NC0088749_Permit Issuance_20080815

WTF A
Michael F. Easley, Governor
0F 'Qp
O G
State of North Carolina
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
7
y
Coleen H. Sullins, Director
_
Division of Water Quality
August 15, 2008
Mr. Brant Godfrey, Manager
Lissara Partners, LLC
2631 Reynolda Road
Winston-Salem, North Carolina 27106
Subject: Issuance of NPDES Permit
NCO088749
Lissara WWTP
Forsyth County
Dear Mr. Godfrey:
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 October 15,
2007 (or as subsequently amended).
This final permit contains no significant changes from the draft you were sent on May 21, 2007.
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
pern-lits 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 Toya Fields at telephone
number [phone].
Sincerel ,
den H. Sullins
cc: Central Files
Winston Salem Regional Office/Surface Water Protection
NPDES Unit
John F. Phillips, PE, Diehl & Phillips, PA, 219-East Chatham Street, Cary, NC 27511
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone] WS Caro a
512 N. Salisbury Street, Raleigh, North Carolina 27604 On the Internet at http://h2o.enr.s6te.nc.usl Alfa, Y1�7m1f
An Equal Opportunity/Affirmafive Adon Employer

Permit NCO088749
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 Water Quality
Commission, and the Federal Water Pollution Control Act, as amended,
-Lissara Partners LLC
is hereby authorized to discharge wastewater from a facility located at
• Lissara WWTP
North of Shallowford Road, West of Conrad Road
near Lewisville
Forsyth County
to receiving waters designated as the Yadkin River in the Yadkin River Basin in accordance
with the discharge limitations, monitoring requirements, and other conditions set forth in
Parts I, II, III, and IV hereof.
This permit shall become effective September 1, 2008.
This permit and the authorization to discharge shall expire at midnight on July 31, 2013.
Signed this day August 15, 2008.
Coleen H. Sullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission

Permit NCO088749
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 Lissara WWTP is hereby authorized to:
1. Operate a domestic wastewater treatment facility located North of Shallowford
Road/West of Conrad Road, near Lewisville, Forsyth County.
2. Upon receipt of an Authorization to Construct from the Construction Grants and
Loans Section, construct wastewater treatment facilities not to exceed 0.108 MGD.
I After submitting an Engineer's Certification, discharge wastewater from said
treatment works at the location specified on the attached map into the Yadkin River
which is classified WS-IV waters in the Yadkin Pee Dee River Basin.

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i
Discharge location
Lissara WWTP - NCO088749
USGS Quad Name: Clemmons
Receiving Stream: Yadkin River Lat.: 36°07'7"
Stream Class: WS-IV Long.: 80°27'40"
Subbasin: Yadkin Pee Dee — 03 07 02
Facility
Location
Not to SCALE

Permit NCO088749
AW. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning upon receipt of an Engineers Certification for a 0.108 MGD facility and
lasting until permit expiration, .the Permittee is authorized to discharge treated domestic wastewater
from outfall serial number 001. Such discharges shall be limited and monitored by the Permittee as
specified below: ,
U
EFFLVEIv'T'
CIfARACTERYSTICS
➢ _ f' t
°
`
;:�..._.-....... -. __ .,;.......--
RIN. BQUIR ENTS E
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NIT,
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:: x a onthl'`,..
r Y
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y
Maxon
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.
dMeaswrement
e. uen.. :_r:.:..-
dam le
z fi
`Sam e
P
Flow
0.108 MGD
Continuous
Recording
Effluent
BOD, 5 day, 20°C
30 mg/L
45 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30 mg/L
45 mg/L
Weekly
Grab
Effluent
NH3 as N
2/Month
Grab
Effluent
Fecal Coliform
200/100 mL
400/100 mL
Weekly
Grab
Effluent
pH
Between 6.0 and 9.0 s.u.
Weekly
Grab
Effluent
Temperature
Daily
Grab
Effluent
Dissolved Oxygen
Weekly
Grab
Effluent
Total Residual Chlorine'
28 pg/L
2/Week
Grab
Effluent
Total Nitrogen
Quarterly
Grab
Effluent
Total Phosphorus
Quarterly
Grab
Effluent.
Notes:
1. - TRC limit and monitoring requirements shall apply only if chlorine or a chlorine derivative is
used for disinfection: The Division shall consider all effluent TRC values reported below 50 ug/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 ug/l.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

