NC0032191_Renewal (Application)_20220323

.a i STATE q;
ROY COOPER _ `
Governor
ELIZABETH S.BISER • • Ec
Secretary
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
March 23, 2022
Hebron Colony Ministries, Inc
Attn: Don Holder, Executive Dir.
PO Box 1167
Banner Elk, NC 28604-1167
Subject: Permit Renewal
Application No. NC0032191
Hebron Colony &Grace Home WWTP
Watauga County
Dear Applicant:
The Water Quality Permitting Section acknowledges the March 2, 2022 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Paul Isenhour-WQ Lab & Operations, Inc.
ec: WQPS Laserfiche File w/application
D_E Q`J/ North
nston-Sa Carolinalem Department
RegionalOffice of Environmental450WestHa Quality
MilRo Divisionad.Suite of Water Resources
v l 300 Winston-Salem North Carolina 27105
un
V_ 336.776.9800

North Carolina
Department of Environmental Quality Modified Application Form 2A
Division of Water Resources Revised March 2021
F1`EBRON COoN\)
Modified Application
Form 2A
Minor Sewage Facilities < 0. 1 MGD
and No Pretreatment Program
NPDES Permitting Program
RECEIVED
2 2 2022
NCDEQIDWRINPDES
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

NPDES Permit Number Facility Name Modified Application Form 2A
NC0032191 Hebron Colony WWTP Modified March 2021
Form NC Department of Environmental Quality-Application for NPDES Permit to Discharge Wastewater
NPDES MINOR SEWAGE FACILITIES(Before completing this form,please read the instructions.Failure to follow
the instructions may result in denial of the application.)
SECTION 1.BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and(9))
1.1 Facility name
Hebron Colony&Grace Home WWTP
Mailing address(street or P.O.box)
356 Old Turnpike Road
City or town State ZIP code
0 Boone North Carolina 28607
Contact name(first and last) Title Phone number Email address
Don Holder Executive Director [phone] [e-mail]
Location address(street,route number,or other specific identifier) ❑ Same as mailing address
351 Old Turnpike Road
w
City or town State ZIP code
Boone NC 28607
1.2 Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission 0 No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
Water Quality Lab and Operations
Applicant address(street or P.O.box)
0
P.O. Box 1167
City or town State ZIP code
Banner Elk NC 28604
Contact name(first and last) Title Phone number Email address
Q Paul Isenhour President [phone] waterqualitylabs@yahoo
1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
❑ Owner Er Operator ❑ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
❑ Facility El Applicant ❑ Facility and applicant
(they are one and the same)
1.6 Indicate below any existing environmental permits.(Check all that apply and print or type the corresponding permit
number for each.)
Existing Environmental Permits
NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection
water) control)
NC0032191
o ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
rn
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify)
404)
Page 1

. NPDES Permit Number Facility Name Modified Application Form 2A
NC0032191 Hebron Colony WWTP Modified March 2021
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type
Served Served (indicate percentage) Ownership Status
Rehab Facility 30 no %separate sanitary sewer 0 Own El Maintain
Z %combined storm and sanitary sewer 0 Own ❑ Maintain
d ❑ Unknown 0 Own ❑ Maintain
co %separate sanitary sewer ❑ Own 0 Maintain
:� %combined storm and sanitary sewer ❑ Own ❑ Maintain
c 0 Unknown ❑ Own 0 Maintain
o %separate sanitary sewer 0 Own ❑ Maintain
%combined storm and sanitary sewer ❑ Own ❑ Maintain
R 0 Unknown ❑ Own ❑ Maintain
E %separate sanitary sewer 0 Own ❑ Maintain
%combined storm and sanitary sewer 0 Own ❑ Maintain
co
c ❑ Unknown 0 Own ❑ Maintain
Total
d Population
Ti
o Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of 100 % °/°sewer line(in miles)
1.8 Is the treatment works located in Indian Country?
C
oo ❑ Yes El No
C)
A 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
c ❑ Yes ❑ No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
0.009285 mgd
= y Annual Average Flow Rates(Actual)
a Two Years Ago Last Year This Year
ce
co 0.0020 mgd 0.0025 mgd 0.0010 mgd
t re.
Daily Flow Rates(Actual)
o Two Years Ago Last Year This Year
0.0028 mgd 0.0028 mgd 0.013 mgd
(a 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
o Total Number of Effluent Discharge Points by Type
a o. Constructed
rn 1- Treated Effluent Untreated Effluent Combined Sewer Bypasses Emergency
t .n Overflows Overflows
U
N)
6 1
Page 2

