NC0088625_PERMIT ISSUANCE_20140404

NPDES DOCUWENT SCANNING COVER SHEET
NPDES Permit:
NC0088625
The Hollows Well #1 WTP
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Rescission
201 Facilities Plan
Instream Assessment (67B)
Environmental Assessment (EA)
Permit
History
Document Date:
Aril 4, 2014
This doaameat is priated oa =.evme paper - ig more say
09)ateat oa the reverse side

MAMALA
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Thomas J. Roberts, President & CEO
Aqua North Carolina, Inc.
202 Mackenan Court
Cary, North Carolina 27511
Dear Mr. Roberts:
John E. Skvarla, III
Secretary
April 4, 2014
Subject: Issuance of NPDES Permit NCO088625
The Hollows Subdivision - Well #I WTP
Lois Lane, Mt Airy 27030
Surry County
The Division of Water Resources (DWR of the Division) has approved your application to renew the
subject permit. Accordingly, we are forwarding the attached NPDES discharge permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency
dated October 15, 2007 (or as subsequently amended).
Changes for Renewal/ Changes to the Permit Draft. The Division updated this permit in accord with
permitting strategies (amended in 2009) for potable water treatment plants (WTPs) consistent with
similar permits statewide. We have also updated the facility description and site map, adding parameter
codes to permit Section A. (1.). We have removed monitoring for Total Copper inadvertently added to
the permit draft. Finally, please note that monitoring for Total Fluoride and Total Zinc is required
only if these additives are present in finish -water used to backwash filters, thereby creating their
potential to concentrate in the wastestream [see Footnote 5, Section A (L.)].
Implementing Electronic Discharge Monitoring Reports (eDMRs). Please be advised that the Division
will implement an electronic Discharge Monitoring Report (eDMR) program, in accord with pending
requirements by the Environmental Protection Agency (EPA). We have included the details required
to implement the eDMR program in this permit [see permit Special Condition A. (2.)].
Proposed federal regulations require electronic submittal of all DMRs and specify that, if North
Carolina does not establish a program to receive such submittals, Permittees must then submit eDMRs
directly to EPA. For more information on eDMRs, registering for eDMR submittal, and obtaining an
eDMR user account, please visit DWR's webpage:
http://portal.ncdenr. ore/web/wq/admin/bog/ipu/edmr.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 .
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: vrrrw.navalerquality.org
An Equal Opportunity 1 Affirmative Action Employer

For information on EPA's proposed NPDES Electronic Reporting Rule, please visit EPA's website:
http://www2 epa pov/compliance/proposed-npdes-electronic-reportine-rule
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty
(30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless
such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
modify or revoke and reissue this permit. This permit does not affect the legal obligation to obtain
other permits required by the Division of Water, Resources, the Division of Land Resources, the
Coastal Area Management Act, or any other Federal or Local government. If you have any questions
concerning this permit, please contact Joe Corporon [e-mail]] or call his direct line
[phone].
Reeder, rec or
Uivlsion of Water Resources
Enclosure: NPDES PermitNC0088625 (issuance final)
he: WSRO/SWPS attn: Cory Basinger, Supervisor,
NPDES Program Files
Central Files
ec: DWR/WSRO, atilt: Cory Basinger, Supervisor
Aqua North Carolina, Inc., Thomas J. Roberts [tjroberts rilaquaamerica.com]
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwacrquality.org
An Equal Oppoounily l Affirmative Aclion Employer

NPDES PermitNCO088625
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended, the
Aqua North Carolina, Inc.
is hereby authorized to discharge treated wastewater from a facility known as
The Hollows Subdivision — Well #1 Water Treatment Plant (WTP)
Lois Lane, Mt. Airy
Surry County
to receiving waters designated as unnamed tributary to Stewarts Creek in the Yadkin -Pee Dee River
Basin, in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts 1, II, III, and 1V hereof.
The permit shall become effective May 1, 2014.
This permit and the authorization to discharge shall expire at midnight on February 28, 2019.
Signed this day April 4, 2014.
ThomgA-Reeder , Director---•__._.
D'yy%ision of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 5

