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Home My WebLink AboutNC0029190_Fact Sheet_20190506DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808 FACT SHEET FOR EXPEDITED PERMIT RENEWALS This form must be completed by Permit Writers for all expedited permits which do not require full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc) that can be administratively renewed with minor changes, but can include facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance concerns). Basic Information for Expedited Permit Renewals Permit Writer/Date Emily DelDuco 12/19/2018 Permit Number NCO029190 Facility Name N.C. DOT / I-77 Rest Area WWTP Basin Name/Sub-basin number 03-07-03 Receiving Stream Naked Run Creek Stream Classification in Permit WS-IV Trout Does permit need Daily Max NH3 limits? N / A Does permit need TRC limits/language? No — already present Does permit have toxicity testing? Yes. All tests passed since May 2010. Does permit have Special Conditions? No Does permit have instream monitoring? Dissolved Oxygen, Temperature Is the stream impaired (on 303(d) list)? For whatparameter? No Any obvious compliance concerns? Any permit modifications since last permit? None. New expiration date 2/28/2023 Comments on Draft Permit ➢ Added HUC and stream index ➢ Added regulatory citations ➢ Updated parameter codes ➢ Updated outfall map ➢ Updated section A.(4.) DocuSign Envelope ID: 80ADOE71-C91F-44D6-90CA-49316A247808 NORTH CAROLINA SURRY COUNTY AFFIDAVIT OF PUBLICATION Before the undersigned, a Notary Public of said County and State, duly commissioned, qualified and authorized by law to administer oaths, personally appeared Sandra Hurley who being first duly sworn, deposes and says: that he (she) is Regional Publisher (Publisher or other officer or employee authorized to make affidavit) of ADAMS PUBLISHING GROUP, LLC, engaged in the publication of a newspaper known as MOUNT AIRY NEWS, published, issued, and entered as periodicals class mail in the city of Mount Airy in said County and State; that he (she) is authorized to make this affidavit and sworn statement; that the notice or other legal advertisement, a true copy of which is attached hereto, was published in MOUNT AIRY NEWS on the following dates:. i and that the said newspaper in which such notice, paper, document or legal advertisement was published was, at the time of each and every such publication, a newspaper meeting all of the requirements and qualifications of Section 1-597 of the General Statutes of North Carolina and was a qualified newspaper within the meaning of Section 1-597 of the General Statutes of North Carolina. This day of _, 2019 Signature of person making affidavit Sworn to and subscribed before me, this t( day of F40111 ZIA 12019 i Notary Public My Commission expires: January 18, 2023 FERMS W. S!MPSON . NOTARY Pt3BUG .$lJFRRY COUNT`(, N.C. CLIPPING OF LEGAL ADVERTISEMENT ATTACHED HERE Public Notice North Carolina Environment- al Management Commisslon/NPI7ES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Notice of Intent to Issue a NPDES Wastewater Permit The North Carolina Environ- mental Management Commis- sion proposes to issue a NP- DES wastewater discharge permit to the person(s) listed below. Written comments re- garding the proposed permit will be accepted until 30 days after the publish date of this notice. The Director of the NC Division of Water Resources (DWR) may hold a public hear- ing should there be a signific- ant degree of public interest. Please mail comments and/or information requests to DWR at the above address. Inter- ested persons may visit the DWR at 512 N. Salisbury Street, Raleigh, NC to review information on file. Additional information on NPDES per- mits and this notice may be found on our website: hftp:/Ideq. nc.gov/about/divi- sions/water-resources/water- resources-permits/wastewater- branch/npdes-wastewater/pub- lic-notices,or by calling (919) 707-6301. NCO029190: NC DOT requested renewal of NP- DES permit NCO029190/1-77 Surry County Rest Area. Facil- ity discharges to Naked Run/Yadkin-Pee Dee River Basin. Currently dissolved oxygen, fecal coiiform, and total residual chlorine are wa- ter quality limited. Publish: 01/20/22019 DocuSign Envelope ID: 80ADOE71-C91F-44D6-90CA-49316A247808 From: man, Jeff To: DelDuco, Emilv Cc: Hudson, Eric; Kaufman, Tammv Subject: FW: PWS comments NPDES