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APPLICATION FOR SERVICES
IF THE INFORMATION IN THE APPLICATION FOR AN IMPROVEMENT PERMIT IS fNCORRECT, FALSiFIEDs
CHANGED OR TNE SITE IS ALTERED, THEN THE IMPROVEMENT PERMIT AND AUTNORIZATION TO
CONSTRUCT SHAL.L BECOME INVAL(D.
1) Permit requested by: (OwnerlagenUprospective owner): Steven ConnerlRoxboro Steam Electric Plant
Home Phone: (336) 597-6292 Address: 1700 Dunnawav Road
Business Phone: (336) 597-6292 Semora, NC 27343
2� Name and address of current owner: Cecil E. Row(and Plant Manager/ Roxboro Steam Electric Piant
1700 Dunnawav Road
Semora NC 27343
3) Property Description: Lot size: Township: Subdivision: Lot #
Directions to the property (Including road names and numbers): North on NC 57. Turn riQht onia Concord Ceffo
Road Turn left onto McG_gees Mill Road Left onto Dunnawav Road. Plant is at the end of Dunnawav Road.
4) Proposed Use and Structure Description: answer each of the following questions:
a) Proposed X, Existing _, Type of Structure:Wastewater Treatment Facility Width: Depth:
b) Number of Bedrooms: NA Number of occupants or people to be served: 2
c} Basement: Yes , No X Will there be plumbing in the basement? NA
d) Garbage Disposal: Yes _, No X
5) Water Supply Type: Private X(new X or existing�, Public_, Community_, Spring _
Are any wells on adjoining property? Yes_ No _ If yes, please indicate approximate location on the
site plan. There are na nearby wells.
6) Does your property contain previously identified jurisdictional wetlands? Yes_ No X Not in fhe area of
this facility
PLEASE NOTE THE F�LLOWtNG:
i A PLAT OF THE PROPERTY OR SITE PLAN MUS7 BE SUBMITTEO WITH THIS APPLICATION.
➢ PROPERTY IINES AND CORNERS MUST BE CLEARLY MARKED.
➢ THE PROPOSED LOCATION OF ALL STRUCTURES MUST BE STAKED OR FLAGGED.
? THE SITE MUST BE READILY ACCESSIBLE FOR AN EVALUATION BY THE HEALTH DEPARTMENT
STAFF.
I hereby make application to the Person County Health Department for a site evaluation for the on-site sewage disposal
system for the above-described property. I agree that the contents of this application are true and represent the maximum
facilities to be placed on the property. I understand if the site is aftered or the intended use changes, the permit shall
become invalid. `
� ��� ��o�
-� Owner or Legal Representative Date
PCND, rev. 06127102
a�-3
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� NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Coleen H. Sullins
Director
April 14, 2010
Mr. Harry Sideris, Plant Manager
Progress Energy Carolinas, Inc., Roxboro Steam Plant
1700 Dunnaway Road
Semora, North Carolina 27343
Dear Mr. Sideras:
Dee Freeman
Secretary
SUBJECT: Authorization to Construct
A to C No. 003425A07
Progress Energy Carolinas, Inc.
Roxboro Steam Plant
Alum Treatment Delivery System
Person County
A letter of request for Authorization to Construct was received March 31, 2010, by the
Division, and final plans and specifications for the subject project have been reviewed and found
to be satisfactory. Authorization is hereby granted for the construction of modifications to the
existing Roxboro Steam Plant FGD Wastewater System, with discharge of treated effluent from
the FGD Wastewater Treatment System (Internal Outfa11010) into the Ash Pond Discharge
Canal (Internal Outfall 002), which discharges to the Heated Water Discharge Canal, which
discharges to Hyco Lake (Outfall 003) in the Roanoke River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
A 275 gallon Alum chemical storage tank with feed pump and delivery system
into the Ash Basin or Discharge Canal (prior to Internal Outfa11002), in
conformity with the project plans, specifications, and other supporting data
subsequently filed and approved by the Department of Environment and Natural
Resources.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NC0003425 issued Apri19, 2007, and shall be subject to revocation unless
the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0003425.
1617 Mail Service Center, Ralegh, North Carolina 27699-1617 One
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604 NOl'C�1CaT011lla
Phone: 919�07-6300 \ FAX: 919-807-64921 Customer Service:l-877�23-6748
Internet: www.ncwaterquality.org �aturallr�
An Equal Opportunity 1 AffirmaGve Action Employer
Mr. Harry Sideris, Plant Manager
April 14, 2010
Page 2
�; r '-� .
