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Home My WebLink AboutNC0067091_Regional Office Historical File Pre 2016Water Resources ENVIRONMENTAL QUALITY Mr. Garnette Douthit 2732 Stable Hill Trail Kernersville, NC 27284 PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary S. JAY ZIMMERMAN December 14, 2015 Director Subject: Letter of Adequacy for Mikkola Downs Subdivision, Aqua North Carolina, Inc. NPDES Wastewater Treatment. Permit # NCO067091 Wastewater Collection System Permit # WQCSD0204 Forsyth County Dear Mr. Douthit: As per your request, this letter serves as. notice of adequacy and proper permitting for the wastewater treatment and collection systems that serve the Mikkola Downs Subdivision located in Kernersville, Forsyth County, NC. Both the wastewater treatment and collection systems for the Mikkola Downs subdivision are properly permitted by the NC Division of Water Resources (Division) under permit numbers NC006709.1 and WQCSD0204, respectively. Aqua North Carolina, Inc., owns and operates both systems and was issued permit NCO067091 in'March, 2012, and permit WQCS00204 in March, 2012. The Division last inspected the Mikkola Downs wastewater treatment system in December, 2015, at which point it was determined to be in compliance with permit NC0060461. The Division last inspected the Mikkola Downs wastewater collection system in September, 2014, at which time it was determined to be in compliance with permit WQCSD0204. 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 (336) 776-9800. cc: WSRO Sincerely, Ronal C. Boone Environmental Specialist Surface Water Protection Section Winston-Salem Regional Office North Carolina Division of Water Resources State of North Carolina I Environmental Quality I Water Resources 450 West Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105 336 776 9800 Water Resources ENVIRONMENTAL QUALITY December 7, 2015 Aqua North Carolina, Inc. Attn: Thomas J. Roberts, President 202 Mackenan Court Cary, NC 27511 SUBJECT: Compliance Evaluation Ins ec i Greystone Subdivision, NC0078115; and, Salem Quarters WWTP, NCO083933 Permittee: Aqua North Carolina, Inc. Forsyth County Dear Mr. Roberts, PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary S. JAY ZIMMERMAN Director Ron Boone of the Winston Salem Regional Office (WSRO) of the North Carolina Division of Water Resources (DWR or the Division) conducted compliance evaluation inspections of the Mikkola Downs Wastewater Treatment Plant, the Greystone Subdivision, and the Salem Quarters Wastewater Treatment Plant, on December 1, 2015. The assistance and cooperation of Morgan Turner, Operator in Responsible Charge (ORC), was greatly appreciated. Inspection reports are attached for your records and inspection findings are summarized below. Mikkola Downs Wastewater Treatment Plant, NCO067091 General Information The Mikkola Downs Wastewater Treatment Plant is located near 2777 Stable Hill Trail in Kernersville, Forsyth County, North Carolina, at approximate coordinates 36:182120° West, 80.0538330 North. Aqua NC is authorized to operate this 0.072 million -gallon -per -day (MGD) wastewater treatment plant, which consists of a flow splitter box, bar screen, dual aeration tanks, dual blowers, dual clarifiers, sludge holding tank, Sanuril tablet chlorinator, chlorine contact tank, dechlorination, post aeration tank, and an effluent flow recorder, and discharge treated effluent from outfall 001 of said treatment works, which is located approximately 150 feet southwest of the treatment works at approximate coordinates 36.182526° West, 80.0541430 North, to East Belews Creek, which is currently classified as Class C waters and is located in the Roanoke River Basin. Site Review Mr. Boone reviewed the entire plant with Mr. Turner. No discrepancies or violations were noted. The plant appears to be well operated and maintained. Documentation Review Mr. Turner had all required documentation for the inspection and everything was complete and current. This included discharge monitoring reports, chains of custody, laboratory records, calibration records, operator visitation records, and operation & maintenance logs. No discrepancies or violations were noted. Mr. Turner has done an excellent job of documenting his operation and maintenance of the plant. State of North Carolina I Environmental Quality I Water Resources 450 West Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105 336 776 9800 Greystone Subdivision Wastewater Treatment Plant NCO078115 General Information The Greystone Subdivision Wastewater Treatment Plant is located off the north end of Pine Creek Road in Kernersville, Forsyth County, North Carolina, at approximate coordinates 36.167662°, 80.0864360. Aqua North Carolina, Inc is authorized to operate this 0.032 million -gallon -per -day (MGD) wastewater treatment plant, which consists of a bar screen, an influent pump station, an equalization basin, dual extended aeration basins and clarifiers, a sludge digester, tablet chlorination and dechlorination, and a flow meter, and discharge treated effluent from outfall 001 of said treatment works, which is located approximately 25 feet east of the treatment works at approximate coordinates 36.1676700, 80.0861300, to Belews Creek, which is currently classified as Class C waters and is located in the Roanoke River Basin. Site Review 4 Mr. Boone reviewed the entire plant with Mr. Turner. No discrepancies or violations were noted. The plant appears to be well operated and maintained. Documentation Review Mr. Turner had all required documentation for the inspection and everything was complete and current. This included discharge monitoring reports, chains of custody, laboratory records, calibration