NC0020346_Fact Sheet_20220628

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Emily Richards
Permit Number
NC0020346
Facility Name
Magnolia WWTP
Basin Name/Sub-basin number
Cape Fear / 03-06-19
Receiving Stream
Stewarts Creek
Stream Classification in Permit
C-Swamp Stream Index: 18-68-2-10
Does permit need Daily Max NH3 limits?
No —
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
Yes — Dissolved oxygen, fecal coliform,
conductivity, and temperature
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
Any permit mods since last permit?
No
New expiration date
1/31/2022
Changes to 2016 Permit?
Updated eDMR requirements
Updated HUC
Changes to Draft Permit?
none
Facility Background:
This facility is a Minor Municipal WWTP discharging < 1 MGD and includes the
following components:
• Influent mechanical screen
• Influent flow meter with composite sampler
• Influent pump station w
• Dual extended air activated sludge treatment reactors
• Dual 20-foot diameter center feed secondary clarifiers
• RAS/WAS pump station
• Dual microscreen drum filters
• UV disinfection (2 channel banks in series)
• Post -aeration with diffusers
• Effluent pump station
• Effluent flow meter with composite sampler
• 500-gpm sludge loading station transfer
• 89,900-gallon sludge digester with fine air diffusers
• 200 kW emergency generator

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
Compliance History:
Two limit violations in 2018 - one for fecal coliform weekly geo mean, one for BOD5
weekly avg.
A 2021 inspection noted that the facility was "marginally compliant" and cautioned the
Town against letting its Operation and Maintenance degrade any further. The facility
generally operates at -40% of its flow capacity. The Town seems to be struggling to
operate with staffing and budget constraints.
Effluent and Monitoring Data:
DMR data was reviewed from January 2018 to December 2021. Influent, effluent,
upstream, and downstream data are summarized in the tables below:
Influent
Parameter Mean Min Max N
00010 - Temperature, Water Deg. Centigrade 22.32 12.40 31.00 208
00300 - Oxygen, Dissolved (DO) 3.82 2.40 7.30 203
00400 - pH 7.45 3.50 7.80 208
C0310 - BOD, 5-Day (20 Deg. C) - Concentration 79.60 4.00 900.00 208
C0530 - Solids, Total Suspended - Concentration 104.46 13.00 1770.00 208
Effluent
Parameter Mean Min Max N
00010 - Temperature, Water Deg. Centigrade 22.18 11.70 31.80 1460
00094 - Conductivity 488.05 102.00 1197.00 208
00300 - Oxygen, Dissolved (DO) 8.83 8.20 9.30 208
00400 - pH 7.53 7.20 7.70 208
31616 - Coliform, Fecal MF, MFC Broth, 44.5 C 1.00 12000.00 221
50050 - Flow, in conduit or thru treatment plant 0.10 0.03 0.63 1461
C0310 - BOD, 5-Day (20 Deg. C) - Concentration 3.03 2.00 23.20 210
C0530 - Solids, Total Suspended - Concentration 7.22 2.50 34.40 208
C0600 - Nitrogen, Total - Concentration 13.63 2.77 32.57 15
C0610 - Nitrogen, Ammonia Total (as N) - Concentration 1.01 0.20 20.20 220
C0665 - Phosphorus, Total (as P) - Concentration 2.05 0.49 4.38 15
Instream monitoring data:
Upstream
Parameter Mean Min Max N
00010 - Temperature, Water Deg. Centigrade 33.01 5.90 30.7 208
00094 - Conductivity 214.85 7.10 660.00 208
00300 - Oxygen, Dissolved (DO) 7.28 6.80 8.40 208
00400 - pH 7.20 6.90 7.60 207
31616 - Coliform, Fecal MF, MFC Broth, 44.5 C - 7.00 25000.00 208
Downstream
Parameter Mean Min Max N
00010 - Temperature, Water Deg. Centigrade 38.23 6.10 31.7 208
00094 - Conductivity 222.10 56.10 1600.00 208
00300 - Oxygen, Dissolved (DO) 7.40 7.00 8.30 208
00400 - pH 7.28 7.00 7.5 208
31616 - Coliform, Fecal MF, MFC Broth, 44.5 C 8.00 26000.00 208

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
Renewal Summary:
➢ Updated HUC on Supplement to Cover Page
➢ The language in section A.(3) has been updated to be consistent with the finalization of
federal requirements for electronic reporting.
➢ No other changes required
Comments received on draft permit:
➢ none

