NC0032239_Permit Issuance_20071031

Michael F. Easley, Governor
State of North Carolina
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
October 31, 2007
Mr. Richard J. Durham
Carolina Water Service, Inc. of N.C.
P.O. Box 240908
Charlotte, North Carolina 28224
Subject: NPDES PERMIT ISSUANCE
Permit Number NC0032239
Regalwood WWTP
Onslow County
Dear Mr. Durham:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached final 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).
Please take note that all facilities required to have nutrient removal for phosphorous must be classified
one grade higher. [See 15A NCAC 08G .0302(e), effective December 1, 2006;
http://h2o.enr.state.nc.us/tacu/wwrules.html]
"Any system receiving a classification of Grade II Biological Water Pollution Control System
that is required to achieve nutrient reduction is assigned the classification of Grade III
Biological Water Pollution Control System." (Effective December 1, 2006)
Subsequently, sampling requirements must change from weekly, to 3/week per 15A NCAC 2B .0508.
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 permit
shall be final and binding.
Please take notice that this permit is not transferable. 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, Coastal Area Management Act, or any other Federal or Local governmental
permits which may be required.
If you have any questions or need additional information, please do not hesitate to contact Maureen
Crawford of my staff at [phone], extension 538.
Coleen H. Sullins
Director, Division of Water Quality
cc: Central Files
NPDES Unit Files
Wilmington Regional Office
1617 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1617 - TELEPHONE [phone]/FAX [phone]
VISIT US ON THE WEB AT http://h20.enr.state.nc.us/NPDES

Permit NC0032239
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Carolina Water Service, Inc. of NC
is hereby authorized to discharge wastewater from a facility located at the
Regalwood WWTP
228 Regalwood Drive
southeast of Pumpkin Center
Onslow County
to receiving waters designated as Northeast Creek in the White Oak 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 December 1, 2007.
This permit and authorization to discharge shall expire at midnight on June 30, 2012.
Signed this day October 31, 2007.
Sri- / Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0032239
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked, and as of this 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.
Carolina Water Service, Inc. of NC is hereby authorized to:
1. Continue to operate an existing 0.125 MGD wastewater treatment system with the following
components:
• Bar screen
• Flow equalization tank
• Splitter box
• 0.065 contact stabilization
• 0.60 extended air
• Two clarifiers
• Four aerated sludge digesters
• Phosphorus removal system
• Flow meter
• Polishing pond
• Chlorination chamber with tablet feed
The facility is located southeast of Pumpkin Center at Regalwood WWTP at 228 Regalwood Drive
in Onslow County.
2. Discharge from said treatment works at the location specified on the attached map into Northeast
Creek, classified SC -NSW waters in the White Oak River Basin.

Carolina Water Service Inc. of N.C.
Regalwood WWTP
County: Onslow Stream Class: SC -NSW
Receiving Stream: Northeast Creek Sub -Basin: 030502
Latitude: 34° 46' 54" Grid/Quad: H29SE
Longitude: 77° 21' 32"
DISCHARGE
POINT
u q tom,
•-' 7
ti
i`
1
AI
iti ttii WhiteAirport Oak
f
` u
q 2
l
(� �\ 11 o
it
White
Facility
Location
(not to scale)
AAR,
NORTH
NPDES Permit No. NC0032239

