NC0063720_Permit Issuance_20031126

F VJA1'F Michael F. Easley
Governor
�\1�� w -A William G. Ross, Jr., Secretary
> t 1 ■ 1 l �1 t [ NCDENR North Carolina Department of Environment and Natural Resources
O < Alan W. Klimek, P.E., Director
Division of Water Quality
November 26, 2003
Nit. Michael Myers
AquaSource, Inc.
706 North Regional Road
Greensboro, North Carolina 27425
Subject: Issuance of NPDES Permit NCO063720
Forest Ridge Subdivision \VWTP
Forsyth County
Dear Mr. Myers:
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 May 9, 1994 (or as subsequently amended).
Ir-11I110
This final permit includes the following change from the draft permit sent to you on September 24,
• Instream monitoring for fecal coliform has been eliminated to reflect current Division policy.
This permit includes a TRC limit that will take effect on July 1 2005. If you wish to install declilorination
equipment, the Division has promulgated a simplified approval process for such projects. Guidance for approval of
dechlorination projects is attached.
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 CVater Quahty 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 Dawn Jeffries at telephone number (919)
733-5083, extension 595.
Sincerely,
ORIGINAL SIGNED BY
Mark McIntire
Alan W. Klimek, P.E.
cc: Central Files
\C'instun-Salem Regional OfficcAVater Quality Section
NPDES Unit
N. C. Division of Water Quality! NPDES Unit Phone: [phone]
1617 Mail Service Center, Raleigh, NC 27699-1617 fax: [phone]
Internet: h2o.enr.stale.nc.us DENR Customer Service Center: 1 800 623-7748

Permit NCO063720
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
I7a!M i11i
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,
AquaSource, Inc.
is hereby authorized to discharge wastewater from a facility located at
Forest Ridge Subdivision
6931 August Drive
Clemmons
Forsyth County
to receiving waters designated as Blanket Creek in the Yadkin Pee -Dee 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 January 1, 2004.
This permit and authorization to discharge shall expire at midnight on December 31, 2008.
Signed this day November 26, 2003.
ORIGINAL SIGNED BY
Mark McIntire
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC00637V
SUPPLEMENT TO PERMIT COVER SHEET
:all previous NPDES Permits issued to this facihtN, 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 authorit}• to operate
and discharge from this facility arises under the permit conditions, requirements, terms, and provisions included herein.
AquaSource, Inc., is hereby authorized to:
1. Continue to operate two existing 0.0165 MGD wastewater treatment plants, each consisting of the
following components:
♦ Aeration
♦ Secondary clarification
♦ Tablet chlorination
♦ Post aeration
♦ Sludge holding
The facility is located at Forest Ridge Subdivision, 6931 August Drive, Clemmons, in Forsyth
County.
2. Discharge from said treatment works at the location specified on the attached map into Blanket
Creek, classified WS-IV waters in the Yadkin Pee -Dee River Basin.

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SCALE 1:24000
Facility,`
by a
Latitude:
3eff 2r Sub -Basin: 03-07-02
Location
Longihrle:
80°23'59'
Quad #:
C17SW
Sbwm Class:
Receiviiig Stream
WS-1V
Blanket Creek
No! C
AquaSoume, Inc.
N00063720
Pemnitted Flow:
0.033 MGD
a�
Forest Ridge Subdivision

4 ,
Permit No. NCO063720
A (1). EFFLUENT LIMTATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge
from outfall(s) serial number 001. Such discharges shall be limited and monitored by the Permittee as specified below:
EFFLUENT
CHARACTERISTICS
DISCHARGE LIMITATIONS
MONITORING REQUIREMENTS
Monthly Average
Daily Maximum
Measurement
Frequency
Sample Type
Sample
Locations
Flow (MGD)
0.033
Continuous
Recording
I or E
BOD, 5 day, 20°C
(April 1 —October 31)
16.0 mg/L
24.0 mg/L
Weekly
Composite
E
BOD, 5 day, 20°C
(November 1 — March 31)
30.0 mg/L
45.0 mg/L
Weekly
Composite
E
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
E
NH3 as N
(April 1 — October 31)
3.0 mg/L
15.0 mg/L
Weekly
Composite
E
NH3 as N
(November 1 — March 31)
15.0 mg/L
35.0 mg/L
Weekly
Composite
E
PH/Weekly
Grab
E
Fecal Coliform (geometric
mean)
200 / 100 ml
400 / 100 ml
Weekly
Grab
E
Dissolved Oxygen
Weekly
Grab
E, U, D
Total Residual Chlorine
28µg/L
2/Week
Grab
E
Temperature, °C
Weekly
Grab
E, U, D
Total Nitrogen
(NO2+NO3+TKN)
Quarterly
Composite
E
Total Phosphorus
Quarterly
Composite
E
NOTES:
1 Sample Locations: I — Influent, E — Effluent, U — Upstream 100 feet above outfall, D — Downstream at Harper Road
2 The pH shall not be less than 6.0 standard units or greater than 9.0 standard units.
3 The daily average effluent dissolved oxygen concentration shall not be less than 5.0 mg/L.
4 Limit takes effect July 1, 2005. Until the limit takes effect, the permittee shall monitor TRC (with no effluent limit).
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.