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
The Daily Reflector - The Daily Advance - The Rocky Mount Telegram
Bertie Ledger - Chowan Herald - Duplin Times - Farmville Enterprise - Perquimans Weekly
Standard Laconic - Tarboro Weekly - Times Leader - Williamston Enterpnse
PO Box 1967, Greenville NC 27835
[phone]
Media of Eastern North Carolina
NCDEQ - DIVISON OF WATER RESOURCES
ATTN: WREN THEDFORD
1617 MAIL SERVICE CENTER
RALEIGH NC 27699
Account: 133315 Ticket: 418110
PAID VIA
❑ Cash ['Credit Card
❑ Check #
Date Paid
�nn
Copy Line: Magnolia
Lines: 57
Total Price: $99.75
PUBLISHER'S AFFIDAVIT
NORTH CAROLINA
Duplin County
G1 Q ` ay affirms that he/she is clerk of The
Duplin Times, a newspaper published weekly at Kenansville, Duplin County,
North Carolina, and that the advertisement, a true copy of which is hereto at-
tached, entitled Magnolia was published in said The Duplin Times on the follow-
ing dates:
Thursday, April 28, 2022
and that the said newspaper in which such notice, paper, document or legal
advertisement was published, was at the time of each and every publication, a
newspaper meeting all of the requirements and qualifications of Chapter 1, Sec-
tion 597 of the General Statutes of North Carolina and was a qualified newspaper
withijrt e meaning opter 1, Section 597 of the General Statutes of North
Car:lin..
ed before me this 28th day of April 2022
(Notary Public Signature)
katkeiv
(Notary Public Printed Name)
My commission expires
Public Notice
North Carolina Environmental
Management Commission/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a NPDES
Wastewater Permit NC0020346 Mag-
nolia WWTP and NC0036668 Kenans-
ville WWTP
The North Carolina Environmental
Management Commission proposes to
issue a NPDES wastewater discharge
permit to the person(s) listed below.
Written comments regarding the pro-
posed permit will be accepted until 30
days after the publish date of this no-
tice. The Director of the NC Division
of Water Resources (DWR) may hold a
public hearing should there be a signif-
icant degree of public interest. Please
mail comments and/or information re-
quests to DWR at the above address.
Interested persons may visit the DWR
at 512 N. Salisbury Street, Raleigh, NC
27604 to review information on file.
Additional information on NPDES per-
mits and this notice may be found on
our website: http://deq.nc.gov/about/
divisions/water-resources/water-re-
sources-permits/wastewater-branch/
npdes-wastewater/public-not ices, or
by calling [phone]. NPDES Per-
mit Number NC0020346: The Town of
Magnolia (P.O. Box 459, Magnolia, NC
28453) has requested renewal of the
NPDES permit for its Magnolia WWTP
in Duplin County. This permitted facil-
ity discharges treated domestic waste-
water to Stewarts Creek in the Cape
Fear River Basin. Currently, BOD and
Ammonia are water quality limited
parameters. This discharge may af-
fect future allocations to this portion
of the receiving stream. NPDES Permit
Number NC0036668: The Town of Ke-
nansville (P.O. Box 370, Kenansville, NC
28349-0370) has applied for renewal of
the NPDES permit for the Kenansville
WWTP, Duplin County. This permitted
facility discharges treated wastewater
to Grove Creek in the Cape Fear River
Basin. Currently, BOD, TSS, ammonia,
fecal coliform, and TRC are water qual-
ity limited. This discharge may affect
future allocations in this portion of the
Cape Fear River Basin.
418110 4/28/2022

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
Town of Magnolia
Attn: Gwendolyn B. Vann, Mayor
PO Box 459
Magnolia, NC 28453-0459
Subject: Permit Renewal
Application No. NC0020346
Magnolia WWTP
Duplin County
NORTH CAROLINA
Environmental Quality
September 27, 2021
Dear Applicant:
The Water Quality Permitting Section acknowledges the September 27, 2021 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.
ec: WQPS Laserfiche File w/application
r�DEQ�
Sincerely,
.�APiI'1
Wren Tfiedfor
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality I Division of Water Resources
Wilmington Regional Office 1127 Cardinal Drive Extension ' Wilmington. North Carolina 28405
910.796.7215

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
municipal Cow
�10
P.O. Box 459
Magnolia, North Carolina 28453
N. C. Department of Environment and Natural Resources
Division of Water Quality/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject : Renewal application for NC0020346 Magnolia WWTP
Dear NPDES Unit:
This document directs a formal request for NPDES NC0020346 renewal.
The active permit reflects the current status of the 0.250 MGD WWT plant.
If questions arise, contact Sudie Matthis at 910-284-6557.
Sincerely,
Gwendolyn B. Vann
Mayor
Prepared by: Sudie Matthis
Town Manager
RECEIVED
SEP272021
NCDEQ/DWRINPDES