records, operator visitation records, and operation & maintenance logs. No discrepancies or violations were noted. Mr. Turner has done an excellent job of documenting his operation and maintenance of the plant. Salem Quarters Wastewater Treatment Plant, NCO083933 General Information The WWTP is located inside the Salem Quarters subdivision in Winston Salem, Forsyth County, NC, at approximately coordinates 36.191667N, 80.109722W. The permit authorizes Aqua North Carolina Inc. to operate this 0.06 MGD WWTP, which consists of a bar screen, a flow splitter box, an equalization basin, dual aeration basins, dual clarifiers, a sand filter, an ultraviolet disinfection system, backup chlorination, contact and dechlorination system, a sludge holding tank, and standby power, and discharge the treated effluent via outfall 001 into an unnamed tributary (UT) to Belews Creek, this section of which is currently classified as Class C waters in the Roanoke River basin. Site Review Mr. Turner has done a good job operating and maintaining the plant. The only problem noted during the inspection was the presence of excessive sludge solids in the weir troughs on the effluent side of the clarifiers. It is unknown at this point what is causing the solids to accumulate in the troughs but Mr. Turner is preventing the solids from being discharged and plans to bring the effluent filters on line to filter out the solids. It is unknown when the filters will be brought on line. Mr. Boone noted no discrepancies. Documentation Review All documentation was reviewed. No discrepancixes were found. Mr. Turner has done an excellent job of documenting the operation and maintenance of the plant as required by the permit. This includes operations and visitation logs, discharge monitoring reports and laboratory and field laboratory records, chains of custody, etc. Mr. Boone noted no concerns during any of these inspections. If you have any questions regarding the inspections or this letter, please call him or me at (336) 776-9800. Thank you for your cooperation in this matter. Sincerely, 4 44&L Sherri V. Knight Regional Supervisor Water Quality Regional Operations Division of Water Resources Attachments: 1. BIMS Inspection Report CC: W:SEtO Central Iles NPDES Unit Aqua North Carolina, Inc. Attn: Dave McDaniel 152B Furlong Industrial Drive Kernersville, NC 27284 Aqua North Carolina, Inc. Attn: Morgan Turner 152E Furlong Industrial Drive Kernersville, NC 27284 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 NCO067091 I11 12 15/12/01 17 18 L C I 19 I G j 20I I 211111 1 1 1 1 1 111 1 1 1 I I I I I I I I I 1 1 I I I I I I I I I II l l l l l 166 Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 CIA -------------Reserved---------- 67 701 I 71 itI I 72 L LN j 731 I1 174 75 LJ I 80 Section B: FacilityDataJ 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) 01:00PM 15/12/01 12/05/01 Mikkola Downs Subdivision WWTP NCSR 2016 Exit Time/Date Permit Expiration Date Kernersville NC 27284 02:OOPM 15/12/01 . 17/02/28 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Morgan Lee Turner/ORC/336-996-2841/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Thomas J Roberts,202 Mackenan Ct Cary NC 27511//919-467 8712/9194661583 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//336-776-9690/ Z/7//Y Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date /a/-, / 5 EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type 31 NCO067091 I11 12 15/12/01 17 18 1 C 1 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Page# Permit: NCO067091 Owner - Facility: Mikkola Downs Subdivision VWVrP Inspection Date: 12/01/2015 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? 0 ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ M ❑ ❑ Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? M ❑ ❑ ❑ Comment: None Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? 0 ❑ ❑ ❑ Is all required information readily available, complete and current? M ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ 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 24/7 with a certified operator ❑ 0 ❑ ❑ on each shift? Is the ORC visitation log available and current? M ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Is a copy of the current NPDES permit available on site? 0 ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ 0 ❑ 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? M ❑ ❑ ❑ Page# 3 Permit: NCO067091 Owner -Facility: Mikkola Downs Subdivision WWTP Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE # Is the facility using a contract lab? M ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0 ❑ ❑ ❑ Celsius)? . Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ ❑ Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees? ❑ ❑ ❑ Comment: None Effluent Sampling Yes No NA NE Is composite sampling flow proportional? 0 ❑ ❑ ❑ Is sample collected below all treatment units? 0 ❑ ❑ ❑ Is proper volume collected? 0 ❑ ❑ ❑ 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 0 ❑ ❑ ❑ representative)? Comment: None Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and M ❑ ❑ ❑ sampling location)? Comment: None Bar Screens Yes No NA NE Type of bar screen a.Manual b.Mechanical ❑ Are the bars adequately screening debris? N ❑ ❑ ❑ Is the screen free of excessive debris? 0 ❑ ❑ ❑ Is disposal of screening in compliance? 0 ❑ ❑ ❑ Is the unit in good condition? ❑ ❑ ❑ Comment: None Aeration Basins Yes No NA NE Page# 4 Permit: NCO067091 Owner - Facility: Mikkola Downs Subdivision WWTP Inspection Date: 12101/2015 Inspection Type: Compliance Evaluation 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? ❑ ❑ 0 ❑ Are the diffusers operational? 0 ❑ ❑ ❑ Is the foam the proper color for the treatment process? 