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Home My WebLink AboutNC0084409_Regional Office Historical File Pre 2016North Carolina Department of Environmental Quality Pat McCrory Donald R. van der Vaart Governor Secretary November 16, 2015 Aqua North Carolina Inc. Attn: Thomas J. Roberts, President and CEO 202 Mackenan Drive Cary, NC 27511 Subject: Compliance Evaluation Inspection Permittee: Aqua NC Inc. Facilities:ees;— ,NO orest RidgeeWastewater Treatment Plant, NCO063720 Frye Bridge Wastewater Treatment Plant, NCO065587 Forsyth County Dear Mr. Roberts: Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the Division) conducted compliance evaluation inspections (CEI) of the subject facilities on November 12, 2015. The assistance and cooperation of Samuel Pegram, Operator in Responsible Charge, was greatly appreciated. Inspection checklists are attached for your records and inspection findings are summarized below. Wellesley Place Wastewater Treatment Plant, NCO084409 General Information The Wellesley Place Wastewater Treatment Plant is located in the Wellesley Place subdivision in Lewisville, Forsyth County, , NC at approximate coordinates 36.1181370N, 80.4175420W. The permit authorizes Aqua to operate this 0.06 MGD WWTP, which consists of a bar screen, equalization basin, dual pumps and blowers, flow splitter box, dual aeration basins with fine bubble diffusers and blowers, dual basin clarifier, .UV disinfection, backup dual tablet chlorinators and dechlorinators and a chlorine contact chamber, aerobic sludge digester, and an effluent flow meter with a weir. The permit authorizes Aqua to discharge the treated effluent from the WWTP via outfall 001-to Mill Creek, which is currently classified as WS-IV waters and is located in the Yadkin Pee -Dee river basin. Site Review Plant operation and maintenance was reviewed with Mr. Pegram. He is doing an excellent job as the plant was found to be well operated and maintained. No issues were noted. Documentation Review All documentation was reviewed and no discrepancies were found. Mr. Pegram has done an excellent job documenting the operation and maintenance of the plant as required by the permit. This includes operations and visitation logs, discharge monitoring reports, laboratory and field laboratory records, chains of custody, etc. 450 West Hanes Mill Road, Suite #300, Winston-Salem, North Carolina 27105 Phone: 336-776-98001 Internet: www.ncdenr.gov An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper Forest Ridge Wastewater Treatment Plant, NC0063720 General Information The Forest Ridge Wastewater Treatment Plant is located near 6931 August Drive in Clemmons, Forsyth County, North Carolina, at approximate coordinates 36.0606690 West, 80.397985° North. Aqua NC is authorized to operate this 0.033 million -gallon -per -day (MGD) wastewater treatment plant, which consists of aeration, secondary clarification, tablet chlorination, tablet dechlorination, post aeration, and sludge holding, and discharge treated effluent from outfall 001 of said treatment works, which is located approximately 270 feet east of the treatment works at approximate coordinates 36.0608040 West, 80.3970240 North, to Blanket Creek, which is currently classified as Class WS-IV (water supply) Waters and is located in the Yadkin Pee - Dee River Basih. 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. Mr. Boone found no discrepancies or violations. Mr. Pegram has done an excellent job of documenting his operation and maintenance of the plant. Frye Bridge Wastewater Treatment Plant, NC0065587 General Information The Frye Bridge Wastewater Treatment Plant is located in -Clemmons, Forsyth County, NC at approximate coordinates 35.988913°N, 80.3534080W. The permit authorizes Aqua to operate this 0.027 MGD WWTP, which consists of a bar screen, aeration basin, clarifier, aerated sludge holding tank, tablet chlorinator, chlorine contact chamber, tablet dechlorinator, and post aeration. The permit authorizes Aqua to discharge the treated effluent from the WWTP via outfall 001 to'an unnamed tributary to Muddy Creek. Muddy Creek is currently classified as Class C waters and is located in the Yadkin Pee -Dee river basin. Site Review Mr. Pegram has done an excellent job operating and maintaining the plant. The plant was clean and well maintained. There is still significant corrosion in the plant that should be addressed as soon as possible. This issue has been mentioned in the two inspection letters previous- to this one (about two years). The plant is operated quite well and sludge/solids are being effectively managed. Odors at the plant were minimal. Documentation Review All documentation was reviewed and no discrepancies were found. Mr. Pegram has done an excellent job documenting the operation and maintenance of the plant as required by the permit. This includes operations and visitation logs, discharge monitoring reports, laboratory and field laboratory records, chains of custody, etc. The Division greatly appreciates the efforts of Aqua and Mr. Pegram in running these plants effectively and efficiently. Please consider an in-depth evaluation of the Frye Bridge WWTP to determine what can be done to address the corrosion problem at that plant. Please remember that violations of these NPDES permits, as well as the NC rules and regulations that implement them, are subject to civil penalties not to exceed $25,000 per violation, per day. If you have any questions regarding these inspections or this letter, please call Mr. Boone or me at (336) 776-9800. Thank you for your cooperation in this matter. +' Sincerely, Sherri V. Knight Asst. Regional Supervisor Water Quality Regional Operations Division of Water Resources Attachments: 1. BIMS Inspection Report CC: Central Files NPDES Unit Aqua North Carolina Inc. Attn:-Dave McDaniel, Supervisor 152B Furlong Industrial Drive Kernersville, NC 27284 Aqua North Carolina Inc. Attn: Sam Pegram, Operator 152B 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 expires8-31-98 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 NC0065587 I11 - 12 15/11/12 17 18 ICI 191 S 1 20I 211L1 1 1 1t 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 11 1 1 1 1 1 f6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---- ---- Reserved-------- — 67 70 I I 71 I I 72 r, IJ LJ 731 I 174 751 I I I I I I I80 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) 01:OOPM 15/11/12 14/06/01 Frye Bridge WWTP Exit Time/Date Permit Expiration Date NCSR 2998 Clemmons NC 27012 02:OOPM 15/11/12 19/05/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Samuel E. Pegram/ORC/704-489-9404/ Name, Address of Responsible Official/Title/Phone and Fax Number y. Contacted Tim Waddell,202 Mackenan Cir Cary NC 27511//919-467-8712/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit E Flow Measurement Operations & Maintenanc6 Records/Reports Self -Monitoring Program 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 J EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type 31 NC0065587 I11 12 15/11/12 17 18 I 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# Permit: NCO065587 Owner - Facility: Frye Bridge WVVrP Inspection Date: 11/12/2015 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? ❑ ❑ ❑ 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? 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? 0 ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ 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? ❑ ❑ 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? M ❑ ❑ ❑ Page# 3 Permit: NCO065587 Owner -Facility: Frye Bridge WWTP Inspection Date: 11/12/2015 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? ❑ ❑ ❑ 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? ❑ ❑ ❑ Is disposal of screening in compliance? 0 ❑ ❑ ❑ Is the unit in good condition? 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? 0 ❑ ❑ ❑ Are surface aerators and mixers operational? ❑ ❑ N ❑ Are the diffusers operational? ❑ ❑ ❑ Is the foam the proper color for the treatment process? E ❑ ❑ ❑ Does the foam cover less than 25% of the basin's surface? 0 ❑ ❑ ❑ 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 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? ❑ ❑ N ❑ Are weirs level? N ❑ ❑ ❑ Page# 4 Permit: NC0065587 Owner -Facility: Frye Bridge WWTP Inspection Date: 11/12/2015 Inspection Type: Compliance Evaluation Secondary Clarifier Yes No NA NE 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)? M ❑ ❑ ❑ Is the overflow clear of excessive solids/pin floc? 0 ❑ ❑ ❑ Is the sludge blanket level acceptable? (Approximately %< of the sidewall depth) ❑ ❑ ❑ Comment: None Pumps-RAS-WAS 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 Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? ❑ ❑ ❑ Are the tablets the proper size and type? M ❑ ❑ ❑ Number of tubes in use? 3 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 Yes No NA NE Type of system ? Tablet 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? 0 ❑ ❑ ❑ Comment: None Are tablet de -chlorinators operational? M ❑ ❑ ❑ Page# 5 Permit: NCO065587 Owner -Facility: Frye Bridge WWTP Inspection Date: 11/12/2015 Inspection Type: Compliance Evaluation De -chlorination Yes No NA NE Number of tubes in use? 3 Comment: None Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? M ❑ ❑ ❑ Is flow meter calibrated annually? 0 ❑ ❑ ❑ Is the flow meter operational? 0 ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? M ❑ ❑ ❑ Comment: None Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ M ❑ Comment: None Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable M ❑ ❑ ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: None Page# 6 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 Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 IN 1 2 15 I 3 I NCO063720 I11 12 15/11/12 17 18 I C E 19 I G j 201 211111 1 1 I I I I II I1 I I I I I I I I I I 1 1 I I I I I I I I I II I I I l i f6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------Reserved---------- 67 72 LNJ 70L71 il 73I 74 75 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) 11:30AM 15/11/12 14/02/01 Forest Ridge WWTP Forest Ridge Subdivision Exit Time/Date Permit Expiration Date Clemmons NC 27012 12:30PM 15/11/12 18/12/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Samuel E. Pegram/ORC/704-489-9404/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Thomas J Roberts,202 Mackenan Ct Cary NC NO 2751 1/President/919-653-6967/9194661583 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/ 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 NCO063720 I11 12 15/11/12 17 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: NCO063720 Owner -Facility: Forest Ridge WWTP Inspection Date: 11/12/2015 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 ❑ ❑ ❑ 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? ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ 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? 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? 0 ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑ Page# 3 Permit: NCO063720 Owner - Facility: Forest Ridge VWI TP Inspection Date: 11/12/2015 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 ❑ ❑ ❑ 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? M ❑ ❑ ❑ Is the tubing clean? 0 ❑ ❑ ❑ # 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 0 [T ❑ ❑ representative)? 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? 0 ❑ ❑ ❑ Is the wet well free of excessive grease? ❑ ❑ ❑ Are all pumps present? ❑ ❑ ❑ Are all pumps operable? ❑ ❑ ❑ Are float controls operable? 0 ❑ ❑ ❑ Is SCADA telemetry available and operational? ❑ 0 ❑ ❑ Is audible and visual alarm available and operational? ❑ ❑ ❑ Comment: None Bar Screens Yes No NA NE Page# 4 Permit: NCO063720 Inspection Date: 11/12/2015 Owner - Facility: Forest Ridge 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? 0 ❑ ❑ ❑ Is the screen free of excessive debris? N ❑ ❑ ❑ Is disposal of screening in compliance? N ❑ ❑ ❑ Is the unit in good condition? N ❑ ❑ ❑ Comment: None Equalization Basins Yes No NA NE Is the basin aerated? N ❑ ❑ ❑ Is the basin free of bypass lines or structures to the natural environment? ❑ ❑ ❑ Is the basin free of excessive grease? N ❑ ❑ ❑ . Are all pumps present? N ❑ ❑ ❑ Are all pumps operable? 0 ❑ ❑ ❑ Are float controls operable? E ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ 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? N ❑ ❑ ❑ 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: NC0063720 Owner - Facility: Forest Ridge WWTP Inspection Date: 11/12/2015 Inspection Type: Compliance Evaluation Secondary Clarifier Yes No NA NE Is the clarifier free of black and odorous wastewater? ❑ ❑ ❑ 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? M ❑ ❑ ❑ Is the site free of evidence of short-circuiting? ❑ ❑ ❑ Is scum removal adequate? ❑ ❑ ❑ Is the site free of excessive floating sludge? 0 ❑ ❑ ❑ Is the drive unit operational? ❑ ❑ M ❑ Is the return rate acceptable (low turbulence)? M ❑ ❑ ❑ Is the overflow clear of excessive solids/pin floc? 0 ❑ ❑ ❑ Is the sludge blanket level acceptable? (Approximately''Y4 of the sidewall depth) ❑ ❑ ❑ Comment: None Pumps-RAS-WAS Yes No NA NE Are pumps in place? ❑ r-1 ❑ Are pumps operational? M ❑ ❑ ❑ Are there adequate spare parts and supplies on site? M ❑ ❑ ❑ Comment: None Disinfection -Tablet Yes No NA NE Are tablet chlorinators operational? ❑ ❑ ❑ Are the tablets the proper size and type? M ❑ ❑ ❑ Number of tubes in use? 4 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 De -chlorination Yes No NA NE Type of system ? Tablet Is the feed ratio proportional to chlorine amount (1 to 1)? M ❑ ❑ ❑ Is storage appropriate for cylinders? M ❑ ❑ ❑ # Is de -chlorination substance stored away from chlorine containers? M ❑ ❑ ❑ Page# 6 Permit: NCO063720 Owner -Facility: Forest Ridge WWrP Inspection Date: 11/12/2015 Inspection Type: Compliance Evaluation De -chlorination Yes No NA NE Are the tablets the proper size and type? M ❑ ❑ ❑ Comment: None Are tablet de -chlorinators operational? 0❑ ❑ ❑ Number of tubes in use? 4 Comment: None Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? ❑ ❑ ❑ Is flow meter calibrated annually? 0 ❑ ❑ ❑ Is the flow meter operational? ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? 0 ❑ ❑ ❑ Comment: None Effluent Pipe Yes No NA NE 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? ❑ ❑ M ❑ Comment: None Aerobic Digester Yes No NA NE Is the capacity adequate? ❑ ❑ ❑ Is the mixing adequate? M❑ ❑ ❑ Is the site free of excessive foaming in the tank? 0 ❑ ❑ ❑ i # Is the odor acceptable? ❑ ❑ ❑ # Is tankage available for properly waste sludge? ❑ ❑ ❑ Comment: None Operations & Maintenance Yes No NA NE 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 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 IA1 I 2 I5 3 I NC0084409 I11 12 15/11/12 17 18 I � j 19 I c j 2O I f6 21111111 1111111111111111111 111111 111111�1111 I, Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA----------Reserved-------- 67 70 L___I 71 I I 72 I �,J 73 I I 174 751 I I I I I I I80 Ll I I Section B: Facilliity_DJata 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 15/11/12 14/02/01 Wellesley Place WWTP Franklin Rd ncsr 1310 Exit Time/Date Permit Expiration Date Lewisville NC 27023 11:OOAM 15/11/12 18/12/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Samuel E. Pegram/ORC/704-489-9404/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted David Abernathy, //919-467-7854/ 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 WQD336-776-96901 i 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 1 31 NC0084409 I11 12 15/11/12 17 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: NCO084409 Owner - Facility: Wellesley Place WWTP Inspection Date: 11/12/2015 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 ❑ ❑ E ❑ application? Is the facility as described in the permit? 0 ❑ ' ❑ ❑ # Are there any special conditions for the permit? ❑ 0 ❑ ❑ 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? M ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? M ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? ❑ ❑ ❑ 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? ❑ ❑ ❑ 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 ❑ ❑ ❑ on each shift? Is the ORC visitation log available and current? 0 ❑ ❑ ❑ Is the ORC certified at grade equal to or higher than the facility classification? M ❑ ❑ El - 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? M ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Page# 3 Permit: NCO084409 Owner -Facility: Wellesley Place WWTP Inspection Date: 11/12/2015 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 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? 0 ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees N ❑ ❑ ❑ Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type 0 ❑ ❑ ❑ representative)? Comment: None Equalization Basins Yes No NA NE Is the basin aerated? ■ ❑ ❑ ❑ 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? M ❑ ❑ ❑ Are all pumps operable? N ❑ ❑ ❑ Are float controls operable? 0 ❑ ❑ ❑ Are audible and visual alarms operable? M ❑ ❑ ❑ # Is basin size/volume adequate? M ❑ ❑ ❑ Comment: None Bar Screens Yes No NA NE Type of bar screen a.Manual b.Mechanical ❑ Are the bars adequately screening debris? 0 ❑ ❑ ❑ Page# 4 Permit: NCO084409 Owner - Facility: Wellesley Place WWTP Inspection Date: 11/12/2015 Inspection Type: Compliance Evaluation Bar Screens Yes No NA NE 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 Mode of operation Ext. Air Type of aeration system Diffused Is the basin free of dead spots? 0 ❑ ❑ ❑ Are surface aerators and mixers operational? ❑ ❑ ® ❑ Are the diffusers operational? 0 ❑ ❑ ❑ Is the foam the proper color for the treatment process? E, ❑ ❑ ❑ Does the foam cover less than 25% of the basin's surface? 0 ❑ ❑ ❑ 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 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? 0 ❑ ❑ ❑ Is the site free of weir blockage? ❑ ❑ ❑ Is the site free of evidence of short-circuiting? ❑ ❑ ❑ Is scum removal adequate? E ❑ ❑ ❑ Is the site free of excessive floating sludge? ❑ ❑ ❑ Is the drive unit operational? ❑ ❑ N ❑ 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 Pumps-RAS-WAS Yes No NA NE Are pumps in place? 0 ❑ ❑ ❑ Page# 5 Permit: NC0084406 Owner -Facility: Wellesley Place WWTP Inspection Date: 11/12/2015 Inspection Type: Compliance Evaluation Pumas-RAS-WAS Yes No NA NE Are pumps operational? 0 ❑ ❑ ❑ Are there adequate spare parts and supplies on site? 0 ❑ ❑ ❑ Comment: None Disinfection - UV Yes No NA NE Are extra UV bulbs available on site? 0 ❑ ❑ ❑ Are UV bulbs clean? M ❑ ❑ ❑ Is UV intensity adequate? M ❑ ❑ ❑ Is transmittance at or above designed level? 0 ❑ ❑ ❑ Is there a backup system on site? M ❑ ❑ ❑ Is effluent clear and free of solids? 0 ❑ ❑ ❑ Comment: None Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? 0 ❑ ❑ ❑ Is flow meter calibrated annually? 0 ❑ ❑ ❑ Is the flow meter operational? 0 ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? M❑ ❑ ❑ Comment: None Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Is the mixing adequate? M ❑ ❑ ❑ Is the site free of excessive foaming in the tank? M ❑ ❑ ❑ # Is the odor acceptable? M ❑ ❑ ❑ # Is tankage available for properly waste sludge? 0 ❑ ❑ ❑ Comment: None Page# 6 Permit: NCO084409 Owner - Facility: Wellesley Place WW TP Inspection Date: 11/12/2015 Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable M ❑ ❑ ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: None Page# 7 NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor July 24, 2015 Aqua North Carolina Inc. Attn: Thomas J. Roberts, President and CEO 202 Mackenan Drive Cary, NC 27511 Subject: Compliance Evaluation Inspection Permittee: Aqua NC Inc. Facility: Wellesley Place Wastewater Treatment Plant NPDES Permit #: NCO084409 Forsyth County Dear Mr. Roberts: 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 Wellesley Place Wastewater Treatment Plant (WWTP) on July 23, 2015. The assistance and cooperation of Samuel Pegram, Operator in Responsible Charge, was greatly appreciated. An inspection checklist is attached for your records and inspection findings) are summarized below. General Information The Wellesley Place Wastewater Treatment Plant is located in the Wellesley Place subdivision in Winston- Salem, Forsyth County, NC at approximate coordinates 36.118137°N, 80.4175420W. The permit authorizes Aqua to operate this 0.06 MGD WWTP, which consists of a bar screen, equalization basin, dual pumps and blowers, flow splitter box, dual aeration basins with fine bubble diffusers and blowers, dual basin clarifier, UV disinfection, backup dual tablet chlorinators and dechlorinators and a chlorine contact chamber, aerobic sludge digester, and an effluent flow meter with a weir. The permit authorizes Aqua to discharge the treated effluent from the WWTP via outfall 001 to Mill Creek, which is currently classified as WS-IV waters and is located in the Yadkin Pee -Dee river basin. Site Review Plant operation and maintenance was reviewed with Mr. Pegram. He is doing an excellent job as the plant was found to be well operated and maintained. No issues were noted. Documentation Review All documentation was reviewed and no discrepancies were found. Mr. Pegram has done an excellent job documenting the operation and maintenance of the plant as required by the permit. This includes operations and visitation logs, discharge monitoring reports, laboratory and field laboratory records, chains of custody, etc. 450 West Hanes Mill Road, Suite #300, Winston-Salem, North Carolina 27105 Phone: 336-776-98001 Internet: www.ncdenr.gov An Equal Opportunity1 Affirmative Action Employer— Made in part by recycled paper The Division greatly appreciates the efforts of Mr. Pegram in running the plant effectively and efficiently. If you have any questions regarding the inspection or this letter, please call 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: 1. BIMS Inspection Report CC: SSR - - P 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 B-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 I 3 I NCO084409 I11 12 15/07/23 17 18 L C I 19 1 G 1 20I I Lj 21I111 1 1 I I I I II Ia I I l I I I I I I I l I l l l l l I I I I II I I I I I f6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --- ----- Reserved------------ 67 70 I I 71 I I 72 N 731 I 174 75I III I I I I80 L_I lJ 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 15/07/23 14/02/01 Wellesley Place WWTP Exit Time/Date Permit Expiration Date Franklin Rd ncsr 1310 11:00AM 15/07/23 18/12/31 Lewisville NC 27023 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data /// Samuel E. Peg ram/ORC/704-489-9404/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted David Abernathy, //919-467-7854/ 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/ 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 NCO084409 I11 12 15/07/23 1 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: NCO084409 Owner -Facility: Wellesley Place WWTP Inspection Date: 07/23/2015 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 ❑ ❑ ❑ 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? M ❑ ❑ ❑ 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? M ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? 0 ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? 0 ❑ ❑ ❑ 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? ❑ ❑ M ❑ (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? 