NC0067091_Permit Issuance_20120327

LPRWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. Thomas J. Roberts
Aqua North Carolina, Inc.
202 MacKenan Court
Cary, North Carolina 27511
Dear Mr. Roberts:
Charles Wakild, P.E.
Director
March 27, 2012
Dee Freeman
Secretary
Subject: NPDES PERMIT ISSUANCE
Permit Number NCO067091
Mikkola Downs Subdivision WWTP - Class WW-2
Forsyth County
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 October 15,
2007 (or as subsequently amended).
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 Scardina of my staff at [phone].
incer y,
G
Charles Wakild, P.E.
cc: Central Files
NPDES Unit Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: http://portal.nodenr.org/web/wq/home
onrt NhCarolina
Natura!!tf
An Equal Opportunity 1 Affirmative Action Employer

Permit NCO067091
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONiR-'1•ENT ANTD NATUPRAL 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, the
Aqua North Carolina, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Mikkola Downs Subdivision WWTP
On NCSR 2016
north of Kernersville
Forsyth County
to receiving waters designated as East Belews Creek in the Roanoke 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, 2012.
This permit and authorization to discharge shall expire at midnight on February 28, 2017.
Signed this day March 27, 2012.
— Z."" �
es Wakild, P.E., Director
ivision of Water Quality
By Authority of the Environmental Management Commission

Permit NC0067091
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.
Aqua North Carolina, Inc. is hereby authorized to:
1. Continue to operate an existing 0.072 MGD wastewater treatment system with the following
components:
♦ Flow splitter box
♦ Bar screen
♦ Dual aeration tanks
♦ Dual blowers
♦ Dual clarifiers
♦ Sludge holding tank
♦ Sanuril chlorinator
♦ Chlorine contact tank "
♦ Dechlorination
♦ Post aeration tank
♦ Effluent flow recorder
The facility is located north of Kernersville at Mikkola Downs Subdivision on NCSR 2016 in
Forsyth County. ,
2. Discharge from said treatment works at the location specified on the attached map into East Belews
Creek, currently classified C waters in sub -basin 03-02-01 of the Roanoke River Basin.

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Facility
Location
Aqua North Carolina, Inc.
Mikkola Downs Subdivision WWTP
County: Forsyth Stream Class: C
(not to scale)
Receiving Stream: East Belews Creek Sub -Basin: 030201
Latitude: 360 10' S7" Grid/Quad: C18NE
NORTH NPDES Permit: NC0067091
Longitude: 800 03' 14" HUC: 03010103

Permit NCO067091
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 outfal1001. Such discharges shall be limited and monitored
by the Permittee as specified below:
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HAI A,61, RISTICS. 4
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_
E� Monthly
�� Daily a �
M[easurement �,,
Sample �
"4x Sample �',
Average
.�f x
xlylax�mnm ;
�
Type °
Location's
Pat Wen"Coder , „, = r
x,
, _. ._ .
¢Frequency
,5
Flow
0.072 MGD
Continuous
RecordingInfluent
or
Effluent
50050
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
C0310
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
C0530
NH3 as N — Summer*
6.0 mg/L
30.0 mg/L
Weekly
Composite
Effluent
C0610
NH3 as N — Winter*
18.0 mg/L
35.0 mg/L
Weekly
Composite
Effluent
C0610
Dissolved Oxygen
Weekly
Grab
Effluent
00300
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
31616
Total Residual Chlorine
28 µg/L
2/Week
Grab
Effluent
50060
Temperature (°C)
Daily
Grab
Effluent
00010
Total Nitrogen (NO2 + NO3+ TKN)
Quarterly
Composite
Effluent
C0600
Total Phosphorus
Quarterly
Composite
Effluent
C0665
pH
Not < 6.0 nor > 9.0
Weekly
Grab
Effluent
00400
Standard Units
Dissolved Oxygen
Weekly
Grab
Upstream &
Downstream
00300
Temperature (°C)
Weekly
Grab
Upstream &
Downstream
00010
1
*Summer: April 1— October 31
*Winter: November 1 — March 31
Footnotes:
1. Upstream = 50 from discharge point; Downstream = at the secondary road approximately 0.4 miles
downstream.
2. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance
with the permit. However, the Permittee shall continue to record and submit all values reported by
a North Carolina certified laboratory (including field certified), even if these values fall below 50
µme•
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS

Issas 312-71/2
Winston-Salem Journal
Advertising Affidavit
NCDENR/DWQ/POINT SOURCE BRANCH
ATTN: DINA SPRINKLE
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
Account Number
3376309
Winston-Salem Journal
P.O Box 3159 Date
Winston-Salem, NC 27102 February 11, 2012
UL
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FEB
15
2012
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OUALITY
Date Category Description Ad Size Total Cost
02/11/2012 Legal Notices PUBLIC NOTICE North Carolina Environmental Management C 1 x 59 L 431.00
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
The North Carolina Environmental Management
Commission proposes to issue a NPDES wastewa-
ter discharge permit to the person(s) listed below.
Written comments regarding the proposed permit
will be accepted until 30 days after the publish
date of this notice. The Director of the NC Division
of Water Quality (DWQ) may hold a public hearing
should there be a significant degree of public in-
terest. Please mail comments and/or information
requests to DWQ at the above address. Interested
persons may visit the DWQ at 512 N. Salisbury
Street, Raleigh, NC to review information on file.
Additional information on NPDES permits and this
notice may be found on our website: http://portal.
ncdenr.org,lweb/wq/swp/ps/npdes/calendar, or
by calling [phone].
Aqua North Carolina, Inc. has requested renewal
of NCO028746 for Briarwood Subdivision WWTP,
Stokes County. This permitted facility discharges
treated wastewater to an unnamed tributary to
Brushy Fork Creek; Roanoke River Basin.
Aqua North Carolina, Inc. has requested renewal
of NCO083933 for Salem Quarters WTP, Forsyth
County. This permitted facility discharges treated
wastewater to an unnamed tributary to Belews
Creek, Roanoke River Basin.
Aqua North Carolina, Inc. has applied for renewal
of NC0078115. This permitted facility discharges
treated wastewater to an unnamed tributary to
Belews Creek; Roanoke River Basin.
Cainsway Homeowner's Association has applied
for renewal of NPDES permit NCO075027 for the
Cainsway Mobile Home Park WWTP; Forsyth
County. This permitted facility discharges 0.0432
MGD treated wastewater to Ader Creek; Roanoke
River Basin.
Aqua North Carolina, Inc. has requested renewal
of NCO067091 for Mikkola Downs WTP; Forsyth
County. This permitted facility discharges treated
wastewater to East Belews Creek, Roanoke River
Basin.
WSJ: February 11, 2012
Media General Operations, Inc.
Publisher of the
Winston-Salem Journal
Forsyth County
Before the undersigned, a Notary Public of Forsyth County, North Carolina, duly
commissioned, qualified, and authorized by law to administer oaths, personally appeared S.
A. Bragman, who by being duly sworn deposes and says: that she is the Assistant Controller
of the Winston-Salem Journal, engaged in the publishing of a newspaper known as
Winston-Salem Journal, published, issued and entered as second class mail in the City of
Winston-Salem, in said County and State: that 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 the Winston-Salem Journal on the following dates:
02/ 11 /2012
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
the requirements and qualifications of Section 1-597 of the General Statutes of North
Carolina and was a qualified newspaper within the meaning of Section 1-597 of the General
Statutes of North Carolina.
Phis 1 Ith day of February, 2012
(signature person making affidavit)
Sworn to and subscribed before me, this I Ith day of February, 2012 /-,i
KIMALEY JOHNSON
�i NOTARY PUBLIC
My Commission expires 2 b I FORSYTH COUNTY tt��
STATE OF NORTH CAR!; IIUA dIS
MY COMMISSION EXPIRES__._._....__.
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU

Scardina, Maureen
From: Boone, Ron
Sent: Tuesday, February 07, 2012 8:29 AM
To: Scardina, Maureen; Basinger, Corey
Subject: RE: DRAFT Permits - Forsyth County (4)
Maureen,
My comments are below:
78115 — Greystone — Reviewed again
1. The receiving stream on the supplement page should be changed to "Belews Creek", as it is on the first page of
the permit and in BIMS.
Why did the downstream sample point change from 0.01 miles from discharge point to 0.18 miles from the
discharge point?
What happened to section A.2 of the permit?
67091— Mikkola — No Comments
75027 — Cains Way
1. A dechlorinator needs to be added to the plant description on the Supplement to Permit Cover Sheet.
83933 — Salem Quarters — Reviewed again
1. A dechlorinator needs to be added to the plant description on the Supplement to Permit Cover Sheet.
Let me know if you have questions.
Regards,
Ron Boone
NC DENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Email:[e-mail]
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Scardina, Maureen
Sent: Friday, February 03, 2012 11:27 AM
To: Basinger, Corey; Boone, Ron
Subject: DRAFT Permits - Forsyth County (4)
Corey/Ron:
Please see the draft permits attached. They have not actually gone out for public notice yet. Dina, our admin, is out
recouping from knee surgery so they didn't go on the 1't as indicated but still wanted to get these out for regional office
review

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
Maureen Scardina 1/18/12
Permit Number
NCO067091
Facility Name
Mikkola Downs Subdivision WWTP
Basin Name/Sub-basin number
Roanoke River 03-02-01
Receiving Stream
East Belews Creek
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
Yes No - Updated TRC footnote
Does permit have toxicity testing?
Yes No
Does permit have Special Conditions?
Yes No
Does permit have instream monitoring?
Yes No - Tem erature & DO
Is the stream impaired (on 303(d) list)? For
whatparameter?
Yes No
Any obvious compliance concerns?
No
Any permit mods since lastpermit?
No
Current expiration date
2/29/12
New expiration date
2/28/17
Comments received on Draft Permit?
• Updated the list of components on the Supplement to Permit cover sheet.
• Parameter codes have been added to Sections A.(1.).
• A Total Residual Chlorine footnote has been updated in Section A.(1.).