0 ❑ ❑ ❑ Does the foam cover less than 25% of the basin's surface? 0 ❑ ❑ ❑ Is the DO level acceptable? N ❑ ❑ ❑ Is the DO level acceptable?(1.0 to 3.0 mg/1) ❑ ❑ ❑ Comment: None Secondary Clarifier Yes No NA NE Is the clarifier free of black and odorous wastewater? E ❑ ❑ ❑ Is the site free of excessive buildup of solids in center well of circular clarifier? ❑ ❑ E ❑ Are weirs level? N ❑ ❑ ❑ Is the site free of weir blockage? 0 ❑ ❑ ❑ Is the site free of evidence of short-circuiting? 0 ❑ ❑ ❑ Is scum removal adequate? 0 ❑ ❑ ❑ Is the site free of excessive floating sludge? 0 ❑ ❑ ❑ Is the drive unit operational? E ❑ ❑ ❑ Is the return rate acceptable (low turbulence)? N ❑ ❑ ❑ Is the overflow clear of excessive solids/pin floc? 0 ❑ ❑ ❑ Is the sludge blanket level acceptable? (Approximately % of the sidewall depth) ❑ ❑ ❑ Comment: None L Pumps-RAS-WAS Yes No NA NE Are pumps in place? 0 ❑ ❑ ❑ Are pumps operational? 0 ❑ ❑ ❑ Are there adequate spare parts and supplies on site? 0 ❑ ❑ ❑ Comment: None Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? N ❑ ❑ ❑ Page# 5 Permit: NC0067091 Inspection Date: 12/01/2015 Disinfection -Tablet 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? Comment: None Owner - Facility: Mikkola Downs Subdivision VW TP Inspection Type: Compliance Evaluation De -chlorination Type of system ? Is the feed ratio proportional to chlorine amount (1 to 1)? Is storage appropriate for cylinders? # Is de -chlorination substance stored away from chlorine containers? Are the tablets the proper size and type? Comment: None Are tablet de -chlorinators operational? Number of tubes in use? Comment: None Flow Measurement - Effluent # 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 Effluent Pipe Is right of way to the outfall properly maintained? Are the receiving water free of foam other than trace amounts and other debris? If effluent (diffuser pipes are required) are they operating properly? Comment: None Aerobic Digester Is the capacity adequate? Yes No NA NE ■ ❑ ❑ ❑ 3 ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ ■ Yes No NA NE Tablet ■ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ 3 Yes No NA NE ❑ ❑ ❑ M ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Yes No NA NE ■ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ■ ❑ Yes No NA NE ❑ ❑ ❑ ❑ Page# 6 Permit: NCO067091 Owner -Facility: Mikkola Downs Subdivision WWTP Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation Aerobic Digester Yes No NA NE Is the mixing adequate? M ❑ ❑ ❑ Is the site free of excessive foaming in the tank? ❑ ❑ ❑ # Is the odor acceptable? ❑ ❑ ❑ # Is tankage available for properly waste sludge? N ❑ ❑ ❑ Comment: None 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 Yes No NA NE ❑ ❑ ❑ Page# 7 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, 2 15 1 3 I NCO078115 111 12 15/12/01 17 18 I C I 19 1 c I 201 211IIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIII1 111r6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA ---------------Reserved------- 67 70 71 I 72 �,, LJ 731 I I74 751 III I 1 1 180 I I I 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) 11:30AM 15/12/01 12/05/01 Greystone Subdivision WWTP Lot 74 Creek Bed Rd Exit Time/Date Permit Expiration Date Kernersville NC 27284 12:30PM 15/12/01 17/02/28 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Morgan Lee Turner/ORC/336-996-2841/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Dustin K Metreveon,NCSR 1802 Salisbury NC 28144//704-788-9497/7047886006 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement Operations & Maintenanc6 Records/Reports Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters Laboratory Section D: Summaryof 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 EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type 31 NCO078115 I11 121 15/12/01 117 18 ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Page# Permit: NCO078115 Owner - Facility: Greystone Subdivision VWVTP Inspection Date: 12/0112015 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? 0 ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ M ❑ ❑ . Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ 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 DMRs? M ❑ ❑ ❑ Is the chain -of -custody complete? 0 ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ 0 ❑ (If the facility is = or.> 5 MGD permitted flow) Do they operate 24/7 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? 0 ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ 0 ❑ Comment: None Effluent Sampling Yes No NA NE Is composite sampling flow proportional? M ❑ ❑ ❑ Is sample collected below all treatment units? 0 ❑ ❑ ❑ Page# 3 Permit: NCO078115 Owner -Facility: GreystoneSubdivision WWTP Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation Effluent Sampling Yes No NA NE Is proper volume collected? ❑ ❑ ❑ Is the tubing clean? 0 ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0 ❑ ❑ ❑ Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type 0 ❑ ❑ ❑ representative)? Comment: None Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and 0 ❑ ❑ ❑ sampling location)? 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 ❑ ❑ ❑ # 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 0 ❑ ❑ ❑ Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ ❑ Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees? ❑ ❑ ❑ 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? M ❑ ❑ ❑ Are all pumps present? M ❑ ❑ ❑ Are all pumps operable? N ❑ ❑ ❑ Are float controls operable? M ❑ ❑ ❑ Is SCADA telemetry available and operational? ■ ❑ ❑ ❑ Is audible and visual alarm available and operational? M ❑ ❑ ❑ Comment: None Ear Screens Yes No NA NE Page# 4 Permit: NC0078115 Inspection Date: 12/01/2015 Owner -Facility: Greystone Subdivision WWTP Inspection Type: Compliance Evaluation Bar Screens Yes No NA NE Type of bar screen a.Manual b.Mechanical ❑ Are the bars adequately screening debris? ❑ ❑ ❑ Is the screen free of excessive debris? N ❑ ❑ ❑ Is disposal of screening in compliance? 