HomeMy WebLinkAboutNC0088684_Permit Issuance_20080123i
r
Mr. Jerry T. Wood
Daniel Stowe Botanical Garden
6500 South New Hope Road
Belmont, NC 28012
Dear Mr. Wood:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleco H. Sullins, Director
Division of Water Quality
January 23, 2008
Subject: Issuance of NPDES Permit
Permit NCO088684
Daniel Stowe Botanical Garden
Gaston County
Division personnel have reviewed and approved your application for 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).
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable
to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt
of this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center,
Raleigh, North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or permits required
by the Division of Land Resources, the Coastal Area Management Act or any other Federal or Local
governmental permit that may be required.
If you have any questions concerning this permit, please contact Agyeman Adu-Poku at telephone
number (919) 733-5083, extension 508.
Sincerely,
Coleen H. Sullins
cc: Central Files
NPDES File
Mooresville Regional Office / Surface Water Protection
Aquatic Toxicology Unit
One
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North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Service
Internet: wwwmwaterquality-ore Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax (919) 733-2496 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer — 50% Recyded/10% Post Consumer Paper
Permit NCO088684
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE BACKWASH WASTEWATER FROM GREENSAND FILTERATION WATER
TREATMENT SYSTEM AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended, the
Daniel Jonathan Stowe Conservancy
is hereby authorized to discharge wastewater from a facility located at
6500 South New Hope Road
Belmont, North Carolina
Gaston County
to receiving waters designated as Unnamed Tributary to Catawba Creek in the Catawba River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts
L II and III hereof.
This permit shall become effective March 1, 2008.
This permit and authorization to discharge shall expire at midnight on August 31, 2010.
Signed this day January 23, 2008.
0
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit NCO088684 .
SUPPLEMENT TO PERMIT COVER SHEET
The Daniel Jonathan Stowe Conservancy is hereby authorized to:
1. Discharge backwash wastewater from reverse osmosis (RO) water treatment system, and similar
wastewaters from outfall 001. This wastewater system is located at 6500 South New Hope Road,
Belmont in Gaston County.
2. Discharge from said outfall at the location specified on the attached map into Unnamed Tributary
to Catawba Creek, classified C waters in the Catawba River Basin.
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Outfall (001) F ;
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Daniel Stowe Botanical Garden Facility
Location
Receiving Stream: Catawba Creek Subhasin: 03-08-37 not to Seale
Drainage Basin: Catawba River Basin Latitude: 35' 10' 03" N NPDES Permit No. NC0088684
Longitude: 81° 03' 16" W Pernutted Flow: 0.0038 MGD North Stream Class: C Grid/Quad: F 14 SW, Gastonia North Gaston Count
Permit NCO088684
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (001)
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is
authorized to discharge backwash wastipwater from reverse osmosis (RO) water treatment system and similar
wastewaters 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
Fre uenc
Sample Type
Sample
.,Location
Flow
0.0038 MGD
Monthly
Instantaneous
E
Temperature
Monthly
Grab
E,U,D
-Salinity
Monthly
Grab
E,U,D
Conductivity
Monthly
Grab
E,U,D
Dissolved Oxygen
Monthly
Grab
E,U,D
H
2/Monthly
Grab
E,U,D
Total Dissolved Solids
Monthly
Grab
E
Total Residual Chlorine
17.0 ug/L
2/Monthly
Grab
E
Total Arsenic
Monthly
Grab
E
Total Chloride
Monthly
Grab
E
Ammonia Nitrogen
Monthly
Grab
E
Total Copper
Monthly
Grab
E
Total Fluoride
Monthly
Grab
E
Total Iron
Monthly
Grab
E
Total Zinc
Monthly
Grab
E
Total Nitrogen
Quarterly
Grab
E
Total.Phosphoms
Quarterly
Grab
E
Whole Effluent Toxicity
Quarterly
Grab
E
Footnotes:
1. Sampling locations: E=Effluent, U=Upstream of discharge location, D=Downstream of discharge location
2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
3. The total residual chlorine (TRC) monitoring and limit will become effective on March 1, 2008. The TRC is applicable
only when chlorination is used.