NPDES Perm itNCO088625
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked, and as of this issuance, any previously issued permit bearing this number is no longer effective.
'therefore, the exclusive authority to operate and discharge from this facility arises under the permit
conditions, requirements, terms, and provisions described herein.
Aqua North Carolina, Inc.
is hereby authorized to:
continue to operate a filter -backwash treatment system in support of potable water production
utilizing green sand treatment technology, including use of the chemicals
• chlorine
• potassium permanganate
• caustic soda
located at The Hollows Subdivision - Well 41 WTP, Lois Lane, Mt Airy, Sorry County; and
2. discharge Prom said treatment works via Outfall 001 at a location specified on the attached map, into
an unnamed tributary to Stewarts Creek [Stream Segment 12-72-9-(4)], a waterbody currently
classified WS-IV waters within Subbasin 03-07-03 of the Yadkin -Pee Dee River Basin.
Page 2 of 5

NPDES Permit NCO088625
PART I
A. (I.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge filter backwash via Outfall 001. Such discharges shall be limited and monitored I by
the Permittee as specified below:
5E1 NT
6
IvIONI�TORING,REQUIREMEN7 S aft
. LLUI
x s 4
s 1
L z .f
' i©ail'y
3 r�
[ Measurement al
Sample
Sample
p !CHAR`. (FTERISTIG
E"Monthly
[PA'R 1METERdCODES] to F i
r� t {
Average
-
Max�mmn
Fyn
Frequency
0, Diu L 1
Tnype
of t
dYocatiom
t �,
'� %L%rcLs.'_.�.!�, , r�.^�"
La'_.z._sr s_:
,
Flow
50050
Weekly
Estimate
Effluent
Total Suspended Solids
C0530
30.0 mg/L
45.0 mg/L
2/month
Grab
Effluent
Total Residual Chlorine 2
50060
28 µg/L 2
2/month
Grab
Effluent
PH [standard units]
00400
Not < 6.0 or > 9.0
2/month
Grab
Effluent
Turbidity 3
00070
2/month
Grab
Effluent
Total Manganese
01055
200 µg/L 4
Monthly
Grab
Effluent
Total Iron
01045
Quarterly
Grab
Effluent
Total Zinc 5
01092
Quarterly
Grab
Effluent
Total Fluoride 5
00951
Quarterly
Grab
Effluent
Footnotes:
1. Beginning no later than January 1, 2015, 270 days from the effective date of this permit, the Permittee
shall report discharge monitoring data electronically using the NC DWR's Electronic Discharge
Monitoring Report (eDMR) internet application. [See Special Condition A. (2.) for eDMR submittal
requirements.]
2. The Division shall consider compliant all TRC effluent values reported below 50µg/L. However, the
Permittee shall continue to record and submit all values detected by North Carolina -certified test
methods (including field certified), even if these values fall below 50µg/L.
3. Discharge from this facility shall not cause receiving -stream turbidity to exceed 50 NCU. If instream
background conditions exceed 50 NTU, this discharge shall not cause instream turbidity to increase.
4. Compliance with this limit shall commence 48 Months from the permit effective date.
5. Monitoring required only if this parameter is added to finish -water used as filter -backwash,
thereby creating its potential to concentrate in the wastestream.
A. (2.) ELECTRONIC REPORTING - DISCHARGE MONITORING REPORTS
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and specify that, if a state does not establish a system to receive such submittals, then Permittees must
submit DMRs electronically to the Environmental Protection Agency (EPA). The Division anticipates
that these regulations will be adopted and will begin implementing this program in 2013.
Page 3 of 5