0 ❑ ❑ ❑ Is the unit in good condition? 0 ❑ ❑ ❑ Comment: None Equalization Basins Yes No NA NE Is the basin aerated? 0 ❑ ❑ ❑ Is the basin free of bypass lines or structures to the natural environment? N ❑ ❑ ❑ Is the basin free of excessive grease? 0 ❑ ❑ ❑ Are all pumps present? 0 ❑ ❑ ❑ Are all pumps operable? 0 ❑ ❑ ❑ Are float controls operable? 0 ❑ ❑ ❑ Are audible and visual alarms operable? N ❑ ❑ ❑ # Is basin size/volume adequate? M ❑ ❑ ❑ Comment: None 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? ❑ ❑ M ❑ Are weirs level? N ❑ ❑ ❑ Is the site free of weir blockage? M ❑ ❑ ❑ Is the site free of evidence of short-circuiting? 0 ❑ ❑ ❑ Is scum removal adequate? N ❑ ❑ ❑ Is the site free of excessive floating sludge? 0 ❑ ❑ ❑ Is the drive unit operational? ❑ ❑ M ❑ Is the return rate acceptable (low turbulence)? N ❑ ❑ ❑ Is the overflow clear of excessive solids/pin floc? 0 ❑ ❑ ❑ Is the sludge blanket level acceptable? (Approximately'/ of the sidewall depth) ❑ ❑ ❑ 0 Comment: None Page# 5 Permit: NCO078115 Inspection Date: 12/0112015 Owner -Facility: Greystone Subdivision WWTP Inspection Type: Compliance Evaluation Aeration Basins Yes No NA NE Mode of operation Ext. Air Type of aeration system Diffused Is the basin free of dead spots? ❑ ❑ ❑ Are surface aerators and mixers operational? ❑ ❑ 0 ❑ Are the diffusers operational? 0 ❑ ❑ ❑ Is the foam the proper color for the treatment process? 0 ❑ ❑ ❑ Does the foam cover less than 25% of the basin's surface? 0 ❑ ❑ ❑ Is the DO level acceptable? , 0 ❑ ❑ ❑ Is the DO level acceptable?(1.0 to 3.0 mg/1) 0 ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Is flow meter calibrated annually? ❑ ❑ ❑ Is the flow meter operational? ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? M ❑ ❑ ❑ Comment: NoneNone Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? 0 ❑ ❑ ❑ Are the tablets the proper size and type? N ❑ ❑ ❑ Number of tubes in use? 3 Is the level of chlorine residual acceptable? ❑ ❑ ❑ Is the contact chamber free of growth, or sludge buildup? 0 ❑ ❑ ❑ Is there chlorine residual prior to de -chlorination? ❑ ❑ ❑ Comment: None Page# 6 Permit: NCO078115 Inspection Date: 12/01/2015 Owner -Facility: GreystoneSubdivision WWTP Inspection Type: Compliance Evaluation De -chlorination Type of system ? Is the feed ratio proportional to chlorine amount (1 to 1)? Is storage appropriate for cylinders? # Is de -chlorination substance stored away from chlorine containers? Are the tablets the proper size and type? Comment: None Are tablet de -chlorinators operational? Number of tubes in use? Comment: None Effluent Pipe Is right of way to the outfall properly maintained? Are the receiving water free of foam other than trace amounts and other debris? If effluent (diffuser pipes are required) are they operating properly? Comment:. None Aerobic Digester Is the capacity adequate? Is the mixing adequate? Is the site free of excessive foaming in the tank? # Is the odor acceptable? # Is tankage available for properly waste sludge? Comment: None 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? u Comment: None Yes No NA NE Tablet ■ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ 3 Yes No NA NE ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ■ ❑ Yes. No NA NE ■ ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ Yes No NA NE ❑ ❑ ❑ ■ '❑ ❑ ❑ Page# 7 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 ' 3 I NC0083933 I11 12 15/12/01 17 t 18 [, j 19 L G j 201 I 211 1 1 1 1 1 1 1 1 11 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I r6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------Reserved 671 70 I_j 71 L_j 72 L N � I_1 73 � 74 751 I I I I I I I80 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 15/12/01 12/05/01 Salem Quarters WWTP 9999 Rangecrest Rd - Exit Time/Date Permit Expiration Date Winston Salem NC 27103 11:OOAM 15/12/01 17/02/28 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Morgan Lee Turner/ORC/336-996-2841/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Thomas J Roberts,202 Mackenan Ct Cary NC 27511 /President/919-653-6967/9194661583 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//336-776-9690/ r' z-1 / 5 Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date `7 / S EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yrfmo/day Inspection Type 1 31 NCO083933 I11 12 15/12IQ1 17 18 I r. Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Page# Permit: NCO083933 Owner - Facility: Salem Quarters WWTP Inspection Date: 12101/2015 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 ❑ ❑ ED application? Is the facility as described in the permit? M ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ 0 ❑ ❑ Is access to the plant site restricted to the general public? E ❑ ❑ ❑ 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? M ❑ ❑ ❑ Is all required information readily available, complete and current? M ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? M ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? 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 24/7 with a certified operator ❑ M ❑ ❑ on each shift? Is the ORC visitation log available and current? M ❑ ❑ ❑ 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? M ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑ Page# 3 Permit: NCO083933 Owner - Facility: Salem Quarters WWTP Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE # Is the facility using a contract lab? M ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees M ❑ ❑ ❑ Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ ❑ M Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? ❑ ❑ ❑ Comment: None Effluent Sampling Yes No NA NE Is composite sampling flow proportional? 