NC0044024_Renewal (Application)_20230410

P 1 704.984.9605
F 1 704.984.9606
ALBEMARLE
NORTH CAROLINA
W ter: flir� Lard Dppowtu dt�.
March 28th 2023
To: NCDEQ/DIVISION of WATER RESOURCES
NPDES MUNICIPAL PERMITTING UNIT
CC: Charles Weaver/John Henessy
SUBJECT: NPDES PERMIT/INACTIVE ROLE
PERMIT NO. NCO044024
HWY 52 WATER TREATMENT PLANT
CITY OF ALBEMARLE
STANLY COUNTY
GRADE I PHYSICAL CHEMICAL WPCS
www.albemarlenc.gov
PO Box 190
144 North Second Street
Albemarle, NC 28002-0190
RECEIVED
APR © 6 2023
NCDEQ/DWR/NPDES
FROM: Jonathan Morgan Plant ORC/Bryan Hinson Assistant Director Public
Utlities
City of Albemarle
To whom it may concern:
The intenetion of this letter is to make it know that the City of Albemarle would
like to keep this NPDES permit but at an inactive role.
After speaking with Mr. Scheller the disicsion was made to renew permit but to
keep inactive, we belive that this is the best practice to insure accountability in

P 1704.984.9605 2 www.albemarlenc.gov
F 1704.984.9606 PO Box 190
A L B E M A R L E 144 North Second Street
Albemarle, NC 28002-0190
NORTH CAROLINA
4141e1- 744- Lard t%ppawtarit�.
case we have an issue where we the City of Albemarle would need to make a call
to activate said permit .
Respectfully,
Jonathan Morgan
HWY 52 WTP ORC/ Supervisor
704-438-5973
Bryan Hinson
City of Albemarle
Water/Wastewater Resource Manager
704-961-6149

EPA ldenti5calion Number NPDES Permit Number FacilityName Form Approved 03105/19
NC0044024 Hwy 52 WTP - Albemarle OMB No. 2040-0004
Form U.S. Environmental Protection Agency
NPDES ��EPA Application for NPDES Permit to Discharge Wastewater
EXISTING MANUFACTURING, COMMERCIAL, MINING, AND SILVICULTURE OPERATIONS
SECTIONOLITFALL LOCATION•r
1.11 rovide information on each of the facili 's outfalis in the table below.
g Numbellr Receiving Water Name Latitude Longitude
q
0
001 LIT to to Little Long Creek 35' 23' 52.3" N 80' 11' 58.84" W
"
O
SECTIOND•, r
o, 2,1 Have you attached a line drawing to this application that shows the water flow through your facility with a water
3 balance? (See instructions for drawing requirements. See Exhibit 2C-1 at end of instructions for example.)
J N
o ❑✓ Yes ❑ No
SECTION• AND r
7For 7.11
each outfall identified under Item 1.1, provide average flow and treatment information. Add additional sheets if
necessary.
"Outfall Number"' 001
Operations
0 ration Average Flow
Zero (0) Gallon Flow over previous 5 years 0.00 mgd
c
E mgd
A
m
r= mgd
v
c
m
mgd
Treatment Units
iL
o Description Final Disposal of Solid or
(include size, flow rate through each treatment unit, Code from Liquid Wastes Other Than
a retention time, etc. Table 2C-1 by Discharge
Alum Flocculation 1-G Contract Disposal Synagro
Media Fillters 1-R Contract Disposal Synagro
RECEIVED
APR 06 Z023
nl^r)F'r)/nWR/NPDES
EPA Form 3510-2C (Revised 3-19) Page 1