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NOTIFICATION OF IPTFNT TO IS
I, F.SWA,%nWA'PFR PFRM'.
On the basis of Namugry noB review mt
cation of NC Ceneml Stutntes 143.21.
1.92-IM and mhm lawful smnJardo
chat. the Nunh Carolina Enviro
blanagemem Commission proposes m
SYsttma(NPD&S7 wastDcwsnrrdischnO
t m tha Irenonls) lincd'llnw eMctive
I
the pubhsb dme of dn' nuoce.
Wrinen campnnts mgaNing ;cp2X'
mh will h aceep¢d anN 30 Jeys after
lish dam of:this natia All enmanents
pnor m thm dote are emnsidemJ I.
J�tt ndermr of he NC uvii•o� n� i
PuM1lic
LS C E H E
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=OCT311do
15 Jays
DENRWATER QUALITY
POWTSOUgCE BRANCH
a of Ne Jrafs permit and other soppc
raion nn Ble used to determine o
,.c.dhe dcaft men of the gals oh
yoeandpay
. Mail comanenu anNor
nation m the NCOiTn"` o
fy of the above 33-50 , calln swn
c of de the
D PDES exnnsian
bed)in the NP 111 permit te
bed) in any cnmnmniwtion. Infe.
may also visit the Division of
Ity ai 512 N. Salisbury Street Rdcig
4-11 dB l:caween the hams of 8:0Da.n
p.m. tb nc,cw infnnnmion on file.
Soomc. Inc. in Clenunons, NuM C:
applied fur nmewalaf NPDES
(M3]20 fin * forest Ridge SJbdl
TPin Forsyth Co-ny. TMs µemine,
livlce,cs trtmed wazrewamr to F
k in We Yc4tinTee Oce River
Ind, tummnnfe nindgen, total n
rmc, a BOD art water quality I
The Chmniele: 0nobe1 2, 2003
/��5

�Oy WATF�Q .v-. Michael F. Easley, Governor
State of North Carolina
Y _ - Alan W. Klimek, P.E., Director
William G. Ross, Jr., Secretary
Department Of Environment and Natural Resources
Division of Water Quality
September 24, 2003
MEMORANDUM
To: Lee Spencer
NC DENR / DEH / Regional Engineer
Winston-Salem Regional Office
From: Dawn Jeffries
NPDES Unit
Subject: Review of Draft NPDES Permit NCO063720
Forest Ridge Subdivision
Please indicate below your agency's position or viewpoint on the draft permit and return this form by
October 24, 2003. If you have any questions on the draft permit, please contact me at telephone number
[phone], extension 595 or via a -mail at da�[e-mail].
RESPONSE: (Check one)
�/� Concur with the issuance of this permit provided the facility is operated and maintained properly, the stated
It /7�11 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:
1617 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1617 -TELEPHONE [phone]/FAX [phone]
VISIT US ON THE WEB AT http://h2o.enr.state,nc.us/NPDES