0 ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Are all other parameters(excluding field parameters) performed by a certified lab? El ❑ ❑ Page# 3 Permit: NCO084409 Owner -Facility: Wellesley Place WWTP Inspection Date: 07/23/2015 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE # Is the facility using a contract lab? ❑ ❑ ❑ # 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? ❑ ❑ ❑ 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? N ❑ ❑ ❑ # 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 ❑ ❑ ❑ representative)? Comment: None Bar Screens Yes No NA NE Type of bar screen a.Manual b.Mechanical ❑ Are the bars adequately screening debris? M ❑ ❑ ❑ Is the screen free of excessive debris? M ❑ ❑ ❑ Is disposal of screening in compliance? 0 ❑ ❑ ❑ Is the unit in good condition? M ❑- ❑ ❑ Comment: None Equalization Basins Yes No NA NE Is the basin aerated? ❑ ❑ ❑ 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? N ❑ ❑ ❑ Are all pumps operable? M ❑ ❑ ❑ Page# 4 r Permit: NC0084409 Inspection Date: 07/23/2015 Owner - Facility: Wellesley Place WWTP Inspection Type: Compliance Evaluation Equalization Basins Yes No NA NE Are float controls operable? 0 ❑ ❑ ❑ Are audible and visual alarms operable? 0 ❑ ❑ ❑ # Is basin size/volume adequate? 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 ❑ ❑ ❑ Are surface aerators and mixers operational? ❑ ❑ 0 ❑ Are the diffusers operational? 0 ❑ ❑ ❑ Is the foam the proper color for the treatment process? E ❑ ❑ ❑ Does the foam cover less than 25% of the basin's surface? 0 ❑ ❑ ❑ 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 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? 0 ❑ ❑ ❑ Is the site free of weir blockage? 0 ❑ ❑ ❑ Is the site free of evidence of short-circuiting? ❑ ❑ ❑ 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)? S ❑ ❑ ❑ Is the overflow clear of excessive solids/pin floc? N ❑ ❑ ❑ Is the sludge blanket level acceptable? (Approximately '/< of the sidewall depth) ❑ ❑ ❑ Comment: None Pumas-RASMAS Yes No NA NE Are pumps in place? 0 ❑ ❑ ❑ Page# 5 J Permit: NC0084409 Owner -Facility: Wellesley Place WWTP Inspection Date: 07/23/2015 Inspection Type: Compliance Evaluation Pumps-RASMAS Yes No NA NE Are pumps operational? 0 ❑ ❑ ❑ Are there adequate spare parts and supplies on site? N ❑ ❑ ❑ 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? N ❑ ❑ ❑ (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? ❑ ❑ ❑ Are UV bulbs clean? M ❑ ❑ ❑ Is UV intensity adequate? ❑ ❑ ❑ Is transmittance at or above designed level? ❑ ❑ ❑ Is there a backup system on site? ❑ ❑ ❑ Is effluent clear and free of solids? � ❑ ❑ ❑ Comment: - None 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? ❑ ❑ 0 ❑ Comment: None Aerobic Digester Yes No NA NE Is the capacity adequate? 0 ❑ ❑ ❑ Is the mixing adequate? M ❑ ❑ ❑ Is the site free of excessive foaming in the tank? M ❑ ❑ ❑ # Is the odor acceptable? M ❑ ❑ ❑ # Is tankage available for properly waste sludge? N ❑ ❑ ❑ Comment: None Page# 6 Permit: NCO084409 Owner -Facility: Wellesley Place WWTP Inspection Date: 07/23/2015 Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable 0 ❑ ❑ ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: None Page# 7 NCDENR North Carolina Department 'of Environment and Natural Resources Pat McCrory Governor June 30, 2014 Aqua North Carolina Inc. Attn: Thomas J. Roberts, President and CEO 202 Mackenan Drive Cary, NC 27511 Subject: Compliance Evaluation Inspection Permittee: Aqua NC Inc. Facility: Wellesley Place Wastewater Treatment Plant NPDES Permit t NCO084409 Forsyth County Dear Mr. Roberts: John E. Skvarla, III 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 Wellesley Place Wastewater Treatment Plant (WWTP) on June 24, 2014. The assistance and cooperation of Samuel Pegram, Operator in Responsible Charge, was greatly appreciated. An inspection checklist is attached for your records and inspection findings are summarized below. General Information The Wellesley Place Wastewater Treatment Plant is located in the Wellesley Place subdivision in Winston- Salem, Forsyth County, NC at approximate coordinates 36.1181370N, 80.4175420W. The permit authorizes Aqua to operate this 0.06 MGD WWTP, which consists of a bar screen, equalization basin, dual pumps and blowers, flow splitter box, dual aeration basins with fine bubble diffusers and blowers, dual basin clarifier, UV disinfection, backup dual tablet chlorinators and dechlorinators and a chlorine contact chamber, aerobic sludge digester, and an effluent flow meter with a weir. The permit authorizes Aqua to discharge the treated effluent from the WWTP via outfall 001 to Mill Creek, which is currently classified as WS-IV waters and is located in the Yadkin Pee -Dee river basin. Site Review Plant operation and maintenance was reviewed with Mr. Pegram. He is doing an excellent job as the plant was found to be well operated and maintained. No issues were noted. Documentation Review All documentation was reviewed and no discrepancies were found. Mr. Pegram has done an excellent job documenting the operation and maintenance of the plant as required by the permit. This includes operations and visitation logs, discharge monitoring reports, laboratory and field laboratory records, chains of custody, etc. 585 Waughtown Street, Winston-Salem, North Carolina 27107 Phone: 336-771-50001 Internet: www,ncdenr.gov An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper The Division greatly appreciates the efforts of Mr. Pegram in running the plant effectively and efficiently. If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at (336) 771-5000. Thank you for your cooperation in this matter. Sincerely, Y W. Corey Basinger Regional Supervisor Water Quality Regional Operations Division of Water Resources Attachments: BIMS Inspection Report CC:JUSRO,�SaWP� 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 2 15 I 3 I NCO084409 111 12 14/06/24 17 181,.i 19 i G i 201 I 2111.IIII IIIIIII11II III IIII 1 IIIIII IIIIII.�IIII i66 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ----Reserved--- — i 72 i �,_I i 73 �74 751 I I I I I I I80 67 70 LI J i 71 I ilL Section B: Facility 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 14/06/24 14/02/01 Wellesley Place WWTP Exit Time/Date Permit Expiration Date Franklin Rd ncsr 1310 Lewisville NC 27023 12:30PM 14/06/24 18/12/31 Name(s) of Onsite Representative(s)/Tites(s)/Phone and Fax Number(s) Other Facility Data Samuel E. Pegram/ORC/704-489-9404/ Name, Address of Responsible Official/Title/Phone and Fax Number David Abernathy, //919-467-7854/ Contacted , 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: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See.attachment summary) Name(s) and Signature(s) of Inspg tor(s) Agency/Office/Phone and Fax Numbers Date Ron Boone � WSRO WQ//336-771-4967/ Signature of Management QQAA Reviewer Agency/Office/Phone and Fax Numbers Date a-j G EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type 31 NCO084409 111 12 14/06/24 17 18 I' l Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Page# it Permit: NCO084409 Owner - Facility: Wellesley Place WWTP Inspection Date: 06/24/2014 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 ❑ ❑ E ❑ . application? Is the facility as 'described in the permit? E ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ E ❑ ❑ Is access to the plant site restricted to the general public? ® ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? ® ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? 0 ❑ ❑ ❑ Are analytical results consistent with data reported on DM Rs? 0 ❑ ❑ ❑ 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 CM Are DMRs complete: do they include all permit parameters? ■ ❑ ❑ ❑ 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? 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? ❑ ❑ ■ ❑ 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 I Permit: NCO084409 Owner -Facility: Wellesley Place WWrP Inspection Date: 06/24/2014 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE # Is the facility using a contract lab? ❑ ❑ ❑ # 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? ❑ ❑ ❑ Comment: None Effluent Sampling Yes No NA NE Is composite sampling flow proportional? E❑ ❑ ❑ Is sample collected below all treatment units? E❑ ❑ ❑ Is proper volume collected? E❑ ❑ ❑ Is the tubing clean? ❑ ❑ ❑ # 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 A ❑ ❑ ❑ representative)? 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? ❑ ❑ ❑ Is the unit in good condition? ❑ ❑ ❑ 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? ❑ ❑ i ❑ Are the diffusers operational? ■ ❑ ❑ ❑ Page# 4 Permit: NCO084409 Owner -Facility: Wellesley Place WWTP Inspection Date: 06/24/2014 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) ❑ ❑ ❑ M Comment: None Secondary Clarifier Yes No NA NE 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? 0 ❑ ❑ ❑ Is the site free of evidence of short-circuiting? A ❑ ❑ ❑ Is scum removal adequate? ❑ ❑ ❑ Is the site free of excessive floating sludge? ❑ ❑ ❑ Is the drive unit operational? ❑ ❑ M❑ Is the return rate acceptable (low turbulence)? M ❑ ❑ ❑ 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? 0 ❑ ❑ ❑ Are pumps operational? N ❑ ❑ ❑ Are there adequate spare parts and supplies on site? ❑ ❑ ❑ Comment: None Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? ❑ ❑ ❑ Is flow meter calibrated annually? M ❑ ❑ ❑ is the flow meter operational? ❑ ❑ ❑ (If units are separated) Does the chart recorder match the flow meter? © ❑ ❑ ❑ Comment: None Page# 5 Permit: NC0084409 Inspection Date; 06/24/2014 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? 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 Owner - Facility: Wellesley Place WWTP Inspection Type: Compliance Evaluation 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 Yes No . NA NE ❑ ❑ ❑ ❑ ❑ ❑ 4, ❑ ❑ ❑ M ❑ ❑ ❑ ❑ ❑ ❑ Yes No NA NE Tablet ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 4 Yes No NA NE ❑ ❑ M ❑ Yes No NA NE ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ Page# 6 .p Permit: NCO084409 Owner - Facility: Wellesley Place WVVrP Inspection Date: 06/24/2014 Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE 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 Page# 7 FsRegional EIVED • • pt. of ENR NCDENR JUL 15 2013 North Carolina Department of Environment and Natural Resourc Office Pat McCrory Governor July 11th 2013 Aqua North Carolina, Inc. Wellesley Place Subdivision WWTP 202 Mackenan Court Cary, NC 27511 Subject:, Receipt of permit renewal application NPDES Permit NCO058815 Forsyth County Dear Mr. Thomas J. Roberts, John E. Skvarla, III Secretary The NPDES Unit received your permit renewal application on July 5th 2013. This permit renewal has been assigned Charles Weaver (919-807-6391) who will contact you if any additional information is required to complete your permit renewal. Due to current backlog, you should continue to operate under terms of your current permit, until a new permit is issued. If you have any questions, please contact the assigned permit writer. Sincerely, Jeff upart Point Source Branch Program Supervisor IV Cc: Central Files Winston Salem Regional Office NPDES Unit 1601 Mail Service Center, Raleigh, North Carolina 27699-1601 One Phone: 919-707-86001 Internet: www.ncdenr.gov NorthCa�pofina An Equal Opportunity1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper Natu ytrally AOUA. Aqua North Carolina, Inc. www.aquanorthcarolina.com 4163 Sinclair Street Denver, NC 28037 June 1-9, 2013 NCDENR / Division of Water Quality/ NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-0167 Re: Application for Permit Renewal Aqua North Carolina, Inc. Wellesley Place Subdivision WWTP NPDES No. NC0084409 Forsyth County Gentlemen: Enclosed are three (3) copies of the completed application Form D- WWTP. This submittal includes the necessary attachments for your office to renew the subject permit. If you need any additional information or assistance, please feel free to contact our Regional Compliance Manager, Michael A. Melton @ 704-489-9404 ext. 57238 or by e-mail at.MAMelton@aguaamerica.com. J*I' Roberts President & COO Enc i An Aqua America Company NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD Mail the complete application to: N. C. DENR / Division of Water Quality / NPDES Unit 1617 Mail,Service Center, Raleigh, NC 27699-1617 NPDES Permit INCO084409 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 AQUA NORTH CAROLINA, INC. Facility Name WELLESLEY PLACE SUBDIVISION WWTP Mailing Address 202 MACKENAN COURT City State / Zip Code Telephone Number Fax Number e-mail Address CARY NC 27511 (919) 653-5770 (919)460-1788 tjroberts@aquaamerica.com 2. Location of facility producing discharge: Check here if same address as above ❑ Street Address or State Road Off Franklin Road (NCSR 1310) City LEWISVILLE State / Zip Code NORTH CAROLINA 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 CARY State / Zip Code NORTH CAROLINA 27511 Telephone Number (919) 653-5770 Fax Number (919) 460-1788 1 of 3 Form-D 05/08 NPDES, APPLICATION - FORM D For privately owned treatment systems treating 1006/o 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 124 School ❑ Number of Students/ Staff Other ❑ Explain: Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc:): This system serves residential customers only. Population served: 315 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): Mill Creek, classified class WS-IV waters in the Yadkin -Pee Dee River Basin 8. Frequency of Discharge: ® Continuous ❑ Intermittent If intermittent: Days per week discharge occurs: Duration: _ 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. The 0.06 MGD package plant consist of the following: • Inlet bar screen • Equalization basin Dual pumps and blower Flow splitter box. • Dual aeration basins with fine bubble diffusers and blowers • UV disinfection • Chlorine contact chamber with dual tablet chlorinators and dechlorination equipment( used as backup) • Aerated sludge holding tank • Effluent flow meter with weir 2 of 3 Form-D 05/08 Facility Information Facility L .de: 36007'05" Sub -Basin: 03-07-02 Location J Longitude: 80 25'07" 4C Quad Name: C17SW Clemmons ' Stream Class: W S-IV Aqua NC, Inc. — Wellsley Place Subdivision Receiving Stream: Mill Creek WortO NCO084409 Forsyth County AOUA 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. f � n MC®NK North Carolina Department of Environment and Natural Resources Division of Water Quality Pat McCrory Charles. Wakild, P. E. John E. Skvarla, III. Governor Director . Secretary May.28, 2013 Aqua North Carolina Inc. Attn: Thomas J. Roberts, President and CEO 202 Mackenan Drive Cary, NC 27511 Subject: Compliance Evaluation Inspection .Permittee: Aqua NC Inc. Facility: Wellsley Place Wastewater Treatment Plant NPDES Permit #: Nd0084409 Forsyth County Dear Mr..Roberts: 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 Wellsley Place Wastewater Treatment Plant (WWTP) on May 23, 2013. The assistance and cooperation of Saml el Pegram, Operator in Responsible Charge, was greatly appreciated, An. inspection checklist is attached for your records and inspection findings are summarized below. General Information The Wellesley Place Wastewater Treatment Plant is located in the Wellesley Place subdivision in Winston-Salem,. Forsyth County, NC at approximate coordinates 36.1181370N, 80.4175420W.. The permit authorizes Aqua to operate this 0.06 .MGD WWTP, which consists of a bar screen, equalization basin, dual Pumps and blowers, flow spjitter box, dual aeration basins with fine bubble diffusers and blowers, dual basin clarifier, UV disinfection, backup dual tablet chlorinators and dechlorinators and a chlorine contact chamber, aerobic sludge digester, and an effluent flow meter with a weir. The permit authorizes Aqua to discharge the treated effluent from the WWTP via outfall 001 to Mill Creek, which is currently classified as WS-IV waters and is located in the Yadkin Pee -Dee river basin. Site Review Mr. Pegram has done an excellent job operating and maintaining the plant. The plant was clean and, well maintained, except for the following two -issues: North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-771-46301 Customer Service; 1-877-623-6748 Internet: www.ncwaterquality.org One ® C® `a An Equal Opportunity\ Affirmative Action Employer Aqua NC Inc., Attn: Thomas J. Roberts, President and CE0 Compliance Evaluation Inspection Wellsley Place WWTP, NCO084409 May 28, 2013, Page 2 of 2 a. Several pieces of the walkway grating were missing at the time of the inspection, -creating a significant _safety hazard. These pieces of grating have been missing since the flood that flooded that plant in May, 2012, The grating should be replaced. b.. The control panel for the UV system was not operational at the time of the inspection. Mr. Pegram stated that it has been out of order for about one-year, Although the plant has not had any .Fecal violations in the past ,year, lack of a control panel leaves no means by which the operator can adjust the system or monitor its settings. The control panel needs to be repaired/replaced. The plant is operated quite well and sludge/solids are being effectively managed. Odors at the plant were.minimal. Documentation Review All documentation was reviewed and no discrepancies were found. Mr. Pegram has done an excellent job documenting the operation and maintenance of the plant as required by the permit. This includes operations and visitation logs, discharge monitoring reports, laboratory and field laboratory records, chains of custody, etc. Please reply in writing to this letter within 30 business days of its receipt. Your written reply should include corrective actions with implementation schedules for each of the deficiencies noted above. You are reminded that, in accordance with NC General Statute 143-215.6A, the Director of the Division of Water Quality may assess civil penalties not to exceed. $25,000 per day, per violation, for violations of NCGS 143-215.1 and the-NC0084409 NPDES permit. The timeliness and content of Aqua's written reply, as well as the actual actions Aqua takes to remediate the above -noted issues, will weigh heavily in .our decision of whether to take further action. If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at (336) . 771-5000. Thank you for your cooperation in this matter. Sincerely, W. Corey Basinger Water Quality Regional Supervisor Winston-Salem Region Division of Water Quality Attachments: BIMS Inspection Report CC: CST - SUVRi Central Files NPDES Unit 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 I N I 2 15 I: 31 NCO084409 111 121 13/05/23 . 117 18I C I 19I S I 201 I Remarks 21II1IIIIIIIIIIIIIIIIIIIII IIIIIIIII1II IIIIIIII11 ill Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA--------------------------- °Reserved -------------- - - ---- 67I 169 70 I I 711 j 72I N I 73 [ 74 751 - 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) Wellesley Place WWTP 11:30 AM 13/05/23 09/01/01 . . Exit Time/Date Permit Expiration Date Franklin Rd ncsr 1310 Lewisville NC 27023 1230 PM 13/05/23 13/12/31 Name(s)_ of Onsite Representative(s)/Titles(s)/Phone, and Fax Number(s) Other,Facility Data Samuel E. Pegram/ORC/704-489-940.4/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted David Abernathy, //919-467-7854/ Contato 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 WQH336-771-49671 Signature of Management Q-A Reviewp—r Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type 3I NCO084409 I11 12� 13/05/23 17 .18I d Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter.. C, 1 Page # 2 Permit: NCO084409 :.Owner - Facility: Wellesley Place WWTP Inspection Date: 05/23/2013 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 application? 0 .0 ■ 0 Is the facility as described in the permit? ❑ 11 # Are there any special conditions for the permit? n ■ n n Is access to the plant site restricted to the general public? ■ 0 0 n Is the inspector granted access to all areas for inspection? ■ n n n Comment: Please refer to the attached inspection summary letter. Record Keeping Yes No NA. NE Are records kept'and maintained as required by the permit?. ■ n ❑ fl Is all required information readily available, complete and current? ■ ❑ 0 n Are all records maintained for 3 years (lab. reg. required 5 years)? ■ 0 Q n Are analytical -results consistent with data reported on DMRs? ■ n D n Is the chain -of -custody complete? ■ 0 0 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? 0 ■ Q 0 . Is the ORC visitation log available and current? ■ n 00 Is the ORC certified at grade equal to or higher than the facility classification? ■ o I] ❑. Is the backup operator certified at one grade less or greater than the facility classification? ■ ❑ 00 Is a copy of the current NPDES permit available on site? ■ n n Facility. has copy of previous year's Annual Report on file for review? 0 ❑ ■ Comment: Please refer to the attached inspection summary letter. Laboratory . Yes No NA NE Are field parameters performed by certified personnel or laboratory? ■0 n n Page # 3 Permit: NCO084409 Owner - Facility: Wellesley Place WWTP V Inspection Date: 05/23/2013 Inspection Type: Compliance Evaluation Laboratory Are all other parameters(excluding field parameters) performed by a certified lab? # Is the facility using a contract lab? # 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? Comment: Please refer to the attached inspection summary letter. Effluent Sampling Is composite sampling flow proportional? Is sample collected below all treatment units? Is proper volume collected? Is the tubing clean? # 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: Please refer to the attached inspection summary letter. 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: Please refer to the attached inspection summary letter. Bar Screens 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. Equalization Basins Yes No NA NE Yes No NA NE Yes No NA NE Yes No. NA NE Yes No NA NE Page # 4 1 Permit: NCO084409 owner - Facility: Wellesley Place WWTP Inspection Date: 05/23/2013 Inspection Type: Compliance Evaluation Equalization Basins Yes . No NA NE Is the basin aerated? ■ ,n n n Is the basin free of bypass lines or structures to the, natural environment? ■ n n n Is the basin free of excessive grease? ■ .n n n Are all pumps present? ■ n n n Are all pumps operable? ■ n ❑ n Are float controls operable? ■ n n n Are audible and visual alarms operable? ■ ❑ , n n # Is basin size/volume adequate? ■ n n n Comment: Please refer to the attached inspection summaryletter. Aeration Basins Yes No NA NE Mode of operation Ext. Air Type of aeration system Diffused Is the basic free of dead spots? ■ n n n Are surface aerators and mixers operational? n n n Are the diffusers operational? ■ n n n ` Is the foam the proper color for the treatment process. ■n.nn Does the foam cover less than 25% of the basin's surface? ■ n n n Is the DO level acceptable? 00n111111111. Is the DO level acceptable?