0 ❑ ❑ ❑ Is sample collected below all treatment units? 0 ❑ ❑ ❑ Is proper volume collected? M ❑ ❑ ❑ Is the tubing clean? M ❑_ ❑ ❑ # 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)? Comment: None Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and 0 ❑ ❑ ❑ sampling location)? Comment: None 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? M ❑ ❑ ❑ Is disposal of screening in compliance? M ❑ ❑ ❑ Is the unit in good condition? M ❑ ❑ ❑ Comment: None Equalization Basins Yes No NA NE Page# 4 Permit: NCO083933 Owner -Facility: Salem Quarters WWTP Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation Equalization Basins Yes No NA NE Is the basin aerated? 0 ❑ ❑ ❑ Is the basin free of bypass lines or structures to the natural environment? 0 ❑ ❑ ❑ Is the basin free of excessive grease? 0 ❑ ❑ ❑ Are all pumps present? 0 ❑ ❑ ❑ Are all pumps operable? 0 ❑ ❑ ❑ Are float controls operable? 0 ❑ ❑ ❑ Are audible and visual alarms operable? N ❑ ❑ ❑ # Is basin size/volume adequate? ■ ❑ ❑ ❑ 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? M ❑ ❑ ❑ Are surface aerators and mixers operational? ❑ ❑ M ❑ Are the diffusers operational? M ❑ ❑ ❑ Is the foam the proper color for the treatment process? M ❑ ❑ ❑ Does the foam cover less than 25% of the basin's surface? M ❑ ❑ ❑ Is the DO level acceptable? M ❑ ❑ ❑ Is the DO level acceptable?(1.0 to 3.0 mg/1) M ❑ ❑ ❑ Comment: None Secondary Clarifier Yes No NA NE Is the clarifier free of black and odorous wastewater? N ❑ ❑ ❑ Is the site free of excessive buildup of solids in center well of circular clarifier? ❑ ❑ 0 ❑ Are weirs level? N ❑ ❑ ❑ Is the site free of weir blockage? 0 ❑ ❑ ❑ Is the site free of evidence of short-circuiting? 0 ❑ ❑ ❑ Is scum removal adequate? 0 ❑ ❑ ❑ Is the site free of excessive floating sludge? 0 ❑ ❑ ❑ Is the drive unit operational? ❑ ❑ 0 ❑ Is the return rate acceptable (low turbulence)? 0 ❑ ❑ ❑ Is the overflow clear of excessive solids/pin floc? ® ❑ ❑ ❑ Page# 5 Permit: NC0083933 Owner -Facility: Salem Quarters WWTP Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation Secondary Clarifier Yes No NA NE Is the sludge blanket level acceptable? (Approximately % of the sidewall depth) ❑ ❑ ❑ Comment: Excessive solids in weir trough. Unknown where they're coming from. Intend to place effluent_ polishing filters in operation in order to contain solids. Pumps-RASMAS Yes No NA NE Are pumps in place? M ❑ ❑ ❑ Are pumps operational? 0 ❑ ❑ ❑ Are there adequate spare parts and supplies on site? M ❑ ❑ ❑ Comment: None Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? N ❑ ❑ ❑ Is flow meter calibrated annually? M ❑ ❑ ❑ Is the flow meter operational? 0 ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? 0 ❑ . ❑ ❑ Comment: None Disinfection - UV Yes No NA NE Are extra UV bulbs available on site? M ❑ ❑ ❑ Are UV bulbs clean? ❑ ❑ ❑ Is UV intensity adequate? 0 ❑ ❑ ❑ Is transmittance at or above designed level? M ❑ ❑ ❑ Is there a backup system on site? 0 ❑ ❑ ❑ Is effluent clear and free of solids? ❑ ❑ ❑ Comment: None Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? N ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? M ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑ Comment: None Aerobic Digester Yes No NA NE Is the capacity adequate? M ❑ ❑ ❑ Page# 6 Permit: NCO083933 Owner - Facility: Salem Quarters WWTP Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation Aerobic Digester Yes No NA NE Is the mixing adequate? Is the site free of excessive foaming in'the tank? # Is the odor acceptable? # Is tankage available for properly waste sludge? Comment: None 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 ❑ ❑ ❑ ■ ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ Yes No NA NE ❑ ❑ ❑ ❑ ❑ ❑ Page# 7 a NCDENR North Carolina Department of, Elvironment arid Natural Resources Division of Water Resources Water Quality Regional Operations Pat McCrory Donald R. van der Vaart Governor Secretary "January 20, 2015 Aqua North Carolina, Inc, Attn: Thomas J. Roberts, President 202 Mackenan Court - Cary, NC 275*11 SUBJECT: Compliance Evaluation Inspection Mikkola Downs Wastewater Treatment Plant NPDES Permit: NCO067091 Forsyth County Dear Mr. Roberts: - Ron Boone of the Winston Salem Regional Office (WSRO) of the North. Carolina Division of Water Resources (DWR or the Division) conducted a compliance evaluation inspection of the Mikkola Downs Wastewater Treatment Plant on January 13, 2015. The assistance and �cooperation of Sam Pegram; -Operator in Responsible Charge (ORC), and Neil McDuffie, temporary operator, was greatly appreciated. An inspection report is attached for your records and the inspection findings are summarized below. The Mikkola Downs Wastewater Treatment Plant is .located near 2777 Stable Hill Trail in Kemersville, Forsyth County, North Carolina, at approximate coordinates 36.182120° West, 80.053833' North. Aqua NC is authorized to operate this 0.072 million -gallon -per -day (MGD) Wastewater treatment plant, which consists of a flow splitter box, bar screen, dual aeration tanks, dual blowers, dual clarifiers, sludge holding tank, Sanuril tablet chlorinator, chlorine contact tank, dechlorination, post aeration tank, and an effluent flow recorder, and discharge treated effluent from outfall 001 of said treatment works, which is located approximately 150 feet northwest of the treatment works at approximate coordinates 36.182526° West, 80.054143' North, to East Belews Creek, which is currently classified as Class C waters and is located in the Roanoke River