NPDES Permit Number Facility Name Modified Application Form 2A
NC0032191 Hebron Colony WWTP Modified March 2021
Outfalls Other Than to Waters of the State of North Carolina
1.12 Does the POTW discharge wastewater to basins,ponds,or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑ Yes E No 4 SKIP to Item 1.14.
1.13 Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Average Daily Volume Continuous or Intermittent
Location Discharged to Surface (check one)
Impoundment
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd ❑ Intermittent
2 1.14 Is wastewater applied to land?
❑ Yes ❑ No 4 SKIP to Item 1.16.
c 1.15 Provide the land application site and discharge data requested below.
y Land Application Site and Discharge Data
Continuous or
Location Size Average Daily Volume Intermittent
a' Applied (check one)
acres d 0 Continuous
o gp ❑ Intermittent
acresgpd 0 Continuous
o ❑ Intermittent
-o 0 Continuous
acres gpd 0 Intermittent
R 1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes ❑✓ No 4 SKIP to Item 1.21.
1.17 Describe the means by which the effluent is transported(e.g.,tank truck,pipe).
1.18 Is the effluent transported by a party other than the applicant?
0 Yes ❑ No 3 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
Transporter Data
Entity name Mailing address(street or P.O.box)
City or town State ZIP code
Contact name(first and last) Title
Phone number Email address
Page 3

NPDES Permit Number Facility Name Modified Application Form 2A
NC0032191 Hebron Colony WWTP Modified March 2021
1.20 In the table below,indicate the name,address,contact information, NPDES number,and average daily flow rate of the
receiving facility.
Receiving Facility Data
-0 Facility name Mailing address(street or P.O.box)
City or town State ZIP code
0
Contact name(first and last) Title
0
Phone number Email address
2
00_
NPDES number of receiving facility(if any) ❑ None Average daily flow rate mgd
U)
0 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
not have outlets to waters of the State of North Carolina(e.g.,underground percolation,underground injection)?
❑ Yes ❑ No 4 SKIP to Item 1.23.
U
0 1.22 Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
o Disposal Location of Size of Annual Average Continuous or Intermittent
Method Disposal Site Disposal Site Daily Discharge (check one)
Description Volume
w acresgpd ❑ Continuous
❑ Intermittent
❑ Continuous
acres gpd ❑ Intermittent
acresgpd ❑ Continuous
0 Intermittent
1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)?(Check all that apply.
co Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
R cn
cp ❑ Discharges into marine waters(CWA ❑ Water quality related effluent limitation(CWA Section
40 Section 301(h)) 302(b)(2))
❑r Not applicable
1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works
the responsibility of a contractor?
❑ Yes ❑ No*SKIP to Section 2.
1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1 Contractor 2 Contractor 3
c Contractor name Water Quality Labs
(company name)
o Mailing address P.O.Box 1167
(street or P.O.box)
City,state,and ZIP Banner Elk,NC 28604
code
Conci last) Paul name(first and Paul Isenhour
Phone number [phone]
Email address waterqualitylabs@yahoo
Operational and Operations&Maintenance
maintenance
responsibilities of
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NC0032191 Hebron Colony WWTP Modified March 2021
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and (2))
o Outfalls to Waters of the State of North Carolina
a 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
rn
❑ Yes ❑r No 4 SKIP to Section 3.
_ 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
w and infiltration.
� gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
0
2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
specific requirements.)
0 El Yes ❑ No
0
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
o (See instructions for specific requirements.)
Fr_
o El Yes ❑ No
2.5 Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
= Briefly list and describe the scheduled improvements.
0
v
1.
0)
d
E
2.
E
0 0
3.
cn
4.
v
2 2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
E Affected Attainment of
CD Scheduled Begin End Begin
> Outfalls Operational
2 Improvement Construction Construction Discharge
(from above) (list outfall (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) Level
number) (MM/DD/YYYY)
1.
CD
d
c
2.
3.
4.
2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

, NPDES Permit Number Facility Name Modified Application Form 2A
NC0032191 Hebron Colony WWTP Modified March 2021
SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5))
3.1 Provide the following information for each outfall.(Attach additional sheets if you have more than three outfalls.)
Outfall Number o01 Outfall Number Outfall Number
State North Carolina
wTvi County Watauga
0 City or town Boone
0
0 Distance from shore ft. ft. ft.
_
y Depth below surface ft. ft. ft.
0
0
Average daily flow rate 0.0018 mgd mgd mgd
Latitude 3° ld 12" NII ° ,,
Longitude 81 44 45" ° "
03
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o ❑ Yes 0 No 4 SKIP to Item 3.4.
d
a' 3.3 If so,provide the followinginformation for each applicable outfall.
o PP
0 Outfall Number Outfall Number Outfall Number
0
05 Number of times per year
O discharge occurs
a Average duration of each
o discharge(specify units)
oAverage flow of each mgd mgd mgd
0 discharge
es
(CD
; Months in which discharge
occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑✓ Yes ❑ No 4 SKIP to Item 3.6.
3.5 Briefly describe the diffuser type at each applicable outfall.
Outfall Number 001 Outfall Number Outfall Number
;,
= Forced Air Diffuser
0
o vi 3 6 Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
one or more discharge points?
CD
w ❑r Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number Facility Name Modified Application Form 2A
NC0032191 Hebron Colony WWTP Modified March 2021
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number 001 Outfall Number Outfall Number
Receivingwater name Watauga River
g
Name of watershed,river,
0 or stream system Watauga River
a- U.S.Soil Conservation
H Service 14-digit watershed
o code
A Name of state
management/river basin Watauga River Basin
03
U.S.Geological Survey
w 8-digit hydrologic
cc cataloging unit code
Critical low flow(acute) cfs cfs cfs
Critical low flow(chronic) cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number ow Outfall Number Outfall Number
Highest Level of ❑ Primary 0 Primary ❑ Primary
Treatment(check all that ❑ Equivalent to 0 Equivalent to ❑ Equivalent to
apply per outfall) secondary secondary secondary
O Secondary 0 Secondary ❑ Secondary
❑ Advanced 0 Advanced ❑ Advanced
❑ Other(specify) ❑ Other(specify) ❑ Other(specify)
C
0
Q Design Removal Rates by
'5 Outfall
0
d
C1 BOD5 or CBOD5 85
c
d
E
w.
m TSS 85 %
I
0 Not applicable ❑Not applicable 0 Not applicable
Phosphorus % o/o °
/o
0 Not applicable 0 Not applicable ❑Not applicable
Nitrogen % %
Other(specify) 0 Not applicable ❑Not applicable ❑Not applicable i
ok % 0/0
Page 7