NPDES Permit NC0088625
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit (Standard Conditions for NPDES Permits):
• Section B.
(11.)
• Section D.
(2.)
• Section D.
(6.)
• Section E.
(5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
1. Reporting [Supersedes Section D. (2J and Section E. (5.) (a)l
Beginning no later than January 1, 2015, 270 days from the effective date of this permit, the
Permittee shall begin reporting discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the internet. Until such time that the state's
eDMR application is compliant with EPA's Cross -Media Electronic Reporting Regulation
(CROMERR), Permittees will be required to submit all discharge monitoring data to the state
electronically using eDMR and will be required to complete the eDMR submission by printing,
signing, and submitting one signed original and a copy of the computer printed eDMR to the
following address:
NC DENR / DWR / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a Permittee is unable to use the eDMR system due to a demonstrated hardship, or due to the
facility being physically located in an area where less than 10 percent of the households have
broadband access, then a temporary waiver from the NPDES electronic reporting requirements may
be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1. 1, 2, 3)
or alternative forms approved by the Director. Duplicate signed copies shall be submitted to the
mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be
submitted in writing to the Division for written approval at least sixty (60) days prior to the date the
facility would be required under this permit to begin using eDMR. Temporary waivers shall be valid
for twelve (12) months and shall thereupon expire. At such time, DMRs shall be submitted
electronically to the Division unless the Permittee re -applies for and is granted a new temporary
waiver by the Division.
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
http://portal.ncdenr.org/web/M/admin/bop/ipu/edmr
Page 4 of 5

NPDES Permit NC0088625
Regardless of the submission method, the first DMR is due on the last day of the month following
the issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
2. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section B. (11.) (d)l
All cDMRs submitted to the permit issuing authority shall be signed by a person described. in Part II,
Section B. (I 1.)(a), or by a duly authorized representative of that person as described in Part 11,
Section B. (I 1.)(b). A person, not an assigned position, must be delegated signatory authority for
eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit
the following web page:
http://portal.nedenr.org/web/wq/admin/bog/ipu/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make
the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION
WILL BE ACCEPTED:
V certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted Based on my inquiry of the person at -
persons who manage the system, or those persons directly responsible for gathering the information,
the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the
possibility offanes and imprisonment for knowing violations. "
3. Records Retention [Supplements Section D. (6.)l
The Permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These
records or copies shall be maintained for a period of at least 3 years from the dale of the report. This period
may be extended by request orthe Director at any time [40 CFR 122.41].
Page 5 of 5

l vl ibl� 7
� I 1 JJ , � r i 1� \:� -i j> v I A A ,� , G 7\ 6� r�(- u A '• •� A� 1 'y �� �,
l �\ \ \ l.W u/� � \1 1\\P a) a\ "v\\ 1 1�n\��' err •A
ti,A!/r • 'v
v .1 e v y✓� �I �21 I�
vvt� ice'= o jl v�rr, •rl�r\ �`i� ��- u���-vs•.'.
/ `.
// ./
1
//T�1 Al
Stewarts Creek � \
�r� ��--��-
Y,
s. \ I ./ ! /!"✓ �r /�lipt'., 1 �\ i� \ ,,. \ I'
cSs�North Su
M,rrl
k 3 8 v �I� ✓ v11� V v / / , , q i\ ��
, Cem ` 1
✓ 1�@z� NC Hwy89
S li` J 89
.v •��, rah, 12�n fj njvA� �*"r> y �11VI� ✓fit, �� (�t �'�J ��;�\, �������� '1 '
M1� �hv � r //vACr'%� Z,, t„ //_ �♦ a � li�. _ \./,A C` 3✓�,��\ �� .v�i)r��� .:
�A`\.
VAZ
1"(�f VAS �� \�� i �- r\ ���•e.� y� .� .w
�"�1 (� v Ate' 1
"f�rl��f� �v v1-� va�1
UT to Stewarts Creek \
C� (flows east) 1 a 1� v l` J U `v
•;'rr1��.._ C�J l .�,,_l C�"-sl
�. 1, i v l r
11 U/lr �� �� �� �� \ y8/i ��
�� l,�r +�� L ''�t" \ r'\.j ) \\1/ J '/ . ✓�'4.J \\... `tS'(�\.-'�•, s k i y� \�\i}Ui l�
✓ � - i •((' r �� �� ��\ ,dr JJ /('. /�I l R2Dy � ti 1" ���I V�V (\ (��� �� vN%
���✓` II / � ��:�'-, -...
1 I
`Iv� r\ .. Outfa11001 i i., PII (� �iir lj / ��
\�13 d�w'\ \\ •\-, '�/�// \,
Jjjj ' (Flows NW) a \ �j
,• C:,�jtr�\� �\ `\./�•) l((//��� �\ , II\� J` �l:.v ��Ul �.._�
�.
. / ; . _r'_- , r r� �..; � ''' �,, t{J/ /A � �Ct� l � f� _:. i":J� ice' ✓ -� `, - ". \....
Aqua North Carolina, Inc. Facility
The Hollows Subdivision —Well #1 WTP Location
Latitude: 36'29'46"N USGS/State Grid: Dobson/13I6MV not to scale
Loneitude: 80°41'22" W IIUG 01040101 141�
Receivine Stream: tJT to Slewarts Creek Stream Class: WS-IV
StreamSeement: 12-22--9-(4) Sub -Basin: 03-07-03 11V011J1 NPDESPermit NC0088625
Drainsec Basin: Yadkin River Basin Starry County

