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Home My WebLink AboutWQ0029894_Renewal (Application)_20190813DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources WATER QUALITY REGIONAL OPERATIONS SECTION NON -DISCHARGE APPLICATION REVIEW REQUEST FORM August 13, 2019 To: WaRO-WQROS: David May / Robert Tankard From: Tessa Monday, Water Quality Permitting Section - Non -Discharge Branch Permit Number: WQ0029894 Applicant: Camden County Owner Type: County Facility Name: Camden County WWTP Signature Authority: David Creedle Address: PO Box 190, Camden, NC 27921 Fee Category: Non -Discharge Major Comments/Other Information: r -16'�$3 �Oet Qvd/ %9 0117 � e9i 9 Pip bio Permit Type: Re�eied Water ce Project Type: Renewal Owner in BIMS? Yes Facility in BIMS? Yes Title: Public Works Manager County: Camden Fee Amount: $0 -Renewal Attached, you will find all information submitted in support of the above -referenced application for your review, comment, and/or action. Within 45 calendar days, please take the following actions: ® Return this form completed. ® Return a completed staff report. ❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B Certification. When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and return it to the appropriate Central Office Water Quality Permitting Section contact person listed above. RO-WQROS Reviewer: Date: FORM: WQROSNDARR 09-15 Page 1 of 1 ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPER Director NORTH CAROLINA Environmental Quality August 13, 2019 DAVID CREEDLE — PUBLIC WORKS MANAGER CAMDEN COUNTY PO Box 190 CAMDEN, NORTH CAROLINA 27921 Subject: Acknowledgement of Application No. WQ0029894 Camden County WWTP Reclaimed Water System Camden County Dear Mr. Creedle: The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on August 13, 2019. Your application package has been assigned the number listed above, and the primary reviewer is Tessa Monday. Central and Regional Office staff will perform a detailed review of the provided application, and may contact you with a request for additional information. To ensure maximum efficiency in processing permit applications, the Division of Water Resources requests your assistance in providing a timely and complete response to any additional information requests. Please note that processing standard review permit applications may take as long as 60 to 90 days after receipt of a complete application. If you have any questions, please contact Tessa Monday at (919) 707-3660 or tessa.monday@ncdenr.gov. Sincerely, Nathaniel D. Thornburg, Supervisor Division of Water Resources cc: Washington Regional Office, Water Quality Regional Operations Section Permit File WQ0029894 D E Q�� North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617 a � �� 919.707.9000 DWR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE SYSTEM RENEWAL FORM: NDSR 02-19 This form is for renewal without modification for all non -discharge system permits, except Residuals Management and Single - Family Residence Wastewater Irrigation System permits. For more information, visit the Water Quality Permitting Section's Non -Discharge Branch. I. PERMITTEE INFORMATION: 1. Permittee: Camden County 2. Signature authority's name: David Credle per 15A NCAC 02T .0106(b) Title: Public Works Mana¢er Primary Telephone number: 252 207-6874 Select Secondary number: 25 _"`�ffirup Email Address: dcredle na.camdencount cc.gov RECEIVED 3. Permittee's mailing address: PO Box 190 NCDEQ/DWR City: Camden State: NC Zip: 27921- 13 AUG 2010 4. Billing address (if different from above): City: State: Zip: - Non -Discharge e 5. Contact person's name (if different from signature authority): Tony Conant Ti e: WastA8nwrUnit Primary Telephone number: 252 722-1109 Select Secondary number: Email Address: tconantOcamdencountync.gov H. PERMIT INFORMATION: 1. Existing permit number: WQ0029894 2. Has the facility been constructed? ® Yes or ❑ No If yes, has the facility been constructed in accordance with the permit and the Division -approved plans and specifications? [15A NCAC 02T.01 10 ® Yes or ❑ No If no, a formal permit modification request shall be submitted to the Division. 3. Has any of the property ownership within the facility and/or disposal area changed from what is indicated in the current permit (Attachment B — disposal field owner/lessee)? ❑ Yes or ® No Has the Permittee had a name change or has the permit changed ownership? ❑ Yes or ® No If yes to either, a permit modification request shall be submitted to the Division. [ 15A NCAC 02T .01051 4. Is this facility a Privately -Owned Public Utility? ❑ Yes or ®No If yes, provide two copies of the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the non - discharge system. [15A NCAC 02T .0115(a)(1)j 5. Is the Permittee a Home/Property Owners' Associations or Developers of lots to be sold? ❑ Yes or ® No If yes, provide the following: • For Home/Property