(1.0 to 3.0 mg/1) n .n n ■ Comment: Several of the walkway gratings are missing and have been since the severe rain event that flooded the plant in May, 2012. The gratings should be replaced. This is a safety hazard. Please refer to the attached inspection summary letter. Secondary Clarifier Yes No NA NE 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? Page # 5 Permit: NC0084409 Owner - Facility: Wellesley Place WWTP Inspection Date: 05/23/2013 Inspection Type: Compliance Evaluation Secondary Clarifier 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: Please refer to the.attached inspection summary letter. Pumps-RAS-WAS Are pumps in place? Are pumps operational? Are there adequate spare parts and supplies on site? Comment: Please refer to the attached inspection summary letter. Disinfection - UV Yes No NA NE Yes No NA NE Yes No NA NE Are extra UV bulbs available on site? ® n n n Are UV bulbs clean? ® n n n Is UV intensity adequate? ® n n n Is transmittance at or above designed level? ®❑ fl n Is there a backup system on site? ® n n n Is effluent clear and free of solids? ® n n n Comment: UV control panel inoperable during inspection. Mr. Pegram stated it has been out of service for quite some time and that Aqua was aware of the situation. The plant has had no Fecal violations over the past 12 months, however, without the control panel the operator cannot operate the system. Aqua should have the control panel repaired immediately. Please refer to the attached inspection summary letter. 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? BOO n If effluent (diffuser pipes are required) are they operating properly? ❑ Comment: Please refer to the attached inspection summary letter. Aerobic Digester Yes No NA NE Is the capacity adequate? 0 0 Is the mixing adequate? ® n n n Is the site free of excessive foaming in the tank? ® n n n Page # 6 E Permit: NCO084409 Owner - Facility: Wellesley Place WWTP. Inspection Date: 05/23/2013 Inspection Type: Compliance Evaluation Aerobic Digester Yes No NA NE # Is the odor acceptable? ® n D # Is tankage available for properly waste sludge? n ❑ D Comment: Please refer to the attached inspection summary letter. Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ®❑ D Does the facility analyze process control parameters,. for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n D D Judge, and other that are applicable? Comment: Please refer to the attached inspection summary letter. 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: Please refer to the attached inspection summary letter. Yes No NA NE ■ n n n DOOR n n n ■ Page # 7 RECEIVED N.G. Dept. of ENR JUL 1 2 2013 Wiv stop -Salem Regional Office AOUXAqua North Carolina, Inc. Thomas J. Roberts 202 MacKenan Court President and Chief. Operating Officer Cary, NC 27511 T:919.653.5770 F: 919.460.1788 tjroberts@aquaamerica.com www.aquanorthcarolina.com July 11, 2013 Mr. W. Corey Basinger Water Quality Regional Supervisor Division of Water Quality 585 Waughtown Street Winston Salem, NC 27107 Re: Compliance Evaluation Inspection Wellsley Place Wastewater Treatment Plant Forsyth County, NPDES Permit No. NCO084409 Dear Mr. -Basinger: Aqua North Carolina,, Inc;,(Aqua)•offers the following response to Site.ReView -_.Items a.and`b`. of the above Compliance Evaluation,Inspection performed on May.23; 2013._ Site Review a. Several pieces of the walkway grating were missing at the time of the inspection, creating a significant safety hazard. These pieces of grating have been missing since the flood that flooded that plant in May 2012. The grating should be replaced. Response: The missing grating will be replaced by July 31, 2013. b. The control panel for the UV system was not operational at the time of the inspection. Mr. Pegram stated that it has been out of order for about one year. Although the plant has not had any fecal violations in the past year, lack of a control panel leaves no means by which the operator can adjust the system or monitor its settings. The control panel needs to be repaired/replaced. Response: At present, the UV system located at Aqua's Wellsley Place WWTP is functioning correctly. There is no control panel but rather a display which is not used for any purposes relative to the operation of the UV bulbs. Aqua uses the Trojan UV 3000PTP Series at many of its plants including Wellsley Place. Per the manufacture and the distributor of this unit, there is no adjustment for light intensity.,.The_intensity,light feature often seen on the display is not an indication of the intensity.of the light transmittance and•is not.a measure .of effective. , microorganism mortality. The UV bulbs are either on or off and one can determine if a bulb is working by viewing the indicator light located on UV bank itself To standardize this across the state, Aqua requires that the operator clean the sleeves of the UV bulbs on a weekly basis and An Aqua America Company Page Two Mr. W. Corey Basinger July 11, 2013 replace any bulb that is not working. Trojan recommends that UV bulbs are replaced every 12,000 hours. It is Aqua's Standard Operating Procedure that the bulbs are replaced annually or every 8,760 hours. Based on this frequency of maintenance described above, we believe that the UV system is functioning correctly. If you have any questions or comments, please do not hesitate to contact Laurie Ison at (704) 489-9404. Si y, Thomas J. R erts President and COO TJR/rl cc: Jack Lihvarcik Laurie Ison Michael Melton Incident Report CA16 C_ Report Number: 201200919 Incident Type: Upset On -Site Contact: Category: Incident First/Mid/Last Name: Incident Started: 05/15/2012 Company Name: County: Forsyth Phone: City: Pager/Mobile Phone: / Farm #: Responsible Party: Reported By: Owner: Aqua North Carolina Inc First/Mid/Last Name: Michael Melton Permit: WQCSD0206 Company Name: Facility: Wellesley Place Subdivision Address: First Name: Thomas Middle Name: J City/State/Zip: Last Name: Roberts Phone: Address 202 Mackenan Ct Pager/Mobile Phone: / City/State/Zip: Cary NC 27511 Phone: Material Category: Estimated Qty: UOM Chemical Name Reportable Qty. lbs. Reportable Qty. kgs. DD:MM:SS Decimal Latitude: Longitude: Location of Incident: Wellesley Place ?? Address: City/State/Zip Position Method: Position Accuracy: Position Datum: Report Created 05/30/12 1 03:40 PM Page 1 Cause/Observation: Action Taken: Incident Questions: Did the Material reach the Surface Water? Yes Surface Water Name? YADKIN RIVER Did the Spill result in a Fish Kill? Unknown If the Spill was from a storage tank indicate type. Containment? Unknown Cleanup Complete? Unknown Water Supply Wells within 1500ft : Unknown 0 Severe Natural Condition Event Type Referred to Regional Office - Primary Contact Report Entered SSO 24-hr Reported start Report Received Event Date Directions: Comments: Conveyance 2012-05-18 04:39:54 2012-05-15 12:23:00 2012-05-15 12:23:00 Unnamed tributary Estimated Number of fish? (Above Ground or Under Ground) Groundwater Impacted : Unknown Due Date Comment Report Created 05/30/12 03:40 PM Page 2 ter° Standard Agencies Notified: Agency Name Phone First Name M.I. Last Name Contact Date Other Agencies Notified: Agency Name Phone First Name M.I. Last Name Contact Date DWQ Information: Report Taken By: Report Entered By: Regional Contact: Management Emergency Kristie Douglas Phone: Date/Time: 2012-05-15 12:23:00 AM 2012-05-18 04:39:54 PM Referred Via: Did DWQ request an additional written report? If yes, What additional information is needed? Report Created 05/30/12 03:40 PM Page 3 North Carolina Emergency Management - EM43 Reporting Page 1 of 3 North Carolina Emergency Management - EM43 Reporting [PE[ . Return -To -List - -:] 't-m- Level: ,N dt M Edited:. ' _7 [Include in Report: ------- Taken by: Date/Time Reported; Date/Time Occurred: cletourneau QQQ3�5-7 Phone, Reported ;Wgency:, 40 ft TT 0,1,0�rflh C%b�!Vd� 4899404 ext 57238 ,, "tj'y'� L. L. --1-- -1--l- . --.- . -'- JOIN ]704 County: city: Area: Forsyth z j1 Louisville 9 1Street Address: ,,Zip Code: EVENTTYPE Type: Wastewater 'It 113 b'Thre EveftType: i4maf i�e�ie &enf Ty L Complaint Event Type: Fire Event Type: � 0 -77 7"'T' FNF Event"Ty0e.' Class ,:,,i,! j T7 HazMat Event Type: HazMat Class: HazMat Mode: ornelandSecurity Event: Non-01ve—nil- 77— jlwcn-Fh F'!Event Type: Other Event Type: SAR Type: _7 6 S-tewafdrj Event Type: - '11Sewage , Weather Event Type: Weather Event Name: WIVID Event Type: Event Description: Aqua North Carolina re orted an ougge lM@-,-dJWT,' e release entered a �,Mean up will be conducted. U iFilenamq: Deaths: Injuries: Evacuation: Radius: 0 0 0 0 k6s'-p on--s- -i b-I e"IP-a"k,'Responsible Party!, Phone- mm Ji Point of Contact: Point of Contact Phone: https:llwww.ncsparta.netleoc7lboardslboard.aspx?tableid=275&viewid=1011&la...- 5/16/2012 of w A rFR 0� Form WWTP-BYPASS/UPSET > r Treatment Plant (WWTP) Bypass/Upset Reporting Form 5 Day Report y o c PART I This form shall be submitted to the appropriate DWQ Regional Office within five days of the first knowledge of the unanticipated bypass or upset. Permit Number: C, ©0 g 4goq (Always use treatment plant permit number) Facility:Place,Ali Owner: City: Lew, i S V i I T N C. incident M Region: County: r"ors\}-h SPECIFIC location of the treatment units bypassed or where the upset occurred in the facility: Pla, f was s t� met-aed d ue-4 Aea�4 rains Was the WWTP compliant with permit requirements? ❑Yes ❑ No 1116known Were samples taken during bypass? ❑Yes R-40 ❑Unknown Incident Start Dt: 0 5-11+-2012. Time: CI' 00 PA Incident End Dt: 05 -15-2o l'2 Time: l9 " 00 AM (mm-dd-yyyy) (hh:mm AM/PM) (mm-dd-yyyy) (hh:mm AM/PM) Estimated volume of the bypass/upset: 2 5, 00 0 gallons Describe how the volume was determined: Tk2 64zG compared 4-6,-Ftow A e &U I e�ore, and Ae daq 014er Weather conditions during bypass/upset event: R airl -b calcmlclir an es+i ok, Did bypass/upset reach surface waters? [rITes ❑ No ❑Unknown Volume reached surface waters (gallons): C--S4"' I5'1400 Surface water name: M4111 Creek Did the bypass/upset result in fish kill? ❑Yes 91' o ❑Unknown If YES, estimated number of fish killed: SPECIFIC cause(s) of the bypass/upset: geaq 4 ra f hS CaUSed Ail) Creei< 4o rise -Ia 4 e, poA- Aa ' 4-r- f- l-1 ucryr i e, be cam e ti fled W i-t•h c reeK Water. Locgkd at the, the pipe is a TyP6 CheckVo \je.The risen creek wa4Cr ehkred lnh -the e ae4 ezty anc� caused the ?rvassurG on a i+he r- -Sl �a �q at tom, We cS Pirncif G fho " FhC tic G closed or rnos�f! closed cctetslnq ' � P(an1'- '1n iq u � over^H'eW c c6s lde &P rfs WoA5, Th 19 wq6 Gorn� Asa re esentative for the responsIdle party, i certify that the information 6 S4hlY►E'f9eR ct °� Wow ©v�r contained in this report is true and accurate to the best of my knowledge. a. m anhale . We cgh mdr--d k, - fk rs ad decf -10 fehde ►issue , Person submitting claim: M tU?2e% ) Me t�arl Signature- �'J Title: Regional Corr1� Lanw, Manarfer Telephon0 qU 7229 qaa- alb, TQ' Any additional Information desired to be submitted should be sent to the appropriate Division Regional Office within five (5) days of first knowledge of the bypass with reference to the incident number (the incident number is only generated when electronic entry of this form is completed, if used). MTP•BypasslUpset Form October 1T, 2011 Page 1 [�,C.i7egt. of E=N 'ANFj r a �� F '02 L`" 4t:rili3iDll4�ilt3f11 (-.. UA N C-'eoionai Omre s__ Y m. �. w January 25, 2012 Point Source, Branch Surface Water Protection Section Division of Water Quality 1617 Mail Service Center Raleigh, NC 21699-1617 Re: Delegation of Signature Authority To Whom It May Concern: Aqua North Carolina, Inc. 202 MacKenan Court Cary, NC 27511 Thomas J. Roberts President and Chief operating Officer T: 919.653.5770 F: 919.460.1788 tjroberts@aquaamerica.com www.aquanorthcarolina.com By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all permit applications, discharge monitoring reports, and other information relating to the operations on the attached list as required by all applicable federal, state, and local environmental agencies specifically with the requirements for signatory authority as specified in 15A NCAC 213.0506. Name Title Thornas J. Roberts President and COO Jack Lihvarcik Operations Manager Robert Ashley Regional Supervisor Matthew Costner Regional Supervisor Larry Finnicum Area Manager Michael Melton Regional Manager of Compliance Duane Rirnrner Regional Supervisor 1f you have any questions regarding this letter, please feel free to contact me at'919-653-5770. President and COO cc: Winston Salem Regional Office, DWQ Mooresville Regional Office, DWQ } � 6t %' ' &�i a F' n C�aurH3 r��c3 NCOC ;�,r{5 GreYsk�Me NCGCS(.�i%.Ct 1=aV'C:�' t7itF�2 NCab r tl MI'le ka ICA LPe7'1j NC0r5$B�CF Sieniv�:-vn An Aqua America Company Permit No. Facility County NC0028746 Briarwood SD WWTP Stokes NC0063720 Forest Ridge WWTP Forsyth NC0065587 Frye Bride WWTP Forsyth NC0078115 Gre stone SD WWTP Forsyth NC0050792 Melbille Heights WWTP Rndl h NC00S7091 Mikkola Downs WWTP Forsyth NC0078158 Olde Beau GC WWTP AI hn NC0055191 Penman Hei hts WWTP Rndl h NC0083925 Salem Glen SD WWTP Dvdsn NC0083933 Salem Quarters Forsyth NC0083941 S ing Creek WWTP Dvdsn W'N°G00'8;'M N9 tWellesIe Place vvAI Willow Creek WWTP Fors ll� Dvdsn NC0034452 NC0088536 Bannertown Hills W#2 Stirry NC0088552 Colonial Wds - W#2 SuTry NCO088552 Colonial Wds-W 1 Surry NC0088528 Hillcresi SD - Well #3 Surry NC0088498 Mitchell Bluff - Well #1 Surry NC0088B54 Pine Lks W 2 Surry NC0088633 Reeves Wds W #2 Surry NC0088617 Snow Hill SD Surry NC0088501 Stonin ton SD - Well #1 Forsyth NCOO88625 The Hollows SD Surr NC0088609 Wind ate SD SurrV NC0065749 Ashe Plantation WWTP Mklb WQ0024694 Bri hts Crk WWT RWUS Polk NC0065684 Country Wood WWTP Union NC0063860 Harbor Estates WWTP Mklb NC0063789 Mint Hill Festival WWTP Who NC0063584 Oxford Glen WWTP Mklb NC0073539 Willowbrook SD WWTP Mklb NC0072061 Fox Run WTP Gaston NC0084468 Keltic Meadows WTP #2 Gaston NC0086193 Ma lecrest WTP Gaston NC0086142 Oakley Park 1 Gaston NC0086142 Oakley Park 2 Gaston NC0069035 Southgate WTP Gaston NC0075205 Alexander Island WWTP Iredell NC0056154 Brid e on WWTP Iredell NC0058742 Country Valley WWTP Catawba NC0074772 Diamond Head WWTP Iredell NC0074900 HiQhway 150 WWTP Iredell NC0063355 Killian Xroads WWTP Catawba NC0062481 Mallard Head WWTP Iredell NC0028941 Pine Valley SD WWTP Rowan NC0060593 S innaker B@K WWTP Catawba NC0080691 Windemere WWTP Iredell Cover Sheet from Staff Member to Regional Supervisor DMR Review Record Facility: / le &,5 /a Lr Permit/Pipe No.: P 1`41i 60/ Month/Year tv G Monthly Average Violations Parameter Permit Limit DMR Value % Over Limit Weekly/Daily Violations Date Parameter Permit LimitlTv e DMR Value % Over Limit `� A noP/1 Date Parameter Other Violations Completed by: p` " Regional Water Quality Supervisor Signoff: Monitoring Frequency Violations Permit Frequency Values Reported # of Violations 'At Date: A/ Date:`' �� NCO084409 Wellesley Place WWTP Limit Violation Nitrogen, Ammonia Total (as N) - Concentration pH Cover Sheet from Staff Member to Regional Supervisor DMR Review Record Facility: kRet-c-ePerrni0ipeNo.: 9 4 4 t' o t/ Month/Year f Monthly Average Violations Parameter Permit Limit DMR Value To Over Limit_ Weekly/Daily Violations Date Parameter Permit Limitll'vpe DMR Value % Over Limit (.% % L��.��..✓ Monitoring Frequency Violations Date Parameter - _ Permit Frequency Values Reported # of Violations Ot er Violations `* �� C� `/ �� 6YC 11D A ,U /(Val /] /If— J -1-1- Completed �y Compl by: Date: Regional Water Quality Supervisor SiQnoff: Date: NC®ENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Aqua North Carolina Inc. Attn: Thomas J. Roberts 202 Mackenan Drive Cary, NC 27511 Division of Water Quality Coleen H. Sullins Director February 21 st, 20.11 Subject: Compliance Evaluation Inspection Permittee: Aqua NC Inc. Facility: Wellesley Place Wastewater Treatment Plant NPDES Permit #: NC0084409 Forsyth County Dear Mr. Roberts: 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 Wellesley Place Wastewater Treatment Plant (WWTP) on February 15th, 2011. The assistance and cooperation of Mr. Robert Ashley during the inspection, as well as that of Mr. Sam Pegram, 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 Wellesley Place Wastewater Treatment Plant is located in the Wellesley Place subdivision in Winston-Salem, Forsyth County, NC at approximate coordinates 36.118137N, 80.417542W. The permit authorizes Aqua NC Inc. to operate this 0.06 MGD WWTP, which consists of an inlet bar screen, an equalization basin, dual pumps and, blowers, a flow splitter box, dual aeration basins with fine bubble diffusers and blowers, dual -basin -clarifiers, UV disinfection, backup dual tablet chlorinators and dechlorinators and a chlorine contact chamber, an aerobic sludge digester, and an effluent flow meter with a weir. The permit authorizes the Aqua NC Inc. to discharge the treated effluent from the WWTP into Mill Creek via outfall 001. Mill Creek is currently classified as WS-IV waters and is located in the Yadkin Pee Dee River basin. Site Review Mr. Pegram has done a good job of operating and maintaining the plant. For the most part the plant was fairly clean and well maintained. The only issue Mr. Boone noted was that there was quite a large amount of solids in the aeration basins during the inspection (850 ml/1); this despite the fact that Mr. Pegram had 9,600 gallons of sludge pumped out just the previous North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One Phone: 336-771-50001 FAX: 336-771-46301 Customer Service:1-877-623-6748 NorthCarolina Internet: www.ncwaterquality.org ��`la,��L"I , An Equal Opportunity 1 Affirmative Action Employer `d Aqua NC Inc Attn: Thomas J. Roberts Compliance Evaluation Inspection NC0084409,Wellesley Place WWTP Page 2 of 2, February 2151, 2011 week. However, the plant still seemed to be operating quite well. There were no solids being lost and the effluent was clear. Odors were minimal at the plant. Documentation Review All documentation was reviewed. No discrepancies were found. Mr. Pegram has done an great 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. Please be aware that, in accordance with NC General Statute 143-215.6A, the Director of the Division of Water Quality may assess civil penalties not to exceed $25,000 per day, per violation, for violations of the NC0084409 NPDES permit. If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at (336) 771-5000. Thank you for your cooperation in this matter. Sincerely, W. Corey Basinger Interim Regional Supervisor Surface Water Protection Section Attachments: BIMS.Inspection Report CC: 91K W Central Files NPDES Unit United States Environmental Protection Agency Form Approved. EPA Washington, D.C. 20460 OMB No. 2040-0057 Water Corn liance 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 INI 2 I5I 31 N00084409 I11 121 11/02/15 117 18INI 19ISI 20I II Remarks 21111111111111111111111111111111111111111111111_]6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ----------Reserved — - — - — - — 671 169 70II 71III 72INI 73I I IW 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) 09:00 AM 11/02/15 09/01/01 Wellesley Place WWTP Exit Time/Date Permit Expiration Date Franklin Rd ncsr 1310 Lewisville NC 27023 10.00 AM 11/02/15 13/12/31 Name(s) of Onsite Representative(s)lTitles(s)/Phone and Fax Number(s) Other Facility Data Samuel E. Pegram/ORC/704-489-9404/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted David Abernathy,202 Mackenan Ct Rolesville.NC 27571//919-467-7854/ 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 Boonel WSRO WQ//704-663-1699 Ext.2202/ I 6 Z/Z 2 'Signature of anagement Q A Reviewer Agency/Office/Phone and Fax Numbers Date 2 z iq=7, 2 �l 1 D EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type 3I NCO084409 I11 12I 11/02/15 I17 18ICI 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 j Permit: NCO084409 Inspection Date: 02/15/2011 Owner - Facility: Wellesley Place VMTP 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 application? ❑ ❑ ■ ❑ Is the facility as described in the permit? ■ ❑ n ❑ # Are there any special conditions for the permit? Cl ■ 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? ®❑ ❑ ❑ Comment: Please refer to the attached inspection summary letter. 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? ■ ❑ ❑ ❑ 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 n n Is the chain -of -custody complete? ■ In ❑ ❑ 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 2417 with a certified operator on each shift? n ■ n n Is the ORC visitation log available and current? ■ ❑ 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? ■ n n n Facility has copy of previous year's Annual Report on file for review? ❑ n ■ ❑ Comment: Please refer to the attached inspection summary letter. Laboratory Yes No NA NE Are field parameters performed by certified personnel or laboratory? ■ n n n Page # 3 Permit: NC0084409 Owner - Facility: Wellesley Place WWTP Inspection Date: 02/15/2011 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE Are all other parameters(excluding field parameters) performed by a certified lab? ■ ❑ ❑ 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 Cl 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: 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 Cl Comment: Please refer to the attached inspection summary letter. Bar Screens Yes No NA NE Type of bar screen a.Manual ■ b.Mechanical n Are the bars adequately screening debris? ■ ❑ ❑ n Is the screen free of excessive debris? ■ n n n Is disposal of screening in compliance? ■ n Cl n Is the unit in good condition? ■ ❑ Q ❑ 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 n n ■ n Cl n Are all pumps present? ■ n n n Are all pumps operable? Are float controls operable? ■ n n n Page # 4 i Permit: NCO084409 Inspection Date: 02/15/2011 Owner - Facility: Wellesley Place WWTP Inspection Type: Compliance Evaluation Equalization Basins Are audible and visual alarms operable? # Is basin size/volume adequate? 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/1) 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? 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: Please refer to the attached inspection summary letter. Pumps-RAS-WAS Are pumps in place? Are pumps operational? ■ ❑ ❑ ❑ ■ ❑ n n Ext. Air Diffused ■nnn nn■n ■nnn ■nnn ■nnn nnn■ nnn■ ■nnn nn■n ■nnn ■nnn ■nnn ■nnn ■nnn nn■0 ■ n n n ■❑❑❑ nnn■ ■❑n❑ ■nnn Page # 5 W Permit: NCO084409 Owner - Facility: Wellesley Place WKrP Inspection Date: 02/15/2011 Inspection Type: Compliance Evaluation Pumps-RAS-WAS Yes No NA NE Are there adequate spare parts and supplies on site? n n n ■ Comment: Air lift; constant on. Please refer to the attached inspection summary letter. Disinfection - UV Yes No NA NE Are extra UV bulbs available on site? ■ n n n Are UV bulbs clean? ■ n n n Is UV intensity adequate? ■ n n n Is transmittance at or above designed level? ■ n Cl n Is there a backup system on site? ■ ❑ n ❑ Is effluent clear and free of solids? ■ n n n Comment: Please refer to the attached inspection summary letter. Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? ■ n n n Is flow meter calibrated annually? ■ ❑ 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? ■ n n Cl 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: Please refer to the attached inspection summary letter. Aerobic Digester Yes No NA NE Is the capacity adequate? ■ ❑ ❑ Is the mixing adequate? ■ n n n Is the site free of excessive foaming in the tank? ■ ❑ n ❑ # Is the odor acceptable? ■ n n n # Is tankage available for properly waste sludge? ■ n n n Comment: 9,600 gallons of sludge pumped just last week. Past records also on hand. Operator stated sludge is pumped every 2 to 3 months. Operations & Maintenance Yes No NA NE Page # 6 5 Permit: NCO084409 Inspection Date: 02/15/2011 Owner - Facility: Wellesley Place WWTP Inspection Type: Compliance Evaluation 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 ■ n n n Judge, and other that are applicable? Comment: Please refer to the attached inspection summary letter. 