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
IINPDES Permit Number
CIC / )<.34-61
Facility Name
Y 1, cuf aCJp a
Modified Application Form 2A
Modified March 2021
Form
NPDES
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES (Before completing this fomr, please read the instructions. Failure to follow
the instructions - result in denial of the a. • Iication.
Facility Information
N 1. BASIC
1.1
APPLICATION INFORMATION FOR ALL APPLICANTS (40 CFR 122.216)(1) and (9))
Facility name
Mailing ad ress (street or P.O. box)
(�, d Zd iC IA39
City or town
, h3mota-
State
ly n
ZIP code
Contact name first and
o�' u; Q o'i�;
last)
s
Title P
b.�
(,,, [)
0 2 c
�(� Phone number
910-.2 P-5S �'
Email address
?`a� "�,t�tQ3a+i net
Location address street route nu ber, qr other specific identifier)
•
Same as mailing address
City or town
e3Nek),a-
State
N 4
0,9,;NG.
ZIP code
otg lid53
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission
requirements for new dischargers.
►:4
No
1.3
Is applicant different from entity listed under Item 1.1 above?
121 Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
1)10 f'aNki c
c
(t
Applicant address s et oor,P. .box
cC``
if or town
State
ZIP code
as
a
Contact name (first
� 1
and last)
, s
Title
Tin) �a p�
Phone number
9 iD c -. ��
Email ad ress
�� 4;r ^
re9�Yi).rrsNr� ��.•CoM
1.4
Is the
► l
applicant the facility's owner, operator,
Owner
■
or both . heck only one response.)
Operator ■ Both
1.5
To
■
which entity should the NPDES permitting
Facility
■
authority send correspondence? (Check only one response.)
Applicant Facility and applicant
(they are one and the same)
co
.-
1.6
Indicate
number
below any existing environmental
for each.)
permits.
(Check all that apply and print or type the corresponding permit
ti
a.
Existing Environmental Permits
13
E
■
NPDES (discharges to surface
water)
a
RCRA (hazardous waste)
UIC (underground injection
control)
c
o
c
w
m
a
PSD (air emissions)
a
Nonattainment program (CAA)
a NESHAPs (CAA)
fo
ll
Ocean dumping (MPRSA)
a
Dredge or fill (CWA Section
404)
f, Other (specify)
y/62cs odd
Page 1

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
NPDES Permit Number
�P 0 0026 3 )%.,
Facility Name
„u,,,, 0 d �o,1a
Modified Application Form 2A
Modified March 2021
1.7
Provide the collection system information requested below for thh/e't\7reatment works.
Municipality
Served
Population
Served
Collection System Type
(indicate percentage)
Ownership Status
/ O % separate sanitary sewer
tEl Own ® Maintain
{/) !�
NO"
9eb
%combined storm and sanitary sewer
❑ Own 0 Maintain
i"l0 up_
�7
❑ Unknown
❑Own 0 Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
0 Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
❑ Own 0 Maintain
0 Unknown
0 Own 0 Maintain
% separate sanitary sewer
LI Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
Total
Population
Served
80
❑ Unknown
Separate Sanitary Sewer System
0 Own 0 Maintain
Combined Storm and
Sanitary Sewer
Total percentage of each type of
% 00
ry
1.8
Is the
•
treatment works located in Indian Country?
Yes
L.
No
1.9
Does
•
the facility discharge to a receiving water that flows through
Yes
1
Indian Country?
No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate
Tri
0...2,50 mgd
'
Annual Average Flow Rates (Actual)
itt
TS re
Two Years Ago
Last Year
This Year
as 0
c o
0) IT
.a 8 mgd
s / 07) mgd
, 097 mgd
o
Maximum Daily Flow Rates (Actual)
Two Years Ago
Last Year
This Year
. lZ mgd
. / / *- mgd
/ 92• mgd
01.11
Provide the total number of effluent discharge points to waters of the State of North
.
Carolina by type.
aTotal
Number of Effluent Discharge Points by Type
a
a""
t
Treated Effluent
Untreated Effluent
Combined Sewer
Overflows
Bypasses
Constructed
Emergency
Overflows
_�
co0
1
0
0
0
0
Page 2

