NC0060461_Regional Office Historical File Pre 2016

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
May 18, 2015
Carolina Water Service Inc. of NC
Attn: Martin J. Lashua, NC Regional Manager
P.O. Box 240908
Charlotte, NC 28224-0908
Subject: Compliance Evaluation Inspection
Permittee: Carolina Water Service Inc. of NC
Facility: Abington Wastewater Treatment Plant
NPDES Permit #: NCO060461
Forsyth County
Dear Mr. Lashua:
Donald R. van der Vaart
Secretary
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the
Division) conducted a compliance evaluation inspection (CEI) of the Abington Wastewater Treatment Plant
(WWTP) on May 7, 2015. The assistance and cooperation of Andrew Phillips, Operato.r.in Responsible:=Charge
(ORC), was greatly appreciated. An inspection checklist is attached for your records and inspectionIndings
are summarized below.
General Information
The WWTP is located at the end of Bainburgh Court, inside Abington subdivision in Kernersville,
Forsyth County, NC, at approximately coordinates 36.168802°N,-80.0982590W. The permit authorizes
Carolina Water Service Inc. of NC to operate this 0.2 MGD WWTP, which consists of an equalization basin
with dual pumps, a bar screen, a flow splitter box, dual aeration basins, dual clarifiers, a Sodium Hypochlorite
disinfection system, a Sodium Bisulfate dechlorination system, a chlorine contact tank, post aeration, aerobic
sludge digestion, a float analog graph flow meter, and a standby emergency generator, and discharge the
treated effluent via outfall 001 into Belews Creek, which is currently classified as Class C waters in the
Roanoke River basin.
Site Review
As was the case for the previous inspection in 2013, the operators have done an excellent job
operating and maintaining the plant. The plant is in very good condition and is being operated very well. Mr.
Boone noted no discrepancies.
Documentation Review
All documentation was reviewed and no discrepancies were found. Again, the operators have done
an excellent job of documenting the operation and maintenance of the plant as required by the permit. This
450 West Hanes Mill Road, Suite #300, Winston-Salem, North Carolina 27105
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

S
includes operations and visitation logs, discharge monitoring reports and laboratory and field laboratory
records, chains of custody, etc.
Mr. Boone noted no concerns during his inspection. If you have any questions regarding the
inspection or this letter, please call him or me at [phone]. Thank you for your cooperation in this
matter.
Sincerely,
.,9'�J�{n �`���`rb 1St� ��'�.:;iY'•fe��'^� vi `-"�'�ry3�%
'yS a H Y
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. BIMS Inspection Report
CC: WSR.- SAP
Central Files
NPDES Unit

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I NCO060461 I11 12 15/05/07 17 18 L C J 19 L � j 201 I
�1
211 1 1 1 1 1 1 1 1 1 11 1 1 11 1. 1 1 1 1 1 1 1 1 1 I I I.I I 1 1 1 11 1 1 1 1 1 l66
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA----
67
70 71 I_ 72 , , 73 f I I 174 75
LJ I I
80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
10:OOAM 15/05/07
12/05/01
Abington WWTP
Exit-rime/Date
Permit Expiration Date
6890 Bainburg Ct
11:OOAM 15/05/07
17/02/28
Kernersville NC 27284
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
N
Andrew Richard Phillips/ORC/336-240-5866/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Martin J. Lashua,PQ Box 240908 Charlotte NC 282240908Nice
No
President/704-319-0517/7045258174
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program 0 Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//336-776-9690/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
=o rF"Y 3::'..-�_,;✓osf [
1�
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NCO060461 I11 12 15/05/07 17 18 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
1
Page# 2

Permit: NCO060461 Owner -Facility: Abington WWTP
Inspection Date: 05/07/2015 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
M
❑
application?
Is the facility as described in the permit?
M
❑
❑
❑
#Are, there any special conditions for the permit?
❑
❑
❑
Is access to the plant site restricted to the general public?
N
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment: None
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
■
❑
❑
❑
Is all required information readily available, complete and current?
■
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
❑
Are analytical results consistent with data reported on DM Rs?
M
❑
❑
❑
Is the chain -of -custody complete?
M
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
M
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
M
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 2417 with a certified operator
❑
M
❑
❑
on each shift?
Is the ORC visitation log available and current?
■
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
M
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
M
❑
❑
❑
Is a copy of the current NPDES permit available on site?
S
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
M
❑
Comment: None
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? M ❑ ❑ ❑
Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑
Page# 3

Permit: NC0060461 Owner - Facility: Abington WWTP
Inspection Date: 05/07/2015 Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
# Is the facility using a contract lab?
0
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
❑
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees?
❑
❑
E]
Comment: Facility not sampling at the time of the inspection.
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
N
❑
❑
❑
Is sample collected below all treatment units?
0
❑
❑
❑
Is proper volume collected?
N
❑
❑
❑
Is the tubing clean?
■
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
❑
M
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
N
❑
❑
❑
representative)?
Comment: Facility not sampling at time of inspection.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and MEI ❑ ❑
sampling location)?
Comment: None
Pump Station - Influent
Yes No NA NE
Is the pump wet well free of bypass lines or structures?
0
❑
❑
❑
Is the wet well free of excessive grease?
0
❑
❑
❑
Are all pumps present?
M
❑
❑
❑
Are all pumps operable?
0
❑
❑
❑
Are float controls operable?
0
❑
❑
❑
Is SCADA telemetry available and operational?
M
❑
❑
❑
Is audible and visual alarm available and operational?
0
❑
❑
❑
Comment: None
Bar Screens Yes No NA NE
Page# 4

I
Permit: NCO060461
Owner -Facility: Abington WWTP
Inspection Date: 05/07/2015
Inspection Type: Compliance Evaluation
Bar Screens
Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical
❑
Are the bars adequately screening debris?
0
❑
❑
❑
Is the screen free of excessive debris?
N
❑
❑
❑
Is disposal of screening in compliance?
■
❑
❑
❑
Is the unit in good condition?
M
❑
❑
❑
Comment: None
Equalization Basins
Yes No NA NE
Is the basin aerated?
M
❑
❑
❑
Is the basin free of bypass lines or structures to the natural environment?
N
❑
❑
❑
Is the basin free of excessive grease?
S
❑
❑
❑
Are all pumps present?
0
❑
❑
❑
Are all pumps operable?
■
❑
❑
❑
Are float controls operable?
®
❑
❑
❑
Are audible and visual alarms operable?
E
❑
❑
❑
# Is basin size/volume adequate?
0
❑
❑
❑
Comment: None
Aeration Basins
Yes No NA NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
N ❑
❑
❑
Are surface aerators and mixers operational?
❑ ❑
E
❑
Are the diffusers operational?
N ❑
❑
❑
Is the foam the proper color for the treatment process?
N ❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
■ ❑
❑
❑
Is the DO level acceptable?
❑ ❑
❑
■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
❑ ❑
❑
❑
Comment: None
Secondary Clarifier Yes No NA NE
Page# 5

Permit: NC0060461 Owner -Facility: Abington WWTP
Inspection Date: 05/07/2015 Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes No NA NE
Is the clarifier free of black and odorous wastewater?
0
❑
❑
❑
Is the site free of excessive buildup of solids in center well of circular clarifier?
0
❑
❑
❑
Are weirs level?
0
❑
❑
❑
Is the site free of weir blockage?
0
❑
❑
❑
Is the site free of evidence of short-circuiting?
M
❑
❑
❑
Is scum removal adequate?
M
❑
❑
❑
Is the site free of excessive floating sludge?
❑
❑
❑
Is the drive unit operational?
E
❑
❑
❑
Is the return rate acceptable (low turbulence)?
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
❑
❑
❑
Is the sludge blanket level acceptable? (Approximately %< of the sidewall depth)
❑
❑
❑
Comment: None
Pumps-RASMAS
Yes No NA NE
Are pumps in place?
M
❑
❑
❑
Are pumps operational?
0
❑
❑
❑
Are there adequate spare parts and supplies on site?
0
❑
❑
❑
Comment: None
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
.
❑
❑
❑
Is flow meter calibrated annually?
❑
❑
❑
Is the flow meter operational?
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
❑
Comment: None
Disinfection -Liquid
Yes No NA NE
Is there adequate reserve supply of disinfectant?
M
❑
❑
❑
(Sodium Hypochlorite) Is pump feed system operational?
0
❑
❑
❑
Is bulk storage tank containment area adequate? (free of leaks/open drains)
0
❑
❑
❑
Is the level of chlorine residual acceptable?
❑
❑
❑
M
Is the contact chamber free of growth, or sludge buildup?
0
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
Page# 6

Permit: NG0060461 Owner -Facility: Abington WWTP
Inspection Date: 05/07/2015 Inspection Type: Compliance Evaluation
Disinfection -Liquid Yes No NA NE
Comment: None
De -chlorination
Yes No NA NE
Type of system ?
Liquid
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑
❑
❑
Is storage appropriate for cylinders?
M
❑
❑
❑
# Is de -chlorination substance stored away from chlorine containers?
M
❑
❑
❑
Are the tablets the proper size and type?
❑
❑
M
❑
Comment: None
Are tablet de -chlorinators operational? ❑ ❑ M ❑
Number of tubes in use?
Comment: Faciltily has stopeed using chlorinating tablets and has been using liquid.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 0 ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? N ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ M ❑
Comment: None
Aerobic Digester
Yes No NA NE
Is the capacity adequate?
M
❑
❑
❑
Is the mixing adequate?
0
❑
❑
❑
Is the site free of excessive foaming in the tank?
M
❑
❑
❑
# Is the odor acceptable?
0
❑
❑
❑
# Is tankage available for properly waste sludge?
0
❑
❑
❑
Comment: none
Chemical Feed
Yes No NA NE
Is containment adequate?
M
❑
❑
❑
Is storage adequate?
0
❑
❑
❑
Are backup pumps available?
M
❑
❑
❑
Is the site free of excessive leaking?
M
❑
❑
❑
Comment: None
Page# 7

Permit: NCO060461
Inspection Date: 05/07/2015
Chemical Feed
Owner - Facility: Abington VWVTP
Inspection Type: Compliance Evaluation
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: None
Standby Power
Is automatically activated standby power available?
Is the generator tested by interrupting primary power source?
Is the generator tested under load?
Was generator tested & operational during the inspection?
Do the generator(s) have adequate capacity to operate the entire wastewater site?
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
Is the generator fuel level monitored?
Comment: More
Yes No NA NE
Yes No NA NE
■ ❑ ❑ ❑
❑ ❑ ❑
Yes No NA NE
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ ❑ M
❑ ❑ ❑
Page# 8

RECEIVED
N.C. Dept. of ENR
CJ v l r NOV 13 2014
Winston-Salem
. Regional Office
Carolina Water Services, Inc. of NC
Abington Subdivision WWTP
Authorization to Construct No. 060461AOI
Issued May 9, 2014
Engineer's Certification
1, William G. Langley , 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 Abington Subdivision Wastewater
Treatment Plant, located in Forsyth County, hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the following construction:
Installation of a new liquid chlorination system consisting of two (2) 24 GPD
chemical feed pumps in an induced suction arrangement from a 55 gallon tank of
sodium hypochlorite solution to a drip feed connection to the inlet side of the
existing chlorine contact basin, including piping, containment, and controls;
installation of a new liquid dechlorination system consisting of two (2) 24 GPD
chemical feed pumps in an induced suction arrangement from a 55 gallon tank of
sodium bisulfite solution to a drip feed connection to the existing chlorine contact
basin discharge trough, including piping, containment, and controls; in conformity
with the project plans, specifications, and other supporting data subsequently filed
and approved by the Department of Environment and Natural Resources.
Note the existing tablet chlorination and dechlorination systems are to remain as
back up.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance, intent and in conformity with all applicable regulations and statutes and
the project plans, specifications, and other supporting documentation comprising the
Authorization to Construct Permit Application package.
Signature WAZ" V Registration No.
Date 11/03/2014
Mail this Certification to: Attn: Ron Berry
Complex Permitting Unit
DENR/DWR/Water Quality Programs
1617 Mail Service Center
Raleigh, NC 27699-1617
14384
*"1% CAR
V-SS/0
��
No. 14, 38(x�i

WNW
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 2, 2014
Carolina Water Service Inc. of NC
Attn: Martin J. Lashua, NC Regional Manager
P.O. Box 240908
Charlotte, NC 28224-0908
Subject: Compliance Evaluation Inspection
Permittee: Carolina Water Service Inc, of NC
Facility: _Abington Wastewater Treatment Plant
NPDES Permit #: NC0060461
Forsyth County
Dear Mr. Lashua:
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the
Division) conducted a compliance evaluation inspection (CEI) of the Abington Wastewater Treatment Plant
(WWTP) on May 22, 2014. The assistance and cooperation of Robert Loper, Operator in Responsible Charge
(ORC), was greatly appreciated. An inspection checklist is attached for your records and inspection findings
are summarized below.
General Information
The WWTP is located at the end of Bainburgh Court, inside Abington subdivision in Kernersville,
Forsyth County, NC, at approximately coordinates 36.1688020N,-80.098259°W. The permit authorizes
Carolina Water Service Inc. of NC to operate this 0.2 MGD WWTP, which consists of an equalization basin
with dual pumps, a bar screen, a flow splitter box, dual aeration basins, dual clarifiers, tablet chlorinators, a
chlorine contact tank, tablet dechlorinators, post aeration, aerobic sludge digestion, a float analog graph flow
meter, and a standby emergency generator, and discharge the treated effluent via outfall 001. into Belews
Creek, which is currently classified as Class C waters in the Roanoke River basin.
Site Review
As was the case for the previous inspection in 2013, the operators have done an excellent job
operating and maintaining the plant. The plant is in very. good condition and is being operated very well. Mr.
Boone noted no discrepancies.
Documentation Review
All documentation was reviewed and no discrepancies were found. Again, the operators have done
an excellent job of documenting the operation and maintenance of the plant as required by the permit. This
585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper
I

includes operations and visitation logs, discharge monitoring reports and laboratory and field laboratory
records, chains of custody, etc.
Mr, Boone noted no concerns during his inspection. If you have any questions regarding the
inspection or this letter, please call him or me at [phone]. Thank you for your cooperation in this
matter.
Sincerely,
L
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. BIMS Inspection Repot
CC: S:RO — SI , ,F'*
Central Files
NPDES Unit

J
United States Environmental Protection Agency
Form Approved.
EP n Washington; D.C. 20460
OMB No. 2040-0057
/-�
Approval expires 8-31-98
Section A:. National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 NI 2 5I 31 NCO060461 ` 111 121 14/06/22 117 181 C I 19I I 20I I
Remarks
211IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------------- ------- -- —Reserved ---- -------- --------
67 I 169 70 I I 711 I 721 NJ 73 I I W174 751 I I I I I Li
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:00 AM 14/05/22
12/05/01
Abington WWTP
Exit Time/Date
Permit Expiration Date
6890 Bainburg Ct
Kernersville NC 27284
12:00 PM 14/05/22
17/02/28
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Robert W Loper/ORC/704-525-7990/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Martin J. Lashua,PO Box 240908 Charlotte NC 282240908/NC Regional
No
Director/704-525-7990/7045258174
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance ■ Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Find in/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//336-771-4967/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
4 &PL&a t, t
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type 1
3 I NC0060461 111 12 14/05/22 117
8
C�
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page # 2

Permit: NCO060461 Owner - Facility: Abington WWTP
Inspection Date: 05/22/2014 Inspection Type: Compliance Evaluation
Record Keeping
Yes No
NA NE
Are records kept and maintained as required by the permit?
■ n
n n
Is all required. information readily available, complete and current?
■ n
n n
Are all records maintained for 3 years (lab. reg. required 5 years)?
Cl
Cl n
Are analytical results consistent with data reported on DMRs?
■ ❑
❑ ❑
Is the chain -of -custody complete?
■ n
n n
Dates, times and location of sampling
■
Name of individual performing the sampling
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■ n
n n
Has the facility submitted its annual compliance report to users and DWQ?
❑ ❑
■ n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n n
■ n
Is the ORC visitation log available and current?
■ o
n n
Is the ORC certified at grade equal to or higher than the facility classification?
■ n
n n
Is the backup operator certified at one grade less or greater than the facility classification?
■ ❑
❑ ❑
Is a copy of the current NPDES permit available on site?
■ o
n n
Facility has copy of previous year's Annual Report on file for review?
n n
v n
Comment: None
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? n n ■ n
Is the facility as described in the permit? ■ n n n
# Are there any special conditions for the permit? n ■ n Cl
Is access to the plant site restricted to the general public? ■ n n n
Is the inspector granted access to all areas for inspection? ■ n Cl n
Comment: None
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ■ n n n
Page # 3

0
Permit: NCO060461 Owner - Facility: Abington WWTP
Inspection Date: 05/22/2014 Inspection Type: Compliance Evaluation
Laboratory
Yes No
NA NE
Are all other parameters(excluding field parameters) performed by a certified lab?
■ n
n n
# Is the facility using a contract lab?
■ n
n n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n n
n ■
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n n
n ■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n n
n ■
Comment: None
Pump Station - Influent
Yes No
NA NE
Is the pump wet well free of bypass lines or structures?
■ ❑
n n
Is the wet well free of excessive grease?
■ n
n n
Are all pumps present?
■ n
Cl n
Are all pumps operable?
■ n
n n
Are float controls operable?
■ n
n n
Is SCADA telemetry available and operational?
n ■
n n
Is audible and visual alarm available and operational?
■ n
n n
Comment: None
Type of bar screen
a.Manual
■
b.Mechanical
Are the bars adequately screening debris?
■ n
❑ n
Is the screen free of excessive debris?
■ n
n n
Is disposal of screening in compliance?
■ n
❑ ❑
Is the unit in good condition?
■ n
n n
Comment: None
Aeration Basins
Yes No
NA NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
■ n
Cl n
Are surface aerators and mixers operational?
❑ n
■ ❑
Are the diffusers operational?
■ n
n n
Page # 4

Permit: NCO060461 Owner - Facility: Abington WWTP
Inspection Date: 05/22/2014 Inspection Type: Compliance Evaluation
Aeration Basins Yes No NA NE
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Comment: None
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable? (Approximately'/ of the sidewall depth)
Comment: None
Pumps-RAS-WAS
Are pumps in place?
Are pumps operational?
Are there adequate spare parts and supplies on site?
Comment: None
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
■nnn
■nnn
12
nnn■
■nnn
nnn■
Page # 5

Permit: NCO060461 Owner - Facility:
Inspection Date: 05/22/2014 Inspection Type:
Abington WWTP
Compliance Evaluation
Disinfection -Tablet
Yes No
NA
NE
Comment: None
De -chlorination
Yes No
NA
NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
■ n
n
n
Is storage appropriate for cylinders?
n n
■
n
# Is de -chlorination substance stored away from chlorine containers?
■ n
n
n
Are the tablets the proper size and type?
■ n
n
n
Comment: None
Are tablet de -chlorinators operational?
■ n
n
n
Number of tubes in use?
12
Comment: None
Flow Measurement - Effluent
Yes No
NA
NE
# Is flow meter used for reporting?
■ n
n
n
Is flow meter calibrated annually?
■ n
n
n
Is the flow meter operational?
■ n
n
n
(If units are separated) Does the chart recorder match the flow meter?
■ n
n
n
Comment: None
Effluent Pipe
Yes No
NA
NE
Is right of way to the outfall properly maintained?
■ n
n
n
Are the receiving water free of foam other than trace amounts and other debris?
■ n
n
n
If effluent (diffuser pipes are required) are they operating properly?
❑ n
■
n
Comment: None
Aerobic Digester
Yes No
NA
NE
Is the capacity adequate?
■ Cl
n
n
Is the mixing adequate?
■ n
n
n
Is the site free of excessive foaming in the tank?
■ Cl
n
Cl
# Is the odor acceptable?
■ n
n
n
# Is tankage available for properly waste sludge?
■ n
n
n
Comment: None
Operations & Maintenance
Yes No
NA
NE
Page # 6

E
Permit: NCO060461
Inspection Date: 05/22/2014
Owner - Facility: Abington WWTP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n n n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n n ❑
Judge, and other that are applicable?
Comment: None
Standby Power
Is automatically activated standby power available?
Is the generator tested by interrupting primary power source?
Is the generator tested under load?
Was generator tested & operational during the inspection?
Do the generator(s) have adequate capacity to operate the entire wastewater site?
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
Is the generator fuel level monitored?
Comment: None
■n-nn
■nnn
■ n ❑ n
■nnn
■nnn
nnn®
■nnn
Page # 7

RECEIVED
N.C.Dept. of ENR
MAY 16 2014
Winston-Salem
NCDENRIRegional Office
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Martin Lashua
Vice President of Operations
Carolina Water Services, Inc. of NC
P. O. Box 240908
Charlotte, North Carolina 28224
Dear Mr. Lashua:
John E. Skvarla, III
Secretary
May 9, 2014 ECEIVE
.
mAY 14 2014
6Y:
SUBJECT: Authorization to Construct
A to C No. 060461A01
Carolina Water Services, Inc. of NC
Abington Subdivision WWTP
A letter of request for an Authorization to Construct was received April 29, 2014, by the
Division of Water Resources (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 0.2 MGD Abington Subdivision WWTP, with discharge of treated
wastewater into the Belews Creek 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:
Installation of a new liquid chlorination system consisting of two (2) 24 GPD chemical feed
pumps in an induced suction arrangement from a 55 gallon tank of sodium hypochlorite
solution to a drip feed connection to the inlet side of the existing chlorine contact basin,
including piping, containment, and controls; installation of a new liquid dechlorination system
consisting of two (2) 24 GPD chemical feed pumps in an induced suction arrangement from a
55 gallon tank of sodium bisulfite solution to a drip feed connection to the existing chlorine
contact basin discharge trough, including piping, containment, and controls; in conformity
with the project plans, specifications, and other supporting data subsequently filed and
approved by the Department of Environment and Natural Resources.
Note the existing tablet chlorination and dechlorination systems are to remain as back up. The
Permittee is expected to maintain sufficient inventory, or access to inventory, beyond what is
require to meet maximum treatment demand based on worst case delivery of liquid solutions,
and operational monitoring to sustain continuous chlorination and dechlorination treatment.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: www.ncwaterquality.org
An Equal Opportunitffiffirmative Action Employer

Martin Lashua, Vice President of Operations
May 9, 2014
Page 2 of 3
This Authorization to Construct is issued in accordance with Part III, Paragraph A of NPDES
Permit No. NCO060461 issued May 1. 2012, and shall be subject to revocation unless the wastewater
treatment facilities are constructed in accordance with the conditions and limitations specified in
Permit No. NC0060461. - .
The sludge generated fiom 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 Winston-Salem Regional Office, telephone number (336) 771 - 5000, 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. until 5:00 p.m. on Monday through Friday, excluding State Holidays.
Upon completion of construction and prior to operation of this permitted 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: NPDES Unit, DWR/DENR, 1617 Mail Service Center,
Raleigh, NC 27699-1617. '
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 T15A: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 pennittee 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.

Martin Lashua, Vice President of Operations
May 9, 2014
Page 3 of 3
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 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.
If you have any questions or need additional information, please contact Ron Berry at
telephone number [phone].
Sincerely,
Thomas A. eeder, Director
Division of Water Resources/NCDENR
cc: William Langley, P.E.
Henson Foley
16740 Birkdale Commons Pkwy
Suite 200
Huntersville, NC 28078
r"P %iis: ern alerrc Regiolial Office, W ater Qu I y ' rograrns
Central Files
NPDES File
Without Engineer's Certificate attached:
Forsyth County Health Department

Carolina Water Services, Inc. of NC
Abington Subdivision WWTP
Authorization to Construct No. 060461A01
Issued May 9, 2014
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 Abington Subdivision Wastewater
Treatment Plant, located in Forsyth County, hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the following construction:
Installation of a new liquid chlorination system consisting of two (2) 24 GPD
chemical feed pumps in an induced suction arrangement from a 55 gallon tank of
sodium hypochlorite solution to a drip feed connection to the inlet side of the
existing chlorine contact basin, including, piping, containment, and controls;
installation of a new liquid dechlorination system consisting of two (2) 24 GPD
chemical feed pumps in an induced suction arrangement from a 55 gallon tank of
sodium bisulfite solution to a drip feed connection to the existing chlorine contact
basin'discharge trough, including piping, containment, and controls; in conformity
with the project plans, specifications, and other supporting data subsequently filed
and approved by the Department of Environment and Natural Resources.
Note the existing tablet chlorination and dechlorination systems are to remain as
back up.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance, intent and in conformity with all applicable regulations and statutes and
the project plans, specifications, and other supporting documentation comprising the
Authorization to Construct Permit Application package.
Signature
Date
Registration No.
Mail this Certification to: Attn: Ron Berry
Complex Permitting Unit
DENR/DWR/Water Quality Programs
1617 Mail Service Center
Raleigh, NC 27699-1617

E-N.
ECEIVED
HensonFoley ept, of ENR
Landscape Architecture I Civil Engineering 201on-Salemnal Offirr,
April 24, 2014 RECEIVED/®ENR/DWR
Mr. Ron Berry APR 2 9 2014
NCDENR Wafer Resources
Dept. of Water Resources/NPDES Perrnifting Section
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Authorization to Construct
Liquid feed systems for chlorination and dechlorination
Abington Subdivision WWTP NCO060461
Dear Mr. Berry,
Carolina Water Service Inc., of NC is requesting an Authorization to Construct a
treatment process modification at the Abington Subdivision WWTP NCO060461 in
Forsyth County. The modification consists installing liquid feed systems for
chlorination and dechlorination. This application package includes an ATC
application, drawing, calculations, and specifications.
Please contact me by email or phone if you have any questions.
Sincerely,
(AU.GL"
William G. Langley, P.E.
HensonFoley
cc: Mark Haver, Tim Foley
10224 Hickorywood Hill Avenue, Suite 101 A - Huntersville, NC 28078 - 704.875.1615 ph - 704.875.0959 fax
www.hensonfoley.com [e-mail]

State of North Carolina
N�,cncara�r,a DIVISIQ(1 of Water Resources Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
SECTION 1: INSTRUCTIONS AND INFORMATION
A. The Division of Water Resources will accept this application package for review only If all of the items are provided and the
application is complete. Failure to submit all of the required items will result in the application package being returned as
Incomplete per 15A NCAC 02T .0105(b).
B. Plans and specifications must be prepared in accordance with 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina General
Statute 133-3. North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES
Wastewater Treatment Facilities.
C. The plans and specifications submitted must represent a completed final design that is ready to advertise forbid.
D. Any content changes made to this Form ATC-12-13 shall result in the application package being returned.
E. The Applicant shall submit ONE ORIGINAL and ONE DIGITAL COPY (CD) of the application, all supporting documentation and
attachments. All information must be submitted bound or in a 3-ring binder, with a Section tab for each Section, except the
Engineering Plans.
F. Check the boxes below to indicate that the information is provided and the requirements are met.
G. if attachments are necessary for clarity or due to space limitations, such attachments are considered part of the application
package and must be numbered to correspond to the item referenced.
H. For any project that requires review under the State Environmental Policy Act (SEPA), an Authorization to Construct cannot be
Issued prior to the completion of a State Clearinghouse advertisement period for a FONSI, EIS, etc. unless the project qualifies
for a Determination of Minor Construction Activity.
1. For more information, visit the Division of Water Resources web site at: http://i)ortal.ncdenr.org/web/wq/swp/ps/npdes,
J. In addition to this Authorization to Construct, the Applicant should be aware that other permits may be required from other
Sections of the Division of Water Resources (for example: reclaimed water facilities permits; Class A or B biosolids residuals
permit).
SECTION 2: APPLICANT INFORMATION AND PROJECT DESCRIPTION
A. APPLICANT
Applicant's name
Carolina Water Service, Inc. of NC
Signature authority's name per 15A NCAC 02T .0106(b)
Martin Lashua
Signature authority's title
Vice President of Operations
Complete mailing address
PO Box 240908 Charlotte NC 28224
Telephone number
704-319-0517
Email address
[e-mail]
B. PROFESSIONAL ENGINEER
Professional Engineer's name
William Langley
Professional Engineer's title
Engineer
North Carolina Professional Engineer's License No.
14384
Firm name
Henson Foley
Firm .License number
C-1738
Complete mailing address
16740 Birkdale Commons Pkwy Ste 200 Huntersville NC 28078
Telephone number
704-875-1615
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 1

Narth Caro{ina pivision of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
Email address I [e-mail]
C. NPDES PERMIT
NPDES Permit number NCO060461
Current Permitted flow (MGD) — include permit 0.2 MGD
flow phases if applicable
D. PROJECT DESCRIPTION
Provide a brief description of the project: Install liquid chlorination and dechlorination systems Sodium hvpochlorite solution
and sodium bisulfite solution shall be pumped from 55 gallon chemical tanks in the proposed chemical storage building to drip
infection points in the existing chlorine contact tank and existing post -aeration tank Dual chemical pumps shall be provided for
the sodium hvpochlorite solution and sodium bisulfite solution Drip infection of both solutions shall be controlled manually.
SECTION 3: APPLICATION ITEMS REQUIRED FOR SUBMITTAL FOR ALL PROJECTS
A. Cover Letter
® The letter must Include a request for the Authorization to Construct; the facility NPDES Number, a brief project description
that indicates whether the project is a new facility, facility modification, treatment process modification, or facility
expansion; the construction timeline; and a list of all items and attachments included in the application package.
❑ If any of the requirements of 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina General Statute 133-3, North Carolina
General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatment
Facilities are not met by the proposed design, the letter must include an itemized list of the requirements that are not met.
B. NPDES Permit
® Submit Part I of the Final NPDES permit for this facility that includes Part A (Effluent Limitations and Monitoring
Requirements) for the monthly average flow limit that corresponds to the work that Is requested for this project.
C. Special Order by Consent
❑ If the facility is subject to any Special Orders by Consent (SOC), submit the applicable SOC.
® Not Applicable.
D. Finding of No Significant Impact or Record of Decision
❑ Submit a copy of the Finding of No Significant Impactor Record of Decision for this project.
❑ Provide a brief description of any of the mitigating factors or activities included in the approved Environmental Document
that impact any aspect of design of this project, if not specified in the Finding of No Significant Impact or Record of Decision.
® Not Applicable.
E. Engineering Plans
® Per 15A NCAC 02T .0504(c)(1), submit two sets of detailed plans that have been signed, sealed and dated by a North
Carolina Licensed Professional Engineer.
Per 21 NCAC 56.1103(a)(6), the name, address and License number of the Licensee's firm shall be included on each sheet of
the engineering drawings.
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 2

Nxth Cas-dina Division of Water Resources. State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
N Plans must be labeled as follows: FINAL DRAWING —FOR REVIEW PURPOSES ONLY —NOT RELEASED FOR CONSTRUCTION.
N 1SA NCAC 02H .0124 requires multiple (dual at a minimum) components such as pumps, chemical feed systems, aeration
equipment and disinfection equipment. Is this requirement met by the design? ® Yes or ❑ No. If no, provide an
explanation:
Plans shall include:
N Plans for all applicable disciplines needed for bidding and construction of the proposed project (check as appropriate):
N Civil ❑ Not Applicable
❑
Process Mechanical
N Not Applicable
❑
Structural
N Not Applicable
EJ
Electrical
N Not Applicable
❑
Instrumentation/Controls
® Not Applicable
❑
Architectural
N Not Applicable
❑
Building Mechanical
® Not Applicable
❑
Building Plumbing
N Not Applicable
N Plan and profile views and associated details of all modified treatment units including piping, valves, and equipment
(pumps, blowers, mixers, diffusers, etc.)
® Are any modifications proposed that impact the hydraulic profile of the treatment facility? ❑ Yes or ® No. if yes, provide
a hydraulic profile drawing on one sheet that includes all impacted upstream and downstream units. The profile shall
include the top of wall elevations of each impacted treatment unit and the water surface elevations within each impacted
treatment unit for two flow conditions: (1) the NPDES permitted flow with all trains in service and (2) the peak hourly flow
with one treatment train removed from service.
® Are any modifications proposed that impact the process flow diagram or process flow schematic of the treatment facility?
® Yes or ❑ No. if yes, provide the process flow diagram or process flow schematic showing all modified flow paths
including aeration, recycle/return, wasting, and chemical feed, with the location of all monitoring and control instruments
noted.
F. ® Engineering Specifications
® Per 15A NCAC 02T .0504(c)(2), submit two sets of specifications that have been signed, sealed and dated by a North
Carolina Licensed Professional Engineer.
® Specifications must be labeled as follows: FINAL SPECIFICATIONS — FOR REVIEW PURPOSES ONLY — NOT RELEASED FOR
CONSTRUCTION.
Specifications shall Include:
N Specifications for all applicable disciplines needed for bidding and construction of the proposed project (check as
appropriate):
N Civil ❑ Not Applicable
❑ Process Mechanical ❑ Not Applicable
❑ Structural
❑ Not Applicable
❑ Electrical
❑ Not Applicable
❑ Instrumentation/Controls
❑ Not Applicable
❑ Architectural
❑ Not Applicable
❑ Building Mechanical ❑ Not Applicable
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 3