O� wA%C Michael F. Easley, Governor
Rp State of North Carolina
William G. Ross, Jr., Secretary
O r Department of Environment and Natural Resources
Y Coleen H. Sullins, Director
Division of Water Quality
May 21, 2008
MEMORANDUM
To: Lee Spencer
NC DENR / DEH / Regional Engineer I AUG ) 1
Winston-Salem Regional Office
From: Toya Fields
Western NPDES Program
Subject: Review of NPDES Permit NCO088749
Lissara WWTP
Please indicate below your agency's position or viewpoint on the proposed permit modification
and return this form as soon as possible. If you have any questions on the proposed
modification, please contact me at the telephone number or e-mail address listed at the bottom
of this page.
RESPONSE: (Check one)
Concur with the issuance of this permit provided the facility is operated and maintained
properly, the stated effluent limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
❑ Concurs with issuance of the above permit, provided the following conditions are met:
❑ Opposes the issuance of the above permit, based on reasons stated below, or attached:
: X40�
North Carolina Division of Water Quality [e-mail] - [phone] x551
1617 Mail Service Center FAX [phone]
Raleigh, North Carolina 27699-1617 On the Internet at http://h2o.enr.state.nc.uS/

[Fwd: Lissara NPDES Permit]
Subject: [Fwd: Lissara NPDES Permit]
From: Lee Spencer <[e-mail]>
Date: Thu, 24 Jul 2008 12:09:23 -0400
To: Toya Fields <[e-mail]>, "John F. Phillips" <[e-mail]>
CC: [e-mail], [e-mail], Tom Boyd <[e-mail]>, Rose
Pruitt <[e-mail]>, Steve Tedder <steve.tedder@ ncmail.net>, William Brewer
<BILLB @cityofws.org>
John, Thanks for the thoughtful reply to my comments. I especially like the fact that Davie County's
Sparks Road WTP will be an "Inform Only" number programmed into the WWTP's SCADA system.
Operators at Sparks Road WTP will need the name and number of the WWTP's ORC.
Toya, With John's reply, I do not object to the issuance of the NPDES permit, provided the facility is
operated and maintained properly, and the stated effluent limits are met before discharge. Beth Dirks or
Jeff Crisco may have additional questions.
Lee
•------- Original Message--------
Subject:Lissara NPDES Permit
Date:Wed, 16 Jul 2008 09:12:52 -0400
From:John F. Phillips <[e-mail]>
To: <Lee. S pencer @ NCmail. net>
CC:Wilcox, Lang <[e-mail]>, Fields, Toya <[e-mail]>
Lee,
Toya forwarded your comments/questions regarding the pending Lissara NPDES permit, and asked that I
respond to them. Please find my responses attached (they have also been mailed), and contact me if you
have any additional questions or comments. Thank you for your help.
John F. Phillips, P.E.
Diehl & Phillips, P.A.
Phone [phone]
Fax [phone]
Lee G. Spencer, P.E.
Regional Engineer
Public Water Supply Section
NC DENR Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
Lee Spencer <[e-mail]>
WSRO
1 of 2 8/1/2008 11:36 AM