NCO029190 Date: Thursday, March 21, 2019 5:38:06 PM Attachments: 29190draft 2018.doc 29190draft 2018.doc 29190 Expedited Fact Sheet.doc imaoeO03.pno Re: DOT 1-77 Rest Area WWTP (renewal), NC0029190, Near VA line, Surry County Emily, We concur with the permit provided the facility is operated and maintained properly, the stated effluent limits are met, and the discharge does not contravene designated water quality standards. Thank you for providing the permit for our review. Jeff H. Bryan, P.E. Assistant Regional Engineer Public Water Supply Section Department of Environmental Quality 336 776 9663 office 336 403 1092 mobile 0eff. bryan&ncdenr.gov Winston Salem Regional Office 450 W. Hanes Mill Road, Suite 300 Winston Salem, INC 27105 'Nothing Compares_. Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From: DelDuco, Emily Sent: Tuesday, March 12, 2019 2:19 PM To: Bryan, Jeff <jeff.bryan@ncdenr.gov> Subject: PWS comments NCO029190 Hi Jeff, DocuSign Envelope ID: 80ADOE71-C91F-44D6-90CA-49316A247808 NCO029190 / Surry County Rest Area is a grade II Biological WPCS facility in Surry County which discharges into Naked Run Creek, currently classified WS-IV; Tr. Please send me any comments when you are able. Please note that we're transitioning to paperless communication. As such, NPDES will no longer send the separate approval memo for PWS comments on this permit draft. The email response from you (or another PWS contact) will suffice to document the draft permit review by PWS. Thanks for your help, and let me know if you have any questions. Emily DelDuco Division of Water Resources Department of Environmental Quality 919-707-9125 emiIy.deIduco(@ncdenr.goov 'Nothing Compares, Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808 ROY COOPER NORTH CAROLINA Governor Environmental Quality MICHAEL S- REGAN Secretary LI NDA CULPEPPER Interim Director October 16, 2018 Travis Chrisawn, Engineer NC DOT Division 11 PO Box 250 North Wilkesboro, NC 28659-0250 Subject: Permit Renewal Application No. N00029190 Surry County Rest Area Surry County Dear Applicant: The Water Quality Permitting Section acknowledges the October 16, 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://deg.nc.ciov/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. ec: WQPS Laserfiche File w/application Sincerely, 'A P141 Wren Thedford Administrative Assistant Water Quality Permitting Section .xrm+caaaPaDmuvr\ � Q r /- North Carolina Department of Environmental Quality I Division of Water Resources 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919-807-6300 DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808 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 000029190 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 Travis Chrisawn Facility Name I-77 Rest Area/Welcome Center, SBL @ NCf VA line Mailing Address PO Box 250 City North Wilkesboro State / Zip Code NC / 28659 Telephone Number (336) 903-9228 Fax Number (336) 903-9239 e-mail Address twchrisawn@ncdot.gov 2. Location of facility producing discharge: Check here if same address as above ❑ Street Address or State Road I-77, SBL @ MM 105 City Lowgap State / Zip Code NC / 27024 County Surry 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 ORQ Name North Carolina Department of Transportation-_ - Mailing Address PO Box 250 City North Wilkesboro State / Zip Code NC / 28659 Telephone Number (336) 903-9229 Fax Number (336) 903-9239 e-mail Address twchrisawn@ncdot.gov 1 of 4 Form-D 6/2017 DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808 �%rFM1 �T 9 � 2t STATE OF NORTH CAROLINA DEPARTWNT OF TRANSPORTATION ROY COOPER GOVERNOR To Whom It May Concern, JAMES H. TROGDom III SECRETARY Pursuant to the renewal application process set forth by the North Carolina Department of Environmental Resources -Division of Water Resources, the North Carolina Department of Transportation requests renewal of NPDES permit NC0029190. No changes have been made at this facility subsequent to the issuance of the most recent permit. Respectfully, —`-/� — — 10-11- 18 -- --- — Travis Chrisawn Roadside Environmental Engineer MallhngAddress: Telephone: (336) 903-9101 Location: NC DEPARTMENT OF TRANSPORTATION Fax: (336) 667-4549 801 STATESVILLE ROAD DIVISION 11 Customer Service: 1-877-368-4968 NORTH WILKESBORO, NC 28659 POST OFFICE BOX 250 NORTH WILKESBORO, NC 28659 Website: wwwxcdotcov DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808 , NPDES APPLICATION - F01M 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: Rest Area Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): Public Rest Area Number of persons served: 5. Type of collection system ® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer) 6. Outfall Information: Number of separate discharge points 1 Outfall Identification number(s) 001 Is the outfall equipped with a diffuser? ❑ Yes ® No ?. Name of receiving stream(s) (NEW appiicants: Provide a map showing the exact location of each outfallr Naked Run Creek 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. • Communator - • Bar screen • Parallel clarifier • Sand filter bed (2 - alternating) • Chlorine injection system- • Chlorine contact chamber • Contact dichlorination • Step aeration 2 of 4 Form-D 612017 DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808 NPDES APPLICATION - FORM D For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD 3 of 4 Form-D 6/2017 DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION Roy COOPER GOVERNOR Subject: Sludge Management Plan JAMEs H. TROGDON, III SECRETARY Accumulated sludge at the WWTP is removed from the holding area by a licensed professional pumping service. Sludge is transported to a treatment plant operated by Town of Dobson, North Carolina where it is discharged into the municipal system. The municipal treatment facility provides a record of the discharge volume. -- Id - it- la Travis Chrisawn Roadside Environmental Engineer Mailing Address: NC DEPARTMENT OF TRANSPORTATION DIVISION 11 POST OFFICE BOX 250 NORTH WILKESBORO, NC 28659 Telephone, (336)903-9101 Fax: (336) 667-4549 Customer Service: 1-877-3684968 Website: wtvwncdoteov Location: 801 STATESVILLE ROAD NORTH WILKESBORO, NC 28659 DocuSign Envelope ID: 80ADOE71 -C91 F-44D6-90CA-49316A247808 I. NPDES APPLICATION - FORM D For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD 10. Flow Information: Treatment Plant Design flow 0.030 MGD Annual Average daily flow 0.005 MGD (for the previous 3 years) Maximum daily flow 0.016 MGD (for the previous 3 years) 11. Is this facility located on Indian country? ❑ Yes ® No 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 vast 36 months for parameters currently in uour vermit. Mark other parameters "N/A'. Parameter Daily Maximum Monthly Average Units of Measurement Biochemical Oxygen Demand (BOD5) 39 6.74 mg/L Fecal Coliform 1500 2.67 geometric mean Total Suspended Solids 46 2.07 mg/L Temperature (Summer) n/a Temperature (Winter) n/a pH 8.8 13. List all permits, construction approvals and/or applications:. Type Permit Number Type Hazardous Waste (RCRA) UIC (SDWA) NPDES PSD (CAA) Non -attainment program (CAA) NCO029190 14. APPLICANT CERTIFICATION NESHAPS (CAA) Ocean Dumping (MPRSA) Dredge or fill (Section 404 or CWA) Other Permit Number 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. - Travis Chrisawn Roadside Environmental Engineer Printed name of Person Signing Title Signature of Applicant Date - it - 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, orwho falsifies, tampers with, or knowingly renders inaccurale 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.) 4 of 4 Form-D 6/2017 DocuSign Envelope ID: 80ADOE71-C91F-44D6-90CA-49316A247808 Permit Enforcement History by Permit Permit: NC0029190 Facility: Surry County Rest Area Owner: NC DOT Division 11 Region: Winston-Salem County: Surry Penalty Remission Enforcement EMC Collection Has Assessment Penalty Enforcement Request Conference Hearing Memo Sent Payment Case Case Approved Amount Costs Damages Received Held Held To AGO Total Paid Balance Due Plan Closed LV-2001-0178 05/14/01 $1,000.00 $48.00 $0.00 06/12/01 08/29/01 $1,048.00 $0.00 No 10/26/01 LV-2001-0225 06/20/01 $4,500.00 $48.00 $0.00 07/02/01 08/29/01 $3,298.00 $0.00 No 10/26/01 LV-2002-0460 09/26/02 $250.00 $75.64 11/06/02 12/04/02 $325.64 $0.00 No 03/04/03 LV-2002-0623 12/09/02 $250.00 $76.00 12/20/02 02/05/03 $326.00 $0.00 No 02/24/04 LV-2003-0661 10/17/03 $200.00 $83.00 $283.00 $0.00 No 04/21/04 LV-2004-0068 02/02/04 $100.00 $94.00 $194.00 $0.00 No 06/18/04 LV-2004-0251 07/01/04 $1,500.00 $94.00 $1,594.00 $0.00 No 08/03/04 LV-2005-0132 03/29/05 $500.00 $94.00 $594.00 $0.00 No 04/28/05 Total Cases: 8 $8,300.00 $612.64 $7,662.64 $0.00 Total Penalties: $8,912.64 Total Penalties after $7,662.64