WQ0002523_Residual Annual Report 2021_20220222

Non-Discharge Branch Upload/Submittal Form
NORTH CAROLINA
Enriry mmful Quoity
Version 2-Revised June 23,2020
Initial Review
Reviewer Thornburg,Nathaniel D
Is this submittal an application?(Excluding additional information.)*
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other
Annual Report Year* 2021
Permit Number(IR)* WQ0002523
Applicant/Permittee Town of Beech Mountain
Email Notifications
Does this need review by the hydrogeologist?* C Yes • No
Regional Office Winston-Salem
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal,confirmation of receipt,and other correspondence.
............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Name* Daniel Davis
Email Address* Phone Number*
[e-mail] 8283879282
Project Information
Application/Document Type* New(Fee Required) Modification-Minor
Modification-Major(Fee Required) Renewal
Renewal with Major Modification(Fee GW-59, NDMR,NDMLR, NDAR-1,
Required) NDAR-2
Annual Report Residual Annual Report
Additional Information Change of Ownership
Other
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:* Wastewater Irrigation High-Rate Infiltration
Other Wastewater Reclaimed Water
Closed-Loop Recycle Residuals
Single-Family Residence Wastewater Other
Irrigation
Permit Number:* WQ0002523
Has Current Existing permit number
Applicant/Permittee Address* 403 Beech Mountain Parkway,Beech Mountain,NC,28604
Facility Name* Town of Beech Mountain Class A Residuals Program
Please provide comments/notes on your current submittal below.
Town of Beech Mountain Annual Biosolids Report for Pond Creek Facility
At this time,paper copies are no longer required.If you have any questions about what is required,please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form,Engineering Plans,Specifications,Calculations,Etc.)
2021 Annual Solids Report TOBM.pdf 4.5MB
Upload only 1 PDF document(less than 250 MB).Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be
accepted for pre-review until the fee(if required)has been received by the Non-
Discharge Branch.Application fees must be submitted by check or money order and
made payable to the North Carolina Department of Environmental Quality(NCDEQ).
I also confirm that the uploaded document is a single PDF with all parts of the
application in correct order(as specified by the application).
Mail payment to:
NCDEQ—Division of Water Resources
Attn:Non-Discharge Branch
1617 Mail Service Center
Raleigh,NC 27699-1617
Signature
Submission Date 2/22/2022

Council Members
Barry Kaufman,Mayor Interim Town
Jimmie Accardi,Vice Mayor BEECH Manager
Weidner Abernethy Bob Pudney
Kelly Melang MOUNTAIN Town Attorney
Erin Gonyea NORTH CAROLINA Stacy C.Eggers IV
Eastern America's Highest Town
Division of Water Quality
1617 Mail Service Center
ATTN: Information Processing Unit
Raleigh,N.C. 27699-1617
Enclosed is a copy of the Town of Beech Mountain Residuals Compost report for 2021. This
past year we produced no compost because we landfilled our biosolids in 2021, 8.01 tons, at the
RS-FOOTHILLS ENVIRONMENTAL LANDFILL. You will find 3 copies of the complete
N.C. report in this packet. If you need additional information,please contact me at 828-387-
9282.
Thank You,
Daniel Davis
Director of Utilities
Town of Beech Mountain
403 Beech Mountain Parkway
Beech Mountain,N.C. 28604
828-387-9282
[e-mail]
www.townofbeechmountain.com

Town of Beech Mountain
2/22/2022
NCDENR
DWQ
Non-Discharge Branch
To Whom it May Concern:
Facility: Pond Creek WWTP
364 Locust Ridge Rd.
Beech Mountain, NC,28604
828-387-4724
NPDES#: NC0069761
WQ0002523 (LA)
Responsible Officials: Robert Pudney (Town Manager)
Daniel Davis(Director of Utilities)
Facility Operator: Daniel Davis
Tons Permitted: 12 Dry Tons of Residuals
Residuals Sampling/Monitoring Plan for Pond Creek Compost
The compost is mixed at a 3:1 Ratio.The mix is tested for pH, % moisture at time mixed.
Temperature is measured twice per day at two different points in the pile.
After 28 days,the mix is turned and goes through 28 more days with 2/day temps.
At the end of this phase the mix is moved to the storage pad for 30 days.
At this point,the mix is sampled for 503's and pathogens. If the solids do
not compost or there are not enough to compost all biosolids will be hauled to the
landfill.
The mix is not allowed to leave the facility until the mix passes all testing.
Please contact me for any additional information.
Daniel Davis, Director of Utilities
828-387-9282, [e-mail]