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The sludge generated from these treatment facilities must be disposed of in accordance
with G.S. 143-215.1 and in a manner approved by the Division.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may
be required by the Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Raleigh Regional Office, telephone number (919) 791-4200, shall be notified at least
forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. unti15:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of this pertnitted facility, a
certification must be received from a professional engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit, this Authorization to Construct and the
approved plans and specifications. Mail the Certification to: Construction Grants & Loans,
DWQ/DENR, 1633 Mail Service Center, Raleigh, NC 27699-1633.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at
least equivalent to or greater than the classification assigned to the wastewater treatment
facilities by the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of TI SA:8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance
with the North Carolina Sedimentation Pollution Control Act, and when applicable, the North
Mr. Harry Sideris, Plant Manager
April 14, 2010
Page 3
Carolina Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division in accordance with North
Carolina General Statute 143-215.6A to 143-215.6C.
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have
any questions or need additional information, please contact Seth Robertson, P.E. at telephone
number (919) 715-6206.
Sincerely,
'���%'l � ./� %� �
Coleen H. Sullins
kp:sr
cc: Leigh Anne Casavant, P.E. — Progress Energy, 7001 Pinecrest Road, Raleigh, NC 27612
Person County Health Department
DWQ Raleigh Regional Office, Surface Water Protection
DWQ, Technical Assistance and Certification Unit
DWQ, Point Source Branch, NPDES Program
Ken Pohlig, P.E.
ATC File # 003425A07
Progress Energy Carolinas, Inc.
Roxboro Steam Station
A To C No. 003425A07
Issued April 14, 2010
Engineer's Certification
I, , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically/weekly/full time) the
construction of the modifications and improvements to the Roxboro Steam Plant FGD
Wastewater System, located on NCSR 1377 in Person County for Progress Energy, hereby state
that, to the best of my abilities, due care and diligence was used in the observation of the
following construction:
A 275 gallon Alum chemical storage tank with feed pump and delivery system
into the Ash Basin or Discharge Canal (prior to Internal Outfa11002), in
conformity with the project plans, specifications, and other supporting data
subsequently filed and approved by the Department of Environment and Natural
Resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Signature
Date
Registration No.
Send to: Constnzction Grants & Loans
DENR/DWQ
1633 Mail Service Center
Raleigh, NC 27699-1633
�
rJ
�� Pro ress Ener
t�� 9 gY
Z-3-o�
Casey Kagle
Person County Environmental Health
20 Court Street
Roxboro, NC 27573
Subject: Roxboro Steam Electric Plant
Proposed potable water weil
Dear Ms. Kagle:
Enclosed is a topo map, aerial photos, and a general arrangement drawing of the
Roxboro Plant site and the area of the proposed wastewater treatment facility.
As per our conversation we may need to install a well in the area of the
wastewater treatment facility to supply water for eye wash and safety shower
stations and to use as wash down water. I believe from the drawing enclosed
there is a location that would be 100 feet from the building housing the treatment
facility and also 100 feet from the ash pond. Do have any concerns about a well
being installed in this area? We are trying to determine if there are any road
blocks for the proposed well so any input you have will be appreciated.
Please give me a call (919) 546-6318 if you have any questions or concerns. If
you prefer, you can contact me via email: louise.enqland(a�pqnmail.com.
Thank you for your help.
Q�C���GG� ��
Louise England
Progress Energy
Environmental Services
Progress Energy Service Company, LLC
P.O. Box 1551
Raleigh, NC 27602
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Roxboro Steam Electric Plant
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File No: 12530B
Person County Environmental Health
20 Court Street
Roxboro, NC 27573
Subject: Roxboro Steam Electric Plant
Well Application
Dear Ms. Slagle:
June 6, 2006
Enclosed is a completed well application form and application fee of $225.00 for a well
to be located on Roxboro Steam Electric Plant site. The well will be used to supply water
for a new wastewater treatment facility to be constructed in the next 12 months. The
water will be used as a potable water source for emergency eye wash stations and wash
water. On average the facility will be manned by only 2 people intermittently during the
day.
You will be contacted when the site has been prepared and the proposed location of the
wastewater treatment building has been staked or flagged.
Please contact Louise England at (919) 546-6318 with any questions.
Sincerely,
Ge --� <• �'%
Cecil E. Rowland
Plant Manager
Progress Energy Carolinas,lnc.
Roxboro Steam Plant
1700 Dunnaway Road
Semora, NC 27343