EPA ldentfication Number
NPDES Permit Number
Facility Name
Form Approved 03/05119
NC0044024
Hv 52 WTP- Albemarle
OMB No. 2040-0004
3.1
"Outfall Number"
cont.
Operations
Operation Average Flow
mgd
mgd
mgd
mgd
Treatment
Description
Units
Code from
from
Final Disposal of Solid or
(include size, flow rate through each treatment unit,
Table
Liquid Wastes Other Than
retention time, etc.
by Discharge
d
c
C
0
U
c
m
E
m
H
"Outfall Number"
A
y
Operations Contributing to Flow
c
Operation Average Flow
m
mgd
m
a'
mgd
mgd
mgd
Treatment
Description
Units
Code from
Final Disposal of Solid or
(include size, flow rate through each treatment unit,
Table 2C-1
Liquid Wastes Other Than
retention time, etc.)
by Discharge
3.2
Are you applying for an NPDES permit to operate a privately owned treatment works?
d
❑ Yes ❑✓ No + SKIP to Section 4.
U)
3.3
Have you attached a list that identifies each user of the treatment works?
❑ Yes ❑ No
EPA Form 3510-2C (Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0044024 Hwy 52 WTP- Albemarle OMB No. 2040-0004
SECTION• r
4.1 Except for stone runoff, leaks, or spills, are any discharges described in Sections 1 and 3 intermittent or seasonal?
❑ Yes 0 No 4 SKIP to Section 5.
4.2
LFrovide information on intermittent or seasonal flows for each applicable outfall. Attach additional pages, if necessarv.
Outfall
Operation
Fre
uency
Flow
Rate
Average
Average
Long -Term
Maximum
Number
(list)
Duration
Days/Week
Months/Year
Average
Daily
days/week
months/year
mgd
mod
days
days/week
months/year
mgd
mgd
days
Y.
daystweek
monthslyear
mgd
mgd
days
&
daysweek
months/year
mgd
mgd
days
c
daystweek
months/year
mgd
mgd
days
daystweek
months/year
mgd
mgd
days
days/week
monthslyear
mgd
mgd
days
days/week
monthslyear
mgd
mgd
days
days/week months/year mgd mgd days
SECTION•s
• •r
5.1
Do any effluent limitation guidelines (ELGs) promulgated by EPA under Section 304 of the CWA apply to your facility?
❑ Yes ❑r No 4 SKIP to Section 6.
5.2
Provide the following information on applicable ELGs.
w
ELG Cateaory
ELG Subcategory
Regulatory Citation
m
a
A
0
n
n
Q
5.3
Are any of the applicable ELGs expressed in terms of production (or other measure of operation)?
❑ Yes 21 No 4 SKIP to Section 6.
0
A
5.4
Provide an actual measure of daily production expressed in terms and units of applicable ELGs.
E:
a
Outfall
Operation, Product, or Material
Quantity per Day
Unit of
Number
Measure
m
N
A
m
0
O_
9
O
a`
EPA Form 3510.2C (Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Fadlity Name Form Approved 03/05/19
NCO044024 Hwy 52 WiP- Albemarle OMB No.2040-0004
SECTION• I
6.1 Are you presently required by any federal, state, or local authority to meet an implementation schedule for constructing,
upgrading, or operating wastewater treatment equipment or practices or any other environmental programs that could
affect the discharges described in this application?
❑ Yes [] No 4 SKIP to Item 6.3.
y
6.2
Briefly identify each applicable project in the table below.
d
E
Brief Identification and Description of
Affected
Outfalis
Source(s) of
Final Compliance Dates
Required
Projected
'o
Project
(list outfall
Discharge
a
number
E
v
c
A
N
N
'O
A
O1
G
6.3
Have you attached sheets describing any additional water pollution control programs (or other environmental projects
that may affect your discharges) that you now have underway or planned? (optional item)
❑ Yes ❑ No r❑ Not applicable
SECTION
7. EFFLUENT AND INTAKE CHARACTERISTICS (40 CIFIR 122.21(g)(7))
See the instructions to determine the pollutants and parameters you are required to monitor and, in turn, the tables you must
complete. Not all applicants need to complete each table.
Table A. Conventional and Non -Conventional Pollutants
7.1
you requesting a waiver from your NPDES permitting authority for one or more of the Table A pollutants for any of
1Are
your outfalls?
❑✓ Yes ❑ No-* SKIP to Item 7.3.
7.2
If yes, indicate the applicable outfalls below. Attach waiver request and other required information to the application.
Outfall Number 001 Ouffall Number_ Outfall Number_
s
7.3
Have you completed monitoring for all Table A pollutants at each of your outfalls for which a waiver has not been
=
requested and attached the results to this application package?
❑ Yes No; a waiver has been requested from my NPDES
„permitting
authority for all pollutants at all outfalls.
Q
Table B.
Toxic MetalsCyanide, Total Phenols, and Organic Toxic Pollutants
Y
7.4
Do any of the facility's processes that contribute wastewater fall into one or more of the primary industry categories
listed in Exhibit 2C-3? (See end of instructions for exhibit.)
❑ Yes ❑ No + SKIP to Item 7.8.
7.5
Have you checked "Testing Required" for all toxic metals, cyanide, and total phenols in Section 1 of Table B?
w
❑✓ Yes ❑ No
7.6
List the applicable primary industry categories and check the boxes indicating the required GCIMS fractions) identified
in Exhibit 2C-3.
Primary Industry Category
Required GCIMS Fraction(s)
Check applicable boxes.
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
❑ Volatile ❑ Acid ❑ Base/Neutral ❑ Pesticide
EPA Form 3510-2C (Revised 3-19) Page 4

