NC0088633_PERMIT ISSUANCE_20090312

NPDES DOCYNENT SCANNING COVER SHEET
NPDES Permit:
NC0088633
Reeves Woods Well #2 WTP
Document Type:
, ermit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Correspondence
201 Facilities Plan
Instream Assessment (67B)
Environmental Assessment (EA)
Permit
History
Document Date:
March 12, 2009
This documeat is prlated oa reams Paper - igaore aay
coateat oa the resre -S&- side

NCDENR
ALI
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 12, 2009
Thomas Roberts, President
Aqua North Carolina, Inc.
202 Mackenan Court
Cary, North Carolina 27511
Natural Resources
Subject: Issuance of NPDES
Permit NCO088633
Dee Freeman
Secretary
Reeves Woods Subdivision Well #2 WTP
Surry County
Dear Mr. Roberts:
Division personnel have reviewed and approved your application for renewal of 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).
Please be advised that Permit Condition A. (2.) requires compliance within thirty (30) days after issuance of this
final permit.
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 150E 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 require modification
or revocation and reissuance of the permit. This permit does not affect the legal requirements to obtain other permits
which may be required by the Division of Water Quality or permits required by the Division of Land Resources, the
Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any
questions concerning this permit, please contact Bob Guerra at telephone number [phone].
cSincerely,
TO08C8C
een H. Sullins
Enclosure: NPDES Permit33
cc: Winston-Salem Regional Office / Surface Water Protection
,NPDES Unit
Central Files
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.navaterituality.org
An Equal Opportunity t Affirmative Action Employer
NorthCarolina
Aaturally

Permit NCO088633
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision 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,
Aqua North Carolina, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Reeves Woods Subdivision Well #2
Reeves Mill Road
Mt. Airy
Surry County
to receiving waters designated as an unnamed tributary to the Rutledge Creek in the
Yadkin -Pee Dee River
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective April 1, 2009.
This permit and authorization to discharge shall expire at midnight on February 28,
2014.
Signed this day March 12, 2009.
s �
�JY
oleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0088633
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are
hereby revoked. As of this permit 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
included herein.
Aqua North Carolina, Inc. is hereby authorized to:
1. Continue to operate an existing 0.002 MGD greensand water treatment
system with a discharge of filter backwash utilizing the following
components/ processes:
a. Two (2) Greensand filters operated in parallel,
b. Two (2) Potassium Permanganate feed tanks.
c. Chemical usage consisting of:
o Potassium permanganate
o Caustic soda and
o Chlorine .
2. The facility is at the Reeves Woods Subdivision — Well #2 located on Reeves
Mill Road, Mt. Airy, in Surry County.
3. Discharge from said treatment works at the location specified on the attached
map into an unnamed tributary to Rutledge Creek, classified as C waters in
the Yadkin -Pee Dee River Basin.

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Aqua North
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Facility x
Reeves Woods Subdivision WTP
I
Location
Latitude: 360 28' 18" N
State Grid: Mt. Airy S.
not to scale
Longitude: 80*32'35" W
Permitted Flow: 0.002 MGD
—
Receiving Stream: UT to Ridge Creek Stream Class: C
Drainage Basin: Yadkin -Pee Dee River Basin Sub-Basin:03-07-03
North
I %__
NPDES Permit No. NC0088633
Surry County
I
---------

Permit NC0088633
A. (1.) 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 from outfall 001. Such discharges shall be limited and monitored by the
Permittee as specified below:
EFFLUENTW sn (
E, " E sk ;`A r
w LIMITS. YY j
��MONITOf21NG
REQUIREMENTS_
CHARACTERISTICS
.'
,==r
Monthly.,-'!?
Daily Maximum '1,Measurement
SampleW
4. Sampled
iq
t3`'Avera
e''-.:>i
Fre
' ,
9
uenc;;
nT ex frq°
:-Locahonh
Flow'
0.002 MGD
Monthly
Instantaneous
Effluent
Total Suspended
Solids
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
Total Residual
al
Chlorine
17 ug/L
2/Month
Grab
Effluent
Fluorides
Monthly
Grab
Effluent
Total Iron
Monthly
Grab
Effluent
Total Zincs
Monthly
Grab
Effluent
Total Manganese
Monthly
Grab
Effluent
pH
6.0 — 9.0 s.u.
2/Month
Grab
Effluent
Footnotes:
1. For instantaneous flow monitoring, the duration of the discharge.must be reported in addition to the
total flow.
2. Limit takes effect May 1. 2009. Until then, the permittee shall monitor TRC (with no effluent limit).
3. The TRC monitoring requirement applies only if the Permittee backwashes with chlorinated water (and
discharges filter backwash).
4. The Division shall consider all effluent TRC values reported below 50 ug/I to be in compliance with the
permit. However, the Permittee shall continue to record and submit all values reported by a North
Carolina certified laboratory (including field certified), even if these values fall below 50 ug/I.
5. Fluoride should be monitored if the permittee backwashes with fluoridated finished water.
6. Zinc shall be monitored if the Permittee uses any zinc -based additive in the water treatment process
All samples collected should be from a representative discharge event.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Permit NCO088633
A. (2.) PROCESS SCHEMATIC FLOW DIAGRAM
The Permittee shall submit a Process schematic flow diagram within 30 days from issuance
of permit. This submittal shall include:
Components utilized in treatment process and
Size of process components in treatment process