4. Whole Effluent Toxicity (Ceriodaphnia dubia) at 90 %; quarterly during March, June, September and December. See
Special Condition A. (2.).
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Permit NCO088684 .
A. (2) CHRONIC TOXICITY PERMIT LIMIT (QUARTERLY)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant
mortality to Ceriodaphnia dubia at an effluent concentration of 90 %.
The permit holder shall perform at a minimum, Quarterly monitoring using test procedures outlined in
the "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or
subsequent versions or "North Carolina Phase Il Chronic Whole Effluent Toxicity Test Procedure" (Revised -
February 1998) or subsequent versions. The tests will be performed during the months of March, June,
September and December. Effluent sampling for this testing shall be performed at the NPDES permitted
final effluent discharge below all treatment processes.
If the test procedure, performed as the first test of any single quarter, results in a failure or ChV below
the permit limit, then multiple -concentration testing shall be performed at a minimum, in each of the two
following months, as described in "North Carolina Phase II Chronic Whole Effluent Toxicity Test
Procedure" (Revised -February 1998) or subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the
highest concentration having no detectable impairment of reproduction or survival and the lowest
concentration that does have a detectable impairment of reproduction or survival. The definition of
"detectable impairment," collection methods, exposure regimes, and further statistical methods are specified
in the "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised February 1998)
or subsequent versions. All toxicity testing results required as part of this permit condition will be entered on
the Effluent Discharge Monitoring Form (MR-1) for the months in which tests were performed, using the
parameter code TGP3B for the pass/fail results and THP3B for the Chronic Value. Additionally, DWQ Form
AT-3 (original) is to be sent to the following address:
Attention: NC DENR / DWQ I Environmental Sciences Section
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no
later than 30 days after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical - measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate
signature. Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is
employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is
required, the permittee will complete the information located at the top of the aquatic toxicity (AT) test form
indicating the facility name, permit number, pipe number, county, and the month/year of the report with the
notation of "No Flow" in the comment area of the form. The report shall be submitted to the Environmental
Sciences Branch at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required,
monitoring will be required during the following month. Should any test data from this monitoring
requirement or tests performed by the North Carolina Division of Water Quality indicate potential impacts to
the receiving stream, this permit may be re -opened and modified to include alternate monitoring requirements
or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control
organism survival, minimum control organism reproduction, and appropriate environmental controls,
shall constitute an invalid test and will require immediate follow-up testing to be completed no later than.
the last day of the month following the month of the initial monitoring.
The Charlotte Observer Publishing Co.
Charlotte, NC
North Carolina } ss Affidavit of Publication
Mecklenburg County}
THE CHARLOTTE OBSERVER
--------------------------------------------------+------------------------
NCDENR/DWQ/NPDES
FRANCIS CANDELARIA
1617 MAIL SERVICE CTR
RALEIGH NC 27699-1617
REFERENCE: 30045571
6060733 Wastewater Permit
Before the undersigned, a Notary Public of said
County and -State, duly authorized to administer
oaths affirmations, etc., personal-ly appeared,
being duly sworn or affirmed according to law,
doth depose and say that he/she is a
representative of The Charlotte Observer
Publishing Cc!npany, a corporation organized and
doing business under the laws of the State of
Delaware, and publishing a newspaper known as The
Charlotte Observer in the city of Charlotte,
County of Mecklenburg, and State of North Carolina
and that as such he/she is familiar with the
books, records, files, and business of said
Corporation and by reference to the files of said
publication, the attached advertisement was
inserted. The following is correctly copied from
the books and files of the aforesaid Corporation
and Publication.
PUBLISHED ON: 10/14
1g'7iIi1[tiO NE/LiEONLiI�NECOMIIEWRMSESffAIQ�� 3>P`6tdi
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— "IDES INASTEW4g PERMIT
Gen
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AD SPACE: 98 LINE I
FILED ON: 10-/22/0 I
NAME. -- ------—fio`r=1----- TITLE. --- -- ----- ---------
DATE:
In Testimony Whereof I have hereunto set my hand and affixed my seal, the
day and ar aforesaid.