EPA ltlenti0ation Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
NCO044024
Hwy 52 WTP- Albemarle
OMB No. 2040-0004
7.7
Have you checked 'Testing Required" for all required pollutants in Sections 2 through 5 of Table B for each of the
GCINIS fractions checked in Item 7.6?
❑ Yes ❑ No
7.8
Have you checked "Believed Present" or "Believed Absent" for all pollutants listed in Sections 1 through 5 of Table B
when: testing is not required?
❑✓ Yes ❑ No
7.9
Have you provided (1) quantitative data for those Section 1, Table B, pollutants for which you have indicated testing is
required or (2) quantitative data or other required information for those Section 1, Table B, pollutants that you have
indicated are "Believed Present" in your discharge?
❑ Yes ❑✓ No
7.10
Does the applicant qualify for a small business exemption under the criteria speed in the instructions?
Yes 4 Note that you qualify at the top of Table B,
❑ ❑ No
m
then SKIP to Item 7.12.
'c
7.11
Have you provided (1) quantitative data for those Sections 2 through 5, Table B, pollutants for which you have
determined testing is required or (2) quantitative data or an explanation for those Sections 2 through 5, Table B,
c
w
pollutants you have indicated are "Believed Present" in your discharge?
❑ Yes ❑✓ No
Table C. Certain Conventional and Non -Conventional Pollutants
A
7.12
Have you indicated whether pollutants are "Believed Present" or "Believed Absent" for all pollutants listed on Table C
for alloutfalls?
Y
❑✓ Yes ❑ No
c
7.13
Have you completed Table C by providing (1) quantitative data for those pollutants that are limited either directly or
c
indirectly in an ELG and/or (2) quantitative data or an explanation for those pollutants for which you have indicated
"Believed Present"?
Yes ❑ No
w
Table D. Certain Hazardous Substances and Asbestos
7.14
Have you indicated whether pollutants are "Believed Present" or "Believed Absent" for all pollutants listed in Table D for
all outfalls?
❑ Yes No
7.15
Have you completed Table D by (1) describing the reasons the applicable pollutants are expected to be discharged
and (2) by providing quantitative data, if available?
❑ Yes ❑r No
Table E. 2,3,7,8-Tetrachlorodibenzo• Dioxin 2,3,7,8-TCDD
7.16
Does the facility use or manufacture one or more of the 2,3,7,8-TCDD congeners listed in the instructions, or do you
know or have reason to believe that TCDD is or may be present in the effluent?
❑ Yes 4 Complete Table E. ❑✓ No 4 SKIP to Section 8.
Lj_
7.17
Have you completed Table E by reporting qualitative data for TCDD?
❑ Yes Z No
SECTIONOR
MANUFACTURED TOXICSr
8.1
Is any pollutant listed in Table 8 a substance or a component of a substance used or manufactured at your facility as
an intermediate or final product or byproduct?
❑ Yes ❑✓ No 4 SKIP to Section 9.
8.2
List the pollutants below.
r'
1. 4. 7.
o`
g
2. 5. 8.
m
3. 6. g,
EPA Farm 3510-2C (Revised 3.19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCO044024 Hwy 52 WTP- Albemarle OMB No.2040-0004
SECTIO N 9. BIOLOGICAL• I
9.1 Do you have any knowledge or reason to believe that any biological test for acute or chronic toxicity has been made
within the last three years on (1) any of your discharges or (2) on a receiving water in relation to your discharge?
w ❑ Yes ❑✓ No 4 SKIP to Section 10,
N
9.2
Identifythe tests and their
u oses below.
Test(s)
Purpose of Test(s)
Submitted to NPDES
Date Submitted
o
Permitting Authority?
WET -7day P/F 90%
Ceriodaphnia
❑ Yes ❑`' NO
ca
report quarterly
0
0
'm
❑ Yes ❑ No
❑ Yes ❑ No
SECTION
I CONTRACT
ANALYSES (40
10.1
Were any of the analyses reported in Section 7 performed by a contract laboratory or consulting firm?
❑ Yes ❑ No + SKIP to Section 11.
10.2
Provide information for each contract laboratory or consulting firm below.
Laboratory Numbed
Laboratory Number
Laboratory Number
Name of laboratorytfirm
w
d
z
Laboratory address
A
c
a
C
Phone number
Pollutant(s) analyzed
11.1
Has the NPDES permitting authority requested additional information?
c❑
1
Yes ❑ No 4 SKIP to Section 12,
11.2
List the information requested and attach it to this application.
0
1, Hardness- Quarterly- Upstream&EfFluent 4
A
c
0
v
2. Turbidity Monthly 5
v
a
3. 6.
EPA Form 3510-2C (Revised 3-19) Page 6