Permit NC0032239
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS — FINAL
During the period beginning on December 1, 2007 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:
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample
Location
Flow
0.125 MGD
Continuous
Recording
Influent or
Effluent
BOD, 5-day (20°C)
(April 1 — October 31)
30.0 mg/L
45.0 mg/L
3/Week
Composite
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
3/Week
Composite
Effluent
NH3 as N
Weekly
Composite
Effluent
Fecal Coliform'
(geometric mean)
200/100 ml
400/100 ml
3/Week
Grab
Effluent
Enterococci'
(geometric mean)
35/100 ml
3/Week
Grab
Effluent
Total Residual Chlorine3
28 ug/L
3/Week
Grab
Effluent
Temperature (°C)
3/Week
Grab
Effluent
Total Nitrogen
(NO2+NO3+TKN)
Quarterly
Composite
Effluent
Total Phosphorus4
2.0 mg/L
Weekly
Composite
Effluent
pH5
3/Week
Grab
Effluent
Footnotes:
1. The limit and monitoring expire when revisions to rule 15A NCAC 2B become effective.
2. Limit becomes effective June 1, 2008. Permittee shall monitor Enterococci with no limit until the limit
becomes effective.
3. The TRC limit will become effective June 1, 2009, while monitoring is required beginning December 1, 2007.
4. Compliance shall be based on a quarterly average of weekly samples.
5. The pH shall not be less than 6.8 standard units nor greater than 8.5 standard units.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
August 28, 2007
Teresa I. Schenk
Operations Manager
Sherwood Mobile Home Park
8522 Golfside Drive
Commerce, MI 48382
Subject: DRAFT NPDES PERMIT RESPONSE
Permit Number NC0022462
Sherwood MHP WWTP
Onslow County
Dear Ms. Schenk:
I am writing to respond to your letter dated August 22, 2007, objecting to the change from a Class
II facility to a Class III facility. Unfortunately, we are unable to consider your request not to change the
monitoring frequencies. All facilities required to have nutrient removal for phosphorous must be
classified one grade higher. [See 15A NCAC 08G .0302(e), effective December 1, 2006;
http://h2o.enr.state.nc.us/tacu/wwrules.html]
"Any system receiving a classification of Grade II Biological Water Pollution Control
System that is required to achieve nutrient reduction is assigned the classification of Grade
III Biological Water Pollution Control System." (Effective December 1, 2006)
Subsequently, sampling requirements must change from weekly, to 3/week per 15A NCAC 2B
.0508.
If you have any additional concerns, please feel free to contact me at [phone], extension
538, or Tom Tharrington of the Wilmington regional office at [phone].
Sincerely,
Maureen Crawford
NPDES Unit
cc: Central Files
NPDES Unit
Wilmington Regional Office
Noy` Caro 'na
Naturally
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

Re: NC0022462 Sherwood MHP Response
Subject: Re: NC0022462 Sherwood MHP Response
From: Linda Willis <[e-mail]>
Date: Tue, 28 Aug 2007 10:41:51 -0400
To: Maureen Crawford <[e-mail]>
You are the woman!
Maureen Crawford wrote:
Regalwood has not been issued yet. It too was one that was delayed because I had
not received an affidavit. I'm going to make the changes and send the draft out
to you and the permittee noting and explaining the change. I'll copy Jerry
Rimmer, give the permittee another 30-days to comment and then issue the permit.
I won't need to renotice since this will be a more stringent change to the draft.
Maureen
Linda Willis wrote:
Thanks Maureen,
Please check into Regalwood NC0032239 with the TACU unit (Jerry Rimmer). . he
should have his staff update BIMS to show Regalwood as
a class III facility. The permit should be modified to reflect the monitoring
requirements for a class III rather than II. Can you do that after it's
already been
issued? It was an oversight, you would have been notified by us but our staff
report didn't get done in time to help you, nor did we respond in time to catch
the permit while it was in the review period. I am sorry about that Maureen.
I know it would have been much easier to handle during the comment period.
Linda
You may want to
Maureen Crawford wrote:
Attached is the response to Ms. Schenk's letter dated August 22. Hard copy
will be sent via US Mail.
Maureen Crawford
NPDES East
919-733-5083 (x-538)
Linda Willis <linda.willis(cr7ncmai1.net>
Environmental Engineer 1
Surface Water Protection Section
Division Of Water Quality
1 of 1
9/13/2007 9:04 AM