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
I NPDES Permit Number
N e o n /1 f
Facility Name
-yob IA
Modi ed Application Form 2A
Modfied March 2021
Outfalls and Other Discharge or Disposal Methods
Outfalls Other Than to Waters of the State of North Carolina tl
1.12
Does the POTW discharge wastewater to basins, ponds,
for discharge to waters of the State of North Carolina?
❑ Yes ►
or other surface impoundments that do not have outlets
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
Location
Average Daily Volume
Discharged to Surface
Impoundment
Continuous or Intermittent
(check one)
gpd
❑ Continuous
❑ Intermittent
gpd
0 Continuous
0 Intermittent
gpd
❑ Continuous
❑ Intermittent
1.14
Is wastewater applied to land?
❑ Yes L
No 4 SKIP to Item 1.16.
1.15
Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
Location
Size
Average Daily Volume
Applied
Continuous or
Intermittent
(check one)
acres
gpd
❑ Continuous
❑ Intermittent
acresgpd
❑ Continuous
❑ Intermittent
acres
gpd
0 Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment
❑ Yes
R
prior to discharge?
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?
❑ Yes its No 4 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

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
NPDES Permit Number
PI /� /� (� `l 1f�`� 1
vindicate Jthe yname.
/
Facility Name
7owil „ 1 R N () `�
Modred Application Form 2A
Modified March 2021
Outfalls and Other Discharge or Disposal Methods Continued
1.20
aa�dlddrress, contact informatio/nn7I�VPDEES number,fand average daily flow rate of the
In the table below.
receiving facility.
Receiving Facility Data
Facility name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate mgd
1.21
Is the
not
•
wastewater disposed of in a manner other than those a ready mentioned in Items 1.14 through 1,21 that do
have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
Yes ❑ No 4 SKIP to Item 1.23.
1.22
Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
Disposal
Method
Description
Location of
Disposal Site
Size of
Disposal Site
Annual Average
Daily Discharge
Volume
Continuous or Intermittent
( check one)
acres
gpd
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
Variance
Requests
1.23
Do
Consult
❑
5
you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
with your NPDES permitting authority to determine what information needs to be submitted and when.)
Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
Section 301(h)) 302(b)(2))
Not applicable
1.24
Are
the
•
any operational or maintenance aspects (related
responsibility of a contractor?
Yes
to
5
wastewater treatment and effluent quality) of the treatment works
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
0
rg
Contractor name
(company name)
o
0
Mailing address
(street or P.O. box)
8
co
City, state, and ZIP
code
o
o
Contact name (first and
last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
PDES Permit Number
60 3 ��
Facility Name
7 / a f /A r,.
r
Modified Application Form 2A
Modified March 2021
SECTION
2. ADDITIONAL INFORMATION (40 CFR 122.21(j)(1) and (2))
c
a)
c
Outfalls to Waters of the State of North Carolina
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
fJ Yes ❑ No 4 SKIP to Section 3.
Inflow and Infiltration
2.2
Provide the treatment works' current average"daily volume ofGinflow
and infiltration. �"rc o Y I w f G-.Ar wi o1 tet t 4601- duds
vf9Jvjj,1 N®rJ- rr& c? � ..
Average Daily Volume of Inflow and Infiltration
a r 0{ If gPd
Indicate the steps the facility is taking to minimize inflow and infiltration. 1',c.j�1 out" _rngc, \\{Ao.?y oj.J i
R . c , . 1 ?? Ica do nits v, fteLL of -' a a. — ,wn4�6kcttA ftrw^. 'e uPA\ a.N
^'"'''` { 4.erc_ ev-tat; • 7deN f-Ec c.,s back to frrt0A- Voo -.
Topographic
Map
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
specific requirements.)
1:,1 Yes ❑ No
3 E
G Ei
rn
LT 25
2.4
Have you attached a process flow diagram
(See instructions for specific requirements.)
hAIN Yes
or schematic
to this application that contains all the required information?
No
•
Scheduled Improvements and Schedules of Implementation
2.5
Are improvements
to the facility scheduled?
0 No 4 SKIP to Section 3.
• Yes
Briefly list and describe the scheduled improvements.
1.
2.
3.
4.
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Scheduled
Improvement
(from above)(list
Affected
Outfalls
outfall
number)
Begin
Construction
(MM/DD/YYYY)
End
Construction
(MM/DD/YYYY)
Begin
Discharge
( MM/DD/YYYY)
Attainment of
Operational
Level
(MM/DD/YYYY)
1.
2.
3.
4.
2.7
Have appropriate
response.
permits/clearances
concerning
other federal/state requirements been obtained? Briefly explain your
No ❑ None required or applicable
• Yes
•
Explanation:
Page 5

