�° °°te.' an
conicatbn
11. Is this facility located on Indian country?
❑ Yes Rio
12. Effluent Data
NEW APPLICANTS: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.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: Provide the highest single reading(Daily Maximum)and Monthly Average over
the past 36 months for parameters currently in youJpenn.it. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) age '710
Fecal Coliform
-- - Z per ®gym)
Total Suspended Solids * "A:i '• 54 MA/4:-.-Q-
Temperaturee (Summer) _20r
Temperature (Winter) 1 1
pH "--24-4s ------ l
Sian:57°
IS
13. 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 . /Dredge or fill(Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. 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.
i&V-a:1/4.F -01,1-\ i (oAc.C. :-Lr- ...._. .---Re9e5-\-- MUCiC,f/
Printed name ofrson Sig 'rig Title
'1 dL—
Mufeavt
I — ( 7 1
Signature o plicant Date
North Carolina G eral Statute 14 5.6 (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 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.)
3 of 3 Form-D 6/2017
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Silver Maples
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2812 Plantatil Re ad
Concord, North Caro Dina 2 O27
704-786-5577/704-788-8945 Fax Number
Sludge
When in the ORC's determination, solids leading has reached it's
peak and sludge thickening capabilities have been exhausted, a
third party "pump and haul" contractor is retained to collect and
haul excess solids to ultimate disposal. Screenings such as
grease, are also collected and disposed of in the same manner.
We routinely retain L and L Environmental for these services.
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