G
N:),uh Carolina DiyiSi0;1 of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
❑ Building Plumbing ❑ Not Applicable
M Detailed specifications for all treatment units and processes including piping, valves, equipment (pumps, blowers, mixers,
diffusers, etc.), and instrumentation.
❑ Means of ensuring quality and Integrity of the finished product including leakage testing requirements for structures and
pipelines, and performance testing requirements for equipment.
❑ Bid Form for publically bid projects.
G. Construction Sequence Plan (Not Applicable)
❑ Construction Sequence Plan such that construction activities will not result in overflows or bypasses to waters of the State.
The Plan must not imply that the Contractor is responsible for operation of treatment facilities. List the location of the
Construction Sequence Plan as in the Engineering Plans or in the Engineering Specifications or in both:
H. Engineering Calculations
® Per 15A NCAC 02T .QSO4(c)(3), submit two sets of engineering calculations that have been signed, sealed and dated by a
North Carolina Licensed Professional Engineer; the seal, signature and date shall be placed on the cover sheet of the
calculations.
For new or expanding facilities and for treatment process modifications that are included in Section 4.C, the calculations shall
include at a minimum:
❑ Demonstration of how peak hour design flow was determined with a justification of the selected peaking factor.
❑ Influent pollutant loading demonstrating how the design influent characteristics in Section 4.B.2 of this form were
determined.
❑ Pollutant loading for each treatment unit demonstrating how the design effluent concentrations in Section 4.6.2 of this
form were determined.
® Hydraulic loading for each treatment unit.
® Sizing criteria for each treatment unit and associated equipment (blowers, mixers, pumps, etc.)
❑ Total dynamic head (TDH) calculations and system curve analysis for each pump specified that is included In Section 4.C.6.
❑ Buoyancy calculations for all below grade structures.
® Supporting documentation that the specified auxiliary power source is capable of powering all essential treatment units.
I. Permits (Not Applicable)
❑ Provide the following information for each permit and/or certification required for this project:
Permit/Certification
Not
Applicable
Date
Submitted
Date
Approved
Permit/
Certification
Number
If Not Issued Provide
Status and Expected
Issuance Date
Darn Safety
Soil Erosion and Sediment Control
USCOE / Section 404 Permit
Water Quality Certification (401)
USCOE / Section 10
Stormwater Management Plan
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 4

61h czrauna Division 9f Water Resources. State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
CAMA.
NCDOT Encroachment Agreement
Railroad Encroachment Agreement
Other:
J. Residuals Management Plan (Not Applicable)
❑ For all new facilities, expanding facilities, or modifications that result in a change to sludge production and/or sludge
processes, provide a Residuals Management Plan meeting the requirements of 15A NCAC 02T .0504(i) and .0508: the Plan
must include;
❑ A detailed explanation as to how the generated residuals (including trash, sediment and grit) will be collected, handled,
processed, stored, treated, and disposed.
❑ An evaluation of the treatment facility's residuals storage requirements based upon the maximum anticipated residuals
production rate and ability to remove residuals.
❑ A permit for residuals utilization or a written commitment to the Applicant from a Permittee of a Department approved
residuals disposal/utilization program that has adequate permitted capacity to accept the residuals or has submitted a
residuals/utilization program application.
❑ If oil, grease, grit or screenings removal and collection is a designated unit process, a detailed explanation as to how
the oil/grease will be collected, handled, processed, stored and disposed.
N Not Applicable.
SECTION 4: PROJECT INFORMATION WASTEWATER TREATMENT PLANT FLOW INFORMATION -- COMPLETE FOR
NEW OR EXPANDING FACILITIES (Not Applicable)
1. Provide the following flow information:
Plant Flows
Existing Plant Design
MGD
Current NPDES Permit Limit
MGD
Current Annual Average
(past 12 months)
MGD
For Past 12 Months:
Start Date: month/yr
End Date: month/yr
For Past 24 Months:
Start Date: month/yr
End Date: month/yr
Maximum Month
MGD
MGD
Maximum Day
MGD
MGD
Peak Hour
MGD
MGD
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 5

t brth CzrO.ina Divi5i0n of Water Resources. state of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
A. WASTEWATER TREATMENT FACILITY DESIGN INFORMATION —COMPLETE FOR NEW OR EXPANDING FACILITIES AND
FOR TREATMENT PROCESS MODIFICATIONS (Not Applicable)
1. Have all of the requirements of 15 NCAC 02H. 0100,15A NCAC 02T, North Carolina General Statute 133-3, North Carolina
General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatment
Facilities been met by the proposed design and specifications? ❑ Yes or ❑ No. If no, provide justification as to why the
requirements are not met, consistent with 15A NCAC 02T .0105(n):
2. Provide the design influent and effluent characteristics that are used as the basis for the project design, and the NPDES
permit limits for the following parameters:
Project Basis of Design
Design Influent
Design Influent
Influent
Concentration
Load
Concentration -
(Must be
(Must be
Current Annual
supported by
supported by
Average (past
Engineering
Engineering
Design Effluent
12 months) if
Calculations
Calculations
Concentration and/or
NPDES Permit Limits
Parameter
Available
[Section 3.H])
[Section 3.H])
Load
(monthly average)
Ammonia Nitrogen
mg/L Summer
mg/L Summer
(NH3-N)
mg/L
mg/L
lb/day
mg/L Winter
mg/L Winter
Biochemical
mg/L Summer
mg/L Summer
Oxygen Demand
mg/L
mg/L
lb/clay
mg/L Winter
mg/L Winter
(BODS)
Fecal
e al C of ifo rm
p r1 00 mL
P r 100 m L
pe
Nitrate
r Nitrite
Nitrogen (NO,-N+
-
mg L
LNitr
mg
NaO N )
Total K eldahl
m L
g
Nitrogen
-
Total Nitrogen
-
m g L
m g L
lb/year
lb/year
Total Phosphorus
mg/L
mg/L
lb/day
mg/L
mg/L
lb/year
lb/year
Total Suspended
Solids (TSS)
mg/L
mg/L _T_Ib/day
­F
mg/L
mg/L
3. Based on the "Project Basis of Design" parameters listed above, will the proposed design allow the treatment facility to
meet the NPDES Permit Limits listed above? ❑ Yes or ❑ No. If no, describe how and why the Permit Limits will not be
met:
4. Per 15A NCAC 02T .0505(il, by-pass and overflow lines are prohibited. Is this condition met by the design? ❑ Yes or ❑ No
If no, describe the treatment units bypassed, why this is necessary, and where the bypass discharges:
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 6

State of North Carolina
Nosth Carolina Division of Water Resources
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
5. Per 15A NCAC 02T .0505(k), multiple pumps shall be provided wherever pumps are used. Is this condition met by the
design? ❑ Yes or ❑ No. If no, provide an explanation:
6. Per 15A NCAC 02T .0505(I), power reliability shall be provided consisting of automatically activated standby power supply
onsite capable of powering all essential treatment units under design conditions, or dual power supply shall be provided
per 15A NCAC 02H. 0124(2)(a). Is this condition met by the design? ❑ Yes or ❑ No. If no, provide (as an attachment
to this Application) written approval from the Director that the facility:
➢ Has a private water supply that automatically shuts off during power failures and does not contain elevated water
storage tanks, and
➢ Has sufficient storage capacity that no potential for overflow exists, and
➢ Can tolerate septic wastewater due to prolonged detention.
7. Per 15A NCAC 02T .0505(o), a minimum of 30 days of residual storage shall be provided. Is this condition met by the
design? ❑ Yes or[] No. If no, explain the alternative design criteria proposed for this project in accordance 15A NCAC
02T .105 n :
8. Per 15A NCAC 02T .0505(p), the public shall be prohibited from access to the wastewater treatment facilities. Explain how
the design complies with this requirement:
9. is the treatment facility located within the 100-year flood plain? ❑ Yes or ❑ No, if yes, describe how the facility is
protected from the 100-year flood:
B. WASTEWATER TREATMENT UNIT AND MECHANICAL EQUIPMENT INFORMATION -COMPLETE FOR NEW OR
EXPANDING FACILITIES AND FOR MODIFIED TREATMENT UNITS (Not Applicable)
PRELIMINARY AND PRIMARY TREATMENT (i.e., physical removal operations and flow equalization): '
Treatment Unit
No. of
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
Units
Reference
Reference
(Yes or No)
Manual Bar Screen
MGD at peak hourly flow
Mechanical Bar
MGD at peak hourly flow
Screen
Grit Removal
MGD at peak hourly flow
Flow Equalization
--
gallons
Primary Clarifier
Circular
ft diameter; ft side
water depth
Primary Clarifier
Rectangular
square feet; ft side
water depth
Other
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 7

Nhsth Carolina Division of Water R054ta(C85State of North Carolina. Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
2. SECONDARY TREATMENT (BIOLOGICAL REACTORS AND CLARIFIERS) (i.e., biological and chemical processes to remove
organics and nutrients) (Not Applicable) `
Treatment Unit
No. of
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
Units
Reference
Reference
(Yes or No)
Aerobic Zones/
Tanks
gallons
Anoxic Zones/
Tanks
gallons
Anaerobic
gallons
Zones/Tanks
Sequencing Batch
gallons
Reactor (SBR)
Membrane
-
gallons
Bioreactor (MBR)
Secondary Clarifier
Circular
ft diameter; ft sidewater
depth
Secondary Clarifier
Rectangular
square feet; ft sidewater
depth
Other
3. TERTIARY TREATMENT (Not Applicable)
Treatment Unit
No. of
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
Units
Reference
Reference
(Yes or No)
Tertiary Clarifier
Circular
ft diameter; ft sidewater
depth
Tertiary Clarifier
Rectangular
square feet; ft sidewater
depth
Tertiary Filter
square feet
Tertiary Membrane
square feet
Filtration
Post -Treatment
-
gallons
Flow Equalization
Post -Aeration
gallons
Other
4. DISINFECTION
Treatment Unit
No. of
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
Units
Reference
Reference
(Yes or No)
gal/day per bank at peak
Ultraviolet Light
(Parallel; in
hourly flow; number of
series)
banks; number of
lamps/bank
Chlorination
1
liquid (Gas;
4167 gallons of contact
1
1
Yes
tablet; liquid)
tank/unit
Decfilorination
1
liquid (Gas;
2000 gallons of contact
1
1
Yes
tablet; liquid)
tank/unit
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 8

State of North Carolina
Nacth Carolina Division of Water Resources
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
S. RESIDUALS TREATMENT (Not Applicable)
Treatment Unit
No. of
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
Units
Reference
Reference
(Yes or No)
Gravity Thickening
square feet; ft side
Tank
water depth
Mechanical
Thickening/
dry lb/hour
Dewatering
Aerobic Digestion
gallons
Anaerobic
Digestion
gallons
Composting
dry lb/hour
Drying
dry lb/hour
Other
6. PUMP SYSTEMS (include influent, intermediate, effluent, major recycles, waste sludge, thickened waste sludge and plant
drain pumps) (Not Applicable)
Location
No. of
Pumps
Purpose
Type
Capacity of
each pump
plan Sheet
Reference
Specification
Reference
GPM
TDH
7. MIXERS (Not Applicable)
` Location
No, of
Mixers
purpose
Type
Power of
each Mixer
plan Sheet
Reference
Specification
Reference
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 9

State of North Carolina
N-thcz,ol- Division of Water Resources
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
B. BLOWERS (Not Applicable)
Location
No. of
Blowers
Purpose
Type
Capacity of
each Blower
(CFM)
Plan Sheet
Reference
Specification
Reference
9. ODOR CONTROL (Not Applicable)
Location
No. of
Units
Purpose
Type
Plan Sheet
Reference
Specification
Reference
C. SETBACKS —COMPLETE FOR NEW WASTEWATER TREATMENT STRUCTURES
1. The minimum distance for each setback parameter to the wastewater treatment/storage units per 15A NCAC 02T .0506(b)
are as follows:
Minimum Distance
Is Minimum Distance
Setback Parameter
Required from Nearest
q
Requirement met by the
Design? If "No", identify
Treatment/Storage
Unit
Setback Waivers in Item D.2
Below
Any habitable residence or place of assembly under separate
ownership or not to be maintained as part of the project site
100 ft
® Yes
❑ No
Any private or public water supply source
100 ft
® Yes
—[:]No
Surface waters (streams — intermittent and perennial, perennial
waterbod(es, and wetlands)
50 ft
® Yes
❑ No
Any well with exception of monitoring wells
100 ft
® Yes
❑ No
Any property line
Soft
® Yes
❑ No
2. Have any setback waivers been obtained per 15A NCAC 02T .0506(d)? ❑ Yes or ® No. If yes, have these waivers been
written, notarized and signed by all parties involved and recorded with the County Register of Deeds? ❑ Yes or ❑ No. If
no, provide an explanation:
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 10

State of North Carolina
r--Ah Carolina Division of Water Resources.
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
SECTION S: APPLICATION CERTIFICATION BY PROFESSIONAL ENGINEER
Professional Engineer's Certification per 15A NCAC 02T .0105:
I, WILLIAM LANGLEY, attest that this application package for an Authorization to Construct
(Typed Name of Professional Engineer)
for the ABINGTON WWTP LIQUID CHLORINATION AND DECHLORINATION SYSTEMS
(Facility and Project Name)
was prepared under my direct supervisory control and to the best of my knowledge is accurate, complete and consistent
with the information supplied in the engineering plans, specifications, calculations, and all other supporting
documentation for this project. I further attest that to the best of my knowledge the proposed design has been
prepared In accordance with all applicable regulations and statutes,15 NCAC 02H. 0100,15A NCAC 02T, North Carolina
General Statute 133-3, North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design
Criteria for NPDES Wastewater Treatment Facilities, and this Authorization to Construct Permit Application, except as
provided for and explained in Section 4.13.1 of this Application. I understand that the Division of Water Resources'
issuance of the Authorization to Construct Permit may be based solely upon this Certification and that the Division may
waive the technical review of the plans, specifications, calculations and other supporting documentation provided in this
application package. I further understand that the application package may be subject to a future audit by the Division.
Although certain portions of this submittal package may have been prepared, signed and sealed by other professionals'
licensed in North Carolina, inclusion of these materials under my signature and seal signifies that I have reviewed the
materials and have determined that the materials are consistent with the project design.
I understand that 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..
North Carolina Professional Engineer's seal with written signature placed over or adjacent to the seal and dated:
ESS
y-9 .
No. 14,384
041 jA 6V 14
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 11

0. ;
State of North Carolina
K th Cadin3 Division of Water Resources
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
SECTION 6: APPLICATION CERTIFICATION BY APPLICANT
Applicant's Certification per 15A NCAC 02T .0106(b):
I, Martin Lashua, vice President of Operations attest that this application package for an Authorization to Construct
(Typed Name of Signature Authority and Title)
for the ABINGTON WWTP LIQUID CHLORINATION AND DECHLORINATION SYSTEMS
(Facility and Project Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I also understand that if all
required parts of this application package are not completed and that if all required supporting information and
attachments are not included, this application package will be returned to me_ as incomplete. I further certify that in
accordance with 15A NCAC 02T .0120(b), the Applicant or any affiliate has not been convicted of environmental crimes,
has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all
appeals have been abandoned or exhausted, are compliant with any active compliance schedule, and does not have any
overdue annual fees.
I understand that the Division of Water Resources' issuance of the Authorization to Construct Permit may be based
solely upon acceptance of the Licensed Professional Engineer's Certification contained in Section 5, and that the Division
may waive the technical review of the plans, specifications, calculations and other supporting documentation provided
in this application package. I further understand that the application package may be subject to a future audit.
I understand that 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 xcee 1D,0 0, as II as civil penalties up to $25,000 per violation.
Signature: Date: a-- �l
THE COMPLETED APPLICATION AND SUPPORTING INFORMATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES/NPDES
By U.S. Postal Service By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N. SALISBURY STREET, 9TH FLOOR
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 12

Pat McCrory
Governor
r='v
NCDENR APR 20%
North Carolina Department of Environment and Natural Resour��""""`" �— -
January 8, 2014
Martin J. Lashua
Carolina Water Service Inc. of North Carolina
P.O. Box 240908
Charlotte, NC 282240908
Subject: NOTICE OF VIOLATION
NOV-2014-MV-0024
Permit No. NCO060461
Abington WWTP
Forsyth County
Dear Mr Lashua:
John E. Skvarla, III
Secretary
A review of Abington WWTP's monitoring report for January 2014 showed the following
violations:
Parameter
Date
Measuring
Violation
Fre uenc
BOD, 5-Day (20 Deg. C) -
01/25/14
Weekly
3
Concentration
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem(s). Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of State
law.
5000.
If you should have any questions, please do not hesitate to contact Ron Boone at (336) 771-
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
WSRO Files
585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone] Internet: www,ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

A" f UtiiitiES inc °
April 17, 2014
W. Corey Basinger
Surface Water Regional Supervisor
Division of Water Quality
585 Waughtown Street
Winston Salem, NC 27107
Ref: Abington WWTP
NOV -2014—MV-0024
Dear Mr. Basinger,
We are in receipt of the Notice of Violation regarding the above mentioned wastewater treatment facility and respond
as follows.
The ORC collected a composite BOD sample from Abington wastewater treatment plant on January 23, 2014 as
stipulated in the NPDES permit. The sample was delivered to Research & Analytical Laboratories Inc. on the same day.
Due to a quality control problem with the laboratories dilution water (possible contamination) the sample could not be
analyzed. Since there is a (5) day incubation period required to analyze a BOD sample the lab was not aware of the
problem until January 291h. The ORC could not collect an additional BOD sample since we weren't notified of the
problem until the following week. All other samples that were collected on the same day were in full compliance with
the NPDES permitted limits. In addition all subsequent samples were in full compliance. I am attaching a copy of the
letter from Research and Analytical Laboratories Inc. for your review.
The staff of Carolina Water Service, Inc. of NC takes pride in the compliance and environmental stewardship of our
facility. Please accept this letter as demonstration that the actions taken were unintentional and out of our control.
Should you have any further questions or if I can be of any further assistance please do not hesitate to contact me at
704-319-0523.
Sincerely,
Qn
Tony J Konsul
Regional Manager
CC: Martin Lashua
Mary Rollins
Mark Haver
Robert Loper
Enclosure; (1) Research & Analytical Laboratories Inc. -Letter
autlfities, Inc. company Carolina Water Service, Inc. of North Carolina
P.O. Box 24090® Charlotte, NC 28224 P: 704-525-7999 F: 704-525-8174
5701 Westpark Dr., Suite 10# Charlotte, NC 28217.0 www.uiwater.com

RESEARCh ANA1YT9CA[
LkORATORVS, INC.
Analytical/Process Consultations
April 15, 2014
Carolina Water Service of NC
6890 Bainburgh Court
Kernersville, NC 27284
Attention: Robert Loper
Dear Mr. Loper,
On January 23, 2014, Research R Analytical Laboratories, Inc. (RAL) received a sample
from Carolina Water Service/Abington for BOD testing. Due to possible dilution water
contamination, no valid data was able to be reported for this sample. Because the BOD
test requires incubation for five (5) days, RAL was not aware of the problem until
January 29, 2014.
RAL apologizes for this error and will do everything possible to avoid this happening in
the future. If you should have any further questions or require additional information
please so advise.
Sincerely,
Sidney L. Champion
Director of Laboratory Services
SLC/sy
P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

ONO JtelitiEs, Inc'
April 17, 2014
W. Corey Basinger
Surface Water Regional Supervisor
Division of Water Quality
585 Waughtown Street
Winston Salem, NC 27107
Ref: Abington WWTP
NOV -2014—MV-0024
Dear Mr. Basinger,
N.C.Dept. of ENR
APR 2 2 2014
Winston-Salem
Raaional Office_
We are in receipt of the Notice of Violation regarding the above mentioned wastewater treatment facility and respond
as follows.
The ORC collected a composite BOD sample from Abington wastewater treatment plant on January 23, 2014 as
stipulated in the NPDES permit. The sample was delivered to Research & Analytical Laboratories Inc. on the same day.
Due to a quality control problem with the laboratories dilution water (possible contamination) the sample could not be
analyzed. Since there is a (5) day incubation period required to analyze a BOD sample the lab was not aware of the
problem until January 29th. The ORC could not collect an additional BOD sample since we weren't notified of the
problem until the following week. All other samples that were collected on the same day were in full compliance with
the NPDES permitted limits. In addition all subsequent samples were in full compliance. I am attaching a copy of the
letter from Research and Analytical Laboratories Inc. for your review.
The staff of Carolina Water Service, Inc. of NC takes pride in the compliance and environmental stewardship of our
facility. Please accept this letter as demonstration that the actions taken were unintentional and out of our control.
Should you have any further questions or if I can be of any further assistance please do not hesitate to contact me at
704-319-0523.
Sincerely,
Tony J Konsul'
Regional Manager
CC: Martin Lashua
Mary Rollins
Mark Haver
Robert Loper
Enclosure; (1) Research & Analytical Laboratories Inc. -Letter
a Utilities,Inc. company Carolina Water Service, Inc. of North Carolina
P.O. Box 240901 Charlotte, NC 28224 P: 704-525-799f F: 704-525-8174
5701 Westpark Dr., Suite 100 Charlotte, NC 282170 www.uiwater.com

RESEARCh & ANAlyT1CAl
LAb®RAT®RIESo INC.
Analytical/Process Consultations
April 15, 2014
Carolina Water Service of NC
6890 Bainburgh Court
Kernersville, NC 27284
Attention: Robert Loper
Dear Mr. Loper,
RECEIVED
N.C.Dept. of ENR
APR 2 2 20%
Winston-Salem
Regional Office
On January 23, 2014, Research & Analytical Laboratories, Inc. (RAL) received a sample
from Carolina Water Service/Abington for BOD testing. Due to possible dilution water
contamination, no valid data was able to be reported for this sample. Because the BOD
test requires incubation for five (5) days, RAL was not aware of the problem until
January 29, 2014.
RAL apologizes for this error and will do everything possible to avoid this happening in
the future. If you should have any further questions or require additional information
please so advise.
Sincerely,
Sidney L. Champion
Director of Laboratory Services
SLCIsy
P.O. Box 473 ^ 106 Short Street . Kernersville, North Carolina 27284 •336-996-2841 • Fax [phone]
www.randalabs.com

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Wells Fargo Home Mortgage
Attn: Alicia Wallace
1525 West WT Harris Boulevard
Charlotte, NC 28262
Division of Water Resources
Water Quality Regional Operations
Thomas A. Reeder
Director
March 08, 2014
John E. Skvarla, III
Secretary
Subject: Letter of Adequacy for Abington Subdivision, Carolina Water Service, Inc. of North Carolina
NPDES Wastewater Treatment Permit # NCO060461
Wastewater Collection System Permit # WQCS00261
Forsyth County
Dear Ms. Wallace:
Asper your request, this letter serves as notice of adequacy and proper permitting for the wastewater
treatment and collection systems that serve the Abington Subdivision located in Kernersville, Forsyth County, NC.
Both the wastewater treatment and collection systems for the Abington subdivision are properly permitted by the NC
Division of Water Resources (Division) under permit numbers NCO060461 and WQCS00261, respectively. Carolina
Water Service, Inc. of North Carolina, owns and operates both systems and was issued permit NCO060461 in March,
2012, and permit WQCS00261 in December, 2005.
The Division last inspected the Abington wastewater treatment system in May, 2013, at which point it was
determined to be in compliance with permit NC0060461. The Division last inspected the Abington wastewater
collection system in October, 2013, at which time it was determined to be in compliance with permit WQCS00261. To
our knowledge, no new issues with either system have arisen since these inspections.
If you have any questions regarding this letter, please feel free to call me at [phone].
Sincerely,
Ronald C. Boone
Environmental Specialist
Surface Water Protection Section
cc: WSRO
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service;1-877-623-6748
Intemet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

MEMORY TRANSMISSION REPORT
TIME :2014-03-18 14:14
FAX NO.1 :336-771-4632
NAME :NC DENR - WSR02
FILE NO.
939
DATE
03.18 14:09
TO
8774716665
DOCUMENT PAGES
1
START TIME
03.18 14:09
END TIME
03.18 14:14
PAGES SENT
0
STATUS
0050
***TX FAILURE NOTICE***
��� &
C�E�R
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
March 08, 2014
Wells Fargo Home Mortgage
Attn: Alicia Wallace
1525 West WT Harris Boulevard
Charlotte, NO 28262
Subject: Letter of Adequacy for Abington Subdivision, Carolina Water Service, Inc. of North Carolina
NPDES Wastewater Treatment Permit # NCO060461
Wastewater Collection System Permit # WQCS00261
Forsyth County
Dear Ms. Wallace:
As. per your request, this letter serves as notice of adequacy and proper permitting for the wastewater
treatment and collection systems that serve the Abington Subdivision located in Kernersville, Forsyth County, NC.
Both the wastewater treatment and collection systems for the Abington subdivision are properly permitted by the NO
Division of Water Resources (Division) under permit numbers NCO060461 and WQCS00261, respectively. Carolina
Water Service, Inc. of North Carolina, owns and operates both systems and was issued permit NCO060461 in March,
2012, and permit WQCS00261 in December, 2005_
The Division last inspected the Abington wastewater treatment system in May, 2013. at which point It was
determined to be in compliance with permit NC0060461. The Division last inspected the Abington wastewater
collection system in October, 2013, at which time it was determined to be in compliance with permit WQCS00261. To
our knowledge, no new issues with either system have arisen since these inspections_
If you have any questions regarding this letter, please feel free to call me at [phone].
Sincerely,
Ronald C_ Boone
Environmental Specialist
Surface Water Protection Section
cc: WSRO
North Carolina Division of Water Resources, Winston Salem Regional Office
Location: 565 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] % FAX: [phone] Customer Service: 1-6776236746
Internee vrew.nowateM—lity.org
An Eq— Opportunity N Alfi—ti—

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E..Skvarla, III
Governor Secretary
January 8, 2014
Martin J. Lashua
Carolina Water Service Inc. of North Carolina
P.O. Box 240908
Charlotte, NC 282240908
Subject: NOTICE OF VIOLATION
NOV-2014-MV-0024
Permit No. NCO060461
Abington WWTP
Forsyth County
Dear Mr Lashua:
A review of Abington WWTP's monitoring report for January 2014 showed the following
violations:
Parameter
Date
Measuring
Violation
Fre uenc
BOD, 5-Day (20 Deg. C) ' -
01/25/14
Weekly
3
Concentration
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem(s). Please be aware that violations of your NPDES-permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of State
law.
If you should have any questions, please do not hesitate to contact Ron Boone at (336) 771-
5000.
Sincerely,
/
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
�' ,'+'
585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

DMR Review Retard
Facility: �1 '40Permit No.: Pipe No.: () ci /
Ga 46/
Monthiy Average Violations
Month/Year:
Parameter Permit Limit DMR Value % Over Limit
Action
Weekly/Daily Violations
Date Parameter Permit Limit Limit Type DMR Value % Over Limit Action
Monitorinq Frequency Violations
Date Parameter Permit Frequency
Other Violations/Staff Remarks::
V - )-bl� My - oz�
Supervisor Remarks:
Completed by: sar",7 e
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign `
Off:
Values Reported # of Violations Action .

EFFLUENT
NPDES PERMIT NO: NCO060461 DISCHARGE NO: 001 MONTH: JanAt YEAR: 2014
FACILITY NAME: ABINGTON CLASS: II COUNTY: Forsyth
CERTIFIED LABORATORY: Research and Analytical) `.CERTIFICATION #: 34
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORQ Robert W Loper �. RADE: 14 CERTIFICATION NO: 998440
PERSON(S) COLLECTING SAMPLES: Robert W Loper z zo ORC PHONE: [phone]
CHECK BOX IF ORC HA7�Nv-
NO FLOW / DISCHARG ROM SITE ❑
Mail ORIGINAL and ONENR
ATTN:CENTRALFILESx
DIVISION OF WATER QU�oi
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CEN BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH. NC 27699-16a 9 i�1� ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
~
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ENTER PARAMETER CODE
ABOVE NAME AND UNITS
EFF
INF p
y
0
HRS
HRS
Y/B/N
MGD
o C
UNITS
UG/L
MG/L
MG/L
MG/L
#/100ML
MG/L
MG/L
MG/L
i
9:45
1
N
0.128
12.7
2
8:20
3
YY
0.140
11.8
7,13
<10
4.71
0.67
2.0
<1.
7.46
27.2
2.44
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0.148
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7.60
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11.2
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2
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0.160
11.9
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6
9:00
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0.180
12.5
6.98
25
0.13
6.20
1 1
1 1er,
7
10:28
3
Y
0.152
9.4
8
10:40
3
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0.128
9.7
6.99
<10
0.20
8.38
_
z n
91
9:00
1 3
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1.0.124
10.2
6.70
13
3.91
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3.5
2
8.19
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10:00
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0.136
11.2 `
7.08
11
12:10
1
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0.220
11.3
12
8:35
1
N
0.196
10.6
13
8:30
3
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0.840
12.0
7.18
29
7.08
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8:10
1 3
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1 0.140
13.1
15
11:00
4
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0.168
12.1
6.74
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0.26
7.45
16
8:45
3
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0.120
11.8
7.11
<10
3.31
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1.0
8
8.13
17
11:00
3
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0.144
11.4
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8.70
18
13:10
2
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0.136
10.9
19
7:00
1 2
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1 0.116
10.8
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8:50
3
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1 0.116
11.0
6.77..
<10
0.31
8.04
21
11:30
3
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0.164
12.0
22
10:20
3
Y
0.108
10.5
6.65
31
1
0.11
23
13:00
2
Y
0.136
10.1
6.90
13
<.10
5.5
9
8.09
24
11:00
3
Y
0.108
9.1
8.81
25
9:25
1
N
0.096
9.4
26
10:00
1
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0.140
10.3
27
9:25
4
Y
0.136
11.5
6.82
14
0.05
8.49
28
8:10
3
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0.112
10.8
29
13:00
1
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0.236
10.4
30
9:45
1 4
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1.196
8.4
6.88
<10
4.04
<.10
4.0
12
8.69
31
10:061
3
Y
0.092
8.7
6.70
22
2.16
0.10
8.49
AVERAGE
0.198
11.0
6.88
12
3.63
0.16
3.2
4
7.93 '
27.2
2.44
MAXIMUM
1.196
13.1
7.18
31
4.71
0.67
5.5
12
8.81
27.2
2.44
MINIMUM
0.092
8.4
6.61
<10
2.16
<.10
1.0
<1
6.20
27.2
2.44
Comp. (C)/ Grab (G)
G
G
G
C
C
C
G
G
C
C
Monthly Limit
I 0.2 I
N/A
1 6-9
N/A
E30.
4.0
30.0
200
N/A
I N/A
N/A
DWQ Form MR-1(11/04)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) .
F7X4
Compliant, .
All monitoring data and sampling frequencies do NOT meet permit requirements T7
Noncompliant
The permittee shall report to the, Director or the appropriate Regional Office any noncompliance that potentially
threatens public.health or the environment. Any information shall be provided orally within 24 hours from the time
the permittee became aware of the circumstances. A written submission shall, also be provided within 5 days of the
time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"I certity, under penalty of law, that this document and'all attachments were prepared under my directionor
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 or persons who managed 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 of fines and imprisonment for knowing violations."
Tony Konsul, Regional Manager
Permittee (Please print or type
ASignatuof Per ittee*** Date
Carolina Water Service, Inc. of N.0 (Required unless submitted electronically)
P O Box 240908
Charlotte, NC 28224 704-525-7990 2/28/2017.
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) �` Certification No.
Certified Laboratory (3) Certification No.
Certified. Laboratory (4) Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface Water
Protection Section's web site at h2o.enr.state.nc.us/was and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC, must visit facility and document'visitation of facility a's required per 15A NCAC 8G'.0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file .with the state.per 15A NCAC 2B .0506(b)(2)(D).