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 _ Ferris W. Simpson who being first duly
sworn, deposes and says: that he (she) is _ Business Manager
(Publisher or other officer or employee authorized to make affidavit) of
CIVITAS MEDIA, 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:
CLIPPING OF
LEGAL
ADVERTISEMENT
ATTACHED HERE
`-' Public Notice,
North Carolina Environmental
Mah4p,e' ntbommission/
NPDES. Unit'
1617:Mail Service Center
1
Raleigh, NC 27699-1617
Notice of Intent to Issue a
and that the said newspaper in which Such notice, document
NPDES Wastewater Permit
mental ManegeCarolm ntECdnl
paper, f
legal advertisement was published was, at the time of each and evf
sion,proposes to issue a NP'
'
such publication, a newspaper meeting all of the requirements at
DES wastewater discharge
permit to the person(s) listed
qualifications of Section 1-597 of the General Statutes of North Caroli
re -
belogardw. VM1e a opomed
and was a qualified newspaper within the meaning of Section 1-597
pas
will be accepted until 30 days :
the General Statutes of North Carolina.
after the.publish date ot,this -ii�
noticecTM1e Director of the NC t
Division of Water,Resources n r
This -
day of
(DWR)'may hold a,public'hear,-
I
12014
ing shoulddhere be a signific-
ant degree of public interest:
r I.
Please mail comments and/or1
I
information requests to DWR
Signature of person making affidavit i-
' at the above. address. Inter--•
ested persons may visit the)c
DWR at.512 N. Salisbury.a if
Sworn to and subscribed before mc, this day of
5treer'Raleigh`NC.to review I
rmation infoonhle Additionalr"
-per-
- information on NPDES
2014
mit s and this, notice may be
found on our website: .
- t
http7/portal.ncdenr.org/wel/wq
'
/swp"/ps/npdes/calendar; or,by,;, E
Notary Public
+
calling (919)'607-6390.'The' ; l
Aqua,North Caroliria,, Inc re-- "
ouested,to' renew oermit 6
My Commission expires: January IS 2018
BRIDGET HENDERSON
NOTARY PUBLIC
Yadkin County
North Carolina
My COMMIsslon Expires January 15, 2018
Inc.
to renew
wash to UT;Bull Creek, Yadkin
River Basin. , - , i

