NC0046809_Permit Issuance_20060403

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
April 3, 2006
Rev. Thomas H. McGhee
Pentecostal Holiness Church
PO Box 150
Browns Summit, NC 27214-0150
Subject: Issuance of NPDES Permit NC0046809
Western NC Conference Center WWTP
Guilford County
Dear Rev. McGhee:
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 major changes from the draft permit sent to you on February 1, 2006.
This permit indudes a TRC limit that will take effect on November 1, 2007. If you wish to install
dechlorination equipment, the Division has promulgated a simplified approval process for such projects. Guidance
for approval of dechlorination projects is attached.
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 Frances Candelaria at
telephone number [phone], extension 520.
Sincerely,
an W. Klimek, P.E.
cc: Central Files
Winston Salem Regional Office/Surface Water Protection
NPDES Unit
Won` aturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet h2o,enr.state,nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Permit NC0046809
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 provision 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, the
Western N.C. Conference of the Pentecostal Holiness Church
is hereby authorized to discharge wastewater from a facility located at the
Western NC Conference Center WWTP
7545 U. S. Highway 29 North
northeast of Browns Summit
Guilford County
to receiving waters designated as an unnamed tributary to Benaja Creek in the Cape
Fear 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 May 1, 2006.
This permit and authorization to discharge shall expire at midnight on April 30, 2011.
Signed this day April 3, 2006.
W. Klimek, P.E., Director
ivision of Water Quality
By Authority of the Environmental Management Commission

Permit NC0046809
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.
The Western N.C. Conference of the Pentecostal Holiness Church is hereby
authorized to:
1. Continue to operate an existing 0.02 MGD wastewater treatment facility with the
following components:
• Splitter box
• Bar screen
• Dual parallel aeration tanks
• Dual parallel clarifiers
• Dual tertiary filters
• Chlorine contact chamber with tablet chlorination
This facility is located off U.S. Highway 29 North northeast of Browns Summit at
the Western NC Conference Center WWTP in Guilford County.
2. Discharge from said treatment works at the location specified on the attached
map into an unnamed tributary to Benaja Creek, classified C-NSW waters in the
Cape Fear River Basin.

Western NC Conference Center
Pentecostal Holiness Church WWTP
Latitude: 36° 13' 45" N State Grid: Brownsville
Longitude: 79°41' 29" W Permitted Flow: 0.02 MGD
Reccivint Stream: UTBenaja Creek Drainaue Basin: Cape Fear River Basin
Stream Class: C-NSW Sub-13asin: 03-06-01
North
NPDES Permit No. NC0046809
Guilford County

Permit NC0046809
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
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Flow
0.02 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20°C)
30.0 mg/L
45.0 mglL
Weekly
Grab
Effluent
Total Suspended Solids
30.0 mglL
45.0 mg/L .
Weekly
Grab
Effluent
NH3 as N
2/Month
Grab
Effluent
Dissolved Oxygen
Weekly
Grab
Effluent,
Upstream & Downstream
Fecal Coliform
(geometric mean)
200 / 100 ml
400 / 100 ml
Weekly
Grab
Effluent
Upstream & Downstream
Total Residual Chlorine2
28 µg/I
2/week
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent,
Upstream & Downstream
Oil and Grease
Monthly
Grab
Effluent
MBAS
Monthly
Grab
Effluent
Total Nitrogen
(NO2+NO3+TKN)
.
Quarterly
Grab
Effluent
Total Phosphorus
Quarterly
Grab
Effluent
pH3
Weekly
.Grab
Effluent
Chronic Toxicity'
Quarterly
Grab
Effluent
Footnotes:
1. Upstream = at least 100 feet upstream from the outfall. Downstream = at least 100 feet downstream from
the outfall.
2. Total residual chlorine monitoring shall be 2/weekly. The limit will take effect November 1, 2007.
3. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
4. Chronic Toxicity (Ceniodaphnia) P/F at 31%: February, May, August & November (see A. (2.)).
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Permit NC0046809
A. (2.) CHRONIC TOXICITY PERMIT LIMIT (Quarterly)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to
Ceriodaphnia dubia at an effluent concentration of 31%
The permit holder shall perform at a minimum, quarterly monitoring using test procedures outlined in the `North
Carolina •Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or subsequent versions or
"North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or
subsequent versions. The tests will be performed during the months of February, May, August & November. Effluent
sampling for this testing shall be performed at the NPDES permitted final effluent discharge below all treatment
processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the permit
limit, then multiple -concentration testing shall be performed at a minimum, in each of the two following months as
described in "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998)
or subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the highest
concentration having no detectable impairment of reproduction or survival and the lowest concentration that does
have a detectable impairment of reproduction or survival. The definition of "detectable impairment," collection
methods, exposure regimes, and further statistical methods are specified in the "North Carolina Phase II Chronic
Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge
Monitoring Form (MR-1) for the months in which tests were performed, using the parameter code TGP3B for the
pass/fail results and THP3B for the Chronic Value. Additionally, DWQ Form AT-3 (original) is to be sent to the
following address:
NC DENR / DWQ / Environmental Sciences Branch
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Branch no later than 30
days after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate signature.
Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for
disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the
permittee will complete the information located at the top of the aquatic toxicity (AT) test form indicating the
facility name, permit number, pipe number, county, and the month/year of the report with the notation of "No
Flow" in the comment area of the form. The report shall be submitted to the Environmental Sciences Branch at the
address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be
required during the following month.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of Water
Quality indicate potential impacts to the receiving stream, this permit may be re -opened and modified to include
alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism
survival, minimum control organism reproduction, and appropriate environmental controls, shall constitute an
invalid test and will require immediate follow-up testing to be completed no later than the last day of the Month
following the month of the initial monitoring.