ANNUAL LAND APPLICATION CERTIFICATION FORM
Permit#: u70..0002.523 County: vitria a- Year: z02o
Facility Name (as shown on permit): Pond, Greek
Land Application Operator: M--o eF,3,e,er.s„ Phone: g2,g-3`2;7-9 ZSZ
Land application of residual solids as allowed by the permit occurred during the past calendar year?
L1 Yes No If No, skip Part A, and Part B and proceed to the certification. Also, if residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A:
Total number of application fields in permit:
Total number of fields land application occurred during the year:
Total amount of dry tons applied during the year for all application sites:
Total number of acres land application occurred during the year:
Part B:
Facility was compliant during calendar year 2o2I with all conditions of the land application permit
(including but not limited to items 1-12 below) issued by the Division of Water Resources.L1 Yes k No
If no please, provide a written description why the facility was not compliant, the dates, and explain
corrective action taken.
1. Only residuals approved for this permit were applied to the permitted sites.
2. Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at
least 6.0 or the limit specified in the permit.
3. Annual soils analysis were performed on each site receiving residuals during the past calendar year and three
(3) copies of laboratory results are attached.
4. Annual TCLP analysis was performed and three (3) copies of certified laboratory results are attached.
5. All other monitoring was performed in accordance with the permit and reported during the year as required
and three (3) copies of certified laboratory results are attached.
6. The facility did not exceed any of the Pollutant Concentration Limits in Table 1 of 40 CFR Part 503.13 or the
Pollutant Loading Rates in Table 2 of 40 CFR part 503.13 (applicable to 40 CFR Part 503 regulated facilities).
7. All general requirements in 40 CFR Part 503.12 and management practices in 40 CFR Part 503.14 were
complied with (applicable to 40 CFR Part 503 regulated facilities).
8. All operations and maintenance requirements in the permit were complied with or, in the case of a deviation,
prior authorization was received from the Division of Water Resources.
9. No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of
violations are attached to include appropriate actions and remediations.
10. Vegetative cover as specified in the permit was maintained on this site and the crops grown were removed
in accordance with the crop management plan.
11. No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
12. All buffer requirements as specified on the permit were maintained during each application of residuals.
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."n
Permitte ame and Title'(type or print) Signature of Permittee Date
.. 2122/Zt z.
Signature of Preparer* Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r)
DENR FORM ACF (5/2003)