Basin. SITE REVIEW Mr. Boone reviewed the entire plant with Mr. Pegram. No discrepancies or violations were noted. The plant appears to be operated and maintained very well. DOCUMENTATION REVIEW Mr. Pegram had all required documentation for the inspection and everything was complete and current. No discrepancies or violations were noted. North Carolina Division of Water Resources, Winston-Salem Regional Office Location: 450 West Hanes Mill Road, Suite #300, Winston-Salem, North Carolina 27105 Phone: 336-776-98001 FAX: 336-776-97971 Customer Service;1-877-623-6748 Internet: www.newaterquality.org An Equal Opportunity 1 AfFirmaGve Action Employer Please keep up the excellent work in ensuring the Mikkola Downs Wastewater Treatment Plant is properly ' operated and maintained and meeting all the terms and conditions of the permit. Please remember that violations of the permit are subject to enforcement actions not to exceed$25;000 per day, per violation. If you have any questions regarding the inspection or this letter, please do not hesitate to contact Mr. Boone or me at 336-776-9800. Thank you for.your cooperation in this matter. .Sincerely, W. Corey Basinger Regional Supervisor. Water Quality Regional Operations Division of Water Resources Attachments: CC: 1. BIMS Inspection Report Central Files NPDES Unit Aqua North Carolina, Inc. Attn: Sam Pegram'; Operator in Responsible Charge 152-B Furlong Industrial Drive Kernersville, NC 27284 United States Environmental Protection Agency Form Approved. EPA Washington, D.C.20460 OMB No. 2040-0057. Water Compliance Inspection Report.:..- '.... Approval expires 6-31-98 Section A: National: Data System Codirig (i.e., PCS) Transaction Code NPDES yr/mo/day _: -, Inspection Type ,: Inspector Fac.Type- 1 2 3 I NCO067091 I11 12 15/01/13 17 18 ICI 19 L G j 20 L I 211 ,I�. � �6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ----Reserved----- 67 70 lj 71 I 72 L NJ 73. I 174 75 1 1 1 1 1 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) 10:0OAM 15/01/13 12/05/01 Mikkola Downs Subdivision WWTP NCSR 2016 Exit Time/Date Permit Expiration Date Kernersville NC 27284 11:OOAM 15/01/13 _ 17/02/28 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Samuel E. Pegram/ORCf704-489-9404/ Name, Address of Responsible Official(Title/Phone and Fax Number Contacted Thomas J Roberts,202 Mackenan Ct Cary NC 27511//919-467-8712/9194661583 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//336-771-4967/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date • yam',, %� s ,® ,/ EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# wposo . yr/mo/day Inspection Type 1 � 12 17. 18 k` Section D:8ummary of checklists Please refer hothe attached inspection summary letter. ` Permit: NCO067091 Owner - Facility: Mikkola Downs Subdivision VWVfP, Inspection Date: 01/13/2015 'Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? 0 ❑ ❑ ❑ Is all required information readily available,.complete,and-current?0 ❑ ❑ ❑ Are all records maintained for 3 years.(lab. reg. required 5 years)? M ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? 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 24/7 with a certified operator ❑ 0 ❑ ❑ 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? 0 ❑ ❑ ❑ 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? M ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ 0 ❑ Comment: None - Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ 0 ❑ application? Is the facility as described in the permit? M ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ M ❑ ❑ Is access to the plant site restricted to the general public? 0 ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? M ❑ ❑ ❑ Comment: None Laboratory Yes No NA NE Are field parameters performed by certified personnel or laboratory? . ❑ ❑ ❑ Are all other parameters(excluding field parameters) performed by a certified lab? ❑ ❑ ❑ Page# 3 Permit:' NCO067091 Owner -Facility: Mikkola Downs Subdivision WWTP Inspection Date: 01/13/2015 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 N ❑ ❑ ❑ Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ ❑ Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? ❑ ❑ ❑ Comment: None Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and ❑ ❑ ❑ sampling location)? Comment: None Pump Station - Influent Yes No NA NE Is the pump wet well free of bypass lines or structures? M ❑ ❑ ❑ Is the wet well free of excessive grease? 0 ❑ ❑ ❑ Are all pumps present? N ❑ ❑ ❑ Are all pumps operable? E ❑ ❑ ❑ Are float controls operable? ❑ ❑ ❑ Is SCADA telemetry available and operational? N ❑ ❑. ❑ Is audible and visual alarm available and operational? E ❑ ❑ ❑ Comment: None Bar Screens Yes No NA NE 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? 0 ❑ ❑ ❑ Is the unit in good condition? N ❑ ❑ ❑ Comment: None Aeration Basins Yes No NA NE Mode of operation Ext. Air Page# 4 Permit: NCO067091 Owner -Facility: Mikkola Downs Subdivision WWTP Inspection Date: 01/13/2015 Inspection Type: Compliance Evaluation Aeration Basins Yes No •NA NE: Type of aeration system Diffused Is the basin free of dead spots? 0 ❑ ❑ ❑, 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? N ❑ ❑ ❑ Is the DO level acceptable? 0 ❑ ❑ ❑ Is the DO level acceptable?(1.0 to 3.0 mg/1) N ❑ ❑ ❑ Comment: None 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? N ❑ ❑ ❑ Are weirs level? 0 ❑ ❑ ❑ . Is the site free of weir blockage? N ❑ ❑ ❑ Is the site free of evidence of short-circuiting? 0 ❑ ❑ ❑ Is scum removal adequate? ❑ ❑ ❑ Is the site free of excessive floating sludge? 