NC0088935_Renewal (Application)_20190708

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975 Gull Rock Rd
Engelhard, NC 27824
Sludge Management Plan
While processing our oysters,we have a big five-gallon bucket with a strainer attached at the top to hold
any shells or debris that may come from the oysters. Also,there is a hole in the five-gallon bucket so
when the water fills up to a certain point,the access water is filtered before it goes out to the stream.
Thomas Tsiaras

NPDES PERMIT APPLICATION -SHORT FORM C-Seafood
This form should be completed by seafood processing facilities and mailed to:
NC DEQ/DWR I NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
NPDES Permit Number NCOO8`3GtE5
Please print or type
1. Contact Information:
Facility Name C aco\%na,5 BeS-- 5C O Fwd , L L-C
Owner Name Tt\Oma5 1 i O r 5
Street Address
q1-5 CCU 1\ AMC. 191d.
City -Cr)get Imrci
State/Zip Code MCI I aga,U.
Telephone Number (9 5 (A 4-5 01+.
Fax Number ( )
E-mail Address -MOMS 163fsi o.rcisp 3irnm 1 Corn
Operator Name --Thomas "r51 ci ois
Street Address
City
State/Zip Code
County
Telephone Number ( )
2. Location of facility producing discharge:
Check here if same as above❑✓
•
Facility Name(If different from above)
Street Address or State Road
City
State/Zip Code
County
3. Ownership Status:
Federal ❑ State ❑ Private Public 0
4. Standard Industrial Classification(SIC)code(s):
Canned/Cured Fish&Seafood(2091) ❑
Prepared Fresh or Frozen Fish&Seafood(2092),[✓r
5. Do you process seafood and/or pack seafood?(if you only pack seafood,you maybe eligible for coverage under
a general permit-please call the NPDES Unit at 919-807-6300):
Process 0 Pack Only 0 Process and Pack Er
6. Facility Operations and Associated Federal Regulations: (check all that apply)
Page 1 of 4 C-Seafood-06117

NPDES PERMIT APPLICATION -SHORT FORM C-Seafood
,Product" ' ` §40CFR 408' ' ,Check ' , ' Outfali e
° , ° "'Subpart ,-if Applicable ; Number(s)
Breaded Shrimp Processing M
Non-Breaded Shrimp Processing L
Manually Processed Blue Crab B v
Mechanically Processed Blue Crab C
Hand Shucked Clam Processing W
Mechanically Shucked Clam Processing X
Scallop Processing AD
Fish Meal Processing 0
Manually Processed Bottom-Fish U
Mechanically Processed Bottom-Fish V
Hand-Shucked Oyster Processing Z ✓
Mechanically Shucked Oyster Processing AA ✓
Other(Specify)
Other(Specify)
7. Production Information:
Outfall-00= • I A-A- , . ° Production Report
(Type of Seafood] b ors . , —(Report gross weight of product prior to processing.
Exception:for oysters and scallops report product weight after processing.)
Processed:Maximum Pounds in 6 O O `�5 (pounds)
a Single Day
Processed:Average of Daily �a� (pounds per day)
Values in 30 Consecutive Days Y�
If discharge occurs
all year,check here NJ or list the month(s)in which discharge occurs:
Number of days per Comments:
''II--
week discharge occurs: T^IP 'Deperld\41 On taJ0►► ibl111y U� o ia-
Outfall 00` ° ° :,. Production Report
(Typ'e aof Seafood] `l3\tA�CrC11'J (Report gross weight of product prior to processing. °
Exception'for oysters and scallops report product weight after processing.) •
Processed: Maximum Pounds in (pounds)
a Single Day CUYvenily no-t" processi Inc
Processed:Average of Daily J (pounds per day)
Values in 30 Consecutive Days
If discharge occurs
all year,check here ❑ or list the month(s)in which discharge occurs:
Number of days per Comments:
week discharge occurs:
'Outfit!-00 .` o Production Report
(Type`of Seafood] (Report gross weight of product prior to processing.
Exception:for oysters and Scallops-report product weight after processing.) .-°
Processed:Maximum Pounds in (pounds)
a Single Day
Processed:Average of Daily (pounds per day)
Values in 30 Consecutive Days
If discharge occurs
all year,check here ❑ or list the month(s)in which discharge occurs:
Number of days per Comments:
week discharge occurs:
To list additional outfalls, duplicate this page and correct outfall number(s).
NOTE:If the facility has separate discharge points(outfalls)or multiple industrial processes,
include a schematic diagram of wastewater flow at the facility.
8. Types of wastewater discharged to surface waters only: •
Page 2 of 4 C-Seafood-06117

NPDES PERMIT APPLICATION -SHORT FORM C-Seafood
Type Average Flow
(GALLONS PER OPERATING MONTH)
Sanitary Sewer-monthly average ..CAS90
Cooling Water-monthly average 2500
Process Water-monthly average 500
Packing Water—monthly average 00°
Other—(Please Specify)
9. Number of employees: (0
2. Number of separate discharge points:
9. Name of receiving stream(s)(Provide a map showing the exact location of each ouffall)
10. List all permits,construction approvals and/or applications(check all that apply and provide permit numbers or
check none if not applicable):
Type Permit Number Type Permit Number
❑ None ❑ Non-Attainment
0 UIC ❑ Ocean Dumping
[ir NPDES 0 G 00 va°i35 0 Dredge/Fill Permits
❑ PSD ❑ RCRA
❑ NESHAPS ❑ Other
13. Are any of the following substances added as a result of your operations,activities,or processes?
(Check all that apply):
Biocides for Algal Control 0 Chlorine/Bleach 0 Other(please specify below) ❑
Page 3 of 4 C-Seafood-06/17

NPDES PERMIT APPLICATION -SHORT FORM C-Seafood
14. Application Supplement-Conventional Pollutant Analyses [under§40CFR 122.21].Show this list to your North
Carolina-certified laboratory.
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.
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5)
Chemical Oxygen Demand(COD)
Total Organic Carbon
Total Suspended Solids RI-.4 I b5 I ,5 I b.
Ammonia as N
Temperature(Summer)
Temperature(Winter)
pH i Q),6 t.P Q7"(6.5
15. Is this facility located on Native American lands?(check one)
YES❑ NO E '
16. Treatment Components-Provide a narrative description of installed wastewater treatment components at
the facility. Include sizes&capacities for each component
t have a 5 9Qllon bucKe+ 1,0h-hn a s-ifaIn r vn -1h-e +op hold
Amy 6h0,15 oy dek t -Rum fine oysers, - - re is also C. whole i n -The
oo toomei-,
6 0 Wh�h �v►-6 water -E\ \s vp -►-O cer--kiln ppoint -t^ne access
-F, ke -cd toe-Fore I� 9oes
17. 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.
•
-homas "Maras ova to
Printed name of Person Signing Title
- a f,
Signature of Applicant or Authorized Agent 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 4 of 4 C-Seafood-06/17

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