Notary
My Commission Expires: __/--/--
Nay Commission Emems May 27, 2oii
DENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES No. NCO088684
Facility Information
Applicant/Facility
Name:
Daniel Jonathan Stowe Conservancy/Daniel Stowe Botanical Garden
Applicant Address:
6500 South New Hope Road, Belmont NC 28012
Facility Address:
6500 South New Hope Road, Belmont NC 28012
Permitted Flow
0.0038 MGD
Type of Waste:
Reverse Osmosis RO backwash
Facility/Permit Status:
New
County:
Gaston
Miscellaneous
to
C I USGS Topo I F 14 SW Gastonia North
Area (mi2): I N/A
Winter
IMAM
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SUMMARY
Daniel Stowe Botanical Garden's Orchid Conservatory is installing a reverse osmosis (RO) water
purification system as part of the construction of an Orchid Conservatory at the facility. The RO system
will be used to purify water used to hand -water plants inside the conservatory, as well as supply water for
the high pressure misting system overhead, used to provide additional moisture to the air within the
conservatory. The facility is designed to provide 3,800 gallons of purified water per day. The backwash
wastewater is estimated to be 3800 gallons per day. Daniel Stowe Botanical Garden requests the
Division to issue NPDES permit to discharge the backwash wastewater to an unnamed tributary to
Catawba Creek.
The receiving stream (Catawba Creek) is classified C waters in the Catawba River Basin. This reach is listed on the
2006-303(d) list. It is impaired for biological integrity.
PERMITTING STRATEGY
The Division prepared a NPDES permitting strategies for potable water treatment plants (Water Treatment Strategy,
Page 6. Retrieved September 19, 2007,
htto://www.ncwaterguality.ore/NPDES/documents/WTPpermittinestrateey07 000.ndf).
The strategy for membrane and ion exchange water treatment system will be implemented in this permit.
TOXICITY TESTING:
Current Requirement: N/A
Recommended Requirement: N/A
PROPOSED SCHEDULE FOR PERMIT ISSUANCE:
Draft Permit to Public Notice: 10/10/2007
Permit Scheduled to Issue: 12/10/2007
Daniel Stowe Botanical Garden Fact Sheet
NPDES New Permit
Page I
STATE CONTACT:
If you have any questions on any of the above information or on the attached permit, please contact Agyeman Adu-
Poku at (919) 733-5038 ext. 508
REGIONAL OFFICE COMMENT: This is a new permit application therefore the regional office comments will
be solicited during the public comment period.
NPDES Recommendation by:
Signature Date
Regional Office Comments
Date
Regional Recommendation by:
Signature
Reviewed and accepted by:
Date
Regional Supervisor:
Signature
Date
NPDES Unit Supervisor:
Signature
Daniel Stowe Botanical Garden Fact Sheet
NPDES New Permit
Page 2
SOC PRIORITY PROJECT: No
To: NPDES Unit
Water Quality Section
Attention: Agyeman Adu-Poku
Date: September 10, 2007
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Gaston
NPDES Permit No.: NC0088684
PART I - GENERAL INFORMATION
1. Facility and address: Daniel Stowe Botanical Garden
6500 South New Hope Road
Belmont, NC 28012
2. Date of investigation: September 6, 2007
3. Report prepared by: Michael L. Parker, Environmental Engineer Il
4. Person contacted and telephone number: Jerry Wood, (704) 825-4490, ext. 1254
5. Directions to site: The entrance to the Daniel Stowe Botanical Gardens is located on
Highway 279 (South New Hope Road) = Yz mile north of the junction of Hwy. 279 and
Hwy. 273 (Armstrong Road) in southern Gaston County.
6. Discharge point(s), list for all discharge points: -
Latitude: 350 09' 34"
Longitude: 800 03' 06"
Attach a USGS Map Extract and indicate treatment plant site and discharge point on map.
USGS Quad No.: -CL14NE- Ir 1L{S\1 C1As m6,106y '
7. Site size and expansion area consistent with application: Yes. There is ample area for the
construction of treatment facilities, if necessary.
8. Topography (relationship to flood plain included): The site is gently rolling (2 - 6%
slopes). The site is well removed from any flood plain.