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: Please refer to the attached inspection summary letter. ■ n n n ■non ■ n n n ■non ■ n n n ■ n n n ■ n n n Page # 7 AlfflT ij NCDENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Thomas J. Roberts, & COO President Aqua North Carolina, Inc. 202 Mackenac Ct Cary, NC 27511 Division of Water Quality Coleen H. Sullins Director July 12, 2010 Subject: NOTICE OF VIOLATION, NOV-2010-LV-0260 Permit No. NCO084409 Wellesley Place WWTP Forsyth County Dear Mr. Roberts: Dee Freeman Secretary A review of Wellesley Place WWTP's monitoring report for April 2010 showed the following violations: Parameter Date Limit Value Reported Value Limit Type Nitrogen, Ammonia Total 04/30/10 2.8 mg/l 3.11 mg/1 Monthly (as N) - Concentration Average 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 (336)771-4967. cc: SWP — Central Files W. __SRQ Riles3 North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-771-4630 \ Customer Service: 1-877-623-6748 Internet: www.ncwatergLiality.org Sincerely, va el� Steve W. Tedder Surface Water Regional Supervisor Winston-Salem Regional Office Division of Water Quality One NorthCarohna An Equal Opportunity \ Affirmative Action Employer Cover Sheet from Staff Member to Regional Supervisor DMR Review Record Facility: Permit/Pipe No.: Month/Year o /� Monthly Average Violations Parameter Permit Limit DMR Value % Over Limit /Vy .2- Weekly/Daily Violations Date Parameter Permit LimitfFv e DMR Value % Over Limit Monitoring Frequency Violations Date Parameter Permit Frequency Values Reported # of Violations Othw Violations Completed by: ��"`�- Date: b 7 °'-7 a®io Regional Water Quality U 0 Supervisor Signoff: Date: v A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge domestic wastewater from outfall(s) serial number 001. Such discharges shall be limited and monitored by the Permittee as, specified below: �':' NT:<, ,FLUE �.F .EF �k4 s� ttYx - - -�=F.' RG IT IIM � NS' ANT I EME S. �� .R 1vG E �l 0 � :=;CHARACTERIS 51., v - `5 a �° x -F Y.b cy.c +` ;w4. - 'rem ent�• y .2. u a`i il M x i` ,.�✓. ,-.•.L.-:D,.,.,,,.;..,z. w'.,.,.-,.. ,. ,': 'l'.;°..:..... .:..: ff 4, 7.6 - »sue.: .,,a r\yi-� ,reuen, s - - ,,,:a44':...r,s-,4?3y,R�.r"..r,l:..,.5 ,:.✓.. .. ..... :..:: .v.-,... ,, ,. ,rv-t ,.3":'x-s, ,.+�,. o-',k`„ � 3- Flow (MGD)� 0.06 Continuous Recording 1 or E BOD, 5 day, 200C 30.0 mg/L 45.0 mg/L Weekly Composite E Total Suspended Solids 30.0 mg/L 45.0 mg/L Weekly Composite E NH3 as N 2.8 mg/L 14.0 mg/L Weekly Composite E (April 1 — October 31 NH3 as N 7.1 mg/L 35.0 mg/L Weekly Composite E November 1- March 31) pH2 Weekly Grab E Fecal Coliform 200 / 100 mL 400 / 100 mL Weekly Grab E . (geometric mean) Total Residual Chlorines,a 28 pg/L 2/Week Grab E Temperature, OC Daily Grab E Total Nitrogen (NO2+NO3+TKN) Monthly Composite E Monthly Composite E Total Phosphorus NOTES: 1. Sample Locations: I — Influent, E'— Effluent 2. The pH shall, not be less than 6.0 standard units nor greater than 9.0 standard units. 3. Limit and monitoring are applicable only if chlorine compounds are added for disinfection. 4. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with the permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina certified laboratory (including field certified), even if these values fall below 50 µme• THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS. MONITORING REPORT(MR) VIOLATIONS for: Report Date: 07/07/10 Page: 1 of 1 PERMIT: FACILITY: COUNTY: REGION: MONITORING OUTFALL/ REPORT PPI LOCATION PARAMETER 12/31/69 J UNIT OF FREQUENCY MEASURE CALCULATED LIMIT VALUE %OVER LIMIT VIOLATION TYPE VIOLATION ACTION Permit Enforcement History by Owner 07/07/10 1 Owner: Aqua North Carolina Inc Facility: Wellesley Place WWTP Permit: NCO084409 Region: Winston-Salem County: Forsyth Penalty Remission Enf EMC EMC OAH Collection Has Assessment Penalty Enforcement Request Enf Conf Remission Hearing Remission Remission Memo Sent Pmt Case Case Number MR Approved Amount Costs Damages Received Held Amount Held Amount Amount to AGO Total Paid Balance Due Plan Closed LV-2002-0101 04/17/02 $250 $76.00 $.00 $326.00 $.00 No 05/14/02 LV-2003-0061 01/29/03 $250 $105.50 $355.50 $.00 No 02/24/03 LM-2003-0322 5-2003 09/11/03 $150 $83.D0 $233.00 $.00 No 10/02/03 LV-2008-0204 3-2008 06/09/08 $250 $102.50 $352.50 $.00 No 07/14/08 LV-2008-0318 4-2008 08/27/08 $250 $102.49 $352.49 $.00 No 09/26/08 LV-2009-0010 10-2008 01/08/09 $250 $102.49 $352.49 $.00 No 01/28/09 Total Cases: 6 $571.98 $1,971.98 $.00 Total Penalties: $1,971.98 Total Penalties after remission(s): $1,971.98 1Y W: Performance Annual Report I. General Information Facility/System Name: Wellesley Place WWTP Responsible Entity: Aqua North Carolina Person in Charge/Contact: Tom Roberts - NC008 0$ Applicable Permit (s): f iV RECEP( N. Dept APR 1 6 2f6 Winston ., Regional o' a. 5 f+1,1:i 042010 Description of Collection System or Treatment Process: This facility is a 0.06 MGD treatment system with a inlet bar screen equalization basin, dual pump and blowers flow splitter box dual aeration basins with fine bubble diffusers and blowers a dual basin clarifier, UV disinfection chlorine contact chamber with dual tablet chlorinators and de chlorination equipment aerated sludge holding tank and effluent flow meter with weir. II. Performance Text Summary of System Performance for Calendar Year 2009 This plant performed very well and met permit limits throughout the year. List (by month) any violation of the permit conditions or other environmental regulations. Monthly lists should include discussion of any environmental impacts and corrective measures taken to address violations. January Compliant February Compliant March Compliant April _Compliant - May Compliant June Compliant July Compliant a _ , August Compliant September Compliant October Compliant November Compliant December Compliant III. Notification Our customers will receive a letter regarding the availability of this report upon request. These reports will also be available for review with the customer at Aqua's Southern Call Center. IV. Certification I certify under penalty of law that this report is complete and accurate to the best of my knowledge. I further certify that this report has been made available to the users or customers of the named system and that those users have been notified of its availability. 2/26/2010 Responsible Person Date Title: Regional Compliance Manager Entity: Aqua North Carolina, Inc. NCDENR North Carolina Department of Environment and Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director February 17, 2010 Mr. Thomas Roberts Aqua North Carolina, Inc. 202 MacKenan Court Cary, North Carolina 27511 Natural Resources Dee Freeman Secretary Subject: Compliance Evaluation Inspection — NPDES General Permit No. NCO084409 Wellesley Place Subdivision WWTP, Forsyth County Dear Mr. Roberts: Jenny Graznak of this office performed a Compliance Evaluation Inspection at the Wellesley Place Subdivision WWTP in Forsyth County on February 10, 2010. Samuel Pegram, Operator in Responsible Charge (ORC) was present for the inspection. This type of inspection consists of two basic parts: an in -office review of facility files and self -monitoring data and an on -site inspection of the facility. This particular inspection evaluated nine (9) areas, and observations from each area are addressed below: 1. Permit The current permit became effective January 1, 2009 and expires December 31, 2013. A copy of the permit was available during the inspection. 2. Self -Monitoring Program A review of the self -monitoring data submitted for the period January 2009 through December 2009 showed that all parameters were sampled and analyzed per the requirements of the permit. There were no violations of effluent limitations during this time period. 3. Laboratory Operators measure temperature and pH at the plant. Heater Utilities (owned by Aqua) holds field parameter certification # 5035. Water Tech Labs of Granite Falls, NC handles all other analysis for the wastewater treatment facility. An ISCO sampler is used for composite sampling of BOD, Total Suspended Solids, Ammonia, Total Nitrogen, and Total Phosphorus. The thermometer in the refrigeration unit read 0 degrees C at the time of the inspection. Calibration records for the operator's field meters are maintained with his meters. 4. Flow Measurement Effluent flow is measured daily with an ISCO 3210 Ultrasonic Flow Meter. This is a new flow meter, although of identical make and model, that was recently purchased and installed to replace the failing meter. Wayne Hinson of ISI installed and calibrated the meter on June 1, 2009. 5. Facility Site Review The plant consists of a bar screen, equalization basin (with functioning alarm), aeration basin, clarifier, UV disinfection, and a sludge digester. Each blower runs in 30-day increments. There are also chlorination and dechlorination units, which are currently not used. Chlorine and dechlorination chemicals are not available at the WWTP, but are located at the nearby maintenance shop and could be relocated to the plant if necessary. The facility has a generator, which has not been North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One Phone: 336-771-50001 FAX: 336-771-46301 Customer Service:1-877-623-6748 NOf th Carolina Internet: www.ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer IV operational due to a broken propane line. However, the technicians arrived during the inspection to work on it. An ISCO 4210 Ultrasonic flow meter is used to record flow at the plant. Flow meter calibration records were available for review during the inspection. Horizon Engineering & Consulting calibrated the flow meter on August 8, 2009. 6. Operations & Maintenance Samuel Pegram has been the ORC for this facility since March 2009. Back -Up operators are the Aqua North Carolina staff. Bar screenings are collected in a bucket. When the bucket becomes full, it is taken in the ORC's truck to the maintenance shop for disposal. A_dumpster located at the subdivision would provide a better method for bar screenings disposal. There was some scum on the surface of the clarifier, which the operator attributes to cleaning the trough out prior to the inspection. 7. Records/Reports The Discharge Monitoring Reports (DMRs), files, and lab data are maintained according to the permit. A process control notebook is maintained in the shed to keep track of pH, dissolved oxygen, settleable solids, and MLSS in the aeration basin. The process control notebook also notes the amounts of sludge wasted or hauled at the plant. A daily operators log sheet is kept in the shed and is used to record temperature, flow, and notes regarding light housekeeping duties at the plant. Maintenance activities at the 'giant should, be better recorded. Currently, a utility technician handles larger jobs involving pumps, generators, etc. while the ORC changes air filters and smaller jobs at the plant. There was a copy of the 2007 Annual Report at the facility, but there was no annual report for. 2008 in the facility files. Also, please keep in mind. that the 2009 Annual Report will be due March 1, 2010: 8. Effluent/Receiving Waters The effluent is discharged into Mill Creek. The path to the effluent pipe has been cleared and maintained by the operations staff. The effluent appeared clear with no traceable solids on the day of the inspection. 9. Sludge Disposal Carolina Septic or Forsyth Root provides sludge disposal at the plant, based on contractor availability. Sludge is removed from the digester approximately every 2-4 months. The digester pump -outs are identified in`the process control notebook; however receipts of these services (with gallons removed) should,be kept with the facility files. Other than the few highlighted issues in this letter, there were no major problems found during the inspection. Please refer to the attached report for specific details from the inspection. If you have any questions concerning this report, please contact Ms. Graznak at (336) 771-4960. Sincerely, Steve W. Tedder Surface Water Protection Section Regional Supervisor cc: SWP--- WSRQ7 SWP —Central Files 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 I NI 2 15I 3I NCO084409 111 121 10/01/10 117 181 CI 191 SI 20II Remarks 21111111111111111111111111111111111111111111111111 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved -------------- --- 67 I 169 70 13 I 711 I 721 NJ 73 I I 174 751 I I I I I I 180 I—L_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) 09:30 AM 10/01/10 09/01/01 Wellesley Place WWTP Exit Time/Date Permit Expiration Date Franklin Rd ncsr 1310 Lewisville NC 27023 10:30 AM 10/01/10 13/12/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Samuel E. Pegram/ORC/704-489-9404/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted David Abernathyf202 Mackenan Court Cary NC 27511//919-467-7854/ 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 Jennifer F Graznak WSRO WQ//336-771-5000/li� 'IU Signature of Manage t Q A Reviewer Agency/Office/Phone and Fax Numbers Date -- > —/a EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type (cont. 1 3I NCO084409 1 11 12I 10/01/10 I17 18ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) 1. Permit The current permit became effective January 1, 2009 and expires December 31, 2013. A copy of the permit was available during the inspection. 2. Self -Monitoring Program A review of the self -monitoring data submitted for the period January 2009 through December 2009 showed that all parameters were sampled and analyzed per the requirements of the permit. There were no violations of effluent limitations during this time period. 3. Laboratory Operators measure temperature and pH at the plant. Heater Utilities (owned by Aqua) holds field parameter certification # 5035. Water Tech Labs of Granite Falls, NC handles all other analysis for the wastewater treatment facility. An ISCO sampler is used for composite sampling of BOD, Total Suspended Solids, Ammonia, Total Nitrogen, and Total Phosphorus. The thermometer in the refrigeration unit read 0 degrees C at the time of the inspection. Calibration records for the operator's field meters are maintained with his meters. 4. Flow Measurement Effluent flow is measured daily with an ISCO 3210 Ultrasonic Flow Meter. This is a new flow meter, although of identical make and model, that was recently purchased and installed to replace the failing meter. Wayne Hinson of ISI installed and calibrated the meter on June 1, 2009. 5. Facility Site Review The plant consists of a bar screen, equalization basin (with functioning alarm), aeration basin, clarifier, UV disinfection, and a sludge digester. Each blower runs In 30-day increments. There are also chlorination and dechlorination units, which are currently not used. Chlorine and dechlorination chemicals are not available at the WWVfP, but are located at the nearby maintenance shop and could be relocated to the plant if necessary. The facility has a generator, which has not been operational due to a broken propane line. However, the technicians arrived during the inspection to work on it. An ISCO 4210 Ultrasonic flow meter is used to record flow at the plant. Flow meter calibration records were available for review during the inspection: Horizon Engineering & Consulting calibrated the flow meter on August 8, 2009. 6. Operations & Maintenance Samuel Pegram has been the ORC for this facility since March 2009. Back -Up operators are the Aqua North Carolina staff. Bar screenings are collected in a bucket. When the bucket becomes full, it is taken in the ORC's truck to the maintenance shop for disposal. A dumpster located at the subdivision would provide a better method for bar screenings disposal. There was some scum on the surface of the clarifier, which the operator attributes to cleaning the trough out prior to the inspection. 7. Records/Reports The Discharge Monitoring Reports (DMRs), files, and lab data are maintained according to the permit. A process control notebook is maintained in the shed to keep track of pH, dissolved oxygen, settleable solids, and MLSS in the aeration basin. The process control notebook also notes the amounts of sludge wasted or hauled at the plant. A daily operators log.sheet is kept in the shed and is used to record temperature, flow, and notes regarding light housekeeping duties at the plant. Maintenance activities at the plant should be better recorded. Currently, a utility technician handles larger jobs involving pumps, generators, etc. while the ORC changes air filters and smaller jobs at the plant. There was a copy of the 2007 Annual Report at Page # 2 Permit: NCO084409 Inspection Date: 01/10/2010 Owner - Facility: Wellesley Place WWTP Inspection Type: Compliance Evaluation the facility, but there was no annual report for 2008 in the facility files. Also, please keep in mind that the 2009 Annual Report will be due March 1, 2010. 8. Effluent/Receiving Waters The effluent is discharged into Mill Creek. The path to the effluent pipe has been cleared and maintained by the operations staff. The effluent appeared clear with no traceable solids on the day of the inspection. 9. Sludge Disposal Carolina Septic or Forsyth Root provides sludge disposal at the plant, based on contractor availability. Sludge is removed from the digester approximately every 2-4 months. The digester pump -outs are identified in the process control notebook, however receipts of these services (with gallons removed) should be kept with the facility files. Page # 3 Permit: NCO084409 Inspection Date: 01/10/2010 Owner - Facility: Wellesley Place WWTP Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ Cl 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 ■ 1=) Is the facility as described in the permit? ®n n n # Are there any special conditions for the permit? n ■ 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? ■ ❑ fl ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? o n n n Are analytical results consistent with data reported on DMRs? ®❑ n ❑ Is the chain -of -custody complete? ® n ❑ ❑ Dates, times and location of sampling IN Name of individual performing the sampling Results of analysis and calibration Dates of analysis Name of person performing analyses Transported COCs El 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 n n Page # 4 Permit: NCO084409 Inspection Date: 01/1012010 Owner - Facility: Wellesley Place WWTP Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Facility has copy of previous year's Annual Report on file for review? n IN ❑ n Comment: There was a copy of the 2007 Annual Report at the facility, but there was no annual report for 2008 in the facility files. Also, please keep in mind that the 2009 Annual Report will be due March 1, 2010. 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 Comment: Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? ®❑ ❑ 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 ® ❑ Comment: An ISCO 4210 Ultrasonic flow meter is used to record flow at the plant. Flow meter calibration records were available for review during the inspection. Horizon Engineering & Consulting calibrated the flow meter on August 8, 2009. Aerobic Digester Yes No NA NE Is the capacity adequate? ®n ❑ n Is the mixing adequate? ®❑ ❑ n Is the site free of excessive foaming in the tank? 12 n n # Is the odor acceptable? ® n n n # Is tankage available for properly waste sludge? n n n Comment: Bar Screens Yes No NA NE Type of bar screen a.Manual b. Mechanical n Are the bars adequately screening debris? ® n n n Is the screen free of excessive debris? ®❑ n n Is disposal of screening in compliance? ❑ ®n n Page # 5 Permit: NCO084409 Inspection Date: 01/10/2010 Owner - Facility: Wellesley Place WWTP Inspection Type: Compliance Evaluation Yes No NA NE Is the unit in good condition? ® ❑ ❑ ❑ Comment: Bar screenings are collected in a bucket. When the bucket becomes full, it is taken in the ORC's truck to the maintenance shop for disposal. A dumpster located at the subdivision would provide a better method for bar screenings disposal. Equalization Basins Yes No NA NE Is the basin aerated? ® n n n Is the basin free of bypass lines or structures to the natural environment? ®❑ n ❑ Is the basin free of excessive grease? ® n ❑ ❑ Are all pumps present? n n n Are all pumps operable? ®❑ n n Are float controls operable? ®❑ n n Are audible and visual alarms operable? ®❑ n n # Is basin size/volume adequate? ® n n n Comment: Secondary Clarifier Yes No NA NE Is the clarifier free of black and odorous wastewater? ®❑ n n Is the site free of excessive buildup of solids in center well of circular clarifier? ®❑ n n Are weirs level? ® ❑ ❑ ❑ Is the site free of weir blockage? ® ❑ ❑ ❑ Is the site free of evidence of short-circuiting? ® n n n Is scum removal adequate? n ®❑ n Is the site free of excessive floating sludge? n ■ n n Is the drive unit operational? ® ❑ n n Is the return rate acceptable (low turbulence)? ®❑ n n Is the overflow clear of excessive solids/pin floc? ®❑ ❑ ❑ Is the sludge blanket level acceptable? (Approximately'/4 of the sidewall depth) n n n Comment: There was some scum on the surface of the clarifier, which the operator attributes to cleaning the trough out prior to the inspection. Aeration Basins Yes No NA NE Mode of operation Ext. Air Type of aeration system Diffused Page # 6 Permit: NCO084409 Inspection Date: 01/10/2010 Aeration Basins 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: Disinfection - UV Owner - Facility: Wellesley Place WWrP Inspection Type: Compliance Evaluation Are extra UV bulbs available on site? Are UV bulbs clean? Is UV intensity adequate? Is transmittance at or above designed level? Is there a backup system on site? Is effluent clear and free of solids? Comment: Chlorine and dechlorination chemicals are not available at the VWVTP, but are located at the nearby maintenance shop and could be relocated to the plant if necessary. 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: The facility has a generator, which has not been operational due to a broken propane line. However, the technicians arrived during the inspection to work on it. Yes No NA NE ®n❑o nn®n ®nnn ®nnn ®nnn nnn® nnn® ®nnn ®n❑n ®❑ ❑ n nnn ®nnn ®nnn ®nnn nnn ®nnn n®nn ®nnn nn®n Page # 7 Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources December 1, 2008 Mr. Gary Moseley Aqua North Carolina, Inc. 4163 Sinclair Street Denver, NC 28037 Subject: Issuance of NPDES Permit NCO084409 Wellsley Place Subdivision WWTP Forsyth County Dear Mr. Moseley: Coleen H. Sullins, Director Division of Water Quality V C. Daot. Of Ec 41R Nlineton•Salern Regional Gffce Division. personnel have reviewed and approved your application for renewal of the subject permit. Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency dated May 9, 1994 (or as subsequently amended). This final permit includes no changes from the draft permit sent to you on August 27, 2008. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North -Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding. Please note that this permit is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that may be required. . If you have any questions concerning this permit, please contact Bob Sledge at telephone number (919) 807-6398. cc: Central Files Sincerely, s nrColee� n H. Sullins Winston-Salem Regional Office/Surface Water Protection Section one North Carolina NPDES Unit Nairrrally North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 807-6300 Customer Service Internet: www.ncwatemuality.or-, Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax (919) 807-6492 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer — 50% Recycledll0% Post Consumer Paper Permit NCO084409 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, Aqua North Carolina, Inc. is hereby authorized to discharge wastewater from a facility located at Wellesley Place Subdivision Off Franklin Road (NCSR 1310) - Lewisville Forsyth County to receiving waters designated as Mill Creek in the Yadkin -Pee Dee River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts III and IV hereof. This permit shall become effective January 1, 2009. This permit and authorization to discharge shall expire at midnight on December 31, 2013. Signed this day December 1, 2008. dr oleen H. Sullins, Director ivision of Water Quality By Authority of the Environmental Management Commission 4 T- Permit NC0084409 SUPPLEMENT TO PERMIT COVER SHEET All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked. As o1 this permit issuance, any previously issued permit bearing this number is no longer effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the permit conditions, requirements, terms, and provisions included herein. Aqua North Carolina, Inc. is hereby authorized to: 1. Continue to operate an existing 0.06 MGD wastewater treatment system consisting of the following components: • Inlet bar screen • Equalization basin • Dual pumps and blower • Flow splitter box • Dual aeration basins with fine bubble diffusers and blowers • Dual -basin clarifier • UV disinfection • Chlorine contact chamber with dual tablet chlorinators and dechlorination equipment (used as backup) • Aerated sludge holding tank • Effluent flow meter with weir. The facility is located at the Wellesley Place Subdivision WWTP, off Franklin Road (NCSR 1310), north of Lewisville, in Forsyth County, and 2. Discharge from said treatment works of the location specified on the attached map into Mill Creek, classified class WS-IV waters in the Yadkin -Pee Dee River Basin. T ` artm� Permit NCO084409 A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge domestic wastewater from outfall(s) serial number 001. Such discharges shall be limited and monitored by the Permittee as specified below: DISCHARGE LIMITATIONS MO NITORING'REQUIREMENTS . I CHARACTERISTICS r <,F, '.n - ,. 3e`: =Measurement: -.Sam fe.. P p. Montlil Aver'a Y ., . 9 Dail .Maximum Y Fre 'ueric T e ,1:.. Location Flow (MGD) 0.06 Continuous Recording I or E BOD, 5 day, 200C 30.0 mg/L 45.0 mg/L Weekly Composite E Total Suspended Solids 30.0 mg/L 45.0 mg/L Weekly Composite E NH3 as N 2.8 mg/L 14.0 mg/L Weekly Composite E (April 1 — October 31) NHs as N 7.1 mg/L 35.0 mg/L Weekly Composite E (November 1- March 31) pH2 Weekly Grab E Fecal Coliform 200 / 100 mL 400 / 100 mL Weekly Grab E . (geometric mean) Total Residual Chlorine3,4 28 pg/L 2/Week Grab E Temperature, IC Daily Grab E gen (NO2+NOs+TKN) F Monthly Composite E phorus Monthly Composite E NOTES: 1. Sample Locations: I — Influent, E — Effluent 2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units. 3. Limit and monitoring are applicable only if chlorine compounds are added for disinfection. 4. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with the permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina certified laboratory (including field certified), even if these values fall below 50 µme• THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS. AQUA. 1 February 24, 2009 N.C. Division of Water Quality Attn: Rose Pruitt 585 Waughtown Street Winston-Salem, N.C. 27107 Re: Wellesley Place WWTP Permit No.: NCO084409 Forsyth County LDr Ms. Pru' : -- :eot. of ENR FEB 2 0 2009 i Winston-Salem Regional O flre Aqua North Carolina, Inc. Thomas J. Roberts 202 MacKenan Court President and Chief Cary, NC 27511 Operating Officer T: 919.653.5770 F: 919.460.1788 tjroberts@aquaamerica.com www.aquanorthcarolina.com This letter is in response to the Compliance Evaluation Inspection performed at the referenced wastewater treatment plant on January 28, 2009. The following addresses the comments of your letter. (1) The UV Disinfection System was malfunctioning at the time of the inspection. This system must be repaired and put back in service not later than February 20, 2009. Please notify this Office when the UV system has been repaired. Additionally, the Division seeks additional information about your system. Please supply the inspector with the manufactures recommendations and a copy of the operations manual for this unit. Also please supply detailed information on how this unit was spec'd. Response: la) Aqua is currently working with the manufacturer of the UV Disinfection System. After talking with the manufacturer, we believe that the sensor that detects the exact intensity of light is thought to be malfunctioning. During this process of repair, Aqua has put the back up chlorine and de -chlorination units online. (2) The visual alarm on the equalization basin was not functional during the inspection. This is a repeat violation. This must be repaired no later than February 20, 2009. Please notify this Office when the visual alarm is repaired. - Response: 2a) The visual alarm has been repaired and is functioning correctly. An Aqua America Company If you have any questions, please feel free to contact Delbert Likins or Robert Barker at (704) 489-9404, extension 57224. Sincer , Thomas J. erts President and COO cc: Michael Melton Delbert Likins Robert Barker f A J MCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director February 5, 2009 Thomas Roberts Heater Utilities Inc Owned By Aqua NC 202 Mackenan'Ct Cary, NC 27511 Subject: NOTICE OF DEFICIENCY Compliance Evaluation Inspection Wellesley Place WWTP NPDES Permit No. NCO084409 Forsyth County Dear Mr Roberts: Dee Freeman Secretary A Compliance Evaluation Inspection (CEI) was performed on the Wellesley Place wastewater treatment plant on Wednesday, January 28, 2009 by Rose Pruitt and Marc Stokes, Technical Assistance of the Winston-Salem Regional Office. Robert Barker (ORC), Tony Parker and Delbert Likins with Aqua NC 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. I. permit The NPDES permit for the - Wellesley Place WWTP became effective January 1, 2009 and expires on December 3.1, 2013. The permitted components of the 0.06 MGD wastewater treatment plant include: an inlet bar screen, equalization basin, dual pumps and blower, flow splitter box, dual aeration basins with fine bubble diffusers and blowers, dual -basin clarifier, UV disinfection, chlorine contact chamber with dual tablet chlorinators and dechlorination equipment, aerated sludge holding tank, effluent flow meter with weir. The facility is located at Wellsley Place Subdivision WWTP, off Franklin Rd (NCSR 1310) north of Lewisville in, Forsyth County. The facility is permitted to discharge into Mill Creek a class WS-IV waters in the Yadkin -Pee Dee River Basin. II. Records/Reports Operations records include all sample analyses and process control tests that are performed daily. The ORC's daily logbook was evaluated and found to be satisfactory. DMR's were available for the period requested. A complete copy of the NPDES permit was on site. The daily operator and maintenance logs were on site. Flow meter calibration records and flow charts were available at the inspection. Flow meter calibration was last conducted on July 26, 2008. A spill response plan was available and emergency contact information was posted on the gate. The inspector called this number and the answering service did not know how to handle the call. The inspector was forwarded to an automated call center that has been problematic in the past. Please continue to review proper handling procedures. An annual report for the year 2007 was available at the inspection. Please remember to submit your annual report for 2008. Annual reports must be submitted within 60 days of the end of the applicable review period, either a calendar year or fiscal year. As this facility has previously submitted a calendar year report, your report will be due March 1. Robert Barker is the designated ORC for this facility. North Carolina Division of Water Quality, Winston-Salem Regional Office Location:585 Waughtown St. Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-771-46301 Customer Service:1-877-623-6748 Internet: www.ncwaterquality.org One 4'. NorthCarolinau`-' ahlra`l An Equal Opportunity 1 Affirmative Action Employer n III. Facility Site Review The facility site review indicated that the 0.06 MGD treatment works is consistent with -the permitted components. The actual r treatment system consists of an inlet bar screen, equalization basin, dual pumps and blower, flow splitter box, dual aeration basins with fine bubble diffusers and blowers, dual -basin clarifier, UV disinfection, chlorine contact chamber with dual tablet chlorinators and dechlorination equipment, aerated sludge holding tank, and effluent flow meter with weir. The following items were noted during the inspection and require your immediate attention: (1) The UV Disinfection System was malfunctioning at the time of the inspection. This system must be repaired and put back in service no later than February 20, 2009. Please notify this Office when the UV system has been repaired. Additionally the Division seeks additional information about your system. Please supply the inspector with the manufacturers recommendations and a copy of the operations manual for this unit. Also please supply detailed information on how this unit was speed. (2) The visual alarm on the equalization basin was not functional during the inspection. This is a repeat violation. This must be repaired no later than February 20, 2009. Please notify this Office when the visual alarm is repaired. IV. Effluent / Receiving Stream The Wellesley Place WWTP discharges to an unnamed tributary into Mill Creek, classified WS-IV water in the Yadkin Pee Dee River Basin. The effluent was clear and free of visible solids on the date of inspection. The receiving stream was free of solids, foam and debris. V. Flow Measurement Effluent flow is measured with an Isco 4210 flow meter, which was last calibrated by Horizon on July 26, 2008. VI. Self -Monitoring Program A review of the discharge monitoring reports (DMRs) for the time period of January 2008 through December 2008 demonstrated that the Wellsley Place WWTP had several effluent permit limit violations. These violations have been previously addressed via Notice of Violation or Enforcement Action by the Division. VII. Laboratory Sample analyses are conducted by Watertech. The laboratory was not reviewed at the time of the subject inspection. However, it was noted that some chain of custody forms were not properly signed by this lab, this was noted in a previous inspection. VIII. Operation and Maintenance Operation and maintenance continue to improve. IX. Sludge Utilization/Disposal Solids are removed from the WWTP as necessary by a licensed contract hauler and disposed of properly. Most recently 3,200 gallons were removed by Forsyth Rooter on December 8, 2008. X. Sewer Overflow No sewer overflows were reported during the review period. The Division of Water Quality greatly appreciates your continued oversight at this facility and notes that operations are much improved from last years inspection. The Division encourages. you to continue to be proactive in your efforts to maintain compliance. Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any questions, please call Rose Pruitt at 336-771-5000. Sincerely, . f 41-- Steve W. Tedder Water Quality Regional Supervisor Winston-Salem Regional Office Division of Water Quality cc: Robert Barker, ORC, 227 Old Covered Bridge Rd, Madison NC 27025 Central Files ' -100 United States Environmental Protection Agency Form Approved. EPA ^ Washington, D.C. 20460 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 I SI 31 NCO084409 Ill 121 09/01/28 117 18I CI 191 SI. 20I II Remarks ' 211III I I I I I I I I I I I I I I I I I I I I I I I I IIIIIIII IIIIIIIIII16 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA -- - --------Reserved--------------- 671 169 70II 711 I 721 NJ 73 L U 74 751 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) 09:00 AM 09/01/28 09/01/01 Wellesley Place WWTP Exit Time/Date Permit Expiration Date Franklin Rd ncsr 1310 Lewisville NC 27023 10:20 AM 69/01/28 13/12/31 Name(s) of Onsite Representative (s)/Titles(s)/Pho ne and Fax Number(s) Other Facility Data Robert M Barker/ORC/336-613-8428/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted David Abernathy,202 Mackenan Ct Cary NC 27511//919-467-7854/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement ® Operations & Maintenance ® Records/Reports 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 Marc Stokes WSRO WQ//336-771-5000/ 9 Rose Pruitt (l�w"" WSRO WQ//336-771-5000/ Signature of Man gement Q A sewer Agency/Office/Phone and Fax Numbers Date d EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type (cont.) 1 3I NC0084409 I11 12I 09/01/28 I17 18ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) The.inspector and Marc Stokes, Technical Assistance for WSRO were met at the facility by the ORC Robert Barker, Tony Parker and Delbert Likins with Aquasource. The facility operations were noted as much improved from last years inspection. During the inspection it was noted that the UV intensity reading on the LED readout did not change when the UV tubes were turned off. As a result of this malfunction the Division is seeking additional information about your system. Please supply the inspector with the manufacturers recommendations and a copy of the operations manual for this unit. Also please supply detailed information on how this unit was spec'd. Also noted during this inspection is a continuing problem with the visual alarm in the equalization basin that failed to function again at this inspection. During a test of the emergency contact information posted on the facility gate the answering service person sated that she did not know how to handle my request and forwarded my call to the previously problematic call center that asked for an account number. Page # 2 Y Permit: NCO084409 Owner- Facility: Wellesley Place WWTP Inspection Date: 01/28/2009 Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ■ O n 11 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 Is the facility as described in the permit? ®n n n # Are there any special conditions for the permit? n ❑ ■ ❑ Is access to the plant site restricted to the general public? ®❑ ❑ n Is the inspector granted access to all areas for inspection? _ ■ ❑ ❑ 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? ®❑ ❑ 171 Are all records maintained for 3 years (lab. reg. required 5 years)? ❑ ❑ ❑ gg Are analytical results consistent with data reported on DMRs? ❑ ❑ 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 12 Transported COCs n 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 IN 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 Is a copy of the current NPDES permit available on site? ® n n n Page # 3 Permit: NCO084409 Owner - Facility: Wellesley Place WVVrP Inspection Date: 01/28/2009 Inspection Type: Compliance Evaluation Record Keeping Facility has copy of previous year's Annual Report on file for review? Comment: Some signatures from Water Tech lad missing from chain of custodies. 2008 Annual report due. Robert Barker ORC 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: 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: ISCO 4210 flow meter last calibrated 7/26/2008 by Horizon Engineering Bar Screens 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? Yes No NA NE ■ ❑ ❑ ❑ Yes No NA NE Yes No NA NE Yes No NA NE n ®nnn ®nnn ® n n n ®nnn Yes No NA NE ®nnn ®nnn ®nnn nnn® ®nnn ®nnn Page # 4 Permit: NCO084409 Owner - Facility: Wellesley Place VWVTP Inspection Date: 01/28/2009 Inspection Type: Compliance Evaluation Equalization Basins Yes No NA NE Are audible and visual alarms operable? n # Is basin size/volume adequate? n n n Comment: Visual alarm not working, repeat violation. Secondary Clarifier Yes No NA NE Is the clarifier free of black and odorous wastewater? ®n n n Is the site free of excessive buildup of solids in center well of circular clarifier? n n ® n Are weirs level? ® n n n Is the site free of weir blockage? ®n n n Is the site free of evidence of short-circuiting? ® n n n Is scum removal adequ ate? n n n Is the site free of excessive floating sludge? n ® n n Is the drive unit operational? ❑ ❑ ® ❑ 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 n Comment: Solids were noted in the weir and may indicate that solids are passing to the stream. 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 n n Are the diffusers operational? ®❑ n n Is the foam the proper color for the treatment process? ®❑ n n Does the foam cover less than 25% of the basin's surface? ® n n n Is the DO level acceptable? n n n Is the DO level acceptable?(1.0 to 3.0 mg/1) n n n ju Comment: Disinfection - UV Yes No NA NE Are extra UV bulbs available on site? ®n n n Page # 5 Permit: NCO084409 Owner - Facility: Wellesley Place WWTP Inspection Date: 01/28/2009 Inspection Type: Compliance Evaluation Disinfection - UV Yes No NA NE Are UV bulbs clean? n ❑ Cl ■ Is UV intensity adequate? n n n ■ Is transmittance at or above designed level? ❑ n n ■ Is there a backup system on site? ■ ❑ ❑ Is effluent clear and free of solids? ■ n n n Comment: Please supply the inspector with the manufacturers recommendations for this UV unit and a copy of the manual, please explain how the unit was spec'd. 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? ■ n n n Was generator tested & operational during the inspection? ■' ❑ n n 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 ❑ ■ Is the generator fuel level monitored? n n n ■ Comment: 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? ® 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: Contract lab is Water Tech Lab. Some lab signatures missing from COC's. Field Parameter certification for Heater #5035. Page # 6 r_0 Faxed To: Tony Parker for Facility ORC 41 1/__ �j S Fax #: 704-489-9409 Phone 704-507-3369 VWVTP Annual Inspection Checklist This information should be available to the inspector at inspection time. Facility: Wellesley Place NPDES: NCO084409 Permit Effective Dates: Jan 1, 2009 to Dec 31, 2013 Inspection Date: 01/28/2009 Inspection Time: 9:00 am 1) DMRs (Dates: January 2008 to December 2008 ) •✓2) Lab Data (per DMR dates) 1__3) Laboratories used for analysis & certification #'s w ✓4) Chain of Custody forms (per DMR dates) ✓ 5) Complete copy of current NPDES permit 'K_V1 �,.--6}-S�tus of SOC or Moratorium issuance (if applicable)1j��/j 7) ORC and Back-up ORC current certification © 0 Z„o-7- 8)4 Wastewater Annual Report (fiscal or calendar year - if applicable) ,✓9) Daily Operator's log / ORC visitation log 10) Maintenance log 11) Process control data (which includes field parameters tested and equipment calibrations) ✓12) Field Parameter certification ,,-13) Flow meter calibration records r-I•Pn-A-k,,M /S(D ✓14) Influent and/or effluent samplers / S1'a 37/62 t,45), Flow charts (if applicable) ✓16) Generator Inspection / under load checks 17) Spill Response Plan (with current emergency contact numbers) 18) Sludge / Residuals hauling records (if applicable) a�zoc7 i z��/o 41-19) Plant visual inspection of treatment units 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 (336) 771-5000 Fax: (336) 771-4630 U U, MONITORING REPORT(MR)V0LATIONS for: Report Date: 01m2/09 page: 1 of 1 PERN|T:NCooO44uo FACILITY: Heater Utilities Inc ' Wellesley Place VVVVTP COUNTY: Forsyth REGION: Winston-Salem " Limit Violation momnnmwoouTFAu/ wouAT/ow UNIT OF nALouuATso Rcponr pp/ Lon*rmw PARAMETER om'E rncuucwc' msA»u«s LIMIT VALUE VIOLATION TYPE VIOLATION ACTION uz'z000 001 Effluent Nitrogen, Ammonia Total (as 02/29108 Weekly mo/| 7.1 7.35 Monthly Average Exceeded Proceed mNOV w) no'znno 001 Effluent Nitrogen, Ammonia Total (as 03m1m8 mmomy mox 7.1 12.*9 Monthly Average Exceeded Proceed to w) Enforcement Case w*'z000 001 Effluent Nitrogen, Ammonia Total (as nwnmoo wmoNy mQx xo xxo Monthly Average Exceeded Proceed to m) Enforcement Case nn zono 001 emuom Nitrogen, Ammonia Total (as 06/18m8 vveomy mgx 1* 1e.3 Daily Maximum Exceeded Proceed mNOV m) 06'2008 001 Effluent Nitrogen, Ammonia Total (as onmumo vveoNy mg0 2.8 4.22 Monthly Average Exceeded Proceed mNOV m) 10'2008 001 Effluent mxronon.Ammonia Total (as 10/o1108 vvoom' mn 2.8 3.64 Monthly Average Exceeded Proceed to m) Enforcement Case on'zona 001 Effluent Solids, Total Suspended 06/18m8 Weekly mox 45 51 Daily Maximum Exceeded Proceed mNOV Monitoring Violation mow/rumw000rp*u/ VIOLATION UNIT OF oALnumTso nsponr pp/ Locm'mw ' pAnxmsrER o^Ts pnsouswnv wEAm»nc LIMIT »Ams VIOLATION TYPE VIOLATION ACTION 10'2008 001 Effluent pH 1004/08 Weekly vu prequenmV|u|oUurf w«Action, o|MS Calculation Error jan 28-29, 2009 001 jan 28-29, 2009 002 jan 28-29, 2009 003 jan 28-29, 2009 008 jan 28-29, 2009 011 jan 28-29, 2009 004 jan 28-29, 2009 009 jan 28-29, 2009 005 jan 28-29, 2009 010 Aqua North Carolina, Inc. 202 MacKenan Court Cary, NC 27511 October 20, 2009 Mr. Steve W. Tedder Surface Water Regional Supervisor Winston-Salem Regional Office Division of Water Quality 585 Waughtown Street Winston Salem, NC 27107 Dear Mr. Tedder: tcCEIVEO r1. OeDL of ENR I CT 2 5 2009 �'ein;,en-Salam I Raglonel Office Thomas J. Roberts President and Chief Operating Officer T: 919.653.5770 F: 919.460.1788 tjroberts@aquaamerica.com www.aquanorthcarolina.com Recently three Notice of Violations and Assessment of Civil Penalties were sent to Gary Moseley with Aqua North Carolina at 4163 Sinclair Street, Denver, NC. Please be advised that Gary Moseley is no longer with Aqua North Carolina. Please send all future Notice of Violations, Assessment of Civil Penalties and Compliance Inspections to the attention of: Thomas J. Roberts, President and COO Aqua North Carolina, Inc. 202 MacKenan Court Cary, NC 27511 If you need any further information you may contact me at 919-653-5771. Sincerely, Robyn L. Thomas Executive Assistant to Thomas J. Roberts An Aqua America Company Cover Sheet from Staff Member to Regional Supervisor DMR Review Record Facility: Pem-it/Pipe No.: W-00SSMIf MondVYear . Q I,AL-t 20 0 �S Monthly Average Violations Parameter Permit Limit DMR Value % Over Limit Aj M � � 7s ° — 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: PO "IV Date: Regional Water Quality Supervisor Signoff: Date: 9,,,, / 3 '0* -02/27/2009 12:51 FAX 7044899409 02/20/2009 10:JU PHA fYgQOODUVD [& 024/025 water P®1jud®n Cunt°®! System Designat;®ll IFOrm WrCS®CC NCAC ISAa0Oa .0201 oralI A: C, .c/ --eon L•' �'�J brain"" ()WW/OffjW Nary: 'Y s s� Mailing AddfOOR: rI v -e r sta: Vic— Zip: "a City: Telephone Number! e®••••oo••■ark•o•■a••a©c•Q•or■•e®�■Q®•®ea©r®••e0reoe■•©orb■■a••r•va••■•••••• Faawty tfor=tiap: $L-PA ATE VORM poltt MACE TYPE OF SYSTEM 4 Wanewor Plant PhysimV.0mmicW P.�. 0 SPMY c0 WA Lead AppDOW10a SIA subrat" N/A Collaodote ! --P ,•.ro..•••a.r•rr■■.•ro.o•.rrrs•®r■rear©•r■rrre,••rrs.•.s.•.o..rer.•..•.r•... Operator is Raspmible C118ig0:: Print Nm: soew Security 4 and lade: CeRiticata #: CwtMawc Type /9 Work Telephone: -� S� � � � ..•r.r••.r■■e..eser®•.■■■•o■rr.•r■■■■rr••rrr..•rr■■.■■■•.••rrr.