ANNUAL DISTRIBUTION AND MARKETING/SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PERMIT #: bJQ00rcZ2, FACILITY NAME: And_ Coz k
PHONE: 47.4_34,7- q z4L COUNTY: U74-1-1 6 q OPERATOR: ' T7/Aini :Ji
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
❑ Distribution and Marketing(complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes LINO No If No skip parts A, B, C and certify form below
Part A*: Part B*:
Sources s include NPDES # if Volume (dry tons) Recipient Information
Month ( ) ( Amendment/ Volume (dry
applicable) Residual In Product Out Name(s) Intended use(s)
Bulking Agent tons)
January
February
March
April
May
June
July �o Clf‘\
August
September () )12;(1.\\October �VA
November
December "DOW? C lL l,,P 4,01
Totals: Annual (dry tons):
Amendment(s) used: Bulking Agent(s) used:
* If more space than given is required, please attach additional information sheet(s). ❑ Check box if additional sheet(s) are attached
Part C:
Facility was compliant during calendar year 20ZI with all conditions of the permit (including but not limited to items 1-3 below) issued by the
Division of Water Resources. ❑ Yes la No If No, please provide a written description why the facility was not compliant.
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water
Resources.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate and complete. I am aware
that there are s' enalties for submitting false information, including t ossibili of fines and imprisonment for knowing violations."
Signature of Permittee Date Signature of Preparer** Date
(if different from Permittee) **Preparer is defined in 40 CFR Part 503.9(r)
DENR FORM DMSDF (11/2005)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM
Facility Name: ykcl CCP,e),Z. Permit Number: 1,00.00025?-.3
WWTP Name: v0_ Cra.. NPDES Number: NCODlcq7(o
Monitoring Period: From 7- v1• 20Z1 To De C„. 2021
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A: Alternative 1❑ Alternative 2 Li Alternative 3 ❑
Alternative 4❑ Alternative 5 ❑ Alternative 6 Li
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying❑ Heat Treatment Li Thermophilic C_)
Beta Ray ❑ Gamma Ray❑ Pasteurization ❑
Class B: Alternative ❑ Alternative 2 ❑ Alternative 3 ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying Li Composting Li Aerobic Digestion Li
Anaerobic Digestior7
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Allowable Level Pathogen Density Number of Frequency Sample Analytical
Parameter Excee- of Tech-
in Sludge Minimum Geo. Mean Maximum Units deuces Analysis Type niaue
2x 10 to the 6th
power MPN per W
\6
gram of total
solids or2x 10 to _ `
Fecal Coliform the 6th power � " v
C'FU per gram of
1000 mpn per ` "
gram of total solid T
(dry weight)
Salmonella bacteria 3 MPN per 4
(in lieu of fecal grains total solid
coliform) (thy weight)
Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed:
Option 1 ❑ Option 2 ❑ Option 3 ❑ Option 4 ❑ Option 5 Li
Option 6 Li Option 7 ❑ Option 8 ❑ Option 9 ❑ Option 10 ❑
No vector attraction reduction options were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
Li "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
Li "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check
this statement attach an explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the
system designed to ensure that qualified personnel properly gather and evaluate the information
used to determine that the pathogen and vector attraction reduction requirements have been met. I
am aware that there are significant penalties for false certification including fine and imprisonment."
Preparer Nam d Title (type or print) Land Applier Name and Title (if applicable)(type or print)
• D 2/zz/2D2Z
Signature of Preparer Date Signature of Land Applier(if applicable) Date
DENR FORM RF (5/2003)

. REPUBLIC`
d#4 SERVICES
Please print or type. NON-HAZARDOUS WASTE MANIFEST 4 9 r) r`f 7 5 2
1.Generator's US EPA ID Number Manifest Document Number 2.Page 1 of
3.Generator's Name and Mailing Address 5.Generating Location(if different)
4.Phone( I 6.Phone(
7.Transporter#1 Company Name 8.US EPA ID Number 9.Transporter#1's Phone
10.Transporter#2 Company Name 11.US EPA ID Number 12.Transporter#2's Phone
13.Designated T/S/D Facility Name and Site Address 14.US EPA ID Number 15.Facility's Phone
16.Waste Shipping Name and Description 17.Republic Services Approval#and Exp.Date 18.Containers 19.Total 20. Unit
Quantity WtNol
No. Type
a.
CC
Q b.
CC
C7
c.
21.Additional Descriptions for Materials Listed Above
22.Special Handling Instructions and Additional Information
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
been properly described,classified and packaged,and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
Printed/Typed Name Signature Month Day Year
cc 24.Transporter#1:Acknowledgement of Receipt of Materials
H Printed/Typed Name Signature Month Day Year
0
O.
Z25.Transporter#2:Acknowledgement of Receipt of Materials
Printed/Typed Name Signature Month Day Year
CC
26.Discrepancy Indication Space
I—
J
Q 27.Facility Owner or Operator:Certification of receipt of waste materials covered by this manifest(except as noted in Item 19)
LL
0
co
• Printed/Typed Name Signature Month Day Year
GENERATOR'S COPY COM000033