Re: Lissasa WWTP
Subject: Re: Lissara WWTP
From: Lee Spencer <Lee.SpencerC ncmail.net>
Date: Thu, 10 Jul 2008 16:08:21 -0400
To: Toya Fields <toya.fieldsC ncmail.net>, [e-mail]
CC: Rose Pruitt <Rose.PruittC ncmail.net>, Tom Boyd <[e-mail]>,
[e-mail]
Toya,
Sorry it has taken me so long to get back to you on this one.
In view of the fact that the proposed 108,000 gpd WWTP is rather close to Davie County's Sparks Road
Water Treatment Plant, I would like for the applicant to answer the following questions:
• Will an initial low waste water loading rate create operational problems? If so, how will this be
handled?
• What type of early warning system will be employed so that Davie County's Sparks Road Water
Treatment Plant will be notified when there is a WWTP upset?
• Will there be any kind of SCADA system for automatic warning of a WWTP upset?
• What type of operational data will be collected to ensure that sludge is consistently wasted to the
sludge holding tank, and then pumped from the WWTP and taken to a proper disposal facility?
Beth, Does Davie County have any other concerns that you would like to see addressed?
Lee
Lee G. Spencer, P.E.
Regional Engineer
Public Water Supply Section
NC DENR Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
On 6/17/2008 5:15 PM, Lee Spencer wrote:
Rose,
Can I get information on this facility from you? What are your thoughts on it?
It appears to be a rather large WWTP, at > 100,000 gpd. And it appears to be < 7 miles to the Davie
County WTP intake. What type of treatment is proposed? Will an initial low loading rate create
operational problems?
Is Davie County Water aware of this proposal? What are their comments?
Lee
Lee G. Spencer, P.E.
1 of 2 8/1/2008 11:14 AM

Re: Lissan WWTP
Regional Engineer
Public Water Supply Section
NC DENR Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
On 5/27/2008 3:26 PM, Toya Fields wrote:
Hi Lee,
Thanks for your message last week. I understand that you need the permit application and EAA
for this project. The EAA package was quite large and I believe I sent both of my extra copies
to Rose Pruitt. Is there any way that you get one of the copies from her (I'm assuming that you
guys are in the same building but I guess I could be wrong about that)? I'd appreciate it- it
would save me a lot copying.
Let me know if you are able to get it. If not, I'll copy the document I have, but I thought it
might be easier this way. If you need anything else let me know.
2 of 2 8/ 1 /2008 11:14 AM

DIEHL & PHILLIPS, P.A.
CONSULTING ENGINEERS
219 East Chatham Street
Cary, North Carolina 27511
Telephone [phone] — Fax [phone]
July 16, 2008
Mr. Lee Spencer, P.E.
Regional Engineer, PWSS
DEH, NCDENR
585 Waughtown Street
Winston-Salem, NC 27107
Re: EAA and NPDES Permit Application
Lissara Subdivision
Forsyth County
Dear Mr. Spencer:
WILLIAM C. DIEHL, P.E.
JOHN F. PHILLIPS, P.E.
ALAN R. KEITH, P.E.
Presented below are our responses to your comments and questions regarding the NDPES
permit application (your questions in italics).
Will an initial low wastewater -loading rate create operational problems? If so, how will
this be handled?
The plant would be constructed in two phases, each rated for 54,000 gallons per day. The
initial 54,000 gpd plant would consist of two parallel process trains, to meet the DWQ's
redundancy requirements. Each process train would therefore be rated for 27,000 gpd. The
initial loading on one 27,000-gpd-process train will be relatively low, as the first houses are
sold and occupied. Typically, when a plant is not supplied with a sufficient organic loading
in the start-up phase, the operator can supplement the plant influent with various products.
The possible choices range from adding bagged animal feed to the plant influent to adding
carbon source chemicals such as methanol or the methanol substitute product MicroC (two
gallons of methanol would provide a daily BOD5 loading that is equivalent to
approximately 25% of the design organic loading for one 27,000 gpd process train).
The developers of Lissara plan to turn the wastewater treatment plant over to a privately
owned utility company, such as Aqua -NC, for operation of the plant. Aqua would maintain
permit compliance for this plant's effluent during the subdivision start-up period, just as
has been done on numerous other treatment systems serving new residential subdivisions.