EPA Idenfificallon Number NPDES Peril Number Facility Name For Approved 03/05/19
NCO044024 Hwy 52 VJTP - Albemarle OMB No. 2040-0004
SECTION1
12.1
In Column 1 below, mark the sections of Form 2C that you have completed and are submitting with your application.
For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to complete all sections or provide attachments.
Column 1
Column 2
❑✓ Section 1: Oulfall Location
❑✓ wlattachments
❑✓ Section 2: Line Drawing
✓❑ wl line drawing ❑ wl additional attachments
Section 3: Average Flows and
Treatment
wl list of each user of
❑ w/ attachments ❑ privately owned treatment
works
❑✓ Section 4: Intermittent Flows
❑ wl attachments
❑� Section 5: Production
❑ w/ attachments
w/ optional additional
Section 6: improvements
❑ p
❑ wl attachments ❑ sheets describing any
additional pollution control
tans
❑ w/ request for a waiver and ❑ wl explanation for identical
supporting information outfalls
E
small0 wl business exemption
El ❑ w/ other attachments
request
Section 7: Effluent and Intake
Characteristics
w/ Table A ✓❑ w/ Table B
0
❑✓ wl Table C ❑ wl Table D
w
Y
❑ wl Table E ❑ wl analytical results as an
attachment
A
Section 8: Used or Manufactured
❑
❑ w/ attachments
N
Toxics
s
Section 9: Biological Toxicity
✓❑
❑ w/ attachments
r
Tests
ca
❑ Section 10: Contract Analyses
❑ w/attachments
❑✓ Section 11: Additional Information
❑ wl attachments
Section 12: Checklist and
❑ vd attachments
Certification Statement
12.2
Certification Statement
1 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 propedy gather and evaluate the information
submitted. Based on my inquiry of the person orpersons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
/�(( �(-Ie Fir %IJ
l / h
Signature /
Date signed
3/2 L3
EPA For 3510-2C (Revised 3-19) Page 7

This page intentionally left blank.
RECEIVED
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NCDEQ/DWR/NPDES

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EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
N00044024
Hwy 52 WTP-Albemarle
OMB No. 2040-0004
Form
U.S. Environmental Protection Agency
1
18iEPA Application for NPDES Permit to Discharge Wastewater
NPDES
GENERAL INFORMATION
SECTION•
r
1.1 Applicants Not Required to Submit Form 1
1.1.1
Is the facility a new or existing publicly owned
1 1 2
Is the facility a new or existing treatment works
treatment works?
treating domestic sewage?
If yes, STOP. Do NOT complete No
If yes, STOP. Do NOT 0 No
Form 1. Complete Form 2A.
complete Form 1. Complete
Form 2S.
1.2
Applicants Required to Submit Form 1
1.2.1
Is the facility a concentrated animal feeding
1.2.2
Is the facility an existing manufacturing,
operation or a concentrated aquatic animal
commercial, mining, or silvicultural facility that is
o
production facility?
currently discharging process wastewater?
oYes
+ Complete Form 1 [a No
❑ Yes 4 Complete Form 0 No
z
and Form 2B.
1 and Form 2C.
a
1.2.3
Is the facility a new manufacturing, commercial,
1.2.4
Is the facility a new or existing manufacturing,
mining, or silvicultural facility that has not yet
commercial, mining, or silvicultural facility that
—
commenced to discharge?
discharges only nonprocess wastewater?
❑ Yes + Complete Form 1 No
Yes 4 Complete Form No
N
and Form 2D.
1 and Form 2E.
1.2.5
Is the facility a new or existing facility whose
Z
discharge is composed entirely of stormwater
a
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
Yes 4 Complete Form 1 Qr No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
b 15.
SECTION•D'
• • .r
2.1
Facility Name
Albemarle - Hwy 523 Water Treatment Plant
0
2.2
EPA Identification Number
U
O
J
9
2.3
Facility Contact
N
d
Name (first and last)
Title
Phone number
v
Jon Morgan
ORC
[phone]
Email address
[e-mail]
2.4
Facility Mailing Address
E
z
Street or P.O. box
PO Box 190
City or town
State
ZIP code
Albemarle
INC
28002-0190
EPA Form 3510-1 (revised 3-19) Page 1