0 ❑ ❑ ❑ Is the drive unit operational? N ❑ ❑ ❑ Is the return rate acceptable (low turbulence)? N ❑ ❑ ❑ Is the overflow clear of excessive solids/pin floc? N ❑ ❑ ❑ Is the sludge blanket level acceptable? (Approximately %4 of the sidewall depth) ❑ ❑ ❑ Comment: None Pumps-RAS-WAS Yes No NA NE Are pumps in place? M ❑ ❑ ❑ Are pumps operational? M ❑ ❑ ❑ Are there adequate spare parts and supplies on site? 0 ❑ ❑ ❑ Comment: None Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? ❑ ❑ ❑ Are the tablets the proper size and type? 0 ❑ ❑ ❑ Page# 5 Permit: NC0067091 Owner - Facility: Mikkola Downs Subdivision WWTP 1 Inspection Date: 01/13/2015 Inspection Type: Compliance Evaluation Disinfection -Tablet 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? Comment: None De -chlorination Type of system ? Is the feed ratio proportional to chlorine amount (1 to 1)? Is storage appropriate for cylinders? # Is de -chlorination substance stored away from chlorine containers? Are the tablets the proper size and type? Comment: None Are tablet de -chlorinators operational? Number of tubes in use? Comment: None Flow Measurement - Effluent # 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 Effluent Pipe Is right of way to the outfall properly maintained? Are the receiving water free of foam other than trace amounts and other debris? If effluent (diffuser pipes are required) are they operating properly? Comment: None Aerobic Digester Is the capacity adequate? Is the mixing adequate? Yes No NA NE 3 ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ Yes No NA NE Tablet ■ ❑ ❑ ❑ ❑ ❑ ■ ❑ E ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ 4 Yes No NA NE ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ ■ ❑ ❑ ❑ Yes No NA NE ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ® ❑ Yes No NA NE M ❑ ❑ ❑ ■ ❑ ❑ ❑ Page# 6 F Permit: NCO067091 Owner - Facility: Mikkola Downs Subdivision wWTP Inspection Date: 01/13/2015 Inspection Type: Compliance Evaluation Aerobic Digester Yes No NA NE Is the site free of excessive foaming in the tank? 0 ❑ ❑ ❑ # Is the odor acceptable? 0 ❑ ❑ ❑ # Is tankage available'for properly waste sludge? 0 ❑ ❑ ❑ Comment:. None Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? M ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑ Solids, pH, DO, Sludge Judge, and other that are'applicable? Comment: None Page# 7 Water Pollution Control System Operator Designation Form WPCSOCC NCAC 15A 8G .0201 Permittee Owner/Officer Name: AQuA NC 7"oM RodoRT S Mailing Address: 20a MACKE14a/ cou,QT City: eA J1 State: AJC Zip: 2?-T ll Phone #: (711 ) yG 7 - S 7 / a Email address: d-t,>?ectr'at1le / (e Q94e94MerrC9 . CoM Signature: '0' /(-1 Cc�_' Date: 12 i/ y ................................................................................................................................ I ................ Facility Name: Al 1 KKo[A Do"wV5 Permit #: NC OD( %D g/ SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM! Facility Type/Grade: Biological WWTP Surface Irrigation Physical/Chemical Land Application Collection System Operator in Responsible Charge (ORC) Print Full Name: T Certificate Type / Grade /Number: Signature: lte_� w,w, ETC 7 `t Sy Work Phone #: Date: C33(p) .3 ga. - 3 189 >�'_ _ 3, �—y — '�'- / Lf "I certify that I agree to my designation as the Operator in Responsible Charge for die facility noted. I understand and will abide by the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in Disciplinary Actions by the Water Pollution Control System Operators Certificafion Commission." ................................................................................................................................................. Back -Up Operator in Responsible Charge (BU ORC) Print Full Name: S4n1 use .10E6,t24M Certificate Type / Grade / Number: u/, t o . =7 11008 Work Phone #: (336) /S- ` 133 Signature:r'�l'/ Date: 3 ^ d "20l q) "T certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result In Disciplinary Actions by the Water Pollution Control System Operators Certification Conunission." .................................................................................................................................................., Mall, fmv or einall the SYPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618 Fax: 919.807.6492 original to: Email: certadmin0ncdenr,gov Nlail or fax a copy to the Asheville appropriate Regional Office: 2090 US Hwy 70 Swannanoa 28778 Fax: 828.299.7043 Phone: 828,296,4500 Washington 943 Washington Sq Mall Washington 27889 Fax: 252.946.9215 Phone: 252.946.6481 Fayetteville 225 Green St Suite 714 Fayetteville 28301-5043 Fax: 910.486.0707 Phone: 910.433.3300 Wilmington 127 Cardinal Dr Wilmington 28405-2845 Fax: 910.350.2018 Phone: 910.796.7215 Mooresville 610 E Center Ave Suite 301 Mooresville 28115 Fax: 704.663,6040 Phone: 704.663.1699 Winston-Salem 585 Waughto%vn St Winston-Salem 27107 Fax: 336.771.4631 Phone: 336.771.5000 Raleigh 3800 Barrett Dr Raleigh 27609 Fax: 919.571.4718 Phone:919.791.4200 Revised 02-2013 Facility Name: /1?//tdoeA DotjAJS Permit#: N000(07dql Back -Up Operator in Responsible Charge (13U ORC) Print Full Name: I RRE'G1- 4 Certificate Ty e / de / Number: W. Gv i �d 2 r% Work Phone M (3-3(o) 3 (n Signature: Date: z IT certify that I agr a to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." Back -Up Operator in Responsible Charge (BU ORC) Print Full Name: ?E716 D c44 I u G- Certificate Type / Grade / Number: G —W,, a 9g7gY? Work Phone #: (336-) 3 6.2 — e2oo$ Signature• Date: 6 3, Z . / P/ "I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in Disciplinary Actions by the [rater Pollution Control System Operators Certification Commission." Back -Up Operator in Responsible Charge.