Mr. Lee Spencer, P.E.
July 16, 2008
Page 2of3
What type of early warning system will be employed so that Davie County's Sparks Road
Water Treatment Plant will be notified when there is a WWTP upset? Will there be any
kind of SCADA system for automatic warning of a WWTP upset?
The plant will have a SCADA/autodialer system that will notify the operator if any of the
plant equipment ceases to operate properly. The list of inputs will be finalized in the design
phase, but it would typically include a high water alarm for the now equalization basin,
notification of a loss of utility power, notification that the automatic transfer switch has
moved to the standby position (signifying the standby power generator started, came up to
proper voltage and frequency, and is providing power to the plant), a generator trouble
alarm, and a loss of air pressure when a blower is operating (indicating a motor or belt
failure). The SCADA system will telephone or page the operator regarding the
condition/alarm, and will continue to call/page until the operator acknowledges the
call/page. If the condition is not cleared within a specified time period, the system will
again call the operator until the call is acknowledged. The system will also have an
"Inform Only" list of phone numbers that it will call until the call is answered and the
system can inform the answering person (or message recorder) of the conditions/alarm
detected at the plant site. The calls made to the "Inform Only" list do not require an
acknowledgement; this feature was created for the purpose of notifying interested third
parties of the calls made to the operator without requiring the third party to enter an
acknowledgement code. The telephone for the Sparks Road WTP would be an Inform Only
number programmed into the SCADA system.
It should also be noted that Lissara subdivision is planning a Septic Tank Effluent Pump
system for each lot, and a pressure sewer to convey the septic tank effluent to the treatment
plant. The effluent from the collection system will be pumped into the plant's flow
equalization basin. Although the flow is normally pumped by the flow equalization pumps
into the plant, it is possible for the equalization basin contents to flow through the plant
without being pumped. The disinfection system is planned to be tablet chlorination and
dechlorination. Therefore, even if the plant had a catastrophic multiple failure of power
supplies, or failures of the primary and backup blowers or pumps, the wastewater that
would reach the Yadkin River would still have received treatment by primary settling and
disinfection, and would be relatively low in suspended solids. The SCADA system would
notify the operator of any of these possible malfunctions that could create upset conditions,
so that the operator could quickly respond and rectify the situation.
What type of operational data will be collected to ensure that sludge is consistently wasted
to the sludge holding tank, and then pumped from the WWTP and taken to a proper
disposal facility?
Prior to obtaining an Authorization to Construct, all NPDES permittees are required to
submit to DWQ a Residuals Management Plan. This plan must demonstrate that the plant
has sufficient sludge storage capacity, and indicate where the sludge will be finally
disposed. The operator will make the determination when to waste sludge out of the
process by checking the mixed liquor suspended solids concentration and the influent
wastewater's organic strength, and then calculating the amount of sludge that should be

Mr. Lee Spencer, P.E.
July 16, 2008
Page 3 of 3
wasted daily or weekly. Whether the sludge is transported to a land application site or a
publicly owned treatment plant, the party holding the sludge permit will require a written
record of the date, solids concentration, and volume of sludge hauled from the plant. The
operator will also maintain a log of all activities of the plant operation, and this log is
typically inspected during DWQ's annual Compliance Inspection of the plant.
Please contact me if you have any further questions or comments.
Yours very truly,
Diehl & Phillips, P.A.
ORIGINAL SIGNED &
MAILED 7/16/08
John F. Phillips, P.E.
Cc: Ms. Toya Fields
Mr. Lang Wilcox

. f
North Carolina
Forsyth County
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State, duly commissioned, qualified, and
authorized by law to administer oaths, personally appeared Andrea Moses who being first duly sworn,
deposes and says: that she is Accounts Receivable Clerk of The Winston Salem Chronicle Publishing
Company, engaged in the publishing of a newspaper known as The Chronicle, published issued and
entered as second-class mail in the City of Winston Salem, North Carolina 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 The Chronicle, on the following dates:
PUBLIC NOTICE
NOTIFICATION OF INTENT TO ISSUE A NPDES WASTEWATER PERMIT
PUBLISHED MAY 29, 2008
and that the said newspaper in which such notice, paper, document, or. legal advertisement was published
was, at the time of each and every subscription, a newspaper meeting all of 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.
1 •. • 11:
j- - (r Moore
NotEtry Publici
Forsyth .
North Carolina
kmission roe2011
a4 Rf*S Lo,
(Signature of person making a idavit)
Andrea Moses
Sworn to and subscribed before me this 3dhday of May 2008 0
�-\
(NotaryPublic)