9. Location of nearest dwelling: Approx. 1000+ feet from the site.
Page Two
10. Receiving stream or affected surface waters: UT to Catawba Creek (Lake Wylie)
a. Classification: WSJ (,
b. River Basin and Subbasin No.: Catawba 030837
C. Describe receiving stream features and pertinent downstream uses: The receiving
stream is a dry ditch at the point of discharge, and appears to be dominated by
storm water flow during periods of wet -weather. There are no other downstream
dischargers known.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
a. Volume of wastewater: 0.0038 MGD (Design Capacity)
b. What is the current permitted capacity: N/A (new permit)
C. Actual treatment capacity of current facility (current design capacity): There are
no existing WWT facilities.
d. Date(s) and construction activities allowed by previous ATCs issued in the
previous two years: There have been no ATCs issued to this facility in the past
two years.
e. Description of existing or substantially constructed WWT facilities: There are no
existing WWT facilities.
f. Description of proposed WWT facilities: The applicant does not plan to construct
WWT facilities at this time, however the wastewater is generated from a reverse
osmosis water treatment system that includes the use of a water softener.
g. Possible toxic impacts to surface waters: There are no toxic impacts expected
from the proposed discharge, however, the wastewater is expected to be high in
minerals.
Residual handling and utilization/disposal scheme: Residuals generation is not expected.
Treatment plant classification: This facility does not meet the minimum criteria for a
Class I rating.
4. SIC Code(s): 8422 Wastewater Code(s): 22 MTU Code(s): 00000
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or are any public monies
involved (municipals only)? No public monies were used in the construction of this
facility.
2. Special monitoring or limitations (including toxicity) requests: None at this time.
Page Three
Important SOC/JOC or Compliance Schedule dates: N/A
4. Alternative analysis evaluation
a. Spray Irrigation: There is ample area for the construction of a spray irrigation
system, however, the applicant has chosen to discharge the wastewater due to the
low volume and pollutant levels.
b. Connect to regional sewer system: None presently available to the site.
C. Subsurface: This option would appear to be available to the applicant given the
large amount of available area.
d. Other disposal options: None that we are aware.
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant proposes to discharge up to 3800 gpd of wastewater from a reverse osmosis
GW treatment system used to produce water for plant irrigation and a high pressure misting
system. The only constituents expected to be found in the wastewater are mineral deposits
removed from the GW.
Pending a final technical review by the NPDES Unit, it is recommended that a permit be
issued as requested. AL
C
Signature of Re ort Preparer Date
�t 6 lL— 17b ,07
Water Quality Regional Supervisor Date
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July 19, 2007
Mrs. Teresa Rodriguez
North Carolina Division of Water Quality/NPDES Unit
512 N. Salisbury St.
Raleigh, North Carolina 27604
A Garden for all Seasons!
RE: Daniel Stowe Botanical Garden — Reverse Osmosis System, Return No. 2253, Gaston County
SUBJECT: Engineering Alternatives Analysis
Dear Mrs. Rodriguez:
Using the Division of Water Quality's Engineering Alternatives Analysis (EAA) Guidance Document it has been
concluded that a direct discharge to surface water is the most environmentally sound, cost-effective alternative for
removal of the reverse osmosis wastewater created at Daniel Stowe Botanical Garden's Orchid Conservatory.
A reverse osmosis (RO) water purification system is being installed as part of the construction of an Orchid
Conservatory at Daniel Stowe Botanical Garden. The conservatory is approximately 8,000 SF, with a 1,600 SF
support building attached. The RO system is used to purify water used to hand -water plants inside the conservatory,
as well as supply water for the high pressure misting system overhead, used to provide additional moisture to the air
within the conservatory. Non -municipal flow projections based on peak use from the misting and hand -watering
operations are 3,800 GPD, creating a reject flow of 3,800 GPD.
An evaluation of the technologically feasible alternatives included: connecting to existing wastewater treatment
system, wastewater reuse methods, and direct discharge to surface waters. The existing wastewater treatment
system is a private septic system on Daniel Stowe Botanical Garden property and is designed for 5,000 GPD. The
addition of 3,800 GPD would overwhelm this system, making this alternative infeasible. The reuse.of the
wastewater as irrigation is also not feasible as the garden already has an extensive irrigation system used for
watering its wide variety of plants, including many non -indigenous plants, which would react poorly the RO
wastewater. This leaves the direct discharge to surface waters as the only technologically feasible alternatives.