DL'NR / DWR / NPDES
EXPEDITED FACT SHEET - NPDES PERMIT
NPDES Permit NCO088625
R. Corporon, L.G., Expedited Permitting and Compliance Unit
DEVELOPMENT �.
d3�P(
28Jan2014
tt1011{:r.�'KIQI su�.�
t. s 14.
Facility Name
The Hollows Woods Subdivision — Well #1
WTP
Applicant
AQUA North Carolina, Inc.
I
Contact
Thomas J. Roberts, President &CEO
[tjrobcrats aquaamerica.com]
Applicant Address
202 Mackenan Court, Cary 27511
Facility Address
Lois Lane, Mt Airy 27030
Permitted Flow (MGD)
Not limited
Type of Waste
potable WTP filter backwash (green sand filler
Technology).
Facility Class
County
Surry
Facility Status
Renewal
Regional Office
WSRO
,,�SUeaiti Charactei•Isncs
Recen mf Stream /Basin
UT to Stcwarts Creek
sStL,cam_Classl(icauon
WS-IV
Stream Segment :
12-72-9-(4)
+�����
-1Diainag' BBasi
Yadkin -Pee Dee
- t
LI�I';1iopi
River Basin
Summer' 7Q10 (cfs).:..
_
' Sulili tsln
03-07-03
Winter 7Q10 (cfs)
U PISupport W"
Yes
30Q2,(cfs)
�
a ;:
ti303,(d),Listed��,
No
,
.�,i
Average I,Flow`(cfs):
zero -flow conditions
jStatc'VGI°id"�
B16NW
IWC (%)
100%
�yUS iT*opgQuad
Dobson, NC
Facility Summary— This WTP employs greensand filler technology to generate potable water at a rate of
0.02736 MGD while generating wastewater (filter -backwash) at a rate consistently reported as 0.00040
MGD for discharge to Waters of the State.
Whole Effluent Toxicity (WET) Testing— In accord with current WTP renewal strategy (revised 2009),
WET testing is not required of facilities employing greensandfiller lechnologv. No changes to the
permit.
Summary of Renewal Changes:
I . Within 270-days of the permit effective date, Permittee to begin submitting electronic submittal of
monthly DMRs (eDMRc).
2. This greensand facility discharges to WS waters, and Total Manganese shows RP (see attached
RPA Summary). Therefore, renewal includes a permit limit (200µg/L). Considering the Division's
pending review of this standard, compliance with this limit will continence 48 months from the
permit effective date [see effluent -table footnote, section A. (I.)]. Note to cover letter.
3. Revised monitoring frequencies for metals from Monthly to Quarterly (per WTP Policy 2009)
4. updated facility description [Supplement to Cover Sheet] and Vicinity Map;
5. added parameter codes to table, Section A. (1.).
Fact Shed
Renewal 2013 -- NPDF''S Permit NCO083291
Page I of I

T 2014 Freshwater RPA - 95%D Probability/95%D Confidence
MAXIMUM DATA POINTS = 58
RREQUIRED DATA ENTRY
Table 1
Name
NTP Class
Permit
N, Qw (MGD)
eiving Stream
!am Class
Os (cfs)
Ow (cfs)
2 (cfs)
(cfs)
Os (cfs)
U CHECK TO APPLY MODEL
n
ct Information
❑ CHECK IF HQW OR ORW WQ5
- Aqua The Hollows Subdivision WTP
green sand filter
NCO088625
001
0.000
Stewarts Creek
WS-IV
0.00
0.00
0.00
0.00
BIMS DMR Jan2009-Dec2013
1
Follow directions Ioiddafa'en"fry* In�some`"oasesa
oment menu' Est the available choices or's
dr'ii down me-hIjRll'ph v7M a list you may select
6G'. =k
from Error message occur if data entry does not
ineet�lnputtena y
Par01
Paro2
Par03
Par04
Pa As
Par06
Par07
Par08
Pero9
Parto
Pa r11
Par12
Par13
Par14
Paris
Pari6
Parl7
Pari6
Parse
Par2D
Par21
Par22
Table 2. Parameters of Conce
Name Type Chronic Modifier
manganese I NC 1 200 1 1
88625 RPA 95-95 1OFeb2014.xlsx, input
2/10/2014