•r■■r•••■■r■ . Back -UP Opore4or is Reeponsible Clime: Pont Na►ge: ��9 _r' � G'• Ldd✓ocA Soci01 6ecuritV # : ' y-�' 9 y ccrufl 11: o G � Certificate 'type and Crrlde: �+• Work` clephorle: 37V S ! o 9i�ture: Mail 01 FAX to: WpCS®CC 1616 Md19emeo CCOVII .A&IIN N.C. 29699-1619 Fes: 9191733-1338 02/27/2009 12:51 FAX 7044898408 0 025/025 ucl4u/6VyV iv.Qv rnn evQ4000 v■ q,,,..,, Water Pollution Control System Designation Form WPCSOCC NCAC 1SA►t08G -OZOI Irr•rrr••r•••r1■••■.•••••••■•••.rrr.•rr••rr•••r•rrr••rr•••r•■••rrr•Irr•••01r, Additoog Back -Up ApCrOtor: Pried Name: At . �a� iew'- Work Phone: -3 v� ,�� 3 S WW Celt, eme/Number: IJ??.d--- � ? �r�SI Ccrt.#: Si�batur�e: ��-��.c y "'K d� ti — Date: �.r.•■..•.••.rr•rrrrr......:.�•.••..r•.r.■....rrr•rrr•..•.•rr.rr■r•.r•r....• Additovai Back -Up Operator: Print N®rae: � r-9 7 Work Phone: N WW Ccrt- Gmde/Numbcr: f9a"72:1 SI Cent.#: $j 1llaG: ten- ` twe: 4 _ _ ��•..•■•�..•••.■•1..•••r•r•r■.....•.rrr•••rr.••■..••..�....•r1...r1.r••rlrl• Additonal Back -Up Operator: Print Name: Work Phone: - ' WW Cert. Gradc/Number: Siguewre: Pau: 1•rrrrr•r••r••■■.r•r••rr•••soon rr••••r•.••••••..............rr•••••rr•••rrr• - Additonal Rack-UpOperator. - Print Name- Work Photo: WW Cert, Gmde/Number: SI Cert.r: cunt, Date. - Additeual Back -Up Operator: Priat Name: Work Phone: WW Cart. (We/Number: S1 Cert-#: Sigoatvre: Dow: foldsrengage ••••r•••rrr•rr sup see r••rrs•s.off pod rrrr.r•r■•••1•.1•gas r•/wolves F2ECEIVED N.C. Dept of ENR MAR 0 6 2 009 _—__Pe>rfdrance Annual Report I. General Information Facility/System Name: Wellesley Place WWTP Responsible Entity: Aqua North Carolina Person in Charge/Contact: Tom Roberts Applicable Permit (s)�l_C.0.084409 Description of Collection System or Treatment Process: DENR , WAFER QUALITY' POINT SOURCH BRANCH This facility is a 0.06 MGD treatment system with a inlet bar screen, equalization basin, dual pump and blowers. flow splitter box, dual aeration basins with fine bubble diffusers and blowers, a dual basin clarifier. UV disinfection, chlorine contact chamber with dual tablet chlorinators and de -chlorination equipment, aerated sludge holding tank and effluent flow meter with weir. II. Performance Text Summary of System Performance for Calendar Year 2008 This plant had mechanical problems with the blowers. The contract operator worked on these problems and returned the plant back to compliance. In October, Aqua's new operator took over operation of this plant. We believe that the new operator will come up to speed with the operation of this plant. List (by month) any violation of the permit conditions or other environmental regulations. Monthly lists should include discussion of any environmental impacts and corrective measures taken to address violations. January Compliant February The daily maximum and the monthly average limits for NH3-N were exceeded. Both both blowers locked up and the plant received no dissolved oxygen from 02/01/08 to 2/04/08. New blowers and motors were installed immediately to get air back to the plant on Monday, 02/04. The lack of DO caused high levels of NH3-N because most of all of the biomass went septic. March The daily and the monthly average limits for N113-N were exceeded. According to the Contract operator, the reason for the NH3-N limit violation was due to the blowers again. Aqua operation's management suspects more than alleged blower problems. Aqua was not made aware of any blower problems. y.. April The monthly average limit for NH3-N was exceeded due to blower and equalization pumps as per the contract operator. May Compliant June The daily maximum limit for TSS was exceeded due to algae buildup in the composite sampler line. The sampler line was replaced and the algae was brushed and cleaned out of and off of the plant. Also, the monthly and daily maximum for NH3-N was exceeded caused by low DO in the plant. The operator increased wasting, pumped and hauled and adjusted air and return rate to the correct the problem. The NH3-N dropped to 0.6 mg/L. All of the work was performed by the backup operator. July Compliant August Compliant September Compliant October The daily maximum for NH3-N was exceeded due to low post aeration. Aqua's new operator took over the operation of this plant. The operator made adjustments to the DO in the plant to lower the NH3-N levels. November The daily maximum and the monthly average -limits were exceeded due to low post air. The operator continued to make adjustments to the DO. December Compliant III. Notification Our customers will receive a notice on their bills regarding the availability of this report upon request and a notebook containing every report is located in our Customer Service office. IV. Certification I certify under penalty of law that this report is complete and accurate to the best of my knowledge. I further certify that this report has been made available to the users or customers of the named system and that those users have been notified.of its availability. 2/28/09 Responsible Person Date Title: Regional Compliance Manager Entity: Aqua North Carolina I ORC RESIGNATION.- Atlantic Utility Inc Thursday, September 25, 2008 Dear TACU and DWQ/ DENR, RECEIVED N.4 .: m,� SEP 2 9 2098 Winston Regional office We are requesting that all of our ORC and Back -Up ORC be removed from the following WWTP Systems belonging to the Perinittee Aqua NC Inc. Timothy J Waddell WW3 #21891 George Gatewood WW2 # 10684 Richard Hughes WW3 #12721 Robert White WW2 # 991396 Peter Saulsbury WW4 # 21219 James K Garrett Jr. WW1 #991954 P WILLOW CREEK: NCO034452 JR PENMAN HEIGHTS: NCO055191 MELBILLE.HEIGHTS: NC00'50792 FOREST RIDGE: NCO063720 SPRING CREEKS: NCO083941 � SALEM GLEN: NC00839 �5 i FRYE BRIDGE: NCO065587 MIKKOLA DOWNS: NCO067091 i GRAYSTONE FOREST: NCO078115 CAINSWAY MHP: NCO075027 1-- SALEM QUARTERS: N00083933 s BRIARWOOD: NC0028746 r' ��lELL--ESLEY PI,AGE-=N_C—�00844:09, 0 2 Thursday, September 25, 2008 Aqua NC has hired their own operators to ORC their WWTP and Atlantic Utility Inc will no longer be ORC or Back -Up ORC as of September 191n 2008: We are releasing all Data: Log Sheets, Lab Sheets, Maintenance Logs, Chains of Custody, Sludge Hauling Reports and or Manifest, Collection System Data, Lift Station Monitoring, Pictures, Maps and a List of needed repairs as pertaining to 2008 Operations by Atlantic Utility Inc. We will complete a partial DMR for operations up to Friday September.l9th, 2008. NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES TO: FAX TRANSMITTAL Water Quality Section Winston-Salem Regional Office 585 Waughtown Street Winston-Salem, N.C. 27107 Phone: (336)771-5000 )) O rN L1 el FAX NUMBER: C,Lf GI O FROM: fff_ ` � U ITC -- DATE: I Z Number of pages (including cover page): l Fax: (336)771-4630 COMMENTS: P 6 UT--_ GwFC�U STS > > I > V Jy vw I ��- ---- p a .A.W.."419M AQUA. May 29, 2008 Mr. Steve Tedder RECEIVED N.C. Dent. of ENR im 0 2 200� Winston-Salem Regional Office Water Quality Regional Supervisor 585 Waughtown Street Winston-Salem, North Carolina 27107 Re: NOV-2008-PC-0275 Wellesley Place WWTP Permit No NC 6084409 Forsyth County Dear Mr. Tedder: Aqua North Carolina, Inc. Thomas J. Roberts 202 MacKenan Court President and Chief Cary, NC 27511 Operating Officer T: 919.467.8712 ext. 30 P: 919.460.1788 tjroberts@aquaamerica.com www.aquanorthcarolina.com This letter is in response to the inspection conducted as reported on March 26, 2008. However, your cover letter references that. the.. inspection was performed on May 30, 2007. We believe this was a typographical error, regardless; we wish, to. address the' comments made during the; " inspection performed by Ms. Rose Pruitt of your office and are as follows: "Failure to comply with the permit. Failure to provide operation and maintenance resources necessary to operate the existing facilities at optimum efficiency." Aqua's contract operator, Atlantic Utility, Inc, is fully authorized to take whatever action deemed necessary to insure that our facilities are performing at optimal levels and are meeting compliance. 2. "The sludge hauling records for this facility were incomplete. " All operators have been instructed to record the volume of sludge hauled on the sludge hauling report. In addition, Aqua North Carolina (Aqua) requires sludge hauling manifests to be submitted with the invoice of sludge removed. 3. "Chain of custody forms were missing the lab signatures on some forms." Atlantic Utility, Inc. has been in contact with the laboratory performing the sample testing to ensure that the.laboratory.signs off on all chain of custody report forms. The, laboratory indicated that a new person was running the pickup route during this occurrence. The laboratory has assured us thatthis will not happen again: An Aqua America Company Page Two Mr. Steve Tedder May 29, 2008. 4. "Solids were observed in the stream. The ORC had difficulty locating the effluent pipe. " Aqua is having difficulty interpreting this statement since under Section IV. Effluent/ Receiving Stream, the comment otherwise states that the receiving stream was clear and free of visible solids on the date of inspection. The receiving stream was free of foam and debris. "There was no thermometer in the sampler. Repeat violation." A new thermometer has been ordered from the laboratory and will be replaced soon. 6. "Broken water line noted at last year's inspection was still broken and was now open pit full of water. " We appreciate you pointing this out, but we believe this should not have been included in the report as written. Regardless, the hydrant was repaired after the last inspection, and again has been repaired. 7. "The visual and audible alarms did not function during the inspection. Repeat violation. " Atlantic Utility, Inc. found the visual alarm to work; however, the audible alarm had shorted out. The audible alarm had been previously replaced in 2007. A new "federal" type alarm was replaced on May 1, 2008. "Bar screen full. Rags clogging the plant. ORC said '/ of plant down because rags clogged splitter box. " Aqua's contract operator, Atlantic Utility, Inc, is fully authorized to take whatever action deemed necessary to insure that our facilities are performing at optimal levels and are meeting compliance. 9. "Solids bulking in the clarifier. " The operator has been instructed to brush down the plant more often and to check the influent V-notch to ensure that clogs do not occur that could lead to the operational efficiency of the aeration basins. Page Three Mr. Steve Tedder May 29, 2008 10. "Bulb out in UV disinfection system." Aqua has given permission to the contract operator to replace the bulb in the UV disinfection system. 11. "Stand by generator not working." Since the inspection, the battery was replaced and tested under load. The operator has been instructed to test the generator weekly under full load. Also, he has been instructed to check all fluids in the generator. If you have any questions or comments regarding this response, please contact Tony Parker at (704)489-9404, ext 232 in our Denver office. Sincere J i Thomas J. Roberts President and COO cc: Tim Waddell, Atlantic Utility, Inc. 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 I NI 2 151 31 N00084409 111 121 08/09/08 117 181 01 191 SI 201 1 Remarks 21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111116 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ---------------------- 67I 169 701 I 711 I 721 NJ 73 I CI I 174 751 I I I I I I 180 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) 09:25 AM 08/09/08 05/05/01 Wellesley Place WWTP Franklin Rd. ncsr 1310 Exit Time/Date Permit Expiration Date Lewisville NC 27023 09:45 AM 08/09/08 08/12/31 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 Contacted David Abernathy,202 Mackenan Ct Cary NC 27511//919-467-7854/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Operations & Maintenance 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 Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type 3I NC0084409 I11 12I 08/09/08 I17 181CI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Site inspection from outside fence without operator to check plant operation. Only 1/2 of plant working during last inspection, both sides appeared operational at this time. Water line appeared to have repaired. Page # 2 14 a Permit: NCO084409 Inspection Date: 09/08/2008 Operations & Maintenance Is the plant generally clean with acceptable housekeeping? Owner - Facility: Wellesley Place WWTP Inspection Type: Compliance Evaluation Yes No NA NE ®nnn Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge D ❑ Judge, and other that are applicable? Comment: Page # 3 Re: Wellesley Place Subject: Re: Wellesley Place From: tim@atlanticutilityinc.com Date: Fri, 16 May 2008 06:40:26 -0700 To: Rose.Pruitt@ncmail.net CC: "TonyP" <trparker@aquaamerica.com>, Rose, "Gary Moseley" <GRMoseley@aquaamerica.com> I can Give you our Sludge Manifest for what we pumped and haul for Aqua in 2008, but I do not know if Tony got sludge hauling Mainifest from Forsyth Rooter yet. Please let me know when you would like to re -inspect Welllsley Place. I believe with the exception of the sludge hauling manifest all of the other copliance problems listed in the NOV have been corected. Sincerely Tim Waddell Rose Pruitt writes: Tim I still need to see the manifests and schedule a re -inspection. Rose Pruitt NCDENR-DWQ Winston-Salem Regional Office Division of Water Quality, Surface Water Protection 585 Waughtown Street Winston-Salem, NC 27107 Voice: (336) 771-5000 FAX: (336) 771-4630 On 5/16/2008 7:52 AM, tim@atlanticutilityinc.com wrote: Sorry about that, here is the information I sent Aqua for the response on Wellesley Place. Thanks Tim Waddell 1 of 1 5/19/2008 10:11 AM F WA�� Michael F. Easley, Governor \O�0 9pG William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources rColeen H. Sullins Director �_ =1 Division of Water Quality O 'C September 29, 2008 CERTIFIED MAIL 7008 0500 0002 0609 3413 RETURN RECEIPT. REQUESTED Thomas J Roberts, President Heater Utilities Inc 202 Mackenan Ct Cary NC 27511 Subject: NOTICE OF VIOLATION Permit No. NCO084409 Wellesley Place WWTP Forsyth County Dear Mr. Roberts: A review of Wellesley Place WWTP's monitoring report for June 2008 showed the following violations: Parameter Date Limit Value Reported Value Limit Type Nitrogen, Ammonia Total (as 06/18/08 14 mg/l 16.3 mg/l Daily Maximum N) Exceeded Solids, Total Suspended 06/18/08 45 mg/1 51 mg/1 Daily Maximum Exceeded Nitrogen, Ammonia Total (as 06/30/08 2.8 mg/l 4.22 mg/l Monthly N) 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 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, Steve W. Tedder Water Quality Regional Supervisor Winston-Salem Region Division of Water Quality Cc: Central Files —SWP 585 Waughtown Street Winston-Salem, NC 27107 336-771-5000 (Telephone) 336-771-4630 (Fax) /0V 2©C78�L V `� (� Cover Sheet from r V 7 J Staff Member to Regional Supervisor DMR Review Record Facility: Permit/Pipe No.: NGooeby 0g1 Month/Year VcV� `PL4&6— ©g Parameter AWN Monthly Average Violations Permit Limit DMR Value � q, ZZ -I,. ..P % Over Limit -016 Week] O/Dailyiolations Date Parameter Permit Limitgype DMR Value % Over Limit 6' Iq - 08 N -A ra S. KU 14 Xe Monitoring Frequency Violations Date Parameter Permit Frequency Values Reported # of Violations Other Violations Completed by: Date: r 2 / r C Regional Water Quality 74 Supervisor Signoff: Date: �0F w ATFj9Q Michael F. Easley, Governor William G. Ross Jr., Secretary rNorth Carolina Department of Environment and Natural Resources Coleen H. Sullins, Director Division of Water Quality August 27, 2008 Mr. Gary Maosel Aqua North Carolina, Inc. RECEIVED 4163 Sinclair Street N-C. Dent. of ENR Denver, NC 28037 Subject: Draft NPDES Permit Permit Number NCO084409 Wellsley Place Subdivision WWTP Forsyth County Dear Mr. Moseley: AUG 2 8 2008 Winst—salem Regional Office Enclosed with this letter is a copy of the draft e 't for your facility. Please review the draft very carefully to ensure thorough understanding of the conditions and requirements it contains. The draft permit contains the following changes from the terms found in your current permit: • A footnote has been added regarding.the reporting and compliance determination of Total Residual Chlorine values (applicable only if chlorine compounds are added to the treatment processes). Please submit anx comments to me no later than thirty days following your receipt of the draft. Comments sOffMeent to the address listed at the bottom of this page. If no adverse comments are received from the public or from you, this permit will likely be issued in November 2008, with an effective date of January 1, 2009. If you have any questions or comments concerning this draft permit, call me at (919) 807-6398, or via e- mail at bob.sledge@ncmail.net. Sincerely, Bob Sledge Point Source Branch cc: Central Files olt.S etx I tll,[4tffice/Surface Water Protection Section NPDES Files DEH/PWS/WSRO No 4hCarohna Naturally North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 807-6300 Customer Service Internet: www.ncwaterquality.org Location: 512 N. SalisburySt. Raleigh, NC 27604 Fax (919) 807-6492 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper Permit NCO084409 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DI_V-IS__ R-QUALI��' 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, Aqua North Carolina, Inc. is hereby authorized to discharge wastewater from a facility located at Wellesley Place Subdivision Off Franklin Road (NCSR 1310) Lewisville Forsyth County to receiving waters designated as Mill Creek in the Yadkin -Pee Dee River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This permit shall become effective This permit and authorization to discharge shall expire at midnight on December 31, 2013. : Signed this day DRAFT.--. Coleen H. Sullins, Director . Division of Water Quality By Authority of the Environmental Management Commission Permit NCO084409 SUPPLEMENT TO PERMIT COVER SHEET All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked. As of this permit issuance, any previously issued permit bearing this number is no longer effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the permit conditions, requirements, terms, and provisions included herein. Aqua North Carolina, Inc. is hereby authorized to: 1. Continue to operate an existing 0.06 MGD wastewater treatment system consisting of the following components: • Inlet bar screen • Equalization basin • Dual pumps and blower • Flow splitter box' • Dual aeration basins with fine bubble diffusers and blowers Dual -basin clarifier. • UV disinfection • Chlorine contact chamber with dual tablet chlorinators and dechlorination equipment (used as backup) • Aerated sludge holding tank • Effluent flow meter with weir. The facility is located at the Wellesley Place Subdivision WWTP, off Franklin Road (NCSR 1310), north of Lewisville, in Forsyth County, and 2. Discharge from said treatment works at the location specified on the attached map into Mill Creek, classified class WS-IV waters in the Yadkin -Pee Dee River Basin. Facility Information le: 36007'05" Sub -Basin: 03-07-02 ade: 80025'07" Name: C17SW Clemmons i Class: WS-IV fing Stream: Mill Creek 0 Facility Location Aqua NC, Inc. — Wellsley Place Subdivision NCO084409 North Forsyth County- Permit NCO084409 A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge domestic wastewater from outfall(s) serial number 001. Such discharges shall e limited and monitored y the Permittee as specified below: `: EFFLUENT�� a 2" hikd DISCHARC�ELIMI�ATION$ a I t 4$ t`a '°MONITORING REQ��REINENTS CIiARACTERISTICS F t Measurement Sample Sample Monthly;Average x� >Daily Maximum Type r Locationi s�r , 1Frequencyr 3 Flow (MGD) . 0.06 . Continuous Recording I or E BOD, 5 day, 20-C 30.0 mg/L 45.0 mg/L Weekly Composite E total Suspended Solids 30.0 mg/L 45.0 mg/L Weekly Composite E NH3 as N. 2.8 mg/L 14.0 mg/L Weekly Composite E (April 1— October 31 NH3 as N 7.1 mg/L. 35.0 mg/L Weekly Composite E (November 1- March 31 pH2 Weekly Grab E Fecal Coliform 200 / 100 mL 400 / 100 mL Weekly Grab E (geometric mean) .. Total Residual Chlorine3,4 - 28 pg/L 2/Week Grab E Temperature, oC Daily Grab E Total Nitrogen (NO2+NO3+TKN) Monthly' Composite E " Total Phosphorus Monthly Composite . E NOTES: 1. Sample Locations: I — Influent, E — Effluent " 2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units. 3. Limit and monitoring are applicable only if chlorine compounds are added for disinfection. 4. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with the permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina certified laboratory (including field certified), even if these values fall below 50 µ;me THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS. Atlantic Utility Inc. ,Company Name: 203 E. Bodenhamer St. Kernersville, NC 27284 NON -HAZARDOUS WASTE MANIFEST G1►`TR Generator tame: A a Lc A LC— irvc Generator Location: l�1 e Address: a Address: gar I at Phone#: c1 1 ct P0# W of waste Type Gals, Pounds SOLIDS SLUDGE / �1_U,_ LIQUID /� I hereby certify that the above named material is not hazardous waste as defined by 49 CFR Part 261 or nay applicable state law. Generator Signature: Date: ANTRA RI:TR NSPORTER Contractor's Name; Atlantic Utility Ina-- • Phone # 203 E. Bodenhamer St. Address: Kernersville, NC 27284 NO Permit # f\i G S O W SC Permit ## I hereby certify that the above name material was picked up at the generator site listed below and was delivered without incident to th edesstination listed blow. Driver's Signature: Date: �5 - / 3 --6 �iSSTTIiVA- 10 . Site blame: Arc 1�,� � i 1 �� _ 1n1 1tiJ TPhone # 2 3 � ��5�_� 1 (oS Address: S"c)o;,'+� �i► N�-��f m I�� ' I hereby certify that th eabove named material has been accepted and to the best of my knowledge the foregoing is true and accurate. Authorized Agent: Date: White- Original -Return to Generator Fellow-Transporter/Destination Fink-Generatoes Copy Z39dd S{;,2266"02- NU d8 WdITUM 6fr.9I 6ow-t7o-t7o FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Sold To: AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Ship To Duplicate Invoice Invoice Number: CCC-000762 Invoice Date: Jan 8, 2008 Page: 1 Customer ID Customer PO Payment Terms AQUA NORTH CAROLINA Net 30 Days Sales Rep —Shipping Method Ship Date Due Date I Courier I 2/7/08 I Quantity Item Description Unit Price Extension 1.00 ISEPTIC TANKS/OPEN PUMPED OUT 1 LOAD FROM WELLESLEY 350.00 350.00 GLACE WWTP Subtotal 350.00 Sales Tax Total Invoice Amount 350.00 Check/Credit Memo No: 183207 Payment/Credit Applied 350.00 TOTAL 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Sold To: AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Ship To Duplicate Invoice Invoice Number: CCC-000747 Invoice Date: Dec 19, 2007 Page: 1 Customer ID Customer PO Payment Terms AQUA NORTH CAROLINA I I Net 30 Days Sales Rep Shipping Method I Ship Date Due Date Courier I _ 1/18/08 Quantity I Item I Description I Unit Price I Extension_ 2.00 (SEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM WELLESLEY I 350.00 I 700.00 I LACE P 1.00 ISEPTIC TANKS/OPEN UMP OUT 1 LOAD FROM FOREST RIDGE 350.00 I 350.00 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 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 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 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 I I I I I I I I I I I Subtotal 1,050.00 Sales Tax Total Invoice Amount 1, 050.00 Check/Credit Memo No: 177316 Payment/Credit Applied 1, 050.00 TOTAL 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Duplicate Sold To: Ship To AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Invoice Invoice Number: CC-002408 Invoice Date: Jan 24, 2008 Page: 1 Customer ID Customer PO — —�-- Payment Terms j AQUA NORTH CAROLINA Net 30 Days Sales Rep Shipping Method Ship Date Due Date Courier --- I 2 / 23 / 0 8 — — ----- —— —� —— Quantity Item Description Unit Price Extension 2.