NPDES Permit No: NC0060461 Discharge No.: 1 Month: Janaury Year 2014
Facility Name: Abington
Stream: Belews Creek
Location: 100' Above Discharge
UPSTREAM
Enter Parameter
Code
Units
DW4 Form MR-3 (Revised 2/2009)
County: Forsyth
Stream: Belews Creek
Location: 200' Below Discharge
DOWNSTREAM
�IEnter
,
Parameter
Above, Name and
Units-

1-
RESEARch & ANAIYACA1
LAb®RAT061ES, INC.
Analytical/Process Consultations
Carolina dilater Service/Abington Date Sample Collected _ ri/23M
6890 Bainburgh Ct Date Sample Received 01/23/14
Kernersville, NC 27284 Date Sample Analyzed 01/23/14
Attn: Robert Loper
Date of Report 01/31/14
Analyses Performed by ZP
Lab Sample Number
7773S2 777353
------------------
Parameter Storet # Results Results
DOD-S (00310)
TSS (00530) 5.50 mg/l
NH-3-N (00610) <0.10 mg/l
Fec Coli-MF (31616)
9 col/100 ml
- c'p res�a�lO aPalla'b�e ue _cr 1-ab)a•r.toray 4/C prb ern
Clients Sample Source
Number
Time Collected (Hrs)
-------------------- --------------------
EFFLUENT EFFLUENT
1305
1312
P.O. Box 473 ,,100 Short Street • Kernersville, North Carolina 27284.336-996-2841 • Fax [phone]
www.rancialobo.com

t Analytical/Process Consultations
Date Sample Collected
Carolina Water Service/Abington Date Sample Received
6890 Bainburgh Ct Date Sample Analyzed
Kernersville, NC 27284 Date of Report
Attn: Robert Loper
Analyses Performed by
Lab Sample Number
--------------------
777777
Storet #_____---^--- Results
Parameter
BOD-5
(00310) 2.16 mg/l
--------------------
Clients Sample Source EFFLUENT
Number
Time Collected (Hrs) 1205
eVJ H■G#34
a! 0 m
sc
� o �
� ; ' PIED MAN"; y®�
01/31/14
01/31/14
ol/31/14
02/06/14
CW
P.O. Box 473 ° 105 Short Street o Kernersville, North Carolina 27284.336-996-2841 o Fax [phone]
www.T-andalabs.com

A�A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
October 24, 2013
Envoy Mortgage
Attn: Beth Hatley
2411 Penny Road, Suite 202
High Point, NC 27265
Subject: Letter of Adequacy for 7100 Avenbury Circle, Kernersville, NC 27284
Abington Subdivision, Carolina Water Service, Inc. of North Carolina
NPDES Wastewater Treatment Permit # NCO060461
Wastewater Collection System Permit # WQCS00261
Forsyth County
Dear Ms. Hatley:
As per your request, this better serves as notice of adequacy and proper permitting for the wastewater
treatment and collection systems that serve the private residence at 7100 Avenbury Circle in the Abington
Subdivision located in Kernersville, Forsyth County, NC. Both the wastewater treatment and collection systems for
the Abington subdivision are properly permitted by the NC Division of Water Resources (Division) under permit
numbers NCO060461 and WQCS00261, respectively. Carolina Water Service, Inc. of North Carolina, owns and
operates both systems and was issued permit NCO060461 in March, 2012, and permit WQCS00261 in December,
2005.
The Division last inspected the Abington wastewater treatment system in May, 2013, at which point it was
determined to be in compliance with permit NC0060461. The Division last inspected the Abington wastewater
collection system in October, 2013, at which time it was determined to be in compliance with permit WQCS00261. To
our knowledge, no new issues with either system have arisen since these inspections.
If you have any questions regarding this letter, please feel free to call me at [phone].
Sincerely,
on ne
Environmental Specialist
Surface Water Protection Section
cc: WSRO
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service; 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

• . Boone, Ron
From:
Beth Hatley <[e-mail]>
Sent:
Tuesday, October 22, 2013 2:25 PM
To:
Carter, Jenifer; Tim Kritcher
Cc:
Boone, Ron; [e-mail]
Subject:
Abington Wastewater Inspection
Attachments:
DOC131022-20131022095102.pdf
Hi there,
I have received the Compliance Evaluation Inspection for the Abington subdivision from NCDENR (attached).
*Please address the subject property in question (7100 Avenbury Circle, Kernersville, NC 27284) specifically to insure it
is made clear that this particular property is included in this subdivision evaluation. If you would please type a short
letter signed , dated on letterhead stating this and referencing the inspection supplied
Also the inspection I received is dated 2/7/11... I thought there was a more recent inspection performed in May of this
year. Please advise. If there is a more current inspection please supply.
Thanks so much for your help.
Thank you!
Beth Hatley
Mortgage Loan Assistant
Envoy Mortgage
336.812.3400 (Office)
336.812.3430 (Fax)
[e-mail]
The information transmitted herein is intended solely for the individual or entity to which it is addressed and may contain information that is trademarked, privileged,
and/or confidential.
Any review, retransmission, dissemination, use of, or taking action in reliance of this information in whole or part by persons or entities other than the intended
recipient is prohibited.
If you have received this email in error please notify the sender by return email and delete the email from your system. Thank you
---=-Original Message -----
From: Carter, Jenifer[mailto:[e-mail]]
Sent: Tuesday, October 22, 2013 1:55 PM
To: Beth Hatley

Cc: Boone, Ron
Subject: RE: Send data from TOSHIBAAQ 2013/10/22 09:51
Beth,
I am cc'ing Ron Boone on this email. The letters in the file did not specifically mention the address you needed, so you
can ask him for that. Please let him know what exactly you are looking for. [e-mail] or [phone].
Jenifer Carter
P
Before printing this email, please consider your budget and the environment.
If you must print, please print only what you need and save ink with the free Eco-Font.
NC DENR Winston-Salem Regional Office
Division of Water Resources
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
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.
-----Original Message -----
From: Beth Hatley [mailto:[e-mail]]
Sent: Tuesday, October 22, 2013 1:43 PM
To: Carter, Jenifer
Subject: RE: Send data from TOSHIBAAQ 2013/10/22 09:51
Got it thanks s0000 much!! :)
Thank you!
Beth Hatley
Mortgage Loan Assistant
Envoy Mortgage
336.812.3400 (Office)
336.812.3430 (Fax)
[e-mail]
The information transmitted herein is intended solely for the individual or entity to which it is addressed and may
contain information that is trademarked, privileged, and/or confidential.
Any review, retransmission, dissemination, use of, or taking action in reliance of this information in whole or part by
persons or entities other than the intended recipient is prohibited. If you have received this email in error please notify
the sender by return email and delete the email from your system. Thank you

-----Original Message -----
From: Carter, Jenifer[mailto:[e-mail]]
Sent: Tuesday, October 22, 2013 1:42 PM
To: Beth Hatley
Subject: FW: Send data from TOSHIBAAQ 2013/10/22 09:51
Let's try this again...:)
Jenifer Carter
Before printing this email, please consider your budget and the environment.
If you must print, please print only what you need and save ink with the free Eco-Font.
NC DENR Winston-Salem Regional Office
Division of Water Resources
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
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.
-----Original Message -----
From: Carter, Jenifer
Sent: Tuesday, October 22, 2013 9:54 AM
To: '[e-mail]'
Subject: FW: Send data from TOSHIBAAQ 2013/10/22 09:51
Beth,
Let me know if you need anything else.
Jenifer Carter
Before printing this email, please consider your budget and the environment.
If you must print, please print only what you need and save ink with the free Eco-Font.
NC DENR Winston-Salem Regional Office
Division of Water Resources
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
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.
-----Original Message -----
From: NC DENR Winston-Salem [_mailto:[e-mail]
Sent: Tuesday, October 22, 2013 9:51 AM
To: Carter, Jenifer
Subject: Send data from TOSHIBAAQ 2013/10/22 09:51
Scanned from TOSHIBAAQ
Date: 2013/10/22 09:51
Pages: 10
Resolution: 200x200 DPI
Attached file from NC DENR Winston-Salem Regional Office
[phone]

MCDEN '
�orth Carolina-•. of • and Natural ResourcC2
Division of Water Quality
Pat McCrory Thomas A. Reeder
Governor Acting Director
June 19, 2013
Mortgage Lenders of America
Attn: Mr. Earvin Ray
8400 West 1101h Street, Suite 500
Overland Park, KS 66210
Subject: Letter of Adequacy for 6145 Fording Creek Lane, Kernersville, NC 27284
Abi gtan Subdivision, Carolina Water Sery ce, Inc. of o h Carolina
NP � .517asa e ater reatmen flermi # I G096046�1
astewater Collection Sys em Permit # WQCS00261
Forsyth County
Dear Mr. Ray:
John E. Skvarla, III
Secretary
As per your request, this letter serves as notice of adequacy and proper permitting for the wastewater
treatment and collection systems that serve the private residence at 6145 Fording Creek Lane in the Abington
Subdivision located in Kernersville, Forsyth County, NC. Both the wastewater treatment and collection systems for
the Abington subdivision are properly permitted by the NC Division of Water Quality (Division) under permit numbers
NCO060461 and WQCS00261, respectively. Carolina Water Service, Inc. of North Carolina, owns and operates both
systems and was issued permit NCO060461 in March, 2012, and permit WQCS00261 in December, 2005.
The Division last inspected the Abington wastewater treatment system in May, 2013, at which point it was
determined to be in compliance with permit NC0060461. The Division last inspected the Abington wastewater
collection system in November, 2011, at which time it was determined to be in compliance with permit WQCS00261.
To our knowledge, no new issues with either system have arisen since these inspections.
If you have any questions regarding this letter, please feel free to call me at [phone].
cc: WSRO
Winston-Salem Regional Office
585 Waughtown Street Winston-Salem, NC 27107
Phone: [phone] FAX: [phone]
NCDENR Customer Service:1-877-623-6748
Internet: www.ncwaterauality.org
Sincerely,
Ronald C. Boone
Environmental Specialist
Surface Water Protection Section
One
Nort Carolina.
An Equal Opportunity 1 Affirmative Action Employer

c
MCKHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E.
Governor I ` Director
April 11, 2013
Theresa Dmitruk
4 Summit Park Drive, Suite 200
Independence, Ohio 4413.1
Subject: Letter of Adequacy for 6135 Tennyson Drive, Kernersville, NC 27284
Abington Subdivision, Carolina Water Service, Inc. of North Carolina
NPDES Wastewater Treatment Permit # NCO060461
Wastewater Collection System Permit # WQCS00261
Forsyth County
Dear Ms. Dmitruk:
John E. Skvarla, III.
Secretary
As per your request, this letter serves as notice of adequacy and proper permitting for the wastewater
treatment and collection systems that serve the private residence at 6135 Tennyson Drive in the Abington
Subdivision located in Kernersville, Forsyth County, NC. Both the wastewater treatment and collection systems for
the Abington subdivision are properly permitted by the NC Division of Water Quality (Division) under permit numbers
NCO060461 and WQCS00261, respectively. Carolina Water Service, Inc. of North Carolina, owns and operates both
systems and was issued permit NCO060461 in March, 2012, and permit WQCS00261 in December, 2005.
The Division last inspected the Abington wastewater treatment system in February, 2011, at which point it
was determined to be in compliance with permit NC0060461.. The Division last inspected the Abington wastewater
collection system in November, 2011, at which time it was determined to be in compliance with permit WQCS00261.
To our knowledge, no new issues with either system have arisen since these inspections.
If you have any questions regarding this letter, please feel free to call me at [phone].
Sincere�yr,`-�
Ronaald C7
Environmental Specialist
Surface Water Protection Section
cc: WSRO 7-,, e,5441 e- t, F
Winston-Salem Regional Office
585 Waughtown Street Winston-Salem, NC 27107
Phone: [phone] FAX: [phone]
NCDENR Customer Service:1-877-623-6748
Internet: www.ncwateroualitv.org
An Equal Opportunity 1 Affirmative Action Employer

HIV
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor
Martin Lashua, Director Regional
Carolina Water Service Inc of NC
PO Box 240908
Charlotte NC 282240908
Director
November 16, 2012
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0586
Permit No. NCO060461
Abington WWTP
Forsyth County
Dear Mr. Lashua:
Natural Resources
Dee Freeman
Secretary
A review of Abington WWTP's monitoring report for August 2012 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
08/09/12
400 #/100ml
1,140 #/100ml
Daily
Broth,44.5 C
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: SWP — Central Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncuvaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Xatmlrally
NdithCarolina
An Equal Opportunity 1 Affirmative Action Employer

V� I
,VA'
Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: -1 Permit/Pipe No.: 66-4 Month/Year /z
Q /
Monthly Avera-,e Violations
Parameter Permit Limit DMR Value % Over Limit
i
Weekly/Daily Violations
Date Parameter Permit Uu t/Tv e DMR Value % Over Limit
, f ` 7
Monitoring Frequency Violations
Date Parameter Permit Freauencv Values Reported # of Violations
Other Violations
�tl v
b
Completed : �r ��f Date: h�
P Y
Regional Water Quality
Supervisor Signoff: ® r� Date: 1Ccp

r e
LC-Utilitiesl
Inc. -
September 17 2012
Attn: Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699
Re: Abington WWTP
NC0060461 ,
Out for Daily Fecal
To whom it may concern,
We were out for a daily Fecal on August 9t' 2012. with a 1110rhg/I. Daily limit is 400mgl. We have
checked our procedures and cannot find any errors in plant operations, collection or transportation of the
samples. All other samples were in compliance.
If you have any questions or if I can provide any additional information, please do not hesitate to contact
me at 704-525-7990 ext. 304. Thank you for your attention.
Sincerely,
Mark R Haver
Area Manager
a uffim, inc. oompmy Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 i Charlotte, NC 28224 0 P: 704-525-7990 # F: 704-525-8174
5701 Westpark Dr., Suite 101 i Charlotte, NC 28217 • www.uiwater.com

EFFLUENT
NPDES PERMIT NO: NCO060461 DISCH
FACILITY NAME: ABINGTON I
CERTIFIED LABORATORY: Research and Analyti
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC): Rober
PERSON(S) COLLECTING SAMPLES: Robert W Lope
CHECK BOX IF ORC HAS CHANG,C�,
Mail ORIGINAL and ONE COPY to: PEE
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY SEP 2 6 201 '
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
tl 1 NXTtl16"br9..1'b
N.C.Dept. of ENR
all OCT 2 Z 2 1
W Loper
ins
- gni nal Office
SR w
MONTH: AUGUST YEAR: 2012
CLASS: If COUNTY: Forsyth
CERTIFICATION #: 34
GRADE: 13 CERTIFICATION NO: 996075
ORC PHONE: [phone]
190 FLOW/ DISCHARGE FRO * ❑
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) r DATE
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS OCT 02 2012
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
50050
00010
00400
50060
00310
00610
00530
31616
00300
00600
00665
W
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10
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~O
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a
ENTER PARAMETER CODEEY
ABOVE NAME AND UNITS
EFF
INF
-T
❑UV
HRS
HRS
Y/B/N
MGD
o C
UNITS
UG/L
MG/L
MG/L
MG/L
#J/100ML
MG/L
MG/L
MG/L
1
8:30
2
Y
0.068
26.0
2
8:17
2
Y
0.108
27.0
7.28
<10
3.95
<.10
<1.0
<1
6.46
3
9:30
3
Y
0.100
25.9
6.87
11
6.29
4
12:50
1
Y
1 0.124
26.6
5
7:25
1
Y
0.100
26.6
6
8:50
3
Y
0.100
26.4
7.24
<10
5.19
7
8:05
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Y
0.108
26.0
8
10:10
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0.128
26.4
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5.84
9
10:55
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1 0.112
2-5.2
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2.73
1 0.129
3.33 ;
0
6.77
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8:35
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N
0.100
26.4
5.84
11
10:30
1
N
0.120
25.7
12
8:35
1
Y
0.104
25.2
13
8:30
3
Y
0.136
24.9
1 6.94
<10
5.67
14
8:30
2
Y
0.116
25.0
i5
8:51
3
Y
0.112
25.3
7.01
<10
5.79
16
8:25
3
Y
0.100
2-5.0
7.13
<10
3.72
<.10
1.75
it
5.72
17
9:20
2
N
0.120
25.6
18
7:10
1 1
Y
0.136
25.1
19
7:00
1
Y
0.144
24.8
20
8:40
3
Y
0.112
24.2
7.11
<10
5.69
21
8:10
3
Y
0.124
24.0
22
9:30
4
Y
0.132
24.4
6.89
<10
5.64
23
8:30
3
Y
0.112
21.6
7.12
16
2.90
<.10
<1.0
1 24
7.23
24
10:05
2
Y
0.152
25.2
25
13:50
1
Y
0.108
24.2
26
6:50
1
Y
0.112
24.6
27
9:20
3
Y
0.120
24.4
7.06
<10
1 5.91
28
14:01
3
Y
0.120
25.7
29
7:50
1 2
1 Y
0.128
24.0
30
8:00
1 4
1 Y
0.120
23.2
7.41
<10
2.47
<.10
1
<1
5.25
31
10:101
3
1 Y
0.124
25.5
5.69
AVERAGE
0.116
25.2
2
3.15
0.03
1.2
12.4
5.93
MAXIMUM
0.152
27.0
7.41
16
3.95
0.129
3.33
1110
7.23
MINIMUM
0.068
21.6
6.87
<10
2.47
<.10
<1.0
<1
5.19
Comp. (C)/ Grab (G)
G
G
G
C
C
C
G
G
C
C
Monthly Limit
0.2
N/A
>6to<9
N/A
30.0
2.0
30.0
200
N/A I
N/A
N/A
DWQ Form MR-1(11/04)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements FX__1 to
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the,environment. Any.information shall be provided orally within 24 hours from the time
the permittee became aware of the circumstances.. A written submission shall also be provided within 5 days of the
time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"I 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 or persons who managed 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 of fines and imprisonment for knowing violations."
Carolina Water Service, Inc. of N.0
P 0 Box 240908
Tony Konsul, Regional Manager
Permittee (Please print or type)
q In, 7
ignatur f Per ittee*** Date
(Required unless submitted electronically)
Charlotte, NC 28224 704-525-7990 2/28/2012
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
ADDITIONAL CERTIFIED LABORATORIES
Certification No.
Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5). Certification. No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface Water
Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 213.0506(b)(2)(D).

NPDE Permit No: NCO060461
Facility Name: Abington
Stream: B mw&Oe k
Location: 1 « Above Di£hame
UPSTREAM
Discharge No : 1 Month: AUGUST Year 1
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NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
MARTIN LASHUA
REGIONAL DIRECTOR
Division of Water Quality
Coleen H. Sullins
Director
CAROLINA WATER SERVICE INC OF NC
PO BOX 240908
CHARLOTTE NC 28224
Dear Mr. Lashua:
September 6, 2011
Dee Freeman
Secretary
RECEIVED
N.C. Dept. of ENR
SEA 08 2011
Winston-salem
Regional Office
Subject: Receipt of permit renewal application
NPDES Permit NCO060461
Abington WWTP
Forsyth County
The NPDES Unit received your permit renewal application on September 1, 2011. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to complete
your permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing
permit expires.
If you have any additional questions concerning renewal of the subject permit, please contact John
Hennessy at [phone].
Sincerely,
�EIEP M/1
Dina Sprinkle
Point Source Branch
cc: CEN FILES
son -Salem Iegic�r�T-flce/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 1�TOne
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 1�! orthCarollna
Internet: www.ncwaterquality.org a'����6 N��®I ,
An Equal Opportunity 1 Affirmative Action Employer � �/ `U�1

t (JtiliffEs,
Mrs. Dina Sprinkle
NC DENR
Division of Water Quality
Point Source Branch
1617 Mail Service Center
Raleigh NC 27699-1617
Re: Abington WWTP
NPDES NCO060641
Renewal Request
Dear Mrs. Sprinkle,
Inc'
August 30, 2011
Please find the enclosed application and attachments and consider this letter as our official request to renew the NPDES
permit for the facility referenced above.
If you should have any questions or need any additional information, please do not hesitate to call me at 704-319-0517 or by
email at milashuaCcDuiwater.com
Thank you in advance for your attention.
Sinc rely,
Martin Lashua
Regional Director
1- 0
� Q,,J S r U TEA r
SEP 0 1 2011 !
PONT SOu6 LE BRlNOH
a Utilities, Inc. company Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 I Charlotte, NC 28224 / P: 704-525-7990 ® F: 704-525-8174
5701 Westpark Dr., Suite 101 o Charlotte, NC 28217 0 www.uiwater.com

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
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 INCO060461
If you are completing this form in computer use the TAB key or the up - down arrows to move 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
Carolina Water Service, Inc of NC
Facility Name
Abington - WWTP
Mailing Address
P.O. Box 240908
City
Charlotte
State / Zip Code
NC, 28224
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 6890 Bainburg Court
City Kernersville
State / Zip Code NC, 27284
County Forsyth
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Same as owner above
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
0
1 of 3
Form-D 1/06

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial
❑
Number of Employees 1
Commercial
❑
Number of Employees
Residential
®
Number of Homes 662
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Queens Harbor - Subdivision
662 x 2.5 = 1655 population
Population served: 1655
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer.and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Belews Creek
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacity, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
The .02 MGD treatment facility consists of the following components; Bar screen, flow
splitter box, equalization basin, dual clarifiers, dual aeration basins , chlorine contact
basin, tablet chlorine disinfection, tablet de -chlorination, aerobic digester, post aeration
chamber, effluent flow measurement, standby generator with automatic transfer switch.
10. Flow Information:
Treatment Plant Design flow 0.2 MGD
Annual Average daily flow .1291 MGD (for the previous 3 years)
Maximum daily now .4260 MGD (for the previous 3 years)
2of3
Form-D 1/06

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
11. Is this facility located on Indian country?
❑ Yes ® No.
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used..Effluent testing data must be based on at least three
samples and must be no more than four and one half years old.
Parameter
Daily
Maximum
Monthly
Avera a
Units of
Measurement .
Number of
Samples
Biochemical Oxygen Demand
(BOD5)
3.85
3.01
mg/L
(4) - Jan 11
Fecal Coliform
7
2.5
#/ 100ml
(4) - Jan 11
Total Suspended Solids
<1.0
0.0
mg/L
(4) -Jan 11
Temperature (Summer)
23.8
22.7
Celcius
(4) June 11
Temperature (Winter)
13.4
11.8
Celcius
(4) -Jan 11
pH
7.07
6.86
units
(12)- Jan 11
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NCO060461
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Special Order of Consent (SOC)
Other
Permit Number
WQCS00261
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.
Martin Lashua Regional Director
Printed nam of Pe on Si ning Title
Signature of Applicant
Date
North Carolina General Statute 143-215.6 (b)(2) states: 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 knowly 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.)
3of3
Form-D 1/06

9
Discharge
outfall 001 I%f
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ys I I
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--w
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lot
cc
�7a�atitude: 36010'09" N00060461
Longitude: 80005'481,
Quad # /Belews Creek Carolina Water Service, Inc.
Stream Class: C
Subbasin: w-u-Di Abington Subdivision WWTP
Receiving Stream: Beiews Creek
4
kv
IN
Zlj� V,
Facility
Location
Nor7th NOT TO SCALE

r
Ut®lot®Es, Inc o
August 30, 2011
Mrs. Dina Sprinkle
NC DENR
Division of Water Quality
Point Source Branch
1617 Mail Service Center
Raleigh NC 27699-1617
Re: Abington WWTP
NPDES NCO060641
Sludge Management Plan
Dear Mrs. Sprinkle,
As sludge and other solids are generated at this facility, they are periodically removed by one of the two licensed contractors
listed below;
Carolina Septic
141 Furlong Industrial Drive
Kernersville, NC 27284
Phone: [phone]
-AND/OR-
Republic Services, Inc
P.O. Box 219
Pineville, NC 28134
Phone: [phone]
If you should have any questions or need any additional information, please do not hesitate to call me at 704-319-0517 or by
email at [e-mail]
Thank you in advance for your attention.
Sin r ly,
'WL L
Martin Lashua
Regional Director
a Utilities, Inc. company Carolina Water Service. Inc. of North Cnrnlinn
P.O. Box 240908 a Charlotte, NC 28224 ® P: 704-525-7990 s F: 704-525-8174
5701 Westpark Dr., Suite 101 o Charlotte, NC 28217 o www.uiwater.com

NCDENR
Forth Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7010-2780-0001-4221-6283
Carolina Water Service, Inc. of NC
Attn: Carl Daniel
P.O. Box 240908
Charlotte, NC 28224-0908
Division of Water Quality
Coleen H. Sullins
Director
August 15, 2011
Subject: Notice of Violation and Recommendation for Enforcement
NOV-2011-LV-0356
Permit No. NCO060461
Abington WWTP
Forsyth County
Dear Mr. Daniel:
A review of Abington WWTP's monitoring report for May 2011 showed the following violations:
Dee Freeman
Secretary
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total (as N) -
05/31/11
2 mg/l
2.55 mg/l
Monthly
Concentration
Average
Exceeded
A Notice of Violation/Notice of Recommendation for Enforcement (NOV/NRE) is being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NC0006461.
Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be
assessed against any person who violates or fails to act in accordance with the terms, conditions, or
requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide additional information
regarding the noted violation, request technical assistance, or discuss overall compliance, please respond in
writing within ten (10) days after receipt of this Notice. A review of your response will be considered along
with any information provided on the NCO060461 Discharge Monitoring Report. You will then be notified of
any civil penalties that may be assessed regarding the violations. If no response is received in this Office
within the 10-day period, a civil penalty assessment may be prepared.
Remedial actions, if not already implemented, should be taken to correct any problems. The Division of
Water Quality may pursue enforcement actions for this and any additional violations. If the violations are of a
continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider, applying for a Special Order by Consent.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwatergLiality.org
No thCarohna
;Vaturallrf
An Equal Opportunity 1 Affirmative Action Employer

Carolina Water Service, Inc. of NC
Attn: Carl Daniel
Abington WWTP,NCO060461
NOV-2011-LV-0356
8/15111, Page 2 of 2
If you have questions concerning this matter, please do not hesitate to contact Ron Boone or me at (336)
771-5000.
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: Point Source Branch
SWP — Central Files
,;�S+*j0 1 - flesum

Cover Sheet from
Staff Member to
Regional Supervisor
MIR Review Record
Facility: A;, W�.��-O
?' Permit/Pipe No.: kMonth/Year
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
05
weekly/Daily Violations
Date Parameter Permit LirnitfTvi2e DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Completed by:
Regional Water Quality
Supervisor Signoff:
fiZ�t'
Date:
Date: i0 Awl "Z,

po"
Cltiliti��, Inc'
RECEIVED
N.C. Deot. of &NR
August 31, 2011 SEP o 1 20il
Winston-Salem
Mr. W Corey Basinger Regional Office
Surface Water - Regional Supervisor
Division of Water Quality
585 Waughtown Street
Winston Salem, NC 27107
Re: Abington WWTP
NPDES NCO060461
NOV-2011-LV-0356
Dear Mr. Basinger,
We are receipt of your letter concerning the above referenced matter and respond as follows;
The single ammonia nitrogen sample that was collected on 5/19/11 was in full compliance with permit limit of 10.0 mg/I for
the daily maximum with a result of 4.02 mg/I. This single sample caused the plant to exceed the monthly permit average of
2.0 mg/I with a monthly average of 2.55 mg/I. All prior weekly samples for this parameter show full compliance with the
NPDES permit limits. We have reviewed our sampling collection and transportation procedures with the operator and could
not identify a cause for the unusual spike and believe it could have been a possible lab error.
If you have any questions or if I can provide any additional information, please do not hesitate to contact me by email at
[e-mail] or by telephone [phone].
Sincerely,
Tony Konsul
Regional Manager
Cc; Martin Lashua
Mary Rollins
Adam James
Bob Loper
a Utilities, Inc. company Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 0 Charlotte, NC 28224 0 P: 704-525-7990 s F: 704-525-8174
5701 Westpark Dr., Suite 101 a Charlotte, NC 28217 o www.uiwater.com

RECEIVED
q N.C. Ceat of ENR
100
JUN 16 2011
HCDEHR Winston-Salem
North Carolina Department of Environment and Natural Resource Regional ice
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
June 7, 2011
Mr. Martin Lashua, Regional Director
Carolina Water Service, Inc. of North Carolina
PO Box 240908
Charlotte, NC 28224-0908
Subject: Tax Certificabon for Pollution Abatement Equipment
Real and Personal Property
Tax Certification Number: TCS-WS-140
Carolina Water Service, Inc. of North Carolina
Abington WWTP
Forsyth County
Dear Mr. Lashua:
As per your request, the staff of the Division of Water Quality have completed our review of -'the Tax
Certification Request for real and personal property that we received from your office on April 14, 2011.
Please find attached a copy of Tax Certification Number: TCS-WS-140 that has been issued by
this office to CWS Systems, Inc. for the facility located in Forsyth County. A copy of this Certification is
being sent to the Forsyth County Tax Office along with a copy of this letter. During our review, we
identified item(s) that did not meet the established criteria to receive tax certification. The item(s) not
receiving certifications are identified on the Tax Certification.
Please note that as part of this Tax Certification process the DENR staff did not make any efforts to
confirm either the cost of the item(s) certified or the year of acquisition.
If there is a need for any additional information or clarification, please do not hesitate to contact
either Antonio V. Evans of our staff at [e-mail] or 919-715-6220 or me at
[e-mail] or 919-715-6224.
Sincerely,
A /z i
Mark L. Hubbard, P.E., Assistant Chief
Project Manabement Branch
Attachment(s)
Cc: Mr. Pete Rodda, Forysth County Assessor w/a
Construction Grants and Loans Section w/a
DWQ-SWPS Central Files w/a
DWQpSWIP=S-W-0 o Sal' m Regi�rral�® ce Files cLa
Construction Grants and Loans Section
1633 Mail Service Center Raleigh NC 27699-1633
Phone: [phone] / FAX: [phone] / Internet: www.nccgl.net
An Gniiol 0nnnrfnnkv/Affix f;,,n An+inn C-1--r — C:M/ ❑nn­Il A11rlo/ Dn f 0n.
One
No thCarolina

A
NNA
�* .,��' paw
�2'o t MIMI
NIORTH-AROL.INA UEPAR I`h4ENT OF
ENVIRUNIMENTAND NATURAL I'i=SOURCES
North Carolina Division of Water Quality
TAX CERTIFICATION NUMBER: TCS-WS-140
In accordance with the provisions of the North Carolina General Statutes G.S. 105-275.(8) this
is to certify that:
Carolina Water Service, Inc. of North Carolina
Abington WWTP
6890 Bainburg Court, Kernerswille, NC 27284
Forsyth County
filed a request for tax certification for real and personal property covered under the Division of
Water Quality NPDES Permit NC 0060461.
On April 14, 2011, staff of the Division of Water Quality inspected these wastewater facilities and
found or observed, based on the information supplied by the applicant, that the facilities listed on
the attached application meet the following requirements for Tax Certification:
I. The property has been constructed And installed;
2. The property complies with the requirements of the EMC;
3. The property is being effectively operated in accordance with the terms and conditions of approvals
issued by the EMC; and
4. The property has as its primary rather than incidental purpose the reduction of water pollution
resulting from the discharge of sewage or waste.
Please note that as part of this Tax Certification process the DENR staff did not make any
efforts to confirm either the cost of the items certified or the year of their acquisition.
DATE TAX CERTIFICATION ISSUE D• June 7, 2011
Mark L. Hubbard, P.E., Assistant Chief
Construction Grants & Loans Section

TCN: C5
This application is to be used only for waste treatment systems and r
;equipment under the authorityof the NC Division of Water Quality (DWQ) Rev. 06/01/2007
DIRECTIONS: Complete and mail signed copies of the application form and all supporting information to both: 1) the County Tax Administrator for the County in which the facility is located (one copy) AND 2)
to the NC Division of Water Quality, Construction Grants and Loans Section, 1633 Mail Service Center, Raleigh, NC 27699-1633 (two copies). Type or print in blue or black ink. A separate application
package is required for each facility where property proposed for tax certification is located.
THIS APPLICATION WILL NOT BE PROCESSED WITHOUT COMPLETE AND ACCURATE INFORMATION. If you have any questions regarding this application, please call the local tax office or the NC
Division of Water Quality at 919/733-6900 or their web site at www.ncccl.net for more specific contact information.
Please Note:
a) Tax Certifications will only be processed for facilities under the authority of the DWQ and only if the DWQ has found that the described property:
1. Has been or will be constructed or installed;
2. Complies with or that plans therefore which have been submitted to the DWQ indicate that it will comply with the requirements of the Environmental Management Commission;
3. Is being effectively operated or will, when completed, be required to operate in accordance with the terms and conditions of the permit, certificate of approval, or other document of approval issued by the
DWQ; and
4. Has or, when completed, will have as its PRIMARY rather than incidental purpose the reduction of water pollution.
5). Is being used exclusively (100%) for waste treatment.
b) If approved, the Tax Certification issued will incorporate all requested assets at the facility that meet the criteria for Tax Certification by DWQ. Therefore this application must include any new assets for
which Tax Certification is being requested as well as any assets previously 'receiving Tax Certification from DWQ for which Tax Certification is still needed.
A. Applicant (Applicant is the owner of, and taxpayer for, the property described in this application for tax certification.
Name of Applicant:
Name of Facility:
CAROLINA WATER SERVICE INC. OF NORTH CAROLINA
ABINGTON WASTEWATER TREATMENT PLANT
Address of Applicant, if different from facility where property located:
Physical Address of Facility where property located (no P.O. Box):
Po Box 240908, Charlotte NC 28224-0908
6890 Bainburg Court, Kernersville, NC 27284
(address) (city) (zip)
Business Relationship of Applicant to facility where property Iocated:Owner
(street address) (city) (zip)
County where property located: FORSYTH
Name of Contact Person at Facility where property located:
TONY KONSUL
Does the Applicant hold any NC Division of Water Quality Permits? ® Yes / ❑ No
Title: REGIONAL MANAGER Phone Number 704-319-0523
If yes, please list NCO060461
-Permit Nos
If approved, will this be the first Tax Certification issued for this Facility? If no, attach any previously issued tax
® Yes / ❑ No certifications
S. Complete this Section only if the Operator/User of the facility and equipment is different from the Owner of the facility.
Name of S
Operator/User:
Operator/User
Address:
(address) (city) (Z1pj.
Operator/User Contact
Name:
Relationship between Operator/User of faciliV and equipment and applicant:
***ATTACH A PROCESS SCHEMATIC TO YOUR APPLICATION The number of each item for which Tax Certification is being requested must be shown on the schematic***
Application Continues on Next Page ->

DIVISION OF WATER QUALITY TAX CERTIFICATION & EXEMPTION APPLICATION
Waste Treatment Systems & Equipment: Waste treatment systems & equipment must be used exclusively for the abatement of water pollution
PAGE2
Rev Dero V2moT
For Coumy
Use
For DWO
Use 00y•
Approved roved
D^
Disapproved
Description of Waste Treatment Systems or Equipment
Was asset listed in
the permit (Yes/No)
Asset Number,
Vehicle Identification
Number (VIN)
How is this equipment used for pollution abatement?
% of Use for
Pollution
Abatement
Year of
Acquisition
Original Historical
Cost**
Is this asset
replacing a prior
asset?
1
2
ABINGTON WASTEWATER TREATMENT PLANT
YES
N/A
WASTEWATER TREATMENT
1008/1999
4/1/1989, 5/1991 &
unknown
NO
3
4
5
8
8
9
to
11
12
13
14
15
Attach additional
pages
if necessary
If the asset Is listed In the DWQ permit, the description must be Identical as listed on the current permit. If the asset Is not specifically listed In the DWq permit, the applicant must attach detailed Information as to why the asset should qualify for Tax Certification.
" When certifying systems or equipment, DENR Is not certifying the cost of the equipment or the year of acquisition.
Facilities: To qualify for tax certification, the building or section of building being applied for, must be used exclusively for water pollution prevention. A sketch of the building, square footage along with
details as to how the building is used for water pollution prevention, is required.
Land: To qualify for tax certification, the land must be used exclusively for water pollution prevention. A schematic diagram of the facility detailing the land being applied for is required. The amount of land
(acreage) is required and how this land is being used to prevent water pollution. For wastewater treatment and irrigation system list separately the acreage used for actual treatment from the acreage required
by the facility's water quality permit for buffers and setbacks.
SIGNATURE:
I hereby certify that the above equip nt, faciliti s and/or ' nd ar us d for the purpose stated, and that the information presented in this application is accurate. Furthermore, I certify that any portable or
mobile equipment listed on this appli ion will a sed a lusive in he state of North Carolina
Applicant
Signature: Title: D'e�f Ora ( � f r r" Date:
(print name also) /Z7//0
NOTICE: The penalty for false statement, representation or certification Of: Cnn ( • / ni t �� �., �C
herein includes imprisonment and / or the assessment of civil penalties. (Name of Applicant Business Entity) T� •`�`� —To We