NC0046809
Subject: NC0046809
From: Corey Basinger <[e-mail]>
Date: Fri, 03 Mar 2006 15:04:05 -0500
To: Frances Candelaria <[e-mail]>
CC: Steve Tedder <[e-mail]>
Frances,
I've reviewed the draft permit for Pentecostal Holiness Church (NC0046809) and found no problems.
WSRO recommends issuance of the permit.
Thanks!
Corey
Corey Basinger
[e-mail]
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Fax [phone]
Corey Basinger <Corey.BasingerANCmail.net>
WSRO
NC DENR
1 of 1
3/6/2006 8:02 AM

News & Record
North Carolina, Guilford County
Published by
News & Record, Inc.
Greensboro, North Carolina
Affidavit of Publication 2/17/2006
Before the undersigned, a Notary Public of said County and State, duly commissioned, qualified and authorized by law to
administer oaths, personally appeared the Publisher's Representative who being first duly sworn, deposed and says:
1. That he/she is the Publisher's Representative of the Greensboro News & Record, Inc. a corporation, engaged in the
publication of newspapers known as "News & Record", published, issued and entered as second class mail in the City of
Greensboro in said County and State.
2. That he/she is authorized to make this affidavit and sworn statement; that the notice or other legal advertisement,
a copy of which is attached hereto, was published in the News & Record on the dates listed below.
3. That the said newspaper (or newspapers) in which such notice, paper, document, or legal advertisement was published
was, at the time of each and every such publication, a newspaper meeting all of the requirements and qualifications of
Section 1-597 of the General Statutes of North Carolina and was a qualified pewspaper within the meaning of Section 1-597
of the General Statutes of North Carolina.
Publisher's Representative
Sworn to and subscribed before me, this i day of
ateAt t 2
2006.
Notary Public
My commission expires: August 23, 2010
VALER E MCNE L
NOTARY PUBLIC
GUILFORD COUNTY, NC
COMM. reap. 8-23-2010
Name
Ad # Date Edition Class PO Ad Copy,
NCDENR DWQ NPDES 8051784 02/17/06 News & Record 400 NC0046809 PUBLIC NOTICESTATE 0

Ad # 1.8051784
Date 102/16/2006 Time 110:14 AM
PUBLIC NOTICE
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION/
NPDES UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
NOTIFICATION OF INTENT TO ISSUE A
NPDES WASTEWATER PERMIT
On the basis of thorough staff review and appli-
cation of NC General Statute 143.21, Public law
92-500 and other lawful standards and regula-
tions, the North Carolina Environmental Man-
agement Commission proposes to issue a Na-
tional Pollutant Discharge Elimination System
(NPD ES) wastewater discharge permit to the
person(s) listed below effective 45 days from
the publish date of this notice
Written comments regarding the proposed per-
mit will be accepted until 30 days after the
publish date of this notice. All comments re-
ceived prior to that date are considered in the
final determinations regarding the proposed
permit. The Director of the NC Division of Wa-
ter Quality may decide to hold a public meet-
ing for the proposed permit should the Division
receive a significant degree of public interest.
Copies of the draft permit and other supporting
information on file used to determine condi-
tions present in the draft permit are available
upon request and payment of the costs of re-
production. Mail comments and/or requests for
information to the NC Division of Water Qual-
ity at the above address or call the Point Source
Branch at [phone], extension 520. Please
indude the NPDES permit number (attached) in
any communication. Interested persons may
also visit the Division of Water Quality at 512 N.
Salisbury Street, Raleigh, NC 27604-1148 be-
tween the hours of 8:00 a.m. and 5:00 p.m. to
review information on file.
Western NC Conference of the Pentecostal Holi-
ness Church (PO Box 150, Browns Summit, NC
27214) has applied for renewal of NPD ES per-
mit NC0046809 for the Pentecostal Holiness
Church WWTP in Guilford County. This permit-
ted facility discharges treated wastewater to
Benaja Creek in the Cape Fear River Basin. Some
param eters maybe water quality limited, which
may affect future allocations of the Cape Fear
River Basin.
Ad shown is not actual print size