REASONABLE POTENTIAL ANALYSIS
19
6
7
8
s
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
manganese
"', Ma.imvm aara
points = 58
Date
Data
BDL=112DL
Results
2009
694.
694
Std Dev.
1522
2009
957.
957
Mean
1319
2009
2540.
2540
C.V.
1
2009
978.
978
n
50
2009
5060.
5060
2009
2680.
2680
Mult Factor =
1,07
2009
1270.
1270
Max. Value
5510 pg1L
2009
2050.
2050
Max. Pred Cw
5896 pg/L
2009
2170.
2170
2009
3360.
3360
2009
2270.
2270
2009
5510.
5510
2010
1690.
1690
2010
2020.
2020
2010
4320.
4320
2010
3590.
3590
2010
4990.
4990
2010
4010.
4010
2010
1080.
1080
2010
841.
841
2010
1910.
1910
2010
. 1200,
1200
2010
11.
11
2010
70.
70
2011
1090,
1090
2011
20.
20
2011
255.
255
2011
58.
58
2011
42.
42
2011
199.
199
2011
722.
722
2011
386.
386
2011
230.
230
2011
91.
91
2011
56.
56
2011
32.
32
2012
101.
101
2012
70.
70
2012
2530.
2530
2012
23.
23
2012
194.
194
2012
307.
307
2012
575.
575
2012
2390,
2390
2012
161.
161
2012
-
247.
247
2012
153.
153
2012
75.
75
2013
47.
47
20131
608.
608
_2_
88625 RPA 95-95 10Feb2014.xlsx, data
2/1012014

Aqua The Hollows Subd WTP 2014 Freshwater RPA - 95% Probability/95% Confidence Outfall 001
NCO088625 MAXIMUM DATA POINTS = 58 Qw = 0.0004 MGD
Qw (MGD) =
IQ I OS (cfs) =
7QIOS (cfs)=
7QIOW (cis)=
30Q2 (cis) =
Avg. Stream Flow_ QA (efs) _
Receiving Stream:
0.00
WWTP/W I, Classgreen sand filter
0.00
IWC « IQIOs = 100.00%
0.00
IWC Q7QIOS= 100.00%
0.00
IWC Ou 7QIOW= 100.00%
0.00
IWC Qu 30Q2= 100.00%
0.00
IWC n QA= 100.00%
Stewarts Creek
Stream Class. WS-IV
PARAMETER
TYPE
(1)
STANDARDS B CRITERIA(2)
Cf
w
REASONABLE POTENTIAL RESULTS
RECOMMENDED ACTION
NC WQS / Applied '/z FAV /
Chronic Standard Acute
Pred Allowable Cw
# Cat. Cw
Cw
Acute: NO WQS
manganese
NC
200
µg/I.
50 50
5,896
Chronic: 2
33 value(s)> Allowablee Cw
_ _ _
RP for non -AL -apply Monthly Monitoring with Limit
88625 RPA 95-9510Feb2014.xlsx, rps
Page i of 1 2/10/2014

a1 1993
2013 Googte
Gxogle) . Y
Imagery Date: 2/23,12013 36029'46.36" 14 80°41'20.37" W elev 1214 ft eye alt 2087

Corporon,Joe
From: Corporon, Joe
Sent: Wednesday, February 19, 2014 1:52 PM
To: 'Melton, Michael A.'
Subject: RE: NPDES Permits - AQUA WTP Drafts in Surry County
Can do Michael/Robyn - I will remove monitoring for Total Fluoride before final issuance.
This will apply to permit numbers NC0088552, NC0088625, and NC0088854.
Thanks for your timely response.
Respectfully,
Joe R. Corporon, L.G. ROC
Compliance and Expedited Permitting
DS!""*' Division of Water Resources
NCDENR/ NPDES Program / Water Quality Permitting Section
919-807-6394; FAX [phone]
E-mail correspondence to and from this address may be subject to the North Carolina public Records Law and may be disclosed to
third parties.
From: Melton, Michael A.[mailtomailto:MAMelton�aquaamerica.com]
Sent: Wednesday, February 19, 2014 11:51 AM
To: Corporon, Joe
Cc: Ison, Laurie T.; McDaniel, Dave T.
Subject: FW: The Hollows WTP Draft NPDES Permit, Surry County
Please excuse the repetitiveness with Aqua's request, but we would also like to request to have the Total Fluoride
removed from the effluent sampling requirement with this draft WTP Permit for the Hollows WTP. Again, if you have
any questions, please let me know.
From: Lambeth, Robyn E.
Sent: Wednesday, February 19, 2014 10:11 AM
To: Melton, Michael A.; Ison, Laurie T.; McDaniel, Dave T.; Ridout, David C.; Smart, Scott
Subject: The Hollows WTP Draft NPDES Permit, Surry County
Robyn P. Lambeth
Senior Executive Asst.
[phone]
AQUA.