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
SECTION
3. INFORMATION
3.1
ON
Provide the following
NPDES Permit Number
Cob- �l Z t `, -
EFFLUENT DISCHARGES (40 CFR
information for each outfall. (Attach
Facility Name
�yow 3 s , ^/� N �
122.21(j)(3) to (5))
additional sheets if you have
Modified Application Form 2A
Modified March 2021
more than three outfalls.)
Outfall Number 0 ®
Outfall Number
Outfall Number
State
HO Z& C QOL CNI 0,-
to
County
Zuf‘)
I /N
13
o
15
City or town
N a-
AS
fo
0.
Distance from shore
Ai/q ft.
ft.
ft.
N
d
n
Depth below surface
N4 ft.
ft.
ft.
Average daily flow rate
mgd
mgd
mgd
Latitude
NI .53 \55 "
° "
Longitude
78 Q i' 05"
"
° ,
Seasonal or Periodic Discharge Data
3.2
Do any of the outfalls described
❑ Yes
under Item 3.1 have seasonal or
periodic
►,
discharges?
No 4 SKIP to Item 3.4.
3.3
If so, provide the following information
for each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
Number of times per year
discharge occurs
Average duration of each
discharge (specify units)
Average flow of each
discharge
mgd
mgd
mgd
Months in which discharge
occurs
Diffuser Type
3.4
Are
•
any of the outfalls listed under Item 3.1 equipped with a diffuser?
Yes
i&
No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser type
at each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
Waters of
the U.S.
3.6
Does
one
5
the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
or more discharge points?
Yes ❑ No 4SKIP to Section 6.
Page 6

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
NPDES Permit Number
Facility Name
Modified Application Form 2A
Modified March 2021
3.7
Receiving Water Description
Provide the receiving water and related information (if known) for each outfall.
Outfall Number 00
Outfall Number
Outfall Number
Receiving water name
Name of watershed, river,
or stream system
U.S. Soil Conservation
Service 14-digit watershed
code
Name of state
management/river basin
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
01..h% `i - l),%
C FEAR
cfs
cfs
Treatment Description
Critical low flow (chronic)
Total hardness at critical
low flow
cfs
mg/L of
CaCO3
cfs
mg/L of
CaCO3
cfs
cfs
mg/L of
CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
Highest Level of
Treatment (check all that
apply per outfall)
Design Removal Rates by
Outfall
Outfall Number() OA Outfall Number
® Primary
❑ Equivalent to
secondary
Secondary
❑ Advanced
❑ Other (specify)
vs
❑ Primary
❑ Equivalent to
secondary
❑ Secondary
❑ Advanced
❑ Other (specify)
BOD5 or CBOD5
Es
TSS
8_%
Outfall Number
❑ Primary
❑ Equivalent to
secondary
❑ Secondary
❑ Advanced
❑ Other (specify)
IN Not applicable
Phosphorus
❑ Not applicable 0 Not applicable
%
CIS Not applicable
Nitrogen
❑ Not applicable 0 Not applicable
Other (specify)
0 Not applicable
0 Not applicable ❑ Not applicable
Page 7

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
NPDES Permit Number
m I C. 0 D �}O 3
Facility Name
—rowo �n c
Mod ied Application Form 2A
Modified March 2021
Treatment Description Continued
3.9
Describe the type of disinfection used for the effluent from each ou all in the table below. If disinfection varies by
season, describe below.
Outfall Number
Outfall Number
Outfall Number
Disinfection type
u4k n a\ 6 o kk
Seasons used
Dechlonnation used?
in
Not applicable
❑ Not applicable
pp
❑ Yes
❑ No
❑ Not applicable
❑ Yes
❑ Yes
❑ No
■ No
Effluent Testing Data
3.10
Have you completed
monitoring for all Table A parameters and
attached the results
to the application package?
'.A 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 ►11 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
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
water
Number of tests of receiving
water
3.14
Does the POTW
reasonable potential
use chlorine for disinfection, use chlorine elsewhere
to discharge chlorine in its effluent?
Complete Table B, including chlorine.
in the treatment
process, or otherwise have
Complete Table B, omitting chlorine.
• Yes 4
%+ No -4
3.15
Have you completed
package?
monitoring for all applicable Table B pollutants and attached the results to this application
❑ No
/5 Yes
3.18
Have you completed
attached the results
monitoring for all applicable Table D pollutants
to this application package?
required by
your NPDES permitting authority and
sampling required by NPDES
authority.
■ Yes
gi No additional
permitting
Page 8