To: NPDES Permitting Unit
Surface Water Protection Section
Attention: Maureen Crawford
Date: August 13, 2007
NPDES STAFF REPORT AND RECOMMENDATION
County: Onslow
Permit No.: NC0032239
PART I - GENERAL INFORMATION
1. Facility and Address:
Facility Name: Regalwood WWTP
Physical Address: 1117 Gum Branch Road
Jacksonville, NC 28540
Mailing Address: Carolina Water Service
P.O. Box 240908
Charlotte, NC 28224
2. Date of Investigation: 08/02/2007
3. Report Prepared by: Tom Tharrington
4. Persons Contacted and Telephone Number:
Name/ Title: Eddie Baldwin, Area Manager, 910-949-2010
Name/ Title: Robert Davis, ORC, (WW3 Cert. # 27153), 910-376-0215
Telephone: [phone]
5. Directions to Site: Travel on Highway 17 north to Jacksonville, turn right on Piney Green Drive
and travel 1.3 miles to Regalwood Drive. Turn left on Regalwood Drive and travel 0.3 miles to
the facility on the right.
6. Discharge Point (List for all discharge points):
The facility has one (1) discharge point:
• Outfall 001
Latitude: 34° 46' 43" Longitude: 77° 21' 30"
U.S.G.S. Quad No: 0-57 U.S.G.S. Quad Name: Kellum, NC
7. Topography (relationship to flood plain included):
The site is located along sloping terrain at elevation of 5 feet above MSL.
8. Location of nearest dwelling: Homes are located within 100 yards

9. Receiving stream or affected surface waters:
a) Classification: Northeast Creek Class SC -NSW
b) Stream Index No.: 19-16-(0.5)
c) Describe receiving stream features and pertinent downstream uses:
Boating and fishing.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1) Volume of wastewater to be permitted:
As per permit application:
• Outfall 001 — 0.125 MGD
2) What is the current permitted flow limit?
• Outfall 001 — 0.125 MGD
3) Actual treatment capacity of the current facility?
0.125 MGD
4) Date(s) and construction activities allowed by previous Authorizations to Construct issued in the
previous two years:
None
5) Please provide a description of existing or substantially constructed wastewater treatment
facilities:
• Headworks including bar screen, chemical addition for phosphorus removal and lift
pumps
• Aerated Equalization Tank
• 2 - Activated Sludge Trains (1 contact stabilization, 1 extended aeration) with a total of
2 clarifiers
• 4 — Digestion and Sludge Holding Tanks
• Polishing Pond
• Hypochlorite chlorination system with contact chamber
• Associated blowers and piping
• Ultrasonic flow meter and sampling equipment
• Effluent pump ( for use during high water in the receiving stream)
6) Please provide a description of proposed wastewater treatment facilities: None.
7) Possible toxic impacts to surface waters: Chlorine
8) Pretreatment Prozram (POTWs only): N/A
9) Residuals handling and utilization/disposal scheme:

The facility uses Columbia Biotech, which is affiliated with Carolina Water Service to haul
liquid residuals to South Carolina for blending, stabilization and land disposal.
10) Compliance history for this facility within thepast permit cycle is as follows:
See the enclosed violation report for details.
11) Treatment plant classification: Type: Activated Sludge
Class: Class III
* This facility uses chemical addition for removal of phosphorus.
12) SIC Code(s): 6513
PART IV - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or are any public monies
(municipals onlv) involved?
No
2. Special monitoring or limitations (including toxicity) requests:
N/A
3. Important SOC, JOC or Compliance Schedule dates:
N/A
4. Alternative Analysis Evaluation:
N/A
5. Other Special Items: N/A
PART V - EVALUATION AND RECOMMENDATIONS
Note: This facility is required to meet a 2mg/1 phosphorus limit on a weekly composite sample. This
is achieved by the chemical addition and simultaneous precipitation of the phosphorus and activated
sludge in the clarifier unit. The phosphorus is then removed from the system with the waste
activated sludge. This phosphorus removal process does meet the intent of recent rule changes to
increase the classification of wastewater systems that achieve nutrient reduction one level. It should
be noted that the addition of this chemical is a fairly straightforward procedure and does not
significantly increase the operational complexity of this facility.
The Wilmington Regional Office recommends reissuance of Permit No. NC0032239 in accordance
with the White Oak River Basin Plan permitting strategy and the permitting guidance attached
provided no significant adverse public comment is received.
/3/L)7
Signature o Repo reparer Date
/(4/(07
Date
Water Quality Regional Supervisor