PUBLIC NOTICE
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT
COMMISSION/NPDES UNIT
1617 MAH. 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 143.215.1 and
I5A NCAC 02H.0109 and other lawful stan-
dafds and regulations, the North Carolina
Environmental Management Commission pro-
poses to issue a National Pollutant Discharge
Elimination System (NPDES) wastewater dis-
charge permit to the person(s) listed below
effective 45 days from the publish date of this
notice.
WrYtten comments regarding -the proposed per-
mit will be accepted until 30 days after the pub-
lish date of this notice. All comments received
prior to that date are considered in the -final
determinations regarding the proposed permit.
The Director of the NC Division of Winer
Quality may decide to hold a public meeting 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 conditions
present in the draft permit are available upon
request and payment of the costs of reproduc-
tion. Mail comments and/or requests for infor-
mation to the NC Division of Water Quality at
the above address or call Dina Sprinkle (919)
733-5083, extension 363 at the Point Source
Branch. Please include the NPDES permit num-
ber (below) 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 am. and
5:00 pm. to review information on file.:
Lissam Partners, LLC (2631 Reynolds Road,
Winston-Salem, NC 27106) has applied for
renewal of NPDES permit NC0088749 for the
Lissam WW1? in Forsyth County. This permit-
ted facility discharges 0.108 MGD of treated
wastewater to the Yadkin River in the Yadkin
' Pee Dee River Basin. Currently total residual
chlorine is water quality limited. This discharge
:may affect future allocations in this portion of
the Yadkin -Pee Dee River Basin.
The Chronicle May 29, 2008

.05-08-'08 13:58 FROM-NMENR-WSRO 336-771-4630 T-539 P002/004 F-266
NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
(This form is best filled out on computer, rather than hard copy)
Date: 05/07/2008
To: NPD <'S Discharge Permitting Uni#
Attn. NPOES Reviewer: Tova Fields
County:
Permitee: Aqua North Carolina
Application/ Permit No.: NCO088749
Staff Report Prepared By: Rose Pruitt
Project Name: Lissara WWTP
SOC Priority Project? (Y/N) N If Yes, SOC No.
A. GI:NIsHAL INFORMA TION
1. This application is (check all that apply): ® New ❑ Renewal
❑ Modification
2. Was a site visit conducted in order to prepare this report? ❑ Yes or ® No.
a. Date of site visit:
b. Person contacted and telephone number:
c. Site: visit conducted by:
d. inspection Report. Attached: ❑ Yes or ® No.
3. Keeping BIMS Accurate: Is the following BIMS information (a. tlu•ough e. below) correct?
❑ Yes or 0 No. If No, please eitIlcr indicate that it is correct on the current application or the
existing permit or provide the details. if none can be supplied, please explain: sonic: info not provided
Oil app
Discharge Point: hill this section Only if BIMS or Application Info is incorrect or Iilissllt r
(If there is more than one discharge pipe, put the others on the last page of this form.)
a. I..ocatiou OK on ApplicationEl
OK on I:;xisting I'etmit ❑, or provide Locatiotz• i�ot provided
b. Driving Directions OK on Application ❑,
OK on Existing Permit ❑, or provide Driving Directions (please be accurate): iap provided
C. USGS Quadrangle Map name and number OK on ApplicationEl
OK on I xistin T Permit [_3, or provide USGS Qtiadrangle Map name and number n=proVided
g
d. I,-,Ititude/Longitude OK on Application ❑, (elhcck at littp:/1���Yw_tc�tlorc�i�c.c�m I'Itcse are often
inaccurate) OK on Existing Permit ❑, or provide Latitude: Longitude:
tP
e. Receiving Stream OK on ApplicationEl
OK on Existing Permit ❑, or provide Receiving Stream or affected waters: Yadkin River
a. Stream C'.lassification: WS-IV
b. River Basin and Sub basin No.: 12-(80.7)
c. Describe receiving stream feattu•es and downstream uses: intake for Nei lsons WTI'