Owners' Associations — Operational Agreement (FORM: HOA) and a copy of the proposed or approved Articles of Incorporation, Declarations, and By-laws [ 15A NCAC 02T.01 15(c)] • For Developers of lots to be sold —Operational A ement FORM: DEV) [15A NCAC 02T.01 15(b) FORM: NDSB 02-19 Page 1 of 1 DWR Dlvlsfon of Water Resources III. SITE MAP: State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE SYSTEM RENEWAL FORM: NDSR 02-19 1. Provide an updated site map in accordance with 15A NCAC 02T .0105(d) that shows the following: The site map is not required to be signed or sealed by a Professional Engineer. However, the map must indicate the source of information. For example, parcel lines taken from a county GIS map should reference the GIS website. ❑ Legend, north arrow, scale, and legible in black and white ❑ Topographic contour intervals not exceeding 10 feet or 25 percent of total site relief ❑ Soil mapping units on all disposal sites ❑ All facility -related structures and fences within the treatment, storage, and disposal areas ❑ All habitable residences and places of assembly within 500 feet of all treatment, storage, and irrigations sites ❑ Location of all wells, streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, ditches, and other surface drainage features within 500 feet of all waste treatment, storage, and disposal site(s) ❑ Location and identification of each monitoring well (identify any background/upgradient wells) ❑ Latitude and longitude coordinates of all monitoring wells (decimal degrees to 6 digits) ❑ Location and identification of major components of the waste disposal system ❑ The wetted perimeter of all irrigation fields with field names (named according to the approved permit) ❑ Location and ownership of property boundaries within 500 feet of the disposal area (including road/rail right-of-ways) ❑ The delineation of compliance and review boundaries ❑ Distance measurements verifying all setbacks are being met ❑ Stormwater drainage controls ❑ 100 -year floodplain (if applicable) ❑ For reclaimed water generation permits only, provide a separate map showing all distribution lines and utilization permit locations that are connected to the water generation facility and are permitted by the Non -Discharge Branch (excludes Local Program permitted facilities). Include all reclaimed water distribution line and reclaimed water utilization permit numbers. IV. SETBACK WAIVERS, EASEMENTS, AND LEASES: 1. Does the permit have any setback waivers, easements, or leases? ❑ Yes or ® No If yes, provide copies of all documents and complete the table below: Document Type Grantor or Parcel No. Grantee Expiration Date County Registered Deed Book Deed Page Document 1 Description Select Select Select Select Select Select Select Selec Select Select Select The document description shall list any reduced setbacks with distance, etc. FORM: NDSR 02-19 Page 2 of 2 DWR Division of Water Resources V. RELATED PERMITS State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE SYSTEM RENEWAL FORM: NDSR 02-19 1. If this permit has interactions with other wastewater permits (collection systems, NPDES, etc.), complete the table below (provide additional pages if necessary): I Permit Type I Permit No. I Deserintion NCDEQ/DWR 13 AUG 2019 Applicant's Certification per 15A NCAC 02T .0106(b): O" d C •<<��c Non -Discharge y I, ,attest that this renewal application has been reviewed by me, aLdischarZr#AMit4W*CUA"rs ccu�te and, com ete the best o m knowledge. I understand that any unauthorized discharge of wastewater from this no or the and may result in an enforcement action that may include civil penalties, injunctive relief, and/or crimina prosecu ton. w e no claim against the Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed, this application may be returned to me as incomplete. I further certify that the Applicant or any parent, subsidiary, or other affiliate of the Applicant has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active compliance schedule, and does not have any overdue annual fees. NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an alternate person maybe designated as the signing official if a delegation letter is provided from a person who meets thecriteriain 15A NCAC 02T .0106(b) Signature:C ,\-�tfL / CA C C, . Date: THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NON -DISCHARGE BRANCH By U.S. Postal Service: By Courier: By Email: Non -Discharge Branch Non -Discharge Branch — Archdale 640D Non-Discharge.Reportslg�ncdenr.gov 1617 Mail Service Center 512 N. Salisbury St. Raleigh, NC 27699-1617 Raleigh, NC 27604 TELEPHONE NUMBER: (919) 707-3654 FORM: NDSR 02-19 Page 3 of 3 UNE RECEIVED NCDEQIDa47R 13 AUG 2010 ' t � DATE 1�VA l x"'11` • I V1. \ ` L s� -ilY Yi.Y Y-, ),,.. L t L8 y::,��rn ' :<.'»S>f' • .Ly `= jrY k:Y 1i15•: M.A Ti} sett A' -t •Ipt tJ"'(:# T' 4-. 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