ONSLOW COUNTY
NORTH CAROLINA
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of County and State of said pub-
lisher, duly commissioned, qualified and authorized by law to administer oaths,
personally appeared
who being
first duly sworn, deposes and says: that he (she) is
, I l l a—Vrl S e d t TUT —
(Owner, partner, publisher or other officer or employee
authorized to make this affidavit)
of THE CARTERET PUBLISHING CO., INC., Carteret County, N.C., engaged
in the publication of a newspaper known as Tideland News, published, issued,
and entered as second class mail in the Town of Swansboro, in said County and
State; that he (she) is authorized to make this affidavit and sworn statement; that
the notice or other legal advertisement, a true copy of which is attached hereto,
was published in Tideland News on the following dates:
AU1, i 20°'7
and that the said newspaper 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 Statues of North Carolina and was a qualified newspaper within
the meaning of Section 1-597 of the General Statutes of North Carolina.
This
11 4h
day of
C( t 20 0I?
\d)a2et,—`j
nature of person making affidavit)
Sw n to and subscribed before me, this I7�'""
.20 v-1
er
My commission expires: L ( 3 f 0
day of
Notary Public
MANAGEMENT COMMIS-
SION/NPDES UNIT
1617 MAIL SERVICE
CENTER
RALEIGH, NG 27699.1617
NOTIFICATICN OF INTENT
TO ISSUE A NPDES
WASTEWATER PERMIT
On the basis of thorough
staff review and application of
NC General Statute 143.21,
Public Law 92.5C0 and other
lawful standards and regula-
tions, the North Carolina Envi-
ronmental Management Corn -
mission proposes to issue a
National Pollutant Discharge
Elimination System (NPDES)
wastewater discharge permit
to the person(s) listed below
effective 45 days from the
publish date of this notice.
Written comments regarding
the proposed permit will e ac-
cepted until 30 days after the
publish date of this notice. All
comments received prior to
that date are considered in the
final determinations regarding
the proposed permit. The Di-
rector of the NC Division of
Water Quality may decide to
hold a public meeting for the
proposed permit should the Di-
vision receive a significant de-
gree of public interest.
Copies of the draft permit
and other supporting informa-
tion on file used to determine
conditions present in the draft
permit are available upon re-
quest and payment of the
costs of reproduction. Mail
comments and/or requests for
information to the NC Division
of Water Quality at the above
address or call Ms. Frances
Candeiaria [phone],
extension 520 at the Point
Source Branch. Please include
the NPDES permit number (at-
tached) in any communication
Interested persons may also
visit the Division of Water
Quality at 512 N. Salisbury
Street, Raleigh, NC 27604-
1148 between the hours of
8:00 a.m. and 5:00 p.m. to re-
view information on file.
Sherwood Mobile Home Park
Association, Highway 24 East,
Midway Park, North Carolina
28544 has applied for renewal
for NPDES permit NC0022462
for its Sherwood Mobile Home
Park WWTP in Onslow Coun-
ty. This permitted facility dis-
charges treated wastewater to
an unnamed tributary to Mott
Creek in the White Oak River
Basin. Currently, CBOD and
ammonia nitrogen are water
quality limited. This discharge
may affect future allocations in
the portion of the watershed.
Carolina Water Service Inc.,
of NC, P.O. Box 240908,
Charlotte, NC 28224 has ap-
plied for renewal for NPDES
permit NC0031577 for Its
White Oak Estates WWTP in
Onslow County. This permitted
facility discharges treated
wastewater tc. Northeast
Creek in the White Oak River
Basin. Currently. CBOD and
ammonia nitrogen are water
quality IimiteJ. This discharge
may affect future allocations in
the portion of the watershed.
Carolina Water Service Inc.,
of NC, P.O. Box 240908,
Charlotte, NC 28224 has ap-
plied for renewal for NPDES
oermit NC003223:1; for its Re-