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Print Preview Page 1 of 1
Fnravth f mvnty Nf'
PIN
6878-52-9232:00
Current Deed Stamps
Property Address
6890 Bainburgh CT
Map Number
672882
Block Lot
5420 120A
Assessment Method
Cost
Additional Lots
120D, 120W
WIP
No .
Fax Jurisdiction
Forsyth County / Piney Grove FD
Land Value
$57,154
Anx
N
Dwelling Value
Taxable Owner Name I
Carolina Water Service Inc
Commercial Value
Taxable Owner Name2
Industrial Value
Taxable OwnerAddress,
2335 Sanders RD
Misc Imp Value
$11,408
Taxable -Owner C1ty Sfbp
Northbrook, IL 60062
Total Value
$68,600
Taxable Deed Bk-Pg
1536-568
Acreage
3.18
Taxable Deed Date
4/11/1986
Sq Ft Living Area (Res)
Taxable Deed Stamps
Gross Sq Ft (Corn)
Current Owner Name
Carolina Water Service Inc
Year Built (Res)
Current Owner Name2
Year Built (Com)
Current OwnerAddress
2335 Sanders RD
Census Tact
31.03
Current Owner City St Zip
Northbrook, IL 60062
Zoning
RS30
Current Deed Bk-Pg
14/11/1986
1536-568
Last Qualified Sale Price
Current Deed Date
Disclaimer. • Forsyth County cannot guarantee the accuracy of this information, and the Map Scale
County hereby disclaims all warranties, including warranties as to the accuracy of this i inch =121 feet
information.
http://maps2.co.forsyth.nc.uslgeodata_08/printPreview.aspx?PrintOptData=Forsyth Count... 7/28/2010

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Print Preview
Page 1 of 1 4
Forsyth County, NC
PIN
6878-52-7065.00
Current Deed Stamps
Property Address
Bainburgh CT
Map Number
672882
Block Lot
5420DO51 A
Assessment Method
Cost
Additional Lots
W1P
No
Tax Jurisdiction
Forsyth County / Piney Grove FD
Land Value
$9,261
Anx
N
Dwelling Value
Taxable Owner Name1
Carolina Water Service Inc
Commercial Value
Taxable Owner Name2
Industrial Value
Taxable OwnerAddress
2335 Sanders RD
Misc Imp Value
Taxable Owner City St Zip
Northbrook, IL 60062
Total Value
$9,300
Taxable Deed Bk-Pg
1715-369
Acreage
0.88
Taxable Deed Date
5/8/1991
Sq Ft Living Area (Res)
Taxable Deed Stamps
Gross Sq Ft (Com)
Current Owner Name
Carolina Water Service Inc
Year Built (Res)
Current Owner Name2
Year Built (Com)
Current OwnerAddress
2335 Sanders RD
Census Tract LL
31.03
Current Owner City St Zip
Northbrook, IL 60062
Zoning
RS30
Current Deed Bk-Pg
1715-369
Last Qualified Sale Price
Current Deed Date ,
5/8/ 91
Disclaimer: Forsyth County cannot guarantee the accuracy of this information, and the Map Scale
County hereby disclaims all warranties, including warranties as to the accuracy of this inch = 69 feet
information.
http://maps2.co.forsyth.nc.us/geodata_08/printPreview.aspx?PrintOptData=Forsyth Count... 7/28/2010

r1upufLy 1 ax Dill
Page ! of 1
Print this Page LL.:i Pa .this Bill-:t+low .; r ;,Close Window
Tax Rate Tables View Record in Geo-Data Explorer
Forsyth County, Property Tax Bill ;
NOTE: Payments PROCESSED after 7/27/2010 are not reflected In' the data'shown.'
Carolina Water Service Iric'
2335 Sanders RD
Northbrook IL 60062-6108
ACCOUNT # PIN PRIOR fDCCOUNT LAND SIZE PROPERTY ADDRESS
201001258143 6878-52-7065.00 5420DO51A Res Lot 0 Bainburgh CT
TAX JURISDICTION RATE YR / RATE TAX/FEES VALUES .
Forsyth County a 2010 / 0-006740 62.68 Real Estate 9,300
Piney Grove Fire 2010 / 0.000900 8.37 TOTAL VALUE $9,300
DUE DATE PAST DUE AFTER DATE PAID PAYMENTS/CREDITS AMOUNT DUE
9/1/2010 1 /5/2011 $0.00 $71.05
Retain this portion for your records.
.................................. -------------------------- --.................. ....... -................... ......................................... _......................................................... _.........
ACCOUNT # PIN PRIOR ACCOUNT ID DUE DATE PAST DUE AMOUNT DUE
AFTER
201001258143 6878-52-7065.00 5420DO51A 9/1/2010 1/5/2011 $71.05
North Carolina General Statute 105-357 allows a return check fee of
$25.00 or 10% of the check amount whichever is greater.
Tax receipts are null and void if paid with a check that fails to clear the bank.
Carolina Water Service Inc
2335 Sanders RD
Northbrook IL 60062-6108
AMOUNT PAID $
MAKE CHECKS PAYABLE & REMIT TO:
Forsyth County Tax Collector
PO Box 82
Winston-Salem, NC 27102
)ata Disclaimer: All data shown here is from other primary data sources and is public information. Users of this data are hereby notifies
hat the aforementioned public information sources should be consulted for verification of the information contained on this website.
Wile efforts have been made to use the most current and accurate data, Forsyth County, NC assumes no legal responsibility
or the use of the information contained herein.
http://www.co.forsyth.nc.usltaxBillonlinelBill_Reg_Detail_HTML.aspx?acctUd=2888772 7/28/2010

X.
Permit NCO060461
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 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,
Carolina Water Service, Inc. of NC
is hereby authorized to discharge wastewater from a facility located at the
Abington Subdivision WWTP
6890 Bainburgh Circle
North of Kernersville
Forsyth County
to receiving waters designated as Belews Creek in the Roanoke River Basin
in accordance with effluent limits, monitoring requirements, and other conditions
set forth in Parts I, II, III and IV hereof.
This permit shall become effective March 1, 2007.
This permit and authorization to discharge shall expire at midnight on February 28, 2012.
Signed this day January 29, 2007.
4c- - Alan W. Klimek, P.E., Dire or
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO060461
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.
Carolina Water Service, Inc.
is hereby authorized to:
1. Continue to operate an existing 0.200 MGD extended aeration wastewater
treatment plant with the following components:
♦ Equalization basin with dual pumps
♦ Bar screen
♦ Flow splitter box
♦ Dual aeration basins
♦ Dual clarifiers
♦ Tablet chlorinators
♦ Chlorine contact tank
♦ Dechlorination unit with tablet dechlorination
♦ Post aeration chamber
♦ Aerobic sludge holding digester
♦ Float analog graph flow meter
♦ Stand-by emergency generator
The facility is located north of Kernersville at Abington Subdivision on Bainburgh
Circle in Forsyth County.
2. After receiving an Authorization to Construct from the Division of Water Quality,
construct additional facilities for a total treatment capacity not to exceed 0.385
MGD, and
3. Discharge from said treatment works at the location specified on the attached
map into Belews Creek, classified C waters in the Roanoke River Basin.

r Discharge
Outfa11001
��,'^ter'•-,:ij1�1311:t �, �=•�rl'I� —l%/ ,, .�
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�'1 µl�' �Y••. '.r ��`tt5 , 11 �'—•� f i'! Y1,��Ji / x. ,/r
U
1­14 f �;
h
•� � SJ -�1 � °
6 �
I) X/
!f
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r f 5.w- 1..•
(\ Xa�}
. ,• <:, ,�r fit , ,
Gj
,r-'� c i • '�-I I i ,�'� f r 1 /J'• ; •�i- °/T rr ,r _J t"l �j�f% - � ^I `
��"`_ I Y• 1' 4-'\ �-.!`•J C j r -...:—r' j •l; � If�r� � �? I' l%r.,,�,. a
�! f/l jffC%'ar ��'_rtiltl film
4 "'; • � �i + fyJ r--� ,`+ `'� �vr I i ' ` �-�i1�4 ti i��l; •�.-`';t'� 4 ri
-�Soo,
f d ' i �I It , l{- % ;r �• �� I ' `t�' -a.r " F•-
rl �`— 5' ��lA164,�� �• r 1 ,1��tii7f4 '4 1'�r�: .Vha?�;:"fill
3 ' •♦-'-4,�1\�'� l Fs*�y�y•`�_t 51fr�„„�� r 'j�IS���,�5'
f :• •l + `}.'•1. 4 , , ti i i' �--1 �r .5':� t `. ii lit- Cv l �•'`.' -'+'- •b r ti.
_atitude: 6°10'09" N C 0 0 6 0 4 61
Lon3
gitude: 80005'48"
Quad # /Belews Creek Carolina Water Service, Inc.
Stream Class: C Abington Subdivision WWTP
Subbasin: 03-02-01
Receiving Stream: Belews Creek
11
� � `I'i rah!` . 4; �`='`tip-• � �`t , f�%,...i��-,-� I '-. .
�4µ-
,� yyAA�ryy�`��, (jJfS �t�% -mil •_� �.•-y�w�"�4`y.�-• �'J r- t -i 144�•5, 4�F.
1 � I : ^t ,1'y ,' (�� ti yr'=�ha \ .•• • = r _ _ �. ��
1,'7fI\ 1 I f,�{ff /''�'•`"�' I -, ; �`', �111 � r� I I
Facility X . =•
Location
North NOT TO SCALE

Abington WWTP Pictures: TCS-WS-140
Pic . #
Description
1.
Influent Pump Station Wet Well— 2, 25 Hp submersible pumps
2.
Splitter Box / Manual Bar Screen
3.
EQ Basin
4.
Aeration Basin
5.
Aeration Basin
6.
Clarifier
7.
Clarifier
8.
Digesters
9.
Digesters
10.
Tablet Chlorinators
11.
Tablet Dechlorinators
12.
Chlorine Contact Basin
13.
Storage Building
14.
2-40 Hp Blowers

3

ju--f
Sub mit;by.yEmalc 'j ; PrintForm<-'
RECEIVED - - -----
3 UtififfEs, In� 0 N.0 0 .ot. of F.NR - = -- —
1
MAR" 4 2011
a WinstcnSalem,
Regicnal Office
Wastewater* Treatment and Collection
Performance Annual Report
I. General Information
Facility/System Name Abington ;County y Fors th
Service Area Includes:lAbington, Kynwood, Interlaken, Breyerton
Responsible Party: ICarolina Water Service, Inc. of NC
i
Contact Name and
Phone #: Area Manager - Adam James 800-525-7990
Applicable Permit(s): NC0060461 / WQCS00261
-- - -- — - ...--------- - ---- - - --- - - ... -
i
NC0060461: Operation of the 0.200 MGD extended aeration wastewater treatment plant with the following !
components: Bar screen, Equalization basin with dual pumps, Flow splitter box, Dual aeration basins, Dual
clarifiers, Tablet chlorinators, Chlorine contact tank, Dechlorination unit with tablet dechlorination, Post
Description of aeration chamber, Aerobic sludge holding digester, Float analog graph flow meter, Stand-by emergency
Collection System or generator.
Treatment Process:
WQCS00261: Operation and maintenance of a wastewater collection system consisting of approximately
9.5 miles of gravity sewer, approximately 0.92 miles of force main, 5 duplex pump stations, and all
associated piping, valves, and appurtenances.
II. Performance
Overall Summary of System Performance for Calendar Year: 2010
e wastewater treatment plant had five occurrences of exceeding a discharge permit limit,
wastewater collection system consistently met permitted limitations during the year.

The following lists any violations of permit conditions or environmental regulations that may have occurred during the year. If a
violation is listed, a description of any known environmental impact including the corrective measures taken is included.
January
No violations/deficiencies noted.
February
No violations/deficiencies noted.
March
No violations/deficiencies noted.
A violation with penalty was issued after Biological Oxygen Demand (BOD) results of 61 mg/I and 47.8 mg/I
April
exceeded daily limits of 45 mg/I and an ammonia result of 15.5 mg/I exceeded daily permit limits of 10 mg/I
causing the average of 6 mg/I to exceed the monthly permit limit of 2 mg/I. No environmental impact noted.
A violation with penalty was issued after a single BOD result of 64.9 mg/I exceeded the 45 mg/I daily permit limit
May
and a single ammonia result of 12.8 mg/I exceeded the daily limit of 10 mg/I causing the average of 5.29 mg/I to ,
exceed the 2 mg/I monthly limit. Investigations continue to identify the cause. No environmental impact noted.'
On June 9, 2010, a compliance evaluation inspection was conducted by the NC Division of Water Quality on the
June
sewer collection system. Although the main pump station has a visual alarm and telemetry, a violation was
issued for no audible alarm which was immediately corrected.
A violation was issued after a single BOD result of 50.3 mg/I exceeded the daily permit limit of 45 mg/I and a
July
fecal coliform result of 580cfu/100 ml exceeded the daily limit of 400 cfu/100 mi. All other parameters were
within limits during the month. Investigations continue to identify the cause. No environmental impact noted.
A violation with penalty was issued after BOD sample results of 78.6 mg/I and 57.4 mg/I exceeded daily permit
August
limit of 45 mg/I causing the average level of 43.5 mg/I to exceed the monthly permit limit of 30 mg/l.
Investigations continue to identify the cause. No environmental impact noted.
A violation was issued after BOD results of 650 mg/I and 900 mg/I exceeded the 45 mg/I daily limit causing the
September
312.6 mg/I average to exceed the 30 mg/I monthly limit. Investigations found an improper sample collection
method as the cause. Staff were immediately retrained on proper procedure. No environmental impact noted.
October
No violations/deficiencies noted.
November
No violations/deficiencies noted.
December
No violations/deficiencies noted.
III. Notification
Customers will be notified of the availability of this report with a message on their bills and copies
will be provided upon request.
IV. Certification
I hereby certify that the information co ained in this reis accurate and complete to the
best of my knowledge. n P p
Signature , - - - Date % i 20 �-
Printed Name (Martin Lashua I Title: lRegional Director

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: f 9JY Permit/Pipe No.: 6o f I 661 Month/Year �� b
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Date Parameter
Weekly/Daily Violations
Permit Limit/Tvpe
DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by:
Regional Water Quality
Supervisor Signoff:
Date:
'� Date:'

,�hll-r

_kI
A'
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
February 7th,.2011
Carolina Water Service Inc. of NC
Attn: Carl Daniel, Vice President
P.O. Box 240908
Charlotte, NC 28224-0908
Subject: Compliance Evaluation Inspection
Permittee: Carolina Water Service Inc. of NC
Facility: Abington Wastewater Treatment Plant
NPDES Permit #: NCO060461
Forsyth County
Dear Mr. Daniel:
Dee Freeman
Secretary
Mr. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water
Quality (DWQ or the Division) conducted a compliance evaluation inspection (CEI) of the
Abington Wastewater Treatment. Plant (WWTP) on February 1st, 2011. The assistance and
cooperation of Mr. Robert Loper, Operator in Responsible 'Charge (ORC), was greatly
appreciated. An inspection checklist. is attached for your records and inspection findings are
summarized below.
General Information
The WWTP is located at the end of Bainburg Circle, inside Abington subdivision in
Kernersville, Forsyth County, NC, at approximately coordinates.36.168802°N,-80.098259°W.
The permit authorizes Carolina Water Service Inc. of NC to operate this 0.2 MGD WWTP,
which consists of an equalization basin with dual pumps, a bar screen, a flow splitter box, dual
aeration basins, dual clarifiers, tablet chlorinators, a chlorine contact tank, tablet
dechlorinators, post aeration, aerobic sludge digestion, a float analog graph flow meter, and a
standby emergency generator, and discharge the treated effluent via outfall 001 into Belews
Creek, which is currently classified as Class C waters in the Roanoke River basin.
Site Review
Mr. Loper has done an excellent job operating and maintaining the plant. The plant is in
very good condition and is being operated exceedingly well. Mr. Boone noted no
discrepancies.
Documentation Review
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www,ncwaterquality.org
NorthCarofina
Naturally
An Equal Opportunity 1 Affirmative Action Employer

Carolina Water Service Inc. of NC
Attn: Carl Daniel, Vice President
Compliance Evaluation Inspection
NC0060461, Abington WWTP
Page 2 of 2, February7", 2011
All documentation was reviewed. No discrepancies were found. Mr. Loper has done an
excellent job of documenting the operation and maintenance of the plant as required by the
permit. This includes his operations and visitation logs, his discharge monitoring reports and
laboratory and field laboratory records, chains of custody, etc.
Mr. Boone noted no concerns during his inspection. If you have any questions
regarding the inspection or this letter, please call him or me at [phone]. Thank you for
your cooperation in this matter.
Sincerely, L
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
Attachments:
1. BIMS Inspection Report
Central Files
NPDES Unit

United States Environmental Protection Agency
Form Approved.
Washington, D.C. 20460
EPA
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 NCO060461 Ill 121 11/02/01 117 18I CI 19.1 SI 20I II
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 61 QA ----------------Reserved---------------
67 I 169 701 I 711 I 72I N I 73IW I 174 711 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
08:45 AM 11/02/01
07/03/01
Abington WWTP
Exit Time/Date
Permit Expiration Date
Bainburg Cir
Winston Salem NC 27116
10:00 AM 11/02/01
12/02/29
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Carl Daniel,Po Box 240908 Charlotte NC 282240908/vice Contacted
President/800-525-7990/7045258174 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance ■ Records/Reports
Self -Monitoring Program ■ Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//704-663-1699 Ext.2202/
oz/e,'71a ,
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
' J
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO060461 I11 12I 11/02/01 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Mr. Loper is doing an excellent job operating and maintaining the plant. No discrepancies found except the
inoperable float switch for the EQ high level alarm.
Page # 2

0
Permit: NCO060461
Inspection Date: 02/01/2011
Owner - Facility: Abington WVVTP
Inspection Type: Compliance Evaluation
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: Please refer to the attached inspection summary letter.
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
Has the facility submitted its annual compliance report to users and DWQ?
(If the facility is = or> 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Comment: Please refer to the attached inspection summary letter.
Laboratory
Are field parameters performed by certified personnel or laboratory?
❑ ❑ ■ ❑
■ n n n
n■nn
■nnn
®nnn
■nnn
■nnn
■nnn
■nnn
■nnn
Yes No NA NE
■nnn
Page # 3

Permit: NCO060461 Owner -Facility: Abington WWTP
Inspection Date: 02/01/2011 Inspection Type: Compliance Evaluation
Laboratory
Yes
No
NA
NE
Are all other parameters(excluding field parameters) performed by a certified lab?
■
n
n
n
# Is the facility using a contract lab?
■
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■
n
Cl
n
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
❑
n
■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
❑
n
!
Comment: Please refer to the attached inspection summary letter.
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
■
n
n
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
n
n
n
Is the tubing clean?
■
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■
n
n
n
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■ n n n
Comment: Please refer to the attached inspection summary letter.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ ❑ n n
Comment: Please refer to the attached inspection summary letter.
Pump Station - Influent Yes No NA NE
Is the pump wet well free of bypass lines or structures? ■ n n n
Is the wet well free of excessive grease?
■
n
n
n
Are all pumps present?
■
❑
❑
❑
Are all pumps operable?
■
n
n
n
Are float controls operable?
■
n
Cl
n
Is SCADA telemetry available and operational?
■
n
❑
n
Is audible and visual alarm available and operational?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Equalization Basins
Yes
No
NA
NE
■
n
n
n,
Is the basin aerated?
Is the basin free of bypass lines or structures to the natural environment?
■
n
n
n
Is the basin free of excessive grease?
■
n
00
Page # 4

Permit: NCO060461
Inspection Date: 02/01/2011
Owner - Facility: Abington WWTP
Inspection Type: Compliance Evaluation
Equalization Basins—`
Are all pumps present?
Are all pumps operable?
Are float controls operable?
Are audible and visual alarms operable?
# Is basin size/volume adequate?
Comment: 41—,�sefei #kte-ttael�ed-isPeeto+���'
-sa�jNetter' ,
r. Lo/o&v a /��,� �" P �p �%Gti ram' s�l�a, c. c/_
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment: Please refer to the attached inspection summary letter.
Aeration Basins
Mode of operation
Type of aeration system
Is the basin free of dead spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/I)
Comment: Please refer to the attached inspection summary letter.
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
■noa
■nnn
0 ■ n n
n n n
■nnn
Ext. Air
Diffused
■nnn
■nnn
■nnn
■nnn
■nnn
■nnn
■ n n n
Yes No NA NE
■nnn
■nnn
Page # 5

Permit: NC0060461 Owner -Facility: Abington VWVTP
Inspection Date: 02/01/2011 Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes
No
NA
NE
Are weirs level?
■
D
n
D
Is the site free of weir blockage?
■
D
n
n
Is the site free of evidence of short-circuiting?
■
n
n
n
Is scum removal adequate?
■
n
n
n
Is the site free of excessive floating sludge?
■
n
n
n
Is the drive unit operational?
■
n
n
n
Is the return rate acceptable (low turbulence)?
■
n
n
n
Is the overflow clear of excessive solids/pin floc?
■
n
n
n
Is the sludge blanket level acceptable? (Approximately'/< of the sidewall depth)
■
n
n
.11
Comment: Please refer to the attached inspection summary letter.
Pumps-RAS-WAS
Yes
No
NA
NE
Are pumps in place?
■
n
n
n
Are pumps operational?
■
n
n
n
Are there adequate spare parts and supplies on site?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Disinfection -Tablet
Yes
No
NA NE
Are tablet chlorinators operational?
■
D
n
D
Are the tablets the proper size and type?
■
n
n
n
Number of tubes in use?
12
Is the level of chlorine residual acceptable?
n
n
n
■
Is the contact chamber free of growth, or sludge buildup?
■
n
n
n
Is there chlorine residual prior to de -chlorination?
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Yes
No
NA NE
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)? D n n ■
Is storage appropriate for cylinders? 00 ■ D
# Is de -chlorination substance stored away from chlorine containers? ■ n 00
Are the tablets the proper size and type? ■ n n n
Comment: Please refer to the attached inspection summary letter
Page # 6

Permit: NCO060461 Owner - Facility: Abington WNrrP
Inspection Date: 02/01/2011 Inspection Type: Compliance Evaluation
De -chlorination
Yes
No
NA
NE
Are tablet de -chlorinators operational?
■
❑
0
❑
Number of tubes in use?
4
Comment: Please refer to the attached inspection summary letter.
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
■
0
Q
Cl
Is flow meter calibrated annually?
■
n
n
n
Is the flow meter operational?
■
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
■
Cl
n
n
Are the receiving water free of foam other than trace amounts and other debris?
■
n
n
n
If effluent (diffuser pipes are required) are they operating properly?
❑
fl
■
fl
Comment: Please refer to the attached inspection summary letter.
Aerobic Digester
Yes
No
NA
NE
Is the capacity adequate?
■
n
n
n
Is the mixing adequate?
■
❑
n
n
Is the site free of excessive foaming in the tank?
■
n
n
n
# Is the odor acceptable?
■
n
❑
-
nnn
# Is tankage available for properly waste sludge? ■ — — —
Comment: Please refer to the attached inspection summary letter.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ ❑
Judge, and other that are applicable?
Comment: Please refer to the attached inspection summary letter.
Standby Power Yes No NA NE
Is automatically activated standby power available? ■ ❑ n
Is the generator tested by interrupting primary power source? ■ ❑ ❑ ❑
Is the generator tested under load? ■ fl Q [1
Page # 7

Permit: NC0060461
Inspection Date: 02/01/2011
Owner- Facility: Abington VWVfP
Inspection Type: Compliance Evaluation
Standby Power
Was generator tested & operational during the inspection?
Do the generator(s) have adequate capacity to operate the entire wastewater site?
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
Is the generator fuel level monitored?
Comment: Please refer to the attached inspection summary letter.
■ ❑ ❑ ❑
■ n n n
■ n n n
■nnn
Page # 8

�2&&TjYPA RECEIVED
N.C. Coot. nF �NR
North Carolina Department of Environment and Natural Resources
Division of Water Quality � -
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
December 29, 2010
CARL DANIEL
CAROLINA WATER SERVICE INC OF NC
PO BOX 240908
CHARLOTTE NC 282240908
SUBJECT: Payment Acknowledgment
Civil Penalty Assessment
Abington WWTP
Permit Number: NCO060461
Case Number: LV-2010-0391
Forsyth County
Dear Mr. Daniel:
This letter is to acknowledge receipt of check number 81955 in the amount of $2,610.20 received from you
dated December 22, 2010. This payment satisfies in full the above civil assessment levied against the subject
facility, and this case has been closed. Payment of this penalty in no way precludes future action by this
Division for additional violations of the applicable Statutes, Regulations, or Permits.
If you have any questions, please call Charles H Weaver at 919-807-6391.
cc: Central Files
DWQWinston-Salem_Regional Office Supervisor
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] \ FAX: [phone] Customer Service: 1-877-623-6748 NorthCarolina
Internet: www.ncwatergilality.org ���/
An Equal Opportunity \ Affirmative Action Employer

NCDEHR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Carl Daniel
Carolina Water Service Inc. Of NC
P.O. Box 240908
Charlotte, NC 28224-0908
Subject: NOTICE OF VIOLATION
NOV-2010-LV-0453
Permit No. NCO060461
Abington WWTP
Forsyth County
Dear Mr Daniel:
Division of Water Quality
Coleen H. Sullins
Director
December 13, 2010
Dee Freeman
Secretary
A review of Abington WWTP's monitoring report for September 2010 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
09/17/10
45 mg/1
900 mg/l
Daily Maximum
Concentration
Exceeded
BOD, 5-Day (20 Deg. C) -
09/09/10
45 mg/1
650 mg/l
Daily Maximum
Concentration
Exceeded
BOD, 5-Day (20 Deg. C) -
09/30/10
30 mg/l
312.62 mg/l
Monthly Average
Concentration
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem. Please
be aware that violations of your NPDES permit could result in enforcement action by the Division of Water Quality.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
Steve W. Tedder
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
_1& *rI iles
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] \ FAX: [phone] Customer Service: 1-877-623 6748
Internet: www.ncwaterquality.org
Nne
orthCarolirla
Adurallb
An Equal Opportunity %Affirmative Action Employer

NOV 40(o-(-�J-QYs3
Cover Sheet from
Staff Member to
Regional Supervisor
ff DMR Review Record
Facility: �Ji"/1 1'°uGt. Permit/Pipe No.: O Month/Year G9 lD
Parameter
Bv)1s
Date Parameter
Monthly Average Violations
Permit Limit
30 �
DMR Value % Over Limit
37,26,1 w 4� "'4
Weekly/Daily Violations
Permit Limit/Type D+MR Value
3�2SP IA4�
% Over Limit
G
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
(lrhar V;nIg6nnc
Completed by:
Reaional Water C
Supervisor Signc
Date:
Date:
"-;, 2 g-f

A. (1.) EFFLUENT LIMITS AND MONITORING
Permit NCO060461
REQUIREMENTS ® EINAL
During the period beginning on March 1, 2007, and lasting until expansion above 0.200 MGD or February
28, 2012, the permittee is authorized to discharge treated wastewater from outfall 001. Such discharges shall be
limited and monitored by the permittee as'specified below:
_..,..;:...-,
J'fS
Y :"v Y+f
r.r:.., $t,.,
— 3a
t .:;�
ER
EtdT=CHA I
_,^.,._. .,....w..,_:.,;a_.;:`„•,
:,ter :;,>_;
:.t'•y ::r
r
%r
•..
,4. S t?L'tl-••Ar:>
-
'"^'X"i':i.5�-tom_•..
y+q.,: - .h :: a do ,
i 5�.�;fTr•:.v
?a'�e•: ^...:Y... a� "stir
w ::,j, . :i
:F
a :!'Le^:. •> `E} :,+
�3•.
.,Cr}_Ni.,n::.:'=9 .. , .y w•.:: nir
•r-r:w:x..t.....-..:: y.pi•v.:'«f.t�: F'ea*+:v'.'. >. ,+.. .,. ... .. fir: ,.,.:. .rv?�`
i?
-
., l`Y'.'-ti''
.•S`.z
_
-
n
a e
:yx
t.•a.,. �'^�r,, .;4"x;-.. :-;.a-`•'..:, ... ..... e;1: :.; ,. ..°"'�•,.,,.;;..,.._�,:Y.. <,.%:
u�""..A�a;.
n r.
V �:1�"'
;�::aif �'llnit:of;���Measureme
- ntr, ��� arri�
i ri-.,
@P..._.--,
•S`
>.'ParameterDescriptlon�:=PC:S'Code��;:,y:Kr��:h�-r�,a,;;,���;n;
.Average,:,, ,Maziinu'm°
'
Influent or
Flow, in conduit or thru treatment plant - 50050
0.2.
MGD
Continuous
Recorder
Effluent
BOD, 5-Da 20 Deg. C - 00310 .
30.0
45.0
m !L
WeeklyCom
osite
Effluent
Solids, Total Suspended - 00530
30.0
45.0
m /L
WeeklyComposite
Effluent
Nitrogen, Ammonia Total as N - 00610 - Winter
4.0
20.0
m /L
WeeklyComposite
Effluent
Nitrogen, Ammonia Total as N - 00610 - Summer
2.0
10.0
m /L
Weekly .
Composite
Effluent
Coliform, Fecal MF, M-FC Broth, 44.5C - 31616
200
400
#1100ml
Weekl
Grab
Effluent
eom.mean
'
.
Chlorine, Total Residual - 50060'
28
µglL
1 2 / week
Grab
Effluent
"
Daily
Temperature, Water Deg. Centi rade - 00010
deg. C
weekdays
Grab
Effluent
z
D0, Oxygen, Dissolved - 00300
m /L
Weekly
Grab
Effluent
Phosphorus, Total as P - 00665
1 m /L
Quarterly
Com asite
Effluent
Nitrogen, Total as N - 00600
m /L
Quarterly
Composite
Effluent
H3 - 00400
s.u.
Weekly
Grab
Effluent
Upstream &
Temperature, Water Deg. Centigrade - 00010
de . C
WeeklyGrab
Downstream
Upstream &
DO, 0 gen, Dissolved - 00300
mg/L
Weekly'
eekl
Grab
Downstream
Winter: November 1 - March 31
Summer: April 1- October 31 .
Footnotes:
1. Upstream: at least 100 feet above the outfall; Downstream: at NCSR 2014;
2. The daily average Dissolved Oxygen effluent concentration shall not be less than 5.0 mg/L;
3. The pH shall not be less than 6.0 standard units (s.u.) nor greater than 9.0 s.u.
There shall be no discharge of floating solids or visible foam in other than trace amounts

MONITORING REPORT(K8R)VIOLATIONS for:
nep" oate, 12n3n0
Page: 1 of 4
Permit:
ncOO60461.
MRs Between: �-Zoog
'and
8-2010 Region-. %
Vi6latioh Category: Limit Violation
Program Category: 1%
pERM|T:NoOuuo4s1
FACILITY: Carolina Water Service Inc OfNG-Abington VVVvTP
COUNTY: Forsyth
Rso|om: Winston-Salem
Limit Violation
Mow/ron/wG
ourFALL/
VIOLATION
uw/rop
CALCULATED
nsponT
pp/
Loo^Tmw
PARAMETER
o«rs
Fxsuuswov
ms*a«ns
LIMIT
««mE
mOVER LIMIT
VIOLATION TYPE
vmuAT/owxonom
nn co10
'
oo�
�muon�
eoo »o (xnDeg. o)
nmn^/10
Weekly
mo/|
45
62.9
39.78
oonymuximumsx000uou
wo�n.oa
�mm
ovnoontmdvn
Entry Error
04zo10
001
Effluent
Bno 5-Day (c»Deg. c)
04/05/10
mmoNy
mo/|
45
61
35.56
Daily Maximum Exceeded
Proceed to
Concentration
Enforcement Case
o* un1n
001
Effluent
eoo soo (c«Deg. o)'
04/14/10
Weekly
mg/|
45
47.8
622
Daily Maximum Exceeded
Proceed to
Concentration
Enforcement Case
os zo10
'
no1
Effluent
e»o o o �»Deg. «)'
n�no/10
Weekly
mn/|
45
o*.n
44.22
Daily Maximum Exceeded
Proceed to
Concentration
Enforcement Case
07_2010
001
Effluent
Boo 5-Day (c»Deg. :)'
07/22/10
wmomy
mg/|
45
50.3
11.78
Daily Maximum Exceeded
Proceed mNOV
Concentration
08'2010
001
Effluent
eoo »o (zoDeg. n)
08/18/10
Weekly
mn/|
45
78o
n*.nr
Daily Maximum Exceeded
Proceed to
Concentration
Enforcement Case
no oo1n
001
Effluent
B»o 5-Day (c»Deg. c)
08/25/10
Weekly
mg/|
45
57.4
27.56
Daily Maximum Exceeded
Proceed to
Concentration
Enforcement Case
oo zo�o
oo1
cmuon�
Boo so (uoDeg. n)'
08/31/10
Weekly
me/|
no
43.47
44.9
monm|y*xvmnoExceeded
Proceed to
'
Concentration /
'
Enforcement Case
10'200e
001
smuom
_--_-----__�
Chlorine, Total Residual
1m02/09
cxweek
unx
xu
nu
14.2e
Daily Maximum Exceeded
wvAction, opJ
10'2009
001
Effluent
Chlorine, Total Residual
10m5m9
zXweek
usx
xx
os
25
Daily Maximum Exceeded
woAction, Bpu
10'200e
001
Effluent
Chlorine, Total Residual
10m909
zxweek
unx
zo
nn
28.57
Daily Maximum Exceeded
wnAction, BpJ
10znnn
001
Effluent
Chlorine, Total Residual
10/12109
zXweek
uo8
uu
m
10.71
Daily Maximum Exceeded
woAction, opJ
10'2009
001
emupm
Chlorine, Total Residual
10/21m9
cK week
uOx '
28
no
35J1
Daily Maximum Exceeded
wvAction, apv
10'2009
001
Effluent
Chlorine, Total Residual
10/22m9
2Xweox
ugx
28
38
35J1
Daily Maximum Exceeded
mvAction, BFo