NCO063720
Facility: Aquasource, Forest Ridge Subdivision
Discharge to: Blanket Creek
Stream class and index #: WS-IV
Residual Chlorine
Ammonia as NH3
(summer)
7Q10 (CFS)
0.15
7010 (CFS)
0.15
DESIGN FLOW (MGD)
0.033
DESIGN FLOW (MGD)
0.033
DESIGN FLOW (CFS)
0.05115
DESIGN FLOW (CFS)
0.05115
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 (%)
25.43
IWC (%)
25.43
Allowable Conc. (ug/I)
66.85
Allowable Concentration (mg/1)
3.29
maximum=28 ug/I
minimum = 2
Ammonia as NH3
(winter)
7Q10 (CFS)
0.43
Fecal Limit
200/100mi
DESIGN FLOW (MGD)
0.033
Ratio of 2.9 :1
DESIGN FLOW (CFS)
0.05115
STREAM STD (MG/L)
1.8
UPS BACKGROUND LEVEL (MG/L)
0.22
IWC (%)
10.63
Allowable Concentration (mg/1)
15.08
minimum = 4
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I
NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (< 1 MGD flow)
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
http://h2o.enr.state.nc.us/NPDES/
North Carolina NPDES Permit Number I NC00 63720
Please print or type
1. Contact Information:
Facility Name
Forest Ridge
Owner Name
AquaSource, Inc.
Street Address
107 Commercial Park Drive
City
Concord
State / Zip Code
NC 28027
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
Operator Name
Bradley Flint
Street Address
Same as above
City
Same as above
State / Zip Code
Same as above
County
Same as above
Telephone Number
Same as above
2. Location of facility producing discharge:
Check here if same as above ❑
Facility Name (If different from above)
Same as above
Street Address or State Road
6931 August Drive
City
Clemmons
State / Zip Code
NC 27284
County
Forsyth
3. Reason for application:
Expansion/Modification * Existing Unpermitted Discharge
Renewal X New Facility
* Please provide a description of the expansion/modification:
NA
Page 1 of 3 Version 12102

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (< 1 MGD flow)
4. Description of the existing treatment facilities (list all installed components with
capacities}:
.0165 mgd wastewater plant with the following components: aeration, secondary clarification,
tablet chlorination, post aeration, aerated sludge holding
5. Description of wastewater (check all that apply}:
e of Facilitv Generatina Wastewater
Industrial
Commercial
Residential X
School
Other
Number of Employees
Number of Employees
Number of Homes
Number of Students/ Staff
one
52
Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.):
100 % domestic wastewater with typical hydraulic and organic loading rates from subdivision.
6. List all permits, construction approvals and/or applications (check all that applyj:
Type. Permit Number 1 TMee
RCRA Non -Attainment
UIC Ocean Dumping
NPDES NCO063720 Dredge/Fill Permits
PSD Other
NESHAPS
Permit Number
7. Number of separate wastewater discharge pipes (wastewater outfalls):
One
8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
Not applicable
Page 2 of 3 Version 12102

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (< 1 MGD flow)
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Blanket Creek, class WS-IV waters in the Yadkin Pee Dee River Basin.
10. Is this facility located on Native American lands?
YES ❑ NO }
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.
Dustin K. Metreyeon
Printed Name of Person Signing
N. Carolina Area Manager, AquaSource
Title
Signature oNApplicant
6/4/03
Date Signed
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 $10,000, 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 $10,000 or
imprisonment not more than 5 years, or both for a similar offense.)
Page 3 of 3
Version 12102

AquaSource/Rayco Utilities
Sludge Management Plan
Forest Ridge WWTP
NCO063720
Forsth County
Solids are wasted conventionally to an aerated sludge holding tank. Most of the
water/solids separation is gravitational, in that very little actual digestion of solids occurs.
However, since May 2001 to present, approximately 2000 to 4000 gallons per month
have been hauled away from this site. Forsyth Rotor is our contract sludge hauler,
ultimately disposing of our sludge in the Archie Elledge Wastewater Treatment Plant on
Griffith Road in Winston Salem, North Carolina.
/ 11410
tin . Metreyeo Date
NC Area Manager, Rayco Utilities, Inc.

U
` � 1
AI N 6 2003
AquaSource/Rayco Utilities
Sludge Management Plan
Willowbrook WWTP
NCO073539
Mecklenburg County
Solids are wasted conventionally to an aerated sludge holding tank. Most of the
water/solids separation is gravitational, in that very little actual digestion of solids occurs.
Since May 2001 to present, approximately (1) one, 3,500-gallon load of solids per
calendar quarter have been hauled away from this site. Piedmont Septic Tank is our
contract sludge hauler, ultimately disposing of our sludge at the Water and Sewer
Authority of Cabarrus County WWTP on Rocky River Road in Concord North Carolina.
4 ;1 - ��w / d1'514P'3
De K.�KleAtreyeon ate
NC Area Manager, Rayco 7- Inc.