. 05-08-'08 13:58 FROM-NCDENR-WSRO 336-771-4630 T-539 P003/004 F-266
NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
For NEW FACII,I7'I1.,S Proceed to Section C,Isvaluation and Recommendations
floor renewals or moth leations continue to section B)
B. DESCRIPTION OF EACILITIES AND WASTE(S) (renenwls and it odij!cations only
1. Describe the existing treatment facility:
2. Are there appropriately certified ORCs for the facilities'? ❑ Yes or ❑ No.
Operator in Charge: Certificate 11 (Available in BIMS or Certification 1Website)
Back- Operator in Charge: Certificate 4
3. Does the facility have operational or compliance problems? Please cotntllent:
Summarize your BIMS review of monitoring data (Notice(s) of'violation within the last permit cycle;
Current enforcement action(s)):
Are they currently undcr SOC, ❑ Currently under JOC, ❑ Currently under moratorium ❑? Have
all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with? ❑ Yes
or ❑ No. If no, please explain:
4. Residuals Treatment: PSRP ❑ (Process to Significantly Reduce Pathogens, Class l3) or
PF RP ❑ (Process to Further Reduce Pathogens, Class A)?
Are they liquid or dewatcred to a cake?
band Applied? Yes ❑ No ❑ If so, list Non-I)ischarge Permit No.
Contractor Used:
Landf lled? Yes ❑ No❑ If yes, where?
Other?
Adequate Digester Capacity? Yes ❑ No ❑ Sludge Storage Capacity`? Yes ❑ No ❑
Please comment oil current operational practices:
5. Are there any issues related to coin pliance/enforcenlctit that should be resolved before issuing this
permit? ❑ Yes or ❑ No. If yes, please explain:
C. Is VAL UA T !ON AND REC"OMMEWDA TIONS
1. Alternative Analysis !;valuation: has the facility evaluated the non -discharge options available? Give
regional perspective for each option evaluated:
Spray Irrigation: A14-
Connect to Regional Sewer System: Not available
Subsurface: 414
Other Disposal Options: //).
17ORM: N1'1)1:S-RRO 06/03, 9/03 2

105-08-'08 13:58 FROM-NOENR-WSRO 336-771-4630 T-539 P004/004 F-266
NPI)ES REG"tONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
2. Provide any additional narrative regarding your review of the application:
3. List any items that you would like NPDES Unit to obtain through an additional information
request. Make sure that you provide a reason for each item:
Recommended Addi#ional Information Reason
Lath,ongofoutfailool not provided
4. List specific Permit requirements that you recommend to be removed fi-oni the permit when
issued. Make stare that you provide a reason for each condition:
Recommended Removal Reason
5. List specific special requirements or compliance schedules that you recommend to be included in
the permit when issued. Make sure that you provide a reason for each special condition:
Recommended Addition Reason ...
........... .... .. . . .......
6. Recommendation: E] Hold, pending receipt and review of additional information by regional office;
E] Hold, pending review and approval of required additional information by NPDES permitting
office; 0 Issue; [j I)eny. If deny, please state reasons:
Remincle)-: (ifluch insIxclion rej)on if Yes was chechp-. m- 2 d.
7. Signature of report preparer:
Signature; of WQS regional supervisor: .......
Date:
FORM: N]"DES-RRO 06/03,9/03 3

NCDENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
Lissara Partners LLC
Facilai :Inform 'ori T r
(1.) Facility Name:
Lissara Wastewater Treatment Plant
(2.) Permitted Flow MGD):
0.109 MGD (6 Coun i Fors th
. .__._._._. _ �y -
(3.) Facility Class: _
_ ^� _
(7.) Regional Office: L Winston-Salem _
(4.) Pretreatment Program:
N/A
(8.) USGS Topo Quad: I
(5.) Permit Status:
Proposed (9.) USGS Quad Name:
Clemmons
(1.) Receiving Stream:
j Yadkin River -W Y
_ (7.) Drainage Area_(mi_2): __
1699__
_ -
T(2.) Sub -basin:
03 07 02
(8.) Summer 7Q10 (cfs):
1 550
(3.) Stream Assessment Unit:
(4. Stream Classification:_._._.__.
( )
12 - (80.7)
.WS-
(9.) Winter 7Q10 (cfs):
-10. -3U �µ2 . cfs : w _._._._._....__.__
( ) Q ( )
860
,--1140
,
(5.) 303(d) Status:
u(6.) 305(b) Status:
Listed ...
j
_._ __.__._._._..
(12.)µIWC %:
__.__........____ ..._.______..........
0.03
I. Summary
Lissara Partners, LLC has proposed to build a 225-lot development on 246 acres of land in
Forsyth County. This development is expected to generate 108,000 gpd of wastewater, which
will be discharged to the Yadkin River. This segment of the Yadkin is classified WS-IV and is
listed on the draft 2008 303(d) list for turbidity standard violations.
The EAA was been approved on May 14, 2008. No level B model was performed due to the
extremely high level of dilution available instream. The facility will receive secondary limits as a
result of its 0.03% IWC. The Division reviewed all the available alternatives and discharge to the
surface water was found to be the most environmentally sound, reasonable cost effective
alternative as required by 15A NCAC 2H.0105 (c)(2).
II. Proposed Schedule for Permit Issuance
Draft Permit to Public Notice: May 21, 2008
Permit Scheduled to Issue: July 21, 2008
III. State Contact Information
If you have any questions on any of the above information or on the attached permit, please
contact Toya Fields at [phone], extension 551.

North Carolina Waterbodies Listed by County
Note: Waterbodies are listed in more than one county if they cross county lines.
Name of Stream Description
Report Date: 04/26/08
Records Found: 124
Search Parameters:
County:
Forsyth
Class:
SpDes:
Name:
Index#:
Curc Class Date Basin Stream Index #
Forsyth County
YADKI VER
From a point 0.3 mile
WS-IV
Upstream of Ararat
River to a point 0.8
mile upstream of Old
Richmond Creek
YADKIN VER
From a point 0.8 mile
WS-IV;CA
upstream of Old
Richmond Creek to Town
of King water suppply
intake (located 0.3
mile upstream of Old
Richmond Creek)
YADKIN ER
From Town of King
WS-IV
water supply intake to
a point 0.8 mile
upstream of mouth of
Bashavia Creek
YADKIN RIVE
From a point 0.8 mile
WS-IV;CA
upstream of Bashavia
Creek to a point 0.3
mile upstream of
Bashavia Creek
(Winston(Salem
proposed water supply
intake)
RIVER From a point 0.3 mile WS-IV
upstream of Bashavia
Creek to mouth of
Hauser Cr. -
YADKIN RIVER From mouth of Hauser WS-IV;CA
Creek to Davie County
water supplyy intake
(located 0.7 mile
downstream of Hauser
Creek)
YADKIN RIVER From Davie County WS-IV
water supply intake to
a point 0.5 mile
upstream of Carters
Creek
03/01/98 Yadkin 12-(71)
09/01/94 Yadkin 12-(78.3)
04/01/99 Yadkin 12-(78.7)
04/01/99 Yadkin 12-(80.5)
04/01/99 Yadkin 12-(80.7)
09/01/94 Yadkin 12-(86.3)
09/01/94 Yadkin 12-(86.7)
Page I of 7

NCO088749
Facility: Lissara Subdivision
Discharge to: WS-IV
Residual Chlorine
Ammonia as NH3
(summer)
7Q10 (CFS)
550
7Q10 (CFS)
550
DESIGN FLOW (MGD)
0.108
DESIGN FLOW (MGD)
0.108
DESIGN FLOW (CFS)
0.1674
DESIGN FLOW (CFS)
0.1674
STREAM STD (UG/L)
17.0
STREAM STD (MG/L)
1.0
UPS BACKGROUND LEVEL (UG/L)
0
UPS BACKGROUND LEVEL (MG/L)
0.22
IWC (%)
0.03
IWC (%)
0.03
Allowable Conc. (ug/1)
55871.24
Allowable Concentration (mg/1)
2563.72
Ammonia as NH3
(winter)
7Q10 (CFS)
990
Fecal Limit
Not Required
DESIGN FLOW (MGD)
0.108
Ratio of 3285.5 :1
DESIGN FLOW (CFS)
0.1674
STREAM STD (MG/L)
1.8
UPS BACKGROUND LEVEL (MG/L)
0.22
IWC (%)
0.02
Allowable Concentration (mg/1)
9345.89
For Minor domestic -type facilities;
Minimum of 2 mg/I (summer) NH3-N; 4 mg/I (winter) NH3-N
Chlorine:
Residual chlorine must be capped at 28 ug/I to protect for acute toxicity effects