DSO 1 TICKET H 1253666 'CELL
RS-FOOTHILLS ENVIRONMENTAL 828-757-0965
2800 CHERAW ROAD LENOIR, NC 28645 WEIGHMASTER
__ Barbara P.
CUSTOMS
800042 1 DATE/TIME IN • DATE/TIME OUT
TOWN OF BEECH MOUNTAIN 12/16/21 12:27 pm 12/16/21 12:44 pn
403 BEECH MTN PARKWAY VEHICLE 1015 iCONTAINER
BEECH MTN, NC 28604
REFERENCE
RANDY HORNEY
Contract:30441112660-1
Generator:TOWN OF BEECH MOUNTAIN IetLLOFLADING 4909752
}
SCALE IN GROSS WEIGHT 34,620 NET TONS 8.01 INBOUND
SCALE OUT TARE WEIGHT 18,600 NET WEIGHT 16,020 INVOICE
> OTY. UNIT DESCRIPTION I RATE f EXTENSION TAX TOTAL
15.00 YD Tracking QTY
8.01 to SW-SLUDGE-WWTP-MUNICIP Origin:WATAUGA COUNTY 100% $57.75 $462.58 $0.00 $462.58
AL
Signature
Payment(s I NET AMOUNT
62
PO I (R T NDERE
.58
�/f,/, `� TENDERED
The undersigned individual signing this document on behalf of Customer acknowledges that he or she has read and understands the terms and conditions CHANGE
on the reverse side and that he or she has the authority to sign this document on behalf of the customer. S0.00
CHECK#
RS-FO42UPR(04r10) SIGNATURE

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Attach this form to the corresponding Annual Report
Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form.
Permit Number: W ozoO2 6 Laboratory: 1)
Facility Name: 'P(yd a ('ip 2)
NPDES # or 3)
WQ#: NC CO 0,9 1(P 1
4)
WWTP Name: PO,\1 Cr_e ,, r , 5)
Residual Analysis Data
Sample or
Composite Date
Percent Solids
Arsenic
Cadmium
Chromium
Copper ' 0i4\....,
0 Lead &Q-
Mercury �k eV\
Molybdenum . `\/ -
cA Nickel \ I
Selenium
C) ..,, a,
IQ
ra Zinc
Total Phosphorus / -Q/
TKN
Ammonia-Nitrogen
Nitrate and Nitrite
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significan te
nalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
-- � ''E, r—-- 4 2Z/2027
Signature of Preparer Date
DENR FORM RSSF (5/2003)

Council Members
Barry Kaufman,Mayor Interim Town
Jimmie Accardi,Vice Mayor BEECH Manager
Weidner Abernethy Bob Pudney
Kelly Melang MOUNTAIN Town Attorney
Erin Gonyea NORTH CAROLINA Stacy C.Eggers IV
Eastern America's Highest Town
NOTICE OF PERMIT VIOLATION: FAILURE TO SAMPLE BIOSOLIDS IN THE 2021
CALENDAR YEAR
During the 2021 calendar year,we disposed of 8.01 tons of solids at the RS-FOOTHILLS
ENVIRONMENTAL LANDFILL. We failed to correctly sample the solids prior to disposal
there as required by the permit. I recognized this deficiency in late January of 2022 and
had immediate samples pulled from our holding of solids, but it was after the 2021
calendar year. I also reached out to the North Carolina DEQ officials Gary Hudson and Jim
Gonsiewski to let them know of my error and give some explanation. As they have directed
and as required on the enclosed forms, I am including this notice of explanation of the
checkboxes for failure to be in compliance with the permit.
All solids were disposed of in landfill,and none were land applied. I have further taken
steps to insure this monitoring failure does not occur again with signage, calendar
notations and training to my staff to ensure it is properly sampled in the future. I now have
available the 3rd week January 2022 samples as well which are in compliance.
Please accept my apologies for my failure to insure that the proper samples were taken and
know that remedial actions have been taken to not allow this to happen again in the future.
Daniel Davis
Director of Utilities
Town of Beech Mountain
[e-mail]
828-387-9282
www.townofbeechmountain.com