NM
November 22, 2011
NC Department of Environment and Natural Resources
Division of Water Quality
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Application for Permit Renewal
Aqua North Carolina, Inc.
Mikkola Downs Subdivision WWTP
NPDES No. NCO067091
Forsyth County
Gentlemen:
Attached are three (3) copies of the completed application Form D — WWTP, and a
location map. This letter, the attachments, and our Sludge Management Plan are our
request to renew the subject permit.
If you need any additional information or assistance, please feel free to contact our
Regional Compliance Manager, Michael Melton @ 704-489-9404 ext. 57238 or by e-
mail at.MAMeltono_aquaamerica.com.
Since y
Thomas J. Robe
President & CO
Enc
NOV 2 9 2011
DENR-IN 'ER QUALITY
POINT SOURCE BRANCH
202 MacKenan Court • Cary, North Carolina • 27511 9 919-653-5770

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit #CO067091
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
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
AQUA NORTH CAROLINA, INC.
MIKKOLA DOWNS SUBDIVISION WWTP
202 MACKENAN COURT
CARY
NC 2751.1
[phone]
[phone]
tjroberts@aquaame:tica.com
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road NCSR 2016
City
State / Zip Code
County
KERNERSVILLE
NORTH CAROLINA / 27284
FORSYTH
3. Operator Information:
Narne 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 AQUA NORTH CAROLINA, INC.
Mailing Address 202 MACKENAN COURT U D
City CARY NOV 2 9 2011
State / Zip Code NORTH CAROLINA 27511
•; LITY
Telephone Number [phone] POINT SOURCE BRANCH
Fax Number [phone]
1 of 4 Form-D 05/08

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
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
®
Number of Homes 43
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
This wastewater system serves residential customers only
Population served: 109
5. Type of collection system
® Separate (sanitary sewer only) ❑ 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 outfall):
East Belews Creels, classified C waters in the Roanoke River Basin.
S. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: 24 hours
9. Describe the treatment system
List all installed components, including capacities, 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.
This 0.072 mgd activated .sludge package- type wastewater treatment facility consisting
of:
Flow splitter box
a Bar screen
a Dual aeration tanks
Dual blowers
Dual clarifiers
Sludge holding tank
a Sanuril chlorinator
2 of 4 Form-D 05108

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
• Chlorine contact tank
• De -chlorination unit
r Post aeration tank
• Effluent flow recorder
10. Flow Information:
Treatment Plant Design flow 0.072 MGD
Annual Average daily flow 0.004 MGD (for the previous year)
Maximum daily flow 0.021 MGD (for the previous year)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum
and monthly average. If only one analysis is reported, report as daily maximum.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODS)
6.3
2.2
MG/L
Fecal Coliform
91.0
12.7
#/100ML
Total Suspended Solids
21.5
7.9
MG/L
Temperature (Summer)
26.0
19.9
'Celsius
Temperature (Winter)
15.5
9.0
° Celsius
pH
8.1
N/A
UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO067091 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
Permit Number
3 of 4 Form-D 05108

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
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.
Printed nee okPerson Xi0ninR i// / Title
l
Signature of
North Carolina Generaf 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 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 $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 05/08

AOUA
North Carolina.
SLUDGE MANAGEMENT PLAN
For
Aqua North Carolina, Inc.
No sludge will be treated on any wastewater treatment plant site operated
by Aqua N.C., Western Division
Where practical, sludge removed from a Aqua N.C., Western Division
facility will be transported via a contract hauler to another Aqua N.C.,
Western Division facility for the purpose of "seeding" a new or under
loaded plant.
Unusable (or "dead.") sludge will be removed by a contract hauler and
properly disposed of in accordance with NCGS 143-215.1. Contract
haulers used by Aqua N.C., Western Division will be required to report the
quantity of sludge transported and identify the location of the proposed
disposal. site if the sludge is not taken to an existing plant operated by Aqua
N.C., Western Division. Aqua N.C., Western Division has not entered into
any agreement to accept sludge into its facilities from plants not owned by
them.
Aqua N.C., Western Division will keep records on the quantity of sludge
removed from each facility, the name of the contract hauler, and the
destination of the sludge (whether used in another plant or disposed of).
The information will be kept on file and will be made available to any
regulatory agency having jurisdiction over sludge treatment or disposal.
Aqua N.C., Western Division includes all of the facilities under the
,jurisdiction of the Winston-Salem Regional Office.