NPDES Permit Number Facility Name Modified Application Form 2A
NC0032191 Hebron Colony WWTP Modified March 2021
3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season,describe below.
UV Disinfection with chlorination and dechlorination as a back-up disinfection method
a>
c
c
0
0
Outfall Number Outfall Number Outfall Number
.2- Disinfection type
N)
N
Seasons used
d
Dechlorination used? ❑ Not applicable ❑ Not applicable ❑ Not applicable
❑ Yes ❑ Yes ❑ Yes
❑ No ❑ No ❑ No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
O Yes ❑ No
3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ❑✓ No 4 SKIP to Item 3.13.
3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number Outfall Number Outfall Number
R Acute Chronic Acute Chronic Acute Chronic
Number of tests of discharge
water
cD Number of tests of receiving
water
3.14 Does the POTW use chlorine for disinfection,use chlorine elsewhere in the treatment process,or otherwise have
reasonable potential to discharge chlorine in its effluent?C lorirtQ is a back;Aet lOr;r�l-t ,i OCMOS prI))e e C fetr
✓❑ Yes 4 Complete Table B,including chlorine. ❑ No 4 Complete Table B,omitting chlorine.
3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package? l�l i4 a,OQ, to de.S�tr1
❑ Yes 0 No J
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18 attached the results to this application package?
❑ Yes Er No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number Facility Name Modified Application Form 2A
NC0032191 Hebron Colony WWTP Modified March 2021
3.19 Has the POTW conducted either(1)minimum of four quarterly WET tests for one year preceding this permit application
or(2)at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No.4 Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No 4 Provide results in Table E and SKIP to
Item 3.26.
3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s)Submitted Summary of Results
(MMIDDIYYYY)
-a
as
C
C
w 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
ca toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
g3 3.23 Describe the cause(s)of the toxicity:
C
d
W
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
El Yes ❑ Not applicable because previously submitted
information to the NPDES permittin. authorit .
Page 9

NPDES Permit Number Facility Name Modified Application Form 2A
NC0032191 Hebron Colony WWTP Modified March 2021
SECTION 6.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and (d))
6.1 In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column 1 Column 2
Section 1: Basic Application
Information for All Applicants ❑ w/variance request(s) ❑ w/additional attachments
❑ Section 2:Additional ❑ w/topographic map ❑ wl process flow diagram
Information ❑ w/additional attachments
0 w/Table A ❑ wl Table D
0 Section 3: Information on ❑ wl Table B ❑ wl additional attachments
Effluent Discharges
❑ w/Table C
c' Section 4:Not Applicable
0
Section 5: Not Applicable
Section 6:Checklist and ❑ w/attachments
Certification Statement
17)
6.2 Certification Statement
U
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system,or those persons directly responsible
for gathering the information, the information submitted is,to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information,including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Paul Isenhour President
Signature Date signed
Page 10

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0032191 Hebron Colony WWTP 001 Modified March 2021 ,
TABLE A. EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method' (include
Value Units Value Units Samples units)
Biochemical oxygen demand
i=i ML
o BOD5 or o CBOD5 12 mg/L 2.595 mg/L 156 SM-5210B 2 O MDL
(report one)
o ML
Fecal coliform 300 aU/IODMI.. 13.58 C.u4IAl - 156 SM-9222D 1 OMDL
Design flow rate 0.013 MGD 0.0018 MGD 156
pH (minimum) 7.6 s/u
pH(maximum) 6.5 s/u
Temperature(winter) 16 Degrees Celsius 9.49 Degrees Celsius 80
Temperature(summer) 27 Degrees Celsius 20.1 Degrees Celsius 105
0 ML
Total suspended solids(TSS) 13 mg/L 1.076 mg/L 156 SM-2540D 2.5 O MDL
' Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
Page 11