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM WILLOW 350.00 700.00 1 WWTP 3.00 ISEPTIC TANKS/OPEN ILREEK PUMP OUT 3 LOADS FROM SPRING 350.00 I 1,050.00 REEK WWTP 2.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM FOREST 350.00 I 700.00 I kTDGE WWTP 2.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM GREYSTONE I 350.00 I 700.00 I I f WTP I I I I 2.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM WELLESLEY I 350.00 I 700.00 I I I I I I 'LACE WWTP I I I I I I I I I I I I Check/Credit Memo No: 185921 Subtotal Sales Tax Total Invoice Amount Payment/Credit Applied TOTAL 3,850.00 3,850.00 3,850.00 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Duplicate Sold To: Ship To AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Inv®ice Invoice Number: CC-002304 Invoice Date: Dec 5, 2007 Page: 1 Customer ID Customer PO Payment Terms AQUA NORTH CAROLINA I CHIP I Net 30 Days Sales Rep Shipping Method Ship Date Due Date Courier —_ — 1/4/08 Quantity I Item I Description I Unit Price I Extension 2.00 (SEPTIC TANKS/OPEN PUMP OUT SLUDGE TANK & SKIMMED I 350.00 I 700.00 I bIGESTER-JOB: FOREST RIDGE WWTP 5.00 (SEPTIC TANKS/OPEN PUMP OUT DIGESTER & SKIMMED I 350.00 1,750.00 SLUDGE TANK/ 5 LOADS -JOB: I I WELLSLEY PLACE 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 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 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 I I I I I I I I I I I I I I I I I I Check/Credit Memo No: 171888 Subtotal Sales Tax Total Invoice Amount Payment/Credit Applied TOTAL 2,450.00 2,450.00 2,450.00 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114=4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Sold To: AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Ship To Duplicate Invoice Invoice Number: CC-002281 Invoice Date: Nov 27, 2007 Page: 1 Customer ID Customer PO Payment Terms AQUA NORTH CAROLINA I Net 30 Days 1 Sales Rep Shipping Method I Ship Date Due Date Courier 112/27/07 I I Quantity I Item I Description I Unit Price Extension I I I 4.00 ISEPTIC TANKS/OPEN PUMP OUT 4 LOADS FROM SALEM GLENN I 350.00 I 1,400.00 I I 1 I I I 2.00 ISEPTIC TANKS/OPEN IOWTP P OUT 2 LOADS FROM WILLOW 350.00 I 700.00 I I LUMP (REEK WWTP I I I I 1.00 ISEPTIC TANKS/OPEN DUMP OUT 1 LOAD FROM WELLESLEY I 350.00 350.00 1 WWTP I 1 1 I 2.00 ISEPTIC TANKS/OPEN ILACE PUMP OUT 2 LOADS FROM BRIARWOOD I 350.00 I 70.0.00 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 I I i"WTP 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 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 I I L Subtotal 3,150.00 Sales Tax Total Invoice Amount 3,150.00 Check/Credit Memo No: 172901 Payment/Credit Applied 3,150.00 TOTAL 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Sold To: AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Ship To Duplicate Invoice Invoice Number: CC-001832 Customer ID Customer PO Payment Terms AQUA NORTH CAROLINA Net 30 Days Invoice Date: May 10, 2007 Page: 1 Sales Rep Shipping Method Ship Date Due Date Courier I i 6/9/07 Quantity Item Description Unit Price Extension 3.00 ISEPTIC TANKS/OPEN PUMP OUT 3 LOADS FROM WELLESLEY 350.00 1,050.00 I?LACE WWTP Subtotal 1, 050. 00 Sales Tax Total Invoice Amount 1,050.00 Check/Credit Memo No: 129981 Payment/Credit Applied 1,050.00 TOTAL 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Sold To: AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Ship To Duplicate Invoice Invoice Number: CC-001792 Invoice Date: Apr 3, 2007 Page: 1 Customer ID— Customer PO Payment Terns —— AQUA NORTH CAROLINA I I Net 30 Days Sales Rep Shipping Method I� Ship Date Due Date 1— I Courier I 15/3/07 1 -- — Quantity I Item I Description I Unit Price Extension 1 2.00 ISEPTIC TANKS/OPEN PUMPED OUT 2 LOADS FROM WELLESLEY 1 350.00 1 700.00 I I I t WTP I I 1.00 ISEPTIC TANKS/OPEN PUMPED OUT 1 LOAD FROM FRYEBRIDGE 350.00 350.00 WTP I I I 1 3.00 ISEPTIC TANKS/OPEN PUMPED OUT 3 LOADS FROM SALEM 350.00 I 1,050.00 I I WWTP 1 3.00 ISEPTIC TANKS/OPEN ILENN PUMPED OUT 3 LOADS FROM SALEM I 350.00 I 1,050.00 1 QUARTERS WWTP I 1 4.00 ISEPTIC TANKS/OPEN (PUMPED OUT 4 LOADS FROM BRIARWOOD I 350.00 I 1,400.00 I 1 PWTP I I I 1.00 ISEPTIC SERVICE CALLhERVICE CALL-4 HRS TRUCK LABOR AT 1 600.00 600.00 1 I 1 I I I I I I I I I I I I I I I I I I WILLOW CREEK WWTP 11 I I I I I I I I I 1 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 Subtotal S,150.00 Sales Tax Total Invoice Amount 5,150.00 Check/Credit Memo No: 120920 Payment/Credit Applied 5,150.00 TOTAL. 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 arm AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Ship To Duplicate Invoice Invoice Number: C-020742 Invoice Date: Dec 26, 2007 Page: 1 Customer ID Customer PO Payment Terms AQUA NORTH CAROLINA I Net 30 Days I Sales Rep Shipping Method Ship Date I Due Date I Courier 11/25/08 Quantity Item I Description I Unit Price I Extension I 5.00 ISEPTIC TANKS/OPEN PUMP OUT 5 LOADS FROM SALEM GLENN I 350.00 I 1,750.00 I I 1 IWWTP P 1.00 ISEPTIC TANKS/OPEN (UMP OUT 1 LOAD FROM WELLESLEY I 350.00 I 350.00 PLACE WWTP I I I I I I I I I I Check/Credit Memo No: 180414 Subtotal 2,100.00 Sales Tax Total Invoice Amount 2,100.00 Payment/Credit Applied 2,100.00 TOTAL 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Sold To: AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Ship To Duplicate Invoice Invoice Number: C-020423 Invoice Date: Oct 10, 2007 Page: 1 Customer ID Customer PO Payment Terms j AQUA NORTH CAROLINA I I Net 30 Days Sales Rep I Shipping Method I Ship Date Due Date Courier 11/9/07 Quantity I Item I Description I Unit Price I Extension I 2.00 (SEPTIC TANKS/OPEN ILACE I I I I I I PUMP OUT 2 LOADS FROM WELLESLEY I 350.00 WWTP I I I I I I I I 700.00 I I I I I I I Check/Credit Memo No: 162166 Subtotal Sales Tax Total Invoice Amount Payment/Credit Applied TOTAL 700.00 700.00 700.00 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Duplicate Sold To: Ship To AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Inv®ice Invoice Number: C-020209 Invoice Date: Aug 21, 2007 Page: 1 Customer ID Customer PO Payment Terms AQUA NORTH CAROLINA I I Net 30 Days Sales Rep Shipping Method Ship Date Due Date Courier I 19/20/07 Quantity I Item I Description Unit Price Extension 1.00 ISEPTIC TANKS/OPEN PUMP OUT 1 LOAD FROM WELLESLEY I 350.00 I 350.00 I LACE WWTP 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 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 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 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 I I I I I I Check/Credit Memo No: 148372 Subtotal 350.00 Sales Tax Total Invoice Amount 350.00 Payment/Credit Applied 350.00 TOTAL, 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Duplicate Sold To: Ship To AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Invoice Invoice Number: C-020149 Invoice Date: Aug 8, 2007 Page: 1 Customer ID Customer PO Payment Terns AQUA NORTH CAROLINA I Net 30 Days —--Shipping I Rep Method Ship Date Due Date —Sales I — Courier I 19/7/07 Quantity Item Description I Unit Price Extension 2.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM BRIARWOOD 1 350.00 700.00 1 I I WWTP I I 2.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM FRYE BRIDGE I 350.00 700.00 I I WTP I I I I 2.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM SALEM GLENN 1 350.00 I 700.00 I 1 1 WWTP I 1 3.00 ISEPTIC TANKS/OPEN BUMP OUT 3 LOADS FROM SPRING I 350.00 I 1,050.00 I I 4REEK WWTP I I I 1 2:00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM FOREST I 350.00 I 700.00 I 1 RIDGE WWTP I I 2.00 ISEPTIC TANKS/OPEN BUMP OUT 2 LOADS FROM WELLESLEY 350.00 700.00 I LACE WWTP 3.00 ISEPTIC TANKS/OPEN PUMP OUT 3 LOADS FROM SALEM 350.00 I 1,050.00 1 QUARTERS WWTP I 2.00 ISEPTIC TANKS/OPEN OUT 2 LOADS FROM MIKKOLA 350.00 I 700.00 1 IUMP I DOWNS WWTP 3.00 ISEPTIC TANKS/OPEN IUMP OUT 3 LOADS FROM GREYSTONE 350.00 I 1,050.00 WWTP I I 2.00 1 1 ISEPTIC I I TANKS/OPEN �UMP 1 I OUT 2 LOADS FROM PENMAN 350.00 1 I I 700.00 I I 1 I I Subtotal Continued Sales Tax Continued Total Invoice Amount Continued Check/Credit Memo No: 147422 Payment/Credit Applied 8, 400.00 TOTAL, Continued FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Duplicate Sold To: Ship To AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Invoice Invoice Number: C-019979 Invoice Date: Jun 27, 2007 Page: 1 Customer ID Customer PO --� Payment Terms — AQUA NORTH CAROLINA Net 30 Days Sales Rep Shipping Method Ship Date Due Date Courier 17/27/07 Quantity Item Description Unit Price Extension 3.00 ISEPTIC TANKS/OPEN rUMP OUT 3 LOADS FROM SALEM GLENN 350.00 1,050.00 I WWTP 3.00 ISEPTIC TANKS/OPEN 6UMP OUT 3 LOADS FROM SALEM 350.00 1,050.00 QUARTERS WWTP 2.00 ISEPTIC TANKS/OPEN rUMP OUT 2 LOADS FROM WELLESLEY 350.00 700.00 I GLACE WWTP 2.00 ISEPTIC TANKS/OPEN BUMP OUT 2 LOADS FROM SPRING 350.00 700.00 REEK WWTP 1.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOAD FROM FRYEBRIDGE I 350.00 I 350.00 I I WTP 1.00 ISEPTIC TANKS/OPEN �UMP OUT 1 LOAD FROM BRIARWOOD 350.00 I 350.00 I I I I I I I I I I y1WTP 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 I I I I I I I I I I I Check/Credit Memo No: 139148 Subtotal Sales Tax Total Invoice Amount Payment/Credit Applied TOTAL 4,200.00 4,200.00 4,200.00 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Duplicate Sold To: . Ship To AQUA NORTH CAROLINA, INC ATTN: ROBIN.THOMAS 202 MACKENAN CT CARY, NC 27511 Invoice Invoice Number: C-019896 Invoice Date: Jun 8, 2007 Page: 1 Customer ID Customer PO Payment Terms j AQUA NORTH CAROLINA I I Net 30 Days I Sales Rep Shipping Method p Date Due Date Courier I _ ( 7/8/07 I Quantity I Item I Description I Unit Price I Extension I 3.00 ISEPTIC TANKS/OPEN PUMP OUT 3 LOADS FROM SALEM GLENN I 350.00 I 1,050.00 I 1 �IWTP 3.00 ISEPTIC TANKS/OPEN PUMP OUT 3 LOADS FROM WELLESLEY 350.00 I 1,050.00 LACE WWTP 2.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM BRIARWOOD I 350.00 I 700.00 I I I WWTP 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 I I I Check/Credit Memo No: 134065 Subtotal Sales Tax Total Invoice Amount Payment/Credit Applied TOTAL 2,800.00 2,800.00 2,800.00 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Duplicate Sold To: Ship To AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Invoice Invoice Number: C-019725 Invoice Date: Apr 27, 2007 Page: 1 Customer ID Customer PO Payment Terms AQUA NORTH CAROLINA I I Net 30 Days Sales Rep I Shipping Method Ship Date Due Date _ Courier 15/27/07 I Quantity Item I Description Unit Price I Extension 1 2.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM WELLESLEY 1 350.00 I 700.00 I I WWTP I I 1 2.00 ISEPTIC TANKS/OPEN (LACE PUMP OUT 2 LOADS FROM FRYE BRIDGE 1 350.00 1 700.00 1 I I I I I WWTP (PUMP I I I I I I I 4.00 ISEPTIC TANKS/OPEN OUT 4 LOADS FROM SALEM 1 350.00 I 1,400.00 1 I bUARTERS WWTP I I I 1.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOAD FROM WILLOW CREEK 1 350.00 I 350.00 I � �^, I"WTP I I I I 1 2.00 ISEPTIC TANKS/OPEN PUMP OUT 2 LOADS FROM SALEM GLENN 1 350.00 1 700.00 1 I I I I I I I I I I I WWTP I I I I I I I I I I I I I I I I I I I I I I Check/Credit Memo No: 126214 Subtotal Sales Tax Total Invoice Amount Payment/Credit Applied TOTAL 3,850.00 3,850.00 3,850.00 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Sold To: AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Ship To Duplicate Inv®ice Invoice Number: C-019551 Invoice Date: Mar 21, 2007 Page: 1 Customer ID Customer PO Payment Terms — AQUA NORTH CAROLINA i Net 30 Days Sales Rep Shipping Method I Ship Date Due Date -- — Courier 4/20/07 Quantity — Item Description Unit Price Extension i 5.00 ISEPTIC TANKS/OPEN PUMP OUT 5 LOADS FROM WELLESLEY 1 350.00 1,750.00 GLACE WWTP (OT) Check/Credit Memo No: 118789 Subtotal 1,750.00 Sales Tax Total Invoice Amount 1,750.00 Payment/Credit Applied 1,750.00 TOTAL 0.00 FORSYTH ROOTER SERVICE, INC. POST OFFICE BOX 24248 WINSTON-SALEM, NC 27114-4248 Voice: (336) 768-8494 Fax: (336) 768-1500 Sold To: AQUA NORTH CAROLINA, INC ATTN: ROBIN THOMAS 202 MACKENAN CT CARY, NC 27511 Ship To Duplicate Invoice Invoice Number: C-019227 Invoice Date: Jan 18, 2007 Page: 1 Customer ID Customer PO Payment Terms AQUA NORTH CAROLINA Net-30 Days Sales Rep Shipping Method Ship Date Due Date Courier 12/17/07 Quantity Item I Description Unit.Price Extension 4.00 ISEPTIC TANKS/OPEN PUMP OUT 4 LOADS FROM SALEM 275.00 1,100.00 I bUARTERS WWTP 3.00 iSEPTIC TANKS/OPEN PUMP OUT 3 LOADS FROM WELLESLEY 275.00 825.00 LACE WWTP Check/Credit Memo No: 99068 Subtotal Sales Tax Total Invoice Amount Payment/Credit Applied TOTAL 1,925.00 1,925.00 1,925.00 0.00 RE: Wellesley Place Subject: RE: Wellesley Place From: "Parker, Tony R." <TRParker@aquaamerica.com> Date: Fri, 16 May 2008 10:33:41 -0400 To: <Rose.Pruitt@ncmail.net> CC: "Likins, Delbert H." <DHLikins@aquaamerica.com>, "Melton, Michael A." <MAMelton@aquaamerica.com>, "Moseley, Gary R." <GRMoseley@aquaamerica.com>, "Ison, Laurie T." <LTIson@aquaamerica.com> Rose, Forsyth Rooter is researching for these records and have spoken with them today. Hopefully they will be able to supply this info shortly. Will forward when received. Thanks Tony From: tim@atlanticutilityinc.com[mailto:tim@atlanticutilityinc.com] Sent: Friday, May 16, 2008 9:40 AM To: Rose.Pruitt@ncmail.net Cc: Parker, Tony R.; Moseley, Gary R. Subject: Re: Wellesley Place Rose, I can Give you our Sludge Manifest for what we pumped and haul for Aqua in 2008, but I do not know if Tony got sludge hauling Mainifest from Forsyth Rooter yet. Please let me know when you would like to re -inspect Welllsley Place. I believe with the exception of the sludge hauling manifest all of the other copliance problems listed in the NOV have been corected. Sincerely Tim Waddell Rose Pruitt writes: Tim I still need to see the manifests and schedule a re -inspection. Rose Pruitt NCDENR-DWQ Winston-Salem Regional Office Division of Water Quality, Surface Water Protection 585 Waughtown Street Winston-Salem, NC 27107 Voice: (336) 771-5000 FAX: (3 3 6) 771-463 0 On 5/16/2008 7:52 AM, tim@atlanticutilityinc.com wrote: 1 of 2 5/27/2008 9:43 AM RE: Wellesley Place Sorry about that, here is the information I sent Aqua for the response on Wellesley Place. Thanks Tim Waddell 2 of 2 5/27/2008 9:43 AM Saturday, May 10, 2008 Response to Novs at WELLSLEY PLACE WWTP Compliance Issue: No Annual Report Response: Annual Report attached to response. Compliance Issue: Incomplete sludge hauling records . Response: All operators have been instructed to recorded sludge hauled volumes on the sludge hauling report and not on log or maintenance sheets in order to track sludge removal more closely. Also Aqua requires sludge hauling Manifest from all Sludge Management Firms, along with invoices for sludge removed. Compliance Issue: Frequency Violation Response: All Operators have been instructed on reviewing all NPDES permit limits and monitoring frequency requirements. All personnel have been instructed on the importance of receiving and keeping all monitoring Data. We are having all Log Sheets, DMR's and Lab Data reviewed by the operator, AUI staff and Aqua NC Staff to ensure that all frequency monitoring is met. The Operator that was responsible for most of the frequency violations is no longer working on any Aqua NC WWTP or with Atlantic Utility. Compliance Issue: Back-up Generator failed to start: Response: Battery was replaced in Generator and tested under load. Battery charger was tested at 300 mill volts. Operator has been instructed to test generator week under full load and to check fluids in radiator and battery. Compliance Issue: Broken Waterline Response: Water Hydrant and line had been repaired after 2007 inspection but due to the use of copper line the hydrant began to leak again and has now been repaired again at AUI cost and appears to be leak free and operational now. Compliance Issue: Visual and Audible alarms not working on Equalization Tank. Response: When tested I found that the Visual was working. The Audible alarm had shorted out. The Audible alarm was replaced with a louder type alarm in 2007. A new Federal Alarm was replaced 5-1-08 again. Compliance Issue: Solids bulking in Clarifier. Response: Operator instructed to brush plant down more often and to check influent V-notch to make sure they don't clog creating hydraulic over loading on either of the Aeration Basins. Compliance Issue: Need Certified Thermometer for sampler Response: ordered new thermometer from Lab at AUI cost, previous thermometer was broken. Compliance Issue: Rags Clogging Plant Response: Equalization Tank needs to be Pump and Cleaned out of Rags Debris and Silt. Compliance Issue: Solids in Creek Response: Pumped and cleaned as much of the creek area as was accessible at AUI cost. Sincerely Timothy Waddell From: tim@atlanticutilityinc.com Date: Fri, 16 May 2008 04:52:39 -0700 To: "Rose.Pruitt@ncmail.net" <Rose.Pruitt@ncmail.net> Sorry about that, here is the information I sent Aqua for the response on Wellesley Place. Thanks Tim Waddell Content -Type:. application/octet-stream, novresponse Wellesley Place.doc. Content -Encoding: base64 1 of 1 5/16/2008 8:13 AM May 29, 2008 Mr. Steve Tedder Water Quality Regional Supervisor 585 Waughtown Street Winston-Salem, North Carolina 27107 Re: NOV-2008-PC-0275 Wellesley Place WWTP Permit No NC 0084409 Forsyth County Dear Mr. Tedder: Aqua North Carolina, Inc. Thomas J. Roberts 202 MacKenan Court President and Chief Cary, NC 27511 Operating Officer T: 919.467.8712 ext. 30 F: 919.460.1788 tjroberts@aquaamerica.com www.aquanorthcarolina.com This letter is in response_ to the inspection conducted as reported on March 26, 2008. _However, your cover letter references that -the inspection was performed on May 30, 2007. We believe this was a typographical error, regardless; we wish to address the continents made during. the inspection performed by Ms. Rose Pruitt of your office and are as follows: "Failure to comply with tine permit. Failitre to provitle open-atioia ai ld niaintelialice . resources necessary to operate the existing facilities at optimum efficiency. Aqua's contract operator, Atlantic Utility, Inc, is fully authorized to take whatever action deemed necessary to insure thatour facilities are performing at optimal levels and are meeting compliance. 2. "The sludge hauling records for this facility were incomplete." All operators have been instructed to record the volume of sludge hauled on the sludge hauling report. In addition, Aqua North Carolina (Aqua) requires sludge hauling manifests to be submitted with the invoice of sludge removed. 3. "Chain of custody jorms'were missing "the lab signatures on some fornps." Atlantic Utility, Inc. has been in contact with the laboratory performing the sample testing to ensure that the laboratory signs off on all chain of custody report forms. The laboratory indicated that anew person was running the pickup route during this occurrence. The laboratory has assured us that this will not happen again. An Aqua America Company Page Two Mr. Steve Tedder May 29, 2008 4. ",Solids were observed in the stream. The ORC had difficulty locating the effluent Pipe." Aqua is having difficulty interpreting this statement since under Section IV. Effluent/ Receiving Stream, the comment otherwise states that the receiving stream was clear and free of visible solids on the date of inspection. The receiving stream was free of foam and debris. 5. "There was no thermometer in the sampler. Repeat violation." A new thennometer has been ordered from the laboratory and will be replaced soon. 6. ".Broken water lime noted at last year's inspection was still broken and was now opera pit full of water." We appreciate you pointing this out, but we believe this should not have been included in the report as written. Regardless, the hydrant was repaired after the last inspection, and again has been repaired. 7. "The visual and audible alarms did not frinction during the inspection. Repeat violation. " Atlantic Utility, Inc. found the visual alarm to work; however, the audible alarm had shorted out. The audible alarm had been previously replaced in 2007. A new "federal" type alarm was .replaced on May 1, 2008. 8. "}far screen full. Rags clogging theplant, ORCsaid 2 ofplant down because rags clogged splitter box. " Aqua's contract operator, Atlantic Utility, Inc, is fully authorized to take whatever action deemed necessaryto insure that our facilities are performing at optimal levels and are, meeting compliance., 9. . ",Solids bulking in the clarifier." The operator has been instructed to brush down the plant 'More often and to check the influent V-notch to ensure that clogs do not occur, that could lead to the operational efficiency of the aeration basins. Page Three Mr. Steve Tedder jl/fqy 29, 2008 10. "Bulb out in LW dishifection system." Aqua has given permission to the contract operat or to replace the bulb in the UV .disinfection system. 11. "Stand by generator not working P- - Since the inspection, the battery was replaced and tested under load. The operator has been instructed to test the generator weekly under full load.. Also, he has been instructed to check all fluids in the generator. If you have any questions or comments regarding this response, please contact Tony Parker a't (704)489-9404, ext 232 in our Denver office. Sincer Thomas J. loberts President and COO cc: Tim Waddell, Atlantic Utility, Inc. FW: 116 Smith Branch Ct Subject: FW: 116 Smith Branch Ct From: Elizabeth Binkley <EBinkley@toknc.com> Date: Thu, 29 May 2008 17:12:03 -0400 To: "'rose.pruitt@ncmail.net"' <rose.pruitt@ncmail.net> Hi Rose, A neighbor from 116 Smith Branch Ct called and reported that several young men were digging out the stream bank this evening and not the dam. I will go over in the morning to check it out. Thanks, Elizabeth Binkley Stormwater Administrator Town of Kernersville Public Works Department Office (336) 996-6462 Fax (336) 564-1620 ebinkley(cD_toknc.com www.toknc.com Please consider the environmental impacts of printing email. This email message, and any attachment(s) hereto, as well as any email message(s) that may be sent in response to it, may be considered Public Record, and as such are subject to requests for review. If you are not the intended recipient, please destroy this message and inform the sender immediately. The information contained in this email may be confidential and, in any event, is intended only for the use of the entity or individual to whom it is addressed. Thank you. 1 of 1 5/30/2008 7:32 AM of W A rER Q Michael F. Easley, Governor North Carolina Department of Environment and Natural Resources Mal Coleen H. Sullins, Director May 5, 2008 Division of Water Quality Mr. Tom Roberts, President Aqua North Carolina, Inc. 202 Mackenan Avenue Cary, North Carolina 27511 SUBJECT: WQCSD0206 Collection System Inspection Wellesley Place Subdivision Forsyth County Dear Mr. Roberts: An inspection of your collection system was conducted on March 26, 2008 by Rose Pruitt of this office. Tim Waddell, Atlantic Utility, Inc. and Richard Hughes, WWTP ORC provided the relevant compliance information on the facility. Rose Pruitt of this office also conducted an inspection of the wastewater treatment plant that day. An earlier informational letterwas sent to Aqua North Carolina that detailed the requirements for collection systems that are deemed to be permitted. I would like to remind you that these requirements for sewer collection systems were first established in 15 NCAC .02H .0200 in March 2000 and are now found in 15 NCAC 2T .0403. 