NC0075523_Fact Sheet_20190617

DocuSign Envelope ID: 20ClED63-B99B-42CO-85EC-97D417703510
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 03/04/2019
Permit Number
NCO075523
Facility Name
RDH Tire & Retread
Basin Name/Sub-basin number
Yadkin — Pee Dee 03-07-06
Receiving Stream
UT to Beaverdam Creek
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
No, already included
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Biocide condition; High Rock Lake reopener
Does permit have instream monitoring?
Temperature
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
No
Any permit mods since last permit?
No
New expiration date
March 31, 2024
Compliance History
No compliance concerns. No violations or enforcements this permit cycle.
eDMR summary 3/2014 — 3/2019
Analysis Variable: Value
Parameter Mean
00010 - Temperature, Water Deg. Centigrade 28.95
�00400 - pH -
�00556 - Oil & Grease 5.97
I50050 - Flow, in conduit or thru treatment plant 1.9047619E-6
�QD530 - Solids, Total Suspended - Quantity Daily 6.52
Min Maxj N
8.70
50.70
21
6.69
8.83
21
0
11.50
21
0
2E-6
21
0
30.00
21

DocuSign Envelope ID: 20C1 ED63-B99B-42C0-85EC-97D417703510
SahsburyIPost Publisher's Affidavit of Publication
STATE OF NORTH CAROLINA
No.762144
ROWAN COUNTY
Public Notice
Before the undersigned, a Notary Public of said county and
North Carolina Environmental
state, dui commissioned, qualified, and authorized b law
Y q Y
Management Commission/
NPDES Unit
to administer oaths, personally appeared WINFRED MEN-
1617 Maii Service Center
TION, who being first duly sworn, deposes and says that
Raleigh, NC 27699.1617
he is ADVERTISING OPERATIONS MANAGER of the SALIS-
Notice of Intent to Issue a
BURY POST, published, issued and entered as second class
NPDES Wastewater Permit
mail in the city of Salisbury, in Rowan County, North Caro-
The North Carolina Environmental
llna, that he is authorized to make this affidavit and sworn
Management Commission propos-
statement, that the notice or other legal advertisement, a
es to issue a NPDES wastewater
discharge permit to the person(s)
true copy of which was attached hereto, was published in
listed below. Written comments re-
the SALISBURY POST, on the following dates:
garding the proposed permit will
be accepted until 30 days after
the publish date of this notice. The
03121i19
Director of the NC Division of Wa-
ter Resources (DWR) may hold a
public hearing should there be a
significant degree of public inter-
est. Please mail comments and/
and that the said newspaper in which such notice, paper
or informatlon requests to DWR
document or legal advertisement was published at the time
at the above address. Interested
persons may visit the DWR at 512
of each and every such publication, a newspaper meeting
N. Salisbury Street, Raleigh, NC
all the requirements and qualifications of Section 1-597 of
treview information N file. -
tional information on NPDES per -
pe
the General Statutes of North Carolina, and was a qualified
mits and this notice may be found
newspaper within the meaning of Section 1-597 of the Gen-
on our webons haterdesQurces
eral Statutes of North Carolina,
�t]vut/divisionslwat�r-resources/
ester-resources-permits/waste_
water-branch/npdes-wastewater/
public -notices, or by calling (919)
707-3601. NCO075523: RDH Tire
At a cost of $114.27
and Retread Company requested
renewal of permit for its facility
Account #: 23483
in Rowan County; this permitted
Tagline: SP: Not. of Intent W
discharge is contact cooling water
and air compressor condensate to
Purchase Order #:
an unnamed tributary to Beaver -
dam Creek in the Yadkin -Pee Dee
5
River Basin. Currently total residu-
al chlorine is water quality limited.
Publish 03/21/19
(signature of person making affidavit)
Sworn and subscribed before me on 03/21/19.
Notary Public
My commission expires 05/02/2021

DocuSign Envelope ID: 20ClED63-B99B-42CO-85EC-97D417703510
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Drreclar
Gary Earnhardt, General Manager
RDH Tire & Retread
PO Box 187
Cleveland, NC 27013-0187
Subject: Permit Renewal
Application No. N00075523
RDH Tire & Retread
Rowan County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
January 22, 2019
The Water Quality Permitting Section acknowledges the January 18, 2019 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.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,
��
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
QZr� North Csrofina D_partrn_nt of Ena:ronmental Qualstu I DiV,sbn of Water Resources
,D-E?AwresvMe Reg;bn l Offsra I S10 East Center Avenue, Suite 3011 MooresvX--, North Carolina 28115
v.�nner_�er,�

1/16/2019
Mr Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr Thedford,
RECEIVEDIDENR/DWR
The discharge permit number NC 0075523 for RDH Tire & Retread Company will expire
on March 31, 2019.
Enclosed please find the application to renew the permit. We have not had any changes
in the facility operation since issuance of the last permit. Because we do not generate
sludge, we do not have a sludge management plan. We respectfully request that you
renew this permit.
If I can be of any assistance, please call me at 704-278-9621.
Sincerely,
Gary Earnhardt
Manager
RDH Tire & Retread Company
Enclosure
JAN 18 Z019
Water Ronsources
Permitting Section