MON|TORINGREPO VIOLATIONS for:
Report Date: 12n3110
Page: em*
P6emit: nc,0060461
MRs Bet*eeW, -9-2009,-
and
8-2010:- Region:
Violation Category: Limit Violation ategory: %
-Program C
Facility Name:
%
Param me: % -
County:
%
Subbasin: %
Violation Action: %
Major Minor:
%
PERM|T:NoOOaU4a1
FACILITY: Carolina Water Service Inc OfINC ' Abington VVVvTP
COUNTY: Forsyth
REGION: Winston-Salem
Limit Violation
wmmnomw: ourrxLL/
wouAT/ow
UNIT OF
o*LcuuATso
nEp»nr
pp/
Locxrmw
p*nAmsrEn
o*Ts
Fesouswc'
MEASURE
uw/r
v*ms
wOVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
10'2009
001
Effluent
Chlorine, Total Residual
10/2809
uXweek
ug/|
zu
37
32.1*
Daily Maximum Exceeded
woAction, epJ
11'2009
001
Effluent
Chlorine, Total Residual
11111m9
zxweek
uo0
28
34
21.*3
Daily Maximum Exceeded
moAction, BpJ
11'2009
001
Effluent
Chlorine, Total Residual
11/16109
zxweek
un/|
zo
31
10.71
Daily Maximum Exceeded
moAction, opJ
1/'2009
001
Effluent
Chlorine, Total Residual
11/25me
cKweek
ug/l
co
oo
zazr
Daily Maximum Exceeded
wvAction, opJ
12'2009
001
Effluent
Chlorine, Total Residual
12m2m9
exweek
uu0
co
41
*6.43
Daily Maximum Exceeded
wvAction, opJ
12'2009
001
Effluent
Chlorine, Total Residual
12/10m9
cXweek
unx
zn
nn
28.57
Daily Maximum Exceeded
woAction, nPJ
12'2009
001
Effluent
Chlorine, Total Residual
12/11x09
uXweek
uo8
zo
on
39.29
Daily Maximum Exceeded
woAction, opJ
12'2009
001
Effluent
Chlorine, Total Residual
12/14109
exweek
unx
ua
41
46.43
Daily Maximum Exceeded
wvAction, oF«
12'2009
001
Effluent
Chlorine, Total Residual
12o1m9
oxweek
ugh
xo
*o
42.86
Daily Maximum Exceeded
woAction, oro
01'2010
001
Effluent
Chlorine, Total Residual
01/06/10
2Xweek
uO/l
uo
ou
14.e9
Daily Maximum Exceeded
woAction, apJ
01 2010
001
effluon/
Chlorine, Total Residual
01/08/10
zxweek
u»/|
oo
cn
3.57
Daily Maximum Exceeded
woAction, opJ
01-2010
001
Effluent
Chlorine, Total Residual
01/22/10
uXweek
unx
cu
ox
35.71
Daily Maximum Exceeded
woAction, oPJ
02'2010
001
Effluent
Chlorine, Total Residual
02/11/10
uxweek
un/|
zu
no
7.14
Daily Maximum Exceeded
mvAction, opJ
02'2010
001
Effluent
Chlorine, Total Residual
02/18/10
zXweek
unx
co
ao
35.71
Daily Maximum Exceeded
woAction, opJ
02'2010
001
Effluent
Chlorine, Total Residual
02o2/10
zxweek
uox
zo
34
21.43
Daily Maximum Exceeded
wvAction, oPJ
03'2010
001
Effluent
Chlorine, Total Residual
03/08/10
u:week
ugt|
28
cn
3.57
Daily Maximum Exceeded
woAction, opx
03'2010
001
Effluent
Chlorine, Total Residual
03/15/10
zKweek
u08
zo
no
co
Daily Maximum Exceeded
wvAction, oPJ
n» oo1n
001
Effluent
Chlorine, Total Residual
03124/10
uxweek
ugx
xo
ao
7.14
Daily Maximum Exceeded
wuAction, opJ

+
/
'
dkV
MONITORING REPORT(NR)VIOLATIONS for:
Report Date: 1en3n0
Page: 3m4
R
Violation,Category: Limit Violation,
PERMIT: NCO060481
FACILITY: Carolina Water Service Inc
OfNc'Abington
VVV0TP
COUNTY:
Forsyth
REGION: Winston-Salem
Limit Violation
mow/ron/wo
ouTFALL/
VIOLATION
UNIT OF
CALCULATED
nspoRT
pp/
Loc*rmw
pAn*msTcx
DATE
pnsuuswov
ms«u»ns
um/r
VALUE
mOVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
o* zo10
001
Effluent
Chlorine, Total Residual
04/05/10
zxweek
uo/|
eo
uo
35.71
Daily Maximum Exceeded
woAction, opJ
0*'2010
001
Effluent
Chlorine, Total Residual
04112/10
zxweek
uo/|
uo
or
32.14
Daily Maximum Exceeded
woAction, epJ
04zo10
001
Effluent
Chlorine, Total Residual
0*19/10
zxweek
uo/|
zu
nn
28.57
Daily Maximum Exceeded
woAction, apJ
w* oo1u
001
Effluent
Chlorine, Total Residual
04121/10
zxweek
uo/|
ou
«n
42.86
Daily Maximum Exceeded
wvAction, opJ
04zo1n
001
Effluent
Chlorine, Total Residual
04/26/10
cXweek
uO/|
zn
nn
28s7
Daily Maximum Exceeded
woAction, BpJ
05'2010
001
Effluent
Chlorine, Total Residual
05/03/10
uxweek
un/|
xn
31
10J1
Daily Maximum Exceeded
NnAction, BpJ
05'2010
om
Effluent
Chlorine, Total Residual
05/06/10
uxweek
uu/|
m
41
46.43
Daily Maximum Exceeded
woAction, opJ
05'2010
001
Effluent
Chlorine, Total Residual
05/07/10
2xweek
un/|
un
40
42u6
Daily Maximum Exceeded
moAction, opJ
os un10
001
Effluent
Chlorine, Total Residual
05/10/10
uxweek
uy/|
zo
*o
42.86
Daily Maximum Exceeded
wvAction, Bpx
05'2010
001
Effluent
Chlorine, Total Residual
05/19/10
2Xweek
uo/|
co
oo
1*.29
Daily Maximum Exceeded
wvAction, epJ
05'2010
001
sffluom
Chlorine, Total Residual
05/21/10
cxweek
uux
oo
31
10.71
Daily Maximum Exceeded
woAction, spJ
05'2010
001
Effluent
Chlorine, Total Residual
05/26/10
oxweek
uux
uo
cv
3.57
Daily Maximum Exceeded
woAction, opJ
06'2010
001
effluon/
Chlorine, Total Residual
06/02/10
cxweek
uox
ou
nz
1*2e
Daily Maximum Exceeded
moAction, opJ
oe uo1n
001
Effluent
Chlorine, Total Residual
06/07/10
uxweek
uo/|
28
35
zn
Daily Maximum Exceeded
mnAction, oPJ
06'2010
001
Effluent
Chlorine, Total Residual
06/14/10
xxweek
uo/|
28
no
7.14
Daily Maximum Exceeded
woAction, BpJ
06'2010
001
Effluent
Chlorine, Total Residual
00o1/10
xXweek
ug/|
28
no
uo
Daily Maximum Exceeded
NoAction, BPJ
07'2010
001
Effluent
Chlorine, Total Residual
07/12/10
2xwmox
ugN
28
31
10J1
Daily Maximum Exceeded
woAction, epJ

MONITORING REPORT(MF) VIOLATIONS for:
m"porto"m 12n3110
Page: 4 of
iolati6n Category: OX
Violation 6�tl'egory,
Permit: ncOO60461
MRs Between: 9-2009
and 8
-21010 ,
Region: %",,
Urnit
rogram
PERM|T:NCOOGO461
FACILITY: Carolina Water Service Inc
OfNC'Abington VVVVTP
COUNTY: Forsyth
REGION: Winston-Salem
Limit Violation
mow/romwo ourrALL/
vmLArow
UNIT OF
o*Louwrco
Rsponr pp/
LocAnow
n^x^MsTEn
DATE
FnEouswov Ms*aunE
um/T
VALUE mOVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
08'2010 001
Effluent
Chlorine, Total Residual
08/11/10
zxweek
uo/|
zo
*s e0.71
Daily Maximum Exceeded
moAction, epJ
08'2010 001
Effluent
Chlorine, Total Residual
08/18/10
oXweek
uox
co
40 42.86
Daily Maximum Exceeded
woAction, opJ
nr uu10 001
Effluent
n»|ifo'm' Fecal mr'm'Fn
07/29110
woomy
#/100m|
400
nan 45
Daily Maximum Exceeded
Proceed mNOV
ervm.4*.uc
04zn10 oo�
'
��uom
mumu«»'Ammonia To�|�s
own�10
wmemv
mux
10
1s�5 so
oai�Ma*mumExceeded
Proceed to
w)'Cvnnont,m|on
Enforcement Case
04'2010 001
Effluent
Nitrogen, Ammonia Total (as
04/30110
wmom'
my/|
z
6.02 200.75
Monthly Average Exceeded
Proceed to
m) Concentration
Enforcement Case
nn xo10 001
Effluent
Nitrogen, Ammonia Total (as
05/06/10
Weekly
mg/|
10
1zu 28
oaxvMaximum Exceeded
Proceed to
m m)'ovncentnon
Enforcement Case
05'2010 001
Effluent
Nitrogen, Ammonia Total (as
0e31/10
maomy
mgx
z
5.29 164.64
Monthly Average Exceeded
Proceed to
m) ConcentratioConcentrationEnforcement
Case

Permit Enforcement History Details by Owner
12/13/10
1
Owner: Carolina Water Service Inc Of NC
Facility: Abington WWTP
Permit: NCO060461
Region: Winston-Salem
County: Forsyth
Penalty
Remission Enf
EMC EMC OAH Collection
Has
Assessment Penalty
Enforcemen
Request Enf Conf Remission
Hearing Remission Remission Memo Sent
Pmt
Case
Case Number MR Approved Amount
t Costs Damages Received Held Amount
Held Amount Amount to AGO
Total Paid
Balance Due
Plan
Closed
LV-1998-0268 12/17/98 $1,000
$60.00
$.00
$1,060.00
$.00
No
01/21/99
LV-1999-0050 01/29/99 $1,500
$60.00
$.00 03/05/99 03/31/99 $.00
$1,560.00
$.00
No
05/19/99
LV-2002-0541 11/08/02 $1,250
$105.50
$1,355.50
$.00
No
12/02/02
LM-2006-0060 9-2006 12/08/06 $300
$96.00
$396.00
$.00
No
01/16/07
LV-2007-0274 4-2007 07/11/07 $1,150
$99.00
$1,249.00
$.00
No
OB/22/07
LV-2010-0221 4-2010 07/12/10 $950
$11020
$1,060.20
$.00
No
07/28/10
LV-2010-0261 5-2010 08/12/10 $1,150
. $110.20
$1,260.20
$.00
No
08/24/10
LV-2010-0391 8-2010 11/24/10 $2,500
$110.20
$2,610.20
No
Total Cases: 8 Total Penalty Amount: $9,800
Total Enforcement Cost: $751.10
Sum of Total Paid: $7,940.90 Total Balance Due:
$2,610.20
Sum of Total Case Penalties: $10,551.10
Total Penalties after remission(s):
$10,551.10

K®
NC®ENR
North Carolina Department of Environment and Natura
.Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins
Governor
Carl Daniel
Carolina Water Service Inc Of NC
P.O. Box 240908
Charlotte, NC 28224-0908
Subject: NOTICE OF VIOLATION
NOV-2010-LV-0364
Permit No. NCO060461
Abington WWTP
Forsyth County
Dear Mr. Daniel:
Director
October 11, 2010
Resources
Dee Freeman
Secretary
A review of Abington WWTP's monitoring report for July 2010 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
07/22/10
45 mg/l
50.3 mg/1
Daily
Concentration
Maximum
Exceeded
Coliform, Fecal MF, M-FC
07/29/10
400 #/100ml
580 #/100ml
Daily
Broth,44.5C
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action
by the Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: S --Central Files
SRO File
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: wvvw.ncwatergLiality.org
Sincerely,
Steve W. Tedder
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Nne
ofthCarolina
Naturally
An Equal Opportunity 1 Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
-1 DMR Review Record
Facility: A�Oi �n 1JO� Permit[Pipe No.: MondvYear d* t1 D
Monthly Average Violations
Parameter
Permit Limit DMR Value
% Over Limit
Weekly/Daily Violations
Date
Parameter
Permit LimitrI'vpe DMR Value
% Over Limit
4�k
7 e
590
B�
Monitoring Frequency Violations
Date
Parameter
Permit Frequency Values Reported
# of Violations
Completed by:
Regional Water Quality
Supervisor Signoff:
�1-e— Date:
Date:
N

MONITORING REPORT(MR) VIOLATIONS for: ReportDate: 10/11/10 Page: 1 of 4
PERMIT: NCO060461 FACILITY: Carolina Water Service Inc Of NC - Abington WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL/
REPORT
PPI
LOCATION
PARAMETER
07 -2009
001
Effluent
BOD, 5-Day (20 Deg. C) -
Concentration
03 -2010
001
Effluent
BOD, 5-Day (20 Deg. C) -
Concentration
04 -2010
001
Effluent
BOD, 5-Day (20 Deg. C) -
Concentration
04 -2010
001
Effluent
BOD, 5-Day (20 Deg. C) -
Concentration
05 -2010
001
Effluent
BOD, 5-Day (20 Deg. C) -
Concentration
07-2009
001
Effluent
Chlorine, Total Residual
08 -2009
001
Effluent
Chlorine, Total Residual
08 -2009
001
Effluent
Chlorine, Total Residual
08 -2009
001
Effluent
Chlorine, Total Residual
08 -2009
001
Effluent
Chlorine, Total Residual
10 -2009
001
Effluent
Chlorine, Total Residual
10 -2009
001
Effluent
Chlorine, Total Residual
10 -2009
001
Effluent
Chlorine, Total Residual
10 -2009
001
Effluent
Chlorine, Total Residual
10 -2009
001
Effluent
Chlorine, Total Residual
10 -2009
001
Effluent
Chlorine, Total Residual
VIOLATION
UNIT OF
CALCULATED
DATE
FREQUENCY
MEASURE
LIMIT VALUE %OVER LIMIT
07/08/09
Weekly
mg/I
45 72.3 60.67
03/04/10
Weekly
mg/I
45 62.9 39.78
04/05/10
Weekly
mg/I
45
61
35.56
04/14/10
Weekly
mg/I
45
47.8
6.22
05/06/10
Weekly
mg/I
45
64.9
44.22
07/30/09
2 X week
ug/I
28
38
35.71
08/03/09
2 X week
ug/I
28
37
32.14
08/12/09
2 X week
ug/I
28
29
3.57
08/17/09
2 X week
ug/I
28
35
25
08/28/09
2 X week
ug/I
28
38
35.71
10/02/09
2 X week
ug/I
28
32
14.29
10/05/09
2 X week
ug/1
28
35
25
10/09/09
2 X week
ug/1
28
36
28.57
10/12/09
2 X week
ug/I
28
31
10.71
10/21/09
2 X week
ug/I
28
38
35.71
10/22/09
2 X week
ug/1
28
38
35.71
VIOLATION TYPE VIOLATION ACTION
Daily Maximum Exceeded Proceed to NOV
Daily Maximum Exceeded
No Action, Data
Entry Error
Daily Maximum Exceeded
Proceed to
Enforcement Case
Daily Maximum Exceeded
Proceed to
Enforcement Case
Daily Maximum Exceeded
Proceed to
Enforcement Case
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 10/11/10 Page: 2 of 4
c o'
0
e een: }7`-2009 `aridW6 2010' v `Re 'ion. /o. �, Violation'Category::Limit Violation :Prog�arrm Category /q.
Peimit NC006(1461 MRs B tw, 9 <:x
Facdlty�Name: �% Param Name °/a. County: % �Subbasin:��% � VioWion-Action: % -
OM jor Minor.
PERMIT: NCO060461 FACILITY: Carolina Water Service Inc Of NC - Abington WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
%OVER LIMIT
10 -2009
001
Effluent
Chlorine, Total Residual
10/27/09
2 X week
ug/I
28
42
50
10 -2009
001
Effluent
Chlorine, Total Residual
10/28/09
2 X week
ug/I
28
37
32.14
11 -2009
001
Effluent
Chlorine, Total Residual
11/11/09
2 X week
ug/I
28
34
21.43
11 -2009
001
Effluent
Chlorine, Total Residual
11/16/09
2 X week
ug/I
28
31
10.71
11 -2009
001
Effluent
Chlorine, Total Residual
11/25/09
2 X week
ug/I
28
36
28.57
12 -2009
001
Effluent
Chlorine, Total Residual
12/02/09
2 X week
ug/I
28
41
46.43
12 -2009
001
Effluent
Chlorine, Total Residual
12/10/09
2 X week
ug/I
28
36
28.57
12 -2009
001
Effluent
Chlorine, Total Residual
12/11/09
2 X week
ug/I
28
39
39.29
12 -2009
001
Effluent
Chlorine, Total Residual
12/14/09
2 X week
ug/I
28
41
46.43
12 -2009
001
Effluent
Chlorine, Total Residual
12/21/09
2 X week
ug/I
28
40
42.86
01-2010
001
Effluent
Chlorine, Total Residual
01/06/10
2 X week
ug/I
28
32
14.29
01 -2010
001
Effluent
Chlorine, Total Residual
01/08/10
2 X week
ug/I
28
29
3.57
01 -2010
001
Effluent
Chlorine, Total Residual
01/22/10
2 X week
ug/I
28
38
35.71
02 -2010
001
Effluent
Chlorine, Total Residual
02/11/10
2 X week
ug/I
28
30
7.14
02 -2010
001
Effluent
Chlorine, Total Residual
02/18/10
2 X week
ug/I
28
38
35.71
02 -2010
001
Effluent
Chlorine, Total Residual
02/22/10
2 X week
ug/I
28
34
21.43
03 -2010
001
Effluent
Chlorine, Total Residual
03/08/10
2 X week
ug/I
28
29
3.57
03 -2010
001
Effluent
Chlorine, Total Residual
03/15/10
2 X week
ug/I
28
35
25
VIOLATION TYPE
VIOLATION ACTION
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ
Daily Maximum Exceeded
No Action, BPJ

• MONITORING REPORT(MR) VIOLATIONS for: Report Date: 10/11/10 Page: 3 of 4
PERMIT: NCO060461
FACILITY: Carolina Water Service Inc Of NC - Abington WWTP
COUNTY: Forsyth
REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
% OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
03 -2010
001
Effluent
Chlorine, Total Residual
03/24/10
2 X week
ug/I
28
30
7.14
Daily Maximum Exceeded
No Action, BPJ
04 -2010
001
Effluent
Chlorine, Total Residual
04/05/10
2 X week
ug/I
28
38
35.71
Daily Maximum Exceeded
No Action, BPJ
04 -2010
001
Effluent
Chlorine, Total Residual
04/12/10
2 X week
ug/1
28
37
32.14
Daily Maximum Exceeded
No Action, BPJ
04 -2010
001
Effluent
Chlorine, Total Residual
04/19/10
2 X week
ug/I
28
36
28.57
Daily Maximum Exceeded
No Action, BPJ
04 -2010
001
Effluent
Chlorine, Total Residual
04/21/10
2 X week
ug/I
28
40
42.86
Daily Maximum Exceeded
No Action, BPJ
04 -2010
001
Effluent
Chlorine, Total Residual
04/26/10
2 X week
ug/1
28
36
28.57
Daily Maximum Exceeded
No Action, BPJ
05 -2010
001
Effluent
Chlorine, Total Residual
05/03/10
2 X week
ug/1
28
31
10.71
Daily Maximum Exceeded
No Action, BPJ
05 -2010
001
Effluent
Chlorine, Total Residual
05/06/10
2 X week
ug/l
28
41
46.43
Daily Maximum Exceeded
No Action, BPJ
05 -2010
001
Effluent
Chlorine, Total Residual
05/07/10
2 X week
ug/I
28
40
42.86
Daily Maximum Exceeded
No Action, BPJ
05 -2010
001
Effluent
Chlorine, Total Residual
05/10/10
2 X week
ug/I
28
40
42.86
Daily Maximum Exceeded
No Action, BPJ
05 -2010
001
Effluent
Chlorine, Total Residual
05/19/10
2 X week
ug/I
28
32
14.29
Daily Maximum Exceeded
No Action, BPJ
05 -2010
001
Effluent
Chlorine, Total Residual
05/21/10
2 X week
ug/I
28
31
10.71
Daily Maximum Exceeded
No Action, BPJ
05 -2010
001
Effluent
Chlorine, Total Residual
05/26/10
2 X week
ug/1
28
29
3.57
Daily Maximum Exceeded
No Action, BPJ
06 -2010
001
Effluent
Chlorine, Total Residual
06/02/10
2 X week
ug/I
28
32
14.29
Daily Maximum Exceeded
No Action, BPJ
06 -2010
001
Effluent
Chlorine, Total Residual
06/07/10
2 X week
ug/1
28
35
25
Daily Maximum Exceeded
No Action, BPJ
06 -2010
001
Effluent
Chlorine, Total Residual
06/14/10
2 X week
ug/l
28
30
7.14
Daily Maximum Exceeded
No Action, BPJ
06 -2010
001
Effluent
Chlorine, Total Residual
06/21/10
2 X week
ug/1
28
35
25
Daily Maximum Exceeded
No Action, BPJ

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 10/11/10 Page: 4 of 4
p ".''
Permit: NC006fl446T= MRs Between:' `7-2009, `• and ,i6-2010 Region.,/a ;,
Violation Cate'o "°t imit Via atiori'
9 ry I
Pro"ra`m.Cate b :,%
g g ry
Faculty Naine: %�
r Param Name: County`: %
Subbasin': %,
Violation Action:
Major'Minor:- %
PERMIT: NCO060461
FACILITY: Carolina Water Service Inc Of NC - Abington WWTP
COUNTY: Forsyth
REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
% OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
08-2009
001
Effluent
Coliform, Fecal MF, M-FC
08/27/09
Weekly
#/100m1
400
860
115
Daily Maximum Exceeded
Proceed to NOV
Broth,44.5C
04
001
Effluent
Nitrogen, Ammonia Total (as
04/05/10
Weekly
mg/I
10
15.5
55
Daily Maximum Exceeded
Proceed to
-2010
N) - Concentration
Enforcement Case
04
001
Effluent
Nitrogen, Ammonia Total (as
04/30/10
Weekly
mg/I
2
6.02
200.75
Monthly Average Exceeded
Proceed to
-2010
N) - Concentration
Enforcement Case
05
001
Effluent
Nitrogen, Ammonia Total (as
05/06/10
Weekly
mg/I
10
12.8
28
Daily Maximum Exceeded
Proceed to
-2010
N) - Concentration
Enforcement Case
05 -2010
001
Effluent
Nitrogen, Ammonia Total (as
05/31/10
Weekly
mg/I
2
5.29
164.64
Monthly Average Exceeded
Proceed to
N) - Concentration
Enforcement Case

Permit Enforcement History Details by Owner
10/11/10
1
Owner: Carolina Water Service Inc Of NC
Facility: Abington WWTP
Permit: NCO060461
Region: Winston-Salem
County: Forsyth
Penalty
Remission Enf
EMC EMC OAH Collection
Has
Assessment Penalty
Enforcemen
Request Enf Conf Remission
Hearing Remission Remission Memo Sent
Pmt
Case
Case Number MR Approved Amount
t Costs Damages Received Held Amount
Held Amount Amount to AGO
Total Paid
Balance Due
Plan
Closed
LV-1998-0268 12/17/98 $1,000
$60.00
$.00
$1.060.00
$.00
No
01/21/99
LV-1999-0050 01/29/99 $1,500
$60.00
$.00 03/05/99 03/31/99 $.00
$1,560.00
$.00
No
05/19/99
LV-2002-0541 11/08/02 $1,250
$105.50
$1.355.50
$.00
No
12/02/02
LM-2006-0060 9-2006 12/08/06 $300
$96.00
$396.00
$.00
No
01/16/07
LV-2007-0274 4-2007 07/11/07 $1,150
$99.00
$1,249.00
$.00
No
08/22/07
LV- -0221 4-2010 07 2110 $950
$110.20
$1.060.20
$.00
No
07/28/10
LV-2010-0261 5-2010 /12/10 $1,150
$110.20
$1.260.20
$.00
No
08/24/10
Total Cases: 7 Total Penalty Amount: $7,300
Total Enforcement Cost: $640.90
Sum of Total Paid: $7,940.90 Total Balance Due: $.00
Sum of Total Case Penalties: $7,940.90
Total Penalties after remission(s):
$7,940.90
/,
2

7� • S
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
January 28, 2010
Kyle Myers
Corporate Relocation Processor
Wells Fargo Home Mortgage
2701 Wells Fargo Way
Minneapolis, MN 55408
Subject: Abington Wastewater Treatment Facility
Compliance History and Sewer Capacity
NPDES Permit No. NCO060461
Forsyth County
Dear Mr. Myers:
As per your request, the following information is being provided relevant to the Abington wastewater
treatment system in Forsyth County, North Carolina. The most recent facility inspection was
conducted on April 21, 2009. The facility was found to be deficient in meeting permit requirements
due to a failed generator test during the inspection. According to facility owners, this problem was
fixed as of June 1, 2009. No other major compliance issues were determined during the inspection.
A review of the prior twelve (12) months data demonstrated that the facility is currently operating at
approximately sixty-three percent (63%) of its deemed capacity.
Should you have any further questions, please contact me at [phone].
cc: Central Files — SWP
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
Steve W. Tedder
Surface Water Protection Section Supervisor
NdithCarolina
An Equal Opportunity 1 Affirmative Action Employer

.JAN.30.2010 10:10AM WF HOME MORTGAGE
NO.3358 P. 1/1
General Information, Continued
Community A community system is a central system that is owned, operated, and
Septic Systems maintained by a private corporation or a nonprofit property owners
association.
A community sewer system must:
Be in Compliance with requirements of the Health Authority having
jurisdiction for satisfactory operation of the sewage treatment plant and
discharge of treated wastes,
• Have capacity in the sewage collection system and treatment plant to
adequately serve the properties in the development.
• Have organizational documents that assure continuity of service at
reasonable rates as required in HUD Handbook 4075.12 REV
If a private system operated for profit, be regulated by the State Public
Utility Commission or have a Trust Deed of Third parry Beneficiary
Agreement as specified in HUD Handbook 4075.12 Rev.
Rural Development — RD (formerly Rural Economic and Community
Development — RECDS) approval of water and/or sewage systems is
sufficient for eligibility on individual cases where both agencies are involved.
Note: RD is not available for all business lines. ,
Articles of incorporation and bylaws for water and sewage systems owned by
property owner associations or cooperatively owned systems will also be
acceptable for assuring continued service and reasonable rates, if approved by
RD,
Whenever public or community facilities are within a reasonable distance
from the property, a connection must be made to these utilities. However, if
the cost to connect to it would cause a financial hardship, this requirement
may be waived.
25: FHA — Sec. 08: Property Analysis — Minimum Proparry Standards
Continued on next page
For Internal RIIP Use Only
Octobar 26, 2004
01/28/2010 10:10AM (GMT-06:00)

i
,-, �
�0 ------------------�� �� / /NN�
mw'

C
ilitiEs, Inca
November 20, 2009
Mr. Steve W. Tedder (Regional Supervisor)
Division of Water Quality
NC DENR
585 Waughtown Street
Winston Salem, NC 27107
Re: Abington WWTP
NPDES NCO060461
BOD Exceedance of 7/8/09
Dear Mr. Tedder,
We are receipt of your letter concerning the above referenced matter and respond as follows;
--iveD �
N.C, Dept. of ENR
NOV 2 5 20U
Winston-Salem
Regional Office
The BOD sample that was pulled on 7/8/09 exceeded the permit limit for the daily maximum with a result of 72.3 mg/I. The
ORC experienced some lower than normal dissolved oxygen readings in the aeration basins which may have contributed to
the BOD spike. Wastewater plant adjustments were made to increase the oxygen levels and subsequent samples for the
month showed full compliance with the NPDES permit limits. We are unsure of what caused the lower than normal dissolved
oxygen readings.
If you have any questions or if I can provide any additional information, please do not hesitate to contact me at 704-525-7990,
(Voice Mail Ext. 218). Thank you for your attention.
Sincerely,
(3L-6!1CX1
Tony Konsul
Regional Manager
Cc; Martin Lashua
Mary Armentrout
Adam James
Bob Loper
aUtilifies,Inc. company Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 • Charlotte, NC 28224 • P: 704-525-7990 • F: 704-525-8174 '
5701 Westpark Dr., Suite 101 • Charlotte, NC 28217 • www.uiwater.com ;'

I
An_lw
40� AA
Owl
MCDENR
North Carolina Department of Environment and Natura
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
November 4, 2009
Mr. Carl Daniel
Carolina Water Service Inc of NC
Post Office Box 240908
Charlotte, North Carolina 28224-0908
Subject: NOTICE OF VIOLATION — Effluent Limitations
NPDES Permit No. NC 0060461
Abingdon WWTP
Forsyth County
Dear Mr. Daniel:
Resources
Dee Freeman
Secretary
A review of the self -monitoring report for the month of August 2009 revealed the following
violation of permit limits:
Parameter
Date
Limit Value
Reported Value
Limit Type
Fecal coliform
8/27/2009
400 # / 100 ml
860 # / 100 ml
Daily Limit
Remedial actions, if not already implemented, should be taken to correct' the above
noncompliance problem. Please be aware that violations of your NPDES permit could subject
you to enforcement action by this Division with the possible assessment of civil penalties of up
to $25,000 per day per violation. Should you have any questions, please contact Jenny
Graznak or me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: Central Files — SWP
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Nne
orthCaroina
Natunaliff
An Equal Opportunity l Affirmative Action Employer

I
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: N WWV Permit/Pipe No.: Month/Year 6�
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly aily V olations
Date Parameter Permit LimitlTvpe DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency . Values Reported # of Violations
Other Violations
Completed by: V Date: K/01
Regional Water Quality
Supervisor Signoff: Date: 7
� in

EFFLUENT
".."DES PERMIT NO: NC0060461 DISCHARGE NO: 001 MONTH: August YEAR:
FACILITY NAME: ABINGTON ty CLASS: II COUNTY:
CERTIFIED LABORATORY: Microbac CERTIFICATION #: 34
(list additional laboratories on the backside/page 1 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC): Robert W Loper GRADE: 12 CERTIFICATION NO
PERSON(S) COLLECTING SAMPLEokr;::pper ORC PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED ❑ N.C. Dent of ENR NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to;
CT 20
ATTN: CENTRAL FILESx �.
DIVISION OF WATER QUALITY (SIp NATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 MAIL SERVICE CENTER Ragtona offiCe ByjTH15 SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
2009
Forsyth
991968
El
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0.138.
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N/A
N/A
N/A
DWQ Form MR-1(11104)

t
A M
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins Dee Freeman
Governor Director Secretary
August 26, 2009
Carl Daniel
Carolina Water Service Inc Of NC
PO Box 240908
Charlotte NC 282240908
Subject: NOTICE OF VIOLATION
Permit No. NCO060461
Abington WWTP
Forsyth County
Dear Mr Daniel:
A review of Abington WWTP's monitoring report for May 2009 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total (as
05/31/09
2 mg/l
2.29 mg/1
Monthly
N) - Concentration
Average
Exceeded
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law.
To prevent further action, carefully review these violations and deficiencies and respond in writing to this
office within 3 0 working day of receipt of this letter. You should address the causes of noncompliance and
all actions taken to prevent the recurrence of similar situations. If you should have any questions, please
do not hesitate to contact Rose Pruitt at 336-771-5000.
Sincerely,
Steve W Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Cc: Central Files —SWP
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCar®lina
)Vaturallb,

0
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: MIN(-►" 10 Permit/Pipe No.:.lVLV0(fQq%I Month/Year. a PI
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
N t, u
Weekly/Daily Violations
Date Parameter Permit Limit/Type DMR Value % Over Limit
Monitoring Frequency Violations,
Date Parameter' ; Permit Frequency Values Reported # of Violations
Other Violations
Completed by: PDate:
Regional Water Quality
Supervisor Signoff: Date: (/
/voU- 2ooy-

EFFLUENT 1
NPDE$ PERMIT NO: NCO060461 DISCHARGE NO: 001 i MONTH: May YEAR: 2009
,FACILITY NAME: ABINGTON CLASS: II COUNTY:.F irs_
CERTIFIED LABORATORY: MICROBAC CERTIFICATION #: 34.
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC): Robert* Loper GRADE 2 CERTIFICATIOKIN 91968
PERSON(S) COLLECTING S2ED
�PiE�=ECEiV�obef#-W-Loper ORC PHONE: [phone] p
CHECK BOX IF ORC HAS CH N.C. DQ of ENR . NO FLOW ! DISCHARGE FRONT ��TET-5 2PH
Mail ORIGINAL and ONE COPY to: r- a
ATTN: CENTRAL FILES JUL 7 �009 xl V2 t2 O l
DIVISION OF WATER QUALITY Winston-S lem ( IGNATURE OF OPERATOR IN RESP NSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER Regionall ice I Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617--ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLE A
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7.07
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22.1
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0.128
20.1
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5.7
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4.4
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7.4
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0.172
22.5
7.14
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'8.8
1 5.13
15
300
8.92
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0.090
18.3
6.55
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4.3
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<2
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5.75
Comp. (C)l Grab (G)
G
G
G
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1>6to<91
'2,
30.0
2.0
30.0
200
5.0
1 N/A
N/A
N/A
DWQ Form MR-1(11/04)

Facility Status: (Please check one of the following) `
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages,, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirement.
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information - .shall be provided orally within.24.
hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach 'a list'of corrective actions being taken and a time -table .
for improvements to.lie made as required by:Part II.E.6 of the NPDES permit.
"I 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 or persons who managed 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 of fines and imprisonment for knowing
Tony Konsul, Regional Manager
Permittee (Please print o t pe)
Signatu of P ee*** Date'
Carolina Water Service, Inc. of North Carolina (Required unless submitted electronically)
P O Box 240908
Charlotte, NC 28224 704-525-7990 2/28/2012
Permittee Address Phone Number e-mail address.' Permit Ei piration Date
ADDITIONAL CERTIFIED LABORATORIES
,Certified Laboratory (2) Certification No.
Certified Laboratory. (3) Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES. R ECI !/ C ®.:
Surface Water Protection Section's web site ath2o.enr.state.nc.us%was and linking to the unit's.trrrrotion2009
pages.
Information ,Processing Unit _
DWQ/BOG
Use only units of measurement designated. in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be'
entered for all of the parameters on the DMR for the entire• monitoring period._
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G :0204. .
* * Signature of Permittee: -If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).