1. O & M Plan- The operation and maintenance plan must list the preventative maintenance schedule, spare parts inventory, an overflow response plan and testing frequency for emergency equipment. The overflow response plan appears to be satisfactory. 2. Collection System Map -A map of the collection system must be available and maintained with any additions to the system. The map should indicate the line size, pipe material, flow direction, approximate age of the sewer, any high priority lines and number of active service taps. Please confirm that the map has been updated to include Phase 3 of the project within 30 days. 3. High Priority Lines- These sections of sewer include aerial lines, lines contacting surface waters, sub -waterway crossings, siphons, and sections of sewer parallel to stream banks. which are subject to erosion and the potential for failure of the sewer line. High priority lines must be inspected every six (6) months and a log maintained with dates, inspection methods, and corrective actions taken or planned. The high priority lines should be identified on the Collection System Map as noted above. 4. Right -of Way- The sewer line right-of-ways should be maintained to allow access to the sewer lines for inspection and repair. The dates of the work performed can be noted on the map or a log could be used for documentation. (See example form) 5. Observation -A general observation of the entire system must be conducted everyyearand a log (or map) should be maintained to document these observations. Where there are.. areas that are visible to the general public, right of way maintenance has been conducted or where sewer cleaning has occurred, the "observation" requirement has essentially been met for that section of line. The lines that are not normally seen by the public or maintenance crews are of main concern for this "observation " requirement. The observation log for the system appeared to be complete 6. Grease education- Privately owned collection systems must distribute grease education materials to the users of the system twice per year. (Attached is an example of the type bilingual mailer that has been used by others). If sewer overflows are caused by grease, these documents shall be distributed more often. Please confirm the proposed distribution schedule for the grease education materials. N'bG" Carolina Mural North Carolina Division of Water Quality 585 Waughtown Street Phone (336) 771-5000 Customer Service Winston-Salem Regional Office Winston-Salem, NC 27107 Fax (336) 771-4630 1-877-623-6748 Internet: www.ncwateMuality.org An Equal Opportunity/Affirmative Action Employer— 50% Recycledl10% Post Consumer Paper 7. Overflows- Any sewer overflows or bypasses that reach surface waters or exceed 1000 gallons (on the ground) must be reported within 24 hours to the Division. (Reporting after hours or on weekends and holidays should be to the Division of Emergency Management at 1-800-858-0368 or 1-919-733-3300). A follow-up 5-day report is also required which verifies the cause of the spill and any actions taken to diminish the impacts and to prevent a recurrence. A press release to all electronic and print news media outlets that provide general coverage in the county where the discharge occurred is required within 48-hours of first knowledge of the spill for all discharges of at least 1000 gallons to surface waters. If there is a spill of at least 15,000 gallons to surface waters a public notice must also be issued in a newspaper having general circulation in the Countywhere the spill occurred and in the County immediately downstream. Contact this office if you need any forms or further information on this topic. Records of the spills that are less than 1000 gallons and do not reach surface waters should also be maintained as this information can be utilized to identify obstructions to the lines or excessive infiltration / inflow (1/1). This requirement must be complied with immediately for any overflows or bypasses. 8. Documentation- Maintain all documentation for at least 3 years. 9. Prevent Discharges- Maintain and operate the system, "at all times to prevent discharge to land or surface waters, and to prevent any contravention. of groundwater standards or surface water standards". It is recommended that older sewer systems and systems that have experienced repeated overflows have at least 10% of the system cleaned each year. Smaller systems not experiencing overflows, should clean half of the system every five years or 1/3 every three years and a record of this information should be maintained for review. You may wish to check the website on collection systems at: <http://h2o.enr.state.nc.us/peres/Collection%20Systems/CollectionSystemsHome.htmi> Please respond to this office within 30 days to confirm the status of the update to the map and the distribution of the grease education materials. Should you have any other questions concerning this correspondence or the requirements relating to collection systems, please contact Steve Mauney at 336-771-4969. Sin erely� Steve W. Tedder Water Quality Regional Supervisor Attachments cc: €£dose Pruitt SWP-Central Files & WSRO PERCS c + Compliance Inspection Report Permit: WQCSD0206 Effective: 03/01/00 Expiration: Owner: Heater Utilities Inc SOC: Effective: Expiration: Facility: Wellesley Place Subdivision Collection System County: Forsyth Region: Winston-Salem Contact Person: Thomas J Roberts Title: Vice President Phone: 919-467-8712 Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Inspection Date: 03/26/2008 Primary Inspector: Rose Pruitt Secondary Inspector(s): ;Entry Time: 11:30 AM Certification: Exit Time: 12:15 PM Phone: Phone: 336-771-5000 Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Deemed permitted collection system management and operation Facility Status: 0 Compliant ® Not Compliant Question Areas: ® Miscellaneous Questions Performance Standards .Operation & Maint Reqmts ® Records ® Monitoring & Rpting ® Inspections ■ Pump Station Reqmts (See attachment summary) Page: 1 r Permit: WQCSD0206 Owner - Facility: Heater Utilities Inc Inspection Date: 03/26/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine Performance Standards Yes No NA NE Is Public Education Program for grease established and documented? What educational tools are used? ORC provided print media to Aqua Is Sewer Use Ordinance/Legal Authority available? Does it appear that the Sewer Use Ordinance is enforced? Is Grease Trap Ordinance available? Is Septic Tank Ordinance available (as applicable, i.e. annexation) 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? Does CIP cover three to five year period? Does CIP include Goal Statement? Does CIP include description of project area? Does CIP include description of existing facilities? Does CIP include known deficiencies? Does CIP include forecasted future needs? 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? If no, describe type of bypass and location Is a 24-hour notification sign posted at ALL pump stations? # Does the sign include: Instructions for notification? Pump station identifier? 24-hour contact numbers If no, list deficient pump stations n n n ■ nn■n Page: 3 • T Permit: WQCSD0206 Owner - Facility: Heater Utilities Inc Inspection Date: 03/26/2008 Inspection Type: compliance Evaluation Reason for Visit: Routine # Do ALL pump stations have an "auto polling" feature/SCADA? rl fl ■ rl Number of pump stations Number of pump stations that have SCADA Number of pump stations that have simple telemetry 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? ❑ ❑ ® 0 # If yes, date implemented? Describe: Comment: Inspections Yes No NA NE Are maintenance records for sewer lines available? ■ n 110 Are records available that document pump station inspections? ■ n n n Are SCADA or telemetry equipped pump stations inspected at least once a week? 0 0 ® fl Are non-SCADA/telemetry equipped pump stations inspected every day? n n ■ n Are records available that document citizen complaints? 0 ■ 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? ❑ 0 0 ■ 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? ❑ ❑ ❑ ■ Comment: Aqua responsible for customer complaint records Operation & Maintenance Requirements Yes No NA NE Are all log books available? n n ® ❑ Does supervisor review all log books on a regular basis? n n ® n Does the supervisor have plans to address documented short-term problem areas? n n ■ n What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas? Are maintenance records for equipment available? ■ n n n Is a schedule maintained for testing emergency/standby equipment? ■ n n n What is the schedule for testing emergency/standby equipment? L Page: 4 Permit: WQCSD0206 Owner - Facility: Heater Utilities Inc Inspection Date: 03/26/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine Do pump station logs include: Inside and outside cleaning and debris removal? n n ■ n Inspecting and exercising all valves? nn■n Inspecting and lubricating pumps and other equipment? n n ■ n Inspecting alarms, telemetry and auxiliary equipment? n n ■ n Is there at least one spare pump for each pump station w/o pump reliability? n n ®Q . Are maintenance records for right-of-ways available? n ®n n Are right-of-ways currently accessible in the event of an emergency? n n n Are system cleaning records available? ■ n n n Has at least 10% of system been cleaned annually? ■ n n n What areas are scheduled for cleaning in the next 12 months? Aqua responsible for right of way maintenance Is a Spill Response Action Plan available? ® n n n Does the plan include: 24-hour contact numbers ® n n n Response time ® n n n Equipment list and spare parts inventory ®❑ n n Access to cleaning equipment ® n n n Access to construction crews, contractors, and/or engineers ®n n n Source of emergency funds nn■n Site sanitation and cleanup materials ® n n n Post-overflow/spill assessment ® n n n Is a Spill Response Action Plan available for all personnel? ® n n n Is the spare parts inventory adequate? n n n Comment: Records Yes No NA NE Are adequate records of all SSOs, spills and complaints available? 0 © n n Are records of SSOs that are under the reportable threshold available? n ■ n n Do spill records indicate repeated overflows (2 or more in 12 months) at same location? n n n ■ If yes, is there a corrective action plan? nnn■ Is a map of the system available? ® n n n Page: 5 - . . Permit: WQCSD0206 Owner - Facility: Heater Utilities Inc Inspection Date: 03/26/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine Does the map include: Pipe sizes ®❑ n n Pipe materials v Pipe location n n n 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 # 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. 143-215.1C? # Is permittee compliant with all compliance schedules in the permits? If no, which one(s)? Aqua did not provide Comment: nnon Page: 6 �J N1 q 7 n Michael F. Easley, Governor \O�0 TQG William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Coleen H. Sullins Director . > Division of Water Quality May 12, 2008 CERTIFIED MAIL 7007 3020 0000 6279 6924 RETURN RECEIPT REQUESTED Thomas J Roberts, President Heater Utilities Inc 202 Mackenan Ct Cary NC 27511 Subject: NOTICE OF VIOLATION — NOV-2008-LV-0208 Permit No. NCO084409 Wellesley Place WWTP Forsyth County Dear Roberts, President: A review of Wellesley Place WWTP's monitoring report for February 2008 showed the following violations: Parameter Date Limit Value Reported Value Limit Type Nitrogen, Ammonia Total 02/29/08 7.1 mg/1 7.35 mg/1 Monthly (as N) 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 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, (�4VeW_ 10, Steve W. Tedder Water Quality Regional Supervisor Winston-Salem Region Division of Water Quality Cc: Central Files —SWP wSRO1 585 Waughtown Street Winston-Salem, NC 27107 .- - 336-771-5000 (Telephone) 336-771-4630 (Fax) Cover Sheet from Staff Member to Regional Supervisor I _ , DMR Review Record Vv Facility: Zip 1iC Permit/Pipe No.: N6, 11Y®9 Month/Year Monthly Average Violations Parameter Permit Limit DMR Value % Over Limit Weekly/Daily Violations Date Parameter Permit Urnit/I vie 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: THOMAS ROBERTS PRESIDENT AQUA NORTH CAROLINA INC 4163 SINCLAIR STREET DENVER NC 28037. Dear Mr. Roberts: Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Coleen K Sullins, Director Division of Water Quality RECEIVED June 9, 2008 N.C. Dept of ENR JUN 10 2008 Winston-Salem Regional Office Subject: Receipt of permit renewal application NPDES Permit NCO084409 Wellesley Place WWTP Forsyth County The NPDES Unit received your permit renewal application on June 6, 2008. 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 permits, please contact Robert Sledge at (919) 733-5083, extension 547. Sincerely, Dina Sprinkle NPDES Unit cc: CENTRAL FILES W3ias 0em Re e/Surface Water Protection NPDES Unit .One Carolina Naturally North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service Internet: www.ncwaterquality.or; . Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax (919) 733-2496 1-877-623-6748 An Equal Opportunftj/Afirmative Aeon Employer— 50% Recycled/10% Post Consumer Paper aqua —North-C�ralin� June 3, 2008 Mrs. Dina Sprinkle NC DNER/DWQ/Point Source Branch 1617 Mail Service Center Raleigh, NC 27699-1677 SUBJECT: NPDES Renewal Application Wellesley Place WWTP NPDES Permit No. NC0084409 Forsyth County, NC Dear Mrs. Sprinkle: Aqua North Carolina, Inc. T: 704.489.9401 4163 Sinclair Street F: 704.489.9409 Denver, NC 28037 www.aquanorthcarolina.com J U N - 6 2008 DENR - WATER QUALITY POINT S®UR'f;E QRANCH Transmitted herewith are the completed/signed originals and two copies each of the subject NPDES permit application and sludge management plan. Also attached are two copies of this cover letter. There have been no modifications to the waste water treatment facility since issuance of the last permit. It is my understanding that no filing fee is required for this renewal. If you have questions regarding this application, please do not hesitate to contact me. An Aqua America Company 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 C0084409 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 Aqua North Carolina, Inc. ff lam Facility Name Wellesley Place Subdivision WWTP D V,, U V LJ Mailing Address 202 Mackenan Court city Cary JUN - 6 2008 State / Zip Code NC/27511 Telephone Number (919)467-8712 . DENS ,WATER ALITY Fax Number (919)460-1788 POINT SOURCE NCH e-mail Address TRoberts@aquaamerica.com 2. Location of facility producing discharge: Check here if same address as above 0 Street Address or State Road NCSR 1310 at Franklin Road City Lewisville State / Zip Code NC 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 Change or ORC) Name Atlantc Utility, Inc. Mailing Address 203 East Bodehamer St. City State / Zip Code Telephone Number Fax Number Kernersville NC/27284 (877)630-9033 (336)497-4718 1 of d Fnrm_f1 1 Inr, 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 applyj- Industrial ❑ Commercial ❑ Residential School ❑ Other ❑ Number of Employees Number of Employees Number of Homes Number of Students/Staff Explain: ill Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): Subdivision Population served: 282 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 streams) (Provide a map shouring the exact location of each outfall� Mill Creek (Yadkin River Basin 8. Frequency'of Discharge: ® Continuous ❑ Intermittent If intermittent: Days per week discharge occurs: seven Duration: continuous 9. Descn'be 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. WW'T facilities consist of: inlet bar screen, equalization basin, dual pumps and blower, flow splitter box, dual aeration basins w/fine bubble diffusers and blowers, dual -basin clarifier, UV disinfection, chlorine contact basin w/tablet chlorination and dechlorination equipment (used as backup), aerated sludge holding tank, and effluent flow meter with weir. Facilities are designed to meet the following Monthly Average/Daily Maximum NPDES Permit effluent limitations (mg/1): BOD 30.0/45.0, TSS 30.0/45.0, NH3 as N (summer) 2.8/14.0, NH3 as N (winter) 7.1/35.0. No phosphorus limits specified in current NPDES permit. 9 of d Fnrm_n i MR NPDES APPLICATION - FORM D Forprivately owned treatment systems treating 100% domestic wastewaters < 1.0 MGD 10. Flow Information: Treatment Plant Design flow 0.060 MGD Annual Average daily flow '05--0.02511, '06--0.03045, '07--0.0247 MGD (for the previous 3 years) Maximum daily flow '05--0.075. '06--0.081, '07--0.0865 MGD (for the previous 3 years) 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 Monthly Units of Number of Maximum Average Measurement Samples 3+ (From Biochemical Oxygen Demand 5.7 2.1 mg/l 10/07-12/07 (BOD.5) DMRs) 3+ (From 31 <2.0 #/ 100m1 10/07-12-07 Fecal Coliform DMRs) 3+ (From 10.7 <3.0 mg/l 10/07-12/ 07 Total Suspended Solids DMRs) Temperature (Summer) 3+ (From 25.8 17.8 Centigrade 10/07-12/07 Temperature (Winter) DMRs) 3+ (From 7.8 10/07-12/07 pH DMRs) 13. List all permits, construction approvals and/or applications: Type Permit Number Type Hazardous Waste (RCRA)NESHAPS (CAA) UIC (SDWA) Ocean Dumping (MPRSA) NPDES NCO084409 Dredge or fill (Section 404 or CWA) PSD (CAA) Special Order of Consent (SOC) .1nfA Permit Number Fnrm_n 1inp NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters < 1 A MGD Non -attainment program (CAA) Other 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. Thomas Roberts President Printed m-ame of Person S_iMiinz Title r Signature of _. / 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.) d of d Fnrm_n 1 InA (v,i5NNA) MWA SCALE 1:24000 tude: 36c07'05" gitude: 80'25'07" .d #: C17SW, "Clenamous" am Class: WS-IV AOUk North Carolina -SLUDGE MANAGEMENT PLAN ,. Aqua North Carolina, Inc. (Western Region -High Point) No sludge will be treated on any wastewater treatment plant site operated by Aqua North Carolina, Inc. Where practical, sludge removal from Aqua North Carolina West facilities will be transported via a contract hauler to another Aqua North Carolina West facility for the purpose of "seeding" a new or under -loaded plant when there is a need for such. Unusable (or "dead") sludge will be removed by a permitted/licensed contract hauler and properly disposed of in accordance with NCGS 143-215.1. Contract haulers used by Aqua North Carolina West will be required to report, via a sludge -hauler .manifest, 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 North Carolina West. Aqua North Carolina West has not entered into any agreement to accept sludge into its facilities from plants not owned by them and have no intentions of doing so. Aqua North Carolina.West 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 North Carolina West includes all of the facilities under the jurisdiction of the Winston-Salem Regional Office. cc: Technical Support Branch County Health Department Central Files SOC PRIORITY PROJECT: YES _ NO X IF Yes, SOC No. To: Permits and Engineering Unit Water Quality Section Attention: (Review Engineer) Mike Templeton AUTHORIZATION TO CONSTRUCT NPDES PERMIT REPORT AND RECOMMENDATIONS Date: 12-2-03 County: Fors3jh Permit No. NC: 0084409 PART I GENERAL INFORMATION 1. 2. 3. 4. 5 Facility Name and Current Address: Wellsley Place WWTP Franklin Rd @ NCSR 1310 Lewisville NC 27023 Date of most recent NPDES Staff Report: (attach copy) Initial staff report done 9-4-94 Changes since previous action on NPDES Permit: N/A Verify Discharge Point(s) on plans with current NPDES Permit. List for all discharge points. Latitude: 36.07.05 Longitude: 80.25.07 Attach a USGS map extract and indicate treatment facility site and discharge point on map. U.S.G.S. Quad No. C17W U.S.G.S. Name Clemmons Treatment plant classification: (attach completed rating sheet) N/A PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS (PROVIDE THE FOLLOWING INFORMATION IF IT IS NOT ON THE PREVIOUS NPDES STAFF REPORT) 1. Existing treatment facility: a. What is the current permitted capacity of the facility? 0.06MGD b. Date(s) and construction activities allowed by previous Authorizations to Construct issued in the previous two (2) years: N/A c: What is the actual treatment capacity of the current facility (design volume)? Same as (a) above d. Please p rovide a d escription o f e xisting o r s ubstantially constructed wastewater treatment facilities. Bar Screen, flow equalization basin, dual aeration basins, dual clarifiers, sludge digester, tablet chlorination and dechlorination, continuous flow meter. 2. Please provide a description of proposed wastewater treatment facilities: Remove existing tablet chlorination system and install ultraviolet disinfecting system, (150,000 l-allon/day) 3. Residuals handling and utilization/disposal scheme: Septage hauler for disposal in a POTW a. If residuals are being land applied, please specify DWQ permit no. Residual Contractor: Telephone No. b. Residuals stabilization: PSRP PFRP Other C. Landfill: d. Other disposal/utilization scheme (Specify): 4. Important SOC, JOC or Compliance Schedule dates, if applicable: (Please indicate) Submission of Plans and Specifications Begin Construction Complete Construction PART III - EVALUATION AND RECOMMENDATIONS WSRO recommends issuance. Signature of report preparer �� T Water Quality Section Supervisor Date / is-1'710,,� 7C r:-- AA11 P.t ntnni onnd, ■ Camplete 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. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Thomas J. Roberts, President Heater Utilities Inc. 202-Mackenan Court CaM-NC 27511 P Agent ❑ Addresse ate of Deliver Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Se ce Type El Certified Mail 13 press Mail ❑ Registered Ga'Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) 7007 3020 aaaa 6279 692I , 61Ia No✓ a%- s V r n--tie Rutnm Pint ?_'_A (^/ L ❑ Yes UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees 'aid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • I RECEIVED W.C. Dept. of ENR . (�� I I- -MAY -1 6 2000 1 Surface Water Protection Section Winston-Salem N.C. Dept. of Environment and Nat ral-RSWM Ce I 585 Waughtown Street Winston-Salem, NC 27107 ■ Complet6 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. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Thomas J. Roberts -President Heater Utilities ❑ Agent ❑ Addre, eived by (Prin ed Nam) C Date of Delivery I� D. Is delivery address different from item 17 U Yes If YES, enter delivery address below: ❑ No 202 MacKenan Court I 3. Service Type Cary, NC 27511 j Certified Mail ❑ Express Mail -giRegistered ❑ Return Receipt for Merchandise - - — - -- -- - ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7008 0500 0002 0609 3413 3S Form 3811, February 2004 Domestic Return Receipt 1 A _ Z J,) ,(J ,OZ, 102595-02-M-154( UNITED STATES POSTAL SERVICE 0 Sender: Please print your name, address, and NCDENR-Division of Water Qual "PC 44, 585 Waughtown Street Winston-Salem, NC 27107 3S Mail & Fees"Paid Permit_ No. G-1 0. 1p+�4n.tMl x I