(BU ORC) Print Full Name: M I CHAEL 6Ti21 C1`t✓LAN_Z7 Certificate Type /Grade f Number: C U OJ. :K _ 4 QG o Q 2Z Work Phone M f .3 3 (8 Signature: -- A X �z Date: `4 certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." Back -Up Operator in Responsible Charge (BU ORC) Print Full Name Certificate Type / Grade / Number: Signature: Work Phone #: Date: "I certify that I agree to my designation as a Back-up Operator in Mponsibie Charge for the facility noted. I understand and %vial abide by the rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." Revised 02-2013 n t N.C.Dept. of ENR FEB 2 7 20�2 NPDES APPLICATION - FORM D Winston-Salem For privately owned treatment systems treating 100% domestic wastewaters .0 M�� <ional Office Mail the complete application to: N, C. DENR / Division of Water Quality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 NPDES Permit 000067091 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 Facility Name Mailing Address City State / Zip Code Telephone Number Fax Number e-mail Address AQUA NORTH CAROLINA, INC. MIKKOLA DOWNS SUBDIVISION WWTP 202 MACKENAN COURT CARY NC 27511 (919) 653-5770 (919)460-1788 tjrobertsoaaquaamerica. com 2. Location of facility producing discharge: Check here if same address as above ❑ Street Address or State Road NCSR 2016 City KERNERSVILLE State / Zip Code NORTH CAROLINA / 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 AQUA NORTH CAROLINA, INC. Mailing Address 202 MACKENAN COURT City State / Zip Code Telephone Number Fax Number CARY ' D) may, (V v L I NORTH CAROLINA 27511101 '��-� 6 (919) 653-5770 { NO\J (919) 460-1788 a¢uAurr 1 of 4 Form-D 05108 0 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 Commercial ❑ Number of Employees _ Residential ® Number of Homes 43 School ❑ Number of Students/Staff _ Other ❑ Explain: Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): This wastewater system serves residential customers only Population served: 109 5. Type of collection system ® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer) 6. O utfall Information: Number of separate discharge points 1 Outfall Identification number(s) 001 Is the outfall equipped with a diffuser? ❑ Yes M No 7. Name of receiving stream(s) (Provide a 7nap showing the exact location of each outfall): East Belews Creels, classified C waters in the Roanoke River Basin. 8. Frequency of Discharge: ® Continuous ❑ Intermittent If intermittent: Days per week discharge occurs: 7 Duration: 24 hours 9. Describe the treatment system List all installed components, including capacities, 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. This 0.072 mgd activated sludge package- type wastewater treatment facility consisting of: • Flow splitter box Bar screen • Dual aeration tanks • Dual blowers • Dual clarifiers • Sludge holding tank • Sanuril chlorinator 2of4 Form-D 05108 0 NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD • Chlorine contact tank • De -chlorination unit v Post aeration tank • Effluent flow recorder 10. Flow Information: Treatment Plant Design flow 0.072 MGD Annual Average daily flow 0.004 MGD (for the previous year) Maximum daily flow 0.021 MGD (for the previous year) 11. Is this facility located on Indian country? ❑ Yes ® No 12. Effluent Data Provide data for the parameters listed. Fecal Coliform, Temperature a.nd pH shall be grab samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum and monthly average. If only one analysis is reported, report as daily maximum. Parameter Daily Maximum Monthly Average Units of Measurement Biochemical Oxygen Demand (BOD5) 6.3 2.2 MG/L Fecal Coliform 91.0 12.7 #/ 100ML Total Suspended Solids 21.5 7.9 MG/L Temperature (Summer) 26.0 19.9 'Celsius Temperature (Winter) 15.5 9.0 ° Celsius pH 8.1 N/A UNITS 13. List all permits, construction approvals and/or applications: Type Permit Number Type Hazardous Waste (RCRA) NESHAPS (CAA) UIC (SDWA) Ocean Dumping (MPRSA) NPDES NCO067091 Dredge or fill (Section 404 or CWA) PSD (CAA) Other Non -attainment program (CAA) Permit Number 3of4 Form-D 05108 NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD 14. APPLICANT CERTIFICATION I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief such information is true, complete, and accurate. North Carolina General Statute 143-21b.6 (b)(') states: Any person wno Knowingiy maKes any raise statemenr representauon, or cenmcation in any application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable 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.) 4 of 4 Form-D 05108 A�UA North Carolina. SLUDGE MANAGEMENT PLAN For Aqua North Carolina, Inc. No sludge will be treated on any wastewater treatment plant site operated by Aqua N.C., Western Division Where practical, sludge removed from a Aqua N.C., Western Division facility will be transported via a contract hauler to another Aqua N.C., Western Division facility for the purpose of "seeding" a new or under loaded plant. Unusable (or "dead") sludge will be removed by a contract hauler and properly disposed of in accordance with NCGS 143-215.1. Contract haulers used by Aqua N.C., Western Division will be required to report the quantity of sludge transported and identify the location of the proposed disposal site if the sludge is not taken to an existing plant operated by Aqua N.C., Western Division. Aqua N.C., Western Division has not entered into any agreement to accept sludge into its facilities from plants not owned by them. Aqua N.C., Western Division will keep records on the quantity of'sludge removed from each facility, the name of the contract hauler, and the destination of the sludge (whether used in another plant or disposed of). The information will be kept on file and will be made available to any regulatory agency having jurisdiction over sludge treatment or disposal. Aqua N.C., Western Division includes all of the facilities under the jurisdiction of the Winston-Salem Regional Office.