ornerstone
Cojince • and Resource Center
7
International Pentecostal Holiness Church
Thomas H. McGhee, Superintendent
Mailing Address:
PO Box 150
Browns Summit, NC 27214
"Equipping Fur Excellence In :Ilirri.cn r'•
October 7, 2005
Mrs. Carolyn Bryant
NC DENR / DWQ / Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Pentecostal Holiness Church
Western North Carolina Conference Center
Renewal of NC NPDES Permit #: NC0046809
Dear Mrs. Bryant:
C0P1
This letter is a request for renewal of permit # NC0046809 for the Pentecostal Holiness Church —
Western North Carolina Conference Center. There have been no changes at the treatment facility
since issuance of the last permit.
The following items and 2 copies of each are enclosed with this letter:
• Completed application form signed by myself, Thomas H. McGhee, Conference Superintendent
• A description of the sludge management plan for the facility
• Map showing the exact location of the outfall
Please feel free to contact me if any additional information is needed.
Sincerely,
n/yz
Thomas H. McGhee
Superintendent,
The Western North Carolina Conference
of the Pentecostal Holiness Church, Inc.
THM:jp
Enclosures
cc: Meritech, Inc.
7545 Highway 29
Browns Summit, NC 27214
Phone [phone] • Fax [phone]

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
http: / / h2o.enr.state.nc.us/NPDES/
North Carolina NPDES Permit Number
1. Contact Information:
Facility Name
Owner Name
Street Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Operator Name
Street Address
City
State / Zip Code
County
Telephone Number
NC00 46809
r' nr
Please print or type
Pentecostal Holiness Church
Western North Carolina Conference Center
7545 Highway 29 (Mailing address: PO Box 150)
Browns Siimmi t
North Carolina 27214
( 336 ) 656-7936
( 336 ) 656-7554
[e-mail]
Pat Merritt @ Meritech, Inc.
642 Tamco Road
Reidsville
North Carolina 27320
Rorkingham
( 336 ) 342-4748
2. Location of facility producing discharge:
Check here if same as above 111
Facility Name (If different from above)
Street Address or State Road
City
State / Zip Code
County
3. Reason for application:
Guilford County
Expansion/Modification * Existing Unpermitted Discharge
Renewal New Facility
* Provide a description of the expansion/modification:
Page 1 of 3 Version 12/02

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
4. Description of the existing treatment facilities (list all installed components with
capacities):
0.02 MGD System consisting of: Collection System, Splitter
Box,
Bar Screen, Dual Parallel Aeration Tanks, Dual Para11P1 Clarifiers,
Dual Tertiary Filters ,Ch1or; ne Cnnrarr Chamber with
Tablet Chlorination
5. Description of wastewater (check all that apply):
Type of Facility Generating Wastewater
Industrial Number of Employees
Commercial Number of Employees
Residential Number of Homes
School Number of Students/Staff
Other X
Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.):
Church Conference Headquarters Offices & Camp Facilities
6. List all permits, construction approvals and/or applications (check all that apply
Type
RCRA
UIC
NPDES
PSD
NESHAPS
Permit Number
NC0046809
Non -Attainment
Ocean Dumping
Dredge/Fill Permits
Other
Permit Number
7. Number of separate wastewater discharge pipes (wastewater outfalls): 0 n e
8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
N/A
9. Name of receiving stream(s) (Provide a map showing the exact Iocation of each outfall):
Unnamed Tributary to Benaja Creek in Cape Fear RivPr Raain
Page 2 of 3 Version 12/02

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
10. Is this facility located on Native American lands? (check one)
YES n NO FX—
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.
OM S
Printed Name of Person igning
Title
6-1417471104,r(-? c �.(�pt°i.N/AivolP4,-
-9-cor--4.
Signature of Applicant
Da e Siened Da a Signed
North Carolina General Statute 143-215.6(b)(2) provides that: 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 knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under
Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a
misdemeanor punishable by a fine not to exceed $10,000, 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 $10,000 or imprisonment not more than 5 years, or both for a
similar offense.)
Page 3 of 3 Version 12/02

/ v V/ v V V V • V. ..I
V ..IVV I ...
IL./ ♦ • / ..VI I
MERITECH, INC.
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls. Inc.
September 28, 2005
All sludge and/or solids are removed from the facility (NC0046809) by Busick's Septic
Service of. Reidsville N.C. and disposed of at the City of Greensboro N.C. North Buffalo
Wastewater Treatment Plant.
Meritech Inc.
David Merritt
Vice President
Office: 106-A South Walnut Circle P.O. Box 8808 Greensboro,
//N3C�27419 [phone]
l"at it To te 5d gox v/Ile, *AWE W31648
[phone] • [phone] Fax