NPDES Permit No. NCO060461 Discharge 001 Month May Year 2009
No.
Facility Name A1BINGTON
Stream
Location 100' Above Discharge
l •_ :Iw ,.
_
MIN
DWQ Form MR-3 (Revised 7/2000)
County FORSYTH
Stream Roams C ,,.
Location 200' Below Discharge
DOWNSTREAM
,
I r;

J081OM4
v.un 6wss9=d uO!3"'"O1ul
600z s �nr
03AO03

<��
Utilities, Inca
June 10, 2009
Attn: Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699
Re: Abington WWTP
NCO060461
Ammonia Out For month in May 2009
To whom it may concern,
The Ammonia was over the monthly limit of 2.0mg/I at 2.29mg/I. We have checked our procedures and
cannot find any errors in plant operations, collection or transportation of the samples. All daily were in
compliance.
If you have any questions or if I can provide any additional information, please do not hesitate to contact
me at 704-525-7990 ext. 304. Thank you for your attention.
Sincerely,
R. Adam, Ja s
Area Manager
allbWes, Inc. company Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 ® Charlotte, NC 28224 ® P: 704-525-7990 ® F: 704-525-8174
5701 Westpark Dr., Suite 101 ® Charlotte, NC 28217 ® www.uiwater.com

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 08/20/09 Page: 3 of 3
Permit: nc0064461` ° MRs Between:-� 5-2008' =and'° �4-2009` Region:% Violation Category: % .�' ProgramCategory: %`
!'Facility`Name: % - - Param Name: °l6, ' County: % .Subbasin: 9/. °,Violation Action: % _
)"-`M ator Minor. I'
L11-
PERMIT: NCO060461 FACILITY: Carolina Water Service Inc Of NC - Abington WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL/
REPORT
PPI
LOCATION
04-2009
001
Effluent
04 -2009
001
Effluent
04-2009
001
Effluent
04-2009
001
Effluent
05 -2008 001 Effluent
Monitoring Violation
MONITORING
OUTFALL/
REPORT
PPI
LOCATION
11 -2008
001
Effluent
11-2008
001
Effluent
11-2008
001
Effluent
11 -2008 001 Effluent
11-2008 001 Effluent
11 -2008 001 Effluent
11-2008 001 Effluent
PARAMETER
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Solids, Total Suspended
PARAMETER
BOD, 5-Day (20 Deg. C)
Chlorine, Total Residual
Coliform, Fecal MF, M-FC
Broth,44.5C
DO, Oxygen, Dissolved
Nitrogen, Ammonia Total (as
N)
Solids, Total Suspended
pH
VIOLATION
UNIT OF
CALCULATED
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
04/09/09
2 X week
ug/I
28
42
04/13/09
2 X week
ug/I
28
38
04/16/09
2 X week
ug/I
28
29
04/27/09
2 X week
ug/I
28
33
05/08/08
Weekly
mg/I
45
104
VIOLATION
UNIT OF CALCULATED
DATE
FREQUENCY
MEASURE LIMIT VALUE
11/01/08
Weekly
mg/I
11/01/08
2 X week
ug/I
11/01/08
Weekly
#/100ml
11/01/08 Weekly mg/I
11/01/08 Weekly mg/I
11/01/08 Weekly mg/I
11/01/08 Weekly su
VIOLATION TYPE
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
VIOLATION TYPE
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
VIOLATION ACTION
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
Proceed to NOV
VIOLATION ACTION
None
None
None
None
None
None
None

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 08/20/09
Page: 1 of 3
;_:..-n1 �._.. ....,...}..At,;F `j,-'m;":,"." t .. ^-f......,e ..m._.,,.....an, rc�»-�•--',i`rr '�-:
Pe�mft: nc0060461- MRs Between 542008
.g" ,ems, a;;' __ :1.,,x-.p "_"'_'"4...
and 4-2000Region,-
e..mi^sy@*er �"�,rr-m-"-- �
Vi"I tlon C ategory�%Q Program_Cafegory °I°
Faclhty Name
%
Param Name °l°
County �/°
Subbasm Vlolatron Art,o,
Major Mtnor
PERMIT: NCO060461 FACILITY: Carolina. Water Service Inc Of NC - Abington WWTP
COUNTY: Forsyth
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
08 -2008
001
Effluent Chlorine, Total Residual
08/10/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
08 -2008
001
Effluent Chlorine, Total Residual
08/27/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
08 -2008
001
Effluent Chlorine, Total Residual
08/29/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent Chlorine, Total Residual
09/02/08
2 X week
ug/1
28
32
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent Chlorine, Total Residual
09/03/08
2 X week
ug/I
28
30
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent Chlorine, Total Residual
09/10/08
2 X week
ug/I
28
31
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent Chlorine, Total Residual
09/19/08
2 X week
ug/I
28
31
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent Chlorine, Total Residual
09/26/08
2 X week
ug/1
28
34
Daily Maximum Exceeded
No Action, BPJ
10 -2008
001
Effluent Chlorine, Total Residual
10/10/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
10 -2008
001
Effluent Chlorine, Total Residual
10/15/08
2 X week
ug/I
28
39
Daily Maximum Exceeded
No Action, BPJ
11 -2008
001
Effluent Chlorine, Total Residual
11/07/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
11 -2008
001
Effluent Chlorine, Total Residual
11/21/08
2 X week
ug/1
28
39
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent Chlorine, Total Residual
12/01/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent Chlorine, Total Residual
12/04/08
2 X week
ug/I
28
38
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent Chlorine, Total Residual
12/05/08
2 X week
ug/I
28
41
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent Chlorine, Total Residual
12/12/08
2 X week
ug/1
28
29
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent Chlorine, Total Residual
12/17/08
2 X week
ug/I
28
39
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent Chlorine, Total Residual
12/19/08
2 X week
ug/I
28
33
Daily Maximum Exceeded
No Action, BPJ

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 08/20/09 Page: 2 of 3
................z- ,-
Permit nc0060461 MR' Between _ 5'-2008 and E 4-2009 '. Region: 0I° Violation Category:- 6,� Program Category: °I° _ I
,w
Facility ;Name °fo.r. - Pararn Name:,°lo" County .°10 Subbasiri: /° Violation Action: %'_;
,
f .Major Minor:
PERMIT: NCO060461 FACILITY: Carolina Wafter Service Inc Of INC - Abington WWTP COUNTY: Forsyth
Limit Violation
MONITORING OUTFALL/
REPORT PPI LOCATION
12 -2008 001 Effluent
01 -2009 001 Effluent
01-2009 001
01-2009 001
01-2009 001
01-2009 001
01-2009 001
02-2009 001
02-2009 001
02-2009 001
03-2009 001
03-2009 001
03-2009 001
03-2009 001
03-2009 001
04-2009 001
04-2009 001
04-2009 001
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
PARAMETER
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine. Total Residual
VIOLATION
DATE
FREQUENCY
12/29/08
2 X week
01/05/09
2 X week
01/09/09
2 X week
01/12/09 2 X week
01/16/09 2 X week
01/19/09 2 X week
01/26/09 2 X week
02/02/09 2 X week
02/06/09 2 X week
02/26/09 2 X week
03/04/09 2 X week
03/16/09 2 X week
03/23/09 2 X week
03/27/09 2 X week
03/30/09 2 X week
04/02/09 2 X week
04/03/09 2 X week
04/06/09 2 X week
UNIT OF
MEASURE
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/1
ug/I
ug/I
ug/I
ug/I
ug/I
CALCULATED
LIMIT
VALUE
28
42
28
38
28
41
28
28
28
28
28
28
28
28
28
28
28
28
28
28
28
38
W
42
34
31
31
32
34
31
30
48
29
34
30
35
REGION: Winston-Salem
VIOLATION TYPE
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
Daily Maximum Exceeded
VIOLATION ACTION
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ

L RECEIVED
N.C. Deot. of FNR
UtilitiEs, Inc' SEP 2 8 2009
Winston -sr.
Regional 0fr
i
September 23,.2009 ..
Mr. Steve W. Tedder (Regional Supervisor)
Division of Water Quality
NC DENR
585 Waughtown Street
Winston Salem, NC 27107
Re: Abington WWTP
NPDES NCO060461
Ammonia Nitrogen Exceedance of 5/7/09
Dear Mr. Tedder,
We are receipt of your letter concerning the above referenced matter and respond as follows;
We have already addressed the monitoring violation as requested with a letter that was attached with the May 2009 DMR.
Please see the enclosed letter dated June 10, 2009 that was sent to the Division of Water Quality (Central Files) as required. It
seems redundant to respond again when an explanation letter is already on file with the DMR.
The effluent report form D.WQ form MR-1 (11/04) clearly states to attach a list of non-compliance corrective, actions being
taken and a timetable for improvements. If there is some other protocol we should be following, please advise.
If you have any questions or if I can provide any additional information,, please do not hesitate to contact me at 704-525-7990,
(Voice Mail Ext. 218). Thank you for your attention.
Sincerely,
Anthony J. Konsul
Regional Manager
Cc; Martin Lashua
Mary Armentrout
Adam James.
Bob Loper
a Utilities; Inc. company. Carolina Wafer Service, Inc. of North Carolina
P.O. Box 240908 I Charlotte, NC 28224 0 P: 704-525-7990 i F: 704-525-8174
5701 Westpark Dr., Suite 101 o Charlotte, NC 28217 o www.uiwater.com

.w
June 10, 2009
Attn: Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699
Re: Abington WW TP
NCO060461
Ammonia Out For month in May 2009
To whom it may concern,
The Ammonia was over the monthly limit of 2.0mg/I at 2.29mg/I. We have checked our procedures and
cannot find any errors in plant operations, collection or transportation of the samples. All daily were in
compliance.
If you have any questions or if I can provide any additional information, please do not hesitate to contact
me at 704-525-7990 ext. 304. Thank you for your attention.
Sincerely,
R. Adam Jam s
Area Manager
a Wiles, Inc. company Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 a Charlotte, NC 28224 a P: 704-525-7990 e F: 704-525-8174
5701 Westpark Dr., Suite 101 a Charlotte, NC 28217 ® www.uiwater.com

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
Carl Daniel
Carolina Water Service Inc Of NC
PO Box 240908
Charlotte NC 282240908
Subject: NOTICE OF VIOLATION
Permit No. NCO060461
Abington WWTP
Forsyth County
Dear Mr Daniel:
October 8, 2009
A review of Abington WWTP's monitoring report for July 2009 showed the following violations:
Parameter
Date
Limit Value
Rep6rted Value
Limit Type
BOD, 5-Day (20 Deg. C) -
Concentration
07/08/09
45 mg/l
72.3 mg/l
Daily Maximum
Exceeded
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law.
To prevent further action, carefully review these violations and deficiencies and respond in writing to this
office within 30 working day of receipt of this letter. You should address the causes of noncompliance and
all actions taken to prevent the recurrence of similar situations. If you should have any questions, please
do not hesitate to contact Rose Pruitt at 336-771-5000.
4Smcerel
Steve W Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Cc: Central Files —SWP
.1-
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
Naturallb,

IF
�p V - 2001 LY , 0'�`�
Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: 1 � Permit/Pipe No.: O Month/Year 7YV LLf
p
Monthly Average Violations
Parameter Permit Lin -lit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limijgype DMR Value % Over Limit
7-g-oq 6®D - s7Z. 3 ° D
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
� kr GD nn�tr � A-NT
n r,
Completed by: r-
Regional Water Quality
Supervisor Signoff:
Date: > D 0 V
Date: -7 -2
AV

p a%10-
et EFFLUENT,/ -
Pf ��.P 2 2 2009
WDES PERMIT NO: NCO060461 DISCHARGE NO: 001 { t��i y` MONTH: July YEAR: 2009
FACILITY NAME: ABINGTON ��' CLASS: II COUNTY: Forsyth
CERTIFIED LABORATORY: Microbac CERTIFICATION #: 34
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC): Robert W Loper GRADE: 12 CERTIFICATION NO: 991968
PERSON(S) COLLECTING SAMPLES: Robert W Loper,.," ORC PHONE: [phone]
CHECK BOX IF ORC HAS CHANGED RECEIVED �NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to: N.C.Deot. �y4 I Lw ) 1Q
ATTN: CENTRAL FILES x, C I �;�Ud�%
DIVISION OF WATER QUALITY OCT 0 5 2009 ( IGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER B( THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 Winston-' �eT /��
nab f!ice � CURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
G
5aO005Q0
00010
00400
50 660
00310
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3�1616
00300
00600
0066a5
c E
y
t
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FLOW
Lu Lu
w
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Z
Z
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cc
Q =
p
fA
a
ENTER PARAMETE
R0)
DE
CODE ABOVE NAME AN
UNITS BELOW
EFF
INF
disinfect
HRS
HRS
Y/B/N
MGD
o C
UNITS
UG/L
MG/L
MG/L
MG/L
#/100ML
MG/L
MG/L
MG/L
1
8:15
3
Y
0.106
23.6
7.07
0
16.3
0.14
3.09
<2
6.01
.10.9
0.83
2
12:15
2
Y
0.138
22.9
3
13:30
2
N
0.116
23.4
4
11:00
2
N
0.090
23.4
5
14:15
3
N.
0.136
21.9
6
9:00
2
Y
0.102
.2-3.9
7.07
2
5.40
7
12:00
2
N '_
0.118
24.2
8
14:30
2
N
0.114
23.1
7.16
5�2143
0.84
8.33
<2
7.35
9
12:20
3
Y
0.100 -
24.4
io
8:30
2
Y
0.380
23.8
6.93
2'
5.94
11
14:35
5
Y
0.156
24.8.
12
13:30
2
N
0.114
24.6
13
13:00
2
N
0.128
25.0
6.98
0
5.37
14
12:50
4
N
0.114
24.9
15
13:30
2
Y
0.114
-25.0
6.86
0.
8
0.44
<2
74 .
5.75 .
16
13:00
3
Y
0.112
24.6
17
9:20
2
N
0.088
25.0
6.82
0
5.59
i sl
9:50
2
N
0.098
25.0
19
13:00
2
N
0.146
25.0
20
14:30
3
Y
0.128
24.6
7.09
4
6.57
21
14:00
2
Y
0.114
24.2
22
12:05
4
Y
0.100
25.0
6.48
5
5.80
23
9:00
2
Y
0.084
24.7
6.70
26
4.8
<.1
<2.5
51
5.87
24
14:00
3
Y
0.142
25.8
6.78
12
6.53
25
13:30
2
Y
0.108
25.5
26
10:00
4
Y
0.104
25.4
27
9:30
2
Y
0.108'
25.2
6.90
24
_5.95
28
8:00
3
N
0.090
25.1
29
'8:30
2
Y
0.120
25.5
7.53
22
5.60
30
12:20
4
Y
0.122
25.9
6.85
38
2.8
2.54
<2.5
16
5.90
31
9:10
2
Y
0.096
25.5
7.17
26
5.10
AVERAGE
0.112
24.5
11
20.8
0.79
2.28
9.0
5.92
10.9
0.83
MAXIMUM
0.156
25.9
7.53
38
72.3
2.54
8.33
74
7.35
10.9
0.83
MINIMUM
0.080
21.9
6.48
0
2.8
<1
<2
<2
5.10
10.9
0.83
Comp. (C)/ Grab (G)
G
G
G=
C
C
G
G
C
C
Monthly Limit
0.2
N/A
>6to<9
N/A
1 30.0
1 2.0
30.0
200
N/A
N/A
N/A
DWQ Form MR-1(11/04)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
. (including weekly averages, if applicable) �i r l iw-
,00mpliant
f
All monitoring data and sampling frequencies do NOT meet permit requirement
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time
the permittee became aware of the circumstances. A written submission shall also, be provided within 5 days of the
time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"I 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 or persons who managed 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 of fines and imprisonment for knowing violations."
Tony Konsull, Regional Manager
Permittee (Please print -or type)
Z
ure of Per ee*** Date
Carolina Water Service, Inc. of N.0 (Required unless submitted electronically)
P O Box 240908
Charlotte, NC 28224 704-525-7990 2/28/2-012
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface Water
Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A N & Voa��
***Signature of Permittee: if signed by other than the permittee, then the delegation-, the sign"
authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).

NPDES Permit No: N00060461 Discharge No.: 1
Facility Name: Abington
Stream: Belews Creek
Location: 100' Above Discharge
UPSTREAM
•
-,Above,
Name and
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�MIMENININ
MEN
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DW4 Form MR-3 (Revised 2/2009)
` Month: July Year 2009
County: Forsyth
Stream: Belews Creek
Location: 200' Below Discharge
DOWNSTREAM
IMMEN
NINE
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I
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SEPI -4 09

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 10/07/09 Page: 4 of 4
PERMIT: NCO060461 FACILITY: Carolina Water Service Inc Of NC - Abington WWTP COUNTY: Forsyth REGION: Winston-Salem
Monitoring Violation
MONITORING OUTFALL/
VIOLATION
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
11 -2008
001
Effluent
BOD, 5-Day (20 Deg. C)
11/01/08
Weekly
11 -2008
001
Effluent
Chlorine, Total Residual
11/01/08
2 X week
11 -2008
001
Effluent
Coliform, Fecal MF, M-FC
11/01/08
Weekly
Broth,44.5C
11 -2008
001
Effluent
DO, Oxygen, Dissolved
11/01/08
Weekly
11 -2008
001
Effluent
Nitrogen, Ammonia Total (as
11/01/08
Weekly
11 -2008
001
Effluent
Solids, Total Suspended
11/01/08
Weekly
11 -2008
001
Effluent
pH
11/01/08
Weekly
UNIT OF CALCULATED
MEASURE LIMIT VALUE
mg/I
ug/I
#/100ml
mg/1
mg/1
mg/1
su
VIOLATION TYPE
VIOLATION ACTION
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None

9
MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/07/09
Page: 3 of 4
PERMIT: NCO060461 FACILITY: Carolina Water Service Inc Of NC - Abington WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
04 -2009
001
Effluent
Chlorine, Total Residual
04/09/09
2 X week
ug/I
28
42
Daily Maximum Exceeded
No Action, BPJ
04 -2009
001
Effluent
Chlorine, Total Residual
04/13/09
2 X week
ug/I
28
38
Daily Maximum Exceeded
No Action, BPJ
04 -2009
001
Effluent
Chlorine, Total Residual
04/16/09
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
04 -2009
001
Effluent
Chlorine, Total Residual
04/27/09
2 X week
ug/I
28
33
Daily Maximum Exceeded
No Action, BPJ
05 -2009
001
Effluent
Chlorine, Total Residual
05/08/09
2 X week
ug/I
28
35
Daily Maximum Exceeded
No Action, BPJ
05 -2009
001
Effluent
Chlorine, Total Residual
05/20/09
2 X week
ug/I
28
33
Daily Maximum Exceeded
No Action, BPJ
05 -2009
001
Effluent
Chlorine, Total Residual
05/21/09
2 X week
ug/I
28
33
Daily Maximum Exceeded
No Action, BPJ
05 -2009
001
Effluent
Chlorine, Total Residual
05/29/09
2 X week
ug/I
28
38
Daily Maximum Exceeded
No Action, BPJ
06 -2009
001
Effluent
Chlorine, Total Residual
06/03/09
2 X week
ug/l
28
35
Daily Maximum Exceeded
No Action, BPJ
06 -2009
001
Effluent
Chlorine, Total Residual
06/08/09
2 X week
ug/I
28
46
Daily Maximum Exceeded
No Action, BPJ
06 -2009
001
Effluent
Chlorine, Total Residual
06/11/09
2 X week
ug/I
28
33
Daily Maximum Exceeded
No Action, BPJ
06 -2009
001
Effluent
Chlorine, Total Residual
06/17/09
2 X week
ug/I
28
40
Daily Maximum Exceeded
No Action, BPJ
06 -2009
001
Effluent
Chlorine, Total Residual
06/18/09
2 X week
ug/I
28
36
Daily Maximum Exceeded
No Action, BPJ
06 -2009
001
Effluent
Chlorine, Total Residual
06/19/09
2 X week
ug/I
28
35
Daily Maximum Exceeded
No Action, BPJ
06 -2009
001
Effluent
Chlorine, Total Residual
06/21/09
2 X week
ug/I
28
39
Daily Maximum Exceeded
No Action, BPJ
06 -2009
001
Effluent
Chlorine, Total Residual
06/29/09
2 X week
ug/l
28
32
Daily Maximum Exceeded
No Action, BPJ
05 -2009
001
Effluent
Nitrogen, Ammonia Total (as
05/31/09
Weekly
mg/I
2
2.29
Monthly Average Exceeded
Proceed to NOV
N) - Concentration

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/07/09 Page:
2 of 4
Permit: nc0060461 MRs Betweeri:; 7,2008 and°
_ _ V'.iofation Category: %.O",'
6 2009. ' 'Region. /o
%Pr `ram Cat6 0.: 0/a'
09 9 ry
i
Facility Name: %=: :Parain,Narm6: %o.
County: °IO Subbasin: %� ,
'Violation Action Ol0
,Major Minor:.,,
PERMIT: NCO060461 FACILITY: Carolina Water Service Inc Of NC - Abington WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL/
REPORT
PPI
LOCATION
12-2008
001
Effluent
01 -2009
001
Effluent
01 -2009
001
Effluent
01 -2009
001
Effluent
01 -2009
001
Effluent
01 -2009
001
Effluent
01-2009
001
Effluent
02 -2009
001
Effluent
02 -2009
001
Effluent
02 -2009
001
Effluent
03 -2009
001
Effluent
03 -2009
001
Effluent
03-2009
001
Effluent
03 -2009
001
Effluent
03 -2009
001
Effluent
04-2009
001
Effluent
04 -2009
001
Effluent
04 -2009
001
Effluent
PARAMETER
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine. Total Residual
VIOLATION
DATE
FREQUENCY
12/29/08
2 X week
01/05/09
2 X week
01/09/09
2 X week
01/12/09
2 X week
01/16/09
2 X week
01/19/09
2 X week
01/26/09
2 X week
02/02/09
2 X week
02/06/09
2 X week
02/26/09
2 X week
03/04/09
2 X week
03/16/09
2 X week
03/23/09
2 X week
03/27/09
2 X week
03/30/09
2 X week
04/02/09
2 X week
04/03/09
2 X week
04/06/09
2 X week
UNIT OF
CALCULATED
MEASURE
LIMIT
VALUE
VIOLATION TYPE
ug/I
28
42
Daily Maximum Exceeded
ug/I
28
38
Daily Maximum Exceeded
ug/I
28
41
Daily Maximum Exceeded
ug/I
28
38
Daily Maximum Exceeded
ug/I
28
31
Daily Maximum Exceeded
ug/I
28
42
Daily Maximum Exceeded
ug/I
28
34
Daily Maximum Exceeded
ug/I
28
31
Daily Maximum Exceeded
ug/I
28
31
Daily Maximum Exceeded
ug/I
28
32
Daily Maximum Exceeded
ug/I
28
34
Daily Maximum Exceeded
ug/I
28
31
Daily Maximum Exceeded
ug/I
28
30
Daily Maximum Exceeded
ug/I
28
48
Daily Maximum Exceeded
ug/I
28
29
Daily Maximum Exceeded
ug/I
28
34
Daily Maximum Exceeded
ug/I
28
30
Daily Maximum Exceeded
ug/I
28
35
Daily Maximum Exceeded
VIOLATION ACTION
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 10/07/09 Page: 1 of 4
- a m a
ZPermit:' nc006046f- , MRs Betweem , 7=2008 ,and ��� 6 2009 ; •.Regiom %°, ,. Viol tion ,Category _% �� � Progr"a C tegory�:%
Facility Name: % Param Name: % L County: % _ Subbasin: %_ Violation Action: %
:Major Minor:
PERMIT: NCO060461
FACILITY: Carolina Water Service Inc Of NC -Abington WWTP
COUNTY: Forsyth
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
08 -2008
001
Effluent
Chlorine, Total Residual
08/10/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
08 -2008
001
Effluent
Chlorine, Total Residual
08/27/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
08 -2008
001
Effluent
Chlorine, Total Residual
08/29/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent
Chlorine, Total Residual
09/02/08
2 X week
ug/I
28
32
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent
Chlorine, Total Residual
09/03/08
2 X week
ug/I
28
30
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent
Chlorine, Total Residual
09/10/08
2 X week
ug/I
28
31
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent
Chlorine, Total Residual
09/19/08
2 X week
Ug/I
28
31
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent
Chlorine, Total Residual
09/26/08
2 X week
ug/I
28
34
Daily Maximum Exceeded
No Action, BPJ
10 -2008
001
Effluent
Chlorine, Total Residual
10/10/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
10 -2008
001
Effluent
Chlorine, Total Residual
10/15/08
2 X week
ug/I
28
39
Daily Maximum Exceeded
No Action, BPJ
11 -2008
001
Effluent
Chlorine, Total Residual
11/07/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
11 -2008
001
Effluent
Chlorine, Total Residual
11/21/08
2 X week
ug/I
28
39
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/01/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/04/08
2 X week
ug/I
28
38
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/05/08
2 X week
ug/I
28
41
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/12/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/17/08
2 X week
ug/l
28
39
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/19/08
2 X week
ug/I
28
33
Daily Maximum Exceeded
No Action, BPJ

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: Permit/Pipe No.: QJL U0l U( Month/Year
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date 'Parameter Permit LimiJVTvDe DNIR Value % Over Limit
1-5 -Qq Gam) 3
�'`�'p� ► I i 1 N1
2� °rf ' Monitoring Frequency Violations
�d
Date _Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by: Date:
Regional Water Quality
Supervisor SiQnoff: Date: 7
rVA ' _.D y

DMR Review Record
Facility: rT---, Permit/Pipe No.: NC 00I90N(o
Monthly Avera;e Violations
Parameter Permit Limit DMR Value
Cover Sheet from
Staff Member to
Regional Supervisor
Month. Year IC— C.
Weekly/Daily Violations
Date
Parameter
Permit Limij9vpe
DNIR Value
12-1-0
TR»C_
C %
2-C)
I?.. y- o%
-r-4z
Z�L 1 I
-7T- .
-S - o
- -I, C—
K 1
12• q -a$
� ,zti.QSS
a-L—
Date Parameter
Other Violations
Completed by:
Regional Water Quality
Supervisor SiQnoff:
Over Limit
Monitorin- Frequency Violations
Permit Frequency_ Values Reported # of Violations
Date: 3 -� 0 F
Date: _

F Utilities, Inc."
R':_CEIVED
N.C. Dept. of ENR
i
FEB 2 6 20flg
Winston-Salem
Regional Office
Wastewater `treatment and Collection ;
Performance Annual Report, wAT R QUALITY
DENR
POINT SOUR BRANCH
I. General Information
Facility/System Name: Abington County: Forsyth
Service Area Includes
Responsible Entity:
Contact Name/Phone #:
Applicable Permit(s)
Abington, Kynwood, Interlaken, Breyerton
Carolina Water Service, Inc. of NC
Area Manager Adam James 800-525-7990
Permit Numbers &4ftM/ WQCS00261
Description of Collection System or Treatment Process:
NCO060461 `. Operation of the 0.200 MGD extended aeration wastewater treatment plant with
the following components: Bar screen, Equalization basin with dual pumps, Flow splitter box,
Dual aeration basins, Dual clarifiers, Tablet chlorinators, Chlorine contact tank, Dechlorination
unit with tablet dechlorination, Post aeration chamber, Aerobic sludge holding digester, Float
analog graph flow meter, Stand-by emergency generator.
WQCS00261: Operation and maintenance of a wastewater collection system consisting of
approximately 9.5 miles of gravity sewer, approximately 0.92 miles of force main, 5 duplex
pump stations, and all associated piping, valves, and appurtenances.
II. Performance
Overall Summary of System Performance for Calendar Year 2008:
The wastewater treatment plant exceeded discharge permit limits once during the year.
The wastewater collection system consistently met permitted limitations during the year.
The following lists any violations of permit conditions or environmental
regulations that may have occurred during the year. If a violation is listed,
a description of any known environmental impact including the corrective
measures taken is included.
Abington Annual Sewer Performance Report 2008
Page 1

January
No violations/deficiencies noted.
February
No violations/deficiencies noted.
March
No violations/deficiencies noted.
April
No violations/deficiencies noted.
May
A violation was issued after a single total suspended solids result of 104 mg/L
exceeded the daily limit of 45 mg/L. No contributing factors were found
associated with the exceedance. No environmental impact noted.
June
On June 4, 2008, compliance evaluation inspections were conducted by the NC
Division of Water Quality on the wastewater plant and collection system.
Violations were issued due to incomplete logbook documentation which was
immediately corrected.
July
No violations/deficiencies noted.
August
No violations/deficiencies noted.
September
No violations/deficiencies noted.
October
No violations/deficiencies noted.
November
No violations/deficiencies noted.
December
No violations/deficiencies noted.
III. Notification
Customers will be notified of the, availability of this report with a message on
their bills and copies will be provided upon request. °
IV. Certification
I hereb certify that e in rmation contained in this report is accurate and
compl e tot bes of y owledge.
February 6, 2009
Signature of Responsible Person Date
Martin Lashua Regional Director
Printed Name Title
Abington Annual Sewer Performance Report 2008 Page 2

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility:. (NC�M-f W17 Permit/Pipe No.: NGDD(-Q' &/ Month/Yeart7GT
2®�8
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/Type DMR Value % Over Limit
'D•Db a_
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by: Date:
Regional Water Quality /
Supervisor SiQnoff: rt Date:

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: Pem-it/Pipe No.: N GDO lop q(e( Month/Year U0 V
Monthly Average Violations,
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limi!jvpe DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by: V-1
Regional Water Quality
Supervisor Signoff:
Date: 2-- * /3
)/ Date:
-�'o V--#h /u"
0—'-/6 --a 5

Utilities, Inc.'
June 1, 2009
Mr. Steve W. Tedder (Regional Supervisor)
Division of Water Quality
NC DENR
585 Waughtown Street
Winston Salem, NC 27107
Re: Abington WWTP
NPDES NCO060461
Compliance Inspection of April 21, 2009
Dear Mr. Tedder,
We are receipt of your letter concerning the above referenced matter and respond as follows;
RECEIVED All-
N.C. Dept of ENR
JUN 0 3.2009
Winston-Salem
Regional office
Standby Power
The generator voltage regulator was not putting out the correct voltage on our stationary,generator and is the reason the
transfer switch did not operate. I must disagree with the notice of deficiency due to the fact the wastewater treatment plant
auto dialer would have alerted the on call operator in the event of a power outage. Since nothing was wrong with the
transfer switch we could have easily hooked up the portable generator that was on site in the event of a problem. The
stationary unit is tested and transferred under load on a weekly basis and this is noted in the log book. It is unfortunate that
the problem with the generator voltage. regulator happened_ the same week as the inspection. The regulator has since been
repaired and is operational.
If you have any questions or if I can provide any additional information, please do not hesitate to contact me at 704-525-7990,
(Voice Mail Ext. 218). Thank you for your attention.
Sincerely,
Anthony J. Konsul
Regional Manager
Cc; Martin Lashua
Mary Armentrout
Adam James
Bob Loper
a Utilities, Inc. company Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 • Charlotte, NC 28224 0 P: 704-525-7990 0 F: 704-525-8174
5701 Westpark Dr., Suite 101 • Charlotte, NC 28217 o www.uiwater.com

��.
A'
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
April 28, 2009
Carl Daniel
Carolina Water Service Inc Of NC
PO Box 240908
Charlotte NC 282240908
Subject: Notice of Deficiency
Compliance Evaluation Inspection
Abington WWTP
Permit No. NC0060461
Forsyth County
Dear Mr Daniel:
Enclosed please find a copy of the Inspection Report from the inspection conducted April21, 2009. The Compliance Evaluation
Inspection of the Abington WWTP'was conducted by Rose Pruitt of the Winston-Salem Regional Office. Bob Loper,ORC and Adam
James Area Manager for Carolina Water Service were also present for the inspection. The inspection consisted of two parts: an'on-
site inspection of the treatment facility and a file review. The following are the findings from the subject inspection.
The treatment facility was found to be deficient for the following:
The generator was tested under load during the inspection and at that time the'generator failed to run the plant due to"a possible
transfer switch failure.
I. Permit
The NPDES permit for the Abington WWTP became effective March 1, 2007 and expires on February 28, 2012. The permitted
components of the 0.200 MGD wastewater treatment plant include: equalization basin with dual. pumps, a manual bar screen, flow
splitter box, dual aeration basins, dual clarifiers, tablet chlorination with chlorine contact tank, dechlorination unit with tablet
dechlorination, post aeration chamber, aerobic sludge holding digester, float analog graph flow meter and stand-by emergency
generator.
II. Records/Reports
Operations records included all DMR's, sample analyses and lab data including COC's, daily operator's logs, a spill response plan,
and sludge hauling records. The Stevens electronic flow meter was calibrated in July 11, 2008 by Instrumentation Services Inc. A
complete copy of the permit was on site. A copy of the annual report for 2008 was available.
III. Facility Site Review
The facility is located north of Kemersville at Abington Subdivision on Bainburgh Circle in Forsyth County. The facility site review
indicated that the 0.200 MGD extended aeration wastewater treatment plant is consistent with the permitted components. The actual
treatment system consists of equalization basin with dual pumps, a manual bar screen, flow splitter box, dual aeration basins, dual
clarifiers, tablet chlorination with chlorine contact tank, dechlorination unit with tablet dechlorination, post aeration chamber, aerobic
sludge holding digester, float analog graph flow meter and stand-by emergency generator.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet www.ncwaterquallt .org
NorthCarolma
Natt(raliff
An Equal Opportunity 1 Affirmative Action Employer