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
NPDES Permit Number
Facility Name
Modified Application Form 2A
Modified March 2021
Effluent Testing Data Continued
3.19
Has the POTW
or (2) at least
conducted either (1) minimum of four quarterly WE testsTor one year preceding this permit application
four annual WET tests in the past 4.5 years?
® No 4 Complete tests and Table E and SKIP to
Item 3.26.
• Yes
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
No 4 Provide results in Table E and SKIP to
❑ Yes t !
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
(MM/DD/YYYY)
Summary of Results
3.22
Regardless of
toxicity?
how you provided your WET testing
data to the NPDES permitting authority,
did any of the tests result in
Item 3.26.
• Yes
• No 4 SKIP to
3.23
Describe the cause(s) of the toxicity:
3.24
Has the treatment
works conducted a toxicity reduction evaluation?
❑ No 4 SKIP to Item 3.26.
• Yes
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?
E Not applicable because previously submitted
• Yes
information to the NPDES 'ermittin • authori .
Page 9

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
SECTION
c
E
d
0
0
0
0
c
0
o
:re
c.0
a)
ct
6. CHECKLIST
6.1
NPDES Permit Number
N t 0 0 - # (o
AND CERTIFICATION STATEMENT (40
In Column 1 below, mark the sections of Form 2A that
each section, specify in Column 2 any attachments
all applicants are required to provide attachments.
Facility Name
Ti wo Vi/A Qr.
CFR 122.22(a) and (d))
you have completed and are submitting
that you are enclosing to alert the permitting
Modified Application Fonn 2A
Modified March 2021
with your application. For
authority. Note that not
Column 1
Column 2
Section 1. Basic Application
❑ w/ variance request(s)
��
• w/ additional attachments
Information for All Applicants
0 Section 2: Additional
Information
E] w/ topographic map
ISI w/ additional attachments
n w/ process flow diagram
Section 3: Information
0- w/ Table
A
B
C
• w/ Table D
El w/ Table
❑ w/ Table
on
CI
■ w/ additional attachments
Effluent Discharges
Section 4: Not Applicable
Section 5: Not Applicable
6: Checklist
❑ w/ attachments
•Section and
Certification Statement
6.2
Certification Statement
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)
WW1/X / / rf(I % S ';wry
Official title
446t to/cr
Signatu
Date signed
i-ao "oaod./
Page 10

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
NPDES Permit Number
NP 002034-k
Faairy Name
.ToWN iksi4PiCA.
Outfai Number
0 0 I
Modified Pppication Farm 2A
Modified March 2021
TABLE A. EFFLUENT PARAMETERS
Pollutant
FOR ALL POTWS
Maximum Daily Discharge
Average Daily Discharge
Analytical ML orMDL
Method' (include units)
Value
Units
Value
Units
'Numbof
Sam • of
Saml
Biochemical oxygen demand
❑ CBOD5
pcBODo one
/^
3 rr YJ
/!Q
M _ / ✓�
y//� n/
1, V OV
�//{
I ^
%
I.q.5
A 0 MDL
•s s�L.��1) 0 MLre
Fecal coliform
*.5
cep /Odic
f /• f /
c, R ha d '
/3.5
p ML
s M 11 ; o MDL
Design flow rate
pH (minimum)
pH (maximum)
Temperature (winter)
o, / 63
�'y f�
/ , —F
I e. 7
1 1
4"4Q,• tlN1.i.
$.' C1 TA M f f
et
4 U 7
J 7� Z
^r(m g c-
C.
_<
94i3
3 9.3
Temperature (summer)
•)
c `
e%
5 60
Total suspended solids (TSS)
Th6 /�.
4-4-'7
012t k
/ , tit 254,0a o ML
❑ 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

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
EPA Idenlifica icn Number
NC 1Ib9 6
NPDES Permd Number
woo 6:7
Faddy Name I Duffels Nunter
tub 001
bbdded Aypicatico Form 2A
Modified March 2021
TABLE B. EFFLUENT PARAMETERS
Pollutant
FOR ALL POTWS
Maximum Daly
WITH A FLOW EQLAL
Discharge
TO OR GREATER THAN 0.1 MGD
Average Daily Discharge
Analytical
Methods
ML or MDL
(include units)
Value
Units
Value
Units
Number
SaAmmonia
(as N)
f i44
'rry&,t
O+.'30
Tv ��
'�%srVA
ML
MDL
Chlorine
(total residual, TRC)2
/V I
n/
/ V
1�1A
hA
51�/5,
� /%/�5��,
NA
❑ MDR
14A ERI
Dissolved oxygen
9.0
riY1 J9
S • 8
fYk4Q
/ 33
6G - 4ofi / O
ML
o La
Nitrate/nitrite
4.3
!Q
13 .C2Q/r
m /Q�
,/7��
A-3C .�
o MOL
IGeldahl nitrogen
®®7
o2, 50
t461,9
c J V
� '`
r'Lv
r3PA -35 ! -,Z
0 ML
o MDL
Oil and grease
PA
iii A.
A
J4
A
NI/
�n� II
N DL
A o M
Phosphorus
!' $ !
11h
1 .89
rn�X
it v
yy
G^Z654
0 MDL
Total dissolved solids
II V
NA
Ng.
r
14 A-
h Ir
%I A. rmlL
Sampling shall be conducted acco ding 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).
2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A (Reed 3-19)
Page12