White Oak River Basin. Cur-
rently, CBOD and ammonia ni-
trogen are water quality limit-
ed. This discharge may affect
future allocations in the portion
of the watershed.
Onslow County Board of Ed •
-
ucation, P.O. Box 99, Jack- J
sonville, North 'Carolina 28540 i
has applied fcr renewal for
NPDES permit NC0043711 for
its Morton Elementary School
WWTP in Onsicw County.
This permitted tacility dis-
charges treated wastewater to
Little Northeast Creek in the
White Oak River Basin. Cur-
rently, CBOD and ammonia ni.
trogen are water qualify limit-
ed. This discharge may affect
future allocations in the portion
of the watershed. •
Eugene A. Butts (791 Free-
dom Way, Midway Park, NC f
28544) has applied for renew-
al for NPDES permit
NC0051471 for the Big Pines
Mobile Home Park WWTP in i
Onslow County. This permitted
facility discharges treated
wastewater to and UT to Wal-
lace Creek in the While Oak I
River Basin. Some parameters
may be water quality limited,
which may affect future alloca-
tions in this portion of White
Oak River Basin.
Rock Creek Environmental i
Company, 199 Country Club
Blvd., Jacksonville, North Car-
olina 28540 has applied for re-
newel for NPDES permit
NC00822g4 for its Rock Creek
Golf & Country Club WWTP in
Onslow County. This permitted '
facility discharges treated
wastewater to New River in
the White Oak River Basin. ,
Currently, CBOD and ammo- '
nia nitrogen are water quality
limited. This discharge may af-
fect future allocations in the
portion of the watershed.
Hinson Arms Apartments
(3340 Richlands Hwy., Jack-
sonville, NC 28540) has ap-
plied for renewal to
permit NC0071706 for its -"in -
son Arms Apartment WWTP In
Onslow County. This permitted
facility discharges treated
wastewater to an unnamed
Tributary in the White Oak Riv-
er Basin. Currently, CBOD and
ammonia nitrogen are water
quality limited. Some parame-
ters may be water quality limit-
ed, which may affect future al-
locations in this portion of the
White Oak River Basin.
Al

Carolina Water Service, Inc.
Regional Office:
5701 Westpark Dr., Suite 101
P.O. Box 240908
Charlotte, NC 28224
Telephone: [704] 525-7990
FAX: [704] 525-8174
December 18, 2006
Ms. Carolyn Bryant
NCDENR / DWQ / Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Regalwood WWTP
NPDES NC0032239
Permit Renewal Request
Dear Ms. Bryant,
Please find enclosed the Permit Application Renewal Form and sludge management letter for the
Regalwood WWTP, as required.
Please note the change from the previous permit which incorrectly listed the type of plant as
extended air. The enclosed permit application form correctly lists the type of plant as contact
stabilization. Also, please take notice of the change from gas chlorination to a chlorine tablet
system.
If you have any questions or require additional documentation, please advise.
Sincerely,
Richal`j1 J. Durham, PE
Regional Director

Carolina Water Services Inca
Regional Office:
5701 Westpark Dr., Suite 101
P.O. Box 240908
Charlotte, NC 28224
Telephone: [704] 525-7990
FAX: [704] 525-8174
December 18, 2006
Ms. Carolyn Bryant
NCDENR / DWQ / Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Regalwood WWTP
NPDES NC0032239
Sludge Plan
Dear Ms. Bryant,
Sludge generated from the Regalwood WWTP is hauled and disposed of as necessary by the
licensed contractor listed below:
BioTech, Inc.
151 Old Wire Road
Cayce, SC 29033
803-791-9818
If you have any questions or require additional documentation, please advise.
Sincerely,
Ric . Durham, PE
Regional Director