IV. Effluent / Receiving Stream
The Abington WWTP discharges to Belews Creek, classified C waters in the Roanoke River Basin. The effluent could not be
observed on the date of inspection because beavers had again built a dam nearby and impounded water had covered the effluent pipe
The receiving stream was free of solids, foam and debris at the time of the inspection.
V. Flow Measurement
Effluent flow is measured with a Stevens V Notch flow meter, which was last calibrated in July 11, 2008 by Instrumentation Services
Inc.
VI. Self -Monitoring Program
A review of the laboratory reports and Discharge Monitoring Reports (DMRs) for the Abington WWTP for the period January 2008
through December 2008 revealed that the facility had one limit violation. This was for exceeding daily maximum limits for Total
Suspended Solids in May 2008. The facility received a Notice of Violation for this violation.
VII. Laboratory
Sample analyses are conducted by Microbac Labs, certificate #21. The laboratory was not reviewed at the time of the subject
inspection. Field parameter certification for this facility is current and issued to Carolina Water, certificate # 5228.
VIII. Operation and Maintenance
Overall operations and maintenance at the time of the subject inspection were deemed satisfactory.
The.inspector noted that foam covered approximately 75% of the aeration basin at the time of the inspection.
IX. Sludge Utilization/Disposal
Solids are removed from the WWTP as necessary, 15,000 gallons of sludge was last hauled on March 10, 2009 by Biotech.
Please refer to the enclosed Inspection Report for any additional observation and comments. The Division of Water Quality greatly
appreciates your continued oversight at this facility. The Division also encourages you to continue to be proactive in your efforts to
maintain compliance.
You should address the causes of noncompliance and all actions taken to prevent the recurrence of similar situations. If you should
have any questions, please do not hesitate to contact Rose Pruitt at 336-771-5000.-
Sincerely,
Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachment
Cc: Bob Loper, ORC 109 Poplar Trail, Rockwell NC 28138
WS II
Centra Iles

United States Environmental Protection Agency
Form Approved.
EPA Washington; D.C. 20460
r/�
OMB No. 2040-0057
Water Compliance Ins ection Report '
Approval expires 8-31-98
Section A: National Data System coding (i.e., PCS)
Transaction Code NPDES yr/mo/day ' Inspection Type Inspector Fac Type
1 I NI 2 15I 3I N00060461 Ill 12I 09/04/21 ` - 117 18I cl . 19I SI , 20I I
Remarks
21111111111111111111111111111111111IIIIIIIIIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 . QA ------Reserved-------
671 169 701 I 711 I 72I N I 731.1J 74 75I I I I I I .I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POIW name and NPDES permit Number)
09:50 AM 09/04/21
07/03/01
Abington WWTP
Exit Time/Date
Permit Expiration Date
Bainburg Cir
Winston Salem NC 27116 ?
f
10:45 AM 09/04/21
12/02/29
Name(s) of Onsite Representative(s)fritles(s)%Phone and Fax Number(s)
Other Facility Data
Robert'W Loper/ORC/704-525-.7990/
Name, Address of Responsible Officlal/Title/Phone and Fax Number
Contacted
24-Hour' Contact, //800-348-2383/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date .
Rose Pruitt WSRO WQ//336-771-5000/
Signature of Manage t Q A Reviewer Agency/Office/Phone and Fax Numbers Date
C
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

3
NPDES yr/mo/day Inspection Type (cont.) 1
3I NC0060461 I11 12I 09/04/21 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The inspector was met at the facility by the ORC Bob Loper and Adam James area manager. At the time of
the inspection the effluent pipe -was submerged because of beaver activity downstream, no solids were
noted at the outfall or in the stream at that time. During the inspection it was noted that foam covered
approximately 75% of the aeration basin.
The generator was tested during the inspection and while the generator functioned there was an apparent
failure in the transfer switch and the generator failed to run the plant.
Page # 2

Permit: NCO060461
Inspection Date: 04/21/2009
Owner - Facility: Abington VWVTP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n n n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n ❑ ❑
Judge, and other that are applicable?
Comment:
Yes No NA NE
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
n
Is the facility as described in the permit?
■
n
# Are there any special conditions.for the permit?
n
❑
■
n
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment:
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
n
n
n
■ .
Are analytical results consistent with data reported on DMRs?
■
n
Is the chain -of -custody complete?
■
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete. do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
■
n
n
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n
■
n
Is the ORC visitation log available and current?
■
n
n
n
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
n
n
n
Is a copy of the current NPDES permit available on site?
■
n
❑
❑
Page # 3

Permit: NCO060461 Owner- Facility: Abington WWTP
Inspection Date: 04/21/2009 Inspection Type: Compliance Evaluation
Record Keeping
Yes
No
NA NE
Facility has copy of previous year's Annual Report on file for review?
❑
❑
❑
■
Comment:
Effluent Pipe
Yes
No
NA NE
Is right of way to the outfall properly maintained?
■
n
n
n
Are the receiving water free of foam other than trace amounts and other debris?
■
❑
❑
n
If effluent (diffuser pipes are required) are they operating properly?
n
n
■
n
Comment: Effluent pipe submerged due to beaver activity
Flow Measurement - Effluent
Yes
No
NA NE
# Is flow meter used for reporting?
■
❑
❑
❑
Is flow meter calibrated annually? _
❑
❑
❑
Is the flow meter operational?
■
❑
n
n
(If units are separated) Does the chart recorder match the flow meter?
■
n'
n
n
Comment: Stevens 61 R flow meter last calibrated 7/11/2008 by Instrumentation
Services Inc
Aerobic Digester
Yes
No
NA
NE
Is the capacity adequate?
n
n
n
■
Is the mixing adequate?
■
n
n
n
Is the site free of excessive foaming in the tank?
■
❑
❑
❑ -
# Is the odor acceptable?
■
n
n
•n
# Is tankage available for properly waste sludge?
❑
❑
❑
■
Comment:
Bar Screens
Yes
No
NA
NE
Type of bar screen
a.Manual
■
b. Mechanical
n
Are the bars adequately screening debris?
■
o
n
n
Is the screen free of excessive debris?
■
❑
n
❑
Is disposal of screening in compliance?
■
n
❑
❑
Is the unit in good condition?
■
n
n
n
Comment:
Page # 4

Permit: NCO060461
Inspection Date: 04/21/2009
Owner - Facility: Abington VVWTP
Inspection Type: Compliance Evaluation
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable? (Approximately '/< of the sidewall depth)
Comment:
Aeration Basins
Mode of operation
Type of aeration system
Is the basin free of dead spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Comment: Foam covered approx 75% of surface
iqualization Basins
Is the basin aerated?
Is the basin free of bypass lines or structures to the natural environment?
Is the basin free of excessive grease?
Are all pumps present?
Are all pumps operable?
■ n n n
■nnn
■nnn
■nnn
■nnn
■nnn
■nnn
nnn■
n n n ■
■nnn
n n n ■
Ext. Air
Diffused
■nrin
■nnn
■nnn
■nnn
n■nn
nnn■
nnn■
Yes No NA NE
nnn■
n n n ■
nnn■
nnn■
nnn■
Page 4 5

Permit: NC0060461
Inspection Date: 04/21/2009
Owner - Facility: Abington WWTP
Inspection Type: Compliance Evaluation
Equalization Basins
Yes
No
NA NE
Are float controls operable?
❑
❑
❑ ■
Are audible and visual alarms operable?
❑
❑
❑ ■
# Is basin size/volume adequate?
n
n
n ■
Comment:
L l -
L I A L I G
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)? ■ ❑ ❑ n
Is storage appropriate for cylinders? ■ n ❑ ❑
# Is de -chlorination substance stored away from chlorine containers? ■ ❑ ❑ ❑
Comment:
Are the tablets the proper size and type?
■
n
n
ri
Are tablet de -chlorinators operational?
■
❑
❑
❑
Number of tubes in use?
13
Comment: .
Standby Power
Yes
No
NA
NE
Is automatically -activated standby power available?
■
❑
❑
❑
Is the generator tested by interrupting primary power source?
■
❑
❑
❑
Is the generator tested under load?
■
❑
❑
❑
Was generator tested & operational during the inspection?
■
❑
❑
.❑
Do the generator(s) have adequate capacity to operate the entire wastewater site?
n
n
n
■
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
n
n
■
n
Is the generator fuel level monitored?
❑
❑
■
❑
Comment: Generator tested during inspection but failed to run plant. Possible transfer
switch failure.
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
■
❑
❑
❑
Are the tablets the proper size and type?
■
n
n
n
Number of tubes in use?
13
Is the level of chlorine residual acceptable?
❑
❑
❑
■
Is the contact chamber free of growth, or sludge buildup?
■
n
n
n
Page # 6

Permit: NCO060461 Owner -Facility: Abington WWTP
Inspection Date: 04/21/2009 Inspection Type: Compliance Evaluation
Disinfection -Tablet
Yes
No
NA
NE
Is there chlorine residual prior to de -chlorination?
O
O
n
■
Comment:
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
n
100
Is sample collected below all'treatment units?
■
n
n
n
Is proper volume collected?
n
n
n
■
Is the tubing clean?
■
n
❑
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
❑
❑
■
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
■
n
n
.0 .
.Comment: ISCO 2910 with ice
Upstream / Downstream Sampling
Yes
No
NA
NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■
❑
n
n
Comment:
0
Page # - 7

Faxed To: su ,47 Jos G' vti-�j
Fax #: [phone] Phone [phone] >�
VWUTP Annual Inspection Checklist
This information should be available to the inspector at inspection time.
Facility: Abington WWTP
NPDES: NCO060461
Permit Effective Dates: 3/01/2007 to 212812012
Inspection Date: April 21 , 2009 Inspection Tim -070 am
&-1) DMRs (Dates: January 2008 to December 2008 )
✓2) Lab Data (per DMR dates)
✓3) Laboratories used for analysis & certification #'s
✓4) Chain of Custody forms (per DMR dates)
✓5) Complete copy of current NPDES permit
oratorium issuance. (if applicable) L�
✓'') ORC and'Back-up ORC current certification A06 too1.
+-8) Wastewater Annual Report (fiscal or calendar year - if applicable)
--9) Daily Operator's log / ORC visitation log
_40) Maintenance log
✓11) Process control data (which includes field parameters tested and equipment
calibrations) ZZ,
•,12) Field Parameter certification (if applicable) *''Q` 5
-A3) Flow meter calibration records (if applicable) -?-/1 . d g /5
_,I'4) Influent and/or effluent samplers 1, to 0
--T5) Flow charts (if applicable) �
16) Generator Inspection /under load checks s v, L
✓c l� ?
✓17) Spill Response Plan (with current emergency contact numbers�j
- -t8) Sludge / Residuals hauling records (if applicable) 010 T 1 SK
c-'f '9) Plant visual inspection of treatment units
L-20) Stream accessible for inspection (at effluent discharge pipe)
Please call with questions:
Rose Pruitt
NC Department of Environment & Natural Resources
Division of Water Quality
Winston-Salem Regional Office
[phone]
Fax: [phone]
8�
Nc. � 13�

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 04/21/09 Page: 2 of 2
PERMIT: NCO060461 FACILITY: Carolina Water Service Inc Of NC - Abington WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER
DATE FREQUENCY
MEASURE
LIMIT VALUE
VIOLATION TYPE VIOLATION ACTION
12 -2008 001 Effluent
Chlorine, Total Residual
12/29/08 2 X week
ug/I
28 42
Daily Maximum Exceeded No Action, BPJ
05 -2008 001 Effluent
Solids, Total Suspended
05/08/08 Weekly
mg/I
45 104
Daily Maximum Exceeded Proceed to NOV
Monitoring Violation
MONITORING OUTFALL/
VIOLATION
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
11 -2008
001
Effluent
BOD, 5-Day (20 Deg. C)
11/01/08
Weekly
11 -2008
001
Effluent
Chlorine, Total Residual
11/01/08
2 X week
11 -2008
001
Effluent
Coliform, Fecal MF, M-FC
11/01/08
Weekly
Broth,44.5C
11 -2008
001
Effluent
DO, Oxygen, Dissolved
11/01/08
Weekly
11 -2008
001
Effluent
Nitrogen, Ammonia Total (as
11/01/08
Weekly
11 -2008
001
Effluent
Solids, Total Suspended
11/01/08
Weekly
11 -2008
001
Effluent
pH
11/01/08
Weekly
UNIT OF CALCULATED
MEASURE LIMIT VALUE
VIOLATION TYPE
VIOLATION ACTION
mg/I
Frequency Violation
None
ug/I
Frequency Violation
None
#/100ml
Frequency Violation
None
mg/I
Frequency Violation
None
mg/I
Frequency Violation
None
mg/I
Frequency Violation
None
su
Frequency Violation
None

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 04/21/09 Page: 1 of 2
PERMIT: NCO060461
FACILITY: Carolina Water Service Inc Of NC - Abington WWTP
COUNTY: Forsyth
REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALLI
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE'
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
08 -2008
001
Effluent
Chlorine, Total Residual
08/10/08
2 X week
ug/1
28
29
Daily Maximum Exceeded
No Action, BPJ
08 -2008
001
Effluent
Chlorine, Total Residual
08/27/08
2 X week
ug/1
28
29
Daily Maximum Exceeded
No Action, BPJ
08 -2008
001
Effluent
Chlorine, Total Residual
08/29/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent
Chlorine, Total Residual
09/02/08
2 X week
ug/I
28
32
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent
Chlorine, Total Residual
09/03/08
2 X week
ug/I
28
30
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent
Chlorine, Total Residual
09/10/08
2 X week
ug/I
28
31
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent
Chlorine, Total Residual
09/19/08
2 X week
ug/I
28
31
Daily Maximum Exceeded
No Action, BPJ
09 -2008
001
Effluent
Chlorine, Total Residual
09/26/08
2 X week
ug/I
28
34
Daily Maximum Exceeded
No Action, BPJ
10 -2008
001
Effluent
Chlorine, Total Residual
10/10/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
10 -2008
001
Effluent
Chlorine, Total Residual
10/15/08
2 X week
ug/I
28
39
Daily Maximum Exceeded
No Action, BPJ
11 -2008
001
Effluent
Chlorine, Total Residual
11/07/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
11 -2008
001
Effluent
Chlorine, Total Residual
11/21/08
2 X week
ug/1
28
39
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12101/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/04/08
2 X week
ug/I
28
38
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/05/08
2 X week
ug/l
28
41
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/12/08
2 X week
ug/I
28
29
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/17/08
2 X week
ug/I
28
39
Daily Maximum Exceeded
No Action, BPJ
12 -2008
001
Effluent
Chlorine, Total Residual
12/19/08
2 X week
ug/I
28
33
Daily Maximum Exceeded
No Action, BPJ

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: //j/l�%�/I/ Permit/Pipe No.: !1/600090 Month/Year
ZQ%
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/TVpe DMR Value % Over Limit
f /ok8 TAG ®_
� Z? 1 TAG
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by: Date: Zz " ©v
Regional Water Quality �, ,
Supervisor Signoff: Date: %( `oZ �!
/�� — 00 tom—'

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility:. 611116�PV Permit/Pipe No.: NU?ol0o't(v( Month/Year
?oo $
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily-Violations
Date Parameter Permit Limitfry e DMR Value % Over Limit
D
910- bg 31
9� g.o C t�
9-2&-01� -ra"'L 3q
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by: ytwV V
Regional Water Quality `
Supervisor Signoff:
Date:

Sw
Nova 1 Z008
NPDES PERMIT NO: NCO060461 DISCHARGE NO: 001k
MONTH:" .,
SEPTEMBER
YEAR: 2008
FACILITY NAME: ABINGTON . • _..
CLASS:
11
COUNTY F6tRSt �TiII
CERTIFIED LABORATORY: MICROBAC
CERTIFICATION #: 21
(list additional laboratories on the backside/page 2 of this form)'
OPERATOR IN RESPONSIBLE CHAROE (ORC): ROBE LOPER
GRADE:1 2
CERTIFICATION NO: 99
PERSON(S) COLLECTING SAMPLES: ROB " ER
ORC PHONE:
704_ 25-7990
CHECK BOX IF ORC HA CHAfWdd*dElp r7
NO FLOW / DISCHARGE FROM SITE•* N n MI 4 2008
Mail ORIGINAL and ONE`(
ATTN: CENTRAL FILES
DIVISION OF WATER ®UI
1617 MAIL SERVICE CEN
RALEIGH, NC 27699-161
N,C, D9pt7
OPY Nov 18
Regional
- .
!Z
IGNATURE OF OPERA OR IN RESPONSIBLE CHARGE) DATE
ce Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
CCURATE,AND'COMPLETE<TO:THE.BEST'OF:MY,KNOWLEDGE:.::;:. ,
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F It Z
Facility Status: (Please check one of the .flowing)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
All monitoring data and sampling frequencies do NOT meet permit requirements
Compliant
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances. .
If the facility is noncompliant; please -attach a list of corrective actions -being taken and a time -table for
improvements to be made as required by Part.II.E.6 of the NPDES permit.
"I 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 or persons who managed 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 of
fines and imprisonment for knowing violations.
Tony Konsul, Regional Manager
Permittee. (Please print or type)
Signa re of Pe ttee*** Date
Carolina Water Service, Inc of North Carolina (Required unless submitted -electronically)
P.O. Box 240908
Charlotte, NC 28224 704-525-7990 1/31/2010
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2)
Certification No.
Certified Laboratory (3)
Certification No:
Certified Laboratory (4)
Certification No.
Certified Laboratory (5)
Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface
Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as aresult, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period. 00 12� 130
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** Signature of Permittee:. If signed by other than the permittee, then the delegation of the.-sigriaf66,., thoi-ity, intfgt:be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).

ir i
NPDES Permit No. NCO060461
Facility Name ABINGTON
Stream
Location 100' Above Discharge
UPSTREAM
Discharge No. 001
•
.1
•
1
Above,1 Units
Below
DWQ Form MR-3 (Revised 7/2000)
Month September Year 2008
County FORSYTI3
Stream
Location 200' Below Discharge
DOWNSTREAM
•UnitsBelow
•1
Enterftameter--:
.1
AboveNameand
W
:11®=Mm■■■
mm=

�Cutilitii"`S'
Inc.®
September 26, 2008
Mr. Steve W Tedder
Division of Water Quality
,NC DENR
585 Waughtown Street
Winston Salem, NC 27107
Re: Abington WWTP
NPDES NCO060461
Monitoring Violation 9/2/05
Dear Mr. Tedder
We are in receipt of your letter dated August 26, concerning the above referenced matter.
RECEIVEDFL
J
N.C. DBPL of ENR j
W inaEon-Salem
Re
.9ionallofrice
We have already addressed the monitoring violation as requested with a letter that was attached with the May, 2008 DMR.
Please see the enclosed letter dated June 23, 2008 that was sent to the Division of Water Quality (Central Files) as required. It
seems redundant to respond again when an explanation letter is already on file with the DMR.
The effluent report form DWQ form MR-1 (11/04) clearly states to attach a list of non-compliance corrective actions being taken
and a timetable for improvements. If there is some other protocol we should be following, please advise.
If you have any questions or if I can provide any additional information, please do not hesitate to contact me at 704-525-7990,
(Voice Mail Ext. 218). Thank you for your attention.
Sincerely,
Anthony J. Konsul
Regional Manager
CC:
Martin Lashua
Mary Armentrout
Adam James
Bob Loper
Enclosure:
aUtHes,Inc. company Carolina:WaterService, Inc. of North Carolina
P.O. Box 240908 ® Charlotte, NC 28224 0 P: 704-525-7990 # F: 704-525-8174
5701 Westpark Dr., Suite 101 i Charlotte, NC 28217 i www.uiwater.com

'i Utilities, Inc-
June 23, 2008
Attn: Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699
Re:, Abington WWTP
NCO060461
Out for a Weekly Total Suspended Solids
To Whom It May Concern
On May 8, 2008 we exceeded our weekly limit for Total Suspended Solids at the Abington Waste Water
Treatment Plant. All other reporting parameters were below limits. We believe a sampling or lab error
may have caused this high reading.
If you have any questions or if I can provide any additional information, please do not hesitate to contact
me at 704-525-7990, (Voice Mail Ext. 233). Thank you for your attention.
Sincerely,
Mark Haver
Area Manager
a UfiM, ice. anpany Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 -o Charlotte, NC 28224 0 P: 704-525-7990 # F: 704-525-8174
5701 Westpark Dr., Suite 101 e Charlotte, NC 28217 �q www.uiwater.com

[Fwd: CWS rate case]
Subject: [Fwd: CWS rate case]
From: Steve Tedder <[e-mail]>
Date: Mon, 28 Jul 2008 11:55:19 -0400
To: [e-mail], Sue White <[e-mail]>
Rose and Sue
please pull information on the ones listed on the attachment with Sewer. Abbington and Hound Ears.
Rose or Sue, please forward information you two come up with to Gina.
Thanks
Tedder
------- Original Message--------
Subject:CWS rate case
Date:Mon, 28 Jul 2008 11:18:26 -0400
From: Gina Casselberry <gina.casselbeny ancmail.net>
To: <Steve.Tedder(a ncmail.net>
Steve
On June 10, 2008, Carolina Water Service, Inc. of North Carolina filed an application with the North
Carolina Utilities Commission for authority to increase its rates for providing water and sewer utility
service in all its service areas in North Carolina.
Attached is a spreadsheet listed the service area(s) in your Region. Does DWQ have any problems with
any of the wastewater system(s) listed for your region? If so, please provide a list of those problems so
the Public Staff can address them during the rate case. If there any violation letters within the last
two years for any of the system(s) in your region could you please forward them to me at
919.715.6704
I appreciate your help with this matter. This will limit the number of inspections, especially with the
high cost of fuel.
Gina Casselberry, Utilities Engineer
Steve Tedder
[e-mail]
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
(336)-771-4950
Fax [phone]
Steve Tedder <Steve.Tedder(a,NCmail.net>
WSRO
1 of 2 7/28/2008 12:37 PM

-C ciiii1itiEs'
Inc.'
June 30, 2008
Mr. Steve W. Tedder, (Regional Supervisor)
Division of Water Quality
NC DENR
585 Waughtown Street
Winston Salem, NC 27107
Re: Abington WWTP
NPDES NCO060461
Compliance Inspection of June 4, 2008
Dear Mr. Tedder,
RECEIVED
N.C. Dept of ENR
eVEnston•Salem
Regional Offlice
re)
G A�
c_
We are receipt of your letter dated June 10, 2008 concerning the above referenced matter and.respond as follows;
Records & Reports
The maintenance log book has been mistake y mi aced and we are not able to locate it at this time. If we are
able to locate the log book we will call Mrs. Pruitt so she can review. We apologize for this oversight and have
taken the necessary steps to insure this does not happen again.
Operations & Maintenance
Mrs. Pruitt has mentioned that chlorine and de -chlorination tablets are stored in the same building when in fact they
are stored in separate buildings. Chlorine tablets are stored in our on -site wastewater treatment plant building and
our de -chlorination tablets are stored off site at our Kynwood lift station storage building. I believe the buckets that
Mrs. Pruitt is-referring-to.were-empty.-These-buckets-are-saved and used as small trash cans to put the rags from
our bar screen inside and are then discarded appropriately into a trash dumpster. While we appreciate the
inspector's concern for safety, this should not have been listed as a deficiency.
alltHm, Inc. oompany Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 0 Charlotte, NC 28224 0 P: 704-525-7990 s F: 704-525-8174
5701 Westpark Dr., Suite 101 i Charlotte, NC 28217 i www.uiwater.com

Mr. Steve Tedder
June 30, 2008
s
Page Two
If you have any questions or if I can provide any additional information, please do not hesitate to contact me at 704-
525-7990, (Voice Mail Ext. 218). Thank you for your attention.
ly
Sincere : ,
Anthony J. Konsul
Regional Manager
CC: Martin Lashua
Mary Armentrout
Adam James
Sammy Pegram

T
OF wA"fiW66
TF9
G
,s c r
qP�
June 10, 2008
CERTIFIED MAIL 7008 0150 0002 8342 1320
RETURN RECEIPT REQUESTED
Carl Daniel
Carolina Water Service Inc Of NC
PO Box 240908
Charlotte NC 282240908
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Subject: NOTICE OF VIOLATION: NOV-2008-PC-0395
Compliance Evaluation Inspection
Abington WWTP
Permit No. NCO060461
Forsyth County
Dear Mr Daniel:
Coleen H. Sullins. Director
Division of Water Quality
Enclosed please find a copy of the Inspection Report from the inspection conducted June 4, 2008.
The Compliance Evaluation Inspection of the Abington WWTP was conducted by Rose Pruitt of
the Winston-Salem Regional Office. Sammy Pegram ORC, Adam James and Mark Haver Area
Managers for Carolina Water Service were also present for the inspection. The inspection
consisted of two parts: an on -site inspection of the treatment facility and a file review. The
following are the findings from the subject inspection.
The treatment facility was found to be in violation of permit NCO060461 for the following:
Compliance issues found during the inspection are:
Inspection Area Compliance Issue
Record Keeping TThe maintenance log for this facility could not be located at the time
f the inspection.
I. Permit
The NPDES permit for the Abington WWTP became effective March 1, 2007 and expires on
February 28, 2012. The permitted components of the 0.200 MGD wastewater treatment plant
include: equalization basin with dual pumps, a manual bar screen, flow splitter box, dual aeration
basins, dual clarifiers, tablet chlorination with chlorine contact tank, dechlorination unit with
tablet dechlorination, post aeration chamber, aerobic sludge holding digester, float analog graph
flow meter and stand-by emergency generator.
585 Waughtown Street Winston-Salem, NC 27107 336-771-5000 (Telephone) 336-771-4630 (Fax)

Abington WWTP
June 10, 2008
Page 2
II. Records/Reports
A review of the laboratory reports and Discharge Monitoring Reports (DMRs) for the Abington
WWTP for the period January 2007 through December 2007 revealed that the facility had six (6)
limit violations. These included exceeding daily maximum limits for Fecal Coliform in April
2007, exceeding monthly (2) and daily limits for Ammonia Total as Nitrogen (NH3 as N) in
March and April 2007, and exceeding monthly and daily limits for Total Suspended Solids in
December 2007. The facility received civil penalty assessments for three of these violations and
Notices of Violation for the remaining three violations. Operations records included all DMR's;
sample analyses and lab data including COC's, daily operator's logs, a spill response plan, and
sludge hauling records. The Stevens electronic flow meter was calibrated in April 23, 2008 by
Chrysler Calibration Services Inc. A complete copy of the permit was on site. A copy of the
annual report for 2007 was available.
Deficiencies were noted in the following area:
The Maintenance Log for this facility could not be located during the inspection.
III. Facility Site Review
The facility is located north of Kernersville at Abington Subdivision on Bainburgh Circle in
Forsyth County. The facility site review indicated that the 0.200 MGD extended aeration
wastewater treatment plant is consistent with the permitted components. The actual treatment
system consists of equalization basin with dual pumps, a manual bar screen, flow splitter box,
dual aeration basins, dual clarifiers, tablet chlorination with chlorine contact tank, dechlorination
unit with tablet dechlorination, post aeration chamber, aerobic sludge holding digester, float
analog graph flow meter and stand-by emergency generator.
IV. Effluent / Receiving Stream
The Abington WWTP discharges to Belews Creek, classified C waters in the Roanoke River
Basin. The effluent could not be observed on the date of inspection because beavers had again
built a dam nearby and impounded water had covered the effluent pipe. The receiving stream
was free of solids, foam and debris at the time of the inspection.
V. Flow Measurement
Effluent flow is measured with a Stevens V Notch flow meter, which was last calibrated in April
23, 2008 by Chrysler Calibration Services Inc.
VI. Self -Monitoring Program
A review of the laboratory reports and Discharge Monitoring Reports (DMRs) for the Abington
WWTP for the period January 2007 through December 2007 revealed that the facility had six (6)
limit violations. These included exceeding daily maximum limits for Fecal Coliform in April 2007,

Abington WWTP
June 10, 2008
Page 3
exceeding monthly (2) and daily limits for Ammonia Total as Nitrogen (NH3 as N) in March and
April 2007, and exceeding monthly and daily limits for Total Suspended Solids in December 2007.
The facility received civil penalty assessments for three of these violations and Notices of Violation
for the remaining three violations.
VII. Compliance Schedules
No compliance schedules to evaluate.
VIII. Laboratory
Sample analyses are conducted by R & A Labs, certificate #34. The laboratory was not reviewed at
the time of the subject inspection. Field parameter certification for this facility is current and issued
to Carolina Water, certificate # 5228.
IX. Operation.and Maintenance
Overall operations and maintenance at the time of the subject inspection were deemed satisfactory.
The inspector noted that chlorine and dechlorination tablets were still stored in close proximity
inside the same storage building. This could present a safety hazard and the inspector
recommends that the two chemicals be stored in separate locations.
X. Sludge Utilization/Disposal
Solids are removed from the WWTP as necessary by a licensed contract hauler, Biotech, and
disposed of properly. Sludge was being hauled away as the inspector arrived at the facility, 11,500
gallons of sludge was last hauled on June 4, 2008 by Biotech.
XI. Pretreatment,
Not evaluated during this inspection. No pretreatment program required.
XII. Stormwater
Not evaluated during this inspection.
XIV. Sewer Overflow
None to report.
XV. Pollution Prevention
Not evaluated during this inspection.
XVI. Multimedia
Not evaluated by other agencies during this inspection.

a
Abington WWTP
June 10, 2008
Page 4
Please refer to the enclosed Inspection Report for any additional observation and comments.
To prevent further action, carefully review these violations and deficiencies and respond in
writing to this office within thirty (30) working day of receipt of this letter. You should
address the causes of noncompliance and all actions taken to prevent the recurrence of similar
situations. If you should have any questions, please do not hesitate to contact Rose Pruitt at 336-
771-5000.
Sincerely,
10,
Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachment
Cc: Sammy Pegram, 8042 Belews Crk Rd, Stokesdale NC 27357
OMMAW
W
Central Files

United States Environmental Protection Agency
Washington, D.C. 2oaso Form Approved.
EPA OMB No. 2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
.Transaction Code
NPDES yr/mo/day
Inspection Type
Inspector Fac Type
1 IN 1 2 15I 31
NCO060461 111 121 08/06/04 117
181 CI
191 SI 20I I
Remarks
211111111111111111
1 11 1 1 111111111111
11111111
IIII 11161
Inspection Work Days
Facility Self -Monitoring Evaluation Rating 61 CIA
--------------------------- Reserved ----------------------
67I 169
701 I 711 I 721 NJ
73 ILI I 174
�
.75I I I I I I I 180
. Cor-+inn a• G���r+" n.,�„
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
Entry Time/Date
Permit Effective Date
Abington WWTP
10:30 AM 08/06/04
07/03/01
Exit Time/Date
Permit Expiration Date
Bainburg Cir
Winston Salem NC 27116
01:00 PM 08/06/04
12/02/29
Name(s) of Onsite Rep resentative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Samuel E. Pegram/ORC/704-525-7990/
Name, Address of Responsible Official/Title/Phone and Fax Number
Carl Daniel,PO Box 240908 Charlotte NC 282240908/Vice Contacted
President/800-525-7990/7045258174 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program E Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Rose Pruitt WSRO WQ//336-771-5000/
Signature of Manaqement QUA Revie Agency/Office/Phone and Fax Numbers Date
/
lac l '' �-//tea
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES
yr/mo/day
31 NCO060461 111 121
08/06/04 117
Inspection Type
181 1
(cont.) 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The inspection was conducted on June 4, 2008 by Rose Pruitt of the WSRO. Sammy Pegram ORC, Adam
James and Mark Haver area managers for Carolina Water Service were also present during the inspection.
The facility appeared generally well maintained and was running satisfactorily at the time of the inspection.
Sludge was being hauled by BlOtech when the inspector arrived. The effluent pipe was submerged -at the
time of the inspection because of a beaver dam impoundment downstream. At the time of the inspection
the stream was free of solids and debris. Facility personnel were unable to locate the maintenance log
during the inspection.
Page # 2

r
Permit: NCO060461
Irisp6ction Date: 06/04/2008
Owner -Facility: Abington WWfP
Inspection Type: Compliance Evaluation
r
Operations & Maintenance �.
Yes
No
NA NE
Is the plant generally clean with acceptable housekeeping?
■
n
n
n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■
n
n
n
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has -the permittee submitted a new application?
n
n
■
n
Is the facility as described in the'pe'rmit?
■
n
00,
# Are there any special conditions for the permit?
rl
n
■
❑
Is access to the plant site restricted to the general public?
■
fl
❑
0
Is the inspector granted access to all areas for inspection?
■
Q
Comment:
Record Keeping
Yes
No
NA NE
Are records kept and maintained as required by the permit?
n
■
n
n
Is all required information readily available, complete and current?
n
■
n
n
Are all records maintained for 3 years (lab. reg.'required 5 years)?
❑
■
0
❑
Are analytical results consistent with.data reported on DMRs?
■
El
n
Is the chain -of -custody complete?
■
❑
fl
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
fl
❑
(]
Has the facility submitted its annual compliance report to users and DWQ?
■
0
Q
El
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
fl
Q
a
Is the ORC visitation log available and current?
■
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n
n
Is a copy of the current NPDES permit available on site?
® n
n
n
Page # 3