EPA Identification Number
NPDES Permit Number
Fadlity Name
Form Approved 03M/19
NCO044024
Hwy 52 WTP-Albemarle
OMB No. 2040-0004
d
2.5
Facility Location
o
Street, route number, or other specific identifier
4 U
2510 US Hwy 52 North
rn
o
County name
County code (if known)
g
Stanly
E a
City or town
State ZIP code
z m
Albemarle
NC 28002-0190
SECTION•D
r
3.1
SIC Code(s)
Description (optional)
4941
Water Supply
N
N
L
O
U
V)
U
z
3.2
NAICS Codes)
Description (optional)
v
c
1O
U
221310
Water treatment and distribution
rn
4.1
Name of Operator
The City of Albemarle
0
4.2
Is the name you listed in Item 4.1 also the owner?
15
E
`o
❑✓ Yes ❑ No
=
4.3
Operator Status
✓ city of Albemarle
❑ Public —federal El Public —state Other public (specify) ty
o
❑ Private ❑ Other
(specify)
4.4
Phone Number of Operator
[phone]
4.5
0 eratorAddress
Street or P.O. Box
€ d
�O3or 190
o�
City or town
State
ZIP code
15
O 0AIb�1�.1�
j
�5r41r C:,.rl',na
o
Email address of operator
o
(
W 4ffij e C;.. G.( L ,'_' nC
SECTION•
• 1
facility located on Indian Land?
7Isthe
Yes ❑✓ No
EPA Form 3510-1 (revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCO044024 Hwy 52 WTP-Albemarle OMB No. 2040-0004
SECTION• 1
6.1 Existing Environmental Permits (check all that apply and print or type the corresponding permit number for each)
E21
NPDES (discharges to surface
❑ RCRA (hazardous wastes)
❑ UIC (underground injection of
water)
fluids)
Q L9
NCO044024
w` a
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
m
c
❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section 404) ❑ Other (specify)
SECTIONUl
41
7.1
Have you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
0 Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 28.)
SECTIONOF
1
8.1
Describe the nature of your business.
Producing 12.0 MGD of potable drinking water for municipal distribution
N
C
.y
m
O
N
A
Z
SECTION••
I
9.1
Does your facility use cooling water?
d
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
o
9.2
Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
0 2
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
c
NPDES permitting authority to determine what specific information needs to be submitted and when.)
Y
U c
SECTION1
VARIANCE
REQUESTSI 1
10.1
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)? (Check all that
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
g
❑ Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
Section 301(n)) 302(b)(2))
U
❑ Non -conventional pollutants (CWA ❑ Thermal discharges (CWA Section 316(a))
Section 301(c) and (g))
❑r Not applicable
EPA Farm 3510-1 (revised 3-19) Page 3

EPA Identification Number
NPDES Permit Number Facility Name Form Approved 03/05/19
NCO044024 Hwy 52 WTP-Albemarle OMB No. 2040004
SECTION•
CERTIFICATION STATEMENT (40 and .
11.1
In Column 1 below, mark the sections of Form 1 that you have completed and are submitting with your application.
For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
that not all applicants are required to provide attachments.
Column 1
Column 2
❑✓ Section 1: Activities Requiring an NPDES Permit
❑ w/ attachments
❑✓ Section 2: Name, Mailing Address, and Location
❑ w/ attachments
❑✓ Section 3: SIC Codes
❑ w/ attachments
❑� Section 4: Operator Information
❑ w/ attachments
❑✓ Section 5: Indian Land
❑ w/ attachments
❑✓ Section 6: Existing Environmental Permits
❑ w/ attachments
E
❑✓ Section 7: Map
❑✓ atopographic 0 w/ additional attachments
o
❑✓ Section 8: Nature of Business
❑ wl attachments
❑✓ Section 9: Cooling Water Intake Structures
❑ w/ attachments
c
d
�'
❑✓ Section 10: Variance Requests
❑ wl attachments
a
c
❑✓ Section 11: Checklist and Certification Statement
❑ w/ attachments
Y
s
11.2
Certification Statement
U
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel property gather and evaluate the
information submitted. Based on my inquiry of the person orpersons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
�C'
(
1 ►rC huc� ,)
f ct n
Signature
Date signed
Z� 7/�)
MA
EPA Form 3510-1 (revised 3-19) Page 4

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City of Albemarle
Highway 52 WTP
NPDES Permit NCO044024
Receiving Stream: UT to Little Long Creek Stream Class: C
Stream Segment: 13-17-31-1 Sub -Basin #: 03-07-13
River Basin: Yadkin Pee -Dee HUC: 0304010504
Stanly
N
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SCALE
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USGS Quad: New London
Ai i9611°. -R0. 19SW

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