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit
INC0032239
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name Carolina Water Service, Inc. of NC
Facility Name Regalwood WWTP
Mailing Address P.O. Box 240908
City Charlotte
State / Zip Code NC 28224
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above 0
Street Address or State Road 228 Regalwood Drive
City
State / Zip Code
County
Jacksonville
NC 28541
Onslow
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Carolina Water Service, Inc. of NC
Mailing Address P.O. Box 240908
City Charlotte
State / Zip Code NC 28224
Telephone Number [phone]
Fax Number [phone]
1 of 4
Form-D 1/06

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial 0 Number of Employees
Commercial 0 Number of Employees
Residential ® Number of Homes
School D Number of Students/Staff
Other ❑ Explain:
380
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
SUBDIVISON
Population served: 950
5. Type of collection system
Z Separate (sanitary sewer only)
0 Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes
® No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfaii):
Northeast Creek in the White Oak River Basin
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration:
9. Describe the treatment system
List all installed components, including capacity, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient attach the description of the treatment system in a
separate sheet of paper.
Bar Screen Flow Equalization Splitter Box 0.065 Contact Stabilization
0.60 Extended Air Two Clarifiers Four Aerated Digesters
Phosphorus removal system Flow Meter Polishing Pond
Chlorination chamber with tablet feed
2 of 4 Form-01/06

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.125 MGD
Annual Average daily flow .085 MGD (for the previous 3 years)
Maximum daily flow .117 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑Yes ®No
12. Effluent Data
Provide data for the parameters listed. Fecal Conform, Temperature and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used. Effluent testing data must be based on at least three samples
and must be no more than four and one half years old.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Number of
Samples
Biochemical Oxygen Demand
(BOD5)
8.8
6.5
MG/L
4
Fecal Coliform
1
1
#/100M/L
4
Total Suspended Solids
5.4
4.1
MG/L
4
Temperature (Summer)
31
28
C
4
Temperature (Winter)
11
10
C
4
pH
7.6
7.4
UNITS
4
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NC0032239 Dredge or fill (Section 404 or CWA)
PSD (CAA) Special Order of Consent (SOC)
Non -attainment program (CAA) Other
Permit Number
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
,eleHA,2 J. I Ui2Nt4m /Z i0f/9L D/26cio2
Printed name of Person Signing Title
3 of 4
Form-D 1/06

NPDES APPLICATION - FORM D
For privatel owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Signa ure tApplicant
/0�06
Da e
North Car• a General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement
representation, or certification in any application, record, report, plan, or other document files or required to be
maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or
who falsifies, tampers with, or knowly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing
that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to
exceed six months. or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or
imprisonment not more than 5 years, or both, for a similar offense.)
4 of 4
Form-D 1/06

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for expedited permit renewal
Reviewer/Date
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Permit Number
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Facility Name
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Basin Name/Sub-basin number
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Receiving Stream
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Stream Classification in Permit
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Does permit need NH3 ]irrfits?
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Does permit need TRC limits? =s='=F =f".
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Does permit have toxicity testing.
prp
Does permit have Special Conditions?
b
Does permit have instream monitoring?
ISO
Is the stream impaired (on 303(d) list)?
OD
Any obvious compliance concerns?
Any permit mods since last permit?
Kb
Existing expiration date
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New expiration date
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New permit effective date
Miscellaneous Comments
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YES
This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
name/ownership changes). Include conventional WTPs in this group.
YES This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case -by -case decision.
IVD `tN This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipal/industrial)
• Minor Municipals with pretreatment program
• Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)