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
PROCESS FLOW SCHEMATIC NARRATIVE
The 0.250 WWTP consists of the following elements: A new microscreen which is rated at .626 MGD
in the headworks structure; influent pump station which consists of three 220 gpm pumps; dual
extended air activated sludge treatment reactors which consist of dual 22,900 gallons pre -reaction
chambers, and dual 100,700 gallon aeration basins with fine bubble diffusers, dual 397scfm, 20 HP air
blowers, dual 20 foot diameter,13 foot side water depth center fed secondary clarifiers, dual RAS/WAS
pumps: dual microscreen drum filters; UV disinfection unit, which consists of two channel banks in
series; 900 gallon post aeration chamber using diffusers; effluent pump station which consists of three
pumps 220gpm,10 HP vertical turbine pumps and effluent flowmeter; dual50 gpm pumps,8 HP sludge
transfer pump; 89,900 gallon sludge digester with fine air diffusers with dual 224 scfm 15 HP air
blowers; sludge loading station with 500 gpm sludge transfer pumps; 972 square foot operations/lab
building ,one 200kw emergency generator with automatic transfer switch and instrumentation.
Prepared By: Sudie Matthis

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
Cf
ek
Ste'46'.
Ce Las Ve/
Go gle
eeaSW'S NO Rd
Map data ©2021 500 ft

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
fi
1)0N er:T
,N,0\papcovz,qo
1 §..
, _
//
rl - fj / ,! 4
/ �,.=
el kfz°
DRivE
000
LEGEND
2—INCH CALVINIZED IRON
2—INCH PVC
6—INCH ASBESTOS CEMENT
6—INCH PVC
B—INCH ASBESTOS CEMENT
MAGNOLIA FIRE HYDRANT
COUNTY FIRE HYDRANT
WATER TREATMENT PLANT
ELEVATED TANK
GRAPHIC SCALE
40D ODD
1600
3200
( III FEET )
i inoh = BOO ft.
0 <
o}
zv)
Ha
bet
NOVEMBER, 2003
JCN,
AS SHGWI9
1

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
REVISIONS
DESCRIPIIGN
COL COMMENTS
AS-BULI
DATE
3/21/06
6%4/01
Pr 0 V fQ' PROPOSED
9.-e 0,C{c SCREW SCREEN
a 8-44 ri DRAINAGE
F COLLECTION
.. ( MANHOLE N0. 2
EXISTING 10"
INFLUENT
EXISTING
PARSH ALL FLUME
EXISTING BAR
SCREEN AND
GRIT REMOVAL
10"
0
O
6 rM
INFLUENT
PUMP STATION
TO TRANSFER
TRUCK FOR LAND
APPLICATION
8"
TO DRIP
IRRIGATION SITES
42,203 GPD MAX
PRE
REACT
AERATION
\ BASIN
RAS
CLARIFIER
PRE i
REACT
RAS
AERATION
BASIN
CLARIFIER
4" F
SLUDGE LOADING
I PUMP STATION
I(.3.� 6" SUCTION
6" DRAIN
DRAINAGE
COLLECTION
MANHOLE NO. 1
`SLUDGE LOADING
SPILL AND WASHINGS
COLLECTION MANHOLE
6" DECANT/OVERFLOW
AEROBIC
DIGESTER
6" DRAIN
6" COMBINED DRAINAGE
S�
r1%
(j��DRIP
IRRIGATION
PUMP
PROPELLER STATION
METER
4" FM _ 4" FM
/FILTER BYPASS
TERTIARY
FILTER
DC
-p0 % r.
TERTIARY
FILTER
U.V.
DISINFECTION
6
PROCESS FLOW SCHEMATIC
NOT TO SCALE
8" FM DISCHARGE
TO STEWARTS CREEK
250,000 GPD MAX
(NOT IN THIS CONTRACT)
POST
AERATION
tst\
4 004 CO4 PROCESS FLOW SCNCMAIIC.Ewy