NORTH CAROLINA
SURRY COUNTY
AFFIDAVIT OF PU
Before the undersigned, a Notary Public c
commissioned, qualified and authorized
personally appeared Ferris W. Simpson
sworn, deposes and says: that he (she) is _
(Publisher or other officer or employee au
HEARTLAND PUBLICATIONS, LLC, er
newspaper known as MOUNT AIRY N
entered as periodicals class mail in the city
and State; that he (she) is authorized to t
statement; that the notice or other legal
which is attached hereto, was published in
following dates:
and that the said newspaper in which sucl
legal advertisement was published was, at
such publication, a newspaper meeting
qualifications of Section 1-597 of the Genet
and was a qualified newspaper within the
the General Statutes of North Carolina.
This /( day of
Signature of person making
Sworn to and subscribed before me, this A
�P�lua✓tI
Notary Public
My Commission expires: November 2;

AO UA.
Aqua North Carolina, Inc. Thomas J. Roberts
202 MacKenan Court President and Chief
Cary, NC 27511 Operating Officer
July 30, 2008
Ms. Dina Sprinkle
NC DENR/DWQ/Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1677
SUBJECT: NPDES Renewal Application
Reeves Woods Subdivision, Well #2
NPDES Permit No. NCO088633
Surry County, NC
Dear Ms. Sprinkle:
T: 919.467.8712 ext. 30
F: 919.460.1788
[e-mail]
w .aquanorthcarolina.com
Transmitted herewith are.the completed/signed original and two copies of the subject NPDES
permit application and two copies of this cover letter. Since this facility does not generate any
sludge, no sludge management plan is necessary. There have been no modifications since the
last permit was issued.
It is my understanding that no filing fee is required for this renewal.
If you have any questions regarding this application, please do not hesitate to contact me.
Since ly,
Thomas J. ober s
President and COO
TJR/rt
Enclosure
An Aqua America Company

u
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 INCO088633
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
Reeves Woods Subdivision --Well #2
Mailing Address
202 Mackenan
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. 0
Street Address or State Road
City
State / Zip Code
County
Reeves Mill Road
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
Telephone Number
Fax Number
4. Ownership Status:
NC/28037
[phone]
[phone]

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
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:
Green sand filtration using potassium permanganate. Chlorine added for disinfection and
caustic soda added for pH adjustment.
8. Describe the wastewater and the treatment processes) for wastewater generated by the
facility:
Wastewater discharge is the backwash of the green sand filters. Discharge rate is
approximately 2000 gallons, once every two (2) days.
9. Number of separate discharge points: 1
Outfall Identification numbers) 001
10. Frequency of discharge: Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 3 Duration: Approx. 20 minutes.
11. Plant design potable flowrate 0.043 (Max. well yield) MGD
Backwash or reject flow 0.002 MGD
12. Name of receiving stream(s) (Provide a mop showing the exact location of each outfall, including
latitude and longitudes
Unnamed tributary to Rutledge Creek (Yakdin River Basin)

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.
Potassium permanganate
Chlorine
Caustic soda
14. Is this facility located on Indian country? (check one)
Yes ❑ No
15. Additional Information:
Provide a schematic of flow through the facility, include flow volumes at all points in
the treatment process, and point of addition of chemicals.
Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15:
v 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.
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

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
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.)

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FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for expedited permit renewal
Reviewer/Date
Permit Number
00 K R 633
Facility Name
t;C �/t�5 , wa %)d Sk6 i v; ("Ow U
Basin Name/Sub-basin number
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Receiving Stream
/ j '}a
I e d 4 L
Stream Classification in Permit
ei V
Does permit need NH3 limits?
Does permit need TRC limits?
Ad
Does permit have toxicity testing?
AA)
Does permit have Special Conditions?
Al)
Does permit have instream monitoring?
N
Is the stream impaired (on 303(d) list)?
Any obvious compliance concerns?
Any permit mods since lastpermit?
Existing expiration date
n
New expiration date
vy- 2g -
New permit effective date
Miscellaneous Comments
YES ✓ This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
name/ownership changes). Include conventional WTPs in this group.
YES This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case -by -case decision.
YES_ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipal/industrial)
• Minor Murlfcipals with pretreatment program
• Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)