This RO system is simply treating potable well water pumped from a well on Daniel Stowe Botanical Garden
property to the RO system in order to create purified water which will work in the high-pressure misting system
without creating calcium deposits on the high-pressure nozzles, which would lead to maintenance issues and system
failure. This wastewater will not have any oxygen -consuming waste. The system requires 2 gallons of water to
create 1 purified gallon. Based on the potential restrictions to a wastewater discharge to surface water listed in the
EAA Guidance Document, we have determined that this reverse osmosis wastewater discharge will be allowed.
Sincerely,
e ood
Heliantlyut tclyweinitzii
federally endangered species protected at rbe Garden
t Recycled paper
6500 S. New Hope Rd.
Belmont, NC 28012
704.825.4490
704.829.1240 (fax)
www.DSBG.org
iviap Uaipui
Page 1 of 1
C vec V-
httm//e¢nvl.co.¢acton.nc.ne/website/ParcelDataSite/ManFrame.htm 6/5/2007
K & W Laboratories
9331-B Albemarle Road
Charlotte, North Carolina 28227
Tel (704) 569-.1800 Fax (704) 569-0055
Date: April 05.2007
Client: Daniel Stowe Botanical Gardens
6500 S. New Hope Rd.
Belmont, NC 28012
Re- Summarized Report for New Well Inorganics
Contaminant
Result (mg/1)
Turbidit
y
0.97
Arsenic
<0.005
Barium
<0.4
Cadmium
<0.001
Calcium
17
Chloride
5
-Copper
<0.003
Cy anide
<0,Q4
Flouride
<0.1
Iron
<0.06
Lead
<0.005
Magnesium
2.37
Manganese
0.018
Mercury
0.0004
Nickel
<0.1
Nitrate
<1
Nitrite
<0.05
Selenium
<0.01
Silver
<0.05
Sodium
6.05
Sulfate
<5
Acidity
3.78
Antimony
<0.003
Beryllium
<0.002
Thallium
<0.001
L• inc
<1.0
Color
<5
Total Hardness
45
H
6.68
Alkalinity
53
Total Dissolved Solids
226
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
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 Number $ (0la
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 Daniel Jonathan Stowe Conservancy
Facility Name Daniel Stowe Botanical Garden
Mailing Address 6500 South New Hope Road
City Belmont
State / Zip Code N.C. 28012
Telephone Number (704-825-4490 ext 1254)
Fax Number (704-829-1243)
e-mail Address wood@dsbg.org
2. Location of facility producing discharge:
Check here if same as above
Street Address or State Road
City
State / Zip Code
County
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name N/A
Mailing Address
City
State / Zip Code
Telephone Number ( )
Fax Number ( )
4. Ownership Status:
Federal ❑ State ❑ Private ® Public ❑
Page 1 of 3 C-WTP 03/05
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
5. Type of treatment plant:
❑ Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
❑ Green Sand Filter (No sodium recharge)
® Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener
6. Description of source water(s) (i. e. groundwater, surface water)
Well Water
7. Describe the treatment process(es) for the raw water:
Water passes through a water softner and then is treated by a RO system. at which time
this water is then used to water plants and operate a high preasure misting system inside
of a conservatory
S. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
The discharge water would have calcium deposits present.
9. Number of separate discharge points: 1
Outfall Identification number(s)
10. Frequency of discharge: Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: 12.0 hours
11. Plant design potable flowrate 3800 gallons per day MGD
Backwash or reject flow 3800 gallons per day max MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
none
Page 2 of 3 C-WTP 03/05
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
N/A
14. Is this facility located on Indian country? (check one)
Yes ❑ No
15. Additional Information:
Provide a schematic of flow through the facility, include flow volumes at all points in
the treatment process, and point of addition of chemicals.
D Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15.
New applicants must contact a permit coordinator with the NCDENR Customer
Service Center.
Was the Customer Service Center contacted? ® Yes ❑ No
D Analyses of source water collected
Engineering Alternative Analysis
Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. 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.
19
Printed-rrjhe of Person Siang /% Title
Applicant
Date
North Carolina General Statute 143-215.6 (b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $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.)
Page 3 of 3 C-WTP 03/05