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
C A Nt 1 I € V+r✓(L
ect. rt.. , txae.
8" FM TO STEWARTS CREEK
(NOT IN THIS CONTRACT)
•
m
0064; 140
007 G07-PROPOSED YARD PIPING PLAN DWG
4" FORCE MAIN
TO DRIP IRRIGATION j
NOT IN THIS CONTRACT)
DRIP IRRIGATION
PUMP STATION
W EFFLUENT
METER VAULT
1 LIGHT POLE
EFFLUENT SAMPLER
UV DISINFECTION
DRUM FILTERS
1" NPW
YARD
HYDRANT
6' D.1. FORCE MAIN
1 - 6" MJ
I 45' BEND
eul+l�
\- 6' FLG 90' REND
1-6'MJ90'BEND
UGHT POLE
YARD
HYDRANT
"COLLECTOR MANHOLE NO. 2
INV. IN 10" D.I. DRAIN 88.79'
INV. EX 10" SEWER 88.69'
NEW fi CHAINUNK
PERIMETER FENCE
NEW WOE
OMIT OF
}
10" D.I. DRAIN - ����
COI LECTOR MANHOLE NO. 1
INV. 4' ABS SEWER 93 00'
INV. 4- DI DRAIN 94.78'
INV. 8' D.I. DRAIN 89.50'a -
INV. IN 6- 0.1. DRAIN 90.24'
INV. OUT 10" D.I. DRAIN 89.19'
YARD
HYDRANT
4' D.I. SLUDGE
TRUCK LOADING ST
SLUDGE TRANSFER PUMP
6" D.1. SLUDGE SUCTION
NEW 6' CHAINUNK
PERIMETER FENCE
YARD PIPING PLAN
1-= 10'
f ; ,
J#
I
I i
LIMIT OF
CONSTRUCTION
Cif
1
f

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
TOWN OF MAGNOLIA
SLUDGE MANAGEMENT PLAN
.250 MGD PLANT
1- Aerobic digester contains the liquid discharge from the treatment process.
2: A digester retains the liquid sludge until the decanting process fails.
3- Liquid sludge is transferred to a dewatering box
4- Clean water discharges into the head of the WWTP plant
5- Solids remain in the box
6- McGill transports the box to its facility.
Grit Chamber debris
1- Collected in container at microscreen
2- Contents maintained in closed container under shelter
3- Transported to acceptable land fill site- Roseboro,N.C./ Content's disposal in
accordance with the land fill's regulation OR McGill disposes with sludge
Signature
��tN WUL J'1aA -60.-
Prepared By: Sudie Matthis
Date

DocuSign Envelope ID: 15CD44AE-3726-45C7-A7FD-6CF05F4683B9
Permit NC0020346
A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (0.250 MGD)
Beginning upon erparicion above 0.09 MGD and lasting until permit expiration, the Permittee is
authorized to dis�:harge t-eated wastewater from Outfall 001 _ Such discharges shall be limited and
monitored by the Penuittee as specified below:
EFFLUENT LIMITATIONS
MONITORING REQUIREMENTS
PARAMETER
Monthly
Average
Weekly
Average
Daily
- Maximum
- Measurement
Frequency
Sample
Type
` Sample
Location1
Flow ('MGD)
0.250 MGD
Continuous
Recording
I or E
BODE `
Weekly
Composite
I, E
(S}
5.0 mg/L
10.0 mg/L
BOD5 2 f
Weekly
Composite
I, E
W f + 1y
10.0 mg/L
20.0 mg/L
Total Sided Solids'
30.0 mg/L
45.0 mg/L
Weekly
Composite
I, E
NH5 as N (Summer
2.0 mg/L
6.0 mg/L
Weekly
Composite
E
NH3 as N (Wintery
4.0 mg/L
12.0 mg/L
Weekly
Composite
E
Dissolved Oxygen
Not less than 6 mg/L
Weekly
Grab
E
Fecal Coliform
200/100 ml
400/100 nil
Weekly
Grab
E
Total Residual Chlorine4
17 µg/L
2/week
Grab
E
Temperature
Daily
Grab
E
Total Nitrogen
1/ Quarter
Composite
E
Total Phosphorus
1/ Quarter
Composite
E-
pH
6.0 to 9.0 SU
Weekly
Grab
E
Footnotes:
1_ I: Influent. E: Effluent.
See Condition A. (4.) of this permit for instream monitoring requirements_
2. The monthly average BOD5 and Total Suspended Solids concentrations shall not exceed 15% of
the respective influent value (85% removal).
3. Summer: April 1 to October 31
Winter: November 1 to March 31
4. Effluent monitoring and limitation only apply if chlorine or a chlorine derivative is added to the
waste stream during treatment.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.