DocuSign Envelope ID: 20ClED63-B99B-42CO-85EC-97D417703510
NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
Mail the complete application to:
NC DEQ / Division of Water Resources / NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NC00 -75"s ,23
Please print or type.
1. Contact Information:
Owner Name 75,eRA L & X AA &-A Xt / 5007-F RAC AAl
Facility Name H �/Q /7E: q R zFEA c A A eQMAAA V
Mailing Address OK ' S 7
City Z_ ! A ti A
State / Zip Code Azr 2 7 c> / 3
Telephone Number :20 4- 9 /o 2 t
Fax Number 76 Lf _ a .7 ,zg'- 7 o 4
e-mail Address _ _ l_ -a - /-� / I- I -� A I I -..11
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road
i`r ry /K4� i).i ' -xj
city a,Gr_ 1L A A/ ,A
State / Zip Code �l C70 / -3
County Al
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORQ
Name o % , E 9L ,;J,-- I A4:ZA A / O /
Mailing Address :�VO �60X / c3 -7
City
State / Zip Code
Telephone Number
Fax Number
4. Ownership Status:
Federal ❑
el,LG--/J /_141( I'd
_Z 70 L _3
70c(— 7i `—!q62
70`(- 3-22-- / 709
State ❑ Private V Public ❑
Page 1 of 5 C-MI 6/17

DocuSign Envelope ID: 20ClED63-B99B-42CO-85EC-97D417703510
NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
5. Standard Industrial Classification (SIC) code(s): 30/ /
6. Number of employees---—,4y
?. Describe the treatment system List all installed waste treatment components with capacities,
describe the processes that generate wastewaters. ythe space provided is not suffccient attach a
separate sheet of paper with the system description
STEAM D 7F DF A& l LEAs * ett lzl N is C/fArn'(I c- S
8. Is facility covered under federal effluent limitation guidelines? No ET/ Yes ❑
If yes, specify the category?
9. Principal product(s) produced: c �F�
Principal raw material(s) consumed: /S t'Aae-4
Briefly describe the manufacturing process(es):
Page 2 of 5
C-MI 6/17

DocuSign Envelope ID: 20ClED63-B99B-42CO-85EC-97D417703510
NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
10. Amount of principal product produced or raw material consumed
(List speciftc amounts consumed and/or units of production over the last three _years)
Product Produced or Raw Material
Consumed
AVERAGE
Product Produced or Raw Material
Consumed
PEAK
per Day
per Month
C)
per Year
170U .3S
D oc mS
11. Frequency of discharge: Continuous ❑
If intermittent:
Days per week discharge occurs:
Intermittent L1
Duration:
12. Types of wastewater discharged to surface waters only
Discharge
Flow
(GALLONS PER DAY
Sanitary - monthly average
Utility water, etc. - monthly average
Process water - monthly average
I Q SSA l
Stormwater - monthly average
Other - monthly average
Explain:
Monthly Average
total discharge (all types)
L
13. Number of separate discharge points: fA Outfall Identification number(s)
14. Name of receiving stream(s) (Provide a map showing the exact location of
latitude and longitude):
.<�A 1,-,Q ZJAzA (6k V c-&
outfall, including
Page 3 of 5 C-MI 6/17

DocuSign Envelope ID: 20ClED63-B99B-42CO-85EC-97D417703510
NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
15. Effluent Data [for new or proposed discharges]
Provide data for the parameters listed. 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.
NOTE: Permittees requesting renewal should complete the table ONLY for the parameters
currentlu monitored. Summarize the past 3 mears of effluent data.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
—,
Chemical Oxygen Demand (COD)
Total Organic Carbon
—,
Total Suspended Solids
Ammonia as N
Temperature (Summer)
Temperature (Winter)
pH
—�
Fecal Coliform (If sanitary waste is
present)
—
Total Residual Chlorine (if chlorine is
used)
16. List all permits, construction approvals and/or applications (check all that apply and provide permit
numbers or check none if not applicableft
Type Permit Number Type Permit Number
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
17. List any chemicals that may be discharged (Please list and explain source and potential
amounts.)
Page 4 of 5 C-MI 6/17

DocuSign Envelope ID: 20ClED63-B99B-42CO-85EC-97D417703510
NPDES PERMIT APPLICATION - SHORT FORM C - Minor Industrial
Minor industrial, manufacturing and commercial facilities.
18. Is this facility located on Indian country? (check one)
Yes ❑ No 12
19. ,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.
6A-AY ���N HA;�-,A i CAM A
Printed name of Person Signing Title
9"I /6 - / 9
Signature of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) provides that: 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.)
Page 5 of 5 C-MI 6117

DocuSign Envelope ID: 20C1 ED63-13996-42C0-85EC-97D417703510
From:
Scheller, Roberto
To:
DelDuco, Emilv
Subject:
RE: Permit draft initiated - NCO075523
Date:
Monday, March 11, 2019 3:57:42 PM
Attachments:
imaoe001.Dna
No concerns on this permit
Roberto L. Scheller
NC Dept. of Environmental Quality
Division of Water Resources
Water Quality Regional Operations Section
610 E. Center Ave., Sute 301
Mooresville, NC 28115
Ph:704-235-2204 Fax:[phone]
From: DelDuco, Emily
Sent: Monday, March 04, 2019 3:40 PM
To: Scheller, Roberto <[e-mail]>
Cc: Basinger, Corey <[e-mail]>
Subject: Permit draft initiated - NCO075523
Hi Roberto,
Good afternoon. I am reaching out to let you know that I've begun drafting the renewal for
NC0075523/ RDH Tire and Retread in Rowan County. Please let me know if you have any concerns or
recommendations for the renewal process. I'll send the draft your way once it is finished.
Thanks,
Emily DelDuco
Division of Water Resources
Department of Environmental Quality
919-707-9125
[e-mail]
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.