Permit: NCO060461 Owner -Facility: Abington WWTP
Inspection Date: 06/04/2008 Inspection Type: Compliance Evaluation
t
'
Record Keeping
Yes
No NA NE
Facility has copy of previous year's Annual Report on file for review?
n
n n
Comment: ORC was unable to locate maintenance log during inspection.
Effluent Pipe
Yes
No
NA NE
Is right of way to the outfall properly maintained?.
■
00
n
Are the receiving water free of foam other than trace amounts and other debris?
■
00
n
If effluent (diffuser pipes are required) are they operating properly?
n
❑
■
n
Comment: Submerged effluent pipe
Flow Measurement - Effluent
Yes
No
NA NE
# Is flow meter used for reporting?
■
n
n
n
Is flow meter calibrated annually?
■
n
n
n
Is the flow meter operational?
■
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
n
n
■
n
Comment: last calibrated 04/23/2008 by Chrysler Calibration Sery
Aerobic Digester
Yes
No
NA
NE
Is the capacity adequate?
n
n
n
■
Is the mixing adequate? •
n
n
n
■
Is the site free of excessive foaming in the tank?
■
n
n
n
# Is the odor acceptable?
■
n
n
n
# Is tankage available for properly waste sludge?
n
n
n
■ .
Comment:
Pump Station - Influent
Yes
No
NA
NE
Is the pump wet well free of bypass lines or structures?
■
n
n
n
Is the wet well free of excessive grease?
■
n
n
n
Are all pumps present?
■
n
n
Are all pumps operable?
■
n
n
n
Are float controls operable?
■
n
n
n
Is SCADA telemetry available and operational?
®n
n
n
Is audible and visual alarm available and operational?
■
n
n
n
Comment:
Bar Screens
Yes No
NA
NE
Page # 4

Permit: NC0060461
Insp6ction Date: 06/04/2008
Owner - Facility: Abington WVVTP
Inspection Type: Compliance Evaluation
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment: -
Equalization Basins
Is the basin aerated?
Is the basin free of bypass lines or structures to the natural environment?
Is the basin free of excessive grease?
Are all pumps present?
Are all pumps operable?
Are float controls operable?
Are audible and visual alarms operable?
# Is basin size/volume adequate?.
Comment:
Secondary Clarifies
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Yes No NA NE
■
IF-1
■nnn
■nnn
■nnn
■nnn
Yes No NA NE
■nnn
■nnn
■nnn
■ n n n
■ n n n
nnn■
nnn■
n n n ■
Yes No NA NE
■nnn
■nnn
■nnn
■ n n n
■nnn
■nnn
■nnn
®nnn
■nnn
■nnn
Page # 5

Permit: NCO060461 Owner -Facility: Abington WWTP
Inspection Date: - 06/04/2008 Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes
No
NA
i
NE
Is the sludge blanket level acceptable? (Approximately '/< of the sidewall depth)
n
n
n
■
Comment:
Aeration Basins
Yes
No
NA
NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
■
n
n
Are surface aerators and mixers operational?
■
❑
n
❑
Are the diffusers operational?
■
n
n
n
Is the foam the proper color for the treatment process?
■
n
n
n
Does the foam cover less than 25% of the basin's surface?
■
n
n
Is the DO level acceptable?
n
n
❑
■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
n
n
n
■
Comment:
De -chlorination i
Yes
No
NA
NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
■
❑
n
❑
Is storage appropriate for cylinders?
n
■
n
n
# Is de -chlorination substance stored away from chlorine containers?
n
■
n
n
Are the tablets the proper size and type?
■
n
n
n
Comment: still storing dechlorination tablets and chlorine tablets in same storage
building as noted in last years inspection.
Are tablet de -chlorinators operational?
■
o
n
n
Number of tubes in use?
12.
Comment:
Standby Power
Yes
No
NA
NE
Is automatically activated standby power available?
■
n
n
n
Is the generator tested by interrupting primary power source?
■
n
n
n
Is the generator tested under load?
■
❑
Q
❑
Was generator tested & operational during the inspection?
■
❑
n
Do the generator(s) have adequate capacity to operate the entire wastewater site?
■
Cl
n
n
Page # 6

NCO060461 Owner -Facility: Abington WWTP
spection Date: 06/04/2008 Inspection Type: Compliance Evaluation
'
'
ndb Power
Yes
No
NA
NE
IPermit:
there an emergency agreement with a fuel vendor for extended run on back-up power?
00
n
■
the generator fuel level monitored?
n
n
n
omment:
oratoryYes
No
NA
NE
Are field parameters performed by certified personnel or laboratory?
■
n
n
n
Are all other parameters(excluding field parameters) performed by a certified lab?
■
n
n
n
# Is the facility using a contract lab?
■
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
n
■
n
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
❑
■
n
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
❑
■
n
Comment: R & A Labs
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
■
n
❑
Are the tablets the proper size and type?
■
❑
❑
❑
Number of tubes in use?
12
Is the level of chlorine residual acceptable?
❑
❑
n
■
Is the contact chamber free of growth, or sludge buildup?
■
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
n
■
Comment:
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional? '
❑
n
❑
■
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
n
n
n
■
nnn
Is the tubing clean? ■ — - —
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? n n ❑ ■
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■ 0 n F1
Comment: Isco 2910 sampler with ice
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ n n n
Comment: .
Page # 7

1
Compliance Inspection Report
Permit: WQCS00261 Effective: 12/07/05 Expiration: 11/30/10 Owner: Carolina Water Service Inc Of NC
SOC: Effective: Expiration: Facility: Abington Collection System
County: Forsyth PO Drawer 240908
Region: Winston-Salem
Charlotte NC 28224
Contact Person: Carl Daniel Title: Vice President Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
NC0060461 Carolina Water Service Inc Of NC - Abington WWTP
Inspection Date: 06/04/2008 Entry Time: 10:30 AM Exit Time: 01:00 PM
Primary Inspector: Rose Pruitt Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Collection system management and operation
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions Performance Standards ■ Operation & Maint Reqmts 0 Records
® Monitoring & Rpting ■ Inspections ■ Pump Station
Reqmts
(See attachment summary)
Page:. 1

Permit: WQCS00261 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 06/04/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: WQCS00261 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 06/04/2008 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Performance Standards
Yes
No
NA
NE
Is Public Education Program for grease established and documented?
■
n
n
n
What educational tools are used?
Flyer in bill
Is Sewer Use Ordinance/Legal Authority available?
n
❑
■
n
Does it appear that the Sewer Use Ordinance is enforced?
n
n
■
n
Is Grease Trap Ordinance available?
❑
❑
■
n
Is Septic Tank Ordinance available (as applicable, i.e. annexation)
❑
❑
■
n
List enforcement actions by permittee, if any, in the last 12 months
Has an acceptable Capital Improvement Plan (CIP) been implemented?
❑
❑
■
❑
Does CIP address short term needs and long term \"master plan\" concepts?
n
n
■
n
Does CIP.cover three to five year period?
nn■n
Does CIP include Goal Statement?
n
n
■
n
Does CIP include description of project area?
❑
❑
■
171
Does CIP include description of existing facilities?
n
n
■
n
Does CIP include known deficiencies?
n
n
■
n
Does CIP include forecasted future needs?
❑
n
■
n
Is CIP designated only for wastewater collection and treatment?
❑
❑
■
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
Is system free of known points of bypass? ■ ❑ n
If no, describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? 0111111
# Does the sign include:
Instructions for notification? ■ n n n
Pump station identifier? ■ n n n
24-hour contact numbers ■ n ❑ ❑
If no, list deficient pump stations
Page: 3

Permit: WQCS00261 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 06/04/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Do ALL pump stations have an "auto polling" feature/SCADA? ■ n n n
Number of pump stations 4
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry 4
Number of pump stations that have only audible and visual alarms
Number of pump stations that do not meet permit requirements
# Does the permittee have a root control program? ❑ ❑ n ■
# If yes, date implemented?
Describe:
Abington #3 telemetry malfunctioning during inspection
Comment:
Inspections
Yes
No
NA
NE
Are maintenance records for sewer lines available?
n
■
n
n
Are records available that document pump station inspections?
■
n
n
n
Are SCADA or telemetry equipped pump stations inspected at least once a week?
■
n
n
n
Are non-SCADA/telemetry equipped pump stations inspected every day?
n
n
■
❑
Are records available that document citizen complaints?
❑
■
n
n
# Do you have a system to conduct an annual observation of entire system?
n
■
n
n
# Has there been an observation of remote areas in the last year?
n
n
■
n
Are records available that document inspections of high -priority lines?
n
■
n
n
Has there been visual inspections of high -priority lines in last six months?
■
n
n
n
Comment: these records not available
Operation & Maintenance Requirements
Yes
No
NA
NE
Are all log books available?
■
n
00
Does supervisor review all log books on a regular basis?
■
n
00
Does the supervisor have plans to address documented short-term problem areas?
n
❑
■
n
What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
10% per year
Are maintenance records for equipment available?
n
n
n
n
Is a schedule maintained for testing emergency/standby equipment?
n
n
n
n
What is the schedule for testing emergency/standby equipment?
Page: 4

Permit: WQCS00261 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 06/04/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Do pump station logs include:
Inside and outside cleaning and debris removal?
Inspecting and exercising all valves?
Inspecting and lubricating pumps and other equipment?
Inspecting alarms, telemetry and auxiliary equipment?
Is there at least one spare pump for each pump station w/o pump reliability?
Are maintenance records for right-of-ways available?
Are right-of-ways currently accessible in the event of an emergency?
Are system cleaning records available?
Has at least 10% of system been cleaned annually?
What areas are scheduled for cleaning in the next 12 months?
Is a Spill Response Action Plan available?
Does the plan include:
24-hour contact numbers
Response time
Equipment list and spare parts inventory
Access to cleaning equipment
Access to construction crews, contractors, and/or engineers
Source of emergency funds
Site sanitation and cleanup materials
Post-overflow/spill assessment
Is a Spill Response Action Plan available for all personnel?
Is the spare parts inventory adequate?
Comment:
Are adequate records of all SSOs, spills and complaints available?
Are records of SSOs that are under the reportable threshold available?
Do spill records indicate repeated overflows (2 or more in 12 months) at same location?
If yes; is there a corrective action plan?
Is a map of the system available?
Yes No NA NE
nn■n
nn■n
nn■n
nn■n
■nnn
Page: 5

F
Permit: WQCS00261 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 06/04/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Does the map include:
Pipe sizes
Pipe materials
Pipe location
Flow direction
Approximate pipe age
Number of service taps
Pump stations and capacity
If no, what percent is complete?
List any modifications and extensions that need to be added to the map
printing and adding pump station capacity to map during inspection
# Does the permittee have a copy of their permit?
Comment: .
Monitoring and Reporting Requirements
Are copies of required press releases and distribution lists available?
Are public notices and proof of publication available?
# Is an annual report being prepared in accordance with G.S. 143-215.1 C?
# Is permittee compliant with all compliance schedules in the permits?
If no, which one(s)?
Comment:
Page: 6

Faxed To: Tony Konsul
Fax #: [phone] Phone [phone] x218
WWTP Annual Inspection Checklist
This information should be available to the inspector at inspection time.
Facility: Abington WWTP NPDES: NCO060461
Permit Effective Dates: 3/1/2007 to 212812012
Inspection Date: WED June 4, 2008 Inspection Time: 10:30 am
,/1)
DMRs (Dates: January 2007 to December 2007 )
4/2)
Lab Data (per DMR dates)
✓3)
Laboratories used for analysis & certification #'s
v)
Chain of Custody forms (per DMR dates)
5)
Complete copy of. current NPDES permit
SOC Moratorium issuance
U+-
a us of or if applicable
0
+/7)
ORC and Back-up ORC current certification
V 8)
Wastewater Annual Report (fiscal or calendar year - if applicable)
M _�
9)
Daily Operator's log / ORC visitation loges c!6 -0-1 �
� 10)
Maintenance log
;i11)
Process control data (which includes field parameters tested and equipment
calibrations)
p-12)
Field Parameter certification (if applicable) 61,,� v -e Z z
__-t3)
Flow meter calibration records (if applicable)
�)
Influent and/or effluent samplers ESGd�p�1I�
�15)
Flow charts (if applicable) ,
V,,-l6)
Generator Inspection / under load checks
\/17)
Spill Response Plan (with current emergency contact numbers) '
,/l8)
Sludge / Residuals hauling records (if applicable) % /shoo
v19)
Plant visual inspection of treatment units
j 20)
Stream accessible for inspection (at effluent discharge pipe)
Please call with questions:
Rose Pruitt
NC Department of Environment & Natural Resources
Division of Water Quality
Winston-Salem Regional Office
[phone]
Fax: [phone]
NoV.ZaruK.fC__ 0 395

VIOLATIONS for:
Report Date: 03/06/08
,.;._,_..,.;r:rs*-,�r�.*+. 2>«4...._..-„}�.,—, wy� .mv-;"t,".,i. _ _ "w`F .j
ncCI0i30461 MRs,B6' een 1 2007 aril 1:2.2007 Region afo Violation Category: %° Program
Category:-!4
,,,p 0 4 1_ "
-
-,Facility Name..f° Param Name 4 County ,f° Siibbasm EfQ _ VjolaUon Acfion !°
Malor Minor�Qf°
r-E -4
PERMIT: NCO060461 FACILITY: Carolina Water Service Inc Of NC - Abington WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL/ LOCATION PARAMETER VIOLATION FREQUENCY UNITOF LIMIT CALCULATED VIOLATION TYPE VIOLATIONACTION
REPORT PPI DATE MEASURE VALUE
04 -2007 001 Effluent Coliform, Fecal MF, M-FC 04/25/07 Weekly #1100ml 400 12,000 Daily Maximum Exceeded Proceed to
Broth,44.5C Enforcement Case
03 -2007 001 Effluent Nitrogen, Ammonia Total (as 03/31/07 Weekly mg/I 4 5.05 Monthly Average Exceeded Proceed to NOV
N)
04 -2007 001 Effluent Nitrogen, Ammonia Total (as 04/04/07 Weekly mg/I 10 19.8 Daily Maximum Exceeded Proceed to
N) Enforcement Case.
04 -2007 001 Effluent Nitrogen, Ammonia Total (as 04/30/07 Weekly mg/I 2 7.57 Monthly Average Exceeded Proceed to
N) Enforcement Case'
12 -2007 001 Effluent Solids, Total Suspended 12/19/07 Weekly mg/I 45 182 Daily Maximum Exceeded Mane j OV
12 -2007 001 Effluent Solids, Total Suspended 12/31/07 Weekly mg/I 30 45.5 Monthly Average Exceeded /Plt /10V
Monitoring Violation
MONITORING OUTFALL / LOCATION PARAMETER VIOLATION FREQUENCY UNIT OF LIMIT CALCULATED VIOLATION TYPE VIOLATION ACTION
REPORT PPI DATE MEASURE VALUE
03 -2007 001 Effluent Chlorine, Total Residual 03/03/07 2 X week ug/I Frequency Violation No Action, BPJ
09 -2007 001 Effluent Chlorine, Total Residual 09/01/07 2 X week ug/I Frequency Violation None
09 -2007 001 Effluent Chlorine, Total Residual 09/22/07 2 X week ug/I Frequency Violation None
10 -2007 001 Effluent Chlorine, Total Residual 10/20/07 2 X week ug/I Frequency Violation None
• 03 -2007 001 Effluent Nitrogen, Total (as N) 03/31/07 Quarterly mg/I Frequency Violation No Action, BPJ
• 03 -2007 001 Effluent Phosphorus, Total (as P) 03/31/07 Quarterly mg/I Frequency Violation No Action, BPJ
05 -2007 001 Effluent Temperature, Water Deg. 05/07/07 Daily -- weekdays deg c Frequency Violation None
Centigrade
05 -2007 001 Effluent Temperature, Water Deg. 05/14/07 Daily - weekdays deg c Frequency Violation None
Centigrade

T(MR) VIOLATIONS for:
Report Date: 03/06/08
PERMIT: NCO060461 FACILITY: Carolina Water Service Inc Of NC - Abington WWTP COUNTY: Forsyth REGION: Winston-Salem
Monitoring Violation
MONITORING OUTFALL / LOCATION PARAMETER VIOLATION FREQUENCY UNIT OF LIMIT CALCULATED VIOLATION TYPE VIOLATION ACTION
REPORT PPI DATE MEASURE VALUE
05 -2007 001 Effluent Temperature, Water Deg. 05/21/07 Daily -- weekdays deg c Frequency Violation None
Centigrade
05 -2007 001 Effluent Temperature, Water Deg. 05/28/07 Daily -- weekdays deg c
Centigrade
Frequency Violation None

NORTH CAROLINA
DEPARTMENT OF
ENVIRONMENT AND
NATURAL RESOURCES
FAX TRANSMITTAL
Water Quality Section
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, N.C. 27107
Phone: [phone] Fax: [phone]
TO
FAX NUMBER:
FROM:
DATE:
Number of pages (including cover page):
COMMENTS:
N
UL/-_
7L/

W QC's o� 2LPJ
Permit: WOCSDO190 Owner - Facility: Tim Horner
Inspection Date: 1011712007 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Inspections
Yes No
NA
NE
Are maintenance records for sewer lines available?
n
n
n
Are records available that document pump station inspections?
n n
n
n
Are SCADA or telemetry equipped pump stations inspected at least once a week?
n n
n
n
Are non-SCADA/telemetry equipped pump stations inspected every day?
n n
n
n
Are records available that document citizen complaints?
❑ .
# Do you have a system to conduct an annual observation of entire system?
# Has there been an observation of remote areas in the last year?
n �l
�I
Are records available that document inspections of high -priority lines?
n f�l
n
n
Has there been visual inspections of high -priority lines in last six months?
;ir
n"
Comment:
Operation & Maintenance Requirements
Yes No
NA
NE
Are all log books available?
i n
o
n
Does supervisor review all log books on a regular basis?
❑
❑
Does the supervisor have plans to address documented short-term problem areas?
n n
n
What is the sche ule for reviewing inspection, maintenance, & operations logs and problem areas?
�� ®�'�(`c�_ fir/✓`_ ��"i`� � (/� t�vp
Are maintenance records for equipment available? /�,,� n ❑ n
Is a schedule maintained for testing emergency/standby equipment? -Cg 4 ❑ ❑ n
What is the schedule for testing emergency/standby equipment?
Do pump station Jogs include:
Inside and outside cleaning and debris removal?7 n
Inspecting and exercising all valves? t I n n n
Inspecting and lubricating pumps and other equipment? V1 n n n
Inspecting alarms, telemetry and auxiliary equipment?
Is there at least one spare pump for each pump station w/o pump reliability?
Are maintenance records for right-of-ways available?
Are right-of-ways currently accessible in the event of pn emergency?
n
n
n
Are system cleaning records available?
pi n
n
n
Has at least 10% of system been cleaned annually?
�(4 Page: 3

Permit: WQCSD0190 Owner - Facility: Tim Horner
Inspection Date: 10/17/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
What areas are scheduled for cleaning in the next 12 months?
Is a Spill Response Action Plan available?
n n
Does the plan include:
24-hour contact numbers
n n
n
n n
n
Response time
Equipment list and spare parts inventory
0- ❑ n
Access to cleaning equipment
j71 f l n
n
Access to construction crews, contractors, and/or engineers
1(-T ❑ ❑
❑
Source of emergency funds
❑ n
Site sanitation and cleanup materials
Post-overflow/spill assessment
f;( n n
n
Is a Spill Response Action Plan available for all personnel?
fzf n n
n
Is the spare inventory adequate?
parts
/
Comment:
Records
Yes No NA
NE
Are adequate records of all SSOs, spills and complaints available?
n n 7
n
Are records of SSOs that are under the reportable threshold available?
Do spill records indicate repeated overflows (2 or more in 12 months) at same location?
o n l
n
n n /6
n
If yes, is there a corrective action plan?
Is a map of the system available?
f�l F1 n
n
Does the map include:
fl n n
n
Pipe sizes
!P1
Pipe materials
n n
n
Pipe location
71 [D n
n
Flow direction
.71 ❑ n
n
Approximate pipe age 5�
,P( n n
n
Number of service taps
Pump stations and capacity �� ..+—a1�
n n n
n
If no, what percent is complete?
Page: 4

Permit: WQCSD0190 Owner - Facility: Tim Horner
Inspection Date: 10/17/2007 Inspection Type: Compliance Evaluation
List any modifications and extensions that need to be added to the map O �
# Does-the-pw-;:Ri +� Comment -
Monitoring and Reporting Requirements
Are copies of required press.releases and distribution lists available?
Are public notices and proof of publication available?
Is an annual report being prepared in accordance with G.S. 143-215.1 C?
# Is permittee compliant with all compliance schedules in the permits?
If no, which one(s)?
Comment: /
Y
Pump Station
Pump station type 7
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational? -­7 t�
Are audio visual alarms present?
W
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Reason for Visit: Routine
nnnn
Yes No NA NE
�i00U
�in n
n
�Innn
nnnn
r�rnnn
nnnn
rr`n n
n
jinn
nnn
�nnn
nnnn
�innn
Annn
nnn/'
Page:5

Permit: VVQCSD0190 Owner - Facility: Tim Horner
` Inspection Date: 10/17/2007 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Are backflow devices operable?
r n n n
Are air relief valves in place?
n n n
Are air relief valves operable?
n
# Is an emergency generator available?
n n n
Can the emergency generator run the pumps?
,�1 n n n
(
Is the pump station equipped for quick hook-up?
❑ n n
r-I
Is the generator operable?i
# Is fuel in tank and sufficient?
F/ n ❑ n
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
n n n
7-
Does it include:
Instructions for notification?
Pump station identifier?
Emergencyphone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
Comment:
Is Education Program for grease established and documented?
yry
What educational tools are used? (Reg. says distribute info twice/year) .fir �•�
Is system free of known points of bypass?
If no, describe type of bypass and location.

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
August 26, 2008
CERTIFIED MAIL 7008 0150 0002 8342 1566
RETURN RECEIPT REQUESTED
Carl Daniel
Carolina Water Service Inc Of NC
PO Box 240908
Charlotte NC 282240908
Subject: NOTICE OF VIOLATION
Permit No. NCO060461
Abington WWTP
Forsyth County
Dear Mr Daniel:
Coleen H. Sullins;Virntor
Division of Water Quality
A review of Abington WWTP's monitoring report for May 2008 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Solids, Total Suspended
05/08/08
45 mg/l
104 mg/l
Daily
Maximum
Exceeded
Remedial actions should be taken to correct this problem. The Division of Water Quality may
pursue enforcement action for this and any additional violations of State law.
To prevent further action, carefully review these violations and deficiencies and respond in
writing -to this office within 30 working day of receipt of this letter. You should address the
causes of noncompliance and all actions taken to prevent the recurrence of similar situations. If
you should have any questions, please do not hesitate to contact Rose Pruitt at [phone].
Sincerel*teveW
dder
Water Quality RegionalSupervisor
Winston-Salem Region
Division of Water Quality
Cc: WQ Central Files
R0.1
585 Waughtown Street Winston-Salem, NC 27107 336-771-5000 (Telephone) 336-771-4630 (Fax)

Nav-ZOOK'LV-OW 2
DAIR Review Record
Cover Sheet from
Staff Member to
Regional Supervisor
Facility: bI NCB'" K) Permit/Pipe No.: MC t-pQ jg (o Month/Year . )U
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limitgype DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by:
Regional Water Quality
Supervisor Signoff:
Date:
Date:
�� V

EFFLUENT 4
NPDES PERMIT NO: NC0060461 DISCHARGE NO: 001 MONTH: May
Y�h: 20 08
FACILITY NAME: Abington CLASS: II COUNTY: �F.ors.. h
CERTIFIED LABORATORY: R & A CERTIFICATION #: 34
(list additional laboratories on the backside/page 2 of this form) RECEIVED
'I
Nz. Deot. of ENfi
OPERATOR IN RESPONSIBLE CHARGE (ORC): Samuel Fearam GRA IE: If CERTIFICATION NO: 11008
PERSON(S) COLLECTING SAMPLES: Samuel Pe ra AUG 0 4 200BORCHONE: 704-525-7990
CHECK BOX IF ORC HAS CHANGED ® NO NO Fir,W / DISCHARGE FROM SITE
Reglo all J
Mail ORIGINAL and ONE COPY to: (�
ATTN: CENTRAL FILES x a
DIVISION OF WATER QUALITY (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
1617 MAIL
SERVICE CENTERCERTIFY
NC 2 66
99-ACCU ATE AND COMPLE
RALE GE TO THE BEST OF MY KNOWLEDq&
E
50050
00010
00400
50060
00310
00610
00530
1 31616
00300
00600
00665
38260
H
aoao,v
i=
-aB
a`o
N
p
d
c
CL
c•.
??
0
v
cc
O
FLOW
¢
LU)
a w
�
w
I-
_j W
Z
cc
000
m
Q Z
H OC
�
W
aF
- W�=
O f
:DX
2
U00
0
wCL
o
p0F
0o
p
Z
-Oc
Of
Z
j
O�=
enp
o
a
a.
In
ENTER PARAMETER
CODE ABOVE NAME
JW
0
HRS
HRS
WB%N
MGD
°C
UNITS
UG1L
MG/L
MG/L
MG/L
#/100ML
MG/L
MG/L
MG/L
MG/L
11
805
2
y
0.078
17.9
7.44
27
2
1330
2
y
0.124
19.9
7.3
8
3
2330
2
n
0.16
20.1
7A
26
4
1840
2
n
0.13
19.8
7.41
25
5
840
3
y
0.072
20
716
23
6
1540
2
y
0.11
19.9
7.24
23
7
1300
1 .2
y
0.122
20.3
7.3
27
8
1100
3
0.098
20.1
7.3
24
<2.0
<.10�
104
<1
6.3
9
1850
20.192
20,8
7.32
10
1700
20.172
rn
20.3
7.4
21
11
900
2
0.12
20,1
7.2
24
12
1500
30.116
19.9
7.2
21
13
830
2
y
1 0.084
19.6
7.3
10
14
950
3
y
0.11
19.8
7.1
24
<2.0
<.10
<5.0
<1
5.7
15
800
2
y
0.114
19.7
7.2
11
16
800
2
y :
0.102
20
7.2
10
17
900
2
n
0.13
19.7
7.1
10
18
1520
2
n
0.14
20.1
7.2
11
19
800
3
y
0,078
18.3
7
21
20
750
2
y
0.106
20
7
18
21
815
3
y
0.14
' 202
7.11
26
<2.0
<.10
a5.0
<1
6
22
816
2
y
0.098
20.1
7.43
25
231
1030
2
y
0.108
.20.1
7.34
24
24
1140
2
n
0.13
20
7.41
23
25
800
3
n
0.14
20.2
7.11
24
26
1200
3
n
0.14
20.1
7.34
24
27
800
2
n
0.145
20.1
7,11
24
28
805
3
y
0.09
21.2
7.31
28
<4.0
0.98
3.5
<2
5.6
291
700
2
y
0.128
21
7,3
27'
30
830
2
y
0.08
21.3
7.4
26
31
730
2
y
0.072
21.2
7.43
23
AVERAGE
0.1167
20.06
20.65
0.00
0.25
26.88
1.00
5.90
MAXIMUM
0.192
21.3
7.6
28
<4
0.98
104
<2
6.3
MINIMUM
0.072
17.9
7
2
<2
<.1
<5
<1
5.6
Camp. (C)1 Grab (G)
G
G I
G
C
C
C
G
G
Monthly Limit
0.2
N/A I
>6to<91
28 1
30
2
1 30 1
200 1
>5
DWQ Form MR-1 (11/04)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
permitte6became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"I 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 or persons who managed 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 of
fines and imprisonment for knowing violations."
Carolina Water Service, Inc of North Carolina
MartinA,ashua, Regional Director
Permit e (Please pri or ty e .
Signature of Permittee*** Date
(Required unless submitted electronically)
P.O. Box 240908
Charlotte, NC 28224 704-525-7990 2/28/2012
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) K & W Laboratories
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface
Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 80.0204.
** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
559
Page 2

i n ,
NPDES Permit No. NC0060461 Discharge No.001 Month May Year 2008
Facility Name Abington County Forsyth
Stream Belews Creek Stream Belews Creek
Location 100' above outfall
UPSTREAM
DWQ Form MR-3 (Revised 7/2000)
Location NCSR 2014 @ Bridge
DOWNSTREAM
Enter Paramet
Above,. ,

Inc. -
June 23, 2008
Attn: Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699
Re: Abington WWTP
NCO060461
Out for a Weekly Total Suspended Solids
To Whom It May Concern
On May 8, 2008 we exceeded our weekly limit for Total Suspended Solids at the Abington Waste Water
Treatment Plant. All other reporting parameters were below limits. We believe a sampling or lab error
may have caused this high reading.
If you have any questions or if I can provide any additional information, please do not hesitate to contact
me at 704-525-7990, (Voice Mail Ext. 233). Thank you for your attention.
Sincerely,
Mark Haver
Area Manager
a uffimes, inc. =„ pay Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 0 Charlotte, NC 28224 s P: 704-525-7990 s F: 704-525-8174
5701 Westpark Dr., Suite 101 o Charlotte, NC 28217 o www.uiwater.com

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 08/12/08 Page: 1 of 1
PERMIT: NCO060461 FACILITY: Carolina Water Service Inc Of NC - Abington WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
12 -2007
001
Effluent
Solids, Total Suspended
12/19/07
Weekly
mg/I
45
182
Daily Maximum Exceeded
Proceed to NOV
12 -2007
001
Effluent
Solids, Total Suspended
12/31/07
Weekly
mg/I
30
45.5
Monthly Average Exceeded
Proceed to NOV
Monitoring Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
09 -2007
001
Effluent
Chlorine, Total Residual
09/01/07
2 X week
ug/I
Frequency Violation
None
09 -2007
001
Effluent
Chlorine, Total Residual
09/22/07
2 X week
ug/I
Frequency Violation
None
10 -2007
001
Effluent
Chlorine, Total Residual
10/20/07
2 X week
ug/I
Frequency Violation
None
05 -2007
001
Effluent
Temperature, Water Deg.
05/07/07
Daily -- weekdays
deg c
Frequency Violation
None
Centigrade
05 -2007
001
Effluent
Temperature, Water Deg.
05/14/07
Daily -- weekdays
deg c
Frequency Violation
None
Centigrade
05 -2007
001
Effluent
Temperature, Water Deg.
05/21/07
Daily -- weekdays
deg c
Frequency Violation
None
Centigrade
05 -2007
001
Effluent
Temperature, Water Deg.
05/28/07
Daily -- weekdays
deg c
Frequency Violation
None
Centigrade

UNITED STATES POSTAL SERVICE
• Sender: Please print your ma`M_'
NCDENR — Water Qua
P-. Socru
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
ress, ZIP+4 in this b
ity Section
xC
c9 j
9
585 Waughtown Street
Winston-Salem, NC _ 27107 _ __ i

• Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse
so that we can return the card to you.
E Attach this card to the back of the malilpiece,
or on the front if space permits.
1. Article Addressed to:
Mr. Carl Daniel
Carolina Water Service
PO Box 240908
Charlotte, NC 28224-0908
21
701' 2780 0001 422
DR Fn'rm RRI 1
rt--�/� fT—Agent
X aEl Addressee
TRecerial b (Printed Name) C. Date of Delivery
?. IS. it IVC�,—
D. Is delivery address different from item 1 ? 11 Yes
If YES, enter delivery address below:
Nze.d kar- Ar� t"
3. Service Type *.
-EI—C.rtifi'eif' all .'.Ij Express Mail"
❑ Registered EIReturn ecelpt for M handisE
Insured Mail
,4.1 Restricted Delivery? (Extra Fee)` p Yes

UNITED STATES POSTAL SERVICE
First -Class h
Postage & F
USPS
Permit No, C'
1
• Sender: Please print your name, address, and ZIP+4 in this box
j NCDENR- Water Quality Section
58.5 Waughtown Street
Winston-Salem, NC 27107
ifIll ill l,l3ilHill ,ti,11ifIi,ifII:Ill, IIffill illil,If11litlii

to items 1, 2, and 3. Also complete
A. Sig �tur
Restricted Delivery Is desired.
-'
our name and address on the reverse
M .,
r: ❑ A dressee
t We can return the Card to you.
B. Received by (P '
ted Na e) (.i; ,G,,Date of Delivery
ch this card to the back of the mailpiece,
n the front if space permits.
`fie
-"�.�
D. Is delivery address d'
�d
icle Addressed to:
If YES, enter delve
� ;below: ❑ No
'Carl
i r
Daniel
Carolina Water Service
PO Box 240908
Charlotte, NC 28224
3. Service Type
Certified Mail
❑ Exc Tess Mail
Registered
Return Recelpt for Merchandise
❑ Insured Mail
C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
+ 7'0b8 b.1-J.0 1010�2 814,21 •132�',
; t
n'-!l MIM ('DF•1;.
S Form 3811. February 2004 Domestic Return Receiot / /fin' - l? J/f 102595.024154i

1:
UNITED STATES POSTAL SERVICE First -Class Mail
111111 Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
NCDENR-Division of Water Quality
RECEIVED
,/ j N.C. Dept. of ENR
585 Waughtown Street SEA 0 3 2008
Winston-Salem, NC 27107 Winston-Salom
_ Roatnn+i ncn,_
1,,1111%„i„111111, lilt t111111„1t11„11,1lilt „1„111„1611

■ Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery is desired. X/
■ Print your name and address on the reverse
so that we can return the card to you. g
® Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Carl Daniel
Carolina Water Service, Inc.
PO Box 240908
Charlotte, NC 28224-0908
SEP -20
I. I
S
;--❑ Agent
❑' Addressee
C. Date of Delivery
address different from item 1? ❑ Yes
ter delivery address below: ❑ No
U5 0ertified Mail ❑ Express Mail
+z�ssU Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7d0181 ©1�5o'.. 02 18, 4 ! 15Lr6�`c? ! fil®V
3S Form 3811. February 2004 Domestic Return Receipt /a V n n .b. 102595-02-M-154(