DIEHL & PHILLIPS, P.A.
CONSULTING ENGINEERS
219 East Chatham Street
Cary, North Carolina 27511
Telephone [phone]—Fax [phone]
February 18, 2008
Ms. Susan Wilson
Supervisor, Western NPDES Program
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699 - 1617
Re: Submission of Engineering Alternatives Analysis (EAA)
NPDES Application
Lissara Subdivision — Forsyth County
Requested Discharge Receiving Stream — Yadkin River
Dear Ms. Wilson:
WILLIAM C. DIEHL, P.E.
JOHN F. PHILLIPS. P.E.
ALAN R. KEITH, P.B.
Please find enclosed three copies of the EAA for Lissara subdivision, a proposed
residential community in western Forsyth County. The EAA and all supporting
documents, including the executed NPDES application form, the executed Local
Government Form, USGS stream flow information, etc. are bound in the EAA books.
Please advise if you need more than the three copies submitted.
Also enclosed is a check in the amount of $860 for the fee associated with a minor
individual NPDES-new permit application. Please inform the person assigned to review
this submittal that I will be glad to come to your offices to meet and address any
questions or comments, if that will help to expedite the review process.
Yours very truly,
Diehl & Phillips, P.A.
John F. Phillips, P.E.
Enclosures
Cc: Mr. Lang Wilcox w/copy of enc.
Mr. Russ Willard w/copy of enc.

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 OcooWq 4.
y 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 Lissara Partners, LLC
j Facility Name Lissara Wastewater Treatment Plant
Mailing Address 2631 Reynolda Road
}
Winston-Salem .City -
State / Zip Code NC / 27106
�j Telephone Number [phone]
Fax Number ( 336) 722-5018
e-mail Address offislandQ— -com
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road No address yet assigned. North of Shallowford Road, West
of Conrad Road
■■n
City Not in a City/Town (nearest town is Lewisville)
f State / Zip Code NC
County Forsyth County
3. Operator Information:
Name of the fine, public organization or other entity that operates the facility. ' (Note that this is not
referring to the Operator in Responsible Charge or ORQ
.Name Lissara Partners, LLC
Mailing Address 2631 Reynolda Road
City Winston-Salem
State / Zip Code NC / 27106
Telephone Number [phone]
Fax Number A 336) 722-5018
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 ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ® Number of Homes 224
School ❑ Number of Students% Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Residential subdivision
Population served: 224 houses with 3.5 personsihouse assumed = 784 persons
S. 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 numbers) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (Provide a reap showing the exact location of each outfallP.
Yadkin River
,8. Frequency of Discharge: , ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 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 sufficierdy attach the description. of the treatment system in a
separate sheet of paper.
See attached description
2 of 4 FowD 1106

NPDES APPLICATION - FORM. D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.108 MGD
Annual Average daily flow NA - Proposed discharge MGD (for the previous 3 years)
Maximum daily flow NA - Proposed discharge 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 Coliform, 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)
NA - proposed
discharge
NA - proposed
discharge
NA - proposed
discharge
NA - proposed
= discharge
Fecal Coliform
NA
NA
NA
NA
Total Suspended Solids
NA
NA
NA
NA
Temperature (Summer)
NA
NA
NA
NA
Temperature. (Winter)
NA
NA
NA
NA
pH
NA
NA
NA
NA
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES X Dredge or fill (Section 404 or CWA)
PSD (CAA) Special Order of Consent (SOC)
Non -attainment program (CAA) Other
14. APPLICANT CERTIFICATION
Permit 'Number
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.
Brant Godfrev Manager.
Printed name of Person Signing
Title
3 of 4 Form-D 1/06

I'
NPDES APPLICATION - FORM D
( For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
//2z-/o8
North Carolina General 3t'atute 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.)
d t
40f4
Form-D 1/06