A UX
Aqua North Carolina, Inc. Thomas J. Roberts
202 MacKenan Court President and Chief Operating Officer
Cary, NC 27511
T: 919.653.5770
F: 919.460.1788
tjrobertsOaq uaamerica.com
www.aquanorthcarolina.com
October 14, 2013
N.C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-0167
Re: Application for Permit Renewal
Aqua North Carolina, Inc.
The Hollows Subdivision Well 91 WTP
NPDES No. NCO088625
Sorry County
Gentlemen:
Enclosed are three (3) copies of the completed application Short Form C-W"fP. This submittal includes
the necessary attachments for your office to renew the subject permit.
If you need any additional information or assistance, please contact Michael Melton, Regional
Compliance Manager at 704-489-9404, Ext 57238 or entail at ntanieltonnaquaanterice.cont.
Thomas J. Ro
President and
An Aqua America Company

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NC0088625
If you are completing this form in computer use the TAB key or the up - down arrows to moue 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
Aqua North Carolina, Inc.
Facility Name
The Hollows Subdivision - Well #1 WTP
Mailing Address
202 Mackenan Ct
City
Cary
State / Zip Code
NC/27511
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road
City
State / Zip Code
County
Lois Lane
Mt. Airy
NC/27030
Surry
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 ORC)
Name Aqua North Carolina, Inc.
Mailing Address 4163 Sinclair Street
City Denver
State / Zip Code NC / 28037
Telephone Number [phone]
Fax Number [phone]
Page 1 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
4. Ownership Status:
Federal ❑
State ❑
Private
Public ❑
5. Type of treatment plant:
❑ Conventional_ (Includes coagulation, flocculation, and sedimentation, usually followed by .-
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
® Green Sand Filter (No sodium recharge)
❑ Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener ❑
6. Description of source water(s) (i.e. groundwater, surface water)
Groundwater Well
7. Describe the treatment process(es) for the raw water:
Raw water is treated by greensand filters in series with a 0.002 MGD discharge of filter
backwash wastewater. Chemicals utilized during this process consist of-
• Potassium Permanganate
• Chlorine
• Caustic soda
S. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
Wastewater discharge from said treatment works at the location specified on the
attached map into an unnamed tributary to Stewarts Creek, classified WS-IV waters in
the Yadkin -Pee Dee River Basin.
9. Number of separate discharge points: 1
Outfall Identification number(s) 001
10. Frequency of discharge: Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: 20 minutes
='- 11=''Plant design potable Ilow rate O'02736`'`MGD"' "' "'
Backwash or reject flow 0.00040 MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Unnamed Tributary to Faulkner Creek (Yadkin Pee Dee Basin)
Page 2 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
Alum / aluminum sulfate
Yes
No X
Iron sulfate / ferrous sulfate
Yes
No X
Fluoride
Yes
No X
Ammonia nitrogen / Chloramines
Yes
No X
Zinc -orthophosphate or sweetwater CP1236
Yes
No X
List any other additives below:
Chlorine
Potassium Permanganate
Caustic Soda
14. Is this facility located on Indian country? (check one)
Yes ❑
15. Additional Information:
Provide a schematic of flow through the facility, include flow volumes at all points in
the water treatment process. The plan should show the point[s] of addition for
chemicals and all discharges routed to an outfall [including stormwater].
Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15:
New applicants must contact a permit coordinator with the NCDENR Customer
Service Center.
Was the Customer Service Center contacted? ❑ Yes ❑ No
Analyses of source water collected
Engineering Alternative Analysis
Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. 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.
Title
of
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 Adele 21 or regulations of the Environmentat 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
Page 3 of 4 Version 5/2012